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Biomedical subjects

B Nettles-Carlson

Publications and source records attributed to B Nettles-Carlson.

12 recordsLinked to original sources
PubMed1988

Effectiveness of teaching breast self examination during office visits.

In a randomized clinical trial a comparison was made of two BSE teaching interventions delivered by primary providers during office visits in a group nursing faculty practice. Patients who reported no regular BSE (n = 121) received either individualized teaching focused on reducing perceived barriers and reinforcing benefits of BSE, or routine teaching limited to usual instruction in BSE technique. Patients reporting frequent/monthly BSE during the past year were comparison subjects (n = 81). Self-reported data on BSE behavior were obtained in questionnaires administered before the interventions and via telephone interviews three months after the visit. Analysis using chi square showed that, contrary to expectation, individualized and routine teaching were equally effective: 61.4% of the individually taught and 63.5% of the routinely taught reported frequent or monthly practice at followup. Both groups were significantly more confident in technique and ability to detect change in the breast. The previously non-practicing women remained significantly less likely than comparison subjects to be performing BSE monthly at followup. The perceived benefit of BSE giving peace of mind predicted non-practicers most likely to change.

Adult↗
PubMed1985

Managers and nurses: understanding both worlds.

As nurses strive to control their professional destinies, they must function effectively with and as managers. This implies bridging the gap between the two cultures of professional and manager and understanding the two points of view. This article contrasts these two points of view in terms of sources of power, task orientation and professional socialization.

Administrative Personnel↗
PubMedDate not supplied

Early detection of breast cancer.

Timely, comprehensive screening for breast cancer is a major, though often overlooked, component of primary health care for women. This article reviews the scientific rationale for screening and outlines the current recommendations of the American Cancer Society and the U.S. Preventive Services Task Force regarding the use of mammography, clinical breast examination (CBE), and breast self-examination (BSE). Nursing interventions to decrease barriers to effective screening are discussed, and an expanded role of nurses in breast cancer screening is proposed.

Breast↗
PubMedDate not supplied

Predictors of a health-promoting life-style among well adult clients in a nursing practice.

The self-reported health-promoting life-style (HPL) of 130 well adults in a primary care clinical population was examined in relation to the cognitive/perceptual and sociodemographic factors hypothesized in Pender's Health Promotion Model (1987) to predict this behavior. Subjects were randomly drawn from the clients of a group nurse practitioner practice emphasizing health maintenance. Data were collected by mailed survey (response rate, 59%) with one telephone prompt. The mean age of the subjects was 39.7 years; 72.3% were female; 51.2% were married; 47.7% had college degrees; and 67.4% were white. Blacks were underrepresented in the sample compared to the practice population (chi = 7.56, p = .006). Using multiple regression, the definition of health, importance of health, health locus of control, age, gender, marital status, race, education, income, and rural/urban residence were studied to determine their effects on health-promoting behavior. Results generally supported the Pender Model. Defining health eudiamonistically, that is, as exuberant well-being (rather than adaptive, functional, or absence of disease), predicted HPL. Ranking health above other values such as achievement and harmony had no effect; chance health locus of control had a negative relationship. In the final regression model, predictors of HPL were eudiamonistic conception of health and college education (p = .0001, R2 = 17). Based on this data, considerations of a clients' health conception when framing health-promotion messages is warranted in this population.

Adult↗