Auswahl der wissenschaftlichen Literatur zum Thema „Sepers Nursery“
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Zeitschriftenartikel zum Thema "Sepers Nursery"
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Kamemoto, H., und T. D. Amore. „INHERITANCE OF PANSY-LIP IN DENDROBIUM“. HortScience 31, Nr. 3 (Juni 1996): 323e—323. http://dx.doi.org/10.21273/hortsci.31.3.323e.
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A peloric form of the labellum or lip of Dendrobium appeared in a hybrid registered by D'Bush Nursery of Australia as Dendrobium D'Bush Pansy in 1988. Unlike the typical lip of Dendrobium, the lip of D'Bush Pansy is similar to the two lateral sepals, and the flat petals and sepals resemble those of the pansy, hence the name D'Bush Pansy. A few seedlings of D'Bush Pansy were obtained from Australia through Bangkok Flowers in 1989. D'Bush Pansy crossed to several Dendrobium plants with normal lip produced offspring with normal lip, indicating that pansy-lip is recessive to normal-lip. Three F1 offspring backcrossed to the pansy-lip parent produced 1:1 ratios, and one F2 progeny segregated into 3 normal-lip: 1 pansy-lip. Thus, pansylip is controlled by a single recessive gene pair.
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BAŞBAKKAL, Zümrüt, und Ayşe KAHRAMAN. „Nursing Approach in Pediatric Sepsis and Septic Shock: Case Report“. Turkiye Klinikleri Journal of Nursing 8, Nr. 2 (2016): 176–86. http://dx.doi.org/10.5336/nurses.2014-40625.
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TAŞ, Dilek, Gizem ÖZBUDAK und Aynur TÜREYEN. „The Hidden Danger in Emergency Department: Sepsis and New Definition“. Turkiye Klinikleri Journal of Nursing Sciences 11, Nr. 1 (2019): 91–94. http://dx.doi.org/10.5336/nurses.2018-61857.
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Pietsch, Grace M., Julie C. Brindley, James S. Owen und Amy Fulcher. „A Fine Line between Phytotoxicity and Blue When Producing Hydrangea macrophylla in a Nursery at a Low Substrate pH“. Horticulturae 8, Nr. 8 (30.07.2022): 690. http://dx.doi.org/10.3390/horticulturae8080690.
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Hydrangea macrophylla exhibiting blue sepals (versus purple or pink) have improved marketability; however, little research has been conducted to evaluate aluminum (Al), the element responsible for bluing, on crop growth, effectiveness of bluing sepals, and characteristics of flower clusters in an outdoor nursery. This study compared substrate Al availability, crop growth, flower color, number, and size over a 56-week period in two locations. A polymer coated (90-day release) or ground aluminum sulfate [Al2(SO4)3; water soluble] was either incorporated into a non-limed pine bark substrate, applied to the surface of the substrate as a top dress, or as a routinely applied Al2(SO4)3 drench (low concn.) or applied once (high concn.). In general, application of Al increased plant foliar Al concentration, but also decreased substrate pore-water pH and increased electrical conductivity (EC) with varying effects based on the applied product’s solubility and subsequent longevity. Aluminum sulfate increased the potential of Al phytotoxicity negatively affecting root morphology and creating an undesirable rhizosphere electrochemistry due to the pH being continually acidic, <4, and the EC being temporarily increased to >1.5 mS·cm−1. These suboptimal rhizosphere conditions resulted in a lower quality or smaller plant. No plants exhibited clear, deep blue flower cluster sought by consumers. Neither the effect of pore water pH or EC could, alone or in combination, account for the lack of plant vigor or blue flower clusters when substrate and foliar Al concentrations were adequate in flowering H. macrophylla. More research is needed to investigate the effect of pore-water electrochemical properties, possible mineral nutrient co-factors that provide Al synergisms or toxicity protections, and holistic plant health on ensuring blue coloration of a vigorous H. macrophylla.
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Velasco-Ramírez, Alejandro, Marcos Villegas-Lozano, Ana Paulina Velasco-Ramírez, Rosalba Mireya Hernández-Herrera, Armando Rafael Hernández-Pérez, María Luisa García-Sahagún und Martha Isabel Torres-Morán. „EFFECT OF DAMINOZIDE ON THE GROWTH AND FLOWERING OF Eustoma grandiflorum PROPAGATED IN POTTED“. Acta Scientiarum Polonorum Hortorum Cultus 21, Nr. 3 (30.06.2022): 75–82. http://dx.doi.org/10.24326/asphc.2022.3.7.
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Daminozide (B-Nine) it is a plant growth regulator, is translocated from the leaves to the stem to avoid elongation and produce more compact plants and uniform growth and vigor. For the cultivation of Lisiathus the information of the damonizide application is scarce despite of great marketing potential, so the objective of this study was to evaluate the effect of daminozide on the vegetative growth and flowering of Lisianthus grown in pot. Granulated Lisianthus seeds were germinated and transplanted into pots under nursery conditions. Three foliar applications of daminozide were realized; two applications in vegetative stage and one in flowering, adding three concentrations in each of them (0.5, 1.0 and 1.5 ml L–1) were used and water was applied as a control during the vegetative and flowering phases. The applications of daminozide at 1.0 and 1.5 ml L–1 were optimal for the vegetative development in Lisianthus (plant height – 15 cm, size of the internodes – 2.5 cm, number of branches – 3, width and length of the leaves – 3 cm and 6.5 cm), while the dose of 0.5 ml L–1 was favorable for all flowering stages (beginning of flowering – 182 buttons, sepals closed and larger than the petals – 53), visible petals larger than the sepals – 25, floral opening and full flowering – 3 flowers per plant). Based on these results, the application of B-Nine at low concentrations (0.5 and 1 ml L–1) is recommended for the development of Lisianthus in pots.
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Knight, R. J., R. J. Schnell, J. A. Payne und A. A. Amis. „AN ORNAMENTAL PASSION VINE FOR TEMPERATE ZONE CONDITIONS“. HortScience 27, Nr. 6 (Juni 1992): 586c—586. http://dx.doi.org/10.21273/hortsci.27.6.586c.
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Efforts to obtain edible-fruited passion vines through hybridization of Passiflora edulis and P. incarnata produced a population of tetraploid plants that survive freezing winters in central Georgia belowground, and grow aboveground in warm weather. One selection from this population blooms from late June or early July through October, yielding quantities of flowers from 8.5 to 9.6 cm diameter that have deep blue-colored sepals and petals surmounted by a disc of heavily-crimped filaments that are white at the outer margin. The nectar has proven a good food resource for the ruby-throated hummingbird, which breeds in much of the southeastern U.S. This clone is highly self-incompatible and sets no fruit when grown apart from cross-compatible clones. Its vines are vigorous, growing to 5 meters or more, and have dark green, markedly denticulate trilobed leaves 13 to 24.5 cm long by 15 to 25 cm wide. These afford a nursery habitat for caterpillars of 3 native butterflies, the zebra and the Gulf and variegated fritillaries. Because of its ease of culture and wide adaptation, this vine is recommended to plant in the continental U.S. for environmental enhancement.
