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Biomedical subjects

M R Haack

Publications and source records attributed to M R Haack.

10 recordsLinked to original sources
PubMed1998

Treating acute withdrawal from alcohol and other drugs.

The withdrawal syndrome is the predictable constellation of signs and symptoms that follow abrupt discontinuation of, or rapid decrease in, the use of a substance that has been used consistently over a period of time. To manage the withdrawal syndrome in a way that is safe and humane for the patient, the nurse must understand the pharmacological principles underlying the drug use. Whereas supportive nursing care is often effective, many patients require some pharmacotherapy. Rating scales for assessing signs and symptoms of withdrawal and for placing patients in the most appropriate setting can be used to guide the clinical decision making process. The treatment of withdrawal should provide a link to other services that promote the recovery process.

Acute Disease↗
PubMed1990

Collaborative investigation of adult children of alcoholics with anxiety.

The literature reports an increased incidence of anxiety disorders in alcoholic families. Whether anxiety is a complication of alcoholism or a precursor to alcohol abuse is not understood. Studies suggest that there are psychological as well as genetic components in substance abuse and anxiety disorders. The purpose of this paper is to describe a collaborative effort designed to explore the complex interaction between the etiologic factors that lead to anxiety and substance abuse. This collaboration brings together the unique perspectives of both psychiatric medicine and psychiatric nursing.

Adult↗
PubMed1988

Stress and impairment among nursing students.

This exploration of stress-related disorders among nursing students employed a longitudinal cohort design over a period of two academic years. High depressive symptoms were reported by 55% of the sample. A majority of students experienced an increase in burnout symptoms and an increase in frequency of alcohol use during their educational years. These behaviors were related to a lack of social support and external attribution style.

Adult↗
PubMed1988

Alcohol use and depression symptoms among female nursing students.

A sample of 286 female nursing students responded to questions concerning drinking practices and symptoms of depression. After controlling for the possibly confounding effects of nursing student experiences (aspects of burnout such as depersonalization and social isolation) and the sociodemographic characteristics of the students, increased quantity of alcohol consumed per drinking occasion was found to be associated with increased symptoms of depression in the sober state.

Adult↗
PubMed1984

Drinking patterns among student nurses.

The present study examined the use of alcohol among student nurses in a senior class of a college of nursing. A majority of the students indicated a stable pattern of alcohol use, and 13% reported alcohol-related problems either at school or at work.

Adult↗
PubMedDate not supplied

Continuous improvement evaluation: a framework for multisite evaluation studies.

This article proposes the use of the continuous improvement evaluation (CIE), a framework for multisite demonstration or evaluation studies. This framework is designed for studying intervention programs that change during the evaluation. The development of family drug courts is provided as an example. CIE relies on outcome data collected over time and benchmarked across similar cases in comparison sites; thus, this study was designed to collect data on effectiveness of intervention programs at multiple sites and over time. A weight is calculated for similarity of any two cases based on features they share. In statistical process control charts, these weights are used to compare outcomes at the site against the average of similar cases in comparison groups. Once data are benchmarked, program staff meet to discuss process changes that have led to improvements in outcomes. To ensure that intervention programs have access to evaluation reports on demand, information technology is used to collect, clean, and pool data. Computers generate study reports, and evaluators review reports after release to clients. Statistical tools can be used to evaluate changing programs. Traditional evaluators may be concerned about some threats to validity associated with CIE. The article concludes with a discussion of typical threats to validity and how these threats are addressed in the CIE framework.

Data Collection↗