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Biomedical subjects

J A Fain

Publications and source records attributed to J A Fain.

At least 19 recordsLinked to original sources
PubMed1999

A Multidimensional Sense of Humor Scale for school-aged children: issues of reliability and validity.

The Multidimensional Sense of Humor Scale (MSHS) was revised to assess sense of humor in school-aged children. One hundred sixteen children completed the modified MSHS. Chronbach alpha coefficients were .88 for the total scale and ranged from .78 to .85 for the subscales. Item to total MSHS score correlations ranged from .35 to .71. Concurrent validity was supported with a positive correlation between total MSHS score and children's rating of their degree of sense of humor (r = .42, P < .001). Although further testing is suggested, the modified MSHS can be used in clinical and research settings to assess a child's sense of humor and determine the appropriateness and effectiveness of using humor with children as they cope with childhood stressors.

Adaptation, Psychological↗
PubMed1997

Competency validation for cross-training in surgical services.

Cross-training is a cost-effective means of maximizing the potential of staff members and available resources. The responsibility to provide quality patient care should not be compromised by cross-training efforts. Surgical services department staff members at Deaconess-Nashoba Hospital, Ayer, Mass, developed a competency validation project for nurses involved in the cross-training program. They accomplished this by implementing current nursing standards and practices and promoting continuity of patient care through the preoperative, intraoperative, and postoperative phases. Perioperative nurses and health care facilities have the responsibility to provide safe, effective, and efficient care to all patients. By assessing competencies for perioperative nurses, staff members can enhance their commitment to caring for their profession and their communities.

Competency-Based Education↗
PubMed1995

Diabetes care concentration: a program of study for advanced practice nurses.

THE DIABETES RESEARCH and Training Center at the Albert Einstein College of Medicine, in collaboration with Yale University School of Nursing, initiated a project to develop and implement a concentration of study at the Master's level within the field of diabetes. The concentration has resulted in involvement of advanced practice nurses in management and care of individuals with diabetes. In the article, an epidemiological perspective in diabetes care is given, along with information on how the program developed and evolved over the past 5 years. Program graduates have become certified diabetes educators and completed a Master's thesis in the area of diabetes care, resulting in practice-oriented publications.

Certification↗
PubMed1994

Nurse practitioner practice patterns based on standards of medical care for patients with diabetes.

OBJECTIVE: To determine to what extent nurse practitioner (NP) practice patterns of diabetes care are consistent with standards of care suggested by the American Diabetes Association (ADA). RESEARCH DESIGN AND METHODS: A descriptive study was conducted to examine practice patterns. A convenience sample of 78 charts was audited, representing a proportionate number of charts for each of the six masters-prepared, certified NPs employed in an ambulatory primary-care center. RESULTS: Practice patterns related to diabetes care revealed a discrepancy between established standards of care and the degree to which care was documented. All six NPs acknowledged that they became clinically competent to care for patients with diabetes on the job. CONCLUSIONS: Results of this small study suggest that NPs are not consistently following standards of care suggested by the ADA.

Adult↗
PubMed1994

Assessing nutrition education in clients with weak literacy skills.

NPs perform a significant role in providing nutrition education in the primary care setting. In particular, for those clients with weak literacy skills, NPs coordinate and collaborate efforts among other health care professionals to help identify and manage nutritional problems. Various strategies applicable to a primary care setting are presented.

Educational Status↗
PubMed1993

National trends in diabetes. An epidemiologic perspective.

Diabetes mellitus is a major public health problem that affects all of society regardless of age, sex, ethnicity, or race. Moreover, diabetes and its related complications inflict destruction at all stages of the life cycle: newborn and infant, childhood, during adolescent growth and development, during pregnancy, in the maturing adult, and during later adult life. As health care professionals, we need to recognize the magnitude and seriousness of this disease and act as catalyst in providing care to those individuals with diabetes.

Adolescent↗
PubMed1989

Networking: a strategy for strengthening the role of the clinical nurse specialist.

Networking has become a powerful means of creating change. Potentially for the clinical nurse specialist (CNS), networking can provide mutual sharing of information and resources for the purpose of improving patient care and facilitate the exchange of information in situations where there is more information than one can possibly absorb. CNSs must network with one another and with other colleagues in practice, management, and/or education.

Humans↗
PubMed1984

Management by objectives (MBO) (as applied to nursing service).

MBO can be viewed as a practical approach for the motivation of administrators and members within the organization. It requires a considerable amount of time and energy in addition to organizational support. Tosi and Carroll (1968) have demonstrated that, if properly used, MBO can affect the motivation and performance of individuals. As an approach within a system, it provides a major organizational advantage--improved planning! It is a process that compels the administrator to visualize parts in relation to the whole and helps all members of the organization to see important relationships.

Administrative Personnel↗
PubMedDate not supplied

A strategy for converting clinical data into research databases.

The process of converting clinical information into a research database is complex. Following assemblage of a team including clinicians and researchers (supplemented by statisticians and informatics personnel as needed) a three-phase, eight-step process may be followed for clinical information conversion and database generation. The amount, type, and variety of data stored will greatly increase in the future. This increased availability of databases is useful in research and can expand the opportunities to conduct clinical nursing research. The case study presentation illustrates how individuals from various organizations collaborate to develop accountability systems that best serve the public interest. The purpose of this joint venture was the development and conversion of measures into a database to determine the quality of care for people with diabetes. In addition, opportunities exist for extracting data to examine outcome criteria for patient care.

Databases, Factual↗