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Biomedical subjects

L S Kelley

Publications and source records attributed to L S Kelley.

10 recordsLinked to original sources
PubMed1995

Parse's theory in practice with a group in the community.

The author, a nurse guided by Parse's theory of human becoming, describes one way to focus on quality of life in person-centered practice with a group in the community, in contrast to traditional nursing practice with groups in which the focus is on problems, learning, and socially-defined responsibility. The author describes living true presence over a 10-week period in accord with Parse's practice method with a group of persons with genital herpes. Emerging patterns of health of the group are reported along with a loose agenda for community-based practice.

Female↗
PubMed1993

Cognitive-behavioral techniques to reduce pain: a validation study.

The purpose of this study was to identify and validate specific activities considered important in the implementation of three non-pharmacologic pain management interventions--relaxation, distraction and guided imagery. Using a two-round Delphi survey, nurses selected for their expertise in pain management were asked to validate definitions and activities considered important in the implementation of each of these strategies. Data were analyzed using a modification of Fehring's diagnostic content validity method. From this process, a list of activities for each intervention evolved that has implications for nursing research, practice and education.

Analgesia↗
PubMed1992

Staff stress on an Alzheimer's unit.

Nurses working with the elderly encounter many complex and potentially stressful care situations. Nowhere is this more true than for nursing home staff who work in highly demanding, labor- and client-intensive jobs. A number of factors contribute to the high levels of stress found among nurses who work with the elderly, including continual exposure to physical and emotional pathology and death, and conflict with families, co-workers, supervisors, and representatives from other departments or professions (Goldin, 1985; Klus, 1980). When the stress level in a long-term care facility becomes overwhelming, role conflict, ambiguity, poor self-esteem, and burnout may ensue (Goldin, 1985; Heine, 1986; Klus, 1980; Morrow-Winn, 1985). The process of burnout is characterized by a progressive loss of idealism, energy, and purpose that eventually leads to emotional overextension and exhaustion (Price, 1984).

Adult↗
PubMed1991

Struggling with going along when you do not believe.

The phenomenon central to this study is, "struggling with going along in a situation you do not believe in." It emerged as a predominant universal lived experience within the lives of outstanding nurses in the United States studied earlier by the author. The purpose of the research reported in this article was to generate a structure of the lived experience of "struggling with going along in a situation you do not believe in," using Parse's research methodology. Through the processes of the method: participant selection, dialogical engagement, extraction-synthesis and heuristic interpretation, a structure of the lived experience for persons over 65 years of age was generated. This structure is: struggling with going along in a situation you do not believe in is justifiable yielding, as opposing views intensify personal convictions and compel disclosure while suffering consequences. When linked with the major concepts of Parse's theory, the theoretical definition is: valuing the powering of revealing-concealing. Recommendations for further study are offered.

Aged↗
PubMed1991

Iatrogenesis in the elderly. Impaired skin integrity.

Risk factors that contribute to pressure ulcer formation include immobility and inactivity, age, malnutrition, fecal and urinary incontinence, and a decreased level of consciousness. Gerontological nurses should collaborate with other health disciplines (eg, the physician, physical therapist, and dietitian) to plan and provide preventive treatment measures for the elderly person with potential for impaired skin integrity: pressure ulcers. Gerontological nurses must continue the development and refinement of tools with which to predict the degree of risk for impaired skin integrity, as well as use a consistent method of grading pressure ulcers.

Aged↗
PubMed1990

Elder care. The employee caregiver.

With changes in the work force and aging of the population, employees of all ages will be affected by caregiving responsibilities for the elderly. As a counselor, the occupational health nurse is interested in the physical and emotional health of the employee caregiver. As a teacher, the occupational health nurse can assist the employee with emotional, social, and personal assessments and interventions related to older persons and their environment. The occupational health nurse can influence employers in meeting the needs of the employee caregiver.

Aged↗
PubMedDate not supplied

Past-present-future messages for nursing leadership.

Past-present-future messages for nursing leadership were derived from the personal perspectives of contemporary outstanding nurses in the United States. Based on professional life histories provided by 40 participating members of the American Academy of Nursing in its early years, a composite profile of these contemporary nurse leaders emerged. From their stories, rich in discovery of meaning, past-present-future messages are posited with futuristic hints to guide the education of nursing leaders into the 21st century.

Education, Nursing↗