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Biomedical subjects

L B Tiedje

Publications and source records attributed to L B Tiedje.

15 recordsLinked to original sources
PubMed2000

Moral distress in perinatal nursing.

This work focuses on an emerging concept in nursing ethics--moral distress. Unlike an ethical dilemma where one does not know the right thing to do, in contrast, moral distress occurs when one knows the right thing to do but is constrained by the institution or one's coworkers in doing it. Moral distress is a process that involves recognition that a decision is difficult to act upon; the experience of emotional distress inherent in that situation; choosing strategies; and then acting. Whistle blowing and collaborative practice models both provide strategies for moral action in moral distress situations. Less dramatic and quieter forms of moral action will also be examined. Finally, developing the strength to move from moral distress to moral action will be discussed, as well as research implications for this emerging ethical issue.

Conflict, Psychological↗
PubMed1996

Fatherhood reconsidered: a critical review.

The purpose of this critical review is to examine the three central foci around which the research on North American fatherhood has been concentrated. These foci include socialization theories relating to father's role enactment, development theories relating to the growth and development of fathers and children; and descriptions of actual paternal conduct. Since past decades have been marked by an unprecedented paradigm shift in expectations for fathers, a commentary on cultural images of fatherhood examining the empirical research on participatory and absent fathers is included. A research approach based on the social construction of gender, including avenues for future theory development, research, and social policy is proposed.

Child↗
PubMed1996

Intervention model for substance-using women.

Treatment programs for pregnant women using alcohol, tobacco, and other drugs are generally ineffective because of a focus that is male-oriented and because of an emphasis on primarily fetal outcomes. This paper examines women's addiction to alcohol and other drugs from a feminist perspective. Published literature over the past decade on the importance of relationships in the etiology of women's drug-use behavior is reviewed and an intervention model based on home visits and framed in the context of women's relationships is proposed.

Female↗
PubMed1995

Sensitizing nurses for a changing environmental health role.

This paper traces the evolution of a broader environmental health role for nursing by focusing on the health effects of exposure to environmental pollutants and of global environmental change. This evolving role is reviewed through the examination of selected community health nursing texts published during the last several decades. Key role strategies based on this expanded and evolving environmental role are proposed. Finally, a survey is described that is intended to heighten awareness of personal and professional attitudes and behaviors related to the environment.

Adult↗
PubMed1992

Patient attitudes concerning health behaviors during pregnancy: initial development of a questionnaire.

The major determinant of infant mortality in the United States is low birthweight (LBW). Health behaviors related to LBW are inadequate prenatal care, poor nutrition, smoking, and moderate to heavy alcohol use. Before interventions can be designed to assist women in modifying these health behaviors, more must be understood about their causes. The Health Belief Model (HBM) is a framework for analyzing beliefs that motivate health behaviors and is well established as a model for understanding health behavior decisions. The chief aim of this study was to develop an instrument to assess women's health beliefs during pregnancy. Questions for the instrument were generated around the four major constructs of the HBM: perceived susceptibility, seriousness, benefits, and barriers. Four focus group interviews, a literature review, and consultation with an HBM expert provided content for questions. The questionnaire was administered to a convenience sample of 127 women. The measurement models were tested using confirmatory factor analysis. Parsimony was achieved by reducing the original 106-item scale to 64 items. The final instrument provides support for the HBM but not for all of its discrete constructs.

Adolescent↗
PubMed1991

Working with multiproblem families: an intervention model for community health nurses.

We propose a model for working with multiproblem families that is based on provider-client conceptual frameworks. The model includes primary areas of conflict in client-provider relationships (values, control, and information), and suggestions for effective intervention strategies. It delineates ways to empower families and to assist nurses in achieving greater professional satisfaction.

Child↗
PubMedDate not supplied

Promoting positive well-being in employed mothers: a pilot study.

In this quasi-experimental pilot study, women who were returning to work within 6 months after the birth of a first baby were assigned to participate in a control group (n = 13) or a six-session small group intervention (n = 18). The content of the group intervention was developed based on a stress and coping framework (Lazarus & Folkman, 1984). The experimental and control groups were surveyed at 2 months after their return to employment and on their baby's first birthday on measures of well-being in marriage, work, and parenting. Repeated measures analysis of covariance was used to examine differences over time between the experimental and control group with length of maternity leave and number of hours worked as covariates. Participants in the intervention reported increasing levels of marital satisfaction over time, whereas the control group experienced a decline in marital satisfaction over time (p = .04). Implications for practice and research are presented.

Adult↗
PubMedDate not supplied

Factors that influence fathers' participation in child care.

Using the social address model, we examined demographic factors that influence fathers' participation in child care by comparing trends in two samples: (a) 139 professional women and their spouses and (b) a heterogeneous group of 214 homemakers and employed women and their spouses. Results support previous observations that fathers are more likely to engage in play activities with their children than perform any other type of child care. Mothers continue to be primarily responsible for child care, regardless of their employment status. Parental education level was the most consistent predictor of father participation in both samples. The findings are discussed in terms of moving beyond intrafamily variables as predictors of child care participation to the larger contexts of gender and power.

Educational Status↗
PubMedDate not supplied

Returning to our roots: 25 years of maternal/child nursing in the community.

In many ways the past 25 years in maternal/child nursing have brought us back to community roots. Components of community care in maternal/child nursing include self-care; prevention; family, culture, and community; and collaboration. These components are reviewed through a retrospective look at community maternal/child nursing activities during the past 25 years. In addition, maternal/child nursing for the future is examined by thinking expansively in five areas: childbirth education, community-based interventions for better health behavior, community-based interventions to meet 2010 objectives, family forms, and definitions of women's health in the United States and beyond. We are birthing a new vision of maternal/child health and wellness. Central to that birthing is an awakening of the still, small, wise intuitive voice in all of us.

Community Health Nursing↗
PubMedDate not supplied

Ethical and legal issues in the care of substance-using women.

Substance use occurs among women of all demographic groups. Current legal issues provide the foundation for an ethical analysis of the goals, values, and professional obligations of nurses caring for substance-using women. Adequate knowledge, well developed interpersonal skills, and insight into personal attitudes are essential for ethical and effective professional care.

Beneficence↗
PubMedDate not supplied

Alternative health care: an overview.

One-third of the patients seen in health care settings in a year also use alternative therapies. This article outlines ways to evaluate alternative therapies, including general resources that may be used for future reference, and discusses implications for practice and policy. Integrating alternative therapies into practice at several levels, from assessment to research, is examined, as are guidelines for helping patients chose alternative therapies.

Complementary Therapies↗