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Biomedical subjects

M A Gaudinski

Publications and source records attributed to M A Gaudinski.

4 recordsLinked to original sources

Coping with expanding nursing practice, knowledge, and technology.

Nurses utilize transcultural, transactional, systems, primary, and interdisciplinary approaches to physiological and psychosocial components of patient care. Expanded roles, as well as advances in knowledge and technology have prepared nurses for critical, specialized, primary, aerospace, and independent nursing practice. Exciting as they are, nursing's expanded roles and practices frequently contribute to the burnout and distress phenomena increasingly observed in practicing health care professionals. Causes and symptoms of the burnout distress phenomena are many and varied. Selye, Shubin, Maslach, and others adeptly identified and wrote on the phenomena as it specifically relates to nurses and the many facets of nursing practice. Rather than utilizing crisis intervention coping techniques, preventive strategies and adaptations are suggested. This paper reviews and discusses: 1. Factors associated with burnout-distress phenomena identified in professional literature; 2. Identification of factors associated with expanded roles and practice which contribute to burnout stress; 3. Identification of factors in military and civilian air ambulance and aeromedical evacuation systems which contribute to burnout stress; 4. Recommendations for strategies to prevent and cope with burnout distress factors.

Aerospace Medicine

Intangibles facilitating or inhibiting health care delivery systems.

Proponents of general systems theory believed its principles were applicable to a variety of living systems. General systems theory was applied to health care delivery systems and provided a conceptual framework for operation. Intangibles in the health care delivery system may inhibit or facilitate open or closed systems and thereby directly or indirectly influence the quality and quantity of care. This paper reviews and discusses: 1) Basic concepts of general systems theory; 2) Application of general systems theory to health care delivery systems, including the Air Evac system; 3) Intangibles in systems which facilitate or inhibit health care delivery; and 4) Suggestions to facilitate open systems and the delivery of quality care.

Aerospace Medicine