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The Influence Of Race And Gender On Nursing Pain Management Decisions
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Book Synopsis The Influence of Race and Gender on Nursing Pain Management Decisions by : Sharon B. Hampton
Download or read book The Influence of Race and Gender on Nursing Pain Management Decisions written by Sharon B. Hampton and published by . This book was released on 2017 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: This research assessed whether gender and race of the patient and gender or race of the provider influenced health care decisions in post-operative pain management. A randomized four group post-test only experimental design was used to examine the nursing care decisions of Black and White, male and female, licensed practicing nurses. A vignette intervention was developed to simulate four exact patient scenarios that differed only by patient race and gender. A quota sample of 400 nurses was recruited using a self-selected face-to-face recruitment technique. A four-way between groups analysis of variance (ANOVA) assessed whether the gender of the nurse, race of the nurse, gender of the patient, or race of the patient made any differences in the dose intensity of pain medications selected by the nurse sample. No significant interactions were noted between any combinations of the four independent variables. A significant main effect was noted in dose intensity for nurse gender [F (1,384) = 9.75, p= 0.002]. There were no significant main effects for race of the nurse or for race or gender of the patient. Therefore, the findings reveal that the sample of nurses as a whole selected moderate dose intensities for pain management. Female nurses were significantly more likely to choose a lower dose intensity than male nurses across all patient types. Although not significant, on average, white female patients were administered the highest dose intensities while white male patients received the lowest dose intensities. White female nurses also selected a higher dose intensity for white female patients. Methodologies and outcomes from reported research studies done on pain management and provider/patient characteristics are varied. The results from this study were produced by a large nurse sample that was evenly stratified across nurse gender and race and equally and randomly assigned to patient vignettes across patient gender and race. This strengthens the results and adds solid information to the current body of literature
Book Synopsis The Influence of Gender and Race on Nursing Care Decisions by : James Cavalier
Download or read book The Influence of Gender and Race on Nursing Care Decisions written by James Cavalier and published by . This book was released on 2017 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disparate treatment among African Americans and women is a significant health issue for the United States population. Provider bias may contribute to disparate treatment of minorities by affecting clinical decision-making. The purpose of this study was to examine whether the race and gender of patients and providers influence post-operative pain management decisions made by nurses. Four vignettes including a patient photo that differed only by patient race and gender and a series of ranked care choices functioned as the study intervention. A randomized four group post-test only experimental design was implemented using a quota sample of 400 practicing Registered Nurses, including 100 White females, 100 Black females, 100 White males, and 100 Black males. A four-way between groups analysis of variance (ANOVA) was employed to determine whether the gender of the nurse, race of the nurse, gender of the patient, and/or race of the patient made any differences in the dose intensity of pain medications selected by the nurse sample. The findings indicate that, overall, nurses use moderation in pain management choices. No significant interactions were noted between any combinations of the four independent variables. A significant main effect was noted in dose intensity for nurse gender revealing that male nurses selected a significantly higher dose intensity than female nurses. Although care decisions were not significantly influenced by the race of the nurse or the race and/or gender of the patient, two trends emerged. White female patients received the highest dose intensity while White males received the lowest dose intensity. Secondly, White female nurses gave the highest dose intensity to White female patients. This study contributed added information to a very mixed body of literature. The large balanced quota sample was an important and unique strength of the study. Continued research related to race and gender influences on care decisions and disparate treatment is needed to better understand provider contribution to health disparities. As the United States becomes increasingly diverse, data-driven methods to decrease disparities across gender and race are needed. Nurses are well positioned to advocate for patients in a manner that can improve patient outcomes.
