bluuebunny/crossref_metadata_2025_split huggingface dataset:
Educating Rural Home Health Care Nurses in Respiratory Assessment: An Evaluation Study
Authors: Clarke John H. , Goggin Joyce E. , Webber‐Jones Joan E. , Vacek Pamela M. , Aderholdt Suellen 
Published: May 2007

AbstractBecause nurses in rural home health agencies function as monitoring agents for the health care team, their role has grown to include increased patient assessment responsibilities. The rural setting, however, can prevent nurses from receiving the kind of training that enables them to provide accurate assessment data to their teams. In Vermont, an educational program in respiratory assessment was built into the work load of 34 nurses in five rural home health agencies. Using a collaborative, individualized training plan, this study aimed to determine the number of interactions with a trained assessment educator that would bring nursing assessment skills to an optimal level. Learners' scores in inspection, palpation, and percussion increased significantly after 10 collaborative training visits, holding steady through a six‐month posttest. Significant change in auscultation skill occurred after 20 collaborative visits, but returned to preinstruction levels at the six‐month posttest. The study points to the potential of collaborative education for home health nurses, accommodating both the need for educational experience and the constraints against education within the dispersed rural health care system.
Assessment of Clinical Nursing Practice in a Rural Decentralized Case‐Management System
Authors: Schwab Sallyann , Pierce Patricia M. 
Published: May 2007

AbstractThe purpose of this study was to determine the usefulness of an instrument developed to assess the practice of 14 experienced nurses providing case management within a decentralized, nurse‐based case‐management system. The instrument was based on nursing process concepts. The nurses designed complex care plans for chronically ill children and coordinated the many services necessary to assure appropriate, home‐based implementation of therapeutic regimens. Findings were that in 91 percent of the practice encounters, the purpose of the visit and subsequent plans for care were consistent with the needs of the child and family. Assessment areas identified as needing improvement were psychosocial, developmental, and nutritional. Reliability of the instrument was 0.91 using Cronbach's alpha. In addition, the instrument proved to be an acceptable method for supervisors to assess the practice of experienced nurses.
Health Promotion in Zaire: Time Perspective and Cerebral Hemispheric Dominance as Relevant Factors
Authors: Butrin JoAnn , Newman Margaret A. 
Published: May 2007

AbstractThis investigation was carried out in an attempt to understand the diminished interest of Zairian villagers in health‐promoting programs. Time perspective and cerebral hemispheric dominance were examined in educated and noneducated groups. The sample consisted of 50 Zairians who had received six years of education and 50 who had had no education. The instruments used to determine hemispheric dominance were the Street and similarities tests. For time perspective the circles test was employed. Findings indicated that Zairians exhibit greater right hemisphere ability than left. The educated group demonstrated greater left hemisphere ability and greater future orientation than the noneducated group, the latter expressing a predominantly present orientation. These results suggested that visual spatial tasks will be more readily assimilated in this population than verbal linear tasks. Also, health promotion efforts for the noneducated group may have to focus on present activities rather than future results.
The Social Networks of Terminally III Skid Road Residents: An Analysis
Authors: McGrath Barbara Burns 
Published: May 2007

AbstractWith the progression of a terminal illness, a person's need for resources and social support increases. Recently developed home care programs, based on the hospice philosophy, depend heavily on active participation by the family's network in delivering care. This model is based on a middle‐class orientation to family relationships. Persons with nontraditional lifestyles are at high risk for being placed in an institution when they are unable to care for themselves. Social network analysis was used to assess the supportive aspects of networks that have potential for caregiving during the terminal phase of a disease. Eight men with lung cancer who resided in Seattle's Skid Road were interviewed to obtain demographic, social network, and support data. Descriptive statistics and content analysis were used to analyze the data. The men in this study shared many similarities in lifestyle and had small, highly dense networks. Although it was of a limited nature, social support did exist within the networks analyzed.
Research Among Haitian Village Women: Implications for the Nurse's Role in Health Education
Authors: Gustafson Marilyne Backlund 
Published: May 2007

AbstractThe study questioned whether pictorial messages are accurately recognized and self‐explanatory to nonliterate Haitian village women. Theories of visual literacy from anthropology, psychology, and international health education formed the base for the study. A descriptive survey method was employed with a structured interview used to gather responses to health education pictures and demographic/life history data. Findings indicated significant differences in recognition traceable to content and complexity of the pictures and place of residence. Schooling was less important; and age and employment as a maid had no significant impact. Responses of urban dwellers were more accurate than those of rural women. The conclusions were that baseline studies and pretesting are essential if visual media are to be used with nonliterates. These findings were seen as important for teaching clients from ethnic groups or immigrants with a similar lack of experience with pictures.
Modular Curriculum Development in Community Health Nursing
Authors: Weitzel Ann R. , Robinson Mary Ellen 
Published: May 2007

