bluuebunny/crossref_metadata_2025_split huggingface dataset:
We're Going to Be Accredited
Authors: Berenice Beck Sister M. , Knollmueller Ruth N. 
Published: May 2007

Historical Reprint This article is reprinted from Trained Nurse; April 100:459–62, 1938. We are indebted to Nettie Birnbach, Ed.D., R.N., Associate Professor, Graduate Nursing Program of the State University of New York‐Brooklyn, for identifying this article for us, and we hope that you will enjoy it.M. Berenice Beck, Ph.D., R.N. founded the baccalaureate program in nursing at Marquette University in Milwaukee. She was one of the first members of the nursing profession to earn a doctoral degree. Beck participated in development of ANA's Code for Nurses, adopted by the house of Delegates in 1950. She was inducted into the Nursing Hall of Fame in 1986.
Public Health Nursing Initiatives: Guideposts for Future Practice
Authors: Erickson Grace P. 
Published: May 2007

AbstractNursing's position in local health care has reportedly been undermined by role confusion and fragmented delivery of services. A review of public health nursing history uncovered a strong model for relevant practice, role expansion, and program definition. This research considered current practice in relation to the time‐honored model developed by Lillian Wald. The study described public health nursing practice in 15 municipal and district health departments in Connecticut that have primary foci of health promotion and disease prevention. We found that wide diversity in program responsibility followed variable local health care delivery patterns and resulted in disparate breadth and depth of service components. However, there was general recognition of factors that affect service delivery, such as increased numbers of children attending day‐care; growing populations of elderly, chronically ill, and handicapped persons; and the mainstreaming of special‐education students. The educational level of nursing personnel was close to the national average. Characteristics of current practice were then correlated to those of the past. The essence of public health nursing remained strong, and the initiatives of the early pioneers were relevant guide‐posts for strengthening contemporary practice and community leadership.
A Checklist To Assess the Need for Home Health Care: Instrument Development and Validation
Authors: Garrard Judith , Dowd Bryan E. , Dorsey Beverly , Shapiro Janet 
Published: May 2007

AbstractThe development of a one‐page checklist is described, and results of validity and reliability studies are reported. The purpose of the checklist is to help practitioners assess the health status of patients upon discharge from adult or pediatric stations. The form was designed and validated for routine use by nurses on in‐patient stations. A pre‐post study of the effect of the prospective reimbursement plan on a teaching hospital‐based home health service in which the instrument is being used is described.
Resident provider Contrasts in Community Health Priorities
Authors: Ruffing‐Rahal Mary Ann 
Published: May 2007

AbstractCommunity analysis projects simultaneously conducted throughout a metropolitan area revealed a consistent contrast between community health priorities voiced by residents and by health care providers. Residents were primarily concerned with threats to environmental health, often inadequately understood, in their home communities. Providers focused on specific health needs of age aggregates, such as the elderly and children, within the existent health care framework. Findings underscore the critical issue of sample representativeness as a validity check in surveys purporting to ascertain “real” community health agendas. Similarly; the timeliness of an ecologic model for community health nursing practice is supported.
Health Orientation, Beliefs, and Use of Health Services Among Minority, High‐risk Expectant Mothers
Authors: Dawkins Cecilia , Ervin Naomi , Weissfeld Lisa , Yan Alice 
Published: May 2007

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 maternal clients.
Health Promotion, Education, Counseling, and Coordination in Primary Health Care Nursing
Authors: Brown Marie Annette , Waybrant Kathleen M. 
Published: May 2007

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 framework.
Curriculum Analysis of Home Health Content in Associate Degree and Baccalaureate Degree Nursing Education
Authors: Zink Margo R. 
Published: May 2007

AbstractA statewide study was done with five associate degree (ADN) and five baccalaureate degree (BSN) nursing programs in Georgia to examine the similarities and differences in curriculum based on a nationally used model. From this overall study, select content related to community/home health care was evaluated in the sample programs. Professional standards for community and home health care nursing practice, as well as other published literature on the topic, provided a basis to determine competence to practice. Data were collected through a taped telephone interview to all program chairpersons (N = 10) and mailed questionnaires to faculty involved with all required courses (N=110). Content analyses of responses allowed for evaluation of frequency of these learning activities between ADN and BSN programs and among BSN programs in the areas of family, teaching, interdisciplinary collaboration, physical assessment, and leadership. Overall, the results indicated lack of conclusive data to support a distinct difference in these educational components between the ADN and BSN sample or among BSN programs. The study was intended to servce as a basis for home health care curriculum development in the future.
Assessment of Growth: Is One International Growth Reference Sufficient?
Authors: Edwards Joy , Morse Janice M. 
Published: May 2007

