Biomedical subjects

Patti Rager Zuzelo

Publications and source records attributed to Patti Rager Zuzelo.

7 recordsLinked to original sources

PubMed2006

"Never again" stories of nurses: dilemmas in nursing practice.

The authors describe significant turning points immanent in "never again" stories that practicing nurses, having participated in previously, vowed not to allow to recur during future, similar situations. Nurses submitted written accounts of critical, "never again" situations. The authors used critical incident technique and employed Colaizzi's approach to reveal the essential structure. Patient outcomes were fatal, close calls, dehumanizing, or isolating. Never again stories incorporated ethical dilemmas, deficits in nurses' knowledge, lack of confidence in clinical abilities, and failure to act correctly. Patients' welfare was the center of accounts. Circumstances threatened patients' and family members' trust in nurses and other providers. Patients' wishes were denied because of haste, providers' arrogance, or providers' desire not to be inconvenienced. Nurses' emotions mirrored a sense of failed responsibility for patients. Regret was tempered by nurses' pledges. Critical incidents revealed dilemmas in which nurses' autonomous clinical practice was constrained by feelings of powerlessness.

Ethics, Nursing↗

PubMed2003

Clinical nurse specialist practice--spheres of influence.

Many nurses are uncertain of the differences in the educational backgrounds and practice domains of clinical nurse specialists (CNSs) and nurse practitioners (NPs). This uncertainty may make it difficult for perioperative nurses to select the advanced practice role that is most congruent with their career goals and interests. The National Association of Clinical Nurse Specialists developed the Statement on Clinical Nurse Specialist Practice and Education, which provides an organizing framework for the CNS practice role. This article offers distinctions between the educational experiences of CNSs and NPs and suggestions for perioperative CNS practice.

Career Choice↗

PubMed2003

The lived experience of having a neobladder.

The purpose of this phenomenological qualitative study was to describe the lived experience of people who had a neobladder constructed. Men and women with direct and personal knowledge of the experience were interviewed. Analyses of transcribed verbatim narratives were conducted. Major and minor themes with clustered subthemes were identified. Selected themes included diagnosing cancer, detesting the idea of the bag, coping with stressful events, managing tubes and drains, responding to incontinence, keeping the neobladder healthy, and seeing cancer as a lifelong threat.

Adaptation, Psychological↗

PubMed2002

Gender and acute myocardial infarction symptoms.

Heart disease is the nation's most significant health problem. Unfortunately, the vast majority of studies conducted to explore the underlying the pathophysiology, diagnosis, and treatment of cardiac disorders are based on male samples. Exploring gender-based differences in symptom experiences will lead to improved research, clinical, and prevention initiatives.

Female↗

PubMedDate not supplied

Clinical nurse specialists' knowledge specific to Medicare structures and processes.

PURPOSE: The purpose of this study was to describe clinical nurse specialists' (CNSs) knowledge of Medicare structures and processes using a multiple-choice examination. DESIGN: This descriptive study used the survey method with a convenient sample. SETTING: Potential subjects received the research study packet at the address designated by them for membership mailings sent from the National Association of Clinical Nurse Specialists (NACNS). SAMPLE: The population of interest was practicing CNSs. The accessible population was NACNS members drawn from the 2002 mailing list organized by zip code. Every third mailing label was skipped. The remaining list members (N = 950) received a study packet. There was a 14.42% response rate with 137 respondents. Eighty-two percent held a master's degree in nursing. METHODS: A 46 item multiple-choice examination was developed based upon a content map established after a review of the available Medicare-related literature and consultation with Medicare advanced practice nurse providers. Content validity was established. Survey packets with the instrument, Scantron answer key, informational letter, and demographic profile were sent to potential subjects. Returned responses were keyed for correct answers. Relationships between demographic variables, raw score, and self-reported Medicare expertise were analyzed. Qualitative data elicited on the demographic form were thematically analyzed. FINDINGS: The examination had a.67 coefficient. Correlation of examination raw score to self-reported Medicare content expertise was 0.982 (P =.000). One third of the examination questions were incorrectly answered by 30% or more of respondents. Percentage correct scores ranged from 60.9 to 95.7 (M = 62.7%; SD = 10.46). Respondents offered 40 comments. Eleven comments related to a self-recognized Medicare knowledge deficit. Four responses highlighted that graduate studies had not provided them with the knowledge necessary for understanding reimbursement issues. Ten respondents expressed an interest in locating some type of educational resource addressing the Medicare system, reimbursement processes, and opportunities. CONCLUSIONS: Findings suggest that NACNS members have Medicare program knowledge deficits. Respondents recognize their deficiencies and are interested in obtaining more information about Medicare but are uncertain as to available resources or networking opportunities that might support them in this process. Graduate nursing programs may need to evaluate the amount of information provided within curriculums specific to insurance reimbursement and Medicare structures and processes. Study limitations include the low response rate and indeterminate sample representativeness. IMPLICATIONS FOR PRACTICE: Educators should examine CNS curriculums to ensure the adequacy of Medicare program information. Continuing education programs and conference workshops addressing Medicare information should be offered to CNSs interested in increasing their expertise or exploring provider opportunities. There may be entrepreneurial opportunities available to CNSs interested in developing an expertise in Medicare programs. Future research studies should quantify potential benefits to Medicare beneficiaries when CNSs participate as providers.

Health Knowledge, Attitudes, Practice↗

PubMedDate not supplied

Affirming the disadvantaged student.

Disadvantaged students entering basic nursing programs present challenges to educators who may be unprepared to identify and address the unique needs of this learner group. Developing affirming strategies to support and promote disadvantaged students choosing the nursing profession is critically important to the long-term recruitment and retention of nurses from a variety of socioeconomic backgrounds. The author describes the characteristics of disadvantaged students, explores equity issues, and offers suggestions for supporting disadvantaged students during their educational experiences.

Education, Nursing, Baccalaureate↗

PubMedDate not supplied

Influence of registered nurses' attitudes toward bariatric patients on educational programming effectiveness.

BACKGROUND AND OBJECTIVE: This study describes registered nurses' (RNs') attitudes toward obese adult patients using the Attitudes Toward Obese Adult Patients Instrument. METHODS: Full-time RNs (N = 119) employed in a medical center, acute rehabilitation institution, and skilled nursing facility participated in the study. RESULTS: Findings revealed that RNs have positive attitudes toward obese adults. RNs were concerned about personal and patient safety. Respondents recognized the complex care needs of bariatric patients and the increased workload associated with meeting these demands. There were differences in attitudes between medical center RNs and acute rehabilitation RNs, possibly related to differences in workload and length of stay. CONCLUSIONS: The effectiveness of bariatric educational programming may be improved if RN attitudes and concerns are measured and addressed.

Adult↗