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Biomedical subjects

M P Stanton

Publications and source records attributed to M P Stanton.

At least 19 recordsLinked to original sources
PubMed2001

Antegrade continence enemas in the treatment of slow-transit constipation.

BACKGROUND/PURPOSE: Children with anorectal dysfunction can now be treated by antegrade continence enema (ACE), as described Malone et al. Those with idiopathic constipation, however, are not thought to be suitable for this treatment. Over 150 children attend the authors' department with proven slow transit constipation (mostly proven on nuclear transit/X-ray study), and the authors reviewed the outcome in the 40 of these who have had the ACE procedure. Families completed a questionnaire and attended interview with an independent assessor. METHODS: Of the 40 patients, 32 patients were assessed. Follow-up ranged from 3 to 54 months (median, 18 months) and age ranged from 5 to 17 years (median age, 10 years). Three of 32 stomas were no longer in use. Frequency of soiling was reduced significantly in 20 patients, and a further 6 patients were clean (P <.01). Abdominal pains were relieved significantly (P <.05), and appetite and mood improved. RESULTS: Stomal complications were frequent, (stenosis in 16 of 29, mucus leak in 20 of 29, fecal leak 3 of 29, catheter-related pain in 20 of 29). Slow evacuation (12 of 29) and pain with enema (17 of 20) also were common. CONCLUSION: Malone appendicostomy does improve the well being of patients with slow transit constipation, but the advantages are less dramatic than in children with normal motility.

Adolescent↗
PubMed1996

Shared experiences and meanings of military nurse veterans.

OBJECTIVE: To determine the shared perceptions, feelings, and experiences of U.S. military nurse veterans. DESIGN: Phenomenological based on Heideggerian philosophy. POPULATION, SAMPLE, SETTING: The population was of military nurse veterans in the U.S.A. from World War II, Korea, Vietnam, and Operation Desert Storm. The convenience sample was 22 nurses recruited from local and national veterans' groups who volunteered to be interviewed. METHODS: Transcribed interviews with team members producing written interpretations; the team produced consensus about themes. Each interview was summarized and validation from the research team and respondents was sought. CONCLUSIONS: Five common themes or shared meanings emerged: reacting personally to the war experience, living in the military, the meaning of nursing in the military, the social context of war, and images and sensations of war. CLINICAL IMPLICATIONS: A coherent review of wartime nursing.

Adaptation, Psychological↗
PubMed1993

Nurses' attitudes toward patient education--yesterday and today.

This study examines nurses' attitudes toward patient education. The original study completed in 1986 established a data base and concluded that nurses were generally positive about their patient education role, but were not always clear on certain aspects of the role. Since 1986, there have been replication studies. This present investigation reviews the results of these replication studies and discusses a general consensus of findings.

Attitude of Health Personnel↗
PubMed1992

Environmental scanning: a strategy for the future.

The rapidity of change confronting nursing at all levels will continue to challenge nursing's ultimate capacity to adapt and remain a viable profession in the 21st century. The process of meeting the challenges can be proactive based on assessment of needs and available resources, or reactive based on the reaction to challenges. A strategy identified by the authors that can be used at all levels of nursing practice, administration, education, and research is environmental scanning. This methodology has been used effectively in other disciplines for strategic, long-term planning and can be readily adapted to a wide variety of nursing service, academic, or professional associations.

Environment↗
PubMed1985

Educational coordinator--staff development--what is their impact on patient education?

The increasing complexities in the health care system have produced a need for well-planned patient education. Integral to the development of these programs is: the assessment of patient populations' educational needs; the design of a program to meet these defined needs; the implementation of this pre-designed program; and, the evaluation of that total learning experience. The literature suggests that a patient education coordinator facilitates this program planning process. It is also suggested that in agencies where a coordinator position is non-existent, that staff development related to patient education can enhance programming efforts. This investigation examined the impact of staff development and the coordinator on the program-planning process. It researched the effect of these factors singularly and collectively. The results suggest that individually and in tandem both factors have a positive impact on patient education. Best results were observed in institutions having a coordinator and a staff development program.

Administrative Personnel↗
PubMed1983

Patient education in the hospital health-care setting.

The implementation of patient education within the hospital setting can be justified for a variety of reasons. The rationale for implementing patient education can be justified in terms of escalating emphasis on consumerism and informed participation on the part of the health-care recipient, the support of federal legislation, the support of hospital regulatory bodies, the support of third-party insurance carriers and private foundations, increased cooperation and compliance on the part of the patient, reduced stress levels for the hospitalized patient, and the improvement of staff-patient relationships. All of these serve as a database that justifies the integration of patient education within hospital care services. Patient education is the responsibility of the existing health-care system. In many instances, patient education is still not being approached in a serious manner. Therefore this paper attempts to provide a number of reasons health-care professionals functioning within the hospital setting should implement this process.

Data Collection↗
PubMed1983

An instructional technology for patient education.

A review of the literature on patient education disclosed a high degree of consistency regarding the necessary components of a patient-education program. These components fall into three broad categories: design, implementation, and evaluation. Using these components as criteria for effective patient education, a survey of hospitals was undertaken to determine how closely these criteria are adhered to. Of 200 hospitals sent the questionnaire, 120 responded. Results show that patient educators adhere to the design and implementation components with high to moderate frequency but do little with respect to the evaluation components.

Education Department, Hospital↗