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Moreira, L., W. Villalobos, H. T. Hsu, E. Rodríguez-Cerezo und C. Rivera. „First Report of the Cymbidium Mosaic Potexvirus (CymMV) Infecting the Terrestrial Orchid Phaius tankervilliae in Costa Rica“. Plant Disease 82, Nr. 10 (Oktober 1998): 1171. http://dx.doi.org/10.1094/pdis.1998.82.10.1171d.
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In 1996, plants of the terrestrial orchid Phaius tankervilliae from a nursery in the Central Valley of Costa Rica were observed with mild to severe foliar symptoms of chlorotic streak. No differences were observed in growth, bulb production, flowers, or flowering time between symptomatic and asymptomatic plants, except the symptomatic plants had earlier senescence. Occasionally, the flowers displayed symptoms of chlorosis and white rings in the sepals. Extracts from symptomatic leaves were concentrated by differential centrifugation and analyzed after sucrose gradients. Negative staining of fractions from gradients from symptomatic plants showed the presence of filamentous viral particles 500 by 17 nm. Purified particles contained a single major protein of about 28 kDa as estimated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and a single RNA of about 7 kb, which is greater than the 6.2 kb reported (GenBank). These data suggest the presence of a potexvirus in symptomatic plants (1,2). In enzyme-linked immunosorbent assays, symptomatic plants reacted strongly with antiserum specific for Cymbidium mosaic potexvirus (CymMV). This is the first report of CymMV in P. tankervilliae in Costa Rica. References: (1) J. A. Frowd and J. H. Tremaine. Phytopathology 67:43, 1977. (2) H. T. Hsu et al. Phytopathology 82:491, 1992.
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Salim Ali, Amna, Widad Ibrahim Abedlgadir und Ahmed Abd Elbagy. „The Effect of Training Program on Nurses Competencies regarding Prevention / Control of Neonatal Sepsis in Selected Governmental Hospitals, North Kurdufan State - Sudan, 2023“. International Journal of Science and Research (IJSR) 12, Nr. 9 (05.09.2023): 344–47. http://dx.doi.org/10.21275/sr23831002028.
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Harrison, N. A., D. E. Legard, R. DiBonito und P. A. Richardson. „Detection and Differentiation of Phytoplasmas Associated with Diseases of Strawberry in Florida“. Plant Disease 81, Nr. 2 (Februar 1997): 230. http://dx.doi.org/10.1094/pdis.1997.81.2.230b.
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Strawberry (Fragaria × ananassa Duchesne) plants with symptoms suggestive of phytoplasmal disease were identified in commercial fields and a breeder's plot in west central Florida during the 1995 to 1996 winter growing season. Affected plants were all conspicuously stunted and unproductive. Primary symptoms on cvs. Rosa Linda and Carlsbad and on a breeder's accession resembled those of strawberry green petal (SGP). Plants displayed sparse clusters of virescent flowers with enlarged sepals and phylloid receptacles that failed to develop fully into fleshy structures or redden on ripening. Symptoms on cv. Oso Grande were more typical of multiplier disease and included a proliferation of branch crowns producing numerous small leaves with spindly petioles. Oso Grande and Carlsbad originated as transplants from a nursery in Montreal, Canada, whereas Rosa Linda transplants were from Nova Scotia. Plants were assessed for phytoplasma infection by polymerase chain reaction with total DNAs from leaves and petioles as template and phytoplasma-specific ribosomal RNA primers P1 and P7 (3), or mollicute-specific ribosomal protein (rp) gene primers rpF1 and rpR4 (2). Amplification of a 1.8-kb rDNA or 1.2-kb rp gene product, respectively, confirmed infection of Rosa Linda (7 of 7 plants), Carlsbad (3 of 7), Oso Grande (4 of 4), and a single breeder's accession. No products were amplified from DNAs of healthy plants. Restriction fragment length polymorphism patterns of rDNA digested with AluI, EcoRI, HaeIII, HhaI, HpaII, KpnI, ScaI, or Tru9I endonucleases, or of rp gene products digested with AluI, DraI, RsaI, TaqI, or Tru9I, revealed no differences among phytoplasma strains affecting both Rosa Linda and Carlsbad. Collectively, patterns were comparable to those of clover phyllody and SGP phytoplasmas, two Canadian strains previously classified as members of phytoplasma 16S rRNA (rr)-ribosomal protein (rp) group 16S rI, subgroup C (16S rI-C (rr-rp)) (1). Similarly, no differences were evident among phytoplasmas associated with all four diseased Oso Grande plants. Both rDNA and rp fragment profiles associated with this cultivar were characteristic of strains such as tomato big bud and eastern aster yellows delineated as 16S rI-A (rr-rp) subgroup members (1). However, AluI rDNA and TaqI rp fragment patterns were unique, identifying Oso Grande-infecting strains as representatives of a new subgroup within the larger 16S rI (rr-rp) group. Cumulative rDNA and rp fragment profiles of the phytoplasma associated with the breeder's accession matched those of the Mexican periwinkle virescence phytoplasma, identifying this strain as a 16S rI-I (rr-rp) subgroup member (1) and a second possible etiological agent of SGP. This is the first report of phytoplasmas infecting strawberry in Florida. References: (1) D. E. Gundersen et al. Int. J. Syst. Bacteriol. 46:64, 1996. (2) P.-O. Lim and B. B. Sears. J. Bacteriol. 174:2602, 1993. (3) C. D. Smart et al. Appl. Environ. Microbiol. 62:2988, 1996.
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Maulana, Al Hafidz, Fis Purwangka und Budhi Hascaryo Iskandar. „RISIKO DAN MITIGASI TRANSPORTASI BENIH SIDAT (GLASS EEL), (STUDI KASUS DI PALABUHANRATU, JAWA BARAT) (Risks and Mitigation of Glass eel Transport (Case Study in Palabuhanratu, West Java))“. Saintek Perikanan : Indonesian Journal of Fisheries Science and Technology 16, Nr. 4 (31.12.2020): 300–307. http://dx.doi.org/10.14710/ijfst.16.4.300-307.
