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Biomedical subjects

J R Wilcox

Publications and source records attributed to J R Wilcox.

7 recordsLinked to original sources

Professional recognition and high-quality patient care through collaboration: two sides of the same coin.

Today's health care professionals frequently confront problems that lack a single right answer. Differing answers often result in interprofessional conflict. For example, nurses, physicians, and respiratory therapists may have different goals and responses in a cardiac arrest situation. Strategies to enhance nursing's unique contribution to these decisions and to facilitate collaboration among all the professionals are presented.

Assertiveness

Using organizational culture to facilitate the change process.

Change in health care settings is occurring at an ever-increasing rate. One change is the implementation of new nursing care delivery systems. Although such changes are necessary responses to societal needs, they are not always welcomed by nursing personnel. Current organizational literature suggests that understanding a work group's culture can facilitate the change process. This article reports a qualitative research study that identified the work group culture of a renal unit and shows how the unit used an understanding of its unit culture to ease the change to primary nursing.

Humans

Understanding organizational culture: a key to management decision-making.

Organizational culture is a significant element in today's health care environment. Understanding work culture can assist the nursing administrator in hiring personnel, orienting newcomers, facilitating organizational change, and promoting learning. The authors report a study that identified the work group culture of two nursing units and suggest that differences between these cultures affect a variety of nursing administration decisions.

Administrative Personnel

Bone scanning in the evaluation of exercise-related stress injuries.

Bone scintigraphy was used to evaluate 34 patients with the physical findings and history of stress fracture of the lower extremity. Of the 34, 21 had abnormal studies, 11 involving the femoral neck, 9 the tibia, and 1 the femur. All of these had abnormal scintiscans prior to or at the time of the appearance of radiographic changes. Of the 9 with abnormal tibial studies, radiographic changes never evolved in 3. No false negatives were found among the 13 with normal scintiscans.

Adolescent

Thyroid uptake of 131I: further comparisons of capsules and liquid preparations.

Comparisons were made of thyroid uptake of three commercially available preparations of 131I, using a double-blind design, in 125 patients with normal thyroid function. Uptakes with Squibb Iodotope Diagnostic capsules were significantly lower than those with Squibb Iodotope Oral liquid at 4 hr (p less than 0.01) and 24 hr (p less than 0.05) after ingestion in both the general population and in all patients less than 45 years of age. Uptakes of Radiocaps I-131 (Abbott Laboratories) and Iodotope Oral liquid were indistinguishable under identical conditions. Our findings indicate that interference with either absorption or metabolism of a pharmaceutical can result from the vehicle used to administer it.

Administration, Oral