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Biomedical subjects

V A Lambert

Publications and source records attributed to V A Lambert.

At least 19 recordsLinked to original sources
PubMed1998

Coping in young women: theoretical retroduction.

Although there is increasing interest in women's health, there remains little empirical evidence concerning concepts related to health and women's life trajectory. Our purpose in conducting this research was to examine women's developmental stressors and coping during young adulthood. Lazarus and Folkman's coping model provided sensitizing concepts for data generation in a retroductive research methodology. The sample included 26 women of diverse perspectives who participated in interviews and groups. Philosophical concerns of subjectivity, context and gender sensitivity were actualized in iterative stages of data collection, analysis and comparison to extant theory. Rapidly expanding multiple roles were identified as developmental stressors for young women. Decontextualized coping strategies are arranged on a behavioural continuum: avoidance, distraction, and confrontation. Contextualized descriptions of coping are presented in two representative accounts: Lauren and Mary Ellen. A philosophical stance, assumed at about the age of 30, provides a lens for assessing developmental stressors that influence the appraisal process. Rich descriptions of young women's coping and developmental influences move beyond abstract theory to a contextual understanding of young women's experiences.

Adaptation, Psychological↗
PubMed1997

Evaluating the performance of the APN.

Evaluation is the process of delineating, obtaining, and providing useful information for judging decision-making alternatives. This article presents several models of evaluation and reviews the application of those models to advanced practice nursing. A comprehensive evaluation plan is necessary to gather data concerning the APN's performance, quality of provided service, and outcomes of those receiving the service in terms of health status, cost, and efficiency. In assessing any health care provider's effectiveness, one must, at a minimum, determine the provider's ability to deliver quality care at a reasonable cost to a significant portion of the general population or particular group.

Cost-Benefit Analysis↗
PubMed1997

Evaluating the performance of the APN.

Evaluation is the process of delineating, obtaining and providing useful information for judging decision-making alternatives. This article presents several models of evaluation and reviews the application of those models to advanced practice nursing.

Employee Performance Appraisal↗
PubMed1996

The advanced practice nurse in collaborative practice.

Establishing interdisciplinary collaborative practice models is vital to the success of health care reform. Paramount in this assumption is the need to change the roles and relationships between nurses and physicians. To facilitate this change, the authors have prepared a model of collaborative practice based on the concepts of common purpose, professional contributions of practitioners, collegiality, communication, and client-focused practice.

Humans↗
PubMed1996

Advanced-practice nurses: approaches to collaborative research.

The collaborative approach to research can prove effective for the advanced-practice nurse (APN). While there are a number of ways to deal with research collaboration, this article discusses the hierarchial, consultative, and council/consortium models. In addition, the article addresses specific guidelines for establishing collaborative research, delineates the organizational support needed to implement such projects, and offers three possible research foci (outcomes research, case management research, and population-specific research).

Case Management↗
PubMed1994

Empowering faculty through intrapreneurship: a change model.

Institutions of nursing education are faced with socioeconomic issues that threaten to endanger the quality of education. Major issues such as budget cutbacks, changes in student populations, and decreasing numbers of professors mandate change if educational institutions are to survive. At the same time, health care reform provides nurse educators with an unprecedented opportunity to restructure curriculum. This article suggests that a method for meeting the challenge for educational reform while facing socioeconomic constraints is through intrapreneurship.

Education, Nursing↗
PubMed1993

Relationships among faculty practice involvement, perception of role stress, and psychological hardiness of nurse educators.

This study examined the relationships of role stress and psychological hardiness and identified predictors of role stress in nurse educators overall and in those either involved or not involved in faculty practice. In addition, the study examined differences in psychological hardiness and role stress between nurse educators either involved or not involved in faculty practice. Data were obtained through three mailed self-report questionnaires from 871 nurse educators employed full-time in a National League for Nursing (NLN)-accredited school of nursing with both undergraduate and graduate programs. The findings revealed significant negative correlations between role stress and psychological hardiness and between components of role stress and components of psychological hardiness. Predictors of role stress were identified. No significant difference was found in role stress or in psychological hardiness between nurse educators involved and those not involved in faculty practice.

