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Biomedical subjects

J F Karshmer

Publications and source records attributed to J F Karshmer.

10 recordsLinked to original sources
PubMed1997

Role of the psychiatric clinical nurse specialist in the emergency department.

Effective management of psychiatric emergencies has emerged as an important area in the field of mental illness. Psychiatric clinical nurse specialists (CNSs), with their advanced training in psychodynamics, pathophysiology, physical assessment, pharmacology, crisis intervention, and psychotherapy, are the ideal practitioners to respond to the treatment needs of the individual and family experiencing a psychiatric emergency. This article outlines the practice domain of the psychiatric CNS in such a setting. The psychiatric CNS brings a level of expertise to the emergency department that allows for comprehensive biopsychosocial assessment, effective crisis intervention, medication management, inclusion of family dynamics, and consideration of environmental influences in treatment and follow-up.

Clinical Competence↗
PubMed1995

Hand-held computing in the patient care setting: a pilot project.

Direct patient care has not fully benefited from a number of recent advances in modern technology. Many of the normal data collections tasks carried out by care providers are still done with manual, error-prone procedures. In addition, the ability to consolidate or represent patient data in a meaningful and timely fashion as required by managed care expectations is unavailable. The reported work attempts to address these problems with the application of new hand-held computing technology.

Data Collection↗
PubMed1991

Expert nursing diagnoses. The link between nursing care plans and patient classification systems.

The two main tools used by the nurse in organizing and managing patient care are nursing care plans and the patient classification system. The author presents an overview of a novel approach that links these two tools through the use of expert nursing diagnoses and then applies the development and use of expert nursing diagnoses to the psychiatric setting. The author also describes the methodology used to develop the related patient classification, clarifies the validation procedure, gives examples of the final product, and considers the application and potential value of the total approach.

Hospitals, Psychiatric↗
PubMed1990

Just say yes.

Explore the source record for details and available documents.

Assertiveness↗
PubMed1982

Rules of Thumb: Hints for the psychiatric nursing student.

The eight "rules of thumb" offered here are representative of numerous more that have been helpful stimulators for psychiatric nursing students. The suggest to the students a consistent approach based upon a rationale and do not encourage rote memorization of techniques. Students are encouraged to critically analyze the reasons and conceptual underpinnings for each encounter they have with patients. The "rules of thumb" encourage this self-exploration and attention to "What is it I'm really asking, or feeling, or thinking?" Only with this sort of continuous evaluation and reassessment can even the most novice of students begin to establish a therapeutic treatment approach with psychiatric patients.

Education, Nursing, Baccalaureate↗
PubMed1980

Causal attributions: bias in the nurse-patient relationship.

The study relates the social psychological concept of attribution to professional nursing practice. Namely, dispositional vs. situational causal attribution as affected by position (nurse/patient) and role (actor/observer) and its impact on the therapeutic relationship. Contrary to most studies in this field this one moves out of the laboratory and tests actual psychiatric patients and correspondent nursing staff. Twenty nurses and twenty patients responded to statements representing situational and dispositional causal attributions about 22 behaviors of nurses and 22 behaviors of patients. Both patients and nurses tended to attribute the behavior of patients to causes inherent in their personality more often than to external factors. Nurses also tended to give more internal causation to their own behavior while patients gave equal numbers of external and internal causes to nurses' behavior. The findings which support an information processing approach to understanding perceptions are discussed as to their implications for the nurse-patient relationship.

Adult↗
PubMed1977

A collaborative model for university nursing education and agency staff development.

A model is proposed for the integration of the education of senior nursing students and staff at a mental hospital, maximizing utilization of time and resources. A pilot study employed small group techniques with faculty as facilitators and resource persons, with the dual purpose of increasing competence and reducing communication barriers. Four students and four nursing staff participated in weekly meetings, alternating supervision groups (2 groups, each composed of 1 faculty, 2 students and 2 staff) with discussion groups (2 faculty, 4 students and 4 staff). Evaluation tools used did not yield significant differences between pre- and post-tests. However, objective and subjective indices point to positive changes of attitudes between all unit staff and students, improved therapeutic skills of students and staff, both on individual and group level. Ongoing group meetings of patients run by students and staff resulted.

Clinical Competence↗