RESUMEN
Researchers have demonstrated the utility of various nonpharmacologic interventions in decreasing or preventing agitation in elderly nursing home residents with dementia. Auditory intervention strategies are one behavioral approach. We tested a modified version of simulated presence therapy called audio presence intervention (API). In 28 episodes of agitation among seven residents, API produced a significant decline in agitation level as measured by four items from the Haycox Rating Scale. However, in six episodes (four residents), agitation stayed the same or worsened. The results of this study pose more questions than answers and should stimulate nurse researchers to further investigate auditory intervention for control of agitation elders with dementia.
Asunto(s)
Demencia/terapia , Familia , Agitación Psicomotora/terapia , Psicoterapia/métodos , Grabación en Cinta , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Imaginación , MasculinoRESUMEN
Covariance structures analysis is often used in nursing research to appraise statistical models reflecting complex human health processes. The model selection approach in covariance structures analysis is designed to select the "best" model from a specified set of theoretically defensible, competing alternatives, all of which are viewed as approximations. Model selection criteria explicitly incorporate both model misfit in the population and sampling error to evaluate the set of models. The result is that interpretability of model parameters and goodness-of-fit are enhanced simultaneously. Relative merits of the model selection approach are identified in light of technical concerns, parsimony, and use of scientific theory in nursing.
Asunto(s)
Modelos Estadísticos , Investigación en Enfermería/métodos , Análisis de Varianza , Humanos , Teoría de Enfermería , Valor Predictivo de las Pruebas , Reproducibilidad de los Resultados , MuestreoRESUMEN
The Clinical Assessment of Confusion-A (CAC-A) is an observational checklist developed for practicing nurses to measure the presence and level of confusion in hospitalized adults. In a previous study, the following dimensions were found using principal factor analysis: cognition, general behavior, motor activity, orientation, psychotic/neurotic behavior, and two uninterpretable factors. A replication study was conducted to evaluate the validity of a statistically derived model for confusion suggested by the CAC-A. Data from a sample of 566 nurses were analyzed. Three theoretically justified statistical models for the structure of confusion were estimated and compared using a model selection approach to covariance structures analysis: a single-factor unidimensional model, an orthogonal six-factor model, and an oblique six-factor model similar to the structure suggested in the development study. The oblique six-factor model provided the best fit in the predictive sense and was the most satisfactory from a theoretical perspective.
Asunto(s)
Confusión/enfermería , Evaluación en Enfermería/métodos , Adulto , Anciano , Confusión/psicología , Femenino , Enfermería Geriátrica/métodos , Enfermería Geriátrica/estadística & datos numéricos , Humanos , Modelos Psicológicos , North Dakota , Evaluación en Enfermería/estadística & datos numéricos , Reproducibilidad de los Resultados , Índice de Severidad de la Enfermedad , Encuestas y CuestionariosAsunto(s)
Trastornos del Conocimiento/enfermería , Confusión/enfermería , Evaluación en Enfermería/métodos , Adulto , Actitud del Personal de Salud , Confusión/etiología , Salud Holística , Humanos , Evaluación en Enfermería/normas , Personal de Enfermería en Hospital/psicología , Reproducibilidad de los ResultadosRESUMEN
Variability in nurse staffing research has existed and still exists in two major areas: the method of data collection and analysis, and the method of reporting. The authors take a broad look at these two areas of variability and consider the implications for future nurse staffing research. It has become imperative that nurses take responsibility for the determination of what constitutes nursing work and who should perform that work.
Asunto(s)
Investigación sobre Servicios de Salud , Personal de Enfermería en Hospital/provisión & distribución , Administración de Personal/métodos , Admisión y Programación de Personal/métodos , Formación de Concepto , Recolección de Datos/métodos , Humanos , Enfermería , EdiciónRESUMEN
The data base management system (DBMS) is one tool that can greatly facilitate the organization and retrieval of such information. An overview of DBMS is presented for nurse educators with considerations for using and selecting a DBMS. System 1022 (produced by Software House, 1983), is discussed in terms of the process and problems encountered.