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Biomedical subjects

B L Lyon

Publications and source records attributed to B L Lyon.

13 recordsLinked to original sources
PubMed2001

Statutory and regulatory issues for clinical nurse specialist (CNS) practice: ensuring the public's access to CNS services.

The practice environment of healthcare in the United States is fluid, dynamic, and sometimes chaotic. Statutory, regulatory, and credentialing requirements are critical elements of this changeable environment affecting clinical nurse specialists (CNSs) and other advanced practice nurses (APNs). CNSs are estimated to comprise approximately 54,000 APNs, based on the 2000 National Sample Survey of Registered Nurses. Although statutes and regulations related to APNs are reviewed regularly, there has not been a critical analysis of statutes and regulations specifically governing CNS practice in the United States. This lack is largely due to the absence of a national association devoted to CNSs before 1995. However, recently there has been a resurgence of interest and need for CNS services. Therefore, it is particularly important that any statutory and/or regulatory barriers to CNS practice be removed. In 1998, the National Association of Clinical Nurse Specialists Legislative and Regulatory Committee embarked on a critical analysis of state statutes and regulations governing CNS practice. All 50 state boards of nursing and the District of Columbia board of nursing were requested to send copies of their statutes and regulations governing CNS practice. Responses were received from 48 states. This article summarizes the state of regulation of CNS practice and identifies significant barriers to CNS practice that should be systematically addressed. The patchwork quilt of CNS regulation that varies from state to state results in over-restrictive and underinclusive provisions that preclude ease of reciprocity and deprive the public full access to CNS services. Recommendations for addressing the barriers are made.

Humans↗
PubMed2000

Measuring adherence to a self-care fitness walking routine.

The purpose of this study is to develop and evaluate a theoretically appropriate measure for adherence to a self-care fitness walking routine. Self-care activities are very different from prescribed therapeutic regimens. One important difference is the determination of the activity prescription or behavioral standard. When the activity is classified as self-care, the behavioral standard is determined by the individual. When the activity is a prescribed therapeutic regimen, it is determined by the health care provider. Adherence to health related activities is usually calculated by comparing actual behaviors with an expert determined standard. When this technique is used to measure adherence to a self-care regimen, the theoretical assumption that self-care activities are self-prescribed has been ignored. In this study, adherence to the self-care activity fitness walking is calculated by comparing actual recorded fitness walking behaviors with the walker's own fitness walking intention.

Adult↗
PubMed2000

Conquering stress.

Explore the source record for details and available documents.

Adaptation, Psychological↗
PubMed1987

Research on nursing practice. Stress.

Clearly, there is not agreement among nurse researchers regarding a definitional orientation to stress that best fits nursing's orientation to human experiences. Varying theoretical orientations are used to explain stress or stress-related phenomena, for example, stress as a stimulus, stress as a response, and stress as a transaction. The studies are fairly evenly distributed among the four definitional categories. The various approaches do not represent expanding theoretical explanations of stress, but rather are incompatible approaches to explaining stress. More disconcerting than the lack of direction in research efforts, however, is that all too commonly the measurement of the variables and the methodology were not "linked" or consistent with the theoretical framework. For the most part the research efforts reviewed fell short of theory testing. Even for those studies that were designed to contribute to theory development, it was rare to find research reports that included implications regarding theory in the discussion sections. Additionally, discussion sections of the reports typically did not identify alternative explanations for the findings. Quasi-experimental, ex post facto, and causal comparative studies typically were flawed with validity problems. If nursing is to strengthen its contribution to knowledge in the area of stress, more emphasis will need to be placed on congruence between design and measurement, and on issues of statistical rigor, validity, and reliability. Although some might argue that it is too early to expect a coalescing of definitional orientations, it is important to point out that considerable confusion regarding stress phenomena results from a nonsystematic or nondeliberative mixture of incompatible orientations to or definitions of stress. It is little wonder that the vast number of opinion articles that appear in the nursing literature include varied definitions of stress, often making conflicting recommendations regarding the nursing assessment of stress and nursing intervention strategies to assist a person in stress management efforts.

Adult↗
PubMedDate not supplied

Integrating theory and research into practice.

An experiential learning assignment was imPlemented in an undergraduate nursing course. The purpose of the assignment was to integrate theory and research into a nursing practice activity. The authors describe the development, implementation, and evaluation of the assignment. Evaluation data indicated that the assignment was an appropriate way to prepare beginning nursing students for building knowledge about nursing as a scholarly discipline.

Attitude of Health Personnel↗