RN's assertiveness workbook: 'But you should have known how I felt!'.


Six mistakes that could land you in jail.


Why can't this patient breathe?

Why can't this patient breathe?


Legally speaking: how to avoid the 'good Samaritan' trap.


'Stop frustating nature in the first hours of life'.


Two-year progress report: safety to practice reviewed.


Crystal ball shows clear need for political action by nurses.


Use of systemic antibiotics in the burned patient. A diagnosis of clinical sepsis is the primary indication for administration of systemic antibiotics. Choices of antibiotics for sepsis, where cultures are unavailable, requires a knowledge of current strains in the unit where the patient resides and coverage for both Staphylococcus aureus and Pseudomonas. Dosage requirements are increased in burned patients and serum antibiotic levels must be monitored for maximal effectiveness and minimal toxicity. Localized foci of infection must be identified and eradicated with regional antibiotic therapy or surgery when possible. Gram-negative pneumonia in the patient with an inhalation injury poses special difficulties in therapy. Resistance to antibiotics must be constantly guarded against and isolation procedures followed to avoid its propagation in the burn unit. Combination drug regimens and plasmid-directed therapy may in the future slow down the acquisition of further antibiotic resistance and lead to improved salvage of severely burned patients.


Apnea monitoring to prevent SIDS.

Apnea monitoring to prevent SIDS.


Beyond the hospital: diabetic day care.

Beyond the hospital: diabetic day care.


Nursing's case for third party reimbursement.


Patient assessment: pulses.

Patient assessment: pulses.


Tax facts for the single person supporting an elderly parent.


The management of pain.

The management of pain.


The suicidal adolescent.

The suicidal adolescent.


Nursing information center.

Nursing information center.


A biofeedback service by nurses.

A biofeedback service by nurses.


Transition into parenthood.

Transition into parenthood.


Nursing management of adriamycin extravasation.


Maternal response to infant behavior.

Maternal response to infant behavior.


Reactions to stored-blood transfusion.

Reactions to stored-blood transfusion.


Tracing arrhythmias.

Tracing arrhythmias.


HEW submits 'Health Care' plan. President Carter considers new NHI proposal.


Plasma 1,25-dihydroxyvitamin D and parathyroid hormone levels in paretic dairy cows.


Position statement emphasizes need for home health care.


Nurses design 'dynamic' care for elderly.


ANF establishes objectives for '79-80.

ANF establishes objectives for '79-80.


Expanded role vital for school nurse survival.


OR nurses need to go public.

OR nurses need to go public.


Captain of the ship vs captain of the team.


A choice for nurses: powerlessness or constructive power.


SOAPing the preoperative interview.

SOAPing the preoperative interview.


Roger Anderson device for distal radius fractures.


Nursing in the postoperative care unit: a review. Part 1: respiratory complications.


Nursing in the postoperative care unit: a review. Part 2: other complications.


Review: positioning for neurosurgery.

Review: positioning for neurosurgery.


Can counts be done on patients transferred from ED?


Can OR nurse "keep an eye on things" for anesthesiologist?


Eight steps to implementing a count system.


The perioperative role in practice.

The perioperative role in practice.


Safe handling and disposal of sharps.

Safe handling and disposal of sharps.


Is distribution of surgical schedule an invasion of privacy?


Will new nurses need a college degree by 1985?


Surgeons told to be active in OR safety.


SNAs report on entry into practice.

SNAs report on entry into practice.


Education changes affect health manpower.


New York state's 1985 proposal.

New York state's 1985 proposal.


Ohio proposes two types of nursing.

Ohio proposes two types of nursing.


Rural practice setting influences Idaho proposal.


Are OR nurses giving technical or professional care?


The hill tribes of Thailand, their opium use and addiction.


Treatment of heroin-dependent persons with antagonists: current status.


Planning drug abuse treatment: critical decisions. This paper identifies and discusses certain key issues which must be recognized and resolved as part of the process of planning drug abuse treatment efforts. It is emphasized that the approach which is ultimately adopted must be tailored to the specific needs which prevail in a particular locale, at a particular time. It is urged that the addict population be viewed as the most significant of all critics in assessing the appropriateness of the therapeutic services which are provided.


Lifestyle crisis.

Lifestyle crisis.


Nonexistence of N-acetylseryl-tRNA in rat liver. Reports of the existence of N-acetylseryl-tRNA in rat liver were reinvestigated. Methods were developed to permit recovery of N-acetylserine in a yield of 30--40% from N-acetylseryl-tRNA added to liver homogenates and cell-free incubations. [14C]Serine and [3H]acetate were injected into rats pretreated with iron and into rats after partial hepatectomy, and aminoacyl-tRNA was isolated from their livers. The amount of radioactivity associated with N-acetylserine in the amino acids released by hydrolysis from the aminoacyl-tRNA was negligible. No formation of N-acetylseryl-tRNA could be observed in incubations of acetyl CoA and seryl-tRNA or tRNA with enzyme fractions from liver of rats pretreated with iron. It is concluded that previous reports of the existence of N-acetylseryl-tRNA in rat liver are erroneous.


A nurse practitioner in a community college setting.


Who took the nurse out of nursing.

Who took the nurse out of nursing.


The patient in pain: handling the guilt feelings.


When babies cry.

When babies cry.


The distribution of drug use in Mexico: data from a national study.


The furfural test for cannabis: an evaluation and modification.


Childhood asthma: an outpatient approach to treatment.


Cross infection: a new approach to an old problem.


Effects of cannabis resin on learning by repetition in the rat. Studies were made of the effects of cannabis resin in differing doses on a type of learning by repetition, using the water-filled maze technique, and on the conditioned avoidance reflex in the rat. When administered at a dose corresponding to 0.5 mg of delta9-THC per kg, the resin led to improved learning in both the types of test employed; opposite effects were observed with the higher dose (corresponding to 5 mg of delta9-THC per kg). These effects are probably attributable to complex reciprocal action between the active constituents of the resin, particularly THC, and the metabolisms of the cerebral monoamines and c-AMP.


You and the law: on trial!

You and the law: on trial!


A framework for nurses providing care to laryngectomy patients.


The oncology nurse: life on an emotional roller coaster.


The Brompton Cocktail.

The Brompton Cocktail.


The gynecology chemotherapy nurse specialist.


Cancer nursing and the law. Informed consent: update on the Tuma case.


Research highlights. Nursing research unit at the Royal Marsden Hospital. Mastectomy--quality of survival.


Programmed instruction: cancer care. Cancer chemotherapy: steroid hormones.


Cancer audit. Nursing patient-care outcome audit: spinal cord compression from metastatic tumor.


Education for care.

Education for care.


The nursing process.

The nursing process.


The role of the nurse in renal care.

The role of the nurse in renal care.


Sexual activity following myocardial infarction.


Problem-orientated antenatal notekeeping: a useful primary health care tool.


Avoidable blindness: a world problem.

Avoidable blindness: a world problem.


Present-day key roles in nursing administration.


The 1965-1985 proposal for educational preparation for entry into the practice of nursing.


Nursing as a profession.

Nursing as a profession.


Historical perspective in Colorado.

Historical perspective in Colorado.


Ramifications of the implementation of the 1985 proposal on nursing in Colorado and implications for inaction.


Hourly rate nurses and overtime pay.

Hourly rate nurses and overtime pay.


Reflections.

Reflections.


The hazards and the joys of the first Chautauqua.


Child obesity: obesity in infancy.

Child obesity: obesity in infancy.


Child obesity: fact sheet.

Child obesity: fact sheet.


Child obesity: infant feeding confusion.


Child obesity: obesity in school children.


Child obesity: can you help?

Child obesity: can you help?


"Can we see your geriatrics, please?".

"Can we see your geriatrics, please?".


Frontier School of Midwifery and Family Nursing: students are teachers for a day.


Frontier School of Midwifery and Family Nursing: a student's viewpoint.


Frontier School of Midwifery and Family Nursing: reflections on a rural health experience.


The frontier school of midwifery and family nursing.


Frontier School of Medicine and Family Nursing: thoughts on family nursing practice.


Frontier School of Nursing and Family Nursing: education for tomorrow.


Frontier School of Midwifery and Family Nursing: into wider neighborhoods.


Frontier School of Midwifery and Family Nursing: the husbands, bless 'em!


Frontier School of Midwifery and Family Nursing: Charlie's story.


Urgent need: a public relations volunteer. Coming out of the closet: confessions of a public relations volunteer.


Frontier School of Midwifery and Family Nursing: the program today.


Education at large: the ladder without rungs.


Community health begins within.

Community health begins within.


Coping with stress - student style.

Coping with stress - student style.


Student stress.

Student stress.


Mind over platter.

Mind over platter.


Overweight students: what makes Nancy stuff it in?


Alcohol isn't the answer.

Alcohol isn't the answer.


What makes Nancy smoke.

What makes Nancy smoke.


The importance of touch in patient care.


Aminoacyl-tRNA synthetase mutants degrade protein at a normal rate. The stability of both rapidly and slowly degraded proteins in wild type CHO cells is similar to that in three ts aminoacyl-tRNA synthetase mutants at both permissive and non-permissive temperatures, although the degree of tRNA charging in the synthetase mutants differs considerably with temperature. These results indicate that the altered rate of protein breakdown seen under a variety of physiological conditions in eukaryotic systems is not mediated by uncharged tRNA.


Vibrio cholerae hybrid sex factor that contains ampicillin transposon Tn1. The ampicillin resistance transposon Tn1 was translocated from the R plasmid RP4 to the Vibrio cholerae conjugative plasmid, P. The hybrid sex factor P::Tn1 was highly transmissible and expressed the biological activities of the P factor. In addition, P::Tn1 facilitated transfer of RP4 to V. cholerae recipients. Physical studies of P::Tn1 indicated that the Tn1 transposon was added to the otherwise unaltered P plasmid.


