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Biomedical subjects

H M Dreher

Publications and source records attributed to H M Dreher.

5 recordsLinked to original sources
PubMed1996

Beyond the stages of sleep: an emerging nursing model of sleep phases.

The stages of rapid eye movement and non-rapid eye movement sleep are common topics in most nursing texts. It is impractical, however, to verify the stages of sleep in hospitalized patients. The article present a nursing model of sleep phases that uses observed behavior to identify which phase of sleep the adult patient is experiencing. The model is based on the findings from a qualitative study of 16 women hospitalized with myocardial infarction. Subsequent analysis of the data led to the development of Dreher's model of sleep phases. The retiring phase begins with declining arousal and preparations for sleep and continues until the onset of sleep. The resting phase begins with the onset of sleep and continues until the onset of final awakening. The rising phase commences with the onset of awakening and continues until the complete arousal. This model is presented as an emerging nursing model in which the behavior of sleep in hospitalized adults can be described. It is hoped that the model can be used to help nurses conceptualize sleep pattern disturbances so that appropriate nursing interventions can be implemented.

Female↗
PubMedDate not supplied

Clinical inference by nursing students and experienced nurses concerning harmful outcomes occurring after medication errors: a comparative study.

Clinical inference is part of the clinical decision-making process and precedes judgment and action. It is an integrated response to patient cues and other evidence and a necessary skill for all nurses. The purpose of this study was to compare undergraduate and graduate nursing students' use of clinical inference in rating harmful outcomes for patients occurring after medication errors. The Medication Error Outcome Scale, a simulation methodology using medication error vignettes, was used to compare undergraduate and graduate students' use of clinical inference. Kruskal-Wallis analysis of variance showed that there was a statistically significant difference (P = .04) among freshman, junior, senior, baccalaureate, and Master's students' use of clinical inference in regard to perceived harm occurring after a medication errors. Post hoc Mann-Whitney U tests indicated that senior and baccalaureate students' use of clinical inference differed significantly (P = .005). This study suggests that clinical experience shapes clinical inference.

Adult↗
PubMedDate not supplied

A program evaluation approach to drug administration education.

To evaluate the education of undergraduate nursing students in drug administration, the faculty of La Salle University School of Nursing structured a program evaluation plan using a curriculum map. Faculty track the cognitive, affective, and psychomotor skills involved in drug administration. For example, all clinical nursing courses and the pharmacology course contain dosage and intravenous solution calculations in didactic material and tests. Program evaluation of the outcomes of medication administration education is continuous throughout the curriculum.

Curriculum↗