摘要:

The comforting behaviors of nurses caring for four postoperative neonates were examined by analyzing 40 hours of videotaped caregiving. Using the techniques of qualitative ethology, 30 periods of distress were identified. During these periods, 98 episodes of direct tactile and verbal comforting occurred. The types and patterns of comforting touch are delineated. Observations revealed that comforting occurs in response to infant cues, comfort touch had limited effect in settling the infants, infants were often distressed for long periods without being comforted, and the infants were handled as normal infants without regard for their incisions. Suggestions for further research are presented.

ISSN:0146-0862    

DOI:10.3109/01460869109009754

出版商:Taylor&Francis    

年代:1991

数据来源: Taylor

摘要:

The purpose of this descriptive study was to survey the parents of well children to determine the ethical principles that influenced the decisions they made in regard to hypothetical choice of treatment options. Sixty-one parents responded to a mailed survey designed to measure the principles of autonomy, beneficence/nonmaleficence, and justice. The high total mean scores for the principles of autonomy and beneficence/nonmaleficence indicated that all three ethical principles were influential in the decision-making process of parents of well children. A student /-test revealed that the mean score for the principle of autonomy was significantly higher than the mean score for the principles of beneficence/nonmaleficence. Open-ended questions regarding the principle of justice revealed many frustrations of the sample population regarding the health care system. The study identified the need for nurses and other health care providers to be aware of the influence these ethical principles have on decision making and the importance of autonomy to the parents of well children.

ISSN:0146-0862    

DOI:10.3109/01460869109009755

出版商:Taylor&Francis    

年代:1991

数据来源: Taylor

摘要:

Societal problems, including drug use, poverty, and violence, are the basis of many severe health problems of urban children. This article addresses the health problems and care needs of young children in American cities and summarizes the nursing knowledge and skills needed for urban nursing practice.

ISSN:0146-0862    

DOI:10.3109/01460869109009756

出版商:Taylor&Francis    

年代:1991

数据来源: Taylor

摘要:

A qualitative study is presented following the hybrid model of concept development to examine the emotions present in mothers who care for their chronically ill children at home. In particular the study attempts to examine the presence or nonpresence of chronic sorrow in three mothers through the use of observation and intensive interview techniques and by following the Schatzman and Strauss (1973) method of field research. The population for this study varied in diagnosis, sex, age, prognosis, and family structure. The commonalities included an uncertain future, a significantly changed life-style as a result of the child's illness, and the presence of nursing care in the home. The emotion called chronic sorrow, introduced in 1962 by Olshansky, has had limited exposure in the literature. The concept was originally intended for examinations of parents of severely mentally retarded children. Recently it has been examined in varied populations. Although many different reactions have been presented in the literature regarding the emotions of parents of chronically ill children, chronic sorrow has not been one of them. The examination of this emotion has been disease specific. The presence of this emotion in this population has implications for nurses working in all care settings.

ISSN:0146-0862    

DOI:10.3109/01460869109009757

出版商:Taylor&Francis    

年代:1991

数据来源: Taylor

摘要:

The purpose of this study was to evaluate the effects of a nursing intervention program on affective and behavioral dimensions of maternal role attainment. The sample comprised 20 primiparous adolescents, ages 12-19 years, from predominantly black and Hispanic backgrounds. Adolescents were randomly assigned to either an experimental or a control group. Participants in the experimental group received an intervention that included four IV2 hour classes held at weekly intervals, selected maternal-fetal interactive activities, recording of fetal movements, and maintaining of maternal diaries. Five instruments were used in the study: Cranley's Maternal-Fetal Attachment Scale (MFAS); the two Semantic Differentials, Myself as Mother and My Baby; the Pharis Self-Confidence Scale; and the Nursing Child Assessment Feeding Scale (NCAFS). Adolescents receiving intervention demonstrated a significant increase in prenatal attachment (MFAS scores) but showed no differences in actual mothering behaviors (NCAFS scores) as compared with adolescents in the comparison group. Although significant correlations existed among the affective measures, they were not significantly related to the measures of mothering behaviors. These results suggest that the intervention program was primarily beneficial to adolescents' achievement of the maternal role through enhancement of maternal-fetal attachment. The data also raise questions about theoretical assumptions concerning the relationship between affective and behavioral components of mothering.

ISSN:0146-0862    

DOI:10.3109/01460869109009758

出版商:Taylor&Francis    

年代:1991

数据来源: Taylor

ISSN:0146-0862    

DOI:10.3109/01460869109009759

出版商:Taylor&Francis    

年代:1991

数据来源: Taylor

ISSN:0146-0862    

DOI:10.3109/01460869109009753

出版商:Taylor&Francis    

年代:1991

数据来源: Taylor