AbstractIntegrated curricula for baccalaureate education in nursing have many advantages but present problems for faculty. Several problems were identified in our community health nursing curriculum. For example, difficulty coordinating theory with clinical practice, lack of structural organization for the curriculum, inadequate coverage of key areas such as epidemiology and community assessment, and lecture format made it difficult to meet the learning needs of different student groups such as returning registered nurses and other adult learners. A modular community health nursing curriculum was developed. Not only were the instructional problems resolved, but satisfaction with the curriculum was expressed by both faculty and students.
Appointments for Adolescent Pregnancy and Family Planning: The Effects of Delays in Providing Services
Authors: Moore Marvin L. 
Published: May 2007

AbstractWith the tremendous increase in the number of teenage females seeking family‐planning services have come problems of overcrowded clinics and long delays in providing needed services. This study examined the impact of these long delays at a local health department family‐planning clinic on appointment failures and pregnancy prevention. Results indicated that, over a six‐month period, while established clients generally kept scheduled appointments, perspective clients had a substantial failure rate. Ako, in the six months, at least nine teens became pregnant while awaiting family‐planning appointments.
DRG Ripple Effects on Community Health Nursing
Authors: Phillips Elayne Kornblatt , Cloonan Patricia A. 
Published: May 2007

AbstractProspective payment by diagnosis‐related groups (DRGs) has influenced hospital care in at least two ways: patients are experiencing shorter hospital stay and they are being discharged in a less healthy state than in the past. As a result, home health agencies are reporting an increase in the number of patients needing services, with the majority of these patients being sicker, older, and requiring more complex care. As hospital‐based care shifts to community care, the impact on community home health agencies continues to increase. To date, little has been written about role changes for community health nurses, especially home health nurses, as a result of the ripple effect of DRGs. The authors suggest likely changes in the caring, counseling, and coordination aspects of the nurse's role. The community health nurse's role is evolving into one that requires expertise in advanced technologies, more sophisticated assessment and counseling skills, and a more comprehensive case management component. Concomitant alterations must be made in resource requirements and distribution. Such changes provide opportunities for innovative and creative nursing strategies.
Recollections of Nursing and Health Care in the Soviet Union
Authors: Fahey Walter S. 
Published: May 2007

AbstractI led a party of British nurses on an Interchange of London study tour of Moscow and Leningrad early in 1986. The limitations inherent in a short tour, in which the visits were strictly organized by our hosts, are appreciated, but the party was able to visit examples of the three main institutions of care in which Soviet nurses work and to spend two evenings in informal discussion with nursing personnel. The interpretation of findings is my own and does not necessarily assume complete objectivity. Nevertheless, I have attempted to discuss data dispassionately and feel that information obtained is relevant and interesting in its own right. I have no doubt that we were shown the very best of Soviet nursing and health care, and no claims are made as to how representative the particular polyclinic, ambulance center, and hospital visited are of those in the USSR as a whole.
New Horizons for Home Health Care: Responses to Prospective Payment
Authors: Matchefts Ho Mary 
Published: May 2007

AbstractThe implementation of hospital reimbursement on the basis of diagnosis‐related groups and on its effect on home health care is explored. The issue is examined in relation to the types of services now being requested of home health care agencies and how agencies have responded. Implications of a diagnosis‐related group system of reimbursement for home health care services, are also considered.
Nursing Theory and Public Health Science: Is Synthesis Possible?
Authors: Hanchett Effie S. , Clarke Pamela N. 
Published: May 2007

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.
Self‐care, Health Locus of Control, and Health Value Among Faculty Women
Authors: Lakin Jean A. 
Published: May 2007

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. T tests, analysis of variance, chisquare, and Pearson product moment correlation coefficients were used to test hypotheses. A predicted positive correlation between ESCA and internality (P 0.001) and a negative correlation between ESCA and chance (P 0.001) were supported. Results also supported hypotheses of relationships between ESCA and health value (P 0.05), health status (P 0.001), and satisfaction with health (P 0.001).
Development of Public Health Nursing Literature
Authors: Carr Ada M. 
Published: May 2007

