Working together to meet patient and family needs

Pope, Barbara B.

doi:10.1097/00152193-200207000-00030

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…The three components to the model include patient characteristics, nurse competencies and system (Freyling, Kesten, & Heath, 2008) In 1998, the AACN Synergy Model was first described to link certified practice to patient outcomes (Kohr, Hickey, & Curley, 2012). The Synergy Model serves as a foundation for the certification of critical care and acute care nurses, but it can be appropriately used throughout nursing practice including the operating room (Pope, 2002). "The underlying tenet of the Synergy Model is that each patient and family brings to a health care situation characteristics that will affect the nursing care required to best meet their needs" (Kohr et al, 2012, p. 421).…”

Section: Theoretical Framework: the Aacn Synergy Modelmentioning

confidence: 99%

“…Optimal outcomes can be expected when such dimensions are matched with the healthcare provider's competence. The eight nursing competencies that must be identified include clinical judgment, advocacy/moral agency, caring practices, collaboration, systems thinking, response to diversity, clinical inquiry, and facilitation of learning (Pope, 2002). The patients' and healthcare providers' characteristics must be ranked in order for a match to be made.…”

Section: Theoretical Framework: the Aacn Synergy Modelmentioning

confidence: 99%

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Decision-Making of CRNAs Related to Use of Laryngeal Mask Airways

Guerrero¹

2016

Preprint

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<p>Improper airway management is a major concern in anesthesia care. Today the laryngeal mask airway (LMA) has a well-established role in anesthesia practice. It is widely used, but there are certain situations where anesthesia providers are hesitant to use the LMA. The purpose of this study was to evaluate the factors that influence the decision-making process of CRNAs regarding the use of an LMA versus an endotracheal tube. The design of this exploratory study was qualitative and 11 CRNAs participated in semi-structured interviews. Results showed that all participants received formal training with an LMA and were most likely to be using it when the case did not require the use of neuromuscular blocking agents (63%) and during short procedures of less than an hour (18%). The major concern associated with use of the LMA was aspiration. Sixty three percent (n=7) identified no barriers to the use of the LMA, two CRNAs (18%) identified the types of LMAs available, and one CRNA (9%) identified surgeon/anesthesiologist preference as barriers. As an APRN, the CRNA incorporates research and evidence-based practice to achieve optimal outcomes. To date, there is no specific practice guideline that solely pertains to the placement of an LMA versus an ETT. The CRNA must make clinical decisions utilizing the algorithms that do exist such as the ASA’s Difficult Airway Algorithm. Choosing an LMA or ETT requires a thorough evaluation of several factors and the decision to use an LMA is often based on personal experience and judgment of the CRNA. Further research is needed.</p>

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Section: Theoretical Framework: the Aacn Synergy Modelmentioning

confidence: 99%

Section: Theoretical Framework: the Aacn Synergy Modelmentioning

confidence: 99%

Decision-Making of CRNAs Related to Use of Laryngeal Mask Airways

Guerrero¹

2016

Preprint

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Managerial guidelines to support parents during the hospitalisation of their children in a private paediatric unit

Verwey

Jooste

2009

curationis

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The purpose of this article is to describe managerial guidelines to support parents with the hospitalisation of their child in a private paediatric unit. The hospitalisation of a child is regarded as a major stressor for both parents and child. The role of the family in participating in a child's illness is slowly being recognised (Kibel & Wagstajf, 2001:544), but the South African government per se has not yet issued any formal reports on parental participation in the hospitalisation process. The study explored and describedthe nursing care experiences of parents regarding the hospitalisation of their child in a paediatric unit;managerial guidelines to support parents with their lived experiences of their child’s hospitalisation in a paediatric unit. To achieve the purpose and the objectives of the research, an interpretive-phenomenological qualitative approach was used in the research design and methods. Research was conducted through unstructured individual interviews, narrative diaries and field notes and data were analysed through open-coding (Tesch,1990). Parents were asked to respond to the question “How did you experience your child’s hospitalisation in the paediatric ward”, followed by probing when the responses of the parents were ambiguous.

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Working together to meet patient and family needs

Cited by 2 publications

References 5 publications

Decision-Making of CRNAs Related to Use of Laryngeal Mask Airways

Decision-Making of CRNAs Related to Use of Laryngeal Mask Airways

Managerial guidelines to support parents during the hospitalisation of their children in a private paediatric unit

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