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Risk Reduction for Nursing—Understanding Your Role in Reducing Liability Exposure 降低护理风险-了解您在减少责任暴露中的作用
Pub Date : 2012-12-05 DOI: 10.1089/BAR.2012.9953
Elizabeth A. Banford, Amanda R. Budak
It has taken many years for RNs to achieve recognition as healthcare professionals possessing the exceptional skill and knowledge necessary to provide high-quality care. RNs need to be aware that the care they give and the documentation of that care may be reviewed by others from a legal perspective, and protect themselves accordingly by being as accurate and attentive as possible throughout each and every shift.1 Exposure to malpractice liability is an unfortunate consequence of modern-day nursing practice. An understanding of malpractice will assist nurses in identifying situations that may expose them to legal liability, and will hopefully lead to improved patient care.2
注册护士经过多年的努力,才成为公认的医疗专业人员,拥有提供高质量护理所需的特殊技能和知识。注册护士需要意识到,他们提供的护理和护理记录可能会被其他人从法律角度进行审查,因此,在每次轮班中,尽可能准确和细心地保护自己暴露于医疗事故责任是现代护理实践的不幸后果。对医疗事故的了解将有助于护士识别可能使他们承担法律责任的情况,并有望改善对病人的护理
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引用次数: 0
Bias and the Obese Adolescent: Revealing Stories from Their Caregivers 偏见和肥胖青少年:从他们的照顾者揭示故事
Pub Date : 2012-09-06 DOI: 10.1089/BAR.2012.9966
Moderator Carmel A. McComiskey, Participants Leah Barefoot, N. Browne, Bela Dharia, B. Haynes, Lori J. Lynch, Steadman McPeters, A. Phipps
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引用次数: 0
Debating Parental Responsibility for Childhood Obesity: Ethical and Legal Considerations 争论父母对儿童肥胖的责任:伦理和法律考虑
Pub Date : 2012-09-06 DOI: 10.1089/BAR.2012.9973
K. Pratt, A. Greer
Childhood obesity is a complex, multifactorial problem requiring great scrutiny before judgment is rendered on parental accountability. In several states, legal action has been taken against parents for neglect when well-meaning authorities reported children's diagnosed severe obesity to social services. The aim of this paper is to view childhood obesity through a lens of the ethical principles of social, distributive, and procedural justice. Further, the aim is to debate whether responsibility for childhood obesity is shouldered solely by parents and caretakers, or shared communally as a matter of public health.
儿童肥胖是一个复杂的、多因素的问题,在对父母的责任作出判断之前,需要仔细审查。在一些州,当善意的当局向社会服务机构报告被诊断为严重肥胖的儿童时,父母因疏忽而采取了法律行动。本文的目的是通过社会,分配和程序正义的伦理原则的镜头来看待儿童肥胖。此外,目的是讨论儿童肥胖的责任是由父母和照顾者单独承担,还是作为公共卫生问题共同承担。
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引用次数: 3
It Costs Nothing 不花钱
Pub Date : 2012-09-06 DOI: 10.1089/BAR.2012.9963
K. Seidl
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引用次数: 0
Web Resources for Adolescent Obesity 青少年肥胖网络资源
Pub Date : 2012-09-06 DOI: 10.1089/BAR.2012.9970
K. Hrovat, L. Kollar
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引用次数: 0
Weight Bias, Stigmatization, and Bullying of Obese Youth 肥胖青少年的体重偏见、污名化和欺凌
Pub Date : 2012-09-06 DOI: 10.1089/BAR.2012.9972
N. Browne
Obese children suffer psychological, social, and health-related consequences of weight bias and discrimination. Weight-based stigmatization toward obese youth is unrelenting, pervasive, and cruel. This paper reviews the definitions of weight-related bias and victimization, including bullying, discusses the consequences of these acts, examines current anti-bullying programs, and suggests future directions. The author recommends that all overweight or obese children (especially in school or clinical settings) be assessed for weight-based victimization with appropriate interventions employed if discovered.
肥胖儿童遭受体重偏见和歧视带来的心理、社会和健康方面的后果。以体重为基础的对肥胖青年的歧视是无情的、普遍的和残酷的。本文回顾了体重相关偏见和受害的定义,包括欺凌,讨论了这些行为的后果,研究了当前的反欺凌计划,并提出了未来的方向。作者建议对所有超重或肥胖儿童(特别是在学校或临床环境中)进行基于体重的受害评估,并在发现后采取适当的干预措施。
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引用次数: 23
Breastfeeding and Obesity 母乳喂养与肥胖
Pub Date : 2012-09-06 DOI: 10.1089/BAR.2012.9967
M. Connolly, Rita Tracewell
The American Pediatric Association (APA) recommends breast milk as the sole source of nutrition for infants aged 6 months and younger. This recommendation is a result of numerous studies demonstrating the benefits of breast milk in relation to decreased infection rates, improved digestion, and decreased complications of prematurity in infants hospitalized in the neonatal intensive care unit. Emerging studies now suggest a protective link for mother and baby against obesity and related sequelae when infants are breast-fed. As obesity rates in women and children continue to rise, breast milk is becoming recognized as a key intervention to keep both mother and baby healthy.
