Assuntos
Cuidados Críticos , Capacitação em Serviço/métodos , Recursos Humanos de Enfermagem Hospitalar/educação , Preceptoria/métodos , Chicago , Educação a Distância , Humanos , Capacitação em Serviço/organização & administração , Modelos Educacionais , Simulação de Paciente , Preceptoria/organização & administração , Desenvolvimento de Programas , Avaliação de Programas e Projetos de SaúdeRESUMO
A task force appointed by the American Board of Neuroscience Nursing conducted a role delineation study to define current practice in neuroscience nursing. The results were used to validate the content matrix for future Certified Neuroscience Registered Nurse (CNRN) examinations. The study employed a survey design for which the Nursing Intervention Classification taxonomy was the guiding theoretical framework. The eligible sample included all current CNRNs and all members of the American Association of Neuroscience Nursing. An invitation to participate in an online survey was successfully emailed to 2,462 neuroscience nurses; the survey was completed by 477 respondents. They rated the performance and importance of 175 neuroscience nursing activities. On the basis of data analysis conducted by Schroeder Measurement Technologies, Inc., the task force recommended revisions to the CNRN examination matrix to reflect current practice in neuroscience nursing.
Assuntos
Certificação , Neurociências , Papel do Profissional de Enfermagem , Especialidades de Enfermagem , Análise e Desempenho de Tarefas , Pesquisas sobre Atenção à Saúde , Humanos , Neurociências/classificação , Processo de Enfermagem , Especialidades de Enfermagem/classificação , Estados UnidosRESUMO
Syringomyelia, considered a rare neurological disease, is relatively uninvestigated in the nursing literature. The aims of this qualitative phenomenological case study were to discover the nature, meanings, and dynamics of lived experiences of a 52-year-old Caucasian male with syringomyelia. Using van Manen's Method of Phenomenological inquiry (van Manen, 1990), data were collected, checked, and analyzed according to the philosophy, approach, and methodological procedures of phenomenology. Findings revealed an overarching theme of engulfment by disease. Essential themes included loss of abilities, struggles to adapt to changes, and life as a person who was disabled. Eleven sub-themes were also identified. Implications for nursing practice are discussed.
Assuntos
Adaptação Psicológica , Atitude Frente a Saúde , Pessoas com Deficiência/psicologia , Siringomielia/psicologia , Atividades Cotidianas , Ira , Imagem Corporal , Pesar , Humanos , Acontecimentos que Mudam a Vida , Masculino , Homens/psicologia , Pessoa de Meia-Idade , Modelos Psicológicos , Pesquisa Metodológica em Enfermagem , Pesquisa Qualitativa , Autoimagem , Papel do Doente , Apoio Social , Cônjuges/psicologia , Inquéritos e Questionários , Siringomielia/prevenção & controleRESUMO
The purpose of this phenomenologic case study was to disclose the lived experiences of a woman survivor of invasive bladder cancer who underwent reconstructive surgery resulting in re-established urinary continence. Data revealed the chronic nature of managing reestablished urinary continence, the uncertainty of long-term survival, and the complexity of the sudden loss of urinary continence.
Assuntos
Adaptação Psicológica , Sobreviventes/psicologia , Neoplasias da Bexiga Urinária/psicologia , Mulheres/psicologia , Atividades Cotidianas , Cistectomia/efeitos adversos , Cistectomia/psicologia , Feminino , Humanos , Papel do Profissional de Enfermagem , Pesquisa Metodológica em Enfermagem , Autoimagem , Apoio Social , Inquéritos e Questionários , Neoplasias da Bexiga Urinária/complicações , Neoplasias da Bexiga Urinária/terapia , Incontinência Urinária/etiologia , Incontinência Urinária/psicologiaRESUMO
Syringomyelia is a progressive degenerative disorder that results in numerous life-altering symptoms. People with this disorder frequently are misdiagnosed and most likely will experience intractable pain for many years. Surgical procedures may offer some relief from symptoms through spinal decompression or cerebrospinal fluid shunting; however, these procedures often are unsuccessful in altering the course or progression of the disease process. Information on the implications of the disease offers insight that is helpful for nurses providing care to these patients. This article presents relevant clinical information and discusses surgical procedures, as well as a patient's perspective on living with this relatively unknown disorder.
Assuntos
Procedimentos Neurocirúrgicos/enfermagem , Enfermagem Perioperatória , Siringomielia/cirurgia , Adulto , Sistema Nervoso Central/anatomia & histologia , Sistema Nervoso Central/fisiologia , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Siringomielia/etiologia , Siringomielia/enfermagem , Ferimentos e Lesões/complicaçõesRESUMO
The objective of this article is to discover meanings of stroke in elderly, non-institutionalized women survivors. Using a qualitative design, a purposive sample of five elderly women in residential settings was studied. Data were gathered through interviews and analyzed using van Manen's method of thematic analysis. An overarching theme of transition with transformation from stroke was identified. Five sub-themes were identified, including deterioration and decline, loss and helplessness, regret, uncertainty and anxiety about the future, and resiliency. Six interwoven additional themes were also identified. Informants experienced numerous changes as a result of stroke that affected ways women perceived themselves and their lives. Knowing meanings of stroke experiences may enable nurses to view stroke survivors with a wider lens, enabling responsive, appropriate care that embraces humanistic perspectives.
