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Biomedical subjects

J K Holcombe

Publications and source records attributed to J K Holcombe.

5 recordsLinked to original sources
PubMed1995

Titling for advanced practice nurses.

PURPOSE/OBJECTIVES: To describe salient discussion points and the recommendations for titling of the advanced practice nurse (APN). DATA SOURCES: Discussion points, professional literature on titling for APNs, and rationale and recommendations generated by conference participants. DATA SYNTHESIS: The recommendation for a single title--advanced practice nurse--as an umbrella term to include clinical nurse specialists and nurse practitioners within the Oncology Nursing Society evolved from the desire to facilitate advancement of these roles. CONCLUSION: A common title for all nurses in advanced practice will help them to speak with one voice. IMPLICATIONS FOR NURSING PRACTICE: The existing healthcare environment provides numerous opportunities for APNs. Single titling may produce unity among APNs, provide the ability to speak with a single voice, and result in new opportunities for leadership roles in directing health care for the future.

Humans↗
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28 randomized experimental and control group studies of symptom management that were identified from 428 published and unpublished oncology nursing research reports authored by nurses from 1981-1990.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↗
PubMed1993

Personality types of oncology nurses.

Personality type influences the choice of occupation. The breadth of specialty areas within oncology nursing allows for divergent activities and relationships and, thus, the accommodation of different personality characteristics. This exploratory study examined personality types for a convenience sample of oncology nurses predominantly employed in hospitals. According to the personality typology defined by Carl Jung, a person demonstrates a preference among four dimensions, i.e., extraversion/introversion, sensory/intuition, thinking/feeling, and judging/perceiving. The type with the strongest self-selection for these oncology nurses was ISFJ, where feeling is introverted and perception is practical, so that helping others is both a responsibility and a pleasure. The discussion relates the personality types to Jung's theory and their impact in clinical practice. Strengths and weaknesses of each personality type are described.

Adult↗
PubMed1990

Cancer of the endometrium.

Cancer of the endometrium is the most common and curable gynecologic malignancy. It has a most easily recognizable symptom in its usual presentation as postmenopausal bleeding. Treatment may vary considerably based on prognostic factors and may include surgery, radiotherapy, hormonal manipulation, or cytotoxic chemotherapy. Rehabilitation is the focus of nursing intervention and is initiated at the time of the cancer diagnosis. The continued effort by investigators to define intermediate and high-risk populations and, thus, appropriate adjuvant treatment will continue to reduce mortality from endometrial carcinoma.

Adenocarcinoma↗