A5077937952- Ethics in medical practice
- Palliative Care and End-of-Life Issues
- Interprofessional Education and Collaboration
- Management and Organizational Studies
- Nursing education and management
- Grief, Bereavement, and Mental Health
- Geriatric Care and Nursing Homes
- Family and Patient Care in Intensive Care Units
- Patient Dignity and Privacy
- Patient Safety and Medication Errors
- Ethics and Legal Issues in Pediatric Healthcare
- Blood Pressure and Hypertension Studies
- Nursing Education, Practice, and Leadership
- Organ Donation and Transplantation
- Organizational Learning and Leadership
- Cardiovascular Health and Disease Prevention
- Education and Critical Thinking Development
- Heart Rate Variability and Autonomic Control
- Health Systems, Economic Evaluations, Quality of Life
- Innovations in Medical Education
- Reflective Practices in Education
- Pharmaceutical industry and healthcare
- Management and Marketing Education
- Healthcare cost, quality, practices
- Disaster Response and Management
University of Liverpool
2018-2024
Washington State University
2019
Virginia Commonwealth University
2018
Duke University
2010-2017
London Metropolitan University
2015-2016
University of Cambridge
2011-2016
Addenbrooke's Hospital
2012-2016
Temple University
2014
University of California, San Francisco
1995-2014
University of California San Francisco Medical Center
1995-2010
Functional neuroimaging studies suggest a prominent role for the medial prefrontal cortex in formation of moral judgments. Activity this region has also been shown to decline significantly during sleep loss. We therefore examined effects 2 nights deprivation on several aspects judgment.Participants made judgments about "appropriateness" various courses action response 3 types dilemmas at rested baseline and again following 53 hours continuous wakefulness.In-residence laboratory Walter Reed...
The Carnegie Foundation National Study of Nursing Education has just been completed, and the book reporting findings will be published early in 2009.1 This is first national study nursing education since Lysaught report,2 1970. It dizzying to think all changes that have occurred society health care time: advancement women’s rights, information technology revolution, commercialization system, managed consolidated closed many hospitals down-sized a large pool highly experienced nurses, extreme...
Blood pressure (BP) in young adults predicts BP later life. We aimed to identify metabolic, hemodynamic, and autonomic characteristics associated with raised whether these differ between males females. Three thousand one hundred forty-five healthy subjects, aged 18 40 years, were grouped according sex category following the recent reclassification of as part American Heart Association/American College Cardiology 2017 guidelines. All individuals undertook a lifestyle medical history...
Rheumatoid arthritis is a systemic inflammatory condition associated with increased cardiovascular risk that may be due to underlying endothelial dysfunction and subsequent aortic stiffening. We hypothesized supplementation tetrahydrobiopterin (BH4) would recouple nitric oxide synthase thus improve function consequently reduce stiffness.We conducted 2 randomized, double-blinded, placebo-controlled crossover studies examining separate regimens: an acute regimen, single dose of BH4 400 mg...
The recently published report of the Carnegie Foundation's National Study Nursing Education points out significant problems with classroom teaching in schools nursing. This article suggests Palmer's idea subject-centered as a way to transform nursing school classrooms into collaborative learning communities. For Palmer, subject is big practice-the nurse-patient/client/family/community relationship-that should take lead stimulating inquiry and discussion. goes on describe how teachers can...
Research points to the challenge of delivering strategic change in pluralistic contexts. We explore this through a real-time, qualitative case study implementation post-1992 United Kingdom university. Our findings enable us account for how leader can create sensegiving and sensemaking opportunities that influence others engage activities facilitate an orchestrated meetings-based process which also leads action consistent with intended goals. In doing so we contribute research on...
Both gastric and duodenal feeding tubes are used to provide enteral nutrition. Most studies comparing the two methods have focused primarily on rates of complications, rather than nutritional outcomes, show no difference in complications between methods. It is not clear which route provides best outcomes. The primary purpose this randomized clinical pilot study was compare percentage recommended calories protein received by patients with neurological disease being fed enterally via or tubes....
