Experiments were executed to provide new evidence relevant to the recent suggestion that fatigue should augment or retard cardiovascular response depending on the difficulty of the challenge at hand. Participants walked on a treadmill while wearing a vest fitted with 5- or 25 pounds of weight. Later, they mounted a recumbent stationary bicycle and were asked to pedal with the chance to earn a modest incentive if they attained a low or high cycling standard (i.e., if they met an easy or difficult cycling challenge). Analysis of CV responses during the cycling period indicated expected interactions for systolic blood pressure and heart rate. Whereas responses were stronger for the heavy vest (i.e., high fatigue) group when the standard was low, they were weaker for this group when the standard was high. Experiments 2 and 3 evaluated a non-fatigue interpretation of the main results and yielded findings that supported the fatigue interpretation.
Made available courtesy of Slack Inc.: http://www.slackinc.com/ *** Note: Figures may be missing from this format of the document *** Note: Slack Inc. requests that interested viewers (Scholars and Researchers) understand that these articles can be accessed for their personal and reference use. The articles should not be reproduced in large quantities for distribution in classrooms or seminars without obtaining the rights from Slack Incorporated. We provide licensed reprints for distribution purposes for an appropriate fee. Article: "Wisdom begins with the definition of terms." ~ Socrates The nurse-patient relationship will always remain pivotal to effective management of illness. Peplau (1952/1991) maintained that understanding was an essential component of the nurse-patient relationship. Consistent with Peplau's assertion, Cleary, Edwards, and Meehan (1999) found that understanding significantly influenced nurse-patient interactions in acute psychiatric-mental health settings. Jackson and Stevenson (2000) cited understanding as a central theme in their study about the reasons people with acute psychiatric illnesses need nurses. Although understanding is what patients want, studies suggest they do not experience it from nurses (Shattell, 2002; Thomas, Shattell, & Martin, 2002). In fact, one study revealed that the greatest understanding came from other patients (Thomas et al., 2002). In this article, we describe communication guidelines useful to nurses in facilitating patients' experience of being understood.
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