Journal of Radiology Nursing最新文献

Background

Fasting at midnight is standard practice for patients undergoing inpatient electrophysiological (EP) procedures, creating discomfort and dissatisfaction.

Methods

This single-center, cross-sectional observational study utilized a standard-of-care (SOC) group who remained nil per os at midnight and an evidence-based (EB) group who received clear liquids up to 2 hours before their procedure. Each participant completed a Likert scale survey assessing fasting satisfaction and a retrospective chart review was completed to assess adverse outcomes.

Results

Subjects’ hunger in the SOC group (M = 4.067) differed significantly from the EB group (M = 3.167), U = 254.5, z = 2.883, p = .004, r = 0.372. Subjects' thirst in the SOC group (M = 4.367) differed significantly from the EB group (M = 3.1), U = 186, z = 3.896, p = <.001, r = 0.503. Hypoglycemia in the SOC group was statistically significant from the EB group.

Conclusion

Allowing clear liquids 2 hours before EP procedures reduced patient thirst and hunger without adverse outcomes.

Concept analyses are an essential practice in building the body of nursing science. A discussion regarding nursing as a discipline, profession, or vocation is provided. The contributions of concept analyses to nursing science and various methods of performing concept analyses are presented. The Walker and Avant's and Rodgers and Knafl's methods of concept analysis are discussed. A brief concept analysis of “spirituality” using the Walker and Avant's method is provided to guide the reader through the basic steps. Performing concept analyses using established, well-respected methods such as those presented in this article lends credibility to the end-product. Concept analyses should not be disregarded but instead should be undertaken with great care, using established methods of concept analysis and be purposeful in their design in order to make meaningful contributions to the nursing literature.

Telehealth is the use of communication technologies via one or more modalities to provide remote healthcare services. Standards for etiquette, federal and state policies, health information privacy, licensure, and billing and reimbursement direct all telehealth services. The expansion of teleradiology has increased access to diagnostic imaging and interpretation in rural and underserved areas.

Introduction

Point-of-Care Ultrasound (POCUS) is the use of ultrasound as an enhancement to the physical examination in clinical practice. The end goal is improved diagnostic accuracy and expedited management. The utility and versatility of POCUS have been validated by its role during the COVID-19 pandemic. This research is the first of its kind to help identify the top 25 global POCUS practice domains or core competencies as defined by POCUS users from around the world.

Methods

Following a review of peer-reviewed journal articles and medical school and residency curricula, a list of 41 POCUS practice domains was compiled into a survey. Survey respondents were tasked with rating these by level of importance to determine the top 25 POCUS practice domains.

Results

Survey data provided by 360 respondents from 51 countries were used to identify the top 25 POCUS practice domains.

Conclusion

The POCUS25 list identifies core competencies that can be of value to develop curricula and establish credentialing guidelines for clinicians and educators.

Background

Regardless of the tight schedule in outpatient settings caring should be based on patients believes of what is important in relation to maintain everyday life. Guided self-determination (GSD) is a method that supports reflection, collaboration, decision-making, and problem-solving.

Purpose

The purpose was to examine clinical nurses’ and ward managers experience of GSD during radiation or outpatient chemotherapy treatment.

Method

A qualitative interview study using a phenomenological hermeneutic approach was used.

Findings

Two overall themes were generated “GSD is meaningful to both clinical nurses, ward managers, and patients” and “GSD creates an extraordinary room for counseling incompatible with clinical practice in a short-term contact but causing moral distress”.

Conclusion

All nurses experienced the GSD intervention to be meaningful but difficult to implement in a busy technical field. This created a dilemma in everyday clinical practice with the risk of causing moral distress. The nurses used different strategies to cope with this.

This nurse-led, institutional review board-approved pilot study describes basic nursing research from the phenomenon of interest through institutional review board submission and approval process, study protocol development, study execution, and reporting both qualitative and quantitative finding. This study is underpinned with a novel nursing theory, The Steel Jacket: Antecedents of Trauma, inspired by the work of physicist David Bohm and nursing theorist Martha Rogers. The study involved 2 distinct sets of subject: nurses and trauma patients. Nurses were recruited to participate in a prestudy and poststudy of The Steel Jacket Theory. Trauma patients were interviewed to understand their lived experience of the meaning of trauma 1 year after the event. One hundred acute care nurses in a level 1 trauma center were emailed a survey about their level of empathic care and existential nursing approaches toward trauma patients. The intervention included a short module on The Steel Jacket Theory and an accompanying original 6-minute video. Simple statistics were used to tabulate findings. The second set of subjects were trauma patients who were consented and participated in 30-minute interviews. Spielberg's Phenomenological framework was used to describe themes from trauma patient's lived experiences: feeling lost, engaging in self-blame, internally fighting vulnerability and fear, marshalling inner resources to survive, and knowing that a moment in time changed their life forever. Trauma patients can benefit from Trauma Survivorship clinics and nurses need protected time to appreciate and cultivate the space to listen for what is said, perceive what is not said, and co-create a path of healing.