23 results on '"Therese S. Richmond"'
Search Results
2. How have firearm laws changed in states with unexpected decreases or increases in firearm homicide, 1990–2019?
- Author
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Michelle Degli Esposti, Jason Goldstick, Jason Gravel, Elinore J. Kaufman, M. Kit Delgado, Therese S. Richmond, and Douglas J. Wiebe
- Subjects
Health (social science) ,Health Policy ,Public Health, Environmental and Occupational Health - Published
- 2023
3. The relationship between work and mental health outcomes in Black men after serious injury
- Author
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Aimee J. Palumbo, Jessica Webster, Christopher Koilor, Therese S. Richmond, and Sara F. Jacoby
- Subjects
Employment ,Male ,Gerontology ,Younger age ,Logistic regression ,Return to work ,Article ,Odds ,03 medical and health sciences ,Return to Work ,0302 clinical medicine ,Outcome Assessment, Health Care ,Humans ,Medicine ,Prospective Studies ,Depression (differential diagnoses) ,General Environmental Science ,030222 orthopedics ,business.industry ,Trauma center ,030208 emergency & critical care medicine ,Mental health ,Black or African American ,Work (electrical) ,General Earth and Planetary Sciences ,business - Abstract
Objectives To explore the association between return to work (RTW) and mental health outcomes in Black men in Philadelphia recovering from serious traumatic injuries. Methods We analyzed data from 498 Black men aged ≥ 18 years living in Philadelphia who were admitted to a Level I trauma center for injury between January 2013 and June 2017. We used multivariable logistic regression to estimate the association between pre-injury occupation, RTW and depression or PTSD 3 months after hospitalization. Results In adjusted analyses, men who had not RTW at follow-up had higher odds of poor mental health outcomes than men who had RTW (OR: 2.7, 95% CI: 1.8, 4.2). Additional significant factors included: younger age, lack of or public health insurance and higher lifetime experiences of racism. Conclusions The mental health recovery trajectory of injured Black men living in Philadelphia is associated with RTW and other factors that can influence financial stability and economic resources. Policy implications Programmatic strategies that seek to optimize recovery after injury in Black men should include consideration of key structural factors such as employment, financial stability, and the impact of racism-related exposures.
- Published
- 2021
4. Reflections on the future of nursing research
- Author
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Antonia M. Villarruel and Therese S. Richmond
- Subjects
Nursing Research ,Humans ,Education, Nursing, Baccalaureate ,Nursing ,General Nursing - Published
- 2022
5. Ways of knowing in precision health
- Author
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Nancy S. Redeker, Rita H. Pickler, Sharron L. Docherty, Elizabeth J. Corwin, and Therese S. Richmond
- Subjects
Adult ,Male ,Health Knowledge, Attitudes, Practice ,Descriptive knowledge ,Geospatial analysis ,Computer science ,Context (language use) ,computer.software_genre ,Nurse's Role ,Article ,Bridge (nautical) ,03 medical and health sciences ,0302 clinical medicine ,Health care ,Humans ,Nursing science ,030212 general & internal medicine ,Precision Medicine ,General Nursing ,030504 nursing ,business.industry ,Data Collection ,Middle Aged ,Data science ,United States ,Nursing Research ,Research Design ,Female ,Research questions ,0305 other medical science ,business ,computer - Abstract
Precision health can provide an avenue to bridge and integrate ways of knowing for research and practice. Nurse scientists have a long-standing interest in using multiple sources of information to address research questions of significance to the profession and discipline of nursing, which can lead to much needed contributions to precision health care. In this paper, nursing scientists discuss emerging research methods including omics, electronic sensors, and geospatial data, and mixed methods that further develop nursing science and contribute to precision health initiatives. The authors provide exemplars of the types of knowledge and ways of knowing that, using these and other advanced data and analytic strategies, may advance precision health within the context of nursing science.