Book Synopsis The Effects of Children's Gender, Race, and Level of Attractiveness on Nurses' Pain Management Decisions by : Ruth Griffin
Download or read book The Effects of Children's Gender, Race, and Level of Attractiveness on Nurses' Pain Management Decisions written by Ruth Griffin and published by . This book was released on 2005 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Unequal Treatment by : Institute of Medicine
Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309452961 Total Pages :583 pages Book Rating :4.3/5 (94 download)
Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Book Synopsis The Influence of Patient Race, Patient Gender, and Provider Pain-relate Attitudes on Pain Assessment and Treatment Recommendations for Children with Pain by : Megan M. Miller
Download or read book The Influence of Patient Race, Patient Gender, and Provider Pain-relate Attitudes on Pain Assessment and Treatment Recommendations for Children with Pain written by Megan M. Miller and published by . This book was released on 2019 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic pain is a common and costly health condition for children. Previous studies have documented racial and gender disparities in pain care for adults, with women and racial minorities receiving poorer pain assessment and treatment. Providers contribute to these disparities when their pain-related decision-making systematically varies across patient demographic groups. Little is known about racial and gender disparities in children with chronic pain, or the extent to which providers contribute to these disparities. In a sample of 129 medical students (henceforth referred to as 'providers'), Virtual Human (VH) methodology and a pain-related version of the Implicit Association Test (IAT) were used to assess the effects of patient race/gender and provider implicit racial/gender attitudes on providers' pain assessment and treatment decisions for children with chronic pain. Findings indicated that, in the context of abdominal pain, providers rated Black patients as more distressed (mean difference [MD]=2.33, p.01, SE=.71, 95% CI=.92, 3.73) and as experiencing more pain-related interference in daily activities (MD=3.14, p
Book Synopsis Understanding Racial and Ethnic Differences in Health in Late Life by : National Research Council
Download or read book Understanding Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-09-08 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309459575 Total Pages :483 pages Book Rating :4.3/5 (94 download)
Book Synopsis Pain Management and the Opioid Epidemic by : National Academies of Sciences, Engineering, and Medicine
Download or read book Pain Management and the Opioid Epidemic written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-28 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Book Synopsis Assessment and Multimodal Management of Pain by : Maureen Cooney
Download or read book Assessment and Multimodal Management of Pain written by Maureen Cooney and published by Elsevier Health Sciences. This book was released on 2020-10-31 with total page 865 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn best practices and evidence-based guidelines for assessing and managing pain! Assessment and Multimodal Management of Pain: An Integrative Approach describes how to provide effective management of pain through the use of multiple medications and techniques, including both pharmacologic and non-pharmacologic treatment regimens. A holistic approach provides an in-depth understanding of pain and includes practical assessment tools along with coverage of opioid and non-opioid analgesics, interventional and herbal approaches to pain, and much more. Written by experts Maureen F. Cooney and Ann Quinlan-Colwell, this reference is a complete, step-by-step guide to contemporary pain assessment and management. Evidence-based, practical guidance helps students learn to plan and implement pain management, and aligns with current guidelines and best practices. Comprehensive information on the pharmacologic management of pain includes nonopioid analgesics, opioid analgesics, and co-analgesics, including dose titration, routes of administration, and prevention of side effects. UNIQUE! Multimodal approach for pain management is explored throughout the book, as it affects assessment, the physiologic experience, and the culturally determined expression, acknowledgement, and management of pain. UNIQUE! Holistic, integrative approach includes thorough coverage of pain management with non-pharmacologic methods. Clinical scenarios are cited to illustrate key points. Equivalent analgesic action for common pain medications provides readers with useful guidance relating to medication selection. Pain-rating scales in over 20 languages are included in the appendix for improved patient/clinician communication and accurate pain assessment. UNIQUE! Authors Maureen F. Cooney and Ann Quinlan-Colwell are two of the foremost authorities in multimodal pain assessment and management. Sample forms, guidelines, protocols, and other hands-on tools are included, and may be reproduced for use in the classroom or clinical setting.
Book Synopsis Social Epidemiology by : Lisa F. Berkman
Download or read book Social Epidemiology written by Lisa F. Berkman and published by Oxford University Press. This book was released on 2000-03-09 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book shows the important links between social conditions and health and begins to describe the processes through which these health inequalities may be generated. It reviews a range of methodologies that could be used by health researchers in this field and proposes innovative future research directions.
Book Synopsis Reducing Prejudice and Discrimination by : Stuart Oskamp
Download or read book Reducing Prejudice and Discrimination written by Stuart Oskamp and published by Psychology Press. This book was released on 2013-05-13 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: Finding ways to reduce prejudice and discrimination is the central issue in attacking racism in our society. Yet this book is almost unique among scientific volumes in its focus on that goal. This important book combines critical analysis of theories about how to reduce prejudice and discrimination with cutting-edge empirical research conducted in real-world settings, as well as in controlled laboratory situations. This book's outstanding contributors focus on a common set of questions about ways to reduce intergroup conflict, prejudice, and stereotyping. They summarize their own research, as well as others, interpret the conclusions, and suggest implications concerning the practical methods that have been, or could be, used in programs aimed at reducing intergroup conflict. The chapters present solidly based critical analyses and research findings in clear, reader-friendly prose. This book evolved from the Sixteenth Annual Claremont Symposium on Applied Social Psychology. Each Symposium in the series concentrates on a single area in which social psychological knowledge is being applied to the resolution of a current social problem. Ideal for teachers, social workers, administrators, managers, and other social practitioners who are concerned about prejudice and discrimination, this book will also serve as a valuable foundation of knowledge in courses that examine this topic.