Carbenicillin for treatment of Bacteroides fragilis infections: why not penicillin G? Carbenicillin has been advocated for treatment of infections caused by Bacteroides fragilis and other anaerobic bacteria. Wide-scale use of the drug in this setting could result in a substantial increase in carbenicillin-resistant Pseudomonas aeruginosa, an effect that would have serious implications. Thirty-four strains of B. fragilis, one-half from bacteremic infections, were tested in vitro, and penicillin G was found to be twice as active as carbenicillin on an equal weight basis; 94% of the strains were inhibited by 32 microgram of penicillin/ml, a level easily achieved therapeutically. Penicillin killed B. fragilis organisms as rapidly as carbenicillin. In two subjects given equivalent doses (100 mg/kg intravenously) of carbenicillin and aqueous penicillin G, the bactericidal activity of serum against B. fragilis after administration of each drug was the same. Controlled clinical trials of treatment of anaerobic bacterial infections with penicillin G in high dosage, carbenicillin (or closely related ticarcillin), clindamycin, and chloramphenicol should be undertaken. Carbenicillin (and ticarcillin) for the present would seem better reserved for P. aeruginosa infections.


Outcome criteria: a process for validation at the unit level. This study reports the development of a process for the validation of sets of outcome criteria. The process can be simply and inexpensively utilized at the unit level by staff nurses. It was tested by the investigators and did serve to differentiate between valid and invalid outcomes of nursing care.


The "cooling out" process in a complex organization. In a sequence of events described as the "cooling out" process, an administrative conflict snowballed to an irrevocable stage resulting  in an employee's dismissal. Such scapegoating reduces friction in the organization structure, but does not identify and resolve problems.


The clinical nurse specialist: implementing the role in a hospital setting. The introduction of a clinical nurse specialist into a functioning patient care setting represents a major institutional change, and implementation of the role should involve all affected staff members. The authors describe how one nurse unilaterally negotiated her role using an exchange theory approach. They make recommendations to help nursing service administrators aid in role negotiation.


What we can learn from Japanese management--the "godfather" system.


Writing for publication: a survey of nursing journal editors. Nursing administrators have exciting programs, thoughts, and experiences that can benefit the nursing community. Suggestions and advice offered by editors, representing seven nursing journals with a readership of nearly 200,000, are presented for those preparing to publish in the professional literature.


Information systems: the process of development.


Occupational therapy: it's more than fun and games.


Oh, my aching feet, back, arms, neck. Feeling physically fit not finished after an 8 hour day.


Teaching about traction by trading textbooks for toys.


Antibiotic treatment of chronic bronchitis.


Bacterial resistance to antibiotics.

Bacterial resistance to antibiotics.


Aerobiological model for assessing microbial contamination.


An effective project management approach.


Reaction of FDA to a fundamental change in the nature of regulations.


Adsorptive retention of Pseudomonas diminuta by membrane filters.


A postpartum evaluation tool.

A postpartum evaluation tool.


Consequences of prenatal exposure to diethylstilbestrol. Exposure to the drug diethylstilbestrol (DES) during the first 18 weeks of prenatal life can have many results ranging from benign misconfigurations of the reproductive organs to adenocarcinoma. Since the drug was routinely administered to pregnant American women from 1940 to 1970, a large population of Americans are involved. The key factor is early awareness to the exposure and careful follow-up. Since many of those exposed are unaware that they received DES, the health care profession must be attuned to the signs and symptoms predisposed by the exposure and be able to provide adequate follow-up and education concerning this medical problem.


Home births.

Home births.


Relieving parental anxiety a booklet for parents of an infant in NICU. The transfer of a sick newborn infant to a Newborn Intensive Care Unit evokes an acute emotional crisis for the parents. In order to help the family master this crisis, the authors have developed a parent booklet entitled, "A Sign of Hope." This pamphlet introduces the parents to Newborn Intensive Care even before the transfer of the baby to the regional hospital. By merely changing a few words, telephone numbers, and maps, this brochure can be adapted for use at most Level II or III Newborn Special Care Units.


The Nurses Association of the American College of Obstetricians and Gynecologists.


Teaching health in a Natural History Museum.


A case for philosophy.

A case for philosophy.


Effective school nursing.

Effective school nursing.


School nurse certification with a health education minor option. Undergraduate nursing students, graduate nurses and practicing school nurses may enter a program of study at the University of Wisconsin-Madison leading to eligibility for certification as a school nurse. The option of attaining a minor in health education and certification eligibility as a teacher of health is available in conjunction with the school nurse program. The program and potentials are described and discussed.


Annie.

Annie.


Non-health professionals and the school-age child: early intervention for behavioral problems. A methodology is described to utilize dormitory parents in direct care activities for the early intervention of behavioral problems of the school-age child. Specific information gathering, assessment, treatment, referral and follow-up tasks were defined and incorporated into a problem-solving protocol which served to guide the dormitory parents through the defined problem-solving process, to promote early identification of students with a behavioral problem, and to expedite referral to a professional for students with more severe problems. The methodology was pilot-tested in a large American Indian boarding school and demonstrated the feasibility and efficacy of dormitory parents in a therapeutic role as one component of a team approach to the management of behavioral problems. The pilot study resulted in a significant reduction in the rates of alcohol abuse and school dropouts and deserves application in a variety of settings.


Nursing service contract: put it in writing!


The health ed major.

The health ed major.


The "other" venereal diseases: herpes simplex, trichomoniasis and candidiasis. Although the term venereal disease has been synonymous with gonorrhea and syphilis, the Center for Disease Control now states that the new cases of herpes simplex type - 2, trichomoniasis and candidiasis are rapidly approaching and, in certain instances, have surpassed the annual cases of syphilis and gonorrhea. Trichomoniasis and candidiasis are at times unbearable to millions of women. In relation to genital herpes, the circumstances are much more serious. It is rapidly approaching epidemic proportions, it has no cure, and it can be detrimental to the unsuspecting pregnant woman. It is imperative that, as health professionals, we broaden our teaching efforts to include these "other" venereal diseases and help our students to do what they can within the total framework of their own knowledge and behavior to avoid and treat venereal infections. Traditionally the term "venereal disease" has been thought of as being synonymous with only gonorrhea and syphilis because of their high incidence rates. The Center for Disease Control estimates that there are 3 million new cases of trichomoniasis and 300,000 to 1 million cases of herpes genitalis, compared to one million cases of gonorrhea and about 20,000 cases of syphilis each year. These incidence rates certainly indicate a need for our educational programs to include trichomoniasis and herpes simplex, as well as the traditional coverage of gonorrhea and syphilis, in our health education classes. But what are these other common, sexually transmitted diseases? What are their causes, symptoms and complications, and most important, how can they be prevented or at least treated?


Involuntary deviance: schooling and epileptic children. There exists in schools an unwritten set of presuppositions defining "normalcy." Students going beyond these boundaries of normalcy are encouraged (sometimes punitively) to change their behaviors. However, there is a growing awareness that not all children going beyond normalcy do so willingly. The phenomenon here termed "involuntary deviance" represents a way of perceiving and dealing with special students. An example, the case of children with epilepsy, is presented to illustrate the need for health educators and other educators to be familiar with such medical problems and, among their students, to help decrease the social stigma attached to some of these conditions. This need will become more urgent as the practice of mainstreaming students becomes increasingly prevalent.


School health education: general gains from specific tasks.


The fetal alcohol syndrome.

The fetal alcohol syndrome.


The professional health educator and the Firo-B: our person-profession relationship.


A thumbnail sketch about the functions of the PSRO.


Counseling clients in natural methods of family planning. This article describes the theory, methodology, and effectiveness of three natural methods of family planning: rhythm by calendar, strict basal body temperature rhythm, and combination calendar-BBT rhythm.  The author also appeals to family planning counselors to provide appropriate support and thorough teaching of the rhythmn method to those couples who choose to practice it and emphasizes that family planning counselors have the responsibility to present this method in a positive way when presenting alternatives to clients.  For rhythm might be the method of choice for the woman whose cycles are on the longer, more regular side and for whom the abstinence during the fertile period would present no hardship to the couple's normal pattern of sexual relations.  Contraceptive devices could be used as a supplementary measure during the fertile period.  The necessity for the cooperation of both partners is, however, essential to the workability of the natural methods of family planning.  High motivation, high knowledge of human reproductive physiology, and use of BBT all contribute to raising the effectiveness of the natural methods of family planning.


Marketing community health services.

Marketing community health services.


Quality assurance program in ambulatory care.


Hypertension: a disease of impaired regulation of blood pressure.


The Warnock Report.

The Warnock Report.


Uncommon accidents in obstetric practice. Part II.


The nutritional consequences of premature birth.


Coping with perinatal death. Part I. After effects and theory.


Coping with stillbirth.

Coping with stillbirth.


A masters degree in midwifery.

A masters degree in midwifery.


Weaning in a developing country.

Weaning in a developing country.


Measuring the quality of medical care: process versus outcome. The controversy over appropriate and efficient ways to measure the quality of medical care continues. Many experts call for increased attention to assessment of the outcome of care. Others maintain that process measurements are more direct and practical. But both measurement techniques are of questionable validity, and each obscures important problems of the differences among patients, disease severity, and medical performance.


Alternative physician payment methods: incentives, efficiency, and National Health Insurance. Physicians are the dominant group in our health care system. Their decisions often influence the ways by which society's resources are used to achieve and maintain health. But physicians are also social and economic beings; their behavior is, in part, determined by the way they are reimbursed. Reimbursement methods and physician preferences interact on important medical care variables: utilization of services; treatment setting; practice location and specialty choice; and the efficiency of an individual physician's practice.


Control, participation, and the British National Health Service. The experience of Britain's National Health Service since 1948 suggests that there is a conflict between different social values and policy aims, and that progress toward achieving more community or worker control is constrained by the pursuit of other desired objectives. The egalitarian ideology of the NHS emphasizes central control to achieve a nationally equitable distribution of resources. Emphasis on coordination between the NHS and other social services limits freedom of action. Democracy as accountable policy-making on a national scale may therefore be incompatible with democracy as direct control, whether by community or workers. To encourage participation means accepting diversity in the provision of health care and the multiplication of small, self-governing units. Similarly, worker control is professional autonomy writ large and may therefore conflict with community control.


Sharing: storm signals.

Sharing: storm signals.


Acute head injury: what to do when--an why.


Commonsense guide to topical burn therapy.


Nursing grand rounds: finding--and using--your patient's strengths.


To communicate with Mrs. Savage, we put bells on her toes.


Keeping patients alive in spite of postobstructive diuresis.


The common cold primer.

The common cold primer.


Positioning, percussing, and vibrating patients for effective bronchial drainage.


Assessing urinary incontinence in women.


Larynx reconstruction.

Larynx reconstruction.


History-taking skills: how do you rate?

History-taking skills: how do you rate?


A view from the top: today's needs in occupational health services.


Management's view of nursing.

Management's view of nursing.


Question: How effective is the "Occupational Health Nurse and Employee Mental Health" course? Answer: very!


Alcoholism primer for nurses.

Alcoholism primer for nurses.


Aggression as a response.

Aggression as a response.


Health care in the 1980's. Who provides? Who plans? Who pays?


Planning for the future--nursing's role.


Teaching the use of restraint through role play.


Issues and trends in the cost of nursing education.


A behavior modification approach to dealing with violent behavior in an intensive care unit.


Nurse participates in the political process.


Hospital cost containment--political realities.


The application of social learning theory to aggression.


Management of violent behaviors.

Management of violent behaviors.


The future mission of community nursing.


Handling the aggressive patient.

Handling the aggressive patient.


The potential of primary nursing.

The potential of primary nursing.


The future of professional practice.

The future of professional practice.


Manpower maldistribution.

Manpower maldistribution.


Evaluating the cost of technology.

Evaluating the cost of technology.


Combating noise pollution.

Combating noise pollution.


The rights of women.

The rights of women.


Some aspects of paediatric eye problems in Singapore.


Bedside haemodynamic monitoring in acute myocardial infarction.


Hypertension effective control.

Hypertension effective control.


Principles of rehabilitation.

Principles of rehabilitation.


Occupational therapy in rehabilitation.

Occupational therapy in rehabilitation.


Social problems in rehabilitation.

Social problems in rehabilitation.


Psychological reactions in disease and their management.


New health care systems.

New health care systems.


Nurse practitioners in sexually transmitted diseases.


Disease prevention--facts and fallacies.


Home safety.

Home safety.


Breast cancer.

Breast cancer.


Environment, cancer and research.

Environment, cancer and research.


Work-related diseases.

Work-related diseases.


Effects of noise pollution in the industrial environment.


Do-it-yourself in-service training.

Do-it-yourself in-service training.


Continuous assessment for nurses in the Thomas Guy School of Nursing.


Technology in nursing: respiratory function. 11. Research.


Christmas cheer.

Christmas cheer.


Continuous assessement for nurses in the Thomas Guy School of Nursing.


Systems of life. No. 49. Taste.

Systems of life. No. 49. Taste.


Between the devel and the PCT.

Between the devel and the PCT.


The graceful art of retiring.

The graceful art of retiring.


Where did you get that hat?

Where did you get that hat?


Theatre nursing care study: aorto-femoral graft.


Peutz-Jeghers syndrome.

Peutz-Jeghers syndrome.


A vacuum suction bottle holder.

A vacuum suction bottle holder.


The best way to lecture in rheumatology. Different methods of teaching nurses were tested.


An advance in the treatment of leg inequality.


Nursing care study: an infant with renal abnormality.


The patient's view of osteoporosis.

The patient's view of osteoporosis.


Varicose ulcers--treatment on an outpatient basis: how this is achieved in practical terms.


Arabian night.

Arabian night.


Radiation treatment planning.

Radiation treatment planning.


Health care in Kuwait.

Health care in Kuwait.


Caring for the people.

Caring for the people.


Leprosy today; a worldwide attack on leprosy has recently been launched.


Nursing care study: living with a colostomy.


Community nursing care study--old before her time.


Nurses and the law. 9. Employment law--4.


Group homes--a success?

Group homes--a success?


Could you care more?

Could you care more?


Destructive discipline.

Destructive discipline.


Senile dementia; a progressive condition with no known cause.


Management of feeding difficulties.

Management of feeding difficulties.


Acromegaly; a rare condition which develops insidiously.


Bangour village hospital.

Bangour village hospital.


Synapse: a glimpse into ward management.


A suitable case for special treatment.

A suitable case for special treatment.


The nursing profession in EEC countries.


The interview experience.

The interview experience.


Ano-rectal bleeding.

Ano-rectal bleeding.


The nursing care of patients with cardiac pacemakers.


Metastatic disease without a primary?

Metastatic disease without a primary?


Nursing care study: mental subnormality.


Group project.

Group project.


Occupational therapy for the elderly.

Occupational therapy for the elderly.


A journey through madness.

A journey through madness.


A pilot course on ward teaching methods.


Systems of life. No. 50. Hormones and homeostasis.


A touch of guilt?

A touch of guilt?


Caring for women in prison.

Caring for women in prison.


Nursing care study: Manic-depressive psychosis with rapid and profound changes of mood.


Pressure sore risk calculator.

Pressure sore risk calculator.


An evaluation of the Pneumatress.

An evaluation of the Pneumatress.


Family receptionist in a paediatric unit.


Professional industrial action?

Professional industrial action?


The politics of Briggs.

The politics of Briggs.


The CPN: here to stay.

The CPN: here to stay.


The funny side of illness.

The funny side of illness.


Sensory deprivation. 1. In children.

Sensory deprivation. 1. In children.


Nursing care study: lacerations to left groin.


Management of an interim secure unit.

Management of an interim secure unit.


The work of dental hygienists and auxiliaries.


Prevention is better than cure: sepsis and central venous catheters.


Nurses and the law. 10. Assault.

Nurses and the law. 10. Assault.


Day case surgery for children.

Day case surgery for children.


The trouble with nurses.

The trouble with nurses.


The potentially pathogenic bacteroides organisms of the intestinal tract.


You can get rid of them.

You can get rid of them.


Research summer schools: an evaluation.

Research summer schools: an evaluation.


Cockroaches and the hospital environment.


DHSS infestation control course.

DHSS infestation control course.


Limothrips cerealium - a ticklish problem.


The unmet needs of overseas nurses: Channel, that gets to the heart of the problem.


A critical professional issue.

A critical professional issue.


Nurse could you care more?

Nurse could you care more?


A memo to writers.

A memo to writers.


A secure isolation unit in Manchester.

A secure isolation unit in Manchester.


The use of Ripple beds.

The use of Ripple beds.


Nursing care study: Sam--a long-term psychiatric patient.


Sensory deprivation. 2. The acutely ill.


Patients' holidays--no gimmicks here.

Patients' holidays--no gimmicks here.


Orientation creates learning environment.


Process of evaluation and its importance.


A case report of tubular duplication of colon.


The nurse-patient relationship.

The nurse-patient relationship.


Why nursing needs graduates.

Why nursing needs graduates.


Are learners taught how to cope?

Are learners taught how to cope?


Anatomy and physiology: the nervous system. 1.


Practical nursing: mental distress at work.


Nursing care study. Cervical tuberculous lesion: a halo round his head.


Picture quiz: malignant melanoma.

Picture quiz: malignant melanoma.


Time for stricter controls over the growth of mixed wards?


Make it the year of the child.

Make it the year of the child.


The anxious learners.

The anxious learners.


Practical nursing: decubitus ulcer. 2.

Practical nursing: decubitus ulcer. 2.


Anatomy and physiology: the nervous system. 3.


Nursing care study. Guillain-Barré syndrome: light at the end of the tunnel.


Phaeochromocytoma: notable advance in management.


Community nursing: the hospital that doesn't say 'good-bye.'.


The midwife's place: is it at the mother's home or in the hospital?


Why I'll not go back to nursing.

Why I'll not go back to nursing.


Westminster (nursing legislation).

Westminster (nursing legislation).


A singular problem over pay.

A singular problem over pay.


When a granny fills in for mum.

When a granny fills in for mum.


Syringing the ear.

Syringing the ear.


Anatomy and physiology: the ear.

Anatomy and physiology: the ear.


Marfan's syndrome: recognising the 'spider' sufferers.


Guide to gases which threaten your life.


Nursing care study. Endogenous depression: an illness that keeps on recurring.


Picture quiz: nephrotic syndrome.

Picture quiz: nephrotic syndrome.


The forceps case: will the threat of law now haunt doctors?


Clinical applications of echocardiographic techniques.


Antibiotic prophylaxis of bacterial endocarditis.


Estrogen and alternative therapy of the menopausal patient. Estrogen therapy is indicated for the vasomotor, genitourinary, and menstrual changes of the climacteric woman. Estrogens should be prescribed to relieve these symptoms specifically, and in the lowest dosage for the shortest time. Vaginal estrogens are appropriate in the treatment of genitourinary symptoms and may be given until sexual activity ceases. Vaginal ointments may be given even to patients in whom oral therapy may be contraindicated. Alternative therapy is helpful in the treatment of vasomotor symptoms, vulvitis, and breast tenderness. Appropriate therapy for all women includes a complete history and physical examination, and a thorough discussion of the physiologic and psychological changes of menopause. Appropriate studies include tests for estrogen effect to monitor therapy. They assist in treatment of the complexity of the menopause.


Travel and the diabetic: how easy?

Travel and the diabetic: how easy?


Emergency management of the agitated patient.


Categorization and modification of the exogenously obese.


Cranial arteritis--polymyalgia rheumatica.


Contact dermatitis.

Contact dermatitis.


Medical applications of operant psychology.


Diet compliance in obesity.

Diet compliance in obesity.


Tonsillectomy and adenoidectomy.

Tonsillectomy and adenoidectomy. Tonsillectomy and adenoidectomy is the definitive treatment for chronic tonsillitis and adenoid hypertrophy. It is most important to determine if the patient has chronic tonsillitis--a diagnosis that can only be made between acute attacks when the patient is clinically well. Decisions regarding the need for a tonsillectomy and adenoidectomy should be made only at this time and never during an episode of acute tonsillitis. Frequency of acute attacks should not by itself be the indication for surgery. The family physician who performs tonsillectomy and adenoidectomies has an opportunity to correlate the preoperative and postoperative clinical course of the patient with the findings at the time of surgery. In my experience, patients carefully selected for tonsillectomy and adenoidectomy on the basis of these criteria do benefit from the surgery, and the clinical improvement is sustained in the long-term follow up of these patients.


Clinical experience with copper intrauterine devices in an urban family practice unit.


An evaluation of immunization against rubella.


Flu.

Flu.


Care of the patient with terminal cancer.


Sunlight and the skin.

Sunlight and the skin.


Examining the patient with musculoskeletal complaints.


