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Related Concept Videos

Nursing Interventions I: Taxonomy of Nursing Interventions01:03

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Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
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Nursing Clinical Information System (NCIS)
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Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
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Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
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Using Learning Outcome Measures to assess Doctoral Nursing Education
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Telemedicine for Interfacility Nurse Handoffs.

Monica K Lieng1, Heather M Siefkes, Jennifer L Rosenthal

  • 1All authors: Department of Pediatrics, University of California Davis, School of Medicine, Davis, CA.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
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Telemedicine handoffs for critically ill patients improved nurse preparedness compared to telephone. This technology is feasible for interfacility transfers, potentially enhancing patient care.

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Area of Science:

  • Nursing
  • Health Informatics
  • Pediatric Critical Care

Background:

  • Interfacility patient transfers require effective nurse handoffs.
  • Current methods like telephone may not optimize preparedness.
  • Telemedicine offers a potential alternative for enhanced communication.

Purpose of the Study:

  • To compare nurse preparedness and handoff quality during interfacility transfers using telemedicine versus telephone.
  • To evaluate the feasibility of telemedicine for pediatric intensive care unit (PICU) patient handoffs.

Main Methods:

  • Cross-sectional nurse survey linked with electronic medical record data.
  • Multivariable, multilevel analysis of 106 handoffs from 55 nurses.
  • Comparison of telemedicine (28%) versus telephone (72%) handoffs.

Main Results:

  • Nurses reported higher preparedness after telemedicine handoffs (3.4 vs 3.1; p = 0.02), even for higher-acuity patients.
  • No significant difference in overall handoff quality (Handoff Clinical Evaluation Exercise).
  • Telemedicine handoffs showed trends toward better communication components, though not statistically significant in adjusted analysis.

Conclusions:

  • Telemedicine is a feasible tool for nurse-to-nurse handoffs of critically ill pediatric patients.
  • Telemedicine may enhance perceived and objective nurse preparedness.
  • Further research is needed to confirm benefits in communication, adverse events, and satisfaction.