Biomedical subjects

M Dobal

Publications and source records attributed to M Dobal.

5 recordsLinked to original sources

PubMed2000

Prevalence and types of wounds among children receiving care in the home.

The purpose of this study was to determine the number of children with wounds receiving home care, determine the types of wounds among these children, and identify wound care products used in the treatment of children. This study was a multi-site, descriptive, cross-sectional, collaborative, study involving 13 home healthcare agencies and a university. Nurses (n = 281) were systematically selected to collect data for patients receiving home care visits during a 1-week period. The nurses recorded data on 77 children who ranged in age from less than 1 year to 18 years (mean = 3.1 years, SD = 4.72). The children included 47 males and 30 females, most of whom were African-American (n = 59). Among the 77 children, 16.9% had wounds. Children with wounds were significantly older and had more reasons for the home healthcare visit than children without wounds. The presence of a wound was not significantly related to the length of the visit, gender, or race. The most common wound was a surgical incision. The wound care treatments used most were tap water and gauze. In conclusion, wound care is frequently part of the care for a child in the home. Therefore, nurses need to be aware of wound assessment and wound care protocols that match a child's growth and development and family needs.

Adolescent↗

PubMed1999

Wound prevalence, types, and treatments in home care.

OBJECTIVE: To ascertain the number of home care patients with wounds, determine the types of wounds being treated in the community, and identify wound care treatments used at home. DESIGN: Descriptive, multisite, collaborative project. SETTING: 13 home care agencies located throughout lower Michigan that had voluntarily formed a research consortium. The location of patients visited was 43% urban, 39% suburban, 16% rural, and 2% unaccounted. PATIENTS: Systematic sampling was used to select nurses in each agency to collect data. Nurses (n = 281) recorded information about adult patients visited during the 1 week of the study. Data were recorded about 2847 patients, M age = 72.5 years. They included 1793 women and 1040 men (gender was not recorded for 14 patients); most patients in the sample (72%) were white. MAIN PLANNED OUTCOMES: A significant number of home visits would include wound care and that wound care would be primarily done with tap water and gauze. RESULTS: Wounds were present in 36.3% of patients. Of the patients with wounds, 58.3% had 1 wound and 41.7% had multiple wounds. Wound types included surgical (62.4%), pressure ulcers (24.9%), and vascular leg ulcers (22.2%). Tap water and gauze were the most-used wound care treatments. Patients with wounds had significantly longer home care visits than patients without wounds. CONCLUSIONS: Patients with wounds are commonly found in home care. There is a low utilization of specialty dressings and commercial irrigation solutions across all wound types. Nurses who follow patients with wounds may need additional time to provide the care.

Adult↗

PubMed1998

Developing collaborative multisite research in home care.

This article present the collaborative process for conducting research among a state home care foundation, its associated membership, and a university. Research collaboration allowed the merging of talents and resources from persons, home care agencies, and a university. The history and development of the project, sampling procedure, and data collection and analysis are discussed. The project increased the appreciation for research, allowed an opportunity for scholarly exchange, and accented the positive use of resources in all settings.

Communication↗

PubMed1995

Agreement between measures of pulmonary artery and tympanic temperatures.

The purposes of this study were to compare pulmonary artery, oral, axillary, and two tympanic temperatures and test agreement between measures of pulmonary artery and tympanic temperatures in a convenience sample of 32 Intensive Care Unit patients. The correlation coefficients for pulmonary artery and oral, axillary, and tympanic temperatures were moderate to strong and significant at the p < .01 level. However, intraclass correlation coefficients estimated the intermethod reliability and were below the .75 criterion of acceptability. Thus, one method of temperature measurement could not be interchanged for another.

Adult↗

PubMed1990

Strategic planning: collaboration and empowerment.

This article describes a strategic planning process for the redesign of patient care delivery based on a systems approach. The process included an assessment of internal hospital strengths and weaknesses matched with external opportunities and threats in the community that the hospital serves. An essential component of the strategic planning process was collaboration. Two types of collaboration emerged, interdisciplinary and intradisciplinary. The outcome of involving all disciplines in the hospital as well as multiple levels and roles within nursing was a comprehensive implementation plan based on the empowerment of the health care provider, health care recipient, and the health care system.

Health Planning↗