Medicine and Health Sciences Commons^™

Community Hospital Risk Management, Vikas Singh

Vikas Singh

EXECUTIVE SUMMARY:

The Panacea community hospital in the Hot springs County, Arkansas is a big community hospital 52-inpatient beds providing medical. Surgical, mental health, pediatrics, Ob-gyn services and emergency care.

Of late there has been serious concern about the patient safety and quality of patient care delivered by the hospital. Close examination for the causes of the unsatisfactory quality of care and patient safety reveals that the hospital lacks proper and adequately supported risk management department. One employee only who is a part of the Quality Improvement cell sees the risk management program of the hospital and there is lack …

Validation Of The Caregiving At Life’S End Questionnaire, Jennifer R. Salmon, Jung Kwak, Kimberly D. Acquaviva, Kathleen A. Egan, Katherine E. Brandt

Kimberly D. Acquaviva, PhD, MSW

The researchers in this study developed and validated a questionnaire to measure the needs of end-of-life (EOL) caregivers. The model is used to facilitate meaningful and supportive experiences for both the patient and caregiver. The questionnaire was developed using existing scales of meaning, self acceptance, burden, and gain as well as new scales of caregiver comfort, importance of caregiving tasks, and caregiver closure. The sample included 34 current and 17 bereaved caregivers affiliated with The Hospice Institute of the Florida Suncoast. The scales performed well in terms of concurrent validity, internal consistency, and reliability.

Transformative Aspects Of Caregiving At Life's End, Jennifer Salmon, Jung Kwak, Kimberly D. Acquaviva, Katherine Brandt, Kathleen Egan

Kimberly D. Acquaviva, PhD, MSW

We do not know to what extent the needs of caregivers involved with patients at the end of life are being met by care providers and whether caregiving at life’s end can be a positive experience. We used the Hospice Experience Model of Care as a framework for understanding the effect of transformative tasks on caregiving at life’s end. We compared current and bereaved caregivers and then, holding background characteristics constant, tested the independent effects of three transformative mediators: self-acceptance, meaning, and closure, as well as comfort with caregiving on several stressors when explaining differences in caregiver burden and gain. …

Facilitating Communication: How To Truly Understand What Patients Mean, Mona Shattell, Beverly Hogan

Mona Shattell

No abstract provided.

You Catch More Flies With Honey: But Patients Shouldn’T Have To Manipulate Nurses To Receive Good Care, Mona Shattell

Mona Shattell

No abstract provided.

The Ecology Of Bipolar Disorder: The Importance Of Sleep, Mona Shattell, Mary Umlauf

Mona Shattell

Although much of the emphasis on treating Bipolar Disorder patients is pharmacotherapy, sleep loss is an important trigger for mania and plays an important role in the condition. The purpose of this paper is to fully explore the chronobiological, environmental, social and genetic factors that contribute to the sleep disruption that is characteristic of mania and bipolar disorder. This review is important because sleep, chronobiology and genetics are under-emphasized content areas in nursing education. As a result many practicing nurses are unaware of the importance of sleep for mental health or what to teach patients to improve both the quality …

The Scholarship Of Engagement In Nursing, Mona Shattell, Joseph Burrage, Barbara Haberman

Mona Shattell

We propose the time is right for the Scholarship of Engagement to serve as a model of scholarship in schools of nursing given the shift towards community based research and the emphasis of communitybased research in the recently published National Institutes of Health (NIH) roadmap initiative. Thus, this article addresses the need of nursing academe to embrace a broader paradigm of scholarship, the Scholarship of Engagement, in order to expand knowledge development via implementation of the NIH roadmap. The need for implementation of a broader paradigm of nursing science within the context of nursing academics’ roles is discussed.

“It’S The People That Make The Environment Good Or Bad:” The Patient’S Experience Of The Acute Care Hospital Environment, Mona Shattell, Beverly Hogan, Sandra Thomas

Mona Shattell

A review of contemporary nursing research reveals a tendency to focus on select aspects of the hospital environment such as noise, light, and music. Although studies such as these shed light on discrete aspects of the hospital environment, this body of literature contributes little to an understanding of the entirety of that world as the patient in the sickbed experiences it. The purpose of the study detailed in this article was to describe the patient’s experience of the acute care hospital environment. Nondirective, in-depth phenomenological interviews were conducted, then transcribed verbatim, and analyzed for themes. Against the backdrop of “I …

