Medicine and Health Sciences Commons^™

Perceived Nursing Work Environment Of Critical Care Nurses, Jeungok Choi, S. Bakken, E. Larson, Y. Du, P. Stone

Jeungok Choi

BACKGROUND: Different concepts and measures have been used to evaluate the work environment of nurses in hospital settings. There is increasing need for updated measurement tools that reflect the evolving nature of the work environment. OBJECTIVES: To report the psychometric properties of the Perceived Nursing Work Environment (PNWE) instrument, and to compare these results with those of other scales derived from the same background instrument: the Nursing Work Index-Revised. METHODS: The Nursing Work Index-Revised was used in a national survey of critical care nurses. Exploratory principal component analysis with orthogonal rotation was conducted. Psychometric properties were examined. Construct validity was …

Parents’ Refusal Of Medical Treatment Based On Religious And/Or Cultural Beliefs: The Law, Ethical Principles, And Clinical Implications, Luanne Linnard-Palmer, Susan Kools

Luanne Linnard-Palmer

Screening For Diabetes In An African American Community: The Project Direct Experience

Linda A. Treiber

AIM: To report the results of a community-based screening program associated with Project DIRECT, a multi-year diabetes mellitus prevention and control project targeting African-American residents of southeast Raleigh, NC. METHODS: Between December 1996 and June 1999, 183 screening events took place in community settings.Screening was by capillary glucose concentration. Participants with a positive screen were referred for confirmatory testing and physician follow-up. MAIN RESULTS: Risk factors for diabetes were prevalent, including ethnic minority race (88.2%), obesity (45.6%), and family history of diabetes (41.7%). In all, 197 persons had an elevated screening result; the prevalence of diabetes in the screened population …

Embedding Evidence-Based Practice In A Nursing Curriculum: A Benchmarking Project, Wendy Chaboyer, Ania Willman, Patricia Johnson, Lynette Stockhausen

Patricia Johnson

The development of a new nursing curriculum in one Australian university provided the opportunity for academic staff to consider the best ways to integrate the requirements of evidence-based practice (EBP) into nursing education and culminated in the development and conduct of a specific benchmarking project. Data collection for the project included the use of university documents, observations and informal discussions with staff. An analysis of this information resulted in the emergence of five categories that were grouped into two major categories, namely infrastructure and processes. Within the major category of infrastructure, two minor categories, namely evidence-based nursing (EBN) Unit and …

Reclaiming The Everyday World: How Long-Term Ventilated Patients In Critical Care Seek To Gain Aspects Of Power And Control Over Their Environment, Patricia Johnson

Patricia Johnson

Critical care nurses are increasingly seeking to base patient care on evidence derived from research studies. The purpose of this study was to explore the meanings former patients attributed to being on long-term mechanical ventilation in a critical care unit (CCU) in Australia. Using Heideggerian phenomenology, unstructured interviews were undertaken with nine participants. Data were analysed thematically using the method developed by van Manen. Thematic analysis revealed four major themes. This article presents the findings from the theme titled: Reclaiming the everyday world, which describes how the study participants gained comfort from the presence of nurses and their families, sought …

The Future Of Professional Education In Natural Family Planning., Richard Fehring

Richard J Fehring

Nurses and other health care professionals often have little knowledge of methods of natural family planning (NFP) and do not readily prescribe natural methods for their patients. One reason for this is that little or no information on NFP is provided in nursing or medical schools. The holistic, informational, and integrative nature of NFP fits well with professional nursing practice. A university online distance education NFP teacher training program, which offers academic credit and includes theory, practice, and the latest developments in fertility monitoring, has been developed for health care professionals. Professional NFP services in the United States need to …

Risk: A Concept Analysis, Mona Shattell

Mona Shattell

No abstract provided.

Nurse-Patient Interaction: A Review Of The Literature, Mona Shattell

Mona Shattell

Aims. The aims of this paper are to review a theoretical model useful for developing nursing knowledge related to nurse–patient interaction, review the literature on nurse–patient interaction, and discuss areas for further research.

Theoretical model. Goffman’s theory of face work.

Results. Nurse–patient interaction is a central element of clinical nursing practice. This paper shows how Goffman’s model can be used as a theoretical framework for understanding nurse–patient communication.

Relevance to clinical practice. Issues such as power, the social and cultural context, and interpersonal competence are shown to be important in the quality of nurse– patient interactions and nurses need to …

The Case For Antipsychotics In Bipolar Disorder, Mona Shattell, Norman Keltner

Mona Shattell

No abstract provided.

