Virginia P Tilden

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For norm-referenced measures to be useful in social-behavioral research, investigators who develop measures face several psychometric challenges, including: (a) adequate domain specification; (b) adequate initial evidence of reliability and validity; and (c) ongoing evidence of psychometric quality. The Interpersonal Relationship Inventory (IPRI) was(More)
The purpose of this study was to develop, validate, and norm a measure of dimensions of interpersonal relationships that are salient to nursing: social support, reciprocity, and conflict. The selection of these concepts was guided by social exchange and equity theories. In the first phase of the study, 44 respondents were interviewed to provide narrative(More)
Many indicators suggest that care of the dying in Oregon has been improving over the past decade. However, results from a recent study suggest that one aspect of care of the dying, pain management, may be worsening. In late 1997, family reports of moderate and severe pain in dying hospitalized patients increased from 33% to 57%. This occurred during a(More)
Aggressive medical management of the terminally ill has given rise to significant issues in the ethics of end-of-life care. The major ethics principles of autonomy, beneficence, and justice help frame existing research findings. A wave of national initiatives to improve end-of-life care is occurring. T echnologic advancements in aggressive medical(More)
Substantial resources have been spent to improve pain control for dying patients, and increased opioid administration has been presumed. Oregon has been a consistent leading state in per capita use for morphine for the past 10 years, as recorded by the Automation of Reports and Consolidated Orders System (ARCOS). Health policy experts, extrapolating from(More)
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