RESUMO
Three medical/surgical units in a Midwestern medical center introduced a two-way wireless communication system to test its effect on environmental noise, staff communication, timeliness of response to patient requests, nurse fatigue and job satisfaction. Data were collected through focus groups, surveys, pedometer studies and work sampling. Results provide for nurse managers the first objective evaluation of the potential of this new device and a framework for designing other nursing evaluations of the effects of a new technology.
Assuntos
Sistemas de Comunicação no Hospital , Rádio/instrumentação , Comunicação , Desenho de Equipamento , Sistemas de Comunicação no Hospital/tendências , Humanos , Ruído Ocupacional , Enfermeiras e Enfermeiros , Médicos , Rádio/tendênciasRESUMO
The motives for the selection of primary patients in a neonatal intensive care unit were identified by 34 participants in a series of staff development programs on primary nursing. Motives were identified and ranked in order of importance. These included: (1) medical problems; (2) continuity of care; (3) impression of parents; (4) impression of the infant; (5) altruism; (6) nurses' self-esteem; and (7) impression of other staff. This paper considers the potential impact of these motives on the ability of the nurse to fulfill the expectations of primary nursing practice.
Assuntos
Atitude do Pessoal de Saúde , Unidades de Terapia Intensiva Neonatal , Terapia Intensiva Neonatal , Enfermeiras e Enfermeiros/psicologia , Enfermagem Primária , Humanos , Recém-Nascido , Motivação , Relações Enfermeiro-Paciente , Relações Profissional-Família , Desenvolvimento de PessoalAssuntos
Cuidados Críticos , Ética Médica , Perinatologia , Valores Sociais , Defesa da Criança e do Adolescente , Conflito Psicológico , Comitês de Ética Clínica , Ética Clínica , Regulamentação Governamental , Humanos , Recém-Nascido , Gestantes , Medição de Risco , Tecnologia de Alto Custo , Valor da Vida , Suspensão de TratamentoRESUMO
The challenge in meeting the caloric and metabolic demands of infants who are critically ill, debilitated, or neurophysically immature is discussed. Advances in nutrition that have greatly improved neonatal survival are presented. Intravenous nutrition is presented as an appropriate mode of therapy to provide or supplement nutritional support in neonates who cannot derive all the requirements from oral feedings.