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Penangkapan benih sidat (glass eel) untuk kegiatan budidaya dilakukan oleh nelayan menggunakan seser dan kemudian dijual ke pengumpul. Pengumpul mengumpulkan glass eel dari beberapa nelayan dan mendistribusikannya ke tempat pembudidayaan. Banyak glass eel yang mati pada saat ditransportasikan oleh nelayan dan pengumpul. Tujuan penelitian ini adalah untuk mendeskripsikan proses transportasi glass eel, moda transportasinya, dan parameter kualitas air pada saat ditransportasikan dari nelayan sampai ke kolam pembesaran serta mengidentifikasi risiko dan menentukan mitigasi transportasi glass eel. Metode dalam penelitian ini adalah observasi dan wawancara kepada nelayan dan pengumpul mengenai aktifitasnya dan parameter kualitas air yang digunakan. Analisis yang digunakan berupa analisis deskriptif, analisis komparatif, dan analisis risiko dan mitigasi menggunakan metode HIRAC. Hasil penelitian menunjukan bahwa proses transportasi glass eel berawal dari nelayan ke pengumpul. Pengumpul mengumpulkan hasil tangkapan untuk selanjutnya ditransportasikan ke kolam pembesaran. Pentransportasian glass eel dimasukkan ke wadah kantong plastik dan atau cool box dengan suhu 170C- 290C menggunakan sepeda motor, Salinitas 1ppt- 3ppt, dan kadar DO 6,3mg/L- 7mg/L. Proses transportasi glass eel memiliki risiko yang menyebabkan glass eel stress dan mati. Risiko tersebut dapat dimitigasi menggunakan pengendalian administratif (berupa peringatan kepada nelayan untuk bekerja dengan hati-hati, pemeriksaan secara berkala terhadap kondisi parameter air, kondisi cool box, kondisi kantong plastik (PE)), substitusi (penggantian cool box dan kantong plastik (PE) yang sudah dalam kondisi rusak, mengganti plastik yang lebih tebal, atau merangkap penggunaan plastik), dan rekayasa engineering (penggunaan aerasi dan chiller untuk menjaga kadar DO dan suhu air). Glass eel fishing for nursery and culture purposes is carried out by fishermen using seser and then sold to collectors. The collectors collected glass eels from several fishermen and distributed them to culturing site. Many glass eels die when transported by fishermen and collectors. This study objectives were describing glass eel transportation process, its transportation modes, and water quality parameters when transported from fishermen to raising pond and identify risks and determine glass eel transportation mitigation. The method used in this study were observation and interviews with fishermen and collectors, regarding their activities along with water quality parameters used. The analysis used are descriptive analysis, comparative analysis, and risk and mitigation analysis using the HIRAC method. The results of research show that process of transporting glass eels started from fishermen to collectors. Collectors collect catches to be transported to raising pond. Glass eel transport carried out using plastic bags and/or cool boxes with temperature of 170C- 290C use the motorcycle, Salinity 1ppt-3ppt, and DO levels 6,3 mg / L-7,0 mg / L. Glass eel transportation process risking glass eel experiencing stress and die. These risks can be mitigated using administrative control (in the form of a warning to fishermen to work carefully, periodic checks on water parameter conditions, cool box conditions, plastic bag conditions (PE)), substitution (replacing cool boxes and plastic bags (PE) that are already in damaged condition, replacing thicker plastics, or using plastic), and engineering modification (use of aeration and chiller to maintain DO levels and water temperature).
Dissertationen zum Thema "Sepers Nursery"
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Eklund, Lisbeth, Maud Feldt und Ann-Margret Persson. „Sepsis - en vanlig och allvarlig sjukdom : Sjuksköterskans specifika omvårdnad av patienter med sepsis“. Thesis, Kristianstad University College, School of Health and Society, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-5078.
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Bakgrund: Sepsis är vanligt förekommande inom sjukvården och många patienter blir svårt sjuka och dör i svår sepsis eller septisk chock. Det är ett tillstånd som anses föreligga vid infektion och minst två SIRS-kriterier. Symtomen kan vara diffusa och svåra att identifiera. Sjuksköterskan har en viktig roll att observera försämring för att så snabbt som möjligt identifiera en sannolik sepsis. Vid tidig diagnos och behandling minskar sjuklighet och dödlighet. Syfte: Att beskriva sjuksköterskans specifika omvårdnad av patienter med sepsis. Metod: En litteraturstudie baserad på tolv vetenskapliga artiklar publicerade mellan år 1998-2008. Resultat: Analysen resulterade i fyra huvudkategorier; bedömning, specifik omvårdnad, specifik omvårdnad genom akutteam och kunskap som redskap i omvårdnaden. Specifik omvårdnad kan leda till ett gynnsamt och snabbare omhändertagande av patienter med sepsis. Diskussion och slutsats: Det krävs ökad kunskap om omvårdnad vid sepsis. Med en bred kunskap om sepsis kan sjuksköterskan ge en säkrare och tryggare omvårdnad och minska lidandet för patienten och kostader för samhället.
Background:Sepsis is common within the health care and numerous patients become severely ill and die from severe sepsis or septic chock.Sepsis is acondition which is thought to occur at infection and at least two SIRS-criterions. The symptoms can be diffuse and difficult to identify. The nurse has an important role to observe deterioration in order to quickly as possible identify a probable sepsis. At an early diagnose and treatment the mortality and morbidity decreases. Purpose: To describe the nurse-specific care of patients with sepsis.Method: A literature study based on twelve scientific articles published between years 1998-2008. Result: The analysis resulted in four main categories;assessment, specific nursing,specific nursing by an emergency team and knowledge as a tool within nursing. Specific nursing can lead to a beneficial and faster treatment of patients with sepsis. Discussion and conclusion: It is necessary with an increased knowledge of nursing of sepsis. With a wide knowledge of sepsis the nurse is able to establish a more secure and safer nursing and ease the suffering for the patient and also decrease the costs for the society.
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Meade, Corina. „Intensive Care Unit Nurse Education to Reduce Sepsis Mortality Rates“. ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5024.
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Sepsis causes major health care problems in the United States, resulting in long hospitalizations, complications, and even patient death. Lack of nursing knowledge regarding sepsis signs and symptoms is a significant problem at a hospital in the northeast. Local hospital data showed a high patient mortality rate for patients diagnosed with sepsis. The purpose of this project was to develop an educational module on sepsis for intensive care nurses. The educational module was developed using current sepsis evidence-based guidelines. The practice-focused question for the project asked whether an educational module on sepsis would increase the intensive care nurse's knowledge on sepsis recognition and treatment guidelines. The adult learning theory was used as a conceptual model to guide project development. After development, the educational module was evaluated by a panel of 8 experts, including a nurse educator, infection control nurse, a charge nurse, a staff nurse, and an infectious disease physician. Program content evaluations included a 10-question pretest/posttest questionnaire completed by each panel member. Program content was modified based on pretest/posttest results. Results of the panel evaluation indicated agreement that the sepsis module content would benefit nurses on sepsis recognition and management for patients. Improving nursing knowledge on sepsis can provide a positive social change to improve patient outcomes, including mortality rates and complications from sepsis.
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Naidoo, Nayestha. „Neonatal Sepsis And Antibiotic Sensitivity Patterns At A South African Tertiary Nursery – Evolution Over A 15 Year Period“. Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31063.
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Background
Neonatal infection is an important cause of morbidity and mortality in babies. The causative pathogens and their antibiotic susceptibility patterns should be monitored so that treatment regimens can be adjusted to maintain efficacy and avoid selection of resistant organisms. Objectives To compare the incidence of culture positive neonatal sepsis; and to describe the pathogens and antibiotic resistance profiles for significant organsims over a 15-year period in a tertiary nursery in Cape Town.