Courage is a virtue that necessary to the conscientious practice of all healthcare providers. This neither new nor an original idea. Others have written about importance virtues in medicine1,2 or focused on courage particular as willingness adhere obligations inherent professional practice.3 In current climate, it not simple thing know and stand up for one's obligations. There are duties seem always be conflict, weighing benefit harm involved complex fraught with ambiguity.In this column I...
Underlying the increased incidence of falls during multitasking is a reduced ability to detect or attend sensory information signaling postural instability. Adding noise biological system has been shown enhance detection and transmission weakened sub-threshold cutaneous signals. If stochastic resonance become an effective adjunct rehabilitation, we need determine whether vibrotactile can be when added environment presenting with other noise.Sub-threshold vibration was applied for 30 sec at...
Inadequate pain medication management is pervasive in nursing homes (NHs). Licensed practical nurses (LPNs) deliver the majority of licensed care, but LPNs are neither trained nor to provide comprehensive assessment and management. In this study, we describe how occurs NHs by exploring LPNs’ approaches, while considering scope-of-practice differences between RNs LPNs. Using comparative case studies 10 North Carolina Minnesota, found practice variations detection, assessment, administration....
BACKGROUND: The responsibility of obtaining organs for transplantation rests partly on critical care nurses. How nurses balance critically ill, brain-injured patients with the professional to procure is a question ethical and clinical importance. OBJECTIVES: To describe experiences in making shift from caring patient identified as potential organ donor maintaining brain-dead body. METHODS: An interpretive, phenomenological design was used. In 2 trauma centers, 9 were interviewed, observed....
The shortage of experienced nurses has created a challenging environment for teaching in acute care settings. Fewer means more is required those who are experienced; some report never having shift without being assigned to act as preceptor student or new graduate. nursing also were graduates themselves less than year ago called on teach newer nurses. In their efforts address the shortage, schools increasing enrollment, putting students hospital, and expecting barely take responsibility these...
To industry employees faced with outsourcing and downsizing, as well to young men women embarking on their first professional commitment, nursing is beginning look like a secure worthwhile career. In this climate, many people who previously may not have considered the profession are now finding it way connect in need improve life health world which caring practices been devalued. People also choose because they interested secondary goods of job: security, shift flexibility, limited workday,...
While it still has critics, the evidence-based practice movement made great headway in medicine and nursing. Nurses are encouraged to use best available evidence guide their form foundation for institutional policies procedures.Evidence-based standards developed by professional organizations implemented as sets of rules nurses follow they care populations patients. For example, ventilated patients must have heads beds raised 30° receive oral at least every 4 hours order prevent pneumonia;...
Nurses often institute artificial feeding for patients who would otherwise starve. Recently, the courts in United States have favoured withholding or withdrawing feedings from currently refuse previously gave some indication they nutrition and hydration. This paper investigates under what circumstances nurses feel justified Structured interviews were conducted with 40 cancer care two sites, dementia sites. The based on vignettes, one involving an alert patient terminal cancer, other a...
Background Two individuals can have a similar pulse pressure (PP) but different levels of systolic blood (SBP), although the underlying mechanisms not been described. We hypothesized that, for given level PP, differences in SBP relate to peripheral vascular resistance (PVR); and we tested this hypothesis large cohort healthy young adults. Methods Results Demographic, biochemical, hemodynamic data from 3103 subjects were available current analyses. In both men women, higher was associated...
There has been discussion on how various theories of ethics are similar, they different, and each should be applied. Ethical theory, in general, presented opposition to situation-based the ethical comportment found socially based practices. Etiquette is one concept that entered these debates, only peripherally, as a negative example what healthcare practice was left with before development bioethics or part medical history.1 In contrast limited discussions, etiquette can seen way bring into...