Hall-Million Shannon, Howard Patricia Kunz
Makenna David Pediatric Emergency Department, University of Kentucky Chandler Hospital, Lexington (Dr Hall-Million); University of Kentucky College of Nursing, Lexington (Dr Hall-Million); and Emergency Services, University of Kentucky HealthCare, Lexington (Dr Howard).
Adv Emerg Nurs J. 2017 Oct/Dec;39(4):236-239. doi: 10.1097/TME.0000000000000167.
Review of recent evidence with translation to practice for the advanced practice nurse (APN) role is presented using a case study module for "Faster Clean Catch Urine Collection (Quick Wee Method) From Infants: Randomised Controlled Trial." This prospective study enrolled 344 infants between 1 and 12 months of age seeking care in an emergency department with a complaint that led to the ordering of a clean catch urine specimen. Use of the Quick Wee procedure yielded clean catch urine specimens without the use of an invasive procedure. Variables of interest were time to specimen collection and patient and provider satisfaction with procedure. Study subjects in the intervention group voided spontaneously within 5 min more often than subjects in the usual care group. This study highlights the important role of the APN in ordering clean catch urine specimen collection and avoidance of invasive procedures.
通过一个关于“婴儿快速清洁中段尿采集（快速排尿法）：随机对照试验”的案例研究模块，对近期证据进行综述并转化为高级实践护士（APN）角色的实践应用。这项前瞻性研究纳入了344名1至12个月大的婴儿，这些婴儿因在急诊科就诊时的主诉而被要求采集清洁中段尿标本。使用快速排尿程序无需侵入性操作即可获得清洁中段尿标本。感兴趣的变量包括标本采集时间以及患者和医护人员对该程序的满意度。干预组的研究对象比常规护理组的对象更常在5分钟内自行排尿。这项研究凸显了APN在开具清洁中段尿标本采集医嘱以及避免侵入性操作方面的重要作用。
