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Biomedical subjects

Janice M Morse

Publications and source records attributed to Janice M Morse.

At least 19 recordsLinked to original sources
PubMed2003

A review committee's guide for evaluating qualitative proposals.

Although they complain that qualitative proposals are not reviewed fairly when funding agencies use quantitative criteria, qualitative researchers have failed the system by not developing alternative criteria for the evaluation of qualitative proposals. In this article, the author corrects this deficit by presenting criteria to assess the relevance, rigor, and feasibility of qualitative research. These criteria are not a checklist but rather a series of questions that can aid a reviewer, adept in qualitative methods, to comprehensively evaluate and defend qualitative research.

Budgets↗
PubMed2002

Enhancing the safety of hospitalization by reducing patient falls.

The iatrogenic nature of hospitalization places patients at risk of falling, injury, and death. In this article, the major principles of providing protective and preventive interventions are outlined. The principles are the establishment of a multifaceted fall prevention program that targets fall interventions according to each etiologic factor; the recognition that fall protective and prevention interventions are distinct and serve a different function; the use of the fall monitoring system comprehensively; the creation of a clinical nurse specialist position, responsible for fall intervention; and a conscious and individualized approach to fall prevention. The process and problems of the varying nature of providing fall protection and fall prevention are discussed; for example, use of a side rail as a protective strategy may be successful with one patient but considered a hazard when used with a different patient.

Accident Prevention↗
PubMed2002

Intuitive inquiry.

Explore the source record for details and available documents.

Data Collection↗
PubMed2002

Qualitative health research: challenges for the 21st century.

To understand complex human phenomena, it is necessary to triangulate the results of multiple separate projects that use diverse methods. Using the example of suffering, a research program emerging from studies exploring comfort was initiated. A model of enduring and emotional suffering (or releasing) was developed, and, using this model as a scaffold, eight subsequent projects explored the interaction of enduring and emotional suffering in various contexts and with different populations. Although there remains much to learn, the researcher argues that using this programmatic approach to explore new areas is an efficient and effective way to gain understanding of complex human phenomena.

Emotions↗
PubMed2002

Qualitative tokenism.

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Evaluation Studies as Topic↗
PubMed2002

Enhancing the usefulness of qualitative inquiry: gaps, directions, and responsibilities.

Although qualitative researchers have often complained that our research is not funded, that our articles receive unfair reviews, and that our findings are not implemented, as a discipline we have been slow to develop criteria for review of articles, are just beginning to develop criteria for review of proposals, and have not yet suggested mechanisms for the transference of qualitative findings into practice. In this keynote address, using the example of a project conducted at a summer camp for ventilator-dependent children, the author examines these issues of review and utilization and explores the responsibility of qualitative researchers. She argues that by meeting these needs, qualitative researchers will expedite qualitative inquiry and hence will legitimize the discipline.

Child↗
PubMed2002

Integrating concepts for the development of qualitatively-derived theory.

The development of qualitatively-derived theory (QDT) remains a challenge for researchers wishing to retain the complexity of reality. The techniques of concept integration provide a means to link concepts according to their shared attributes and logically according to their mutual interactions, reactions, and responses. While retaining all of the advantages of qualitative induction, integrating concepts in this manner places QDT theory at the upper end of mid-range theory, or disclosive theory, to produce a theory of higher abstraction and broader scope.

Concept Formation↗
PubMed2002

Patient-family-nurse interactions in the trauma-resuscitation room.

BACKGROUND: Controversy about the presence of patients' family members in the emergency department has centered on the trauma-resuscitation room. Little is known about interactions of patients' family members with the patients and with nurses or about the ramifications of the presence of patients' family members at the bedside. OBJECTIVES: To describe behavioral responses offamily members of patients and the interactions of thefamily members with nurses and the patient in the trauma room. METHODS: A secondary analysis was done of 193 videotapes of trauma room care. Of these, 88 tapes showed the presence of patients' family members, for a total of 42 hours. Qualitative ethology and a model of suffering as a scaffold were used to analyze verbal and nonverbal interactions between nurses, patients' family members, and patients. Behaviors and verbal interactions of patients and their families were coded as to persons who were enduring and persons who were emotionally suffering. Categories were described. RESULTS: Whether a patient's family members entered the trauma room depended on the patients condition, the patient's behavioral state, and the nature of the treatments. Categories of interactions were families learning to endure, patients failing to endure, family emotionally suffering and patient enduring, patient and family enduring, and resolution of enduring. The interaction style of the nurses involved was particular to each of these states. Two instances of inappropriate interactions occurred. CONCLUSIONS: Nurses can use the Model of Suffering as a framework to assess behavioral and emotional states and to select appropriate strategies to comfort patients' family members.

Adult↗