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Biomedical subjects

J R Wilcox

Publications and source records attributed to J R Wilcox.

16 recordsLinked to original sources
PubMed2000

Compliance communication in home health care: a mutually reciprocal process.

The study described in this article examined the process of compliance gaining in home health care. The investigation focused on nurse-patient communication and the relational and content aspects of compliance communication. Six registered nurses and 25 adult patients from two cooperating home care agencies participated in this study. Observation during home visits and interviews with nurses and patients revealed a prosocial, collaborative model of compliance gaining. The findings show compliance communication to be embedded in nurse-patient conversations, with both nurse and patient engaging in control and affiliative behaviors. Implications for compliance research and the mutual-participation model of medical care are discussed.

Adult↗
PubMed1998

The meaning of words.

Explore the source record for details and available documents.

Attitude of Health Personnel↗
PubMed1997

Analysis of aerial survey data on Florida manatee using Markov chain Monte Carlo.

We assess population trends of the Atlantic coast population of Florida manatee, Trichechus manatus latirostris, by reanalyzing aerial survey data collected between 1982 and 1992. To do so, we develop an explicit biological model that accounts for the method by which the manatees are counted, the mammals' movement between surveys, and the behavior of the population total over time. Bayesian inference, enabled by Markov chain Monte Carlo, is used to combine the survey data with the biological model. We compute marginal posterior distributions for all model parameters and predictive distributions for future counts. Several conclusions, such as a decreasing population growth rate and low sighting probabilities, are consistent across different prior specifications.

Animals↗
PubMed1994

Steps to collaboration.

Although collaboration is a much sought-after goal among health care professionals, minimal research has clarified the essential communication elements (behaviors) necessary for collaboration. This series of research studies, grounded in the pragmatic perspective, represents a beginning attempt to identify these behaviors. A total of 270 practicing physicians and nurses responded to open-ended questions and/or a survey assessing the communication elements of content; relationship (aggressive, affirming, and collaborative styles); and opportunity to communicate. Findings suggest elements necessary for collaboration include reliable presentation of relevant data, openness to information presented, and adequate time to communicate. Differences were noted between nurses and physicians as to the relative importance of these behaviors.

Communication↗
PubMed1991

Professional recognition and high-quality patient care through collaboration: two sides of the same coin.

Today's health care professionals frequently confront problems that lack a single right answer. Differing answers often result in interprofessional conflict. For example, nurses, physicians, and respiratory therapists may have different goals and responses in a cardiac arrest situation. Strategies to enhance nursing's unique contribution to these decisions and to facilitate collaboration among all the professionals are presented.

Assertiveness↗
PubMed1990

Using organizational culture to facilitate the change process.

Change in health care settings is occurring at an ever-increasing rate. One change is the implementation of new nursing care delivery systems. Although such changes are necessary responses to societal needs, they are not always welcomed by nursing personnel. Current organizational literature suggests that understanding a work group's culture can facilitate the change process. This article reports a qualitative research study that identified the work group culture of a renal unit and shows how the unit used an understanding of its unit culture to ease the change to primary nursing.

Humans↗
PubMed1988

Understanding organizational culture: a key to management decision-making.

Organizational culture is a significant element in today's health care environment. Understanding work culture can assist the nursing administrator in hiring personnel, orienting newcomers, facilitating organizational change, and promoting learning. The authors report a study that identified the work group culture of two nursing units and suggest that differences between these cultures affect a variety of nursing administration decisions.

Administrative Personnel↗
PubMed1980

Focal increased lung perfusion and intrapulmonary veno-arterial shunting in bronchiolo-alveolar cell carcinoma.

A patient with bronchiolo-alveolar cell carcinoma presented with a veno-arterial shunt localized to the area of tumor involvement by differential position shunt testing. Perfusion lung scan revealed increased radionucleotide uptake in the area of the tumor, confirmed by pulmonary angiography, and suggested that the primary blood supply to the tumor was originating from the pulmonary circulation. Surgical resection of the tumor resulted in marked reduction of the intrapulmonary shunt.

Adenocarcinoma, Bronchiolo-Alveolar↗
PubMed1977

Bone scanning in the evaluation of exercise-related stress injuries.

Bone scintigraphy was used to evaluate 34 patients with the physical findings and history of stress fracture of the lower extremity. Of the 34, 21 had abnormal studies, 11 involving the femoral neck, 9 the tibia, and 1 the femur. All of these had abnormal scintiscans prior to or at the time of the appearance of radiographic changes. Of the 9 with abnormal tibial studies, radiographic changes never evolved in 3. No false negatives were found among the 13 with normal scintiscans.

Adolescent↗
PubMed1976

Thyroid uptake of 131I: further comparisons of capsules and liquid preparations.

Comparisons were made of thyroid uptake of three commercially available preparations of 131I, using a double-blind design, in 125 patients with normal thyroid function. Uptakes with Squibb Iodotope Diagnostic capsules were significantly lower than those with Squibb Iodotope Oral liquid at 4 hr (p less than 0.01) and 24 hr (p less than 0.05) after ingestion in both the general population and in all patients less than 45 years of age. Uptakes of Radiocaps I-131 (Abbott Laboratories) and Iodotope Oral liquid were indistinguishable under identical conditions. Our findings indicate that interference with either absorption or metabolism of a pharmaceutical can result from the vehicle used to administer it.

Administration, Oral↗