Brigid Lusk

The stress response, psychoneuroimmunology, and stress among ICU patients.

Multiple stressors, physical and psychological, may beset intensive care unit patients. This article opens with a description of the stress cascade and its connection with immunity. Examples of intensive care unit stressors follow, along with various proposed interventions to reduce psychological stress among intensive care unit patients. Although researchers have yet to establish that such interventions will positively impact immune function, they are an essential component of compassionate and holistic care.

Pretty and powerless: nurses in advertisements, 1930-1950.

Images of nurses in pictorial advertisements from all issues of hospital administration journals published in 1930, 1940, and 1950 (N = 598) were examined. Content analysis of the data was based on Goffmans classic 1979 study on gender advertisements. Nurses also were compared with other figures in the advertisements and nursing activities were described. Nurses were predominantly portrayed as female, young, eager to please, and without the appearance of wisdom. In group scenes, nurses were placed as subordinate to physicians and hospital administrators. Nurses in 1940 performed more complex, autonomous activities than in 1930 and 1950. These findings support previous research focused on more recent portrayals of women and nurses in communication media. The overt and subtle subordinate representation of nurses in these advertisements, compared with physicians and administrators, reveals one facet of nursings heritage as a womans profession.

Attitudes of Asian and American graduate nursing students towards death and dying.

This study compared the difference in attitudes towards death and dying between 17 Asian and 11 American graduate nursing students. Asian and American students did not significantly differ in attitudes related to fear of death, of self, or others, but Asian students were significantly more afraid than American students of their own process of dying. Asian students were more averse than American students to interacting and discussing death with dying patients. Talking about death with dying patients was the most difficult aspect of care for both groups. However, Asian students gained more personal satisfaction than American students in caring for dying patients. The findings provoke discussion regarding differences in nursing practice by Asian and American graduate nursing students.

Patients' images in nursing magazine advertisements.

Images of patients in advertisements can reflect and influence readers. Since studies have shown discrimination against women and minorities in health care, images of patients in nursing practice magazine advertisements (n=446) were assessed for their reflection of reality. More male than female images were found. Men were shown more frequently as critically ill or with cardiac disease than women. Most patients were Caucasian and under 65 years old. These findings, at variance with reality, may influence nursing care. Nursing magazine readers may perceive women as less critically ill and with less heart disease than men. The underrepresentation of minorities and the elderly negates their health care presence.