Search PubMed⌕ Search

Biomedical subjects

C Mikols

Publications and source records attributed to C Mikols.

7 recordsLinked to original sources
PubMed1996

Predischarge and postdischarge concerns of persons with an ostomy.

This study examined the concerns of persons with ostomies before and after discharge from the hospital and attempted to determine whether these concerns were affected by the reason for stoma construction, temporary versus permanent status of the stoma, or the person's sex. Participants (N = 67) responded to a 46-item questionnaire titled "Perceived Effect of an Ostomy." Eight of the 46 items were common concerns affecting patients before and after discharge. These were fear of stool leakage, odor, ability to participate in sports, necessity for further treatment, wearing a pouch, changing the pouch, change in body appearance, and participating in sexual love play and intercourse. The total concern scores did not differ significantly with reason for stoma construction or temporary versus permanent ostomy status. Women had significantly higher concern scores than did men. Interviewing patients before and after discharge regarding their concerns may help to focus ostomy teaching and counseling.

Activities of Daily Living↗
PubMed1996

Comparing adjustment to an ostomy for three groups.

Three groups of persons with fecal ostomies (those with permanent ostomies as a result of disease (n = 13), those with temporary ostomies as a result of disease (n = 16), and those with temporary ostomies as a result of trauma (n = 18) were interviewed with various instruments to explore the psychosocial impact of an ostomy. The three groups did not differ significantly with respect to their scores on the Psychosocial Adjustment to Illness Scale, the Reintegration to Normal Living Index, or the Meaning in Life Scale. Those with a temporary ostomy as result of trauma had significantly higher Escape-Avoidance, Positive Reappraisal, Accepting Responsibility, and Planful Problem Solving subscores on the Ways of Coping instrument. The differences in coping scores may relate to adjustment to the violent act at the same time as the ostomy. These observations add to ostomy research because research about persons with temporary ostomies, especially those caused by a gunshot injury, is scarce.

Adaptation, Psychological↗
PubMed1990

Nurses' documentation about pressure ulcers.

Documentation in a patient's medical record is a nurse's legal and professional responsibility. Descriptive charting about pressure ulcers is critical since it may affect treatment modalities. The purpose of this research was to examine what nurses chart about pressure ulcers. The IAET Standards of Care Dermal Wounds: Pressure Ulcers (1987) was used as a guide. Nursing notes from 167 medical records were examined. None of the nurses' notations contained 100 percent of the items examined in this study. The most frequently occurring descriptor was location (74.2%). This research documents deficiencies in nurses' charting about pressure ulcers.

Aged↗
PubMedDate not supplied

Sharing resources for clinical research.

The unstructured, verbal contact of the Sharing Resources Model between persons of different institutions allowed each to accomplish goals. In a time of limited health care funding, this model helped all involved to conduct nursing research. The director and ET nurse explored long-term questions about research. For example, during this time of nursing shortage, how does a nurse researcher include the staff nurse in clinical research? How can clinical agencies implement research findings and monitor their impact? Can research interest of the nursing staff be stimulated by reading research? In addition these individuals were able to document a need for continued research development and research consultation. Sharing of resources allowed the nurse faculty member to be a team member in the agencies in which she was conducting research. Providing consulting allowed her to repay to the agencies the time commitment they made to her research and an opportunity to share with clinical experts. Clinical agencies and schools of nursing need to examine ways to increase research collaboration. Since ET nurses are exposed to numerous researchable questions, they should explore within their agencies the structuring of nursing research. If nursing research assistance is not available, the Sharing Resources Model may initially help ET nurses with their research and document a need to the agency for research assistance. Whatever model the ET nurse uses for research assistance, all involved should benefit.

Clinical Nursing Research↗