Methods
Retrospective blood culture data for 12 months were collected at three time points over a 15-year period. Blood cultures from 2004, 2013 and 2017 were analysed. All neonates with growth on blood cultures were included.
Results
During 2004 a total of 817 (43.3% of total admissions) blood cultures were taken, 171 (9.1% of total admissions) were culture positive. The most common invasive organisms were Klebsiella pneumoniae (31.8% of invasive organisms), S.aureus (26.1%) and enterococcus species (7.3%). There were 102 contaminants (12.5% of total cultures) of which 7.8% were due to Coagulase-negative Staphylococcus (CONS). In 2013 a total of 1070 (46.8% of total admissions) blood cultures were taken, 124 (5.4% of total admissions) were culture positive. Common invasive organisms were Klebsiella pneumoniae (53.8% of invasive organisms), E. coli (12.8%) and S. aureus (10.3% ). Forty-six blood cultures were deemed contaminated (4.3% of all cultures) and of these 2.1% were due to CONS. In 2017, there were 581 blood cultures taken (26.5% of total admissions), 56 were culture positive (2.6% of total admissions). Commonly occuring invasive organisms were Klebsiella pneumoniae (32.4% of invasive organisms), Group B streptococcus (16.2%) and Acinetobacter (13.5%). Twenty-nine blood cultures were considered contaminated (5.6% of cultures) of which 1.7% were CONS. The gram-negative organisms showed an increasing resistance to penicillin, ampicillin and aminoglycosides but remained sensitive to carbapenems.
Conclusions
The initial reduction in positive blood cultures from 2004 to 2013 was primarily due to the reduction of contaminants, probably reflecting improved blood sampling techniques. The large reduction in Gram-negative organisms from 2013 to 2017 suggests improved infection control measures , but gram-negative organisms remained prominent in all three cohorts. Emergence of resistant organisms is concerning and in keeping with other nurseries worldwide. These data illustrate the need for antibiotic stewardship, infection control measures and ongoing surveillance.
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Bengtsson, Karin, und Josefin Andersson. „Sjuksköterskans erfarenheter av att vårda patienter med sepsis : En litteraturöversikt“. Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-15600.
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Background: Sepsis is a condition that can result in death by failure or lack of treatment. Mortality has decreased over the past decade and thus is due to increased awareness and improved management of disease cases. Despite this decline, the death rate is still high and increased knowledge to detect and prevent sepsis in time is needed to reduce the suffering and serious complications. Aim: The aim is to illustrate nursing knowledge of the role in caring for patients with sepsis. Method: A literature review study based on an analysis of eight quantitative and two qualitative articles of research. Results: The result showed that nurses experienced that a lack of knowledge exists, long experience in nurses are valuable and that assessment tools can improve nurses' detection of sepsis. Nurses experienced detection of sepsis as a difficult, defiant and stressful task but it could facilitate trough teamwork. Conclusion Combination of knowledge and exertion of assessment tools improve the quality of care and reduce mortality. The result showed that experience and education among nurses are important for improving the competence to early identification of sepsis.Sjukdomstillståndet sepsis är ett globalt folkhälsoproblem med högt dödsantal vilket skapar stort lidande. Sepsis framkallar ett stört systemiskt svar av immunförsvaret som utlöser livshotande symtom och ett snabbt utvecklande sjukdomsförlopp. Sjukdomen utvecklar en inflammation i hela kroppen oavsett om infektionen finns i blodet eller inte. Studiens syfte var att belysa sjuksköterskans erfarenheter av att vårda patienter med sepsis. Bristande kunskap påverkar omhändertagandet av patienter med sepsis som leder till förseningar och i värsta fall komplikationer. Sjuksköterskors erfarenheter var att kartläggning av sjukdomsförloppet är utmanande, tidsberoende och att stort ansvar läggs på deras axlar. Det framkom att det inte finns tillräcklig kunskap hos sjuksköterskor och att de inte känner trygghet i hur en patient med sepsis skall handläggas. Utbildning och erfarenhet lyftes fram som stärkande faktorer för att kompensera bristen på kunskap. Genom att utbilda sjuksköterskor om tidiga tecken på sepsis och passande omvårdnadsåtgärder kunde professionen stärkas i vårdandet av dessa patienter. Sjuksköterskans erfarenhet belystes och ansågs vara viktigt för teamarbetet med andra professioner och behandlingen av patienter med sepsis. Lång arbetserfarenhet bland sjuksköterskor kunde effektivisera vården, inge trygghet till kolleger och öka patientsäkerheten. Ett fåtal sjuksköterskor var medvetna om bedömningsverktyg och hur de skulle användas. Resultatet visar på att efter införande av bedömningsverktyg i vårdandet av patienter med sepsis förbättrades handläggningen, vården säkerställdes och dödligheten minskade. Bedömningsverktyg är viktigt för att ställa diagnos och likaså mätning av vitalparametrar. Användning av bedömningsverktygen resulterade i att sjuksköterskor lättare kom ihåg alla omvårdnadsåtgärder och att risken för missar minimerades. Sjuksköterskor upplevde stor arbetsbelastning i vårdandet av patienter med sepsis på grund av högt tempo, stort patientflöde och stressig arbetsmiljö. Patienter fick vänta länge på akutmottagningen innan de fick tillsyn och vårdprioritet som följd av sjuksköterskornas arbetsbelastning. Erfarenheterna var att de inte hade tillräckligt med tid för patienterna och att bedömningarna blev bristfälliga på grund av underbemanning. Det kan leda till komplikationer och ökad dödlighet för patienten vilket medförde att sjuksköterskor upplevde oro och stress. Sjuksköterskor bör ha tillräcklig kompetens att identifiera och handlägga patienter med sepsis då det ofta är de som först möter dessa patienter.
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Davis-Patrick, Daphne Marjorie. „An RN Sepsis Training Program That Supports Registered Nurses in the Emergency Room Setting“. ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3556.
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Sepsis is a severe blood stream infection that claim the lives of almost 220,000 Americans annually. Delayed patient treatment results in multi-organ failure, morbidity, mortality, and increased hospital length of stay. Timely sepsis management enables hospitals to have decreased expenses, increased patient survival, and judicious interventions. The problem addressed in this project was the lack of sepsis- training for registered nurses (RNs) working in the emergency department (ED) of a 628-bed hospital in the southeastern United States. Under the direction of the director of the ED, 269 patient charts were reviewed during 2014 to February 2015 for data related to a sepsis diagnosis. Data showed that 19.4% (n = 103) of patients diagnosed with sepsis had the sepsis order set implemented by the ED nurse. The purpose of this project was to create an educational sepsis-training program for ED nurses. The program included a 2-hour educational module on signs and symptoms of sepsis, including guidelines from the Surviving Sepsis Campaign and the Emergency Nurses' Association. Stetler's Model of Research Utilization and Benner's Novice to Expert conceptual frameworks supported the project. The director of professional practice provided formative feedback on module content and the program evaluation tool. Director feedback indicated that content was beneficial in educating ED nurses on the signs and symptoms of early sepsis recognition. The ED director has now mandated that all ED nurses take the training module and posttest. The project has the potential to improve early sepsis recognition by ED staff and to improve patient outcomes, thus promoting positive social change for patients, families, and nurses.
