RESUMO
Dowd, a faculty member, is a strong proponent for nurses sharing their stories. Miller's story about her volunteer experience was so compelling that Dowd challenged her to share it with the nursing community. This story is a demonstration of how a nurse can bring leadership, sensitive interpersonal skills, and a sense of humor to help forge a cohesive and outward looking temporary community. Nurses naturally interact from a paradigm of care and comfort. Miller makes this interaction explicit. The outcome of the journey was a memorable lived experience that brought caring, healing, and comfort to a situation of devastation. It is hoped this nursing story will inspire the reader to try a similar new role or to tell their story.
Assuntos
Planejamento em Desastres/organização & administração , Desastres , Empatia , Saúde Holística , Liderança , Papel do Profissional de Enfermagem , Humanos , Pesquisa Metodológica em Enfermagem , Recursos Humanos de EnfermagemRESUMO
Three nursing interventions to increase total comfort and reduce stress-related events in young college students experiencing stress were compared. Healing Touch, coaching, and a combination of both, were compared to a waitlist. On comfort and stress, Healing Touch had better immediate results, while coaching had better carryover effects.
Assuntos
Aconselhamento/métodos , Estresse Psicológico/prevenção & controle , Estudantes , Toque Terapêutico/métodos , Universidades , Adolescente , Adulto , Fatores Etários , Análise de Variância , Atitude Frente a Saúde , Terapia Combinada , Estudos Cross-Over , Humanos , Análise Multivariada , Avaliação em Enfermagem , Pesquisa em Avaliação de Enfermagem , Teoria de Enfermagem , Ohio , Escalas de Graduação Psiquiátrica , Índice de Gravidade de Doença , Estresse Psicológico/diagnóstico , Estresse Psicológico/psicologia , Estudantes/psicologia , Inquéritos e Questionários , Toque Terapêutico/enfermagem , Resultado do TratamentoRESUMO
This study provided preliminary evidence for internal consistency reliability (Cronbach alpha = .94) of the newly developed Healing Touch Comfort Questionnaire. Fifty-six Healing Touch (HT) recipients (51 women and 5 men with a mean age of 51) completed the questionnaire. Participants with more than 4 HT treatments had higher comfort levels than those with fewer than 4.
Assuntos
Saúde Holística , Enfermagem Holística , Satisfação do Paciente , Toque Terapêutico , Adulto , Idoso , Conscientização , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Inquéritos e Questionários , Toque Terapêutico/psicologiaRESUMO
Both urinary and fecal incontinence are frequently occurring problems with costly consequences - physically, emotionally, and economically. General self-management strategies to promote continence, as well as behavioral and medical interventions, are often advocated. In this article, strategies based on a cognitive model are directed toward 2 overall goals: managing cognitions that are largely outside the individual's control while altering those within the individual's control, and improving management of continence with cognitive techniques. This approach expands and supports the behavioral and medical approaches to continence care. Nurses can use this comprehensive approach to increase the likelihood of positive continence outcomes.
Assuntos
Adaptação Psicológica , Atitude Frente a Saúde , Terapia Cognitivo-Comportamental/métodos , Incontinência Fecal/prevenção & controle , Autocuidado , Incontinência Urinária/prevenção & controle , Emoções , Incontinência Fecal/psicologia , Objetivos , Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde , Saúde Holística , Humanos , Controle Interno-Externo , Modelos Psicológicos , Negativismo , Papel do Profissional de Enfermagem , Autocuidado/métodos , Autocuidado/psicologia , Autoimagem , Autoavaliação (Psicologia) , Vergonha , Pensamento , Incontinência Urinária/psicologiaRESUMO
The Healthy Bladder Program was developed as part of an academic and health care partnership and was designed specifically for older adults residing in independent and assisted living. Program content was based on best practices that can be used by nursing staff to provide information about promoting and maintaining bladder health. One hundred eighty older adults, recruited from long-term care retirement communities, attended the 1-hour program. Findings showed that the program was successful in providing bladder health information that older adults could use immediately; suggestions are given for best practice applications.
Assuntos
Enfermagem Geriátrica/organização & administração , Educação em Saúde/organização & administração , Promoção da Saúde/organização & administração , Incontinência Urinária/prevenção & controle , Adulto , Idoso/psicologia , Idoso de 80 Anos ou mais , Atitude Frente a Saúde , Benchmarking , Feminino , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa em Avaliação de Enfermagem , Guias de Prática Clínica como Assunto , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Autocuidado/métodos , Autocuidado/psicologia , Estados Unidos , United States Agency for Healthcare Research and QualityRESUMO
Compromised urinary bladder syndrome (CUBS) is defined as urinary frequency (UF) and/or urinary incontinence (UI) sufficient to be a problem. This term is an expansion of separate mainstream concepts referring to UF and UI, because the new term entails both phenomena considered at one time. Cognitive strategies (CS) offer one way to enhance the effectiveness and implementation of behavioral interventions directed to assist persons with CUBS. Two hypotheses predicted that persons receiving bladder health information would show less improvement on the outcomes than those receiving CS only or those receiving CS plus coaching after adjusting for type of UI. Secondly, persons receiving CS only would show less improvement on the outcomes than those receiving CS plus coaching. Data were collected at 3 time points, and the outcomes measured were comfort, bladder function, incidents of UF/UI (as recorded by participants in a diary), and perception of health. Neither hypothesis was fully supported. However, persons receiving information and information with CS plus coaching improved on comfort and UI/UF; all groups increased on bladder function; and perception of health did not change in any of the groups. Explanations for the mixed findings are proposed. In general, these findings support the application of conservative, noninvasive cognitive interventions innovatively applied through the use of pamphlets and audiotapes to help persons with CUBS experience increased comfort and improved bladder function. Implications for clinical practice are to provide a two-tiered intervention: education followed by CS with coaching if needed to enhance bladder function. A nursing role (as coaching) to augment specific interventions for CUBS is supported and should be differentiated for persons with symptoms of urgency.
Assuntos
Terapia Cognitivo-Comportamental/métodos , Papel do Profissional de Enfermagem/psicologia , Relações Enfermeiro-Paciente , Educação de Pacientes como Assunto/métodos , Apoio Social , Gravação em Fita , Transtornos Urinários/enfermagem , Transtornos Urinários/reabilitação , Adulto , Idoso , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , FolhetosRESUMO
There is a need for standard functional and psychosocial measurements of compromised urinary bladder syndrome (CUBS). Utilizing Kolcaba's Comfort Theory, the purpose of this study was to assess the psychometric properties and relationships among 8 measures of comfort, status of urinary frequency and incontinence, and quality of life. A convenience sample of 47 persons (45 women, 2 men) ages 25 to 92, who had UI for more than 6 months, was recruited. Data were collected twice with a 2-week interval. We examined (a) 1 measure of the immediate outcome of comfort related to CUBS, (b) 5 measures of UI status, and (c) 2 measures of quality of life. Reliabilities were adequate for all measures. Relationships among variables are presented and discussed. Recommendations are made for measures that detect improvement over time related to first line interventions.