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Biomedical subjects

M C Corley

Publications and source records attributed to M C Corley.

At least 19 recordsLinked to original sources
PubMed1997

Environmental turbulence: staff nurse perspectives.

The purpose of this qualitative study was to explore staff nurses' perceptions of how turbulence in the internal environment affected their ability to provide patient care. The themes that emerged from the data point toward multiple factors impinging on a staff nurse's ability to provide quality care in today's healthcare environment. The authors discuss these factors, the consequences for staff nurses, patients, and the organization, and the implications for nursing administrators and their colleagues in hospital administration.

Adult↗
PubMed1995

Moral distress of critical care nurses.

BACKGROUND: Constraint of nurses by healthcare organizations, from actions the nurses believe are appropriate, may lead to moral distress. OBJECTIVE: To present findings on moral distress of critical care nurses, using an investigator-developed instrument. METHODS: An instrument development design using consensus by three expert judges, test-retest reliability, and factor analysis was used. Study participants (N = 111) were members of a chapter of the American Association of Critical-Care Nurses, critical care nurses employed in a large medical center, and critical care nurses from a private hospital. A 32-item instrument included items on prolonging life, performing unnecessary tests and treatments, lying to patients, and incompetent or inadequate treatment by physicians. RESULTS: Three factors were identified using factor analysis after expert consensus on the items: aggressive care, honesty, and action response. Nurses in the private hospital reported significantly greater moral distress on the aggressive care factor than did nurses in the medical center. Nurses not working in intensive care experienced higher levels of moral distress on the aggressive care factor than did nurses working in intensive care. Of the 111 nurses, 12% had left a nursing position primarily because of moral distress. CONCLUSIONS: Although the mean scores showed somewhat low levels of moral distress, the range of responses revealed that some nurses experienced high levels of moral distress with the issues. Research is needed on conditions organizations must provide to support the moral integrity of critical care nurses.

Adult↗
PubMed1995

Patient and nurse criteria for heart transplant candidacy.

The criteria nurses and patients believe should be used to allocate hearts for transplantation were explored and compared in a descriptive study. Although the majority of both groups agreed that patients with AIDS or who are HIV positive should not receive a transplant, the two groups agreed very little on the other criteria. This research has implications for clinical care and ethical decision making.

Adult↗
PubMed1994

The clinical ladder. Impact on nurse satisfaction and turnover.

Nurse administrators have advocated clinical ladder programs to address salary compression of experienced nurses. However, few clinical ladder programs have survived the test of time. One possible explanation for the demise of these programs is the failure to assess nurses' satisfaction with clinical ladder programs. Ongoing assessment of these programs may provide a solution to early demise.

Adult↗
PubMed1993

Environments that support ethical nursing practice.

Creating an ethical work environment in a health care organization is both necessary and difficult. In the process of providing care, nurses often make decisions with ethical implications. This decision making is enhanced when the work environment supports an ethical approach. Nursing can implement strategies to support ethical decision making.

Decision Making↗
PubMedDate not supplied

The nurse's multiple commitments.

Nurses have multiple commitments: organizational, work, professional, job, patient, and personnel. Research has focused almost exclusively on organizational commitment and, to a lesser extent, on professional and job commitment. This fragmented approach to the study of the nurse's commitments neglects the nurse's commitment to patients. The concept of commitment needs to be clarified so that knowledge derived from research on commitment enhances our understanding of how nurses manage these multiple commitments.

Clinical Competence↗
PubMedDate not supplied

Prevalence of principled thinking by critical care nurses.

The advanced technology surrounding the nursing care of the acutely ill patient has precipitated many ethical issues. The first step in understanding how nurses respond to these ethical issues is to become familiar with their moral reasoning and use of ethical principles in making decisions. This research report describes the responses of critical care nurses to six vignettes of the Nursing Dilemma Test as a measure of their use of principled thinking to decide on actions in specific ethical situations. Nurses used principled thinking more often to respond to ethical situations than purely practical responses.

Critical Care↗
PubMedDate not supplied

Techniques in evaluating nursing expert systems: A case study.

This study addresses the problems in evaluating nursing diagnostic artificial intelligence (AI) expert systems. Two separate experiments (N = 49) were conducted using a computer expert system. The first experiment, the "white box" experiment (n = 9), compared the diagnostic techniques applied by experience RNs against the programmed techniques used by the expert system. The second experiment, the "black box" experiment (n = 40), compared diagnostic results of beginning nurses against the computer expert systems results. In some cases the computer outperformed the nurses and vice versa. The evaluation techniques, as applied in both experiments, enhance the ability of nurses to evaluate and select AI expert systems to be used in computer-assisted diagnosis of nursing problems.

Clinical Competence↗
PubMedDate not supplied

The role of nursing in a support group for heart transplantation recipients and their families.

Heart transplantation, an increasingly accepted intervention to prolong life, involves specific nursing interventions, not only in the area of patient physical care but also in areas of health teaching and psychosocial assessment. This study discusses data collected from a support group created in September 1984 for heart transplant recipients and their families. The major concerns of patients and families were identified and translated into implications for nursing care. Fourteen sessions were voice-recorded and analyzed, identifying common, recurring topics. A total of 24 potential candidates for transplantation and recipients, ranging in age from 19 to 52 years, and eight wives participated in at least one of the weekly sessions. The average attendance per session was eight patients and three wives. The major areas of concern related to; health maintenance, role-relationships, self perception/self concept, values/beliefs regarding health, and coping/stress tolerance. Preoperative patients had greater concern for health maintenance, whereas patients in the post-transplant period were more concerned about role-relationships, sexual function and activity-exercise patterns. Nursing implications in these areas included in-depth health teaching about procedures, medications and their side effects, self-care regarding signs and symptoms of infection or rejection, and dietary requirements and limitations. Other aspects involved psychosocial adjustments following discharge from the hospital.(ABSTRACT TRUNCATED AT 250 WORDS)

Adaptation, Psychological↗
PubMedDate not supplied

A patient satisfaction measure as a criterion to evaluate primary nursing.

The Risser Patient Satisfaction Scale was used to evaluate the effectiveness of implementing the key concepts of primary nursing. An experimental control design was used. Forty-six subjects from two units completed the questionnaire. Estimates of reliability and homogeneity are reported. There is reason to question the discriminant validity of the subscales. No significant differences were obtained between the units on any of the subscales or total scale score. A number of explanations are offered for interpreting the measuring of the nonsignificance of the differences. Work need to continue on revising existing patient satisfaction measures or developing new ones. Other criteria with theoretical importance should be used in conjunction with satisfaction measures in assessing the effects of primary nursing.

Consumer Behavior↗
PubMedDate not supplied

Criteria in the selection of organ transplant recipients.

The purposes of this article are to describe the criteria used to select organ transplant recipients, to highlight the similarities and differences in these criteria, and to review the findings that support these criteria. Reports on criteria used in selecting heart, lung, liver, pancreas, and kidney recipients were reviewed in addition to reports on proposed approaches to allocating scarce health care resources. The conclusions are that criteria used for organ transplant recipient selection (other than medical criteria related to the diseased organ) vary from setting to setting, organ to organ, and are modified over time. No universal system has been adopted to guide recipient selection.

Contraindications↗