ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90001-3

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90002-5

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90003-7

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTA questionnaire was designed with these objectives: (1) to determine the frequency and type of adverse exposures experienced by certified nurse‐midwives (CNMs); (2) to determine the extent to which CNMs used recommended precautions to prevent such incidents; and (3) to identify the sources used for obtaining information on AIDS. The questionnaire was mailed to all CNMs with the exception of associate and student members of the American College of Midwives. A response rate of 1,784/2,963 (60.2%) was obtained. These midwives reported frequent exposures to blood and body fluids. Sixty‐five percent reported being soaked to the skin with blood or amniotic fluid; 50.7% had face‐splashes with blood or amniotic fluid; and 24.0% experienced one or more needlestick(s). Only 55.1% reported using Universal Precautions (UP). Interference with the midwife‐client relationship was identified most frequently as the reason for not using UP. Strategies need to be developed for midwives that will increase the use of UP and minimize the frequency of adverse exposures, while maintaining a caring midwife—client rel

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90004-9

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTThis research examines the knowledge and perceptions of HIV infection among pregnant women in a hotel for the homeless in New York City in the Spring of 1987. The primary method of research was participatory observation. Issues examined include knowledge of the modes of transmission, use of preventive strategies, and familiarity with persons who have AIDS.

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90005-0

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTDespite the fact that the profession of nurse‐midwifery and feminism are both disciplines concerned with women and issues affecting women's lives, there has been little investigation or acknowledgment of relationships between their two paradigms. The work presented here is an attempt to discover both similarities and differences between nurse‐midwifery and feminist thought. Using a historical approach, it is shown that despite the common goal of improving and maintaining women's status in the world, whether in general or more specifically with regard to health, feminist theorists and nurse‐midwives, to a large degree, have worked separately from each other, rarely acknowledging in any formal way the importance of the other discipline. Current issues that have an effect on the practice of nurse‐midwifery today—lay midwifery, the profession of nursing, and nurse‐midwifery research—are presented in relation to contemporary fem

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90006-2

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTThe effects of a topical anesthetic used prior to newborn circumcision on the parameters of heart rate, respiratory rate, oxygen saturation levels, seconds of crying time, and overt generalized reaction to the procedure were investigated. In the double‐blind design, an experimental group (n= 20) received 4% lidocaine cream mixed with 500 mg acid mantle cream two hours before circumcision, and a control group (n= 24) received 500 mg acid mantle cream two hours before circumcision. The circumcision was divided into five events with parameters recorded 30 seconds into each event.The results showed a significant difference in the heart rate between the treated and untreated group, but the respiratory rate and oxygen saturation levels did not differ significantly. Seconds of crying time also differed significantly between groups, as did overt generalized response. There were no untoward reactions. Results showed that topical lidocaine, simple and safe to use, reduced parameters associated with pain and stres

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90007-4

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90008-6

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTThe evolution of screening mechanisms, the patient outcomes, and CNM reactions to a voluntary HIV screening at the first prenatal visit are briefly reviewed.

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90009-8

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTThe CDC estimates that 1 to 1.5 million people in the United States arecurrentlyinfected with the AIDS virus. With the increase in numbers of AIDS cases and infection rate, it is vital that health‐care practitioners accurately assess a patient's risk status for AIDS. Two hundred clients from a free‐standing birth center in the Washington, D.C., metropolitan area completed a questionnaire on AIDS. The respondents represented a homogeneous group of white, middle to upper‐middle class, well‐educated women. Five items on the questionnaire involved a self‐assessment of the subject's risk status for AIDS. The results indicated that the questioncontentstrongly influenced the subjects' perception of their risk level for AIDS. Furthermore, a major discrepancy was found between the subject's perceived risk status (2.5% at risk to 29% at risk, depending on the question) and the fact thatallrespondents thought it unlikely that they currently had the AIDS virus or would contract it in the future. Such a discrepancy may reflect possible denial and indicate a need for educational efforts in this area. It was concluded that all known and probable risk factors for AIDS must be presented to the clients so that an accurate assessment of risk can be made. It is through such an assessment that clients can learn about risk behaviors that may need to be altered to avoid

ISSN:0091-2182    

DOI:10.1016/0091-2182(89)90010-4

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY