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Biomedical subjects

B Ashley

Publications and source records attributed to B Ashley.

7 recordsLinked to original sources
PubMed1994

Advanced practice nurses' application of the Stetler model for research utilization: improving bereavement care.

PURPOSE: To describe the role of the advanced practice nurse in applying the Stetler Model for Research Utilization, to demonstrate advanced practice nurse use of the model as applied to improving bereavement care, and to discuss problems and opportunities that advanced practice nurses encountered when applying a research utilization model to a clinical problem. DATA SOURCES: Published articles identified through computerized literature searches; both assessment- and intervention-focused research articles were selected for review if the study populations and settings were comparable to those of the authors and the research design used was experimental or quasi-experimental. DATA SYNTHESIS: The Stetler model guided formal review of selected research reports for applicability and feasibility of translation into clinical practice. Final recommendations were made for departmental implementation to improve bereavement care. CONCLUSIONS: The Stetler model facilitates implementation of research findings into clinical nursing practice, practice change recommendations based on research utilization can be both clinical and organizational in nature, and advanced practice nurses have an important departmental role to play in a formal research utilization process. IMPLICATIONS FOR NURSING PRACTICE: Advanced practice nurses are ideally suited for leadership roles in the research utilization process; however, research utilization task forces require that individuals who already face multiple demands on their clinical time invest a significant amount of time. Despite this, it is advantageous for advanced practice nurses to adopt and apply a formal research utilization model in their practice.

Bereavement↗
PubMed1993

Chemotherapy and treatment scheduling: the Johns Hopkins Oncology Center Outpatient Department.

The Chemotherapy and Treatment Scheduling System provides integrated appointment and facility scheduling for very complex procedures. It is fully integrated with other scheduling systems at The Johns Hopkins Oncology Center and is supported by the Oncology Clinical Information System (OCIS). It provides a combined visual and textual environment for the scheduling of events that have multiple dimensions and dependencies on other scheduled events. It is also fully integrated with other clinical decision support and ancillary systems within OCIS. The system has resulted in better patient flow through the ambulatory care areas of the Center. Implementing the system required changes in behavior among physicians, staff, and patients. This system provides a working example of building a sophisticated rule-based scheduling system using a relatively simple paradigm. It also is an example of what can be achieved when there is total integration between the operational and clinical components of patient care automation.

Ambulatory Care Information Systems↗
PubMed1979

A simple radiation balance for measuring ultrasonic power.

The design and construction of a beam balance for measuring the power outputs of therapeutic and diagnostic ultrasonic instruments is described. Power outputs down to 4 mW have been measured using a low magnification microscope.

Calibration↗
PubMedDate not supplied

Recruitment of underserved women for breast cancer detection programs.

PURPOSE: The purpose of this correlational, nonexperimental study was to survey a sample of uninsured/underinsured women entering a no-cost, state-funded breast cancer screening program to identify factors that might enhance existing recruitment strategies and adherence to breast cancer screening. OVERVIEW: Inadequate access to breast cancer screening contributes to the high morbidity and mortality that have been documented in low-income American women with breast cancer. Two hundred and four participants in a no-cost cancer screening program at the Johns Hopkins Oncology Center's East Baltimore Community Health Program in Maryland were surveyed by telephone to identify methods to enhance recruitment strategies. The survey solicited information in areas such as demographics, healthcare practices, and recruitment sources. Knowledge about breast cancer and its treatment, perceived control over health matters, and the practice of preventive measures were low in this group. Based on the data obtained, recruitment strategies better tailored to this population were developed and implemented. CLINICAL IMPLICATIONS: Recruiters and clinicians must understand that for impoverished women, day-to-day survival takes precedence over most other issues. The possibility of a condition that may cause illness or death 10 to 20 years from now is of less importance than obtaining food, clothing, and shelter today. This program demonstrates that services such as transportation and child care are important elements of care for this population. Culturally sensitive recruitment strategies, personalized care, and vigilant follow-up are important requisites to breast cancer screening programs. A multidisciplinary team effort is critical in bringing together the elements required for a successful screening program.

Adult↗
PubMedDate not supplied

Mastalgia.

Explore the source record for details and available documents.

Adult↗