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Biomedical subjects

D Macrina

Publications and source records attributed to D Macrina.

4 recordsLinked to original sources

Determinants of self-efficacy among persons with spinal cord injuries.

The purpose of this study was to determine the factors affecting self-efficacy among persons with spinal cord injury (SCI). The study population consisted of 105 persons with SCI who were discharged from one of eight hospitals in north central Alabama between October 1989 and September 1992. Data were derived from a retrospective acute-care medical record review and 12-month annual follow-up telephone interviews. The findings indicate that high self-efficacy is significantly associated with less severe neurological impairment, being white, employed at injury, having a high-school education or beyond, and having an unintentional injury. In terms of marital status our data indicate the odds of divorced persons having high self-efficacy are 8.2 (CL = 0.919, 74.1) times those of married persons. In addition, 64% of those who were divorced during the 12 months after injury had high self-efficacy compared to 50% of those who were divorced prior to injury.

Activities of Daily Living↗

Enriching professional preparation in school health through international study.

This article describes how to develop, market, implement, and evaluate an international health education travel study course. The experiences described reflect an international travel study tour of England and Scotland conducted by the authors with 25 undergraduate and graduate students. The trip enhanced both the appreciation and professional knowledge of the students of a variety of perspectives in the health area. International study provides unique opportunities for student development and contributes significantly to the quality of professional preparation of school health personnel. These experiences complement traditional professional preparation programs and can result in improved health instruction and health services in schools.

Cross-Cultural Comparison↗

An educational intervention to increase use of the Glasgow Coma Scale by emergency department personnel.

Data from a large series of acutely injured patients revealed the Glasgow Coma Score was acquired in less than one half of those for whom it should have been documented. To improve these statistics, a five-part educational intervention based on an application of the PRECEDE-PROCEED model was developed. The study populations consisted of hospital-based nurse-managers and their emergency department nursing staff. Evaluation of the educational intervention's effectiveness suggested (1) simply conveying benefits of a particular patient care practice is insufficient to bring about immediate and permanent changes and (2) the most significant changes occurred in settings in which a formal policy and formal data collection procedures were established to accompany and reinforce the educational intervention. On-site advocacy and physician support are essential if changes in nursing practice are to occur in hospital emergency departments.

Education, Nursing, Continuing↗