PubMed Health⌕ Search

Biomedical subjects

N E Page

Publications and source records attributed to N E Page.

4 recordsLinked to original sources
PubMed1992

The imposter phenomenon in the clinical nurse specialist role.

The imposter phenomenon describes individuals who at times feel as if they are imposters in their chosen profession. Individuals experiencing the phenomenon have a deep feeling that they are fooling everyone. The title of clinical nurse specialist (CNS) in itself may foster misinterpretations and false beliefs in oneself or others. The term "specialist" implies expertise in the five subroles of the CNS (educator, consultant, research, clinician and manager). Feelings of imposture within the CNS role can precipitate or exacerbate low self-esteem and lead to ineffective role implementation. The phenomenon must be recognized in the CNS and management strategies instituted. Management strategies include peer support, CNS mentoring and self-provided positive reinforcement. Further research is essential to document the existence of the phenomenon within the CNS role and the creation of effective management strategies to prevent or alleviate it.

Humans↗
PubMed1991

Practical strategies for CNS role implementation.

Methods of implementing the clinical nurse specialist (CNS) role can be approached in many ways. Providing the clinical specialist with concrete strategies to use during role implementation or expansion can aid in expediting the acceptance process for the CNS. Some authors have discussed phases the CNS encounters during role development. Time span of these phases vary greatly, dependent not only on the individual specialist, but also on the system for which they are employed. Kramer's four phases detailing the adjustment period of the newly practicing nurse may be used when discussing CNS role implementation. These four phases are: honeymoon, shock/rejection, recovery, and resolution. Practical suggestions to expedite role implementation can make progression through these phases easier and less overwhelming. Although obstacles will often be present, the CNS must then become a catalyst by using creative ideas and effective coping mechanisms to effect change and advance the role.

Adaptation, Psychological↗
PubMed1990

The lack of clinical utility of white blood cell differential counts and blood morphology in elderly individuals with normal hematology profiles.

An investigation of 462 patients aged older than 65 years with normal hematology profiles revealed 105 individuals with unsuspected abnormalities in the white blood cell differential count, peripheral blood film, or platelet count. In only 8 patients would this information have resulted in additional patient testing or other changes in management. The availability of instrumentation providing an automated platelet count would have decreased the number of patients experiencing a change in management to 5. In no instance did physicians believe that an individual patient's clinical outcome would have been altered by a knowledge of the unexpected abnormalities or the anticipated management changes. In an ambulatory adult population with normal hematology profiles, there is limited clinical value in pursuing further studies, such as a white blood cell differential count or an examination of the red blood cell morphology.

Aged↗