Biomedical subjects

J H Dimmitt

Publications and source records attributed to J H Dimmitt.

4 recordsLinked to original sources

PubMed1996

Choosing a framework for ethical analysis in advanced practice settings: the case for casuistry.

The need for advanced practice nurses to incorporate ethical analysis into case management is becoming more apparent -- particularly for the increasingly independent practice settings of psychiatric and mental health nursing. The nursing literature contains many articles dealing with the more abstract treatment of clinical ethics, but for the practitioner there is unfortunately little information available that uses ethical principles in a practical framework, which addresses the concrete reality of daily, difficult clinical decision making. This article applies a model of reasoned analysis to an actual case study using the concepts of casuistry or case-based reasoning. This method offers an alternative to the more popular paradigm of principilism. Complicated by the existence of violence and abuse, the case examines several ethical issues including patient privacy and legitimate breaches of patient confidentiality.

Adolescent↗

PubMed1996

Translation and reassessment of the Adolescent Self-Perception Profile for a rural, Mexican-American population.

Research has identified problems with self-concept in abused adolescents, and past studies have been conducted primarily with urban populations. Rural and minority adolescents also constitute subgroups at risk for abuse. This study was conducted to reassess reliability and validity of the Adolescent Self-Perception Profile (ASPP), for investigation of relationships between self concept and abuse in rural communities and to develop and perform initial psychometric evaluation of a Spanish language version of the ASPP as a tool to enable investigation of rural Mexican-American adolescents. ASPP development is projected for data base formation of theoretically based interventions and outcome measurement for self-concept. This study provides preliminary validation of the ASPP for these purposes.

Adolescent↗

PubMed1994

Cases of conscience: casuistic analysis of ethical dilemmas in expanded role settings.

In the absence of a well articulated conceptual framework for nursing ethics, this article argues for a theory of applied ethics--casuistics--used within a clinical reasoning model, to analyse the complicated issues presented in three cases involving adolescents receiving treatment for abuse through a rural alternative learning centre. The clinical nurse specialist, as an independent practitioner within the community, is presented with many ethical challenges arising from cultural diversity. The inherent independent nature of such practice environments combined with the pluralism which exists in today's multicultural society demands that professional nurses working in these circumstances develop and utilize an ethical framework for the analysis of patient care in situations that involve moral conflict.

Adolescent↗

PubMedDate not supplied

Self-concept and woman abuse: a rural and cultural perspective.

The prevalence of woman abuse has serious community health ramifications because of its associated psychological responses. Theoretical frameworks have described behaviors arising from interpersonal interactions as being affected by self-concept. Therefore, assessing self-concept is critical in research and practice for understanding the behavior of abused women and the effects of self-concept on the physical self. This research arose from clinical practice in a rural Mexican American and non-Hispanic white community. The practice focused on individual and group counseling for women and adolescents in abusive relationships. This study was conducted to refine the theoretical basis for interventions related to self-concept and woman abuse for rural Mexican American and non-Hispanic white women.

Case-Control Studies↗