The Role of Interventional Radiology in Trauma

Trauma is a leading and preventable cause of death in many age groups. Emergency care of trauma patients is complex and requires a team approach, which includes nurses and physicians. Interventional radiology (IR) plays a significant part in the management of some trauma patients with solid organ or pelvic injuries. This article reviews the role of IR and aspects of radiology nursing in this patient population.     

The Role of Interventional Radiology in the Management of Acute Gastrointestinal Bleeding

This review article is intended to serve as an introductory reference to the clinical management of gastrointestinal bleeding (GIB) by interventional radiologists. This article focuses on the role of the nursing staff participating alongside the interventional radiologist in the patients' care. A discussion regarding presentation of GIB, workup, and postendoscopic role of interventional radiology (IR) is presented. Special emphasis is placed on the postprocedural care issues that are relevant specifically to nursing staff as they relate IR. Several sample cases are provided to illustrate common etiologies, presentations, and clinical management of GIB, with special emphasis on the role of IR.     

Acute Gastrointestinal Bleeding: The Role of Diagnostic and Interventional Radiology

The goal of this review article is to provide an overview to the initial management, classification, diagnosis, and treatment of acute gastrointestinal bleeding with emphasis on the use of radiology modalities and intervention. Special attention was placed on highlighting the nursing staff's imperative role during all phases of care in these cases.     

放射科护理风险管理的应用效果

目的探讨放射科实施护理风险管理的效果。方法选取2012年1-12月收治的130例患者（观察组）实施护理风险管理方法,选取2011年1-12月收治的130例患者（对照组）实施传统护理管理。比较2组护理纠纷、护理差错及患者的满意度。结果观察组护理纠纷和护理差错均明显少于对照组;观察组满意度为93．85％,明显高于对照组的80．77％。结论放射科实施护理风险管理能够有效减少护理纠纷和护理差错,提高护理服务满意度。     

Transitioning to the Electronic Medical Record: Its Impact on Nursing Care in Interventional Radiology

Electronic medical records (EMRs) are being integrated into the health care industry. It is widely believed that EMRs will improve the overall quality of patient care through the promotion of both patient safety and satisfaction. The introduction of EMRs at Boston Children's Hospital created a multitude of challenges for the nurses in the hospital's interventional radiology (IR) department. Despite the difficulties the new EMR presented, the IR nurses were able to safely transition their documentation to the electronic format.     

急诊介入手术的护理31例

目的　正确掌握危重病人急诊介入手术的护理方法 ,是提高急诊介入手术抢救成功率的重要因素。方法　对 31例鼻腔大出血、支气管大咯血、肝癌自发性破裂出血、脑动脉瘤伴蛛网膜下腔出血、下肢动脉栓塞的急诊病人介入手术期护理作回顾性分析。结果　 31例急诊介入手术病人 ,抢救成功。结论　应该开展急救护理 ,密切配合手术医生 ,把握病情变化 ,从而有效地提高介入手术抢救成功率 ,减少并发症和死亡率。     

Introducing students to research: the road to success

Introduction of the terminology associated with research can overwhelm both students and faculty. In this article, I describe an interactive method for teaching undergraduate nursing students about the concepts involved in the research process. The "Research Road to Success" is a board game created to promote active learning using repetition, peer collaboration, group dynamics, and questioning. The game has been part of the curriculum for 3 years, with positive results. Nurse educators and students can benefit from the incorporation of creative methods to stimulate interest in and understanding of nursing research.     

上海市中心城区长期护理保险护工服务质量调查

目的 调查了解黄浦区150名从事长期护理保险服务的护工基本情况,评估长期护理保险服务对象对护工满意度情况。方法 研究对象来自上海市老西门街道、淮海中路街道和南京东路街道3个社区,从已经通过评估失能程度为二至六级且已经享受相应的长期护理保险待遇的居民名单中,以随机方式从中抽样,每个社区抽取50名护工完成问卷调查。结果：护理人员入职门槛低,文化水平普遍不高,护工年龄集中在41-50 岁之间,高中以上学历只有23人, 占15.2%,以农村户口居多,所占比例为56.95%;护理人员没有工作热情,对职业规划不强,工作比较盲目; 前期从事养老护理行业的人员较少,仅17.21%,68.87%的护工从事该工作的主要原因是收入较多,而爱好护理行业的人员仅占17.88%;各年龄段和文化程度对服务效果影响不明显(无统计学意义);但在老人的认可度比较中,文化程度高中的护理人员,老人认可度越高。结论： 因服务内容多限于生活照料,技术含量不高,所以对护工年龄、文化程度要求不高;政策宣传不足,居民对长护险提供的内容了解不透彻;定位不清晰,目前服务项目倾向于养老服务的生活护理,医疗护理内容较少,护理内容容易产生误解。     