AbstractThere is no definitive conclusion concerning the long‐debated issue of whether one international growth reference is sufficient for assessing the growth of all children regardless of racial background. Although nurses and health professionals in North America primarily use the National Health Centre for Health Statistics growth reference data to identify atypical growth, recognizing potential abnormalities in non‐Caucasians remains difficult. After exploring the issues surrounding this question, the authors concluded that an international growth reference is required to provide a common point of comparison of growth for the population groups from different countries. Arguments can be made for developing reference standards for particular racial groups, although several difficulties and limitions preclude this.
Home Health Agency Preferences for Staff Nurse Qualifications, and Practices in Hiring and Orientation
Authors: Kalnins Irene 
Published: May 2007

AbstractThe purpose of this study was to describe home health agency preferences with respect to staff nurse qualifications, and practices in hiring and orienting new staff. An 85‐item home health staff nurse selection and orientation questionnaire was used to collect data from a random sample of 287 midwestern home health agencies in 12 states. Qualifications rated most highly were medical‐surgical experience, venipuncture skills, completion of a physical assessment course, intravenous therapy skills, and patient‐teaching skills. With agency sponsorship (traditional, proprietary, and hospital‐based) as the independent variable, the three types of agencies were significantly different on ratings of six qualifications and six orientation topics. None of the agencies rated a BSN degree as very important or required, and the same was true for completion of a student experience in community health nursing. Preference for qualifications in this study is consistent with increasing acuteness of patients' illness and technologic complexity of home care.
Health‐Promoting Behaviors, Perceived Social Support, and Self‐Reported Health of Appalachian Elderly
Authors: Riffle Kathryn L. , Yoho Jerry , Sams Jessie 
Published: May 2007

AbstractThe purpose of this descriptive correlational study was to examine the relationships among health‐promoting behaviors, perceived social support, and self‐reported health of 113 persons age 55 years and over, who were attending nutrition sites in northern West Virginia. Three hypotheses were formulated: (1) health‐promoting behaviors are positively related to perceived social support; (2) health‐promoting behaviors are positively related to self‐reported health, and (3) perceived social support is positively related to self‐reported health. Only the first two were supported by our findings. Data analysis revealed positive correlations between the average health‐promoting lifestyle profile (HPLP) score and education, and frequency of attending the nutrition site screening clinics for high blood pressure and diabetes. Better‐educated subjects scored higher on selected subscales of the HPLP (self‐actualization and health responsibility). Age was negatively correlated with the HPLP subscales of health responsibility and exercise. Nurses and support personnel at nutrition sites should focus increased attention on the older participants and those who are less well‐educated. Expanding the variety and frequency of health services available to nutrition site participants merits attention.
Reliability and Validity Testing of the Whole‐Blood Hemoglobinometer
Authors: Bigbee Jeri L. , Winter Beverly 
Published: May 2007

AbstractThe whole‐blood hemoglobinometer is an anemia‐screening tool commonly used in public health nursing practice. This study evaluated the reliability and validity of the instrument. Test‐retest, intertester, and intertest reliability were all shown to be strong. Sensitivity was 1.0, specificity ranged from 0.8571 to 0.9024, positive predictive value ranged from 0.6428 to 0.7453, and negative predictive value was 1.0. A small but statistically significant difference in hemoglobinometer versus Coulter readings was found, resulting in a 10% false positive rate.
Health‐Promoting Lifestyles of English‐Speaking and Spanish‐Speaking Mexican‐American Migrant Farm Workers
Authors: Kerr Madeleine J. , Ritchey Deborah A. 
Published: May 2007

AbstractThis study was conducted with 62 Mexican‐American migrant farm workers at four different sites in northern Illinois. An established English and a newly developed pilot Spanish version of the health‐promoting lifestyle profile was used. The concept of health‐promoting lifestyle appeared to be culturally relevant to study participants. English‐speaking migrant workers scored significantly lower than Spanish‐speaking workers on the dimensions of self‐actualization, exercise, and stress management. Patterns of scores among both groups were highest in self‐actualization and interpersonal support, and lowest in health responsibility and exercise. Further research in health‐promoting behaviors with all cultural groups and socioeconomic levels of society will contribute to achievement of the World Health Organization's goal, health for all by the year 2000.
Underrecognition of Morbidity from Stings of the Red Imported Fire Ant in the Southeastern United States
Authors: Owens V. Jann , Malioy Catherine , Schuman Stanley , Caldwell Sam , Bellamy Dene 
Published: May 2007

