WorldWideScience

Sample records for generalist community nurses

  1. An efficacy trial of brief lifestyle intervention delivered by generalist community nurses (CN SNAP trial

    Directory of Open Access Journals (Sweden)

    Fanaian Mahnaz

    2010-02-01

    Full Text Available Abstract Background Lifestyle risk factors, in particular smoking, nutrition, alcohol consumption and physical inactivity (SNAP are the main behavioural risk factors for chronic disease. Primary health care (PHC has been shown to be an effective setting to address lifestyle risk factors at the individual level. However much of the focus of research to date has been in general practice. Relatively little attention has been paid to the role of nurses working in the PHC setting. Community health nurses are well placed to provide lifestyle intervention as they often see clients in their own homes over an extended period of time, providing the opportunity to offer intervention and enhance motivation through repeated contacts. The overall aim of this study is to evaluate the impact of a brief lifestyle intervention delivered by community nurses in routine practice on changes in clients' SNAP risk factors. Methods/Design The trial uses a quasi-experimental design involving four generalist community nursing services in NSW Australia. Services have been randomly allocated to an 'early intervention' group or 'late intervention' (comparison group. 'Early intervention' sites are provided with training and support for nurses in identifying and offering brief lifestyle intervention for clients during routine consultations. 'Late intervention site' provide usual care and will be offered the study intervention following the final data collection point. A total of 720 generalist community nursing clients will be recruited at the time of referral from participating sites. Data collection consists of 1 telephone surveys with clients at baseline, three months and six months to examine change in SNAP risk factors and readiness to change 2 nurse survey at baseline, six and 12 months to examine changes in nurse confidence, attitudes and practices in the assessment and management of SNAP risk factors 3 semi-structured interviews/focus with nurses, managers and clients

  2. The Enigma of Graduate Nursing Education: Advanced Generalist? Specialist?

    Science.gov (United States)

    Reed, Suellen B.; Hoffman, Sharon E.

    1986-01-01

    To pin down the appropriate parameters for graduate nursing education, the authors say we must explore the meanings of advanced generalist and specialist. They discuss the focus, scope, and depth of the community health major, psychiatric mental health nursing, nursing care of children, maternity nursing, medical-surgical nursing, and nursing…

  3. Making Connections: Linking Generalist and Specialist Essentials in Baccalaureate Community/Public Health Nursing Education and Practice.

    Science.gov (United States)

    Kaiser, Katherine Laux; Carter, Kimberly Ferren; O'Hare, Patricia A.; Callister, Lynn Clark

    2002-01-01

    Describes the work of a task force to revise public health nursing curriculum that combined the expertise of the American Association of Colleges of Nursing and specialty organizations. Discusses the current state of community/public health nursing and the model used to identify core professional knowledge and values underpinning the curriculum.…

  4. Two invasive acacia species secure generalist pollinators in invaded communities

    Science.gov (United States)

    Montesinos, Daniel; Castro, Sílvia; Rodríguez-Echeverría, Susana

    2016-07-01

    Exotic entomophilous plants need to establish effective pollinator interactions in order to succeed after being introduced into a new community, particularly if they are obligatory outbreeders. By establishing these novel interactions in the new non-native range, invasive plants are hypothesised to drive changes in the composition and functioning of the native pollinator community, with potential impacts on the pollination biology of native co-flowering plants. We used two different sites in Portugal, each invaded by a different acacia species, to assess whether two native Australian trees, Acacia dealbata and Acacia longifolia, were able to recruit pollinators in Portugal, and whether the pollinator community visiting acacia trees differed from the pollinator communities interacting with native co-flowering plants. Our results indicate that in the invaded range of Portugal both acacia species were able to establish novel mutualistic interactions, predominantly with generalist pollinators. For each of the two studied sites, only two other co-occurring native plant species presented partially overlapping phenologies. We observed significant differences in pollinator richness and visitation rates among native and non-native plant species, although the study of β diversity indicated that only the native plant Lithodora fruticosa presented a differentiated set of pollinator species. Acacias experienced a large number of visits by numerous pollinator species, but massive acacia flowering resulted in flower visitation rates frequently lower than those of the native co-flowering species. We conclude that the establishment of mutualisms in Portugal likely contributes to the effective and profuse production of acacia seeds in Portugal. Despite the massive flowering of A. dealbata and A. longifolia, native plant species attained similar or higher visitation rates than acacias.

  5. Community Nursing Home (CNH)

    Data.gov (United States)

    Department of Veterans Affairs — The Community Nursing Home (CNH) database contains a list of all Community Nursing Home facilities under local contract to Veterans Health Administration (VHA). CNH...

  6. Nursing care community health

    Directory of Open Access Journals (Sweden)

    Diana Acosta-Salazar

    2016-07-01

    Full Text Available Process Nursing Care (PAE is a systematic tool that facilitates the scientificity of care in community practice nurse, the application of scientific method in community practice, allows nursing to provide care in logical, systematic and comprehensive reassessing interventions to achieve the proposed results. It began with the valuation of Marjory Gordon Functional Patterns and then at the stage of diagnosis and planning North American Nursing Diagnosis Association (NANDA, Nursing Interventions Classification (NIC and Nursing Outcomes Classification (NOC is interrelate. It is a descriptive and prospective study. Diagnosis was made by applying the instruments measuring scale of the socio-demographic characteristics, symptom questionnaire for early detection of mental disorders in the community and appreciation for functional patterns. The PAE includes more frequent diagnoses, criteria outcomes, indicators, interventions and activities to manage community issues. alteration was evidenced in patterns: Adaptation and Stress Tolerance, Self-perception-Self-concept-, Role-Relationships, sleep and rest and Perception and Health Management. A standardized NANDA-NIC-NOC can provide inter care holistic care from the perspective of community mental health with a degree of scientific nature that frames the professional work projecting the individual, family and community care.

  7. The importance of neutral and niche processes for bacterial community assembly differs between habitat generalists and specialists.

    Science.gov (United States)

    Liao, Jingqiu; Cao, Xiaofeng; Zhao, Lei; Wang, Jie; Gao, Zhe; Wang, Michael Cai; Huang, Yi

    2016-11-01

    The mechanisms of community assembly are a central focus in the field of microbial ecology. However, to what extent these mechanisms differ in importance by traits of groups is poorly understood. Here we quantified the importance of neutral and niche processes in community assembly for bacteria, habitat specialists and generalists in 21 plateau lakes of China. Results showed that both neutral and niche processes played a critical role in the assembly of entire bacterial communities, shaping a unique biogeographical pattern. A few habitat generalists and many specialists were identified. Interestingly, habitat specialists were only governed by niche process, with seven significant environmental variables-salinity, dissolved oxygen, water transparency, total phosphorus, ammonium-nitrogen, temperature and total nitrogen-independently explaining 40.3% of the biological variation. By contrast, habitat generalists were strongly driven by neutral process, with 50.9% of the variation of detection frequency explained in neutral community model. Only three environmental variables-salinity, total nitrogen and dissolved oxygen-significantly affected the distribution of habitat generalists, independently explaining 13.6% of the variation. Governed by different assembly mechanisms, habitat specialists and generalists presented disparate biogeographical patterns. Our result emphasizes the importance of investigating the bacterial community assembly at more refined levels than entire communities.

  8. Limber Pine (Pinus flexilis James), a Flexible Generalist of Forest Communities in the Intermountain West.

    Science.gov (United States)

    Windmuller-Campione, Marcella A; Long, James N

    2016-01-01

    As forest communities continue to experience interactions between climate change and shifting disturbance regimes, there is an increased need to link ecological understanding to applied management. Limber pine (Pinus flexilis James.), an understudied species of western North America, has been documented to dominate harsh environments and thought to be competitively excluded from mesic environments. An observational study was conducted using the Forest Inventory and Analysis Database (FIAD) to test the competitive exclusion hypothesis across a broad elevational and geographic area within the Intermountain West, USA. We anticipated that competitive exclusion would result in limber pine's absence from mid-elevation forest communities, creating a bi-modal distribution. Using the FIAD database, limber pine was observed to occur with 22 different overstory species, which represents a surprising number of the woody, overstory species commonly observed in the Intermountain West. There were no biologically significant relationships between measures of annual precipitation, annual temperature, or climatic indices (i.e. Ombrothermic Index) and limber pine dominance. Limber pine was observed to be a consistent component of forest communities across elevation classes. Of the plots that contained limber pine regeneration, nearly half did not have a live or dead limber pine in the overstory. However, limber pine regeneration was greater in plots with higher limber pine basal area and higher average annual precipitation. Our results suggest limber pine is an important habitat generalist, playing more than one functional role in forest communities. Generalists, like limber pine, may be increasingly important, as managers are challenged to build resistance and resilience to future conditions in western forests. Additional research is needed to understand how different silvicultural systems can be used to maintain multi-species forest communities.

  9. Bird communities of the arctic shrub tundra of Yamal: habitat specialists and generalists.

    Directory of Open Access Journals (Sweden)

    Vasiliy Sokolov

    Full Text Available BACKGROUND: The ratio of habitat generalists to specialists in birds has been suggested as a good indicator of ecosystem changes due to e.g. climate change and other anthropogenic perturbations. Most studies focusing on this functional component of biodiversity originate, however, from temperate regions. The Eurasian Arctic tundra is currently experiencing an unprecedented combination of climate change, change in grazing pressure by domestic reindeer and growing human activity. METHODOLOGY/PRINCIPAL FINDINGS: Here we monitored bird communities in a tundra landscape harbouring shrub and open habitats in order to analyse bird habitat relationships and quantify habitat specialization. We used ordination methods to analyse habitat associations and estimated the proportions of specialists in each of the main habitats. Correspondence Analysis identified three main bird communities, inhabiting upland, lowland and dense willow shrubs. We documented a stable structure of communities despite large multiannual variations of bird density (from 90 to 175 pairs/km(2. Willow shrub thickets were a hotspot for bird density, but not for species richness. The thickets hosted many specialized species whose main distribution area was south of the tundra. CONCLUSION/SIGNIFICANCE: If current arctic changes result in a shrubification of the landscape as many studies suggested, we would expect an increase in the overall bird abundance together with an increase of local specialists, since they are associated with willow thickets. The majority of these species have a southern origin and their increase in abundance would represent a strengthening of the boreal component in the southern tundra, perhaps at the expense of species typical of the subarctic zone, which appear to be generalists within this zone.

  10. Habitat generalists and specialists in microbial communities across a terrestrial-freshwater gradient

    Science.gov (United States)

    Monard, C.; Gantner, S.; Bertilsson, S.; Hallin, S.; Stenlid, J.

    2016-11-01

    Observations of distributions of microorganisms and their differences in community composition across habitats provide evidence of biogeographical patterns. However, little is known about the processes controlling transfers across habitat gradients. By analysing the overall microbial community composition (bacteria, fungi, archaea) across a terrestrial-freshwater gradient, the aim of this study was to understand the spatial distribution patterns of populations and identify taxa capable of crossing biome borders. Barcoded 454 pyrosequencing of taxonomic gene markers was used to describe the microbial communities in adjacent soil, freshwater and sediment samples and study the role of biotic and spatial factors in shaping their composition. Few habitat generalists but a high number of specialists were detected indicating that microbial community composition was mainly regulated by species sorting and niche partitioning. Biotic interactions within microbial groups based on an association network underlined the importance of Actinobacteria, Sordariomycetes, Agaricomycetes and Nitrososphaerales in connecting among biomes. Even if dispersion seemed limited, the shore of the lake represented a transition area, allowing populations to cross the biome boundaries. In finding few broadly distributed populations, our study points to biome specialization within microbial communities with limited potential for dispersal and colonization of new habitats along the terrestrial-freshwater continuum.

  11. Community nurses' child protection role: views of public health nurses in Ireland.

    LENUS (Irish Health Repository)

    Kent, Susan

    2011-11-01

    Public health nurses in Ireland are generalist practitioners with a wide range of roles that address the needs of clients in the community across their lifespan. Child protection is one of many of the roles of Irish public health nurses. However, with increasing caseloads, birth rates and aging populations, their child protection role is becoming more difficult to define and practise safely. This paper presents a key finding of a qualitative study that explored the views of a group of public health nurses (n = 10) regarding their role with pre-school children. A significant theme following analysis of the interviews were the nurses\\' expressed concerns on their role in child protection. There is a need to define the role practised by public health nurses in child protection and to achieve a standard for this nationally.

  12. Is there scope for community health nurses to address lifestyle risk factors? the community nursing SNAP trial

    Directory of Open Access Journals (Sweden)

    Chan Bibiana C

    2012-03-01

    Full Text Available Abstract Background This paper examines the opportunity and need for lifestyle interventions for patients attending generalist community nursing services in Australia. This will help determine the scope for risk factor management within community health care by generalist community nurses (GCNs. Methods This was a quasi-experimental study conducted in four generalist community nursing services in NSW, Australia. Prior to service contacts, clients were offered a computer-assisted telephone interview to collect baseline data on socio-demographics, health conditions, smoking status, physical activity levels, alcohol consumption, height and weight, fruit and vegetable intake and 'readiness-to-change' for lifestyle risk factors. Results 804 clients participated (a response rate of 34.1%. Participants had higher rates of obesity (40.5% vs 32.1% and higher prevalence of multiple risk factors (40.4% vs 29.5% than in the general population. Few with a SNAPW (Smoking-Nutrition-Alcohol-Physical-Activity-Weight risk factor had received advice or referral in the previous 3 months. The proportion of clients identified as at risk and who were open to change (i.e. contemplative, in preparation or in action phase were 65.0% for obese/overweight; 73.8% for smokers; 48.2% for individuals with high alcohol intake; 83.5% for the physically inactive and 59.0% for those with poor nutrition. Conclusions There was high prevalence of lifestyle risk factors. Although most were ready to change, few clients recalled having received any recent lifestyle advice. This suggests that there is considerable scope for intervention by GCNs. The results of this trial will shed light on how best to implement the lifestyle risk factor management in routine practice.

  13. Probing community nurses' professional basis

    DEFF Research Database (Denmark)

    Schaarup, Clara; Pape-Haugaard, Louise; Jensen, Merete Hartun

    2017-01-01

    Complicated and long-lasting wound care of diabetic foot ulcers are moving from specialists in wound care at hospitals towards community nurses without specialist diabetic foot ulcer wound care knowledge. The aim of the study is to elucidate community nurses' professional basis for treating...... diabetic foot ulcers. A situational case study design was adopted in an archetypical Danish community nursing setting. Experience is a crucial component in the community nurses' professional basis for treating diabetic foot ulcers. Peer-to-peer training is the prevailing way to learn about diabetic foot...... ulcer, however, this contributes to the risk of low evidence-based practice. Finally, a frequent behaviour among the community nurses is to consult colleagues before treating the diabetic foot ulcers....

  14. Community Health Nursing Curriculum. Components in Baccalaureate Nursing Education.

    Science.gov (United States)

    Catell, Grace Manion

    Community health nursing curriculum components in a sample of baccalaureate nursing programs were investigated. Questionnaires were sent to a sample of 12 National League of Nursing (NLN) accredited, generic, baccalaureate nursing programs representative of the four NLN regions in the United States. Community health nursing content in theory…

  15. Developing a Culture to Facilitate Research Capacity Building for Clinical Nurse Consultants in Generalist Paediatric Practice

    Directory of Open Access Journals (Sweden)

    Lesley Wilkes

    2013-01-01

    Full Text Available This paper reports a research capacity building exercise with a group of CNCs practicing in the speciality of paediatrics in New South Wales (NSW, Australia. It explores the first step in building a research culture, through identifying the research priorities of members of the NSW Child Health Networks Paediatric Clinical Nurse Consultant group, and this forms the major focus of this paper. A nominal group technique (NGT was utilised with sixteen members to identify research topics for investigation which were considered a priority for improving children's health care. The group reviewed and prioritised 43 research topics in children's health which were identified in the literature. As a result of conducting this research prioritisation exercise, the group chose two research topics to investigate: reasons for children representing to the Emergency Department and a comparison of the use of high-flow and low-flow nasal prongs in children with bronchiolitis. The research team will continue to mentor the nurses throughout their research projects which resulted from the NGT. One bridge to leadership development in enhancing patient care is translating knowledge to practice and policy development. This study leads the way for a group of CNCs in paediatric nursing to combine their research capacity and influence clinical knowledge.

  16. Community nurses and their collaboration with clinical nurse consultants.

    Science.gov (United States)

    Jannings, W; Maynard, C

    A survey was undertaken of 129 community nurses who had chosen to utilise a clinical nurse consultant for education and/or patient care at home. Accessibility, efficiency, usefulness of the consultation and the educative role of the clinical nurse consultant were examined. The responses indicated that the community nurses had positive perceptions regarding their collaboration with the clinical nurse consultants. It is recommended that an objective tool be developed to demonstrate the effectiveness of the collaboration, for data collection purposes, when measuring patient outcomes and evaluating specialist resources.

  17. Considering place in community health nursing.

    Science.gov (United States)

    Bender, Amy; Clune, Laurie; Guruge, Sepali

    2007-09-01

    When a geographic location is assigned meaning, it becomes a place. The authors argue that place matters as both geographical location and lived experience. They extend the current conceptualization of nursing geography to encompass community health nursing and address intricacies of community nursing practice and research that often go unnoticed. They do so by exploring the notion of place in home and community, including the structural/spatial dimensions of the nurse-client relationship. The authors review the health geography literatures, then discuss the implications for practice and research in community health. They invite community health nurses to critically examine their practice and research with reference to such issues as the power of the nurse, marginalized places as determinants of health, and how best to care for clients living in diverse community settings.

  18. Interaction between community pharmacists and community nurses in dementia care.

    Science.gov (United States)

    Smith, Veronica M

    2016-04-01

    There has been little research that explores the interaction between community pharmacists and community nurses and how this interaction could benefit people affected by dementia. Using information taken from a larger study, this article presents the views of community pharmacists and one community nurse on how their communication, information sharing and team integration may improve care for this patient group. The community pharmacists reported positive attitudes to supporting people affected by dementia, but they highlighted barriers to integrated team working. In contrast, the community nurse conveyed the belief that the community pharmacist was an integrated member of the community health team. Community pharmacists and community nurses are keen to interact with each other to support people affected by dementia, but this interaction stops short of collaborative, integrated team working. Further research is needed to address this issue.

  19. Embracing a competency-based specialty curriculum for community-based nursing roles.

    Science.gov (United States)

    Levin, Pamela F; Swider, Susan M; Breakwell, Susan; Cowell, Julia M; Reising, Virginia

    2013-01-01

    The Quad Council competencies for public health nursing (PHN) provide guidance in developing curricula at both the generalist and specialist level. However, these competencies are based on nursing roles in traditional public health agencies and community/public health is defined more broadly than official agency practice. The question arises as to whether community-based specialties require largely the same knowledge and skill set as PHN. The purpose of the competency cross-mapping project reported here was to (a) assess the intersection of the Quad Council competencies with four community-based specialties and (b) ensure the appropriateness of a Quad Council-based curriculum to prepare graduates across these four specialties (home health, occupational health, environmental health, and school nursing). This article details the multistep cross-mapping process, including validation with practice leaders. Results indicate strong alignment of community-based specialty competencies with Quad Council competencies. Community-based specialty-specific content that did not align well is identified, along with examples of didactic and clinical strategies to address gaps. This work indicates that a Quad Council-based curriculum is appropriate to prepare graduates in community-based specialties when attention to the specialty-specific competencies in the clinical setting is included. This work guides the development of a doctorate of nursing practice curriculum in PHN, encompassing the four additional community-based specialties.

  20. Understanding leadership in community nursing in Scotland.

    Science.gov (United States)

    Haycock-Stuart, Elaine; Baggaley, Sarah; Kean, Susanne; Carson, Maggie

    2010-07-01

    There is limited evidence concerning leadership in community nursing. NHS policy also fails to clarify and define what leadership is, though regarding it as key to developing safe and high quality care. This paper reports the findings of a research study that aimed to identify how leadership is perceived and experienced by community nurses, and to examine the interaction between recent policy and leadership development in community nursing. Mixed qualitative methods were used involving 31 individual interviews and three focus groups with community nurses and nurse leaders (n-39) in three health boards in Scotland. Findings indicate the leadership qualities valued by participants, including the importance of leaders' visibility. Team leaders in particular were recognised for their visibility and clinical leadership. Strategic and professional leadership was less evident, so acting as a barrier to the development of the profession. The strategic vision was often not clear to community nurses, and they engaged in differing ways with the strategies and action plans of senior nurse leaders. New leadership roles, like change, need time to evolve and new leaders need space and the education to develop leadership. Future leaders in community nursing need to focus beyond clinical leadership, ensuring that good leadership is a process requiring interdependence between leaders and followers.

  1. The Health of the School Nurse Community: A Framework

    Science.gov (United States)

    Christeson, Elisabeth P.

    2003-01-01

    School nursing is based on a conceptual foundation of community health nursing. Using community health nursing as a reference point, this article describes a viewpoint of school nurses as the population of care. With this perspective, school nurses will better understand how to foster the health of their community. Developed on the basis of…

  2. Stoma care nursing: what the community nurse needs to know.

    Science.gov (United States)

    Williams, Julia

    2007-08-01

    The transition from hospital to home can be a worrying period of time for a patient with a newly formed stoma. It is well documented that community care is important, however this transition has been seen as a weak link in the care for a patient with a stoma (Allison 1996). In most cases following discharge from hospital, the nurse specialist in stoma care will visit the patient at home as a means of maintaining continuity of care. It is also important that the patient's GP, district nurse and other relevant community services are introduced to ensure a cohesive approach to the patients care at home (Taylor, 2003). This article therefore aims to offer the community nurse an overview of stoma care nursing in order to provide the continuity of care much needed by this group of patients.

  3. Community-Based Nursing versus Community Health Nursing: What Does It All Mean?

    Science.gov (United States)

    Zotti, Marianne E.; And Others

    1996-01-01

    Offers practice models for community-based nursing and community health nursing that demonstrate the different roles, philosophies, and activities of the two approaches. Points to curriculum changes that are needed to prepare students to practice in an increasingly community-oriented health care industry. (Author)

  4. Community based curriculum in psychiatric nursing science

    OpenAIRE

    2012-01-01

    M.Cur. The purpose of this study is to describe guidelines for a Community Based Curriculum in Psychiatric Nursing Science for a nursing college in KwaZulu Natal. The study consists of 4 phases. To reach the purpose of the study, a situational analysis was done in 3 phases to identify the principles for a Community Based Curriculum in Psychiatric Nursing Science. In Phase I - a document analysis of relevant government policies and legislation was conducted to obtain the principles of menta...

  5. Supportive leadership in Swedish community night nursing.

    Science.gov (United States)

    Gustafsson, Christine; Fagerberg, Ingegerd; Asp, Margareta

    2010-10-01

    The aim of the present study was to examine the support night nurses' give to staff in community night nursing. Studies have shown that support given to staff is one of night registered nurses' (RNs') experiences of the meaning of caring. This support, that community RNs display for staff in night-time care, is sparsely described. All community night-duty nurses in a medium-sized municipal in Sweden participated in the present study. Thematic content analysis was used to analyse data from observations. The support given by RNs to staff is described using three themes: (1) a conditional supporting stance, (2) preparing propitious conditions for caring and (3) confidence in the abilities of individual staff members and adaptation to their individual needs. The results reveal that RNs consider support to staff in terms of nursing leadership. Out of 'concern for the staff' the RNs try to be there for them, which corresponds to nursing leadership. Such concern also arises from the RNs' awareness that by giving support to staff this affects the staffs' caring for older people. The current municipal social care organization of community nursing of older people in which RNs have extensive responsibilities with insufficient control, is a working condition with a risk for decreased quality of care and a high risk for work-related stress syndrome. © 2010 The Authors. Journal compilation © 2010 Blackwell Publishing Ltd.

  6. Nestedness in Arbuscular Mycorrhizal Fungal Communities along Soil pH Gradients in Early Primary Succession: Acid-Tolerant Fungi Are pH Generalists.

    Science.gov (United States)

    Kawahara, Ai; An, Gi-Hong; Miyakawa, Sachie; Sonoda, Jun; Ezawa, Tatsuhiro

    2016-01-01

    Soil acidity is a major constraint on plant productivity. Arbuscular mycorrhizal (AM) fungi support plant colonization in acidic soil, but soil acidity also constrains fungal growth and diversity. Fungi in extreme environments generally evolve towards specialists, suggesting that AM fungi in acidic soil are acidic-soil specialists. In our previous surveys, however, some AM fungi detected in strongly acidic soils could also be detected in a soil with moderate pH, which raised a hypothesis that the fungi in acidic soils are pH generalists. To test the hypothesis, we conducted a pH-manipulation experiment and also analyzed AM fungal distribution along a pH gradient in the field using a synthesized dataset of the previous and recent surveys. Rhizosphere soils of the generalist plant Miscanthus sinensis were collected both from a neutral soil and an acidic soil, and M. sinensis seedlings were grown at three different pH. For the analysis of field communities, rhizosphere soils of M. sinensis were collected from six field sites across Japan, which covered a soil pH range of 3.0-7.4, and subjected to soil trap culture. AM fungal community compositions were determined based on LSU rDNA sequences. In the pH-manipulation experiment the acidification of medium had a significant impact on the compositions of the community from the neutral soil, but the neutralization of the medium had no effect on those of the community from the acidic soil. Furthermore, the communities in lower -pH soils were subsets of (nested in) those in higher-pH soils. In the field communities a significant nestedness pattern was observed along the pH gradient. These observations suggest that the fungi in strongly acidic soils are pH generalists that occur not only in acidic soil but also in wide ranges of soil pH. Nestedness in AM fungal community along pH gradients may have important implications for plant community resilience and early primary succession after disturbance in acidic soils.

  7. Envy in a nurse education community.

    Science.gov (United States)

    Heikkinen, Eija; Latvala, Eila; Isola, Arja

    2003-03-01

    The definition of envy is based on views of anthropology, sociology, psychology and nursing science. According to these definitions, a nurse education community consists of shared values, customs and beliefs common in the nursing community. The purpose of this paper was to describe envy in the reciprocal relations between student nurses in a polytechnic of health and welfare in Finland. The sample consisted of 110 student nurses in one faculty of health and welfare in a Finnish polytechnic. They were selected from among the available (attending classes) students, who had been studying in the same group for 1-3 years in 1996. The response percentage was 85.5 (n=94). The data were processed by various statistical methods. The findings of envy in a nurse education community were defined through the student nurses' views of their sense of self, their relations with their fellow students, the objects of envy and also the influence of the lecturers. The ways of coping with envy were also identified. The most common object of envy was a fellow student who worked part-time while studying. Another object of envy consisted of fellow students successful in examinations and skills, such as listening, friendships and good ideas. The students coped with their envy by sharing their own success and by denying envy. These results highlight some essential points of envy in a nurse education community and underline the need for open discussion, as emotions and envy are important to understand as part of nurse education. If envy is not identified, it may cause learning problems and even problems in patient care.

  8. Developing a community multiple sclerosis nursing service.

    Science.gov (United States)

    Quinn, Debbie; Adams, John

    2014-05-20

    Reforms to the NHS following the passing of the Health and Social Care Act 2012 have created new purchaser organisations with responsibility for planning the configuration of healthcare services in their geographic areas. If a community multiple sclerosis (MS) nursing service is to survive in this environment, it must demonstrate its ability to contribute to achieving the purchaser organisations' objectives. Evaluation data, such as hospital admission avoidance and patient satisfaction, will be crucial in demonstrating the community MS nursing service's clinical and economic effectiveness. A strengths, weaknesses, opportunities and threats (SWOT) analysis of the issues facing a community MS service in this environment is provided.

  9. 38 CFR 17.57 - Use of community nursing homes.

    Science.gov (United States)

    2010-07-01

    ... homes. 17.57 Section 17.57 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the following...

  10. Community Health Nursing through a Global Lens.

    Science.gov (United States)

    Sarkar, Norma; Dallwig, Amber; Abbott, Patricia

    2015-01-01

    Community Health Nursing (N456) is a required senior clinical course in the undergraduate nursing curriculum at the University of Michigan in which students learn to assess and address the health of populations and communities. In 2012, we began our efforts to internationalize the curriculum using a globally engaged nursing education framework. Our goal is for all students to have an intercultural learning experience understanding that all students are unable to travel internationally. Therefore, this intercultural learning was implemented through a range of experiences including actual immersion, virtual activities (videoconferencing) and interventions with local vulnerable populations. Grants were obtained to provide immersion experiences in Quito, Ecuador and New Delhi, India. Several technologies were initiated with partner nursing schools in Leogane, Haiti and New Delhi, India. Weekly videoconferencing utilizing BlueJeans software and exchange of knowledge through the Knowledge Gateway facilitated intercultural exchange of knowledge and culture. Local clinical groups work with a variety of vulnerable populations. A private blog was developed for all sections to share community assessment data from local and international communities. Qualitative evaluation data was collected for local and international students to begin to assess cultural competence and student learning. Analysis of data documented increased awareness of culture and identified the many positive benefits of interaction with a global partner.

  11. Reading and Generalist Genes

    Science.gov (United States)

    Haworth, Claire M. A.; Meaburn, Emma L.; Harlaar, Nicole; Plomin, Robert

    2007-01-01

    Twin-study research suggests that many (but not all) of the same genes contribute to genetic influence on diverse learning abilities and disabilities, a hypothesis called "generalist genes". This generalist genes hypothesis was tested using a set of 10 DNA markers (single nucleotide polymorphisms [SNPs]) found to be associated with early reading…

  12. Community health nursing vision for 2020: shaping the future.

    Science.gov (United States)

    Schofield, Ruth; Ganann, Rebecca; Brooks, Sandy; McGugan, Jennifer; Dalla Bona, Kim; Betker, Claire; Dilworth, Katie; Parton, Laurie; Reid-Haughian, Cheryl; Slepkov, Marlene; Watson, Cori

    2011-12-01

    As health care is shifting from hospital to community, community health nurses (CHNs) are directly affected. This descriptive qualitative study sought to understand priority issues currently facing CHNs, explore development of a national vision for community health nursing, and develop recommendations to shape the future of the profession moving toward the year 2020. Focus groups and key informant interviews were conducted across Canada. Five key themes were identified: community health nursing in crisis now, a flawed health care system, responding to the public, vision for the future, and CHNs as solution makers. Key recommendations include developing a common definition and vision of community health nursing, collaborating on an aggressive plan to shift to a primary health care system, developing a comprehensive social marketing strategy, refocusing basic baccalaureate education, enhancing the capacity of community health researchers and knowledge in community health nursing, and establishing a community health nursing center of excellence.

  13. Making Things Happen: Community Health Nursing and the Policy Arena.

    Science.gov (United States)

    Williams, Carolyn A.

    1983-01-01

    It is important that nurses, particularly those who consider themselves community health nursing specialists, assign a high priority to participation in the formation of health policy and broader public policy. To put subsequent remarks about policy into perspective, it is useful to consider the case for seeing community health nursing as…

  14. Service-Learning in Community College Nursing Education.

    Science.gov (United States)

    Holloway, Anne Safran

    2002-01-01

    A community college nursing program in Hawaii partners with the American Red Cross in service learning projects that prepare nursing students as AIDS prevention educators. Flexibility and partner commitment eased the challenges of time constraints, funding gaps, and workloads. (SK)

  15. Views on nurse prescribing: a survey of community mental health nurses in the Republic of Ireland.

    Science.gov (United States)

    Wells, J; Bergin, M; Gooney, M; Jones, A

    2009-02-01

    A nurse prescribing scheme has recently been implemented within the Republic of Ireland. This paper reports on the views of community mental health nurses on nurse prescribing just prior to the implementation of the scheme. Data were gathered through a 13-item questionnaire administered to 103 members of the Association of Community Mental Health Nurses in Ireland. Results indicated a distinct difference of view between male and female community mental health nurses, with female nurses having greater reservations towards the desirability of nurse prescribing in relation to educational preparation and impact on professional relationships. Overall, only 17% of respondents favoured being supervised in their prescribing practice by their consultant psychiatrist. The paper concludes that there is ambivalence towards prescribing in this important group of nurses which may need to be taken into account if nurse prescribing is to be successfully implemented within the Irish mental health service context.

  16. The image of community nursing: implications for future student nurse recruitment.

    Science.gov (United States)

    Kay M, Norman

    2015-01-01

    Young people's perceptions of nursing and, in particular, community nursing, do not reflect the realities of the profession. Community nursing needs to promote a realistic and positive image to young people who may consider nursing as a future career pathway. Strategies to increase awareness and understanding of community nursing roles are urgently required to halt the dissonance between the political drivers influencing changes in community care services, the advancing complexities of nursing roles, and the stereotypical imagery of nursing that continues to influence public thinking and interpretation of roles. The article draws on research that investigated the views of 40 young people from four schools in the West Midlands regarding nursing as a profession.

  17. Student nurses' perceived use of NANDA-I nursing diagnoses in the community setting.

    Science.gov (United States)

    Ogunfowokan, Adesola A; Oluwatosin, Abimbola O; Olajubu, Aanuoluwapo O; Alao, Olujide A; Faremi, Adenike F

    2013-02-01

    Study explored knowledge and perception of student nurses on the use of NANDA-I nursing diagnoses in the community setting. Study adopted cross-sectional design. Convenient sampling method was used to select 290 nursing students. Data analysis was by descriptive and inferential statistics. A majority (81.3%) of the participants considered NANDA-I nursing diagnoses to be useful in the community. Significant association existed in the perception and level of education of the students (χ(2) = 8.257, d.f. = 1, p= .04). Knowledge and perception of the participants about the use of NANDA-I nursing diagnoses in the community is satisfactory. Use of NANDA-I nursing diagnoses should be encouraged among community health nurses. © 2012, The Authors. International Journal of Nursing Knowledge © 2012, NANDA International.

