Barriers to autonomous practice.
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Biomedical subjects
Publications and source records attributed to Marie-Annette Brown.
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The purpose of this article is to assist nurses in developing a heightened sense of awareness about two often-overlooked types of mood disorders that can have a profound effect on women lives subsyndromal depression and prenatal depression. Subsyndromal depression can no longer be considered "minor" because we now understand the intense negative effect on many women's everyday lives. Screening for this disorder needs to be a routine part of care given to women in most health care environments. Simply helping women with subsyndromal depression to recognize that they may not feel sad or blue will create new opportunities for women to seek care when they are weighed down by symptoms such as sluggishness, foggy thinking, irritability, and food cravings. Nonpharmacologic interventions for subsyndromal depression dovetail with the holistic perspective that is the hallmark of nursing practice. Prenatal depression is a particularly hazardous condition because it isa "silent" form of depression that impacts women and their developing fetuses. It is often difficult to recognize against the backdrop of pregnancy and the tendency to blame emotional changes on pregnancy hormones. Practitioners must be aware of this phenomenon and take it seriously. Prenatal depression can have far-reaching effects if left untreated, impacting the pregnant woman and following that soon-to-be-born child through-out life in various detrimental ways. The pregnant woman who is laboring through the transitions of pregnancy and preparing to transition to the mother of a newborn baby should not be further burdened by the impact of depression.
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BACKGROUND: To overcome insufficient attention to end-of-life (EOL) care in nursing education, the authors are developing the "Toolkit for Nursing Excellence at End-of-Life Transition" (TNEEL). METHOD: An evidence-based design process was used to create a computerized (CD-ROM) multimedia toolkit of instructional aides. An online survey of all U.S. undergraduate nursing programs was conducted to identify their current technologic infrastructures available for innovative teaching aides. Expert review process guided pedagogic decisions. RESULTS: Survey findings enabled TNEEL development to be responsive to nurse educators' needs and preferences. CONCLUSION: Educators can use TNEEL to actively engage students in meaningful learning about EOL care.
The prevalence and clinical significance of subthreshold forms of depression with sequelae comparable to major depression have been recently described in the literature; however, research on effective treatment is rare. A new intervention program that combines a specific regimen of light, exercise, and vitamins is effective in improving women's mood and overall sense of well-being. This program is well suited to many patients who present with somatic and psychological symptoms consistent with subthreshold depression.
From an online survey of current technological capabilities of US undergraduate nursing programs, we found almost universal use of Microsoft Windows-based computers and Microsoft Office Suite software. Netscape and Microsoft Internet Explorer were the most popular browsers for Internet access. The survey also assessed faculty preferences for end-of-life care teaching materials and found that nurse educators preferred simple easy-to-use tools provided on CD-ROM or the Internet, with instructions provided via CD-ROM, the Internet, and demonstration workshops. Our findings have numerous implications for the development of electronic teaching materials for nursing.
The objectives of this study were to compare cancer and AIDS family caregivers in regard to their physical and emotional health. The sample consisted of 26 caregivers of persons with cancer or AIDS. Study participants completed a questionnaire that included measures of depression, grief, symptoms of stress, caregiving demands, interpersonal relationships, health status, and quality of life. The data revealed that both AIDS and cancer caregivers reported high levels of stress and depression as compared to community norms. No significant differences were found between AIDS and cancer caregivers for any of the scale scores; however, the two groups differed on several individual subscales. Cancer caregivers demonstrated higher social functioning and were more likely to report that the work of caregiving itself disrupted their ability to socially engage with others. In contrast, AIDS caregivers were more likely to report that their own health limited their ability to socialize. Even though AIDS caregivers experienced less family support than cancer caregivers, they reported more rewards from caregiving. Results suggest that support delivered to caregivers emphasize a more inclusive approach to program delivery, versus a disease-specific perspective, in order to increase the depth and breath of services provided to families undertaking these challenges.
Nurse educators have identified lack of end-of-life content as a serious deficit in undergraduate nursing education. TNEEL, a new software program with tools for teaching end-of-life topics, was created to help educators overcome this problem. The authors implemented an experiential workshop to help educators learn how to use TNEEL's wide variety of educational tools. Trainers provided information about TNEEL and coached participants (N = 94) as they practiced using laptop computers to increase their familiarity and comfort in using the toolkit. Workshop participants completed pre- and posttest evaluations addressing their opinions and beliefs about using this computer tool. Findings support the workshop as an effective way to facilitate adoption of this innovative educational resource and support the development of a nation-wide training plan for TNEEL with experiential workshops.