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PubMedDate not supplied

The staff nurse employment interview: predicting performance outcomes. Part II.

The Employment Standards Act of Ontario and Labour Relations policy in health care organizations require that employment decisions be based on the comparative level of knowledge, skills, abilities, and experience of job applicants. Reliable and valid employment interviews guide employers in that process. A semistructured staff nurse employment interview tool was developed and tested for reliability and validity (content and predictive) on a medical unit in an acute-care hospital setting. Of 25 interview questions evaluated as having content validity based on comparison with the job analysis and Standards of Practice, five (holistic care, assessments of patient's ability to cope, teaching, collaboration, and problem-solving) were identified as having statistically significant relationships with performance outcomes evaluated one year after the initial interview. Total interview test scores were predictive of overall competency in job performance. Those questions evaluated as content valid and as attaining predictive validity were used as the basis for the development of a structured staff nurse employment interview questionnaire.

Employee Performance Appraisal↗
PubMed1991

Low back pain--correspondence between questionnaire, interview and clinical examination.

The aim of this study was to analyse the correspondence between answers to a questionnaire about trouble from the musculoskeletal system, answers in a personal interview and clinical findings indicating low back disorder. The questionnaire was answered by 1,773 construction workers. Out of those, 206 workers underwent interview and clinical examination. Among those who reported no lifetime LBT in the questionnaire 63% gave the same report in the personal interview and those were all assessed negative at a blind clinical examination. Of those reporting current LBT in the interview 80% (47/59) were clinically positive. The clinical criteria used in the examination seemed to indicate lumbar painful structures. Answers to a question about functional impairment were in conformity with clinical findings. As regards answers to a question about frequency of pain and a question, in the specific Nordic questionnaire for the low back, concerning inability to do normal work the correlation to clinical findings was less apparent. Reported inability to do normal work in the questionnaire corresponded only to 43% with reported sick-leave in the interview.

Absenteeism↗
PubMedDate not supplied

Questioning strategies in interviews with children who may have been sexually abused.

This article examines the number and types of questions employed in clinical and computer-assisted interviews with children referred for sexual abuse evaluation. This research was part of a larger study to assess the efficacy of a computer-assisted protocol in the evaluation of child sexual abuse allegations. Interviews of 47 girls and 29 boys, ages 5 to 10 years, referred to a multidisciplinary clinic for sexual abuse assessment, were analyzed. A coding system was developed from interview transcripts. Nine types of questions were defined. Results indicate that during the initial interview children were asked an average of 195 questions (SD = 92) and that more than 85% of interviewer queries were open-ended. The majority of children who disclosed did so in response to focused questions. Findings suggest that many children are able to describe sexual abuse with careful questioning that includes nonleading but focused inquiry. Implications for practice and interviewing guidelines are discussed.

Child↗
PubMed1997

A conversation with Richard Easterlin.

"After an introduction touching on various biographical highlights, this paper summarizes a wide-ranging discussion with Richard Easterlin which occurred in the Autumn of 1996. We considered the Easterlin Hypothesis--its genesis and current status, together with Easterlin's views on attempts to develop measures of relative income--and then moved on to ¿The Fertility Revolution' and questions regarding the applicability of the theory of household choice in modernizing societies. This was followed by a discussion of his early career development and influences on him at that time, ending with ruminations regarding the current state of economics, and the validity of training given to young economists today."

Data Collection↗
PubMed2006

Alopecia areata: a long term follow-up study of 191 patients.

BACKGROUND: The prognosis of alopecia areata (AA) is difficult to predict. Few studies report long-term follow-up of AA patients. OBJECTIVE: The purpose of this study is to better assess the long-term evolution of AA and the possible relationship between disease severity and treatment response with long-term prognosis. METHODS: One hundred ninety-one patients with AA who presented with a new diagnosis of AA between 1983 and 1990 were subsequently contacted by phone. Patients were queried regarding current disease status, treatments, and disease course. RESULTS: Severity of AA at first consultation ranged from mild (128 patients) to severe (63 patients). Fifty-five of 191 patients were affected by concomitant autoimmune or related inflammatory disease. Sixty-six of 191 patients were presently disease free (follow-up duration, 15-22 years; mean 17.74 years). These include 41 of 60 patients with S1 disease (68.3%), 22 of 68 patients with S2 disease (32.3%), 1 of 11 patients with S3 disease (9%), 1 of 14 patients with S4 disease (7.1%), and 1 of 11 patients with alopecia totalis (AT) (9.1%). Sixty-nine of 191 patients (36-1%) were presently affected by AT or alopecia universalis. There was a statistically significant tendency of severe patterns of AA to worsen over time. In children, 18 of 39 (13 with < or =S2 disease and 5 with > or =S3 disease) with AA had developed AT or alopecia universalis at long-term follow-up. In children, however, this trend was not statistically significant. Patients with severe AA who responded to topical immunotherapy seem to have a better prognosis than nonresponders. LIMITATIONS: Follow-up was only performed by phone. CONCLUSIONS: Severity of AA at time of first consultation is an important prognostic factor. Response to therapy (topical immunotherapy) may be associated with better prognosis. In children, the prognosis is worse; our study found that AA worsens over time.

Administration, Topical↗
PubMed2006

Ethnopharmacological survey of medicinal herbs in Jordan, the Ajloun Heights region.

The study of local knowledge about natural resources is becoming increasingly important in defining strategies and actions for conservation of medicinal plants. This study therefore sought to collect information from local population concerning the use of Ajloun Heights region medicinal plants; identify the most important species used; determine the relative importance of the species surveyed and calculate the informant consensus factor (ICF) in relation to medicinal plant use. Data collection relied predominantly on qualitative tools to record the interviewee's personal information and topics related to the medicinal use of specific plants. Our results revealed that 46 plant species grown in the study region are still in use in traditional medicine for the treatment of various diseases. Most of the locals interviewed dealt with well-known safe medicinal plants such as Achillea falcata, Matricaria aurea, Majorana syriaca, Allium sativum and Allium cepa. The use of moderately unsafe or toxic plants was noted to be practiced by practitioners and herbalists rather than the locals. These plants include Ecballium elaterium, Euphorbia hierosolymitana, Mandragora autumnalis and Citrullus colocynthis. Kidney problems scored the highest ICF while Crocus hyemalis was the plant of highest use value. Searching the literature evidenced some concordance with the solicited plant uses mentioned by the informants.

Aged↗
PubMed2006

Homeless drug users' awareness and risk perception of peer "take home naloxone" use--a qualitative study.

BACKGROUND: Peer use of take home naloxone has the potential to reduce drug related deaths. There appears to be a paucity of research amongst homeless drug users on the topic. This study explores the acceptability and potential risk of peer use of naloxone amongst homeless drug users. From the findings the most feasible model for future treatment provision is suggested. METHODS: In depth face-to-face interviews conducted in one primary care centre and two voluntary organisation centres providing services to homeless drug users in a large UK cosmopolitan city. Interviews recorded, transcribed and analysed thematically by framework techniques. RESULTS: Homeless people recognise signs of a heroin overdose and many are prepared to take responsibility to give naloxone, providing prior training and support is provided. Previous reports of the theoretical potential for abuse and malicious use may have been overplayed. CONCLUSION: There is insufficient evidence to recommend providing "over the counter" take home naloxone" to UK homeless injecting drug users. However a programme of peer use of take home naloxone amongst homeless drug users could be feasible providing prior training is provided. Peer education within a health promotion framework will optimise success as current professionally led health promotion initiatives are failing to have a positive impact amongst homeless drug users.

Adult↗
PubMed1995

Assessing patient satisfaction. Part 1. The research process.

The research reported in this article formed part of a project evaluating nursing developments in four demonstration wards in one health authority, and the article focuses on evaluation of patient satisfaction. The evaluation of patient satisfaction is a topic surrounded by much methodological debate and therefore it was necessary to clarify the issues involved at the planning stage of the study. The 'process' aspects of evaluating patient satisfaction will be discussed here, while the content of patient interviews will be the subject of Part 2.