The effects of antidiuretic hormone on urine flow and composition in the chronically-cannulated ovine fetus. The fetuses of nine pregnant ewes were chronically cannulated between 86 and 130 days with cannulae in one carotid artery, one jugular vein, the fetal bladder and the amniotic cavity. The effects of infused AVP on fetal urine flow rate and composition were studied. A dose of 35 pmol. h-1 always caused an increase in urine osmolality and a decrease in flow rate and free water clearance without change in blood pressure. Higher doses (140 pmol.h-1) were significantly pressor and caused increased excretion of sodium, chloride, urea and creatinine. Although this dose always caused an increase in urine osmolality, in five experiments the flow rate also rose. It is concluded that the ovine fetus has the ability to control its own urine flow and composition, and possibly also amniotic fluid volume and composition.


The effect of intravenous hypertonic saline infusion on renal function and vasopressin excretion in sheep. Conscious Merino ewes were given an intravenous hypertonic sodium chloride load of 4 mmol.min-1 for 100 min. This resulted in increases in urine flow, sodium and potassium excretion and plasma sodium concentration and osmolality. Urinary vasopressin output and solute-free water reabsorption increased and plasma renin activity declined. Renal plasma flow and glomerular filtration rate (GFR) rose, as did the solute clearance. The change in urinary osmolality was related to the initial urine osmolality such that when the initial urine osmolality was high the urine became more dilute, and vice versa. Tubular sodium reabsorption increased but the fractional reabsorption rate fell. It is suggested that the increase in GFR was at least partly due to the increase in AVP and that the electrolyte loss can be accounted for by the increase in GFR without necessarily involving AVP or other hormonal effects at the tubular level.


The breathing pattern after breath-holding: the influence of chest position and the drive to breathe. The pattern of breathing following the breaking-point of sixty breath-holds has been studied in five healthy adults and compared with the pattern during recovery from CO2-rebreathing. The volume and direction of the first respiratory movement, and the VT, V relation for the first four complete breaths was measured. Only when breath-holds were terminated with an inspiration was the accumulated drive to breathe reflected in an increased volume of the first respiratory movement: terminating expirations simply returned the chest to the resting respiratory level. The volume of the first inspiration was not influenced by the intervention of a terminating expiration, suggesting that expiratory movements do not dissipate the non-chemical component of the drive to breathe. In three of the five subjects the tidal volumes for given levels of ventilation were greater following breath-holding than following rebreathing. This altered pattern of breathing has been interpreted in terms of an insiratory-augmenting reflex.


Portal circulations and their relation to counter-current systems. We have reviewed the distribution of portal circulations throughout the animal body; they are commoner than is generally supposed. Most portal circulations consist of two serial capillary beds connected by one or more larger vessels. We have called these 'convergent' portal circulations: examples are hepatic portal, placental, hypophysial, renal, ovarian and testicular circulations, as are parts of the lymphatic circulation. A second type of portal circulation, which is less common, consists of two serial capillary beds that are not connected by larger vessels. These we have called 'continuous' portal circulations: adrenal and pancreatic circulations are examples of this type. When a countercurrent concentrating mechanism exists in the body it is always part of the primary or secondary bed of a convergent portal circulation, though some convergent portal circulations are not associated with countercurrent mechanisms.


Serum enzyme levels during experimental hypothermia in man. Deep surgical and accidental hypothermia cause elevations in serum enzyme levels, probably because of ultrastructural cell damage. Many variables hinder work on this problem in the clinical situation and the mechanism is obscure. Accordingly, enzymes and other physiological parameters were monitored in four subjects cooled four times, under controlled conditions in the laboratory, to a mean auditory canal temperature of 35.0 degrees C. Mild hypovolaemia and acidosis is occurred. Serum enzyme levels did not change significantly and it is concluded that elevations due to hypothermia cannot be studied in laboratory experiments on healthy volunteers who can only safely be cooled to 35 degrees C.


Iron metabolism in pigeons.

Iron metabolism in pigeons. Several haematological parameters such as haemoglobin concentration, haematocrit, erythrocyte number, reticulocyte concentration, plasma iron and total iron binding capacity were determined in 118 urban pigeons of both sexes. No statistically significant sex differences among these parameters were found. In 36 specimens (23 males and 13 females), the plasma iron turnover was determined using 59Fe. The results obtained in this species, expressed per 100 ml-1 blood. day-1 and Kg-1 body weight. day-1, were compared with those of turkeys, ducks and chickens calculated from earlier papers. The highest values versus body weight were observed in pigeons. Organ (liver, spleen, tibia, heart, leg muscle, ribs, sternal keel, gonads and blood) distribution of 59Fe intravenous injection was analyzed during a period from 5 min up to 120 days (19 different times) in groups of 4 pigeons. At the 6 h period, the organs retained the highest dose (20% of total Fe injected), but by the 2nd day period, the radioiron in the blood represented about 98% of the total injected. A fast iron uptake by the circulatory blood was checked and compared with that of other species (domestic fowl, ducks and turkeys). The reticulocyte count in pigeons normally ranged from 4 to 12%, which was consistent with these results. A linear decreasing radioactivity in blood, with an inflexion point on the 40th day was observed. An inverse correspondence between blood and liver was found. Content in other organs decreased uniformly with time, except the heart where the iron content was practically constant during the whole time. Ribs and sternal keel are erythropoietic organs in young pigeons.


How I survived the move to management.

How I survived the move to management.


Dangerous doctors: what to do when the MD is wrong.


Physicians' errors: your legal and ethical obligations.


Black skin: here's how to adjust your assessment and care.


RN's Assertiveness Workbook: how to stay calm when your body says 'fight'.


Why feelings run high on the professional/technical split.


Legally speaking. Disfigured by a violent patient: a case - and comment.


Opinion exchange: Matt's money matter.

Opinion exchange: Matt's money matter.


At this hospital, 'the captain of the ship' is dead.


The personality of primary nursing.

The personality of primary nursing.


Nurse in the cardiac catheterization laboratory.


Communication: a program design.

Communication: a program design.


Patient classification: a pilot test.

Patient classification: a pilot test.


Resistance to role implementation.

Resistance to role implementation.


Selection criteria for closed urinary drainage systems.


The art and science of supervision: nailing down your plans.


Implementing a performance evaluation system.


Law for the nurse supervisor: nurses' neglect in giving care.


Of victims and rescuers.

Of victims and rescuers.


Nursing documentation systems.

Nursing documentation systems.


The art and science of supervision: professional accountability.


Nurse-physician collaboration.

Nurse-physician collaboration.


The androgynous manager.

The androgynous manager.


An objective appraisal instrument for registered nurses.


Flexible staffing.

Flexible staffing.


The coronary club.

The coronary club.


Supporting family coping.

Supporting family coping.


Law for the nurse supervisor: standards of care.


Who cares for the caretakers?

Who cares for the caretakers?


Self-assessment for nurses.

Self-assessment for nurses.


Issues facing tomorrow's nurse.

Issues facing tomorrow's nurse.


"...misinterpreted principles of arthritis management".


Why not the best, Mr. Carter?

Why not the best, Mr. Carter?


Survivors of serious illness.

Survivors of serious illness.


When a pregnant women is diabetic: antepartal care.


When a pregnant women is diabetic: intrapartal care.


When a pregnant women is diabetic: postpartal care.


When a pregnant women is diabetic: a case study.


When a pregnant women is diabetic: care of the newborn.


Continent vesicostomy: the dry urinary diversion.


Oral temperatures and plastic-sheathed thermometers.


The professionalization process in nursing education.


Photochemotherapy for psoriasis.

Photochemotherapy for psoriasis.


Nursing shortage? Yes!

Nursing shortage? Yes!


Self-care.

Self-care.


Learning about politics.

Learning about politics.


"What is the problem? How long have you been ill?".


How to sell an idea.

How to sell an idea.


Tax facts for the person with two jobs.

Tax facts for the person with two jobs.


Self-directed continuing education in nursing.


Standards of pediatric oncology nursing practice.


Statement on graduate education in nursing.


HR 756, a highly active cephalosporin: comparison with cefazolin and carbenicillin. HR 756, a new parenteral cephalosporin, was compared with cefazolin and carbenicillin for activity against a total of 264 strains of Pseudomonas aeruginosa, Escherichia coli, Klebsiella spp., Proteus mirabilis, Proteus spp. (indole positive), Enterobacter spp., Salmonella typhi, Serratia marcescens, Providencia stuartii, and Staphylococcus aureus. In every comparison, except that with the last organism, HR 756 was clearly more active than cefazolin and carbenicillin. All three compounds had similar activity against penicillin-susceptible staphylococci; against penicillin-resistant strains, HR 756 and cefazolin were equally active and superior to carbenicillin. HR 756 was compared with penicillin for activity against strains of Streptococcus pyogenes, Lancefield group D streptococci, and Neisseria gonorrhoeae; with ampicillin against Haemophilus influenzae; and with cefoxitin against Bacteriodes fragilis. HR 756 was clearly more active than the respective reference compounds in all of these comparisons, except those involving the streptococci. HR 756 and penicillin were essentially equally active against S. pyogenes; against Lancefield group D, penicillin was 32 times as active as HR 756. HR 756 not only compared favorably with the reference compounds with respect to relative activity, but also effected growth inhibition of essentially all test organisms (P. aeruginosa and group D streptococci excepted) at remarkably low concentrations ranging from 0.015 to 2.0 mug/ml. A series of seven transfers of selected strains of E. coli, Klebsiella spp., S. aureus, and P. aeruginosa through medium containing HR 756 led to emergence of strains with significant levels of resistance to the agent. Resistance to HR 756 was retained for at least seven transfers through plain medium.


Comparative evaluation of piperacillin in vitro. The minimal inhibitory concentrations of piperacillin and seven other betalactam antibiotics were determined against 407 bacterial isolates. Piperacillin was found to be more active than ampicillin against susceptible gram-negative bacilli and more active than either carbenicillin or ticarcillin against Pseudomonas aeruginosa and streptococci. Although piperacillin was active against Klebsiella pneumoniae, this activity was less than that of the cephalosporins. Piperacillin was not active against penicillin-resistant Staphylococcus aureus and Enterobacteriaceae that were resistant to the other test antibiotics.


Manual, consultation aid chapters planning education offerings.


Cost containment increases pressure to pull OR staff.


OR nursing assessment of the older adult.


The perioperative role in practice.

