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Comprehensive patient care and documentation through unit-based nursing rounds.

S Coleman·E A Henneman
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Abstract

Unit-based nursing rounds is an advanced practice educational program implemented through collaboration between a unit-based clinical nurse specialist and an education nurse specialist. The purpose of this program is to provide an informal, time efficient means of teaching staff nurses during work hours. The format emphasizes utilization of the nursing process through presentation of selected case studies. The goal is to enhance incorporation of a nursing model into patient care planning to ensure comprehensive patient care and documentation. Each phase of coordinating, implementing, and evaluating this educational program will be reviewed.

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CommunicationHospital UnitsHumansInterprofessional RelationsNurse CliniciansNursing AuditNursing RecordsNursing Staff, HospitalPatient Care PlanningProgram EvaluationSurveys and QuestionnairesJournal Article

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S Coleman, E A Henneman. 1991. Comprehensive patient care and documentation through unit-based nursing rounds.. https://doi.org/10.1097/00002800-199100520-00013

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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