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Biomedical subjects

D K Kjervik

Publications and source records attributed to D K Kjervik.

At least 19 recordsLinked to original sources

Legal considerations at the end of life.

Patients with end stage renal disease (ESRD) and their families face questions related to dying that are touched by legal mandates. This article addresses patients' legal rights and the nurse's role in advocating for these rights. Advance directives, competency to make health care decisions, assisted suicide, disability law, and the duty to provide reasonable and safe care are specific areas discussed in the article. Nurses must become familiar with legal requirements; communicate effectively with patients, families, and other caregivers; provide care that falls within the standard of care expected of nephrology nurses; and advocate for policies that enhance ESRD patient care.

Advance Directives↗

A tool to assess the cognitively impaired elderly.

When elderly persons become cognitively impaired, decision-making and case management can be intensely frustrating for health care providers who must make provisions for both short-term and long-term care. Numerous barriers pose challenges to the case managers in addition to those that occur when health care terminology does not fit easily into the legal vocabulary of the judge who makes the ultimate decision naming a guardian or conservator. Ongoing research by the authors has been involved in identifying criteria to determine incompetency by both formal and informal caregivers of cognitively impaired elderly. A scale, currently consisting of 10 criteria, has been developed and continues to be refined by the authors.

Aged↗

Nurse attendee purchasing patterns.

Retention of nursing professionals is crucial in responding to the increasing demand for and complexity of nursing care. Augmenting the decision-making role of nurses is one important retention-related strategy. Purchasing patterns reflect one aspect of nurses' decision-making role. National meetings provide nurses with an opportunity to investigate educational and employment options, as well as to preview technological advances in patient care products and supplies. Yet, the purchasing patterns of nurses related to the marketing of patient care supplies, or educational material at national meetings have rarely been acknowledged or researched. This study investigated the purchasing patterns of nurse attendees as revealed at a national meeting and how attendance influenced purchasing input following the meeting. The study addressed differences in purchasing patterns between specific groups of nurse attendees, as well as the relationship between meeting attendance motivators and purchasing patterns. A descriptive methodology utilizing participant observation at four national nursing meetings and mail survey in four phases was used to determine if there were: (1) identifiable purchasing patterns for nurses attending specific nursing-organization sponsored national meetings, (2) differences in purchasing patterns between nurse attendees from these meetings, (3) differences in self-reported post-meeting purchase input, and (4) relationships between meeting attendance motivators and purchasing patterns. The findings demonstrate that nurse attendee purchasing patterns can be identified and do vary among nursing groups. Nurse attendees at specialty meetings were more likely to act as specifiers, have a more dominant role in purchasing and were more likely to influence product purchases than were nurse attendees from generalist meetings. Self-reports of post-meeting purchasing input demonstrated that nurse attendees utilized information gained at national meetings in subsequent patient care product selections, product utilization and specification of new products/equipment/protocols for trial within the practice site. Positive relationships between meeting attendance motivators and purchasing patterns were most evident for those nurse attendees with greater purchasing involvement and influence.

Adult↗

Legal parameters of drug prescriptions by NPs.

Nurse practitioners' roles are expanding to include greater legal responsibility as caregivers and as expert witnesses in courts of law. Many states allow the expanding role to include the prescription of drugs, usually within a protocol or standing-order framework. Other states prohibit nurses from prescribing drugs. As the responsibilities of nurse practitioners grow, so should their authority to determine what they consider to be nursing practice. It is the purpose of this article to explicate the ways in which the law has treated the subject of drug prescriptions by nurses with a special emphasis on nurse practitioners' responsibilities.

Drug Prescriptions↗

Progressive discipline in nursing. Arbitrators' decisions.

Nursing administrators occasionally must appear before an arbitrator during a hearing to present evidence about the disciplining or discharge of a nursing staff member. Labor arbitrators will examine the record for evidence of appropriate discipline, including progressive discipline, which gradually increases the severity of penalties. This gives the employee adequate warning about improper behavior and an opportunity to respond. The author describes progressive discipline, identifies its elements, and shows cases in which arbitrators have either upheld or overturned hospitals' disciplinary measures. Nursing administrators will discover guidelines for progressive discipline that will help them in either avoiding a demand for arbitration or convincing the arbitrator that disciplinary measures were appropriate.

Administrative Personnel↗