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Olsson, Carl, und Daniel Stridsberg. „Sjuksköterskans omvårdnadsåtgärder för tidig upptäckt av sepsis“. Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-39342.
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Bakgrund: Sepsis är ett livshotande tillstånd med hög dödlighet som drabbar 30 miljoner människor världen över och resulterar i omkring sex miljoner dödsfall årligen. Tecken och symtom är diffusa och det finns idag ett behov av utökad kunskap om sjuksköterskans omvårdnadsåtgärder vid sepsis. Syfte: Syftet var att beskriva sjuksköterskans omvårdnadsåtgärder för att upptäcka sepsis i ett tidigt skede. Metod: Studien genomfördes som en allmän litteraturstudie med inspiration av innehållsanalys där resultatet utgörs av 15 vetenskapliga artiklar. Resultat: Resultatet presenteras i kategorierna klinisk bedömning, kunskap och övervakning. I resultatet framgår det att sjuksköterskans förmåga att kombinera klinisk observation med ett standardiserat mätinstrument möjliggör en tidig upptäckt av sepsis. Det framgår även att sjuksköterskor som har uppdaterat sin kunskap om sepsis och dess progression genom fortbildning blev mer säkra på att upptäcka och identifiera patienter med sepsis. Sjuksköterskor kan även ta hjälp av datoriserade övervakningssystem, som larmar vid misstanke om sepsis. Konklusion: Varje enskild omvårdnadsåtgärd i resultatet kan bidra till att sepsis upptäcks tidigt, framförallt när implementering av mätinstrument, kunskap och utbildning kombineras kan dödligheten och lidandet för patienten minska. Det anses att ytterligare forskning är nödvändig kring sjuksköterskans omvårdnadsåtgärder för att tidigt upptäcka sepsis.Background:Sepsis is a life-threatening condition that affects 30 million people worldwide and results in about six million deaths annually. Signs and symptoms are diffuse and today there is a need for increased knowledge of the nurse's nursing measures in case of sepsis. Aim:The purpose was to describe the nurse's nursing measures to detect sepsis at an early stage. Method:The study was conducted as a general literature study, inspired bycontent analysisand the result is based on 15scientific articles. Results:The result is presented in the categories clinical assessment, knowledgeand monitoring.Theresult shows that the nurse's ability to combine clinical observation with a standardized measuring instrument enables an early detection of sepsis. It also appears that nurses who have updated their knowledge of sepsis and its progression through continuing education became more confident in detecting and identifying patients with sepsis. Nurses can also use computerized monitoring systemsin nursing care, which alert in case of suspicion of sepsis.Conclusion:Every single nursing measure in the resultcan help to detect sepsis early, especially when combining measuring instruments, knowledge and education. Thiscan reduce mortality and suffering for the patient,butfurther research is necessary regarding the nursing care measures to detect sepsis early.
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Källberg, Isabelle, und Josefin Lundgren. „Sjuksköterskor kliniska bedömningar och omvårdnadsåtgärder för att upptäcka och behandla sepsis“. Thesis, Högskolan i Gävle, Med-Vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-35716.
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Bakgrund: Sepsis är ett kritiskt tillstånd och kan drabba alla individer. Sepsis är en vanlig orsak till morbiditet och mortalitet världen över. Snabb identifiering samt behandling är centrala delar för att lindra lidande samt att öka chansen för överlevnad. Syftet med denna litteraturstudie var att beskriva sjuksköterskors kliniska bedömningar och omvårdnadsåtgärder för att upptäcka och behandla sepsis. Metod: En litteraturstudie med deskriptiv design. Resultatet baseras på 12 vetenskapliga artiklar med kvantitativ och kvalitativ design. Artiklarna söktes via databasen Medline via Pubmed. Huvudresultat: Resultatet visade att sjuksköterskor kliniska bedömningar gällande symtom, kännetecken och riskfaktorer bidrog till en tidig upptäckt av sepsis. Bedömningsinstrument var bra hjälpmedel och provtagningar där bland annat blododling var av stor betydelse för identifiering av sepsis. Betydelsefulla omvårdnadsåtgärder var antibiotika, vätska och att patientens tillstånd övervakas för att tidigt kunna identifiera försämring. Slutsats: Denna litteraturöversikt visade att sjuksköterskors kliniska bedömningar och goda omvårdnadsåtgärder var till god grund för att upptäcka och behandla sepsis i tidigt skede. Detta för att bromsa sjukdomstillståndets utveckling samt förhindra mortalitet. Sjukdomstillståndet är diffust och vanligt förekommande inom sjukvården. Vidare forskning bör därför fokusera på att tydliggöra hur verksamheter inom vården ska kunna skapa riktlinjer gällande tidiga symtom och kännetecken och hur behandling ska hanteras.Background: Sepsis is a critical condition and can effect affect any individual. Sepsis is a common causes of morbidity and mortality worldwide. Rapid identification and treatment are key elements in relieving suffering and increasing the chance of survival. Aim: To describe nurses clinical assessments and nursing measures to detect and treat sepsis. Method: A literature study with a descriptiv design. The results are based on 12 scientific articles with quantitative and qualitative approach. The articles were searched in the database medline via pubmed. Main Result: The results showed that the nurses clinical assessments regarding symtoms, characteristics and risk factors contributed to an early detection of sepsis. Assessment instruments were good aids and samples where, among other things, blood culture was of great importance for the identification of sepsis. Significant nursing measures where antibiotics, fluids and that the patients condition is monitored in order to be able to identify deterioration at an early stage. Conclusion: This literature review showed that nurses clinical assessments and good nursing interventions were a good basis for detecting and treating sepsis at an early stage. This is to slow down the development of the disease state and prevent mortality. The disease state is diffuse and common in healthcare. Further research should therefore focus on clarifying how healthcare activities should be able to create guidelines regarding early symtoms and characteristics and how treatment should be handled.
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Laurén, Linda, und Rebecca Rudner. „Sjuksköterskans erfarenheter av att identifiera och bedöma sepsis - En litteraturöversikt“. Thesis, Högskolan Dalarna, Omvårdnad, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:du-33850.
