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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Nursing

None

Selected Works

Barbara A. Rakel

2011

Humans

Articles 1 - 4 of 4

Full-Text Articles in Medicine and Health Sciences

Nasogastric And Nasointestinal Feeding Tube Placement: An Integrative Review Of Research, Barbara Rakel, M. Titler, C. Goode, J. Barry-Walker, G. Budreau, Kathleen Buckwalter Nov 2011

Nasogastric And Nasointestinal Feeding Tube Placement: An Integrative Review Of Research, Barbara Rakel, M. Titler, C. Goode, J. Barry-Walker, G. Budreau, Kathleen Buckwalter

Barbara A. Rakel

The authors present a review of the research on various methods for determining placement of nasogastric and nasointestinal feeding tubes. They also discuss research on associated risk factors, complications specific to critical care patient populations, and techniques for postpyloric placement. They present research consensus, recommendations for practice, and implementation strategies.


Infusing Research Into Practice To Promote Quality Care, M. G. Titler, Charmaine Kleiber, Victoria Steelman, C. Goode, Barbara Rakel, J. Barry-Walker, S. Small, Kathleen Buckwalter Nov 2011

Infusing Research Into Practice To Promote Quality Care, M. G. Titler, Charmaine Kleiber, Victoria Steelman, C. Goode, Barbara Rakel, J. Barry-Walker, S. Small, Kathleen Buckwalter

Barbara A. Rakel

This article describes the Iowa Model of Research in Practice, a heuristic model used at the University of Iowa Hospitals and Clinics for infusing research into practice to improve the quality of care. The components of the model are presented with examples. The impact of the model on patient, staff, and fiscal outcomes is delineated.


A Meta-Analysis Of Effects Of Heparin Flush And Saline Flush: Quality And Cost Implications, C. Goode, M. Titler, Barbara Rakel, D. Ones, Charmaine Kleiber, S. Small, P. Triolo Nov 2011

A Meta-Analysis Of Effects Of Heparin Flush And Saline Flush: Quality And Cost Implications, C. Goode, M. Titler, Barbara Rakel, D. Ones, Charmaine Kleiber, S. Small, P. Triolo

Barbara A. Rakel

The purpose of this meta-analysis was to estimate the effects of heparin flush and saline flush solutions on maintaining patency, preventing phlebitis, and increasing duration in peripheral heparin locks. The average effect size (d value) across 15 studies with a total sample size of 3,490 was .0573 for patency (clotting). The 95% credibility interval ranged from -.2267 to .3413. The average effect size across 13 studies with a total sample size of 2,356 was -.0757 for phlebitis. The 95% credibility interval ranged from -.2497 to .0983. The average effect size for duration across six samples with a total sample size …


University Of Iowa Hospital And Clinics: Outcomes Management, Mary Berg, M. Dreher, K. Davenport, J. Greiner, R. Howell, A. Mutnick, G. Jensen, Barbara Rakel, F. Johlin, V. Kraus, R. Reiter, K. Leo, J. Ryan, J. Mccloskey Nov 2011

University Of Iowa Hospital And Clinics: Outcomes Management, Mary Berg, M. Dreher, K. Davenport, J. Greiner, R. Howell, A. Mutnick, G. Jensen, Barbara Rakel, F. Johlin, V. Kraus, R. Reiter, K. Leo, J. Ryan, J. Mccloskey

Barbara A. Rakel

Delivery of quality patient care and management of patient outcomes is critical to the success of academic medical centers in the ever-changing health care market. The University of Iowa Hospitals and Clinics (UIHC) promotes quality care through the provision of organizational structures and processes that are described in this article. In addition, quality of care and outcomes management are described by members in various roles within the UIHC health care system. It is the authors' belief that understanding quality from these various perspectives helps UIHC work across departments to achieve excellence in patient care.