Browsing by Subject "Other Nursing"
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Item Interpreter Narratives: End-Of-Life Conversations in a Pediatric Hospital(2007-10-01) Warren, Corinne Neitzke; Lurie, SueWarren, Corinne Neitzke., Interpreter Narratives: End-of-Life Conversations in a Pediatric Hospital. Master of Public Health (Health Interpreting and Health Applied Linguistics), October 2007, 162 pp., bibliography, 74 titles. Aspects of communication between caregivers and patients/families are noted consistently in the literature as important to perceptions of quality of care at the end of life (EOL). Healthcare interpreters, along with providers, can be “deliverers of bad news.” EOL encounters create challenging and unique role and performance demands for interpreters; as active participants in these conversations, interpreters intervene in various ways that impact the communication process. While they may view providers as having the central role in an encounter, aspects of their performance suggest the pivotal nature of their own participation. This exploratory, qualitative research aimed to understand and represent interpreters’ perceptions of the EOL communication they facilitate when providers and pediatric patients and families don’t share language or culture. Their perspectives were revealed in their stories of EOL encounters, as they recounted personal reactions to specific circumstances and conversation exchanges as well as how they handled interpretation in particular situations.Item The Effectiveness of Outpatient Antiemetic for Patients on Platinum, Camptosar, and Anthracycline-Based Chemotherapy(2002-07-25) Wiggins, Jenny Marie; Victoria Rudick; Julie PrejeanAbstract. Chemotherapy-induced nausea and vomiting (CINV) is a serious problem affecting at least 50% of patients. Some nausea and vomit pathways involve serotonin and serotonin type-3 (5-HT3) receptors for propagation of the reflex. 5-HT3 antagonists were developed to block the 5-HT3 receptors and inhibit emesis. Anzemet, Kytril, and Zofran are 5-HT3 antagonists used as antiemetics in patients receiving emetogenic chemotherapy. This study was designed to determine if current antiemetic therapy involving these 5-HT3 antagonists is effective for patents on platinum, camptosar, and anthracycline-based chemotherapy. The data from this study could be used to assert or adjust antiemetic therapy in patients on these chemotherapy regimens, thus providing better quality of life for patients as they undergo chemotherapy. Patients on platinum, camptosar, or anthracycline-based chemotherapies from three Fort Worth area clinics of Texas Cancer Care were chosen to gauge the effectiveness of their antiemetic regimen based on chemotherapy regimen, patient compliance, and specific 5-HT3 antagonist. Data was gathered based on questionnaires filled out by the patient for seven days and their chemotherapy nurse on the day of their treatment. It was found that Zofran was the 5-HT3 antagonist most often prescribed by the nurses. Patient compliance was not a factor in patient perception of CINV, because of the high levels of patient cooperation. Each of the chemotherapy regimens differed by day in overall average level of CINV. Patients on Kytril were found to experience more “severe” CINV than those taking Anzemet or those not taking a 5-HT3 antagonist as an outpatient. A recommendation from this study would be a larger sample size and a larger span of time. Each of the study sites should also be compared for nurse prescribing habits and patient compliance, as well as a higher level of decadron usage for patients experiencing moderate and severe CINV.Item The MISSCARE Nursing Survey: A Secondary Data Analysis(2010-12-01) Schuckhart, Mary C.; Patricia GwirtzThe purpose of this study was a secondary analysis in order to determine missed nursing care and reasons for missed nursing care in a hospital system located in the southwest United States. Data was collected from a system-wide parent project in which bedside and specialty nursing personnel completed the MISSCARE Nursing Survey. Interventions for basic care were missed by 45.7% of bedside nursing staff, while individual needs and planning were missed by [greater than] 35% and assessment was missed by [greater than] 20%. Reasons for missed care were lack of labor resources (63.2%), material resources (36.7%), and communication (31.9%). Specialty nursing staff revealed 12 elements of missed care (ambulation, turning, hygiene, intake/output documentation, surveillance, documentation, assessments, and medication) and 7 themes for reasons of missed care.