ISSN:0029-6562    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Interviews and participant observation were used to generate a substantive grounded theory that explains the process of nurses becoming chemically dependent. Data collection included: reading 10 case histories of nurses who had appeared before the Board of Nursing because of a problem with chemical dependency; interviewing 20 nurses who admitted their dependence on drugs and/or alcohol and who were in the process of recovery; interviewing representatives of the Board of Nursing, Department of Professional Regulation, and nurse investigators; attending Board of Nursing hearings and meetings concerning nurses who violated the Nurse Practice Act; accompanying a nurse investigator on her rounds to do urine checks on chemically dependent nurses presently on probation; and observing meetings of a chemically dependent nurses' self-help group for a period of 1 year. Findings revealed that as a result of physical and/or psychological pain nurses who became chemically dependent embarked on a trajectory of self-annihilation. The stages and phases of the self-annihilation process are discussed.

ISSN:0029-6562    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0029-6562    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

This report describes an intravaginal balloon device (IVBD) and an improved method for measuring the dynamic characteristics of circumvaginal muscle (CVM) contractions. The IVBD measurement system may be used in research on women's health problems related to the pelvic floor musculature. The system is independent of examiner judgment and variability, and measurement conditions are carefully controlled. In an initial trial using the device with 20 volunteers, aged 22 to 58 years, the maximal pressure developed during strong CVM contractions was measured with the subjects supine. Subjects were asked to repeat the contraction while they contracted abdominal muscles. The length of time a submaximal contraction could be held was also measured. Test-retest reliability, determined by repeating each experiment, revealed significant correlation in maximal pressure attained, r = .85, p < .03. A t test demonstrated no significant difference between the variables with and without the use of abdominal muscles, indicating the contraction of abdominal muscles did not affect intravaginal pressure when assessed with the IVBD. A weak correlation between length of time a submaximal contraction could be held and age of subject was found, r = -.44, p < .06, but no pressure variable was correlated with age or parity, a possible effect of the small sample in this study.

ISSN:0029-6562    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

The Z-track intramuscular injection technique was compared with the standard injection technique for incidence and severity of discomfort and lesions at the injection site. Fifty subjects received injections of meperidine hydrochloride alone or in combination with promethazine hydrochloride every 3 to 4 hours for a total of two to eight injections. Subjects served as their own controls by receiving both techniques. They were evaluated for the presence and severity of discomfort on a 4-point Likert scale. Injection site lesions were determined by visualization and palpation. The Z-track technique significantly decreased incidence of selected descriptors of discomfort and lesions at selected time intervals, severity of discomfort at selected time intervals, and severity of lesions at all time intervals postinjection.

ISSN:0029-6562    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

The effect of tachypnea on oral temperature measurement was examined in 53 patients in a medical intensive care unit. This study was a replication of Tandberg and Sklar's (1983) study. The effect on rectal/oral temperature difference exerted by normal respiratory rate (20 or less respirations per minute) versus tachypnea (greater than 20 respirations per minute) was studied. A t test demonstrated that mean rectal/oral temperature difference between the groups was significantly different, t = —3.26, df = 49.45, p < .01, supporting Tandberg and Sklar's findings. The present study found a positive relationship between the variables, r = .33, p

ISSN:0029-6562    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

A retrospective comparative chart audit was conducted to identify patient characteristics associated with falls in the acute care setting, to examine the extent to which the significant characteristics explained if falls occurred, and to test the ability of variables believed to be risk factors to predict falls. Patients aged 60 and older who fell during hospitalization (n = 331) were compared with a random sample of patients aged 60 and older who were hospitalized during the same time period but did not fall (n = 300). Two days of documentation were sampled: admission day and day preceding the fall for the fall group, and admission day and a random day of hospital stay for the no-fall group. Findings supported the idea that fall-prone patients can be identified and that significant differences between those who do and do not fall are evident at hospital admission. The findings also suggested an alteration in the constellation of characteristics nurses use to identify fall-prone pattents. Of 11 variables representing standard risk factors, only 6 were significantly related to fall status; 5 entered the regression equation as significantly contributing to the 22% explained variance. When potential predictor variables were expanded to include additional patient characteristics, the explained variances for fall status were 31% from the admission day data and 34.5% from the fall/random day data.

ISSN:0029-6562    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

This longitudinal study replicated and extended an investigation of the relation between spouses' strength of identification and similarities in their patterns of change in body image components during and after pregnancy. The sample included 54 married couples. The results did not duplicate previous study findings of similarity in spouses' patterns of change in perceived body space. There were statistically significant changes in wives' perceived body space scores from the third month of pregnancy to the second postpartal month, but no changes in the husbands' perceived body space scores. Results upheld previous study findings of no relationship between spouses' strength of identification and similarities in their patterns of change in perceived body space. No changes were detected in either wives' or husbands' global body attitude scores, nor was there evidence of a relationship between spouses' strength of identification and similarity in their patterns of change in global body attitude.

ISSN:0029-6562    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0029-6562    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Existing models of nursing require expansion and refinement to link theory, research, and clinical practice more closely. To accomplish this goal, conceptual models need to integrate a theoretically motivated and clinically useful account of nursing action. One way to do this is to view nursing action as a process of social interaction. Effecting positive changes in patients' health care status depends on nurse-patient interaction that promotes consensus. Consensus is arrived at through the process of negotiation and depends on the nurse's level of interpersonal competence. This article discusses core assumptions about the nature and function of nursing action as viewed through an interactional lens and identifies interpersonal skills suggested by this perspective, which are likely to account for competent nursing action.

ISSN:0029-6562    

出版商:OVID    

年代:1986

数据来源: OVID