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Biomedical subjects

M Frank-Stromborg

Publications and source records attributed to M Frank-Stromborg.

At least 37 records · Page 2Linked to original sources
PubMed1990

Determinants of health-promoting lifestyle in ambulatory cancer patients.

The Health Promotion Model was tested as an explanatory framework for health-promoting lifestyle in a sample of 385 ambulatory cancer patients undergoing treatment in 13 clinical sites in the midwestern United States. The aim of this study was to determine the extent to which cognitive/perceptual and modifying variables identified in the Health Promotion Model explain the occurrence of health-promoting behaviors in adults with cancer. A secondary aim was to determine the potential of illness-specific cognitive/perceptual and modifying variables for further explaining the occurrence of health-promoting behaviors in adults with cancer. Multiple regression analyses revealed that 23.5% of the variance in health-promoting lifestyle was explained by the model cognitive/perceptual variables definition of health, perceived health status and perceived control of health and the modifying variables education, income, age and employment. When illness-specific variables were included in the analysis, initial reaction to the diagnosis of cancer was found to be a significant contributor to the regression. Study results support the importance of both general health-related and cancer-specific cognitive/perceptual factors in explaining the occurrence of health-enhancing behaviors among ambulatory cancer patients; these factors may therefore be suitable targets for interventions to encourage adoption of healthy lifestyles.

Adult↗
PubMed1989

The epidemiology and primary prevention of gastric and esophageal cancer. A worldwide perspective.

This article examines the epidemiology and primary prevention of gastric and esophageal cancer throughout the world. Although both of these cancers have low incidence rates in many Westernized countries, they rank as foremost among all cancers in a number of developing countries. Risk factors, early signs and symptoms, and early detection procedures are discussed. Primary prevention of both stomach and esophageal cancer involves changing selected lifestyle variables: decreased alcohol intake, cessation of smoking, and decreased intake of dried, smoked, and salted foods. The nursing role in the primary prevention of stomach and esophageal cancer involves (a) familiarity with the known and hypothesized risk factors, (b) developing community-based patient education programs that are culturally relevant, simple, practical, and cost-effective, (c) working with other disciplines in prevention and early detection programs, and (d) lobbying governmental agencies to encourage their involvement in primary prevention of these cancers.

Alcoholism↗
PubMed1988

Nursing's role in cancer prevention and detection. Vital contributions to attainment of the Year 2000 Goal.

Currently there are 1.5 million practicing registered nurses in the US who could be utilized to assist in meeting the Year 2000 Goal to reduce cancer mortality by 50%. As the largest health professional group in this country, nurses are in more community settings and work with more people than any other health professional. In the last 10 years, nurses have shifted their orientation from tertiary prevention in the acute care setting and have increasingly become involved in primary and secondary prevention in both the hospital and the community. The nursing literature clearly reflects this new emphasis on incorporation of primary and secondary prevention concepts into nursing education and clinical practice. This article will focus on the traditional and nontraditional cancer prevention/early detection activities nurses have instituted in a multitude of settings (occupational, acute care, educational, and community) as well as pointing out the research that documents the effectiveness of these activities.

Community Health Services↗
PubMed1987

A program model for nurses involved with cancer education of black Americans.

In the last 30 years, cancer incidence rates for black Americans have increased 27% in contrast to an increase of 12% for white cancer rates. In answer to this obvious need for intervention to lower the incidence and mortality rates, the Oncology Nursing Society held a one-day workshop which focused on the primary prevention of cancer in black Americans. For the 40 workshop openings, 540 black nurses from 40 states responded to a call for applicants. The impact of the workshop was measured by four pre- and post-tests which provided both qualitative and quantitative data and indicated that the experience made a significant impact on the participants. The workshop content focused on the epidemiology of the cancers which are most frequently found in blacks, cultural attitudes toward these cancers, and techniques for early detection. The success of the workshop was due to the active involvement of the participants in the learning process and serves as a model for training minority nurses for active, creative roles which can be instituted in the community to help lower the high cancer incidence rate among black Americans.

Black or African American↗
PubMedDate not supplied

Cancer screening and early detection: managing malpractice risk.

PURPOSE: The purpose of this report is to educate healthcare professionals about the legal risks of conducting cancer screening examinations and necessary risk reduction practices. OVERVIEW: The authors describe the elements of a medical malpractice claim, the healthcare professionals' legal standard of care, theories of malpractice liability, common factors related to missed or delayed diagnoses, malpractice defenses, and risk reduction practices. CLINICAL IMPLICATIONS: Healthcare professionals, including physicians, physician assistants, advanced practice nurses, and social workers, have been shown to be clinically effective in cancer screening, and early detection of many cancers leads to improved long-term survival rates. Healthcare professionals who conduct cancer early detection examinations and counsel patients in cancer screening programs need to be aware of the common legal theories under which lawsuits are brought related to cancer detection examinations. Important steps in reducing the risk of malpractice include developing creative strategies to address the theories of liability in the area of cancer screening and early detection; keeping abreast of changes in national and international cancer screening recommendations; monitoring the literature for approaches to decrease liability; and scrupulously maintaining documentation of all findings and interactions among providers and between providers and patients.

Defensive Medicine↗
PubMedDate not supplied

Relationships between certification and job perceptions of oncology nurses.

PURPOSE/OBJECTIVES: To explore relationships between oncology nursing certification and oncology nurses' job perceptions. DESIGN: Descriptive, correlational. SETTING: Questionnaire mailed to homes of Oncology Nursing Society (ONS) members. SAMPLE: 703 certified and 514 noncertified ONS members (N = 1,217; 50% response rate). METHODS: Data were collected using survey methods and grouped by respondents' certification status for statistical analysis. MAIN RESEARCH VARIABLES: Certification, group cohesion, organizational commitment, and job satisfaction. FINDINGS: Certification was weakly correlated with cohesion, commitment, and satisfaction. Work setting, rather than certification, accounted for differences in job perceptions. Job perceptions were most positive in settings characterized by a high percentage of patients with cancer (> 75%), a high percentage of RNs (> or = 80%), and monetary support for continuing education. CONCLUSIONS: The hypothesis that oncology nurses' certification status is associated with job perceptions that are valued by employers was not supported. IMPLICATIONS FOR NURSING PRACTICE: Nurses' job perceptions have been linked to control over nursing practice and participation in organizational and clinical decision making. Managerial strategies that empower certified nurses to practice with more autonomy and participate in decisions that affect patient care should be emphasized.

Adult↗