Chess and gardening: the Rx for Alzheimer's?
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Biomedical subjects
Publications and source records attributed to Ruth Davidhizar.
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When nurses relate to patients from diverse cultures many times fears and anxieties of the patient and family, differences in communication style, differences in values, and insecurities interfere with the therapeutic nurse-patient relationship. Active listening is an intentional strategy that can provide a bridge across cultural barriers, allow cultural bias to be dealt with constructively, and can assist the nurse and patient in ensuring that patient needs are met. Active listening benefits not only the patient but the nurse and can result in the delivery of culturally competent care to the diverse patient.
Nurses can serve a significant role in helping patients reduce their blood pressure and in achieving goals for attaining a healthy blood pressure. Strategies that can help include 1.) Increase awareness of the need to assess, treat, and control blood pressure, 2.) Assist patient with high blood pressure to effective evaluation and monitoring, 3.) Motivate patients to assess and manage their blood pressure, 4.) Use correct technique to measure blood pressure, 5.) Provide patient education, 6.) Provide Patient Education Resources, and 7.) Modify treatment for older patients to achieve treatment goals.
In much of nursing academe the words "self-study" and "accreditation site visit" are enough to squeeze the coronary arteries of nurse administrators and faculty. Such words conjure up images of months of labor intensive work, anxiety and concerns that all might not go well and that the program's accreditation will be placed in jeopardy. Both the completion of a self-study, designed as a self-assessment of program strengths and weaknesses, and preparation for the on-site visit are an addition to the normal tasks of nurse administrators and thus often result in overtaxing resources allotted to maintenance of the program.
Role play is a useful teaching strategy for nursing education. This strategy can simulate patient behaviors, as well as demonstrate nursing interventions that students must learn to be clinically competent. Role play is a dramatic technique that encourages participation to improvise behaviors that may be encountered in nurse-patient situations. Using this technique, participants may test behaviors and decisions in an experimental atmosphere without risk of negative effects in a relationship. Role play is useful in developing cultural competence because participants may experience diverse roles. Cultural competence is the ability to care for patients in a culturally sensitive and appropriate manner. In role play, students may participate as culturally diverse patients or as nurses encountering patients from different cultures. Various teaching strategies facilitate successful use of role play in the classroom, including defining a time frame, selected roles, specific objectives, references, and grading criteria. To optimize learning, the importance of exploration and analysis must be emphasized. Many benefits and potential problems accompany use of role play.
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This article provides recommendations for new and experienced reviewers based on the authors' experiences as editors, authors, and peer reviewers. By adherence to the techniques below, reviewers can make positive contributions to the professional community in addition to improving their personal publication, reviewing, and writing skills.
The nursing shortage is deepening in the United States. This requires strategies that will reach yet untapped sources of potential students and increase interest in students that are not yet committed to a career path. Targeting middle school and early high school students with presentations on nursing can influence them to select a career with exciting opportunities that they may not have considered.
Maintaining a positive attitude in the face of adversity is one of the most powerful forces in the world. In a world where everyone is searching for happiness it is essential to understand the dynamics of happiness and to utilize strategies to enhance feelings of optimism and positive attitude.
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With the current, widespread, highly visible, non-fault dismissals brought about by massive hospital downsizing and restructuring, there has been a layoff of many capable, responsible, and respectable managers. In some localities it will not be possible to obtain a similar position to the one that is lost. Adjusting to this significant life transition event, moving from one job to another involves a process that is initiated when the manager's current reality is disrupted and ends when a bridge is built from the disrupted reality to one of the possible realities that can be created. During this process there are many emotional ups and downs and confusion as to identity. While what is happening may be clear to an observer, for the person in transition reality may be fractured in such a devastating way that it is like being frozen in time. Finally, a new reality is built as the old one is relinquished, and the excitement of new beginnings is experienced with a new and perhaps different role. Eventually, the pain and disappointment of losing a job is replaced with the challenges of the present. Meanwhile, while the present job seems secure it is good planning for the future to be aware and ready for the job hunt process. Getting laid off or fired is a real possibility in today's tightening economic conditions and the astute nurse manager should be ready for it.
All nurses will from time to time find themselves in negative interactions with doctors and other health professionals. By using positive communication techniques the nurse can promote healthy interpersonal interactions and a positive atmosphere. By selecting responses rather than responding spontaneously difficult situations can be managed and a professional environment maintained. This will improve patient outcomes and promote optimal patient care.
Many times nurses are inattentive to the techniques of a proper introduction. A good nurse may know the techniques but fail to take advantage of the benefits that can be derived from an excellent introduction. A nurse should be aware of the benefits of a well-delivered introduction as well as the liabilities that can result from an introduction that is poorly delivered. This paper explains common settings where introductions occur, causes of poorly delivered introductions, and strategies for special introduction interactions.
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An administrator who is able to delegate to subordinates without feeling the need to "micromanage" gains power by "letting go." Power is the ability to influence others by persuasion in coercion. The administrator who is able to "let go" can enjoy the role of facilitator and mentor to subordinates. Details that were formerly obsessed about can be left to others. The administrator who has accomplished the art of "letting go" can say of a subordinate manager, "I trust the manager as a competent professional. I don't 'supervise' constantly. That would be 'micromanaging.' If that person needs some assistance, I will encourage the request."
Managers are challenged by diverse characteristics of persons belonging to certain groups. This paper outlines characteristics of "cruisers" and "seekers" and managerial strategies for responding to these characteristics for leadership effectiveness.
The Giger and Davidhizar Transcultural Assessment Model was developed in 1988 in response to the need for nursing students in an undergraduate program to assess and provide care for patients that were culturally diverse. The model includes six cultural phenomena: communication, time, space, social organization, environmental control, and biological variations. These provide a framework for patient assessment and from which culturally sensitive care can be designed.