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Biomedical subjects

M A Manderino

Publications and source records attributed to M A Manderino.

15 recordsLinked to original sources
PubMed1997

'Free to be' peer group supports patients with MPD/DD.

1. During the last decade, dissociative identity disorder increasingly has been recognized as a relatively common post-traumatic syndrome. 2. Individuals with MPD/DD often are estranged from abusive families and have difficulty with social connection; an urgent therapeutic task is the re-creation of a sense of human interdependency and community. 3. Group therapy can be a useful and successful adjunct to individual psychotherapy for relatively stable clients with MPD/DD; the group's focus should be here-and-now, supportive, and psychoeducative in nature.

Dissociative Disorders↗
PubMed1994

Sources of stress for nurse practitioners.

The purpose of this study was to identify perceived stressors and manifestations of stress in nurse practitioners practicing in Missouri and California. The greatest sources of stress reported by the entire sample (N = 80) were in the categories of time demands and role restrictions. Missouri nurse practitioners found role restriction problems significantly more stressful than California nurse practitioners did. Manifestations of stress fell within the norms of non-psychiatric adults on the Symptom Check List 90-R.

Adult↗
PubMed1993

Chemotherapy: thoughts and images of patients with cancer.

Cognitive therapists believe that an individual's emotional reaction to a stressful situation is influenced by his or her perception of that situation. This article reports the findings of a cross-sectional survey comparing thought and image patterns in patients with cancer receiving first-time chemotherapy with patients receiving subsequent treatments. The 30 patients in each sample listed their thoughts and images before, during, and after chemotherapy. In both samples, a higher percentage of positively rated self-talk units were expressed; most negative thoughts took place before the chemotherapy. Qualitative content analysis revealed that, in first-time chemotherapy recipients, the most frequently reported thought categories were questions and concerns about chemotherapy, positive evaluations of treatment, positive coping, and negative feelings. In the subsequent-treatment recipients, they were positive coping, physiologic reactions, hope, and positive evaluations of treatment. Nursing implications and future research directions also are discussed.

Adaptation, Psychological↗
PubMed1992

A practical, step-by-step approach to stress management for women.

Stress is a significant threat to the physical and emotional health of contemporary American women. Primary health care providers are an excellent resource for women in need of education about the seriousness of stress. Clinicians can work with women to prevent unnecessary exposure to stressors and to help them learn adaptive coping skills. This article offers a practical, step-by-step approach to stress management for women. Assessment processes, planning concepts and relevant intervention strategies are discussed.

Adaptation, Psychological↗
PubMed1988

Survey of stress management content in baccalaureate nursing curricula.

A survey of 276 National League for Nursing baccalaureate programs was conducted to assess the nature and extent of stress management content incorporated into baccalaureate nursing curricula. Roughly 10% of the sample indicated that they offer a separate course in general stress management techniques. In most programs, stress management content was incorporated throughout the curriculum in discreet instructional units. Respondents identified a variety of stress management methods taught in relationship to specific sources of work stress. The most instructional time was devoted to teaching students how to cope with interpersonal stressors; communication skills, group process skills, assertion skills, and conflict management were offered by most programs. Other content areas mentioned by at least 80% of the respondents included: death awareness, crisis intervention, change strategies, values clarification, recognizing stress, organizational skills, time management, and problem solving. The findings of this study are discussed in relationship to the literature on sources of stress in nursing. In addition, suggestions for future research are offered.

Assertiveness↗
PubMed1987

Stereotyping by nurses and nursing students: a critical review of research.

Thirty-eight empirical studies of stereotyping by nurses and nursing students were critically examined and discussed. The review was conducted and reported as though it were primary research. Subjects were the studies examined, methods were the reviewing procedure, data were attributes of the studies, and results were the conclusions drawn. The research on nurses' stereotypes has been characterized by: the use of one method of data collection, usually questionnaires; the measurement of the presence or absence of specific stereotypes; and nonprobability sampling techniques. There is some evidence that nurses stereotype other people based on age, sex, attractiveness, personality, diagnosis, social class, and family structure. Suggestions for adding to this body of knowledge are made.

