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Biomedical subjects

June H Larrabee

Publications and source records attributed to June H Larrabee.

12 recordsLinked to original sources

Predictors of patient satisfaction with inpatient hospital nursing care.

The purpose of this predictive nonexperimental study was to investigate the influence of registered nurse (RN) job satisfaction, context of care, structure of care, patient-perceived nurse caring, and patient characteristics on patient satisfaction with inpatient hospital nursing care in an academic medical center in north-central West Virginia. Convenience samples of patients (N = 362) and RNs (N = 90) were recruited from two medical units, two surgical units, and three intensive care step-down units. Causal modeling identified patient-perceived nurse caring as the major predictor of patient satisfaction, with nurse/physician (RN/MD) collaboration as the only other direct predictor. Age had an indirect influence on patient satisfaction. Strategies to achieve and maintain patient satisfaction should address the enhancement of patient-perceived nurse caring and RN/MD collaboration.

Academic Medical Centers↗

Improving geriatric care knowledge, competency, and resourcefulness of home care nurses and aides.

Home care nurses aides have opportunities to support families caring for frail elders; however, most lack specialized geriatric knowledge, competence, and resourcefulness skills essential to caring for vulnerable elders and assisting their families. This study compares the pretest and posttest intervention scores of a geriatric care continuing education program for nurses and aides. Specific participant outcomes include increased geriatric knowledge, competency, and resourcefulness.

Aged↗

Predicting registered nurse job satisfaction and intent to leave.

BACKGROUND: Nurse job dissatisfaction has been the primary predictor of intent to leave; however, although many predictors of job satisfaction have been identified, little is known about the influence of variable nurse attitudes, such as psychological empowerment and hardiness, on job satisfaction. OBJECTIVE: The purpose of this study was to investigate the relative influence of nurse attitudes, context of care, and structure of care on job satisfaction and intent to leave. METHODS: A nonexperimental, predictive design evaluated these relationships in a nonrandom sample of 90 registered staff nurses using instruments with known psychometric properties. RESULTS: The major predictor of intent to leave was job dissatisfaction, and the major predictor of job satisfaction was psychological empowerment. Predictors of psychological empowerment were hardiness, transformational leadership style, nurse/physician collaboration, and group cohesion. CONCLUSIONS: Results supported the influence of nurse attitude on job satisfaction relative to other contributing factors.

Adult↗

Discharge planning process: applying a model for evidence-based practice.

Discharge planning is an integral but ill-defined process in most acute care settings. The time available to a healthcare team to adequately prepare patients for discharge has virtually evaporated with decreasing lengths of hospital stay. A research utilization (RU) team at a tertiary care teaching institution reviewed the literature from 1990 to 2002 in search of a research-based practice regarding staff nurses' roles in the discharge process. Review of the literature revealed varied discharge planning processes using staff nurses, advanced practice nurses, or case managers specifically prepared to implement the discharge planning process. Insufficient evidence was found to support a change from the current staff nurse practice.

Acute Disease↗

Phenomenological lived experience of patients with rheumatoid arthritis.

This phenomenological study explored (a) the lived experience of rheumatoid arthritis (RA), (b) the patient's view of the nurse's role, and (c) the patient as comanager of RA. The purposive sample consisted of 6 Caucasian women living in West Virginia. Using Colaizzi's methodology, a rich, exhaustive description of living with RA emerged. Recommendations for nursing care quality focus on providing personalized, holistic, and humanistic care, which may ultimately improve the patient's quality of life.

Activities of Daily Living↗

Caring Behaviors Inventory: a reduction of the 42-item instrument.

BACKGROUND: Caring traditionally has been at the center of nursing. Effectively measuring the process of nurse caring is vital in nursing research. A short, less burdensome dimensional instrument for patients' use is needed for this purpose. OBJECTIVES: To derive and validate a shorter Caring Behaviors Inventory (CBI) within the context of the 42-item CBI. METHODS: The responses to the 42-item CBI from 362 hospitalized patients were used to develop a short form using factor analysis. A test-retest reliability study was conducted by administering the shortened CBI to new samples of patients (n = 64) and nurses (n = 42). RESULTS: Factor analysis yielded a 24-item short form (CBI-24) that (a) covers the four major dimensions assessed by the 42-item CBI, (b) has internal consistency (alpha =.96) and convergent validity (r =.62) similar to the 42-item CBI, (c) reproduces at least 97% of the variance of the 42 items in patients and nurses, (d) provides statistical conclusions similar to the 42-item CBI on scoring for caring behaviors by patients and nurses, (e) has similar sensitivity in detecting between-patient difference in perceptions, (f) obtains good test-retest reliability (r = .88 for patients and r=.82 for nurses), and (g) confirms high internal consistency (alpha >.95) as a stand-alone instrument administered to the new samples. CONCLUSION: CBI-24 appears to be equivalent to the 42-item CBI in psychometric properties, validity, reliability, and scoring for caring behaviors among patients and nurses. These results recommend the use of CBI-24 to reduce response burden and research costs.

Academic Medical Centers↗

Influence of interpretive styles of stress resiliency on registered nurse empowerment.

The purpose of this predictive, nonexperimental study was to describe the influence of 3 interpretive styles of stress resiliency on phychological empowerment; psychological empowerment has been identified as a primary predictor of RN job satisfaction. Subjects were 142 nurses, randomly selected from 4 unit in 2 hospitals in a mid-Atlantic state. Measures used were Spreitzer's questionnaire for psychological empowerment (Chronbach alpha for this study = .89) and Thomas and Tymon's Stress Resiliency Profile for interpretive styles (Chronbach alpha for this study = .87, .74, and .85, for deficiency focusing, necessitating, and skill recognition, respectively). Regression analysis identified a model predictive of psychological empowerment in which 24% of the variance was explained by skill recognition and deficiency focusing components of interpretive styles, suggesting that nurses who believe they are effective and who do not imagine their own failure add to their own empowerment.

Adaptation, Psychological↗

Expanding American Nurses Association nursing quality indicators to community-based practices.

Continuing its commitment to patient care quality, the American Nurses Association appointed a committee in 1997 to expand nursing-sensitive quality indicators beyond acute care. This article is the final report describing the processes used to identify a core set of community-based quality indicators relevant to nurses across the care continuum and identifies next steps. The indicator categories are (a) change in symptom severity, (b) strength of the therapeutic alliance, (c) utilization of services, (d) client satisfaction, (e) risk reduction, (f) increase in protective factors, and (g) level of function/functional status. Potential indicators requiring further research and development are also described.

Clinical Nursing Research↗

Clean versus sterile gloves: which to use for postoperative dressing changes?

Staff nurses have a key role in ensuring that practice is evidenced-based. This article discusses the application of a model for evidence-based practice change by staff nurses in an acute care setting who examined the practice of using sterile gloves for postoperative wound dressing changes. This initiative was in response to the challenge that it was unnecessary to use sterile instead of nonsterile gloves. Extensive literature search revealed insufficient evidence to justify a practice change to nonsterile gloves.

Bandages↗