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This paper analyzes the concept "knowing the patient" which was identified in a qualitative study of expert nursing practice during ventilator weaning of adult patients. The concept signified a cognitive and relational process by which the study participants determined salient aspects of a particular patient situation, while at the same time demonstrating(More)
A randomized double-blind trial with 15 postmenopausal women led to a remarkable result. Local treatment with vaginal tablets just containing 0.03 mg estriol proved to be equivalent to the widely used dosage of 0.5 mg. The test drug Gynoflor E induced significant proliferation of the vaginal epithelium and thus offers the basis for a complete restoration of(More)
OBJECTIVE To describe patients' recollections of their experiences during mechanical ventilation and weaning and to extend an evolving nursing theory of weaning. DESIGN A qualitative approach that used grounded theory techniques. PATIENTS AND METHODS We surveyed 20 hospitalized patients who had recently undergone mechanical ventilation and weaning from(More)
Monitoring internal crude oil exposure can assist the understanding of associated risks and impacts, as well as the effectiveness of restoration efforts. Under the auspices of a long-term monitoring program of Tundra Peregrine Falcons (Falco peregrinus tundrius) at Assateague (Maryland) and South Padre Islands (Texas), we measured the 16 parent(More)
OBJECTIVE To examine the meaning of metaphors used by critical care patients about their ventilator weaning experience. DESIGN Grounded theory. POPULATION, SAMPLE, SETTING In 1992-1993, from a population of mechanically ventilated patients, a convenience sample of 20 adult patients was recruited from one 14-bed multispecialty ICU in a 740-bed teaching(More)
This qualitative study describes a distinctive nursing perspective on the process of ventilator weaning that is not well documented in current literature. The investigators used interviews with expert critical care nurses to reveal the knowledge, judgments, and actions used by nurses to promote ventilator independence. The authors identify a nursing(More)
  • J Logan, J Jenny
  • Nursing diagnosis : ND : the official journal of…
  • 1990
A secondary analysis was conducted on data originally collected using grounded theory methodology, to study nurses' perceptions of how they wean adult patients from mechanical ventilation. From this secondary analysis, a new nursing diagnosis was derived: dysfunctional ventilatory weaning response. This article discusses the rationale for the diagnostic(More)
  • J Jenny
  • The Journal of nursing education
  • 1991
Conceptual frameworks and nursing diagnoses represent recent additions to nursing's theoretical base, but their relationship and potential to interface has not been explored. This study describes the results of 130 registered nurse baccalaureate students' integration of current North American Nursing Diagnosis Association (NANDA) nursing diagnoses into(More)