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Biomedical subjects

J M Beitz

Publications and source records attributed to J M Beitz.

At least 19 recordsLinked to original sources

Specialty practice, advanced practice, and WOC nursing: current professional issues and future opportunities.

Interest in clarification of the role of the WOC nurse as a specialized or advanced practice practitioner is increasing. Although much has occurred to delineate practice parameters, lack of expectations for specialty versus advanced nursing practice still exists. This article will differentiate advanced, specialty, and WOC nursing practice by examining their legal definitions, educational requirements, licensure, certifications, and practice milieus. Implications for the future of WOC nursing are posed within the context of the evolving American health care system.

Fecal Incontinence↗

The lived experience of having an ileoanal reservoir: a phenomenologic study.

OBJECTIVE: Ileoanal reservoir (IAR) surgery or ileal pouch anal anastomosis is a relatively new surgical technique for people with ulcerative colitis or familial adenomatous polyposis. Little attention has been given to the experiences of people undergoing the procedure. The purpose of this qualitative study was to understand the lived experience of persons who have had construction of an IAR. DESIGN: The study was grounded in the phenomenologic approach of Van Manen to capture the lived experience of having an IAR as perceived by those persons in their everyday world. SETTING AND SUBJECTS: A purposive sample of 10 individuals with direct and personal knowledge of the experience were interviewed in detail. Subjects were recruited by contact with an IAR support group and a local WOCN group. All interviews were conducted in a private setting in a health care facility, school, or the participant's home. METHODS: Data collection involved face-to-face interviews lasting from 1 to 2 hours. Interviews were audiotaped and transcribed. MAIN OUTCOME MEASURES: Demographic data from the interviews were tabulated. Analyses of transcripts revealed 10 essential thematic categories with multiple theme clusters of the IAR experience related to lived body, time, space, and relationships. Analyses were completed by the researcher and a faculty mentor. RESULTS: The particular thematic categories that evolved from the data were (1) restricted life world, (2) living with uncertainty and fear, (3) seeking control, (4) vicious cycles: crisis and normalcy, (5) seeking and giving support, (6) alienation from the body, (7) living with bodily alterations, (8) the gift of time, (9) role and relationship changes, and (10) the end of the tunnel but relative results. All 10 theme categories were correlated with a literature review and other sources. CONCLUSION: The study provides a portrait of courage and survival for individuals experiencing major surgical interventions and bodily invasion associated with IAR after years of living with UC. Implications for nurses and health care personnel and questions for future research are presented.

Activities of Daily Living↗

Using wound care algorithms: a content validation study.

PURPOSE: Valid and reliable heuristic devices facilitating optimal wound care are lacking. The objectives of this study were to establish content validation data for a set of wound care algorithms, to identify their associated strengths and weaknesses, and to gain insight into the wound care decision-making process. METHODS: Forty-four registered nurse wound care experts were surveyed and interviewed at national and regional educational meetings. Using a cross-sectional study design and an 83-item, 4-point Likert-type scale, this purposive sample was asked to quantify the degree of validity of the algorithms' decisions and components. Participants' comments were tape-recorded, transcribed, and themes were derived. RESULTS: On a scale of 1 to 4, the mean score of the entire instrument was 3.47 (SD +/- 0.87), the instrument's Content Validity Index was 0.86, and the individual Content Validity Index of 34 of 44 participants was > 0.8. Item scores were lower for those related to packing deep wounds (P < .001). No other significant differences were observed. Qualitative data analysis revealed themes of difficulty associated with wound assessment and care issues, that is, the absence of valid and reliable definitions. CONCLUSION: The wound care algorithms studied proved valid. However, the lack of valid and reliable wound assessment and care definitions hinders optimal use of these instruments. Further research documenting their clinical use is warranted. Research-based practice recommendations should direct the development of future valid and reliable algorithms designed to help nurses provide optimal wound care.

Adult↗

Keeping them in stitches: humor in perioperative education.

