ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1988.tb00551.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractThe American Public Health Association (APHA) and the American Nurses' Association (ANA) have gone on record to define public health nursing as a synthesis of knowledge (APHA) and practice (ANA) from nursing and public health. If this synthesis is to be consistent with nursing, knowledge will have to be congruent with the concepts of nursing's metaparadigm. Disease is not included within the concepts of person, environment, health, and nursing. The focus of the public health tradition is reflected in the concepts of the epidemiologic model (agent, host, environment). Disease and its prevention are the focus of public health science. Reformulation of concepts from public health to be consistent with concepts of person and environment, replacing the concept of illness with that of health, and using methods for study of aggregates are strategies for achieving a synthesis of these two bodies of knowledge.

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1988.tb00552.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractThis article reports on initial findings of a continuing longitudinal study investigating the relationships of health beliefs as conceptualized by the health belief model and the use of well‐baby services among first‐time black mothers. The health beliefs of mothers about their babies were measured before the babies were born and during their use of the services at the baby's first and sixth‐month visits. Mothers in the sample who became nonusers of the well‐baby services were also interviewed. This report describes the results of the first interview of the 662 females who composed the sample for the study, including the following characteristics of a minority, high‐risk population: health orientation, health beliefs about their unborn babies, and use of health services. These findings are discussed with implications for community health nursing practice with materna

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1988.tb00553.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractThe selection and use of nominal group process as an instructional method in a clinical conference is outlined. A step‐by‐step guide is provided for the instructor interested in using this teaching method. Data obtained from the use of this method with students in a community health nursing rotation yielded the students' perceptions of barriers encountered during clinical experience involving home visits with low income families. The most critical barriers identified by these students included “client's cycle of decreased energy perpetuates poor coping strategies,”“client is present oriented with no plans for future,” and “client lacks resources to access and receive adequate hea

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1988.tb00554.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractThe evolution of advanced nursing practice over the past several decades has stimulated a number of studies of the activities of nurses specializing in the area of primary health care. These studies have ignored the nursing component of nurse practitioners' role in the areas of health care coordination, health promotion, health education, and counseling. We examined the extent to which nurse practitioners reported involvement in these areas in their practices. Study findings pointed to a high frequency of health‐promotion activities, with 98 percent of the respondents reporting this type of care delivered during the reporting day, including health screening, nutrition information, exercise counseling, family planning, education, and risk factor analysis. The most common coordination activities were referrals for mental health, social work or drug rehabilitation, vision services, alcohol problems, and hearing services. Overall, study results supported the assertion that nurse practitioners considered that they provide their clients with a wide array of coordination, health‐promotion, health‐education, and counseling services within a nursing fram

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1988.tb00555.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractCommunity health nurses in county health departments continue to provide disease‐prevention and health‐promotion services to mothers or families with children who are considered well. We lack available instruments with demonstrated reliability that can classify the nursing problems of these clients by type and seventy. The purpose of this pilot study was to determine the reliability of a classification index for well mothers and children in community health nursing practice. The study indicated that Cronbach's alpha was 0.98 for the composite index and that the internal consistency for each of the six component subscales in the index ranged from 0.91 to 0

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1988.tb00556.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractThis paper identifies the similarities and differences between nursing an individual as client and nursing a family as client when one uses the Betty Neuman systems model as a guide to practice. Several factors contribute to the decision to initiate an individual‐ or a family‐centered approach. Within the context of the Neuman systems model, a clinical situation illustrates several characteristics that highlight features of the two approac

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1988.tb00557.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractUsing a randomly selected sample of 104 faculty women at a midwestern university, relationships among health locus of control, health value, and exercise of self‐care agency (ESCA) were investigated.Ttests, analysis of variance, chisquare, and Pearson product moment correlation coefficients were used to test hypotheses. A predicted positive correlation between ESCA and internality (P0.001) and a negative correlation between ESCA and chance (P0.001) were supported. Results also supported hypotheses of relationships between ESCA and health value (P0.05), health status (P0.001), and satisfaction with health (P0.001

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1988.tb00558.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractIn this research project we explored beliefs about healthy aging in an Appalachian community. A major goal was to develop theory for community health nursing interventions that promote and maintain health during the aging process. A convenience sample of 105 community informants responded to an open‐ended interview schedule that elicited beliefs and values of health and aging. The data were analyzed for the purpose of producing grounded theory; a major category that emerged portrayed the aging process as a collection of attitudes about oneself. Health was described as feeling good and being able to enjoy life. The informants reported that health is maintained by good nutrition, exercise, and an environment that is safe and promotes individual growth and development. A beginning theory of independence through self‐care and client involvement emerged from the data analysis. A second component of the theory suggested that to promote healthy aging, nursing interventions should be directed toward aggregate populations. Nursing interventions that are grounded in the understanding of cultural beliefs and practices are likely to be more beneficial to clients than those that ignore or displace such beliefs and practices. This theory has the potential of being extended to a variety of setti

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1988.tb00559.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

AbstractA major determinant of organizational productivity is the design of structures and processes within a functioning organization. Research has focused on structures that contribute to productivity, but has given much less attention to the processes that occur particularly in health service organizations. We examined the relationships of organizational process and productivity in 20 nursing work groups in a sample of local health departments in North Carolina. Analysis focused on level of organizational climate (communication flow, decision‐making practices, motivational conditions, concern for human resources), leadership behaviors, and quality of group interactions. The relationships of these processes to productivity (number of services produced per unit of staff time available) across a series of major departmental services were evaluated, together with implications of findings for strategies to improve the functioning of nursing work group

ISSN:0737-1209    

DOI:10.1111/j.1525-1446.1988.tb00560.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY