Nurses’ Clinical Engagement: A Study From an Acute-Care Setting in Norway

2005 ◽  
Vol 19 (4) ◽  
pp. 297-313 ◽  
Author(s):  
Bodil Ellefsen ◽  
Hesook Suzie Kim
Keyword(s):  
Acute Care ◽  
Care Setting ◽  
Participant Observation ◽  
Hospitalized Patients ◽  
Acute Care Setting ◽  
Convenience Sample ◽  
Data Analyses ◽  
Qualitative Descriptive ◽  
Clinical Engagement ◽  
Depth Interviews

This study investigates the nature of nurses’ clinical engagements and courses of action in acute-care settings in Norway. A qualitative descriptive design with a convenience sample of 6 registered nurses was used. Data were collected via participant observation, in-depth interviews during 3 full shifts for each nurse, and nursing documents about the patients. Data analyses used the method suggested by Atkinson (1992) that coalesces analyses of parts with wholes. Findings revealed that nurses’ clinical engagements are multidimensional and consist of 3 sorts of activities: (a) nurses’ movements and encounters with patients, (b) the process of knowing patients, and (c) clinical actions addressing patients’ specific needs/requests. These activities constituted most nursing work when the nurses were providing care for hospitalized patients.

scholarly journals Physical Therapists’ Management of Patients in the Acute Care Setting: An Observational Study

2009 ◽  
Vol 89 (11) ◽  
pp. 1158-1181 ◽  
Author(s):  
Diane U. Jette ◽  
Rebecca Brown ◽  
Nicole Collette ◽  
Wendy Friant ◽  
Lloyd Graves
Keyword(s):  
Observational Study ◽  
Acute Care ◽  
Patient Management ◽  
Care Setting ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Median Number ◽  
Acute Care Setting ◽  
Convenience Sample ◽  
Number Of Visits

BackgroundPrevious literature has not fully described physical therapists’ management of patients across diagnoses in the acute care setting or how that management might vary by facility.ObjectiveThe purposes of this study were to describe patient management by physical therapists in the acute care setting and to examine variations in patient management across facilities.DesignThis was an observational study.MethodsFifty clinicians practicing at 3 academic medical centers in the northeastern United States agreed to participate. Over a 2-week period, clinicians completed checklists indicating the details of patient visits. Logistic analyses, controlling for patient age and diagnosis and accounting for clustering of data, were conducted to examine the odds of patients having several categories of examinations, goals, and interventions.ResultsParticipants provided 2,364 visits to 896 patients. More than 75% of patients in each facility received examinations, goals, and interventions related to functional ability. Median number of visits per patient, duration of visits, and number of visits in which the patient was not treated varied across facilities. Patients with orthopedic conditions were more likely than those with medical/surgical conditions to receive several types of examinations, goals, and interventions. The odds of patients having examinations, goals, and interventions related to functional abilities were greater in facility 2 than in facility 1.LimitationsLimitations include the convenience sample, use of an untested data collection tool, and use of only age and diagnosis to control for case mix.ConclusionThis study of physical therapist practice in 3 acute care facilities suggests that patient management focuses on functional activity. There was no clear pattern of examinations, goals, and interventions related to specific diagnoses. A small degree of variation was found in practice across the facilities.

scholarly journals Diagnostic accuracy of pocket-size handheld echocardiographs used by cardiologists in the acute care setting

2012 ◽  
Vol 14 (1) ◽  
pp. 38-42 ◽  
Author(s):  
A. Testuz ◽  
H. Muller ◽  
P.-F. Keller ◽  
P. Meyer ◽  
T. Stampfli ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Acute Care ◽  
Care Setting ◽  
Acute Care Setting

scholarly journals Physical Therapist Practice in the Acute Care Setting: A Qualitative Study

2011 ◽  
Vol 91 (6) ◽  
pp. 906-919 ◽  
Author(s):  
Pauline M. Masley ◽  
Carey-Leah Havrilko ◽  
Mark R. Mahnensmith ◽  
Molly Aubert ◽  
Diane U. Jette
Keyword(s):  
Qualitative Study ◽  
Acute Care ◽  
Care Setting ◽  
Physical Therapist ◽  
Acute Care Setting
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