Humor is one of the most effective teaching strategies available to perioperative nurse educators. Humor can be used to teach nursing students, surgical staff, and patients. This article describes the incorporation of humor into perioperative education and presents examples of specific humorous teaching strategies.

Education, Nursing, Baccalaureate↗

Abdominal wound with enterocutaneous fistula: a case study.

The care of an elderly male surgical patient with an enterocutaneous fistula located in an abdominal wound is described. The fistula is believed to have been related to multiple surgeries, wound dehiscence, and malnutrition. This article presents a brief overview of enterocutaneous fistulas and a pictorial demonstration of an alternative wound management technique that was used intermittently over several months to contain corrosive intestinal effluent until a commercial wound manager could be instituted.

Aged↗

Sexual health promotion in adolescents and young adults: primary prevention strategies.

Planners of sexual health promotion interventions for adolescents and young adults confront many challenges. Multiple factors are associated with high-risk sexual behavior, and its amelioration is complex. Sexual health promotion involves more than just targeted, short-term disease prevention efforts. Primary prevention programs must be well designed, long term, and research based. The article presents suggestions for primary prevention activities in light of current social cognitive theories and research-delineated risk factors.

Adolescent↗

Perceived need for education vs. actual knowledge of pressure ulcer care in a hospital nursing staff.

The relationship between perceived need for further education in wound care issues and actual knowledge of pressure ulcer care was examined among 86 professional and nonprofessional nursing staff members of a community urban hospital. A weak correlation between perceived need for further education and actual wound care knowledge base was found. Participants were poorly informed in several basic aspects of pressure ulcer care while generally desiring more wound care education. These results are discussed in light of future educational needs vis-a-vis current "re-engineering" efforts in nursing personnel.

Adolescent↗

Education for health promotion and disease prevention: convince them, don't confuse them.

Promotion of health and prevention of disease have become some of the most emphasized issues of the 1990s. The government, health professionals, and private organizations have made the primary prevention of disease a priority. Quality education is a major intervention by which prevention is realized. However, superior quality educational offerings entail significant pre-preparation via the development of clear and realistic teaching/learning plans, faculty knowledge of educational psychology, metacognition and cognitive processing, understanding of cultural diversity, incorporation of adult learning principles, the use of varied teaching/learning strategies, and astute application of program evaluation skills. Educators, like nurses, physicians, and allied health professionals, must work with people to mutually decipher their healthcare needs and plan educational experiences that learners can merge with their own life experiences and ethnocultural perspectives. In addition, educators should use health education materials that match learners' literacy levels. Most importantly, such programs must be thoughtfully evaluated in light of the achievable goals that were outlined during preplanning stages. Without outcomes assessment as part of health promotion/disease prevention education programs, health educators are less likely to produce interventions that learners value and from which they truly benefit. Optimally, education programs about health promotion/disease prevention should generate long-term critical thinking processes that produce positive health choices, behavioral change, and healthy life styles.

Adult↗

Improved coordination: the wound care specialist.

Optimal, cost-effective patient care requires the integration of research findings into practice and a continuing assessment of outcomes attained, which cannot be achieved unless care is continuous and multidisciplinary. Well-defined requirements for the education of an advanced practice nurse results in quality and effective wound-care delivery in a cost-effective fashion. The concerns of business and health must be blended to achieve optimal patient care.

Cost-Benefit Analysis↗

Advanced perioperative nursing elective for baccalaureate students.

Recruiting baccalaureate nursing students and experienced RNs into perioperative nursing is essential if RNs are to continue their presence in surgical settings. The advanced elective described in this article is the second part of a two-elective sequence in perioperative nursing at La Salle University, Philadelphia. This collaborative program between nursing education and nursing practice contains both didactic and clinical components and broadens the exposure of basic baccalaureate and RN-baccalaureate nursing students to perioperative nursing. This experience increases graduates' marketability, provides perioperative staff members opportunities to recruit new nurses into their specialty, and creates a pool of potential perioperative staff nurses.

