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Biomedical subjects

A Neufeld

Publications and source records attributed to A Neufeld.

29 records · Page 2Linked to original sources
PubMed1987

Treatment of severe self-injurious behavior by the mentally retarded using the bubble helmet and differential reinforcement procedures.

We examined the effectiveness of a bubble helmet and differential reinforcement procedures in the treatment of the self-injurious behavior (SIB) of three adult residents of a state hospital for the developmentally disabled. A multiple-baseline design across settings and an ABC design were used to assess the effectiveness of these procedures. Results indicated that the introduction of the bubble helmet in conjunction with differential reinforcement procedures produced notable reductions in SIB for all three participants. These reductions were significantly greater than those produced by using the differential reinforcement procedures alone. Social validity, generalization and follow-up data further documented the efficacy and acceptability of the bubble helmet plus differential reinforcement procedures. The advantages of the bubble helmet over other forms of restraint and the theoretical implications of these findings are also discussed.

Adult↗
PubMed1984

Contingent application of a protective device to treat the severe self-biting behavior of a disturbed autistic child.

This study introduces the Bubble Helmet, a protective device, as an effective means of treating severe cases of self-biting behavior with disturbed developmentally disabled persons. The apparatus is a clear plastic sphere which fastens over the client's head, shielding the mouth from contact with hands and forearms. Use of the bubble in a response-contingent manner effectively eliminated the intense self-biting behavior of a 9-year-old autistic child in a community-based group home. This made it possible for her to be placed in a less restrictive community facility.

Autistic Disorder↗
PubMed1983

Curriculum revision: making the process work.

This paper presents the experience of one nursing faculty in revising a baccalaureate programme for registered nurses. Mechanisms used to facilitate the process of curriculum revision and to promote involvement of community agencies as well as faculty members and students are discussed. These mechanisms include use of a core co-ordinating group (curriculum co-ordinator, consultant in instructional development, administrative support person) to guide the process, acceptance of a draft of nursing theory content before proposing specific courses and student and community agency representation on course-development committees. The revision process is then analysed in relation to change theory. Particular attention is given to the concepts of involving all those affected by the change, maintaining open and effective communication and factors which minimize resistance.

Curriculum↗
PubMedDate not supplied

Women's experiences of barriers to support while caregiving.

This qualitative study explored women's perceptions of barriers to support during family caregiving in a Canadian setting. Twenty mothers of premature infants and twenty women caring for an older person who is cognitively impaired were interviewed in-depth over 18 months. Both groups of women preferred that support be offered to them and identified numerous barriers to requesting support. Perceived barriers included an obligation to provide care, loss of independence and self-esteem, concern for burden on others, the desire to excuse others from providing support, the inability to reciprocate support, fear of refusal or exposure, nonsupportive actions, the time and effort needed to coach others to provide effective support, and the lack of available, competent help. Some of these barriers reflect personal costs to the woman caregiver. Other barriers reflect societal norms that family caregiving is the responsibility of women.

Adult↗
PubMedDate not supplied

Use of nursing diagnosis with population groups.

The authors report findings of a study done to examine the use of nursing diagnosis by community health nurses (n = 15) and students (n = 20) who worked with population groups. Results of the analysis of the open-ended questionnaires and student assignments indicate that many of the diagnoses, both wellness and deficit, could be classified in relation to the concepts present in published classification systems. Issues raised by the study about the use of nursing diagnosis with population groups include: incorporating wellness diagnoses in the NANDA Taxonomy, identifying when a group diagnosis is appropriate, determining whether to give priority to a behavioral or an environmental focus, and selecting the level of abstraction.

Community Health Nursing↗
PubMedDate not supplied

Integrating nursing diagnosis for population groups within community health nursing practice.

Conflicting views exist about the utility of nursing diagnosis in community health nursing, particularly in relation to its use with population groups. Until recently, this application of nursing diagnosis received limited consideration by the North American Nursing Diagnosis Association. As a result, discussion is needed regarding the ways in which use of nursing diagnosis with population groups in community settings may be different from the use of nursing diagnosis with individuals. In this article several distinctive characteristics of the use of nursing diagnosis for health promotion with various population groups are addressed. Thoughtful consideration of these distinctive characteristics can provide a foundation for effective use of nursing diagnosis with population groups in community settings.

Community Health Nursing↗
PubMedDate not supplied

Public perceptions of the relationship between poverty and health.

The public's view on how poverty and health are related will influence support for different policies and programs. The purpose of this study was to examine public perceptions of the relationship between poverty and health and to identify demographic variables that predict support for the four explanations of the relationship between poverty and health (artifact, drift, behavioural, and structural) first identified in the Black Report in the United Kingdom. A telephone survey of a representative sample of Albertans (N = 1,216) was conducted. The majority of respondents believed that poverty leads to poor health. The explanation that health is influenced by the context in which individuals live (structural) received the most support. Demographic variables (sex, age, education, occupation, income, residence, conservatism) explained less than 10% of the variance for each of the four explanations, with conservatism the most consistent predictor.

Age Factors↗
PubMedDate not supplied

Use of health care services following mandatory retirement.

I examined the use of health care services before and after mandatory retirement. Data were collected from provincial medical care and hospital insurance records for each of 88 retirees. Interview data provided information about selected psychosocial and health factors which earlier studies found to be related to health status. Two patterns in use of health care services were found: in one group (N = 54), use of health care services increased and in the other group (N = 34), use of services decreased following mandatory retirement. Discriminant analysis procedures were applied to determine which factors could predict group membership. Two factors were found to be important for correct identification of group membership: part-time employment and including all food groups in the diet on the day before the interview. Based on this combination of factors, group membership could be correctly identified 55% of the time for the increased usage group, and 82% of the time for the decreased usage group.

Aged↗