{"title":"The ethics of role conflict in research.","authors":"S. K. Namei, M. O. King, M. Byrne, C. Proffitt","doi":"10.1097/01376517-199310000-00011","DOIUrl":"https://doi.org/10.1097/01376517-199310000-00011","url":null,"abstract":"While engaged in interviewing stroke patients, nurses found their research responsibilities conflicting with traditional patient care values. At the termination of the pilot project, the nurses, doubting their role, shared their concerns with the research team. They made recommendations regarding the appropriateness of tools and training needs of research assistants. Unresolved role conflict motivated the nurses to review the literature, seeking answers to the issue. Other nurses have experienced this same conflict. While nursing has been referred to as a profession that complements art with science, in practice, altruism may conflict with maintaining research integrity. The nurse, when functioning as a researcher, may find situations where a choice needs to be made whether to implement nursing interventions or continue the research protocol. The difficulty remains in deciding when the patient advocate role takes precedence over other legitimate concerns. Even though the ANA Code for Nurses with Interpretive Statements requires that the nurse participate in research to advance the profession's body of knowledge, the code's primary principle mandates respect for the rights of the individuals the nurse serves. Research need not be undertaken at the expense of human dignity. If conflicts develop, nursing's primary responsibility is to the individual. Concern for the individual always takes precedence over maintaining research integrity. Nurses are \"advocates, where trust, compassion, and empathy encompass all our nursing endeavors, including research\" (p. 161). While striving to achieve research goals, nurses must not lose sight of the traditional values inherent in nursing.","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"25 5 1","pages":"326-30"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-199310000-00011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61761218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Issues related to the protection of human research participants.","authors":"L. Harrison","doi":"10.1097/01376517-199306000-00009","DOIUrl":"https://doi.org/10.1097/01376517-199306000-00009","url":null,"abstract":"Making ethical decisions related to the protection of human research participants is often complex and fraught with uncertainty and conflict. Awareness of the basic principles outlined in the Belmont Report as well as in federal regulations and guidelines can provide a useful framework for such decisions, although the ultimate responsibility for ensuring ethical research practices rests with the individual investigator. Ongoing dialogue and discussion about these ethical issues will provide a basis for strengthening nursing research and practice while ensuring the maximum protection for research participants who make possible the advancement of nursing science.","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"25 3 1","pages":"187-93"},"PeriodicalIF":0.0,"publicationDate":"1993-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-199306000-00009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61761105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nutritional discontinuation: active or passive euthanasia?","authors":"J. Banja","doi":"10.1097/01376517-199004000-00012","DOIUrl":"https://doi.org/10.1097/01376517-199004000-00012","url":null,"abstract":"","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"22 2 1","pages":"117-20"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-199004000-00012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61759633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The nurse's use of restraint with a neurologically impaired patient.","authors":"B. Yorker","doi":"10.1097/01376517-198812000-00012","DOIUrl":"https://doi.org/10.1097/01376517-198812000-00012","url":null,"abstract":"","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"20 6 1","pages":"390-2"},"PeriodicalIF":0.0,"publicationDate":"1988-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198812000-00012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61758456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Photosensitive epilepsy.","authors":"M Steinkruger","doi":"10.1097/01376517-198512000-00005","DOIUrl":"https://doi.org/10.1097/01376517-198512000-00005","url":null,"abstract":"<p><p>Although epilepsy remains an unsolved medical problem, there is a type of epilepsy known as 'photosensitive epilepsy' described in the medical literature that could serve as the window to understanding the pathophysiology of all epilepsies. Photosensitive epilepsy is a seizure phenomenon caused by exposure to bright and/or flickering light. This type of epilepsy has been estimated to occur in one of every 10,000 people. The nurse's role in this pathological state includes meticulous notations of seizure activity, adverse medication reactions, and psychological assessment of the photosensitive epileptic client.