The perioperative role in practice.


Developing exam for certification is scientific process.


Can OR nurse refuse request to "float" to nursing units?


Do new graduates suffer reality shock?

Do new graduates suffer reality shock?


Continuing education class provides OR experience.


Precautions for use of ethylene oxide.

Precautions for use of ethylene oxide.


The fine and subtle art of listening.

The fine and subtle art of listening.


OR experience for students: have we lost the battle?


Education and practice in Thailand.

Education and practice in Thailand.


Hong Kong.

Hong Kong.


Patterns of codon recognition by isoacceptor amino acyl-tRNAs from Hymenoptera.


Nursing management of the neurogenic bowel.


Effect of modeccin on the steps of peptide-chain elongation. Modeccin inhibits polypeptide-chain elongation catalysed by Artemia salina (brine shrimp) ribosomes by inactivating the 60 S ribosomal subunit. Among the individual steps of elongation, peptide-bond formation, catalysed by 60 S peptidyltransferase, is unaffected by the toxin, whereas the binding of EF 2 (elongation factor 2) to ribosomes is strongly inhibited. Modeccin does not affect the poly(U)-dependent non-enzymic binding of either deacylated tRNAPhe or phenylalanyl-tRNA to ribosomes. The inhibitory effect of modeccin on the EF 1 (elongation factor 1)-dependent binding of phenylalanyl-tRNA is discussed, since it is decreased by tRNAPhe, which stimulates the binding reaction. The analysis of the distribution of ribosome-bound radioactivity during protein synthesis shows that modeccin consistently inhibits the radioactivity bound as long-chain peptides, but depending on the experimental conditions, can leave unchanged or even greatly stimulates the radioactivity bound as phenylalanyl-tRNA and/or short-chain peptides. It is concluded that, during the complete elongation cycle, modeccin does not affect the binding of the first aminoacyl-tRNA to ribosomes, but inhibits some step in the subsequent repetitive activity of either EF 1 or EF 2. The results obtained indicate that the mechanism of action of modeccin is very similar to that of ricin and related plant toxins such as abrin and crotin.


What is REZO?

What is REZO?


Making IYC unnecessary.

Making IYC unnecessary.


Attitudes of nurses toward spinal cord injury patients.


The Workshop--a health resource. Introducing a new kind of community health service.


Child health nursing in 1984: generalist, specialist or extinct species?


Extra-sensory vision. CNA-AJN Company award winning paper.


Educational opportunities for RNs: a survey of baccalaureate degree nursing programs in California for registered nurses.


International Year of the Child.

International Year of the Child.


You and the law. Error of judgment: is it always negligence?


Nursing: nineteen-eighty-floor.

Nursing: nineteen-eighty-floor.


Caseload: over seventy-five.

Caseload: over seventy-five.


Not all patients need hospitals.

Not all patients need hospitals.


A new concept in forensic psychiatry.

A new concept in forensic psychiatry.


Frank's story.

Frank's story.


Bridging the gap between education and services.


Nursing care plans: a vital tool.

Nursing care plans: a vital tool.


A trip to the islands.

A trip to the islands.


The change-loss connection in counselling.


That's no nurse--that's my mother!

That's no nurse--that's my mother!


Coping with diabetes insipidus.

Coping with diabetes insipidus.


Hypertension: management in industry - an expanded role for nurses.


Hypertension: questions and answers.

Hypertension: questions and answers.


Hypertension: antihypertensives and how they work.


Hypertension: pediatric hypertension - think about it.


Frankly speaking: nursing and the degree mystique.


The role of the family in the emergency department.


Perspective: the impossible dream?

Perspective: the impossible dream?


Hospice nursing: intensive caring.

Hospice nursing: intensive caring.


How adolescents live with leukemia.

How adolescents live with leukemia.


Adjuvant chemotherapy for breast disease: the nurse's role.


Perceptions of nurses toward parent participation on pediatric oncology units.


Different faces - different places: cancer information service.


Programmed instructions: cancer care. Cancer chemotherapy.


Cancer nursing and the law: cancer nurses and "no code" orders.


Research highlights: PSYCOG.

Research highlights: PSYCOG.


Cancer audit. Nursing patient-care outcome audit: acute nonlymphoblastic leukemia. Part I.


Tumor-associated phenylalanyl transfer RNA found in a wide spectrum of rat and mouse tumors but absent in normal adult, fetal, and regenerating tissues. RPC-5 chromatography was used to examine the phenylalanyl transfer RNA (Phe-tRNA) of 25 normal rat and mouse tissues including adult, fetal, and regenerating liver; whole embryos; and other adult organs. Only a single major isoaccepting Phe-tRNA was found in every case. Phe-tRNA's from 25 transplantable rat tumors and 33 transplantable mouse tumors were similarly examined. Seventeen rat tumors and 10 mouse tumors, of a wide spectrum of histological types, were found to have an additional, tumor-associated Phe-tRNA isoacceptor. This tumor-associated Phe-tRNA was not found in the livers of animals bearing tumors that contained this isoacceptor. Differences in chromatographic behavior between the rat and mouse tumor-associated Phe-tRNA's strongly suggest that they have different structures. Our data suggest that these differences result from different degrees of incompleteness of posttranscriptional modification, most likely at the normally very hypermodified Wye (formerly called Y) base.


Living with a stoma.

Living with a stoma.


Anaphylaxis.

Anaphylaxis.


Changing antibiotic sensitivities of bacterial skin diseases. Office practice 1977-1978.


Impetigo contagiosa--etiology in Iraq.

Impetigo contagiosa--etiology in Iraq. Two hundred cases of impetigo contagiosa were studied bacteriologically. Along with the usual staphylococci and streptococci, gram-positive diplococci were isolated in pure cultures in thirty-seven cases. Ninety-six cases were submitted for sensitivity tests to several antibiotics; the results are discussed.


Nursing diagnoses related to acute myocardial infarction.


Endocarditis due to strain of Cardiobacterium hominis resistant to erythromycin and vancomycin. Endocarditis caused by Cardiobacterium hominis was observed in a penicillin-allergic patient with a prosthetic cardiac valve who had received prophylactic therapy with erythromycin for dental extractions. The organism was resistant to erythromycin and vancomycin, with minimal inhibitory concentrations of 12.5 microgram/ml and 25 microgram/ml, respectively, but was sensitive to penicillin G, tetracycline, cephalexin, and cefaclor. This case suggests that currently recommended antibiotic prophylactic therapy for endocarditis, especially in penicillin-allergic patients, may be inadequate for unusual pathogens such as C hominis.


Antibacterial activity and synergy, in vitro and in vivo, of a combination of amoxycillin and flucloxacillin. The antibacterial activity of a combination of equal parts of amoxycillin and flucloxacillin was compared in vitro and in vivo with that of amoxycillin and flucloxacillin against a range of gram-positive and gram-negative bacteria. The combination generally showed additive effects against bacteria sensitive to the individual penicillins and there was no evidence of antagonism, but synergistic effects were observed between amoxycillin and flucloxacillin against certain amoxycillin-resistant gram-negative bacilli. The extent of synergism varied according to the particular bacterial species under test and synergy was observed only against bacteria with chromosomally-mediated beta-lactamases and not against bacteria with R-factor-mediated beta-lactamases. In general, amoxycillin + flucloxacillin demonstrated activity against experimental mouse infections in good agreement with demonstrated activity against experimental mouse infections in good agreement with its in vitro activity, and synergy was produced against a range of gram-negative bacilli in vivo. The data suggest that clinical trial with amoxycillin + flucloxacillin in the treatment of selected infections including those due to some amoxycillin-resistant bacteria may well be justified.


Oral contraceptives and myocardial infarction.


In vitro susceptibility of pseudomonas to four beta-lactamantibiotics (ampicillin, cephalothin, carbenicillin, piperacillin), to four aminoglycosides (kanamycin, amikacin, gentamicin, tobramycin) and to colimycin. Of 97 well-defined strains of Pseudomonas, isolated from sputum of patients with cystic fibrosis (CF), the minimum inhibitory concentration (MIC) of several antibiotics was determined with a broth dilution method. The majority of the strains were resistant to ampicillin and cephalothin, moderately susceptible to carbenicillin (70% to 100 microgram/ml) and highly susceptible to piperacillin (100% to 25 microgram/ml, 88% to 6.25 microgram and 60% to 3.12 microgram/ml). If the pharmacological properties of piperacillin are comparable with those of carbenicillin, it can be expected that the sputum level of this drug will be adequate to treat Pseudomonas pulmonary infections. At the lowest concentration tested (0.78 microgram/ml) 3% of the strains were susceptible to kanamycin, 85,5% to amikacin, 95% to gentamicin, 98% of tobramycin, and 80% to colimycin. With regard to clinically attainable concentrations, 98.9% of the strains were susceptible to gentamicin and tobramycin 97.9% to amikacin, 96.9% to colimycin, 88.6%  to piperacillin, 38% to carbenicillin, 25.7% to kanamycin, 12.3% to ampicillin, and 1% to cephalothin.


A brief look at the clinical nurse specialist.


Cultural diversity: implications for nursing.


So - you want to go to graduate school?

So - you want to go to graduate school?


Registered nurses vs the BSN.

Registered nurses vs the BSN.


Happenings.

Happenings.


Breakthrough to nursing: breakthrough education fo indoctrination.


How to get credit for being an officer.

How to get credit for being an officer.


Education at large: the future of nursing education.


Where does NSNA stand on education issues?


Accreditation: quality assurance in nursing education.


Hot dogs, soda, popcorn and bandaids.

Hot dogs, soda, popcorn and bandaids.


The story of Jean.

The story of Jean.


Endocarditis caused by coagulase-negative staphylococci. Sixteen patients with coagulase-negative staphylococcal endocarditis were treated at the University of Minnesota Hospitals between January 1970 and September 1977. In six patients, endocarditis developed after prosthetic valve surgery; among the other ten patients (the medical group), eight had known antecedent valvular disease. The skin was thought to be the source of infection in eight patients, suggesting that prompt treatment of skin infections and avoidance of injections in patients with valvular disease are important measures in the prevention of this disease. Patients with prosthetic valve endocarditis were infected with antibiotic-resistant organisms and had a higher mortality than those in the medical group (83% versus 20%). Bacterial isolates from three patients with prosthetic valve endocarditis were resistant to methicillin, and two of these three isolates also were resistant to cephalothin by quantitative susceptibility testing. The only patient with prosthetic valve endocarditis to survive was operated upon early in the course of his illness. These observation, coupled with the high mortality in this series and in others, has prompted us to advocate early surgery in prosthetic valve endocarditis.


