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Biomedical subjects

J Engebretson

Publications and source records attributed to J Engebretson.

At least 19 recordsLinked to original sources

Analysis of pendimethalin residues in fruit, nuts, vegetables, grass, and mint by gas chromatography.

Pendimethalin [N-(1-ethylpropyl)-3,4-dimethyl-2,6-dinitrobenzenamine], in the formulation of Prowl (a commercial herbicide), was applied to various crops. Analysis of pendimethalin and its metabolite [4(1-ethylpropyl)amino-2-methyl-3,5-dinitrobenzyl alcohol] was accomplished by utilizing liquid-liquid partitioning, gel permeation chromatography (GPC) for nuts and mint, solid-phase extraction (SPE) cleanup, and gas chromatography (GC) with a nitrogen--phosphorus detector (NPD). Method validation recoveries for fruits, nuts, vegetables, grass, and mint are given for both compounds. Pendimethalin average recoveries ranged from 71% to 126% over two levels of fortification. Pendimethalin metabolite average recoveries ranged from 69% to 123% over two levels of fortification. The quantitation limit for all crops except mint was 0.050 ppm. The quantitation limit for mint and mint oil was 0.10 ppm. Residues greater than the limit of quantitation were found for pendimethalin in apple pomace, fresh and dry fig, grass screenings, mint oil, almond hulls, green onion, and tomato pomace (wet and dry). Residues greater than the limit of quantitation were found for pendimethalin metabolite in grass screenings, grass straw, and almond hulls. All other crop analyses for pendimethalin and its metabolite were below the limit of quantitation.

Aniline Compounds↗

Biological correlates of Reiki Touch(sm) healing.

BACKGROUND: Despite the popularity of touch therapies, theoretical understanding of the mechanisms of effect is not well developed and there is limited research measuring biological outcomes. AIMS: The aim of this study was to test a framework of relaxation or stress reduction as a mechanism of touch therapy. METHODS: The study was conducted in 1996 and involved the examination of select physiological and biochemical effects and the experience of 30 minutes of Reiki, a form of touch therapy. A single group repeated measure design was used to study Reiki Touch'ssm effects with a convenience sample of 23 essentially healthy subjects. Biological markers related to stress-reduction response included state anxiety, salivary IgA and cortisol, blood pressure, galvanic skin response (GSR), muscle tension and skin temperature. Data were collected before, during and immediately after the session. RESULTS: Comparing before and after measures, anxiety was significantly reduced, t(22)=2.45, P=0.02. Salivary IgA levels rose significantly, t(19)=2.33, P=0.03, however, salivary cortisol was not statistically significant. There was a significant drop in systolic blood pressure (SBP), F(2, 44)=6.60, P < 0.01. Skin temperature increased and electromyograph (EMG) decreased during the treatment, but before and after differences were not significant. CONCLUSIONS: These findings suggest both biochemical and physiological changes in the direction of relaxation. The salivary IgA findings warrant further study to explore the effects of human TT and humeral immune function.

Adult↗

Ethical principles applied to complementary healing.

With the public and professional shift to an interest in alternative/complementary therapies and holistic health, existing assumptions about the relationship between providers and clients are being challenged. This study explores the ethical approaches and underlying principles in the expectations of three organizations espousing holistic health and touch therapies. An analytic technique using a qualitative approach was applied to the documents of written ethical codes and standards from these organizations and was augmented by field exposure from previous work with each of the groups of healers. The emphasis on and approach to the principles of paternalism and autonomy from the groups provided contrasts with general biomedical approaches. All groups gave attention to the constructs of nonmaleficence, beneficence, and autonomy, with a strong emphasis on virtue ethics. The shift in the expression of the principles of paternalism and client agency allowed the healers to employ the therapeutic effects of placebo, suggestion, optimism, hope, and surrender with the avoidance of noicebo effects.

Attitude of Health Personnel↗

The interface of anthropology and nursing guiding culturally competent care in psychiatric nursing.

