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Biomedical subjects

K Hjelm-Karlsson

Publications and source records attributed to K Hjelm-Karlsson.

8 recordsLinked to original sources

A simulation program that teaches clinical decision making in nursing.

The aim of this project is to produce a multimedia computer simulation program, to be used in the training of clinical decision making with nursing students in Swedish schools of nursing. The program is based on a number of clinical scenes filmed in a ward and dealing with the postoperative care of a patient who has undergone reconstruction of the crucial ligament. The student's task is to assess the need for care for a newly postoperative patient and to plan the care for the first 24 hours. Special emphasis is given to pain assessment, pain relief and drug administration.

Computer-Assisted Instruction↗

Comparison of oral, written and audio-visually based information as preparation for intravenous pyelography.

Four different ways of giving information in advance to patients about to undergo a threatening medical procedure (intravenous pyelography) are compared; oral, written, slide-tape based and film-sound based. The effectiveness of the methods is measured through patients' ability to recall key point topics in the information spectrum and through their estimates of the degree of overlap between the mental images built up from the information and the reality experienced during the examination. The result is that no significant differences were found, except for one case of overlap. The relative merits of the four methods as they emerge from patients' comments are briefly discussed.

Adolescent↗

Effects of information to patients undergoing intravenous pyelography: an intervention study.

This paper reports on the outcome of nursing intervention consisting of information-giving to patients about to undergo a threatening medical event (intravenous pyelography). Thirty patients in an intervention group were given structured information on all aspects of the examination (sensory, procedural and temporal components, and a coping mechanism). Their reactions to the event as recorded in self-reports were compared with those of 30 patients who did not receive such information (control group). No differences were found between the groups regarding physiological reactions to the stressful event, but there were clear and partly significant differences in the psychological outcome variables. Less pain and discomfort were experienced during intravenous pyelography in the intervention group and the subjects of this group were better able to form mental images of the impending event.

Adaptation, Psychological↗