National Council for One-Parent Families.


Personal relationships: the way ahead?

Personal relationships: the way ahead?


Family therapy: an interactional approach to problems.


Gill--a mother at 15 years.

Gill--a mother at 15 years.


Involvement in ante-natal care.

Involvement in ante-natal care.


Love's labour and loss.

Love's labour and loss.


Why my wife received no ante-natal care for six months: a father's view of pregnancy and childbirth.


Ante-natal care - some thoughts on the role of the health visitor.


Yet another definition of health.

Yet another definition of health.


Extracorporeal membrane oxygenation (ECMO): state of the rat in extrapulmonary respiration.


Assessment of cerebral function during cardiopulmonary bypass.


Extracorporeal membrane oxygenation (ECMO): a team approach in critical care and life-support research. ECMO may be used clinically in selected cases to provide life support when all other modes of therapy have been exhausted. Survival of moribund patients has been demonstrated. Results might be improved if the severity of the disease is recognized and defined early in the clinical course to prevent the development of irreversible complications. ECMO requires a large, fully trained team to interface with the attending physicians and nursing staff in providing complete life support. The ECMO team provides continued evaluation of the status and treatment of the patient, detection of complications, and correction of any minor or major emergency. It also conducts laboratory and clinical research programs in pulmonary insufficiency as an adjunct to clinical life-support research.


The patient with left heart assist device: nursing management. When prolonged use of adjuvant therapy (positive inotropic agents, ventricular or atrial pacing), including intra-aortic balloon counter-pulsation, fails to achieve separation of patients with poor ventricular performance from CPBP the use of LHAD should be considered. The left heart assist device is a means of diverting a moderate portion of the systemic blood flow around the left ventricle. It provides hemodynamic stability until the left ventricle regains is effectiveness and capability as a pump. Nursing care of these patients requires the highest competence in clinical assessment based on a sound knowledge of the interrelatedness of body system and technical support devices. Nursing responsibilities include: careful observation of patient's clinical appearance and behavior, interpretation of data obtained from monitoring equipment, early recognition of physiologic deviations, and prompt initiation of appropriate nursing interventions.


Use of sodium nitroprusside and dopamine hydrochloride in the postoperative cardiac patient. Effective postoperative nursing care of the cardiac surgery patient receiving combined drug infusion of dopamine HCl and SNP requires awareness of many critical factors. Among these are: (1) understanding of cardiac physiology with emphasis on the concepts of myocardial oxygen consumption vs. availability; (2) basic pharmacologic functions of dopamine HCl and SNP, both singly and combined; (3) importance of maintaining intravascular volume at optimum levels; and (4) awareness that constant nursing observations and reassessments are essential.


Nonsurgical closure of patent ductus arteriosus in preterm infants.


Research in critical care education: production of videotapes for in-hospital use.


Continuing education for coronary care nurses. Coronary care nurses were surveyed to determine their perceptions of their initial training and ongoing continuing education. Eighty-one per cent (162 of 200) completed formal training, 65 per cent (105 of 162) felt this training adequately prepared them, but only 42 percent (84 of 200) successfully passed a test of competency prior to beginning work. Nurses' perceptions of their abilities were compared to actual performance of physical assessment and no significant differences were noted. Continuing education programs were ongoing for 57  per cent (114 of 200) of the nurses but physician participation was rare. Physician involvement in the overall management of CCUs was satisfactory for only 40.5 per cent of nurses (81 of 200). In view of these data, physicians and nurses have been remiss in the training and evaluation of coronary care nurses and must work together to define educational objectives and institute evaluation mechanisms. It is through this type of joint cooperation that the quality of care will improve as will morale.


Eating patterns and associated problems encountered in normal children.


Dietary treatment of diarrhea and constipation in infants and children.


Acute stress ulcers in childhood.

Acute stress ulcers in childhood.


Encopresis treatment.

Encopresis treatment.


Needs of relatives of critically ill patients: a descriptive study. Relatives of critically ill patients were able to identify their needs during the intensive care phase of hospitalization. The universal need identified as very important was the need for hope. Other important needs were concerned with receiving adequate and honest information and feeling that the hospital staff members were concerned about the patient. Although several of the needs appeared to be of great concern to relatives, all the needs were considered very important by at least one relative. The majority of needs were perceived as being met consistently. Various resources were used by the relatives to meet their needs; however, specific needs were expected to be met by physicians and nurses. Since many relatives have similar needs, the use of a group process to deal with them should be investigated. A group process allows for sharing and support among the relatives and also allows one  staff member to work with several relatives. The relatives perceived the role of health care personnel to be patientcentered only. If the patient is a member of a family, then the family and staff should recognize that the health care personnel are helping relatives because it is a crucial part of total patient care. This area in providing total patient care needs to be studied carefully. The relatives of critically ill patients have important needs in this crisis period. By recognizing these needs and evaluating how they are being met, total patient care will involve the family. Such involvement is essential to the care of the critically ill patient.


The perceptual world of the intensive care unit: an overview of some environmental considerations in the helping relationship.


Shifting pleural effusions.

Shifting pleural effusions. The patient's position in bed may cause repositioning of free pleural fluid, which can track to paravertebral, subpulmonary, and paramediastinal planes. Awareness of this situation aids the clinician's recognition of the nature of the lesion on chest roentgenograms.


Neisseria sicca endocarditis: report of a case and review of the literature. A rare case of bacterial endocarditis caused by Neisseria sicca is reported. Review of the literature revealed only five other cases where sufficient data existed to confirm this particular organism as the etiological agent of bacterial endocarditis.


An unusual electrocardiographic coincidence.


Ventricular interpolation with prolonged effect.


Strokes in young people.

Strokes in young people.


Evaluation of the effect of continuing education in nursing on health care.


Innovations in continuing education: a statewide program for systematic training in interpersonal skills.


Continuing education: regional and rural.


Warning: library usage may be habit forming.


Lifelong learning: how some participants see it.


Notes on continuing education.

Notes on continuing education.


Motivating and rewarding the staff nurse.


Methods of teaching--revisited panel discussion; symposium; colloquy.


Assessment of the older adult: a "holistic" approach.


A joint practice council in action.

A joint practice council in action. A nurse/physician joint practice council, patterned after the activities and recommendations of the National Joint Practice Commission, was developed at a community hospital to provide a forum for nurse-physician dialogue regarding roles and practice issues. Clear objectives, good communications, utilization of resource persons, and equal physician and nurse representation and critical elements of the council's success. In operation, the council's focus is evolving from conflict resolution to a medium for planning and implementing change.


Oral health care for the geriatric patient.


Nurses' stress factors in the intensive care unit. To identify the origins to stress as preceived by ICU nurses, stressful situations in the intensive care unit were identified and ICU nurses were asked to rank order them. Situations pertaining to the physical workload, death of a patient, and communication problems with physicians and nursing administrators were ranked most highly stressful. Nursing educators and nursing administrators can make changes and adjustments to lessen these stressors.


Physiological parameters of aging. Part II.


Senior center experience of a student nurse.


Maintaining social interaction as health promotion in the elderly.


Understanding patient classification systems.


Concepts of clinical pastoral education: from hospital to nursing home.


A health education model for ambulatory care. Nurses in this ambulatory care center recognized a need for a systematic, planned approach to health education, and developed a health education model. The nurses on the committee serve as inhouse consultants to help other nurses develop, implement, and evaluate health education programs.


Time-management strategy for women.

Time-management strategy for women.


Future of gerontological nursing endangered.


Know your community resources: sage - wisdom for the ages - with spice.


A regional cardiac care program: planning & development. Five hospitals in northeastern Massachusetts joined together to provide a cardiac care nursing educational program for staff nurses. Their mutual effort reduced costs for each hospital and maximized the use of human and material resources. The endeavor has been successful, based upon a number of evaluation factors.


A computerized scheduling system with centralized staffing. Personnel costs make up approximately 70 percent of the operating expense of a hospital, and nursing service accounts for a large percentage of those personnel costs. It is imperative that nursing personnel be appropriately scheduled so that patient care units are properly staffed while personnel budgets are maintained. This hospital's centralized staffing function, supported by a computerized scheduling system, successfully handles all staffing situations with minimal involvement of professional nurses.


The use of supplemental nurses: why, where, how? The use of nurses from labor pool agencies is one way of dealing with the ever present problem of maintaining adequate staffing. Although there are benefits in using supplemental nurses, there are also problems which directors of nursing services need to be aware of in order to assure quality nursing care. The author reports the results of a statewide survey of the use of nurses from supplemental staffing agencies.


A systematic approach to leadership selection. This article introduces a system for selecting nursing leaders that recognizes personal aspiration as the motivating force behind successful leadership. The nursing administrator relinquishes sole responsibility and asks others to share in the selection process. An objective and subjective assessment examines every aspect of the candidates' potential.


Pharmacology update: mild analgesics.

Pharmacology update: mild analgesics.


Cancer of the prostate and testes.

Cancer of the prostate and testes.


The hospice concept.

The hospice concept.


Adolescent pregnancies and problems.

Adolescent pregnancies and problems. Adolescent pregnancy is a critical worldwide problem.  This paper defines the subject, overviews international and national statistical data, identified the problems and the effect of the scope of these problems on a society, emphasizes the role of maternal nutrition and its effect on birth weight and pregnancy outcome, discusses the components of comprehensive health care before, during, and after pregnancy, and suggests approaches and services which have proven effective in giving care to adolescents.


The International Year of the Child: goals for nurse-midwivery practice.


Could it be mono?

Could it be mono?


Alternate avenues: unique career paths for LP/VNs. Summer camp nurse.


Curriculum for midwifery education.

Curriculum for midwifery education.


The myth of "natural" childbirth.

The myth of "natural" childbirth.


[Postpartum mothers' evaluations of a sibling visitation program: Masters Thesis abstract].


International Council 16th Quadrennial Congress Tokyo, Japan. The rights of nurses.


The nurse as an instrument of change.

The nurse as an instrument of change.


