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Biomedical subjects

L L Pierce

Publications and source records attributed to L L Pierce.

At least 19 recordsLinked to original sources
PubMed2001

Caring and expressions of spirituality by urban caregivers of people with stroke in African American families.

Expressions of spirituality by urban caregivers in African American families are the focus of the study discussed in this article. Data presented here were collected as part of a larger study that examined these caregivers' experience and meaning of caring as they influenced their capacity to care for people with stroke within their family systems. This study was executed within and supported the framework of systemic organization by Friedemann, according to which families as open systems strive for well-being. Spirituality, a component of well-being, is based on values concerning commitment, love, and affection. Eight themes concerning spirituality for all caregivers emerged from the data. Through spirituality, the caregivers felt well-being and were connected and comforted in difficult times related to caring.

Black or African American↗
PubMed2001

Coherence in the urban family caregiver role with African American stroke survivors.

Expressions of coherence by urban caregivers in African American family systems are the focus of this ethnographic study. The profound changes that can accompany stroke may create considerable stress for families caring for the affected person. Coherence, a sense of mutuality, and differences in functioning among family members were discovered in this study to be important for maintaining stability within the family. Through coherence, family caregivers felt connected and this helped them survive in stressful times related to caring situations. The findings aid in defining coherence as an interpersonal process and place it in a family system context.

Journal Article↗
PubMed2000

Cardiac therapy for men with coronary artery disease. The lived experience.

A phenomenological inquiry was conducted to uncover the lived experience of cardiac therapy for men with coronary artery disease in Northwest Ohio. Five men age 60 to 70 years were purposively selected to participate. Data obtained from individual audiotaped interviews were analyzed using Colaizzi's method. Eight major themes emerged: (a) feelings of fear and disbelief, (b) being aware of mortality, (c) losing control of self, (d) halting usual activities and future plans, (e) heightening awareness of spirituality and belief in a higher power, (f) resigning to accept external forces and required changes, (g) increasing sense of well-being, and (h) receiving a second chance and moving forward. This study makes valuable contributions to nursing by increasing awareness of actual lived experiences of cardiac therapy for men, offering direction for cardiac therapy programs to assist men with holistic lifestyle modifications that enable them to increase wellness, and serving as an impetus for further research.

Adaptation, Psychological↗
PubMed1999

Caring and cultural maintenance and transformation for secondary urban family caregivers of persons with stroke.

An ethnographic study examined secondary urban family caregivers' caring and cultural maintenance and transformation as it influences their capacity to care for persons with stroke within African American family systems. Caring as experience was demonstrated by two domains: caring actions and caring family functions. Caring as meaning was centered in one domain: caring expressions. Cultural patterns were evidenced in the experience and meaning of caring and focused on cultural maintenance that the caregivers and their families developed to survive the caring situation. Culture transformation such as being open to more options could occur only if the caregivers' circumstances changed. For the most part, they were doing everything in their power to maintain their family system.

Adaptation, Psychological↗
PubMed1996

Effect of a professional practice model on autonomy, job satisfaction and turnover.

Dissatisfaction and rapid turnover of registered nurses (RNs) challenge nurse administrators. The professional practice model (PPM) can increase the amount of personal control nurses have over their work. Use of a PPM allows innovation, promotes collegial relationships and emphasizes personal responsibility. In this study, facilitating an autonomous climate for RN practice resulted in increased job satisfaction and decreased.

Adult↗
PubMed1995

Stop and look: two approaches to manage stroke patients.

Two to three million people in this country live with the after-effects of a stroke. Care focuses on increasing the functional abilities of the stroke patient. Currently, there are different approaches used in caring for the stroke patient. Two approaches are presented for consideration in working with the stroke patient. A case study illustrates differences between the two approaches. Regardless of the approach used, consistency and long-term goal setting is necessary for patient progress.

Activities of Daily Living↗
PubMed1994

Developing a poster presentation.

Poster presentations are one method of presenting articles, projects, or research at a professional conference. The purpose of this article is to delineate the development of a poster for presentation. Essential points on topic selection, writing the abstract, development strategies, transport, and handout preparation are included.

Audiovisual Aids↗
PubMed1994

Developing a paper for conference presentations.

Opportunities to expand the professional nursing role and present at conferences have increased. The purpose of this article is to share suggestions for developing and presenting papers. Essential ideas on who will present and how to write an abstract, deal with rejection or success, develop an outline, construct a lecture, select audiovisual materials, and use public speaking skills are described. The publishing and copyright processes are also discussed. Using these practical strategies will enable individuals to develop and/or enhance presentations.

Congresses as Topic↗
PubMed1993

Geriatric falls: prevention strategies for the staff.

