Search PubMedSearch

Biomedical subjects

H N Brown

Publications and source records attributed to H N Brown.

At least 19 recordsLinked to original sources

Developing an instrument for measuring patient satisfaction.

We developed a 21-item questionnaire to evaluate the effectiveness of nursing care provided in an outpatient surgery center. The four constructs of the instrument for measuring patient satisfaction are caring, continuity of care, competence of nurses, and education of patients and family members. Content validity and test-retest reliability have been established. Using this tool to analyze patients' responses to nursing care can help perioperative nurses improve patient care and patient satisfaction.

Adolescent

Fun and games in reviewing neonatal emergency care.

OBJECTIVE: To develop a game-based review instrument for use by newborn caregivers in preparing for emergency situations. DESIGN: One hundred and one test questions covering pathophysiology, resuscitation, and medications were developed. The questions then underwent expert and peer review, psychometric testing for content validity and test-retest reliability, and a game trial. ANALYSIS: The needs of adult learners are different from those of other learners. The gaming format uses knowledge gained through experience and provides an avenue for validating knowledge and sharing experiences. This format has been found effective for review and reinforcement of facts. Twelve nurses participated in a trial game and completed a written evaluation using a Likert scale. CONCLUSION: The Neonatal Emergency Trivia Game is an effective tool for reviewing material related to neonatal emergency care decisions. Additional testing with a larger group would strengthen validity and reliability data.

Cardiopulmonary Resuscitation

Mentoring students in writing: "gourmet express" versus "fast food service".

Is writing a process or a product? To be an effective and an efficient mentor in the writing process, the answer must be "Both!" The final written manuscript is important, but the process by which the student learns to produce that manuscript is equally important. A graduate student recently remarked to one of the authors: "How did you learn to write? I don't remember anyone ever talking to me before about how to write. Professors seem to feel I should already know how." When writing is thought of as a cognitive process, rather than a static product, the benefits to be gained from coaching this process become evident. Many students are hungry for information about becoming better writers. Too often we offer them the "fast food service" approach, concentrating on the appearance of the final product, rather than the potential benefits to be gained in the preparation of the product. It is by mentoring students in both the process and product aspects of writing that nurse educators can realize the satisfaction of moving away from "fast food service" and investing their energies in the "gourmet express" approach, where the emphasis is not only on helping students learn to write, but also helping them use writing to learn.

Humans

Difficulties in the integration of psychological and medical practices.

The authors, who support in principle the important goal of integrated psychological and physical care, discuss five sources of difficulty in the practical application of such integration: 1) differences in values and, consequently, in systems of practice, 2) training influences, 3) differences in dealing with emotions, 4) conflicting patient expectations, and 5) limitations on the degree of intimacy tolerable in professional relationships. They suggest that practitioners and educators take these difficulties into account without abandoning a holistic perspective.

Attitude of Health Personnel

Hypochondriasis.

Explore the source record for details and available documents.

Attitude of Health Personnel

Hallux adductus as a surgical complication.

The authors correlate pertinent literature with their experience in discussing hallux adductus as a postoperative complication. Presented is the accurate terminology of hallux adductus to describe the transverse plane abnormality. Hallux adductovarus is utilized if there is an additional frontal plane rotation. In presenting 10 cases of hallux adductus, the authors found that 9 were sequelae of a McBride modification. Their incidence of slightly over 1% agrees with past reports. Detailed measurements of cases taken from pre- and postoperative radiographs are presented to attempt to gain better understanding of the factors involved with the deformity. Also introduced is the hallux adductus angle. A review of the treatments is discussed.

Foot

The Maoris of New Zealand: a historical view of culture and family.

The Maoris of New Zealand have an interesting history and culture. In this selected review of literature supplemented with data from limited interviews with Maoris is described their history of settlement, oppression, and rebuilding of their cultures. The Maoris make up approximately 12% of New Zealand's population, which is predominantly white. The Maori family has moved from tribal form to extended family to nuclear family, and is currently moving back in the direction of extended family. There is a renewed effort by Maoris to assist their own people to rise from their predominantly lower socioeconomic class and to rebuild their culture. Maori women appear to be playing the major role in these rebuilding efforts.

Cultural Characteristics

Use of clinical journals to enhance critical thinking.

The clinical journal offers a valuable medium through which faculty can teach critical thinking. Both analysis and evaluation of the interactions and relationships between clinical practice, theory, and research can be greatly enhanced through careful structuring of clinical journal assignments. The authors discuss ideas about structuring clinical and journal assignments and strategies for giving feedback.

Clinical Competence