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Biomedical subjects

J N Giger

Publications and source records attributed to J N Giger.

At least 55 records · Page 3Linked to original sources
PubMed1995

Delegating to a transcultural team.

Six cultural phenomena must be considered when delegating to staff with a culturally diverse background. Communication, space, social organization, time, environmental control and biological variations encourage an understanding of unique cultural values, beliefs and practices.

Cultural Characteristics↗
PubMed1994

When your patient is silent.

In the process of caring for patients, nurses encounter patients who are silent. A number of problems may arise when silence occurs in an interpersonal situation. Among these problems is the different meanings that silence may have from culture to culture. This paper describes the meaning that silence may have across cultures and delineates guidelines for the nurse in responding to the patient who is silent.

Communication↗
PubMed1994

Changing nursing students' attitudes--an exploratory study.

Stereotypes, competition, and limited contact can contribute to nursing students from different programs developing negative attitudes about one another. This study applies an attitude change model to a small sample of nursing students in different programs to determine if this negative attitude can be changed.

Attitude↗
PubMed1994

Understanding monochronic and polychronic individuals in the workplace.

Patterning of time is a frequently ignored aspect of human behavior. Individuals handle time durations differently. Responses to time durations were first outlined in the classic work of Hall (in 1959) and include urgency, activity, variety, and whether multiple or isolated tasks are attempted in the same time duration. When patients or other staff vary from the nurse in the way in which time or time perception is handled, difficulty can occur. Understanding the way individuals handle time can assist in dealing with patients and colleagues and is of particular significance in interacting with people from other cultures and races.

Humans↗
PubMed1994

Strategies for designing culturally relevant client education materials.

This article addresses strategies for designing and implementing a culturally significant and appropriate client education tool for use with non-English-speaking clients or for any client in a culture different from the mainstream. These strategies include: (1) understanding the relationship between culture and behavior, (2) developing a strategic plan, (3) gathering demographic data about the setting, (4) evaluating the characteristics of the learner, and (5) developing culturally specific, unique education learning materials.

Communication Barriers↗
PubMed1993

A program for water-intoxicated patients at a state hospital.

During normal circumstances, individuals have a delicate balance of water requirement and water intake. If the balance of water is altered, electrolyte imbalance can occur. If fluid intake continues uncurbed, an extreme condition may result known as self-induced water intoxication and psychoses. If untreated, complications may develop, including dilated and hypotonic bowel and bladder, hydronephrosis, renal failure, congestive heart failure, mild confusion, acute delirium, seizures, coma, and death. The ongoing problem of water intoxication presents a modern day nursing challenge to psychiatric nurses. The present study monitors nine chronically ill patients in a special program for water intoxication involving control and monitoring and a psychoeducational group approach in a closed unit of a state hospital. At the end of 3 months serum electrolytes, serum osmolality, and urine specific gravity were within normal limits since the start of the program. Anxiety, as evidenced by restlessness, pacing, increased talking, demanding behavior, hyperactivity, yelling, and irritability, had lessened. This improvement was accompanied by a stabilization of psychotic behavior. The use of restraints dropped from 1303 hr in the 3 months before the program to 20 hr and 55 min for the nine patients in the first 3 months of the program. Progress in relation to the study hypothesis will be evaluated every 3 months.

Adult↗
PubMed1992

Black American folk medicine health care beliefs: implication for nursing plans of care.

Even in this age of information, some African Americans equate good health with luck or success. An illness or disease, viewed as undesirable, may be equated with bad luck, chance, fate, poverty, domestic turmoil, or unemployment, and in such case, Black Americans will consult a physician only after attempts with home remedies have failed. It is important for the nurse when working with Black patients, remember that when this patient enters the traditional bio-medical health care delivery system, it is best to assume that all known and available cultural home remedies have been tried. According to Bloch (1976), some Black Americans believe that the nurse should recognize cultural medical practices and the western medical remedies based on these beliefs. It is essential that the nurse determine whether these home remedies will interact or interfere with orthodox medical approaches. If home remedies are found to be efficacious or neutral. they may be kept at the patient's bedside. However, if they are found to be harmful, the nurse should assist the patient in developing an understanding about the remedies' dangers. With an emphasis on education, the patient can be navigated toward modern medical preventive techniques and cures, and the nurse may observe and judge the variety and efficacy of age-old culturally entrenched health care practices. Future studies may just substantiate the science behind the folklore.

Black or African American↗
PubMed1990

Conceptual and theoretical approaches to patient care: associate versus baccalaureate degree prepared nurses.

The purpose of the study was to determine if there is a relationship between types of entry-level preparatory nursing programmes in which a nurse receives basic nursing education and conceptual and theoretical approaches to patient care. A secondary purpose of the study was to determine if there is a relationship between entry-level basic preparatory nursing education and nursing leadership, the ability to make nursing diagnosis, and implementation, as well as evaluation of the nursing process. Three nursing practice categories were identified and included: professional, all-nurse and technical. Useable data collected by short-essay questionnaire from 343 out of 344 sample subjects were computed to determine the relationship, if any, between basic preparatory nursing education and conceptual and theoretical approaches to patient care. Decisions about three null hypotheses were made at the 0.05 level of significance utilizing analysis of covariance and the 0.01 level of significance utilizing chi-square analysis. For Hypothesis 1, the main effect for degree work when covaried with Verbal Scholastic Aptitude Test scores, Quantitative Scholastic Aptitude Test scores, time and age indicated a significance of 0.001 for all item associations in the professional, all-nurse and technical categories utilizing analysis of covariance, and 0.001 utilizing chi-square analysis. For Hypotheses 2 and 3, the main effect for degree work when covaried with the aforementioned variables indicated a significance of 0.001 utilizing analysis of covariance, and 0.001 utilizing chi-square analysis. In conclusion, the findings from the study suggest that graduates of baccalaureate degree programmes do vary in conceptual and theoretical approach to nursing care in specific nursing care situations.(ABSTRACT TRUNCATED AT 250 WORDS)

Clinical Competence↗
PubMed1990

Developing communication skills for use with Black patients.

The purpose of this article is twofold: 1) to familiarize nurses with the conceptual and historical development of Black English; and 2) to improve communication between nurses and Black patients. A plea is made for the introduction of these concepts into the curricular of all Schools of Nursing.

Black or African American↗
PubMed1990

Nursing theory. Nightingale & Roy--a comparison of nursing models.

1. Today, in an effort to develop the profession of nursing, nurses are working to base nursing actions on a theoretical model. 2. There are four reemerging themes evidenced in both the Nightingale and Roy models, including environment, person, health, and nursing. 3. The Roy and Nightingale models share more similarities than differences: both describe their metaparadigm (ie, environment, person, health, and nursing) in relation to their models.

Humans↗
PubMedDate not supplied

Health promotion among ethnic minorities: the importance of cultural phenomena.

Ethnic minority groups have varying health promotion needs, which differ according to six cultural phenomena outlined in the nursing literature: communication, space, social organization, time, environmental control, and biological variations. This article reports on some of the research available in each of these areas in relation to ethnic minorities. If health promotion is to be improved for people in all sectors of the population, it is important for rehabilitation nurses to learn how to assess the needs of ethnic minorities and to respond to those needs with appropriate interventions.

Cross-Cultural Comparison↗