Patient positioning and the accuracy of pulmonary artery pressure measurements (180f).

Abstract:

:The measurement of pulmonary artery pressure (PAP) is a common nursing practice in hemodynamic monitoring of patients in the emergency room and intensive care unit. Several researchers have proposed that PAP should be measured with the patient in a supine position with legs horizontal in order to promote a relaxed state. The most widely used reference point is the phlebostatic axis, which is located at the intersection of the fourth intercostal space and the midchest level. However, this positioning requirement is in conflict with one of the goals of nursing care, which is to achieve comfortable positioning of the patient without compromising respiratory or cardiovascular function. In addition, since frequent readings are necessary, critically ill patients can lose valuable sleep time. The existing literature still fails to justify the validity of the phlebostatic axis as an external reference point for leveling the pressure transducer. In addition, findings on the accuracy of readings obtained in the supine, Fowler's and lateral recumbent positions are also in conflict. This paper reviewed research related to measurement of PAP in the supine, various Fowler's, and lateral positions in order to clarify the major factors which might have resulted in the conflicts in data on PAP measurements. Suggestions are also provided for nurse clinicians to obtain more accurate PAP measurements.

journal_name

Int J Nurs Stud

authors

Shih FJ

doi

10.1016/s0020-7489(99)00033-4

keywords:

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

497-505

issue

6

eissn

0020-7489

issn

1873-491X

pii

S0020748999000334

journal_volume

36

pub_type

杂志文章,评审
  • The Spanish version of the Breastfeeding Self-Efficacy Scale-Short Form: reliability and validity assessment.

    abstract:BACKGROUND:Only a minority of infants are exclusively breastfed for the recommended 6 months postpartum. Breastfeeding self-efficacy is a mother's confidence in her ability to breastfeed and is highly predictive of breastfeeding behaviors. The Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) was developed among E...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2011.08.005

    authors: Oliver-Roig A,d'Anglade-González ML,García-García B,Silva-Tubio JR,Richart-Martínez M,Dennis CL

    更新日期:2012-02-01 00:00:00

  • The challenges of achieving person-centred care in acute hospitals: a qualitative study of people with dementia and their families.

    abstract:BACKGROUND:Person-centred care has been identified as the ideal approach to caring for people with dementia. Developed in relation to long stay settings, there are challenges to its implementation in acute settings. However, international policy indicates that acute care for people with dementia should be informed by t...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2013.03.001

    authors: Clissett P,Porock D,Harwood RH,Gladman JR

    更新日期:2013-11-01 00:00:00

  • Effect of venepuncture process design on efficiency and failure rates: A simulation model study for secondary care.

    abstract:BACKGROUND:Healthcare aims to deliver good patient outcomes. For many clinical procedures there are multiple alternative task sequences that can be performed. These deviations can influence procedure reliability, efficiency of usage of hospital resources and risk to staff and patient safety. Venepuncture is one of the ...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2016.12.010

    authors: Reed S,Remenyte-Prescott R,Rees B

    更新日期:2017-03-01 00:00:00

  • Methodological issues in the recruitment of ethnic minority subjects to research via the Internet: a discussion paper.

    abstract::In this paper, issues in Internet recruitment of ethnic minorities in the US are explored through an analysis of an Internet survey study. The issues include those related to: (a) the difficulties in ensuring authenticity; (b) a lack of cooperation by gate keepers; (c) the flexibility required in the recruitment proce...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2005.01.002

    authors: Im EO,Chee W

    更新日期:2005-11-01 00:00:00

  • Low job satisfaction does not identify nurses at risk of future sickness absence: results from a Norwegian cohort study.

    abstract:BACKGROUND:Sickness absence is high in healthcare and contributes to nursing staff shortages reducing the efficiency and quality of patient care. Assessing the risk of sickness absence in working nurses opens opportunities for preventive strategies. Job satisfaction has attracted much attention in healthcare research a...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2012.09.012

    authors: Roelen CA,Magerøy N,van Rhenen W,Groothoff JW,van der Klink JJ,Pallesen S,Bjorvatn B,Moen BE

    更新日期:2013-03-01 00:00:00

  • Preparing for loop ileostomy surgery: women's accounts from a qualitative study.