- Published
- 2019
6. Emotional responses to unintentional and intentional traumatic injuries among urban black men: A qualitative study
- Author
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Tammy Jiang, Therese S. Richmond, Jessica Webster, Andrew Robinson, and Nancy Kassam-Adams
- Subjects
Adult ,Male ,Urban Population ,media_common.quotation_subject ,Emotions ,Context (language use) ,Violence ,Social Environment ,Article ,Interviews as Topic ,Young Adult ,03 medical and health sciences ,Social support ,0302 clinical medicine ,Humans ,Medicine ,Survivors ,030212 general & internal medicine ,Qualitative Research ,Aged ,General Environmental Science ,media_common ,Aged, 80 and over ,Psychiatric Status Rating Scales ,Distrust ,business.industry ,030208 emergency & critical care medicine ,Middle Aged ,Mental health ,United States ,Disadvantaged ,Black or African American ,Mental Health ,Traumatic injury ,Accidents ,Wounds and Injuries ,General Earth and Planetary Sciences ,Thematic analysis ,business ,Clinical psychology ,Qualitative research - Abstract
Purpose The burden of injuries is disproportionately concentrated among Black men in the United States. Previous studies suggest that the mental health effects of trauma may vary by the intentionality of the injury (intentional vs. unintentional), yet little is known about this experience among Black men. We explored the emotional responses to traumatic injuries in the context of injury intentionality among Black men in an urban area. Methods We conducted semi-structured, qualitative interviews with 74 Black men who were traumatically injured. The interviews took place three months after discharge from the hospital and they were audiotaped, transcribed, and de-identified. We used systematic thematic analysis to identify themes about post-trauma emotional responses to intentional and unintentional injuries. Results The narratives of intentionally injured men revealed persistent exposure to neighborhood violence and their distrust of others including the people they knew and to whom they felt close. Survivors of unintentional injuries did not express a similar distrust of others. Our findings suggest that survivors of intentional injuries experience loss of social support following their injuries. Conclusions Emotional responses can differ by intentionality of traumatic injury among urban Black men. Intentional injuries may be a marker for chronic exposure to violence and limited social support for recovery. Additional resources should be targeted to survivors of intentional injury who return to disadvantaged communities after medical treatment to decrease risk of re-traumatization and adverse emotional responses.
- Published
- 2018
7. Lasting impression of violence: Retained bullets and depressive symptoms
- Author
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Vinayak Kumar, Patrick M. Reilly, Randi N. Smith, Therese S. Richmond, Andrew Robinson, Mark J. Seamon, and Justine Shults
- Subjects
Adult ,Male ,Firearms ,medicine.medical_specialty ,Violence ,Article ,Stress Disorders, Post-Traumatic ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Firearm injury ,Trauma Centers ,Surveys and Questionnaires ,Humans ,Medicine ,Prospective Studies ,030212 general & internal medicine ,Psychiatry ,Depressive symptoms ,Depression (differential diagnoses) ,General Environmental Science ,Gun violence ,Depression ,business.industry ,Symptom severity ,030208 emergency & critical care medicine ,Foreign Bodies ,United States ,Black or African American ,Radiography ,Lead ,Body Burden ,General Earth and Planetary Sciences ,Wounds, Gunshot ,business - Abstract
Over 70,000 nonfatal firearm injuries occur in the US annually, frequently leaving victims injured with retained bullets. The long-term psychological risks associated with retained bullets remains unstudied. By serving as a constant reminder of injury, we hypothesized that the presence of retained bullets after firearm injury is associated with increased PTSD and depression symptom severity.We conducted a prospective cohort study (2013-2015) of Black male survivors of firearm injury at an urban Level I trauma center. Interviews, questionnaires and validated survey tools for PTSD (PCL-5) and depression (QIDS-SROf 139 participants, 101(73%) had retained bullets. The cohort was young (mean age 26 years), educated (82% high school or greater) yet unemployed (53%) and with multiple injuries (median [IQR] no. of GSWs 2 [1-3]). There was no difference in age, education, employment status, number of gunshot wounds, operative procedures, pain, hospital or ICU LOS between groups (p0.05). Patients with retained bullets less often rated their health as "very good" or "excellent" (10% vs 29%, p=0.046). Of those working prior to injury (n=47), 61% with retained bullets had not returned to work compared to 33% without retained bullets (p=0.027). No difference in PCL-5 scores [30.9 (SD 18.9) vs 27.9 (SD 18.6), p=0.470] was observed, but patients with retained bullets had greater mean QIDS-SRRetained bullets are associated with adverse psychological consequences after firearm injury. To improve recovery and to aid in clinical management decisions, clinicians should consider both the psychological and physical effects of retained bullets in survivors of firearm injury.
