PubMed HealthSearch

Biomedical subjects

K R Cox

Publications and source records attributed to K R Cox.

At least 19 recordsLinked to original sources

Use of theory to guide nurses in the design of health messages for children.

To be effective, presentation of health messages for development of self-care agency must be age and developmentally appropriate. Blending cognitive development theories with selected foundational capabilities and dispositions from Self-Care Deficit Nursing Theory (SCDNT) has resulted in five concrete factors for successfully designing and delivering health messages for optimal learning in children. The capacity to learn requires perception, attention, play, communication, and memory. Actual evidence of learning about healthy choices by elementary school-aged children is illustrated. Indications of successes and deficiencies in design and delivery of health promotion messages during a school health fair are presented.

Child

Predicting and preventing pressure ulcers in adults.

Advanced practice nurses and staff nurse skin-care team members provided the necessary expertise and information to integrate AHCPR recommendations in a protocol for patients at risk for skin impairment. Regular practice monitoring and education regarding skin management have proven to be successful strategies. A skin-impairment management protocol is provided.

Adult

Dust off the policy and procedure manual to develop an orientation program.

With clear and accurate peritoneal dialysis departmental policies, procedures, and patient care standards, the creation of an orientation module with objective and measurable patient care and staff performance outcomes is easily produced. This article describes revision of policies, procedures, and patient care standards, and an approach for building linkages with the employee orientation program. No formal classroom time is required, and the level of orientee experience is accommodated. All peritoneal dialysis staff members are capable of equal preceptor participation.

Education, Nursing, Continuing

Development, implementation, and evaluation of a confusion protocol.

Because the phenomena of managing and therapeutically responding to confused elderly hospitalized patients is complex and difficult, a group of advanced practice nurses, supported by a pharmacist, nursing administration, and a School of Nursing professor, was commissioned to explore the research-based literature and provide practice recommendations for these patients. This article identifies one process undertaken for synthesizing and grounding an immense body of literature related to confused elderly patients. The literature review served to begin clarifying the differences between the diagnosis and required interventions for managing either acute or chronic confusion. These interventions were articulated within a protocol format (Marker model) familiar to staff members at our institution. The development, implementation, and evaluation of the protocol is presented, as well as suggestions for further research.

Acute Disease

Campaign '92: three more years!

Creative planning and well-executed graphics produced an upbeat approach to preparing staff for a JCAHO accreditation visit. Five humorous and highly visible strategies were used in a coordinated eight-week "campaign." Not only did the institution "pass the test" but there was a consensus among staff nurses that they had felt comfortable, confident and in control during interviews with the JCAHO surveyor.

Accreditation

Improving the effectiveness of Society meetings and stimulating surgical research: an overview of a Surgical Research Society of Australasia workshop.

The Surgical Research Society of Australasia organized a workshop in October 1984 to consider how to maximize the effectiveness of the Society and its meetings. Four working parties addressed the aims and directions of the Society, the planning of meeting, the selection and presentation of papers, and education in surgical research. An overview of the workshop is presented in abbreviated form.

Australia

A community of scholars or scholars of the community? A note on the limits of relevance.

Universities are increasingly expected to be accountable for the large sums of public money they spend. Universities in Australia are currently under pressure to turn out graduates who are technically trained for immediate entry into the work force. Universities are expected to teach knowledge and skills which are relevant to what the community needs now. If the universities accept such obligations of accountability and relevance, what are the implications for the university enterprise? Over the past decade, medical schools have attempted to spell out their purposes, writing their overall goals and then specific objectives to guide teaching in all departments. These lists of goals and objectives usually incorporate a strong orientation to meeting current community needs. One expression of these community needs is the call for 'Health for all by the year 2000', supported by all governments through the World Health Organization. Turning out graduates to provide community health care would be a relevant goal which an accountable medical school could hardly deny. What evidence is available about university responses to such needs?

Community Health Services

Measurement plus judgement in examinations.

All examinations require the exercise of judgement at many points, whatever the method of scoring. In the Part 1 Examination of the Royal Australasian College of Surgeons these judgements are inextricably linked with policies on what is being tested (basic science or basic surgery, knowledge or application), what are the needs of practice and what must be covered in the discipline (choices of inclusion/exclusion on breadth/depth, core material/growing edge), and what are the levels of expectation (difficulty of questions, pass level). Examination scores have a measurable reliability. Confidence limits can be calculated on each candidate's score, but decisions must be made in the grey zone around the pass mark. If candidates did not enter the examination with equal chances because of external circumstances, judgements must be made about the level of disadvantage before deciding how to weight their score.

Australia

Intern training in New South Wales.

The process of intern training in New South Wales is at present undergoing critical examination. This article is a brief review of the status of intern training in Australia and New Zealand as revealed by a survey of accredited hospitals and the medical boards. Also reported are the results of a questionnaire widely distributed to the medical profession in New South Wales which sought its views on the nature of, and problems with, the internship.

Attitude of Health Personnel

Attitides towards peer review.

The Australian Commonwealth Minister for Health called on the Australian Medical standards in Australia. Among the initial responses of the AMA was the organization of a National Seminar of Peer Review. Participants were asked to identify questions they would like to have answered about peer review and about aspects of a peer review system which they would perceive as necessary for its acceptability. Responses to these questions are analyzed and discussed. Implications for the introduction of peer review in Australia are examined, and strategies for gaining the commitment of the profession to the implementation of peer review are suggested.

Attitude of Health Personnel