Search PubMed⌕ Search

Biomedical subjects

M J Kaas

Publications and source records attributed to M J Kaas.

16 recordsLinked to original sources
PubMed2000

A view of prescriptive practice collaboration: perspectives of psychiatric-mental health clinical nurse specialists and psychiatrists.

A majority of states require collaborative prescribing agreements between advanced practice nurses and physicians. Unfortunately, there is limited research describing the collaboration that occurs between the clinicians who have such prescribing agreements. This exploratory study identifies the characteristics, activities, and outcomes of collaboration between psychiatric-mental health clinical nurse specialists (CNSs) with prescribing agreements and their collaborating psychiatrists. Surveys were sent to all the 73 prescribing psychiatric-mental health CNSs identified by the Minnesota Board of Nursing in 1998 and their primary collaborating psychiatrists. Forty-nine CNSs and 32 psychiatrists returned the surveys with 31 matched collaborating dyads identified. Overall satisfaction with the collaborative relationship was high, CNSs (chi = 4.34/5) and psychiatrists (chi = 4.46/5). Good communication, trust, shared goals for patient outcomes, shared professional values, and respect for clinical competency were identified as important characteristics for effective collaboration. CNSs identified increased professional growth and job satisfaction as professional benefits, while psychiatrists reported shared workload responsibilities. Fewer than half of the CNSs and psychiatrists perceived professional liability as a professional constraint. Psychiatric-mental health CNSs and psychiatrists agreed that the continuity of patient care and efficient access to mental health care were patient benefits. The statistically significant differences between the CNSs' and psychiatrists' responses were related to the number of years they had been in practice, the number of years the CNS had been a prescriber, and the length of time the CNS and psychiatrist had worked together within a collaborative prescribing agreement.

Adult↗
PubMed1999

Cognitive behavioral group therapy for residents in assisted-living facilities.

Geriatric depression is a disabling illness that is associated with increased morbidity and mortality and deserves aggressive and early intervention. Cognitive-behavioral group therapy is an effective intervention for the treatment of geriatric depression and can be used with residents in an assisted living facility to manage and prevent depression. Cognitive-behavioral group therapy protocol modifications for residents in assisted-living facilities aids their participation and learning.

Aged↗
PubMed1998

Challenges of teaching graduate psychiatric-mental health nursing with distance education technologies.

As student demographics change and distance educational technology continues to evolve, faculty teaching advanced psychiatric-mental health nursing are attempting to meet the needs of students at distant sites through telecommunications. Graduate education in psychiatric-mental health nursing at the University of Minnesota School of Nursing has used distance education technology since 1994. The use of technology, such as interactive television, audio and audio/video telephone conferencing, facsimile, and electronic mail to teach has been exciting and challenging. This article discusses challenges related to connectedness, confidentiality, and communication; describes approaches to address these challenges; and identifies student, faculty, and environmental attributes that help make teaching with this technology successful.

Education, Nursing, Graduate↗
PubMed1998

Barriers to prescriptive practice for psychiatric/mental health clinical nurse specialists.

Prescriptive authority for advanced practice psychiatric nurses (APPNs) has recently been legislated in many states. APPNs in Minnesota were granted prescriptive authority in 1995, but from 1995 to 1996 only 17 of 80 qualified APPNs in that state had received prescriptive authority. A survey on the barriers encountered in obtaining prescriptive authority was mailed to the 80 APPNs who completed a psychopharmacology course required for prescriptive authority. Of the 54 (67.5%) APPNs who returned the questionnaire, 43 registered for the course for the purpose of prescriptive authority but only 17 of these respondents had received prescriptive authority. The major barriers to obtaining prescriptive authority reported by these APPNs were work setting limitations, personal comfort with prescribing, and ability to develop a collaborative agreement with a psychiatrist. Based on these APPNs' responses, suggestions are given for: increasing the acceptance of the prescriber role, developing support for the prescriber role, obtaining equitable reimbursement, and simplifying the process of obtaining prescriptive authority.

Drug Prescriptions↗
PubMed1998

Assessment of depression in a population at risk ... newly admitted nursing home residents.