- Published
- 2018
8. The effect of early psychological symptom severity on long-term functional recovery: A secondary analysis of data from a cohort study of minor injury patients
- Author
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Therese S. Richmond, Justine Shults, and Sara F. Jacoby
- Subjects
Adult ,Male ,medicine.medical_specialty ,Pediatrics ,Time Factors ,Poison control ,Anxiety ,Suicide prevention ,Article ,Occupational safety and health ,Random Allocation ,03 medical and health sciences ,0302 clinical medicine ,Injury prevention ,Humans ,Medicine ,Longitudinal Studies ,030212 general & internal medicine ,General Nursing ,Depressive Disorder ,business.industry ,fungi ,food and beverages ,Mental health ,United States ,030227 psychiatry ,Physical therapy ,Wounds and Injuries ,Injury Severity Score ,Female ,medicine.symptom ,business ,Forecasting ,Cohort study - Abstract
The mental health consequences of injuries can interfere with recovery to pre-injury levels of function and long term wellbeing.The purpose of this study was to explore the relationship between psychological symptoms after minor injury and long-term functional recovery and disability.This exploratory study uses secondary data derived from a longitudinal cohort study of psychological outcomes after minor injury.Participants were recruited from the Emergency Department of an urban hospital in the United States.A cohort of 275 patients was randomly selected from 1100 consecutive emergency department admissions for minor injury. Potential participants were identified as having sustained minor injury by the combination of three standard criteria including: presentation to the emergency department for medical care within 24h of a physical injury, evidence of anatomical injury defined as minor by an injury severity score between 2 and 8 and normal physiology as defined by a triage-Revised Trauma Score of 12. Patients with central nervous system injuries, injury requiring medical care in the past 2 years and/or resulting from domestic violence, and those diagnosed with major depression or psychotic disorders were excluded.Psychological symptom severity was assessed within 2 weeks of injury, and outcome measures for functional limitations and disability were collected at 3, 6 and 12 months. A quasi-least squares approach was used to examine the relationship between psychological symptom scores at intake and work performance and requirement for bed rest in the year after injury.Adjusting for demographic and injury covariates, depression symptoms at the time of injury predicted (p≤0.05) both poorer work performance and increased number of days in bed due to health in the year after injury. Anxiety symptoms predicted (p≤0.05) bed days at 3, 6, and 12 months and work performance at 3 months.Depression and anxiety soon after minor injury may help predict important markers of long-term recovery. With further research, simple assessment tools for psychological symptoms may be useful to screen for patients who are at higher risk for poor long-term recoveries and who may benefit from targeted interventions.
