Phenomenology: a method for nursing research.
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Biomedical subjects
Publications and source records attributed to A Omery.
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This article examines and evaluates the supporting evidence from the prevailing models of moral development. Using the criteria of empirical relevance, intersubjectivity, and usefulness, the classical model from psychoanalytic theory, Kohlberg's and Gilligan's models from cognitive developmental theory, and the social learning theory model are reviewed. Additional considerations such as the theoretical congruency and sex role bias of certain models are briefly discussed before concluding with the current use of the models by nursing.
When a patient cannot be helped significantly by further ICU care, can the family refuse discharge of the patient because they are able to pay for further care? Here is an actual case situation submitted from one of our readers, followed by the ethical case analysis and suggestions on what to do in a similar situation.
The specific aim of this exploratory, descriptive study was to demonstrate that the nursing diagnosis, decreased cardiac output, contains at least seven separate and specific components. Forty critical care nurses completed a questionnaire about seven different case studies, or vignettes. Each vignette reflected one of the following: myocardial injury, arrhythmias, decreased preload, myocardial ischemia, increased afterload, drug effects, and cardiac surgery alterations. Mean scores were used to validate the specific subcategories. Analyses of variance were used to demonstrate statistically significant differences among them. Six of the labels were supported, providing preliminary evidence for the validity of these components of decreased cardiac output.
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Nurse administrators in the Los Angeles area complain that budgetary and staffing constraints hamper nursing research. They indicate that a research consortium would be an attractive solution as it would enable institutions to pool resources and effectively document nursing's contribution to patient care.