Ten steps in establishing a nurse-midwifery service/private practice for the nurse-midwife who's looking for a job in the system.


Address given by Dr. Wynante Patterson at Installation Ceremony September 24, 1977.


What's new in nursing practice: South-East Asia.


What's new in nursing practice: Africa.

What's new in nursing practice: Africa.


Preparation for giving and supervising primary health care.


What's new in nursing practice: South and Central America.


Jamaica's first community college programme in basic nursing education.


The need for nursing textbooks in Nigeria and in other developing countries.


Nutrition and public health.

Nutrition and public health.


International Year of the Child - a year that really matters.


Certification - a form of quality assurance.


"Now that we have your money, what do you get?".


The HMO: a challenge for nurses.

The HMO: a challenge for nurses.


Variable resistance of Shigellae to ampicillin within a single community.


Thermal injury units in rural settings.

Thermal injury units in rural settings.


Competency-based instruction: evolution of a new perspective.


A system to collect information on student nurses.


Competency-based curriculum and instruction.


The nursing role - an innovative approach.


Developing competency-based instruction in health fields: rationale and processes.


The important things in life?

The important things in life?


Something we always knew!

Something we always knew!


Some implications of adopting a competency-based curriculum: a preliminary discussion.


A process to identify Associate Degree nursing competencies.


MNA testimony on State Health Plan.

MNA testimony on State Health Plan.


Violence in institutions.

Violence in institutions.


Opening of Westmead Centre.

Opening of Westmead Centre.


The natural birth experience: catalyst for change in general nursing care.


Standards for accurate measurement of blood pressure: standards of detection, evaluation and management of high blood pressure.


Please Sir, what's a community nurse?

Please Sir, what's a community nurse?


Continuing education.

Continuing education.


Saikewica and Dinnerstein: the decisions.


PL93-641 the law that changed the nation's health planning.


[Prevention of postoperative complications in patients with skeletal traction].


Is our interference really necessary?

Is our interference really necessary?


Midwives and induction.

Midwives and induction.


Coping with perinatal death.

Coping with perinatal death.


Home or hospital delivery?

Home or hospital delivery?


Respect for medicines.

Respect for medicines.


Development of human milk banks.

Development of human milk banks.


Genetic counselling.

Genetic counselling.


Government health warning for cannabis?

Government health warning for cannabis?


The health visitor and preventive dentistry.


Teaching teenagers about child development.


Domiciliary night nursing for terminal patients.


Maternity care survey.

Maternity care survey.


A training school in East Africa.

A training school in East Africa.


Changing attitudes to maternity.

Changing attitudes to maternity.


Triumphs and defeats in the control of infection by immunization.


Pregnancy and childbirth among the Gude.


Our apathetic breed (or, the rallying call of the midwife).


Actions really do speak louder than words.


Sharing responsibilities and rewards as a nurse associate in a group practice.


Vantage point (nursing education).

Vantage point (nursing education).


"Reaching the community through teaching: a student experience with health education".


Sharing: brief life.

Sharing: brief life.


Patients' families: how to make them a help, not a hindrance.


How to recognize--and what to do about--hypoglycemia.


Relating nursing theory to education: a new era.


Supporting the subluxated shoulder joint with a pajama-bottom sling.


Nurse-midwifery: an important component of health care delivery.


Coping with change during curriculum revision.


Evaluating growth and posture in school-age children.


The practitioner-teacher.

The practitioner-teacher.


Andy was a fighter--in more ways than one.


The new procedure reference manuals.

The new procedure reference manuals.


Writing your patient's care plan--efficiently.


10 problems with nasogastric tubes--and how to solve them.


Spotting and stopping the suicide patient.


Ambulatory nursing: your safety first.

Ambulatory nursing: your safety first.


Care after dental surgery.

Care after dental surgery.


Self-reliance.

Self-reliance.


The clinical specialist's contribution to quality nursing care.


The long-awaited credentialing study.

The long-awaited credentialing study.


Politics, the nurse and the political process.


Analysis of the entry into practice controversy in nursing: an organizational perspective.


Ombudsmen for nursing homes.

Ombudsmen for nursing homes.


Occupational first aid: No 3. Choking.

Occupational first aid: No 3. Choking.


Teaching hospital porters to lift patients safely.


Safety: accident prevention and safety--whose responsibility?


Guide to counselling. 3. Interaction.

Guide to counselling. 3. Interaction.


Occupational first aid. No. 4. Dressings.


How others see us--the safety officer's view of the OH nurse.


How much time is spent counseling?

How much time is spent counseling?


Safety. The electrochemical industry: a survey of the hazards.


Guide to counselling. 4. Communication.

Guide to counselling. 4. Communication.


Occupational first aid: No. 5. Control of bleeding.


Decibels made simple.

Decibels made simple.


Reducing the risk of sudden death from heart disease.


Guide to counselling. 5.

Guide to counselling. 5.


Safety: expert power.

Safety: expert power.


AAOHN members respond to survey on rising health care costs.


Occupational safety and health carnival.


Management of toxic agents in the workplace: the role of the occupational health nurse.


Successful continuing education programming through consumer input.


Emotional stress and how to respond.

Emotional stress and how to respond.


What our unconscious movements tell others about us.


Nationwide studies on saccharin.

Nationwide studies on saccharin.


Policies and procedures to assess the employee complaining of abdominal pain.


Using public health insights to improve diabetes education: diabetic weight control as an example.


A brief history of joint replacement.

A brief history of joint replacement.


Case study: a patient undergoing a local, outpatient arthroscopy of the knee.


Case study: fractured pelvis multiple trauma.


Rheumatoid arthritis.

Rheumatoid arthritis.


Case study: replacement of loosened total hip arthroplasty.


Standards for nursing. ANA Standard II: nursing diagnosis.


The C.E.U. story.

The C.E.U. story.


Will Oklahoma nurses unionize?

Will Oklahoma nurses unionize?


HMOs in Pennsylvania: how do they function?


Counseling families after an SIDS loss: a public health nursing program in Philadelphia.


TV: its problems for children.

TV: its problems for children.


Advances in asthma/allergy.

Advances in asthma/allergy.


Vitamins in pediatrics.

Vitamins in pediatrics.


The nurse practitioner and the allergic child.


An historical perspective: the pediatric nurse associate.


The pediatric nurse practitioner in a ward follow-up clinic.


Adolescent health care: the legal and ethical implications.


Identifying hypertensive adolescents.

Identifying hypertensive adolescents.


Spring has come.

Spring has come.


A call for leadership.

A call for leadership.


Care of the dying patient.

Care of the dying patient.


Does the shoe fit?

Does the shoe fit?


National League for Nursing Position Statement on nursing's responsibility to minorities and disadvantaged groups.


Pediatric management problems (allergic rhinitis).


Policies and procedures of accreditation for programs in nursing education.


Nurses' exchange: who's resisting parent participation.


Cluster well-baby clinic.

Cluster well-baby clinic.


Meeting the challenge of clinical evaluation.


The challenge of clinical evaluation.

The challenge of clinical evaluation.


Strategically speaking.

Strategically speaking.


The clinical evaluation dilemma: a survey of problems encountered by faculty.


Children's art as an assessment tool.

Children's art as an assessment tool.


The clinical evaluation dilemma: reducing ambiguity and subjectivity in value judgments.


Faculty plans for evaluation of students in the clinical setting.


Considerations in clinical evaluation: instructors, students, legal issues, data.


Clinical evaluation of students at Bethesda Hospital School of Nursing.


Self-evaluation of clinical performance by students.


The involvement of students in their clinical evaluation.


How faculty involve others in the evaluation of student clinical performance.


Third-person input for student clinical evaluation.


Legal considerations in evaluating the clinical performance of students.


Legal implications of clinical evaluation.


Clinical evaluation of students at Lankenau Hospital School of Nursing.


Utilization of manpower in program evaluation at Research Medical Center School of Nursing.


A judgment of merit--evaluation of programs in nursing: applications.


Utilization of manpower in program evaluation at New England Deaconess Hospital School of Nursing.


Coordination and use of currently available data at Saint Joseph School of Nursing.


Coordination and use of currently available data at Nebraska Methodist Hospital School of Nursing.


The educational administrator's role in implementing systematic program evaluation.


Nursing service in a specialty, a rural, and an urban hospital.


The role and responsibilities of the educational administrator in implementing systematic program evaluation.


A patient care study in a major rehabilitation hospital.


The demands on nursing in a rural hospital setting.


Evaluating student achievement: principles, trends, and problems.


Structuring a nursing service in an urban hospital.


Let's mandate continuing education.

Let's mandate continuing education.


Functionally impaired tRNA from ethionine treated rats as detected in injected Xenopus oocytes. Treatment of rats with ethionine was found to cause severe impairment in the aminoacylation capacity of tRNA. This effect was only observed when assayed in injected oocytes, while invitro assays of aminoacylation failed to detect differences between normal tRNA and tRNA from ethionine treated animals. The effect of ethionine on the tRNA population was not uniform and differed for various amino acid specific tRNAs. Thus liver tRNA from ethionine treated rats showed a decreased capacity for phenylalanine aminoacylation, while no change was found in the case of leucine. On the other hand, the level of histidine aminoacylation was higher for tRNA from ethionine treated animals. An even more complex response was observed with methionine aminoacylation where tRNA from ethionine treated animals showed an initially faster rate than control tRNA. With more prolonged incubation periods, the methionyl-tRNA from ethionine treated animals was deacylated at an accelerated rate while the level of normal methionyl-tRNA remained almost constant. In addition to the aminoacylation reaction, the participation of aminoacyl-tRNA in protein synthesis was severely impaired. In this case, both the injected oocyte system and the cell-free wheat germ assay revealed these differences which were manifested with various mRNA and viral RNA preparations.


On with voluntary continuing education.

On with voluntary continuing education.


Signed consent: is it really the nurse's responsibility?


Wrong emphasis?

Wrong emphasis?


The development of an academic grievance procedure.


Named in a grievance: it happened to us.


Communication in the ICU: therapeutic or disturbing?


Changes of the second order.

Changes of the second order.


A graduate practicum in health planning.


Characteristics of graduate education in nursing leading to the master's degree.


A political analysis of curriculum change.


Nursing hegemony.

Nursing hegemony.


