Biomedical subjects
Publications and source records attributed to E S Kinion.
This article describes the development of a nurse-managed clinic in an urban environment. The clinic provides primary care services to persons who do not have health insurance. One primary population served is urban American Indians. Perceived barriers to care are discussed. Cultural sensitivity is addressed and patient situations are presented.
Emerging emphases on systems of care, cost containment, and preventive interventions require the CNS to recognize risk factors and change health behaviors before complications develop. To lower substantially the rate of nontraumatic lower extremity amputation, high-risk populations must be screened and must receive appropriate management, including education and self-care interventions. In this article, two studies that examined foot risk factors in ambulatory elderly with intact feet are compared. American Diabetes Association and Gillis W. Long Hansen's Disease Center risk criteria were applied to both datasets. Recommendations for education, management, and referrals based on the calculated level of risk are presented.
The concept of socialization provides a useful framework for describing the difficult transition from being a neophyte researcher to becoming an expert. Individuals are often not aware of the complexity of the research process and perceive their struggles and conflicting feelings as unique. Recognition that one's feelings can ease distress and facilitate the development of the researcher and, ultimately, facilitate the advancement of nursing science. The socialization of faculty nurse researchers can be viewed as including four stages: dependence, negative independence, independence and mutuality, and interdependence. Progression through the stages is characterized by the development of a strong sense of self and expertise as a researcher. The individual emerges with feelings of zest and enthusiasm for the role and with competence and integrity as a researcher.
Leadership theory is important but a successful leader must at times be a follower. Leadership and followership concepts need to be taught together in a practical exercise. Decision-making, conflict, and resolving interpersonal communication problems are all part of both roles. As individuals become aware of their own leadership styles and inherent strengths and weaknesses, they will be more effective members of management teams. Nurses in leadership roles must work effectively with peers in group activity. To be successful in organizational decision-making, nurses must learn to work with individuals with similar leadership and followership styles as well as with differing points of view. Followership is as indispensable as leadership for success in nursing management roles.
Interdisciplinary collaboration helped a group of health care providers plan, implement, and evaluate an exercise program for sedentary older adults in a long-term care facility. The program, designed as a research study, can be implemented by paraprofessional care givers with minimal supervision. The synergy resulting from collaboration between the investigator and colleagues in the practice arena was the cornerstone of the program's success. This paper describes the results of a Sit and Get Fit exercise program, a project funded by The University of Akron.
Plato's theory about psychodynamic forces is used to develop a holistic model for nursing practice. The dysphoric emotional state of demoralization is conceptualized as an imbalance between Spirit, Appetite, and Reason. Interventions are designed for elderly clients who show objective and subjective signs of demoralization. The objective indicators are measured with the Psychiatric Epidemiological Research Interview (PERI), before and after the implementation of individualized interventions. Results for the 23 subjects who completed the study in an assisted-living environment are suggestive of the effectiveness of basic nursing interventions in remediating the symptoms of demoralization. Plato's model of the psyche is an elegant, yet simple, conceptual tool for understanding the mental health needs of clients.
Collaboration helped a group of health care professionals identify clients' health needs, exchange professional knowledge, offer insight, and plan and implement a health screening program for rural older adults at risk for diabetes mellitus. The authors found collaboration with health professionals to be synergistic and energizing. When nurses with various educational and experiential backgrounds work together, rural clients' needs can be addressed. This project was funded by the American Diabetes Association, Ohio Affiliate.
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TOPIC: Descriptive ethics and related concepts of beneficence, justice, and autonomy. PURPOSE: To provide a framework to aid in decision making when neuroleptic drugs are decreased in a vulnerable elderly population. SOURCE: A clinical situation is used to illustrate the ethical issues considered in neuroleptic drug reduction. CONCLUSION: While compassion permeates the ethical concerns of psychiatric mental health nurses, disciplined thought is also needed.
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