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Biomedical subjects

Z R Wolf

Publications and source records attributed to Z R Wolf.

At least 19 recordsLinked to original sources
PubMed2000

Responses and concerns of healthcare providers to medication errors.

This descriptive, correlational study examined the responses and concerns of healthcare professionals about making medication errors and estimated patient harm from such errors. A systematic random sample of nurses, pharmacists, and physicians (N = 402) completed a self-report survey about a medication error they judged to be serious. Respondents were guilty, nervous, and worried about the error. They feared for the safety of the patient, disciplinary action, and punishment. A few subjects indicated that they never reported the errors. The most frequent symptoms associated with errors were neurologically based. The injury suffered by patients was not severe overall according to the harm scales. Weak correlations were found for the harm scales and responses and concerns. The authors suggest a supportive environment for the provider following an error and continuous quality improvement efforts to eliminate system-based errors.

Attitude of Health Personnel↗
PubMed1999

Making nursing work visible inside and outside the profession.

The hidden work of nursing is explored in order to explain why the details of nurses' work stay inside the profession and why nurses should continue to display it on the outside. Examples of hidden work are examined, including the work of knowing how, knowing the patient, body work, comforting work, and helping people die a good death.

Attitude to Health↗
PubMed1998

Health risks and health promotion for older women: utility of a health promotion diary.

Elderly women require health screening and health promotion services from nurses and other health care providers. Nurses serving this population require knowledge of age-specific health screening and health promotion services. A case study from a geriatric nurse practitioner's practice demonstrates the complexity of these activities. A diary of such services can help nurses focus on elderly women's needs for health promotion interventions.

Aged↗
PubMed1998

Relationship between nurse caring and patient satisfaction.

A correlational study examined patients' (n = 335) reports of nurse caring and satisfaction with nursing care, using the Caring Behaviors Inventory and Patient Satisfaction Instrument. A strong, positive correlation (r = 0.78, p < .001, R2 = 61.46%) was found. The outcomes of this study have important implications for adult health nurses.

Adolescent↗
PubMed1997

Interventions used by staff nurses to manage "difficult" patients.

Interventions utilized by nurses to manage "difficult" patients and outcomes indicating successful interventions were investigated. Themes included getting the difficult patient label, difficult patient behaviors, reflecting on the label and passing it on, coping with a difficult patient, interventions that worked, and interventions that did not work. Clues indicating that patient behavior was changing were also identified.

Adaptation, Psychological↗
PubMed1996

Integrating research into acute care settings: reflections of two nurse researchers.

In this article, two clinical nurse researchers describe experiences with integrating a program of nursing research, including the use of the findings and methods of research and the conducting and disseminating of research, into two acute care hospitals. Strategic and contextual factors are specified in relation to targets within and outside of the hospitals.

Acute Disease↗
PubMed1995

Nurses' perceptions of harmful outcomes from medication errors.

To determine if factors associated with medication errors explained perceived harmful outcome from such errors, perceptions of vividly recollected medication errors were reported by a convenience sample of 206 hospital-employed RNs and LPNs who completed the Medication Error Risk Profile (MERP). Symptoms related to the error, radiology studies performed, the toxicity of the medication given, adverse drug reaction unrecognized at first, and transfer of the patient to another unit explained 38% of the variance in perceived harmful outcome. The implications of the this study for medical-surgical nurses are explored.

Adult↗
PubMed1994

Nurses' responses to organ procurement from nonheartbeating cadaver donors.

Brain-dead donors (ie, heartbeating cadaver donors) have been an accepted source of transplantable organs for many years. Clinicians in some medical centers are considering nonheartbeating cadaver donors (ie, patients who decide to discontinue life-support measures and become organ donors) as another source of transplantable organs. This study explored registered nurses' responses to caring for nonheartbeating cadaver donors and described their intentions to care for such donors, their reactions to caring for them, and the meaning of these reactions and intentions. The nurses interviewed expressed resentment at the intrusion of technology; they preferred brain-dead status in organ donors; they feared legal repercussions from families; they speculated about nonheartbeating cadaver donors' ability to feel pain, and they expressed concern about withdrawing life-support measures, honoring patients' wishes, allocating nursing care as a scare resource, and witnessing family members' pain.

Adult↗
PubMed1994

A faculty-practice program: three perspectives.

An urban school of nursing and a 631-bed acute care teaching facility, two independent organizations, created a faculty-practice program in 1990 modeled after one at Cedar Crest College, Allentown, Pennsylvania. Currently there are two full-time faculty joint appointees on 12-month contracts: an Associate Director for Nursing Research/Clinical Nurse Researcher (CNR) and an Associate Director for Nursing Administration. The benefits and challenges of the faculty-practice appointments are explored from three viewpoints: those of the (1) Chief Nurse Executive of the medical center, (2) the Dean of the School of Nursing, and (3) the Joint Appointee, Associate Director for Nursing Research. The joint appointee also describes the roles and functions inherent in the joint appointee role, for example, researcher, teacher, consultant, collaborator, and grant writer. Position descriptions for each joint appointment are included.

Hospitals, Teaching↗
PubMed1994

Dimensions of nurse caring.

Dimensions of nurse caring were elicited through nurse and patient responses on the revised Caring Behaviors Inventory (CBI), a 43-item instrument. Subjects included 278 nurses and 263 patients and former patients. An exploratory factor analysis using the principal components method with varimax rotation was used to identify CBI dimensions; a five factor solution resulted. The five dimensions of nurse caring were respectful deference to others, assurance of human presence, positive connectedness, professional knowledge and skill, and attentiveness to the other's experience.

Attitude of Health Personnel↗
PubMed1994

Medical-surgical nurses' utilization of research methods and products.

The purpose of this study was: (a) to describe the self-reported use of the methods and products of research by medical-surgical nurses, and (b) to identify attitudes toward the use of research-based knowledge in clinical nursing practice. Two hundred and twelve registered nurses completed the Research Utilization Questionnaire. Survey results indicated that it was difficult for respondents to change practice based on research. Nurses were willing to participate in research if investigations were relevant to practice. Articles from nursing research journals were ranked low by the respondents as sources of knowledge, while information gained from individual patients was ranked high.

Attitude of Health Personnel↗
PubMed1993

The bath: a nursing ritual.

This article examines the bath as a nursing ritual, using examples from the literature from the 1880s to the present time. Selections from nursing periodicals and other literature are used to support the connections between past and present nursing practices in relation to bathing and hygienic care. The bath represents part of the essential character of nursing and is rooted in the beliefs, art, and science of the profession. It is a channel for many other nursing activities and responses, and as such, occupies a necessary part of nursing's repertoire and identity.

Attitude of Health Personnel↗