摘要:

With increasing health care costs, public health agencies and other institutions have a critical need for master's‐prepared nurses who can provide health care for common health problems of individuals and families but also assess, plan, intervene, and evaluate the needs of communities. This article describes the development of a nursing master's degree program to meet that need which combines the traditional roles of the nurse practitioner and the community health nurse. The program is based on the global concept of primary health care as defined by the World Health Organization, which includes more emphasis on economic, political, environmental, and social factor

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1991.tb01079.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

According to the 1988 National Household Survey conducted by the National Institute on Drug Abuse, cocaine use among the total population has decreased. This same survey also reported an increase in cocaine use among chronic abusers of the drug. As cocaine use has increased among the abuser population, so has the number of emergency room admissions for cocaine‐related complaints; moreover, these patients were admitted with primarily cardiovascular complaints. It is important for the nurse practitioner to recognize the cardio‐toxic effects of cocaine abuse. Cocaine abuse should be part of the differential diagnosis in patients with cardiovascular complai

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1991.tb01080.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Decisional incapacity is the inability to make decisions for oneself caused by mental or physical impairment. With technologic advances in health care and the growing proportion of elderly in American society, the problem of decisional incapacity occurs more frequently. In the past, medical decision making was based on the principle of beneficence, and the judgment of others was used to determine medical interventions. The current trend is to base decisions as much as possible on the principle of patient autonomy. Advance directives allow for the greater use of this principle.The primary care nurse practitioner (NP) can take an active role in promoting patient autonomy by helping the adult patient plan for decisional incapacity. By including the value history as a routine part of the health history, the NP can help patients identify their beliefs, values, and attitudes about health care. This documented value history can then be used to provide evidence of a patient's wishes should he or she become decisionally incapacitated.

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1991.tb01081.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Teenage pregnancy is a complex issue in the current sociopolitical milieu. The enactment of abortion laws adds to the complexity of the problem, involving moral and ethical issues, as well as social, economic, and health status consequences that should be considered in the development of legislation surrounding this issue. The tree of impact diagram is a mechanism for forecasting possible consequences of abortion laws. Historical, social, developmental, economic, and legal forces are considered in creating the tree of impact in relation to the health and well‐being of teenage mothers and their childre

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1991.tb01082.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1991.tb01083.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

The purpose of this study was to ascertain adolescent perceptions of health concerns and to contrast the health care provider perceptions of adolescent concerns. The student sample consisted of 179 students from the 9th, 10th, and 11th grade in a 2,000‐student suburban high school. The health care provider sample consisted of 74 physicians, nurse practitioners, and school nurses.The largest number of students reported concerns about AIDS, schoolwork, making friends, sex, discrimination, and dental problems. Additionally, menstruation, violence, rape, abuse, pregnancy, sadness, and obesity were of concern to a greater number of female than male students. Homosexuality, sex, auto accidents, and low weight were of concern to a greater number of male than female students.The findings of this study support the following conclusions: (a) Adolescents have more diverse health concerns with greater magnitude than expected by health care providers; (b) health care providers underestimate adolescent psychological and social health concerns; (c) female adolescents were more concerned about their health and more concerned about gender‐specific and violent issues than males; (d) women's health care providers are unaware of female adolescent concern about violent acts against wo

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1991.tb01084.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1991.tb01085.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1991.tb01086.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1991.tb01087.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:1041-2972    

DOI:10.1111/j.1745-7599.1991.tb01088.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY