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1979 - 197912000 - 20041

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Subject: search.filters.subject.Outcome assessment (Medical care)

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    The effect of pre-information on clinical inference and nursing actions : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Psychology at Massey University
    (Massey University, 1979) McIntosh, Muriel Joan
    A study to examine the effects of pre-information (what a nurse learns about a patient before they meet) on clinical inference and nursing actions, in a simulated nurse-patient situation. It was hypothesised that the nature of the pre-information will influence the way the patient is perceived, and the resulting nursing actions. The research was conducted in an obstetrical setting. There were 55 subjects within three groups. Two groups comprised student midwives, and the third group was of second year comprehensive nursing students near the completion of clinical experience in maternal and child health nursing. A five minute videotape sequence of a role-played post-natal patient was made for use in the research. All subjects were given the same initial pre-information, viewed the videotape and gave written descriptions of what they saw on the videotape and their response (as the nurse in the situation). This data provided a base-line for each subject. Subjects were then given additional pre-information concerning the patient's physical condition, her baby's condition, or formed part of the control group (receiving no additional pre-information). The procedure was repeated. These responses were then compared with the base-line for each subject. Responses were coded by means of content analysis. Group data was analysed using a multivariate one way analysis of variance graphical display. The results indicated support of the hypothesis that the nature of the pre-information does influence the way in which a nurse perceives a patient, and resulting nursing actions. Implications of these findings for nursing are discussed.
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    Outcome measures in brain injury rehabilitation : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Psychology at Massey University
    (Massey University, 2004) Robinson, Christina Mary
    Brain injury rehabilitation services require competent measures of outcome to monitor the progress made by individuals in their care. The FIM + FAM is the measure most widely used for this purpose. However, research suggests that this measure contains a number of limitations and does not adequately assess the activity limitations and participation restrictions experienced by individuals who have suffered brain injuries. The current study examined five outcome measures (BICRO-39, MPAI-4, R-CHART, CIQ, and DRS) for their suitability as possible replacement measures at Cavit ABI in Wellington and Auckland. Ten participants with brain injuries (eight males, two females; seven with TBI, three with injuries due to stroke) were administered six different outcome measures by therapists at Cavit ABI centres in Wellington and Auckland on admission and again at six weeks into the rehabilitation programme. Outcome measures were examined in relation to a set of specified criteria, and feedback regarding the performance of each outcome measure was collected from each therapist using a staff questionnaire. The results of the study show that there does not seem to be one adequate outcome measure currently available for use within post-acute brain injury rehabilitation settings Although the FIM + FAM was found to contain a number of strengths particularly in assessing physical independence, the MPAI-4 was found to be more useful in identifying goals related to activity limitations and participation restrictions, which was the key area of focus.