Adult↗
PubMed1993

Preceptors' perceptions of a baccalaureate preceptorial experience.

A preceptor's perception of a baccalaureate preceptorial experience has implications for faculty, nursing service administrators, and clinical agency personnel as they select nurses to serve as preceptors. This article describes a specific preceptorial experience and presents data collected from 137 preceptors who participated. Data include descriptive information about the preceptors and an analysis of their responses to six questions about the experience.

Attitude of Health Personnel↗
PubMed1991

Arthritis.

Explore the source record for details and available documents.

Arthritis↗
PubMed1990

Relationships among hardiness, social support, severity of illness, and psychological well-being in women with rheumatoid arthritis.

The purpose of this study was to examine the relationships among hardiness, social support, severity of illness, and psychological well-being in women with rheumatoid arthritis who were being seen on an outpatient basis. Questionnaires were administered, to 122 women, assessing hardiness, social support, and psychological well-being. Severity of illness was determined by assessment of joint function, sedimentation rates, and length of morning stiffness. Significant correlations were found between (a) hardiness and the number of persons in the social support system, (b) hardiness and satisfaction with social support, (c) hardiness and psychological well-being, (d) the number of persons in the social support system and satisfaction with social support, (e) the number of persons in the social support system and joint function, (f) satisfaction with social support and psychological well-being, and (g) length of morning stiffness and psychological well-being. Stepwise regression analysis indicated that satisfaction with social support, hardiness, and length of morning stiffness (in that order) were the best predictors of psychological well-being. The findings suggest that these three factors play a significant role in the identification of women with rheumatoid arthritis who are more able to cope with the stressful ramifications of their disease.

Activities of Daily Living↗
PubMed1989

Social support, hardiness and psychological well-being in women with arthritis.

The purpose of this study of women with rheumatoid arthritis (n = 12) was to determine whether or not social support and hardiness are predictors of psychological well-being when the severity of the women's rheumatoid arthritic disease process is statistically controlled. The findings suggest that satisfaction with social support and hardiness are indeed significant predictors of psychological well-being in women with rheumatoid arthritis, regardless of the severity of illness.

Adult↗
PubMed1988

A review and synthesis of the research on role conflict and its impact on nurses involved in faculty practice programs.

A review of the literature is presented that offers an overview of state-of-the-art research on role conflict and its impact on nurses involved in faculty practice programs. The literature is described in terms of: 1) where the research has been reported; 2) who the researchers have been and from what discipline they have come; 3) the major theoretical perspectives used; 4) the unit of analysis studied; and 5) the research methods used.

Faculty, Nursing↗
PubMed1987

Psychosocial impacts created by chronic illness.

One can ascertain, from this brief overview, that chronic illness can and does abuse an afflicted person's psychologic well-being, body image, sexuality, social identity, and occupational role. However, the alterations imposed on the chronically ill person by the disease can be dealt with in an effective manner. Health care providers need to examine with each patient what alterations are occurring, what changes might occur, and how the patient might effectively contend with and control each of these alterations. Although chronic illness is intrusive, it can be dealt with in an effective manner so that the afflicted person can lead a productive life.

Adaptation, Psychological↗
PubMed1987

Coping with rheumatoid arthritis.

Rheumatoid arthritis, a chronic systemic connective tissue disorder that affects women three times more often than men, that is of unknown cause, and that involves inflammatory changes primarily in the small peripheral joints of the hands and feet, afflicts approximately 8 million people in the United States. In its mildest form, rheumatoid arthritis causes little interference with normal activity. However, in its severest form, it can render the afflicted person bound to a wheelchair, house, or even a bed. As a result of its crippling effects, simply accomplishing the tasks of daily living can be a feat for some people. Coping with the existence of pain, disabling effects, and/or deformities brought on by rheumatoid arthritis is not an easy task for the afflicted person. To cope with the physical aspects of the disease, the afflicted person is likely to use the coping mechanisms of information seeking, direct action, inhibition of action, intrapsychic processes, and social support. Which coping mechanisms are used, how the mechanisms are used, and how effective the mechanisms are, must be determined by the nurse so that appropriate psychosocial interventions can be planned and implemented.

Adaptation, Psychological↗