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Biomedical subjects

R Davidhizar

Publications and source records attributed to R Davidhizar.

At least 19 recordsLinked to original sources

The dynamics of laughter.

The benefits of humor have been accepted throughout human history. Humor is widely accepted for its positive physiological and psychological effects in a variety of situations. The psychiatric literature purports humor as an effective tool in psychiatric illness and psychotherapy. The benefits of humor in business, management, and education are also being described because the right perspective facilitates problem solving both interpersonally and in a group setting, and humor puts people at ease, promoting expression and the exchange of ideas. In the nursing literature, humor and laughter are increasingly presented as an approach that can assist the nurse in meeting health-related goals and objectives. Not only can humor benefit the patient, but the use of humor can facilitate effective management of staff and others encountered in the health care setting. Humor also has negative functions. Although the nursing literature on humor identifies that there are some situations in which humor is contraindicated, little attention is given to the problem created for the nurse when others, i.e., patients or family members, fellow staff members, or physicians, laugh inappropriately. This article discusses the assessment of laughter. Benefits of laughter and humor are described. The causes of inappropriate laughter are outlined, and the dynamics of inappropriate laughter are considered. Finally, implications for nursing practice are discussed.

Adaptation, Psychological

Interpersonal communication: a review of eye contact.

Because healthcare takes place in the context of an interpersonal relationship, it is important for the healthcare worker to be cognizant of eye contact and the implications eye contact may have on the delivery of patient care. The healthcare worker should consider a variety of factors in evaluating the patient's eye contact including cultural background, emotional state, personality characteristics, and gender. Each patient should be personally assessed and appropriate healthcare strategies planned that meet individual needs. Interpersonal approaches need to be modified on an ongoing basis as the patient provides feedback during the healthcare worker-patient interaction.

Adult

When your patient complains.

A caregiver's attitude and mood sets the tone for the interpersonal environment in which patients and caregivers relate. Caregivers should role model a positive attitude. When complaints are expressed, the caregiver should listen and make careful note not only of the content of what is expressed but the feelings behind the message. The caregiver should assess the meaning behind the complaint in order to be able to appropriately receive, investigate, and respond to complaints. It is the wise caregiver who accepts that complaints are an inevitable part of the care setting and works to develop expertise in ways of handling this human patient reaction.

Adaptation, Psychological

Eye to eye.

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Dental Hygienists

Feeling personal power.

Feelings of personal power are important for personal feelings of well-being. Although feelings of personal power relate to authority, either given by others or acquired with the job, personal power is largely a personal feeling that is created and can be developed. Careful assessment of position power, expertise power, and personal characteristics that add or detract from personal power can increase self-awareness and cause strong areas to be maximized and weak areas to be developed. With the development of feelings of personal power come feelings of confidence in a nursing role. Feelings of personal power also benefit the nursing profession because this enables the profession to grow in strength and pride.

Attitude

The element of care in the operating room.

1. Perioperative nurses are experts in attending to imminent physiological needs of patients. However, when these needs seem paramount, focus on a patient's feelings often become a lower priority. 2. Being cared for is a basic human need. Just as perceptions of needs vary among individuals, so do caring needs. It is essential that nurses value the components of caring and demonstrate caring from a holistic perspective. 3. OR nurses can communicate caring by identifying staff to patients, providing reassuring information, monitoring self-talk, touching the patient, and responding to the patient as an individual.

Communication

Keeping the keepers.

1. The nurse manager role is no longer limited to the management of patients and personnel. Nurse managers are also accountable for ensuring resources remain balanced and function together during the process. 2. In the health care setting, team members forgo their personal needs to focus on the needs of patients. Although adults have developed internal feelings of self-worth, most still have some dependence on their work, supervisors, and colleagues for positive affirmation. 3. A variety of approaches can provide support to team members, including responding to human needs: facilitating cooperation between team members; ensuring that team members have the necessary information; monitoring team actions in relation to patient needs; investigating potential problems; and intervening with timeliness and diplomacy.

Humans

Positive and negative criticism: strategies for professional growth.

Criticism is a common experience in critical care for both the novice and experienced nurse. Assisting staff to react positively to criticism presents a challenge to the critical care nurse manager and an opportunity to turn what frequently is a negative situation into a phenomenon that builds morale and relationships. Whether criticism is being given or received, it is up to the nurse manager to facilitate positive relationships in the critical care environment.

Adaptation, Psychological

What nurse managers can learn from Japanese management style.

1. Significant differences have developed between Japanese and American work settings since World War II. Today, the Japanese appear to have a unique understanding of the way decisions are made; a large part of decision making is entrusted to middle, rather than top, management. 2. In the nemawashi process, all official decision-making procedures are preceded by an unofficial process whereby all those affected by a decision, both vertically and horizontally, are involved in the decision before it is made. 3. The nursing process is based on decision making, and group process has been described as an effective way of making decisions. However, nurse managers lack definitive group decision making processes for their nursing practice.

Cross-Cultural Comparison

Camaraderie: the key to making work fun.

Camaraderie in the workplace offers a valuable avenue for coping with stress and maximizing the pleasure experienced at work. The development of camaraderie involves a people- rather than task- or work-related focus and requires personal sharing. Camaraderie is beneficial in all settings, but especially in the operating room where tensions run high and staff must interact in an intimate and physically close environment.

Adaptation, Psychological

The manager and rumors: telling fact from fiction.

A manager who does not recognize rumors and gullibly responds to all information as if it were all true will likely have a short tenure as a manager. On the other hand, expert management involves being able to distinguish truth from fiction and being able to intervene effectively when ambiguities are present in the workplace.

Communication

When the nurse encounters crying.

1. Crying has therapeutic value. For the patient and family, crying can facilitate working through grief, promote emotional healing, and release emotions that might otherwise lead to crippling emotional or physical illness. 2. Crying may be precipitated by a variety of emotions and may be related to a variety of situations. When patients cry, the behavior may express sadness and grief, release emotion, manipulate others, be a means to cope with unresolved stress, reduce distance, and may represent emotional lability related to organic brain impairment. 3. When the patient is crying, the nurse's action should be based on an assessment of the crying and the nursing strategies appropriate for the patient's unique situation. Generally, crying should be accepted nonjudgmentally and emotional support should be provided.

Adaptation, Psychological

Managing stress in the OR.

1. When nurses are particularly stressed, they are often out of touch with many of their potential coping resources. The rediscovery of forgotten skills or the development of new skills for managing stress can significantly reduce stress and thus prevent job burnout and promote vitality. 2. Skills for coping with stress that are primarily internal factors include personal management, outlook, and stamina skills. Relationship skills may be developed to alter the individual's relationship with the environment. 3. Nurses should attempt to match the coping technique to the situation at hand or to their personal strengths and preferences. The most energizing strategy may be to try something new.

Adaptation, Psychological