  18. Developing a sense of community among nursing students.

    Science.gov (United States)

    Foli, Karen J; Karagory, Pamela M; Gibson, Gregory; Kirkpatrick, Jane M

    2013-01-01

    For beginning students, becoming a member of the nursing profession starts with experiences in nursing school. Better understanding of the experiences that contribute to sense of community for students can guide faculty efforts and curricular decisions. Using the sense of community model as a framework, the authors assessed the influence of a freshman-level class and other leadership and student organization experiences on the students' perceptions of the school of nursing as community. The authors discuss the study and its outcomes.

  19. The American Nursing Shortage: Implications for Community Colleges

    Science.gov (United States)

    Friedel, Janice Nahra

    2012-01-01

    This article examines national employment and program trends in the nursing profession, the nursing shortage in Iowa, and state policy and community college responses in Iowa. During the seven-year period 2001-2008, two Iowa governors convened special task forces to study the nursing shortage and to make recommendations. The policy responses dealt…

  20. The quality of assessment visits in community nursing.

    NARCIS (Netherlands)

    Kerkstra, A.; Beemster, F.

    1994-01-01

    The aim of this study was the measurement of the quality of assessment visits of community nurses in The Netherlands. Process criteria were derived for the quality of the assessment visits from the quality standards of community nursing care established by Appelman et al. Over a period of 8 weeks, a

  1. Generalist hydrocarbon-degrading bacterial communities in the oil-polluted water column of the North Sea

    NARCIS (Netherlands)

    Chronopoulou, P.M.; Sanni, G.O.; Silas-Olu, D.I.; van der Meer, J.R.; Timmis, K.N.; Brussaard, C.P.D.; McGenity, T.J.

    2015-01-01

    The aim of this work was to determine the effect of light crude oil on bacterial communities during an experimental oil spill in the North Sea and in mesocosms (simulating a heavy, enclosed oil spill), and to isolate and characterize hydrocarbon-degrading bacteria from the water column. No oil-induc

  2. Generalist hydrocarbon-degrading bacterial communities in the oil-polluted water column of the North Sea

    NARCIS (Netherlands)

    Chronopoulou, P.M.; Sanni, G.O.; Silas-Olu, D.I.; van der Meer, J.R.; Timmis, K.N.; Brussaard, C.P.D.; McGenity, T.J.

    2015-01-01

    The aim of this work was to determine the effect of light crude oil on bacterial communities during an experimental oil spill in the North Sea and in mesocosms (simulating a heavy, enclosed oil spill), and to isolate and characterize hydrocarbon-degrading bacteria from the water column. No

  3. [Historical changes in community concepts and the effect of such on community health nursing praxis].

    Science.gov (United States)

    Yeh, Lily; Chen, Yi-Hsing

    2011-02-01

    In the 21st century, many healthcare programs are delivered in community settings. As such, successfully recruiting target members of the community to participate in programs represents a key challenge for the nursing profession. Although the "community" is not a new concept, its meaning has changed over the past century or more of public healthcare, which has had a profound effect on community health nursing praxis. This article describes changes in community concepts through history in order to define the significance of community participation in today's community health nursing practice.

  4. The role of the community stroke rehabilitation nurse.

    Science.gov (United States)

    McGinnes, Alison; Easton, Sarah; Williams, Jane; Neville, Janet

    There is strong evidence for early supported discharge (ESD) following stroke, but there is no evidence on how these services should be organized or the best models of care. ESD teams rarely include a community stroke rehabilitation nurse. A service development project was undertaken in Portsmouth Hospitals NHS Trust's community stroke rehabilitation team to identify and explore the unique contributions of community stroke rehabilitation nurses in an established ESD team. When the team was set up, the nurses had inpatient stroke rehabilitation skills, but no community experience. This novel approach, which involved taking specialist hospital nurses into the community, meant there was a steep learning curve and, unfortunately, there were no role models to support their development. During these early days, it became apparent that intensive stroke rehabilitation within an interdisciplinary ESD team required effective and timely nursing intervention, the development of skills to support interdisciplinary working and a greater understanding of the roles of all team members. Locally and nationally, questions were being asked pertaining to the nurses' role, which precipitated this project. Through a series of journal club sessions, the interdisciplinary team reviewed the evidence base of the nurse role in stroke rehabilitation. The team were able to evaluate findings against current practice. The project confirmed that the community stroke rehabilitation nurse provides a unique and fundamental role to the team that strengthens the model of interdisciplinary teamworking.

  5. The case for researching the history of community nursing practice.

    Science.gov (United States)

    Whitehead, D

    2001-05-01

    Despite a flurry of interest in the 1980s, the adoption of a positivist, objective, scientific paradigm for nursing research has led to a rejection of the study of nursing history as a valid pursuit in recent years. In this article, it is argued that this is a precarious situation. By not examining the history of the profession, nursing -- and in particular community nursing -- undermines its efforts to validate itself within the wider health-care arena. Nursing must learn from the mistakes of the past, as well as the successes, but do so in a critical way that does not romanticize its history.

  6. Doctoral Education in Community Health Nursing: A National Survey.

    Science.gov (United States)

    Clarke, Pamela N.; And Others

    1996-01-01

    According to responses from 23 of 52 doctoral nursing program directors and interviews with 16, newer programs tend to offer more general rather than specialized curricula. Only four identified community health nursing as a specialty, all in older, long-standing programs. (SK)

  7. Preparation for Community Health Nursing: Issues and Problems.

    Science.gov (United States)

    And Others; White, Caroline

    1980-01-01

    Highlights of a survey of community health nursing agencies and faculty suggest the need for better planning and collaboration between service and education in preparing students for this field. Survey data tables are included. (CT)

  8. Nursing student perceptions of community in online learning.

    Science.gov (United States)

    Gallagher-Lepak, Susan; Reilly, Janet; Killion, Cheryl M

    2009-01-01

    Nursing faculty need to understand the unique aspects of online learning environments and develop new pedagogies for teaching in the virtual classroom. The concept of community is important in online learning and a strong sense of community can enhance student engagement and improve learning outcomes in online courses. Student perceptions of community in online learning environments were explored in this study. Five focus group sessions were held and online nursing students were asked to give examples of experiences related to sense of community. Fifteen major themes emerged: class structure, required participation, teamwork, technology, becoming, commonalities, disconnects, mutual exchange, online etiquette, informal discussions, aloneness, trepidation, unknowns, nonverbal communication and anonymity. Themes sorted into the categories of structural, processual and emotional factors. Theme descriptions show how sense of community can be enhanced and/or diminished in online courses. This study adds depth and detail to the limited body of research on sense of community in distance education in nursing courses.

  9. GP and community nurse co-location in a disadvantaged community.

    Science.gov (United States)

    Rose, Vanessa K; Harris, Elizabeth; Comino, Elizabeth; Anderson, Teresa; Harris, Mark F

    2011-01-01

    People living in socioeconomically disadvantaged communities have a high burden of disease but often receive 'inverse care'. We explored a model of general practitioner and community nurse co-location in a disadvantaged community in south-west Sydney, Australia. Co-location resulted in increased referrals from doctors to the community nurse, including an increase in referrals related to psychosocial issues. This small study suggests integrated primary health care might have an impact on specialised state-based psychosocial health services.

  10. [Health for all--the development of community health nursing and public health nursing from the perspective of education].

    Science.gov (United States)

    Lin, Pay-Fan

    2014-06-01

    The purpose of this article was to examine the development of community health nursing and public health nursing in Taiwan from an educational perspective. Key issues addressed include: teaching strategies and scopes of practice used in community health nursing in Taiwan between 1910 and the 1950s; the philosophical foundations for the concepts of "health for all" and "social justice" in Taiwan's community health nursing; the five "P"s of community health nursing teaching and practice (population, prevention, promotion, policy, and partnership); the core competencies and scope of practice of community health nursing proposed by the TWNA Community Health Nursing Committee; and the core competencies and the tiers of classification proposed by the Quad Council of Public Health Nursing Organizations. This article helps to elucidate the inseparable relationship between community health nursing education and practice at both the micro and macro level and examines possible future directions for community health nursing in Taiwan. The author proposes the following recommendations for future community health nursing education development in Taiwan: 1) implement competence classifications appropriate to each nursing education preparation level, 2) promote multidisciplinary cooperation among education, practice, and policy, and 3) promote collaboration and consensus among community health nursing and public health related associations.

  11. Community Health Nursing Models: A Selected Bibliography. Nurse Planning Information Series. No. 11.

    Science.gov (United States)

    Franklin Research Center, Philadelphia, PA.

    This annotated bibliography is designed to meet the needs of health planners, including nurse planners, educators, administrators, researchers, and practitioners involved with community health nursing programs. Abstracts of references are grouped in four sections. Section one includes references to documents which describe organizational models…

  12. Independent community care gerontological nursing: becoming an entrepreneur.

    Science.gov (United States)

    Caffrey, Rosalie A

    2005-08-01

    Few nurses have the experience of developing an independent practice. This ethnographic study explores the process and challenges of becoming an entrepreneur as described by nurses developing independent practices in community care gerontologic nursing. The process included developing a legal contract, marketing strategies, and reimbursement amounts and strategies. Major barriers to implementing this role identified by the nurses included ignorance and confusion by others about their role, financial issues related to an uncertain income, time management, and legal concerns especially around delegation. These were experienced and dedicated nurses who were also risk-takers and enjoyed the independence of practicing nursing because they believed it was meant to be practiced. Suggestions for research, education, and practice are included.

  13. Community nurses working in piloted primary care teams: Irish Republic.

    LENUS (Irish Health Repository)

    Burke, Triona

    2010-08-01

    Primary care health services in the Irish Republic have undergone fundamental transformation with the establishment of multidisciplinary primary care teams nationwide. Primary care teams provide a community-based health service delivered through a range of health professionals in an integrated way. As part of this initiative ten pilot teams were established in 2003. This research was undertaken in order to gain an understanding of nurse\\'s experiences of working in a piloted primary care team. The methodology used was a focus group approach. The findings from this study illustrated how community nurse\\'s roles and responsibilities have expanded within the team. The findings also highlighted the benefits and challenges of working as a team with various other community-based health-care disciplines.

  14. The community nurse and the use of social media.

    Science.gov (United States)

    Peate, Ian

    2013-04-01

    The role and function of the community nurse has changed in a number of ways over the years; however, central to that role is the direct hands-on care that expert nurses provide to a variety of client groups. Social media can never replace that unique role yet it can help the community nurse provide safer and more effective care. The use of social media is growing and is having a significant influence on society. Social media can dictate tomorrow's news today, provide individuals with a public voice and help to form new social connections regardless of geography. Social media has become embedded within our daily lives. For community nurses social media networks offer alternative ways in which they can share knowledge and expertise and keep up to date. This article intends to stimulate thoughts about how social media could be used positively by the community nurse and his or her organisation to help meet the future demands on the NHS and community nursing services.

  15. Discovering potential sources of emerging pathogens: South America is a reservoir of generalist avian blood parasites.

    Science.gov (United States)

    Moens, Michaël A J; Pérez-Tris, Javier

    2016-01-01

    Generalist pathogens are capable of infecting a wide range of host species, and may pose serious disease emergence threats if accidentally moved outside their native areas. To date little effort has been devoted to identifying geographic areas that may act as reservoirs of generalist pathogens. According to current theory, where host diversity is high, parasite specialisation in one host species may be penalised by reduced host availability, while generalist parasites may benefit from the exploitation of various host species. Therefore natural selection could favor generalist parasites where host diversity is high. Here we explored if, in a highly diverse bird community in Ecuador, a generalist strategy is promoted among local Haemoproteus and Plasmodium blood-borne parasites compared with similar parasite communities throughout the world. We reconstructed the phylogenetic relationships of every parasite lineage in order to understand the evolution of host specificity in this megadiverse area. We found high levels of host generalisation for both parasite genera, and the mean host range of the Haemoproteus community in Ecuador was significantly higher than other parasite communities in other areas outside the Neotropics. Generalist Haemoproteus parasites in this bird community had diverse phylogenetic ancestry, were closely related to specialist parasites and were apparently endemic to the Amazon, showing that different parasites have independently evolved into host generalists in this region. Finally we show that Haemoproteus communities in Ecuador and South America are more generalist than in temperate areas, making this continent a hotspot of generalist Haemoproteus parasites for wild birds.

  16. Service Learning and Community Health Nursing: A Natural Fit.

    Science.gov (United States)

    Miller, Marilyn P.; Swanson, Elizabeth

    2002-01-01

    Community health nursing students performed community assessments and proposed and implemented service learning projects that addressed adolescent smoking in middle schools, home safety for elderly persons, industrial worker health, and sexual abuse of teenaged girls. Students learned to apply epidemiological research methods, mobilize resources,…

  17. Innovations in community-based nursing education: transitioning faculty.

    Science.gov (United States)

    Carter, Kimberly Ferren; Fournier, Maggie; Grover, Susan; Kiehl, Ermalynn M; Sims, Kathleen M

    2005-01-01

    The health-care climate is changing rapidly and in ways that challenge the abilities of professionals who provide health care. Nursing educators are preparing professional nurses who can think critically, use sound clinical judgment, and participate as full partners in shaping health-care delivery and policy. Therefore, many schools of nursing, including five schools of nursing whose experiences are synthesized in this article, are revising their curricula to a community-based nursing perspective. Strategies to assist faculty in the transition to a community-based nursing curriculum include using change theory, creating a supportive environment, reducing tension and isolation, and evaluating. Potential challenges during transition include addressing grief and loss, overcoming the tedium of curricular development, moving the revision along while allowing opportunities for faculty input and consensus building, exploring alternative pedagogies, managing faculty workload and qualification issues, and preparing for transition. Outcomes include a more complete understanding of the community client as a partner in the delivery of health care, increased visibility and role modeling to potential future candidates for health careers, cultural transformations within a university, and promotion of the overall health of a community.

  18. Evaluation of the Community Health Nursing Course of First Year Proficiency Certificate Level Nursing in Nepal

    Directory of Open Access Journals (Sweden)

    Mandira Shahi

    2014-03-01

    Full Text Available INTRODUCTION: Community health is very much important in nursing education. It is essential because it maximizes the health status of individuals, families, groups and the community through direct approach with them. The main purpose of the study was to identify the gap in Community Health Nursing I course in Proficiency Certificate Level first year nursing program in Nepal. METHODS: Mix methods of research having qualitative and quantitative method were used in the study. Data were collected from 12 subject teachers, 35 nursing graduates and 61 Proficiency Certificate Level first year nursing students. The study used structured, five-point rating scale and open ended questions according to Strengths, Weaknesses, Opportunities and Threats analysis for the self-administered questionnaire. FINDINGS: Common view points of the three sector's respondents (student, nursing graduate and teachers regarding the strengths of curriculum are: curriculum is based on Primary Health Care approach and covers preventive and promotive aspects of health. Regarding weaknesses, they said that there is inadequate time for practice, there is lack of innovative methods and materials, the course didn't cover new trends of environmental pollution and changes, global warming, greenhouse effect, climate change and deforestation etc. Similarly, they added that curriculum is not revised regularly and there is insufficient supervision in field. Likewise, regarding opportunities, they said that there is job opportunity in social organization as Community Health Nursing/Public Health Nurse. Moreover, they said that there is lack of employment scope as threats point. CONCLUSION: The paper concludes that new issues and trends of community health nursing should be added, and curriculum should be revised regularly.

  19. A community college model to support nursing workforce diversity.

    Science.gov (United States)

    Colville, Janet; Cottom, Sherry; Robinette, Teresa; Wald, Holly; Waters, Tomi

    2015-02-01

    Community College of Allegheny County (CCAC), Allegheny Campus, is situated on the North Side of Pittsburgh. The neighborhood is 60% African American. At the time of the Health Resources and Services Administration (HRSA) application, approximately one third of the students admitted to the program were African American, less than one third of whom successfully completed it. With the aid of HRSA funding, CCAC developed a model that significantly improved the success rate of disadvantaged students. Through the formation of a viable cohort, the nursing faculty nurtured success among the most at-risk students. The cohort was supported by a social worker, case managers who were nursing faculty, and tutors. Students formed study groups, actively participated in community activities, and developed leadership skills through participation in the Student Nurse Association of Pennsylvania. This article provides the rationale for the Registered Nurse (RN) Achievement Model, describes the components of RN Achievement, and discusses the outcomes of the initiative.

  20. Implications of social enterprise for community nursing.

    Science.gov (United States)

    McAusland, Scott

    Scott McAusland outlines the key points of the Queen's Nursing Institute briefing paper Social Enterprise and argues that many clinicians need to develop business and financial skills to take up social enterprise opportunities.

  1. The practice role in the academic nursing community.

    Science.gov (United States)

    Broussard, A B; Delahoussaye, C P; Poirrier, G P

    1996-02-01

    The practice role of nurse educators has emerged as a mechanism to unite practice, research, and education. The long-term outcome of such a synthesis should be an improvement in the quality of nursing care delivered to clients. Clinically focused nursing research designed by nurse educators who maintain a practice role or nurse clinicians who maintain a teaching role has the potential to unify and thus advance the profession. The authors discuss the historical background from which the practice role evolved, and efforts of recent nursing leaders to facilitate the incorporation of the nursing practice role by educators. Models for faculty practice are identified, and advantages of faculty practice are reviewed. The authors also describe barriers to the establishment of faculty practice, contemporary developments impacting faculty practice, and research needed to advance faculty practice. Nurse educators in many academic communities in the 1990s are discovering that not only must they produce scholarly work in addition to their teaching and service to the university and community, but that they may also be under growing pressure to be engaged in clinical practice. This pressure may be self-imposed or may be an expectation of their colleagues in nursing education or the administrators of their nursing programs. The focus of this research brief will be to describe the historical background from which this "new" role evolved, to discuss strategies or models developed to facilitate the faculty practice role, and to identify faculty practice issues that have emerged with the adoption of this role in academia. An additional focus will be to critically review faculty practice-related research performed since Chicadonz' (1987) review.

  2. Professional dignity in nursing in clinical and community workplaces.

    Science.gov (United States)

    Stievano, Alessandro; Marinis, Maria Grazia De; Russo, Maria Teresa; Rocco, Gennaro; Alvaro, Rosaria

    2012-05-01

    The purpose of this qualitative study was to analyse nurses' professional dignity in their everyday working lives. We explored the factors that affect nursing professional dignity in practice that emerge in relationships with health professionals, among clinical nurses working in hospitals and in community settings in central Italy. The main themes identified were: (i) nursing professional dignity perceived as an achievement; (ii) recognition of dignity beyond professional roles. These two concepts are interconnected. This study provides insights into professional dignity in nursing being perceived as an achievement linked to the intrinsic dignity of every human being. The 'nursing professional dignity perceived as an achievement' was perceived as having declined in different social factors. Some factors of nursing professional dignity perceived as an achievement were attained more easily in community settings. 'Recognition of dignity beyond professional roles' underpins the intrinsic dignity as an expression of humanity, embedded in persons regardless of any profession, and values, such as: respect, moral integrity, humility, working conscientiously and kindness.

  3. Developing and implementing the community nursing research strategy for Wales.

    Science.gov (United States)

    Kenkre, Joyce; Wallace, Carolyn; Davies, Robyn; Bale, Sue; Thomas, Sue

    2013-11-01

    In order to obtain the best patient outcomes in community nursing, practice needs to be underpinned by robust research-based evidence. This article describes a Community Nursing Research Strategy developed and implemented in Wales to provide the nursing profession with the evidence to support future organisational and professional change in achieving excellence in the community. This was developed in partnership with education, research, health services, workforce planning and Government using consensus methodology (specifically, a nominal group technique). Consequently, the process was inclusive and included three steps: escalating presentation of ideas, topic debate and topic rating. The result was a strategy with four implementation strands, including a virtual network, research portfolio, application to practice and leadership.

  4. The Shifting Sands of Health Care Delivery: Curriculum Revision and Integration of Community Health Nursing.

    Science.gov (United States)

    Conger, Cynthia O'Neill; Baldwin, Joan H.; Abegglen, JoAnn; Callister, Lynn C.

    1999-01-01

    Brigham Young University's nursing curriculum was revised to reflect the community-driven nature of primary health care. Curricular threads of inquiry, practice, stewardship, spirituality, and service are the framework for integrating community health nursing practice. (SK)

  5. Generalists versus specialists: Toward a typology of batterers in prison

    Directory of Open Access Journals (Sweden)

    Juan Herrero

    2016-01-01

    Full Text Available In this study we apply the versatile/specialist offender debate to the research of intimate partner violence. We propose the existence of two types of imprisoned male batterers: the generalist and the specialist batterer. The individual, family, and community characteristics of these types of batterers are further explored in 110 imprisoned males in the Penitentiary of Villabona (Spain. As for the individual characteristics, results indicate that the generalist batterer present higher levels of psychopathology (specially antisocial and borderline personality, sexist attitudes, and substance dependence. Specialist batterers presented higher levels of conflict in their family of origin. Finally, generalist batterers reported coming from more socially disordered communities and showed lower levels of participation and integration in these communities than the specialist batterer. These results suggest that the classical distinctions among batterers based on psychopathology and context of violence (whether general or family only might be of little utility when applied to imprisoned male batterers.

  6. The Role of Nurses in Community Awareness and Preventive Health

    Directory of Open Access Journals (Sweden)

    Marjaneh M. Fooladi

    2015-10-01

    Full Text Available With access to multimedia through social networks at global level, one wonders why some of the preventive healthcare services such as children and adult immunizations, annual screening for men and women, prenatal and dental care for childbearing women and adolescents are not provided at a 100% rate. Community awareness is a crucial aspect of preventative healthcare and perhaps those responsible for implementing the national health initiatives seek to realize other key factors influencing community health. In a study of 190 community health nurses caring for blacks, Puerto Ricans and Southeast Asians, the confidence scores for cultural self-efficacy was high when nurses cared for blacks and they were low when they cared for Asians and Latinos. The lowest scores belonged to items related to knowledge of health beliefs and practices regarding respect, authority and modesty within each culture. Scores were higher when interpreters were used correctly to convey meaningful messages. Researchers concluded that nurses lacked confidence when caring for culturally diverse patients and found weaknesses across the nursing curriculum preparing nurses to care for various demographic groups.1 In most countries, including Iran, governmental agencies have the budget and the man- power to apply preplanned initiatives and provide community-based preventive healthcare services to address the majority of the preventable health related issues through satellite clinics, health department and outpatient facilities. Meanwhile, private sectors in metropolitan cities offer cure-based services to urban and suburban communities. Remote and rural areas should be the focus of primary care and preventive health services, because access to multimedia is limited, healthcare providers refuse to work in outreach areas, and unpaved roads are barriers to easy access to the locals and outsiders. To implement an effective community-based preventive program, recognition of resiliency

  7. Community mental health nurses' perspectives of recovery-oriented practice.

    Science.gov (United States)

    Gale, J; Marshall-Lucette, S

    2012-05-01

    Recovery-oriented practice, an approach aligned towards the service user perspective, has dominated the mental health care arena. Numerous studies have explored service users' accounts of the purpose, meaning and importance of 'recovery'; however, far less is known about healthcare staff confidence in its application to care delivery. A self-efficacy questionnaire and content analysis of nursing course documents were used to investigate a cohort of community mental health nurses' recovery-oriented practice and to determine the extent to which the current continuing professional development curriculum met their educational needs in this regard. Twenty-three community mental health nurses completed a self-efficacy questionnaire and 28 course documents were analysed. The findings revealed high levels of nurses' confidence in their understanding and ability to apply the recovery model and low levels of confidence were found in areas of social inclusion. The content analysis found only one course document that used the whole term 'recovery model'. The findings suggest a gap in the nurses' perceived ability and confidence in recovery-oriented practice with what is taught academically. Hence, nursing education needs to be more explicitly focused on the recovery model and its application to care delivery.

  8. What factors are driving increasing demand for community nursing?

    Science.gov (United States)

    Chalk, Daniel; Legg, Alison

    2017-01-02

    Demand for district nursing services is increasing significantly. With increasing economic pressures, services are struggling to meet increases in demand, and are looking to become more proactive in planning for future demand. Traditional quantitative forecasting methods have limited use, because of the complexity of inter-linking factors that potentially drive demand for community services. Qualitative system dynamics approaches can be useful to model the complex interplay of causal factors leading to an effect, such as increased demand for services, and identify particular areas of concern for future focus. We ran a facilitated qualitative system dynamics workshop with representatives working across community nursing services in Cornwall. The generated models identified 7 key areas of concern that could be significantly contributing to demand for district nursing services. We outline the identified problem areas in this paper, and discuss potential recommendations to reduce their effects based on causal links identified in the models.

  9. Ciprofloxacin : Use and resistance in Community, Nursing Home and Hospital

    NARCIS (Netherlands)

    van Hees, B.C.

    2011-01-01

    The aim of the studies described in this thesis was to analyze some aspects of ciprofloxacin use and clinical and (molecular) epidemiology of ciprofloxacin resistance in different settings, both within hospitals (chapter 3,4 and 6), community and nursing homes (chapter 2 and 5). With its broad

  10. Burnout and Humor Usage among Community College Nursing Faculty Members.

    Science.gov (United States)

    Talbot, Laura A.

    2000-01-01

    Assesses the correlation of burnout among community college nursing faculty members and their use of humor to mediate academic stress related to burnout. Differences in burnout between high versus low humor usage respondents showed a higher sense of personal accomplishment with high humor usage. Of those with low humor usage, workload was related…

  11. Ciprofloxacin : Use and resistance in Community, Nursing Home and Hospital

    NARCIS (Netherlands)

    van Hees, B.C.

    2011-01-01

    The aim of the studies described in this thesis was to analyze some aspects of ciprofloxacin use and clinical and (molecular) epidemiology of ciprofloxacin resistance in different settings, both within hospitals (chapter 3,4 and 6), community and nursing homes (chapter 2 and 5). With its broad spect

  12. "Razoo Health:" A Community-Based Nursing Education Initiative.

    Science.gov (United States)

    Kraus, Marjorie B.; Morgan, Connie M.; Matteson, Peggy S.

    2003-01-01

    In New Orleans, nursing faculty and students partnered with inner-city schools and churches to mobilize neighborhood assets and improve health care. Students learned community assessment skills and worked with empowered citizens who reclaimed their health resources. (Contains 28 references.) (SK)

  13. Community mental health nursing in Alberta, Canada: an oral history.

    Science.gov (United States)

    Boschma, Geertje

    2012-01-01

    Community mental health nurses had a central role in the construction of new rehabilitative practices and community mental health services in the 1960s and 1970s. The purpose of this article is, first, to explore how nurses understood and created their new role and identity in the turbulent context of deinstitutionalization. The development of after care services for patients discharged from Alberta Hospital in Ponoka (AH-Ponoka), a large mental institution in Calgary, in the Canadian province of Alberta, will be used as a case study. I specifically focus on the establishment of outpatient services in a new psychiatric department at Foothills General Hospital in Calgary. Second, I examine how deinstitutionalization itself shaped community mental health nurses' work. Oral history interviews with nurses and other mental health professionals, who had a central role in this transformation process, provide a unique lens through which to explore this social change. The article concludes that new rehabilitative, community-based mental health services can better be understood as a transformation of former institutional practices rather than as a definite break with them.

  14. Ciprofloxacin : Use and resistance in Community, Nursing Home and Hospital

    NARCIS (Netherlands)

    van Hees, B.C.

    2011-01-01

    The aim of the studies described in this thesis was to analyze some aspects of ciprofloxacin use and clinical and (molecular) epidemiology of ciprofloxacin resistance in different settings, both within hospitals (chapter 3,4 and 6), community and nursing homes (chapter 2 and 5). With its broad spect

  15. The role of the community health nurse in environmental health.

    Science.gov (United States)

    Neufer, L

    1994-06-01

    Chemical contamination in the environment is affecting public health in increasing numbers of communities across the country. Although historically and theoretically well within the realm of nursing, methods for assessing and diagnosing threats to community environmental health are not being included in community health nurses' training. A community's environmental health is assessed by retrieving information from federal, state, and local sources. Developing the diagnosis involves four steps: identifying a community aggregate at highest risk of exposure, determining the potential or actual health response, citing related host and environmental factors, and correlating any existing epidemiologic data that may substantiate the nursing diagnosis. To illustrate these concepts, a systematic environmental health assessment was conducted for Douglas, Arizona. The results indicated elevated lead levels in residential soils and led to the community diagnosis, potential for injury: children in Douglas are at risk of developing adverse neurobehavioral health effects, and pregnant women in Douglas are at risk of developing adverse reproductive health effects related to several environmental and host factors, as evidenced by average blood lead level, in children exceeding the Centers for Disease Control recommended level of 10 micrograms/dl.

  16. Are organisational factors affecting the emotional withdrawal of community nurses?

    Science.gov (United States)

    Karimi, Leila; Leggat, Sandra G; Cheng, Cindy; Donohue, Lisa; Bartram, Timothy; Oakman, Jodi

    2016-12-05

    Objective The aim of the present study was to investigate the effects of work organisation on the emotional labour withdrawal behaviour of Australian community nurses.Methods Using a paper-based survey, a sample of 312 Australian community nurses reported on their emotional dissonance, withdrawal behaviours (i.e. job neglect, job dissatisfaction, stress-related presenteeism) and work organisation. A model to determine the partial mediation effect of work organisation was developed based on a literature review. The fit of the proposed model was assessed via structural equation modelling using Analysis of Moment Structures (AMOS; IMB).Results Community nurses with higher levels of emotional dissonance were less likely to be satisfied with their job and work organisation and had a higher tendency to exhibit withdrawal behaviours. Work organisational factors mediated this relationship.Conclusion Emotional dissonance can be a potential stressor for community nurses that can trigger withdrawal behaviours. Improving work organisational factors may help reduce emotional conflict and its effect on withdrawal behaviours.What is known about the topic? Although emotional labour has been broadly investigated in the literature, very few studies have addressed the effect of the quality of work organisation on nurses' withdrawal behaviours in a nursing setting.What does this paper add? This paper provides evidence that work organisation affects levels of emotional dissonance and has an effect on job neglect through stress-related presenteeism.What are the implications for practitioners? In order to minimise stress-related presenteeism and job neglect, healthcare organisations need to establish a positive working environment, designed to improve the quality of relationships with management, provide appropriate rewards, recognition and effective workload management and support high-quality relationships with colleagues.

  17. Using an academic-community partnership model and blended learning to advance community health nursing pedagogy.

    Science.gov (United States)

    Ezeonwu, Mabel; Berkowitz, Bobbie; Vlasses, Frances R

    2014-01-01

    This article describes a model of teaching community health nursing that evolved from a long-term partnership with a community with limited existing health programs. The partnership supported RN-BSN students' integration in the community and resulted in reciprocal gains for faculty, students and community members. Community clients accessed public health services as a result of the partnership. A blended learning approach that combines face-to-face interactions, service learning and online activities was utilized to enhance students' learning. Following classroom sessions, students actively participated in community-based educational process through comprehensive health needs assessments, planning and implementation of disease prevention and health promotion activities for community clients. Such active involvement in an underserved community deepened students' awareness of the fundamentals of community health practice. Students were challenged to view public health from a broader perspective while analyzing the impacts of social determinants of health on underserved populations. Through asynchronous online interactions, students synthesized classroom and community activities through critical thinking. This paper describes a model for teaching community health nursing that informs students' learning through blended learning, and meets the demands for community health nursing services delivery.

  18. A unique strategy for pediatric community health nursing for ADN students.

    Science.gov (United States)

    Janvier, K A

    1999-01-01

    Students were overwhelmingly positive when given the opportunity to evaluate the pilot project and the model of pediatric community health nursing. According to the students, the strong points of the model were the orientation before the community experience, the presence of faculty of the community, the ability to contact faculty when needed, and the postclinical conference. The students' comments confirmed the faculty's belief that a clinical experience in community health nursing must place more emphasis on the specialty of community health nursing to be meaningful for students. To do the of job of educating tomorrow's nurses, ADN faculty should develop new strategies for teaching the pediatric clinical component of community health nursing. Clearly, hospitals are no longer the exclusive sites where students learn about patient and family needs and nursing care delivery. Community-based and community-focused experiences will continue to be required so that nursing students are prepared to practice in a dynamic and changing healthcare environment.

  19. Collaborative learning among undergraduate students in community health nursing.

    Science.gov (United States)

    Yang, Kyeongra; Woomer, Gail R; Matthews, Judith T

    2012-03-01

    Teamwork can benefit students, enhancing their ability to think critically, solve problems creatively, and collaborate effectively. We piloted a collaborative learning project with undergraduate community health nursing students (N = 83) that entailed working in teams to explore epidemiologic data, synthesize the literature, and develop an evidence-based plan for nursing intervention and evaluation pertaining to a public health issue. Project evaluation consisted of pre- and post-project surveys by students, peer evaluation, and formative and summative evaluation by faculty. Having students work in teams, while challenging both for faculty and students, may be a viable strategy for preparing the next generation of nurses for inter- and intraprofessional collaboration. Our experience suggests that instituting a collaborative learning experience as part of an undergraduate course in community health nursing can be an effective way to expose students to constructive approaches to teamwork and prepare them for evidence-based nursing practice in the future. Copyright © 2011 Elsevier Ltd. All rights reserved.

