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Biomedical subjects

Janice B Agazio

Publications and source records attributed to Janice B Agazio.

3 recordsLinked to original sources

Effects of nonlocal geographically separated hospitalizations upon families.

When children are hospitalized at a treatment facility in a different state or country, families must deal with separation from existing support systems and the added burden of travel. The purpose of this study was to identify the stressors, coping mechanisms, and resources used by families hospitalized more than 200 miles away from home. Twenty-eight parents participated in serial interviews throughout their child's hospitalization. Content analysis was used to identify major themes and to describe the experience. From the findings, it was evident that these types of hospitalization and separation have implications for the service member, spouse, hospitalized child, siblings, and the family system. In recognizing the impact of a nonlocal hospitalization, caregivers have an opportunity for early assessment, recognition, and intervention to mediate stress and promote positive outcomes for all parents, children, and families.

Adaptation, Psychological↗

Ethics and computer-mediated communication: implications for practice and policy.

Computer-mediated communication, or email, has become a common workplace practice. Interviews with Army nurse managers (n = 9) and their staff nurses (n = 13) revealed that nurses incorporate the ethical principles of autonomy, beneficence, nonmaleficence, and justice into their computer-mediated communication use, but to varying degrees. Without clearly defined policies to guide computer-mediated communication practices, informal norms evolve that have an impact on both individual and corporate communication. The authors provide insight into the ethical considerations that have an impact on computer-mediated communication use. The spectrum of participant interpretation of appropriate use of this type of communication suggests the need for policies to establish clear boundaries for workplace usage. Policy recommendations are included.

Adult↗

Evaluation of a virtual reality simulator in sustainment training.

Is there a better way to train and prepare our health care personnel to function in a chemical biological environment while continuing to provide for patient care in a variety of healthcare settings? The purpose of this pilot work was to compare the effectiveness and user satisfaction of the Cath-Sim Intravenous Training System to the traditional IV arm model for teaching and achieving competence at IV insertion while in Mission-Oriented Protective Posture level 4 for Army medical personnel. Grounded in adult psychomotor learning principles and in an established evaluation model, participants were tested on both the traditional IV arm and Cath-Sim models and then allowed to practice on each model while at Mission-Oriented Protective Posture level 4. One week later, participants were again tested on both models. Outcome measures included (1) a computer-generated score sheet measuring time to success and criterion success/nonsuccess on the Cath-Sim; (2) time and success rating for IV insertion on the IV arm model; and (3) satisfaction evaluations completed by the participants. There were conflicting evaluation scores for recommending one model over the other. Participants felt that there was some benefit to each model depending on user, setting, and purpose.

Biological Warfare↗