摘要:

The student body in colleges and universities is no longer homogeneous but represents many age groups and life styles. The results of the first national college health risk behavior survey reveal problem behaviors matched to demographic descriptions of these groups. Nurse practitioners can use this information along with relevant health care research to plan and provide preventive services as part of the student health center.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Designed for implementation in a parish setting, the “Hearts To God” project integrates spirituality, stewardship, and wholeness into a cardiovascular health promotion program. This program fills a health education void regarding cardiovascular disease and women. The program and accompanying manual incorporate heart healthy education with a spirituality message to encourage behavior change. It can be adapted to suit the educational context and adult population. Exercises included in the manual enable women to assess, develop, and evaluate their own plan for heart health. Participants found the program to be relevant.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Community nursing centers are unique arenas for advanced practice community health nursing. These innovative nurse-managed delivery models are grounded in a holistic approach to the community-as-client. They provide the public with direct access to a range of advanced practice professional nursing services that are not otherwise available. Community Nursing Centers are collaborative with other health professions and organizations. They aim to meet the assessed needs of underserved populations using extant resources to achieve optimal health for all members of the community. This article discusses the underlying conceptual basis for development of community nursing centers and provides a case study example.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

This article explicates the Arkansas Area Health Education Center (AHEC) model of community-oriented primary care (COPC) and the role of the family nurse practitioner (FNP) in its implementation. The AHECs collaborate with local agencies to provide comprehensive, accessible, quality health care to specific patient populations, and offer learning opportunities to a wide variety of health professions students. The FNP demonstrates organizational and role competencies that include directing patient care, providing professional leadership, and developing the advanced practice nursing role. Two case studies are used to illustrate the FNPs' approach to COPC: (1) selection of interdisciplinary, multidisciplinary, and transdisciplinary approaches to management of a patient with chronic illnesses, and (2) the Sexual Assault Nurse Examiners Training Project.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Corporate-based nurse managed centers are not the national norm. More prevalent is the use of an occupational health or physician-directed medical model of care. The author describes how a 14-year-old primary care center at a North Carolina computer software company is just “business as usual” when viewed in the context of the company's philosophy, goals, and culture. Included are considerations for nurse practitioners interested in the successful transplantation of this primary care model to other settings.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Changes in health care delivery and the explosion of health information available on the Internet are affecting primary care practice in America. The provider is no longer the distributor, interpreter, and filter of information in the health care setting. Clients are becoming informed about their treatment options via the World Wide Web and are eager to discuss their therapeutic alternatives, gleaned from a variety of sources, with their practitioners. The shifting paradigm of practitioners as information provider to information broker is explored. Useful sites for primary care providers and guidelines for obtaining and evaluating electronically available information is provided. Additionally, caveats in this era of electronic communication are presented.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Across the United States, advance practice nurses (APNs) are increasingly encountering recently immigrated Latin American populations. This article provides an overview of the situation of Latin Americans in the United States and discusses aspects of Latin American culture such as,respeto(respect),confianza(confidence), the importance of family, and the value of a personal connection. Strategies that will assist practitioners to incorporate culturally holistic principles in the promotion of breastfeeding among Latin American women who are new arrivals in the United States are described. If practitioners are to respond to the increasing numbers of Latin American women who need health care services, and also provide thorough, holistic health care then health care activities must be integrated with cultural competence.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Advanced practice nurses (APNs) are challenged to evaluate their practice in light of goals guided by nursing theory. In this specific case study, a nurse consultant, using Parse’s theory of human becoming, evaluated changes in the quality of life from the perspective of the person for patients suffering from genital herpes. The nurse consultant met with the group before (presession) and after (postsession) an APN's 10-week series of seven sessions (person/group-perspective intervention). Analysis of pre- and postsession data uncovered three patterns. These are described with implications for research and practice.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

To identify African-American women's definitions and descriptions of body weight, using King's General Systems Framework and Combs and Snygg’s concept of perception as a guide, focus group methodology was utilized. These women's frame of reference for “ normal body weight” was much larger than the standard indicator for weight and defined weight, normal weight, ideal weight, underweight, overweight, and obesity in terms of their cultural, social, and individual context. By understanding individual perceptions of weight, advanced practice nurses can devise strategies to facilitate weight management in African-American women who may want to lose or need to lose weight for such health-related illnesses as diabetes, cardiovascular disease, or hypertension.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Nursing and other health care providers are challenged to create the future of health care. Health is synonymous with well-being framed holistically, mind, body, and spirit. Disparities are growing in health status for vulnerable population groups and the percentage of people who are uninsured is rising. New approaches to health care are needed in the current age of uncertainty. A comprehensive health promoting organization (HPO) model within an ecological systems framework is described. An operational example is delineated, Welcome Home Ministries HPO.

ISSN:0887-9311    

出版商:OVID    

年代:1999

数据来源: OVID