Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
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Comparative Study
Nurses' perceptions of nurse-physician relationships: medical-surgical vs. intensive care.
Effective collaboration between nurses and physicians (RN-MD) is essential in facilitating improved patient care outcomes. A pilot study was conducted among nurses on medical-surgical and intensive care units to identify differences in nurses' perceptions of RN-MD collaborative efforts. ⋯ Certain nursing specialty areas are not immune to problems with RN-MD relationships. Rather, all clinical service lines should be concerned with fostering collegiality between nurses and their physician partners.
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The implementation of a behavioral emergency response team (BERT) at a large midwestern health care organization is described. The BERT is a resource supporting nurses and other health care staff in managing behavioral emergencies. ⋯ No published reports were found in the literature of a BERT utilizing multidisciplinary mental health experts and security officers as responders. Development strategies, response data, and outcomes of this successful initiative are highlighted.
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Comparative Study
Assessment of nociceptive versus neuropathic pain in older adults.
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One unit's staff developed and evaluated an intervention to relocate shift-to-shift nursing report to the patient's bedside. Despite challenges related to privacy, distractions, and integration of nursing technicians to the change, bedside shift report reduced shift report times and improved nursing satisfaction.
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Sickle cell disease (SCD) is an illness that affects red blood cells. Patients with SCD can have chronic pain or acute pain episodes, which must be managed with medical therapy. Although many options are available for pain management, utilization of subcutaneous patient-controlled analgesia for pain management has positive outcomes for patients in both pain management and satisfaction.