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Biomedical subjects

P J Larson

Publications and source records attributed to P J Larson.

44 records · Page 3Linked to original sources

Theory development in a non-university service setting.

What is the role of the non-university service setting in theory development research? The authors discuss the importance of nursing theory to professional survival, economic necessity, and the generation of a knowledge base for practice. Motivational and contextual characteristics of the non-university setting that enhance or inhibit the conduct of research are identified. Common problems that arise from differing needs and goals of clinical nursing personnel and theoretical researchers are explicated. Specific strategies to facilitate theoretical research in a service setting are proposed.

Education, Nursing, Continuing↗

Perceptions of the needs of hospitalized patients undergoing bone marrow transplant.

The purpose of this study was to determine patients' (N = 30) needs during the first 4 weeks after bone marrow transplant. These needs were identified during interviews using constant comparative analysis. The first week focused on a team effort toward cure; the second week emphasized symptom management; the third week stressed the work of getting better; and by the fourth week, there was concern about recovery and going home. Patients identified themselves, along with nurses, family, and physicians, as being responsible for meeting these needs. They viewed nurses as being responsible for carrying out the medical orders, managing symptoms, and keeping things in order. Patients wanted their family to be supportive emotionally and attend to their nonmedical needs and physicians to be responsible for the planning and monitoring of their medical care and to verify that satisfactory progress was occurring. For themselves, patients needed to maintain a positive attitude and be involved in their recovery.

Adult↗

Comparison of perceived symptoms of patients undergoing bone marrow transplant and the nurses caring for them.

This study describes the symptomatology of patients hospitalized for bone marrow transplant (BMT) (n = 30) and compares their perceptions of these symptoms to those of nurses (n = 28). Patients and nurses responded to the Symptom Distress Scale (SDS) four times: within 48 hours of BMT day one (T1); day 7-10 post-BMT (T2); day 20-23 post-BMT (T3); and day 30-34 post-BMT (T4). Patients also completed the Profile of Mood States at T1. Each time, the investigators completed a Karnofsky Performance Status evaluation of each patient. Patients perceived significantly more distress from their symptoms at T1 than their nurses perceived that they were experiencing. Over time, patients' SDS scores did not change significantly. However, nurses' SDS scores indicated significant differences, with their SDS scores at T1 less than those at T2 and T3. The results indicate the importance of nurses exploring the perceived symptom experiences of patients undergoing BMT. Any incongruence between nurses' and patients' perceptions potentially could prevent patients' symptoms from being managed effectively.

Activities of Daily Living↗