  20. Community nurses working in piloted primary care teams: Irish Republic.

    Science.gov (United States)

    Burke, Triona; O'Neill, Catherine

    2010-08-01

    Primary care health services in the Irish Republic have undergone fundamental transformation with the establishment of multidisciplinary primary care teams nationwide. Primary care teams provide a community-based health service delivered through a range of health professionals in an integrated way. As part of this initiative ten pilot teams were established in 2003. This research was undertaken in order to gain an understanding of nurse's experiences of working in a piloted primary care team. The methodology used was a focus group approach. The findings from this study illustrated how community nurse's roles and responsibilities have expanded within the team. The findings also highlighted the benefits and challenges of working as a team with various other community-based health-care disciplines.

  1. Providing nursing leadership in a community residential mental health setting.

    Science.gov (United States)

    Hughes, Frances A; Bamford, Anita

    2011-07-01

    The worldwide burden of mental illness is increasing. Strong leadership is increasingly emerging as a core component of good mental health nursing. The aim of this article is to demonstrate the ways in which nurses can provide strong and consistent leadership in a values-based practice environment that embodies respect for individuals' dignity and self-determination within a community residential mental health service, which provides a structural foundation for effective action. This is accomplished through the presentation of two vignettes, which highlight how the seemingly impossible becomes possible when an economic paradigm such as agency theory is exchanged for a sociological and psychological paradigm found in leadership as stewardship at the point of service. It is through stronger nursing leadership in mental health that stigma and discrimination can be reduced and better access to treatments and services can be gained by those with mental illness. Nurse leadership in mental health services is not new, but it is still relatively uncommon to see residential services for "high needs" individuals being led by nurses. How nurses meet the challenges faced by mental health services are often at the heart of effective leadership skills and strategies.

  2. Economic incentive in community nursing: attraction, rejection or indifference?

    Directory of Open Access Journals (Sweden)

    Kingma Mireille

    2003-04-01

    Full Text Available Abstract Background It is hard to imagine any period in time when economic issues were more visible in health sector decision-making. The search for measures that maximize available resources has never been greater than within the present decade. A staff payroll represents 60%-70% of budgeted health service funds. The cost-effective use of human resources is thus an objective of paramount importance. Using incentives and disincentives to direct individuals' energies and behaviour is common practice in all work settings, of which the health care system is no exception. The range and influence of economic incentives/disincentives affecting community nurses are the subject of this discussion paper. The tendency by nurses to disregard, and in many cases, deny a direct impact of economic incentives/disincentives on their motivation and professional conduct is of particular interest. The goal of recent research was to determine if economic incentives/disincentives in community nursing exist, whether they have a perceivable impact and in what areas. Conclusion Understanding the value system of community nurses and how they respond to economic incentives/disincentives facilitates the development of reward systems more likely to be relevant and strategic. If nurse rewards are to become more effective organizational tools, the data suggest that future initiatives should: • Improve nurses' salary/income relativities (e.g. comparable pay/rates; • Provide just compensation for job-related expenses (e.g. petrol, clothing; • Introduce promotional opportunities within the clinical area, rewarding skill and competence development; • Make available a range of financed rewards. - Direct (e.g. subsidized education, additional leave, insurance benefits; - Indirect (e.g. better working conditions, access to professional support network, greater participation in decision-making bodies.

  3. Reducing violence against nurses: the violence prevention community meeting.

    Science.gov (United States)

    Lanza, Marilyn L; Rierdan, Jill; Forester, Linda; Zeiss, Robert A

    2009-12-01

    Research was undertaken to validate the efficacy of a new, nurse-led treatment, the Violence Prevention Community Meeting (VPCM), for reducing patient violence on an acute-care inpatient psychiatry unit. Nursing staff members carried event counters and recorded verbal and physical violence as it occurred over the 20-week study. Significant decreases in patient violence were found across day, evening, and night shifts for pre-treatment vs. treatment and pre-treatment vs. post-treatment comparisons. For the day shift, when twice-weekly VPCM treatment took place, violent incidents decreased 89% from pre-treatment to treatment and 57% from pre-treatment to post-treatment.

  4. Generalist palliative care in hospital

    DEFF Research Database (Denmark)

    Bergenholtz, Heidi; Jarlbæk, Lene; Hølge-Hazelton, Bibi

    2016-01-01

    Background: It can be challenging to provide generalist palliative care in hospitals, owing to difficulties in integrating disease-orientedtreatment with palliative care and the influences of cultural and organisational conditions. However, knowledge on the interactionsthat occur is sparse. Aim......: To investigate the interactions between organisation and culture as conditions for integrated palliative care in hospital and, ifpossible, to suggest workable solutions for the provision of generalist palliative care. Design: A convergent parallel mixed-methods design was chosen using two independent studies...... hospital with 29 department managements and one hospital management. Results: Two overall themes emerged: (1) ‘generalist palliative care as a priority at the hospital’, suggesting contrasting issues regardingprioritisation of palliative care at different organisational levels, and (2) ‘knowledge and use...

  5. The community of nursing: moral friends, moral strangers, moral family.

    Science.gov (United States)

    Laabs, Carolyn A

    2008-10-01

    Unlike bioethicists who contend that there is a morality common to all, H. Tristan Engelhardt (1996) argues that, in a pluralistic secular society, any morality that does exist is loosely connected, lacks substantive moral content, is based on the principle of permission and, thus, is a morality between moral strangers. This, says Engelhardt, stands in contrast to a substance-full morality that exists between moral friends, a morality in which moral content is based on shared beliefs and values and exists in communities that tend to be closely knit and religiously based. Of what value does Engelhardt's description of ethics as moral friends and moral strangers have for nursing? In this essay, I attempt to show how Engelhardt's description serves to illustrate how the nursing community historically had been one of moral friends but has gradually become one of moral strangers and, hence, at risk of failing to protect patients in their vulnerability and of compromising the integrity of nursing. Building on Engelhardt's concepts, I suggest we might consider modern nursing like a moral family to the extent that members might at times relate to one another as moral strangers but still possess a desire and a need to reconnect with the common thread that binds us as moral friends. Nursing is a practice discipline. Given the challenges of modern bioethics, an applied ethic is needed to give moral direction to clinicians as we strive to conduct ourselves ethically in the practice of our profession. To that end, nursing should reflect upon and seek to reconnect with the content-full morality that is historically and religiously based.

  6. Teaching/learning strategies for the essentials of baccalaureate nursing education for entry-level community/public health nursing.

    Science.gov (United States)

    Callen, Bonnie; Smith, Claudia M; Joyce, Barbara; Lutz, Jayne; Brown-Schott, Nancy; Block, Derryl

    2013-01-01

    The purpose of this article is to describe teaching/learning strategies for each of the 15 Essentials of Baccalaureate Nursing Education for Entry-Level Community/Public Health Nursing (ACHNE, 2009). Carper's ways of knowing serve as foundations for creating classroom and clinical experiences that focus on clinical action with community as client. Each community/public health essential is defined with relevance to community/public health nursing practice. Five teaching/learning strategies have been delineated for each essential with suggestions of teaching resources and/or target population application. Teaching/learning strategies that focus on community as client, population health, and the essential knowledge and competencies of C/PH nursing will help ensure preparation of baccalaureate prepared nurses with knowledge and skills to improve the health of populations. © 2013 Wiley Periodicals, Inc.

  7. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Science.gov (United States)

    2010-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  8. The Development and Testing of a Community Health Nursing Clinical Evaluation Tool.

    Science.gov (United States)

    Hawranik, Pamela

    2000-01-01

    Describes the development and testing of a clinical evaluation tool for a community health nursing course for registered nurses through review of the literature and focus groups with community health nurses and faculty. The article contains 22 references and an abbreviated form of the evaluation tool. (Author/JOW)

  9. A case study of a distance-based public health nursing/community health nursing practicum.

    Science.gov (United States)

    Vandenhouten, Christine; Block, Derryl

    2005-01-01

    Facilitating a distance-based public health/community health nursing practicum for RN to BSN students posed challenges and opportunities. Challenges included time involved in arranging the practicum, relationship building with agencies and staff, communicating with students, and the need for flexible practicum scheduling. Exposure to practice models from across the nation allowed students to compare and contrast these public health nursing models. Programs planning to offer this type of course should consider faculty workload particularly during the semester prior to teaching the practicum.

  10. Partnering with those we serve: using experiential learning activities to support community nursing practice.

    Science.gov (United States)

    Fries, Kathleen; Stewart, Julie G

    2012-01-01

    The concept of community is multidimensional and may include geographical boundaries and/or the shared interests of its members. Community nursing practice involves nurses, patients, and families who collaborate to address health issues and to promote positive health initiatives. Informed by community health theorists, experiential learning activities provide the structure to promote partnering in community nursing practice to achieve outcomes that benefit those who serve and those who are served.

  11. Partnership working between hospice and children's community nursing teams.

    Science.gov (United States)

    Bennett, Helen; McCarthy, Lesley; McKinnon, Sam

    2016-11-08

    This article describes the implementation and evaluation of a new partnership between a children's hospice service and an NHS children's community nursing team to support children's palliative care in the community. Aims and outcomes of the service were established in its initial design and it was monitored for quality and improvement over its first year. Mixed methods of audit and evaluation strategies were used to assess the quality of the service. Findings demonstrate that it has offered significant support to children, and families valued the role of the new Alexander's nurse. Professionals described improved communication and working relationships through the collaborative partnership. The evaluation also identified areas of learning for future development of the service.

  12. Moving Toward a Virtual Knowledge Platform for Faith Community Nurses.

    Science.gov (United States)

    Ziebarth, Deborah; Hunter, Carson

    2016-11-01

    In preparation for the development of a virtual knowledge platform for faith community nurses, a review of literature explored the prevalence and context of electronic knowledge management initiatives. The review revealed that healthcare, business, and global virtual knowledge platforms have been developed to elicit certain behaviors in users. For those who develop virtual knowledge platforms, the results are improved efficiency, innovation, accessibility, and cost savings. The main component of virtual knowledge platforms is a central repository or an infrastructure where knowledge is created, acquired, stored (documents), updated, and shared internally and externally. The refinery processes refer to technology mechanisms that make content accessible. A transparent collaboration among information technology, knowledge owners, and users is needed to successfully sustain a virtual knowledge platform. Faith community nurses often practice in isolated environments. A virtual knowledge platform where practice resources and tools are shared, and communication among peers exists, may improve knowledge and skills and result in a positive impact on patient outcomes.

  13. Ciprofloxacin : Use and resistance in Community, Nursing Home and Hospital

    OpenAIRE

    van Hees, B.C.

    2011-01-01

    The aim of the studies described in this thesis was to analyze some aspects of ciprofloxacin use and clinical and (molecular) epidemiology of ciprofloxacin resistance in different settings, both within hospitals (chapter 3,4 and 6), community and nursing homes (chapter 2 and 5). With its broad spectrum against gram negative organisms and favorable pharmacokinetics, ciprofloxacin use has increased over the last two decades, as did resistance against ciprofloxacin. Chapter 2 describes a nation-...

  14. Functionalism and holism: community nurses' perceptions of health.

    Science.gov (United States)

    Long, A; Baxter, R

    2001-05-01

    This paper reports the results of a study that was designed to explore and examine the perceptions of two groups of newly qualified community nurses about the factors they considered to be embedded within the concepts of health, health-enhancing behaviours at individual, family and community levels and their 'innermost self'. The research was exploratory in nature, and included two sample groups: group 1 comprised 16 newly qualified health visitors; group 2 comprised 16 newly qualified community mental health nurses. Purposive sampling was used and data were collected using semi-structured interviews. The group of health visitors perceived health in terms of physical fitness and functional states. At a global level they perceived the need to provide education on health matters. They gave generously to 'charities' and perceived the 'inner self' as 'that part that matters'. The group of community mental health nurses perceived health in terms of holism and being states. Their concept of health was related to listening to each individual's perception of what is 'right' and 'health-enhancing' for them. At a global level they considered the protection of the ozone layer and the promotion of a just and equitable society which focused on the reduction of poverty, to be key health-enhancing activities. They perceived their 'innermost self' to be 'that part of me that makes life worth living', and the soul. The findings have implications for developing new and creative approaches for teaching the holistic concept of health and healing. Educational activities could be designed which strive to ensure that nurses themselves have safe and health embracing opportunities for exploring all the elements that are embedded within the topic of health. Their role in facilitating holistic health promoting activities for all clients also needs to be addressed.

  15. Management behaviour of one community health nurse supervisor.

    Science.gov (United States)

    Field, P A; Larsen, J

    1989-03-01

    Mintzberg's theoretical framework of management, which examines the roles and functions of a manager in relation to effective communication, is used to analyse observational data of managerial conflict within a community health setting. In this setting the manager failed to establish sound interpersonal relations with her peers or with the clinic nurses. This led to a poor information base from which she could make decisions. The result was that the group became stressed and developed signs of disintegration.

  16. What does social enterprise mean for community nursing?

    Science.gov (United States)

    Cook, Rosemary

    2006-11-01

    The concept of social enterprise has gained currency since the publication of the health white paper "Our Health, Our Care, Our Say" (Department of Health, 2001). Social enterprise is a way of introducing competition into health-care provision without focusing on extracting maximum profit, since in most cases any profits are reinvested into the enterprise. Rosemary Cook takes a look at the thinking behind social enterprise, its potential role in the NHS and what is could mean for community nursing.

  17. Community-Centered Service Learning: A Transformative Lens for Teaching-Learning in Nursing.

    Science.gov (United States)

    Yancey, Nan Russell

    2016-04-01

    Although service learning has been proposed as a teaching-learning modality in response to an ongoing challenge to transform nursing education, there is a risk to community and student when service learning is poorly conceived. A community-centered service learning approach founded on a nursing theoretical perspective and community model is explored as a way to honor the wisdom and perspective of the community in changing while illuminating a new way of being a nurse in community for the nursing student. © The Author(s) 2016.

  18. Thriving despite adversity: Job engagement and self-care among community nurses

    OpenAIRE

    Vinje, Hege Forbech

    2007-01-01

    Background: Community nursing in Norway has become an increasingly stressful occupation and many nurses who experience symptoms of burnout leave the profession. Yet others manage to cope with the adversity of nursing. This study addressed the question ‘how and why do nurses in community health care experience job engagement and stay healthy – and what can we learn from those who succeed?’ The assumption underlying this study was that job engagement is health promoting, and the ...

  19. Learning communities of community care nurses and lecturers: the exchange of knowledge and skills.

    NARCIS (Netherlands)

    Verkleij, K.A.M.; Francke, A.L.; Voordouw, I.; Sol, B.G.M.; Latour, C.H.M.; Wallner, C.; Baronner, W.M.; Jacobs, G.; Janssen, B.M.; Koopman-van den Berg, D.J.E.M.; Bosma, C.; Theunissen, J.M.J.; Gobbens, R.J.J.; Albers, M.; Jager, B. de; Keuning, A.; Finnema, E.J.

    2016-01-01

    Introduction: Due to the aging population and the governmental policy to substitute institutional care with home care, more community care nurses are needed in the Netherlands. In addition, new competences, for instance regarding promoting self-management and multidisciplinary collaboration, are

  20. Learning communities of community care nurses and lecturers: the exchange of knowledge and skills.

    NARCIS (Netherlands)

    Verkleij, K.A.M.; Francke, A.L.; Voordouw, I.; Sol, B.G.M.; Latour, C.H.M.; Wallner, C.; Baronner, W.M.; Jacobs, G.; Janssen, B.M.; Koopman-van den Berg, D.J.E.M.; Bosma, C.; Theunissen, J.M.J.; Gobbens, R.J.J.; Albers, M.; Jager, B. de; Keuning, A.; Finnema, E.J.

    2016-01-01

    Introduction: Due to the aging population and the governmental policy to substitute institutional care with home care, more community care nurses are needed in the Netherlands. In addition, new competences, for instance regarding promoting self-management and multidisciplinary collaboration, are req

  1. Associations between successful palliative cancer pathways and community nurse involvement

    DEFF Research Database (Denmark)

    Neergaard, Mette Asbjoern; Vedsted, Peter; Olesen, Frede

    2009-01-01

    ABSTRACT: BACKGROUND: Most terminally ill cancer patients and their relatives wish that the patient dies at home. Community nurses (CNs) are often frontline workers in the patients' homes and CN involvement may be important in attaining successful palliative pathways at home.The aim of the present...... were used to obtain data on CNs' efforts, GP-questionnaires were used to obtain data on pathway characteristics and relatives answered questionnaires to evaluate the palliative pathway at home. Questionnaires addressed the palliative pathway of a total of 599 deceased cancer patients. Associations...... between bereaved relatives' evaluation of palliative pathways at home and place of death and CN involvement were analysed. RESULTS: 'A successful palliative pathway at home' was positively associated with home-death and death at a nursing home compared with death at an institution. No significant...

  2. LIVE: a tool to support student/teacher enactment of community health nursing praxis.

    Science.gov (United States)

    Bernick, Laurie; Clark, Sheila

    2008-01-01

    Drawing on the authors' own experience, while working with students and faculty in a senior level undergraduate baccalaureate nursing program, a tool was developed to assist both faculty and student nurses in the process of praxis reflection in community health. The tool, LIVE, will be described and will provide a guide for students as they transition from hospital-based nursing to community nursing. The framework's four phases of learning, inviting, valuing and engaging are described. Key content areas and strategies for faculty to consider as they support students in their community health experience are provided. Students are invited to expand their understanding about nursing and to go beyond the medical model that underpins nursing in the hospital setting. The LIVE tool will assist faculty in guiding students in exploring the socio-environmental determinants of health, the standards of community nursing practices (CHNAC, 2003) and the process of becoming reflective practitioners.

  3. Arus Carolan Community Nursing Unit, Mohill, Leitrim.

    LENUS (Irish Health Repository)

    Stordal, Britta

    2013-06-01

    Mutations in BRCA1\\/2 increase the risk of developing breast and ovarian cancer. Germline BRCA1\\/2 mutations occur in 8.6-13.7% of unselected epithelial ovarian cancers, somatic mutations are also frequent. BRCA1\\/2 mutated or dysfunctional cells may be sensitive to PARP inhibition by synthetic lethality. The aim of this study is to comprehensively characterise the BRCA1\\/2 status of a large panel of ovarian cancer cell lines available to the research community to assist in biomarker studies of novel drugs and in particular of PARP inhibitors. The BRCA1\\/2 genes were sequenced in 41 ovarian cell lines, mRNA expression of BRCA1\\/2 and gene methylation status of BRCA1 was also examined. The cytotoxicity of PARP inhibitors olaparib and veliparib was examined in 20 cell lines. The cell line SNU-251 has a deleterious BRCA1 mutation at 5564G > A, and is the only deleterious BRCA1\\/2 mutant in the panel. Two cell lines (UPN-251 and PEO1) had deleterious mutations as well as additional reversion mutations that restored the protein functionality. Heterozygous mutations in BRCA1\\/2 were relatively common, found in 14.6% of cell lines. BRCA1 was methylated in two cell lines (OVCAR8, A1847) and there was a corresponding decrease in gene expression. The BRCA1 methylated cell lines were more sensitive to PARP inhibition than wild-type cells. The SNU-251 deleterious mutant was more sensitive to PARP inhibition, but only in a long-term exposure to correct for its slow growth rate. Cell lines derived from metastatic disease are significantly more resistant to veliparib (2.0 fold p = 0.03) compared to those derived from primary tumours. Resistance to olaparib and veliparib was correlated Pearsons-R 0.5393, p = 0.0311. The incidence of BRCA1\\/2 deleterious mutations 1\\/41 cell lines derived from 33 different patients (3.0%) is much lower than the population incidence. The reversion mutations and high frequency of heterozygous mutations suggest that there is a selective

  4. Confidence and clinical judgement in community nurses managing venous leg ulceration - A judgement analysis.

    Science.gov (United States)

    Adderley, Una J; Thompson, Carl

    2017-07-19

    The variation in the management of venous leg ulceration in the UK is partly attributable to an uncertain clinical environment but the quality of judgements is influenced by the how well nurses' confidence and accuracy are aligned. To assess UK community nurses' confidence in the accuracy of their diagnostic judgements and treatment choices when managing venous leg ulceration. Judgement Analysis. UK community and primary care nursing services. 18 community non-specialist nurses working in district (home) nursing teams and general practitioner services and 18 community tissue viability specialist nurses. Using judgement analysis methods, 18 community non-specialist nurses and 18 community tissue viability specialist nurses made diagnoses and treatment judgements about compression therapy for 110 clinical scenarios and indicated their confidence for each judgement. An expert panel made consensus judgements for the same scenarios and these judgements were used as a standard against which to compare the participants. Confidence analysis was used to assess the nurses' confidence about their diagnostic judgements and treatment choices. Despite being very experienced, both non-specialist nurses' and specialist tissue viability nurses' levels of confidence were not well calibrated with their levels of accuracy. The results of this study are important as errors resulting from both over and under-confidence at the diagnostic phase of management may influence treatment choices, and thus increase the chances of treatment error. Copyright © 2017. Published by Elsevier Ltd.

  5. School Nurse Workload: A Scoping Review of Acute Care, Community Health, and Mental Health Nursing Workload Literature

    Science.gov (United States)

    Endsley, Patricia

    2017-01-01

    The purpose of this scoping review was to survey the most recent (5 years) acute care, community health, and mental health nursing workload literature to understand themes and research avenues that may be applicable to school nursing workload research. The search for empirical and nonempirical literature was conducted using search engines such as…

  6. 77 FR 41986 - Division of Nursing, Public Health Nursing Community Based Model of PHN Case Management Services

    Science.gov (United States)

    2012-07-17

    ...), Community Based Model of Public Health Nursing Case Management Services. This program is authorized under... management model that utilizes the PHN as a case manager. Research indicates nursing case management is a..., communication and monitoring. The goals and outcomes of the PHN case management model are early detection...

  7. Value-sensitive clinical accompaniment in community nursing science

    Directory of Open Access Journals (Sweden)

    Ebin Arries

    2010-03-01

    Full Text Available Clinical community health facilities where undergraduate students are placed for their practical work in community nursing science are dynamic and have undergone major transformation over the past few years. In the clinical field, community nurses and undergraduate students are representative of the different races and language and ethnic groups in the South African population, with each group espousing different value systems. Both parties – students and community nurses – report that, due to these differences, value conflicts are experienced during clinical accompaniment and that this has negative effects on clinical learning in community nursing science.

    The goal of this study was to explore and describe the experiences of students with regard to value-sensitive clinical accompaniment in the community nursing environment. An exploratory, descriptive and contextual design was used. Interactions between community nurses and students during clinical accompaniment were explored for value sensitivity by means of video recordings,participant observation and focus group interviews. Data were collected by means of video recordings, participant observation and focus group interviews. The data were analysed and coded by the researcher and the external coder, using an inductive descriptive method to identify important segments of the regularity of behaviour. The focus group interviews were transcribed, analysed and coded by the researcher and the external coder, using Tesch’s steps of analysis (Creswell 1994:155–156.Lincoln and Guba’s criteria (1985:290 for trustworthiness were applied to the study.

    The general findings indicate that clinical accompaniment in community nursing is not value sensitive and, as a result, guidelines for value-sensitive clinical accompaniment need to be developed for undergraduate students in the community nursing environment. The following values (values for which guidelines need to be developed were

  8. Should we train scientific generalists?

    CERN Document Server

    Sarma, Gopal

    2014-01-01

    I examine the topic of training scientific generalists. To focus the discussion, I propose the creation of a new graduate program, analogous in structure to existing MD/PhD programs, aimed at training a critical mass of scientific researchers with substantial intellectual breadth. In addition to completing the normal requirements for a PhD, students would undergo an intense, several year training period designed to expose them to the core vocabulary of multiple subjects at the graduate level. After providing some historical and philosophical context for this proposal, I outline how such a program could be implemented with little institutional overhead by existing research universities. Finally, I discuss alternative possibilities for training generalists by taking advantage of contemporary developments in online learning and open science.

  9. Teaching-learning in community: the metaphor of nurse as guest.

    Science.gov (United States)

    Milton, Constance L

    2012-04-01

    Metaphors are creative learning devices that may illustrate novel and different meanings in teaching-learning situations. In this column, the author discusses possible meanings of the metaphor of nurse as guest in nurse-community relationships from a humanbecoming theoretical lens. Humanbecoming teaching-learning essences, paradoxes, and processes are used to illustrate potential ethical meanings and implications for nurse practice.

  10. Models of differentiated practice and specialization in community nursing: a review of the literature.

    NARCIS (Netherlands)

    Jansen, P.G.M.; Kerkstra, A.; Huijer Abu-Saad, H.; Zee, J. van der

    1996-01-01

    In most agencies for community nursing at least two types of nurse are employed. To ensure efficient use of personnel and high quality of nursing care, the principles of differentiated practice and specialization are used. It is suggested that these types of work redesign will have consequences for

  11. Models of differentiated practice and specialization in community nursing: a review of the literature.

    NARCIS (Netherlands)

    Jansen, P.G.M.; Kerkstra, A.; Huijer Abu-Saad, H.; Zee, J. van der

    1996-01-01

    In most agencies for community nursing at least two types of nurse are employed. To ensure efficient use of personnel and high quality of nursing care, the principles of differentiated practice and specialization are used. It is suggested that these types of work redesign will have consequences for

  12. Universal Health Coverage through Community Nursing Services: China vs. Hong Kong

    Science.gov (United States)

    Chan, Wai Yee; Fung, Ita M; Chan, Eric

    2017-01-01

    ABSTRACT Objective: this article looks at how the development of community nursing services in China and Hong Kong can enhance universal health coverage. Methods: literature and data review have been utilized in this study. Results: nursing services have evolved much since the beginning of the nursing profession. The development of community nursing services has expanded the scope of nursing services to those in need of, not just hospital-level nursing care, but more holistic care to improve health and quality of life. Conclusion: despite the one-country-two-systems governance and the difference in population and geography, Hong Kong and China both face the aging population and its complications. Community nursing services help to pave the road to Universal Health Coverage. PMID:28146178

  13. Future Perspectives of the Nurse in the Community

    Directory of Open Access Journals (Sweden)

    Cláudia Campos

    2014-06-01

    Full Text Available The purpose of this article is to consider the paradigm shift "from the Hospital to the Community" and find adequate intervention strategies for promoting mental health and preventing mental illness, as well as its early detection. The psychiatric nurse in the community has an important role in this area of ​​activity and must develop skills in order to promote the bio-psycho-social rehabilitation of people in their environment. Several issues will be addresses, including the role of the family as the change in the fight against stigma and discrimination, the importance of collaboative work with primary health care and the techniques used in psychotherapy. Procedures and interventions used in other countries, including Britain and Canada, where the deinstitutionalization of patients with mental problems is a longstanding reality, will be reviewed.

  14. Integration of the primary health care approach into a community nursing science curriculum

    Directory of Open Access Journals (Sweden)

    SS Vilakazi

    2000-09-01

    Full Text Available The purpose of this article is to explore and describe guidelines for integration of the primary health care approach into a Community Nursing Science Curriculum in a Nursing College in Gauteng. A qualitative, exploratory, descriptive and contextual research design was utilized. The focus group interviews were conducted with community nurses and nurse educators as respondents. Data were analysed by a qualitative descriptive method of analysis as described in Creswell (1994:155. Respondents in both groups held similar perceptions regarding integration of primary health care approach into a Community Nursing Science Curriculum. Five categories, which are in line with the curriculum cycle, were identified as follows: situation analysis, selection and organisation of objectives/ goals, content, teaching methods and evaluation. Guidelines and recommendations for the integration of the primary health care approach into a Community Nursing Science Curriculum were described.

  15. Use of PHN competencies and ACHNE essentials to develop teaching-learning strategies for generalist C/PHN curricula.

    Science.gov (United States)

    Carter, Kimberly Ferren; Kaiser, Katherine Laux; O'Hare, Patricia A; Callister, Lynn Clark

    2006-01-01

    This paper provides a useful tool for the undergraduate community/public health nursing (C/PHN) faculty member to design courses and learning activities, and to interpret C/PHN education needs to undergraduate curriculum committees and administrators. Specifically, this paper provides a tangible bridge between the Public Health Nursing Competencies (Quad Council of Public Health Nursing Organizations, 2004) and the Association of Community Health Nursing Educators (ACHNE) Essentials of Baccalaureate Education (2000) for both didactic and clinical learning experiences. The tables may be used in multiple ways, including curriculum monitoring and improvement, course development and instructional design, clinical practice planning, and as a foundation for evaluation of conceptual learning and practice competence for the C/PHN generalist. Because C/PHN experiences in undergraduate education are unique and context based, the tables exemplify how two key guiding documents mutually frame the C/PHN educational experience supported by specific learning activities. Further, at a minimum, MSN preparation as a C/PHN specialist is clearly necessary for the teaching and learning of baccalaureate curricular components of C/PHN.

  16. Online learning communities can provide support for nurses preparing for certification examinations.

    Science.gov (United States)

    Pethtel, Pam

    2005-01-01

    Achieving certification is a benefit to the nurses, to their patients, and to the organizations that support them. Developing an online learning community is a simple way for the institution to offer support to the nursing staff. Providing the resources for creation of online learning communities demonstrates the facility's commitment to communication, education, and professional development.

  17. Community psychiatric nursing in the Netherlands: a survey of a thriving but threatened profession

    NARCIS (Netherlands)

    Koekkoek, B.W.; Meijel, B.K.G. van; Schene, A.; Hutschemaekers, G.J.M.

    2009-01-01

    The aim of this paper is to describe and analyse the Dutch community psychiatric nursing profession. In spite of their large numbers, estimated at 2900, Dutch community psychiatric nurses (CPNs) have contributed little to the international literature. The history of the profession reveals a relative

  18. The Generalist Inside the Specialist: Gut Bacterial Communities of Two Insect Species Feeding on Toxic Plants Are Dominated by Enterococcus sp.

    Science.gov (United States)

    Vilanova, Cristina; Baixeras, Joaquín; Latorre, Amparo; Porcar, Manuel

    2016-01-01

    Some specialist insects feed on plants rich in secondary compounds, which pose a major selective pressure on both the phytophagous and the gut microbiota. However, microbial communities of toxic plant feeders are still poorly characterized. Here, we show the bacterial communities of the gut of two specialized Lepidoptera, Hyles euphorbiae and Brithys crini, which exclusively feed on latex-rich Euphorbia sp. and alkaloid-rich Pancratium maritimum, respectively. A metagenomic analysis based on high-throughput sequencing of the 16S rRNA gene revealed that the gut microbiota of both insects is dominated by the phylum Firmicutes, and especially by the common gut inhabitant Enterococcus sp. Staphylococcus sp. are also found in H. euphorbiae though to a lesser extent. By scanning electron microscopy, we found a dense ring-shaped bacterial biofilm in the hindgut of H. euphorbiae, and identified the most prominent bacterium in the biofilm as Enterococcus casseliflavus through molecular techniques. Interestingly, this species has previously been reported to contribute to the immobilization of latex-like molecules in the larvae of Spodoptera litura, a highly polyphagous lepidopteran. The E. casseliflavus strain was isolated from the gut and its ability to tolerate natural latex was tested under laboratory conditions. This fact, along with the identification of less frequent bacterial species able to degrade alkaloids and/or latex, suggest a putative role of bacterial communities in the tolerance of specialized insects to their toxic diet.

  19. Can alien plants support generalist insect herbivores?

    Science.gov (United States)

    Douglas Tallamy; Meg Ballard; Vincent. D' Amico

    2009-01-01

    Rearing experiments were conducted to address two questions relevant to understanding how generalist lepidopteran herbivores interact with alien plants. We reared 10 yellow-striped armyworms (Spodoptera ornithogalli),...

  20. Factors influencing community nursing roles and health service provision in rural areas: a review of literature.

    Science.gov (United States)

    Barrett, Annette; Terry, Daniel R; Lê, Quynh; Hoang, Ha

    2016-02-01

    This review sought to better understand the issues and challenges experienced by community nurses working in rural areas and how these factors shape their role. Databases were searched to identify relevant studies, published between 1990 and 2015, that focussed on issues and challenges experienced by rural community nurses. Generic and grey literature relating to the subject was also searched. The search was systematically conducted multiple times to assure accuracy. A total of 14 articles met the inclusion criteria. This critical review identified common issues impacting community nursing and included role definition, organisational change, human resource, workplace and geographic challenges. Community nurses are flexible, autonomous, able to adapt care to the service delivery setting, and have a diversity of knowledge and skills. Considerably more research is essential to identify factors that impact rural community nursing practice. In addition, greater advocacy is required to develop the role.

  1. Probing community nurses' professional basis: a situational case study in diabetic foot ulcer treatment.

    Science.gov (United States)

    Schaarup, Clara; Pape-Haugaard, Louise; Jensen, Merete Hartun; Laursen, Anders Christian; Bermark, Susan; Hejlesen, Ole Kristian

    2017-03-01

    Complicated and long-lasting wound care of diabetic foot ulcers are moving from specialists in wound care at hospitals towards community nurses without specialist diabetic foot ulcer wound care knowledge. The aim of the study is to elucidate community nurses' professional basis for treating diabetic foot ulcers. A situational case study design was adopted in an archetypical Danish community nursing setting. Experience is a crucial component in the community nurses' professional basis for treating diabetic foot ulcers. Peer-to-peer training is the prevailing way to learn about diabetic foot ulcer, however, this contributes to the risk of low evidence-based practice. Finally, a frequent behaviour among the community nurses is to consult colleagues before treating the diabetic foot ulcers.