Physiological And Psychological Effects Of Exercise Interventions In Hiv Disease, Kenneth D. Phillips

Kenneth D. Phillips

No abstract provided.

Depression In Hiv-Infected Patients: Allopathic, Complementary, And Alternative Treatments, Kenneth D. Phillips

Kenneth D. Phillips

No abstract provided.

Physical Activity And Immunity In Hiv-Infected Individuals, C.M. Bopp, Kenneth D. Phillips, L.J. Fulk, W.D. Dudgeon, R.L. Sowell

Kenneth D. Phillips

The purpose of this study was to determine what relationship exists among physical activity levels and viral load and CD4+ cell count in HIV-infected individuals. Increased viral load is associated with disease progression and symptom severity. A convenience sample of 66 male and female subjects between the ages of 18 and 64 years of age (mean 399/8) was recruited from a hospital-based HIV/AIDS clinic. Components of PA were assessed for three continuous days using a mini-motion logger wrist actigraph. These components included mean PA level, and PA index and acceleration index. Pearson’s correlational analysis was used to test the strength …

Physiological And Psychological Correlates Of Fatigue In Hiv/Aids, Kenneth D. Phillips, R.L. Sowell, M. Rojas, A. Tavakoli

Kenneth D. Phillips

Fatigue is a frequent symptom reported by persons living with HIV disease and one that affects all aspects of quality of life. To improve quality of care of persons with HIV disease, it is important to address all factors that contribute to fatigue. The purpose of this study was to determine the associations of physiological, psychological, and sociological factors with fatigue in an HIV-infected population. With Piper’s integrated fatigue model guiding selection, factors examined in this study were hemoglobin, hematocrit, CD4+ cell count, HIV-RNA viral load, total sleep time, sleep quality, daytime sleepiness, HIV-related symptoms, anxiety, depression, and perceived stress. …

Psychological And Physiological Correlates Of Sleep In Hiv Infection, Jennifer L. Robbins, Kenneth D. Phillips, Wesley D. Dudgeon, Gregory A. Hand

Kenneth D. Phillips

Insomnia, a common problem associated with HIV disease, is most likely caused by a multitude of factors. This study investigated the correlations between a selected group of physiological and psychological factors and sleep quality in an HIV-infected population. A convenience sample of 79 ethnically diverse HIVpositive adults, ages 24 to 63, completed a number of questionnaires and released their laboratory records for CD4+ cell count and viral load information. Variables significantly related to sleep quality were HIV-related symptoms, total pain, fatigue, depression, state anxiety, and the number of adults in the household. Findings support the need for health care providers …

The Interaction Model Of Client Health Behavior As A Conceptual Guide In The Explanation Of Children's Health Behaviors, C.H. Robinson, Sandra Thomas

Sandra Thomas

This study used the Interaction Model of Client Health Behavior (IMCHB) as a conceptual guide to explain the correlates of children's diet and physical activity and explore the relationships of sex with their diet and physical activity of the school-aged child. A descriptive correlational study was conducted on 371 fifth-grade students and their parents. Information on the family's demographics, health experience, social influence, and environmental resources was collected, as well as data on the children's intrinsic motivation, cognitive appraisal, and affective response to food/physical activity. Children's self-reports on diet and physical activity were collected, as were parents' self-reports on health …

Men's Health And Psychosocial Issues Affecting Men, Sandra Thomas

Sandra Thomas

Contemporary scholars are calling on men to rethink "the male deal." As Samuels describes it, "In the male deal, the little boy, at around the age of 3 or 4. strikes a bargain with the social world in which he lives. If he will turn away from soft things, feminine things, maternal things...then the world will reward his gender certainty by giving him all the goodies in its possession." But the "deal" can have damaging effects, as shown in the studies reviewed in this article. Clinicians can help men to rethink the restrictions of the "male deal" so that they …

School Connectedness, Anger Behaviors, And Relationships Of Violent And Nonviolent Youth, Sandra Thomas, H. Smith

Sandra Thomas

PROBLEM: Youth violence research often focuses on risk factors arising from early familial interactions rather than school-related factors. METHODS: Via an Internet questionnaire, 282 girls and boys (ages 7-19, mean 15.3) from 47 states and Washington, DC, reported on school connectedness, interpersonal relationships, and anger behaviors. FINDINGS: Substantial percentages of violent youth did not perceive themselves to be liked by classmates and reported loneliness. If not liked by classmates, 80% hated school. Likers and haters of school differed on seven variables (all p < or = .01). CONCLUSIONS: Insufficient attention is paid to the alienation experienced by disliked and lonely students. Mental health nurses could play a pivotal role in fostering change in the social climate of schools and helping youth to achieve better anger management and social skills.