Nurses and all health care providers are called on to involve patients and families in health care decision-making and to accommodate culturally diverse populations. This article describes the Interface of Anthropology and Nursing Model (IAN), which is derived from the works of Kleinman and Peplau, classical theorists from anthropology and nursing, respectively. This model provides a framework for nurses to uncover cultural information through the elicitation, analysis, transfer, restructure, and feedback of explanatory models within the interpersonal nurse-patient relationship. Such integration of theory enhances a holistic nursing practice incorporating good communication, mutual decision making, and fostering patient agency.

Anthropology, Cultural↗

Differentiating holistic practice and speculations for future directions.

Technological advances and economic, social, and cultural conditions have created a climate of change in health care. New roles and approaches are developing in relation to the holistic health movement. Within the holistic nursing community, three concepts of holistic practice have emerged. Differentiations among (a) certified holistic nurses, (b) practitioners of a healing modality, and (c) healers are presented to promote future discussion. As new roles must match a social need and become institutionalized to secure a professional role, speculations on possible directions for the certification in holistic nursing are presented.

Certification↗

A heterodox model of healing.

A heterodox model of healing incorporating the basic dualism of Western philosophy--the world of concrete material substance versus that of thought, ideals, and spirit--is proposed. Such dualism is reflected in Western constructions of healing. An explanatory paradigm model with a horizontal axis representing paradigms of healing from positivism to metaphysics and a vertical axis representing activities of healing from the material to the spiritual was derived from ethnographic work with healers. A health practice model following the same philosophical patterns illustrates reflected American cultural values in the relative positioning of healing modalities from the orthodox biomedical to the most metaphysical or alternative. Examples of specific modalities of healing, many of which are resurfacing with increasing public interest in alternative therapies, are illustrated. This model places biomedicine in the same context as other philosophical approaches to healing as a standard for comparison. Implications for practice and research are discussed.

Culture↗

A multiparadigm approach to nursing.

Nursing theory development has made good progress in differentiating the domain of nursing from medicine; many of these theories are categorized as holistic theories. Nursing classification systems are also being developed to organize extant nursing practice. The dissonance between the two has been one of the most difficult contemporary issues for the leadership of nursing. A framework is proposed that would account for these disparate approaches. This proposed framework for the domain of healing is in keeping with the metaparadigm of health and uses a multiple paradigm approach. Nursing interventions are discussed in relation to the framework. It invites a dialogue in keeping with the scholarship of holism. Practice and scholarship implications are discussed.

Health↗

Perimenopausal women's alienation.

A feminist perspective was used to interpret data gathered from perimenopausal women using hormonal replacement therapy. Silence was the most pervasive and disquieting theme. These women parroted biomedical cognizance and iterated little authentic expression of experience. This silence reflected the women's existential position of the double other, marginalized first by being a woman and second by reason of medical norms for women being based on reproductive function. This position of alienation is explored within the context of Western culture and the patriarchal values of rationality and science. Implications are drawn for holistic nurses to facilitate women's physical awareness and articulation of their personal experiences.

Adult↗

Comparison of nurses and alternative healers.

Nurses and alternative healers often share a common holistic philosophy of health and healing as well as the use of therapeutic touch. This ethnography compared the concepts of health and healing used by nurses and alternative healers. Seven categories of activities in healing or health domains common to both groups were physical, mental, attitudinal, relational, spiritual, self-caring, and help-seeking. Similarities were in the holistic approach. Differences were found in locus of responsibility and spirituality. These differences may be largely explained by various social factors in practice settings.

Adult↗

An ethnographic assessment of an academic nursing center.

Establishment of nursing centers is one of the most important and most exciting trends in the profession of nursing. Nurse practitioners have been taking the lead in the management and staffing of nursing centers. The purpose of this study was to provide a description and an analysis of an academic nursing center. Through a series of observations and interviews, an interdisciplinary team investigated the history and organizational development of the center; the everyday delivery of services; staffing; and participants' assessment of the efficiency and quality of its services and recommendations for improving the services provided in the examined nursing center.

