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Biomedical subjects

R Davidhizar

Publications and source records attributed to R Davidhizar.

At least 253 records · Page 14Linked to original sources

Criticism: a by-product of controlling infection.

The nature of the HE/ICP's work involves communicating improvements staff must make to provide a safe environment for patients. All too often this has resulted in the change agents being viewed as highly critical. HE/ICPs who are viewed positively will be able to execute change more smoothly and with less resistance. This article has outlined five guidelines for initiating change that enable HE/ICPs to be viewed in a positive rather than overly critical role.

Attitude of Health Personnel↗

How postpartum women explain their lack of obtaining adequate prenatal care.

The quality of life for infants and children is often dependent on the adequacy of the prenatal care pregnant women receive. From July through to December 1985, 15% of pregnant women in one Midwestern county were identified as having inadequate prenatal care. The purposes of the study were to identify and analyse the reasons women in that county gave for not obtaining adequate prenatal care. In addition, chi-square was used to determine the relationship between the reasons given and the three variables, age, time between knowledge of pregnancy and making an appointment for care, and source of payment. A convenience sample (n = 44) was used in a study over a 5-month period at three locations. The Health Belief Model was the conceptual framework for this study. Insufficient money to pay for care was the primary reason given for not obtaining adequate prenatal care (81%). Other reasons included motivational issues (45%) and access or lack of transportation (19%). There was a significant relationship (P = 0.05) with four reasons to the variable of age and with three reasons to both the variables of time and source of payment. The following recommendations were identified as a result of this research: the need for subsidized prenatal care and the need for a community-wide education campaign regarding the need for adequate prenatal care and the consequences of inadequate care. Prenatal care is sometimes not available to all in the United States in spite of the relationship of infant mortality and the quality of life for infants and children to adequate prenatal care.

Attitude to Health↗

Developing communication skills for use with Black patients.

The purpose of this article is twofold: 1) to familiarize nurses with the conceptual and historical development of Black English; and 2) to improve communication between nurses and Black patients. A plea is made for the introduction of these concepts into the curricular of all Schools of Nursing.

Black or African American↗

The difficult doctor.

Nurses in the operating room may find themselves in interpersonal conflict with difficult doctors. It is important to remember that the relationship may be influenced by patterns of thinking and behavior learned in childhood, in one's culture, and through the professional socialization and education process. The nurse may be able to improve communication by assessing the difficult doctor's interaction, using approaches that will elicit cooperation, timing approaches strategically, avoiding approaches that will precipitate defensiveness, and using direct approaches.

Communication↗

Using confrontation in the OR.

Whereas some managers choose to avoid confrontation because it is likely to sound punitive or provoke self-defensive or aggressive responses, others use it extensively, believing that confrontation holds people accountable for their behaviors. The final decision on how much, when, and with whom to use confrontation must be based on a deliberate evaluation of the situation and the best judgment of the manager.

Administrative Personnel↗

Nursing theory. Nightingale & Roy--a comparison of nursing models.

1. Today, in an effort to develop the profession of nursing, nurses are working to base nursing actions on a theoretical model. 2. There are four reemerging themes evidenced in both the Nightingale and Roy models, including environment, person, health, and nursing. 3. The Roy and Nightingale models share more similarities than differences: both describe their metaparadigm (ie, environment, person, health, and nursing) in relation to their models.

Humans↗

Change: how to prepare for loss.

Adjusting to change is one of the most integral and yet most difficult tasks of the human experience. A variety of factors affect individual reaction to change, including unresolved childhood experiences with change, the degree to which change was anticipated, and simultaneous changes. Adjusting to change is an inevitable part of a health-care setting where change often appears to be the order of the day. The manager's ability to respond to change, to successfully separate from significant relationships and objects, and to reinvest in new relationships and objects is of vital importance to personal mental health and future job success. The manager also plays a key role in helping employees adjust to change by assisting them in planning for change, verbalizing feelings about the change, using support and coping strategies, avoiding hostile reactions, and focusing on the future.

Adaptation, Psychological↗

When subordinates go over your head. The manipulative employee.

When an employee goes over the manager's head to the manager's superior, a high degree of anxiety is often created for all three persons involved. The manager's ability carefully to assess the situation, to evaluate the dynamics present, and to respond deliberatively will be crucial to his or her effectiveness in handling the situation. Managers can view managing the manipulative employee as both a challenge and an opportunity. The manager who is able to respond effectively to the complex, interpersonal phenomenon of manipulation will gain not only self-confidence but the respect of colleagues.

Humans↗

Caring for the psychiatric inpatient with AIDS.

As the incidence of AIDS spreads to different groups, it becomes an increasing concern to health care givers. The emotional state of many psychiatric patients may make them more vulnerable to risk behaviors than the general population. This paper responds to several issues confronting the staff caring for patients with AIDS on a psychiatric unit.

Acquired Immunodeficiency Syndrome↗

Resolving conflict in long-term care.

1. The long-term care setting has unique conflicts involving staff, patient, and interpersonal dynamics. 2. Early detection of conflict symptoms facilitates interventions that enhance positive outcomes. 3. Utilization of the nursing process will effectively guide one-to-one or group conflict management. 4. Successful conflict management can enhance retention of staff, lower costs, and improve patient care.

Aged↗