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Biomedical subjects

L VandeCreek

Publications and source records attributed to L VandeCreek.

8 recordsLinked to original sources

Collaboration between nurses and chaplains for spiritual caregiving.

OBJECTIVES: To discuss three ambiguities that may accompany nurse-chaplain collaboration in providing spiritual care: confusion about the meaning of "spiritual" and related terms, spiritual assessment and the referral process, and the role of clergy. DATA SOURCES: Review and research articles related to nursing and pastoral care, and documented standards. CONCLUSION: Effective nurse-chaplain collaboration is necessary (especially considering current health care system changes) to provide adequate spiritual care. Additionally, the increased involvement of both nurses and chaplains in ethical issues is likely to make nurse-chaplain collaboration increasingly important. IMPLICATIONS FOR NURSING PRACTICE: Nurses must collaborate with chaplains and relate to clergy to provide spiritual care for cancer patients and families. Knowledge of assessment differences between nurses and chaplains, terminology, and role of clergy will enhance this collaboration.

Guidelines as Topic

Psychometric characteristics of the Headache-Specific Locus of Control scale.

Martin and colleagues have described their development of a Headache-Specific Locus of Control scale (HSLC) which contains 11 items for each of its three subscales: internal, health care professional, and chance orientations. In this replication study, we gathered data from patients who came to a Headache Clinic in a medical center (n = 151) and from a comparison sample (n = 192). Factor analysis and alpha coefficients were similar to those reported by Martin. Only small correlations were found between the subscale scores although some of them were statistically significant. This suggests that the HSLC is a psychometrically competent instrument. Additionally, mean scores of its three subscales differentiated the patient population from those whose headaches were less severe and thus did not seek help.

Adult

A review of tort liability in involuntary civil commitment.

The grounds for liability in cases of involuntary civil commitment have been broadened in recent years. Psychiatrists and other mental health professionals have been found liable for infringement of civil rights under Section 1983 of the Civil Rights Act and for failure to commit an individual who is subsequently involved in a tragedy. This article reviews recent developments in tort liability in involuntary civil commitment as well as the traditional areas of tort liability, including malpractice, malicious prosecution, false imprisonment, and abuse of process. The authors believe that even in this climate of expanded liability, mental health professionals who follow the letter and spirit of civil commitment laws will continue to enjoy the broad protections from liability afforded them in the past.

Civil Rights

The effects of glucagon and metoclopramide as measured by the electrogastrogram.

The electrogastrogram, purportedly a measurement of the stomach's electrical activity, has received increased attention recently. This attention has also created skepticism because measurements are taken from the cutaneous surface. To test the electrogastrogram's ability to measure the stomach's electrical potential, we infused glucagon (0.5 mg), metoclopramide (10 and 20 mg in two sittings), and a placebo into six subjects. The electrogastrogram registered predictable changes in response to these infusions. We conclude that the electrogastrogram measures the stomach's electrical activity. Additionally, the unique data gathered by the electrogastrogram suggest that glucagon and metoclopramide both act directly on the electrical activity of gastric cells.

Double-Blind Method

Preferences of content of psychological reports for community placement programs.

With the shift toward community-based care for mentally retarded persons has come a change in programming goals aimed more at habilitation. The information from psychological reports is frequently used as one type of information for decision making about clients although such reports have frequently been criticized for not providing relevant data. Staff members of community programs in Pennsylvania were surveyed to elicit their preferences for various types of report data. Of the categories of information included in this survey, personality dynamics information and descriptions of general emotional and personality factors were rated as less useful than was information regarding academic achievement, vocational achievement, adaptive skills, and client-examiner interaction. Implications of these findings for psychologists who assess mentally retarded clients are discussed.

Achievement