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Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses最新文献

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Atrial Fibrillation. 心房纤颤。
Q3 Nursing Pub Date : 2016-01-01 DOI: 10.1056/nejm200108233450816
Cynthia A Frazer
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引用次数: 0
Research Questions and Hypotheses. 研究问题和假设。
Q3 Nursing Pub Date : 2015-11-01 DOI: 10.4324/9780203055595-11
L. Connelly
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引用次数: 14
Evidence-Based Practice: Share the Spirit of Inquiry. 循证实践:分享探究精神。
Jill Arzouman
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引用次数: 0
Coping with Death and Dying in Afghanistan: A Reflection. 在阿富汗面对死亡和死亡:反思。
Maria Pescatore
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引用次数: 0
Is Nursing Care Missed? A Comparative Study of Three North Carolina Hospitals. 护理被忽略了吗?北卡罗来纳州三所医院的比较研究。
Susan Maloney, Jennifer L Fencl, Sonya R Hardin

Results of a survey measuring frequency, types, and reasons for missed care at three acute care hospitals in North Carolina are described. Results also are compared to those of a previous, similar study in the midwestern United States.

一项调查的结果测量频率,类型和原因错过护理在北卡罗莱纳州的三个急性护理医院描述。研究结果还与之前在美国中西部进行的一项类似研究进行了比较。
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引用次数: 0
Postoperative Delirium Prevention in the Older Adult: An Evidence-Based Process Improvement Project. 老年人术后谵妄预防:循证过程改进项目。
Tracy Layne, Sheila A Haas, Judy E Davidson, Audrey Klopp

Postoperative delirium is a major complication in hospitalized older adults. Implementation of a screening tool and evidence-based delirium-prevention protocol on a surgical unit increased nurses' knowledge regarding delirium, increased identification of delirium, and produced medical treatment alterations leading to positive patient outcomes.

术后谵妄是住院老年人的主要并发症。在外科病房实施筛查工具和基于证据的谵妄预防方案增加了护士对谵妄的认识,增加了谵妄的识别,并产生了导致患者积极结果的医学治疗改变。
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引用次数: 0
It's Time to Recognize APRN Practice Nationally. 是时候在全国范围内承认APRN实践了。
Cynthia W Ward
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引用次数: 0
The Gluten-Free Frenzy: Fad or Fitting? 无谷蛋白狂热:时尚还是合适?
Linda Johanson

Although the gluten-free diet has been recognized as therapeutic for individuals suffering from celiac disease, it has been promoted recently for other indications, such as autism, chronic fatigue syn- drome, and irritable bowel syndrome, or simply as a healthy dietary choice for anyone. The basics of the gluten-free diet are explored, with evidence-based indications and nursing implications when patients choose gluten-free.

虽然无麸质饮食被认为是治疗乳糜泻患者的一种方法,但它最近也被推广用于其他适应症,如自闭症、慢性疲劳综合征和肠易激综合征,或者只是作为任何人的健康饮食选择。无麸质饮食的基础是探索,循证指征和护理的意义,当患者选择无麸质。
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引用次数: 0
Sensitivity and Specificity of a Nurse Dysphagia Screen in Stroke Patients. 护士对脑卒中患者吞咽困难筛查的敏感性和特异性。
Jo Cummings, Donovan Soomans, Jennifer O'Laughlin, Valerie Snapp, Amy Jodoin, Heather Proco, Mindy Archer, Donna Rood

Purpose: To determine how well an institutionally developed nurse dysphagia screening tool correctly identified the presence (sensitivity) or absence (specificity) of dysphagia in patients following acute stroke.

Methods: A method-comparison design was used to compare results of the Nurse Dysphagia Screen to the dysphagia evaluation by a speech and language pathologist (SLP). Each newly diagnosed participant served as his or her control, with both dysphagia evaluations (nurse, SLP) occurring within 2 hours of each other. Sensitivity and specificity of the Nurse Dysphagia Screen was calculated using standard formulas.

Results: For 49 patients evaluated following stroke, average age was 71.7 (SD +/- 13.5). Twenty-five subjects were female and 24 were male. The majority of the participants had strokes identified as ischemic in origin (n=35). The SLP found 18 (37%) participants had a positive dysphagia assessment. The Nurse Dysphagia Screen was positive in 16 of 18 participants screened positive by SLP, resulting in some type of dietary restriction. The Nurse Dysphagia Screen was negative in 28 of the 31 patients screened as negative by SLP. Sensitivity and specificity of the Nurse Dysphagia Screen were 89% and 90%, respectively.

Conclusions: An easy-to-use, institutionally developed nurse dysphagia screening tool successfully identified patients with swallowing difficulties after stroke later diagnosed by SLP.

目的:确定机构开发的护士吞咽困难筛查工具正确识别急性卒中患者吞咽困难的存在(敏感性)或不存在(特异性)的程度。方法:采用方法比较设计,将护士吞咽困难筛查结果与语言病理学家(SLP)的吞咽困难评估结果进行比较。每个新诊断的参与者作为他或她的对照组,两次吞咽困难评估(护士,SLP)在彼此2小时内发生。使用标准公式计算护士吞咽困难筛查的敏感性和特异性。结果:卒中后评估的49例患者,平均年龄为71.7岁(SD +/- 13.5)。25名受试者为女性,24名为男性。大多数参与者被确定为缺血性中风(n=35)。SLP发现18名(37%)参与者有积极的吞咽困难评估。护士吞咽困难筛查在SLP筛查阳性的18名参与者中有16名呈阳性,导致某种类型的饮食限制。护士吞咽困难筛查31例患者中有28例经SLP筛查为阴性。护士吞咽困难筛查的敏感性和特异性分别为89%和90%。结论:一种易于使用,机构开发的护士吞咽困难筛查工具成功地识别出中风后吞咽困难的患者,这些患者后来被SLP诊断为吞咽困难。
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引用次数: 0
The New 'Code of Ethics for Nurses With Interpretive Statements' (2015): Practical Clinical Application, Part I. 新《护士职业道德规范与解释性陈述》(2015):临床实践应用第一部分。
Jill Winland-Brown, Vicki D Lachman, Elizabeth O'Connor Swanson
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引用次数: 0
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Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
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