A new nursing medium: computer networks for group intervention.
The PLWAs and the caregivers of persons with AD were similar in their adaptation to this new technology as a communication medium with nurses. Both groups availed themselves of the resources, both technological and personal, on the computer network. Although different in demographics, they also were similar in their ability to form and work in a traditional group structure. Nurses have historically intervened with groups, and this article demonstrates that nurses can intervene on a computer network with groups. Yalom's therapeutic factors exist in both non-face-to-face groups and traditional groups. The benefits of this technology to nurses are numerous: they can access clients in an efficient yet supportive manner; they can respond to multiple levels of need in multiple clients; and they can attend to emotional as well as more concrete needs of clients. The benefits to clients are also numerous: they can use the system at a time, frequency, and duration of their choice; they have the opportunity to be supported in self-care efforts versus being in a more dependent role; and they can engage in a normalization of their experiences. Computer networks can enhance nursing's ability to intervene with clients experiencing clinical problems.
Ripich
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HIV Program, Palo Alto V.A. Medical Center, California.
Moore
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SM
Brennan
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PF
D000163:Acquired Immunodeficiency Syndrome / Q000451:nursing; D000544:Alzheimer Disease / Q000451:nursing; D017028:Caregivers; D003152:Community Health Nursing / Q000458:organization & administration*; D003195:Computer Communication Networks / Q000592:standards*; D006699:Home Care Services; D006801:Humans; D008960:Models, Psychological; D011568:Psychiatric Nursing / Q000458:organization & administration*; D011615:Psychotherapy, Group / Q000458:organization & administration*; D012944:Social Support