Larae Huycke - Academia.edu (original) (raw)

Papers by Larae Huycke

Research paper thumbnail of The Vault

American Journal of Nursing, Jun 1, 2007

Research paper thumbnail of Multiple Sclerosis—What Occupational Health Nurses Need to Know

AAOHN Journal, Nov 1, 2006

M ultiple sclerosis (MS) is a chronic, progressive, often debilitating neurological central nervo... more M ultiple sclerosis (MS) is a chronic, progressive, often debilitating neurological central nervous system (CNS) disorder. Ninety-five percent of individuals with MS are diagnosed before 50 years of age, with the prevalence among women twice that of men (National Multiple Sclerosis Society [NMSS], 2005). MS is characterized by sensory, motor, cognitive, and mood disturbances that vary greatly between individuals (Calabresi, 2004; Rizvi & Agius, 2004). Although MS causes significant disability in 10% to 15% of individuals, life expectancy is shortened in only the most severe cases (Confavreux, Vukusic, & Adeleine, 2003; Weinshenker, 1995). Given the often vague symptoms and young age at presentation, occupational health nurses may be the first health care providers to suspect MS. Identification of symptoms suggestive of MS requires referral to a neurological specialist for evaluation and diagnostic testing. Occupational health nurses' recognition of the complex presentation of MS and adverse effects due to current treatments affords employees the greatest opportunity for prolonged productivity.

Research paper thumbnail of Characteristics of Potential Plaintiffs in Malpractice Litigation

Annals of Internal Medicine, May 1, 1994

To characterize patients calling plaintiff attorneys' offices and claiming to have suffer... more To characterize patients calling plaintiff attorneys' offices and claiming to have suffered injury caused by medical negligence. Telephone interviews with an inception cohort of callers to law firms with malpractice complaints before the callers talk to attorneys. Six law offices in five states. 502 of 730 callers over 10 randomly selected days in 1991. Demographics of potential plaintiffs, types of health care providers named by callers, factors prompting calls, economic and noneconomic motivations for claims, and disposition of claims. An average of 12 calls per office per day were received by law firms concerning malpractice complaints. Many factors affected patients' decisions to call: poor relationships with providers before an injury (53%); television advertising by law firms (73%); explicit recommendations by health care providers to seek legal counsel (27%); impressions of not being kept informed or appropriately referred by providers; and financial concerns (for example, 36% with earned income and outstanding medical bills had bills equaling or exceeding 50% of their annual income, 33% were unemployed, and 31% lacked health insurance). One in 30 calls led to the filing of a lawsuit. Calls to plaintiff law firms by patients are common, are motivated by diverse factors, represent dissatisfaction with modern health care, and infrequently lead to lawsuits.

Research paper thumbnail of The important lessons: Sylvester and Ilene

Geriatric Nursing, May 1, 2005

Research paper thumbnail of Pain, Cancer, and Older Adults (CE)

Geriatric Nursing, Sep 1, 1999

Pain is the most common symptom associated with cancer. Despite the fact that appropriate pain ma... more Pain is the most common symptom associated with cancer. Despite the fact that appropriate pain management exists, cancer pain often is inadequately controlled. Sixty percent to 85% of individuals with advanced cancer have either severe or chronic pain. Issues associated with cancer pain and pain management in later life include the effect of pain on the person, friends, and family; the influence of hope; the perception that older adults are less sensitive to painful stimuli; the special problems of drug management in older adults; and the unique issues of older women affected by cancer. This article concludes with implications for nurses. Future research needs to be directed to pain management at home, the ethics of pain management, pain in the cognitively impaired person, and the specific needs of older women. (Geriatr Nurs 1999;20:241-7)

Research paper thumbnail of Quality in health care and ethical principles

Journal of Advanced Nursing, Sep 1, 2000

Quality in health care and ethical principles The last three decades have seen rapid changes in t... more Quality in health care and ethical principles The last three decades have seen rapid changes in the way United States of America (USA) health care has been delivered, financed and regulated. Four major stakeholders have emerged in the health care debate: patients, providers, payers and public regulatory agencies. These groups do not agree on a definition of quality health care. This paper suggests five ethical principles — autonomy, justice, beneficence, non‐maleficence, and prudence — be included in the framework of quality health care. A framework that outlines possible relationships among these ethical attributes and four major stakeholders is presented.