  2. Mental health nurses' contributions to community mental health care: An Australian study.

    Science.gov (United States)

    Heslop, Brett; Wynaden, Dianne; Tohotoa, Jenny; Heslop, Karen

    2016-10-01

    Australian mental health policy is focused on providing mental health care in the community setting and community mental health teams provide services to clients in a shared model with primary care. The historical literature reports that community mental health nurses' experience high levels of stress and are often allocated the most complex and challenging clients managed by the team. Yet information on their specific roles remains limited. This paper reports on research conducted at one Australian public mental health service to identify the components of the community mental health nursing role and to quantify the time nurses spent in each component during the study period. Six focus groups were conducted with community mental health nurses to identify their perceived role within the team. Data analysis identified 18 components of which 10 were related to direct clinical contact with clients and eight covered administrative and care coordination activities. A data collection tool based on the findings of the focus groups was designed and nurses recorded workload data on the tool in 15-min intervals over a 4-week period. Seventeen nurses collected 1528 hours of data. Internal coordination of care was identified as the top workload item followed by clinical documentation and national data collection responsibilities supporting the complexity of the community mental health nursing role. The high rating attached to the internal coordination of care role demonstrates an important contribution that community mental health nurses make to the functioning of the team and the delivery of quality mental health care.

  3. Critical service learning in community health nursing: enhancing access to cardiac health screening.

    Science.gov (United States)

    Gillis, Angela; Mac Lellan, Marian A

    2013-04-23

    Critical service learning (CSL) offers promise for preparing community health nursing students to be advocates for social justice and social change. The purpose of this article is to describe a community based CSL project designed to provide cardiac health screening to an underserviced population, wherein nursing's role in social justice is integrated into nursing practice. First, the relationship between social justice and CSL is explored. Then, the CSL approach is examined and differentiated from the traditional service learning models frequently observed in the nursing curriculum. The CSL project is described and the learning requisites, objectives, requirements, and project outcomes are outlined. While not a panacea for system reform, CSL offers nursing students avenues for learning about social justice and understanding the social conditions that underlie health inequalities. Nurse educators may benefit from the new strategies for incorporating social justice into nursing curriculum; this paper suggests that CSL offers one possibility.

  4. Australian rural, remote and urban community nurses' health promotion role and function.

    Science.gov (United States)

    Roden, Janet; Jarvis, Lynda; Campbell-Crofts, Sandra; Whitehead, Dean

    2016-09-01

    Community nurses have often been 'touted' as potential major contributors to health promotion. Critical literature, however, often states that this has not been the case. Furthermore, most studies examining nurses' role and function have occurred mainly in hospital settings. This is a sequential mixed-methods study of two groups of community nurses from a Sydney urban area (n = 100) and from rural and remote areas (n = 49) within New South Wales, Australia. A piloted questionnaire survey was developed based on the five action areas of the Ottawa Charter for Health Promotion. Following this, 10 qualitative interviews were conducted for both groups, plus a focus group to support or refute survey results. Findings showed that rural and remote nurses had more positive attitudes towards health promotion and its clinical implementation. Survey and interview data confirmed that urban community nurses had a narrower focus on caring for individuals rather than groups, agreeing that time constraints impacted on their limited health promotion role. There was agreement about lack of resources (material and people) to update health promotion knowledge and skills. Rural and remote nurses were more likely to have limited educational opportunities. All nurses undertook more development of personal skills (DPS, health education) than any other action area. The findings highlight the need for more education and resources for community nurses to assist their understanding of health promotion concepts. It is hoped that community nurse leaders will collectively become more effective health promoters and contribute to healthy reform in primary health care sectors.

  5. A silent epidemic: community nursing and effective pain management.

    Science.gov (United States)

    Ogston-Tuck, Sherri

    2012-11-01

    Effective pain management presents challenges to health care practitioners, particularly in the community setting. This is evident from the complexities associated with the phenomenon of pain and the circumstances for those patients suffering from pain. An overwhelming amount of literature and research surrounding pain exists in an effort to improve our understanding of pain, assessment and management strategies. But patients in pain are not managed well in the community or acute setting. Health care professionals continue to underestimate and under treat pain, failing to meet the patient's individual needs. Pain management it is not about cure, nor is it as simple as reporting zero on a pain score- it is about knowledge, expertise and understanding. Pain is a subjective and very personal experience, wherein health care professionals must listen to the patients' story. Myths and fears surrounding pain remains a barrier to effective management and care. This article aims to dispel the myths and improve clinical practice, particularly in effective pain assessment so patients in the community presenting with pain can be managed individually and effectively. Nurses need to be proactive in their approach, through effective communication and decision making, trusting in our patients' and their pain experience. This is key to a successful approach to managing patients' pain effectively.

  6. A prescription for disruptions in care: community building among nurses to address horizontal violence.

    Science.gov (United States)

    Longo, Joy; Smith, Marlaine C

    2011-01-01

    In the health care environment, threats exist that can impact a nurse's ability to provide safe, quality care. One of these threats is disruptive behavior among health care workers in which negative interactions adversely affect communication and collaboration. When this occurs among nurses, it is identified as horizontal violence. An underlying concept is power. When attempting to address these behaviors in the workplace, it is important that nurses recognize the context in which they occur so sustaining changes can be made. Community building among nurses may be an appropriate approach to give nurses the skills to make these changes.

  7. [From isolated work to teamwork? Changes in Western German community nursing from 1950 to 1980].

    Science.gov (United States)

    Hackmann, Mathilde

    2004-12-01

    Community nursing in Western Germany has received little attention from nurse historians. The period from 1950 to 1980 can be seen as a major shift from the single nurse's independent work to more teamwork. So far, changes during this period have not been analysed from the perspective of individual nurses. To illuminate this period of change, primary historical sources including archives and contemporaneous reports and journals were analysed. In addition an oral history approach was used to get an awareness of individual nurses' experiences. For this purpose interviews with five community nurses were conducted. Changes during the analysed period were perceived from different angles by the nurses. The analysis of the journal texts written by nurses and the interviews revealed the following categories: independence and freedom, working together, bureaucracy. Not all nurses were happy to lose the independence in their work. The new teamwork was not always welcomed although some nurses recognised the advantages of supporting each other. Increasing bureaucracy was a topic raised in the interviews but not in the journals. It can be concluded that the oral history approach is a suitable method to give individual nurses a voice.

  8. Learning Nursing in the Workplace Community: The Generation of Professional Capital

    Science.gov (United States)

    Gobbi, Mary

    This chapter explores the connections between learning, working and professional communities in nursing. It draws on experiences and research in nursing practice and education, where not only do isolated professionals learn as a result of their actions for patients and others, but those professionals are part of a community whose associated networks enable learning to occur. Several characteristics of this professional community are shared with those found in Communities of Practice (CoPs) (Lave and Wenger, 1991; Wenger, 1998), but the balance and importance of many elements can differ. For instance, whilst Lave and Wenger (1991) describe many aspects of situated learning in CoPs that apply to nurses, their model is of little help in understanding the ways in which other professions as well as patients/clients and carers influence the development of nursing practice. Therefore, I shall argue that it is not just the Community of Practice that we need to consider

  9. Role of community nurses in the prevention of tuberculosis in the Tshwane Health District of Gauteng.

    Science.gov (United States)

    Mnisi, Siphiwe D; Peu, Mmapheko D; Meyer, Salomé M

    2012-11-09

    The objectives of this study were to identify the role of community nurses in the prevention of tuberculosis (TB) and to identify problems experienced by them when fulfilling this role in the Tshwane Health District of Gauteng. A non-experimental, descriptive, quantitative research design method was used to collect data from community nurses. The sample included 59 registered nurses who voluntarily agreed to participate in the study. A questionnaire was used to collect data and quantitative data analysis methods were employed. Various opinions and ideas on the role of community nurses in the prevention of TB and the problems experienced were identified. Based on the results of this research, measures to protect community nurses from contracting TB whilst on duty should be a priority. Government should support TB programmes by providing money to non-governmental organisations and direct observed treatment short course (DOTS) supporters to make follow-up visits to patients possible, thus reducing the number of defaulters. Stringent measures should be taken at all border points to ensure that foreigners are screened for TB, multidrug-resistant TB and extensively drug-resistant TB. This study was limited to community nurses in the Tshwane Health District of Gauteng who were registered with the South African Nursing Council (SANC) and therefore this study could not be generalised to registered nurses in the hospital setting or even to clinics in the rest of South Africa.

  10. School nursing in an underserved multiethnic Asian community: experiences and outcomes.

    Science.gov (United States)

    Xu, Yu; Crane, Pege; Ryan, Rebecca

    2002-01-01

    Based on an Asian faculty's previous work, University of South Alabama College of Nursing conducted a project targeting the Asian population in Bayou La Batre, Alabama. The Helene Fuld Health Trust, HSBC, Trustee funded the project to demonstrate effective models for involving nursing students and faculty members in community-based practice. This project provided health services and developed educational programs for this underserved population. To facilitate entry into the Asian community, the College established clinical sites at 2 schools in Bayou La Batre that had the highest concentration of Asians in Mobile County's public school system. The purpose of the project was to develop a new curriculum, to involve nursing students in community-based practice, and to provide health care services in the community. The health services, educational programs, and community instructional activities generated substantial outcomes for the targeted population as well as nursing students. Nursing students learned to assess aggregates, plan, and evaluate interventions. The learning outcomes of the nursing students were evaluated using objectives developed in accordance with Bloom's (1956) Taxonomy. The project not only complemented and expanded existing school health services and programs but also filled the void in some health service and program areas. Preliminary evaluation of the project revealed overwhelmingly positive feedback from both the nursing students and Bayou La Batre school teachers. This article also explores the implications of the newly issued "National Standards for Culturally and Linguistically Appropriate Services in Health Care" for nursing education in the contexts of the Census 2000 and the megatrend of globalization.

  11. Examining missed care in community nursing: A cross section survey design.

    Science.gov (United States)

    Phelan, Amanda; Mccarthy, Sandra; Adams, Elizabeth

    2017-09-27

    To examine the prevalence of missed care in the community nursing. Previous studies have used a missed care framework to identify challenges routine nursing care in acute care environments. Several issues related to quality of care, safe staffing, job satisfaction and poor teamwork. However, this concept has not been examined in the community nursing context. A cross-sectional survey design was used to explore the concept of missed care in community nursing using demographical information, community nursing roles and reasons for missed care. Online questionnaires were completed by 458 community nurses in the Republic of Ireland to determine the prevalence of and reasons for missed care (31 July -25 September 2015). With a response rate of 29%, findings were above 70 percent in several routine care responsibilities. Other findings point to a higher level of missed care in nurses who had less than five years' experience and other variables such as age, those who worked additional unpaid hours and there were some regional variations. The results of the study indicate a high prevalence of missed care in the community nurses surveyed and that preventative care was the type of care most likely to be missed. This has serious implications for a nursing service that is preventative in nature and suggests that the missed care framework could benefit workforce planning for community nursing services both in Ireland and elsewhere. Accordingly, policy, practice and educational reforms are fundamental to meet current and future population needs. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  12. Community nursing needs more silver surfers: a questionnaire survey of primary care nurses' use of information technology

    Directory of Open Access Journals (Sweden)

    de Lusignan Simon

    2004-10-01

    Full Text Available Abstract Background In the UK the health service is investing more than ever before in information technology (IT and primary care nurses will have to work with computers. Information about patients will be almost exclusively held in electronic patient records; and much of the information about best practice is most readily accessible via computer terminals. Objective To examine the influence of age and nursing profession on the level of computer use. Methods A questionnaire was developed to examine: access, training received, confidence and use of IT. The survey was carried out in a Sussex Primary Care Trust, in the UK. Results The questionnaire was sent to 109 nurses with a 64% response rate. Most primary care nurses (89% use their computer regularly at work: 100% of practice nurses daily, compared with 60% of district nurses and 59% of health visitors (p Conclusions Using computers in the surgery has become the norm for primary care nurses. However, nurses over 50, working out in the community, lack the confidence and skill of their younger and practice based colleagues.

  13. Lessons learned from developing, implementing, and evaluating a model of community-driven nursing.

    Science.gov (United States)

    Nehls, N; Owen, B; Tipple, S; Vandermause, R

    2001-01-01

    The Helene Fuld Health Trust, HSBC Bank USA,Trustee has made generous contributions to the development of community-based nursing education. As a recipient of funds, faculty at the University ofWisconsin-Madison School of Nursing developed, implemented, and evaluated a pilot curriculum for undergraduate nursing students. The first phase of the project changed the landscape of community-based nursing education through faculty development. Unlike traditional approaches to faculty development, a resident expert model of faculty development based on dialogue was used. The second phase changed the landscape of teaching and learning community-based care through curricular and instructional revisions. Noteworthy changes were the creation of a curriculum responsive to both individual student and community needs, and recruitment of a cadre of teachers to enhance the cost-effectiveness of clinical education. The third phase changed the landscape of community-based nursing education through evaluation research. Several strategies were used to assess the project's usefulness, including interpretive phenomenological study of interview data and review of conventional outcome measures. Each phase of the project contributed to a new vision of community-based nursing education, a vision in which nursing as service is taught and learned.

  14. Communities of practice in nursing academia: a growing need to practice what we teach.

    Science.gov (United States)

    Risling, Tracie; Ferguson, Linda

    2013-08-22

    Although the community of practice (CoP) concept has been heavily utilized in business literature since its inception in the 1990s, it has not been significantly featured in nursing research. With student-centered approaches increasingly infusing nursing classrooms, including opportunities for collaborative learning and the development of student learning communities, it may be time to ask: Do we practice what we teach? Nursing academia faces challenges related to recruitment and retention, scholarly productivity and engagement of new faculty, and increasing demands for collaborative research. Challenges, some would argue, that could be addressed through CoPs; a sentiment reflected in the recent expansion of nursing CoP literature. What is the current state of the application of this concept in nursing academia and what barriers present in the promotion and development of CoPs in the academy? This article addresses these questions and provides guidance for those in search of community.

  15. Community of inquiry model: advancing distance learning in nurse anesthesia education.

    Science.gov (United States)

    Pecka, Shannon L; Kotcherlakota, Suhasini; Berger, Ann M

    2014-06-01

    The number of distance education courses offered by nurse anesthesia programs has increased substantially. Emerging distance learning trends must be researched to ensure high-quality education for student registered nurse anesthetists. However, research to examine distance learning has been hampered by a lack of theoretical models. This article introduces the Community of Inquiry model for use in nurse anesthesia education. This model has been used for more than a decade to guide and research distance learning in higher education. A major strength of this model learning. However, it lacks applicability to the development of higher order thinking for student registered nurse anesthetists. Thus, a new derived Community of Inquiry model was designed to improve these students' higher order thinking in distance learning. The derived model integrates Bloom's revised taxonomy into the original Community of Inquiry model and provides a means to design, evaluate, and research higher order thinking in nurse anesthesia distance education courses.

  16. Occupational stressors, burnout and coping strategies between hospital and community psychiatric nurses in a Dublin region.

    Science.gov (United States)

    McTiernan, K; McDonald, N

    2015-04-01

    Burnout negatively impacts the delivery of mental health services. Psychiatric nurses face stressors that are distinct from other nursing specialities. The research was conducted in Ireland and captured a relatively large sample of respondents. The results compared the stressors, coping strategies and burnout levels between hospital and community-based psychiatric nurses. Occupational stress can negatively impact on the well-being of psychiatric nurses, which in turn can lead to poor client care. There is a dearth of published research conducted in Ireland that examines stress within the discipline. A between-groups study, undertaken in February 2011, investigated stressors, burnout and coping strategies between hospital and community-based psychiatric nurses in a Dublin region. Sixty-nine participants (8 males and 61 females), aged between 18 to 60 years voluntarily completed the Mental Health Professional Stress Scale, the Maslach Burnout Inventory and the PsychNurse Methods of Coping Scale. The findings revealed that nurses were operating in a moderately stressful environment. Stressors focused on organizational issues as opposed to client issues. The main stressors identified were lack of resources, workload and organizational structures/processes. Both groups reported average levels of emotional exhaustion, low levels of depersonalization and average levels of personal accomplishment. A Mann-Whitney U-test and Independent Samples t-test found significant differences between hospital and community-based nurses regarding depersonalization and personal accomplishment, respectively. Hospital nurses reported higher depersonalization scores, and community nurses had a greater sense of personal accomplishment. The personal accomplishment scores of hospital nurses were below mental health professional norms. No significant differences emerged regarding coping strategies. Avoidant coping strategies were favoured by both groups. It is recommended that interventions

  17. Evaluating the impact of electronic health records on nurse clinical process at two community health sites.

    Science.gov (United States)

    Sockolow, Paulina S; Liao, Cindy; Chittams, Jesse L; Bowles, Kathryn H

    2012-01-01

    We conducted two mixed methods studies in community-based health care settings to examine EHR use among nurses documenting direct patient care and EHR impact on nurse satisfaction. Quantitative methods included documentation time-to-completion data and a clinician satisfaction survey. Qualitative methods included observations and follow-up interviews. Qualitative data was merged with the quantitative data by comparing findings along themes. Results indicated nurses increased the number and timeliness of notes documented. Nurse use of the EHR as intended varied between the research sites. Barriers to EHR use included cumbersome functionalities that impacted nurse efficiency, lack of interoperability, and hardware issues. Facilitators to adoption included functionalities that provided memory prompts during the care process and enabled nurses to communicate about patient care. Interpretation of findings underscores the importance of the interaction of workflow, EHR functionality, and usability to impact nurse satisfaction, efficiency, and use of the EHR.

  18. Community Health Nursing Education: Where We Are Going and How To Get There.

    Science.gov (United States)

    Kemp, Charles E.

    2003-01-01

    Discusses the shift in values needed to provide community health nursing education in partnership with a community. Offers principles for developing programs: refocused purpose, broad practice scope, problem solving as discovery, and family, community, and student empowerment. (Contains 37 references.) (Author/JOW)

  19. Associations between successful palliative cancer pathways and community nurse involvement

    Directory of Open Access Journals (Sweden)

    Sokolowski Ineta

    2009-12-01

    Full Text Available Abstract Background Most terminally ill cancer patients and their relatives wish that the patient dies at home. Community nurses (CNs are often frontline workers in the patients' homes and CN involvement may be important in attaining successful palliative pathways at home. The aim of the present study was to examine associations between bereaved relatives' evaluation of palliative treatment at home and 1 place of death and 2 CN involvement. Methods The study is a population-based, cross-sectional combined register and questionnaire study performed in Aarhus County, Denmark. CN questionnaires were used to obtain data on CNs' efforts, GP-questionnaires were used to obtain data on pathway characteristics and relatives answered questionnaires to evaluate the palliative pathway at home. Questionnaires addressed the palliative pathway of a total of 599 deceased cancer patients. Associations between bereaved relatives' evaluation of palliative pathways at home and place of death and CN involvement were analysed. Results 'A successful palliative pathway at home' was positively associated with home-death and death at a nursing home compared with death at an institution. No significant associations were identified between the evaluations of the palliative pathway at home and the involvement of CNs. Conclusions Our study indicates that dying at home is positively associated with a higher likelihood that the bereaved relative will evaluate the palliative pathway at home as successful. The absence of any significance of involvement of CNs may be ascribed to the variables for involvement chosen in the study. More research is needed on CNs' impact on palliative pathways.

  20. Community mental health nurses speak out: the critical relationship between emotional wellbeing and satisfying professional practice.

    Science.gov (United States)

    Rose, Jayln; Glass, Nel

    2006-10-01

    The article reports on selected findings of a research study concerning emotional wellbeing and professional nursing practice (Rose 2002). It highlights the relationship between community mental health nurses' and emotional wellbeing, and their capacity to provide satisfying professional nursing practice (Rose 2002). The notion of emotional wellbeing, factors that impacted upon the participants' emotional wellbeing, and the relationship of emotional wellbeing to professional practice were revealed in the study. These findings were based on a qualitative critical feminist research inquiry and specifically, interviews with five women community mental health nurses in Australia. Whilst complex, emotional wellbeing was found to be both implicitly and explicitly linked to the participants intertwined personal and professional experiences. Four key components were identified: the nebulous notion; the stress relationship; the mind, body, spirit connection; and, inner sense of balance. In terms of emotional wellbeing and professional practice, three themes were revealed. These were: being able to speak out (or not); being autonomous (or not) and being satisfied (or not). The authors argue that the emotional wellbeing of nurses working in community mental health settings is critical to satisfying professional practice. Furthermore nursing work involves emotional work which impacts on one's emotional wellbeing and emotional wellbeing is integrally linked to professional practice. It is recommended that health organisations must be pro-active in addressing the emotional needs of nurses to ensure the delivery of health care that is aligned to professional practice. This approach will ensure nurses will feel more recognised and validated in terms of their nursing practice.

  1. The effects of job characteristics and individual characteristics on job satisfaction and burnout in community nursing.

    NARCIS (Netherlands)

    Jansen, P.G.M.; Kerkstra, A.; Huijer-Abu Saad, H.; Zee, J. van der

    1996-01-01

    The aim of this article is to describe job satisfaction and burnout among two categories of community-based nurses (N = 402) in the Netherlands taking account of job and individual characteristics. Results show that these nurses are moderately satisfied with their jobs and the effects of burnout are

  2. Education for the Nurse of Tomorrow: A Community-Focused Curriculum.

    Science.gov (United States)

    Noble, Mary Anne; And Others

    1996-01-01

    Describes a baccalaureate nursing program's efforts to implement a community-focused curriculum that will prepare nurses for a changed health-care system. Describes the students' program that includes mental health experience, health screening for preschoolers, and other clinical experiences. (Author/JOW)

  3. Curriculum-Integrated Information Literacy (CIIL) in a Community College Nursing Program: A Practical Model

    Science.gov (United States)

    Argüelles, Carlos

    2016-01-01

    This article describes a strategy to integrate information literacy into the curriculum of a nursing program in a community college. The model is articulated in four explained phases: preparatory, planning, implementation, and evaluation. It describes a collaborative process encouraging librarians to work with nursing faculty, driving students to…

  4. Curriculum-Integrated Information Literacy (CIIL) in a Community College Nursing Program: A Practical Model

    Science.gov (United States)

    Argüelles, Carlos

    2016-01-01

    This article describes a strategy to integrate information literacy into the curriculum of a nursing program in a community college. The model is articulated in four explained phases: preparatory, planning, implementation, and evaluation. It describes a collaborative process encouraging librarians to work with nursing faculty, driving students to…

  5. The effects of job characteristics and individual characteristics on job satisfaction and burnout in community nursing.

    NARCIS (Netherlands)

    Jansen, P.G.M.; Kerkstra, A.; Huijer-Abu Saad, H.; Zee, J. van der

    1996-01-01

    The aim of this article is to describe job satisfaction and burnout among two categories of community-based nurses (N = 402) in the Netherlands taking account of job and individual characteristics. Results show that these nurses are moderately satisfied with their jobs and the effects of burnout are

  6. Differentiated practice and specialization in community nursing: a descriptive study in the Netherlands.

    NARCIS (Netherlands)

    Jansen, P.G.M.; Kerkstra, A.; Huijer Abu-Saad, H.; Zee, J. van der

    1997-01-01

    Nursing roles are described with respect to two principles on the basis of an inventory study carried out in the Netherlands: differentiated practice and specialization. A total of 58 agencies for community nursing participated in this study (response = 84%). In each of these agencies an expert was

  7. Differentiated practice and specialization in community nursing: a descriptive study in the Netherlands.

    NARCIS (Netherlands)

    Jansen, P.G.M.; Kerkstra, A.; Huijer Abu-Saad, H.; Zee, J. van der

    1997-01-01

    Nursing roles are described with respect to two principles on the basis of an inventory study carried out in the Netherlands: differentiated practice and specialization. A total of 58 agencies for community nursing participated in this study (response = 84%). In each of these agencies an expert was

  8. Home visits by Family Health Strategy nurses and community health agents

    Directory of Open Access Journals (Sweden)

    Luciana Valadão Alves Kebian

    2014-03-01

    Full Text Available The objective of this article was to describe the practice of nurses and community health agents within the context of the Family Health Strategy home visits. This is a descriptive study with a qualitative approach. Data collection was performed between January and March of 2010, through semi-structured interviews with eight nurses and seven community health agents from two family health units in the city of Rio de Janeiro. Data were submitted to content analysis. Low interaction was observed between nurses and community health agents in the home visits. Work overload and violence are the main hindrances identified for performing home visits. It was found that the home visit planning was unsystematic. Permanent education should be intensified with the purpose to discuss, following a problem-posing approach, the roles and attributions of each team member in the home visit, as well as the systematization of this activity. Descriptors: Family Health; Nursing; Community Health Workers; Home Visit.

  9. Geriatric nursing education in community health: CareLink--partnering for excellence.

    Science.gov (United States)

    Clemmens, Donna; Goldstein, Jill M; Clarke, Kitty; Moriarty, Mari; Soberman, Rhonda Karp; Gardner, Daniel S

    2009-04-01

    The purpose of the study was to evaluate how participation in the CareLink program influenced the community health knowledge and skill of baccalaureate nursing students regarding the care of community-dwelling older adults. Students were assigned three to four clients each during their 14-week clinical placement with a home care agency, situated in a naturally occurring retirement community or senior center. Students contracted with their clients to set goals and provided standardized health assessments and teaching. Students completed pretest and posttest surveys, and attended focus groups to address their learning. Students' public health nursing and cultural competence improved significantly. The CareLink program provides a meaningful learning experience for baccalaureate nursing students. Attitudes toward older adults and community health nursing in general shifted to acknowledge that older adults have strengths and resilience not previously acknowledged.

  10. Conceptualising a model to guide nursing and midwifery in the community guided by an evidence review

    National Research Council Canada - National Science Library

    Patricia Leahy-Warren; Helen Mulcahy; Lazelle Benefield; Colin Bradley; Alice Coffey; Ann Donohoe; Serena Fitzgerald; Tim Frawley; Elizabeth Healy; Maria Healy; Marcella Kelly; Bernard McCarthy; Kathleen McLoughlin; Catherine Meagher; Rhona OConnell; Aoife OMahony

    2017-01-01

    Background Successful models of nursing and midwifery in the community delivering healthcare throughout the lifespan and across a health and illness continuum are limited, yet necessary to guide global health services...

  11. Social capital in Japan: What characteristics do public health nurses see in their communities?

    Science.gov (United States)

    Honda, Hikaru; Kawaharada, Mariko; Shindo, Yukari; Tanaka, Rie; Nakajima, Ayaka; Nimura, Yuki

    2017-07-13

    A concept of social capital that accounts for a community's cultural background and incorporates social capital into public health nursing practice are needed. This study aimed to describe the characteristics of social capital in the context of public health nursing in Japan. The study interviewed 11 veteran public health nurses from five municipalities across Japan and undertook a qualitative research analysis. A digital voice recorder was used to collect qualitative data by using a background data sheet and semistructured interviews. Trustworthiness in interpreting the data was ensured by conducting 13 additional interviews with residents and collating the two sets of results. All the participants were female: 10 were veterans with ≥15 years' experience. Nine worked in management. The methods yielded six categories: (i) the richness of the interactions among the residents; (ii) the community residents who showed concern for those in need; (iii) community civic activities; (iv) the residents' willingness to contribute to the community; (v) the health promotion volunteers who work alongside the public health nurses; and (vi) an enriched community environment. The results contribute to an understanding of social capital in the context of public health nursing activities and further research on social capital. It also is discussed how social capital can be incorporated into public health nursing activities in the future. © 2017 Japan Academy of Nursing Science.

  12. Gamification: An Innovative Teaching-Learning Strategy for the Digital Nursing Students in a Community Health Nursing Course.

    Science.gov (United States)

    Day-Black, Crystal; Merrill, Earline B; Konzelman, Lois; Williams, Tammie T; Hart, Natalie

    2015-01-01

    Serious games have "re-emerged" as innovative teaching-learning strategies that researchers have shown to be effective in improving student learning outcomes. "Serious games" refer to games that are driven by educational goals, not entertainment. The use of serious games as part of the teaching-learning experience in nursing education fits into the philosophy and strategies of active learning. The "digital" nursing student needs engagement, stimulation, realism, and entertainment not more readings and Powerpoint supplements in the classroom to support learning. Nursing faculty at a mid-Atlantic Historical Black College and University introduced "serious gaming" technology into a Community Health Nursing course by using two web-based gamed simulations, Outbreak at WatersEdge: A Public Health Discovery Game, and EnviroRisk. This innovation proved to be effective in reinforcing learning and improving student learning outcomes.

  13. Participating in a community of practice as a prerequisite for becoming a nurse - Trajectories as final year nursing students

    DEFF Research Database (Denmark)

    Hounsgaard, Lise; Thrysøe, L.; Dohn, N. B.

    2010-01-01

    P, depending on what both the students and the members of the staff did to make participation possible. The conclusion is that the students' participation is strengthened by the students and nurses showing interest in getting to know each other professionally and socially and by the students having......Participating in a community of practice (CoP) is essential for final year nursing students. The article describes the opportunities of student nurses to participate as members of a CoP, and how these opportunities were exploited. Ten students in their final clinical practice were included...... on the extent to which these aspects are present, participation can become an essential factor in the clinical phase of nursing education....

  14. Nurses' attitudes towards suicidal behaviour--a comparative study of community mental health nurses and nurses working in an accidents and emergency department.

    Science.gov (United States)

    Anderson, M

    1997-06-01

    The purpose of this study was to explore and compare the attitudes towards suicidal behaviour of community mental health nurses (CMHNs) and registered nurses working in an accidents and emergency (A&E) department. The sample consisted of 80 nurses working in the same locality. An instrument was designed using statements from Domino's 'Suicide Opinion Questionnaire' (SOQ) and new statements based on a comprehensive survey of research in this area. The instrument contained four attitudinal categories consisting of; acceptability; morality and mental illness; professional role, work and care; and communication and attention. Results reveal that both groups of nurses held generally positive attitudes towards suicidal behaviour, contrasting with previous studies where more negative attitudes amongst nurses were found. A t-test showed no statistically significant differences between the two groups of nurses in any of the four attitudinal categories. Attitudes were significantly different in accordance with nurses' length of experience and age within both groups. Further research is needed in this area if nurses are to develop their role alongside other professionals working towards the objectives of suicide prevention policies.

  15. Variation in Residential Care Community Nurse and Aide Staffing Levels: United States, 2014.

    Science.gov (United States)

    Rome, Vincent; Harris-Kojetin, Lauren D

    2016-02-19

    This report presents national and state estimates of staffing levels in residential care communities for registered nurses, licensed practical or vocational nurses, and aides in the United States for 2014. Data were drawn from the residential care community component of the 2014 wave of the biennial National Study of Long-Term Care Providers, conducted by the Centers for Disease Control and Prevention’s National Center for Health Statistics. For each staff type, the "staffing level" measure is presented as average hours per resident per day, defined as the total number of hours worked divided by the total number of residents, which does not necessarily reflect the amount of care given to a specific resident. Analyses examined the extent to which residential care community nurse and aide staffing levels varied by selected organizational characteristics and selected resident composition characteristics of the communities. Differences among subgroups were evaluated using two-sided t tests at the 0.05 level. In 2014, the total registered nurse, licensed practical or vocational nurse, and aide staffing level among all residential care communities was about 2 hours and 50 minutes. Registered nurse staffing levels differed for two of the three organizational characteristics (size and metropolitan statistical area [MSA]) and for only one of the four resident composition characteristics (primarily serving residents needing any assistance with activities of daily living). Licensed practical or vocational nurse staffing levels differed for all three organizational characteristics (size, MSA, and ownership) and for only one of the four resident composition characteristics (primarily serving residents diagnosed with Alzheimer’s disease or other dementias). In contrast, differences in aide staffing levels were common when examining both community organizational and resident composition characteristics. Registered nursing, licensed practical and vocational nursing, and aide

  16. Collaborating across the pond: the diffusion of virtual communities for nursing education.

    Science.gov (United States)

    Giddens, Jean Foret; Walsh, Mike

    2010-08-01

    Over the past decade, there have been significant changes in nursing education, particularly in teaching practice. This change has fueled interest in developing new and innovative approaches to teaching and curriculum. This article describes the shared experiences of two nurse educators on opposite sides of the Atlantic Ocean who have spent the last 4 years immersed in the process of developing and diffusing virtual communities for nursing education. Diffusion of innovations theory is used as a framework for this narrative. Nurse educators should have an awareness of the phases, steps, and challenges that can be expected during the process of innovation diffusion, including implications for education practice.

  17. Research and Development for a Course in Ethics in Nursing Practice for Community College Associate Degree Nursing Students. Final Report.

    Science.gov (United States)

    Roediger, Jeanette

    A project was undertaken to research and acquire the instructional sources needed for a course in ethics for community college associate degree nursing students and to develop such a course. Addressed in the individual units of the course were the following topics: bioethics and ethical decision making, basic ethical concepts and principles,…

  18. Comparison of family nursing in Slovenia and Scotland: integrative review.

    Science.gov (United States)

    Ljubič, A; Clark, D J; Štemberger Kolnik, T

    2017-06-01

    The aim of this study was to examine and compare the advantages and disadvantages of two systems of community nursing through the history of their development, and to compare these systems with the World Health Organization model of the Family Health Nurse. In Slovenia, the family/community nursing service is designed according to the World Health Organization policies and is performed by the generalist family/community nurse. In contrast, across Scotland there is no universal model and the current system comprises several different specialist-nursing pathways. The study aimed to describe each model and to understand why the family health nurse model was preferred in Slovenia but rejected in Scotland. This study was based on integrative review method conducted from August 2013 to September 2015 using national and international specialized databases. While the published literature on this topic is very limited, this review also includes unpublished material. For data analysis, the Walker and Avant's concept analysis model was used. Three main themes were identified through the process of the literature search; the Family Health Nurse concept, family/community nursing development in Slovenia, and community nursing development in Scotland. Findings related specifically to the different roles of nurses in the community in Slovenia and Scotland are reported. It is clear that the WHO guidelines and recommendations are not suitable for implementation in all member countries. Both models have advantages and disadvantages. In developing community nursing services, it would be wise to look for systems that represent the best solutions for treatment of the individual, the family and the community. The findings should be used when designing new models applied in different healthcare systems within each country, with a focus on strategy aimed at the welfare of the patient and his family. Findings give a possible solution for financially restricted healthcare systems, regarding

  19. Integration of end-of-life education into a community health nursing course.

    Science.gov (United States)

    Pullis, Bridgette Crotwell

    2013-01-01

    Student nurses and novice nurses report that they received little in their nursing education to adequately prepare them for the death of a patient. The American Association of Colleges of Nursing's (AACN) competencies for end-of-life care assert the need for competent nursing care at the time of death. To prepare students to care for dying patients and their families, a hospice clinical experience in a community health nursing course was designed to facilitate the development of competence in caring for adults and children at the end of life. At the end of the semester, the students were able to demonstrate principles of pain and symptom management and to communicate the goals and philosophy of hospice care to dying patients and their families. The students also demonstrated the ability to advocate for individuals at the end of life through the provision of information about hospice care, especially the benefits for timely referral to hospice and palliative care. The incorporation of a clinical experience into a community health nursing course that focuses on end-of-life care is an effective approach to teaching both community health concepts and care of dying patients. Such an approach incorporates essential content without adding to already extensive nursing curricula.