1. Multiple falls and injuries are more prevalent among elderly over the age of 75 and are the second leading cause of accidental death in the elderly. The risk for falling is noted to be significantly greater in the hospitalized elderly. 2. Review of retrospective quality improvement chart audits revealed that peak fall times were associated with the patient's need for toileting, rest, and obtaining nutrition and hydration. 3. The MetroHealth Falls Prevention Program is based on simple proactive measures to prevent falls in the elderly. 4. An effective falls prevention program has several implications for gerontological nursing practice, including less restraint use, increased patient autonomy, and decreased loss of self-esteem. There is also a sense of increased nursing control over patient safety and time management, as well as implications for further nursing research.

Accidental Falls↗
PubMed1991

Nurse managers: role expectations and job satisfaction.

The purpose of the study was to assess the relationships among nurse managers' perceived job stress/job satisfaction, time allocation, and role expectations. The dependent variable was job satisfaction. The sample consisted of 72 nurse managers who responded to a self-administered questionnaire. It was found that nursing supervisors are satisfied with the actual time allocation of nurse managers, whereas physicians and nursing staff believe that more of the nurse managers' time should be given to direct patient care. When discrepancies occur about the allocation of nurse manager time, the nurse manager is apt to have lower job satisfaction.

Adult↗
PubMedDate not supplied

Urinary tract infections: a quality assurance rehabilitation nursing perspective.

This article describes a quality assurance study related to urinary tract infections at the Great Lakes Regional Rehabilitation Center, Lorain Community Hospital, Lorain, OH. A literature review, methods, and study results are presented. Four practical strategies to deal with urinary tract infections are delineated.

Humans↗
PubMedDate not supplied

Rehabilitation nursing approaches to cerebrovascular accident: a comparison of two approaches.

The purpose of this study was to compare patients receiving neurodevelopmental therapy (NDT) to patients receiving a traditional approach. The study took place on two separate medical rehabilitation units, each using just one approach. Patients were assigned to each unit based upon bed availability. The charts of 43 cerebral vascular accident (CVA) patients who received the traditional approach and of 37 CVA patients who received NDT were audited for demographic, functional, and disposition data. No significant differences at admission were found between the two groups, except that the NDT group had higher scores in dressing (p = .04) and toileting (p = .02). At discharge, the NDT group had higher functioning scores on toileting only (p = .03). Length of stay was almost identical between the two groups. Eighty-six percent of the NDT sample were discharged home compared to 78% of the traditional sample, but this was not statistically significant. Thus, the NDT approach does not appear to be superior to the traditional approach. These results imply that there needs to be more careful study of rehabilitation approaches before committing to one specific approach in the nursing care of CVA patients.

Activities of Daily Living↗
PubMedDate not supplied

The CRRN examination: preparation and strategies.

The Certified Rehabilitation Registered Nurse (CRRN) certification has become a visible and coveted credential for the practicing rehabilitation nurse. This article presents practical information about preparing for and taking the CRRN examination. Strategies for implementing a study plan and organizing information to increase retention are suggested. In addition, this article offers recommendations for decreasing test anxiety and increasing confidence in test taking.

Certification↗
PubMedDate not supplied

Critical care elements in a rehabilitation nursing course.

This article describes a specialized rehabilitation education program, based on adult learning theory, that was developed to promote retention of rehabilitation nurses at MetroHealth Center for Rehabilitation in Cleveland. The curriculum encompasses the skills required to care for rehabilitation patients needing both advanced rehabilitation nursing and critical care nursing. Critical care and rehabilitation nurses collaborated in the presentation of topics and were guided by the course coordinators. Learners were chosen based on experience in rehabilitation, with priority given to those certified in rehabilitation nursing. A variety of evaluation methods elicited positive responses. A 6-month postcourse survey also was completed to assess the long-term effects of the course.

Critical Care↗
PubMedDate not supplied

Competency-based nursing in a rehabilitation setting.

The success of achieving a competency-based rehabilitation nursing practice is shared in this article. An education day provided a comprehensive approach to ensure that practicing staff nurses stay abreast of the knowledge and skills necessary to provide quality patient care. This article details the decision-making process, competency development, strategies, and evaluation of the competency program. Formal documentation of competency testing is an asset for follow-up and accreditation review.

Clinical Competence↗
PubMedDate not supplied

Developing a poster presentation.

A poster presentation gives a summary of information in a visual format. Poster topics can focus on research, teaching, or projects. Careful layout and meticulous proofreading and editing of the information are important to a poster's success. The practical strategies mentioned in this article can help nurses develop and enhance their poster presentation skills.

Audiovisual Aids↗