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Biomedical subjects

J A Vessey

Publications and source records attributed to J A Vessey.

At least 19 recordsLinked to original sources
PubMed1995

A comparison of methods for estimating the weight of preterm infants.

Four methods of predicting a preterm infant's weight (upper mid-arm circumference, gestational age, tape measure nomogram, and guessing) were investigated to see which was the most accurate. The weights of 37 preterm neonates were initially guessed by an experienced clinician, then estimated by the other three approaches applied in a random order, and then confirmed through actual weighing. The correlations between the four estimated weights and the actual weights were .96, .84, .97, and .98, respectively. The tape measure nomogram method was the best overall approach for clinical use.

Anthropometry↗
PubMed1994

Parental upset associated with participation in induction of anaesthesia in children.

To evaluate the magnitude of parental upset associated with (1) the features of induction most upsetting to parents; (2) the characteristics of parents most likely to become upset; and (3) the accuracy of the anaesthetist's perception of the magnitude of parental upset. The parents (101 mothers and 43 fathers) of 103 children scheduled for elective outpatient surgery requiring general anaesthesia with induction by mask were asked on admission to participate in this study. Parents and children were educated about anaesthesia and surgery according to unit protocols. Immediately after induction of anaesthesia, the parents were asked to complete a demographic information sheet and the Parental Reactions to Anesthesia Induction Questionnaire. Responses were analyzed using descriptive statistics and content analysis. The most upsetting factors for both mothers and fathers in order of significance were: (1) separation from the child after induction of anaesthesia; (2) watching/feeling the child go limp during induction; and (3) seeing the child upset before induction. Characteristics of parents most likely to become upset revealed positive correlations between the amount of upset between mothers and fathers, mothers of an only child, and mothers or fathers who were health care workers (P < 0.05). The anaesthetist's perception of upset correlated with maternal (P < 0.05), but not parental, self-assessment of upset. We conclude that selected factors of parental participation are upsetting for the parents and that recognizing the factors associated with parental upset may enable operating room personnel to minimize these negative consequences.

Anesthesia↗
PubMed1994

Research from the research utilization project: environmental temperatures.

Thermoregulation is one of the most common concerns for neonatal nurses. The literature contains limited information regarding the effects of environmental temperature during the transitioning process from the incubator to the crib for the premature infant weighing 1,500-1,800 g. The type and amount of insulation while in the incubator and open crib and the effects of the cooler environmental temperature may influence the success of the weaning process from the incubator. As an adjunct to the Transition of the Preterm Infant to an Open Crib Research Utilization Project, sponsored by the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), nurses collected data regarding environmental temperatures at 6 of the 10 project sites. The average correlation of infant's temperature to environmental temperature once the infant was out of the incubator for a weaning period was 0.09. In one-third of the cases, the environmental temperature never varied; however, in the rest of the infants, mean infant temperatures during weaning stayed constant, with little variance. There appears to be no association between neonatal intensive-care unit environmental temperature and infant's temperature during the weaning process when nurses followed a specific protocol of layering the infant with blankets.

Beds↗
PubMed1993

Caring for the child with Down syndrome.

This article reviews the etiology, treatment, and prognosis of Down syndrome. Effects of Down syndrome on growth and development, specific physiologic manifestations, and implications for school-based practice are discussed.

Adolescent↗
PubMed1990

Therapeutic play and the hospitalized child.

It has long been recognized that there are many and varied definitions of play. This article briefly reviews normative play theory, differentiating it from its counterpart, therapeutic play. Three forms of therapeutic play (emotional outlet play, instructional play, and physiologically enhancing play) are described and clinical examples are given.

Adaptation, Psychological↗
PubMed1990

Children's explanation of leukemia: a Hispanic perspective.

Children of differing cultural backgrounds experience, interpret, and respond to illness differently. This exploratory descriptive study investigated those explanations of their illness offered by 23 Hispanic children diagnosed with acute lymphoblastic leukemia. Content analysis of their interviews disclosed the following information: (a) culturally based treatment interventions were an important component of care, (b) Hispanic parents disclosed little information about the disease process to their children, (c) children tended to explain their illness in terms of symptomatology and side effects, and (d) all physician advice was held in high esteem.

Attitude to Health↗
PubMedDate not supplied

A centralized, computerized, and relational data base for student clinical placements.

Quality clinical experiences are a critical component of advanced practice nursing (APN) curricula. Historically, nursing instructors coordinated both the didactic and clinical components of a course. Increasingly, course coordinators organize the didactic component, and external preceptors working in the clinical setting function as practicum teachers. Both scenarios involve labor-intensive processes, and neither facilitate the scheduling of clinical experiences that build on progressive learning across the student's curriculum. A centralized, computerized, relational data base for efficient management of APN preceptors and students across the curriculum was designed. One master's-prepared clinical coordinator maintains the data base and performs all related functions. This system offers numerous benefits to students, preceptors, ] faculty, and nursing school, including balanced and progressively complex clinical learning experiences for students from competent preceptors: consistent interface with students and preceptors; faculty relief from time-consuming tasks; rapid generation of a variety of tables, rosters, and reports; consistent tracking of preceptor evaluations; timely acknowledgment of preceptor assistance; and efficient communication among students, preceptors, faculty, and school administration.

Baltimore↗
PubMedDate not supplied

Of faults and fates.

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Health Care Reform↗
PubMedDate not supplied

20/20 vision.

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Education, Nursing, Continuing↗