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Biomedical subjects

R M Nieswiadomy

Publications and source records attributed to R M Nieswiadomy.

6 recordsLinked to original sources
PubMed1991

Support of patient autonomy in the do not resuscitate decision.

In this study we examined critical care nurses' beliefs concerning the support of patient autonomy in the do not resuscitate (DNR) decision. The study sample consisted of 251 members of the American Association of Critical-Care Nurses (AACN). Subjects were asked to examine four hypothetical cases and select the agent (patient, family member, physician, or nurse) (1) most appropriate to support patient autonomy in the DNR decision and (2) who would actually make the DNR decision, if these hypothetical cases were to occur on the clinical units where the subjects were employed. The nurses' answers concerning the agent best able to support patient autonomy in the DNR decision were in general agreement with the do not resuscitate decision model developed by the principal investigator (B.B.O.) to demonstrate support for patient autonomy in the DNR decision. However, when asked who would actually make the DNR decision on their units, the nurses frequently responded that the physician would make the decision, regardless of the agent selected as best able to support patient autonomy in the case situation. An ethical conflict concerning the DNR decision appeared to exist for the majority of the subjects in this study.

Attitude of Health Personnel↗
PubMed1988

Nursing interventions for children with a parent in the intensive care unit.

Hospitalization of a family member in an intensive care unit is a stressful event for the entire family. Nurses should be concerned not only with the hospitalized patient but with the family, as a unit. Attention is often focused on the patient and to a lesser extent on the spouse. The needs of the children may be neglected. To reduce the long-term negative effects of the crisis event on the life of the child, appropriate interventions should be made at the time of the crisis. It is important for nurses to recall emotional and cognitive phases of growth and development when counseling parents. This information is used to help the nonhospitalized parent identify the needs of the child. The nurse can act as a resource person for this parent in planning strategies that will prevent or alleviate problems for the child.

Adolescent↗
PubMed1984

Nurse educators' involvement in research.

The purposes of the study were: (1) to determine the relationship between selected demographic characteristics of nurse educators and research productivity; (2) to identify barriers to faculty research; (3) to examine the support being provided by educational institutions for faculty research; and (4) to determine the use of research productivity in the evaluation of faculty members for tenure, promotion and salary increase. Research productivity was defined as: (1) the number of past research studies conducted in relation to degree requirements, (2) the number of past research studies conducted which were not in connection with degree requirements, (3) the number of research studies that have been published, and (4) the number of ongoing research studies. The study population was composed of nurse educators teaching in institutions granting a diploma, associate degree, baccalaureate degree or higher degree in nursing. A systematic random sample of 500 names was chosen from nurse educators who were members of the American Nurses' Association. The major findings of the study were: (1) only 25% of the sample indicated current involvement in research; (2) nurse educators holding doctorates are the most productive researchers; (3) nurse educators who have taught more than 20 years reported the smallest percentage of ongoing research studies; (4) the majority of the current research is being conducted by faculty teaching in schools which grant graduate degrees; and (5) educational institutions are providing minimal support for faculty research and 50% of these institutions do not consider research productivity in the evaluation of faculty members for tenure, promotion, or salary increase.

Educational Status↗