PubMed Health⌕ Search

Biomedical subjects

P Quigley

Publications and source records attributed to P Quigley.

9 recordsLinked to original sources
PubMed1991

Achieving maximal utilization of an advanced practice council.

In the James A. Haley Veterans' Hospital, it became increasingly apparent to those in advanced practice roles that a forum was needed to provide a supportive milieu in which nursing staff in expanded and advanced practice roles could come together and discuss the clinical needs of patients and nursing practice issues. Using a dynamic theoretical framework based upon the identification of need for such a forum, an Advanced Practice Council was established to: (1) enhance an understanding of the advanced practice role; (2) promote consultation, support, and networking among Council members; (3) facilitate and refine communication systems; (4) share new ideas; (5) collaborate for research; (6) contrast methods of practice; and (7) increase consultation services. The current activities of this group focus around role clarification and utilization. Peer review of advanced practice roles, for example, has been explored by the council and is in the stages of implementation. Future activities include examining the effects of expanded roles on staff practice and patient care, expanding standards of clinical nursing practice, and facilitating the autonomy of nursing practice through a privileging process.

Florida↗
PubMed1988

Identification of patients at low risk of dying after acute myocardial infarction, by simple clinical and submaximal exercise test criteria.

A consecutive series of 559 hospital survivors of acute myocardial infarction aged less than 66 years were studied; 93 were designated prospectively as low-risk because they were suitable for early submaximal exercise testing and had none of the following clinical or exercise test 'risk factors': (1) angina for at least one month prior to infarction; (2) symptomatic ventricular arrhythmias, or (3) recurrent ischaemic pain, both after the first 24 h of infarction; (4) cardiac failure; (5) cardiomegaly; and (6) an abnormal exercise test (angina, ST-depression or poor blood pressure response). Altogether 301 patients were exercised; their mortality over a median follow-up of 2.4 years was 10.2%, versus 24.6% in the 258 patients not exercised (P = 0.0005). Absence of clinical 'risk factors' alone, in the exercised patients, identified 156 with a mortality of 5.4% versus 15.6% in the 145 with at least one clinical 'risk factor' (P = 0.004). The fully defined low-risk group comprised 93 of the former patients who had neither clinical nor exercise test 'risk factors'. None of these patients died compared with 19 of those with at least one 'risk factor' (mortality = 14.7%; P = 0.002). Their respective rates of non-fatal reinfarction were similar and never exceeded 5% per annum. Therefore, simple clinical and exercise test criteria can positively identify low-risk patients after infarction in whom secondary prevention may be inappropriate.

Adrenergic beta-Antagonists↗
PubMed1978

Gray scale echography of unilateral renal disease.

Gray scale ultrasound is a reliable noninvasive method of demonstrating renal pathology. It is simple nontraumatic, nonionizing and can be readily utilized in the differentiation of cystic and solid lesions.

Humans↗
PubMedDate not supplied

Putting research into practice.

Two nursing units at the James A. Haley Veterans' Hospital in Tampa, FL, used a model directed toward translating research outcomes into clinical knowledge for use in a practice setting. Each unit developed its own unique subjects, based on problem identification by the nursing staff. The clinical areas followed different courses, and the results varied. Many differences between the two units became apparent, such as mode of delivery of nursing care (primary versus team nursing) and differences in staffing patterns. These differences had an impact on successful implementation of the model. This article describes the Conduct and Utilization of Research in Nursing (CURN) model as a process that guides nursing staff in integrating research and clinical practice.

Humans↗