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K T Nishio

Publications and source records attributed to K T Nishio.

4 recordsLinked to original sources
PubMed1997

A family affected by mitochondrial encephalomyopathy: a nursing protocol.

Mitochondrial encephalomyopathies are rare genetic diseases that affect organs and tissues with high oxidative activity, such as the brain, striated muscles, and heart. Although these conditions have received attention in the medical literature, there is an absence of published information on this topic in the nursing literature. The purpose of this article is twofold: (1) to provide an overview of mitochondrial encephalomyopathies and (2) to present a protocol to guide nursing practice. Protocol development is based on a case history and guided by Dungan's model of dynamic integration. The protocol addresses perceived family needs, nursing interventions, and outcomes of care.

Adolescent↗
PubMedDate not supplied

Development of a research tool: Patient Indicators of Nursing Care.

A tool, Patient Indicators of Nursing Care, was designed to measure quality of nursing care, defined in this study as prevention of nursing care complications. Nursing-accountable complications are seen as the presence of negative patient care outcomes as evidenced by observable physiologic indicators. A negative outcome results when either an observed indicator which was present at admission remains evident up to seven days postadmission or an absent indicator becomes evident during this time period. PINC is a 24-item list. Th list is first administered up to 48 hours postadmission; the second administration takes place between five and seven days postadmission. Scoring of PINC is based on the idea that four important presence-absence conditions exist and that each represents a value of quality of nursing care. Split-half reliability was computed for PINC, based on a sample of 124 patients from four hospital settings. The Spearman-Brown reliability coefficient was .871. An item analysis was accomplished by computing the correlation of each item with the total score. The computed correlation of .797 was a measure of interrater agreement. Face validity was established early in the test development by having the investigators judge the items in terms of observability, availability, and credibility. Predictive validity was not explicity examined although a major difference in PINC scores was found between critical care patients and other groups.

Humans↗