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September 23, 2022 As Aotearoa New Zealand faces down a nursing shortfall of thousands, changes are afoot to how overseas nurses are registered here. In the second part of a [...]

Elders with heart failure are at high risk for poor post-discharge outcomes such as rehospitalizations, emergency department use, and unscheduled physician visits. This study was conducted to determine if sociodemographic characteristics would aid in identifying high-risk individuals., Heart failure, a clinical syndrome characterized by progressive cardiac dysfunction, affects 10 in 1,000 Americans over age 65 (American Heart Association, 2006). In 2006, the estimated direct costs of heart [...]

In the United States it is estimated that 16% of children are affected by developmental disabilities (American Academy of Pediatrics, 2001). Unfortunately, national statistics indicate that fewer than 30% of children with developmental or behavior problems are identified prior to entering kindergarten (Glascoe & Macias, 2003). Early Intervention studies and research on brain development have demonstrated the short and long-range benefits of early identification of developmental delays and intervention in the preschool years (Glascoe & Macias, 2003). During the past decade several studies have validated the use of parent questionnaires that screen for developmental delays. The nurse in a clinic, private office, or community health center should become familiar with the vast array of developmental screening tools. With this knowledge, the nurse can become the champion of change in selecting and incorporating the best tools for the systematic screening of children for developmental delay, as part of the well-child check-up., The well-child checkup in the pediatric practice and other primary care venues encompasses a variety of health promotion and disease prevention services (Schor, 2004). One of the core and often-overlooked [...]

Caller descriptions and evaluations of their experiences with telephone advice services provide unique information that correlates highly with objective measures of quality and can help interpret data from other sources. An author-developed questionnaire assessed caller outcomes of telephone nursing advice. In Phase I an iterative, purposive sample of 40 callers was interviewed by phone. An emergent design was used to develop questions, analyze constructs of interest, and test questions for a draft caller questionnaire, which was tested in Phase II. Responses to the questionnaire provided information about caller characteristics, advice call characteristics, and nurse practice behaviors that caused the authors to further revise the questionnaire. The resulting tool provides feedback to advice nurses about the outcomes of their practice and information to design orientation and development programs and support fund allocation decisions. Keywords: patient outcomes; telephone advice nursing; instrument development; patient perceptions

The Perioperative Nursing Data Set (PNDS) defines the expected outcomes of perioperative patients, interventions and activities implemented by nurses to achieve those outcomes, and nursing diagnoses specific to patients scheduled [...]

This study examined nurses' moral motivation, character, and action using a Model of Morality for Perioperative Nurses. Influences on moral actions and selected outcomes for surgical patients and perioperative nurses were examined. Results indicate that motivation and character are related directly to the moral actions of perioperative nurses (R = .13 to .31, P < .001). Fourteen percent of the variance in action was explained by motivation, character, self-perceived level of practice, and ethics education. Results suggest that current models do not describe the moral behavior of perioperative nurses adequately. Future research should examine constructs that explain the moral actions of nurses in the perioperative setting. AORN J 75 (March 2001) 532-549., The moral foundation of the nursing profession is based on the perspectives of Florence Nightingale, who described nursing as a self-defining moral practice focused on caring. (1) This moral foundation [...]

Facial clefting is one of the most common birth defects and having a child born with this defect can be a devastating experience for parents and family members. Until recently, repair of cleft lip and palate deformities was deferred until the infant had reached 10 weeks of age, 10 pounds in weight, and a hemoglobin level of 10 gm per 100 mL. This criteria eliminated neonates 28 days of age or younger from the possibility of early repair. Waiting until these criteria were achieved often caused problems with parent-infant bonding and infant growth and development. Advances in neonatology and pediatric anesthesia now have made it possible to perform cleft surgery during the neonatal period. This article discusses the anatomy and embryology of cleft deformities and how cleft repair surgery now can be performed on the neonate. AORN J 75 (March 2002) 490-499., Home Study Program NEONATAL CLEFT LIP AND CLEFT PALATE REPAIR The article 'Neonatal cleft lip and cleft palate repair' is the basis for this AORN Journal independent study. The behavioral [...]

A mobile immunization service staffed by nursing students operates in Philadelphia to deliver immunizations to young, at-risk, urban children. The clinic is operated by the Philadelphia Department of Health in collaboration with community leaders, churches, malls, schools, public housing and the nursing department at Thomas Jefferson University. Collaboration has been enhanced by a clear mission statement and methods to evaluate the quality of service provided., As academic health science centers re-evaluate their goals and objectives to address the needs of their surrounding communities (Naughton & Vana, 1994), university-based nursing programs of study are strategically positioned [...]

Telephone nursing services can provide critical information to patients, improve patient care and treatment, enhance home health care, and efficiently redistribute hospital resources. Studies involving facilities which incorporate telephone nursing have had positive results for nurses, physicians, and patients. Careful planning and close management of telephone nursing service programs should prove successful in most facilities.

DMC = decision-making capacity This Consensus Conference was conceived upon the basis of perceived need for guidelines that would serve all of those who are involved with the giving, receiving [...]

Issues are presented concerning the standard of care which should be given to elderly people requiring acute hospital care. Deficiencies in care and the factors needed to create a feeling of well being in patients are discussed.