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Biomedical subjects

C Stubblefield

Publications and source records attributed to C Stubblefield.

9 recordsLinked to original sources

Pediatric lung transplantation: families' need for understanding.

Fifteen parents of 12 children who had undergone lung transplantation described their relationships with others, such as members of their extended family, coworkers, and friends prior to, during, and following the transplantation. We conducted a content analysis to formulate a narrative description of the parents' relationships with others. The parents described their relationships in terms of the support they received from them. Some parents described diminishing support in the posttransplantation period, which they attributed, in part, to a lack of understanding. This finding may reflect the influence that living with a physical condition with long-term consequences, such as lung transplantation, may have on some interpersonal relationships. Pediatric lung transplantation is an increasingly common treatment regimen for children with end-stage lung or pulmonary vascular disease. Promoting understanding of what it is like to live with a lung transplantation may help to maintain support for these families.

Adult↗

Parents call for concerned and collaborative care.

Parents' perceptions and expectations of health care providers within the context of the pediatric lung transplant experience were investigated using a phenomenological approach. Fifteen parents of 12 children were interviewed. Two theme clusters, concerned care and collaborative care, were formulated. Themes that reflected parents' perceptions of concerned care included: being treated as an individual, seeing familiar faces, feeling that their children really mattered, and conversely, experiencing a feeling of abandonment. Parents' perceptions of collaborative care included: being part of the team, and conversely, feeling caught in the middle. The theme cluster, concerned care, reflected the value parents place on continuity of care. Humanistic nursing theory provided the link between study results and nursing practice.

Adolescent↗

Current management of hemochromatosis.

Community and home healthcare nurses can play important roles in identifying early symptoms of hemochromatosis, encouraging diagnostic screening and assisting with prompt treatment of this potentially fatal disorder. When hemochromatosis is detected early, organ damage often can be prevented.

Community Health Nursing↗

Interactive use of models of health-related behavior to promote interdisciplinary collaboration.

This pilot study examined the use of models of health-related behavior as foci for interaction to promote interdisciplinary collaboration among students enrolled in a graduate-level course at Washington University in St. Louis, Missouri. The course is one component of a master's program developed to meet the needs of health professionals whose goals are to participate in interdisciplinary roles in a variety of health care settings. Abilities requisite to the development of positive attitudes toward interdisciplinary collaboration include: (1) understanding of the functional roles of each discipline within the team; and (2) respect and value for each discipline's input in the decision-making process of the health team. Focused interaction was effective in increasing participants' understanding of the functional roles of each discipline at the .05 level of significance.

Adult↗

Making the transition: pediatric lung transplantation.

INTRODUCTION: Little information exists regarding how parents whose children have undergone lung transplantation perceive the meaning of their return home to face the reality of the posttransplant experience. METHOD: A naturalistic approach was selected to investigate the meaning of the experience from the perspective of the parents. Fifteen parents of 12 children were interviewed. Colaizzi's method of phenomenologic analysis guided the analysis of the interview data. RESULTS: A theme cluster, "making the transition," emerged from the data. The themes that reflected parents' perceptions of the issues they faced in the posttransplant period included reuniting the family, assuming a new role, returning to school, facing the risk of infection, facing the threat of rejection, and striking a balance. DISCUSSION: Parents' perceptions of the situation reflected the shifting impact of uncertainty on their daily lives and coping strategies. The need exists to recognize the parents' unique and changing needs and to implement individualized nursing care to meet their needs.

Child↗

Optimism: a determinant of health behavior.

Nurses intuitively recognize an optimistic outlook as a personality component that has a positive impact on clients' health-related behavior. Optimism, however, has not been studied from the perspective of nursing. The author did a concept analysis of optimism (the first step in grounding the study of optimism in nursing practice); identified attributes, antecedents, and consequences; and developed a definition of optimism. A case study contrasts examples of a model, borderline, and contrary positions and illustrates their differences.

Adaptation, Psychological↗