Improving Workflow Efficiency in Interventional Radiology

Late starts result in late finishes which creates inefficient workflow. The purpose of this quality-improvement project was to improve workflow efficiency in interventional radiology (IR) at the Central Arkansas Veterans Healthcare System. Six articles reviewed for this project demonstrated underlying problems with workflow efficiency in procedural areas that should be addressed. Interventions including checklists, facilitators, reminder e-mails to staff, requiring staff to come in earlier, and reporting arrival times of staff to supervisors helped improve on-time starts and workflow efficiency. A preimplementation and postimplementation retrospective chart review was used to evaluate this project. Random samples of 200 charts were reviewed before and after implementation, to establish the percentage of on-time starts. All patient satisfaction surveys received during the 4 months were reviewed for response to the item “My procedure began at the time it was scheduled.” Percentage of on-time starts and percentage of patients scoring “agree” or “strongly agree” on the satisfaction survey were compared before and after implementation. On-time starts increased from 29% and 24% in the 2 months before implementation to 34% and 40% in the 2 months after implementation. The item scored on the satisfaction survey increased from 73% and 83% before implementation and to 93% and 100% after implementation. In conclusion, a comprehensive checklist and increased physician reminders of first-case starts sent via e-mail helped to improve on-time starts in IR and increase patient satisfaction.     

Nurses' Experience of Caring for Patients in the Community After Discharge With an Interventional Radiology Drain in Ireland: A Qualitative Study

Interventional radiology (IR) is a rapidly expanding specialty within medicine. As a result, a new population of patients has emerged in Ireland; those discharged home with an IR drain for curative or preventative purposes requiring the care of nurses working in the community setting. The purpose of this study is to describe the experiences of nurses in the community caring for patients with an IR drain, with the objective of assisting in developing a new body of knowledge to enhance a patient's journey as they transition from an IR department to the community. The study is based on individual interviews analyzed using Colaizzi seven-step framework. Three themes emerged from the data findings: knowledge gap, information gap, and educational gap, whereby license professionals require additional education and training to care for this patient population. The study findings concluded that nurses in the community are unprepared to care for this patient cohort because of a knowledge deficit, inaccurate and poorly written discharge summaries, and a lack of education and training among nurses and patients regarding the intervention performed.     

Environment, ecosystems, and ecological behavior: a dialogue toward developing nursing ecological theory

Current epistemological foundations of nursing theory incorporate minimal ecology theory. The purpose of this article is to present a nursing ecological theory with a goal to broaden current nursing perspectives by incorporating expanded concepts of global ecosystems, communities, and interrelationships derived from ecological sciences. A theory derivation process is utilized, and a nursing ecological model is proposed. Nurses face a challenge to translate global environment concern and ecological beliefs into professional activities. Elucidating a nursing ecological theory may guide our profession toward new directions in holistic care and will be good for the care of our patients, profession, and the Earth.     

Meeting tomorrow's health care needs through local and global involvement

Strengthened efforts to achieve the United Nations Millennium Development Goals by 2015 are urgently needed. A fundamental step toward achieving these goals is strengthening global partnerships for development. This article describes critical challenges and opportunities in global health and the social responsibility of the nursing profession in this area. Examples and suggestions for nursing action are provided for consideration by those interested in influencing global health. Engaging in global health activities such as study abroad programs, interprofessional exchanges, continuing education workshops, and seminars with a global health focus can have significant implications for nursing education, research, policy, and practice. Equipping nurses with the leadership skills, knowledge, and attitudes needed to advance global health is integral in the delivery of effective, culturally relevant health care.     