    abstract::Restorative proctocolectomy has become increasingly the surgical treatment of choice for ulcerative colitis and familial adenomatous polyposis since its inception in 1978 [Parks and Nicholls, 1978. British Medical Journal 2(6130), 85-88]. As Keighley, Grobler and Bain [1993. Gut 34(6), 680-684] point out it not only e...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2005.02.006

    authors: Notter J,Burnard P

    更新日期:2006-02-01 00:00:00

  • Effects of life review on mental health and well-being among cancer patients: A systematic review.

    abstract:BACKGROUND:Cancer patients often experience psychological distress. Life review has increasingly been used to enhance their mental health and well-being. However, no systematic review has synthesized the evidence, and its effects remain unclear. OBJECTIVE:To examine and synthesize the best available evidence on the ef...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijnurstu.2017.06.012

    authors: Zhang X,Xiao H,Chen Y

    更新日期:2017-09-01 00:00:00

  • Clinical teachers as caring mothers from the perspectives of Jordanian nursing students.

    abstract::The purpose of this transcultural qualitative study was to discover, describe and explain the meaning of a caring student-teacher encounter within the context of clinical education. Clinical teachers are registered nurses who have completed a university undergraduate nursing degree program and at least 1 year of post-...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/s0020-7489(02)00032-9

    authors: Lopez V

    更新日期:2003-01-01 00:00:00

  • Training program in suicide prevention for psychiatric nursing personnel enhance attitudes to attempted suicide patients.

    abstract::Attitudes of psychiatric nursing personnel towards patients who had attempted suicide were examined before and after a training program in psychiatric suicide prevention. The attitudinal changes were measured by a newly constructed scale, the understanding of suicide attempt patients scale (USP-scale), and responses t...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/s0020-7489(00)00110-3

    authors: Samuelsson M,Asberg M

    更新日期:2002-01-01 00:00:00

  • A comparative study of organisational characteristics, work characteristics and nurses' psychological work reactions in a hospital and nursing home setting.

    abstract:OBJECTIVES:The aim of the current study was twofold. First, we explored whether there were any differences concerning organisational characteristics, work characteristics and psychological work reactions in two types of health care setting, hospitals and nursing homes. Second, it was investigated and validated whether ...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2005.06.007

    authors: van den Berg TI,Landeweerd JA,Tummers GE,van Merode GG

    更新日期:2006-05-01 00:00:00

  • Lived experience of Korean women suffering from rheumatoid arthritis: a phenomenological approach.

    abstract::Rheumatoid arthritis (RA) sufferers number approximately 200 million people around the world. In Korea, there is no accurate statistical information, but 1-2% of the total population have been estimated to be suffering from RA. Current research studies related to RA have been limited to quantitative approaches. In qua...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/S0020-7489(03)00132-9

    authors: Hwang EJ,Kim YH,Jun SS

    更新日期:2004-03-01 00:00:00

  • Margin in life among hospitalized and non-hospitalized elderly persons.

    abstract::This study compared six dimensions of adult life among 39 hospitalized elders with a mean age of 72.1 years and 44 elders with a mean age of 75.7 years living in the community. The dimensions of life were physical function, work, spirituality, family, community and self concept. Multivariate analysis of variance revea...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/0020-7489(94)90067-1

    authors: Roberts BL,Fitzpatrick JJ

    更新日期:1994-12-01 00:00:00

  • Nurses' perceptions of sexuality in institutionalized elderly: a literature review.

    abstract:BACKGROUND:Institutionalized elderly continue to have the need for sexual expression and intimacy. Nurses often display negative responses when they are confronted with the sexual behavior of residents. They feel ashamed and do not know how to react. This generates feelings of discomfort, resulting in the denial of res...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijnurstu.2011.05.013

    authors: Mahieu L,Van Elssen K,Gastmans C

    更新日期:2011-09-01 00:00:00

  • Effectiveness of motivational interviewing on lifestyle modification and health outcomes of clients at risk or diagnosed with cardiovascular diseases: A systematic review.

    abstract:BACKGROUND AND OBJECTIVE:Clinically, there is an increasing trend in using motivational interviewing as a counseling method to help clients with cardiovascular diseases to modify their unhealthy lifestyle in order to decrease the risk of disease occurrence. As motivational interviewing has gained increased attention, r...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijnurstu.2015.09.010

    authors: Lee WW,Choi KC,Yum RW,Yu DS,Chair SY

    更新日期:2016-01-01 00:00:00

  • The nurse specialist as main care-provider for patients with type 2 diabetes in a primary care setting: effects on patient outcomes.

