Hospital nurse practice environment, burnout, job outcomes and quality of care: test of a structural equation model.

Aim: The aim of the study was to investigate relationships between nurse practice environment, burnout, job outcomes and nurse-assessed quality of care.

Background: A growing line of work confirms that, in countries with distinctly different healthcare systems, nurses report similar shortcomings in their work environments and the quality of care in hospitals. Neither the specific work environment factors most involved in dissatisfaction, burnout and other negative job outcomes, and patient outcomes, nor the mechanisms tying nurse job outcomes to quality of care are well understood.

Practice environments and their associations with nurse-reported outcomes in Belgian hospitals: development and preliminary validation of a Dutch adaptation of the Revised Nursing Work Index.

Aim: To study the relationship between nurse work environment, job outcomes and nurse-assessed quality of care in the Belgian context.

Background: Work environment characteristics are important for attracting and retaining professional nurses in hospitals. The Revised Nursing Work Index (NWI-R) was originally designed to describe the professional nurse work environment in U.

Early reversal of profound rocuronium-induced neuromuscular blockade by sugammadex in a randomized multicenter study: efficacy, safety, and pharmacokinetics.

Background: Sugammadex reverses the neuromuscular blocking effects of rocuronium by chemical encapsulation. The efficacy, safety, and pharmacokinetics of sugammadex for reversal of profound rocuronium-induced neuromuscular blockade were evaluated.

Methods: Ninety-eight male adult patients were randomly assigned to receive sugammadex (1, 2, 4, 6, or 8 mg/kg) or placebo at 3, 5, or 15 min after 0.

Reversal of rocuronium-induced neuromuscular block with the novel drug sugammadex is equally effective under maintenance anesthesia with propofol or sevoflurane.

In this study we investigated whether the novel reversal drug, sugammadex, is equally effective at reversing rocuronium-induced neuromuscular block (NMB) in patients under propofol or sevoflurane maintenance anesthesia. After receiving propofol for induction, patients were randomized to propofol (n = 21) or sevoflurane (n = 21). Rocuronium 0.

Surrounding soft tissue pressure during shoulder arthroscopy.

In 40 patients undergoing arthroscopic subacromial decompression, we monitored the soft tissue pressure in the paratracheal region and in the deltoid and supraspinatus muscles, looking for evidence of a potentially dangerous rise in pressure, especially in the paratracheal region. Statistical analysis was used to determine predictable variables of the time of reaching maximum pressure in and between the three regions. Deltoid pressure rose quickly during surgery, and did not drop to baseline levels at the end of surgery.

Effects of NMDA receptor antagonists on opioid-induced respiratory depression and acute antinociception in rats.

Although exogenous opioids alter the responses of animals to tissue-damaging stimuli and therefore are the cornerstone in the treatment of acute antinociception, they have profound side effects on ventilation. To diminish ventilatory effects, combination therapies have been advocated. Recent studies reported the effectiveness of the addition of N-methyl-D-aspartate (NMDA) receptor antagonists such as ketamine to morphine in the treatment of acute pain.