  20. Fostering Nurses' Moral Agency and Moral Identity: The Importance of Moral Community.

    Science.gov (United States)

    Liaschenko, Joan; Peter, Elizabeth

    2016-09-01

    It may be the case that the most challenging moral problem of the twenty-first century will be the relationship between the individual moral agent and the practices and institutions in which the moral agent is embedded. In this paper, we continue the efforts that one of us, Joan Liaschenko, first called for in 1993, that of using feminist ethics as a lens for viewing the relationship between individual nurses as moral agents and the highly complex institutions in which they do the work of nursing. Feminist ethics, with its emphasis on the inextricable relationship between ethics and politics, provides a useful lens to understand the work of nurses in context. Using Margaret Urban Walker's and Hilde Lindemann's concepts of identity, relationships, values, and moral agency, we argue that health care institutions can be moral communities and profoundly affect the work and identity and, therefore, the moral agency of all who work within those structures, including nurses. Nurses are not only shaped by these organizations but also have the power to shape them. Because moral agency is intimately connected to one's identity, moral identity work is essential for nurses to exercise their moral agency and to foster moral community in health care organizations. We first provide a brief history of nursing's morally problematic relationship with institutions and examine the impact institutional master narratives and corporatism exert today on nurses' moral identities and agency. We close by emphasizing the significance of ongoing dialogue in creating and sustaining moral communities, repairing moral identities, and strengthening moral agency.

  1. The promotion of voluntary HIV testing among hostel dwellers by community nurses

    OpenAIRE

    2011-01-01

    M.Cur. The Sub-Sahara region is riddled with HIV/AIDS to such an extent it has became a pandemic. The challenge to control or to minimize further infections has been left to the community nurses. The community nurses' primary aim is to promote and prevent the spread of infection, especially HIV I AIDS, amongst vulnerable groups (Clemen-Stone, 2002-134 ). The under-utilisation of the voluntary HIV -testing facility by hostel dwellers is a cause of concern among nurses in this Southern Metro...

  2. Primary care nursing role and care coordination: an observational study of nursing work in a community health center.

    Science.gov (United States)

    Anderson, Daren R; St Hilaire, Daniel; Flinter, Margaret

    2012-05-31

    Care coordination is a core element of the Patient-Centered Medical Home and requires an effective, well educated nursing staff. A greater understanding of roles and tasks currently being carried out by nurses in primary care is needed to help practices determine how best to implement care coordination and transform into PCMHs. We conducted an observational study of primary care nursing in a Community Health Center by creating a classification schema for nursing responsibilities, directly observing and tracking nurses' work, and categorizing their activities. Ten nurses in eight different practice sites were observed for a total of 61 hours. The vast majority of nursing time was spent in vaccine and medication administration; telephone work; and charting and paper work, while only 15% of their time was spent in activity that was classified broadly as care coordination. Care coordination work appeared to be subsumed by other daily tasks, many of which could have been accomplished by other, lesser trained members of the health care team. Practices looking to implement care coordination need a detailed look at work flow, task assignments, and a critical assessment of staffing, adhering to the principal of each team member working to the highest level of his or her education and license. Care coordination represents a distinct responsibility that requires dedicated nursing time, separate from the day to day tasks in a busy practice. To fully support these new functions, reimbursement models are needed that support such non visit-based work and provide incentives to coordinate and manage complex cases, achieve improved clinical outcomes and enhance efficiency of the health system. This article describes our study methods, data collection, and analysis, results, and discussion about reorganizing nursing roles to promote care coordination.

  3. Life Satisfaction of Elderly Individuals in Regular Community Housing, in Low-Cost Community Housing, and High and Low Self-Determination Nursing Homes.

    Science.gov (United States)

    Vallerand, Robert J.; And Others

    1989-01-01

    Administered life satisfaction questionnaire to 199 French-speaking older adults in Montreal, living in nursing homes and in the community. Found that elderly persons living in regular community housing, in low-cost community housing, and in high self-determination nursing homes had similar levels of life satisfaction, and more satisfaction than…

  4. Supporting staff nurses to train as community specialist district nurse practitioners.

    Science.gov (United States)

    Elliott, Lorraine

    The removal of district nurses from the Nursing and Midwifery Council's recognised specialist practitioner list has resulted in many employers not commissioning district nurse courses and a lack of clarity about the skills required to be a team leader. This article discusses a practice development initiative to support learning through a practice based competency programme, to develop skills of local staff members.

  5. Nursing Research: Understanding Nursing Innovations for the Transformation of Communities of Care

    Science.gov (United States)

    Burge, Donna M.; Sullivan, Shelia Cox

    2012-01-01

    The article describes the potent impact of nursing research in shaping and implementing current healthcare trends. Further, the article provides contextual information relevant to the historical development of nursing science from Florence Nightingale forward while marking milestones of achievement in nursing research endeavors and subsequent…

  6. Community health nursing: can being self-employed work for you in home care?

    Science.gov (United States)

    Seri, S F

    1997-09-01

    There is a fine distinction between being an independent contractor and being an employee. The advantages of being self-employed as a community health nurse are many. Self-employment suits new parents, graduate students, people in transition, with more than one profession, and who don't want a fixed schedule. However, this type of nursing is not for everyone. A broker such as CHN can help nurses become successfully self-employed. At a time when hospitals are downsizing and home care is becoming more in demand, brokers such as CHN provide a framework in which busy, experienced, community health nurses can work when and where they want. Good clinical and communication skills and a wish to be autonomous are necessities. A willingness to travel to different agencies and a reliable car are also important. A love for variety, flexibility, and independence make self-employment as a home health nurse a clinician's dream.

  7. Factors supporting good partnership working between generalist and specialist palliative care services: a systematic review.

    Science.gov (United States)

    Gardiner, Clare; Gott, Merryn; Ingleton, Christine

    2012-05-01

    The care that most people receive at the end of their lives is provided not by specialist palliative care professionals but by generalists such as GPs, district nurses and others who have not undertaken specialist training in palliative care. A key focus of recent UK policy is improving partnership working across the spectrum of palliative care provision. However there is little evidence to suggest factors which support collaborative working between specialist and generalist palliative care providers. To explore factors that support partnership working between specialist and generalist palliative care providers. Systematic review. A systematic review of studies relating to partnership working between specialist and generalist palliative care providers was undertaken. Six electronic databases were searched for papers published up until January 2011. Of the 159 articles initially identified, 22 papers met the criteria for inclusion. Factors supporting good partnership working included: good communication between providers; clear definition of roles and responsibilities; opportunities for shared learning and education; appropriate and timely access to specialist palliative care services; and coordinated care. Multiple examples exist of good partnership working between specialist and generalist providers; however, there is little consistency regarding how models of collaborative working are developed, and which models are most effective. Little is known about the direct impact of collaborative working on patient outcomes. Further research is required to gain the direct perspectives of health professionals and patients regarding collaborative working in palliative care, and to develop appropriate and cost-effective models for partnership working.

  8. Implementing advance care planning: a qualitative study of community nurses' views and experiences

    Directory of Open Access Journals (Sweden)

    Kennedy Sheila

    2010-04-01

    Full Text Available Abstract Background Advance care planning (ACP is a process of discussion about goals of care and a means of setting on record preferences for care of patients who may lose capacity or communication ability in the future. Implementation of ACP is widely promoted by policy makers. This study examined how community palliative care nurses in England understand ACP and their roles within ACP. It sought to identify factors surrounding community nurses' implementation of ACP and nurses' educational needs. Methods An action research strategy was employed. 23 community nurses from two cancer networks in England were recruited to 6 focus group discussions and three follow up workshops. Data were analysed using a constant comparison approach. Findings Nurses understood ACP to be an important part of practice and to have the potential to be a celebration of good nursing care. Nurses saw their roles in ACP as engaging with patients to elicit care preferences, facilitate family communication and enable a shift of care focus towards palliative care. They perceived challenges to ACP including: timing, how to effect team working in ACP, the policy focus on instructional directives which related poorly to patients' concerns; managing differences in patients' and families' views. Perceived barriers included: lack of resources; lack of public awareness about ACP; difficulties in talking about death. Nurses recommended the following to be included in education programmes: design of realistic scenarios; design of a flow chart; practical advice about communication and documentation; insights into the need for clinical supervision for ACP practice. Conclusions Nurses working in the community are centrally involved with patients with palliative care needs who may wish to set on record their views about future care and treatment. This study reveals some important areas for practice and educational development to enhance nurses' use and understanding of ACP.

  9. A changing landscape: mapping provider organisations for community nursing services in England.

    Science.gov (United States)

    Spilsbury, Karen; Pender, Sue

    2015-01-01

    To scope the provision of community nursing services in England after implementation of the Transforming Community Services Programme. Over the past decade, significant UK policy initiatives have shaped the structure, organisation and responsibilities of community nursing services. Understanding these organisational changes is important in the context of organisations seeking to deliver 'care closer to home'. A systematic mapping exercise to scope and categorise community nursing service organisation provider models. There are 102 provider organisations representing a range of organisational models. Two-thirds of these organisations have structurally integrated with another NHS Trust. Smaller numbers reorganised to form community trusts or community interest companies. Only a few services have been tendered to an accredited willing provider while a small number have yet to establish their new service model. Local discretion appears to have dominated the choice of organisational form. National policies have driven the reorganisation of community nursing services and we have been able to describe, for the first time, these 'transformed' structures and organisations. Providing detail of these 'new' models of service provision, and where these have been introduced, is new information for nurse managers, policy makers and organisational leaders, as well as researchers. © 2013 John Wiley & Sons Ltd.

  10. The Role of the Community Nurse in Promoting Health and Human Dignity-Narrative Review Article.

    Directory of Open Access Journals (Sweden)

    Ana Muntean

    2013-10-01

    Full Text Available Population health, as defined by WHO in its constitution, is out "a physical, mental and social complete wellbeing". At the basis of human welfare is the human dignity. This dimension requires an integrated vision of health care. The ecosystemical vision of Bronfenbrenner allows highlighting the unexpected connections between social macro system based on values and the micro system consisting of individual and family. Community nurse is aimed to transgression in practice of education and care, the respect for human dignity, the bonds among values and practices of the community and the physical health of individuals. In Romania, the promotion of community nurse began in 2002, through the project promoting the social inclusion by developing human and institutional resources within community nursery of the National School of Public Health, Management and Education in Healthcare Bucharest. The community nurse became apparent in 10 counties included in the project. Considering the respect for human dignity as an axiomatic value for the community nurse interventions, we stress the need for developing a primary care network in Romania. The proof is based on the analysis of the concept of human dignity within health care, as well as the secondary analysis of health indicators, in the year of 2010, of the 10 counties included in the project. Our conclusions will draw attention to the need of community nurse and, will open directions for new researches and developments needed to promote primary health in Romania.

  11. A Disaster Response and Management Competency Mapping of Community Nurses in China

    Directory of Open Access Journals (Sweden)

    Yu Luo

    2013-09-01

    Full Text Available Background: It is widely accepted in many parts of the world that community nurses are of vital importance in various phases of disaster response and management. In China, however, it is not clear whether the Chinese community nurses are able to assume disaster-related duties due to the lack of a systematic assessment.Methods: A pre-designed and well-tested questionnaire was employed to evaluate the competency in disaster response and management among 205 valid registered Chinese community nurses between September and October 2009. Statistical analyses were performed with SPSS Version 13.0 using one way ANOVA, Least Significant Difference (LSD and multiple stepwise regression analysis.Results: This group of Chinese community nurses scored at an intermediate level of competency (a score of 3.68 (SD 0.48 out of a perfect score of 5 in disaster response and management, suggesting that they have the basic ability to participate in disaster-related nursing. Four factors, namely, Experiences in Disaster Relief, Participation in Disaster Training, the Age and Duration in Job, were identified to be the predominant factors contributing significantly to the integrated competency in disaster response and management of an individual.Conclusion: Most of the Chinese community nurses have basic qualifications and competencies to undertake the responsibilities of disaster response and management. However, more targeted disaster training including virtual-reality based drills should be provided in order to improve their competency

  12. Creating a Healthy Camp Community: A Nurse's Role.

    Science.gov (United States)

    Lishner, Kris Miller; Bruya, Margaret Auld

    This book provides an organized, systematic overview of the basic aspects of health program management, nursing practice, and human relations issues in camp nursing. A foremost assumption is that health care in most camps needs improvement. Good health is dependent upon interventions involving social, environmental, and lifestyle factors that…

  13. A Revised Admissions Standard for One Community College Nursing Program

    Science.gov (United States)

    Lown, Maris A.

    2010-01-01

    Predicting success on the NCLEX-RN is of paramount importance to nursing programs as they are held accountable for this outcome by accrediting agencies and by boards of nursing. This action research study examined the relationship between the NET admission test, anatomy and physiology grades, grade point average (GPA) on admission to the program…

  14. A Revised Admissions Standard for One Community College Nursing Program

    Science.gov (United States)

    Lown, Maris A.

    2010-01-01

    Predicting success on the NCLEX-RN is of paramount importance to nursing programs as they are held accountable for this outcome by accrediting agencies and by boards of nursing. This action research study examined the relationship between the NET admission test, anatomy and physiology grades, grade point average (GPA) on admission to the program…

  15. Psychiatric Nursing Faculty Practice: Care within the Community Context.

    Science.gov (United States)

    Richie, Mary Fern; And Others

    1996-01-01

    Psychiatric nursing faculty practice offers the academic nurse opportunity to generate salary support and integrate students into the real world of mental health care. It promotes scholarship and knowledge-building and has a direct impact on the lives of patients. (Author/JOW)

  16. Building Communities in Higher Education: The Case of Nursing

    Science.gov (United States)

    Andrew, Nicola; Lopes, Amélia; Pereira, Fátima; Lima, Ilda

    2014-01-01

    The historic and current case to retain a focused clinical nursing identity within an academic context is explicit; however there is tension between the need for excellence in teaching and research, and obligation to maintain a credible clinical identity. Nursing is politically and vocationally advanced but, arguably, weaker academically.…

  17. The Community College Role in the Education of Professional Nurses.

    Science.gov (United States)

    Rubini, Susan

    A study was conducted to determine the effects of selected personal, work, and educational variables on student attitudes toward the nursing profession and the health care system. Specifically, the study sought to determine whether the variables of age, sex, race, marital status, licensed vocational nurse (LVN) status, the awarding of credit for…

  18. Continuing Education Needs of Community Nurses, Midwives and Health Visitors for Supervising and Assessing Students.

    Science.gov (United States)

    Thomson, Ann M.; Davies, Susan; Shepherd, Bernadette; Whittaker, Karen

    1999-01-01

    A survey of 314 community nurses, midwives, and health visitors in Britain revealed the practitioners' need for continuing education to help them provide research-based instruction for learners preparing for community-health service. Most practitioners had to study on their own time at their own expense. (SK)

  19. Improving Employment Outcomes in Assertive Community Treatment (ACT): The Role of the ACT Nurse.

    Science.gov (United States)

    Waynor, William R; Dolce, Joni N

    2015-07-01

    Assertive community treatment (ACT) for individuals with serious mental illness is a community-based mental health service model where nurses play a significant leadership role as health and wellness educators and consultants to consumers and fellow staff members. The ACT model was designed to include a vocational focus as an important aspect of community integration. Nevertheless, research suggests that ACT does not assist a significant number of consumers in achieving employment goals. Nurses can play a critical part in the recovery and wellness of individuals receiving ACT services. Individual placement and support principles provide a foundation for implementing employment into current services.

  20. Learning through teaching: empowering students and culturally diverse patients at a community-based nursing care center.

    Science.gov (United States)

    Sensenig, Julia A

    2007-08-01

    This article addresses the effect of a nursing care center on student learning. Associate degree nursing students spend clinical days at a nursing care center that was created in collaboration with an inner-city clinic serving individuals who are uninsured and underinsured. The nursing students learn cultural sensitivity, teaching strategies, and interdisciplinary skills. The service-learning experience benefits the nursing students, the nursing department of the college, the patients who visit the nursing care center, the clinic, and the community. This article describes the development of the nursing care center, examples of teaching-learning opportunities, and evidence of student learning. This successful collaboration between a community college and an inner-city clinic can be Associareplicated by other nursing programs.

  1. Field visit placements: An integrated and community approach to learning in children's nursing.

    LENUS (Irish Health Repository)

    Cummins, Ann

    2010-03-01

    This paper reports on the development of a new initiative, field visit placements towards and integrated and community approach to learning for nursing students. To date, limited literature exists on the potential of community field visits as meaningful learning opportunities for nursing students. Drawing on our experiences, the structure and processes involved in implementing field visits are described in this paper. Students evaluated the field visits positively indicating that they provided a wealth of learning opportunities that enhanced their knowledge and awareness of services available to children and their families in the community. The potential of field visits to promote an integrated and community approach to placements in children\\'s nursing is discussed.

  2. Student nurses' experiences of community-based practice placement learning: a qualitative exploration.

    Science.gov (United States)

    Baglin, M R; Rugg, Sue

    2010-05-01

    United Kingdom (UK) health policy has adopted an increasing community and primary care focus over recent years (Department of Health, 1997; Department of Health, 1999. Making a Difference: Strengthening the Nursing, Midwifery and Health Visitor Contribution to Health and Health Care. Department of Health, London; Department of Health, 2004. The NHS Knowledge and Skills Framework (NHS KSF). Department of Health, London). Nursing practice, education and workforce planning are called upon to adapt accordingly (Department of Health, 2004. The NHS Knowledge and Skills Framework (NHS KSF). Department of Health, London; Kenyon, V., Smith, E., Hefty, L., Bell, M., Martaus, T., 1990. Clinical competencies for community health nursing. Public Health Nursing 7(1), 33-39; United Kingdom Central Council for Nursing, Midwifery and Health Visiting, 1986. Project 2000: A New Preparation for Practice. UKCC, London). Such changes have major implications for pre-registration nursing education, including its practice placement element. From an educational perspective, the need for increased community nursing capacity must be balanced with adequate support for student nurses' learning needs during community-based placements. This qualitative study explored six second year student nurses' experiences of 12 week community-based practice placements and the extent to which these placements were seen to meet their perceived learning needs. The data came from contemporaneous reflective diaries, completed by participants to reflect their 'lived experience' during their practice placements (Landeen, J., Byrne, Brown, B., 1995. Exploring the lived experiences of psychiatric nursing students through self-reflective journals. Journal of Advanced Nursing 21(5), 878-885; Kok, J., Chabeli, M.M., 2002. Reflective journal writing: how it promotes reflective thinking in clinical nursing education: a students' perspective. Curationis 25(3), 35-42; Löfmark, A., Wikblad, K., 2001. Facilitating and

  3. Undergraduate nursing students' perceptions of service-learning through a school-based community project.

    Science.gov (United States)

    Bassi, Sherry

    2011-01-01

    Service-learning (SL) is an experiential teaching method that combines instruction with community service, with the aim of enriching students' academic learning, interpersonal skills and sense of responsibility while making meaningful contributions to the community. However, measuring outcomes of service-learning projects is difficult. This article reports on the perceptions of 18 third-year undergraduate nursing students who took part in a pilot service-learning project targeting tobacco use in a local elementary school. Faculty members evaluated the program's outcomes by engaging students in structured reflection on the program about its relevance to their future careers as practicing professionals, especially in community-based settings. The students' perceptions were elicited through three sets of reflective assignments following the project. Findings from the reflective assignments suggest that the pilot program was successful in enhancing the students' academic, social, and personal development while building a partnership between the school of nursing and key players in the community, including school-based nurses, teachers, administrators, families, and community leaders. The author suggests that service-learning projects can help nursing students accomplish key developmental tasks of the college years (such as building their competence, autonomy, and integrity), while helping impart the skills and values they will need as they graduate and seek professional nursing roles.

  4. Nursing students' perceptions of using smartphones in the community practicum: A qualitative study.

    Science.gov (United States)

    Beauregard, Philippe; Arnaert, Antonia; Ponzoni, Norma

    2017-06-01

    Smartphones have the potential to revolutionize the way in which nurses practice by facilitating access to evidence-based resources, however their integration in nursing practice remain variable. Millennials tend to be more comfortable with technology, yet find themselves limited in their ability to use smartphones within the context of clinical practice. Using a qualitative descriptive design, we explored nursing students' perceptions of using smartphones in the community practicum. Individual semi-structured interviews were conducted and verbatim transcripts were subjected to data analysis. The sample consisted of 8 undergraduate and graduate nursing students. Participants were recruited using a purposive sampling strategy. Students' narratives describe unclear expectations regarding the use of smartphones that force them to adopt individualized strategies to maintain their professional image and avoid negative consequences. A cultural shift will be required at the academic and organizational levels if we are to foster acceptance of smartphones in community practice going forward. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. [Nurse leadership: intervening element in the relationships network of the community health care agent].

    Science.gov (United States)

    Lanzoni, Gabriela Marcellino de Melo; Meirelles, Betina Hörner Schlindwein

    2013-01-01

    This study aimed to understand the nurses' contributions in the network of relationships and interactions of community health workers (CHW) in a city located in the south of the country. The Grounded Theory was used and twenty individuals were interviewed, among health professionals and users of the health center, divided into three sample groups. The nurse is recognized as a key element in the network of relationships and interactions of the CHW with the community, being viewed as a leader. Although showing signs of an authoritarian leadership, the nurse promotes dialogue and acts as a facilitator of teamwork in health promotion. It was concluded that the nurses of the Family Health Strategy have a significant role in the health team, providing clinical support to organize the care, and management, to foster good relations, direct the activities and conduct the flow of information.

  6. [Conditioning of community nurse duties towards the patient treated by family doctor--the opinion of family doctor staff members].

    Science.gov (United States)

    Rogala-Pawelczyk, Grazyna

    2002-01-01

    The team of family doctor is the main link in the basic health care. It consists of community nurses who work according to the plan specifying the health needs of patients. Community nurses fulfil the needs of patients of various age and health conditions. The paper presents a part of studies on the area and activities of community nurses working in the team of family doctor. An attempt was made to answer the following questions: what are the duties of community nurse, what factors make it easy to fulfil the duties and what factors make the work more difficult? The study comprised a few dozen of community nurses and family doctors all over the country. It was carried out from January to April 2001. Two questionnaires were used for community nurses and for family doctors. Medical documentation was also analysed. It gave answers to problem questions: duties of community nurses include: co-operation in diagnosing and treatment, health promotion and education, fulfilment of therapeutic and nursing programme, factors which help to realise the programme include: qualifications, clearly stated duties, equipment, factors which make the work difficult comprise: lack of staff, poor salary, legislation problems, difficulties in self-development, lack of co-operation from patients and their families. No differences in the opinion of both groups on the duties of community nurses were noticed.

  7. Knowledge and attitude of nurses to Community Psychiatry services ...

    African Journals Online (AJOL)

    McRoy

    2014-07-26

    Jul 26, 2014 ... reproduction in any medium, provided the original work is properly cited. Knowledge and attitude .... psychiatric nursing evolved rapidly, and .... Procedure. Population from which sample was chosen. Sex. N. Marital status. N.

  8. Modifying the culture of medical education: the first three years of the RWJ Generalist Physician Initiative.

    Science.gov (United States)

    Colwill, J M; Perkoff, G T; Blake, R L; Paden, C; Beachler, M

    1997-09-01

    The Generalist Physician Initiative (GPI) was created by The Robert Wood Johnson Foundation to help medical schools increase the number of predoctoral and residency graduates entering generalist careers. The underlying assumption of the GPI is that more medical graduates will become generalists if schools select candidates whose personal characteristics are compatible with generalist careers and if schools provide for them an educational environment that values generalist careers in the same manner it has valued specialist careers. In essence, the GPI is helping schools modify the culture in which medical education occurs so that they may increase their production of generalists. Fourteen grants for six years of support were made to 16 U.S. medical schools in 1994. These schools are developing institution-wide efforts that span the continuum from the recruitment and selection of students through their medical school and residency education to their entry into practice, and include support of the practice. Most schools have developed external partners (e.g., state legislatures, managed care organizations, area health education centers) to assist in achieving their goals. The project is now (1997) at its halfway mark. This article describes the conceptual bases for the program (e.g., changes in admission criteria to favor applicants oriented to generalism), identifies common approaches to intervention chosen by the participating schools (e.g., establishing longitudinal, generalist-oriented clinical experiences throughout the four years of medical school), and explores issues being faced by the schools as they implement change (e.g., difficulties in decentralizing clinical education to include community physicians as teachers and role models).

  9. Plunkett Community Nursing Unit, Elphin Street, Boyle, Roscommon.

    LENUS (Irish Health Repository)

    Coffey, Alice

    2016-01-28

    Nurses\\' knowledge regarding advance directives may affect their administration and completion in end-of-life care. Confidence among nurses is a barrier to the provision of quality end-of-life care. This study investigated nurses\\' knowledge of advance directives and perceived confidence in end-of-life care, in Hong Kong, Ireland, Israel, Italy and the USA using a cross-sectional descriptive design (n = 1089). In all countries, older nurses and those who had more professional experience felt more confident managing patients\\' symptoms at end-of-life and more comfortable stopping preventive medications at end-of-life. Nurses in the USA reported that they have more knowledge and experience of advance directives compared with other countries. In addition, they reported the highest levels of confidence and comfort in dealing with end-of-life care. Although legislation for advance directives does not yet exist in Ireland, nurses reported high levels of confidence in end-of-life care.

  10. Conceptualization and nursing implications of self-imposed activity limitation among community-dwelling elders.

    Science.gov (United States)

    Guo, Guifang; Phillips, Linda R

    2010-01-01

    The purposes of this paper are to explore, from a theoretical perspective, explanations for why some community-dwelling elders self-impose activity limitations (SIALs); to develop an integrated explanation for SIAL from a nursing perspective; and to identify some clinical implications of relevance to public health nursing practice. Activity limitation is an important risk factor for functional decline, morbidity, and mortality among community-dwelling elders. Many studies have focused on disease and environmental influences on activity limitations. The intrinsic processes associated with voluntary or SIAL in old age among otherwise physically and mentally capable elders are poorly understood and little studied. The conceptualization of SIAL provides nurses with an understanding of an understudied aging phenomenon and helps nurses understand how elders see activities related to their life priorities. The conceptual framework will facilitate future qualitative and quantitative study of SIAL, assist nurses in the development of a new gerontological nursing theory, and design of interventions for elders with activity limitations. Public health nurses with a better understanding of SIAL may be able to help elders improve or maintain their independence.

  11. Conceptualising a model to guide nursing and midwifery in the community guided by an evidence review.

    Science.gov (United States)

    Leahy-Warren, Patricia; Mulcahy, Helen; Benefield, Lazelle; Bradley, Colin; Coffey, Alice; Donohoe, Ann; Fitzgerald, Serena; Frawley, Tim; Healy, Elizabeth; Healy, Maria; Kelly, Marcella; McCarthy, Bernard; McLoughlin, Kathleen; Meagher, Catherine; O'Connell, Rhona; O'Mahony, Aoife; Paul, Gillian; Phelan, Amanda; Stokes, Diarmuid; Walsh, Jessica; Savage, Eileen

    2017-01-01

    Successful models of nursing and midwifery in the community delivering healthcare throughout the lifespan and across a health and illness continuum are limited, yet necessary to guide global health services. Primary and community health services are the typical points of access for most people and the location where most care is delivered. The scope of primary healthcare is complex and multifaceted and therefore requires a practice framework with sound conceptual and theoretical underpinnings. The aim of this paper is to present a conceptual model informed by a scoping evidence review of the literature. A scoping evidence review of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Databases included CINAHL, MEDLINE, PsycINFO and SocINDEX using the EBSCO platform and the Cochrane Library using the keywords: model, nursing, midwifery, community, primary care. Grey literature for selected countries was searched using the Google 'advanced' search interface. Data extraction and quality appraisal for both empirical and grey literature were conducted independently by two reviewers. From 127 empirical and 24 non-empirical papers, data extraction parameters, in addition to the usual methodological features, included: the nature of nursing and midwifery; the population group; interventions and main outcomes; components of effective nursing and midwifery outcomes. The evidence was categorised into six broad areas and subsequently synthesised into four themes. These were not mutually exclusive: (1) Integrated and Collaborative Care; (2) Organisation and Delivery of Nursing and Midwifery Care in the Community; (3) Adjuncts to Nursing Care and (4) Overarching Conceptual Model. It is the latter theme that is the focus of this paper. In essence, the model depicts a person/client on a lifespan and preventative-curative trajectory. The health related needs of the client, commensurate with their point

  12. 'A good person does not feel envy': envy in a nursing community.

    Science.gov (United States)

    Heikkinen, E; Nikkonen, M; Aavarinne, H

    1998-05-01

    The definition of envy is commonly based on psychoanalytical views of organizational culture. The purpose of this paper is to describe envy in a nursing community. The population study consisted of random sample of 120 subjects drawn from among the employees of one central hospital in Finland. The study material consisted of data collected by questionnaires (response rate 65%). The data were processed by various statistical methods. Open-ended questions were analysed by inductive content analysis. The results of this study indicated that the employee's view of his/her official position in the nursing community, his/her relationships with his/her fellow workers and the management as well as relationships with other nursing communities are all related to envy. The employee's view of his/her official position intensified his/her feelings of envy, if he/she had other negative feelings, anxiety, dissatisfaction with him/herself, and negative feelings towards fellow workers. The major object of envy was fellow workers' salaries. Envy towards other nursing communities was generated by alleged differences in the amount of labour, or by the charge nurse's greater interest in other sections. Employees coped with envy by hiding these feelings and being modest. Women coped with envy by being silent, while men denied the value of the object of envy.

  13. A replication study of priorities and attitudes of two nursing programs' communities of interest: an appreciative inquiry.

    Science.gov (United States)

    Farrell, Marie; Wallis, Nancy C; Evans, Marci Tyler

    2007-01-01

    American universities and nursing faculties, caught between the imperatives of community demand and university financial constraints, need to analyze their communities of interests' shared priorities for nursing education. This replication study's objective was to compare the priorities and attitudes of two nursing programs' communities of interest using appreciative inquiry (AI). The researchers used AI to conduct a qualitative, comparative analysis of data from two nursing programs. They used one-on-one and focus group interviews to examine stakeholders' views of the best of the nursing program's past, their vision and approaches to realizing the vision, and their roles in contributing to the vision they created. The researchers analyzed the qualitative data using a standardized codebook and content analysis. Respondents' priorities for both academic programs were similar, with the western respondents emphasizing nursing's contribution to quality care and the southern respondents emphasizing its leadership and commitment to diversity. Both identified the role of legislators and the community in partnering with nursing to secure funds for expansion. Both programs' respondents viewed nursing as a major part of the university and considered their role as supporters of the university's academic and financial goals. The two nursing programs appeared to harness external and internal support in their respective communities. While some priorities differed between the two nursing programs, respondents were aware of the ripple effect of decreased funding for nursing education on the delivery of nursing services to the community. Differences among the undergraduate and graduate students, which reflect a nursing program's student mix, underscore the priorities that nursing programs must emphasize.

  14. Selected outcomes of community-oriented, problem-based nursing programmes in South Africa.

    Directory of Open Access Journals (Sweden)

    NS Gwele

    2003-09-01

    Full Text Available Whilst there is a significant body of research on the outcomes of problem-based learning (PBL programmes (Albanese and Mitchell, 1993; Vernon and Blake, 1993, there is little information regarding the outcomes of community-oriented programmes (COL for nursing students. Between 1994 and 1997, four university schools of nursing implemented problem-based, community-oriented learning (COL programmes. This research sought to describe, evaluate and compare the outcomes of graduates from these four universities with graduates who had followed conventional programmes.

  15. The Missing Position in Practice: A Neglected Issue in Community Health Nursing in Iran

    Directory of Open Access Journals (Sweden)

    Hossein Ranjbar

    2016-01-01

    Full Text Available Global social and economic changes have not only led to substantial increases in elderly populations but also the manifestation of numerous degenerative and chronic diseases, and new patterns of disease caused by occupational hazards, environmental pollution and accidents.1,2 Today, public health concerns related to quality care, cost of medical services and low access to health care centers have led to a shift in the paradigm of healthcare from the traditional care settings to community centers.1 With regards to the same points, the health systems in a society must acquire the capabilities required for better meeting the ever-growing demands resulting from these changes.3 In order to meet these increasing needs and to raise the overall healthcare level of its communities, the Islamic Republic of Iran has envisioned short- and long-term plans within the framework of the 2025 Horizon Plan in various fields of research, education and provision of healthcare services.4 In line with this aim, the office of the High Commissioner for medical planning in the country has recently revised the educational curriculum for the Master’s course of community health nursing and has drawn outlines in order to focus the career position of their graduates on a community-oriented approach, in places such as healthcare centers, hospitals, rehabilitation centers, schools, addiction treatment centers, emergency services and natural disaster committees, and in all other organizations needing the services of community health nurses. Moreover, according to the vision drawn out in this plan, in the next ten years (by 2025 the graduates of community health nursing must be able not only to meet the changing needs of Iranian society, but also clearly attain regional and global standards in nursing education and offer effectual service to all members of the society.5 In addition, in most countries of the world, keeping such curriculum visions in mind, curriculum designers

  16. Preparing new nurse graduates for practice in multiple settings: a community-based academic-practice partnership model.