Research paper thumbnail of Instructional tools for nursing education: concept maps

PubMed, Jan 7, 2004

Students must deal with vast amounts of information in multiple formats, yet their ability to org... more Students must deal with vast amounts of information in multiple formats, yet their ability to organize and link data in a logical way varies widely. Concept mapping offers nurse educators a useful tool to assist nursing students in wading through and critically analyzing this information more effectively. This article explains concept/cognitive mapping as a teaching strategy for several aspects of course work. Types and examples of maps developed by undergraduate and graduate students are used as illustrations and points of discussion. Illustrations are assessed according to type of map, information presented, aspects of the maps that facilitate meaningful learning, and what information is missing. Strategies for remediation to help learners assimilate new information are included. Finally, implementation of mapping in nursing education and ideas for research in concept/cognitive mapping are discussed.

Research paper thumbnail of Istanti eterni, eternità in un istante: forme brevi tra Schubert e Webern

Accademia University Press, 2016

Research paper thumbnail of Synthesis, Hammett spectral correlation and evaluation of antimicrobial activities of some substituted styryl 4'-piperidinophenyl ketones

A series containing twelve substituted 4-piperidinophenyl chalcones have been synthesized from c... more A series containing twelve substituted 4-piperidinophenyl chalcones have been synthesized from crossed-aldol condensation between 4-piperidionphenyl methyl ketone and substituted benzaldehydes using solid Cu2+/Zeolite catalyzed microwave assisted method. The structures of chalcones have been characterized by their physical constants, analytical and spectral data. The observed spectral frequencies have been correlated with Hammett substituents, F and R parameters using both single and multi-regression analyses. All the substituted 4-piperidinophenyl chalcones have been tested for antimicrobial activities using disc diffusion method.

Research paper thumbnail of Instructional tools for nursing education: concept maps

Nursing Education Perspectives

Students must deal with vast amounts of information in multiple formats, yet their ability to org... more Students must deal with vast amounts of information in multiple formats, yet their ability to organize and link data in a logical way varies widely. Concept mapping offers nurse educators a useful tool to assist nursing students in wading through and critically analyzing this information more effectively. This article explains concept/cognitive mapping as a teaching strategy for several aspects of course work. Types and examples of maps developed by undergraduate and graduate students are used as illustrations and points of discussion. Illustrations are assessed according to type of map, information presented, aspects of the maps that facilitate meaningful learning, and what information is missing. Strategies for remediation to help learners assimilate new information are included. Finally, implementation of mapping in nursing education and ideas for research in concept/cognitive mapping are discussed.

Research paper thumbnail of Serial concept maps: tools for concept analysis

Journal of Nursing Education, 2007

Nursing theory challenges students to think abstractly and is often a difficult introduction to g... more Nursing theory challenges students to think abstractly and is often a difficult introduction to graduate study. Traditionally, concept analysis is useful in facilitating this abstract thinking. Concept maps are a way to visualize an individual's knowledge about a specific topic. Serial concept maps express the sequential evolution of a student's perceptions of a selected concept. Maps reveal individual differences in learning and perceptions, as well as progress in understanding the concept. Relationships are assessed and suggestions are made during serial mapping, which actively engages the students and faculty in dialogue that leads to increased understanding of the link between nursing theory and practice. Serial concept mapping lends itself well to both online and traditional classroom environments.

