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Biomedical subjects

S B Hardin

Publications and source records attributed to S B Hardin.

15 recordsLinked to original sources
PubMed1990

Nurses respond to Hurricane Hugo victims' disaster stress.

Hugo, a class IV hurricane, hit South Carolina September 22, 1989, and left behind a wake of terror and destruction. Sixty-one nursing students and five faculty were involved in disaster relief with families devastated by the hurricane. A review of the literature led these authors to propose a formulation of the concept of disaster stress, a synthesis of theories that explains response to disaster as a crisis response, a stress response, or as posttraumatic stress. With the concept of disaster stress serving as a theoretical foundation, the nurses observed, assessed, and intervened with one population of hurricane Hugo victims, noting their immediate psychosocial reactions and coping mechanisms. Victims' reactions to disaster stress included confusion, irritability, lethargy, withdrawal, and crying. The most frequently observed coping strategy of these hurricane Hugo victims was talking about their experiences; other coping tactics involved humor, religion, and altruism.

Aged↗
PubMed1985

Nurse psychotherapists' experiences in obtaining individual practice privileges.

Nurses who function as primary care providers often want direct access to hospitalized clients. Individual practice privileges provide one means by which such providers can admit and treat their clients in institutional settings. This article describes a study in which nurse psychotherapists report their experiences in obtaining individual staff privileges. Findings of the study have implications for other primary care nurses seeking such privileges. The authors conclude that current conditions within the health care system may be favorable in facilitating individual practice privileges for nurses.

Adult↗
PubMed1985

Power in client and nurse-therapist relationships.

Social theory provided the perspective for this exploration of power as it relates to the nurse/client relationship. As the authors agree with Smith and Vetter (1982) that interactions are a legitimate basis for understanding behavior, we, have, therefore, presented actual nurse/client relationships as empirical cases to examine and to apply theory. These six vignettes provide examples of various responses of patients and therapists to power in therapeutic relationships. Although each situation differs in some respects, there are similarities regarding power as a phenomenon. Dependence and sanctions, the objective features of power, are present. On analyzing the audiotapes and process notes from the individual therapy of clients and nurses who were beginning therapists enrolled in a graduate psychiatric nursing program, it becomes clear that the therapists got involved in power struggles with their clients or used exploitive power when they, themselves, felt vulnerable or angry because they perceived their expert power to be threatened. It also becomes clear that the nurse-therapists were not always accustomed to, or comfortable with, an autonomous role. They, therefore, sometimes failed to use their legitimate powers. However, once they reviewed their interactions within a conceptual framework of power, and discussed these issues with clinical and academic supervisors, they could examine causes, characteristics, and potential changes in their reactions to their clients.

Adult↗
PubMed1985

Promoting advanced nursing practice.

Nurses functioning in advanced practice roles, particularly those in private practice or in other entrepreneurial roles, need to develop strategies which inform potential clients about the professional services they offer. This article describes practice-promotion strategies used by psychiatric nurses in private practice. A survey by the authors suggests that many of these strategies are viewed as either professionally appropriate or business-producing, but usually not both. Nurse entrepreneurs, in seeking means to promote their practices, must determine which promotional strategies are useful in their own unique circumstances.

Adult↗
PubMedDate not supplied

Group protocol to mitigate disaster stress and enhance social support in adolescents exposed to Hurricane Hugo.

Literature reports that cognitive understanding and social support can mitigate stress in both adults and adolescents. As a subcomponent of the Carolina Adolescent Health Project (CAHP), this research evaluated the efficacy of a Cognitive Social Support (CSS) group protocol designed to mitigate the disaster stress of adolescents who had been exposed seriously to Hurricane Hugo. A purposive sample of 259 students participated in and evaluated the CSS. This article reports the specific structure, content, process, rationale, and cost of the CSS. Evaluations indicated that 82% of the students evaluated the small-group component of the CSS as "very good" or "excellent," while 70% rated the large-group component as "very good" or "excellent."

Adolescent↗
PubMedDate not supplied

Self-efficacy in normal adolescents.

This descriptive study, one component of the Carolina Adolescent Health Project (CAHP), measured self-efficacy in a voluntary sample of 432 normal freshmen and sophomore urban high school students. Using Coppel's Self-Efficacy Scale (SES), which is based on Bandura's conceptualization of self-efficacy, the research also examined the effect of gender, race, socioeconomic status, and self-reported religiosity on self-efficacy. The teenagers in this sample had a moderately high degree of self-efficacy with a mean SES score of 45.37 (SES range = 13-65). A series of t tests and one-way and two-way analyses of variance indicated no significant difference in SES scores by race, gender, socioeconomic status, or religiosity. Findings did not support the investigators' original expectation that these demographic and psychosocial variables would affect self-efficacy. The study provides normative data for future comparative studies using the SES.

Adolescent↗