    Science.gov (United States)

    West, Nikki; Berman, Audrey; Karshmer, Judith; Prion, Susan; Van, Paulina; Wallace, Jonalyn

    2014-06-01

    Responding to local and national concerns about the nursing workforce, the California Institute for Nursing and Health Care worked with private and public funders and community health care partners to establish community-based transition-to-practice programs for new RN graduates unable to secure nursing positions in the San Francisco Bay Area. The goals were to retain new RN graduates in nursing and further develop their skills and competencies to increase their employability. Leaders from academic and inpatient, ambulatory, and community-based practice settings, as well as additional community partners, collaboratively provided four 12- to 16-week pilot transition programs in 2010-2011. A total of 345 unemployed new nurse graduates enrolled. Eighty-four percent of 188 respondents to a post-program survey were employed in inpatient and community settings 3 months after completion. Participants and clinical preceptors also reported increases in confidence and competence.

  17. Assessment of Mobile Health Nursing Intervention Knowledge among Community Health Nurses in Oyo State, Nigeria.

    Science.gov (United States)

    Titilayo, Odetola D; Okanlawon, F A

    2014-09-01

    Maternal mortality is high in Nigeria especially in rural areas due to knowledge deficit about expected care and labour process, socio-cultural belief, health care workers' attitude, physical and financial barriers to quality health care access. Mobile health (m-health) technology which is the use of mobile telecommunication devices in health care delivery reduces costs, improves care access, removes time and distance barriers and facilitates patient-provider communications needed to make appropriate health decisions. Previous studies empowering nurses with m-health knowledge resulted in improved uptake of health care services. There exists a literature dearth about knowledge and perception of nurses in Nigeria. This study became expedient to empower nurses working at the grassroots with the knowledge of m-health and assess the impact of educational training on their perception of its effectiveness. This quasi-experimental study carried out in four randomly selected LGAs across Oyo South Senatorial district involved participants at experimental (20 nurses) and control levels (27 nurses). A validated 25-item questionnaire explored nurses' perception, knowledge and perceived effectiveness of m-health in improving uptake of maternal health services in Nigeria among both groups before intervention. Intervention group nurses had a training equipping them with knowledge of m-health nursing intervention (MNHI) for a period of one week. Their perception, knowledge and perceived effectiveness were re-assessed at three-months and six-months after MHNI. Data were analyzed using Chi-square and repeated measures ANOVA at 5% significance level. In the EG, knowledge score significantly increased from 21.9±4.5 at baseline to 23.6±4.6 and 23.2±5.6 at three-month and six-month respectively while there was no significant difference in knowledge score among CG over the study period. A very significant difference was shown in the knowledge and perception of mobile health and its

  18. Generalists and Specialists: Teaming for Success.

    Science.gov (United States)

    Dobbs, Stephen Mark

    1986-01-01

    Debates the issue of whether generalists or specialists should teach art. Points out the strengths of each, maintaining the decision must consider educational philosophy, instructional approach, and teacher competence, as well as the permissible parameters of budgeting and staffing. Suggests that the two could team for success. (TRS)

  19. Clinical Geropsychology Training in Generalist Doctoral Programs

    Science.gov (United States)

    DeVries, Helen McKean

    2005-01-01

    While a relatively small number of clinical psychology graduate programs offer specialized tracks in clinical geropsychology, the need for psychologists trained to work with older adults is increasing. This paper presents a model of training that could be adopted by generalist training programs to better prepare their students to work with older…

  20. Effective nursing leadership of older persons in the community - a systematic review.

    Science.gov (United States)

    Holm, Anne Lise; Severinsson, Elisabeth

    2014-03-01

    The aim of this systematic review was to increase the knowledge of developing effective nursing leadership and management in order to improve the outcomes of older persons in the community. There is a need for increased knowledge of nursing leadership and management in order to improve the outcomes of older persons in the community. A review of the literature published in different databases between January 2000 and May 2012 was conducted. Eleven articles met the inclusion criteria and were evaluated by means of thematic content analysis. Six themes were identified: Ability to change the attitudes towards older persons; Building trust; Ensuring efficacy in management decisions; Lack of knowledge about how to overcome relational challenges; Health system collaboration to achieve goals and visions; and Staff members' experiences of the meaning of and possibility to influence their work, all of which are of importance for effective nursing leadership and management in the care of older persons. Advanced nursing knowledge is necessary in order to improve the work and vision involved in nursing leadership and management. Findings indicate that relational and organisational abilities are necessary components of effective nursing leadership and management. © 2013 John Wiley & Sons Ltd.

  1. ORIGINAL ARTICLE: Preparedness of Prospective Nurses to Work as Midwives in Hospital and Community

    Directory of Open Access Journals (Sweden)

    Pratibha A Chandekar

    2012-01-01

    Full Text Available Background: It is desirable to have skilled midwives to provide competent care in hospital and community setting. Aims and Objectives: The objectives were to assess curriculum adequacy, preparedness and job preferences of prospective nurses. Materials and Methods: A descriptive survey was used for the study. Thestudy was carried out at nursing institutes in Ahmednagar District, Maharashtra, India. The participants were the 200 prospective Nurses(final year Nursing students of General Nursing and B.Sc Nursing Programme, who had undergone midwifery examination. A semi structured questionnaire with self report technique method was used. Results: 20.57% and 89.1% students respectively felt that, thetheory input and allotted clinical hours were adequate. During the clinical posting, 29.7% felt that they did not get the opportunity to work in midwifery sections. 33.1% students expressed that they did not get cases as per the requirement prescribed by Indian NursingCouncil.13.7% and 33.7% students respectively agreed that they lacked confidence to perform abdominal palpation of antenatal cases & conduct deliveries independently. A few (26.2% expressed their inability to resuscitate the newborn. 89.1% said that they needed more experience to work independently as midwives. Everyone felt the need of in-service education and majority (77.2% felt that its duration should be either three months or more. Conclusion: Present study reveals that only 7% of the prospective nurses are ready to work in midwifery section. Only 13.7% of the prospective nurses are ready to work in rural area. Since there is a shortfall of 70.02% forspeciality of obstetrics and gynecology in rural health (GOI, 1997, and there are only 40 qualified nurse midwives per 100,000 births inIndia or only one midwife for 2500 births in rural areas, it is imperative to strengthen midwifery training to bridge this gap.

  2. Response of pest control by generalist predators to local-scale plant diversity: a meta-analysis.

    Science.gov (United States)

    Dassou, Anicet Gbèblonoudo; Tixier, Philippe

    2016-02-01

    Disentangling the effects of plant diversity on the control of herbivores is important for understanding agricultural sustainability. Recent studies have investigated the relationships between plant diversity and arthropod communities at the landscape scale, but few have done so at the local scale. We conducted a meta-analysis of 32 papers containing 175 independent measures of the relationship between plant diversity and arthropod communities. We found that generalist predators had a strong positive response to plant diversity, that is, their abundance increased as plant diversity increased. Herbivores, in contrast, had an overall weak and negative response to plant diversity. However, specialist and generalist herbivores differed in their response to plant diversity, that is, the response was negative for specialists and not significant for generalists. While the effects of scale remain unclear, the response to plant diversity tended to increase for specialist herbivores, but decrease for generalist herbivores as the scale increased. There was no clear effect of scale on the response of generalist predators to plant diversity. Our results suggest that the response of herbivores to plant diversity at the local scale is a balance between habitat and trophic effects that vary according to arthropod specialization and habitat type. Synthesis and applications. Positive effects of plant diversity on generalist predators confirm that, at the local scale, plant diversification of agroecosystems is a credible and promising option for increasing pest regulation. Results from our meta-analysis suggest that natural control in plant-diversified systems is more likely to occur for specialist than for generalist herbivores. In terms of pest management, our results indicate that small-scale plant diversification (via the planting of cover crops or intercrops and reduced weed management) is likely to increase the control of specialist herbivores by generalist predators.

  3. Preventive dental care among Medicaid-enrolled senior adults: from community to nursing facility residence.

    Science.gov (United States)

    Kelly, Mary C; Caplan, Daniel J; Bern-Klug, Mercedes; Cowen, Howard J; Cunningham-Ford, Marsha A; Marchini, Leonardo; Momany, Elizabeth T

    2017-09-08

    The primary objective of this study was to determine whether the utilization rate of preventive oral health care services while senior adults were community-dwelling differed from the rate after those same senior adults were admitted to nursing facilities. A secondary objective was to evaluate other significant predictors of receipt of preventive oral health procedures after nursing facility entry. Iowa Medicaid claims from 2007-2014 were accessed for adults who were 68+ years upon entry to a nursing facility and continuously enrolled in Medicaid for at least three years before and at least two years after admission (n = 874). Univariate, bivariate and multivariable analyses were conducted. During the five years that subjects were followed, 52.8% never received a dental exam and 75.9% never received a dental hygiene procedure. More Medicaid-enrolled senior adults received ≥1 preventive dental procedure in the two years while residing in a nursing facility compared to the three years before entry. In multivariable analyses, the strongest predictor of preventive oral health care utilization after entry was the receipt of preventive oral health services before entry (p dental procedures in the two years after nursing facility entry was the receipt of dental procedures in the three years before entry while community-dwelling. This underscores the importance of the senior adult establishing a source of dental care while community-dwelling. © 2017 American Association of Public Health Dentistry.

  4. [Gender and profession in the historical development of community nursing in Spain].

    Science.gov (United States)

    Bernabeu-Mestre, Josep; Carrillo-García, Concepción; Galiana-Sánchez, María Eugenia; García-Paramio, Pilar; Trescastro-López, Eva María

    2013-01-01

    Community and public health is probably the field where nurses have achieved the highest levels of professional independence, and their contribution is most valued. However, there are still major obstacles to full development, some of them linked to gender. It is therefore important to analyse the historical background of this situation in Spain in order to gain a better understanding of the many problems and shortcomings that still persist in Community Nursing today. Community nurses contributed to the development of Public Health in contemporary Spain, starting in the 1920s and culminating in the Second Republic. However, the Franco regime brought a halt to the process of professionalisation. By analysing the public conflict between visiting female nurses and practicantes (professional male medical auxiliary technicians) during the Second Republic and throughout the Franco regime, we examine the impact of gender on the development of nursing in Spain as one of the conditioning factors, and how it continues to influence the structuring of competencies and the distribution of responsibilities and power in this field.

  5. The community health clinics as a learning context for student nurses

    Directory of Open Access Journals (Sweden)

    MB Makupu

    2000-09-01

    Full Text Available The purpose of the research study was to describe guidelines to improve the community health clinics as a learning context conducive to learning. The objectives of the study commenced by getting the perception of student nurses from a nursing college in Gauteng; community sisters from ten community health clinics in the Southern Metropolitan Local Council and college tutors from a college in Gauteng. The research design and method used, consisting of a qualitative, exploratory, descriptive and contextual approach and the design was divided into two phases. Phase one consisted of a field/empirical study and phase two of conceptualization. In all the samples follow-up focus group interviews were conducted to confirm the findings. To ensure trustworthiness, Lincoln and Guba’s model (1985 was implemented and data analysis was according to Tesch’s model (1990 in Creswell 1994:155 based on a qualitative approach. The conceptual framework discussed, indicating a body of knowledge, was based on the study and empirical findings from phase one to give clear meaning and understanding regarding the research study. The research findings were then compared with existing literature within the framework, to determine similarities and differences as literature control method. Guidelines were then formulated from phase one and two to solve the indicated problems based on the three different sample groups. Ethical consideration was maintained throughout the research study. Recommendations related to nursing education, nursing practice and nursing research were indicated accordingly.

  6. Teaching methods in community health nursing clerkships: experiences of healthcare staff in Iran

    Directory of Open Access Journals (Sweden)

    Eshagh Ildarabadi

    2014-09-01

    Full Text Available Purpose: Healthcare staff educate nursing students during their clerkships at community health nursing programs. Their teaching methods play an important role in nursing students’ acquisition of competencies; however, these methods have not been studied thoroughly. Thus, this study aims to describe, interpret, and understand the experiences of healthcare staff’s teaching methods in clerkships at a community health nursing program. Methods: This study was conducted using purposeful sampling and semi-structured interviews with 13 members of the staff of three urban healthcare centers in Iran. The data were analyzed through qualitative content analysis and thematic analysis. Results: Multiplicity of teaching was identified as the main category of teaching method, and the five subcategories were teaching through lecture, demonstration, doing, visits and field trips, and readiness. The most common method used by the healthcare staff was lecturing. Conclusion: The healthcare staff used multiple methods to teach students in the nursing clerkship of the community health program, which was the strength of the course. However, they should be familiar with, and utilize additional methods, such as discussion rather than lecture.

  7. Metacognitive event identification on electronic mail from a Nursing Virtual Community

    Directory of Open Access Journals (Sweden)

    Roberta Pereira Coutinho

    2008-01-01

    Full Text Available A sociometric survey was conducted to investigate the presence of written metacognitive events (WME in messages posted by members of a nursing virtual community. A discussion about nursing science and practice is presented. “Metacognitive event” was characterised on messages through evidence of reflexive activity indicating any level of awareness about author’s cognitive process. Content analysis was performed on 934 e-messages posted during the first six months period of this community. WME were classified non-uniquely as “person”, “strategy” and “task”. Two hundred and sixty six messages with metacognitive events were found, being 180 of them classified as “person”, 115 as “strategy” and 64 as “task”. It is concluded that WME are present and can be identified on posted messages in this virtual community. We believe that the same phenomenon may happen among other similar communities.

  8. Dispensing emotions: Norwegian community nurses' handling of diversity in a changing organizational context.

    Science.gov (United States)

    Debesay, Jonas; Harsløf, Ivan; Rechel, Bernd; Vike, Halvard

    2014-10-01

    Since the mid-1990s, public sector health care services in Norway have been restructured, in line with New Public Management ideas. This restructuring has coincided with demographic changes that have led to a more culturally diverse patient population. Both developments have created new challenges for community nurses in managing their work. This qualitative study applies the concept of "emotional labor" to examine nurses' experiences in working with ethnic minority patients in the context of pressures arising from organizational reforms. The analysis sheds light on the nurses' attempts to comply with system-induced efficiency considerations, while catering to the special situation of patients with language barriers and unfamiliar cultural traditions. The article demonstrates how efficiency requirements and time constraints either aggravate the nurses' insecurity in dealing with minority patients or, in some cases, compel them to assume more work responsibilities so as to mitigate the effects of such constraints. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. Research to support evidence-based practice in COPD community nursing.

    Science.gov (United States)

    Kirkpatrick, Pamela; Wilson, Ethel; Wimpenny, Peter

    2012-10-01

    Evidence-based practice (EBP) is a requirement of nurses through the generation of evidence to implementing it, in a bid to to improve clinical practice. However, EBP is difficult to achieve. This paper highlights an approach to generating evidence for enhancing community nursing services for patients with chronic obstructive pulmonary disease (COPD) through a collaborative partnership. A district nurse and two nursing lecturers formed a partnership to devise a systematic review protocol and perform a systematic review to enhance COPD practice. This paper illustrates the Joanna Briggs Institute (JBI) systematic review process, the review outcomes and the practitioner learning. Collaborative partnerships between academics, researchers and clinicians are a potentially useful model to facilitate enhanced outcomes in evidence-based practice and evidence application.

  10. Creating a Global Community of Learners in Nursing and Beyond: Caring Science, Mindful Practice MOOC.

    Science.gov (United States)

    Sitzman, Kathleen L; Jensen, Andrea; Chan, Sang

    The aim was to examine the usefulness of a massive open online course (MOOC) on caring and mindfulness to a broad international audience that included nurses, allied health professionals, and others. MOOCs in higher education have been evident since 2008. Very few MOOCs on nursing topics have appeared since that time. Exploration was needed regarding how MOOCs could be employed to share nursing knowledge with national and international communities. Two "Caring Science, Mindful Practice" MOOC sessions were examined. Demographics, learner satisfaction, course flow, and perceived usefulness of content were analyzed. Learners from varied backgrounds participated. Higher than expected course activity levels and completion rates suggested effective learner engagement. Excellent course ratings demonstrated that content and delivery methods were effective. Active learners communicated specific plans to apply new knowledge in the future. MOOCs facilitate learning where participants learn about topics of interest in nursing and beyond.

  11. Investigation of community nursing skills status and training demands of community nurses for nursing skills%社区护士社区护理相关技能实践现状及培训需求调查

    Institute of Scientific and Technical Information of China (English)

    孙晓; 田梅梅; 施雁

    2012-01-01

    Objective To study the community nursing skills status and training demands of community nurses for nursing skills.Methods Questionnaire was designed through the literature review,qualitative interview and so on.Community nurses from 11 community health service centers were investigated.Results Among 194 community nurses,the rate of considering that community nursing knowledge and skills training was very necessary and necessary respectively were 41.8% and 47.9%,that very willing and willing to accept the training respectively were 34.5% and 53.6%.And 76.8% community nurses couldn' t attend training for busy working,the training way that community nurses hoped including theory teaching (66.0%),telephone guidance at any time (35.1%) and so on.More common nursing problems in community nursing which scored higher than 3 points included chronic disease medicine knowledge,effective communication skill,rehabilitation care,home care knowledge,chronic disease standardized care,community emergency rescue knowledge and skills,hospice care,maternal and child care.About the demand of community nurses for nursing skills training,the average score was (3.40 ± 1.60),and which scored higher than 3 points including medicine knowledge of chronic diseases,rehabilitation nursing,home health care knowledge,the effective communication skills with patients,standardized training for chronic disease,community emergency knowledge and skill,hospice care,maternal and child health nursing,children nutrition education,refractory wound and pressure ulcer nursing,ostomy nursing.Conclusions On one hand,through the "blood transfusions mechanism" and "hematopoietic system",it is necessary to training community nurses according to their demanded.On the other hand,some nursing skills such as ostomy care and the maintenance of PICC should added for expanding community nursing service projects,which can alleviate the status of "seeing a doctor difficultly and expensively".%目的 了解

  12. Will the community nurse continue to function during H1N1 influenza pandemic: a cross-sectional study of Hong Kong community nurses?

    Directory of Open Access Journals (Sweden)

    Gao Tiffany T

    2010-04-01

    Full Text Available Abstract Background Healthcare workers have been identified as one of the high risk groups for being infected with influenza during influenza pandemic. Potential levels of absenteeism among healthcare workers in hospital settings are high. However, there was no study to explore the attitudes of healthcare workers in community setting towards the preparedness to the novel H1N1 influenza pandemic. The aim of this study was to explore the willingness of community nurses in Hong Kong to work during H1N1 influenza pandemic. Methods A cross-sectional survey was conducted among all 401 community nurses employed by the Hospital Authority in Hong Kong when the WHO pandemic alert level was 6. Results The response rate of this study was 66.6%. 76.9% participants reported being "not willing" (33.3% or "not sure" (43.6% to take care of patients during H1N1 influenza pandemic. The self-reported reasons for being unwilling to report to duty during H1N1 influenza pandemic were psychological stress (55.0% and fear of being infected H1N1 influenza (29.2%. The reported unwillingness to report to duty was marginally significantly associated with the request for further training of using infection control clinical guideline (OR: 0.057; CI: 0.25-1.02. Those who reported unwillingness or not being sure about taking care of the patients during H1N1 influenza pandemic were more depressed (p Conclusions Interventions to provide infection control training and address community nurses' psychological needs might increase their willingness to provide care to patients in the community during H1N1 influenza pandemic. This would help to ensure an effective and appropriate health system response during the H1N1 influenza pandemic.

  13. Evaluation of a Certification Process for Community Nurses Involved in Sex and Relationship Education

    Science.gov (United States)

    Chalmers, Helen; Aggleton, Peter; Tyrer, Paul

    2006-01-01

    Purpose: Alongside teachers, community nurses have been identified as having an important role to play in the provision of school-based personal, social and health education (PSHE) and sex and relationships education (SRE). However, there currently exist few programmes of preparation for this work that recognise the specific contribution of…

  14. Nursing Community 2.0: a method to promote online collaborative learning

    Directory of Open Access Journals (Sweden)

    Maura I. Cascio

    2016-07-01

    qualitative and quantitative analysis of online interactions. Results indicate that, thanks to the deployment of suitable technology and expert tutor support, Nursing Community 2.0 has successfully established itself as an environment for generating and exchanging knowledge.

  15. An Investigation into the Public Health Roles of Community Learning Disability Nurses

    Science.gov (United States)

    Mafuba, Kay; Gates, Bob

    2015-01-01

    International studies have shown poor uptake of public health initiatives by people with learning disabilities. In addition, studies have shown that people with learning disabilities experience poor access to public health services. The contribution of community learning disability nurses in meeting the public health needs of people with learning…

  16. Evaluating the use of a data base system with community health nursing students.

    Science.gov (United States)

    Stein, K Z; Friedman, M; Eigisti, D G; Fortune, M; Helberg, J; Seigel, H

    1987-04-01

    The Data Base Management System for community diagnosis was used during two academic semesters with 80 baccalaureate nursing students. At the end of the two semesters the DBMS was evaluated from feedback obtained through faculty discussions, final student papers and oral presentations. The DBMS met the goals established to evaluate the tool. The clarification of categories for essential data is an ongoing process.

  17. Developing Nursing and Midwifery Communities of Practice for Making Pregnancy Safer

    National Research Council Canada - National Science Library

    Jody Rae Lori; Debbie Diaz Ortiz; Sandra Oyarzo; Patricia Abbott; Sandra Land

    2010-01-01

    ... and Midwifery became a reality. The Nursing and Midwifery Community of Practice for Making Pregnancy Safer has grown from 55 members in 18 countries at the end of the first year to 382 members from 79 countries by the end of 2009...

  18. Training generalist doctors for rural practice in New Zealand.

    Science.gov (United States)

    Nixon, Garry; Blattner, Katharina; Williamson, Martyn; McHugh, Patrick; Reid, James

    2017-01-01

    Targeted postgraduate training increases the likelihood young doctors will take up careers in rural generalist medicine. This article describes the postgraduate pathways that have evolved for these doctors in New Zealand. The Cairns consensus statement 2014 defined rural medical generalism as a scope of practice that encompasses primary care, hospital or secondary care, emergency care, advanced skill sets and a population-based approach to the health needs of rural communities. Even as work goes on to define this role different jurisdictions have developed their own training pathways for these important members of the rural healthcare workforce. In 2002 the University of Otago developed a distance-taught postgraduate diploma aimed at the extended practice of rural general practitioners (GPs) and rural hospital medical officers. This qualification has evolved into a 4-year vocational training program in rural hospital medicine, with the university diploma retained as the academic component. The intentionally flexible and modular nature of the rural hospital training program and university diploma allow for a range of training options. The majority of trainees are taking advantage of this by combining general practice and rural hospital training. Although structured quite differently the components of this combined pathway looks similar to the Australian rural generalist pathways. There is evidence that the program has had a positive impact on the New Zealand rural hospital medical workforce.

  19. Poststroke Rehabilitation and Restorative Care Utilization: A Comparison Between VA Community Living Centers and VA-contracted Community Nursing Homes.

    Science.gov (United States)

    Jia, Huanguang; Pei, Qinglin; Sullivan, Charles T; Cowper Ripley, Diane C; Wu, Samuel S; Bates, Barbara E; Vogel, W Bruce; Bidelspach, Douglas E; Wang, Xinping; Hoffman, Nannette

    2016-03-01

    Effective poststroke rehabilitation care can speed patient recovery and minimize patient functional disabilities. Veterans affairs (VA) community living centers (CLCs) and VA-contracted community nursing homes (CNHs) are the 2 major sources of institutional long-term care for Veterans with stroke receiving care under VA auspices. This study compares rehabilitation therapy and restorative nursing care among Veterans residing in VA CLCs versus those Veterans in VA-contracted CNHs. Retrospective observational. All Veterans diagnosed with stroke, newly admitted to the CLCs or CNHs during the study period who completed at least 2 Minimum Data Set assessments postadmission. The outcomes were numbers of days for rehabilitation therapy and restorative nursing care received by the Veterans during their stays in CLCs or CNHs as documented in the Minimum Data Set databases. For rehabilitation therapy, the CLC Veterans had lower user rates (75.2% vs. 76.4%, P=0.078) and fewer observed therapy days (4.9 vs. 6.4, Ptherapy (odds ratio=1.16, P=0.033), although they had fewer average therapy days (coefficient=-1.53±0.11, Prehabilitation therapy days (both unadjusted and adjusted), but they were significantly more likely to receive restorative nursing care both before and after risk adjustment.

  20. Facilitating Collaboration Among Academic Generalist Disciplines: A Call to Action

    Science.gov (United States)

    Kutner, Jean S.; Westfall, John M.; Morrison, Elizabeth H.; Beach, Mary Catherine; Jacobs, Elizabeth A.; Rosenblatt, Roger A.

    2006-01-01

    To meet its population’s health needs, the United States must have a coherent system to train and support primary care physicians. This goal can be achieved only though genuine collaboration between academic generalist disciplines. Academic general pediatrics, general internal medicine, and family medicine may be hampering this effort and their own futures by lack of collaboration. This essay addresses the necessity of collaboration among generalist physicians in research, medical education, clinical care, and advocacy. Academic generalists should collaborate by (1) making a clear decision to collaborate, (2) proactively discussing the flow of money, (3) rewarding collaboration, (4) initiating regular generalist meetings, (5) refusing to tolerate denigration of other generalist disciplines, (6) facilitating strategic planning for collaboration among generalist disciplines, and (7) learning from previous collaborative successes and failures. Collaboration among academic generalists will enhance opportunities for trainees, primary care research, and advocacy; conserve resources; and improve patient care. PMID:16569722

  1. Conceptualisation of knowledge construction in community service-learning programmes in nursing education.

    Science.gov (United States)

    Mthembu, Sindi Z; Mtshali, Fikile G

    2013-01-01

    Practices in higher education have been criticised for not developing and preparing students for the expertise required in real environments. Literature reports that educational programmes tend to favour knowledge conformation rather than knowledge construction; however, community service learning (CSL) is a powerful pedagogical strategy that encourages students to make meaningful connections between the content in the classroom and real-life experiences as manifested by the communities. Through CSL, learning is achieved by the active construction of knowledge supported by multiple perspectives within meaningful real contexts, and the social interactions amongst students are seen to play a critical role in the processes of learning and cognition. This article reflects facilitators’ perspective of the knowledge construction process as used with students doing community service learning in basic nursing programmes. The aim of this article was to conceptualise the phenomenon of knowledge construction and thereby provide educators with a shared meaning and common understanding, and to analyse the interaction strategies utilised by nurse educators in the process of knowledge construction in community service-learning programmes in basic nursing education. A qualitative research approach based on a grounded theory research design was used in this article. Two nursing education institutions were purposively selected. Structured interviews were conducted with 16 participants. The results revealed that the knowledge construction in community service-learning programmes is conceptualised as having specific determinants, including the use of authentic health-related problems, academic coaching through scaffolding, academic discourse-dialogue, interactive learning in communities of learners, active learning, continuous reflection as well as collaborative and inquiry-based learning. Upon completion of an experience, students create and test generated knowledge in different

  2. The impact of a virtual community on student engagement and academic performance among baccalaureate nursing students.

    Science.gov (United States)

    Giddens, Jean; Hrabe, David; Carlson-Sabelli, Linnea; Fogg, Louis; North, Sarah

    2012-01-01

    The purpose of this article is to present findings from a study which evaluated the effectiveness of a virtual community (an emerging pedagogical application) on student engagement and academic performance. Virtual communities mirror real-life through unfolding patient histories and relationship development over time. Students also become more engaged in learning by creating personally meaningful knowledge of a concept (Rogers & Stone, 2007). Virtual communities offer one teaching strategy to assist students in learning complex, health-related content in a contextualized manner. This quasi-experimental study involved first-semester baccalaureate nursing students enrolled in a course at two campuses of a nursing program at a large university in the Southwest. Three key strategies assessed the impact of the virtual community on student engagement and learning: third-party observational measurement, end-of-class student/faculty surveys, and use of knowledge items in student exams for the class. Significant differences between the control and experimental group were found regarding learning engagement and communication exchanges; the groups appeared similar in ratings of quality of instruction and academic performance. Use of virtual communities can help nursing educators address the recent Carnegie Foundation study's (Benner, Sutphen, Leonard & Day, 2010) counsel to implement "pedagogies of contextualization" in which theoretical and factual information about diseases and conditions are placed in the context of a patient's experience.

  3. Community health nursing practices in contexts of poverty, uncertainty and unpredictability: a systematization of personal experiences.

    Science.gov (United States)

    Laperrière, Hélène

    2007-01-01

    Several years of professional nursing practices, while living in the poorest neighbourhoods in the outlying areas of Brazil's Amazon region, have led the author to develop a better understanding of marginalized populations. Providing care to people with leprosy and sex workers in riverside communities has taken place in conditions of uncertainty, insecurity, unpredictability and institutional violence. The question raised is how we can develop community health nursing practices in this context. A systematization of personal experiences based on popular education is used and analyzed as a way of learning by obtaining scientific knowledge through critical analysis of field practices. Ties of solidarity and belonging developed in informal, mutual-help action groups are promising avenues for research and the development of knowledge in health promotion, prevention and community care and a necessary contribution to national public health programmers.

  4. Holism in community leg ulcer management: a comparison of nurses in Sweden and the UK.

    Science.gov (United States)

    Hjelm, K; Rolfe, M; Bryar, R M; Andersson, B-L; Fletcher, M

    2003-08-01

    Collaboration between Kronoberg County Council and Växjö University, Sweden, and Hull and East Riding Community NHS Trust and the University of Hull, UK, enabled an international comparison of care of patients with chronic leg ulcers in the two countries. An aim of the survey study was to compare what "holistic care" meant to nurses working in primary health care (PHC) and nursing home settings in Kronoberg County (KC) and the East Riding of Yorkshire and Hull (ER). A questionnaire, which obtained quantitative and qualitative data, was returned by 311 (222 completed) nurses in KC and 124 in ER (response rates of 54 and 50% respectively). Assessment and planning of wound management focused on the wound. Swedish nurses paid more attention to patients' experience of the wound, lifestyle factors and environment than UK nurses, but in both countries holistic care appeared to be lacking. Issues for nurse education concerning holistic care were identified. Revision of guidelines and consensus documents to facilitate holistic care is also suggested.

  5. Developing a smartphone app to support the nursing community.

    Science.gov (United States)

    Colton, Scott; Hunt, Louise

    2016-02-01

    Healthcare professionals are turning increasingly to the digital sector to access information they need for their work. Mobile technology, such as smartphones and tablets, provides a unique opportunity to place high-quality information directly into users' hands. This article describes the ongoing development of a smartphone app, Preparing for Caring, designed to prepare the future workforce by enabling mentors and nursing students to access supportive material during practice-based learning episodes. The article explores the rationale for designing the app and discusses the challenges and benefits of developing this resource from the perspectives of student, mentor and healthcare manager.

  6. Secondment as a means of practice development for Community Learning Disability Nurses working with children.

    Science.gov (United States)

    Cheseldine, Sally; Brown, Marie; Wilkie, Fiona

    2010-10-01

    Many Community Learning Disability Nurses (CLDNs) in Scotland who work with children will have had some child health input during their registered nurse education programme, but often not specific to the needs of children who might be referred to them now as result of population changes, community care policy and improved methods of diagnosis (PHIS, 2004). Community nurses have relatively poor skills in detecting and managing mental health problems and identify training as a means of addressing this (Fox et al., 2003). To address the practice development needs identified by CLDNs through their Personal Development Plans (PDPs), secondments were provided to a Child and Adolescent Mental Health Service (CAMHS) for children and young people with learning disabilities for 2 days a week for six months. This was taken up by five CLDNs over a period of 3 years. The goals they set in their secondments were evaluated using Goal Attainment Scaling (GAS). This paper aims to discuss the use of GAS within secondments, as a means of identifying learning needs and developing practice in the area of CAMH nursing. The background to the paper, work based learning, health needs of children with LD and GAS are highlighted. Recommendations for future development are made.

  7. Generalist genes and high cognitive abilities.

    Science.gov (United States)

    Haworth, Claire M A; Dale, Philip S; Plomin, Robert

    2009-07-01

    The concept of generalist genes operating across diverse domains of cognitive abilities is now widely accepted. Much less is known about the etiology of the high extreme of performance. Is there more specialization at the high extreme? Using a representative sample of 4,000 12-year-old twin pairs from the UK Twins Early Development Study, we investigated the genetic and environmental overlap between web-based tests of general cognitive ability, reading, mathematics and language performance for the top 15% of the distribution using DF extremes analysis. Generalist genes are just as evident at the high extremes of performance as they are for the entire distribution of abilities and for cognitive disabilities. However, a smaller proportion of the phenotypic intercorrelations appears to be explained by genetic influences for high abilities.

