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Biomedical subjects

J Tyndall

Publications and source records attributed to J Tyndall.

11 recordsLinked to original sources
PubMed2003

Written and verbal information versus verbal information only for patients being discharged from acute hospital settings to home.

BACKGROUND: It is becoming commonplace for patients to be discharged earlier from acute hospital settings to their own homes and be required to manage various aspects of their own care. This has increased the need for detailed information to be given to patients and/or significant others to enable them to effectively manage care at home. It has been suggested that providing written health information can assist in this self management. OBJECTIVES: To determine the effectiveness of providing written health information in addition to verbal information for patients and/or significant others being discharged from acute hospital settings to home. SEARCH STRATEGY: Computerised searches from 1990 to June 2002 of the Cochrane Consumers and Communication Review Group Specialised Register and Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (OVID), EMBASE, CINAHL, PsycINFO, ERIC, OVID (including Ageline, EBM Reviews, DARE, Best Evidence, Pre-MEDLINE and PsycARTICLES), Sociological abstracts, Austhealth and bibliographies in articles that met inclusion criteria. SELECTION CRITERIA: Articles were selected if they were randomised control trials or controlled clinical trials; included patients discharged from acute hospital settings to home; the patient and/or significant others received written health information and verbal information in the intervention group, and verbal information only in the control group; and the intervention (written health information and verbal information) was provided at discharge. DATA COLLECTION AND ANALYSIS: Two reviewers independently screened abstracts to determine relevance. Relevant full paper copies were then reviewed against the inclusion criteria. The findings were extracted by one reviewer and confirmed by the other reviewer. The two trials that met the inclusion criteria were too disparate to warrant meta-analysis. MAIN RESULTS: The participants in the two trials were parents of children who were discharged from children's hospitals, one in the United States (n=197) the other in Canada (n=123). Provision of verbal and written health information significantly increased knowledge and satisfaction scores. REVIEWER'S CONCLUSIONS: This review recommends the use of both verbal and written health information when communicating about care issues with patients and/or significant others on discharge from hospital to home. The combination of verbal and written health information enables the provision of standardised care information to patients and/or significant others, which appears to improve knowledge and satisfaction. Many of our objectives could not be addressed in this review due to lack of trials which met the review's inclusion criteria. There is therefore scope for future research to investigate the effects of providing verbal and written health information on readmission rates, recovery time, complication rates, costs of health care, consumers' confidence level, stress and anxiety and adherence to recommended treatment and staff training in the delivery of verbal and written information. In addition there are other factors which impact on the effectiveness of information provided that were not considered in this review but are worthy of a separate systematic review, such as the impact of the patient and/or significant others being involved in the development of the written information, and cultural issues around development and provision of information. Due to concerns about literacy levels for some population groups, other systematic reviews should also focus on other modes of delivery of information besides the written format.

Aftercare↗
PubMed2000

Analyzing pacemaker leads: application of a form of energy.

In the province of Ontario, analyzing of pacemaker leads is a delegated controlled act. This article describes the certification/recertification process for analyzing of pacemaker leads at the Hamilton Health Sciences Corporation.

Certification↗
PubMed2000

Creutzfeldt-Jakob disease guidelines: a regional approach.

Creutzfeldt-Jakob Disease (CJD) is an infectious, progressive, degenerative neurological disorder. Unique CJD Precautions must be adhered to as the infectious agent is difficult to destroy. A regional group in Hamilton-Burlington Ontario developed CJD guidelines based on critical review of the current evidence of transmission in a Canadian healthcare environment, current published standards of practice in North America, the United Kingdom and Australia; and principles of laboratory and patient care safety as well as expert opinion.

Creutzfeldt-Jakob Syndrome↗
PubMed2000

Forensic perioperative nursing. Advocates for justice.

Facts and evidence have been negated or lost by the inexperience of health care professionals who are not cognizant of the legal requirements concerning potential criminal cases. In the perioperative setting, policy and procedure should provide guidelines for potential criminal cases based on the key concepts and principles of forensic science. Potential forensic cases and traumatic injuries are not limited to major health care centres. All hospitals should have policies and procedures which outline: traumatic injuries/death, staff responsibilities, details of collecting evidence, documentation, chain of custody. The procedure should also include care of victims, suspected perpetrators as well as family/persons accompanying patient.

Canada↗
PubMed1998

The circulating role: who is the most appropriate care provider?

This article describes the long and arduous journey to the development of the Nursing Position Statement-Appropriate Care Provider for the Operating Room in Hamilton and Burlington, Ontario. From the first meeting to the final presentation of the Position Statement to management, it took over a year of intense review. The entire process was done in consultation with the College of Nurses of Ontario, Operating Room Management, educators and staff nurses.

Humans↗
PubMedDate not supplied

A cardiac arrest policy.

The following article describes the process in the development and implementation of an Operating Room's Cardiac Arrest Policy. The actual guidelines and forms developed are presented.

Critical Care↗
PubMedDate not supplied

Yes, I want to walk to the OR.

The health consumer of today is a more active participant in his or her health care. Although clients may require surgery, many of them do not consider themselves as being ill preoperatively. Health care professionals have a tendency to place the client in a dependent, ill role upon entering the health care facility. At this health care facility, clients are given the choice of either walking to the operating room, or going by stretcher. Studies found in the literature suggest that personal control is central to the reduction of clients' stress-related signs and symptoms. Nurses need to encourage client participation and assist the client to take control over those factors that are controllable. Utilizing King's (1981) conceptual framework, active client participation in mutual goal-setting, decision-making, and interactions to achieve the mutual goals in relation to health care is encouraged. All clients who attended the Preadmission Assessment Clinic were potential participants for this study. On the day of surgery, clients were asked by the nurse if they would prefer to walk to the operating room or go by stretcher. The majority of clients chose to walk to the operating room. The choice made by many of the clients is consistent with the findings in the literature stating that clients need a sense of control in what is often perceived as an uncontrollable environment.

Clinical Nursing Research↗
PubMedDate not supplied

Eye glasses and dentures in the O.R.: the choice is yours!

Historically, patients have been required to remove their dentures and eye glasses on the pre-surgical ward before being taken to the Operating Room (OR) on the day of surgery. This descriptive study examined the choices made by patients pre-operatively regarding dentures and/or glasses, the reasons given for the choice, and the relative satisfaction with the choice post-operatively. Of the 213 patients enrolled in this study, 66% were female with an average age of 57 years. Only patients wearing eye glasses or dentures were included. Sixty-nine percent of the patients wearing glasses and 85% wearing dentures chose to wear them to the OR. When asked post-operatively about their satisfaction with their choice, 95% indicated that they were very satisfied with their choice and that it was the best decision they could possibly have made. No glasses or dentures were broken or lost during the study.

Adolescent↗