ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1994.tb00200.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractIn 1987 a group of Michigan public health nurses recognized the need to capture the richness of the lives of renowned public health leaders by collecting and preserving their oral histories. With the assistance of the Bentley Collection at the University of Michigan, the Michigan Oral History Project found a home. In this paper, the process of designing and implementing the oral history project is described within the framework of McBride's Orchestrating the Stages of a Career, adapted from the Dalton/Thompson/Price career development model. The steps in selecting interviewers and leaders, conducting the interviews, and keeping track of the completed work are outlined. Finally, the early results and potential uses for the collected data are discussed. This project has special significance in this year for the celebration of the centennial of public health nursing.

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1994.tb00201.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractThe purpose of this study was to describe the scope of clinical practice of advanced pratice nurses who were involved in a project designed to increase access of families with at‐risk and disabled young children, newborn to 3 years of age, to early intervention services in rural Washington State. The findings from this study are based on the retrospective review of records of clients seen by the advanced practice nurses. Nursing diagnoses and nursing interventions were assigned to chart recordings. The most frequently occurring nursing diagnoses assigned to parents were Altered Parenting, Altered Family Processes, Fear, Noncompliance, and Knowledge Deficit. The most frequently occurring nursing diagnoses assigned to children were Impaired Physical Mobility. Impaired Verban Communication, Altered Nutrition: Less than Body Requirements, Sensory‐Perceptual Alteration, and Altered Thought Processes. Categories of nursing intervention recorded most frequently were Monitoring, Planning and Information. Discussion of findings addresses the roles and reimbursement of advanced practice nurses who provide family‐centered early intervention services in rural commun

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1994.tb00202.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractFamilies that successfully adapt to new situations have been found not only to appraise the situations as manageable but also to possess the necessary resources to meet the challenges. The purpose of this study was to determine the goals that families in which the mother had chronic illness identified for themselves and how these goals related to family functioning. A five‐occasion. 15‐month, descriptive longitudinal design was used to collect data. Data from occasions 2 and 3 were used to generate the coding scheme. This coding scheme was used to analyze the fourth‐occasion data set, which is presented here. The sample at the fourth occasion consisted of 103 families in which the mother was diagnosed with breast cancer, diabetes, or fibrocystic breast disease. Content analysis of responses revealed 10 mutually exclusive categories of family goals: viability of children, cohesion, adaptation, boundary alterations, health maintenance, conflict management, individual achievements and pursuits, acquisition of possessions, financial stability, and family relocation. Types of goals identified did not significantly differ by disease type. The results suggest that family‐system goals are relatively enduring and not readily discarded in response to health or illness dis

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1994.tb00203.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractMedicaid now reimburses for care‐coordination services for pregnant women in about half of the states. This care‐coordination project targeted low‐income pregnant women in two Indianapolis neighborhoods that historically have had high black‐infant mortality rates. The service provided home visits by teams of workers including registered nurses, social workers, and indigenous community health workers. This retrospective descriptive study evaluated the impact of the home visits on enrollment in pregnancy‐related services. Data were collected from the care‐coordination records of 381 participants who delivered infants between July 1,1990, and January 1,1992. The proportion of participants enrolled in prenatal care, the Special Supplemental Food Program for Women. Infants and Children (WIC), Medicaid, and Food Stamps increased significantly following admission to care coordination. The majority of participants who enrolled in prenatal care and WIC, after admission to care coordination, did so within one month of admission. Home visits were effective in stimulating enrollment in pregnancy‐related services. Further studies need to be done to evaluate the impact of home visits on pregnancy outcomes as well as their cost