  8. Local Medicaid home- and community-based services spending and nursing home admissions of younger adults.

    Science.gov (United States)

    Thomas, Kali S; Keohane, Laura; Mor, Vincent

    2014-11-01

    We used fixed-effect models to examine the relationship between local spending on home- and community-based services (HCBSs) for cash-assisted Medicaid-only disabled (CAMOD) adults and younger adult admissions to nursing homes in the United States during 2001 through 2008, with control for facility and market characteristics and secular trends. We found that increased CAMOD Medicaid HCBS spending at the local level is associated with decreased admissions of younger adults to nursing homes. Our findings suggest that states' efforts to expand HCBS for this population should continue.

  9. Disconnects in pedagogy and practice in community health nursing clinical experiences: Qualitative findings of a mixed method study.

    Science.gov (United States)

    Pijl-Zieber, Em M; Barton, Sylvia; Awosoga, Olu; Konkin, Jill

    2015-10-01

    Many baccalaureate schools of nursing are using non-traditional placements for undergraduate community health clinical rotations. These placements occur at agencies not organizationally affiliated with the health care system and they typically do not employ registered nurses (RNs). In this paper, we describe the qualitative findings of a mixed method study that explored these gaps as they relate to pre-registration nursing students' preparation for community health roles. While non-traditional community health placements offer unique opportunities for learning through carefully crafted service learning pedagogy, these placements also present challenges for student preparation for practice in community health roles. The theory-practice gap and the gap between the expected and actual performance of new graduates are accentuated through the use of non-traditional community clinical experiences. These gaps are not necessarily due to poor pedagogy, but rather due to the perceptions and values of the stakeholders involved: nursing students, community health nursing faculty, and community health nurses. New ways must be developed between academe and community health practice areas to provide students with opportunities to develop competence for practice. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Implementing community-based education in basic nursing education programs in South Africa

    Directory of Open Access Journals (Sweden)

    N.G. Mtshali

    2009-09-01

    Full Text Available Education of health professionals using principles of community-based education is the recommended national policy in South Africa. A paradigm shift to community based education is reported in a number of nursing education institutions in South Africa. Reviewed literature however revealed that in some educational institutions planning, implementation and evaluation of Community-based Educational (CBE programmes tended to be haphazard, uncoordinated and ineffective, resulting in poor student motivation. Therefore the purpose of this study was to analyse the implementation of community-based education in basic nursing education programmes in South Africa. Strauss and Corbin’s (1990 grounded theory approach guided the research process. Data were collected by means of observation, interviews and document analysis. The findings revealed that collaborative decision-making involving all stakeholders was crucial especially during the curriculum planning phase. Furthermore, special criteria should be used when selecting community learning sites to ensure that the selected sites are able to facilitate the development of required graduate competencies. Collaborative effort, true partnership between academic institutions and communities, as well as government support and involvement emerged as necessary conditions for the successful implementation of community-based education programmes.

  11. Workplace health and safety issues among community nurses: a study regarding the impact on providing care to rural consumers.

    Science.gov (United States)

    Terry, Daniel; Lê, Quynh; Nguyen, Uyen; Hoang, Ha

    2015-08-12

    The objective of the study was to investigate the types of workplace health and safety issues rural community nurses encounter and the impact these issues have on providing care to rural consumers. The study undertook a narrative inquiry underpinned by a phenomenological approach. Community nursing staff who worked exclusively in rural areas and employed in a permanent capacity were contacted among 13 of the 16 consenting healthcare services. All community nurses who expressed a desire to participate were interviewed. Data were collected using semistructured interviews with 15 community nurses in rural and remote communities. Thematic analysis was used to analyse interview data. The role, function and structures of community nursing services varied greatly from site to site and were developed and centred on meeting the needs of individual communities. In addition, a number of workplace health and safety challenges were identified and were centred on the geographical, physical and organisational environment that community nurses work across. The workplace health and safety challenges within these environments included driving large distances between client's homes and their office which lead to working in isolation for long periods and without adequate communication. In addition, other issues included encountering, managing and developing strategies to deal with poor client and carer behaviour; working within and negotiating working environments such as the poor condition of patient homes and clients smoking; navigating animals in the workplace; vertical and horizontal violence; and issues around workload, burnout and work-related stress. Many nurses achieved good outcomes to meet the needs of rural community health consumers. Managers were vital to ensure that service objectives were met. Despite the positive outcomes, many processes were considered unsafe by community nurses. It was identified that greater training and capacity building are required to meet the

  12. Workplace health and safety issues among community nurses: a study regarding the impact on providing care to rural consumers

    Science.gov (United States)

    Terry, Daniel; Lê, Quynh; Nguyen, Uyen; Hoang, Ha

    2015-01-01

    Objectives The objective of the study was to investigate the types of workplace health and safety issues rural community nurses encounter and the impact these issues have on providing care to rural consumers. Methods The study undertook a narrative inquiry underpinned by a phenomenological approach. Community nursing staff who worked exclusively in rural areas and employed in a permanent capacity were contacted among 13 of the 16 consenting healthcare services. All community nurses who expressed a desire to participate were interviewed. Data were collected using semistructured interviews with 15 community nurses in rural and remote communities. Thematic analysis was used to analyse interview data. Results The role, function and structures of community nursing services varied greatly from site to site and were developed and centred on meeting the needs of individual communities. In addition, a number of workplace health and safety challenges were identified and were centred on the geographical, physical and organisational environment that community nurses work across. The workplace health and safety challenges within these environments included driving large distances between client’s homes and their office which lead to working in isolation for long periods and without adequate communication. In addition, other issues included encountering, managing and developing strategies to deal with poor client and carer behaviour; working within and negotiating working environments such as the poor condition of patient homes and clients smoking; navigating animals in the workplace; vertical and horizontal violence; and issues around workload, burnout and work-related stress. Conclusions Many nurses achieved good outcomes to meet the needs of rural community health consumers. Managers were vital to ensure that service objectives were met. Despite the positive outcomes, many processes were considered unsafe by community nurses. It was identified that greater training and

  13. Skills acquired in research and public health in the specialty of family and community nursing in the Valencian Community.

    Science.gov (United States)

    García-Martínez, Pedro; Lozano-Vidal, Ruth; Herraiz-Ortiz, María Del Carmen; Collado-Boira, Eladio

    To evaluate the acquisition of skills in research and public health specialists in family and community nursing. Descriptive and analytical study on a population of specialist nurse members of with the Valencian Primary Nurse Society. Measured with anonymous self-administered questionnaire on activities implemented and turnaround time in the training period. The questionnaire was conducted and reviewed based on the training programme of the specialty. Sixteen of the 41 specialists responded. The four year groups of nurses who had finished their training were represented as well as seven national teaching units. The results show high heterogeneity in the activities developed in the training. The average rotation in public health is 7.07 weeks, with range of 0 to 16 weeks. The mean number of educational sessions is 2.69 in the two years. The average number of research projects is 1.19. The result shows a specialisation process with training gaps in the skills of research and public health that could be remedied. Some practitioners claim that they finish their specialisation without undertaking research activities or completing the minimum proposed shifts. There is no process of improvement in the four year groups studied. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  14. Community Outreach in Associate Degree Nursing Programs: AACC/Metropolitan Life Foundation Project, 1995-1996. AACC Project Brief.

    Science.gov (United States)

    Barnett, Lynn

    In January 1995, five community colleges were selected to participate in a year-long project to implement new teaching methods in associate degree nursing programs to better meet community needs. Supported by the American Association for Community Colleges, with seed money from the Metropolitan Life Foundation, all of the projects also had…

  15. St. Anne's Community Nursing Unit, Westport Road, Clifden, Galway.

    LENUS (Irish Health Repository)

    Sweeney, J

    2014-11-01

    Electronic health records (EHR) support clinical management, administration, quality assurance, research, and service planning. The aim of this study was to evaluate a clinical data management programme to improve consistency, completeness and accuracy of EHR information in a large primary care centre with 10 General Practitioners (GPs). A Clinical Data Manager was appointed to implement a Data Management Strategy which involved coding consultations using ICPC-2 coding, tailored support and ongoing individualised feedback to clinicians. Over an eighteen month period there were improvements in engagement with and level of coding. Prior to implementation (August 2011) 4 of the 10 GPs engaged in regular coding and 69% of their consultation notes were coded. After 12 months, all 10 GPs and 6 nurses were ICPC-2 coding their consultations and monthly coding levels had increased to 98%. This structured Data Management Strategy provides a feasible sustainable way to improve information management in primary care.

  16. Creating and sustaining a diverse student community in a school of nursing.

    Science.gov (United States)

    Wros, Peggy; May, Barbara A

    2013-01-01

    In response to national and state mandates to increase diversity in the nursing workforce, a small, liberal arts college in Oregon implemented a comprehensive program to recruit and retain students underrepresented in nursing, especially Hispanics. The goals of Ayudando Podemos were to increase enrollment of underrepresented and disadvantaged students, improve student retention and graduation rates, increase student participation in a mentorship program, improve cultural competence in the campus community, and increase the number of graduates working in medically underserved or health professional shortage areas (HPSAs). The program had four parts: institutional catalysts and commitment, relationship building and student connection, individualized academic coaching, and financial aid and scholarship coaching. Sixty-nine prenursing and nursing students participated over 6 years. The retention rate was 96.2%.

  17. Entering a world of uncertainty: community nurses' engagement with information and communication technology.

    Science.gov (United States)

    Courtney-Pratt, Helen; Cummings, Elizabeth; Turner, Paul; Cameron-Tucker, Helen; Wood-Baker, Richard; Walters, Eugene Haydn; Robinson, Andrew Lyle

    2012-11-01

    Achieving adoption, use, and integration of information and communication technology by healthcare clinicians in the workplace is recognized as a challenge that requires a multifaceted approach. This article explores community health nurses' engagement with information and communication technology as part of a larger research project that investigated the delivery of self-management support to people with chronic obstructive pulmonary disease. Following a survey of computer skills, participants were provided with computer training to support use of the project information system. Changes in practice were explored using action research meetings and individual semistructured interviews. Results highlight three domains that affected nurses' acceptance, utilization, and integration of information and communication technology into practice; environmental issues; factors in building capacity, confidence, and trust in the technology; and developing competence. Nurses face individual and practice challenges when attempting to integrate new processes into work activities, and the use of participatory models to support adoption is recommended.

  18. Feasibility of nurses measuring gait speed in older community-dwelling Emergency Department patients.

    Science.gov (United States)

    Tucker, Paula W; Evans, Dian Dowling; Clevenger, Carolyn K; Ardisson, Michelle; Hwang, Ula

    Gait speed assessment is a rapid, simple and objective measure for predicting risk of unfavorable outcomes which may provide better prognostic and reliable information than existing geriatric ED (Emergency Department) screening tools. This descriptive pilot project was designed to determine feasibility of implementing gait speed screening into routine nursing practice by objectively identifying patients with sub-optimal gait speeds. Participants included community-dwelling adults 65 years and older with plans for discharge following ED treatment. Patients with a gait speed <1.0 m/s were identified as "high-risk" for an adverse event, and referred to the ED social worker for individualized resources prior to discharge. Thirty-five patients were screened and nurse initiated gait speed screens were completed 60% of the time. This project demonstrates ED gait speed screening may be feasible. Implications for practice should consider incorporating gait speed screening into routine nursing assessment to improve provider ED decision-making and disposition planning.

  19. A Globally-Conscious Nonlocal Nursing Community: From Caritas to Communitas.

    Science.gov (United States)

    Rosa, William

    2015-07-01

    The purpose of this article is to describe the creative process and nursing implications of the website, Holding Heartspace: A Nonphysical Ashram for the Like-hearted to Honor Story, Process, and Sacred Intentions of Caring-Healing-Loving in the World. Holding Heartspace is an example of a virtual community that links the experiences of nurses from around the world to a centralized forum. This site is the culminating project of the author's participation in and graduation from the Caritas Coach Education Program (CCEP). Human caring science is a theory of nursing maintaining several relevant components and definitions that have fostered the creation of Holding Heartspace. It is within the contextual realm of caring science that facilitation from caritas (compassionate, generous love) to the more universal communitas (recognition of our collective humanity) is realized and experienced (Watson, 2008).

  20. The significance of communities of practice: Norwegian nursing students' experience of clinical placement in Bangladesh.

    Science.gov (United States)

    Jørgensen, Wanja; Hadders, Hans

    2015-04-01

    The purpose of this study was to gain understanding of Norwegian students' experience of learning in clinical placement in Bangladesh without formal one-to-one supervision, by a personal mentor in the ward. Using focus group interviews with bachelor nursing students we explored the significance of 'communities of practice' in nursing practicum abroad, socialization and knowledge transfer. Seven third year bachelor nursing students enrolled in a clinical placement programme in Bangladesh participated in focus group interviews prior to their departure to Bangladesh, during their stay in Bangladesh and after their return to Norway. The Students' marginality and 'peripheral participation' triggered insight and reflection. The challenging but advantageous position of the peripheral students was heightened further due to the lack of one-to-one supervision in the clinic. Their previous experience with problem based learning and group learning was an asset that made them more resilient and helped them to cope.

  1. Teething myths among nursing mothers in a Nigerian community

    Directory of Open Access Journals (Sweden)

    Opeodu Olanrewaju Ige

    2013-01-01

    Full Text Available Background: Many symptoms had been associated with teething in children with the possibility of overlooking potentially fatal condition. Symptoms that had been associated with teething include diarrhoea, fever, vomiting and cough. The possibility that any of these symptoms could have been due to other causes call for thorough investigation of the child before concluding that it is only "teething". Objectives: The study was carried out to assess the beliefs of nursing mothers concerning symptoms that are associated with teething among children and to identify those that would seek medical treatments in case of their children having such symptoms during teething. Materials and Methods: Two hundred and ninety nursing mothers whose children had erupted at least a tooth were interviewed in the immunisation clinics of the University College Hospital and Adeoyo Maternity Teaching Hospital, both in Ibadan, Nigeria, on their beliefs and practice concerning teething in children. Results: One hundred and eighty-eight (64.8% of the mothers associated symptoms such as fever, cough, catarrh and diarrhoea with eruption of teeth in their children. Over half of the women agreed that a child having either fever (51.0%, ear infection (57.6% or cough (50.3% should be promptly taken for medical consultation and not be tagged "teething", while for other symptoms such as gum pain (74.5%, sleepless night (56.6%, vomiting (51.4% and diarrhoea (51.7%, over half of the mothers believed that the symptoms will resolve following the eruption of the teeth. Conclusion: The study demonstrated that mothers in the study attributes several symptoms to teething, which could be detrimental to the survival of their children as the symptom could have been due to other causes. There is, therefore, need for public enlightenment to create awareness on the possible effect of presumptuous belief that childhood diseases are due to teething process.

  2. Sex and Relationships Education in Schools--Evaluation of a Pilot Programme for the Certification of Community Nurses

    Science.gov (United States)

    Chalmers, Helen; Tyrer, Paul; Aggleton, Peter

    2006-01-01

    Objective: In support of the UK Government's teenage pregnancy and sexual health strategies, a certificated programme of professional development for school nurses and other community nurses was developed to provide support for personal, social and health education (PSHE) work, including sex and relationships education (SRE), for young people.…

  3. D'Alton Community Nursing Unit, Claremorris, Mayo.

    LENUS (Irish Health Repository)

    Cahir, Caitriona

    2012-01-01

    There are concerns that proton pump inhibitors (PPI) are being over prescribed in both primary and secondary care. This study aims to establish potential cost savings in a community drug scheme for a one year period according to published clinical and cost-effective guidelines for PPI prescribing.

  4. Effects of generalist herbivory on resistance and resource allocation by the invasive plant, Phytolacca americana.

    Science.gov (United States)

    Huang, Wei; Ding, Jianqing

    2016-04-01

    Successful invasions by exotic plants are often attributed to a loss of co-evolved specialists and a re-allocation of resources from defense to growth and reproduction. However, invasive plants are rarely completely released from insect herbivory because they are frequently attacked by generalists in their introduced ranges. The novel generalist community may also affect the invasive plant's defensive strategies and resource allocation. Here, we tested this hypothesis using American pokeweed (Phytolacca americana L.), a species that has become invasive in China, which is native to North America. We examined resistance, tolerance, growth and reproduction of plant populations from both China and the USA when plants were exposed to natural generalist herbivores in China. We found that leaf damage was greater for invasive populations than for native populations, indicating that plants from invasive ranges had lower resistance to herbivory than those from native ranges. A regression of the percentage of leaf damage against mass showed that there was no significant difference in tolerance between invasive and native populations, even though the shoot, root, fruit and total mass were larger for invasive populations than for native populations. These results suggest that generalist herbivores are important drivers mediating the defensive strategies and resource allocation of the invasive American pokeweed. © 2015 Institute of Zoology, Chinese Academy of Sciences.

  5. The current status of urban community nursing staff allocation and community nursing provision for the elderly%社区护士配置及老年人社区护理服务现状

    Institute of Scientific and Technical Information of China (English)

    刘小花; 何朝珠; 刘昱昕; 欧阳玲; 毛祚燕; 兰海燕; 袁飞锋; 徐伟; 徐霄

    2013-01-01

    目的:了解南昌市社区卫生服务机构护士配置及老年人社区护理服务现状.方法:抽取南昌市五大主城区社区卫生服务机构的护士201名进行调查.结果:南昌市社区护士配置基本达标;老年人社区护理服务情况总体较好,排名前五位的项目是定期健康体检、营养饮食指导、合理运动锻炼指导、健康咨询、行为安全指导;50%以上社区护士未提供的项目是免疫接种护理指导、心理咨询、家庭访视、家庭病床服务.结论:目前南昌市社区护士整体素质有待提高.需要对护士配置及老年人社区护理服务内容进行改进,更好地提高老年人社区护理服务的质量.%Objective: To understand the current status of urban community nursing staff allocation and community nursing provision for the elderly in Nanchang. Methods: Totally 201 community nurses were investigated from five main urban community health service institutions in Nanchang. Results: Nanchang community nursing staff allocation met the basic standards. The overall status in community provision for elderly was good. The top five nursing provisions were periodic health examination, diet guidance, health advice, reasonable exercise guidance, and behavior safety guidance. More than 50% community nurses did not provide immunization nursing guidance, psychological consultation, home visits and home patient services. Conclusions: The whole quality of the community nursing staff should be improved in Nanchang. We should improve the nursing staff allocation, the content of community nursing provision for elderly and community nursing service quality for the elderly.

  6. Improving nursing students' assessment of fall risk in community-dwelling older adults.

    Science.gov (United States)

    Patton, Susan K

    2016-12-09

    Nationally, approximately one third of older adults fall each year. Falls and resulting injury result in decreased mobility, functional impairment, loss of independence, and increased mortality. Utilization of evidence-based protocols by health care providers to identify older adults at risk of falling is limited, and rates of participation by older adults in prevention activities is low. Because of nursing's increasing role in caring for older adults, development of fall prevention education for nursing students would result in increased awareness of the need for fall prevention in community-dwelling older adults and increased access of older adults to falls risk assessment. There is a need to extend research to inform teaching and learning strategies for fall prevention. After pretesting, a convenience sample of 52 undergraduate nursing students and 22 graduate nursing students completed an online education program and performed a falls risk assessment on an older adult. After completing the clinical assignment, students completed a posttest and self-efficacy survey. Data were analyzed using multivariate statistical tests. Results revealed an increase in knowledge and student self-reporting of efficacy of fall risk assessment skills for the older adult population. This study suggests that nursing students acquired the necessary knowledge and self-efficacy for assessing fall risk of older adults through the combination of an online learning module and participating in actual fall risk assessment of an older adult.

  7. The role and organisation of community palliative specialist nursing teams in rural England.

    Science.gov (United States)

    Leadbeater, Maria; Staton, Wendy

    2014-11-01

    This article describes a study that used a qualitative approach, purposive sampling and semi-structured telephone interviews conducted with specialist palliative care nurses from six rural community teams in England. The study investigated how services were organised and the issues of delivering specialist palliative nursing care in a rural area. Qualitative content analysis was used to analyse the data. The findings showed many similarities in that the majority of patients in rural areas were not accessing hospice services and there was a greater reliance on care at home. However, the challenges in delivering care ranged from managing patient expectations, geographical distance, lack of technology to support remote working and education for the specialist palliative care teams. The study makes specific recommendations for rural community specialist palliative care teams.

  8. Headed in the "write" direction: nursing student publication and health promotion in the community.

    Science.gov (United States)

    McMillan, Libba Reed; Raines, Kimberly

    2010-07-01

    Effective writing is vital to nursing practice. As educators, we sought to incorporate a meaningful writing assignment as part of a junior-level professional development course. We used innovative methods that support the missions of higher education in general and nursing education in particular while promoting healthful living and establishing the community-as-client. In addition to fostering health education and health promotion, this writing assignment served to enhance students' writing skills and provide them with an opportunity to have their work published. The venue for publication was The Auburn Villager, a weekly local newspaper with a circulation of 6,000 within the local community in East Alabama. The writing assignment was a tremendous success on many levels. Foremost among the positive outcomes was student pride in experiencing publication of their creative work. In addition, students reported a feeling of satisfaction that the assignment had both practical and educational utility. Copyright 2010, SLACK Incorporated.

  9. Newly qualified nurses — Experiences of interaction with members of a community

    DEFF Research Database (Denmark)

    Thrysøe, Lars; Hounsgaard, Lise; Dohn, Nina Bonderup

    2012-01-01

    for Clinical Practice: NQNs' participation in a COP is influenced by the extent to which they are included in both professional and social interactions and afforded the opportunity to contribute with knowledge and experience from their nursing studies. Furthermore, the study indicates that NQNs' experience......Aim: To explore newly qualified nurses' (NQN) interaction withmembers of community of practice (CoP) and how it affects their participation in the CoP. Background: The entry of NQNs into the health care service is problematic which can result in NQNs leaving the profession within the first years...... of their career. Studies indicate that interaction between NQNs and their colleagues has an important influence of the way in which the NQNs experience their participation in the community of practice. Methodology: Nine NQNs participated in the study. The data collection took place six months after graduating...

  10. [The family and community nurse: Health agent and model for the chronic patient within the community].

    Science.gov (United States)

    Miguélez-Chamorro, Angélica; Ferrer-Arnedo, Carmen

    2014-01-01

    It is estimated that the chronic, fragile and complex patient represents 5% of the general population, but uses up to 65% of the total amount of health care resources. Older people who are dependent, with chronic illnesses and comorbidities need professional care that promotes self-care and self-management of their illnesses. Thus, new strategies need to be considered to channel those professional care services to focus on this group. Nurse practicioners are professionals who could lead this change to improve the sustainability of the health care system, since they are in a position to respond in an effective way to the demands of patients with chronic illnesses, dependency or fragility. For the nurse working force to provide an efficient and cost-effective response to the health needs of chronically ill and disabled persons, an analysis needs to be made of the factors that restrict professional growth, as well as those nursing services where nurses do not take part in the decision making, as well as how to correct them. The lack of goals or quality care indicators, the measurement of the problem, the lack of patients assigned to a nurse practicioners, lack of training, the disparity of the profession in Spain, and the inability of the system to lead a self-sufficient care system project, should also be taken into consideration.

  11. The Role of the Community Nurse in Promoting Health and Human Dignity-Narrative Review Article.

    OpenAIRE

    Ana Muntean; Mihaela Tomita; Roxana Ungureanu

    2013-01-01

    Abstract Background: Population health, as defined by WHO in its constitution, is out “a physical, mental and social complete wellbeing”. At the basis of human welfare is the human dignity. This dimension requires an integrated vision of health care. The ecosystemical vision of Bronfenbrenner allows highlighting the unexpected connections between social macro system based on values and the micro system consisting of individual and family. Community nurse is aimed to transgression in practice ...

  12. Sufficient competence in community elderly care? Results from a competence measurement of nursing staff

    OpenAIRE

    Bing-Jonsson, Pia C; Hofoss, Dag; Kirkevold, Marit; Bjørk, Ida T; Foss, Christina

    2016-01-01

    Background Multi-morbidity, poly-pharmacy and cognitive impairment leave many old patients in a frail condition with a high risk of adverse outcomes if proper health care is not provided. Knowledge about available competence is necessary to evaluate whether we are able to offer equitable and balanced health care to older persons with acute and/or complex health care needs. This study investigates the sufficiency of nursing staff competence in Norwegian community elderly car...

  13. Adoption of Speech Recognition Technology in Community Healthcare Nursing.

    Science.gov (United States)

    Al-Masslawi, Dawood; Block, Lori; Ronquillo, Charlene

    2016-01-01

    Adoption of new health information technology is shown to be challenging. However, the degree to which new technology will be adopted can be predicted by measures of usefulness and ease of use. In this work these key determining factors are focused on for design of a wound documentation tool. In the context of wound care at home, consistent with evidence in the literature from similar settings, use of Speech Recognition Technology (SRT) for patient documentation has shown promise. To achieve a user-centred design, the results from a conducted ethnographic fieldwork are used to inform SRT features; furthermore, exploratory prototyping is used to collect feedback about the wound documentation tool from home care nurses. During this study, measures developed for healthcare applications of the Technology Acceptance Model will be used, to identify SRT features that improve usefulness (e.g. increased accuracy, saving time) or ease of use (e.g. lowering mental/physical effort, easy to remember tasks). The identified features will be used to create a low fidelity prototype that will be evaluated in future experiments.

  14. Community Nurses Job Stress and Countermeasures%社区护士工作压力与应对措施

    Institute of Scientific and Technical Information of China (English)

    汪芳; 高静; 侯赛

    2015-01-01

    Objective:relieve the community nurses' job stress, attach great importance to the community nurses' mental health, affirm the value of community nurses, to keep the community nurses with a positive and healthy men-tality, thereby do a good job of the grass-roots health services . In view of the community nursing work, this paper an-alyzed from several aspects the pressure source of community nurses, and put forward the intervention measures, so as to provide reference for management of medical institutions at all levels.%目的:减轻社区护士工作压力,重视社区护士心理健康,肯定社区护士价值,让社区护士保持积极健康的心态,搞好基层卫生服务工作。该文针对社区护理工作现存的状态,从多方面分析了社区护士的压力来源,并提出解压的干预措施,以期为各级医疗机构管理者提供参考。

  15. Leadership experiences in the community for nursing students. Redesigning education for the 21st century.

    Science.gov (United States)

    Mellon, S; Nelson, P

    1998-01-01

    To respond to massive changes in health care delivery, nursing curriculum redesign requires that we return to our roots in the community and the visionary leadership of Lillian Wald, whose Henry Street Settlement (1,2) remains a model for community-based leadership. Wald's mission--to serve those in need, wherever they may be found--remains our legacy. But while the challenge of preparing students to function within a multitude of settings is not new, the changes now confronting faculty, students, and the entire health care system are taking place at a startling pace.

  16. Clinical application of the Omaha system with the Nightingale Tracker: a community health nursing student home visit program.

    Science.gov (United States)

    Sloan, Helen L; Delahoussaye, Carolyn P

    2003-01-01

    The application of computer use in the clinical and educational arena needs to be emphasized for both the improved management of patient data and nursing knowledge. Faculty commitment to automation of home visit documentation records was essential to sustain the trial of implementing the Nightingale Trackers in the clinical area. The Nightingale Tracker is a software program that automates the Omaha system, a community-friendly nursing language that encourages a focus on health promotion. A team approach involving students, faculty, and technical support enabled the automation of the patient record of a home visiting program in a community health nursing course.

  17. Collaborative design and use of an agency feedback form for student clinical practicum experience in community/public health nursing.

    Science.gov (United States)

    Reilly, Janet Resop; Collier, Jill; Edelstein, Janice; Vandenhouten, Chris; Hovarter, Rebecca; Hansen, Judith M; Stewart, Stephanie; Turner, Mary Jo

    2012-01-01

    Evaluation of students in community and public health (C/PH) nursing clinical practica is a challenge, especially when preceptors are expected to evaluate students from different academic nursing programs. The need for a standardized student evaluation tool was identified during federally funded collaborative meetings held between C/PH academic and practice partners in Northeastern Wisconsin. This article focuses on the development and appraisal of the standardized Agency Feedback Form (AFF) for Student Practicum Experience in Community/Public Health Nursing, which was designed to meet the identified need. Four baccalaureate nursing programs implemented the AFF for 3 purposes: (1) to provide a consistent and easy evaluation form for preceptors to complete; (2) to communicate useful information about students' individual professional behaviors observed during practicum; and (3) to increase students' and preceptors' understanding of the population-based nursing interventions, using the Public Health Intervention Wheel. Future uses and implications of the AFF are also discussed.

  18. A qualitative study of advanced nurse practitioners' use of physical assessment skills in the community: shifting skills across professional boundaries.

    Science.gov (United States)

    Raleigh, Mary; Allan, Helen

    2017-07-01

    To explore multiple perspectives on the use of physical assessment skills by advanced nurse practitioners in the UK. Physical assessment skills practices are embedded in advanced nursing practice roles in the UK. There is little evidence on how these skills are used by advanced nurse practitioners in the community. Case study. A qualitative interpretative single-embedded case study of 22 participants from South of England. A framework method analysed interview data collected by the researcher between March-August 2013. Participants included nurses, doctors, nurse educators and managers. Physical assessment skills education at universities is part of a policy shift to develop a flexible workforce in the UK. Shared physical assessment practices are less to do with role substitution and more about preparing practitioners with skills that are fit for purpose. Competence, capability and performance with physical assessment skills are an expectation of advanced nursing practice. These skills are used successfully by community advanced nurse practitioners to deliver a wide range of services in response to changing patient need. The introduction of physical assessment skills education to undergraduate professional preparation would create a firm foundation to develop these skills in postgraduate education. Physical assessment education prepares nurses with the clinical competencies to carry out healthcare reforms in the UK. Shared sets of clinical assessment competencies between disciplines have better outcomes for patients. Levels of assessment competence can depend on the professional attributes of individual practitioners. Unsupportive learning cultures can hinder professional development of advanced nursing practice. © 2016 John Wiley & Sons Ltd.

  19. ["A good person does not feel envy"--envy in nursing communities].

    Science.gov (United States)

    Heikkinen, E; Nikkonen, M; Aavarinne, H

    1997-01-01

    The purpose of this study was to describe the nature, manifestation, and amount of envy among the staff of a nursing community. The definition of envy is commonly based on views of essence of envy and organisational culture. The population study consisted of random sample of 120 subjects drawn from among the employees in the Kainuu Central Hospital. Frequency and percentage distributions were used to present the data. The correlations between the variables were examined using cross-tabulation. Summarized variables were formed for nature of envy, and the Cronbach alpha coefficient was used to test the internal consistency of those. Factor analysis and cross-tabulation were also used. Open-ended questions were analysed by qualitative contact analysis. These results were used to complement quantitative data. The results of this study indicated that the employee's view of his/her official position in the nursing society, his/her relations with his/her fellow workers and the management as well as the relations to other nursing societies are all related to enviousness. The employees's view of his/her official position intensified his/her feelings of envy, if he/she had other negative feelings (anxiety, dissatisfaction with him/herself, and feeling if looks could kill). If the employee was ambitious and hard-working, his/her envy manifested in a comparison of his/her own work and the work of other employees. The major object of envy was fellow workers' salary. Envy was also caused by new, proficient, and senior co-workers and possible favourites or proteges of management. Envy towards other nursing community was generated by alleged differences in the amount of labour, or by the charge nurse's greater interest in other section. Employees coped with envy by hiding these feelings and being modest. Women coped with envy by being silent.

  20. Senior nurses' intention of being engaged in community nursing%医院高年资护士从事社区护理意向调查

    Institute of Scientific and Technical Information of China (English)

    齐玉梅; 王生锋

    2011-01-01

    Objective To probe into senior nurses' intention of being engaged in community nursing, the related factors and their training needs in part of general hospitals in Hubei province. Methods Totally, 270 on-the-job senior nurses were selected to fill out a self-designed questionnaire in terms of their intention of being engaged in community nursing. Results Of all the senior nurses,66.7% were willing to be engaged in community nursing, and 88.1% believed community nursing provided opportunities for them to use their talent. The main influencing factors were listed in descending orders as follows: low payment, lack of community nursing knowledge, and high job stress, accounting for 39.3%, 35.6% and 34. 1% respectively; they convinced that community nurses should master general knowledge (46.7%) and English knowledge (41.5%). Strictly, 52.6% of senior nurses needed training of nutrition and dietary knowledge and 45.2% of them needed family care knowledge. Conclusion A high proportion of senior nurses are willing to be engaged in community nursing and low payment is considered to be the main impeding factor. Therefore, training of related knowledge and active guidance should be conducted, and payment should be improved, so as to supply human resources for community nursing and avoid wasting of nursing human resources.%目的 了解湖北省部分综合性医院高年资护士从事社区护理意向、影响因素及需培训内容.方法 采用自制的高年资护士从事社区护理愿意调查问卷对270名在职高年资护士进行问卷调查.结果 66.7%高年资护士愿意从事社区护理,88.1%认为从事社区护理能发挥才能;影响因素主要是待遇低(占39.3%)、欠缺社区护理知识(占35.6%)及工作压力大(占34.1%);社区护士应具备全科基础(46.7%)及相应的英语知识(41.5%)等;认为需培训的内容列前2的是营养与膳食(52.6%)和家庭护理知识(45.2%).结论 高年资护士愿意从事社区

  1. Conceptualisation of knowledge construction in community service-learning programmes in nursing education

    Directory of Open Access Journals (Sweden)

    Sindi Z. Mthembu

    2013-01-01

    Full Text Available Background: Practices in higher education have been criticised for not developing and preparing students for the expertise required in real environments. Literature reports that educational programmes tend to favour knowledge conformation rather than knowledge construction; however, community service learning (CSL is a powerful pedagogical strategy that encourages students to make meaningful connections between the content in the classroom and real-life experiences as manifested by the communities. Through CSL, learning is achieved by the active construction of knowledge supported by multiple perspectives within meaningful real contexts, and the social interactions amongst students are seen to play a critical role in the processes of learning and cognition. This article reflects facilitators’ perspective of the knowledge construction process as used with students doing community service learning in basic nursing programmes. Objectives: The aim of this article was to conceptualise the phenomenon of knowledge construction and thereby provide educators with a shared meaning and common understanding, and to analyse the interaction strategies utilised by nurse educators in the process of knowledge construction in community service-learning programmes in basic nursing education.Method: A qualitative research approach based on a grounded theory research design was used in this article. Two nursing education institutions were purposively selected. Structured interviews were conducted with 16 participants.Results: The results revealed that the knowledge construction in community service-learning programmes is conceptualised as having specific determinants, including the use of authentic health-related problems, academic coaching through scaffolding, academic discourse-dialogue, interactive learning in communities of learners, active learning, continuous reflection as well as collaborative and inquiry-based learning. Upon completion of an experience

  2. Meeting the needs of vulnerable patients: The need for team working across general practice and community nursing services.

