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Biomedical subjects

L R Cronenwett

Publications and source records attributed to L R Cronenwett.

At least 19 recordsLinked to original sources
PubMed1998

Collaboration in improving care for patients: how can we find out what we haven't been able to figure out yet?

BACKGROUND: Questions, or what the physicist and learning expert Reginald Revans called "insightful inquiry," are essential to learning. People remember and use what they discover themselves. But many habits and activities in front-line workplaces of patient care have not promoted frank discussions of what we haven't figured out yet about improving care for patients. Leaders are no longer defined by having the right answers. Leaders will be the ones who have the right questions and who promote local learning with the right questions. SUGGESTIONS FOR GETTING STARTED IN COLLABORATION. The authors suggest questions to ask to get collaborative inquiry going and cite examples they have collected. The questions and examples are grouped in seven thematic categories: Listening to and appreciating others; Thinking across disciplines and roles; Sharing ideas and linking those shared ideas to execution and deployment of change; Appreciating systems and interdependencies; Using research (including local research) to inform our practices; Using methods, skills, and techniques as facilitators of collaboration; and Working across organizational boundaries.

Communication↗
PubMed1996

Mothers' perceptions of the quality of their infants' back transfer: pilot study results.

This pilot study was designed to test an instrument measuring mothers' perceptions of the quality of the back-transfer experience from a neonatal intensive care unit in a tertiary medical center to a community hospital. Forty-one mothers completed a questionnaire that contained the 24-item NICU/Community Hospital Transfer Quality Scale, a 1-item measure of stress associated with the overall experience, and other variables that might affect the transfer experience. Transfer quality was strongly correlated with the overall stress of the transfer (r = .61, p < .001). That is, the higher the perceived transfer quality, the less stress the mother associated with the transfer. This instrument had a test-retest reliability of r = .82 (p < .001, n = 23) and a Chronbach's alpha of .84. Comments made by mothers indicated that communication with health care providers is a very important but sometimes inadequately addressed component of the transfer experience. Nurses can play a key role in facilitating communication between the family and health care providers in both the tertiary and community settings. Four goals for enhancing communication between parents and health care providers are described.

Adolescent↗
PubMed1995

Effective methods for disseminating research findings to nurses in practice.

Professionals in all disciplines are challenged by the proliferation of new knowledge. Nurses, too, must find cost-effective ways of ensuring that their patients are benefiting from the most current knowledge about health and illness. The methods of research dissemination to clinicians described in this article are presumed to be effective because of anecdotal reports, conference evaluations, or clinician surveys. The profession needs more sophisticated evaluations of the effectiveness of various dissemination methods. In the meantime, whether you are a researcher, an administrator, an educator, or a clinician, you have a role to play in improving research dissemination. Implement just one strategy from this article and evaluate the results. Each contribution moves nursing toward research-based practice.

Congresses as Topic↗
PubMed1990

Cesarean delivery and breastfeeding outcomes.

Breastfeeding outcomes of 121 primiparas enrolled in a larger study were examined to determine the impact of cesarean delivery on time of first breastfeeding. Mothers giving birth by cesarean had a later first breastfeeding and expressed less satisfaction with the birth experience than did those who delivered vaginally. No relationships were found between delivery type and duration of breastfeeding or pain or fatigue related to breastfeeding. Time of first breastfeeding was not related to breastfeeding duration. Although some investigators have reported that mothers who have cesarean deliveries or delayed first feeding are less successful at breastfeeding, the high level of commitment to breastfeeding in this sample may have overcome the effect of perinatal events.

Adult↗
PubMed1988

The Child Care Activities Scale and Parental Role Preference Scale.

The Child Care Activities Scale (CCAS) and Parental Role Preference Scale (PRPS) were developed to measure parental involvement in four domains of child care: direct care, indirect care, amount of sole responsibility, and play. The CCAS measures level of involvement of each parent in 21 child care activities. The 12-item PRPS is intended to discriminate among how much parents ideally would like to participate, and how much they actually do participate in child care. The psychometric properties of both scales are presented using data from two studies. Recommendations for the future use of the scales are given.

Adult↗
PubMed1987

Multiple shift patient classification: is it necessary?

Efficient, cost-effective patient classification systems are an essential component of information needed for staffing projections, budgeting, productivity monitoring, and determining the cost of nursing services. Data collection on every shift is typical of GRASP-based patient classification systems. In this study, comparisons among multiple shift measurements showed that no relevant information was being gained by multiple daily assessments of patient care requirements.

Cost-Benefit Analysis↗