- Published
- 2017
9. Engaging members and partner organizations in translating a nursing science agenda
- Author
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Holli A. DeVon, Therese S. Richmond, Patricia Eckardt, Rita H. Pickler, Elizabeth J. Corwin, Cheryl A. Krause-Parello, and Marti Rice
- Subjects
03 medical and health sciences ,0302 clinical medicine ,030504 nursing ,Nursing ,Political science ,Nursing science ,030212 general & internal medicine ,0305 other medical science ,General Nursing - Published
- 2016
10. Health related quality of life and return to work after minor extremity injuries: A longitudinal study comparing upper versus lower extremity injuries
- Author
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Justine Shults, Therese S. Richmond, and Kerstin Sluys
- Subjects
Adult ,Male ,medicine.medical_specialty ,Longitudinal study ,Activities of daily living ,Poison control ,Article ,Occupational safety and health ,Upper Extremity ,Disability Evaluation ,03 medical and health sciences ,Return to Work ,0302 clinical medicine ,Quality of life ,Peripheral Nerve Injuries ,Surveys and Questionnaires ,Injury prevention ,medicine ,Humans ,Longitudinal Studies ,030212 general & internal medicine ,Depression (differential diagnoses) ,General Environmental Science ,Sweden ,030222 orthopedics ,Depression ,business.industry ,Emergency department ,Prognosis ,Lower Extremity ,Quality of Life ,Physical therapy ,Wounds and Injuries ,General Earth and Planetary Sciences ,Female ,business ,Follow-Up Studies - Abstract
Purpose To investigate the impact on health related quality of life (HRQL) during the first year after minor extremity injury and to determine whether there is a difference in recovery patterns and return to work between upper extremity injuries (UEI) and lower extremity injuries (LEI). Method A total of 181 adults’ age 18 years or older randomly selected from patients admitted to an emergency department with minor injuries were studied. HRQL was measured using the Functional Status Questionnaire (FSQ) at 1–2 weeks, 3, 6, and 12-months post-injury. Pre-injury FSQ scores were measured retrospectively at admission. A quasi-least square (QLS) model was constructed to examine differences of FSQ scores at each measuring point for UEI and LEI. Results Fractures of the knee/lower leg (25%) were the most frequently injured body area. Slips or falls (57%) and traffic-related events (22%) were the most common injury causes. The mean ISS was 4.2 (SD 0.86). Both groups had significant declines in the FSQ scores physical and social functioning at 1–2 weeks after injury. Patients with UEI made larger improvements in the first 3 months post-injury versus patients with LEI whose improvements extended over the first 6 months. None of the groups reached the pre-injury FSQ scores during the first post-injury year except in the subscale work performance where UEI exceeded the pre-injury scores. At 12 months post-injury, significant lower FSQ scores remained in the LEI group compared to the UEI group in intermediate activities of daily living (p = 0.036, d 0.4) and work performance (p = 0.004, d 0.7). The return to work at 3 months and 12 months were 76% and 88% for UEI and 58% and 77% for LEI. No significant differences were found between groups in the FSQ scale mental health and social interaction. Conclusions LEI had the highest impact on HRQL and return to work during the first year which exceeded the consequences of UEI. These findings contribute to the information about the consequences of injury in order to give sufficient prognostic information to patients and different stakeholders. Future investigations should aim to investigate specific minor extremity injuries and identify factors that facilitate recovery and return to work.
- Published
- 2016
11. Protective Effects of Adolescent–Adult Connection on Male Youth in Urban Environments
- Author
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Therese S. Richmond, Kenneth R. Ginsburg, Douglas J. Wiebe, Alison J. Culyba, Joel A. Fein, and Charles C. Branas
- Subjects
Adult ,Male ,Gerontology ,Adolescent ,Alcohol Drinking ,Urban Population ,Substance-Related Disorders ,Population ,Poison control ,Suicide prevention ,Article ,Interviews as Topic ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Injury prevention ,Humans ,Medicine ,030212 general & internal medicine ,Young adult ,education ,Exposure to Violence ,Philadelphia ,education.field_of_study ,030505 public health ,business.industry ,Public Health, Environmental and Occupational Health ,Odds ratio ,Adolescent Development ,Achievement ,Black or African American ,Psychiatry and Mental health ,Health promotion ,Pediatrics, Perinatology and Child Health ,Family Relations ,0305 other medical science ,Positive Youth Development ,business ,Demography - Abstract
Positive adult connection has been linked with protective effects among U.S. adolescents. Less is known about the impact of adult connection across multiple health domains for youth in low-resource urban environments. We examined the associations between adult connection and school performance, substance use, and violence exposure among youth in low-resource neighborhoods.We recruited a population-based random sample of 283 male adolescents in Philadelphia. Age-adjusted logistic regression tested whether positive adult connection promoted school performance and protected against substance use and violence exposure.Youth with a positive adult connection had significantly higher odds of good school performance (odds ratio [OR], 2.8; p.05), and lower odds of alcohol use (OR, .4; p.05), violence involvement (OR, .3-.4; p.05), and violence witnessing (OR, .3; p.05).Promoting adult connection may help safeguard youth in urban contexts. Youth-serving professionals should consider assessing adult connection as part of a strengths-based approach to health promotion for youth in low-resource neighborhoods.