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Bakgrund: Diagnosen sepsis drabbar 48,9 miljoner människor i världen varje år och svår sepsis är den 10:e vanligaste dödsorsaken i världen. Varje år dör 15-20 % av de 40,000 människor som drabbas i Sverige. Sepsis Surviving Campaign (SSC) har tagit fram riktlinjer som handlar om att screena sepsis och att detta ska minska mortaliteten och förbättra prognosen för patienten. Sjuksköterskan har ansvar för att ge en god omvårdnad och har en viktig roll vid bedömning av sepsis. Det finns svårigheter och brister i att identifiera och bedöma diagnosen sepsis vilket resulterar i fördröjning av att snabbt kunna initiera behandlingsåtgärder. Syfte: Syftet med denna studie var att undersöka sjuksköterskans erfarenheter av att identifiera och bedöma sepsis hos vuxna patienter inom sjukhusvård. Metod: Studien genomfördes som en litteraturöversikt baserat på 15 vetenskapliga artiklar från databaserna CINAHL, PubMed och Scopus. Artiklarna hade kvalitativ och kvantitativ design. Resultat: Resultatet presenteras i tre olika kategorier: erfarenheter kring den egna kunskapen, erfarenheter kring faktorer som påverkar identifiering och bedömning, erfarenheter att använda bedömningsinstrument. Slutsats: Slutsatsen av denna litteraturöversikt visade att sjuksköterskan upplever att det finns brister och svårigheter att identifiera och bedöma sepsis. Sjuksköterskornas erfarenhet och kunskaper skiljer sig åt och resultatet tyder på att mer utbildning krävs för att kunna ge en säkrare vård. Ett bedömningsinstrument kan hjälpa sjuksköterskor att bedöma och identifiera patienter med misstänkt sepsis i ett tidigt stadium.Background: Diagnosing sepsis affects 48.9 million people in the world every year and severe sepsis is the 10th most common cause of death in the world. Each year, 15-20 % of the 40,000 people diagnosed with sepsis die in Sweden. The Sepsis Surviving Campaign (SSC) has developed guidelines on screening for sepsis and that this will reduce deaths and improve prognosis for patients. The nurse is responsible for providing good nursing care and has an important role in the assessment of sepsis. There are difficulties and shortcomings in identifying and assessing sepsis diagnosis which result in a delay of being in treatment initiation. Aim: The aim of this literature review was to investigate the nurses' experiences of identifying and assessing sepsis in adult patients in hospital care. Method: The study was conducted as a literature review based on 15 scientific articles from the databases CINAHL, PubMed and Scopus. The articles are of qualitative and quantitative method. Results: The results are presented in three different categories, which are experiences about their own knowledge, experiences regarding factors that identify and assessment, the experiences of using assessment instruments. Conclusion: The conclusion of this literature review showed that the nurse feels that there are shortcomings and difficulties in identifying and assessing sepsis. Nurses experience and skills differ and the results indicates that more education is required to provide a more secure care. An assessment tool can help nurses assess and identify patients with suspected sepsis at an early stage.
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Ferm, Linda, und Christina Granath. „Sjuksköterskors erfarenheter av att identifiera patienter med misstänkt sepsis på en akutmottagning : tid är överlevnad“. Thesis, Sophiahemmet Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2350.
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Sepsis är ett tidskritiskt tillstånd med hög mortalitet om det inte identifieras i tid. På en akutmottagning är det sjuksköterskor som är den yrkesgrupp som ofta i första skedet möter patienter med sepsis. Författarna ser det intressant att studera hur sjuksköterskorna ser på sin erfarenhet av att identifiera denna patientgrupp. Litteraturen stödjer att oerfarna läkare och sjuksköterskor på akutmottagningar inte identifierar patienter med sepsis inom rimliga tidsramar. Syftet med denna intervjustudie var att beskriva sjuksköterskors erfarenheter av att identifiera patienter med en misstänkt sepsis på en akutmottagning. Metoden som användes var av kvalitativ deskriptiv design. Intervjuerna genomfördes i form av två fokusgrupper, grupperna bestod av tre sjuksköterskor i varje grupp och samtliga hade minst tre års klinisk erfarenhet av att arbeta på en akutmottagning. Materialet som transkriberades har sedan analyserats med hjälp av en innehållsanalys enligt Graneheim och Lundman (2004). Intervjuerna genomfördes under januari månad 2016. Resultatet visade att samtliga sjuksköterskor beskrev att ökad kunskap om sepsis och dess behandling skulle leda till att sjuksköterskorna på akutmottagningen tidigare identifierade patienter med sepsis. I resultat framkom även att sjuksköterskorna ansåg att pga. hög arbetsbelastning på akutmottagningen försvårades identifieringen av patienter med sepsis. Slutsatser som kan dras av resultatet är, för att kunna identifiera en patient med sepsis bör sjuksköterskor på en akutmottagning inneha goda kunskaper och yrkeserfarenheter av att vårda patienter med sepsis, då detta är ett tidkritiskt tillstånd.Sepsis is a time critical condition with a high mortality rate if not detected in time. In the emergency setting, nurses are most often the first healthcare professionals in line to attend to patients presenting with signs of sepsis in the primary stages of their visit to the emergency department. The authors were therefore interested in studying how nurses perceive their experience of identifying this patient population. The literature supports that inexperienced doctors and nurses in the emergency department (ED) do not identify patients with sepsis within reasonable time-frames. The purpose of this study was to describe nurses experience of identifying patients with suspected sepsis in the emergency department. The method used was qualitative descriptive design. The interviews were carried out using two focus groups with three participants in each group. All participants were nurses with least three years experience working in the emergency department. The transcribed material was then analyzed using Graneheim and Lundman (2004) model of content analysis. The interviews were carried out in January 2016. The results showed that all participants agreed that increased knowledge of sepsis and its treatment would promote the early identification of patients with sepsis attending the ED. The results also revealed that the nurses felt that overcrowding in the ED was a factor in delaying the early identification of patients with sepsis. Conclusions to be drawn from the results of this study are that nurses require a strong knowledge and clinical experience of caring for patients with sepsis in order to early identify this time critical condition in patients attending the ED.
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Eriksson, Anna. „Identifiering och omhändertagande av patienter med misstänkt sepsis inom akutsjukvården : sjuksköterskors upplevelser“. Thesis, Sophiahemmet Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2320.
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Många patienter anländer till akutmottagningen med tecken på sepsis. Andra försämras under tiden de ligger på avdelning av samma orsak. Sepsis är ett allvarligt tillstånd i behov av omedelbar behandling och ofta svårt att identifiera. Internationella och nationella riktlinjer består av tidskritiska åtgärder men riktar sig mot den medicinska behandling läkare ska utföra trots att sjuksköterskor ofta är de som först kommer i kontakt med patienten, både på akutmottagningen och på avdelningen. Sjuksköterskans roll är knapphändigt undersökt i forskningen. Syftet med studien var därför att belysa sjuksköterskors upplevelser av att identifiera och omhänderta patienter med misstänkt sepsis. Metoden var induktiv, genom 12 semistrukturerade intervjuer med sjuksköterskor på en akutmottagning och på en generell medicinavdelning och det erhållna materialet analyserades sedan med hjälp av kvalitativ innehållsanalys. Resultatet visade att sjuksköterskor ser sig som ansvariga för att identifiera patienter med sepsis och som de som utför större delen av de åtgärder som är nödvändiga för snabb behandling. Vidare uttryckte sjuksköterskorna att denna process flyter bra fram till ordinationen av antibiotika där dröjsmål ofta uppstår. Ett annat problem som identifierades var de resurser som behövs för den kontinuerliga övervakning septiska patienter är i behov av. Slutsatsen var att riktlinjer bör rikta sig mot all involverad personal med tanke på den stora roll sjuksköterskor förefaller ha för utförande av vården. Metoder för att uppnå god övervakning bör undersökas.A lot of patients arrives at the emergency department with signs of sepsis. Some deteriorate while being in a ward for the same reason. Sepsis is a serious condition that needs immediate treatment and is often hard to identify. International and national guidelines include timecritical actions but they are directed towards the medical treatment delivered by doctors despite the fact that nurses often are the ones that first get in contact with the patient, both at the emergency department and in the ward. The role of the nurse is briefly explored in research. The aim of this study was therefore to illustrate the experiences of nurses involved in identifying and caring for patients with suspected sepsis. The method used was inductive, through 12 semistructured interviews with nurses at an emergency department and in a general medical ward and the data retrieved was then analyzed using qualitative data analysis. The result showed that nurses see themselves as having responsibility for the identification of patients suffering from sepsis and as being the ones who perform the majority of actions necessary for their timely treatment. Furthermore, they expressed that the process runs smoothtly until the point of ordering antibiotics where a delay often occurs. Another problem identified was the resources necessary for the continious monitoring that septic patients need. In conclusion, guidelines should be directed towards all of the personell involved, based on the big role nurses seem to have for the delivery of care. Ways to achieve good monitoring should be explored.
