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Biomedical subjects

R Davidhizar

Publications and source records attributed to R Davidhizar.

At least 289 records · Page 16Linked to original sources
PubMed1987

Developing a privileging process for the psychiatric nurse.

A privileging process for nurses has the potential for improving nurses' professional performance and increasing the quality of patient care. At Logansport State Hospital, a psychiatric hospital in Logansport, Indiana, a privileging process was developed in which advanced psychiatric nursing skills and areas of expertise are delineated as privileges. Twelve privileging areas were established along with specific educational and performance criteria. By requiring nurses to reapply for privileges on an ongoing basis, the hospital assures the continued education and competency of its nursing staff.

Credentialing↗
PubMed1984

Can the client with chronic schizophrenia consent to nursing research?

As nurses enter the field of research and design nursing studies, an awareness of the standards of informed consent becomes imperative. Informed consent is commonly considered to include providing the subject with adequate and understandable information regarding therapeutic and experimental procedures and ensuring subjects' competent understanding of this information. Providing information about a procedure is relatively easy but evaluating competency is often difficult. It is especially difficult with the subject who may suffer cognitive impairment, e.g. schizophrenia. Clients with schizophrenia have traditionally been a disenfranchised group. It is important they do not become neglected in nursing research because of concerns about competency to provide informed consent. This paper provides a discussion of the historical development of informed consent. Additionally, the legal standards of informed consent and the legally accepted standards of competency are elucidated. Four issues are considered: (a) evidencing a choice, (b) factual understanding of the issues, (c) rational manipulation of information, and (d) appreciation of the nature of the situation. These issues are related to a nursing research study designed by the senior author to test the beliefs of subjects with chronic schizophrenia.

Adult↗
PubMed1983

Critique of the health-belief model.

Health-related behaviour is an important issue for providers for health care. Understanding and being able to predict and influence health behaviour are all essential if client co-operation and participation is to be obtained. Since nurses spend more time with patients than any other health care professional, they are in a position to influence health behaviour. Optimal interaction with patients and potential patients is the result of careful application of theory. The health-belief model offers an approach to understanding health-related behaviour. A clear understanding of the cause of behaviour is necessary in order to predict change. A clear understanding of cause is also necessary for determining methods to influence health behaviour. As a new model and one developed for the healthy, the model needs development and testing for applicability in understanding health and other behaviour. Nurses can make a significant contribution in this development by testing aspects of the model. This paper summarizes the model and assesses the model using specific criteria for a theory.

Attitude to Health↗
PubMedDate not supplied

The use of Orem's model in psychiatric rehabilitation assessment.

Nurses in service, rehabilitation, and education have found that Orem's self-care model provides a useful framework for assessing the patient's needs and organizing care. The model has been found to be useful in assessing the long-term-care psychiatric patient.

Humans↗
PubMedDate not supplied

The benefits of triad communication in home health care.

Triad communication can be used by the nurse to facilitate communication with a patient and a caregiver in home health care. The family members may be involved as listeners or in discussion with the patient, the nurse, or both. The caregiver is selected based on specific communication objectives and the third person's ability to assist in meeting these objectives. Triad communication can (a) support the family and patient, (b) increase the caregiver's understanding, (c) increase compliance, (d) increase the nurse's understanding, (e) reinforce instruction, (f) decrease manipulation, (g) promote communication between family members, and (h) facilitate positive patient-family relationships.

Caregivers↗
PubMedDate not supplied

Disability does not have to be the grief that never ends: helping patients adjust.

Chronic disability is a major health problem in this country. Many diseases, illnesses, and accidents result in chronic physical or emotional disability. The National Head Injury Foundation reports that 700,000 people annually will require some hospitalization after motor vehicle accidents alone. Of these, 50,000 to 90,000 will never completely return to their previous lifestyles. Thousands more will have to make adjustments to disabilities as a result of other injuries or medical complications. Regardless of its severity or cause, a disability of any sort frequently presents a major adjustment problem for the patient.

Adaptation, Psychological↗
PubMedDate not supplied

Helping the client with chronic disability achieve high-level wellness.

Clients with chronic disability often define themselves in terms of their sick role. Today, many healthcare professionals and laypersons alike prefer to view the individual as a unified whole striving toward high-level wellness. Thus, a client may be diagnosed with a physical illness, a chronic illness, or a disability but may still work to attain high-level wellness by functioning in an integrated way with the environment. This article describes the client with chronic disability in relation to high-level wellness and provides techniques nurses can use to facilitate a client's positive adjustment.

Chronic Disease↗