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Biomedical subjects

C L Blue

Publications and source records attributed to C L Blue.

17 recordsLinked to original sources

Exercise among blue-collar workers: application of the theory of planned behavior.

The purpose of this study was to identify cognitive predictors of blue-collar workers' (N = 468) intention to exercise and their self-reported exercise behavior. The theory of planned behavior (TPB) provided the framework for the study. A cross-sectional sample of skilled and unskilled workers from the physical facilities department of a large, Midwestern state university completed a questionnaire containing measures of attitude, subjective norm, perceived behavioral control, intention, and self-reported leisure exercise behavior. Structural equation modeling demonstrated that workers' attitude toward exercise and perceived behavioral control explained 61.7% of the variance of intention, whereas intention and perceived behavioral control explained 51.3% of the variance of exercise behavior. Subjective norm was not a significant predictor of intention to exercise. The findings support the use of the TPB in identifying cognitive factors that explain exercise behavior and suggest that interventions to promote exercise behavior in blue-collar workers should address their attitude toward exercise and their perceptions of behavioral control.

Adult↗

The relationship between hospital readmissions of medicare beneficiaries with chronic illnesses and home care nursing interventions.

A retrospective audit of the charts of 62 Medicare patients with diagnoses of congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) was conducted. Data that described marital status, number of visits made, number of hospital readmissions, and types of nursing interventions were collected. A significant relationship was found between certain nursing interventions and hospital readmissions.

Aged↗

The predictive capacity of the theory of reasoned action and the theory of planned behavior in exercise research: an integrated literature review.

Although the association between habitual exercise and health benefits has been well documented, physical activity levels in the United States are lower than is necessary to reach the nation's health potential. Beliefs that people hold can be a motivating factor in engaging in exercise. A critical review of the literature was conducted to assess the efficacy of using the Theory of Reasoned Action and the Theory of Planned Behavior with respect to exercise. Evidence for the predictive utility of the theories was found. The Theory of Planned Behavior is a more promising framework for the study of exercise because it includes beliefs about control of factors that would facilitate or inhibit carrying out exercise. Strategies for use of the theories in planning exercise programs are provided and suggestions for future research discussed.

Behavior↗

Adherence to worksite exercise programs: an integrative review of recent research.

1. Improving worker physical fitness through worksite exercise programs offers many benefits to the employee and the employer. Unfortunately, a small percentage of workers who begin an exercise program adhere to it. 2. It is essential to design program strategies to promote exercise adherence among persons who do not currently exercise at levels that achieve health benefits. 3. The results of this review of worksite research suggest a number of strategies that were successful in increasing at least short term exercise adherence. 4. Carefully controlled studies are needed to identify specific worksite exercise interventions or combination of interventions that maximize the initiation of exercise as well as short and long term adherence. A combination of strategies improves exercise adherence for at least 6 months, but more research is needed to determine long term maintenance of an exercise program.

Exercise Therapy↗

A case management tool for occupational health nurses: development, testing, and application.

1. Case management is a process of coordinating an individual client's health care services to achieve optimal, quality care delivered in a cost effective manner. The case manager establishes a provider network, recommends treatment plans that assure quality and efficacy while controlling costs, monitors outcomes, and maintains a strong communication link among all the parties. 2. Through development of audit tools such as the one presented in this article, occupational health nurses can document case management activities and provide employers with measurable outcomes. 3. The Case Management Activity Checklist was tested using data from 61 firefighters' musculoskeletal injury cases. 4. The activities on the checklist are a step by step process: case identification/case disposition; assessment; return to work plan; resource identification; collaborative communication; and evaluation.

Adult↗

Women in nontraditional jobs: is there a risk for musculoskeletal injury?

More females are entering once male dominated jobs that require physical strength, flexibility, and endurance. Musculoskeletal injuries, a leading cause of worker disability, occur more frequently when the physical demands of a job exceed the worker's physical capabilities. Although women are more flexible than men, differences in muscle mass, body composition, and size can place women at risk for injury. The risk for musculoskeletal injury can be reduced through ergonomic considerations and physical fitness.

