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Biomedical subjects

Mona Shattell

Publications and source records attributed to Mona Shattell.

11 recordsLinked to original sources
PubMed2005

Problematic interviewee behaviors in qualitative research.

The interview is a staple of many qualitative approaches. Although textbooks offer extensive guidance to researchers about conducting interviews, less guidance is available about problematic interviewee behaviors, such as flattery or statements indicative of social desirability response bias. In this study, a secondary analysis of 22 phenomenological interview transcripts, we sought to examine problematic interviewee behaviors. More than 300 pages of typed text were subjected to line-by-line scrutiny, yielding only six potential instances of the phenomenon. Each could be interpreted several ways. What appeared to be flattery could also be perceived as simple gratitude or appreciation. We concluded that problematic behavior was rare in this data set.

Behavior↗
PubMed2005

Facilitating communication: how to truly understand what patients mean.

1. Patients experience greater satisfaction with nursing care when they are truly understood. 2. Being aware of taken-for-granted meanings and committing the time to seek clarification and explore meanings are two basic principles that can facilitate understanding. 3. Techniques nurses can use to facilitate understanding include restating what was heard to ensure understanding and to demonstrate active listening, asking open-ended questions, and checking for understanding.

Communication↗
PubMed2004

Nurse-patient interaction: a review of the literature.

AIMS: The aims of this paper are to review a theoretical model useful for developing nursing knowledge related to nurse-patient interaction, review the literature on nurse-patient interaction, and discuss areas for further research. THEORETICAL MODEL: Goffman's theory of face work. RESULTS: Nurse-patient interaction is a central element of clinical nursing practice. This paper shows how Goffman's model can be used as a theoretical framework for understanding nurse-patient communication. RELEVANCE TO CLINICAL PRACTICE: Issues such as power, the social and cultural context, and interpersonal competence are shown to be important in the quality of nurse-patient interactions and nurses need to take cognizance of these factors in their interactions with patients.

Communication↗
PubMed2002

What's therapeutic about the therapeutic milieu?

While the milieu of an inpatient facility is considered a treatment modality, extant literature focuses on the staff's role in creating the milieu rather than the patient's perception of it. Not since Goffman's Asylums (1961) has there been an in-depth examination of the phenomenal world of the hospitalized psychiatric patient. In this study, eight inpatients (ages 23 to 58) on the acute psychiatric unit of a metropolitan general hospital participated in phenomenological interviews about their experience of the environment. The essential meaning of the hospital was refuge from self-destructiveness. Prominent aspects of patients' experience within the place of refuge were three interrelated themes (like me/not like me, possibilities/no possibilities, and connection/disconnection). Universally, patients perceived peer-administered "therapy" as the most beneficial aspect of their hospitalization. They expressed longing for a deeper connection with staff and more intensive insight-oriented therapies. Although their needs for safety, structure, and medication were met, patients were not gaining greater understanding of their dysfunctional patterns of behavior. Renewed emphasis must be placed on the nurse-patient relationship and the therapeutic alliance.

Adult↗
PubMedDate not supplied

The Scholarship of Engagement in nursing.

We propose the time is right for the Scholarship of Engagement to serve as a model of scholarship in schools of nursing given the shift towards community-based research and the emphasis of community-based research in the recently published National Institutes of Health (NIH) roadmap initiative. Thus, this article addresses the need of nursing academe to embrace a broader paradigm of scholarship, the Scholarship of Engagement, in order to expand knowledge development via implementation of the NIH roadmap. The need for implementation of a broader paradigm of nursing science within the context of nursing academics' roles is discussed.

Benchmarking↗
PubMedDate not supplied

Nurse bait: strategies hospitalized patients use to entice nurses within the context of the interpersonal relationship.

Patients on medical-surgical and psychiatric inpatient units long for more and deeper connections with nurses. Patients' dependence on the nursing staff, as well as their perceived powerlessness, creates a situation where patients believe they have to actively find ways to seek needed nursing care. This paper will describe active strategies used by medical-surgical patients to entice nurses within the context of the nurse-patient relationship; strategies designed to mitigate vulnerability and increase interpersonal connection. Implications for nursing practice and for Peplau 's Theory of Interpersonal Relations will be presented.

Adult↗
PubMedDate not supplied

The ecology of bipolar disorder: the importance of sleep.

Although much of the emphasis in treating Bipolar Disorder patients is on pharmacotherapy, sleep loss is an important trigger for mania and plays an important role in the condition. The purpose of this paper is to fully explore the chronobiological, environmental, social, and genetic factors that contribute to the sleep disruption that is characteristic of mania and bipolar disorder. This review is important because sleep, chronobiology, and genetics are under-emphasized content areas in nursing education. As a result, many practicing nurses are unaware of the importance of sleep for mental health or what to teach patients to improve both the quality of their sleep and the management of their condition.

Bipolar Disorder↗
PubMedDate not supplied

"It's the people that make the environment good or bad": the patient's experience of the acute care hospital environment.

A review of contemporary nursing research reveals a tendency to focus on select aspects of the hospital environment such as noise, light, and music. Although studies such as these shed light on discrete aspects of the hospital environment, this body of literature contributes little to an understanding of the entirety of that world as the patient in the sickbed experiences it. The purpose of the study detailed in this article was to describe the patient's experience of the acute care hospital environment. Nondirective, in-depth phenomenological interviews were conducted, then transcribed verbatim, and analyzed for themes. Against the backdrop of "I lived and that's all that matters," there were 3 predominant themes in patients' experience of the acute care environment: (1) disconnection/connection, (2) fear/less fear, and (3) confinement/freedom. In this environment, human-to-human contact increased security and power in an environment that was described as sterile, disorienting, and untrustworthy. Acute and critical care nurses and other caregivers can use the findings to create less noxious hospital environments.

Acute Disease↗
PubMedDate not supplied

Risk: a concept analysis.

TOPIC: Concept analysis of risk. PURPOSE: To analyze the concept risk and provide a new definition of risk. SOURCES: Published literature. CONCLUSIONS: A new definition of risk that emerged from this concept analysis can provide clarity and direction for future research. Nurse researchers can look to this definition to expand what is known about health-seeking behaviors as opposed to "risk" behaviors and seek to further our understanding of the cognitive and experiential process of risk identification.

Adult↗
PubMedDate not supplied

The case for atypical antipsychotics in bipolar disorder.

As the opening scenario illustrates about Mary and Bob, bipolar disorder can be devastating to individuals and families. Managing symptoms through psychotropic medications can help people with mental illness better manage their lives. Our brief review of the current research supports the effectiveness of atypical antipsychotic medications and, therefore, supports their use in treating bipolar disorder.

Adult↗