美国儿科协会(APA)建议母乳作为6个月及以下婴儿的唯一营养来源。这一建议是基于大量研究的结果,这些研究表明母乳在降低感染率、改善消化和减少新生儿重症监护病房住院婴儿的早产并发症方面具有益处。新出现的研究表明,母乳喂养对母亲和婴儿预防肥胖和相关后遗症有保护作用。随着妇女和儿童肥胖率的持续上升,母乳被认为是保持母亲和婴儿健康的关键干预措施。
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引用次数: 12
Barriers and Strategies in Recruitment for Bariatric Surgery Research 减肥外科研究招募的障碍和策略
Pub Date : 2012-09-06 DOI: 10.1089/BAR.2012.9969
P. Hulme, T. W. Land, C. Mcbride
Bariatric surgery patients present unique challenges for research recruitment. These include the stigma of obesity, sensitive psychosocial issues that may accompany obesity, and the many requirements of insurers before surgery is approved. Yet, little guidance is found in the literature on ways to improve recruitment success for bariatric surgery patients specifically. The purpose of this article is to describe the strategies we developed to overcome anticipated and unanticipated barriers to recruiting bariatric surgery patients for a prospective pilot study. First, we review the literature on barriers to recruitment and strategies to improve recruitment for clinical research projects in general. Pertinent barriers include fear of emotional distress, practical and logistical concerns for data collection, issues related to research regulations, and clinician attitudes regarding the study. Second, we demonstrate the ways in which successful strategies from the literature were incorporated into our recruitme...
减肥手术患者对研究招募提出了独特的挑战。其中包括肥胖的耻辱,肥胖可能伴随的敏感的社会心理问题,以及批准手术前保险公司的许多要求。然而,文献中很少有关于如何提高减肥手术患者的招募成功率的指导。本文的目的是描述我们开发的策略,以克服招募减肥手术患者进行前瞻性试点研究的预期和意外障碍。首先,我们回顾了有关临床研究项目招募障碍和改善招募策略的文献。相关障碍包括对情绪困扰的恐惧、对数据收集的实际和后勤考虑、与研究法规相关的问题以及临床医生对研究的态度。其次,我们展示了如何将文献中的成功策略纳入我们的招聘……
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引用次数: 2
Nursing Care of the Adolescent Patient Undergoing Laparoscopic Sleeve Gastrectomy 青少年腹腔镜袖式胃切除术患者的护理
Pub Date : 2012-09-06 DOI: 10.1089/BAR.2012.9971
Leah C. Barefoot, E. Nadler
Over the past several decades, obesity has become an increasingly important problem for adolescents in the United States. As more children struggle with obesity-related comorbidities and due to the lack of sustained success with medical and behavioral weight-loss programs, the laparoscopic sleeve gastrectomy (LSG) has emerged as an effective surgical option for significant weight loss first in the adult population and now among adolescents. Nurses play an integral role in the success of the patient undergoing sleeve gastrectomy in both the preoperative and post-operative phases. Their expertise in patient education makes nurses well suited to provide patients and families with anticipatory guidance and nutritional support throughout the process. In addition, the compassion and caring that is unique to the nursing profession allows nurses to excel in the care of patients with the complex medical and psychological disorders related to obesity.
在过去的几十年里,肥胖已经成为美国青少年日益严重的问题。随着越来越多的儿童与肥胖相关的并发症作斗争,并且由于缺乏持续成功的医学和行为减肥计划,腹腔镜袖胃切除术(LSG)已经成为一种有效的手术选择,首先是在成年人中,现在是在青少年中。无论是术前还是术后,护士都对患者的成功起着不可或缺的作用。他们在病人教育方面的专业知识使护士非常适合在整个过程中为病人和家属提供预期的指导和营养支持。此外,护士职业特有的同情心和关怀使护士在照顾与肥胖相关的复杂医学和心理障碍患者方面表现出色。
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引用次数: 2
Nursing Bias and the Obese Patient: The Role of the Clinical Nurse Leader in Improving Care of the Obese Patient 护理偏见与肥胖患者:临床护士长在改善肥胖患者护理中的作用
Pub Date : 2012-09-06 DOI: 10.1089/BAR.2012.9968
Seung-ho Lee, C. Calamaro
Obesity continues to be a public health issue in the United States. Obesity is a major risk factor for other medical conditions, such as cardiovascular disease, diabetes, musculoskeletal disorders, and some cancers. Healthcare providers play a key role in assisting and providing support to patients who are obese or have obesity-related health problems. They can educate patients who are trying to lose weight and maintain weight loss. However, barriers exist in quality of care. For example, nurses and other healthcare providers may at times have negative attitudes toward and beliefs about patients who are obese. Additionally, healthcare providers may rely on family or self-report of a patient's height and weight, and those estimates are often inaccurate. To improve the care of patients struggling with weight, the clinical nurse leader (CNL), for example, can play an important role in educating nurses regarding issues that affect the patient with obesity. The CNLs can provide educational opportunities that p...
在美国,肥胖一直是一个公共健康问题。肥胖是其他疾病的主要风险因素,如心血管疾病、糖尿病、肌肉骨骼疾病和某些癌症。医疗保健提供者在帮助和支持肥胖或有肥胖相关健康问题的患者方面发挥着关键作用。他们可以教育那些试图减肥并保持减肥效果的病人。然而,在护理质量方面存在障碍。例如,护士和其他医疗保健提供者有时可能对肥胖患者有消极的态度和信念。此外,医疗保健提供者可能依赖于患者的家人或自我报告的身高和体重,而这些估计往往是不准确的。例如,为了改善对体重患者的护理,临床护士长(CNL)可以在教育护士有关影响肥胖患者的问题方面发挥重要作用。cnl可以提供教育机会……
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引用次数: 7
期刊
Bariatric Nursing and Surgical Patient Care
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