Biomedical subjects

S Main

Publications and source records attributed to S Main.

3 recordsLinked to original sources

PubMed1997

Managing vancomycin-resistant enterococci. A winning team approach.

Antibiotics have been the treatment of choice for a broad range of bacterial infections for decades. In recent years, however, concern has been growing over the increasing incidence of infections that are resistant to known antibiotics. A 1995 outbreak of ampicillin- and vancomycin-resistant enterococci (VRE) at the 3Y site of the McMaster University Medical Centre brought this concern home to us and resulted in the development of outbreak-management guidelines for VRE.

Ampicillin Resistance↗

PubMed1989

Easing transitions in care delivery with a core training group.

A collaborative approach was used by the nursing staff of a state psychiatric hospital to make a transition from traditional nursing services to a self-care model on one ward. The core training group, including representatives from all levels of nursing staff, developed and evaluated a personal hygiene protocol for 30 patients with chronic mental illness. Underwood's adaptation of Orem's self-care model of nursing was modified to provide the framework for this protocol. Evaluation of the project demonstrated both improved personal hygiene for the patients and greater job satisfaction for the nursing staff. The collaborative core training group approach was effective in facilitating the transition to the self-care nursing model.

Hospital Bed Capacity, 300 to 499↗

PubMedDate not supplied

Patient and staff perceptions of a psychiatric ward environment.

Perceptions of 37 psychiatric patients and 34 staff were surveyed to compare their views of ward environment, using items from the Ward Atmosphere Scale (WAS). The actor-observer (A-O) model, which focuses on the inclination of individuals to make ego-enhancing explanations for their situation, was used in interpreting patient and staff differences. Perceptions of patients and staff were significantly different (p less than or equal to .05) on six of the nine WAS subscales. In situations where staff take pride in a behavior (involvement, support, spontaneity, practical orientation, personal problem orientation, and program clarity), perceptions on the WAS were higher for staff than patients. In the area of staff control, which may be perceived as negative by staff, staff rated themselves as less potent than did patients. Discussion of the difference in perception has potential therapeutic use in clarifying roles, sharing of responsibility, and enhancing the ability of patients and staff to express or modify perceptions.

Adolescent↗