Biomedical subjects

J Bliss-Holtz

Publications and source records attributed to J Bliss-Holtz.

5 recordsLinked to original sources

PubMed1992

Nursing theory as a base for a computerized nursing information system.

This article illustrates how nursing theory can be used in a computerized nursing information system (CNIS). Before development of such a system can begin, data relationships must be specified so that: (a) the relationships are specific enough to support a computerized relational base and (b) the resultant information can support nursing science. Both goals were achieved through three interrelated processes: (a) validation of a practice model based on Orem's self-care deficit nursing theory, (b) classification of clinical data into theory-related categories, and (c) establishment of data relationships to yield meaningful information.

Databases, Factual↗

PubMed1991

Determining cold-stress in full-term newborns through temperature site comparisons.

A secondary analysis of data from 120 full-term infants was performed to determine whether temperature relationships between sites could be used to identify cold-stress prior to core temperature decrease. Axillary and rectal temperature readings were taken every 30 seconds with standardized mercury-in-glass thermometers, and the highest reading for axillary and rectal temperatures was used in data analysis. Three groups were identified when temperature site readings were compared: infants whose rectal temperature was higher than their axillary (group 1), infants who had equal axillary and rectal temperatures (group 2), and those whose axillary temperature was higher than the rectal reading (group 3). Further findings from data analysis suggested that infants whose rectal temperatures were within normal limits were either in a relatively neutral environmental state (group 1) or were maintaining their core temperatures through brown adipose tissue metabolism (group 3).

Axilla↗

PubMed1990

Validating nursing theory for use within a computerized nursing information system.

Computerized nursing information systems (CNISs) exemplify the application of computer science to nursing knowledge. For nursing knowledge to be a basis for CNIS development, variable relationships must be clearly defined, thus allowing transformation of data into knowledge. Nursing theories define variable relationships; these definitions, however, often are not specific enough on which to base data-based nursing information systems. This article describes how a nursing process model was derived from Self-Care Deficit Nursing Theory, the process model validated, and data relationships established within the model prior to its use as a structure for a CNIS.

Computer Simulation↗

PubMedDate not supplied

Shaping the future. The marriage of nursing theory and informatics.

The link between nursing theory and computerized nursing information systems is explored. In particular, the use of Self-Care Deficit Nursing Theory in the development of an information processing model for use in a computerized nursing information system is described. This development is discussed with reference to the American Nurses' Association design criteria for computerized nursing information systems. There is some indication that the design criteria do not adequately address the relationships among nursing theory, nursing processes, and computerized nursing information systems.

American Nurses' Association↗

PubMedDate not supplied

Comparison of rectal, axillary, and inguinal temperatures in full-term newborn infants.

Rectal, axillary, and inguinal temperatures were compared in 120 full-term infants aged 12 to 48 hours. Thermometers were placed in randomized sequential order and temperatures were recorded every 30 seconds until the reading remained constant for 90 seconds (stabilization). At least 95% of subjects reached temperature stabilization at all sites by 5 1/2 minutes. Mean difference between axillary and inguinal readings was 0.6 degrees F; between rectal and inguinal readings, 0.8 degrees F; and between rectal and axillary 0.2 degrees F. Although the greatest difference between mean temperature readings was found between the rectal and inguinal sites (0.8 degrees F), this pair of readings also had the highest correlation. This finding indicates that inguinal site temperatures are more reflective of rectal temperatures and may be less sensitive to effects of brown adipose tissue heat generation.

Axilla↗