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Introduction
Published in Barbara J. Horn, Facilitating Self Care Practices in the Elderly, 2019
At the completion of the third round of questionnaires the following nine clinical problems emerged as the most critical: Teaching elders and families medication regimensNursing management of elder coping problemsNursing management of family coping problemsNursing management of intravenous therapiesTeaching elder/family management of intravenous therapiesNursing management of symptoms for clients with cancerNursing management of woundsTeaching elders/family care of woundsTeaching elders/family management of diabetes
Intrapleural chest drainage
Published in Philip Woodrow, Nursing Acutely Ill Adults, 2015
Small collections of air or fluid may resolve spontaneously or be removed by needle aspiration. Larger collections necessitate intrapleural chest drains, more often just called ‘chest drains’. Although chest drains have been used for over a century, there is surprisingly little research-based evidence (MacDuff et al., 2010). There are however UK national guidelines, published by the BTS; sections authored by Havelock et al. (2010) and MacDuff et al. (2010) are especially useful. Chest drains are the catheters inserted into the patient’s pleura. Insertion is usually a medical role. Indwelling drains are connections to collection chambers, which are usually managed by nurses (and often incorrectly called ‘chest drains’). This chapter focuses on nursing management of collection chambers and related care of patients.
Nursing care of the cardiac catheterisation patient
Published in John Edward Boland, David W. M. Muller, Interventional Cardiology and Cardiac Catheterisation, 2019
Julie Parkinson, Jo-Anne M. Vidal, Eva Kline-Rogers
Nursing management of bleeding depends on the nature of the bleeding. A minor ‘tracking’ ooze, while annoying, may require 5 minutes manual compression and application of a new transparent dressing. Minor ooze that continues may require application of a mechanical compression device, or wad of gauze under a transparent dressing and, as a last resort, a haemostatic alginate wound dressing (e.g. surgicel, kaltostat). Due to the increased risk of infection as a result of blood and gauze providing a culture media,18(p83) these dressings must be removed at the earliest opportunity.
Toxic Leadership: Lessons for Mental Health Nurses
Published in Issues in Mental Health Nursing, 2023
Michelle Cleary, Sancia West, Catherine Hungerford
Building a better leadership model is central to spearheading the cultural change required in toxic nursing contexts. We know that toxic behaviors present themselves early in a nursing career, which offers time and opportunity to intervene and change these toxic actions to positive leadership (Williams, 2019). Authentic leaders, who act in a manner that is consistent with their values and conduct themselves with credibility (Raso, 2019), serves to increase job satisfaction and enjoyment while decreasing nurse burnout and negative behaviors (Alilyyani et al., 2018). These leaders demonstrate a commitment to trust, mutual respect, and honest communication, and embed these practices in the workplace culture (Ofei et al., 2022). Yet leadership such as this does not grow organically. It requires a distinct set of skills that must be fostered and encouraged with support from nursing staff and the organization. Acknowledging nursing management and leadership as a speciality that requires education, training, and clinical supervision, is a prerequisite for setting nursing managers up to succeed rather than fail.
Efficacy and safety of blinatumomab in Chinese adults with Ph-negative relapsed/refractory B-cell precursor acute lymphoblastic leukemia: A multicenter open-label single-arm China registrational study
Published in Hematology, 2022
Hongsheng Zhou, Qingsong Yin, Jie Jin, Ting Liu, Zhen Cai, Bin Jiang, Dengju Li, Zimin Sun, Yan Li, Yanjuan He, Liping Ma, Sujun Gao, Jianda Hu, Aili He, Xin Du, Daihong Liu, Xiaohong Zhang, Xiaoyan Ke, Junling Zhuang, Yue Han, Xiaoqin Wang, Yuqi Chen, Paul Gordon, Dong Yu, Gerhard Zugmaier, Jianxiang Wang
China is geographically vast, with the world’s largest population. There are differences in the level of economic development and social insurance systems between regions, with different clinical practices, resources, and cultural nuances among hospitals. Collection of data and maintenance of protocol integrity were therefore often challenging and may be a limitation of this trial. In addition, since the administration of blinatumomab requires continuous IV infusion, physicians and nurses needed to be well trained. Careful clinical and nursing management is required to extend real-world use of blinatumomab in China. Finally, MRD measurement could not be performed at any of the validated laboratories in the United States and Europe that performed MRD for our global trials as Chinese regulations do not allow patient samples to be exported outside of China. A laboratory in mainland China was therefore used, which could also be a limitation for this trial.
Nurse staffing norms in a hospital: Determining a golden standard using a new estimation method
Published in International Journal of Healthcare Management, 2021
Javad Moghri, Fatemeh Kokabisaghi, Seyed Saeed Tabatabaee
This study indicates that Nurse to Patient Ratio (NPR) and the Available Working Time (AWT) of nurses are two important components of designing a norm for estimating the number of nurses required in different hospital departments. Given that NPR and AWT of nurses differs from one department to another, a sole norm is not enough. Therefore, different norms should be applied in different cases. Using a norm would help health system managers to have a fair distribution of nurses in different departments of hospitals and will prevent arbitrary decisions on nurse staffing. These norms can also be used in nursing management and patient care planning. Although applying these norms might increase hospital costs due to the increased nursing staff needed in the short run, it might reduce costs in the long term by increasing the satisfaction of nurses and patients and reducing the withdrawal of nurses from providing necessary service and incidence of adverse patient care events.