Urologic nursing最新文献

This article aims to assist urologic nurses in the assessment and management of adults with urinary incontinence, with special consideration given to the geriatric patient. Additionally, discussion will include classifications of the disorder, risk factors, and applicable age-related impacts.

The Affordable Care Act (ACA) (2010) launch of Medicare Value-Based Purchasing (VBP) has become the platform for buyers of health care to hold health care providers accountable for demonstrating high-quality, cost-effective care for Medicare recipients across the trajectory of care practitioners and settings (Gardner, 2013; VanLare & Conway, 2012). The Centers for Medicare and Medicaid Services (CMS), authorized under the ACA, specified quality measures that will best advance the National Quality strategic objectives and build upon the Hospital Inpatient Quality Reporting infrastructure (U.S. Department of Health & Human Services [DHHS], 2013). The quality performance measure domains for fiscal year 2013 focused on Clinical Process of Care and Patient Experience of Care domains. Strategically, quality measures will expand to include delivery of care models, and coordinated care focused on promoting health wellness and health maintenance within the community setting (VanLare & Conway, 2012). Value-based purchasing affords nursing the opportunity to lead the charge in developing innovative delivery of care models to improve the quality of care at a lower cost and shift from providing sick care toward population-focused, preventative, and health promotion care (Gofin, Gofin, & Stimpson, 2014; Marsh, Diers, & Jenkins, 2013).

This article describes nurses' perceptions of the effect of a nurse-driven protocol in a Magnet-designated hospital. Post-protocol implementation data indicate improved job ease and positive patient feedback following protocol implementation. Younger or less-experienced nurses were likely to use the protocol.

Optimizing pain management is a component of enhanced perioperative recovery for children undergoing urologic surgery. Incisional pain and discomfort from bladder spasms are two types of pain associated with bladder surgery. A child's developmental level and verbal skills must be considered when selecting pain assessment tools. Assessing pain location, type, and intensity is essential in developing a multimodal plan of care for post-operative pain. Pharmacological interventions provide effective pain management, which facilitates early ambulation, return to oral intake, and recovery. Pre-operative preparation, non-pharmacological interventions, and parental presence help decrease anxiety and promote comfort, as well as support a child's coping skills.

Men who have undergone radical prostatectomy for the treatment of prostate cancer often lack knowledge about post-surgical care to bridge this gap in knowledge. Thus, we developed, refined, and validated a prostate cancer survivor's toolkit, which provides these men in the care required after this procedure.

The field of female urology covers a broad spectrum of lower urinary tract dysfunction and pelvic disorders. The aim of this article is to provide a comprehensive review of the most significant literature published during 2013.

As pressure for reduced catheter-associated urinary tract infection (CA UTI) rates continues, health care organizations are challenged to find new methods for infection prevention. The purpose of this review is to synthesize the evidence regarding the impact of bathing practices, particularly non-basin bathing, on CAUTI prevention.