Clinical nursing research
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Clinical nursing research · Aug 1994
The Alcoholism Denial Assessment Tool (ADAT): a study of interrater reliability.
The purpose of this study was to develop and test a tool for assessing alcoholic denial. The primary author devised the Alcoholism Denial Assessment Tool (ADAT) based on 2 years of experience. The tool was tested for interrater reliability using chart data of 42 recently discharged alcoholism patients. ⋯ Item analysis showed strong interrater reliability on all but 1 of the 16 tool items. The ADAT provides nurses with a practical assessment tool that can be used daily to monitor progress. Recognition that a patient is in denial can allow meaningful and appropriately planned treatment.
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Clinical nursing research · May 1994
Psychophysiological responses of parents to pediatric critical care stress.
Psychological factors are associated with how parents cope during a child's intensive care hospitalization. However, little is known about the role of physiological-stress responses in parents' coping and adaptation to such situations. ⋯ Further, parents who were more problem focused performed more child care activities during the experience. The results of this study provide information for planning interventions to promote parental coping and adjustment to the child's critical care situation.
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Clinical nursing research · Feb 1994
Comparative StudyPerception of surgical pain by nurses and patients.
A descriptive study of postoperative patients was conducted to determine if there were any differences in the pain ratings of nurses and patients using a 10-centimeter graphic rating scale (GRS). The sample consisted of 16 patients: 3 males and 13 females. There were 13 nurses: 54% R. ⋯ The mean patient score on the GRS was 7.59; the mean for nurses was 4.59. At test revealed a significant difference between the nurses' and patients' pain ratings (t = 4.22, p = .0002). Based on this study, there is further need to examine assessment of the patient and the perceptions of the nurse and patient.
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Clinical nursing research · Nov 1993
Behavioral responses of family members during critical illness.
This articles describes the behavioral responses of adult family members to critical illness and how these responses change over the course of the hospitalization. A convenience sample of 52 family members of patients in intensive units completed the Iowa ICU Family Scale, a self-report tool measuring sleep, eating, activity, family role, and support behaviors. ⋯ Stress was highest at the time of the ICU admission, began to plateau at Day 6, and then dropped considerably by Day 28. These findings suggest that crisis intervention is important during the early phase of caring for critically ill patients and their family members.
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Within the past few years, the assumption that preterm infants experience little or no pain has been challenged in nursing and medical literature. It is not clear to what extent changes have taken place in the practice area. The purpose of this qualitative study was to explore the beliefs of NICU nurses and physicians about the existence and treatment of pain in preterm infants. ⋯ Both groups identified behavioral and physiological cues to pain recognition. There were differences in initial approaches to treatment. However, both groups indicated that the nurse has the pivotal role in recognition and initiation of treatment to reduce or eliminate pain.