Depression in newly admitted nursing home residents is a frequently overlooked area of nursing concern. Educating staff to systematically use a standardized depression assessment protocol with all newly admitted residents would facilitate efforts to enhance the quality of residents' lives by identifying depression so that prompt treatment is possible. Other previously admitted residents who appear to be particularly vulnerable to depression would also benefit from this assessment. The use of this protocol for the assessment of depression offers the possibility of providing more accurate and more comprehensive information regarding mood states than that currently being documented in the Minimum Data Set.

Aged↗
PubMed1996

Wandering.

There are different types of wandering patterns as well as different etiologies which include both emotional and physiological origins. All interventions should focus on understanding why the behavior is present. Wandering may have beneficial effects for the client such as satisfying emotional needs as well as improving physical limitations--poor circulation and oxygenation or the presence of contractures. Management of the environment is the best means of dealing with wandering behavior. Medication should be the intervention of last choice.

Aged↗
PubMed1996

Resistance to care.

Resisting care is defined as any patient behavior which prevents or interferes with the care provider performing or assisting with ADLs for the patient, including bathing, eating, toileting, dressing and grooming. Significant consequences of resisting care include malnutrition, skin breakdown, dehydration, constipation and weight loss. Creativity, flexibility and patience are key components of any intervention. Due to the lability of the person with cognitive impairment, a plan that works perfectly one day may never work again.

Aged↗
PubMed1996

Inappropriate sexual behavior.

Inappropriate sexual behavior, or sexually aggressive behavior, is a term which encompasses a variety of behaviors, including obscene gesturing, touching or hugging another person, exposing body parts or disrobing, and masturbating in public. Inappropriate sexual behavior often elicits feelings of anxiety, embarrassment, or unease in the caregiver and the result is often disruption in continuity of care for the patient. The cause of inappropriate sexual behavior varies among individuals and careful assessment of the etiology of the behavior is the first essential step in intervening. Nursing interventions focus upon providing opportunities for expression of appropriate sexual behavior while attempting to extinguish inappropriate sexual behavior.

Aged↗
PubMed1996

Vocally disruptive behavior.

Vocally disruptive behavior (VDB) is intelligible or unintelligible noise making that may be goal-directed or purposeless. VDB can be conceptualized as a cyclic phenomenon. VDB has been linked to cognitive impairment, poor sleep, requiring assistance with ADLs, and being at high risk for falling. General nursing interventions for VDB include remaining calm, using gentle touch, creating a familiar, home-like environment, and using diversions during ADLs.

Aged↗
PubMed1996

Assaultive behavior in geriatric patients.

The causes of assaultive behavior can be grouped into three categories: patient factors, environmental factors, and caregiver factors. History of previous assault and diagnosis of dementia or organic brain syndrome are most often associated with assaultive behavior in elderly patients. Limited body space and excessive environmental stimuli can trigger assaultive behavior. Gerontological nurses can prevent the incidence of assault by recognizing the potential risks, preventing patients' fear and anxiety, reducing the outburst of anger, and decreasing patients' agitation.

Aged↗
PubMed1981

Geriatric sexuality breakdown syndrome.

This paper focuses on the relationship between the social environment and the older individual. By utilizing the Social Breakdown Syndrome [1, 2] as a basis for examining this relationship, the author has proposed a cycle of events, the Geriatric Sexuality Breakdown Syndrome, in which an older individual is initially predisposed to diminished sexual activity to the end point of self-identification as non-sexual. Suggestions for interrupting this breakdown syndrome are given.

Aged↗
PubMedDate not supplied

Technology-enhanced distance education: from experimentation to concerted action.

Despite the rush to embrace technology-enhanced learning (TEL), descriptions of how schools of nursing move toward systemwide implementation of this type of teaching are scarce. There is a wide gap between sporadic dabbling by individual instructors in specific courses and adoption and implementation of TEL throughout a program. This article describes the experiences of a group of nursing faculty who helped move one school of nursing from experimentation with TEL in distance education to concerted action toward a strategic schoolwide plan. J Prof Nurs 17:135-140, 2001.

Education, Distance↗