ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Schizophrenia affects 1 percent of the general population in the United States. Unfortunately, this common illness is often poorly understood and feared by many health care professionals. Whether nurse practitioners who work in primary care are aware of it or not, they inevitably come into daily or weekly contact with schizophrenics. This article is designed to increase nurse practitioners' understanding of this brain disease and help them realize that they already possess skills that are ideally suited to working with this population. Presented here are current definitions and facts about schizophrenia, as well as practical ideas for history taking, physical exam and the development of a realistic management plan.

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

The incidence of extrapyramidal symptoms in persons taking neuroleptic medications is reported in a majority of patients and can be a contributing factor to non-compliance with prescribed regimens. This protocol was developed to assist the nurse practitioner in assessing and treating these symptoms as well as aiding in determining when to consult and/or refer a patient for further treatment and follow-up.

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Knowledge of the expected pattern of fetal movements is important to both health care providers and childbearing women since altered patterns can signal fetal compromise. The daily fetal movement count (DFMC) chart, a tool that is inexpensive, uncomplicated and non-invasive, is a clinically effective means of screening for fetal well-being after 20 weeks' gestation. The DFMC requires pregnant women to begin a fetal movement count at a selected time each day, count 10 movements and record the elapsed time from the first to the tenth movement. Findings which would indicate possible danger to the fetus, and which should be reported immediately, include less than 10 movements in 12 hours; no perception of movement in an eight-hour period; a change in the usual pattern of fetal movement; or a sudden increase in violent fetal movements followed by complete cessation of movement. Development of fetal movement assessment, fetal movement recording methods, teaching patients the DFMC method and nursing implications are described in this article. Use of the DFMC by nurse practitioners can enhance the physical and emotional well-being of pregnant clients.

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Since the inception of the nurse practitioner role, numerous studies have focused on the characteristics of NPs, including their educational preparation, their practice settings, demographic characteristics of clients, cost analysis, and the quality of services within a medical context. The two major conclusions of the majority of these studies have been that the delivery of health care by nurse practitioners has been fully accepted by patients, and that nurse practitioners are competent in the delivery of quality care. A brief historical overview of nurse practitioners is presented; the major methodological and conceptual issues of nurse practitioner research are reviewed. Views on practice issues and nursing theory development are shared, and directions for future nurse practitioner research are explored.

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

An information synthesis was conducted to examine nurse practitioner effectiveness as substantiated in existing literature. After an extensive computerized and manual search of the literature, 248 documents judged by staff to be relevant to the topic were reviewed by a content-area expert (N = 11 members), and a methodology expert (N = 8 members). Experts had been chosen on the basis of multiple nominations from an extensive national survey of professional nurses in leadership positions. Upon completing the respective reviews, experts identified key areas in support of NP effectiveness that had not been established or clarified in existing literature. A summary and discussion of the experts' recommendations for future studies in support of nurse practitioner effectiveness are presented.

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1987

数据来源: OVID