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Biomedical subjects

E Stullenbarger

Publications and source records attributed to E Stullenbarger.

10 recordsLinked to original sources
PubMed1999

Factors to consider when buying a mobile health unit.

Purchasing a mobile unit to deliver healthcare services can be an expensive undertaking, and there is little information in the literature on planning or designing these vehicles. The authors discuss guidelines to help nurse administrators make better decisions regarding the purchase of mobile health units (MHUs). The guidelines resulted from a synthesis of the literature, correspondence with the chief executive officers of firms that manufacture MHUs, and onsite visits to agencies with an MHU.

Cost-Benefit Analysis↗
PubMed1995

An integrative review and meta-analysis of oncology nursing research: 1981-1990.

The systematic accumulation of widely scattered research results is essential to developing a scientific basis for clinical practice. The purposes of this study were to describe 10 years of patient-related oncology nursing research in the United States, assess effectiveness of interventions, and test a prototype for research synthesis projects. Using a nursing framework and strategies of integrative research review and meta-analysis, 428 studies were selected for the study. The studies were found to be predominantly descriptive (90%), with convenience samples (79%), and a median sample size of 48. Subjects were predominantly in treatment or rehabilitation (52%), with demographic and stage of disease characteristics largely unreported. Of the 428 studies, 42 met the criteria for meta-analytic treatment. Interventions were found to be significantly effective, with membership in the intervention group improving success rate by 22%. The prototype was judged highly for adherence to standards and usefulness for adaptation to other research syntheses. Because of wide diversity in topics studied, missing information on subjects, and lack of replication, implications for research-based practice are premature at this time. Recommendations for future research include new studies, replications, and new research syntheses with an international scope for nurses studying and providing cancer care.

Nursing Research↗
PubMed1994

A meta-analysis of intervention effectiveness for symptom management in oncology nursing research.

PURPOSE: To describe intervention effectiveness for symptom management in oncology nursing research. DESIGN: Integrative research review and meta-analysis. SAMPLE: 28 randomized experimental and control group studies of symptom management that were identified from 428 published and unpublished oncology nursing research reports authored by nurses from 1981-1990. METHODS: Experimental studies identified and coded by four oncology nurse specialists; findings transformed into effect sizes; effect sizes combined into overall effect for 28 studies; and effects clustered by symptoms, interventions, and outcomes. MAIN OUTCOME MEASURE: Combined effect for 28 symptom management study outcomes. FINDINGS: For 28 study outcomes tested for symptom management, weighted average effect was d = 0.47, the 95% confidence interval ranged from 0.31 to 0.61, statistical significance was p = 5.17 x 10(-12) with wide variability of effect (chi 2 = 66.574, df = 27, p = 3.41 x 10(-5), and success rate improved from 39% to 62% for subjects in the treatment group. CONCLUSION: Interventions were effective in relieving symptoms in the collection of studies and in the clusters for managing nausea and vomiting, pain, anxiety, alopecia, infection, and side effects of chemotherapy. IMPLICATIONS FOR NURSING PRACTICE: Missing data related to subject characteristics and need for replications prior to use in practice preclude making specific recommendations at this time for research-based nursing interventions for symptom management in patients with cancer.

Clinical Nursing Research↗
PubMed1991

A prototype for integrative review and meta-analysis of nursing research.

Meta-analysis has gained international recognition as a statistical approach to research synthesis. What is missing in research reviews, however, is the systematic compilation of results from non-experimentally designed studies. An approach is described which extends the rigours of integrative research review and meta-analysis to descriptive studies. A model for conceptualizing a systematically derived research synthesis is presented with selected accompanying generic elements. The model serves as a prototype for application to a variety of topical areas of interest. Generic elements contained in the prototype may be tailored to specific topics with relative ease. Resources and time required for topic development from conceptualization through to dissemination can be considerably reduced by adaptation of the generic elements.

Clinical Nursing Research↗
PubMed1991

Decision points in the integrative research review process: a flow-chart approach.

With the ever increasing volume of research information appearing in the literature, research syntheses are becoming more popular among researchers in various disciplines. This phenomenon demands application of rigorous and systematic review methodologies. Using Cooper's five-stage process for conducting an integrative research review, the authors have constructed a flow chart for health sciences librarians and others using this approach to identify decision points in this process. The accompanying narrative details the information that must be considered and analyzed. Included in the flow chart and text is an elaboration of meta-analysis and an integrative review to accommodate both quantitative and qualitative research results. A case is made for a collaborative relationship between the researcher and the librarian.

Data Collection↗
PubMed1991

School health projects: an extended learning experience for pediatric graduate students.

Practice in integration of all role behaviors of the Clinical Nurse Specialist (CNS) is a key concern of nurse educators in planning clinical learning experiences for the CNS student. If integration of role behaviors is minimal in the CNS graduate, effective functioning in today's complex health delivery system is compromised. A description of a three consecutive quarter opportunity to incorporate the role behaviors of the CNS is presented.

Education, Nursing, Graduate↗
PubMed1989

Effect of high-frequency vibration on experimental pain threshold in young women when applied to areas of different size.

The purpose of this study was to compare the effects of high-frequency vibration when applied to two areas of different size. Subjects were 30 right-handed Caucasian women, aged 19-38 years, with a negative history of upper extremity dysfunction. The experimental cutaneous pain threshold was determined by stimulating the skin over the pisiform bone on the palmar surface of the hand. Pain threshold measurements were taken before, during, and 2 and 5 min after vibration. Group A received vibration to an area 12.5 cm2 on the ulnar aspect of the palm of the hand 1 cm distal to the pisiform bone. Group B received vibration to an area 25 cm2, also on the ulnar aspect of the palm of the hand. Results of the mixed design analysis of variance performed on the mean pain thresholds indicate that there was no significant main effect for group (size of area vibrated), p greater than 0.05, or interaction effect between group by trial (size of area vibrated and time of pain threshold measurement), p greater than 0.05. There was a significant main effect for trial (time of pain threshold measurement), p less than 0.001. Pain threshold values were greatest for both groups during the period of vibration.

Adult↗
PubMedDate not supplied

Quality of life in cardiac patient research: a meta-analysis.

This article reports a meta-analysis of 84 studies of quality of life (QOL) in cardiac patient populations published in the 5-year period 1987-1991. Selected methodologies and substantive characteristics of the studies are described. An overall effect size of .31 indicated a small but significant positive effect of pharmacologic, mechanical, surgical, nursing, or other treatment on QOL. No negative effect of treatment was found for any cardiovascular diagnostic category. Homogeneity analysis revealed eight potential moderators of the overall effect size: quality of study, gender of sample, time dimension, sampling method, intervention, marital status of subjects, quality-of-life dimension measured, and sample size.

Aged↗
PubMedDate not supplied

Writing research reports.

The findings of nursing research are of little value unless they are communicated to other nurses and other health professionals. Therefore, writing the research report is an essential component of the research process. This article gives a general guide for the organization and presentation of a research report. For specific rules on style and format, the reader is referred to style manuals and to guides for authors for specific journals.

Nursing↗