LOCUS OF CONTROL ORIENTATION AND LEVEL - Drake University

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Anesthesiologists were responsible for prescribing the narcotic and doage to provide the n~ost effective pain relief with the fewest side effects. Nurses were responsible for administering the analgesic according to the prescribed parameters and monitoring for side effects and the effectiveness of the pain relief strategy. Health Locus of Control (HE) was theoretically defined by Wallston et al. (1978) as a person's belief that "the source of reinforcements for health- related behaviors is primarily internal, a matter of chance, or under the control of powerful others" (p. 160). The person was placed in the category of Internal, Powerful Others, or Chance Hdth Locus of Control by a score on Multidimensional Health Locus of Control (MHLC) scales (Wallston et al., 1978) (see Appendix C). Significance of the Study Nurses have a moral and ethical responsibility to be aware of and to provide the most effective care modalities for persons for whom they care. Ketovuori (1987) and Cohen (1980) suggested that one area in which nurses are likely to provide less than effective care is in the treatment of acute pain. It is important that nurses begin to use andlor design tools that will improve their ability to assess and understand differences in persons. A clearer understanding of how HLC orienation influences perception of pain relief provides important information bat may assist nursing assessment of postoperative persons in acute pain and provide predictors to the response of persons to a particular pain intenention. It is through discovery of ways to maximize assessment skills that
nurses meet the goal of providing the most effective patient care and ultimately enhance nursing's position as a major contributor to the h dth care team.
Page 1 and 2: LOCUS OF CONTROL ORIENTATION AND LE
Page 3 and 4: ABSTRACT The pupse of this study wa
Page 5 and 6: TABLE OF CONTENTS Page . . ABSTRACT
Page 7 and 8: CHAPTER I DIMENSIONS OF THE PROBLEM
Page 9 and 10: One factor that is often referred t
Page 11: ' a as their effects" (p. 52). Nurs
Page 15 and 16: ~rsonnel/nursing can use to increas
Page 17 and 18: Since the advent of Itotter's I-E L
Page 19 and 20: pain as it reaches the brain. This
Page 21 and 22: Epidurd analgesia involves placemen
Page 23: and severe tension headaches and 14
Page 26 and 27: from traditional interventions to t
Page 28 and 29: 3. experienced a recovery period wi
Page 30 and 31: than previous scaling techniques. M
Page 32 and 33: Low positive correlations with appr
Page 34 and 35: scores for postoperative day one an
Page 36 and 37: Period studied Day one Internal Cha
Page 38 and 39: Table 6. ANOVA: FIRST 48 HOURS Comp
Page 40 and 41: the pain stimuli would be less susc
Page 42 and 43: Another explanation for why the hyp
Page 44 and 45: domain of the acute pain experience
Page 46 and 47: Orem cautioned nurses that this int
Page 48 and 49: REFERENCES Abramson, L-, Seligmm, M
Page 50 and 51: Melzack, R. & Wall, P. The challeng
Page 52 and 53: Spielberger, C., Gorsuch, R., & Lus
Page 54 and 55: Nursing Epidural Flow Sheet Il CODt
Page 56 and 57: MAR KEY FRN MEDS: T - TIME ADMlNlST
Page 58 and 59: NURSING EPIDV%Ii LATHEIER PROTOC~ I
Page 60 and 61: Appendix C: Multidimensional HeaIth
Page 62:
Appendix D: Demographic Data Collec
Page 65 and 66:
June 25, 7992 Jul ianne Sarcone 481
Page 67 and 68:
VANDERI3f L'I' UNIVERSITY NASIIVILL
Page 69 and 70:
our work on using the Value Survey
Page 71 and 72:
Appendix G: Consent Letter
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