PubMed HealthSearch

Biomedical subjects

L L Ouellet

Publications and source records attributed to L L Ouellet.

9 recordsLinked to original sources

Mobility aids and the elderly client.

As life expectancy increases, nurses working with elderly clients will continue to be challenged to maintain mobility, particularly in clients with chronic illness. Because of this, it is important to have research-based strategies to assist clients. Currently there is a dearth of nursing related research in the area of mobility and mobility aids. The findings from this study may provide the impetus for re-examining the concept of mobility, and its underlying assumptions as foundational to nursing practice.

Aged

A study of nurses' perceptions of client mobility.

This paper is part of a larger study to examine the concept of mobility from the perspectives of clients and nurses. It represents a beginning effort at clarifying, refining, and developing the concept for nursing practice as the current literature concentrates on immobility. The enquiry began with a theoretical phase during which attributes and characteristics of the concept were elicited. This was followed by a fieldwork phase to determine whether there was congruency between the theoretical formulations of the concept and empirical data. Primary nurses and their clients were interviewed and data were analyzed using content analysis. In this article, only data obtained from the nurse population are reported. Themes derived from the nurses' interviews are described and compared with the results of the theoretical phase. Findings revealed that there was a measure of support for the concept as defined in the theoretical phase but pointed to the need for more empirical work with different client populations across settings.

Activities of Daily Living

Dietary fiber and laxation in postop orthopedic patients.

The addition of wheat fiber in the diet of post-surgical orthopedic patients as a means of preventing constipation was studied using a quasi-experimental design. It was hypothesized that a 20 gm supplement of All Bran and natural bran would promote spontaneous bowel movements, reduce the incidence of constipation, and thus decrease the need for elimination interventions. The results show that the study group had more spontaneous bowel movements and required fewer elimination interventions than did the control group.

Adult

Relationship of a preceptorship experience to the views about nursing as a profession of baccalaureate nursing students.

In nursing education, preceptorship experiences have gained much popularity as a teaching/socializing strategy. This strategy is assumed to assist students in bridging the practice-theory gap and in becoming socialized to the professional role of the nurse but there has been minimal research on the effectiveness of the strategy in the professional socialisation of nursing students. This study examined the effects of a preceptorship experience on baccalaureate nursing students' perceptions about professional nursing before and after 4-week and 7-week preceptorship experiences. Variables such as the length of the experience and the educational preparation of preceptors were included to determine their influence on students' perceptions of the professional role. A pre-test/post-test design was used. Senior baccalaureate nursing students with a preceptorship component in their program formed the non-randomised convenience sample (n = 103). Data collection was through the administration of the Valiga Concept of Nursing Scale (1982). Results showed that, while there were no significant differences in students' perceptions after a 4-week preceptorship experience, a significant difference was found after the 7-week preceptorship experience. Interestingly, no significant differences were discerned when the two groups were compared post preceptorship. The students paired with baccalaureate prepared nurses had a significantly greater increase in score than the students paired with diploma prepared nurses.

Adult

Mobility: a concept analysis.

In this paper, the authors present their analysis of the concept of mobility as a starting point for the development of relevant theory. Multiple uses of the concept are considered and provisional criteria identified. Case examples, together with antecedents and consequences, of the concept are presented. Finally, research questions that would form the basis of fieldwork have been generated.

Adaptation, Psychological

[To teach and to help the students to open up].

Nursing education in Canada is undergoing fundamental change. This will have profound effects on the new graduates' approach to practice. Currently, the greatest challenge for nurse educators is not only to develop nurses who can effectively work in a health care setting, but to prepare nurses who have the knowledge, strength and will to transform the health care system. The author reminds us that past educational practices, developed for the needs of men, had a negative impact on nursing education. This educational method neither encouraged dialogue nor the development of critical decision-making skills. The masculine model, with its rational/empirical focus, is still currently used in nursing research and practice. This model still exists even though nurses do not always face straightforward situations requiring "black or white" answers. The author maintains that nurse educators should review the traditional teaching methods and replace them with practices that humanize nursing care and encourage critical thinking. From this will emerge a renewed sense of dignity, empowerment, hope and independence both for the nurse and the patient.

Education, Nursing

Faculty development: the essence of curriculum development.

For years, nurse educators' approach to curriculum building has been one entrenched in the behaviourist school of thinking. The outcome for nursing was a graduate who could function well in a predictable environment. However, as nursing practice is becoming increasingly complex, nurse educators feel more and more disenchanted with this approach and are turning to orientations which support a professional model of education. Shifting orientation to a paradigm for professional education requires that educators change their views and practices to reflect the assumptions underlying the new paradigm. This paper examines the process involved in shifting orientations to curriculum development and proposes strategies to mobilise educators in their own resocialisation to their new roles as educators and learners.

Curriculum

Forces influencing curriculum evaluation.

This article presents a retrospective examination of the process used in reviewing an existing baccalaureate nursing curriculum. Force field theory and relevant curriculum literature provide the framework for the discussion of this evaluation process. The factors which led to a state of disequilibrium in the existing program curriculum are identified. Driving and restraining forces which influences the review process are described. Change strategies, implemented in altering the direction of the forces towards equilibrium are presented with an emphasis on outcomes. Finally, guidelines which have evolved from the review process are suggested.

Attitude of Health Personnel

A synthesis of selected literature on mobility: a basis for studying impaired mobility.

The concept of mobility can be found in the nursing diagnosis literature as impaired physical mobility, which is generally defined as limitations of physical movement within the environment. In this context, mobility is viewed within the confines of the physical realm. This conceptualization is restrictive in scope and therefore does not provide much direction for the nurse clinician. The theoretical basis of mobility must be strengthened to generate the knowledge necessary to understand impaired physical mobility. The purpose of this article is to present a consolidated review of the literature related to the concept of mobility. Studies from the social sciences are explored. Conceptual orientations from the health literature also are discussed. Finally, the nursing perspective is examined, including the measurement of the concept.

Activities of Daily Living