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Biomedical subjects

H V Coeling

Publications and source records attributed to H V Coeling.

11 recordsLinked to original sources
PubMed1999

The culture of the deaf.

The population of the United States includes over 1 million deaf people, the majority of whom have chosen to differentiate themselves in terms of a Deaf culture. These Deaf people share unique values and norms and use sign language for communication. The differences that exist between hearing and Deaf individuals necessitate that the nurse understand this population. This article will describe the Deaf culture using Leininger's Sunrise Model and present specific nursing actions in the modes of culture care preservation and/or maintenance, accommodation and/or negotiation, and repatterning or restructuring that enable the nurse to provide culturally congruent care for Deaf clients.

Communication Barriers↗
PubMed1994

Steps to collaboration.

Although collaboration is a much sought-after goal among health care professionals, minimal research has clarified the essential communication elements (behaviors) necessary for collaboration. This series of research studies, grounded in the pragmatic perspective, represents a beginning attempt to identify these behaviors. A total of 270 practicing physicians and nurses responded to open-ended questions and/or a survey assessing the communication elements of content; relationship (aggressive, affirming, and collaborative styles); and opportunity to communicate. Findings suggest elements necessary for collaboration include reliable presentation of relevant data, openness to information presented, and adequate time to communicate. Differences were noted between nurses and physicians as to the relative importance of these behaviors.

Communication↗
PubMed1993

Facilitating innovation at the unit level through cultural assessment, Part 2: Adapting managerial ideas to the unit work group.

The culture of an organization is a powerful force to contend with in transforming a healthcare system. Culture can either drive or restrain innovation: sometimes cultural values support innovation; but culture can restrain innovation when there is conflict between the culture and the innovation. Part 1 of this series (April 1993) examined the concept of organizational culture fail to materialize when the work group culture is not considered while implementing change. This article uses research data to illustrate a five-step cultural innovation process. The creative nursing unit manager can use the process to implement a variety of practice patterns to help the healthcare organization remain competitive and increase the quality of its care. These practice patterns include team nursing, primary nursing, case management, managed care, patient-centered care, assistive personnel, and computer-assisted care.

Behavior↗
PubMed1991

Professional recognition and high-quality patient care through collaboration: two sides of the same coin.

Today's health care professionals frequently confront problems that lack a single right answer. Differing answers often result in interprofessional conflict. For example, nurses, physicians, and respiratory therapists may have different goals and responses in a cardiac arrest situation. Strategies to enhance nursing's unique contribution to these decisions and to facilitate collaboration among all the professionals are presented.

Assertiveness↗
PubMedDate not supplied

Understanding work group culture on rehabilitation units: the key to facilitating group innovation and promoting integration.

Understanding work group culture is essential for the smooth running of today's complex rehabilitation units. Failure to understand a unit's culture can impede necessary care delivery innovations and impair group integration. This article describes the phenomenon of work group culture and offers suggestions for assessing and understanding a given unit's culture. It also illustrates how an understanding of work group culture can facilitate innovation by reframing and tailoring a change and can promote integration by helping nurses adjust to a new unit.

Diffusion of Innovation↗
PubMedDate not supplied

An action approach to redesigning a patient-centred unit.

Receptiveness to innovation is critical in orchestrating change and learning to use new technology in a redesigned work environment. The patient-centred unit redesign approach (PCURA) provides a guide for unit assessment in many healthcare settings. The backbone of the PCURA approach: work excitement and unit culture assessment.

Cultural Diversity↗
PubMedDate not supplied

Discharge teaching. Work strategies of patients and families for care in the home.

PURPOSE: To better understand how care givers, and their care receivers who have experienced mobility limitations over a period of time, enhance the work of care in the home. DESIGN: The qualitative method of grounded theory was used to identify work strategies enacted by care dyads consisting of informal (family) care givers and their care receivers. SAMPLE: The sample consisted of 60 care dyads. METHOD: Data was collected via semi-structured interviews conducted in the care receiver's home. After leaving the home, interviewers completed end notes describing the care situation. MAIN RESEARCH CLASSIFICATION: Nursing Research, Orthopaedic Nursing, Home Health Nursing. FINDINGS: Content analysis revealed five interpersonal and informational work strategies, used by both care givers and care receivers, to facilitate the work of care: Sharing Ideas and Feelings, Delegating, Achieving a Common Goal, Identifying Sources of New Information, and Creative Problem Solving. End note data substantiated the benefits of using these strategies. CONCLUSION: Although providing care to a family member in the home is frequently thought of as "work," few analysts have described the nature of this work or considered the care receiver as a worker. This study identified the important role of the care receiver in the work of care in the home and delineated five specific Work Strategies used by informal care givers and their care receivers to facilitate such care. IMPLICATIONS FOR NURSING RESEARCH: Ongoing research is needed for further clarification of these strategies and for development of innovative ways to teach the strategies to informal care givers and their care receivers as they prepare to live with mobility limitations in the home setting.

Activities of Daily Living↗