Research paper thumbnail of Postpolio syndrome--care in the workplace

AAOHN Journal, 2005

In the past 3 decades, greater attention has been directed to PPS in the United States where poli... more In the past 3 decades, greater attention has been directed to PPS in the United States where poliomyelitis (polio) was a major public health concern until the late 1950s. Occupational health nurses may be the first health care providers consulted by a polio survivor, and play a crucial role in the diagnosis, treatment, and health planning of those with PPS. The diagnosis of PPS requires an awareness of the pathophysiology of polio and an appreciation of the difficulties overcome by those who lived through past epidemics. PATHOGENESIS AND MANIFESTATIONS OF POLIO Three distinct poliovirus strains cause poliomyelitis. The poliovirus is spread primarily by the fecal-oral route and, less commonly, by oraloral transmission. Viral multiplication occurs at sites of implantation, generally in the pharynx or gastrointestinal tract. The clinical presentation is

Research paper thumbnail of The Vault: A dying friend's farewell ball

AJN The American Journal of Nursing, 2007

I call just before leaving my house to be sure Jim is still up for the evening we've planned... more I call just before leaving my house to be sure Jim is still up for the evening we've planned. My hands are shaking and my head aches. Hurry up, he says, as excited as I am terrified. When I pull up to his house he's waiting outside for me. He looks at me and says, White ...

Research paper thumbnail of The Importance of Time

AJN, American Journal of Nursing

Research paper thumbnail of Characteristics of potential plaintiffs in malpractice litigation

Annals of Internal Medicine, May 1, 1994

To characterize patients calling plaintiff attorneys' offices and claiming to have suffer... more To characterize patients calling plaintiff attorneys' offices and claiming to have suffered injury caused by medical negligence. Telephone interviews with an inception cohort of callers to law firms with malpractice complaints before the callers talk to attorneys. Six law offices in five states. 502 of 730 callers over 10 randomly selected days in 1991. Demographics of potential plaintiffs, types of health care providers named by callers, factors prompting calls, economic and noneconomic motivations for claims, and disposition of claims. An average of 12 calls per office per day were received by law firms concerning malpractice complaints. Many factors affected patients' decisions to call: poor relationships with providers before an injury (53%); television advertising by law firms (73%); explicit recommendations by health care providers to seek legal counsel (27%); impressions of not being kept informed or appropriately referred by providers; and financial concerns (for example, 36% with earned income and outstanding medical bills had bills equaling or exceeding 50% of their annual income, 33% were unemployed, and 31% lacked health insurance). One in 30 calls led to the filing of a lawsuit. Calls to plaintiff law firms by patients are common, are motivated by diverse factors, represent dissatisfaction with modern health care, and infrequently lead to lawsuits.

Research paper thumbnail of Serial concept maps: tools for concept analysis

The Journal of nursing education, 2007

Nursing theory challenges students to think abstractly and is often a difficult introduction to g... more Nursing theory challenges students to think abstractly and is often a difficult introduction to graduate study. Traditionally, concept analysis is useful in facilitating this abstract thinking. Concept maps are a way to visualize an individual's knowledge about a specific topic. Serial concept maps express the sequential evolution of a student's perceptions of a selected concept. Maps reveal individual differences in learning and perceptions, as well as progress in understanding the concept. Relationships are assessed and suggestions are made during serial mapping, which actively engages the students and faculty in dialogue that leads to increased understanding of the link between nursing theory and practice. Serial concept mapping lends itself well to both online and traditional classroom environments.