AbstractThis cross‐sectional study was conducted to determine the health‐seeking behaviors of a group of patients stung by red imported fire ants (RIFA) and the number of nursing referrals resulting in treatment. The following two research questions were asked: (1) Is there a delay in seeking the care of a board‐certified allergist for symptoms of fire ant hypersensitivity? (2) Are nurses referring patients for treatment? The entire population of board‐certified allergists in Alabama, Georgia, and South Carolina (n= 98) was sampled. A questionnaire was developed for the office nurses to use to collect information from allergy patients actually receiving fire ant injections (n= 257). Each patient reported on the reaction, when it occurred as well as age, sex, and county of residence. Descriptive statistics revealed that a delay of a month or more in seeking care of an allergist was experienced by 154 (56%) of patients who completed the questionnaire. The average delay was 1.8 years. The main source of referrals was a general practitioner or emergency room personnel. Nursing and other health professionals must recognize the problem and to institute prompt referral for treatment. In areas where RIFA colonies are spreading, they have to be fully informed and trained in effective primary and secondary techniques to prevent serious reaction to the stings of these ants.
Core Curriculum for Master's‐Level Community Health Nursing Education: A Comparison of the Views of Leaders in Service and Education
Authors: Selby Maya L. , Riportella‐Muller Roberta , Quade Dana , Legault Claudine , Salmon Maria E. 
Published: May 2007

AbstractThis study identified core components of the curriculum for master's‐level community health nurses (CHNs) and assessed whether leaders in service agreed with leaders in education on the importance of these components. Through a mailed survey, 588 leaders in CHN service and education identified the following as the most important to include in the core CHN curriculum: a practicum experience; epidemiology; community health assessment and diagnosis; administration and management, including public health administration, management theory, program planning and evaluation, financial management and budgeting, and quality assurance; research methods and biostatistics; health promotion and disease prevention; intervention at the aggregate level; and leadership theory. These leaders also indicated that skills in both administration and direct care are essential for CHN
External Family Structure and Cohesion: Nursing Perspectives
Authors: Stenvig Thomas E. 
Published: May 2007

AbstractThe family is recognized as a basic unit in the delivery of many nursing services. The dimensions of its structure and cohesion may be important in the development of many family problems and should be assessed in planning nursing interventions in family‐based care. This paper examines the impact of external family structure on the cohesion of a family encountered during a community‐based student clinical experience in communications. External structural I factors were considered in planning nursing interventions to alleviate stress‐related symptoms and conflicts, and to enhance cohesion in clinical work with this family.
Symbiotic and Synergistic Community‐Based Volunteer Home Visiting Program for Postpartum Families
Authors: Misener Terry R. , Knox Patricia D. 
Published: May 2007

AbstractCommunity health nurses who focus on the needs of the community as client, and not simply individual and family services, are aware of the demand for increased services. This demand, however, is usually coupled with the absence of resources to deliver the needed services. Therefore, leaders in community agencies must consider attracting nurses as volunteers to augment resources. Volunteer service can be highly synergistic when a symbiotic relationship exists between the agency and the volunteer. A one‐year volunteer home visiting program was developed to provide services to families with new infants at one U.S. Army installation in the western United States. We assume the program methodology would be successful in civilian communities as well as other client populations.
Public Health Nurse Salaries: Associations with Nurse, Agency, and Community Characteristics
Authors: Nickel Jennie T. , Thomas Grace M. , Eastman Martha A. , Holton Janet D. , Skuly Rosanne H. 
Published: May 2007

