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Biomedical subjects

T A Freichels

Publications and source records attributed to T A Freichels.

5 recordsLinked to original sources

Using clinical innovations for research-based practice.

Making choices about patient-care interventions pervades critical care nursing practice. Research utilization activities provide the reasoning by which assessment parameters are established, preventative actions are identified, and interventions are evaluated in the clinical setting for positive effects on patient outcomes. For research results to be directly applicable, they must be transformed into clinical innovations specific to a patient population, clinical situation, or institutional setting. A brief summary of using research findings to design clinical innovations is provided. Examples of selected clinical innovations are included to illustrate the steps of the research utilization process. Clinical innovations are intended to improve or validate patient outcomes and are considered the key to quality patient care.

Clinical Nursing Research

Clinical application of family research: a unit-based approach.

The needs of family members with a critically ill relative present a significant challenge to nursing professionals in the intensive care unit. Initially, interventions aimed at providing focused information and relieving anxiety take precedence. As the crisis period passes, however, the family may need to reestablish familiar patterns of functioning. Thus, family assessment and intervention is vital throughout the course of the patient's hospitalization. This article examines how a medical-respiratory intensive care unit has applied family need research in designing and implementing an ongoing family-based plan of care.

Adaptation, Psychological

Cardiopulmonary effects of artificial ventilatory support.

Artificial ventilatory support can lead to many undesirable cardiac and pulmonary side effects. Adapting conventional modes of ventilation or using alternative modes of pulmonary support can optimize oxygen delivery and minimize cardiopulmonary complications. By assessing cardiopulmonary effects of mechanical ventilatory support, the critical care nurse can help identify and reduce potential complications for critically ill patients and improve patient outcomes.

Cardiac Output