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"17 6","pages":"355-61"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198512000-00005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14005266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pineal region brain tumors.","authors":"J S Neatherlin","doi":"10.1097/01376517-198512000-00004","DOIUrl":"https://doi.org/10.1097/01376517-198512000-00004","url":null,"abstract":"<p><p>Pineal region brain tumors occur in and around the pineal gland, a small cone-shaped structure in the posterior portion of the diencephalon. Pineal tumors can be divided into four basic categories: 1) germ cell tumors, 2) pineal tumors, 3) supporting cell tumors, and 4) cysts, or non-malignant conditions. Germinomas, one type of germ cell tumors, are the most common type of pineal region tumor. In overall incidence, pineal region tumors are relatively uncommon; however, because these tumors are mainly diagnosed in childhood and young adulthood, the incidence in that age group has been reported as high as nine percent. Pathophysiology and signs and symptoms are discussed as well as medical treatment and nursing care. The case study is a presentation of a 22-year-old male with a pineal region tumor.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"17 6","pages":"349-54"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198512000-00004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14967674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abdominal pathology in spinal cord injured persons.","authors":"G L Ingersoll","doi":"10.1097/01376517-198512000-00003","DOIUrl":"https://doi.org/10.1097/01376517-198512000-00003","url":null,"abstract":"<p><p>The assessment and management of abdominal disease in persons with spinal cord injuries is extremely complex. Alterations in the normal conduction of impulses to the brain can result in symptoms that may be quite unlike those which are commonly associated with abdominal pathology. A number of features, however, have been identified which can assist the practitioner in the interpretation of the clinical evaluation. This article discusses those findings and the most commonly occurring abdominal disorders in which they are seen. Two case studies are presented which exemplify the symptomatology described and which reinforce the need for early accurate diagnosis and management of abdominal disease in spinal cord injured persons.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"17 6","pages":"343-8"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198512000-00003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14994178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Professional nursing care of the patient with increased intracranial pressure: planned or 'hit and miss'?","authors":"P Davenport-Fortune, L R Dunnum","doi":"10.1097/01376517-198512000-00007","DOIUrl":"https://doi.org/10.1097/01376517-198512000-00007","url":null,"abstract":"<p><p>Consistent and conscientious nursing care and assessments are known to have significant impact on the morbidity and mortality associated with increased intracranial pressure. These authors reviewed 100 charts to assess the documentation of nursing care for patients with actual or potential increased intracranial pressure. When their audit revealed fragmented and inconsistent documentation, they published and inserviced general guidelines (a standard care plan) utilizing nursing diagnoses. The audit criteria and subsequent standard care plan are provided in this article. Questions which were raised during the endeavor are presented as suggested areas for future nursing research.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"17 6","pages":"367-70"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198512000-00007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14967675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Magnetic resonance imaging: new horizon in diagnostic techniques.","authors":"E B Rudy","doi":"10.1097/01376517-198512000-00001","DOIUrl":"https://doi.org/10.1097/01376517-198512000-00001","url":null,"abstract":"<p><p>Magnetic Resonance Imaging (MRI) as a new diagnostic technology has the capacity for both imaging of body tissues or organs in action and spectroscopy which examines the chemistry of individual cells in health and disease. The principles and application of imaging without the use of ionizing radiation are presented. Potential hazards associated with magnetic resonance imaging center primarily around metal implants, metal prosthesis, and cardiac pacemakers. While this scanning is considered a painless procedure, there are several areas where patient teaching and support are important.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"17 6","pages":"331-7"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198512000-00001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14973026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuroleptic malignant syndrome.","authors":"N L Keltner, C W McIntyre","doi":"10.1097/01376517-198512000-00006","DOIUrl":"https://doi.org/10.1097/01376517-198512000-00006","url":null,"abstract":"<p><p>The neuroleptic malignant syndrome (NMS) is a potentially fatal complication of antipsychotic drugs. It is characterized by severe muscular rigidity, hyperthermia, and autonomic disturbances. Neuroleptic malignant syndrome is easily confused with other health problems; distinctions between it and malignant hyperthermia, heatstroke, and lethal catatonia are made. The relevant literature is reviewed; a case history is presented; and implications for nursing care (e.g., early detection) are discussed.</p>","PeriodicalId":76015,"journal":{"name":"Journal of neurosurgical nursing","volume":"17 6","pages":"362-6"},"PeriodicalIF":0.0,"publicationDate":"1985-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01376517-198512000-00006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14005267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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