Research paper thumbnail of Multiple sclerosis--what occupational health nurses need to know

AAOHN journal : official journal of the American Association of Occupational Health Nurses, 2006

Research paper thumbnail of Postpolio syndrome--care in the workplace

AAOHN journal : official journal of the American Association of Occupational Health Nurses, 2005

In the past 3 decades, greater attention has been directed to PPS in the United States where poli... more In the past 3 decades, greater attention has been directed to PPS in the United States where poliomyelitis (polio) was a major public health concern until the late 1950s. Occupational health nurses may be the first health care providers consulted by a polio survivor, and play a crucial role in the diagnosis, treatment, and health planning of those with PPS. The diagnosis of PPS requires an awareness of the pathophysiology of polio and an appreciation of the difficulties overcome by those who lived through past epidemics. PATHOGENESIS AND MANIFESTATIONS OF POLIO Three distinct poliovirus strains cause poliomyelitis. The poliovirus is spread primarily by the fecal-oral route and, less commonly, by oraloral transmission. Viral multiplication occurs at sites of implantation, generally in the pharynx or gastrointestinal tract. The clinical presentation is

Research paper thumbnail of Instructional tools for nursing education: concept maps

Nursing education perspectives

Students must deal with vast amounts of information in multiple formats, yet their ability to org... more Students must deal with vast amounts of information in multiple formats, yet their ability to organize and link data in a logical way varies widely. Concept mapping offers nurse educators a useful tool to assist nursing students in wading through and critically analyzing this information more effectively. This article explains concept/cognitive mapping as a teaching strategy for several aspects of course work. Types and examples of maps developed by undergraduate and graduate students are used as illustrations and points of discussion. Illustrations are assessed according to type of map, information presented, aspects of the maps that facilitate meaningful learning, and what information is missing. Strategies for remediation to help learners assimilate new information are included. Finally, implementation of mapping in nursing education and ideas for research in concept/cognitive mapping are discussed.

Research paper thumbnail of Quality in health care and ethical principles

Journal of Advanced Nursing, 2000

Quality in health care and ethical principles The last three decades have seen rapid changes in t... more Quality in health care and ethical principles The last three decades have seen rapid changes in the way United States of America (USA) health care has been delivered, financed and regulated. Four major stakeholders have emerged in the health care debate: patients, providers, payers and public regulatory agencies. These groups do not agree on a definition of quality health care. This paper suggests five ethical principles - autonomy, justice, beneficence, non-maleficence, and prudence - be included in the framework of quality health care. A framework that outlines possible relationships among these ethical attributes and four major stakeholders is presented.

Research paper thumbnail of The Vault

American Journal of Nursing, Jun 1, 2007

Research paper thumbnail of Multiple Sclerosis—What Occupational Health Nurses Need to Know

AAOHN Journal, Nov 1, 2006

M ultiple sclerosis (MS) is a chronic, progressive, often debilitating neurological central nervo... more M ultiple sclerosis (MS) is a chronic, progressive, often debilitating neurological central nervous system (CNS) disorder. Ninety-five percent of individuals with MS are diagnosed before 50 years of age, with the prevalence among women twice that of men (National Multiple Sclerosis Society [NMSS], 2005). MS is characterized by sensory, motor, cognitive, and mood disturbances that vary greatly between individuals (Calabresi, 2004; Rizvi & Agius, 2004). Although MS causes significant disability in 10% to 15% of individuals, life expectancy is shortened in only the most severe cases (Confavreux, Vukusic, & Adeleine, 2003; Weinshenker, 1995). Given the often vague symptoms and young age at presentation, occupational health nurses may be the first health care providers to suspect MS. Identification of symptoms suggestive of MS requires referral to a neurological specialist for evaluation and diagnostic testing. Occupational health nurses' recognition of the complex presentation of MS and adverse effects due to current treatments affords employees the greatest opportunity for prolonged productivity.

Research paper thumbnail of Characteristics of Potential Plaintiffs in Malpractice Litigation

Annals of Internal Medicine, May 1, 1994

To characterize patients calling plaintiff attorneys' offices and claiming to have suffer... more To characterize patients calling plaintiff attorneys' offices and claiming to have suffered injury caused by medical negligence. Telephone interviews with an inception cohort of callers to law firms with malpractice complaints before the callers talk to attorneys. Six law offices in five states. 502 of 730 callers over 10 randomly selected days in 1991. Demographics of potential plaintiffs, types of health care providers named by callers, factors prompting calls, economic and noneconomic motivations for claims, and disposition of claims. An average of 12 calls per office per day were received by law firms concerning malpractice complaints. Many factors affected patients' decisions to call: poor relationships with providers before an injury (53%); television advertising by law firms (73%); explicit recommendations by health care providers to seek legal counsel (27%); impressions of not being kept informed or appropriately referred by providers; and financial concerns (for example, 36% with earned income and outstanding medical bills had bills equaling or exceeding 50% of their annual income, 33% were unemployed, and 31% lacked health insurance). One in 30 calls led to the filing of a lawsuit. Calls to plaintiff law firms by patients are common, are motivated by diverse factors, represent dissatisfaction with modern health care, and infrequently lead to lawsuits.

Research paper thumbnail of The important lessons: Sylvester and Ilene

Geriatric Nursing, May 1, 2005

Research paper thumbnail of Pain, Cancer, and Older Adults (CE)

Geriatric Nursing, Sep 1, 1999

Pain is the most common symptom associated with cancer. Despite the fact that appropriate pain ma... more Pain is the most common symptom associated with cancer. Despite the fact that appropriate pain management exists, cancer pain often is inadequately controlled. Sixty percent to 85% of individuals with advanced cancer have either severe or chronic pain. Issues associated with cancer pain and pain management in later life include the effect of pain on the person, friends, and family; the influence of hope; the perception that older adults are less sensitive to painful stimuli; the special problems of drug management in older adults; and the unique issues of older women affected by cancer. This article concludes with implications for nurses. Future research needs to be directed to pain management at home, the ethics of pain management, pain in the cognitively impaired person, and the specific needs of older women. (Geriatr Nurs 1999;20:241-7)

Research paper thumbnail of Quality in health care and ethical principles

Journal of Advanced Nursing, Sep 1, 2000

Quality in health care and ethical principles The last three decades have seen rapid changes in t... more Quality in health care and ethical principles The last three decades have seen rapid changes in the way United States of America (USA) health care has been delivered, financed and regulated. Four major stakeholders have emerged in the health care debate: patients, providers, payers and public regulatory agencies. These groups do not agree on a definition of quality health care. This paper suggests five ethical principles — autonomy, justice, beneficence, non‐maleficence, and prudence — be included in the framework of quality health care. A framework that outlines possible relationships among these ethical attributes and four major stakeholders is presented.

Research paper thumbnail of Instructional tools for nursing education: concept maps

PubMed, Jan 7, 2004

Students must deal with vast amounts of information in multiple formats, yet their ability to org... more Students must deal with vast amounts of information in multiple formats, yet their ability to organize and link data in a logical way varies widely. Concept mapping offers nurse educators a useful tool to assist nursing students in wading through and critically analyzing this information more effectively. This article explains concept/cognitive mapping as a teaching strategy for several aspects of course work. Types and examples of maps developed by undergraduate and graduate students are used as illustrations and points of discussion. Illustrations are assessed according to type of map, information presented, aspects of the maps that facilitate meaningful learning, and what information is missing. Strategies for remediation to help learners assimilate new information are included. Finally, implementation of mapping in nursing education and ideas for research in concept/cognitive mapping are discussed.

Research paper thumbnail of Istanti eterni, eternità in un istante: forme brevi tra Schubert e Webern

Accademia University Press, 2016

Research paper thumbnail of Synthesis, Hammett spectral correlation and evaluation of antimicrobial activities of some substituted styryl 4'-piperidinophenyl ketones

A series containing twelve substituted 4-piperidinophenyl chalcones have been synthesized from c... more A series containing twelve substituted 4-piperidinophenyl chalcones have been synthesized from crossed-aldol condensation between 4-piperidionphenyl methyl ketone and substituted benzaldehydes using solid Cu2+/Zeolite catalyzed microwave assisted method. The structures of chalcones have been characterized by their physical constants, analytical and spectral data. The observed spectral frequencies have been correlated with Hammett substituents, F and R parameters using both single and multi-regression analyses. All the substituted 4-piperidinophenyl chalcones have been tested for antimicrobial activities using disc diffusion method.