Humans↗
PubMed2006

Cancer patients' perception of being or not being confirmed.

The aim of this study was to obtain in-depth knowledge about caring confirmation of patients with cancer, from the patients' point of view. The research topic was: what is the significance for patients of their being confirmed by nursing personnel? Fifteen men and women between 43 and 80 years of age participated in this study. The method of data collection used was qualitative research interviewing. A hermeneutic approach was used to interpret the data, in which Kvale's self-perception, the 'common sense' level, and theoretical levels were applied. The results are summarized in three areas: an outer confirmation, an inner confirmation, and a lack of the latter. Outer confirmation meant being understood and taken seriously; the maintenance of human dignity and worth indicated inner confirmation. A lack of inner confirmation is primarily manifest in terms of patients' mental, spiritual and existential concerns. In relation to the theory of Eriksson, these patients were confirmed at the level of having and being, but seldom at the level of becoming.

Adaptation, Psychological↗
PubMed2005

The needs of terminally ill cancer patients versus those of caregivers for information regarding prognosis and end-of-life issues.

BACKGROUND: The difficulty of negotiating the concerns of family members while also respecting the needs of the patient adds complexity to the task of discussing prognosis and end-of-life (EOL) issues with terminally ill cancer patients. The informational needs of caregivers may be different from those of the patients themselves with regard to these topics. However, to the authors' knowledge, this issue has received relatively little research attention. METHODS: The authors conducted focus groups and individual interviews with 19 patients with far advanced cancer and 24 caregivers from 3 palliative care (PC) services in Sydney and 22 PC health professionals (HPs) from around Australia. The focus groups and individual interviews were audiotaped and fully transcribed. Additional focus groups or individual interviews were conducted until no additional topics were raised. The participants' narratives were analyzed using qualitative methodology. RESULTS: The participants had varying views regarding whether patients and caregivers should be told different information concerning prognosis and EOL issues. Three themes were identified from the transcripts regarding meeting the informational needs of both the patients and caregivers: 1) the importance of consistency and openness, 2) the specific information needed to care for the patient, and 3) the value of having separate discussions with the patient and caregiver. A desire to restrict the patient's access to information by the caregiver or vice versa was reported by the HPs to be one of the most challenging issues when discussing prognosis and EOL issues. Three themes were identified with regard to this issue: 1) autonomy versus protection, 2) negotiating family dynamics, and 3) difficulty using interpreters. CONCLUSIONS: The results of the current study emphasized the importance of considering the distinct informational needs of caregivers, as well as those of the patient, when discussing prognosis and EOL issues.

Adult↗
PubMed2000

Low-dose intratympanic gentamicin treatment for dizziness in Ménière's disease.

OBJECTIVE: Intratympanic gentamicin is used to control dizziness of Ménière's disease, with a low rate of morbidity and a high success rate. We aimed to develop a new technique and schedule of therapy using a lower dose. DESIGN: A retrospective chart review in Ménière's disease patients treated for intractable dizziness. SETTING: A tertiary/quaternary care outpatient setting. METHODS: Patients were administered intratympanic gentamicin using a low-dose protocol on 2 successive days and evaluated with pre- and post-treatment audiovestibular assessment. MAIN OUTCOME MEASURES: Standard evaluation methods of audiovestibular function measured pre- and postfunction of hearing and balance to determine the effects of treatment and morbidity in the form of hearing loss. A telephone follow-up survey was also undertaken. RESULTS: Patients reported satisfactory control of dizziness, with little morbidity in the form of hearing loss. We also found that the use of a myringotomy tube could be precluded. Post-treatment symptoms of imbalance reported by patients settled as patients compensated. In a telephone survey conducted some years after treatment, patient satisfaction was found to be high. CONCLUSIONS: This two-dose regime was shown to be effective in controlling dizzy spells. In patients refractory to the initial two-dose treatment, a follow-up course of treatment usually proved effective. Long-term follow-up of patients seems to show that failure of treatment usually occurs within the first few months, and that symptoms, once controlled, rarely recur.

Administration, Topical↗