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Biomedical subjects

K T Roberts

Publications and source records attributed to K T Roberts.

10 recordsLinked to original sources
PubMed1996

Serenity as a goal for nursing practice.

PURPOSE: To extend a conceptual analysis of serenity by explaining how serenity develops and to present an analysis of serenity interventions. SIGNIFICANCE: Serenity is highly desired by many. There is evidence that the experience of serenity improves health. The information presented proposes how nurses can use knowledge about serenity in practice. ORGANIZING FRAMEWORK: Serenity is viewed as a learned, positive emotion of inner peace that can be sustained. It is a spiritual concept that decreases perceived stress and improves physical and emotional health. SOURCES AND APPROACH: Results of a conceptual analysis of serenity, research findings related to development of a Serenity Scale, practice experience, and the literature provided a foundation for the analysis. Inductive reasoning and substruction were the primary methods of constructing the proposed relationships. A nursing practice example is included. CONCLUSIONS: The experience of serenity is related to development of the higher self. Four levels of serenity are a safe, wise, beneficent, and universal self. Knowledge about serenity can help nurses to select interventions that promote clients' health.

Ego↗
PubMed1994

The terminally ill: serenity nursing interventions for hospice clients.

1. Serenity is an inner peace that is independent of external events. It often is desired by persons near death. 2. Information about nursing interventions to facilitate clients' serenity, however, is missing from the literature. 3. In the study presented, pain control, therapeutic touch, and assisting clients to build trust were the three highest-ranked interventions on both effectiveness and frequency of use.

Adaptation, Psychological↗
PubMed1993

Development of the Serenity Scale.

Serenity is a sustained inner peace. Nurses can use knowledge about serenity to help clients cope with harsh circumstances. The Serenity Scale is a 40-item self-report, summated scale that evaluates clients' serenity status. Critical attributes, identified by serenity experts, served as the theoretical framework. Sixty-five items were given to 542 male and female subjects age 20 to 95 (73% Caucasians and 27% minority) from varying income and educational levels yielding an alpha of .93. Forty items (SS.V2) were extracted for further analysis. The alpha coefficient was .92 with item-to-total correlations ranging from .25 to .67. Item means ranged from 2.6-3.7 (grand mean = 3.4). A principal components factor analysis with varimax rotation revealed nine factors explaining 58.2% of the variance. Limitations are that SS.V2 has not been tested with an independent sample and subjects with low educational levels had difficulty with some items.

Adaptation, Psychological↗
PubMed1991

Serenity: caring with perspective.

It is possible to care too much. Thus, there is a need to assist clients to achieve a state of caring with perspective (i.e., caring that lies in the gray area between excessive caring and not caring). Serenity is a concept that offers direction for attainment of this perspective; the concept of serenity is valued by many clients. Yet, the term is missing in nursing literature and the meaning of serenity in the literature that exists on the topic is vague. This article presents results of a concept analysis of serenity and discusses the relationship of serenity to the concept of caring.

Aged↗
PubMedDate not supplied

Diagnostic evaluation of the pelvic and abdominal lymphatic system.

Evaluation of the pelvic and abdominal lymphatic systems is the subject of renewed interest by radiologists, radiotherapists, surgeons and medical oncologists. The primary reason for this interest has been the rapid advance of diagnostic imaging technology, particulary in ultrasonography and computerized tomography (CT). Another reason is the realization that with some neoplasms, particularly gynecologic neoplasms, there has been little progress in long-term survival in spite of aggressive local management. A possible explanation for this is "understaging" of neoplasms by previous radiologic procedures. Although lymphangiography has a proved and well-defined place in the diagnostic regimen, it remains tedious, time-consuming and invasive. Gray-scale ultrasound and CT have been widely used for several years and their role, limitations and relationship to lymphangiography have become established. The purpose of this monograph is to provide a short review of the lymphatic system and lymphangiogram, with particular attention to the recent radiologic literature. The role and limitations of the various diagnostic modalities are discussed and the lymphatic drainage and common pelvic neoplasms (as approached in the recent literature) are reviewed. No attempt has been made to define the lymphatic drainage of abdominal visceral organs.

Female↗