ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1989.tb00591.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

AbstractThe recent Institute of Medicine report.The Future of Public Health, reviews the history, current status, and potential of the public health system in the United States, and makes detailed recommendations for its revitalization. Although public reports such as this risk speedy obscurity, many are used by planners and legislators and a few exert significant influence. Public health nursing is inadequately represented in this potentially influential document, and this has unfortunate implications for public health nursing.

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1989.tb00592.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

AbstractAlthough the importance of preventive services has been emphasized in Canada, the status of public health nursing appears to be in jeopardy. Major challenges confront the profession, and certain strategies may help to rebuild it as a broad‐based nursing specialt

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1989.tb00593.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

AbstractThe purposes of this article are to describe the process of adapting an existing model to create a framework suitable for public health nursing (PHN) practice and to demonstrate how the resulting model can guide research for PHN practice. Using the PRECEDE (predisposing, reinforcing, and enabling causes in educational diagnosis and evaluation) model as a base, we synthesized concepts of health behavior, health education, health promotion/disease prevention, and program evaluation to develop a model for planning and evaluating aggregate‐level PHN interventions to improve the use of the Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT) in rural North Carolina. The model provided the framework for identifying variables relevant to EPSDT use, designing interventions to improve use, and planning a research evaluation of the effectiveness, efficacy, and cost effectiveness of the interventions. This model, and the process used in adapting it for PHN practice, should be helpful for others investigating methods of reaching and bringing effective health‐promotion/disease‐prevention information to underserved, low‐education members of minority

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1989.tb00594.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

AbstractThe pandemic of acquired immunodeficiency syndrome (AIDS) calls for global cooperation to develop strategies for interventions both to prevent the disease and to care for persons with it. The conceptual framework “Health for all: A model for nursing's contributions” provides guidance for the processes of assessment, diagnosis, planning, implementation of care, and evaluation of mortality and morbidity related to AIDS. The disease challenges the biologic, sociologic, medical‐technical, and environmental determinants as they affect health. Specific recommendations for health care interventions are relevant to each determinate, with community health status as the

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1989.tb00595.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

AbstractWith no effective medical treatment or vaccine for acquired immunodeficiency syndrome (AIDS) available now or in the near future, nursing can make the most difference by providing emotional support and physical care for people with AIDS and their families. One of the least understood areas in providing such care is the feelings nurses have toward persons with AIDS, especially in rural areas. This study measured changes in knowledge and attitude toward AIDS and homosexuality before, immediately after, and three months after an all‐day AIDS workshop for nurses. The program provided current knowledge about transmission of the human immune virus and risk behaviors, and addressed personal feelings regarding fear of caring for persons with AIDS as well as negative feelings associated with homosexuality. Results revealed significant positive changes in knowledge and attitudes three months later. Participants also became significantly less fearful and more willing to care for persons with AIDS. Feelings of fearfulness and willingness to care for people with AIDS were associated not with knowledge differences but with differences in attitudes toward the disease and homosexuality. Therefore, this program's affective component was more closely associated with precursors to behavior change than was cognitive education. As the education needs of rural and community nurses increase, programs specific to them must continue to be developed and studied. Future research must also explore and evaluate actual nursing care of AIDS patients in relation to education program objective

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1989.tb00596.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

AbstractThe relationship among formal providers, clients, and families in home care is critical. If clients and family care givers are to develop adequate and safe self‐care practices, they must be involved in mutual decision making concerning issues related to the illness and the care to be given. A relationship of mutual participation involves facilitating and negotiating goals with clients and their family member

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1989.tb00597.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

AbstractThe purpose of this descriptive correlational study was to examine the relationships among health‐promoting behaviors, perceived social support, and self‐reported health of 113 persons age 55 years and over, who were attending nutrition sites in northern West Virginia. Three hypotheses were formulated: (1) health‐promoting behaviors are positively related to perceived social support; (2) health‐promoting behaviors are positively related to self‐reported health, and (3) perceived social support is positively related to self‐reported health. Only the first two were supported by our findings. Data analysis revealed positive correlations between the average health‐promoting lifestyle profile (HPLP) score and education, and frequency of attending the nutrition site screening clinics for high blood pressure and diabetes. Better‐educated subjects scored higher on selected subscales of the HPLP (self‐actualization and health responsibility). Age was negatively correlated with the HPLP subscales of health responsibility and exercise. Nurses and support personnel at nutrition sites should focus increased attention on the older participants and those who are less well‐educated. Expanding the variety and frequency of health services available to nutrition site participan

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1989.tb00598.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

AbstractAlthough considerable gains have been made in hypertension control in the United States, the rate of control in blacks is lower than in whites. It has been asserted that this low control rate in blacks is due to lack of compliance. Using previously tested and new measures, as well as chart audit, this pilot study evaluated the specific role and effectiveness of the black church in promoting compliance with antihypertension regimens. A sample of 63 hypertensive subjects from two inner‐city black churches participated; 33 were from a church that had a hypertension screening project and 30 were from one that did not. Clients from the church with the project did not score higher on a self‐report compliance measure than those from the church without the project. Furthermore, no relationship was found between support and compliance and blood pressure control, although relationships were seen between age and compliance scores, and between following a doctor's advice and compliance scores. The church without a screening program was viewed by clients as more supportive than the one with the prog

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1989.tb00599.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

AbstractThe purpose of this study was to compare the interactions of clinic‐referred mothers and fathers with their conduct problem children with those of nonclinic “normal” parents and their children without problems in terms of their expression of positive and negative affect. Forty parents and their 20 children participated. Results indicated that clinic mothers and fathers exhibited significantly increased negative verbal behaviors with their children than nonclinic parents. Valence scores also indicated clinic mothers had significantly more negative nonverbal affect behaviors than nonclinic mothers. Clinic children exhibited significantly less positive verbal and nonverbal affect behaviors with their mothers than nonclinic children. Valence scores indicated that clinic children exhibited more negative nonverbal behaviors with both mothers and fathers in comparison to nonclinic chi

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1989.tb00600.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY