Biomedical subjects

Cecelia Gatson Grindel

Publications and source records attributed to Cecelia Gatson Grindel.

6 recordsLinked to original sources

PubMed2004

The effect of breast cancer screening messages on knowledge, attitudes, perceived risk, and mammography screening of African American women in the rural South.

PURPOSE/OBJECTIVES: To determine the effect of three types of breast cancer screening messages (positive/upbeat, neutral/cognitive, and negative/fear) on knowledge, attitudes, perceived risk for breast cancer, and mammography screening of African American women. DESIGN: Repeated measures intervention. SETTING: Three rural counties in the South. SAMPLE: 450 African American women aged 45-65 who had not received a mammogram in the past 12 months. METHODS: Following completion of pretest knowledge and attitude surveys, the women participated in a 60-minute breast health intervention session that included watching one of three videos with varied affective tones (positive/upbeat, neutral/cognitive, negative/fear). Data on knowledge, attitudes, perceived risk for breast cancer, and mammography screening were collected before, after, and 12 months following the intervention. MAIN RESEARCH VARIABLES: Knowledge, attitudes, perceived risk for breast cancer, and mammography screening. FINDINGS: No significant difference was found among video groups on mammography screening and knowledge of and attitudes about breast cancer over the three measurement periods. CONCLUSIONS: The affective tone of the educational videos did not make a difference in mammogram screening, attitudes, and knowledge of breast cancer screening. More women received a mammogram 12 months postintervention than prior to the intervention; however, the influence of the intervention on this outcome is uncertain. IMPLICATIONS FOR NURSING: Nurses and health communication experts should design interventions that foster positive attitudes, increase knowledge about breast cancer screening, and stimulate women to participate in breast cancer screening as outlined by the American Cancer Society. These interventions need to be done in the context of the cultural norms and the education levels of the target population.

Black or African American↗

PubMed2004

Health related behaviors and cancer screening of lesbians: results of the Boston Lesbian Health Project II.

This paper reports data on health related behaviors and cancer screening from the Boston Lesbian Health Project II (BLHP II), a replication of a national survey of lesbians on a variety of health-related variables completed in 1987. The findings suggest that lesbians have increased their use of primary care, including routine physical examinations, pap smear screening for cervical cancer, and mammography for breast cancer, but that rates continue to be lower than would be expected for women in general. Younger lesbians in this sample smoked at high rates. Smoking rates continue to be of concern in other age groups, although they are lower than national data from women in general. BLHP II data confirm other findings that lesbians are more likely to drink alcohol and to drink more heavily than other women. Implications for health care of lesbians and future research with this population are discussed.

Adolescent↗

PubMed2004

Mentorship: a key to retention and recruitment.

Currently there is renewed interest in the selection of nursing as a career. As nursing education programs graduate more new nurses, the challenge is passed to the clinical agencies to provide an environment in which these novice nurses can flourish and remain engaged in providing quality nursing care. Mentorship programs are essential strategies to retain them in clinical practice as they begin their evolution as professional nurses.

Humans↗

PubMed2003

Adult-health/medical-surgical nurses' perceptions of students' contributions to clinical agencies.

The nursing shortage and accompanying increase in nurses' workloads could suggest that the presence of nursing students on clinical units would further increase nurses' responsibilities. Counterbalancing this concern is the need to adequately prepare the next generation of dedicated and skilled nurses. The question arises as to whether nursing students are an asset or liability to clinical agencies.

Adult↗

PubMed2003

Mentoring managers.

The realities of the nursing shortage, high patient acuity, and high patient-nurse ratios present challenges for today's health care environment. The need for excellent nurse managers cannot be understated if patient care units are to function smoothly. Yet new nurse managers often do not receive the support they need to succeed. A mentor relationship offers them a nurturing and protective environment where they are supported as they encounter management challenges and can flourish as managers who make significant contributions to patient care.

Career Choice↗

PubMed2002

Does certification status of oncology nurses make a difference in patient outcomes?

PURPOSE/OBJECTIVES: To test hypotheses that patients cared for by Oncology Certified Nurses (OCNs(r)) have superior outcomes compared to those cared for by noncertified nurses. DESIGN: Descriptive ex post facto. SETTING: A homecare agency in the midwestern United States. SAMPLE: 20 nurses (7 certified and 13 noncertified) and charts for 181 of their patients. METHODS: Retrospective chart review. MAIN RESEARCH VARIABLES: Symptom management (i.e., pain and fatigue), adverse events (e.g., infection and decubitus ulcers), and episodic care utilization (e.g., visits to care facilities, admissions to care facilities, unscheduled home visits). FINDINGS: Contrary to hypotheses, the two groups did not differ with respect to assessment of pain at admission, number of pain assessments subsequent to admission, assessment of fatigue at admission, number of unplanned visits to care facilities, admissions to care facilities, and number of unscheduled home visits. As hypothesized, the OCNs(r) documented a higher number of postadmission fatigue assessments (p less than 0.05). Contrary to hypotheses, patients of OCNs(r) had a greater number of infections and fewer documented instances of patient teaching regarding infection. CONCLUSIONS: Little support was found for the hypothesis that nursing care by OCNs(r) results in superior patient outcomes in comparison to care by noncertified nurses. IMPLICATIONS FOR NURSING: Further research is needed to examine the dimensions of clinical practice that may demonstrate the benefits of care by OCNs(r).

Certification↗