Antimicrobial-impregnated CVCs reduced the risk of CVC-associated BSI by 66% in patients receiving TPN. Limiting the use of float nurses for ICU patients with CVCs and the use of PICCs may also reduce the risk of CVC-associated BSI.
The spiritual perspectives of 17 caregiver wives of dementia victims and 23 noncaregiving wives of healthy adults were compared in a pilot study using a convenience sample. Caregiver wives used symbols such as God, and spiritual behaviors such as prayer and forgiveness as coping mechanisms. Caregivers tended to share the problems and joys of living according to their spiritual belief more often than the noncaregiver wives of healthy adults. Caregivers also engaged in private prayer and sought spiritual guidance in making decisions in their everyday life more often. The findings suggest that nursing interventions with churches as a natural network for caregivers may be useful. Prayer, forgiveness, and spiritual reading materials are resources that may be helpful to some caregivers.
Nursing has dealt with sexual harassment since the era of Florence Nightingale. Despite legislation and increased media attention, perioperative nurses continue to experience frustration, embarrassment, and psychological and economic repercussions because of sexual harassment. Prevention of sexual harassment must encompass individuals, employers, and the health care profession as a whole. Individuals can take steps to stop sexual harassment by reporting the incidents and confronting the harassers. Employers have a legal responsibility to maintain work environments that discourage sexual harassment. Policies and procedures strictly prohibiting sexual harassment should be well publicized and supported strongly by management. Sexual harassment prevention programs should include medical staff members, because studies indicate most harassers are physicians. Awareness and prevention are the first steps to establishing and maintaining healthy workplaces that are free of sexual harassment.
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