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Biomedical subjects

M D Hills

Publications and source records attributed to M D Hills.

8 recordsLinked to original sources
PubMed2006

The role of the spiritual dimension of the self as the prime determinant of health.

PURPOSE: To present a clinical commentary on the relationship of spirituality to healthcare for those with chronic physical conditions. METHOD: A spiritually based theory of self-identity was presented, based on selected literature to identify the process of health attainment for those with chronic conditions. The resultant Health Change Process Theory was then discussed in relation to relevant empirical research and the implications for rehabilitation practice were outlined. RESULTS: The development of a resilient, intrinsic, spiritually based concept of self was found to be pivotal to health outcomes in rehabilitation. This was then incorporated within a Health Change Process Theory to explain and predict the course followed by people with chronic disorders to achieve health. CONCLUSION: The Health Change Process Theory provides an inclusive framework within which acute and chronic rehabilitation healthcare can be merged to maximise health outcomes. Nevertheless, a need remains to develop a quantitative measure of individual holistic health, based on this theory, to facilitate its use in rehabilitation practice. This paper forwards an explanation for the process that people experiencing chronic physical disabilities undergo as they achieve health. A concept of self that identifies the spiritual core as the component that determines the constancy and continuity of self as a whole which is necessary for health is presented as the basis of the rehabilitative health process.

Adaptation, Psychological↗
PubMed2004

Investigation of health perspectives of those with physical disabilities: the role of spirituality as a determinant of health.

PURPOSE: To identify key determinants of health and the process of health attainment for people with musculoskeletal disabilities. METHOD: Focus groups of people with musculoskeletal disorders, including 30 members and their five trained facilitators, provided data. Discussed were 'What is health for you?' and 'What has helped, or would help you achieve this health?' Delphi-structured analysis identified health themes and a health process model was developed with the facilitators comprising the expert panel. RESULTS: Health was perceived as centred on relationships that required a spiritual awareness for a strong and resilient identity. The Self Attributes Model developed portrays the processes perceived to be required for health. CONCLUSIONS: Although physical, social and psychological interventions are essential aspects of health intervention, by themselves they are not sufficient. Also required for health is a strong resilient self resulting from interaction and connection with other people and the natural world. Moreover, development of such an identity requires a spiritual world-view comprising an acknowledgement of the essence of self and focus upon the nature of the connection of this essence with all other aspects of life. Further research is required to advance understanding of the process by which this occurs for people with chronic disorders.

Adult↗
PubMed1995

Education and practice collaboration: a strategy for curriculum development.

Five schools of nursing in British Columbia formed a collaborative partnership in 1989; four represented diploma programs, and one a post-RN program. Their partnership benefited each in the development of a baccalaureate nursing curriculum. Committed to the principle of a curriculum being driven by practice, rather than the reverse, the collaborative partners employed a variety of strategies to include nurses from practice in the development of the curriculum. One strategy used by the partnership was a Delphi survey of nurses in practice. This article describes the results of this survey and their implications for nursing curricula.

British Columbia↗
PubMed1994

University-college collaboration: rethinking curriculum development in nursing education.

The behavioral approach to curriculum development is inadequate to educate nurses to practice in the future health care system. As a result of a government initiative, a Canadian university and four community colleges had an opportunity to collaborate on development of a nursing program and thereby consider alternative approaches to curriculum development. This paper describes the process used to develop this curriculum and provides an overview of the curriculum development model that emerged. A community development process characterized by a commitment to be futuristic and visionary about nursing while making curriculum decisions was established. The curriculum model that emerged used a phenomenological exploration of our common vision for nursing in the future. The resulting curriculum is based on a human science paradigm that encourages nurses to work from a health promotion perspective with an ethic of caring.

British Columbia↗
PubMed1993

Staff nurse perceptions of stressors and support needs in their workplace.

This qualitative study explored the stresses and support needs of individual acute care staff nurses. Twenty-eight nurses volunteered to keep a log of these two variables during one specific work day and were interviewed on the following day to elicit their perceptions. Content analysis of the interviews revealed that at any given time staff nurses experienced stress related to organizational/environmental, job component, and/or intrapersonal factors. Stress factors, time of day, and character of the individual can all influence the need for support. Eleven support needs were described. These results indicate that future research on this subject should employ a methodology which allows support to be studied as a dynamic process.

Adult↗
PubMed1988

High school students' attitudes towards and use of contraceptives.

A questionnaire survey was conducted in an urban coeducational secondary school in the North Island region. Of the 162 adolescents sampled in this study, 39 percent reported coital experience. Of these coitally experienced students, contraception was always used by only 42%. The pill and the condom were reported as the most used contraceptives. Females were found to be significantly better contraceptive users than males. Although many students report preferring their parents as a source of contraceptive information, the majority of both males and females relied upon school sex education classes as their main source of their contraceptive education. Students ability to discuss contraceptive matters with parents was found to have no effect upon coital activity. These results indicate that society must come to terms with the fact that many adolescent New Zealanders are sexually active and run a high risk of having unplanned, unwanted pregnancies.

Adolescent↗
PubMedDate not supplied

Health promotion: a viable curriculum framework for nursing education.

Health care will be increasingly focused on the principles of health promotion and primary health care to better meet society's health needs. Nursing has an opportunity to lead the way in primary health care, however, for nurses to realize their potential, educational programs must be radically revised and be developed to teach nurses to work from a health-promotion perspective. Only when nurses have fully incorporated the principles of health promotion into their repertoire of working with clients and colleagues will they be the desired and appropriate profession to lead health care into the future.

Community Participation↗