RESUMEN
In psychiatric-mental health, creating an innovative strategy to help students learn content that may not be frequently seen in a clinical setting is challenging. Thus, simulation helps narrow this gap. Using Kirkpatrick and Kirkpatrick's model of evaluation to guide the current study, faculty contacted baccalaureate nursing program graduates who completed a psychiatric-mental health clinical simulation scenario featuring a hanging suicide and wrist cutting suicide attempt scenario in the "Behind the Door" series as part of the clinical component of their undergraduate psychiatric-mental health course. Eleven nurses responded to a survey regarding their post-graduate encounters with these types of clinical situations, and their perception of recall and application of knowledge and skills acquired during the simulation experience to the clinical situation. Nursing graduates' responses are expressed through three major themes: emotional, contextual/behavioral, and assessment outcomes. Data from the survey indicate that nursing graduates perceived the "Behind the Door" simulations as beneficial to nursing practice. This perception is important in evaluating knowledge transfer from a simulation experience as a student into application in nursing practice. [Journal of Psychosocial Nursing and Mental Health Services, 54(10), 40-45.].
Asunto(s)
Rol de la Enfermera , Simulación de Paciente , Enfermería Psiquiátrica/educación , Intento de Suicidio/psicología , Adulto , Bachillerato en Enfermería , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Conducta Autodestructiva , Traumatismos de la Muñeca/enfermeríaAsunto(s)
Enfermería de Urgencia , Fracturas Óseas/enfermería , Traumatismos de la Muñeca/enfermería , Anciano , Huesos del Carpo/lesiones , Femenino , Humanos , Evaluación en Enfermería , Cuidados Preoperatorios/enfermería , Fracturas del Radio/enfermería , Factores de Riesgo , Resultado del Tratamiento , Fracturas del Cúbito/enfermeríaRESUMEN
A simulated wrist-cutting suicide attempt scenario was developed and implemented, with the goal of integrating the concepts of psychiatric emergency care, contraband, environmental assessment, and personal safety. Faculty also wanted to convey and provide care and support for participants through-out the visually and emotionally stimulating activity. The under-lying premise was that providing readings and lecture material on these topics was insufficient to the level of learning and performance needed by nursing students and novice nurses. How-ever, actual student clinical episodes integrating these concepts were also infrequent, unpredictable, and often not conducive to student learning. Therefore, faculty implemented a simulation teaching modality to deliver the concepts in a vivid and memorable format. A standardized rating scale on perceived learning and care from faculty during the course of the simulation was administered immediately following participation in the activity. Participants were overwhelmingly positive in their assessment of the activity, reporting an enhanced appreciation for safety in the conduct of inpatient psychiatric nursing care.Further, the faculty member's observation and post-simulation processing of the activity noted cognitive, behavioral, and emotional responses at the individual and group levels related to communication, observation and assessment, decision making,and interpersonal support
Asunto(s)
Bachillerato en Enfermería , Enfermería de Urgencia/educación , Simulación de Paciente , Enfermería Psiquiátrica/educación , Intento de Suicidio/psicología , Curriculum , Humanos , Capacitación en Servicio , Administración de la Seguridad , Conducta Autodestructiva , Traumatismos de la Muñeca/enfermería , Traumatismos de la Muñeca/psicologíaAsunto(s)
Fracturas Óseas/enfermería , Insuficiencia Cardíaca/enfermería , Hipertensión/enfermería , Alta del Paciente , Autocuidado , Anciano de 80 o más Años , Catarata/complicaciones , Catarata/enfermería , Cognición , Femenino , Fracturas Óseas/complicaciones , Fracturas Óseas/terapia , Insuficiencia Cardíaca/complicaciones , Insuficiencia Cardíaca/tratamiento farmacológico , Humanos , Hipertensión/complicaciones , Hipertensión/tratamiento farmacológico , Osteoartritis/complicaciones , Osteoartritis/enfermería , Medición de Riesgo , Factores de Riesgo , Traumatismos de la Muñeca/enfermeríaRESUMEN
OBJECTIVE: The present study aimed to compare ED waiting times (for medical assessment and treatment), treatment times and length of stay (LOS) for patients managed by an emergency nurse practitioner candidate (ENPC) with patients managed via traditional ED care. METHODS: A case-control design was used. Patients were selected using the three most common ED discharge diagnoses for ENPC managed patients: hand/wrist wounds, hand/wrist fractures and removal of plaster of Paris. The ENPC group (n = 102) consisted of patients managed by the ENPC who had ED discharge diagnoses as mentioned above. The control group (n = 623) consisted of patients with the same ED discharge diagnoses who were managed via traditional ED care. RESULTS: There were no significant differences in median waiting times, treatment times and ED LOS between ENPC managed patients and patients managed via traditional ED processes. There appeared to be some variability between diagnostic subgroups in terms of treatment times and ED LOS. CONCLUSION: Patient flow outcomes for ENPC managed patients are comparable with those of patients managed via usual ED processes.