"A Fly In The Buttermilk:" Descriptions Of University Life By Successful Black Undergraduate Students At A Predominately White Southeastern University, M. Davis, Y. Dias-Bowie, K. Greenberg, G. Klukken, H.R. Pollio, Sandra Thomas, C.L. Thompson

Sandra Thomas

Although many predominantly white universities exert great effort to recruit minority students, statistics regarding retention and graduation for these students are disturbing. Previous research indicates that academic concerns are not paramount in the attrition of minority students, suggesting that greater attention must be given educational experiences of black students over and above academic matters. Using in-depth phenomenological interviewing, 11 graduating seniors from diverse majors were asked to describe salient incidents of their university experience. These interviews were transcribed verbatim and subjected to hermeneutic interpretation by an interdisciplinary research group. Dominant in student descriptions of their experiences were five themes: (1) …

Aging And Medical Adherence: The Use Of Automatic Processes To Achieve Effortful Things, L Liu, D Park

Linda Liu Hand

No abstract provided.

Not All Nurses Are Good, Not All Doctors Are Bad..., Julie Fairman

Julie A Fairman

No abstract provided.

A Comparison Of The Fertile Phase As Determined By The Clearplan Easy Fertility Monitor And Self-Assesment Of Cervical Mucus, Richard Fehring, Kathleen Raviele, Mary Schneider

Richard J Fehring

The purpose of this study was to compare the fertile phase of the menstrual cycle as determined by the Clearplan Easy Fertility Monitor (CPEFM) with self-monitoring of cervical mucus. One-hundred women (mean age = 29.4 years) observed their cervical mucus and monitored their urine for estrogen and luteinizing hormone metabolites with the CPEFM on a daily basis for 2-6 cycles and generated 378 cycles of data; of these, 347 (92%) had a CPEFM peak. The beginning of the fertile window was, on average, day 11.8 (SD = 3.4) by the monitor and day 9.9 (SD = 3.0) by cervical mucus …

Organizing Practice: Nursing, The Medical Model, And Two Case Studies In Historical Time, Pat D'Antonio, Julie Fairman

Julie A Fairman

No abstract provided.

The Role Of Hospital Design In The Recruitment, Retention And Performance Of Nhs Nurses In England, David Reid, David Armstrong, Michael Kane

David N Reid

The primary aim of the research was to explore whether hospital design has an influence on the recruitment, retention and performance of NHS nurses in England, and to further examine which aspects of design matter to nursing staff.

Couples' Views Of The Effects Of Natural Family Planning On Marital Dynamics, Leona Vandevusse, Lisa Hanson, Richard Fehring, Amy Newman, Jaime Fox

Richard J Fehring

Purpose: Natural Family Planning (NFP) requires periodic abstinence and partner cooperation to prevent pregnancy. The aim of this study was to learn about the effects of modern NFP methods on marital relationships. Design: Descriptive survey. Methods: Questionnaires were mailed to 1,400 randomly selected couples known to use NFP and residing in the United States of America; 334 couples (24%) responded. Content analysis was used to identify meanings and themes. Numeric analyses were used to determine frequencies. Findings: Nearly two-thirds of the qualitative comments were positive. Four themes were identified in the positive responses: relationship enhancements, knowledge improvements, spirituality enrichments, and …

An Analysis Of The Majority Report "Responsible Parenthood" And Its Recommendations On Abortion, Sterilization, And Contaception, Richard Fehring

Richard J Fehring

No abstract provided.

Gendered Notions Of Expertise And Bravery, Julie Fairman, J Gilbride

Julie A Fairman

No abstract provided.

Using Clinical Journaling To Capture Critical Thinking Across The Curriculum, Jacklyn Ruthman, Janet Jackson, Maureen Cluskey, Peggy Flannigan, Victoria Folse, Jo Bunten

Victoria N. Folse

Describes the use of clinical journaling as an integrated teaching methodology throughout the practicum component of a baccalaureate nursing program at Bradley University, Peoria, Illinois. Nursing students complete a weekly log for each clinical rotation; Students identify learning goals, analyze events and relate them to nursing practice, use critical thinking to connect theory and practice, and reflect on the experience.

Critical Care Course Lecturer For Class On Adult Respiratory Distress Syndrome, Patricia Harris

Patricia Harris

Critical Care Course Lecturer For Series In Respiratory Failure And Ventilator Management, Patricia Harris

Patricia Harris

Presenter For Nursing Research; Original Research Proposal Presentation, Patricia Harris

Patricia Harris