    abstract::A solution to safeguard high quality diabetes care may be to allocate care to the nurse specialist. By using a one group pretest-posttest design with additional comparisons, this study evaluated effects on patient outcomes of a shared care model with the diabetes nurse as main care-provider for patients with type 2 di...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/s0020-7489(01)00046-3

    authors: Vrijhoef HJ,Diederiks JP,Spreeuwenberg C,Wolffenbuttel BH,van Wilderen LJ

    更新日期:2002-05-01 00:00:00

  • Recurrent changes in the work environment, job resources and distress among nurses: a comparative cross-sectional survey.

    abstract:BACKGROUND AND OBJECTIVES:Occupational stress in nursing has frequently been considered in nursing literature. The operationalization of job demands in different work settings and its relation to distress have been discussed to identify significant interactions with job resources. In this study, job demands were define...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.ijnurstu.2006.10.003

    authors: Verhaeghe R,Vlerick P,De Backer G,Van Maele G,Gemmel P

    更新日期:2008-03-01 00:00:00

  • A 'good hospital': nurse and patient perceptions of good clinical care for HIV-positive people on antiretroviral treatment in rural Zimbabwe--a mixed-methods qualitative study.

    abstract:BACKGROUND:Antiretroviral treatment for HIV is gradually being made available across sub-Saharan Africa. With antiretroviral treatment, HIV can be approached as a chronic, manageable condition rather than a shorter-term issue of palliative care. This treatment involves repeated interaction between health staff and pati...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2010.07.019

    authors: Campbell C,Scott K,Madanhire C,Nyamukapa C,Gregson S

    更新日期:2011-02-01 00:00:00

  • Patients' readiness to receive psychosocial care during nurse-led routine diabetes consultations in primary care: A mixed methods study.

    abstract:BACKGROUND:Patients with type 2 diabetes mellitus face several emotional and social consequences of their chronic illness in their everyday life. Symptoms of distress and depression are prevalent. For providing psychosocial self-management support, nurses in primary care were trained to identify patients with psychosoc...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2016.08.018

    authors: van Dijk-de Vries A,van Bokhoven MA,de Jong S,Metsemakers JF,Verhaak PF,van der Weijden T,van Eijk JT

    更新日期:2016-11-01 00:00:00

  • Promoting patient-centred fundamental care in acute healthcare systems.

    abstract::Meeting patients' fundamental care needs is essential for optimal safety and recovery and positive experiences within any healthcare setting. There is growing international evidence, however, that these fundamentals are often poorly executed in acute care settings, resulting in patient safety threats, poorer and costl...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijnurstu.2016.01.006

    authors: Feo R,Kitson A

    更新日期:2016-05-01 00:00:00

  • Do smokers with chronic obstructive pulmonary disease report their smoking status reliably? A comparison of self-report and bio-chemical validation.

    abstract:BACKGROUND:Chronic obstructive pulmonary disease (COPD) is predominantly caused by cigarette smoking and is considered a worldwide preventable chronic illness. Smoking cessation is considered the primary intervention for disease management and nurses should play a major role in assisting patients to stop smoking. Curre...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2011.01.002

    authors: Wilson JS,Elborn JS,Fitzsimons D,McCrum-Gardner E

    更新日期:2011-07-01 00:00:00

  • Incidence of peripheral intravenous catheter failure and complications in paediatric patients: Systematic review and meta analysis.

    abstract:BACKGROUND:Most paediatric patients have at least one peripheral intravenous catheter insertion during their hospitalisation. Despite the important function of peripheral intravenous catheters for delivery of intravenous therapy, failure and complications rates are widely reported; however these results have not been s...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.ijnurstu.2019.103488

    authors: Indarwati F,Mathew S,Munday J,Keogh S

    更新日期:2020-02-01 00:00:00

  • Information-seeking strategies and data utilisation: theory and practice.

    abstract::This paper explores the twin processes of information-seeking and data utilisation, two key components of the problem-solving process. The assessment and management of pain are examined as important exemplars of where varying degrees of skill and efficiency in these key processes emerge from the research conducted to ...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,评审

    doi:10.1016/0020-7489(95)00023-x

    authors: Roberts J,While A,Fitzpatrick J

    更新日期:1995-12-01 00:00:00

  • Factors influencing the perception of touch by elderly nursing home residents and their health caregivers.