AbstractThis study applied an economic framework to the analysis of public health nurse (PHN) salaries, assessing their relationships to nurse qualifications, agency resources, community economic base, and area competition for the nurse supply. Data were obtained through interviews with 125 Ohio health departments and from various state and local reports. Associations between salaries and explanatory variables were analyzed through correlations and stepwise regression models. The PHN salaries were significantly lower and more compressed than salaries for nurses in area hospitals. Agency and community characteristics were more important than nurse education and experience in explaining salary variations. Maximum PHN salary attainable was significantly related to level of health department funding and community unemployment rate. Health departments in rural locations paid lower salaries at both minimum and maximum levels. Evidence suggested the presence of entry‐level wage competition by health departments with both area hospitals and other community nursing agencies. Each 1% increase in minimum hospital nurse salaries was linked to a 0.66% increase in PHN salaries. Findings support the need to improve competitive positions of health departments as nurse shortages intensify.
Community Nurse Executives’Psychologic Weil‐Being: Relationships Among Stressors, Social Support, Coping, and Optimism
Authors: Cohen Jayne Haberman 
Published: May 2007

AbstractThe purposes of this study were to (1) determine the occupational stressors, coping strategies, and sources and types of social support of nurse executives; (2) compare the sample's level of psychologic symptomatology with norms; and (3) examine the effects of stress, social support, and optimism in predicting psychologic well‐being. Public health nursing directors located throughout California participated in the study. Mailed questionnaire booklets were used to collect data from the target population. A subset of the sample participated in face‐to‐face, taped, structured interviews that elicited additional data on nurse executives' work stress, coping strategies, and social support dimensions. Several significant findings emerged. The mean psychologic symptom score for the subjects was greater than the published norm, suggesting psychologic distress. In regression analysis, total number of years in nursing accounted for 14.8% of the variance in psychologic symptoms, the dependent variable. Level of optimism accounted for an additional 29.8% of the variance. Total hassles and co‐worker social support together accounted for 6.57% of the variance in the last step, but were not statistically significant. Interview data identified the major occupational stressors, coping strategies, and sources and types of social support for this group of nursing directors.
Nurse‐Client Interactions in Community‐Based Practice: Creating Common Ground
Authors: Kristjanson Linda , Chalmers Karen 
Published: May 2007

AbstractAlthough research activity is increasingly aimed at examining health outcomes of community health nursing care, little empirical literature systematically describes the nurse‐client interaction. In this pilot study nurse‐client interactions were evaluated to describe their detailed elements. Nineteen such interactions occurring in a Canadian public health department were videotaped by a professional filming crew. The clinical situations included home visits, school health interviews and screening, health classes, and clinic work. The audio portion of the nurse‐client exchanges were transcribed from the videotapes onto a computer and analyzed using content analysis. Semi‐structured interviews were conducted with nurses and clients after the filming to elicit their perceptions of the interactions. Field notes describing nonverbal and contextual data were also collected and analyzed. The central process identified during the interactions was called “creating common ground.” This integrating conceptual schema captured the give and take as each participant defined territory and revealed information. The process varied depending on care context, process skills of the nurse, and willingness of the client to engage.
Challenges for Continuing Education of Public Health Nurses in Florida
Authors: Tappen Ruth M. , Sanchez‐Murrell Marta A. , Hopkins Sheila J. , Donovan Grace , Dolan Jean B. , Moore Nancy 
Published: May 2007

AbstractPerceived continuing education needs among public health nurses at the staff and supervisory levels were investigated. A questionnaire was adapted for each and administered at participating county public health units. Results indicated a high level of agreement between staff nurses and supervisors. Further analysis of the data suggested a relationship between the nurses' perception of continuing education needs and the realities of their nursing practice. Public health nurses, educators, and administrators face the challenge of re‐focusing continuing education needs and activities on the broad scope of this area of specialty.
The Sexual and Contraceptive Socialization of Black Adolescent Males (Black Adolescent Sexuality)
Authors: Tucker Sandra K. 
Published: May 2007

AbstractThe major source, quantity, and quality of sex and contraceptive information African‐American males received as teenagers, and the impact of that information on sexual and contraceptive behavior, were examined among 250 males ranging in age from 12 to 70 years. Mothers were the major sources of sex and birth control information for the adolescent, young adult, and middle adult groups. Fathers and male friends were the second sources most indicated. All of the sample received sex information, and only a small proportion received no birth control information. The amount of sex information received was found to be a significant predictor (P= 0.0018) of the age at first intercourse and the regularity of use of birth control after that. The amount of birth control information received was also a significant predictor (P = 0.0093) of the regularity of use of birth control after the first coitus. Because parents influence their children's behavior through a socialization process, their support of their teenage sons in matters of sexuality and contraception may be of potential value in mitigating the effects of early, unprotected sex.