- Published
- 2016
12. Fears of Violence During Morning Travel to School
- Author
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Therese S. Richmond, Charles C. Branas, Wensheng Guo, Paul D. Allison, Elijah Anderson, and Douglas J. Wiebe
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,education ,Poison control ,Transportation ,Violence ,Ordinal regression ,Suicide prevention ,Article ,Occupational safety and health ,Interviews as Topic ,Injury prevention ,medicine ,Humans ,Child ,Students ,Philadelphia ,Schools ,business.industry ,Public Health, Environmental and Occupational Health ,Human factors and ergonomics ,Fear ,Psychiatry and Mental health ,Family medicine ,Pediatrics, Perinatology and Child Health ,Community health ,Safety ,business ,human activities ,Adolescent health - Abstract
Children's safety as they travel to school is a concern nationwide. We investigated how safe children felt from the risk of being assaulted during morning travel to school.Children between 10 and 18 years old were recruited in Philadelphia and interviewed with the aid of geographic information system (GIS) mapping software about a recent trip to school, situational characteristics, and how safe they felt as they travelled based on a 10-point item (1 = very unsafe, 10 = very safe). Ordinal regression was used to estimate the probability of perceiving different levels of safety based on transportation mode, companion type, and neighborhood characteristics.Among 65 randomly selected subjects, routes to school ranged from 7 to 177 minutes (median = 36) and .1-15.1 street miles (median = 1.9), and included between 1-5 transportation modes (median = 2). Among students interviewed, 58.5% felt less than very safe (i.e.,10) at some point while traveling to school and one-third (32.5%) of the total person time was spent feeling less than very safe. Nearly a quarter of students, or 24.6%, felt a reduction in safety immediately upon exiting their home. The probability of reporting a safety of8, for example, was .99 while in a car and .94 while on foot but was .86 and .87 when on a public bus or trolley. Probability was .98 while with an adult but was .72 while with another child and .71 when alone. Also, perceived safety was lower in areas of high crime and high density of off-premise alcohol outlets.Efforts that target situational risk factors are warranted to help children feel safe over their entire travel routes to school.
- Published
- 2013
13. Neighborhoods, daily activities, and measuring health risks experienced in urban environments
- Author
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Luke Basta, Therese S. Richmond, and Douglas J. Wiebe
- Subjects
Male ,Gerontology ,Time Factors ,Health (social science) ,Activities of daily living ,Adolescent ,Alcohol Drinking ,Urban Population ,Population ,Poison control ,Violence ,Social Environment ,Suicide prevention ,Article ,Occupational safety and health ,Young Adult ,Bias ,History and Philosophy of Science ,Residence Characteristics ,Risk Factors ,Environmental health ,Injury prevention ,Humans ,education ,Qualitative Research ,Philadelphia ,education.field_of_study ,Alcoholic Beverages ,Commerce ,Urban Health ,Censuses ,Census ,Geography ,Adolescent Behavior ,Case-Control Studies ,Residence - Abstract
Studies of place and health often classify a subject's exposure status according to that which is present in their neighborhood of residence. One's neighborhood is often proxied by designating it to be an administratively defined unit such as census tract, to make analysis feasible. Although it is understood that residential space and actual lived space may not correspond and therefore exposure misclassification may result, few studies have the opportunity to investigate the implications of this issue concretely. A population-based case-control study that is currently underway provides one such opportunity. Adolescent victims of assault in Philadelphia, Pennsylvania, USA, and a control sample of adolescents drawn randomly from the community are being enrolled to study how alcohol consumption and time spent nearby alcohol outlets - individual-level and environmental-level risk factors for violence, respectively - over the course of daily activities relate to the likelihood of being assaulted. Data from a rapport-building exercise consist of hand-drawn sketches that subjects drew on street maps when asked to indicate the area considered their neighborhood. The main data consist of self-reported, detailed paths of the routes adolescents traveled from one location to the next over the course of one full day. Having noticed interesting patterns as the data collection phase proceeds, we present here an analysis conducted with the data of 55 control subjects between 15 and 19 years old. We found that hand-drawn neighborhoods and activity paths did not correspond to census tract boundaries, and time subjects spent in close proximity to alcohol outlets during their daily activities was not correlated with the prevalence of alcohol outlets in the census tract of their residence. This served as a useful example demonstrating how classifying subjects as exposed based solely on the prevalence of the exposure in the geographic area of their residence may misrepresent the exposure that is etiologically meaningful.