Curriculum↗

Developing behavioral objectives for perioperative staff development.

Behavioral objectives (i.e., clear statements that describe intended instructional outcomes) are a crucial component of educational planning for perioperative staff development. Properly written objectives promote positive learning outcomes such as increased motivation, better retention of information, and improved instructional accountability. This article describes the advantages of using behavioral objectives, gives a historical perspective of their development, presents a practical "how-to" approach to formulating them, and delineates their link to the selection of appropriate evaluation methods.

Behavior↗

Overhead transparency skills for perioperative nurse educators.

Successful design of creative overhead transparencies should be part of the instructional repertoire of perioperative educators. Personal computers and user-friendly software have revolutionized overhead transparencies' dynamic, imaginative production. This article reviews the advantages and disadvantages of overhead projection, presents practical suggestions for generating and using transparencies, and displays computer designed examples.

Audiovisual Aids↗

Metacognition: state-of-the-art learning theory implications for clinical nursing education.

Clinical nursing education represents one of the most challenging aspects of the faculty role because nursing educators are being required to teach crucial aspects of comprehensive clinical practice to students in limited time periods and in increasingly demanding, high-acuity affiliation sites. State-of-the-art research in metacognition provides a stimulating array of instructional strategies that can assist in this process and provide an impetus for further cognitive inquiry in nursing. The article analyzes metacognition, explores its historical roots, delineates its relationship to memory theory, and describes a range of metacognitive strategies that are useful to faculty and students in nursing.

Clinical Competence↗

Dynamics of effective oral presentations. Strategies for nurse educators.

Oral presentations can and should be exciting events for learners and educators. Inservice faculty members who are new educators have a plethora of sources that they can use to develop and refine their presentation skills. Just as individuals learn to read by reading and write by writing, staff instructors learn to teach well by teaching. Focus on developing your teaching versatility by combining strategies, because varying methods will appeal to learners' different learning styles. Whether you are a novice or seasoned teacher, you can constantly improve your teaching skills. When you execute an effective presentation, everyone wins. You experience and enjoy your own professional growth, and learners benefit from quality educational experiences. The most important benefit of effective presentations is that surgical patients receive competent care from well-informed, up-to-date clinicians.

Education, Nursing↗

The ileoanal reservoir: an alternative to ileostomy.

The ileoanal reservoir, or ileal pouch-anal anastomosis, is a relatively new, innovative surgical approach offering normal sphincter preservation to clients with familial adenomatous polyposis and ulcerative colitis. In most patients, the ileal pouch-anal anastomosis is performed in two stages. In stage one, the ET nurse must address such patient-education issues as an understanding of the surgical procedure, care of the temporary ileostomy, diet and electrolyte balance, care of the perirectal skin, and the restrengthening of bowel control. Stage two ET nursing interventions focus on perianal skin care, use of medications, sphincter reeducation, and prompt recognition of complications. Written instructions offer the best method of providing crucial information succinctly. Patients require significant physical and emotional support throughout the potentially complex, long-term course until an optimal steady state is achieved.

Humans↗

Project Alpha. A nursing elective implemented in a general systems theory curriculum.

From the perspectives of both nursing education and nursing practice, the perioperative elective was beneficial and timely. The students received knowledge and skills pertinent to their present educational endeavors and future technologic trends. In turn, the affiliating agency has a pool of potential employees who truly understand the needs of surgical patients and who may choose to become operating room nurses. Perioperative nursing does belong in the baccalaureate curriculum and is an assurance of nursing's commitment to holistic care.

Curriculum↗

A survey of allied health students' knowledge of HIV and AIDS.

1. The best and only preventative treatment for AIDS is quality, in-depth education. 2. Increasing the knowledge of adolescents and young adults is not easy despite enormous media exposure; many engage in high-risk behaviors, believing themselves to be invulnerable to infection. 3. Although respondents reported that they were knowledgeable about HIV infection, the findings suggest that the participants did not have as solid a knowledge of the disease as expected.

Allied Health Personnel↗