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Biomedical subjects

N J Schmieding

Publications and source records attributed to N J Schmieding.

At least 19 recordsLinked to original sources
PubMed1999

Reflective inquiry framework for nurse administrators.

Problematic situations comprise a significant proportion of nurse administrators' practice. Reflective inquiry is recommended as a method for identifying the problem and its solution. This approach is consistent with pragmatic philosophy which recognizes the fallacy of basing one's action on an a priori conclusion. Dewey's elements of reflective inquiry are used as the framework to analyse its relevance to administrative practice. Emphasis is placed on the importance of using empirical observations and thoughts in a serial back and forth process to discover the problem and its solution. The problems associated with non-empirical inquiry are examined. Reflective inquiry provides a directed rather than a haphazard approach to effective and efficient administrative practice.

Habits↗
PubMed1997

Gastric decompression in adult patients. Survey of nursing practice.

Using a 62-item investigator-developed mailed questionnaire, this descriptive study of 350 randomly selected staff nurses sought to identify variations in practices in the care of patients with nasogastric tubes. Reported here are the results on the 15 questionnaire items related to the use of nasogastric tubes for gastric decompression. Results show that practice is not always consistent with published research; additionally, there are areas of practice for which no research was found. Subjects' responses by age, education, and amount of experience showed marked frequency variations on several items, as did employment in teaching versus community hospitals. Results have implications for nursing educators in clinical agencies and nursing schools.

Adult↗
PubMed1995

The need for and process of collaborative international research: a replication study of Japanese staff nurse perceptions of head nurses' actions.

Despite differences between countries, people's health needs are similar, as are nursing problems and issues. Collaborative nursing research is needed to identify similarities and differences among countries. Visiting researcher(s), however, must understand the host country's culture and traditions to avert exploitation and misunderstanding. Collaborative research should enhance nursing in each country. The authors describe a replication study, in a Japanese hospital, of nursing administration research previously conducted in the United States, which compared the type of head nurse response staff nurses (n = 126) would prefer in a problem situation with what they perceived their head nurse would use. Included are: (a) a discussion of the need for research with attention to selecting a culturally compatible theory; (b) the history of the visiting and host researcher's relationship; (c) gaining approval to conduct the study; (d) a discussion of all aspects of the research methodology with special attention to reliability and validity in instrument translation; (e) a description of what occurred in Japan prior to and after data collections; and (f) elaboration of the problems and benefits of collaborative international research. Data comparison of the two studies indicated marked similarities between the staff nurses in these two countries.

Attitude of Health Personnel↗
PubMed1993

Successful superior-subordinate relationships require mutual management.

Although the superior-subordinate relationship is complex, it is filled with many opportunities for both to make the relationship meaningful and productive. Superiors' examination of their beliefs about subordinates as well as subordinates' determination of the bases of their assumptions about superiors address fundamental aspects of the relationship. Both the superior's and the subordinate's understanding of the complexity of authority lays the groundwork for reflective inquiry by superiors and risk taking by subordinates. In this competitive environment, without both good superiors and good subordinates organizations will suffer immensely. Acknowledging that the relationship requires careful management is the first step in making it mutually successful.

Administrative Personnel↗
PubMed1990

An integrative nursing theoretical framework.

The use of an integrative nursing theoretical framework for both clinical and administrative practice has recently been suggested. The author developed a theoretical framework which incorporates key concepts from the writings of Ida J. Orlando and Virginia Henderson and proposes it to be used as an integrative framework. The rationale for using a framework is discussed along with clinical and administrative examples of how to integrate concepts from the proposed framework. The reasons for using an integrative theoretical framework are that it: serves as a guide for both clinical and administrative decisions; forms the basis of the nursing philosophy; facilitates communication with patients and colleagues; helps identify congruent supporting theories and concepts; provides a basis for educational programmes; helps to differentiate nursing from non-nursing activities; and enhances nurse unity and self-esteem. The premise of the article is that benefits are derived from the use of a nursing theoretical framework because it provides a specific vision of nursing.

Communication↗
PubMed1988

Action process of nurse administrators to problematic situations based on Orlando's theory.

This study used Orlando's theory to investigate the action process of nurse administrators to realistic hypothetical situations presented to them by their staff. Ninety subjects recorded their thoughts, feelings and actions in response to six problematic situations. Findings indicated the administrators' first thought was seldom about their staff's reaction to the situation. Most experienced negative feelings about the staff member or about other people associated with the situation which were not expressed. The majority of administrators would handle the situation alone or tell the nurse what to do; less than half would ask their staff a question. The conclusion was that subjects did not consider situations as problematic.

Administrative Personnel↗
PubMed1987

Analysing managerial responses in face-to-face contacts.

Executive nurse managers, as well as other nurse managers, spend much time responding verbally to people. Whether or not their responses are effective in these situations remains an unexplored area in nursing administration. The author describes a research-based framework to analyse managerial actions. Five types of actions, three non-exploratory and two exploratory, were identified through previous research using Orlando's theory as the framework. Subsequent research suggests nurses prefer that their managers use exploratory action. The article contains discussion on how specific types of actions facilitate or thwart problem identification.

Administrative Personnel↗
PubMed1987

Problematic situations in nursing: analysis of Orlando's theory based on Dewey's theory of inquiry.

Orlando's theory, proposed as a framework to use in problematic situations, was analysed using Dewey's theory of inquiry. This analysis revealed that Orlando's concepts are remarkably similar to those of Dewey. Each used an organizing principle that was derived from the meaning of experience and both view investigation as a serial process using facts and ideas to determine the problem and its solution. Several areas in Orlando's work could be enhanced and extended through the formulations of Dewey. The analysis supports the use of Orlando's theory in problematic situations.

Humans↗