- Published
- 2010
14. Outcomes Associated With Delirium in Older Patients in Surgical ICUs
- Author
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Wei Yang, Lakshmipathi Chelluri, Mary Elizabeth Happ, Therese S. Richmond, and Michele C. Balas
- Subjects
Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Critical Care ,Health Status ,Critical Care and Intensive Care Medicine ,behavioral disciplines and activities ,Article ,Cohort Studies ,Thoracic Diseases ,Risk Factors ,Organic mental disorders ,Informant Questionnaire on Cognitive Decline in the Elderly ,Intensive care ,Activities of Daily Living ,mental disorders ,medicine ,Humans ,Functional ability ,Intensive care medicine ,Aged ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Delirium ,Retrospective cohort study ,Recovery of Function ,medicine.disease ,nervous system diseases ,Hospitalization ,Treatment Outcome ,Emergency medicine ,Female ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,Complication ,business ,Cohort study - Abstract
We previously noted that older adults admitted to surgical ICUs (SICUs) are at high risk for delirium. In the current study, we describe the association between the presence of delirium and complications in older SICU patients, and describe the association between delirium occurring in the SICU and functional ability and discharge placement for older patients.Secondary analysis of prospective, observational, cohort study. Subjects were 114 consecutive patientsor= 65 years old admitted to a surgical critical care service. All subjects underwent daily delirium and sedation/agitation screening during hospitalization. Outcomes prospectively recorded included SICU complication development, discharge location, and functional ability (as measured by the Katz activities of daily living instrument).Nearly one third of older adults (31.6%) admitted to an SICU had a complication during ICU stay. There was a strong association between SICU delirium and complication occurrence (p = 0.001). Complication occurrence preceded delirium diagnosis for 16 of 20 subjects. Subjects with delirium in the SICU were more likely to be discharged to a place other than home (61.3% vs 20.5%, p0.0001) and have greater functional decline (67.7% vs 43.6%, p = 0.023) than nondelirious subjects. After adjusting for covariates including severity of illness and mechanical ventilation use, delirium was found to be strongly and independently associated with greater odds of being discharged to a place other than home (odds ratio, 7.20; 95% confidence interval, 1.93 to 26.82).Delirium in older surgical ICU patients is associated with complications and an increased likelihood of discharge to a place other than home.
- Published
- 2009
15. Firearm Violence in America: A Growing Health Problem
- Author
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Therese S. Richmond and Stephanie Baroni
- Subjects
Suicide Prevention ,Firearms ,Poison control ,Health Promotion ,Disease ,Violence ,Criminology ,Global Health ,Critical Care Nursing ,Suicide prevention ,Occupational safety and health ,Risk Factors ,Critical care nursing ,Injury prevention ,medicine ,Humans ,Motivation ,business.industry ,Human factors and ergonomics ,medicine.disease ,Community-Institutional Relations ,United States ,Suicide ,Wounds, Gunshot ,Medical emergency ,Direct experience ,Homicide ,business - Abstract
Firearm injury is a disease that afflicts many individuals in the United States, either directly or indirectly. Trauma and critical care nurses have direct experience with this life-threatening disease and recognize the high lethality. The magnitude of this health problem requires a focus on primary prevention. We recognize that any focus on firearm injury is often contentious and political; however, nurses bring a ready-made credibility and focus on evidence-based practice to the prevention of this disease.
