ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1987.tb00541.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractNursing's position in local health care has reportedly been undermined by role confusion and fragmented delivery of services. A review of public health nursing history uncovered a strong model for relevant practice, role expansion, and program definition. This research considered current practice in relation to the time‐honored model developed by Lillian Wald. The study described public health nursing practice in 15 municipal and district health departments in Connecticut that have primary foci of health promotion and disease prevention. We found that wide diversity in program responsibility followed variable local health care delivery patterns and resulted in disparate breadth and depth of service components. However, there was general recognition of factors that affect service delivery, such as increased numbers of children attending day‐care; growing populations of elderly, chronically ill, and handicapped persons; and the mainstreaming of special‐education students. The educational level of nursing personnel was close to the national average. Characteristics of current practice were then correlated to those of the past. The essence of public health nursing remained strong, and the initiatives of the early pioneers were relevant guide‐posts for strengthening contemporary practice and community lea

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1987.tb00542.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractThe development of a one‐page checklist is described, and results of validity and reliability studies are reported. The purpose of the checklist is to help practitioners assess the health status of patients upon discharge from adult or pediatric stations. The form was designed and validated for routine use by nurses on in‐patient stations. A pre‐post study of the effect of the prospective reimbursement plan on a teaching hospital‐based home health service in which the instrument is being used is de

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1987.tb00543.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractThe implementation of hospital reimbursement on the basis of diagnosis‐related groups and on its effect on home health care is explored. The issue is examined in relation to the types of services now being requested of home health care agencies and how agencies have responded. Implications of a diagnosis‐related group system of reimbursement for home health care services, are also conside

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1987.tb00544.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractThe trend toward earlier patient discharges from hospitals has provided new incentives for hospitals and public health nurses to work together to ensure that patients receive uninterrupted quality care after discharge. This study investigated perceptions of the discharge process using a structured telephone interview to survey a sample of 30 adult patients who had been hospitalized for at least 24 hours in a small, rural community, hospital in the upper Midwest. The county public health nursing agency contracted with the hospital to provide discharge planning services. Patients identified discharge needs in 15 different areas, with a mean of 5.8 needs per patient. Twenty‐seven percent of the patients received referrals for the services of a public health nurse, homemaker, or both before discharge. One week after discharge 37 percent of the patients continued to need assistance appropriate for referral back to the professionals or agencies with whom they had had initial contact. Elderly patients with chronic illnesses were more likely to have received referrals at the time of discharge than younger patients with acute illnesses. Family and friends were heavily involved in providing support services in the postdischarge perio

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1987.tb00545.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractUsing an epidemiologic framework, this article discusses the reports of two national conferences and the literature to describe homelessness as a consequence of poverty, alcoholism, mental illness, and family turmoil; power‐lessness; and an unsupportive, hostile environment, where the demand for affordable housing exceeds the supply. Nurses are urged to advocate for legislation to create more affordable housing as the first priority of public policy, and also address other long‐term approaches to end homelessn

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1987.tb00546.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractCommunity health nursing that focuses on populations rather than individuals as clients is a concept that is challenging to teach. Nursing students at two centers of Texas Woman's University have been working with two diverse groups of populations that are considered underserved. One group is made up of Cambodian refugees who have been located in urban settings in Dallas, Texas. The second group, in a rural setting, is composed of migrant children who have moved with their parents to the area for agricultural work. They are mostly Mexican families. This article reports the means to use clinical sites to expose students to community‐level nursing of populations at risk while maintaining uniformity with the curriculum for the College of Nursin

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1987.tb00547.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractCommunity analysis projects simultaneously conducted throughout a metropolitan area revealed a consistent contrast between community health priorities voiced by residents and by health care providers. Residents were primarily concerned with threats to environmental health, often inadequately understood, in their home communities. Providers focused on specific health needs of age aggregates, such as the elderly and children, within the existent health care framework. Findings underscore the critical issue of sample representativeness as a validity check in surveys purporting to ascertain “real” community health agendas. Similarly; the timeliness of an ecologic model for community health nursing practice is suppor

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1987.tb00548.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractThe nursing diagnosis of the health care needs of population groups has been deemed the responsibility of community nurse‐administrators. Yet it was not known whether these nurses actually formulate nursing diagnoses pertaining to population groups. The purpose of this study was to describe the diagnostic reasoning of these nurses so as to enable the development of a factor‐isolating theory of population group diagnosis using the grounded‐theory method. Data were obtained from 31 community nurse‐administrators regarding the health services they had created or discontinued within the last three years; it was assumed that these data could illuminate the diagnostic decisions that had preceded service change. The data revealed a first‐stage diagnostic process in which the group's state of health was determined. Prior to service change, a second‐stage diagnosis was made about the degree of match between the group's need and existing services; the nursing goal was to cultivate a need‐service match that would positively affect the group's health status. Labels for the first‐ and second‐stage diagnoses were developed based on the emergent theory and the relevant literature. The resultant factor‐isolating theory of community nurse‐administrator diagnosis was stated and the implications of the theory for the public's

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1987.tb00549.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1987.tb00550.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY