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Biomedical subjects

S L Theis

Publications and source records attributed to S L Theis.

11 recordsLinked to original sources
PubMed1995

Strategies for teaching patients: a meta-analysis.

The purpose of this meta-analysis was to synthesize the existing body of research examining teaching strategies used in patient education. An extensive literature search revealed 72 studies that met inclusion criteria. Studies were coded for general, substantive, and methodological characteristics, and an effect size was generated for each study. Mean effect size was 0.41, indicating that 66% of subjects receiving planned teaching had better outcomes than did control group subjects receiving routine care. Structure yielded the highest effect size, with reinforcement, independent study, and use of multiple strategies also above the study mean. Differences in mean effect size were also found in other variables (type of outcome measure, teaching content, type of instructional media, type of learning activity, retention of learning, quality of study methods, and publication date). Implications for research and clinical practice are discussed.

Humans↗
PubMed1994

Respite for caregivers: an evaluation study.

This evaluation study measured the effect of respite on family caregivers of the elderly. The specific aims were: (a) to learn the effect of respite on the evaluation variables of caregiver quality of life, mood, and response to caregiving; (b) to learn relations between the demographic variables and the evaluation variables; and (c) to examine respite to identify benefits other than those being directly measured. Subjects were 130 caregivers, with 6- and 12-month data on a small subsample of the 130. Interviews with caregivers and satisfaction surveys supported respite as an effective intervention. Quantitative analysis showed that none of the evaluation variables changed statistically. The caregiver mood variable evidenced positive changes; other variables changed negatively. Research issues, such as the short time subjects were in the respite program and the lack of sensitive measurement tools, are discussed. Clinical implications for community health nurses are also discussed.

Adult↗
PubMed1993

Adverse events in the hospitalized elderly.

This descriptive study examined the incidence, onset, and correlates of adverse events (acute confusion, adverse drug reactions, nutritional problems, pressure ulcers, falls, and transient urinary incontinence) experienced by elderly persons hospitalized for acute illness. The researchers studied 64 patients (mean age 74.4 years) for the duration of their hospitalization. Over half (54%) experienced some degree of acute confusion during their hospitalization. There was a 24% incidence of pressure ulcers and a 2% incidence of adverse reactions to medications. No instances of falls or transient urinary incontinence were observed or documented in this sample. Nutritional problems were identified in one third of the sample. Predictive profiles of patients at risk for adverse events associated with hospitalization were developed and provide directions for patient care and further research.

Age Factors↗
PubMed1991

Using previous knowledge to teach elderly clients.

1. Fluid intelligence decreases while crystallized intelligence continues to increase over the life span. 2. Nurses should determine what patients already know about how to care for themselves. 3. Nurses may help patients to learn better by intentionally basing new information on what patients already know.

Aged↗
PubMedDate not supplied

Needs assessment of caregivers of people with HIV/AIDS.

This descriptive study assessed 34 caregivers of people with HIV/AIDS to learn their perceived needs, concerns, and use of services. Results indicated the most common health problems of the care recipient were fatigue and weight loss; care recipients needed help with climbing stairs, walking, and bathing; caregivers helped with the household chores, transportation, and companionship; caregivers were concerned about coping with loss and responsibilities; caregivers had help from family, case manager, and neighbor; caregivers wanted help such as a companion and counseling. Discussion relates to the implications of the study for health care professionals.

Adaptation, Psychological↗
PubMedDate not supplied

Discharge teaching. Work strategies of patients and families for care in the home.

PURPOSE: To better understand how care givers, and their care receivers who have experienced mobility limitations over a period of time, enhance the work of care in the home. DESIGN: The qualitative method of grounded theory was used to identify work strategies enacted by care dyads consisting of informal (family) care givers and their care receivers. SAMPLE: The sample consisted of 60 care dyads. METHOD: Data was collected via semi-structured interviews conducted in the care receiver's home. After leaving the home, interviewers completed end notes describing the care situation. MAIN RESEARCH CLASSIFICATION: Nursing Research, Orthopaedic Nursing, Home Health Nursing. FINDINGS: Content analysis revealed five interpersonal and informational work strategies, used by both care givers and care receivers, to facilitate the work of care: Sharing Ideas and Feelings, Delegating, Achieving a Common Goal, Identifying Sources of New Information, and Creative Problem Solving. End note data substantiated the benefits of using these strategies. CONCLUSION: Although providing care to a family member in the home is frequently thought of as "work," few analysts have described the nature of this work or considered the care receiver as a worker. This study identified the important role of the care receiver in the work of care in the home and delineated five specific Work Strategies used by informal care givers and their care receivers to facilitate such care. IMPLICATIONS FOR NURSING RESEARCH: Ongoing research is needed for further clarification of these strategies and for development of innovative ways to teach the strategies to informal care givers and their care receivers as they prepare to live with mobility limitations in the home setting.

Activities of Daily Living↗