- Published
- 2006
16. Role of Adolescent-Adult Connection in Assault Injury Prevention among Male Youth in Urban Low-Resource Neighborhoods
- Author
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Therese S. Richmond, Douglas J. Wiebe, Bonnie Halpern-Felsher, Wensheng Guo, Kenneth R. Ginsburg, Charles C. Branas, Elizabeth Miller, Alison J. Culyba, and Joel A. Fein
- Subjects
Psychiatry and Mental health ,Low resource ,Pediatrics, Perinatology and Child Health ,Injury prevention ,Public Health, Environmental and Occupational Health ,Criminology ,Psychology ,Connection (mathematics) - Published
- 2017
17. A reflection on values in turbulent times
- Author
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Janet A. Deatrick, Margaret M. Mahon, Wanda K. Mohr, and Therese S. Richmond
- Subjects
Typology ,Social Values ,media_common.quotation_subject ,Organizational culture ,Nursing ,Models, Psychological ,Social value orientations ,Cultural diversity ,Ethics, Nursing ,Humans ,Organizational Objectives ,Sociology ,Open communication ,General Nursing ,media_common ,Cultural Characteristics ,business.industry ,Common ground ,Cultural Diversity ,Public relations ,Organizational Culture ,United States ,Aggression ,Leadership ,Currency ,Models, Organizational ,Prejudice ,business ,Social psychology ,Stress, Psychological - Abstract
We discuss how organizations, as cultures, react to times of turbulence, stress, and the importance of their foundational values during those times. By adapting the framework pioneered by the organizational analyst Manfred Kets de Vries, we use psychodynamic concepts to discuss a descriptive typology of behavior in which persons and organizations engage under stress. We also discuss the hazards inherent in losing sight of common core values, the dangers in the disconnects between stated values and behaviors, and how those disconnects can be destructive to organizations and to persons. We conclude with a plan that involves achieving insight, trust, and open communication on which members of organizations can base discussion and find common ground in articulating common core values. Throughout the article, we make applications to nursing organizations to focus attention on the currency of this topic for the profession.
- Published
- 2001
18. Modifiable Neighborhood Features Related to Adolescent Homicide
- Author
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Sara F. Jacoby, Bernadette C. Hohl, Therese S. Richmond, Charles C. Branas, Alison J. Culyba, and Joel A. Fein
- Subjects
Psychiatry and Mental health ,Homicide ,Pediatrics, Perinatology and Child Health ,Public Health, Environmental and Occupational Health ,Psychology ,Demography - Published
- 2016
19. Spinal Cord Injury
- Author
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Therese S. Richmond
- Subjects
General Nursing - Published
- 1990
20. Family-Centered Care for the Neurotrauma Patient
- Author
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Therese S. Richmond and Michael Craig
- Subjects
General Nursing - Published
- 1986
21. Perspectives on Brain Resuscitation
- Author
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Therese S. Richmond
- Subjects
Resuscitation ,medicine.medical_specialty ,business.industry ,Critical care nursing ,Health care ,Epidemiology ,Medicine ,Medical emergency ,Critical Care Nursing ,business ,medicine.disease - Abstract
As health care providers, critical care nurses need to understand the issues surrounding the implementation of brain resuscitation techniques and protocols. This significant advance in critical care must be evaluated in terms of epidemiology, candidates for brain resuscitation, and projected outcomes. Additionally, as techniques in brain resuscitation advance, the social, economic, and moral issues surrounding this arena must be consciously and carefully reviewed.
- Published
- 1989
22. Foreword
- Author
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Therese S. Richmond
- Subjects
General Nursing - Published
- 1986
23. Preface
- Author
-
Therese S. Richmond
- Subjects
Critical Care Nursing - Published
- 1989
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