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R M Kleinpell

Publications and source records attributed to R M Kleinpell.

26 records · Page 2Linked to original sources
PubMed1991

Needs of families of critically ill patients: a literature review.

More research is needed to assess and address all areas of concern to family members. Options such as family discussion groups, patient-family or psychiatric liaison nurses, or clinical nurse specialist involvement might be used to improve family care and coping. Family perceptions of important needs warrant further research, and nursing interventions such as orientation-education programs, descriptive visitor pamphlets, nurse-family interaction sessions, and open or flexible visiting policies need additional investigation. It is only through continued assessment, evaluation, and intervention that critical care nurses can achieve total care for the ICU patient and family.

Critical Care↗
PubMedDate not supplied

Factors influencing intensive care unit survival for critically ill elderly patients.

OBJECTIVE: To examine factors influencing intensive care unit (ICU) survival for critically ill elderly patients and to compare survivors and nonsurvivors of ICU on demographic and illness-related variables. DESIGN: Retrospective, ex post facto research design. SETTING: Adult medical and surgical ICUs. PATIENTS: The records of 164 survivors and 111 nonsurvivors from 2 medical-surgical ICUs were examined. Patients were placed into 3 age groups (middle-aged, young-old, and old-old) to compare outcomes for elderly ICU patients. OUTCOME MEASURES: ICU survival, ICU treatments received, severity of illness. INTERVENTION: The Acute Physiology Age and Chronic Health Evaluation II (APACHE II) was used to assess illness severity. Additional illness-related information was collected by chart review. RESULTS: Predictors of ICU nonsurvival were severity of illness (measured by APACHE II scores) and intubation. Comparison of survivors and nonsurvivors revealed no statistically significant differences in sex or age. For all age groups, nonsurvivors had significantly higher mean days of ICU hospitalization (F (1,239) = 7.20 P < .0078) and higher APACHE II scores (F (1,239) = 106.5 P < .0001). Analysis of ICU treatments received by the 3 age groups of survivors revealed a significant difference only on oxygen therapy, (chi-square = 10.2, df = 2, P = .006), with more young-old (aged 65 to 79) and old-old (aged 80 and older) ICU patients receiving oxygen therapy than middle-aged patients (aged 45 to 64). CONCLUSIONS: The findings of this study demonstrated that severity of illness was a predictor of ICU outcome; age was not. Additionally, age was not related to ICU treatments received.

APACHE↗
PubMedDate not supplied

The management of a multisite study.

Large-scale multisite nursing research projects require careful coordination of a variety of research tasks. Many nursing studies include caregivers and support staff as well as patients and their significant others as subjects, resulting in the need to develop and implement many different protocols. This article presents an implementation framework for multisite clinical studies incorporating the knowledge gained during an investigation of patient-centered care that was conducted at 17 hospitals involving contact with patients, unit managers, registered nurses, and other hospital personnel. Five areas of key research tasks are addressed: general systems design, public relations, human resource issues, data quality assurances, and data management. Management of a multisite nursing research study, including issues related to recruitment and roles of project staff, training, and key research tasks, are discussed.

Clinical Nursing Research↗
PubMedDate not supplied

Concept analysis of quality of life.

The term "quality of life" is being used to evaluate ethical cases in health care literature and practice, yet rarely is a precise definition of the term given. It remains an abstract and ambiguous phrase. This author clarifies the concept quality of life through concept analysis methods using critical care scenarios.

Critical Care↗
PubMedDate not supplied

An analysis of posthospitalization telephone survey data.

As part of a study of patient-centered care outcomes that requires the ability to be interviewed by telephone after hospitalization, 4,600 adult patients on 118 medical-surgical units in 17 midwestern hospitals selected by stratified random sampling were identified as potential subjects. This article describes response-rate differences and reasons for nonparticipation by gender, age, ethnicity, and race. Issues related to understanding and reporting response rates, reducing losses due to ineligibility, dealing with refusals, and tailoring survey approaches to special populations are discussed.

Adult↗