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Biomedical subjects

G L Ingersoll

Publications and source records attributed to G L Ingersoll.

At least 19 recordsLinked to original sources
PubMed1996

The effect of a professional practice model on staff nurse perception of work groups and nurse leaders.

OBJECTIVE: The objective of the study was to measure the effect of an enhanced professional practice model on perception of work groups and nurse leaders. BACKGROUND: Previous studies of staff nurse perception of work environment and nurse leaders were used to guide development of the professional practice model and the selection of variables. Implementation of the model was expected to result in more favorable perceptions of the work group and a desire for facilitative leadership style. METHODS: A quasi-experimental design was used to compare change over time in five-hospitals--an urban medical center, two community hospitals, and two rural hospitals. FINDINGS: Introduction of the model resulted in more favorable perceptions about the work group and a desire for a more facilitative nurse leader. CONCLUSION: Change in perception of work group and leader rather than job satisfaction may be an early indication of favorable outcome of planned change. Changes in nurse satisfaction may be a late outcome, which may be the reason findings from previous studies are mixed.

Attitude of Health Personnel↗
PubMed1996

Evaluation research.

Evaluation is often described as different from research. In this article, common myths about evaluation are discussed as well as reasons these myths no longer fit with current understanding of evaluation research. Issues associated with the conduct of evaluation studies are described, with recommendations made for maximizing the rigor of designs. Suggestions are made for how nurse executives can shape and influence externally generated evaluation projects.

Bias↗
PubMed1995

Implementation of a professional practice model for nursing in a rural hospital.

Growing concern about rural hospitals and the health of rural citizens highlight the need for high quality, progressive nursing care. To address this concern, several program changes to improve patient and organizational outcomes were made in one rural hospital; implementation success varied. Hospital culture and changes occurring within the health care environment affected the change process.

Continuity of Patient Care↗
PubMed1995

Evaluation of the advanced practice nurse role in acute and specialty care.

As a foundation for the development of a framework for the evaluation of the acute care nurse practitioner (ACNP) role, practicing ACNPs were interviewed. Knowledge of the ACNP evaluation process and the criteria used for performance evaluation varied considerably among those interviewed. Findings from the interviews suggest that considerable work is needed in the areas of ongoing and long-range ACNP role evaluation.

Acute Disease↗
PubMed1994

Terminal weaning from mechanical ventilation: a review.

Terminal weaning is a clinical intervention for withdrawing mechanical ventilatory support when such support is an unacceptable outcome for a patient. Withdrawal of life support must be done in a humane manner for the patient, the family, and the patient's care providers. Research-based directions for clinical practice are limited because of the paucity of research in this area. Recommendations for future study are related to methods, facilitative therapy, patient, family, and caregiver responses, and care delivery models.

Family↗
PubMed1994

Weaning from mechanical ventilation: concept development.

This article, the first in a series, is written to clarify the process of weaning from mechanical ventilation and to promote the development of a common language for understanding the complex weaning process. The Third National Study Group on Weaning From Mechanical Ventilation proposes a conceptual model and definitions that will provide a framework for future research on this important topic. This conceptual framework describes the preweaning phase, the weaning process, and the outcome phase of mechanical ventilation. Potential outcomes are completion of weaning, lack of completion, and terminal weaning. The weaning decision continuum incorporates: (1) when and how to begin the weaning process, (2) how to select therapies to assist with difficult weaning and chart progress during weaning, and (3) when to stop weaning if progress is no longer being made. An inherent assumption of this model is that each patient will display unique responses to the weaning process. The proposed conceptual framework and definitions provide a foundation for developing clinical practice guidelines and for guiding future ventilator weaning research.

Decision Making↗
PubMed1994

Weaning from short-term mechanical ventilation: a review.

The purposes of this article are to: identify gaps in the research literature on weaning adult patients from short-term mechanical ventilation, highlight the scientific base for practice guidelines, and suggest future research directions. Data bases from 1989 through June 1993 were reviewed, and relevant research articles were extracted, analyzed, and synthesized within the AACN Third National Study Group framework. Seminal work and other supportive literature also were used in this review. Despite considerable research on predictors and patient responses to weaning from short-term mechanical ventilation, few of the findings can be applied to clinical practice at this time. Less research is available on weaning modes and therapies that facilitate weaning from short-term mechanical ventilation; fruitful research in these areas depends in part on a better understanding of patient responses and accurate weaning predictors.

