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Biomedical subjects

M B Tittle

Publications and source records attributed to M B Tittle.

8 recordsLinked to original sources
PubMed1993

A systematic evaluation of the "I Can Cope" program using a national sample.

"I Can Cope" (ICC) is an educational program that provides resources that help people with cancer, their families, and their friends to cope more adequately with the disease and its consequences. Although the American Cancer Society (ACS) has offered this program since 1979, ICC never has been evaluated nationally. ACS developed the ICC Revision Work Group in 1990. This work group initiated a national evaluation of ICC to provide data in eight areas: demographics, class format, course objectives, course content, audiovisual and instructional materials, facilitator training, program implementation, and program evaluation. During 1991, data were collected from 219 facilitators, 241 ACS staff members, and 973 ICC participants in 49 states. Revision of the ICC program using the results of this evaluation currently is underway.

Adaptation, Psychological↗
PubMed1992

Critical care in a baccalaureate program.

The combination of increased patient acuity levels and the nursing shortage has increased the demand for critical care nurses. This situation suggested a need for collaboration between nursing education and practice in order to prepare new graduate nurses to enter practice in critical care areas. Faculty from a baccalaureate program and educators and administrators from acute care agencies formed an advisory committee to develop a critical care elective to be offered concurrently with the last clinical preceptorship experience in the baccalaureate sequence. Evaluations of the course revealed that students felt that the course increased their knowledge base and affected their decision to seek employment in critical care as a graduate nurse. The agencies found that the course facilitated recruitment and enhanced the smooth transition of graduate nurses into critical care. Through mutual collaboration between education and service, benefits to the health care system were extended.

Critical Care↗
PubMed1992

Nursing care requirements of patients with DNR orders in intensive care units.

The purpose of this study was to examine the differences in demographic characteristics and nursing care requirements of patients with and patients without DNR (do not resuscitate) orders in intensive care. The sample consisted of 62 patients with and 62 without DNR orders from the intensive care units of three community hospitals. Data were collected until patients recovered and were transferred from the unit or until death occurred. Data were analyzed by chi-square tests for homogeneity, t tests, and analysis of covariance. Patients with DNR orders were white (p = 0.015), older (p = 0.03), more likely to reside in nursing homes (p = 0.04), had longer intensive care stays (p = 0.0005), were more likely to be admitted from another nursing unit (p less than 0.001), and had higher mortality rates (p less than 0.001). In intensive care settings, patients with DNR orders received more nursing care than patients who did not have DNR orders.

Adult↗
PubMed1991

Preliminary development of two predictive models for DNR patients in intensive care.

The purpose of this study was to identify which variables are the best predictors of a do-not-resuscitate (DNR) classification and develop a model to predict the nursing care required by DNR patients in the ICU. Data collected on DNR and non-DNR patients included nursing care requirements, severity of illness, resource allocation and sociodemographic characteristics. One model identified the best predictors of a DNR classification in intensive care as the origin of admission and the severity of illness score on the day of admission to intensive care. The second model identified the best predictors of nursing care requirements for DNR patients in intensive care as the number of days spent in intensive care prior to the DNR order, the average daily resource allocation points after the DNR order, and the severity of illness score on the day the DNR order was designated.

Aged↗
PubMed1991

Analysis of a decade of critical care nursing practice research: 1979 to 1988.

The purpose of this study was to analyze critical care nursing practice research published in leading refereed nursing research journals during the period from 1979 to 1988 to identify knowledge-building methods and research outcomes in critical care nursing. Findings indicate a significant increase in the number of nursing practice research studies published as well as a high percentage of intervention-oriented studies. The results of the study reflect the interest that critical care nurses have in identifying a research-based practice.

Clinical Nursing Research↗
PubMedDate not supplied

Severity of illness and resource allocation in DNR patients in ICU.

This study examined the differences in severity of illness and resource allocation between patients with do-not-resuscitate (DNR) orders and non-DNR patients in intensive care units. Severely ill intensive care patients with DNR orders continued receiving aggressive medical care following cardiac or respiratory arrest. The continued use of advanced therapies for DNR patients raises important questions about the use of costly intensive care resources.

Adult↗