摘要:

Performance appraisal can be an emotionally charged experience for both the supervisor and the employee. The accuracy of the appraisal is dependent not only upon the evaluator, but also upon the appropriateness of the tool being used for the task. An employee's career advancement, professional development, monetary remuneration and self-esteem often may depend upon the final outcome of the process. A group of nurse practitioners practicing in a wide variety of clinical and administrative roles at the Johns Hopkins Hospital formed a task force to develop a performance appraisal tool that would adequately reflect the nurse practitioner role and that could be individualized according to the work setting. A general overview of the development process, the tool, its scoring system and instructions for implementation are presented.

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

An inability to sleep or sleep prematurely ended or interrupted by periods of wakefulness (insoninia) are some of the most frequent complaints heard from patients. Insomnia can be sitciationally related or persistent in nature. Persistent insoninia niay be associated with biological rhythm disturbances, drug dependency, psychophysiologic abnormalities, psychiatric disturbance, sleep apnea syndrome or noctural myoclonus. This article describes these pathologies, gives clues toward differential diagnosis, suggests patient subgroups that would benefit from referral for specialized evaluation at a sleep disorder center and describes current treatment options.

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Clinical assessments of the degree of airway obstruction in asthma are known to be unreliable. Objective measurements of pulmonary function are essential to assessing the severity of asthma. Recently. an inexpensive, portable machine, the Mini-Wright Peak Flow Meter, has become available for clinic and home use. This article describes ways the nurse practitioner can use this meter to improve diagnosis and treatment ofasthma. Peak flow measurements can be used to diagnose asthma, and are especially useful in atypical and severe presentations of the disease. Treatment is enhanced by both clinic and home monitoring of response to medications. Regular home monitoring can also improve patients' abilities to provide self-care. Several examples from a case study are given which illustrate the usefulness of home monitoring in medication management, in detection of diurnal variation ofthe asthma and i n the identification ofacute illness.

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Maternal-infant attachment theory is another example of a theory borrowed from one discipline and adapted to another. Ethological observations of species-specific behavior exhibited by animals at the time of birth generated the hypothesis that perhaps humans also had species-specific behaviors which could have lasting effects on the relationship between mother and baby. While one cannot generalize the attachment theory, it has opened the way for a more humanistic approach to birthing.

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Treatment of pain is common to all nurse practitioners' practices. One treatment method appropriate for use by the nurse practitioner is acupressure. Upon reviewing the professional literature, a paucity of information on acupressure was discovered. This article uses acupuncture theory and research to provide a theoretical basis for the use and study of acupressure. A description of how to locate and stimulate an acupoint useful for the treatment of headaches resulting from shoulder muscle tension is presented.

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1985

数据来源: OVID