    abstract::The purpose of this study was to examine which factors influence the perceptions of touch by elderly nursing home residents and their health caregivers. A random sample of residents (n = 100) and a convenience sample of health caregivers (n = 100) were selected from two nursing homes. The five variables of interest we...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/0020-7489(93)90054-x

    authors: Hollinger LM,Buschmann MB

    更新日期:1993-10-01 00:00:00

  • Improving insomnia in primary care patients: A randomized controlled trial of nurse-led group treatment.

    abstract:BACKGROUND:Insomnia is a common health problem, and most people who seek help for insomnia consult primary care. In primary care, insomnia treatment typically consists of hypnotic drugs, although cognitive behavioral therapy for insomnia is the recommended treatment. However, such treatment is currently available to fe...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ijnurstu.2017.03.007

    authors: Sandlund C,Hetta J,Nilsson GH,Ekstedt M,Westman J

    更新日期:2017-07-01 00:00:00

  • Hospice care delivered at home, in nursing homes and in dedicated hospice facilities: A systematic review of quantitative and qualitative evidence.

    abstract:BACKGROUND:Hospice care supports patients and their families physically and emotionally through the dying phase. In many countries a substantial portion of specialised end-of-life care is provided through hospices. Such care has developed outside of general healthcare and is commonly provided in a patient's home or in ...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijnurstu.2010.08.003

    authors: Candy B,Holman A,Leurent B,Davis S,Jones L

    更新日期:2011-01-01 00:00:00

  • Flexible working and the contribution of nurses in mid-life to the workforce: a qualitative study.

    abstract:BACKGROUND:With the changing demographic profile of the nursing workforce, retaining the skill and experience of nurses in mid-life is very important. Work-life balance is a concept that is gaining increasing prominence in today's society. However, little is known about older nurses' experience of family friendly polic...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2009.08.009

    authors: Harris R,Bennett J,Davey B,Ross F

    更新日期:2010-04-01 00:00:00

  • Effects of self-management on chronic kidney disease: A meta-analysis.

    abstract:BACKGROUND:Self-management programs may facilitate the improvement of outcomes in medical, role, and emotional management and health-related quality of life in patients with chronic kidney disease. Studies on the effect of three self-management tasks have reported conflicting findings. In addition, systematic reviews a...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.ijnurstu.2017.06.008

    authors: Lin MY,Liu MF,Hsu LF,Tsai PS

    更新日期:2017-09-01 00:00:00

  • Utility of the Oswestry Disability Index for studies of back pain related disability in nurses: evaluation of psychometric and measurement properties.

    abstract:BACKGROUND:Disability due to back pain in nurses results in reduced productivity, work absenteeism and attrition from the nursing workforce internationally. Consistent use of outcome measures is needed in intervention studies to enable meta-analyses that determine efficacy of back pain preventive programs. OBJECTIVE:T...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2009.10.013

    authors: Dawson AP,Steele EJ,Hodges PW,Stewart S

    更新日期:2010-05-01 00:00:00

  • Inter- and intrarater reliability of the Waterlow pressure sore risk scale: a systematic review.

    abstract:BACKGROUND:The Waterlow scale is one of the pressure ulcer risk assessment scales which are frequently criticised for their low reliability. It is widely used in the United Kingdom, Europe and all over the world. OBJECTIVES:The study objectives were to systematically review and evaluate inter- and intrarater reliabili...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijnurstu.2008.09.010

    authors: Kottner J,Dassen T,Tannen A

    更新日期:2009-03-01 00:00:00

  • Self-care research: How to grow the evidence base?

    abstract:BACKGROUND AND OBJECTIVE:The number of studies in the area of self-care is growing and international researchers are increasingly developing self-care interventions to improve outcomes of individual patients and communities. However, growth of the evidence is still slow due to challenges with designing and testing self...

    journal_title:International journal of nursing studies

    pub_type: 杂志文章

    doi:10.1016/j.ijnurstu.2020.103555

    authors: Jaarsma T,Strömberg A,Dunbar SB,Fitzsimons D,Lee C,Middleton S,Vellone E,Freedland KE,Riegel B

    更新日期:2020-05-01 00:00:00