ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1989.tb00736.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Nurse practitioners are one of the most unique innovations in health care delivery in recent decades. In this article, Roger's innovation‐diffusion theory is applied to an analysis of the evolution of the nurse practitioner role. The four elements of the diffusion process, the innovation, communication, time, and social system, are addressed. Consequences of the innovation‐diffusion process, as well as research implications, are presen

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1989.tb00737.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Effective case presentations are an important component of the nurse practitioner's skills, yet very little literature exists to guide the development of this skill, and frequently little priority is given to teaching this skill during the education of the nurse practitioner. This report discusses the importance of effective case presentations, describes the organization of the presentation, and outlines the appropriate information to be included. The main components of a case presentation—introduction, history of the present illness, physical examination, diagnostic studies, differential diagnosis, management, and summary of the case—are discussed in detail. Examples of a formal and an informal case presentation are presented and used to illustrate key points in the t

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1989.tb00738.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Most people who smoke want to quit. Smoking is a combination of nicotine addiction, psychologic dependency, and habit. Nurse practitioners are in a unique position to influence clients to stop smoking. The authors discuss individual and group therapy programs and the role of the nurse practitioner. Nurse practitioners are encouraged to start smoking cessation programs in their communities.

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1989.tb00739.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Adolescent women who are sexually active often do not use contraceptives consistently and correctly. Adolescents are sexually active for an average of 15 months before initiating regular contraceptive use and the majority of young women who initiate use discontinue within the first year after initiation. This study enrolled 50 young women who initiated oral contraceptive use and was designed to provide more understanding of their perceptions about the possibility of an unplanned pregnancy and about contraceptive use. They were again contacted 6 weeks after initiation of oral contraceptives to assess continuation. Findings revealed that 90% of the subjects were sexually active at the time of the first visit; the mean period of sexual activity was 15 months. Only 30% had used a nonprescription birth control method during this period. While perceiving themselves to be highly susceptible to pregnancy, many young women continue to have psychosocial barriers to contraceptive use. Follow‐up contact revealed more than 10% of the subjects were not using oral contraceptive

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1989.tb00740.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

This article presents results of a descriptive study designed to assess the need for Family Nurse Practitioners (FNPs) in Florida. The need for FNPs was examined within the context of the current crisis in access to health care in the United States and in Florida, where unique features of the state's population and economy combined to create inequities in the health care system. Data were also collected related to the number of primary care agencies already employing nurse practitioners, the educational preparation of these nurses, and the likelihood of agency nurses enrolling in an FNP program if such a program were available. A ten‐item questionnaire was mailed to nursing service administrators at 330 health care agencies involved in the delivery of primary care. Ninety‐seven questionnaires were returned. Results from the study indicated that the agencies will require increased numbers of primary care providers in the next 5 years. Further, a minority of nurse practitioners are prepared at the Master's level in the surveyed agencies, suggesting a need for increased educational opportunities for nurses if they are to enter advanced practice. The study represents one approach to establishing needs for FNPs that might be used in other states both to develop educational programs and to influence legislators regarding health and nurse practitioner issues affecting access to c

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1989.tb00741.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1989.tb00742.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1989.tb00743.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY