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Biomedical subjects

C T Beck

Publications and source records attributed to C T Beck.

At least 37 records · Page 2Linked to original sources

Achieving statistical power through research design sensitivity.

The challenge for nurse researchers is to design their intervention studies with sufficient sensitivity to detect the treatment effects they are investigating. In order to meet this challenge, researchers must understand the factors that influence statistical power. Underpowered studies can result in a majority of null results in a research area when, in fact, the interventions are effective. The sensitivity of a research design is not a function of just one element of the design but of the entire research design: its plan, implementation and statistical analysis. When discussing factors that can increase a research design's statistical power, attention is most often focused on increasing sample size. This paper addresses a variety of factors and techniques, other than increasing sample size, that nurse researchers can use to enhance the sensitivity of a research design so that it can attain adequate power.

Nursing Research↗

Replication strategies for nursing research.

Implementing research findings into nursing practice has been seriously hampered by the lack of replication studies. One deterrent to replication is the vague and scant treatment that replication methodology has been given in the nursing literature. Knowledge of different replication strategies will enable researchers to choose the most appropriate approach. Four of the most frequently cited classifications of replication research are compared and a review of replication studies in nursing from 1983 to 1992 is included.

Diffusion of Innovation↗

Reliability and validity issues in phenomenological research.

Reliability and validity are two areas where the criteria of logical empiricism appear to be imposed upon phenomenology as a research method. Cross-paradigmatic communication can result in difficulties because the same words may have different meanings. It cannot be assumed that reliability and validity have the same meaning in logical empiricism and phenomenology. Even among the three most frequently used phenomenological methods in nursing research, lack of consensus exists regarding the issues of reliability and validity. In order to help clarify reliability and validity from the phenomenological perspective, Colaizzi, Giorgi, and VanKaam's methodologies are compared and contrasted regarding their stance on these issues. Lincoln and Guba's four major criteria for rigor in qualitative inquiry, truth value, applicability, consistency, and neutrality may offer phenomenologists an appropriate alternative to logical positivists' terminology.

Nursing Research↗

Nursing students' initial clinical experience: a phenomenological study.

Nursing students have revealed that one of the most anxiety-producing aspects of their clinical experience is the initial clinical experience. In order to help students through their initial clinical experience, faculty must first understand more fully the meaning of this experience for nursing students. A phenomenological study was conducted to explore the lived experience of nursing students' first clinical experience. Eighteen undergraduate nursing students described in writing an experience they had during their first day of clinical. Data were analyzed using Colaizzi's phenomenological method. Six theme clusters emerged: pervading anxiety, feeling abandoned, encountering reality shock, envisioning self as incompetent, doubting choices, and uplifting consequences. Implications for nurse educators are addressed.

Adult↗

Qualitative research: the evaluation of its credibility, fittingness, and auditability.

The three criteria of credibility, fittingness, and auditability have been focused on in the hope of facilitating the critique of qualitative research. Once criteria that are appropriate to qualitative methodologies are developed, the scientific merit of these research studies can truly be appreciated. If traditional scientific criteria relevant to quantitative studies are used to critique qualitative methods, the development and acceptance of this paradigm-transcending research will be hindered.

Clinical Protocols↗

[Emergency Cesarean section--analysis of 143 emergency sections].

Since compromises must be accepted in emergency Caesarean sections in respect of preparation, anaesthesia and hygienic standards, 143 emergency caesarean sections out of a total number of 37,583 deliveries were analysed during 1981-1990 from four different obstetrical departments as well as risks, complications, maternal and foetal morbidity and mortality were studied. In connection with these operations, which are not influenced only by medical factors but also by logistics, two mothers died (1.4%). Perinatal mortality was 3.3% (unpurified perinatal mortality: 8.5%). Neither the influence of time, when the Caesarean section was performed, nor the place of operation (theatre or labor bed), nor the indication for the operation on foetal outcome and maternal morbidity were found. Maternal morbidity was mainly contributed to pre- and intraoperative bleeding. Intraoperatively 12.6% and postoperatively 10.5% of the patients had to be given heterologous blood conserves. In more than a third of the newborn, which had been delivered by emergency Caesarean section, because of a pathological cardiotocogram, the pH values showed no pathological findings. The benefit of an antibiotic prophylaxis in emergency Caesarean sections could be significantly demonstrated, showing the different rates of secondary healing complications. A particular problem exists in emergency Caesarean sections for the delivery of the second twin following spontaneous delivery of the first one (2.8%).

Adolescent↗

Caring between nursing students and physically/mentally handicapped children: a phenomenological study.

Advanced technology has increased the life expectancy to age 20 for most chronically ill children. Consequently, nurses will be encountering an increasing number of physically and mentally handicapped children. Nursing students' discovery of the meaning of caring with exceptional children will help prepare them for interactions with these special children during their nursing careers. A phenomenological study was undertaken to explore 36 nursing students' caring experiences with physically and mentally handicapped children. Van Kaam's phenomenological methodology was used to analyze the data. Sharing the findings of this phenomenological study with nursing students is one approach faculty can use to help reduce their anxiety regarding upcoming clinical rotations with exceptional children.

Adult↗

Undergraduate nursing students' lived experience of health: a phenomenological study.

In order to function as promoters of health, nursing students first need to examine their own meaning of health. A phenomenological study was conducted to explore 56 undergraduate nursing students' lived experience of health. Using Van Kaam's (1966) phenomenological methodology, three necessary constituents of health emerged: optimal unfolding, peaceful contentedness, and perpetual vigilance. These necessary constituents were synthesized into a valid description of the total experience of health as perceived by undergraduate nursing students, i.e., the experience of health is basking in peaceful contentedness permeated by optimal unfolding and perpetual vigilance. Implications for both nursing students and faculty are discussed.

Adult↗

[Acute preoperative normovolemic hemodilution in gynecologic operations. A retrospective analysis].

In a retrospective analysis, a comparison of two groups of 100 patients each showed that in major breast surgery the need for heterogeneous banked blood can be considerably reduced by means of acute preoperative normovolemic hemodilution. The method involves replacing the blood withdrawn directly before or after anesthetization with a colloidal substitute solution, subsequently reinfusing it either intraoperatively, following hemostasis, or in the postoperative phase. Hemodilution could not be shown to influence the postoperative courses of HB, hexokinase or thrombocyte values. In contrast to major breast surgery, hemodilution was not found to have any advantages as regards reducing the requirement for heterogeneous blood in major abdominal wall grafting procedures.

Abdominal Muscles↗