Bücher zum Thema "Sepers Nursery"
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Adam, Sheila, Sue Osborne und John Welch, Hrsg. Critical Care Nursing. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199696260.001.0001.
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This textbook encompasses the knowledge, skills, and expertise needed to deliver excellent nursing care to critically ill patients. Emphasis is placed on a holistic and compassionate approach towards humanizing the impact of the environment, organ support, and monitoring, as well as critical illness itself. Chapters cover the general aspects of critical care such as the critical care environment or critical care continuum and specific organ systems and diseases. The structure of the systems chapters reminds the reader of the underlying anatomy and physiology as well as highlighting areas of particular relevance to critical care. The focus on priorities for management builds on the ABCDE assessment and offers insight into key interventions in urgent situations as well as outlining evidence-based practice. The book is ideal for those new to the critical care environment, but will also act as a reminder for more experienced nurses when faced with a new situation or when teaching/mentoring students. The patient and their family remain the centre of all This new edition brings the definitions, pathophysiology, and management of fast-changing and challenging areas such as ARDS, sepsis and multiple organ dysfunction, resuscitation, and acute kidney injury up to date as well as including any evidence-based changes associated with nursing practice in critical care. A new chapter covers major incident planning and management and the role of critical care in pandemic situations.
Buchteile zum Thema "Sepers Nursery"
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Wallhult, Elisabeth, Michelle Kenyon und Barry Quinn. „Early and Acute Complications and the Principles of HSCT Nursing Care“. In The European Blood and Marrow Transplantation Textbook for Nurses, 185–216. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-23394-4_10.
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AbstractHaematopoietic stem cell transplantation (HSCT) generally includes preparative or conditioning regimens containing combinations of chemotherapy and/or radiotherapy and sometimes immunotherapy. These regimens, as well as other treatments before and after HSCT such as immunosuppressive drugs to prevent graft-versus-host disease (GvHD) (see Chap. 11), may affect the patient’s organs and tissues and cause both early and long-term complications. In the evolving field of stem cell therapies, some complications that traditionally have been regarded as early complications are now, due to changes in preparative regimens and choice of stem cell source, sometimes seen later in the post-transplant outpatient setting. The complications covered in this chapter generally occur within 100 days post-HSCT and are thus classified as early complications. Two of the most common early complications are oral complications/mucositis and sepsis. Some other relatively rare complications are also covered here: haemorrhagic cystitis (HC), endothelial damage syndromes including engraftment syndrome (ES), idiopathic pneumonia syndrome (IPS), diffuse alveolar haemorrhage (DAH), thrombotic microangiopathy (TMA) and sinusoidal obstruction syndrome/veno-occlusive disease (SOS/VOD). For all complications, recommendations for prevention and principles for nursing care are presented since careful nursing monitoring and prompt intervention and care may have an impact on patients’ morbidity and mortality.
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Gonçalves, Luciana Schleder, Maria Luiza Medeiros Amaro, Fernanda Karolinne Schamne und Ingrid Marcela Pinto Gariba. „Nursing Documentation and Activities when Using a Clinical Decision Support System for Sepsis and Clinical Deterioration Management“. In Studies in Health Technology and Informatics. IOS Press, 2022. http://dx.doi.org/10.3233/shti220426.
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The role of nurses in the management of sepsis and clinical deterioration, and the potential use of Clinical Decision Support Systems to identify patients’ undesired outcomes are well recognized. In order to verify the association of such a system adoption in the compliance of a hospital sepsis protocol on the nurses’ workflow and documentation, a three-stage study was conducted. Main findings show that there is no statistically significant difference between the sepsis protocol compliance data from before and after the system implementation; that nursing caring-related activities are a priority over documentation and time spent using the system; and that it was possible to validate a proposal of nursing documentation for sepsis and clinical deterioration. This contributes to the improvement of nurses’ awareness of their engagement in nursing informatics issues in the era of big data.
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Dhanraj, Prema. „Burn Wound Sepsis“. In Basics in Burns for Nurses, 131. Jaypee Brothers Medical Publishers (P) Ltd., 2011. http://dx.doi.org/10.5005/jp/books/11396_20.
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Barrett, Kevin. „Assessment and care of the patient with sepsis“. In Care of the Acutely Ill Adult, 225–57. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198793458.003.0008.
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There has been considerable recent focus on sepsis in both the clinical arena and within the general public to raise awareness of the importance of early recognition of this potentially life-threatening condition. The early recognition of sepsis by ward nurses can both reduce progression of this lethal disease and improve survival for patients in hospital. This chapter focuses on definitions of sepsis and septic shock, physiological changes associated with inflammatory and cardiovascular responses to sepsis, and a clinical assessment framework to guide practice. There is also a discussion of the use of scoring systems and how to escalate support mechanisms for patients with sepsis and septic shock.
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Taksande, Amar. „Prevention of Sepsis“. In Practical Aspects of Pediatrics and Neonatology for Nurses, 93. Jaypee Brothers Medical Publishers (P) Ltd., 2014. http://dx.doi.org/10.5005/jp/books/12356_10.
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„18.4: Sepsis“. In Textbook for the Adult-Gerontology Acute Care Nurse Practitioner. New York, NY: Springer Publishing Company, 2023. http://dx.doi.org/10.1891/9780826160799.0018e.
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Prescott, Stephanie M., und Van Tran. „Neonatal Sepsis and Meningitis“. In Fetal and Neonatal Pharmacology for the Advanced Practice Nurse. New York, NY: Springer Publishing Company, 2023. http://dx.doi.org/10.1891/9780826158840.0028.
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„Sepsis and Septic Shock“. In Clinical Rotation Manual for the Acute Care Nurse Practitioner Student. New York, NY: Springer Publishing Company, 2021. http://dx.doi.org/10.1891/9780826189233.0017.