Global health and equity. Part 1: setting the context

Equity is considered one of the prerequisites and conditions for health. The pursuit of global health and equity is a relevant goal for nursing, based on the belief that health is a core phenomenon of interest to the discipline. In this article, the first in a two-part series, global health, equity and globalization are analysed. In addition, factors that contribute to global health inequity, including their relevance for nurses and nursing, are examined.     

Interprofessional Education and Practice: The Call for an Interprofessional Approach to Improve the Quality of Neonatal Care

Our world is shrinking due to computerized linkages and the mobility of society. Information is shared rapidly around the world. Issues surrounding newborn and infant nursing are global. In efforts to acknowledge the international community, each Newborn and Infant Nursing Review (NAINR) issue will feature a column that highlights care related issues from a featured country or region of the world. Newborn and infant health issues are global ones. To review issues occurring in different areas of the world, a different area of the globe will be featured that addresses NAINR’s theme-oriented topic. This month Japan will be featured. Our guest author is Ms. Wakako Eklund who is a neonatal nursing crusader and a Regional Network Contact for the Council of International Neonatal Nurses (COINN) for Japan. This month’s article focuses on the call for an interprofessional approach to improve the quality of neonatal care.     

Telemedicine in rural care. Part 2: Assessing the wider issues

BACKGROUND: The first article about this development (Macduff et al 2001) described the evolution of a nurse-led telemedicine service in the village of Hamlet (population 1,600), north-east Scotland, and presented the findings of an evaluation study. In this second article, those findings are discussed in relation to the wider picture of nursing involvement in teleconsultation. The village has no medical practice or pharmacy and the majority of Hamlet's residents aged over 65 are registered with the Bradieslea Road surgery, one of three general practices six miles away in the town of Bradieslea. The community nursing service is based in small rooms at a sheltered housing complex in the village. This service covers all patients in the Hamlet area. It is staffed by one full-time district nurse/health visitor (who acts as team leader) and one part-time district nurse. Both are qualified nurse prescribers. CONCLUSION: Opportunities now exist for nurses to use teleconsultation for the benefit of their patients. A systematic development of this type of nursing role through integration with broader service development would be valuable.     

Nephroureteral Catheters

The purpose of this article is to provide a review of evidence-based best practices related to nephroureteral catheters. The review includes indications for placement, drainage catheter types, relative contraindications, complications, nursing implications, and catheter education. Nephroturetal catheter placement and management may seem overwhelming, but it can be done successfully with effective education and a collaborative care approach.     

RAD-AID Nursing: Leaders in Global Health

RAD-AID International is dedicated to increasing radiology services to poor areas with limited resources and low-income nations (as defined by the World Bank). With the demands of global health continuing to transform, leadership in the education and empowerment of the world's nursing community will be at the forefront in guiding change for improved heath outcomes. This article will introduce RAD-AID and nursing leadership opportunities in the field of global health.     

Reaching across the pond: a global exchange between health systems

AIM: This article describes a unique programme begun in 2001 through a partnership between the historic St Bartholomew's Hospital and the London National Health Service Trust, in London, England and Valley Health in Winchester, Virginia, USA. Dubbed the RN International Exchange Program, selected registered nurses have the opportunity to experience first-hand healthcare delivery in another country and participate in a creative way of expanding knowledge about nursing. BACKGROUND: Professional nurses are persistent in seeking new ways to enhance nursing practice and improve patient care. This happens in several ways, including academic study, research, continuing education and dialogue with other healthcare professionals. One method to advance nursing practice is through the sharing of knowledge between nurses, both at home and across the globe. CONCLUSION: Participating nurses see this type of global educational opportunity as a once-in-a-lifetime experience that could never be duplicated in the traditional classroom setting.     

卫生系统韧性研究现状及对护理应急管理的启示

卫生系统韧性是卫生系统对外界干扰或冲击进行吸收、适应、转变的能力，提高卫生系统韧性已逐渐成为全球突发公共卫生事件政策研究及减灾领域关注的话题。护士不仅是防灾、救灾和灾后恢复重建的重要成员，也是提高卫生系统韧性的关键群体。基于此，本文结合国内外文献回顾，对卫生系统韧性的概念、关键要素和指标框架进行分析总结，以期为护理管理者开展突发公共卫生事件的应急管理提供新思路，为我国护理应急体系理论与实践发展提供参考。