Professional Nursing Today - Volume 19, Issue 3, 2015
Volume 19, Issue 3, 2015
Author Annelie MeiringSource: Professional Nursing Today 19 (2015)More Less
Quality nursing care is a major contributor to excellence in health care in South Africa, which is influenced by patients' perceptions of nurses' caring behaviour. This became very clear when caring, as the foundation of the nursing profession, was at the centre of discussions at the first International Caritas Consortium Conference to be held in Gauteng from16-18 September 2015. The emphasis by health facilities on optimisation of the patient journey through ensuring that all aspects of care and treatment are positive experiences for patients and their families, proved to be the right direction to follow. The South African Nursing Council Code of Ethics for Nursing Practitioners reiterates the importance of ethics for the nursing profession, and forms the foundation thereof (www.sanc.co.za). The core concepts of Jean Watson's theory of human caring (The core principles/practices : evolving from Carative to Caritas. Boulder: University Press of Colorado, 2008) serve as a useful guide to health professionals.
Author A. BruwerSource: Professional Nursing Today 19 (2015)More Less
I wish to bring to your attention a matter of concern which does not appear to have been addressed by the nursing profession. It has been my privilege to be involved in risk management activities on behalf of patients in the private and public sector for the past three years. The present use of carers in the formal health sector is a growing concern, and has been voiced by patients, their families and "grassroots" nurses.
Author S. GoosenSource: Professional Nursing Today 19, pp 4 –6 (2015)More Less
Teamwork is highlighted and appreciated in nursing. Nurses need to work together to realise the goals of patient care needs, improved outcomes and patient safety. The job of caring becomes more efficient and easier if teamwork is present in a nursing unit.
Peripheral intravenous catheter performance : investigating peripheral intravenous catheter dwell times : reviewAuthor A. FourieSource: Professional Nursing Today 19, pp 7 –11 (2015)More Less
Background: The recording and reporting of peripheral intravenous (PIV) line failures is not commonly carried out in South Africa. Statistics are collected on pressure ulcers, catheter-related bloodstream infections or phlebitis, but not on PIV catheter infiltration. Currently, there are no data on the rate of unscheduled restarts due to PIV catheter failures in South Africa.
Method: A small, two-phased study was conducted in one ward. The rate of PIV catheter line complications, and current practices with regard to PIV catheter insertion and maintenance, were investigated in Phase 1. PIV catheter failure rates with regard to a new PIV catheter securement dressing were investigated in the second phase. The results of the two phases were compared to try and establish whether or not the implementation of an advanced securement dressing versus the standard flat transparent film dressing minimised complication rates and unscheduled restarts.
Results: Data collected in phase 1, using current practices and a standard flat transparent film dressing, showed that 21% of the PIV catheters failed due to infiltration and had to be restarted. After the implementation of a new PIV catheter securement dressing, the infiltration rate decreased to 1.7%, resulting in significant cost savings. This small study showed that better securement minimised unscheduled restarts and could reduce costs. Further studies are required to raise awareness of PIV catheter failure rates and the unnecessary cost that accompanies unscheduled restarts.
Conclusion: Limited reporting of PIV catheter infiltration results in scant statistics regarding these incidences. It will be of value to record and report incidences of PIV catheter line infiltration and seek solutions to minimise complications. Catheter stabilisation devices help secure and preserve the integrity of devices, minimise movement, prevent catheter dislodgment, and help to reduce the risk of complications caused by intravascular devices.
Source: Professional Nursing Today 19, pp 12 –15 (2015)More Less
Pulmonary arterial hypertension (PAH) refers to a group of diseases that are characterised by high pressure in the pulmonary artery and by pulmonary vascular resistance. Persistent PAH in the newborn is a condition whereby the pulmonary artery pressure does not decrease after birth, and may occur in as many as 6.8 in 1 000 live births. Phosphodiesterase type 5 (PDE-5) is the predominant PDE isoform in the lung which metabolises cyclic guanosine monophosphate (cGMP), and is upregulated in conditions associated with PAH. Thus, by selectively inhibiting PDE-5, the accumulation of intracellular cGMP is promoted by sildenafil citrate and nitric oxide-mediated vasodilatation is also enhanced. The article provides information on associated dosing regimens and reconstitution guidelines.
Source: Professional Nursing Today 19, pp 16 –20 (2015)More Less
The use of probiotics has been increasing over the years,and is mainly being used for antibiotic-associated diarrhoea. Very often, the beneficial action of probiotics may either be seriously misunderstood or not acknowledged at all. This article provides an overview of probiotics, prebiotics and synbiotics, including their mechanisms of action, clinical applications and available products on the South African market.