Medicine and Health Sciences

The Impact of an Electronic Medication Administration Record On Medication Administration Efficiency and Medication Errors

A prospective, observational study utilizing time-and-motion technique and a retrospective review of hospital Midas+ database were conducted to compare the medication administration efficiency and monthly rate of medication errors before and after the implementation of electronic medication administration records (eMAR).


The Effect of an Early Mobility Protocol among Critically Ill Patients

Healthcare organizations are under increasing pressure to provide the best care for their patients. They are not only starting to be held accountable for preventable problems, but are being scrutinized based on patient outcomes. Many patients in the hospital will require a stay in the intensive care unit (ICU). While many patients do survive their ICU stay, a large number of them are left with physical disabilities related to that stay. Some of those disabilities are long term or even permanent.


The Effect of a Shared Governance Model on Healthy Work Environment Among Perioperative Nurses

To achieve safe patient care, effective communication among health care team members is needed. Lack of communication is the leading cause of sentinel events in the perioperative setting. Communication between members of the perioperative team — the surgeon, anesthesiologist, circulating nurse, and scrub nurse or technologist affects team collaboration and patient safety. Communication has been identified as one of the key elements needed to accomplish team collaboration and a healthy work environment.


Skin Care Guidelines for the Neonate Aged 23-30 Weeks

Skin, the largest organ of the human body, has many important functions; among them are thermoregulation, acting as a barrier against toxins, and secreting water and electrolytes. Traditionally, skin care in the neonatal intensive care unit has been handed down from more experienced nurses to new nurses. Today’s neonatal nurses realize the importance of utilizing evidence based guidelines to guide their care, which includes the area of skin care.


Nurses' Attitudes towards Death and Care of the Dying Patient

 As the population continues to age, more patients are dying in healthcare facilities than ever before (Bercovitz et al., 2008); nurses need to be prepared to provide end-of-life care to this population. This study examines the factors that affect nurse attitudes towards death and care of the dying patients. A descriptive correlation study was concluded in an acute care hospital during February 2012.


Nurse to Nurse: A Prescription for Cultural Care for Elderly Russian Non-English Speaking Patients in Nursing

The growing ethnically and racially diversity of the American population has a direct impact on healthcare providers. Immigration and demographic trends suggest that increasingly the U.S. elderly patient populations are linguistically and culturally diverse. A patient’s inability to communicate in the same language as a provider will compromise patient health and safety.


Inquiry into the Communication Process: Nurses’ Perceptions of Nurse/Physician Communication

As nursing has developed as a profession, the role of nurse-physician communication and how it relates to patient outcomes has been a focus of research. While poor patient outcomes have been identified as a result of ineffective nurse-physician communication, the factors leading to ineffective communication have not been identified. This qualitative research study was designed to identify the variables involved in effective and ineffective nurse-physician communication.


Improving outcomes in out-of-hospital cardiac arrest in the Emergency Department

Challenges exist among hospital staff in performing high quality cardio pulmonary resuscitation (CPR) according to the 2010 international guidelines. Effective and uninterrupted chest compressions have demonstrated improved patient outcomes. The literature recommends that education and training specific to teamwork and leadership be provided to healthcare providers caring for patients requiring resuscitation.


Healthcare Experiences of Parents of children with Autism Spectrum Disorder: A Phenomenological Study

Today, more children in the United States are diagnosed with Autism Spectrum Disorder than childhood cancer, juvenile diabetes, and pediatric AIDS combined. Research is currently being conducted regarding the causes, prevalence and treatment for Autism, however little is known regarding care for this population in healthcare settings. The purpose of this Interpretative Phenomenological study is to explore the lived healthcare experiences of mothers of children with Autism Spectrum Disorders.


Exploring Extubation Within the Home Environment

With the baby boomer generation getting older and having to care for their parents, it has become apparent that end of life discussions are becoming more frequent. Many elderly persons have identified that they would prefer to die in their own home. For those who are on a ventilator in the ICU, however, the option to be brought home, and subsequently extubated at home, ensuring that they will die at home has become a new phenomenon.


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