Book Synopsis Cancer Pain Management in Developing Countries by : Sushma Bhatnagar
Download or read book Cancer Pain Management in Developing Countries written by Sushma Bhatnagar and published by Lippincott Williams & Wilkins. This book was released on 2018-06-29 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. A Comprehensive Handbook of Cancer Pain Management in Developing Countries Written by an international panel of expert pain physicians, A Comprehensive Handbook of Cancer Pain Management in Developing Countries addresses this challenging and vital topic with reference to the latest body of evidence relating to cancer pain. It thoroughly covers pain management in the developing world, explaining the benefit of psychological, interventional, and complementary therapies in cancer pain management, as well as the importance of identifying and overcoming regulatory and educational barriers.
Book Synopsis Relieving Pain in America by : Institute of Medicine
Download or read book Relieving Pain in America written by Institute of Medicine and published by National Academies Press. This book was released on 2011-10-26 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
Book Synopsis The Oxford Handbook of Ethics of AI by : Markus Dirk Dubber
Download or read book The Oxford Handbook of Ethics of AI written by Markus Dirk Dubber and published by Oxford Handbooks. This book was released on 2020 with total page 896 pages. Available in PDF, EPUB and Kindle. Book excerpt: This interdisciplinary and international handbook captures and shapes much needed reflection on normative frameworks for the production, application, and use of artificial intelligence in all spheres of individual, commercial, social, and public life.
Book Synopsis Effect of Cancer On Quality of Life by : David Osoba
Download or read book Effect of Cancer On Quality of Life written by David Osoba and published by CRC Press. This book was released on 2021-11-01 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is comprised of extensive reviews and instructional chapters that discuss the quality of life in several aspects of cancer. The first six chapters deal with conceptual issues relating to measuring quality of life in adult and pediatric populations with cancer. The next five chapters provide practical information on how to select quality-of-life measures, the statistical analysis of trials, economic evaluations to be considered, and some possible abuses of quality-of-life measures. Five chapters review the results of studies using selected quality-of-life measures and provide recent information on their performance. These are followed by three chapters dealing with specific issues relating to nausea and vomiting associated with cancer therapy. Three chapters are devoted to the problems of assessing and controlling pain in patients who have cancer. There are also two chapters that deal with the quality of life in palliative care. Effect of Cancer on Quality of Life is intended for all who have an interest in measuring the quality of life in patients with cancer. This includes investigators who are just entering the field and can benefit from instructions on how to conduct quality-of-life research, as well as those who are experienced in conducting this kind of research.
Book Synopsis Social and Interpersonal Dynamics in Pain by : Tine Vervoort
Download or read book Social and Interpersonal Dynamics in Pain written by Tine Vervoort and published by Springer. This book was released on 2018-07-18 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: This groundbreaking analysis moves our knowledge of pain and its effects from the biomedical model to one accounting for its complex psychosocial dimensions. Starting with its facial and physical display, pain is shown in its manifold social contexts—in the lifespan, in a family unit, expressed by a member of a gender and/or race—and as observed by others. These observations by caregivers and family are shown as vital to the social dynamic of pain—as observers react to sufferers’ pain, and as these reactions affect those suffering. The book’s findings should enhance practitioners’ understanding of pain to develop more effective individualized treatments for clients’ pain experience, and inspire researchers as well. Among the topics covered: Why do we care? Evolutionary mechanisms in the social dimension of pain. When, how, and why do we express pain? On the overlap between physical and social pain. Facing others in pain: why context matters. Caregiving impact upon sufferers’ cognitive functioning. Targeting individual and interpersonal processes in therapeutic interventions for chronic pain. Social and Interpersonal Dynamics in Pain will be a valuable resource for clinicians who deal in pain practice and management, as well as for students and researchers interested in the social, interpersonal, and emotional variables that contribute to pain, the processes with which pain is associated, and the psychology of pain in general.
Book Synopsis The Future of the Nursing Workforce in the United States by : Peter Buerhaus
Download or read book The Future of the Nursing Workforce in the United States written by Peter Buerhaus and published by Jones & Bartlett Publishers. This book was released on 2009-10-06 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
