PubMed HealthSearch

Biomedical subjects

R E Barstow

Publications and source records attributed to R E Barstow.

5 recordsLinked to original sources

Do nurses really use standard care plans?

The authors studied the use of standard care plans in one institution to determine whether and to what extent nurses were actually using them as tools for patient care. The study produced interesting results and suggestions for improvement. After reading this article, nursing administrators may want to promote similar studies in their own institutions. Improvements made as a result of the findings can pave the way for the next step: determining the effect of standard care plans on the quality of nursing practice and patient outcomes.

Attitude of Health Personnel

Relationship between incidence of phlebitis and frequency of changing IV tubing and percutaneous site.

Using stratified random sampling, 130 patients from three hospital units were assigned to three treatment groups to test the relationship between the frequency of changing intravenous (IV) tubing and percutaneous sites and the incidence of phlebitis. Measures of pain, skin temperature, and erythema were collected every 12 hours. Chi-square analysis indicated there were no significant differences in rates of phlebitis whether the tubings were changed every 24 hours or 48 hours. Further, there were no significant differences in the incidence of phlebitis between 48- and 72-hour site change groups. Clinically, subjects in the 24-hour tubing change groups had lower rates of phlebitis. Analysis of the relationship of other factors such as environment, IV medication (heparin, potassium chloride, antibiotics, and corticosteroids), diagnosis, and age showed no statistically significant relationships. It was concluded that more frequent tubing changes are not harmful to subjects and, in fact, may be beneficial.

Adult