Dyspnea↗
PubMed1992

The art of the consultation note.

Inherent in the consultation process is the ability to communicate effectively, yet little emphasis is placed on written communication through consultation notes. The art of writing a consultation note is learned primarily through trial and error or by master/apprentice relationships with senior practitioners. This paper reviews the types of consultations in which advanced practitioners are involved and presents a format for preparing a comprehensive consultation note.

Consultants↗
PubMed1991

Preoperative pulmonary status and postoperative extubation outcome of patients undergoing elective cardiac surgery.

The purpose of this study was to determine whether factors associated with impaired pulmonary function were predictive of postoperative extubation outcome (extubation according to protocol or delayed extubation) in a sample of patients undergoing elective cardiac surgery. Forty-seven patients were assessed before surgery and after postoperative extubation using a noninvasive assessment technique. Positive preoperative affect was the sole factor associated with extubation outcome in this sample of patients undergoing cardiac surgery. Those who were extubated according to hospital protocol had significantly higher positive affect scores (p = 0.02) than did those who were not. Subjects with delayed extubations had a greater incidence of postoperative atelectasis (p = 0.02). They also had significantly longer stays in the surgical intensive care unit (p = 0.01) and the hospital (p = 0.05). Preoperative pulmonary function, age, sex, and history of smoking were not associated with postoperative extubation outcome.

Affect↗
PubMed1989

Respiratory muscle fatigue research: implications for clinical practice.

Research into respiratory muscle fatigue and failure has centered around three issues: the factors that place individuals at risk for fatigue; the physiologic manifestations of fatigue development; and the various treatment alternatives available to prevent and respond to respiratory muscle failure. Selected studies in this field of investigation are discussed, and applications to clinical practice are proposed.

Aged↗
PubMed1985

Abdominal pathology in spinal cord injured persons.

The assessment and management of abdominal disease in persons with spinal cord injuries is extremely complex. Alterations in the normal conduction of impulses to the brain can result in symptoms that may be quite unlike those which are commonly associated with abdominal pathology. A number of features, however, have been identified which can assist the practitioner in the interpretation of the clinical evaluation. This article discusses those findings and the most commonly occurring abdominal disorders in which they are seen. Two case studies are presented which exemplify the symptomatology described and which reinforce the need for early accurate diagnosis and management of abdominal disease in spinal cord injured persons.

Adolescent↗
PubMedDate not supplied

Licensed practical nurses in critical care areas: intensive care unit nurses' perceptions about the role.

OBJECTIVE: The purpose of this study was to determine critical care nurses' perceptions about the reintroduction of the licensed practical nurse into critical care areas. DESIGN: A qualitative research design was used, with focus groups used as the method for data collection. SETTING: A large midwestern university-affiliated medical center. SUBJECTS: Registered nurses (RNs) and licensed practical nurses (LPNs) employed in the medical center's critical care units. PROCEDURES: RNs and LPNs were interviewed separately in groups of 3 to 8 members. Open-ended questioning was used to collect information about nurses' perceptions concerning the reintroduction of the LPN role into critical care units. Data were analyzed for themes within and across groups. RESULTS: Registered nurses were unprepared for reintroduction of the role and were unsure of legal versus hospital-directed restrictions on LPN practice. LPNs were frequently placed in situations in which they assumed patient assignments outside those described in job descriptions or unit standards. CONCLUSION: When LPNs are reintroduced into critical care units, clear descriptions of roles and responsibilities are needed as is orientation of RNs to the roles of delegator and resource nurse.

Attitude of Health Personnel↗
PubMedDate not supplied

Health services research in nursing: current status and future directions.

To assess the current status of health services research in nursing, 113 studies reported between 1980 and 1989 were reviewed. Identified gaps in this research included comprehensive cost-benefit and cost-effectiveness analyses, effects of technology on patient care, evaluations of information systems, evaluations of innovative care delivery approaches, and studies of ethical issues related to the use of scarce resources.

Clinical Nursing Research↗