Research paper thumbnail of Instructional tools for nursing education: concept maps

Nursing Education Perspectives

Students must deal with vast amounts of information in multiple formats, yet their ability to org... more Students must deal with vast amounts of information in multiple formats, yet their ability to organize and link data in a logical way varies widely. Concept mapping offers nurse educators a useful tool to assist nursing students in wading through and critically analyzing this information more effectively. This article explains concept/cognitive mapping as a teaching strategy for several aspects of course work. Types and examples of maps developed by undergraduate and graduate students are used as illustrations and points of discussion. Illustrations are assessed according to type of map, information presented, aspects of the maps that facilitate meaningful learning, and what information is missing. Strategies for remediation to help learners assimilate new information are included. Finally, implementation of mapping in nursing education and ideas for research in concept/cognitive mapping are discussed.

Research paper thumbnail of Serial concept maps: tools for concept analysis

Journal of Nursing Education, 2007

Nursing theory challenges students to think abstractly and is often a difficult introduction to g... more Nursing theory challenges students to think abstractly and is often a difficult introduction to graduate study. Traditionally, concept analysis is useful in facilitating this abstract thinking. Concept maps are a way to visualize an individual's knowledge about a specific topic. Serial concept maps express the sequential evolution of a student's perceptions of a selected concept. Maps reveal individual differences in learning and perceptions, as well as progress in understanding the concept. Relationships are assessed and suggestions are made during serial mapping, which actively engages the students and faculty in dialogue that leads to increased understanding of the link between nursing theory and practice. Serial concept mapping lends itself well to both online and traditional classroom environments.

Research paper thumbnail of Postpolio syndrome--care in the workplace

AAOHN Journal, 2005

In the past 3 decades, greater attention has been directed to PPS in the United States where poli... more In the past 3 decades, greater attention has been directed to PPS in the United States where poliomyelitis (polio) was a major public health concern until the late 1950s. Occupational health nurses may be the first health care providers consulted by a polio survivor, and play a crucial role in the diagnosis, treatment, and health planning of those with PPS. The diagnosis of PPS requires an awareness of the pathophysiology of polio and an appreciation of the difficulties overcome by those who lived through past epidemics. PATHOGENESIS AND MANIFESTATIONS OF POLIO Three distinct poliovirus strains cause poliomyelitis. The poliovirus is spread primarily by the fecal-oral route and, less commonly, by oraloral transmission. Viral multiplication occurs at sites of implantation, generally in the pharynx or gastrointestinal tract. The clinical presentation is

Research paper thumbnail of The Vault: A dying friend's farewell ball

AJN The American Journal of Nursing, 2007

I call just before leaving my house to be sure Jim is still up for the evening we've planned... more I call just before leaving my house to be sure Jim is still up for the evening we've planned. My hands are shaking and my head aches. Hurry up, he says, as excited as I am terrified. When I pull up to his house he's waiting outside for me. He looks at me and says, White ...

Research paper thumbnail of The Importance of Time

AJN, American Journal of Nursing

Research paper thumbnail of Characteristics of potential plaintiffs in malpractice litigation

Annals of Internal Medicine, May 1, 1994

To characterize patients calling plaintiff attorneys' offices and claiming to have suffer... more To characterize patients calling plaintiff attorneys' offices and claiming to have suffered injury caused by medical negligence. Telephone interviews with an inception cohort of callers to law firms with malpractice complaints before the callers talk to attorneys. Six law offices in five states. 502 of 730 callers over 10 randomly selected days in 1991. Demographics of potential plaintiffs, types of health care providers named by callers, factors prompting calls, economic and noneconomic motivations for claims, and disposition of claims. An average of 12 calls per office per day were received by law firms concerning malpractice complaints. Many factors affected patients' decisions to call: poor relationships with providers before an injury (53%); television advertising by law firms (73%); explicit recommendations by health care providers to seek legal counsel (27%); impressions of not being kept informed or appropriately referred by providers; and financial concerns (for example, 36% with earned income and outstanding medical bills had bills equaling or exceeding 50% of their annual income, 33% were unemployed, and 31% lacked health insurance). One in 30 calls led to the filing of a lawsuit. Calls to plaintiff law firms by patients are common, are motivated by diverse factors, represent dissatisfaction with modern health care, and infrequently lead to lawsuits.

