Plato's cave and Aristotle's collections: dialogue across disciplines.
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Biomedical subjects
Publications and source records attributed to Donna M Zucker.
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Before 1985, the goal of care for patients with coronary heart disease (CHD) was to support them through their infarction. Today, the treatment goal is to minimize ischemia and eliminate avoidable risk factors. High-tech interventions and long-acting pharmacotherapies have become the gold standard of treatment. Lengths of hospital stay are 50% less than what they were before 1985 and, as a result, teaching opportunities directed at lifestyle change have been curtailed. Unless patients are consistently referred to cardiac rehabilitation or are followed closely after discharge, they have little support as they attempt to incorporate and maintain new, healthier behaviors. The two case studies reported here of men with CHD reveals the importance of the patient's early life experiences when developing meaningful recommendations for changing their lifestyle. The small sample limits the generalizability of the findings.
Four tenure-track nursing faculty members at a large, research-intensive university came together to help each other learn the role of faculty scholar and to provide discipline, critique, and collegiality for each other with the goal of building research careers. Peer mentoring is usually construed more as senior faculty mentoring newer faculty. In this model, new faculty members mentor each other based on the knowledge gained in their doctoral programs and through sharing experiences with their own mentors. The value of this strategy includes building relationships among diverse faculty members, creating opportunities for collaboration on research projects, and developing camaraderie among members that might not otherwise develop. One year after implementing this innovative strategy for faculty peer mentoring, group members report success in individual and collective scholarship productivity, more research collaboration, improved mutual expertise, and stronger relationships with each other.
Chronic hepatitis C (HCV) varies greatly in its course and outcomes. Reports of fatigue and other symptoms are common during treatment and when patients are not receiving treatment. Exercise as a form of treatment for HCV-related fatigue has had little attention in research studies, yet data from studies in closely related chronic conditions consistently report the value of exercise for maintaining and improving health and reducing risk factors. This article examines the factors influencing the development of an exercise protocol as an adjunct to health promotion in patents with HCV. A review of the current literature summarizes findings from the areas of exercise in chronic illness states, exercise measures, and exercise prescription as treatment for chronic illnesses, with a focus on HCV. Nurses should consider these factors when developing an exercise protocol as an alternative treatment for side effects and symptoms related to hepatitis C and other chronic conditions. More research on specific exercise prescriptions should be undertaken and reported in the literature.
Although the incidence of hepatitis C virus (HCV) in women is only slightly less than in men, women are poorly represented in research trials. As a result, not much is known about them as a subgroup. The specific aims of this article were to report on the problem, study methods, and findings focusing on HCV-positive women's health beliefs, how they identify and understand their health and illness states, and their explanatory models of illness behavior. A pilot study using three focus groups was conducted with women in the community, in recovery, and incarcerated. Two groups emerged: those with and those without access to knowledge and HCV services. Latinas emerged as a prominent subgroup. Women in all three groups wanted more information and to stay clean, were worried about contagion, and stated that they were secretive and ashamed of their disease. Due to the small study design, this study should be repeated with a larger sample and in a wider geographic area. The results suggest that immediate interventions for this health disparity are needed, including dissemination of this information to primary and specialty care providers and the legislature.
BACKGROUND: Evaluation of our school's self-study data pointed to the need to offer creative distance learning options for students in the registered nurse to bachelor of science (RN to BS) program. METHOD: Selected courses in the RN to BS curriculum were offered to students in both the traditional classroom and via an online format. RESULTS: End-of-course evaluations and course grades showed no significant difference between the learning experiences of the traditional classroom students compared with those of the online students. CONCLUSION: This successful pilot encouraged our school to migrate the curriculum of a traditional RN to BS program to an online format.