Aged↗
PubMed1986

Evaluation of a cardiac arrest simulation.

Prior to using a simulation strategy for educational and/or research purposes, it is essential to assess whether or not the simulation elicits responses one would expect in the "real" situation. The purpose of this study was to evaluate the stress-eliciting capacity of two variations of a simulated cardiac arrest situation. Twenty-seven senior baccalaureate students in nursing volunteered to participate in the study. Each subject was randomly assigned either to a simulation containing interpersonal stressors or a simulation containing environmental stressors. The simulations took place in a videotape studio equipped as an intensive care unit. All subjects were instructed via an audiotape recording to perform tasks similar to those undertaken by intensive care nurses in the context of a cardiac arrest situation. Pre-post measurements included: self-reported anxiety as measured by the State Trait Anxiety Inventory (A-State), pulse rate, and diastolic and systolic blood pressure. Task performance on cardiopulmonary resuscitation (CPR) and on a medication memory activity also were measured. Since no significant differences in the dependent measures were found between the two groups, data from both groups were analyzed together. Univariate analyses showed significant pre-post increases in pulse rate (p less than .0001), systolic blood pressure (p less than .03), and self-reported anxiety (p less than .0001). No significant change was noted in diastolic blood pressure. Ratings on CPR performance and a medication memory task were well below expected performance standards. The implications of these findings for educational and research purposes are discussed.

Education, Nursing, Baccalaureate↗
PubMedDate not supplied

Verbal abuse of staff nurses by physicians.

The prevalence and consequences of verbal abuse of staff nurses by physicians were examined in the context of Lazarus' stress-coping model. Of the 130 staff nurses completing a mailed Verbal Abuse Questionnaire, 90 per cent reported experiencing at least one episode of verbal abuse during the past year. The average number of reported incidents during the year was between 6 and 12. The most frequent and most stressful types of verbal abuse came in the forms of abusive anger, ignoring, and condescension. Nurses tended to interpret the abuse in an adaptive fashion, e.g., they viewed the abusing physician as someone with a problem and perceived themselves as not deserving the abuse. They used a variety of adaptive palliative as well as problem-focused coping skills. The most severe long-term effects of verbal abuse were a negative relationship with the offending physician and negative effects on job satisfaction. These findings show clearly that verbal abuse of nurses by physicians continues to exist and is associated with negative consequences on their personal as well as professional well-being. Nurse and physician educators as well as nurse administrators must address this problem through educational activities as well as protective hospital policies.

Adaptation, Psychological↗
PubMedDate not supplied

"Color Your Life:" an assessment and treatment strategy for children.

The "Color Your Life" technique, a form of play therapy, is designed to help children become aware of the range of feelings possible, to talk about their own feelings and to move from action to verbal forms of expression. In this article, the authors describe the technique and its variations, and provide examples of its application in both assessment and treatment contexts.

Affective Symptoms↗
PubMedDate not supplied

Effects of modeling and information on reactions to pain: a childbirth-preparation analogue.

p6labor-preparation analogue study was conducted to examine the efficacy of videotaped information and modeling as pain-reducing techniques for women during labor and delivery. Sixty nulliparous college female undergraduates were randomly assigned to four treatment conditions: (a) videotaped modeling; (b) videotaped information; (c) videotaped information and modeling combined; and (d) control (irrelevant) videotape. Assessments of the effectiveness of these treatments were made during a one-hour session involving 20 80-second exposures to the Forgione-Barber pain stimulator. The timing and sequencing of the pain stimulus was patterned to resemble labor contractions. Dependent variables included self-reported pain, heart rate, systolic and diastolic blood pressure, frontalis electromyogram, and respiratory rate. The group that received information and modeling combined reported significantly lower pain ratings than each of the other three groups. Analyses conducted on the physiological dependent variables failed to demonstrate significant treatment effects. The implications of these findings are discussed from the perspective of developing more effective methods of preparing women for the experience of childbirth.

Female↗