Historical ReprintThe annotated bibliography, in edited version, that follows was first published in its entirety 62 years ago in Public Health Nurse; February 18(2):83‐90, 1926. It was first presented as a paper at the Fifth International Congress of Nurses, in Helsingfors, Finland, July 1925. The author, and editor of the journal, Ada M. Carr, acknowledged the assistance of Lavinia Dock, Adelaide Nutting, and A. M. Peterkin. The latter was general superintendent, Queen Victoria's Jubilee Institute for Nurses, London, England. For convenience, Carr divided the literature review into three time periods: 1860‐1900, 1901‐1912, and 1913‐1925. Although she offered the caveat “… this sketch of public health nursing literature cannot in any sense be considered exhaustive,” one cannot help being impressed with the amount and quality of writing published during these years.Ruth N. Knollmueller, M.P.H.Historical Editor
Florence Nightingale and the India Sanitary Reforms
Authors: Hays Judith C. 
Published: May 2007

AbstractAfter the Crimean War, Florence Nightingale persisted in researching the health conditions of British troops throughout the Empire. Undaunted by geographic limitations, she surveyed and publicized data that documented the mismanagement of living conditions and health care among the occupational forces on the Indian continent. Nightingale proposed widespread changes in the reporting of military health status and biostatistics, in sanitary engineering, and in self‐care activities. With dogged persistence, she continued to gather follow‐up data to measure the changing health status of soldiers in a land she never saw.
Improving EPSDT Use: Development and Application of a Practice‐Based Model for Public Health Nursing Research
Authors: Selby Maija L. , Riportella‐Muller Roberta , Sorenson James R. , Walters Clara R. 
Published: May 2007

AbstractThe purposes of this article are to describe the process of adapting an existing model to create a framework suitable for public health nursing (PHN) practice and to demonstrate how the resulting model can guide research for PHN practice. Using the PRECEDE (predisposing, reinforcing, and enabling causes in educational diagnosis and evaluation) model as a base, we synthesized concepts of health behavior, health education, health promotion/disease prevention, and program evaluation to develop a model for planning and evaluating aggregate‐level PHN interventions to improve the use of the Early and Periodic Screening, Diagnosis, and Treatment Program (EPSDT) in rural North Carolina. The model provided the framework for identifying variables relevant to EPSDT use, designing interventions to improve use, and planning a research evaluation of the effectiveness, efficacy, and cost effectiveness of the interventions. This model, and the process used in adapting it for PHN practice, should be helpful for others investigating methods of reaching and bringing effective health‐promotion/disease‐prevention information to underserved, low‐education members of minority groups.
The Albrecht Nursing Model for Home Health Care: Implications for Research, Practice, and Education
Authors: Albrecht Mary Nies 
Published: May 2007

AbstractHome health care has become increasingly popular with consumers. Despite this movement of care away from the hospital, the literature does not contain a comprehensive nursing model of home health care. The need for a model to guide nursing research and ultimately, nursing practice and education is apparent. Four health service delivery models are available to be applied to home health care nursing; however, analysis of all four demonstrates a need for one specific to home care nursing.
The Dependency at Discharge Instrument as a Measure of Resource Use in Home Care
Authors: Edwardson Sandra R. , Nardone Patricia 
Published: May 2007

AbstractThe dependency at discharge instrument, developed to evaluate the needs for care of hospitalized patients on the day of discharge, was tested for its usefulness in measuring resource consumption in home health care. The instrument evaluates dependency in relation to bathing/hygiene, activity, technical procedures, and monitoring signs and symptoms. The sample used in this study consisted of 150 subjects admitted to one of three types of home health care agencies. Interrater reliability and internal consistency of the instrument were high. Factor analysis produced results similar to those of the developers for three of the four scale items. The item concerning need for assistance with procedures had a much lower loading, indicating that it had little in common with the other items. Criterion‐based validity was measured by testing the instrument's ability to predict the number of registered nurse and home health aide visits, and length of enrollment. Findings indicated that the instrument had a modest level of criterion‐based validity in predicting the use of registered nurse and home health aide services for the hospital‐affiliated agency, but was relatively ineffective for public health and for‐profit agencies.
Relationship Between Cross‐Cultural Health Attitudes and Community Health Indicators
Authors: Champion Victoria L. , Austin Joan K. , Tzeng Oliver C. S. 
Published: May 2007