Der volle Inhalt der QuelleKonferenzberichte zum Thema "Sepers Nursery"
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Micocci, Massimo, Hannah Kettley-linsell, Shanshan Zhou, Paul Festor, Simone Borsci, Matthieu Komorowski, Myura Nagendran et al. „Exploring the Integration of AI in Sepsis Management: A Pilot Study on Clinician Acceptance and Decision-Making in ICU Settings“. In 15th International Conference on Applied Human Factors and Ergonomics (AHFE 2024). AHFE International, 2024. http://dx.doi.org/10.54941/ahfe1004657.
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This paper presents a human factors qualitative study on an AI application for managing sepsis in Intensive Care Units (ICUs). The study involved semi-structured interviews with nine ICU clinicians and nurses across three London hospitals. It consisted of two parts: the first applied methods to understand sepsis resuscitation processes and establish opportunities for the AI tool to mitigate gaps in the process. The second part examined adherence to AI recommendations based on factors like shift timing and user seniority, and whether shared risk in team decisions affects adherence. The findings revealed that while acknowledging the AI tool's potential benefits, participants would require a clear rationale explaining the AI results. They preferred AI suggestions that aligned with their views and did not risk patient safety, often seeking the confirmation of a colleague in uncertain situations. Overall, the study emphasised the cautious, context-dependent acceptance of AI recommendations in ICU settings. It also demonstrated the need for human factors studies to evaluate the user response to AI and its implications on decision-making.
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Jefferson, LR, H. Walker, H. Spires, K. Jones und W. Christian. „G57(P) Nurses leading the way: assessing the impact of a nurse-led neutropenic sepsis pathway on achieving the ‘golden hour’ in a paediatric emergency department“. In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics: pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.57.
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Siriwardhana, S. W. P., S. M. N. Subasinghe und C. D. K. Dasanayake. „Necrotizing Fasciitis: Following Uncontrolled Blood Glucose Level: A case report“. In SLIIT INTERNATIONAL CONFERENCE ON ADVANCEMENTS IN SCIENCES AND HUMANITIES [SICASH]. Faculty of Humanities and Sciences, SLIIT, 2022. http://dx.doi.org/10.54389/qpdf6712.
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Necrotizing fasciitis is a rare bacterial infection that primarily involves the fascia and subcutaneous tissues. Diabetes mellitus, advanced age, and immune suppression are some of the predisposing causes of necrotizing fasciitis. A 56-year-old lady presented with fever, diarrhea, and left lower limb knee joint pain, swelling, and high random blood glucose level, which was 564mg/dl on admission. She was diagnosed with diabetes mellitus twenty-five years ago and regular treatments were taken for twenty years then defaulted for three years. Two years back again she started to take the treatments from a local hospital. Pain over the left knee joint gradually increased within two days and suddenly she got a septic shock while her blood investigations were showing changes of sepsis while blood pressure became lower. Knee joint exploration was done on the fifth day of hospital admission and altogether three wound toilets were completed within 10 days and treated with broad-spectrum antibiotics. Hence the patient clinically improved, and blood investigations became normal. Necrotizing fasciitis spreads rapidly in the body if not diagnosed and treated immediately. Early diagnosis is a golden fact for optimizing the disease condition as necrotizing fasciitis is a fatal disease condition. Strong antibiotics coverage, surgical interventions, proper wound care, and controlling blood glucose level lead to successful recovery from necrotizing fasciitis while reducing mortality and morbidity. In nursing management, nurses can collaborate with wound management, nutritional support, and psychosocial support, as well as encourage mobilizing and educating the patient regarding diabetes mellitus and its complications. Keywords: Signs and symptoms, Diagnosis, antibiotics, surgical intervention, wound care, uncontrolled diabetes mellitus.
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Palka, Dana, David Portelli, Micelle Gaudreau, Mitchell Levy, Robert Boss, Gerardo Carino und Amy Palmisciano. „Improving Survival In Patients With Severe Sepsis And Septic Shock: Using Nurse-Physician Dyads, Evidence Based Education And Positive Feedback To Impact Compliance With Early Antibiotics“. In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5078.
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Nemeth, Christopher, Adam Amos-Binks, Gregory Rule, Dawn Laufersweiler, Natalie Keeney, Yuliya Pinevich und Vitaly Herasevich. „Real Time Battlefield Casualty Care Decision Support“. In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002112.
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Tactical combat casualty care (TCCC) involves care for casualties in armed conflict from one’s own service (e.g., U.S. Marine Corps), other services (i.e., U.S. Army, Air Force,), allied forces, adversaries, and civilians. To minimize injury and preserve life, medics perform TCCC which includes casualty retrieval, stabilization and documentation, transport, triage, and treatment. In future scenarios, delays in evacuation are expected to require extended care including prolonged field care (PFC) over hours to days, increasing the potential for complications such as bloodstream infection (sepsis). Most medics have only simple equipment and essential medications and will need assistance at point of care to make decisions on how to treat more complex cases and perform procedures in an austere setting.We describe a project for the Defense Health Agency (DHA) over 3 years to develop and evaluate the Trauma Triage Treatment and Training Decision Support (4TDS), a real-time decision support system (DSS) to monitor casualty health. The operating 4TDS prototype uses the Samsung smart phone and tablet certified for use in the Department of Defense (DoD) Nett Warrior program. Connection to a simple VitalTag (Pacific Northwest National Laboratory, Richland, WA) vital signs monitor placed on a casualty at point of injury (PoI) will stream patient data including heart rate, respiration rate, peripheral oxygen saturation (SpO2), and diastolic and systolic blood pressure. Nurses, technicians, and physicians can use the tablet to display an expanded data set including lab values while providing care at a Battalion Aid Station (BAS) and Field Hospital (FH).4TDS includes a Machine Learning (ML) model to indicate shock probability, risk of internal hemorrhage, and probability of the need for a massive transfusion. The shock model was trained on Mayo Clinic Intensive Care Unit (ICU) patient data, then evaluated in a 6-month “silent test” comparing shock prediction with actual clinician diagnoses. The model only uses 6 vital signs, which is suited to battlefield care, while other published results include lab tests (e.g., lactate), and produces a Receiver Operator Characteristic Curve (ROC) of 0.83 for shock detection. The model only decreases by 0.05 90 minutes, identifying shock probability well before its onset. Medic reviews indicate a 30-minute advanced warning would be more than sufficient to initiate treatment.Medics who provide PFC may need to perform life-critical procedures such as shock management, cricothyroidotomy intubation, and transfusion that may not have been used for an extended period. 4TDS includes refresher training in how to perform such a procedure, as well as whether to perform the procedure. Usability assessments with healthcare providers from the Army, Navy, and Air Force at Joint Base San Antonio, TX have demonstrated 4TDS and its capabilities align with TCCC practice. This work is supported by the US Army Medical Research and Materiel Command under Contract No. W81XWH‐15‐9‐0001.