Asunto(s)
Enfermería de Urgencia/estadística & datos numéricos , Servicio de Urgencia en Hospital/estadística & datos numéricos , Enfermeras Practicantes/estadística & datos numéricos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Estudios de Casos y Controles , Moldes Quirúrgicos , Niño , Preescolar , Femenino , Fracturas Óseas/enfermería , Traumatismos de la Mano/enfermería , Humanos , Lactante , Tiempo de Internación/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Evaluación de Procesos, Atención de Salud , Victoria , Listas de Espera , Traumatismos de la Muñeca/enfermeríaAsunto(s)
Enfermería de Urgencia/métodos , Fracturas Óseas/enfermería , Enfermeras Practicantes , Hueso Escafoides/lesiones , Traumatismos de la Muñeca/enfermería , Moldes Quirúrgicos , Errores Diagnósticos/enfermería , Errores Diagnósticos/prevención & control , Fijación de Fractura/métodos , Fracturas Óseas/diagnóstico , Fracturas Óseas/rehabilitación , Humanos , Inmovilización , Rol de la Enfermera , Evaluación en Enfermería/métodos , Hueso Escafoides/cirugía , Traumatismos de la Muñeca/diagnóstico , Traumatismos de la Muñeca/rehabilitaciónRESUMEN
INTRODUCTION: Fracture care often represents the first opportunity for clinical management of osteoporosis; however, many patients do not receive any evaluation after a fracture. In Glasgow, Scotland, fewer than 10% of fracture patients underwent bone mineral density (BMD) testing. In an effort to better meet the needs of fracture patients by providing routine assessment and, where necessary, treatment for osteoporosis after their fracture, a novel service (The Fracture Liaison Service) was designed and implemented in two separate National Health Service trusts in Glasgow. METHODS: An agreed-upon standard of care for men and women 50+ years of age with fractures was established in collaboration with orthopedic surgeons and primary care physicians. The Fracture Liaison Service assumes responsibility for fracture case-finding and for assessing and performing diagnostic evaluations (including axial DXA), and making specific treatment recommendations for the secondary prevention of osteoporotic fractures. RESULTS: During the first 18 months of operation, more than 4,600 patients with fractures of the hip, wrist, humerus, ankle, foot, hand, and other sites were seen by the Fracture Liaison Service's osteoporosis specialist nurses. Nearly three quarters of these patients were considered for BMD testing; treatment was recommended for approximately 20% of the patients without need for BMD testing. Overall, 82.3% of patients who had BMD testing were found to be osteopenic or osteoporotic at the hip or spine. CONCLUSIONS: The Fracture Liaison Service has successfully identified and evaluated most patients with fractures. Only those patients who declined were not evaluated. The ultimate success of the program will be measured by the subsequent fracture experience of these patients, but clear improvements in diagnosing and treating low bone mineral density in patients with fracture have already been demonstrated.
Asunto(s)
Fracturas Óseas/epidemiología , Osteoporosis/diagnóstico , Absorciometría de Fotón , Densidad Ósea/fisiología , Femenino , Traumatismos de los Pies/epidemiología , Traumatismos de los Pies/etiología , Traumatismos de los Pies/enfermería , Traumatismos del Antebrazo/epidemiología , Traumatismos del Antebrazo/etiología , Traumatismos del Antebrazo/enfermería , Fracturas Óseas/etiología , Fracturas Óseas/enfermería , Traumatismos de la Mano/epidemiología , Traumatismos de la Mano/etiología , Traumatismos de la Mano/enfermería , Fracturas de Cadera/epidemiología , Fracturas de Cadera/etiología , Fracturas de Cadera/enfermería , Humanos , Fracturas del Húmero/epidemiología , Fracturas del Húmero/etiología , Fracturas del Húmero/enfermería , Masculino , Persona de Mediana Edad , Osteoporosis/epidemiología , Osteoporosis/enfermería , Evaluación de Resultado en la Atención de Salud/métodos , Evaluación de Programas y Proyectos de Salud , Derivación y Consulta , Escocia , Traumatismos de la Muñeca/epidemiología , Traumatismos de la Muñeca/etiología , Traumatismos de la Muñeca/enfermeríaAsunto(s)
Fracturas de Cadera/enfermería , Enfermería Ortopédica/métodos , Osteoartritis/enfermería , Traumatismos de la Muñeca/enfermería , Adulto , Anciano , Antirreumáticos/uso terapéutico , Educación Continua en Enfermería , Femenino , Fracturas de Cadera/cirugía , Fracturas de Cadera/terapia , Humanos , Masculino , Osteoartritis/tratamiento farmacológico , Traumatismos de la Muñeca/cirugía , Traumatismos de la Muñeca/terapiaRESUMEN
Injuries to the hand and wrist are common, and incorrect diagnosis and management can have catastrophic consequences for patients. This article discusses the causes, assessment, treatment and psychosocial needs of patients with hand or wrist fractures.
Asunto(s)
Fracturas Óseas/enfermería , Traumatismos de la Mano/enfermería , Traumatismos de la Muñeca/enfermería , Fracturas Óseas/cirugía , Humanos , Evaluación en EnfermeríaRESUMEN
Technical advancements in arthroscopic wrist procedures have improved our knowledge of normal and abnormal intraarticular wrist function. Triangular fibrocartilage complex (TFCC) tears from trauma injuries are a common source of ulnar-sided wrist pain. Fortunately, the TFCC is a structure that can be evaluated and treated arthroscopically with results that are comparable to open surgical procedures. Successful arthroscopic repairs of TFCC tears depend on a coordinated team effort between perioperative nurses, orthopedic surgeons, nurse practitioners, and occupational hand therapists, as well as cooperation from patients and family members. This article reviews the anatomy and physiology of the TFCC, the biomechanics of the wrist and mechanisms of injury, and arthroscopic repairs of TFCC tears.