Anthropology, Cultural↗

Folk healing and biomedicine: culture clash or complimentary approach?

Health care professionals are often faced with clients who are using alternative healing techniques along with biomedicine. A comparison of biomedicine in its cultural context to folk healing serves to highlight the cultural aspects of both systems. The cult of Fidencio, a popular healer in northern Mexico and southern United States, is used to illustrate a folk healing system. Biomedicine is presented in a historical context to show the American value of scientific objectivity. Current interest in alternative healing in the United States challenges the absolute primacy of scientific rationalism and opens the door for complementary approaches.

Clinical Medicine↗

A contemporary view of alternative healing modalities.

Alternative forms of healing have increasingly gained popularity in the United States as evidenced by books, healing groups, and a burgeoning variety of healing modalities. Knowledge about these modalities can facilitate health care providers' effectiveness in managing care by understanding the healing practices selected by patients, and incorporating alternative approaches into holistic case management. A matrix is presented that classifies these modalities according to preparation of the healer and methods of healing. A brief description is provided of various types of alternative healing with some of their potential risks and benefits to health. Suggestions are made regarding selection of a healer and sources of information.

Acupuncture Therapy↗

A clinical research perspective: look to the obvious.

The solution to nursing problems can often be found by using a combination of a naturalistic approach and traditional scientific methods. To illustrate this link, the development of a pacifier for low birth weight infants is described. The observation of fetus' thumb sucking in utero led to a broadly based literature review that suggested the idea of the thumb as an appropriate model for nonnutritive sucking. An anthropometric study was conducted to determine if the size of the thumb correlated with the size of the mouth. The correlations between the mouth and thumb further strengthened the appropriateness of the thumb as a model for a low birth weight infant pacifier.

Anthropometry↗

The essence of partnership in research.

The essence of working together in research was explored using a two-step ethnomethodological approach. First, the authors reflectively analyzed their own 7-year partnership. This was followed by a collective interpretive process of interviewing other doctorally prepared health care researchers who were working in partnerships. Core constructs were identified in the reflective process and validated and expanded in the collective analysis, and variations were identified. Dialogue was the basis for maintaining the relationship, and all agreed that trustworthiness, competence, and flexibility were necessary requisites for individuals in a partnership. Successful relationships were characterized by acceptance, validation, commitment, synergy, and fun. Benefits of working together include increased productivity, quality, and personal growth. Hindrances to successfully working together were identified as problems centered around maturity, ownership, and control issues.

Humans↗

Alternative and complementary healing: implications for nursing.

The current interest in alternative and complementary therapies is examined within the social context of technology, economics, and philosophical beliefs of a culture that is moving from the Industrial Age into the Information Age. A philosophical shift toward ecology, religion, and spirituality coincides with a shrinking global perspective resulting in increased accessibility to healing ideologies from other cultures. The community of alternative and complementary healers is responding to these social conditions by offering healing modalities congruent with public interests. Responses of the health care industry are discussed as are the similarities of alternative and complementary healing to nursing practice. Implications for nursing research, practice, and education are suggested.

Complementary Therapies↗

Cultural negotiation: a constructivist-based model for nursing practice.

Combining abstract concepts from grand theories with the pragmatics of nursing practice presents a dilemma for nursing that is being addressed with the emphasis on middle-range theory. The philosophical perspective of constructivism is the foundation for a middle-range theory that links the nursing process to holism through the respective worlds and knowledge of the nurse and client. The nursing process is situated in the context of the cultural worlds of the nurse, client, and health care system and in the greater social context. This model allows the nursing process to be recast in new language that captures the interdependence of the client-nurse interaction. This model accommodates the social values and beliefs of both the health care system and the social context.

Culture↗