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Biomedical subjects

A Kesselring

Publications and source records attributed to A Kesselring.

At least 37 records · Page 2Linked to original sources

[A nursing intervention study in interdisciplinary cooperation: challenges and problem solving strategies].

Doing a nursing intervention study in two hospitals in collaboration with physicians challenged all participating parties. The course of the study was influenced and partially changed by unforeseen problems. This article presents organizational perspectives on carrying through an intervention study while daily patient care is taking place and discusses specific issues of collaborating with physicians and nurses. Problem solving strategies and consequences from experiences with this study are presented.

Cooperative Behavior↗

Learning about another culture: project and curricular reflections.

Over the past two years, an innovative collaborative project in the care of Ethiopian Jews who immigrated to Israel has been carried out. In this project, both students and faculty joined in activities of research and practice through a clinic at a trailer court that houses 96 Ethiopian immigrant families. This project brought about several favorable changes: a) Health of the underprivileged and underserved was enhanced through bi-weekly services provided to the poor and sick trailer court inhabitants; b) An educational program for learning in a cross-cultural community setting was developed. This curricula advanced recognition of the growing cultural and racial diversity of both individual and family lifestyles, as well as allowed for learning events that are based on substantive contact with, or participation by, persons at health risk; c) An educational milieu that fosters the use of research-based interventions was developed. This article describes the cross-cultural educational project which was designed as a pilot for a new baccalaureate program in nursing, and critiques it based on the criteria of the five major concepts--primacy of the teacher-student relationship, social responsibility, centrality of caring, interpretive stance and theoretical pluralism, proposed by the promoters of the "curriculum revolution."

Community Health Nursing↗

[Body image and the experience of illness--experience of women with breast cancer].

UNLABELLED: This phenomenological study aimed at problematizing the living body as experienced by American women who suffered from breast cancer and underwent chemotherapy. Forty-eight interviews were collected from 18 women over a period of six months for another study. A secondary analysis was performed. It centered on the following three questions: 1. How do bodily changes impact on the women's embodied self-understanding? 2. How does bodily subjection to medical treatments illuminate professional and self's relationships to the body? and 3. What kind of knowledge about the body and the illness do the women express? RESULTS: 1. Central in the patients' accounts were experiences of "I cannot" (any more) or "I can" (again). 2. Illness and bodily subjection to medical interventions influenced the women's relationship with their body. Five different patterns of "I"-body-relationships are described. They varied between "I"-body-oneness and "I"-body distance. 3. The women expressed varying levels of knowledge as they talked about bodily experiences and the illness. Vernacular concepts, medical concepts and complex medical knowledge were expressed. The paper emphasizes the existential importance of "I can" or "I cannot" experiences.

Body Image↗

[Practical experience as a source of learning].

This paper describes Benner's model of skill acquisition (1984) in nursing and additional work of Benner to a German readership. Emphasis is put on learning from practice by "knowing the patient" through "paradigm cases" and by "telling stories". Benner's work provides a model which allows to distinguish between different levels of competence and enables professionals to describe expert clinical practice in a language which is conductive to learning from experience. Suggestions are given as to how learning from experience may be promoted. Thought is given to the way in which experiential learning in nursing practice might be promoted in our situation. Benner's model offers a language which is capable of expressing the difference between levels of competence and which can describe examples of "mastery" which one might want to follow.

Clinical Competence↗

[Foot reflex zone massage].

Foot reflexology is defined as massage of zones on the feet which correspond to different parts of the body. A medline-search yielded no literature in the field of foot reflexology. Indications for and results of foot reflexology have been extrapolated from case-descriptions and two pilot studies with small samples. One study (Lafuente et al.) found foot reflexology to be as helpful to patients with headaches as medication (flunarizine), yet foot reflexology was fraught with less side-effects than medication. In a second study (Eichelberger et al.) foot reflexology was used postoperatively on gynecological patients. The intervention group showed a lesser need for medication to enhance bladder tonus than did the control group. The literature describes foot reflexology as enhancing urination, bowel movements and relaxation.

Female↗