Body Composition↗

Strategy for reinforcing drug knowledge and accountability in drug administration.

The strategy of including drug-related nursing diagnoses on the nursing care plan can be a helpful tool in fostering drug knowledge and responsibility for nursing care related to drugs. Using the nursing care plan adds meaning to drug cards and other pharmacologic resources. Individualizing drug considerations on the nursing care plan adds another important dimension to nursing practice. Students demonstrated improved proficiency and relevance in applying drug information to client care.

Attitude↗

Continuing education. Home care of the epidural analgesia patient: the nurse's role.

Spinal analgesia offers a viable alternative for many patients with cancer whose pain cannot be controlled by systemic narcotics. The success of this therapy depends largely on the effectiveness of the home health nurse in instructing patient and caregivers, monitoring catheter care, and assessing the patient's response to treatment.

Analgesia, Epidural↗

Preventing back injury among nurses.

Back injury and subsequent back pain are highly prevalent in nursing. This article explores multidimensional factors with respect to working behaviors, physical fitness, and environments that contribute to both acute and cumulative back injuries to nursing staff. Specific interventions to reduce the risk for back injury are examined. The practice of proper posture, body mechanics, and lifting techniques are reviewed. Exercises to increase flexibility, muscle strength, and endurance are encouraged to reduce the gap between job physical demands and human capabilities. Nurses are also encouraged to be knowledgeable about ergonomic principles and to be active in identifying and using these principles. Research needs and approaches to the study of the back injury problem of nurses are also suggested.

Back Pain↗

Using social marketing to develop and test tailored health messages.

OBJECTIVE: To advance and promote procedures to evaluate tailored health messages based on the 4 Ps of social marketing (SM). METHOD: Three studies are presented for heuristic purposes to show the evolution and application of a "research plan" to 3 phases of SM research that address the 4 Ps. RESULTS: Qualitative and quantitative methods provide useful information to develop messages and to evaluate message efficacy for public health campaigns, to recruit participants to interventions, and/or to influence program adherence and participant retention. CONCLUSIONS: Formal, systematic research methods offer a viable means to evaluate the potential of SM constructs.

Feedback↗

A curriculum model for an integrated senior year clinical experience.

Transformations in the delivery of health care from hospital to community have brought about many changes in nursing practice. These, in turn, have necessitated alterations in the education of nursing students, the curricula, and clinical experiences. Confident that nursing is an independent practice, exclusive of the health care setting, our faculty decided to direct our teaching efforts to reflect changes in health care delivery. We restructured our baccalaureate nursing program's senior level clinical education experience to prepare students to meet the needs of the clients we serve--the community--and the demands of professional nursing education. In doing so, we have supported Ryan's definition of community, which includes "all settings where consumers seek health care" (1, p. 140). In response to the recommendation by the pew health professions commission for new models of content integration "between education and the highly managed and integrated systems of care" (2, p. 51), a decision was made to merge three senior level clinical courses--pediatrics, public health, and nursing leadership and management--into one integrated experience. This process required an examination of collective values and beliefs with respect to course content and learning experiences. The challenge was to examine "sacred cows" and eliminate redundancies and replication of learning activities.

Community Health Nursing↗

Evaluating a fear appeal message to reduce alcohol use among "Greeks".

OBJECTIVE: To evaluate the impact of a fear appeal message on college students' drinking behavior using the extended parallel process model. METHOD: A survey was administered to a random sample of undergraduates (n=224) in 38 national fraternal organizations. RESULTS: Both perceived efficacy and perceived threat were significantly correlated with drinking behavior. There was a significant difference both in drinking behavior and attendance at alcohol-free events between those who heard and those who did not hear the message. CONCLUSIONS: Theoretically based fear appeal messages may be a useful way to promote responsible drinking among college students.

Adolescent↗