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Biomedical subjects

L L Stamler

Publications and source records attributed to L L Stamler.

6 recordsLinked to original sources

Working women identify influences and obstacles to breast health practices.

PURPOSE/OBJECTIVES: To identify factors contributing to participation in breast screening in working women to drive health education planning and implementation. DESIGN: Survey. SETTING: Automotive plants in southern Canada. SAMPLE: Union and nonunion women working in the plants. METHODS: Survey using "Health Care Practices: A Worksite Survey," modified for Canadian population. MAIN RESEARCH VARIABLES: Age, education, breast health practices, influences on decision to participate in breast screening, and physician gender. FINDINGS: Differences were noted among three age groups (under 30 years, 30-49 years, 50 years or older) in terms of influences and perceived barriers to the different modalities of breast screening. For clinical breast exams, women preferred an expert in breast health, regardless of whether the professional was a physician or a nurse. In all groups, the physician was noted as being very influential; however, perceptions of encouragement from the physician varied across the age groups. Perceptions of barriers to breast screening differed among the age groups and between women with male physicians and those with female physicians. Coworkers were identified as being a strong influence in the older group, whereas friends and family were identified as being more influential in the younger groups. CONCLUSIONS: Health promotion and education strategies may need to be stratified for different age groups. IMPLICATIONS FOR NURSING PRACTICE: Breast health education may need to be seen as an ongoing educational process, with the target groups being both the women and the primary healthcare professionals. The worksite has strong potential as a setting for health promotion activities.

Adolescent↗

Collaborating for breast health education and research. A university, industry, and community agency partnership.

Initiating a collaborative health education program about breast health required talent, expertise, and workload contributions from all involved including university researchers, a regional breast screening agency, and local industries. The credibility and opinions of liaisons or key informants were valued highly, and their support was critical to the success of the project. Participation in any collaborative project is predicated on benefits perceived by each of the partners. The community agency reaped the benefits of greater dissemination of their educational materials through the interventions. The project increased corporate and union awareness of the resources of this agency and in this community. Throughout the project, meetings and telephone conferences were held on a weekly or biweekly basis with the liaisons. Liaisons disseminated updates to management and union representatives.

Adult↗

Toward a framework for patient education. An analysis of enablement.

Patient education is an activity that nurses engage in on a regular basis, yet in the literature it is seldom examined as a patient-centered process. The desire to describe the process of patient education in terms that were not content-driven was the guiding force for an examination of the concept of enablement. The purpose of this article is to describe an analysis that resulted in a definition of enablement and the identification of three components: means, abilities, and opportunities. Model, related, and contrary cases are provided. The findings of this examination are used to propose a potential framework for designing, implementing, and evaluating patient education across content areas.

Adolescent↗

Nursing students respond to a computer assignment.

Computer-generated information is becoming increasingly important in nursing. Nursing schools are faced with the need to ensure that students have basic informatics skills and rudimentary computer literacy. This article describes the introduction of an assignment using electronic communication skills within a teaching-learning course in a baccalaureate program. The assignment was designed to introduce the students to several tasks that would be useful to them in their studies as well as in their care of clients. Students learned to send electronic mail, post to a class list, use search engines, access libraries, and critique web pages. They developed increased confidence and skill, advancing from informed user to proficient user status as identified by Ronald & Skiba. The students' appraisal of the assignment in terms of value to their nursing education and their nursing careers indicated that they recognized the value of these skills for their professional nursing lives. Activities were monitored for content and technical glitches. Lessons learned are highlighted, and "Inbox overload" is identified. The authors found that nursing curricula can be designed to meet the challenge of fostering computer literacy. The assignment could be easily adapted for continuing education or other professional education endeavors.

Attitude to Computers↗

Patient stories: a way to enhance continuing education.

Using breast health and illness, this article reviews relevant research literature and compares it for congruency with patient stories. Inconsistencies and issues found are related to desired outcomes and decision-making. Patients may view cancer treatment as an unbroken continuum from pre-diagnosis to completion of treatment. While moving through the continuum, they interact with nursing professionals in several roles and locations. Strategic suggestions acknowledge the need to incorporate health professionals, patients and families in the continuing education activity. Nurses working in continuing education have the opportunity to improve care along the treatment continuum and reduce the distance between research and practice. Implications for nursing practice and continuing education are identified. Suggestions for enhancing continuing education related to this continuum are made.

Education, Nursing, Continuing↗

The Internet: an effective tool for nursing research with women.

This article outlines the methodology of using the Internet to survey an international population of women about their perceptions of breast health education and screening. Issues to consider in planning and implementing the research project by Internet are presented. A large population of women from North America and elsewhere was reached through the establishment of a website with linkages to other sites frequented by women. Women who visited the website were asked to complete a questionnaire. Anonymity was guaranteed and simple instructions were provided at the site. Benefits, limitations, and tips for success in using the Internet as a research tool are presented. These investigators found the Internet to be an appropriate medium for health-related research that also garnered national and international media interest. The address for this website is http:@www.uwindsor.ca/breast.study/quest.htm.

Adolescent↗