Effect of positioning on discomfort from intramuscular injections in the dorsogluteal site. An intramuscular injection into a relaxed muscle is believed to result in less discomfort than an injection into a contracted muscle. When the femur is internally rotated, the gluteus maximus muscle is relaxed. The hypothesis that a dorsogluteal injection with the femur internally rotated will cause less discomfort than when the femur is externally rotated was tested in 44 surgical patients who received two injections of preoperative medication. Each patient received an injection of a narcotic medication and one of diazepam. All possible combinations of the factors--position (internal and external rotation), order of injection (first or second injection), and medication (narcotic or diazepam)--were determined, and patients were randomly assigned to one of these conditions. Patients rated their perceived discomfort after each injection on a five-point scale. The hypothesis was supported by discomfort ratings from injections of both types of medications, although diazepam injections caused significantly more discomfort than injections of narcotics. Older patients tended to report less discomfort from diazepam injections than younger patients. Sex, order of injection, and nurse administering the injection did not significantly influence discomfort ratings.


Factors related to foreign nurse graduates' test-taking performance. The essential problem in the immigration of foreign nurse graduates (FNGs) to the United States is their poor incidence of success in meeting state licensure requirements. Factors responsible for the low success rate include nonfamiliarity with multiple-choice format in tests, lack of English proficiency, and anxiety. This study gathered information regarding FNGs' experience in taking state board examinations and demonstrated relationships between factors identified above and scores obtained by FNGs on achievement tests developed according to the American Nurses' Association Blueprint for Licensing Examination for R.N. Licensure.


Effectiveness of a comprehensive health program for the well-elderly by community health nurses. Effectiveness of three nursing approaches used in providing health care for the well-aging was tested experimentally by selecting three matched groups among a well-aging population of 195 who lived in three housing units for the elderly. The approaches differed in extensiveness of physical and psychosocial assessment and in involvement of residents in screening, counseling, and health education sessions. Health status was measured before and after one year of implementation by specific observations and structured interviews. Residents who received the extensive nursing program: reported increases in their positive perceptions of their own health, learned to respond effectively to health screening programs, and showed increases in the number who were under primary care. The data supported study hypotheses that predicted higher levels of health for persons who had the opportunity of extensive and specific nursing interventions.


Information structures: an analysis of nursing performance. This study demonstrated a methodology of measuring information content and manipulation of nursing subject matter and suggested features of information processing nurses may use to determine the condition of patients. Subjects included 23 associate degree nurses (experts) and 37 first-year AD nursing students (novices) who sorted 59 data elements of a simulated client problem into categories. As a result, 12 categories of patient problems were identified, which were subjected to a latent partition analysis to identify common categorization. Subjects then were asked to decide on appropriate patient interventions. The two groups--experts and novices--were compared re: mean number of data elements requested, mean number of elements requested by LPA category, t test of the mean weights for each category, and rank order correlations of category emphasis. The 12 protocols were then tested for conformity to experience by nine judges. Experts were found to address more problems than novices; they placed more emphasis on current vital signs, pain, and neurological check.


Promoting creativity in nursing education. Shortly after the University of Iowa implemented a new, integrated curriculum in 1974, a study of creativity was initiated because one goal of the process curriculum is to foster creativity. Hypotheses of no difference between beginning and graduating students and between old and new curriculum students were tested by means of Student's t test with Activities 5, 6, and 7 of Verbal Form A, Torrance Tests of Creative Thinking used as the criterion measure. The null hypotheses were rejected in favor of the beginning students and the old curriculum students, respectively (p less than .05). Hypotheses of no relationship between creativity and American College Testing scores and admit grade point average were tested by computing Pearson product moment correlation coefficients. All values of r were nonsignificant. Further research on a number of aspects of creativity in nursing is suggested.


Re: 'effect of negative pressure on tracheobronchial trauma'.


My Lords, the nurses, midwives and health visitors bill.


The Jay recommendations.

The Jay recommendations.


Where is the silent majority?

Where is the silent majority?


Relationships of processes of care to patient outcomes. This study examined relationships between process and outcome components of patient care. Relationships were determined between independent process variables--diagnostic approach, therapeutic approach, and patient compliance--and dependent outcome variables--functional status, clinical health status, perception of health and care, and knowledge and understanding of disease and therapy. Criteria for process and outcome dimensions were developed, based on a literature review. Data on 103 patients, followed for a five-month period, were collected by use of patient record audit and beginning- and end-of-study patient interviews. Cross-tabulations and multiple regression analysis were used to determine relationships between independent and dependent variables. Analysis of variance was used to determine difference in provider and patient process dimensions according to patient severity groups. Significant relationships were found between all independent variables and the dependent variables of clinical health status and knowledge and understanding of disease and therapy. Patient compliance level was found to be the most significant process variable.


Vivisection: the case against.

Vivisection: the case against.


What guidelines should be followed in critically evaluating research reports?


The language of touch.

The language of touch. A conceptual framework is discussed from which to consider the meaning of touch in nursing research and practice. The impact of interpersonal touch is examined through a review of literature that demonstrates the relationship of touching to human development. The importance of acknowledging the physiologic foundations of touch is reinforced, with considerations as to dangers in accepting all forms of touch as therapeutic. Existing research into the physiologic and psychosocial bases of tactile interaction is explored, and qualitative symbols for a language of touch are presented. These qualitative symbols create the foundations for discussing a construct of tactile arousal.


Vivisection: do we have double standards?


Cross-cultural study of initial visits to psychiatric outpatient clinics. This descriptive and comparative study explored issues involving initial visits to psychiatric outpatient clinics. Seventy patients in an Irish clinic and 51 patients in a United States clinic were interviewed and 100 medical records in each clinic were reviewed to examine data on five variables: presenting complaints, critical incidents, referral processes, patient expectations, and reactions to treatment plans. Commonalities and differences between clinics were cited.


Vivisection: are all animal experiments necessary?


Recent trends in pulmonary tuberculosis.


Integrated geriatric wards.

Integrated geriatric wards.


Effect of clinical settings on the utilization of nurse practitioners. In this study, 143 medical and pediatric nurse practitioners in 61 agencies identified problems in role implementation and formulated recommendations for more effective utilization in clinical settings which employ, or plan to employ, nurse practitioners. Physician-intensive settings appeared to utilize nurse practitioners least effectively and more practitioners left such settings, citing inability to implement the role, than did practitioners employed by other types of health agencies. Different kinds of health agencies integrated and implemented the role at different rates.


Psoriasis--looking for a cure.

Psoriasis--looking for a cure.


Relationship of psychological factors in pregnancy to progress in labor. A prospective study of 32 normal, married primigravidas was conducted to determine the relationship between psychological factors in the third trimester of pregnancy and progress in two defined phases of labor. Data were analyzed for the total group and with five subjects deleted to control partially for the effect of medications. Psychological variables measured in pregnancy had significant correlations with variables measured at the onset of phase two labor. Conflict concerning the acceptance of pregnancy showed the most significant relationships to the phase two labor variables with correlations of .39 with anxiety, .59 with plasma epinephrine, -.70 and -.52 with two adjacent Montevideo units, and .58 with length of labor in phase two (3-10 cm cervical dilation). Other pregnancy variables which significantly correlated with the labor variables were identification of a motherhood role, history of psychological counseling or psychiatric treatment, the trait scale of the State-Trait Anxiety Inventory, and fears related to helplessness, pain, loss of control, and loss of self-esteem. Several psychological variables measured in pregnancy also correlated significantly with length of labor in phase three and type of delivery. The results demonstrate that specific psychological factors in pregnancy are predictive of progress in labor.


A mother's eyeview of childbirth.

A mother's eyeview of childbirth.


International Year of the Child 1979.

International Year of the Child 1979.


Monitoring infants with whooping cough.

Monitoring infants with whooping cough.


The first in a new post in Glasgow.

The first in a new post in Glasgow.


The move of the Nottingham Children's Hospital to the Queen's Medical Centre.


Moving to University.

Moving to University.


Technology in nursing. Radiotherapy. 2. Radiobiology.


Making effective use of scarce paediatric nursing resources.


A student shop steward of the Rcn.

A student shop steward of the Rcn.


The Aberdeen formula: evaluation on the larger scale (1).


Jay report: what chance implementation?

Jay report: what chance implementation?


Newsmakers: Peggy Jay: bête noire or Messiah?


Newsmakers: the challenge of Jay.

Newsmakers: the challenge of Jay.


Where the need is greatest - Wigan AHA: direct benefit to patient care.


Radiation protection for nurses.

Radiation protection for nurses.


Nursing care study: pre-senile dementia.


Home dialysis.

Home dialysis.


A study tour of North America.

A study tour of North America.


Castles in the air.

Castles in the air.


The Aberdeen formula: evaluation on the larger scale (2).


Briggs Bill speeds through Lords.

Briggs Bill speeds through Lords.


A bright new future; beware of the Jay.

A bright new future; beware of the Jay.


Are the targets right?

Are the targets right?


Nursing care study: a patient with an intracranial tumour.


Care of the terminal patient. 1. What can I say? A christian nurse's view of dying.


Fluidised sand beds--a cross-infection risk?


Long-term behaviour problems in psychiatric hospitals.


A review of artificial lens implants.

A review of artificial lens implants.


So you want to work abroad?

So you want to work abroad?


Victims of political-racial persecution.


The Aberdeen formula: evaluation on the larger scale (3) (concluded).


Research - a learning experience.

Research - a learning experience.


Let the brain take the strain.

Let the brain take the strain.


Role strain of US nurse tutors.

Role strain of US nurse tutors.


Speaking as managers.

Speaking as managers.


Tumours of the nose and accessory sinuses.


Nursing care study: femoral endarterectomy and femoro-popliteal bypass graft.


Nursing, a helping relationship?

Nursing, a helping relationship?


Care of the terminal patient. 2. Personal experience in the professional care of the dying.


A cilia tale there is yet to tell.

A cilia tale there is yet to tell.


Visual effects of marijuana use.

Visual effects of marijuana use.


Research summer schools: an evaluation (concluded).


Technology in nursing. Radiotherapy. 1. Introduction.


International Year of the Child.

International Year of the Child.


If I ever got lung cancer, I'd die of shame.


The process: not evolution, revolution.

The process: not evolution, revolution.


What about a 'care-in' campaign?

What about a 'care-in' campaign?