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Biomedical subjects

F W Whitney

Publications and source records attributed to F W Whitney.

15 recordsLinked to original sources
PubMed2001

The effect of injection speed on the perception of intramuscular injection pain. A clinical update.

Injections are frequently administered by occupational health nurses in worksite health promotion programs. The purpose of this study was to examine the effect of varying injection speed on the perception of pain. Fifty workers were given intramuscular (i.m.) hepatitis B vaccine at injection speeds of 10 and 30 seconds per cubic centimeter (s/cc). The perception of pain was measured on a visual analogue scale and reported post-injection at three different time intervals. The results showed that no difference in pain was perceived by participants between the two injection speeds. Results also revealed that women consistently had higher mean pain scores than men and significantly more pain at the 0 hour measurement of the 10 s/cc injection. While the results of this study indicate no need to administer an i.m. injection slower than 10 s/cc, occupational health nurses will need to consider gender differences in pain perception when administering injections.

Adult↗
PubMed1999

Contracting with outpatient hemodialysis patients to improve adherence to treatment.

The purpose of this study was to examine the relationship between contingency contracting and adherence to prescribed therapy in outpatient chronic hemodialysis patients. A quasi-experimental, pretest/posttest design was used. The sample included 15 hemodialysis patients, 6 in the phosphorus group and 9 in the weight-gain group. The study was conducted at an outpatient hemodialysis center in a Midwestern rural state. Specific variables investigated were interdialytic weight gains and serum phosphorus levels that reflect adherence to fluid restrictions and to taking phosphate-binding medications. Weekly interviews were conducted with each patient and content analysis of interview data was completed to identify categories related to adherence and nonadherence. Pre- and postcontract weight gains and phosphorus levels were analyzed with a paired two sample t-test. The categories related to adherence and nonadherence included physiological, psychological, environmental, locus of control/self-control/self-praise, economical, medical, knowledge deficit, health benefits, family support, and social support. Adherence to taking phosphate-binding medication responded more favorably to contingency contracting than did adherence to fluid restrictions. Chronic outpatient hemodialysis patients in the sample responded to the use of contingency contracting and developed techniques to remember to take phosphate-binding medications in order to lower serum phosphorus medications.

Adult↗
PubMed1993

Primary care in the emergency room: a collaborative model.

Emergency rooms have become primary care centers for a large portion of the population. Unfortunately, most are neither designed nor appropriately staffed to deliver first-line, continuous, comprehensive, family-oriented, and self-actualizing care. This paper describes a nurse-managed collaborative primary care practice model that has been functioning for 8 years in an inner city emergency department.

Emergency Service, Hospital↗
PubMed1987

Relationship of laterality of stroke to emotional and functional outcome.

The role of hemispheric laterality and emotion in the stroke population has been studied less than in other brain-damaged populations. Neuroscience nurses caring for stroke patients need knowledge about the anatomical placement of ischemic deficits and the relationship of emotions to that placement to understand observed affect and behavior. Knowing how to assess negative affect and behavior will help nurses design interventions to produce optimal recovery.

Aged↗
PubMed1986

Turning clinical problems into research.

The nursing process is well known by practicing nurses. The model for approaching the development of nursing research using this process has been presented. The clinical arena is rich in data and problems worthy of detailed research work. The models provide structure and methods that are familiar to practicing nurses so that they may begin to work with colleagues and other researchers in the clinical setting. A nurse who wants to use this model to begin research efforts needs interested colleagues in nursing, friends with patient ears, superiors who value this type of work, and affable determination.

Data Collection↗
PubMed1985

Alzheimer's disease: toward understanding and management.

It is vital that nurse practitioners be knowledgeable about the most common primary dementia, Alzheimer's disease. A review of the etiology, pathology, signs and symptoms are presented. This article suggests a method for the nurse practitioner to use in assessing the demented patient, with a view of the differential diagnosis and diagnostic work-up. Current methods of drug, diet and life-style management are discussed. Nursing interventions, guided by the progressing phases of Alzheimer's disease, are offered.

Aged↗
PubMedDate not supplied

Evaluation of a PhD program: paving the way.

Quality assurance in doctoral education in nursing is a high priority as programs are developed and changed. The discipline and profession of nursing will not be well served if doctoral program quality is not monitored in a systematic way. Without the demands of a periodic, required evaluation by an external accrediting body, the motivation for quality assurance must be internally driven. One pragmatic motivating factor is that today's sophisticated doctoral applicant has resources available to assist with program choice by assessment of quality indicators. High-quality programs will attract the highly qualified students who will lead nursing in the next century. This article has presented a process leading to evaluation of quality and outcomes of one doctoral program. Some of our ideas and experiences may be helpful to those initiating an evaluation process in their own institutions.

Education, Nursing, Graduate↗
PubMedDate not supplied

Guidelines for neurological consultation.

Referral to specialists for care which requires expert knowledge is a common occurrence in primary care. The role of the nurse practitioners is often to make judgments about the need for such referrals, seek appropriate specialists, prepare records and the patient for the referral and maintain contact with patient once expert advice and diagnosis is complete. This article specifically addresses the referral of patients with neurologic problems. Emphasis is placed upon general rules relating to how to refer and how to determine the need for referral. Some common complaints of ambulatory proteins which may need referral such as headache, dizziness the difference between those complaints which need referral and those that do not.

Dizziness↗