“Putting Feet To What We Pray About:” The Experience Of Caring By Faith-Based Care Team Members, Mona Shattell, Catherine Hasty

Mona Shattell

The purpose of this study was to explore the experience of caring by faith-based care team members. Nondirective, in-depth phenomenological interviews were conducted, transcribed verbatim, and analyzed for themes. Participants included 19 care team members who served on faith-based care teams providing in-home support for families with chronic and/or terminal illness. Analysis of the interview texts resulted in the following four themes: "putting feet to what we pray about," "building and sharing relationships," "it makes you more aware," and "because it's a team." Participants expressed a strong reciprocity in their experience; for example, "it's a mutual thing but I think …

“Nurse Bait:” Strategies Hospitalized Patients Use To Entice Nurses Within The Context Of The Nurse-Patient Relationship, Mona Shattell

Mona Shattell

Patients on medical-surgical and psychiatric inpatient units long for more and deeper connections with nurses. Patients’ dependence on the nursing staff, as well as their perceived powerlessness, creates a situation where patients believe they have to actively find ways to seek needed nursing care. This paper will describe active strategies used by medical-surgical patients to entice nurses within the context of the nurse-patient relationship; strategies designed to mitigate vulnerability and increase interpersonal connection. Implications for nursing practice and for Peplau’s Theory of Interpersonal Relations will be presented.

Stress Reduction As A Means To Enhance Oral Immunity In Hiv-Infected Individuals, Kenneth D. Phillips

Kenneth D. Phillips

No abstract provided.

Sleep Disturbance And Depression As Barriers To Adherence, Kenneth D. Phillips

Kenneth D. Phillips

No abstract provided.

Sleep Quality And Health-Related Quality Of Life In Hiv-Infected African-American Women Of Childbearing Age, Kenneth D. Phillips

Kenneth D. Phillips

No abstract provided.

A Peer-Based Substance Abuse Intervention For Hiv+ Rural Women: A Pilot Study, Kenneth D. Phillips

Kenneth D. Phillips

No abstract provided.

Patterns Of Risk Of Depressive Symptoms Among Hiv-Positive Women In The Southeastern United States, Linda Moneyham, Carolyn Murdaugh, Kenneth D. Phillips, Kirby Jackson, Abbas Tavakoli, Mary Boyd, Medha Vyavaharkar

Kenneth D. Phillips

Depressive symptoms are a common response to HIV disease, and women appear to be at particularly high risk. The authors report results from a crosssectional analysis of data collected from 280 rural women with HIV/AIDS in the Southeastern United States aimed at identifying risk factors of depressive symptoms. Stress theory provided a framework for identification of potential risk factors. Descriptive statistics, measures of association, and regression analyses were used to systematically identify patterns of risk. The final regression model included 22 factors that accounted for 69% of the variance in depressive symptoms. The majority of variance in depressive symptoms was …

Through The Lens Of Merleau-Ponty:Advancing The Phenomenological Approach To Nursing Research, Sandra Thomas

Sandra Thomas

No abstract provided.

Women's Anger, Agression, And Violence, Sandra Thomas

Sandra Thomas

Themes of powerlessness, power, and paradox predominate in this reflection on more than 15 years of research on women's anger. Studies conducted in the United States, France, and Turkey are highlighted. These studies have negated several myths while illuminating the general rationality of women's anger: It is squarely grounded in interpersonal interactions in which people deny women power or resources, treat them unjustly, or behave irresponsibly toward them. The offenders are not strangers; rather they are their closest intimates. But few women learned healthy anger expression while growing up. Anger is a confusing and distressing emotion for women, intermingled with …

An Exploration Of Problematic Interviewee Behaviors In Qualitative Research, M. Collins, M. Shattell, Sandra Thomas

Sandra Thomas

The interview is a staple of many qualitative approaches. Although textbooks offer extensive guidance to researchers about conducting interviews, less guidance is available about problematic interviewee behaviors, such as flattery or statements indicative of social desirability response bias. In this study, a secondary analysis of 22 phenomenological interview transcripts, we sought to examine problematic interviewee behaviors. More than 300 pages of typed text were subjected to line-by-line scrutiny, yielding only six potential instances of the phenomenon. Each could be interpreted several ways. What appeared to be flattery could also be perceived as simple gratitude or appreciation. We concluded that problematic …