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 …

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

Using An Interpretive Research Group To Teach Communication And Understanding In Undergraduate Psychiatric/Mental Health Nursing Students, Mona Shattell, Beverly Hogan

Mona Shattell

No abstract provided.

Fall Prevention Programs For The Elderly: A Bayesian Secondary Meta-Analysis, Joseph F. Lucke

Joseph Lucke

A secondary meta-analysis of programs to reduce falls in the elderly is undertaken to demonstrate a Bayesian analysis. The Bayesian statistical tradition is carefully distinguished from the standard Neyman-Pearson-Wald (NPW) statistical tradition. In the 12 studies, the logit effect size is used to compare treatment groups using a prevention program to control groups without a program. To contrast the Bayesian analysis, independent-effects and fixed-effect meta-analyses are first conducted in the NPW tradition. This is followed by Bayesian independent-effects and fixed-effect meta-analyses that numerically replicate the NPW results but have conceptually different interpretations. The final analyses comprise Bayesian random-effects and predictive …