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Biomedical subjects

K T Kirchhoff

Publications and source records attributed to K T Kirchhoff.

10 recordsLinked to original sources
PubMed1992

Development of a program for neonatal intensive care units managed by neonatal nurse practitioners.

Because of reduced medical coverage and changing educational experiences of the pediatric residents, the Department of Nursing Practice at the University of Utah Hospital in collaboration with the Department of Patient Care Services at Primary Children's Medical Center seized the opportunity to develop a nurse-managed patient care service within two tertiary-level nurseries in the State of Utah. Collaboration with nursing administrators and practitioners in both sites yielded joint plans for a successful NNP program. Initial efforts were to fund jointly and support the College of Nursing to develop an educational program, whereas the clinical program was developed before the reduction in medical coverage. Many issues were addressed because of the multidisciplinary and multi-institutional nature of the program. Work is ongoing in the recruitment of students and NNPs, development and review of clinical practice, and endorsement and privileging considerations.

Hospitals, Pediatric↗
PubMed1992

Positional oxygenation changes in air-transported neonates.

The effect of position on oxygenation was compared in 24 critically ill, premature neonates during pressurized, fixed-wing transport. The purpose of the study was to assess if there is a significant change in the arterial oxygen tension in the supine, prone, or prone-free positions during air transport. Neonates with endotracheal tubes in place who (1) had radiologic evidence of hyaline membrane disease, (2) had an umbilical artery catheter in place, and (3) required at least 1 hour of air transport to a level III intensive care center were admitted into the study after parental consent. There was an average 8% increase in oxygenation in the prone and prone-free positions when compared with the supine position. Although this difference might be considered clinically significant for the critically ill premature neonate, there was no statistically significant difference in arterial oxygen tension among the three positions tested in this study.

Aircraft↗
PubMed1991

Analysis of the research about heparinized versus nonheparinized intravascular lines.

This article is a review and analysis of published and unpublished research on the efficacy of both dilute heparin solutions and normal saline solutions in flushing and maintaining the patency of vascular catheters. Twenty studies involving both intravenous and intraarterial catheters in pediatric and adult patients are summarized and analyzed both quantitatively and qualitatively. Thirteen studies that were conceptually similar were subjected to a meta-analysis; no significant difference in duration of patency was found between intravascular catheters flushed with saline solution and those flushed with a heparinized solution. Implications for changing practice based on research findings are discussed.

Adult↗
PubMedDate not supplied

Altering children's distress behavior during orthopedic cast removal.

The hypothesis treated was that discrepancy between expected and experienced physical sensations (what is felt, seen, heard, tasted, and smelled) during a threatening experience will result in distress. The subjects were 84 children, 6 to 11 years of age, male and female. The threatening experience was orthopedic cast removal. Tape recorded preparatory information was used to vary systematically expectations about physical sensations. The children were randomly assigned to one of three information groups: 1) sensory information which described the sensory experience during cast removal, 2) procedure information which described the steps of the experience, 3) control group which heard no tape recorded information. Nonverbal and verbal signs of distress reactions and the pulse rate were observed during cast removal. Signs of distress were scaled from zero to two, with zero meaning no distress behaviors and two, high distress behavior. A two-factor analysis of variance (two levels of pre-fear and three levels of information) was used for analysis. As hypothesized, the mean distress score for the sensation group (.50) differed significantly from the control group mean (1.00 p less than .025). The procedure group distress score mean (.71) fell between the sensation and control group means but did not differ significantly from the control group mean. The no pre-fear group distress score mean (.52) was significantly lower than the some pre-fear group mean (1.00 p less than .02). Mean pulse rate changes for information groups for before to during cast removal were in the same order as the distress scores, but the differences were not statistically significant. The findings were similar to those from other tests of the hypothesis.

Adaptation, Psychological↗
PubMedDate not supplied

An approach to publishing an edited book.

This article outlines the steps taken by the authors to publish a co-edited nursing research book to assist nurses interested in editing a book or writing a book chapter. The authors' experiences are used to help illustrate the preparation and editing of manuscripts. Collaboration among co-editors, chapter authors (contributors), and the staff of the publishing company is vital when publishing an edited book.

Books↗