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Biomedical subjects

J R Neidig

Publications and source records attributed to J R Neidig.

4 recordsLinked to original sources

Competency-based orientation in pediatric critical care.

Having recognized the need to update and modify their orientation program, a PICU nursing management team decided to develop a competency-based program. The goal was to facilitate transition of an orientee into a competent entry-level practitioner. This article outlines the procedure used to develop the initial phases: lists of competencies, competency evaluation worksheet and performance checklists. Later, various learning options and additional evaluation methods will be explored.

Child↗

Parental grieving and perceptions regarding health care professionals' interventions.

The death of a neonate, infant, or child is a tragedy that greatly impacts on many individuals' lives. Nurses and other health-care professionals provide care for not only the dying child but also the grieving parents and families. It is imperative that health care professionals are cognizant of the components and intensity of parental grieving and the critical role that they must assume in supporting bereaved parents prior to, at the time of, and after the child's death. The purpose of this study was to measure the intensity of parental grieving and collect information from bereaved parents regarding their perception of health care professionals' interventions. The results indicated that bereaved parents' intensity of grieving scores were generally higher than those reported on the TRIG norms. In response to The Bereavement Questionnaire, they were able to identify what health care professionals did or said that was helpful or unhelpful before, during, and after their child's death.

Adult↗

Risk factors associated with pressure ulcers in the pediatric patient following open--heart surgery.

From a retrospective chart audit conducted on 59 infants and children who had survived open-heart surgery, 16.9% were found to have developed ulcers on the occipital region of their scalps during the postoperative period. Four risk factors were identified: age, type of congenital heart defect, length of time intubated, and length of stay in the pediatric intensive care unit (PICU). A protocol designed to decrease the amount of pressure and shearing force applied to the occipital region of these patients postoperatively was implemented. A dramatic decline to 4.8% in the incidence of pressure ulcers was noted after implementation of the protocol.

Cardiac Surgical Procedures↗