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Biomedical subjects

L N Gottlieb

Publications and source records attributed to L N Gottlieb.

At least 19 recordsLinked to original sources
PubMed1998

Evolutionary principles can guide nursing's future development.

Health care reform has resulted in a unique opportunity for nursing to develop and expand its role in future health care environments. We discuss why we think nursing's time has come, as well as the forces in present health care environments that threaten nursing's progress. We have used modern evolutionary principles to elucidate seven key conditions required for nursing to survive and flourish in the new health care environments. These conditions include the need for nurses to: be relevant; be accountable; be visible; be innovators; have a global impact; retain their uniqueness, while functioning in multidisciplinary settings; and be exceptionally competent, while striving for excellence.

Canada↗
PubMed1998

Classification systems for health concerns, nursing strategies, and client outcomes: nursing practice with families who have a child with a chronic illness.

This paper describes 3 classification systems developed from a study of the effectiveness of a nursing intervention in improving the psychosocial adjustment of children with a chronic illness. The study nurses' documentation of the nursing care provided to the 163 participating families was content analyzed. Systems were developed to classify the types of: (a) health concerns or issues that were the focus of the nursing, (b) actions the nurses used to help families achieve their goals, and (c) outcomes observed by the nurses. These classification systems have furthered our understanding of the McGill Model of Nursing, and they describe the scope of nursing practice based on this nursing perspective with a particular population (families who have a child with a chronic illness). These systems could be used to describe and measure nursing practice with this and other groups of clients.

Adaptation, Psychological↗
PubMed1996

The McGill model of nursing and children with a chronic-condition: "who benefits, and why?".

This study sought to understand why and how the psychosocial adjustment of children between the ages of four and 16 with a chronic illness was improved by a year-long nursing trial (1990-1991), guided by the McGill Model of Nursing. We examined the characteristics of children whose adjustment improved (improvers), who remained within the normal range (adjusted), and who deteriorated (clinical rangers). Improvers and clinical rangers presented with similar characteristics, and a profile analysis was conducted to understand why one group improved while the other did not. Four pathways leading to improvement were identified. The effectiveness of the nursing appeared to be related to engagement with the nurse and to features of the nursing.

Adaptation, Psychological↗
PubMed1995

Nursing intervention studies: issues related to change and timing.

A variety of challenges confront clinicians and researchers involved in developing and testing nursing interventions or programs for children and their families. Many of these challenges relate to the issues of change and timing. This paper discusses some of the critical questions that must be considered when designing and evaluating interventions with this particular population. Issues are illustrated with examples from a study that tested the effectiveness of a nursing intervention (based on the McGill Model of Nursing) in improving the psychosocial adjustment of chronically ill children. The authors propose that careful consideration of these questions will improve the design of intervention studies, the evaluation of their outcomes, as well as contribute to the development of our knowledge in this domain.

Adaptation, Psychological↗
PubMed1989

The maternal role in the pediatric intensive care unit and hospital ward.

Two issues were examined in this study, (1) the mother's parental role when a child is admitted to a pediatric intensive care unit (PICU) and then transferred to a hospital ward, and (2) the influence of situational factors (e.g., whether procedures were taking place, the presence of others such as family or friends) that could alter mothers' parenting role in the PICU and on the ward. Twelve mothers were observed at the child's bedside and were found to assume six parental roles (namely, Vigilant Parent, Nurturer-Comforter, Medical Parent, Caregiver, Entertainer, Protector). In both settings, the Vigilant Parent and Nurturer-Comforter roles were the most predominant roles. The Medical Parent role was assumed more often during procedures, particularly on the ward. Mothers assumed the Caregiver role more often on the ward than in the PICU. The Entertainer and Protector roles occurred infrequently in both settings. The child's condition and the presence of another person influenced the roles mothers assumed.

Child↗