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1994.tb00204.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractThe Assessment Protocol for Excellence in Public Health (APEXPH) is a method for comprehensive public health planning that can be implemented by state and local health departments. Many local health departments have limited resources for the data analysis and synthesis needed for APEXPH. To facilitate the implementation of APEXPHin Michigan, we used the Centers for Disease Control and Prevention (CDC) Epi Info software package to develop an APEXPHinformation manager (CDC‐AIM) for use by the 50 local health departments in that state. This report describes our methods for formatting, compressing, and presenting data. Examples of tables are provided for demographics by age and sex, numbers of deaths, years of potential life lost, crude mortality rates, and perinatal indicators such as low birthweight. Areas where additional work is needed to further improve CDC‐AIM are discussed. Our experience in Michigan suggests that CDC‐AIM potentially is an extremely helpful tool to assist state and local health departments in working with their communities to establish public health program plans based on mortality, morbidity, and risk‐fact

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1994.tb00205.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractAIDS has shifted from an acute short‐term terminal illness to a progressive, chronic disorder. Evaluation of AIDS case‐management is imperative due to both the increasing numbers of cases and the lengthened survival of those with the disease. In 1988 the Missouri Department of Health (MDOH) initiated the first statewide system of AIDS case‐management in the United States. This study was done to determine if deceased AIDS clients who received MDOH case‐management services had fewer inpatient hospital days than clients who did not receive these services, during the last six months of life. Death certificates and Medicaid records were merged for 100 case‐managed and 99 control, non‐case‐managed AIDS clients. No significant difference between groups was found in number of inpatient hospital days. Further, neither age, ethnicity, gender, cause of death, nor specific AIDS risk factors were associated with total number of inpatient hospital days. The client‐centered philosophy of the program may have encouraged case managers to utilize all available service, including hospitalization, without considering cost‐containment issues. Future evaluation efforts will investigate both cost‐containment and quality‐of‐life indicators, such as satisfaction with care, of ca

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1994.tb00206.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractMany individuals with chronic illnesses have multiple medications prescribed that often are not covered by third party payers. In South Carolina, Medicaid pays for only three prescriptions per month per recipient. A qualitative pilot study was conducted to learn how Medicaid recipients with more than three prescriptions decide which ones to have filled under Medicaid and what they do about the remaining medications. Nineteen Medicaid recipients who had more than three prescriptions were interviewed in their homes. Research participants paid for medications out‐of‐pocket, borrowed money, were extended credit by the pharmacy, got samples from the physician, did not get prescriptions filled or refilled, took medicines less frequently or in lower doses to stretch their supply, and very infrequently took someone else's medication. These individuals decided which medications to take based on: their perceptions of the importance of the medication or the seriousness of the condition for which it was prescribed, current symptoms, and the drug's cost. Some participants had to choose monthly whether to buy medications or f

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1994.tb00207.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractIn October 1902, Lina Lavanche Rogers began her work in the New York City schools as the first school nurse in the United States. The purpose of this research was to examine the evolution of school nursing as it exemplifies development of a public health nursing specialty. Historiographic methodology was used. Primary sources included materials written by pioneers in school nursing. Secondary sources included journals, books, newspapers, biographical materials, and unpublished materials from the archives of health care and educational institutions and agencies. Public health nurses in 1902 had a model for practice that was considerably more independent and interdependent than that characterizing the practice of hospital nurses. From its origins in public health nursing, the role of the school nurse shrunk in many school systems to that of dispenser of bandages and aspirins, only to return once more to an advanced practice model. HIV, tuberculosis, sexually transmitted diseases, addiction, and violence have returned and/or replaced the contagious diseases of 1902 and the early years of school nursing. New immigrants, poverty, homelessness, and lack of primary care offer challenges to school nurses to meet the needs of schoolchildren and their families in the 1900s.

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1994.tb00208.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

AbstractTheoretical and experiential learning in community assessment are essential components of the preparation of first‐level community health nurses. This article describes a collaborative community practice project in which faculty incorporated senior baccalaureate community health nursing students as participants. Students assessed availability and utilization patterns of health care services in Spokane. Washington. Data derived from the survey were used by community planners in addressing issues of access to health care by low‐income persons. Learning outcomes of this experiential process are described within the context of Burnard's Experiential Learning Model and community health nursing course objectives. Recommendations for design of similar experiential learning opportunities are m

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1994.tb00209.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY