PubMed HealthSearch

Biomedical subjects

L N Sherwen

Publications and source records attributed to L N Sherwen.

At least 19 recordsLinked to original sources

Looking toward the twenty-first century. The role of nursing research in care of children and families affected by HIV.

Although there has been extensive research concerning pediatric infection and disease, most of this work has focused on medical and basic science issues. Additional research is needed to provide an empirical basis for nursing interventions. Nursing research can also contribute to the development of health care delivery systems and public policy decisions. This article provides an overview of research related to nursing management of children and families affected by HIV infection. It discusses strategies and considerations for conducting research as well as implications for future needs.

Adolescent

Overview of psychosocial research concerning pediatric human immunodeficiency virus infection.

With improved medical treatments, children with human immunodeficiency virus (HIV) infection are surviving for many years and need to be integrated into the mainstream of life. Caregivers need to be aware of psychosocial issues of children living with HIV; however, minimal research concerning children relates to psychosocial aspects of HIV infection or acquired immunodeficiency syndrome. This article describes the current state of psychosocial research related to pediatric HIV infection and suggests directions for future research. A model for organizing research on pediatric HIV infection comes from models developed for other chronic childhood illnesses. Using an interactionist model of chronic illness, we group existing research into studies relating to the child's environment and family and those concerning the child. Emerging areas of psychosocial research concerning resiliency and coping, family concerns, and intervention research are described. Additional researchable areas concerning psychosocial aspects of pediatric HIV are suggested. Finally, barriers to conducting psychosocial research with HIV-infected children are identified.

Adaptation, Psychological

Disadvantaged families with HIV infection: a challenge in health care delivery.

Perinatally transmitted HIV infection is a devastating and growing problem among families who are often the most disadvantaged units in society. However, being disadvantaged does not necessarily mean that the family is dysfunctional and unable to cope creatively with a child and other family members who are HIV infected. A model is presented which allows the nurse to assess both strengths and stressors of families having perinatally transmitted HIV infection. Characteristics of HIV infected families who cope well, and those who cope less well are delineated. Eight broad principles of management for these families are discussed and their application illustrated with two case studies.

Adaptation, Psychological

Belief systems which influence research in nursing: implications for preparing future investigators.

In the view of the authors, students enrolled in their first research course should become aware of the different belief systems held by investigators about research. All nurse researchers, including faculty who teach undergraduate research courses, have either consciously or unconsciously adopted a belief system. That philosophy determines what the educator sees as appropriate nursing theory, research questions, research designs and methods for nursing inquiry. Students may be confused by the apparent discrepancies in the content and methods of teaching a research course between two and among faculty who possess divergent philosophical views. They should be aware of some of the important belief systems which can influence theory development and research in nursing in order to use nursing research in clinical practice. Two dichotomous belief systems influencing approaches to the study of the phenomenon of pain are discussed: Empiricism and Phenomenology. Teaching strategies which help students know and appreciate different philosophical orientations are proposed. Finally, a rationale for including this content within an undergraduate research course will be given.

Attitude of Health Personnel

Third trimester fantasies of first-time expectant fathers.

Results of an exploratory study of fantasies of first-time expectant fathers and non-expectant males are presented. Data collection instruments included the Imaginal Processes Inventory, the Sex Role Inventory, and the Affectional Relationship Inventory. The fantasy pattern of expectant fathers differed minimally from that of non-expectant males. Fantasy pattern of the expectant fathers appeared to be influenced by their sex role orientations and involvement in the pregnancy.

Adult

Educating for the future: a national survey of nursing deans about need and demand for nurse researchers.

If nursing doctoral programs are to meet the profession's need for research, they must produce scholars with the specific research foci and skills capable of meeting the profession's unique research demands. A national survey of deans and directors of schools of nursing was conducted to determine their opinions about the differing research foci that graduates of nursing doctoral programs should possess. A mail survey instrument was returned by 434 deans and directors of baccalaureate and higher degree programs who were queried about current and future need, contribution, and funding capability of researchers prepared with five different foci: psychosocial processes, biophysical processes, health care delivery systems and administration, education, and methodology and instrumentation. Deans recommended diverse research foci for both current and future researchers and indicated optimism about future funding for research. Although deans rated current and future professional contributions of researchers in the psychosocial domain most highly, they indicated that they believed current and future funding potential was greatest for biophysical researchers. These deans predicted that all types of nursing research endeavors will become increasingly important to the profession and the development of its theory base.

Curriculum

When the mission is teaching: does nursing faculty practice fit?

As nursing faculty practice becomes a part of academic life, nursing programs in liberal arts colleges, where the primary mission is teaching, must document not only that practice is scholarship but also that practice conforms to the teaching mission of the institution. Discussions of scholarly practice from the nursing literature, as well as from Schon and Boyer, serve to validate that nursing faculty practice is scholarship. Attributes of scholarly practice, to be used to evaluate nursing practice outcomes, are identified. Finally, the concept of "scholarship in support of teaching"--the standard used to evaluate scholarship at The College of New Jersey, a medium-sized liberal arts college with a school of nursing--is analyzed as a model to document that nursing faculty practice is not only scholarship but also supports the teaching mission of the institution.

Education, Nursing, Baccalaureate