Research paper thumbnail of Serial concept maps: tools for concept analysis

The Journal of nursing education, 2007

Nursing theory challenges students to think abstractly and is often a difficult introduction to g... more Nursing theory challenges students to think abstractly and is often a difficult introduction to graduate study. Traditionally, concept analysis is useful in facilitating this abstract thinking. Concept maps are a way to visualize an individual's knowledge about a specific topic. Serial concept maps express the sequential evolution of a student's perceptions of a selected concept. Maps reveal individual differences in learning and perceptions, as well as progress in understanding the concept. Relationships are assessed and suggestions are made during serial mapping, which actively engages the students and faculty in dialogue that leads to increased understanding of the link between nursing theory and practice. Serial concept mapping lends itself well to both online and traditional classroom environments.

Research paper thumbnail of Multiple sclerosis--what occupational health nurses need to know

AAOHN journal : official journal of the American Association of Occupational Health Nurses, 2006

Research paper thumbnail of Postpolio syndrome--care in the workplace

AAOHN journal : official journal of the American Association of Occupational Health Nurses, 2005

In the past 3 decades, greater attention has been directed to PPS in the United States where poli... more In the past 3 decades, greater attention has been directed to PPS in the United States where poliomyelitis (polio) was a major public health concern until the late 1950s. Occupational health nurses may be the first health care providers consulted by a polio survivor, and play a crucial role in the diagnosis, treatment, and health planning of those with PPS. The diagnosis of PPS requires an awareness of the pathophysiology of polio and an appreciation of the difficulties overcome by those who lived through past epidemics. PATHOGENESIS AND MANIFESTATIONS OF POLIO Three distinct poliovirus strains cause poliomyelitis. The poliovirus is spread primarily by the fecal-oral route and, less commonly, by oraloral transmission. Viral multiplication occurs at sites of implantation, generally in the pharynx or gastrointestinal tract. The clinical presentation is

Research paper thumbnail of Instructional tools for nursing education: concept maps

Nursing education perspectives

Students must deal with vast amounts of information in multiple formats, yet their ability to org... more Students must deal with vast amounts of information in multiple formats, yet their ability to organize and link data in a logical way varies widely. Concept mapping offers nurse educators a useful tool to assist nursing students in wading through and critically analyzing this information more effectively. This article explains concept/cognitive mapping as a teaching strategy for several aspects of course work. Types and examples of maps developed by undergraduate and graduate students are used as illustrations and points of discussion. Illustrations are assessed according to type of map, information presented, aspects of the maps that facilitate meaningful learning, and what information is missing. Strategies for remediation to help learners assimilate new information are included. Finally, implementation of mapping in nursing education and ideas for research in concept/cognitive mapping are discussed.

Research paper thumbnail of Quality in health care and ethical principles

Journal of Advanced Nursing, 2000

Quality in health care and ethical principles The last three decades have seen rapid changes in t... more Quality in health care and ethical principles The last three decades have seen rapid changes in the way United States of America (USA) health care has been delivered, financed and regulated. Four major stakeholders have emerged in the health care debate: patients, providers, payers and public regulatory agencies. These groups do not agree on a definition of quality health care. This paper suggests five ethical principles - autonomy, justice, beneficence, non-maleficence, and prudence - be included in the framework of quality health care. A framework that outlines possible relationships among these ethical attributes and four major stakeholders is presented.