AbstractImproving health standards both nationally and cross‐culturally is a goal for all community health nurses. Previous research has supported links between health attitudes and behavior. The purpose of the present study was to investigate the relationship between attitudes toward health and indexes of community health using a cross‐cultural data set. Concepts selected from the data set were I (myself), body, sickness, disease, life, doctor, health, medicine, hospital, nurse, death, and insane. Community health indicators were male and female life expectancy, infant mortality, economic and public health expenditures, and net social progress. The original sample included 1200 high school males within each of 30 language and cultural communities. Data were derived from students' ratings of the dimensions of evaluation, potency, and activity for each concept. The results supported the association between attitudes and objective community health indicators. Unexpected negative correlations were found between attitudes toward medicine and nurse attitudes toward body and life, perhaps indicating that extended contact with health care providers may result in negative attitudes toward them. Positive relationships were found between public health expenditures and nurses, indicating that in countries with more expenditures for community and public health, attitudes toward nurses were more positive.
Sociodemographic Factors Associated with AIDS Knowledge in a Random Sample of University Students
Authors: Robb Heidi , Beltran A. Eugenio D. , Katz Dolores , Foxman Betsy 
Published: May 2007

AbstractA telephone survey was used to assess knowledge of the transmission, prevalence, and infectivity of acquired immunodeficiency syndrome (AIDS), and the safety of casual contact among 214 randomly selected university students. Males were more knowledgeable than females overall (odds ratio [OR], men/women = 4.8). Although most students understood the dangers of unprotected sex and intravenous needle sharing, up to 30% believed some kinds of casual contact (e.g., shared eating utensils) can transmit AIDS. Older students (≥ 23 yrs) were more knowledgeable than those 17 to 19 years old about the safety of casual contact (OR = 3.8). Students are in need of education programs that stress the ways AIDS is not transmitted. Since most students identified newspapers and television as their main sources of information, these may be effective vehicles for education efforts.
Restructuring the Role of School Nurse in Health Promotion
Authors: Barnfather Janet S. 
Published: May 2007

AbstractFor more than two decades an enduring relationship between years of formal schooling and improved health status has been emerging as noteworthy. School nurses are currently in place to focus more attention on refining how this relationship can be maximized in clinical practice. A brief review of the theoretical framework, modeling and role‐modeling, is presented, including application to a case study depicting how the school nurse used theory‐driven nursing process for health promotion.
Prevalence of Hypertension Risk Factors Among Hispanic Americans
Authors: Bray Martha L. , Edwards Linda H. 
Published: May 2007

AbstractA program of blood pressure screening, education, and follow‐up was established to meet concerns that Hispan‐ics were at risk for hypertension and related health problems, including access to health care and information. The program provided opportunities to gather data on hypertension risk factors and general health status of the Hispanic population. Bilingual community workers provided blood pressure screening through a door‐to‐door survey of 3399 adults. In addition, the workers provided general and preventive hypertension education, obtained health histories, and referred identified health problems. All 203 persons identified with hypertension were assessed further and followed by public health nurses. Of these, 67 were referred to physicians for care. Referrals for other types of health problems were made for 1603 persons. Significant risk factors identified for hypertension were excessive alcohol intake, obesity, and frequent use of processed foods. A total of 871 persons reported at least one symptom of stress.
In vitro evaluation of prestorage pools consisting of mixed A and O platelet concentrates
Authors: Sweeney Joseph , Kouttab Nicola , Holme Stein , Cheves Tracey , Nelson Ed 
Published: May 2007

BACKGROUND: Current FDA regulations allow the prestorage pooling of whole blood–derived platelet concentrates (PCs) of identical ABO type in a recently cleared platelet (PLT) pooling bag (Acrodose, Pall Medical). It is unclear how ABO‐mixed PC pools would store if pooled before storage.STUDY DESIGN AND METHODS: Pools consisting of ABO‐identical PLTs and mixed A and O PLTs in varying proportions were evaluated on Days 1, 5, and 7 of storage with measures of the PLT storage lesion, lymphocyte activation, and activation of the complement and coagulation system. Data were analyzed by analysis of variance.RESULTS: Pools did not differ on Day 7 in pH (p = 0.63), hypotonic shock response (p = 0.25), extent of shape change (p = 0.26), morphology score (p = 0.18), or white cell count (p = 0.79), but surface P‐selectin expression was more evident in the ABO‐mixed pools (p = 0.02). Small microscopic clumps of PLTs were observed in all pools, but were more prominent in the ABO‐mixed pools (p < 0.01). PLT counts, however, did not differ between pools (p = 0.93), indicating that only a small proportion of PLTs were clumped. Surface A‐antigen expression was proportional to the number of A PCs in each pool and did not vary between study days. Anti‐A1 titers were either unchanged or decreased by one dilution. Complement and coagulation activation markers did not differ between pools.CONCLUSION: Pooling A and O PCs is associated with evidence of increased microscopic PLT clumping and activation, but these differences are not exacerbated with 7‐day storage. Other major measures of PLT quality do not differ, and there was no evidence of a mixed lymphocyte reaction.