    Science.gov (United States)

    Bliss, Julie; While, Alison E

    2014-01-01

    General practitioners and district nurses have a long history of providing care outside the hospital setting. With health care increasingly moving out of the hospital setting, there are more opportunities for general practitioners and district nurses to work together to meet the health needs of the local population. However, the reduction in qualified specialist practitioner district nurses over the last decade is concerning. The need for an effective district nursing service has been recognised by the Department of Health in their own model - the nature of district nursing work, often over a long period, enables relationships to develop with the patient, family and informal carers as a basis for anticipatory care to manage long-term conditions. Communication and understanding of the role are central to enhance effective working between general practitioners and district nurses, which can be fostered by engagement in community-oriented integrated care and case management.

  3. Obtaining consensus about patient-centred professionalism in community nursing: nominal group work activity with professionals and the public.

    Science.gov (United States)

    Hutchings, Hayley; Rapport, Frances; Wright, Sarah; Doel, Marcus; Jones, Aled

    2012-11-01

      To report on the development of a ranked thematic list encompassing the positive and challenging exemplars of patient-centred professionalism in community nursing.   There has been little research exploring what 'patient-centred professionalism' means to those working within the healthcare settings. Consensus methods, such as those developed through Nominal Group Work, can help establish the extent of agreement on a particular issue whilst overcoming some of the problems associated with group decision-making.   Mixed methods studying through consultation workshops.   The study took place in South-west Wales, UK between October 2009-September 2010. Thirty-four participants consisting of community nurses (9), newly qualifying nurses (13), nursing stakeholders (6) and members of the public (6) took part in the study. An adapted Nominal Group Work approach was used in five individual consultation workshops: two with community nurses, one with newly qualifying nurses, one with stakeholders and one with members of the public followed by a mixed-group Forum event.   Each of the five workshops resulted in the production of approximately ten positive and ten challenging exemplars of patient-centred professionalism. The thematization of these exemplars allowed the development of eight broad themes. The Forum event then provided a mechanism for ranking the importance of these themes. The patient, community nurse as a person and nursing ethos were ranked as the most important themes by study participants.   The adapted Nominal Group Work approach was a useful method to allow the development of a ranked thematic list that illustrated the important positive and challenging exemplars of patient-centred professionalism in community nursing. © 2012 Blackwell Publishing Ltd.

  4. Integrating Correctional and Community Health Care: An Innovative Approach for Clinical Learning in a Baccalaureate Nursing Program.

    Science.gov (United States)

    Bouchaud, Mary T; Swan, Beth Ann

    2017-01-01

    With an evolving focus on primary, community-based, and patient-centered care rather than acute, hospital-centric, disease-focused care, and recognition of the importance of coordinating care and managing transitions across providers and settings of care, registered nurses need to be prepared from a different and broader knowledge base and skills set. A culture change among nurse educators and administrators and in nursing education is needed to prepare competent registered nurses capable of practicing from a health promotion, disease prevention, community- and population-focused construct in caring for a population of patients who are presenting health problems and conditions that persist across decades and/or lifetimes. While healthcare delivery is moving from the hospital to ambulatory and community settings, community-based educational opportunities for nursing students are shrinking due to a variety of reasons, including but not limited to increased regulatory requirements, the presence of competing numbers of nursing schools and their increased enrollment of students, and decreasing availability of community resources capable and willing to precept students in an all-day interactive learning environment. A detailed discussion of one college of nursings' journey to find an innovative solution and approach to the dilemma of limited and decreasing available community clinical sites to prepare senior level prelicensure baccalaureate nursing students for healthcare practice in the twenty-first century. This article demonstrated how medium/maximum prisons can provide an ideal learning experience for not only technical nursing skills but more importantly for reinforcing key learning goals for community-based care, raising population-based awareness, and promoting cultural awareness and sensitivity. In addition, this college of nursing overcame the challenges of initiating and maintaining clinical placement in a prison facility, collaboratively developed strategies

  5. The Need for Hematology Nurse Education in Low- and Middle-Income Countries: A Community Case Study in Tanzania.

    Science.gov (United States)

    Buser, Julie M

    2017-01-01

    Hematology-related diseases, such as anemia, malaria, sickle cell disease (SCD), and blood cancers, have differing rates of survival between high-income and low- and middle-income countries (LMICs). Nurses in LMICs have an unmet need for specialty training and education to address hematology and hemato-oncology disorders. A gap in the literature exists about hematology nurse education and clinical service demands in LMICs. This community case study documents a collaborative hematology and basic hemato-oncology education program to sustainably strengthen nurse capacity at a national referral hospital and university in Tanzania. The goal of the intervention was to provide culturally competent nurse training in pediatric and adult hematology. A certified pediatric nurse practitioner with hematology and oncology experience provided culturally competent training and staff development to nurses over two weeks to meet this goal. Prior to development of a training schedule, nurses confidentially identified five of their top learning needs. Main hematology and basic oncology educational needs identified by nurses were the management of anemia, safe handling of cytotoxic agents, and treatment of SCD. The format of the education varied from bedside teaching to formal presentations to one-on-one individual discussions. Overall, nurses expressed satisfaction with the education and verbalized appreciation for teaching and training activities tailored to meet their needs. Specialized training in hematology and hemato-oncology has the potential to increase nurses' confidence, respect, and participation in interprofessional team decision-making. Lessons learned from the impact of collaborative nurse education and partnership in Tanzania can be generalized to other LMICs. This community case study highlights the importance of specialty nurse education, interprofessional development, and global partnerships needed to improve patient outcomes.

  6. Best of Both Worlds: A Conceptual Model for Integrating an Aging Specialization within an Advanced Generalist MSW Program

    Science.gov (United States)

    Dakin, Emily K.; Quijano, Louise M.; Bishop, Pamela S.; Sheafor, Bradford W.

    2015-01-01

    Must a master's of social work (MSW) program's orientation be either advanced generalist or some form of specialist? Or is there the possibility of a hybrid curriculum that provides enough breadth to prepare MSW graduates for a wide range of social work jobs, but that also addresses students' and community agencies' demands for student…

  7. The Virginia Generalist Initiative: Lessons Learned in a Statewide Consortium.

    Science.gov (United States)

    Morse, R. Michael; Plungas, Gay S.; Duke, Debra; Rollins, Lisa K.; Barnes, H. Verdain; Brinson, Betsy K.; Martindale, James R.; Marsland, David W.

    1999-01-01

    To increase supply of generalist physicians, three state-supported Virginia medical schools formed a partnership with governmental stakeholders in the Generalist Physician Initiative. Lessons learned concerning stakeholder participation in planning, shared philosophical commitment, support for risk-taking, attitudes toward change, and trust are…

  8. Implementing a Veteran-Centered Community Health Clinical Experience in a Baccalaureate Nursing Program.

    Science.gov (United States)

    Champlin, Barbara E; Kunkel, Dorcas Elisabeth

    2017-03-01

    In a baccalaureate nursing curriculum, students focused on the unique health care needs of veterans and their families. The learning experiences aimed to equip them with the knowledge, skills, and attitudes (KSAs) to provide holistic relation-centered care to veterans and their families. The clinical course integrated the findings of several veteran-centered publications and the American Association of Colleges of Nursing veteran-centered resources. Formative and summative anecdotal information was gathered in the learning experience during weekly postclinical discussions, course assignments, and a seminar after completion of the experience. Three noteworthy themes stand out: Increased Descriptions of Resources and Services Available to Veterans and Their Families, Increased Expressions of the Complex Health Care Needs of Veterans, and Increasing Recognition of the Autonomous Nature of the Community Health Nursing Role. Early indicators are that this community health field work experience will be sustainable into the future. The academic institution and clinical partner remain committed to working together to provide meaningful learning opportunities to students. Students completed the experience with increased KSAs and a beginning orientation to the Veterans Affairs Health Care System. [J Nurs Educ. 2017;56(3):186-190.]. Copyright 2017, SLACK Incorporated.

  9. Analysing the role played by district and community nurses in bereavement support.

    Science.gov (United States)

    Johnson, Anna

    2015-06-01

    This article explores bereavement support as one of the roles of the district nurse (DN) and community nurse (CN). Bereavement support is considered part of palliative care, which is a major role for all nurses. There is, however, a constant move to increase acute care in the home, questionably placing greater demand on DNs/CNs and primary care provision. Discussion in this article is framed around research into bereavement care in the community, existing guidelines, and policy drivers stressing its importance. Bereavement can result in depression, stress-related disorders, and high mortality; it is therefore imperative to understand the complexities, theoretical aspects, and implications of poor service provision. Palliative care is one of the primary roles of a DN, and it largely involves emotional support. It has been shown that DNs lack confidence and the skills to provide bereavement support to families and carers of palliative care patients. Education, training, and time management are the main determinants of effective bereavement support. The need is to develop a standard collaborative approach to bereavement support and incorporate it into the palliative care role of DNs.

  10. Education for community mental health nurses: a summary of the key debates.

    Science.gov (United States)

    Trenchard, Steve; Burnard, Philip; Coffey, Michael; Hannigan, Ben

    2002-04-01

    A wide range of post-qualifying education courses exist for community mental health nurses (CMHNs) working in the UK. 'Specialist practitioner' courses emphasize shared learning between CMHNs and members of other community nursing branches. These programmes typically include course content drawing on the social and behavioural sciences, as well as on material more tailored to the clinical needs of practitioners. Such courses and their predecessors have been subject to criticism, however. Courses have been described as anachronistic, and failing to take account of recent advances in treatment modalities. In addition concerns about the generic focus of some programmes have also been raised. Educational alternatives, such as programmes preparing nurses and other mental health workers to provide 'psycho-social interventions' have, correspondingly, become increasingly popular. In this paper we explore some of the debates surrounding the education of CMHNs, and explore the context in which CMHNs work and in which educational programmes are devised. We consider the multidisciplinary environment in which CMHNs practise, the differing client groups with which CMHNs work, the developing policy framework in which mental health care is provided, demands for more user-responsive education, and the relationship between higher educational institutions and health care providers. We conclude the paper with a series of questions for CMHN educators and education commissioners.

  11. Promoting infant health through home visiting by a nurse-managed community worker team.

    Science.gov (United States)

    Barnes-Boyd, C; Fordham Norr, K; Nacion, K W

    2001-01-01

    This article describes the Resources, Education and Care in the Home program (REACH-Futures), an infant mortality reduction initiative in the inner city of Chicago built on the World Health Organization (WHO) primary health care model and over a decade of experience administering programs to reduce infant mortality through home visits. The program uses a nurse-managed team, which includes community residents selected, trained, and integrated as health advocates. Service participants were predominately African American families. All participants were low-income and resided in inner-city neighborhoods with high unemployment, high teen birth rates, violent crime, and deteriorated neighborhoods. Outcomes for the first 666 participants are compared to a previous home-visiting program that used only nurses. Participant retention rates were equivalent overall and significantly higher in the first months of the REACH-Futures program. There were two infant deaths during the course of the study, a lower death rate than the previous program or the city. Infant health problems and developmental levels were equivalent to the prior program and significantly more infants were fully immunized at 12 months. The authors conclude that the use of community workers as a part of the home-visiting team is as effective as the nurse-only team in meeting the needs of families at high risk of poor infant outcomes. This approach is of national interest because of its potential to achieve the desired outcomes in a cost-effective manner.

  12. Willingness to accept H1N1 pandemic influenza vaccine: A cross-sectional study of Hong Kong community nurses

    Directory of Open Access Journals (Sweden)

    Wong Carmen

    2010-10-01

    Full Text Available Abstract Background The 2009 pandemic of influenza A (H1N1 infection has alerted many governments to make preparedness plan to control the spread of influenza A (H1N1 infection. Vaccination for influenza is one of the most important primary preventative measures to reduce the disease burden. Our study aims to assess the willingness of nurses who work for the community nursing service (CNS in Hong Kong on their acceptance of influenza A (H1N1 influenza vaccination. Methods 401 questionnaires were posted from June 24, 2009 to June 30, 2009 to community nurses with 67% response rate. Results of the 267 respondents on their willingness to accept influenza A (H1N1 vaccine were analyzed. Results Twenty-seven percent of respondents were willing to accept influenza vaccination if vaccines were available. Having been vaccinated for seasonable influenza in the previous 12 months were significantly independently associated with their willingness to accept influenza A (H1N1 vaccination (OR = 4.03; 95% CI: 2.03-7.98. Conclusions Similar to previous findings conducted in hospital healthcare workers and nurses, we confirmed that the willingness of community nurses to accept influenza A (H1N1 vaccination is low. Future studies that evaluate interventions to address nurses' specific concerns or interventions that aim to raise the awareness among nurses on the importance of influenza A (H1N1 vaccination to protect vulnerable patient populations is needed.

  13. Improving teaching strategies in an undergraduate community health nursing (CHN) program: implementation of a service-learning preceptor program.

    Science.gov (United States)

    Kazemi, Donna; Behan, Jennifer; Boniauto, Maria

    2011-08-01

    A service-learning component was added to the existing preceptor practicum program at the University of North Carolina Charlotte's School of Nursing (UNCC SON) in the fall of 2007 for nursing students in the community health nursing (CHN) practicum course. The preceptorship model is commonly used in undergraduate nursing education. The aim of this study was to improve teaching strategies in the existing school health nursing (SHN) preceptor program by the addition of a service-learning community partnership. Adding the service-learning component was based on the Polvika model. A total of 27 nursing students and 33 preceptors participated in the study. Percentages, means, standard deviations, and rankings were used to analyze the data. The participants completed a multiple-choice survey and ranked a list of tasks. The students were able to fulfill their task responsibilities, and the service-learning preceptor program was cost effective for the SHN preceptors through hours saved by the nursing students. The preceptor role is associated with many factors, including perceived burden, which affects their willingness to work with students. The findings demonstrated that service learning is an effective teaching strategy in the CHN nursing students' learning by fostering the preceptors' benefits, rewards, support, and commitment to the role. Published by Elsevier Ltd.

  14. [The process of integrating oncology nurse navigators into joint (hospital-community) local teams].

    Science.gov (United States)

    Fillion, Lise; Aubin, Michèle; de Serres, Marie; Robitaille, Danielle; Veillette, Anne-Marie; Rainville, François

    2010-01-01

    Implementing oncology nurse navigators or IPOs (which stands for "infirmière pivot en oncologie") is a key element of the Québec Cancer Control Program in order to improve the continuity of care. This qualitative study describes the process of implementing IPOs in teams working both in hospitals and in the community. Several groups of stakeholders (IPOs, physicians, nurses, various health workers, administrators, people with cancer and their families) described how they perceive the functions and effects related to this implementation. After putting results into perspective, we recommend developing measures promoting the dissemination of the role and integration of IPOs in formally defined health teams. We strongly advocate for the continuation of joint efforts in order to define and clarify this complex role.

  15. The effects of innovation factors on smartphone adoption among nurses in community hospitals.

    Science.gov (United States)

    Putzer, Gavin J; Park, Yangil

    2010-01-01

    A relatively new mobile technological device is the smartphone-a phone with advanced features such as Windows Mobile software, access to the Internet, and other computer processing capabilities. This article investigates the decision to adopt a smartphone among healthcare professionals, specifically nurses. The study examines constructs that affect an individual's decision to adopt a smartphone by employing innovation attributes leading to perceived attitudes. We hypothesize that individual intentions to use a smartphone are mostly determined by attitudes toward using a smartphone, which in turn are affected by innovation characteristics. Innovation characteristics are factors that help explain whether a user will adopt a new technology. The study consisted of a survey disseminated to 200 practicing nurses selected from two community hospitals in the southeastern United States. In our model, the innovation characteristics of observability, compatibility, job relevance, internal environment, and external environment were significant predictors of attitude toward using a smartphone.

  16. Engaging nursing students and community partners in the development of decision cases.

    Science.gov (United States)

    Head, Barbara A; Bays, Cathy

    2010-06-01

    Decision case method teaching uses open-ended cases to stimulate decision making and critical thinking skills in the classroom. The cases are taken from actual practice experience and are developed in great detail with the goal of engaging learners in the actual dilemma as encountered by the case protagonist. This method has proven effective in preparing students for actual practice in fields such as medicine, nursing, and social work, but one barrier to this pedagogical approach is the lack of available relevant cases. This article describes how senior nursing students partnered with community practitioners to develop cases and subsequently used the cases in teaching activities with their fellow students. Outcomes of the project supported such an approach as a valuable learning assignment and method for improving critical thinking abilities.

  17. Preparing for a Nursing and Midwifery Council visit in the community setting.

    Science.gov (United States)

    Carr, Jacqui; Aston, Liz; Pitt, Margaret; Kelly, Alison

    2013-05-01

    Preparing for a Nursing and Midwifery Council placement monitoring visit can appear daunting if practitioners have not previously participated in the process. This paper identifies why visits are required and how practitioners and the local higher education provider representatives can work together to prepare. Based on the experience of the authors it is proposed that the visit is an opportunity to disseminate good practice linked to the education and mentorship of students. Suggestions linked to successful preparation are also shared to assist community nurse teams who encounter the process in the future. It is advocated that feedback from the visit can be used to further strengthen the practice learning experience for both mentors and students.

  18. Sustaining health in faith community nursing practice: emerging processes that support the development of a middle-range theory.

    Science.gov (United States)

    Dyess, Susan MacLeod; Chase, Susan K

    2012-01-01

    This article reveals processes that support theoretical development for holistic nursing in the context of a faith community. The emerging processes enhance the articulation of the holistically focused practice, add clarity to faith community nursing activities and outcomes, and contribute to theoretical clarification and development. Theoretical clarity is essential to guide faith community nursing practice, research, and education because there is tremendous potential for the specialty practice to contribute to the health of a community across the continuum of caring and because to date there has been no unifying model for this practice proposed. A lack of a theoretical basis can result in disparate and disconnected approaches to studying, testing, and promoting the practice.

  19. Hispanic Preservice Teachers' Peer Evaluations of Interdisciplinary Curriculum Development: A Self-Referenced Comparison between Monolingual Generalists and Bilingual Generalists

    Science.gov (United States)

    An, Song A.; Tillman, Daniel A.; Zhang, Meilan; Robertson, William; Tinajero, Josefina

    2016-01-01

    This study investigated preservice teachers from two teacher education programs, elementary generalists and bilingual generalists (who will teach all subjects in both English and Spanish), about their instructional design abilities via examination of their ability to integrate interdisciplinary-themed activities into mathematics lessons. The…

  20. Hispanic Preservice Teachers' Peer Evaluations of Interdisciplinary Curriculum Development: A Self-Referenced Comparison between Monolingual Generalists and Bilingual Generalists

    Science.gov (United States)

    An, Song A.; Tillman, Daniel A.; Zhang, Meilan; Robertson, William; Tinajero, Josefina

    2016-01-01

    This study investigated preservice teachers from two teacher education programs, elementary generalists and bilingual generalists (who will teach all subjects in both English and Spanish), about their instructional design abilities via examination of their ability to integrate interdisciplinary-themed activities into mathematics lessons. The…

  1. Barriers to Participation in an Online Nursing Journal Club at a Community Teaching Hospital.

    Science.gov (United States)

    Rodriguez, Christopher; Victor, Carol; Leonardi, Nathaniel; Sulo, Suela; Littlejohn, Gina

    2016-12-01

    HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. In order to obtain contact hours you must: 1. Read the article, "Barriers to Participation in an Online Nursing Journal Club at a Community Teaching Hospital," found on pages 536-542, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website to register for contact hour credit. You will be asked to provide your name, contact information, and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until November 30, 2019. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. OBJECTIVES Describe the benefits and barriers to participating in an online nursing journal club (ONJC) over a

  2. Evaluation of clinical teaching and professional development in a problem and community-based nursing module

    Directory of Open Access Journals (Sweden)

    J.C de Villiers

    2004-09-01

    Full Text Available In South Africa the main focus is on primary health care. This affects the education and training of nurses, and training schools must respond by developing appropriate teaching modules. A school of nursing developed, implemented and revised a problem- and community- based learning module over a period of three years (1996-1998. This student-centered module focuses on students’ needs, active participation, collaboration, accountability, self-assessment, self-study, life-long learning and appropriate skills. In the formal clinical teaching environment PBL was the main approach. However, this approach was also supported by a variety of strategies, for example group discussions and scenarios. The knowledge, attitudes and professional development skills acquired in the PBL approach were then applied informally in the community setting (CBE. The purpose of the study was to evaluate a first year clinical teaching module as part of an extensive programme. A quantitative research method, a descriptive design, and a variety of data collection techniques were used. Conclusions were that clinical teaching was effective within the problem- (PBL and community-based (CBE approaches; 78% of respondents were positive about the clinical learning environment; 61 % stated that expectations were met; 81% preferred group activities, and 67% indicated that they had developed professional skills. Facilitators agreed that clinical teaching met the requirements of PBL & CBE. The pass rate also improved.

  3. Social meanings and understandings in patient-nurse interaction in the community practice setting: a grounded theory study.

    Science.gov (United States)

    Stoddart, Kathleen M

    2012-09-05

    The patient-nurse relationship is a traditional concern of healthcare research. However, patient-nurse interaction is under examined from a social perspective. Current research focuses mostly on specific contexts of care delivery and experience related to medical condition or illness, or to nurses' speciality. Consequentially, this paper is about the social meanings and understandings at play within situated patient-nurse interaction in the community practice setting in a transforming healthcare service. Grounded theory methodology was used and the research process was characterised by principles of theoretical sensitivity and constant comparative analysis. The field of study was four health centres in the community. The participants were patients and nurses representative of those attending or working in the health centres and meeting there by scheduled appointment. Data collection methods were observations, informal interviews and semi-structured interviews. Key properties of 'Being a good patient, being a good nurse', 'Institutional experiences' and 'Expectations about healthcare' were associated with the construction of a category entitled 'Experience'. Those key properties captured that in an evolving healthcare environment individuals continually re-constructed their reality of being a patient or nurse as they endeavoured to perform appropriately; articulation of past and present healthcare experiences was important in that process. Modus operandi in role as patient was influenced by past experiences in healthcare and by those in non-healthcare institutions in terms of engagement and involvement (or not) in interaction. Patients' expectations about interaction in healthcare included some uncertainly as they strived to make sense of the changing roles and expertise of nurses and, differentiating between the roles and expertise of nurses and doctors. The importance of social meanings and understandings in patient-nurse interaction is not fully apparent to

  4. Regional variation in post-stroke multidisciplinary rehabilitation care among veteran residents in community nursing homes

    Science.gov (United States)

    Jia, Huanguang; Pei, Qinglin; Sullivan, Charles T; Cowper Ripley, Diane C; Wu, Samuel S; Vogel, W Bruce; Wang, Xinping; Bidelspach, Douglas E; Hale-Gallardo, Jennifer L; Bates, Barbara E

    2017-01-01

    Introduction Effective post-acute multidisciplinary rehabilitation therapy improves stroke survivors’ functional recovery and daily living activities. The US Department of Veterans Affairs (VA) places veterans needing post-acute institutional care in private community nursing homes (CNHs). These placements are made under the same rules and regulations across the VA health care system and through individual per diem contracts between local VA facilities and CNHs. However, there is limited information about utilization of these veterans’ health services as well as the geographic variation of the service utilization. Aim The aims of this study were to determine rehabilitation therapy and restorative nursing care utilization by veterans with stroke in VA-contracted CNHs and to assess risk-adjusted regional variations in the utilization of rehabilitation therapy and restorative nursing care. Methods This retrospective study included all veterans diagnosed with stroke residing in VA-contracted CNHs between 2006 and 2009. Minimum Dataset (a health status assessment tool for CNH residents) for the study CNHs was linked with veterans’ inpatient and outpatient data within the VA health care system. CNHs were grouped into five VA-defined geographic regions: the North Atlantic, Southeast, Midwest, Continental, and Pacific regions. A two-part model was applied estimating risk-adjusted utilization probability and average weekly utilization days. Two dependent variables were rehabilitation therapy and restorative nursing care utilization by veterans during their CNH stays. Results The study comprised 6,206 veterans at 2,511 CNHs. Rates for utilization of rehabilitation therapy and restorative nursing care were 75.7% and 30.1%, respectively. Veterans in North Atlantic and Southeast CNHs were significantly (pnursing care compared with veterans in all other regions, before and after risk adjustment. Conclusion The majority of veterans with stroke received rehabilitation

  5. The role of the community mental health nurse in Botswana: The needs and problems of carers of schizophrenic clients in the community

    Directory of Open Access Journals (Sweden)

    A. Kgosidintsi

    1996-05-01

    Full Text Available The purpose of this study was to identify and describe the role of the psychiatric/community mental health nurse in the context of primary health care in which mental health is an integral part of the general health care system and in a specific socio-economic background. Nine (9 community mental health nurses who graduated from a local training program for community mental health nurses at post basic level, twenty five (25 carers responsible for daily care and welfare of schizophrenic clients from rural, semi-rural, urban and semi-urban areas country wide participated in the study. The study was exploratory and both qualitative and quantitative data was collected using semi structured interviews, unstructured observation and documentary search methods were used. Data analysis for both qualitative and quantitative data was done through simple frequency counts.

  6. Developing a rural transitional care community case management program using clinical nurse specialists.

    Science.gov (United States)

    Baldwin, Kathleen M; Black, Denice; Hammond, Sheri

    2014-01-01

    This quality improvement project developed a community nursing case management program to decrease preventable readmissions to the hospital and emergency department by providing telephonic case management and, if needed, onsite assessment and treatment by a clinical nurse specialist (CNS) with prescriptive authority. As more people reach Medicare age, the number of individuals with worsening chronic diseases with dramatically increases unless appropriate disease management programs are developed. Care transitions can result in breakdown in continuity of care, resulting in increased preventable readmissions, particularly for indigent patients. The CNS is uniquely educated to managing care transitions and coordination of community resources to prevent readmissions. After a thorough SWOT (strengths, weaknesses, opportunities, and threats) analysis, we developed and implemented a cost-avoidance model to prevent readmissions in our uninsured and underinsured patients. The project CNS used a wide array of interventions to decrease readmissions. In the last 2 years, there have been a total of 22 less than 30-day readmissions to the emergency department or hospital in 13 patients, a significant decrease from readmissions in these patients prior to the program. Three of them required transfer to a larger hospital for a higher level of care. Using advanced practice nurses in transitional care can prevent readmissions, resulting in cost avoidance. The coordination of community resources during transition from hospital to home is a job best suited to CNSs, because they are educated to work within organizations/systems. The money we saved with this project more than justified the cost of hiring a CNS to lead it. More research is needed into this technology. Guidelines for this intervention need to be developed. Replicating our cost-avoidance transitional care model can help other facilities limit that loss.

  7. Development of a questionnaire to measure the key attributes of the community palliative care specialist nurse role.

    Science.gov (United States)

    Cameron, Dee; Johnston, Bridget

    2015-02-01

    Recent worldwide economic events have forced an examination of the nurse's contribution to high-quality, effective, person-centred care. Since the role of specialist nurses is considered one of the least understood or valued developments in nursing, specialist nurses must demonstrate their contribution to quality, person-centred health care. To develop a questionnaire which aims to measure the quality of care provided by palliative care specialist nurses from the patients' perspective and to undertake initial validation. The process of questionnaire development involved six phases including systematic literature reviews, patient advisory groups and expert panel reviews, each of which contributed to the questionnaire face and content validity. Johnston's Expert Palliative Care Nurse Model (2002; 2005) provided an evidence-based framework for the development of the questionnaire, and enabled the identification of the key attributes of the palliative care specialist nurse role, thereby providing the themes on which to base the questionnaire. The Quality Measure for Palliative Nursing, a questionnaire, was developed. The themes identified in the questionnaire--personal characteristics, communication skills, knowledge, relationship with patient and providing comfort--aim to facilitate measurement of the quality of care provided by palliative care specialist nurses. Designed for use by palliative patients the Quality Measure for Palliative Nursing is a one-page questionnaire comprising of 15 questions. The Quality Measure for Palliative Nursing is unique since it aims to measure the quality of care provided by community palliative care specialist nurses, and could also be used to measure patient satisfaction with the quality of care provided. Further testing is recommended to ensure that this questionnaire can provide reliable and valid results.

  8. Chasing Zero: A Nurse-Driven Process for Catheter-Associated Urinary Tract Infection Reduction In a Community Hospital.

    Science.gov (United States)

    Quinn, Paul

    2016-01-01

    Due to treatment costs and lack of reimbursement, community hospitals are charged with implementing innovative strategies that will reduce the incidence of hospital-acquired catheter-associated urinary tract infections (CAUTI). A nurse-driven system for decreasing the number of hospital-acquired CAUTI is effective and useful for a community hospital. One nurse with accountability for implementing a simple evidence-based protocol can dramatically decrease the total incidence of hospital-acquired CAUTI. The basis for the success of this initiative relied heavily on the ease of using the eight-point Question the Foley criteria, the availability of the electronic medical record, interdisciplinary collaboration, and support from nursing and physician administration. With collaboration and support from nursing leadership, the goals for patient safety by reducing hospital-acquired CAUTI can become a reality in a short period of time.

  9. Analyzing the state of community health nursing: advancing from deficit to strengths-based practice using appreciative inquiry.

    Science.gov (United States)

    Lind, Candace; Smith, Dawn

    2008-01-01

    In this article we critically analyze the disconnect between much of the contemporary discourse and practice in Canadian community health nursing (CHN) that has contributed to the slow progress of strengths-based, health-promoting nursing practice. Appreciative inquiry philosophy and methods are introduced as a bridge to traverse this disciplinary gap. Two exemplars show how appreciative, strengths-based CHN research and action can move policies and programs toward more socially just practices congruent with CHN values. Exciting potential for nursing knowledge may arise from incorporating more strengths-based approaches into practice, education, policy, and research.

  10. Feeling confident in burdensome yet enriching care: Community nurses describe the care of patients with hard-to-heal wounds

    Directory of Open Access Journals (Sweden)

    Camilla Eskilsson

    2010-10-01

    Full Text Available Treating patients with hard-to-heal wounds is a complex task that requires a holistic view. Therefore this study focuses on the nurse's perspective with the aim on describing how community nurses experience the phenomenon the care of patients with hard-to-heal wounds. The method used was a reflective lifeworld approach. Seven qualitative interviews with community nurses were conducted. The findings show a tension between enriching and burdensome care. In this tension, the nurses try to find energy to reach harmony in their work through reflection, acceptance, and distance. This is further described by the constituents: “taking responsibility,” “showing respect for the whole person,” “being confident in order to offer confidence,” “seeing time and place as important.” The discussion highlights the importance for a nurse to find how to give ideal care in one's duty but not beyond it. As a consequence the concept “compliance” needs to be challenged in order to promote confidence and mutual trust between nurses and patients. Confidence can be seen as a key, both for nurses and patients, and is dependent on good inter-professional cooperation, competence, and closure.

  11. The attitude of community health nurses towards integration of traditional healers in primary health care in North-West Province

    Directory of Open Access Journals (Sweden)

    MD Peu

    2001-09-01

    Full Text Available South Africa is called “the rainbow nation” because it has so many different cultures. These have an impact on the provision of primary health care. The purpose of this research is to foster good relationships between community health nurses and traditional healers and to explore, identify and describe the attitude of community health nurses towards the integration of traditional healers into primary health care. A non-experimental, explorative and descriptive research strategy was designed to explore the working relationship between community health nurses and traditional healers. Data was collected using a structured questionnaire. Quantitative as well as qualitative data analysis techniques were adopted to interpret the findings. The results indicated that respondents demonstrated positive attitudes towards working with traditional healers, especially in the provision of primary health care. Positive opinions, ideas and views were provided about the integration of traditional healers into primary health care. Respect, recognition and sensitivity were emphasized by respondents.

  12. Exploring the community nurse role in family-centred care for patients with dementia.

    Science.gov (United States)

    Dening, Karen Harrison; Hibberd, Penny

    2016-04-01

    A diagnosis of dementia can have a significant effect, not only on the person diagnosed, but also on the person's family. Drivers within national policy and strategy to raise awareness and promote education have improved the understanding of dementia across professional groups, as well as within the wider population. However, families living with dementia still struggle to find information and support. This paper explores the common issues faced by families, and focuses on a relationship approach to care. The role of the community nurse can be central to supporting people with dementia and their families to live well in their own communities. The paper uses a case-study approach to discuss three scenarios commonly raised by family carers and people with dementia: (1) seeking help and support at point of seeking diagnosis, (2) knowing the 'right time' to seek help and advice, and (3) when symptomatic changes affect wellbeing and relationships.

  13. Universal Health Coverage through Community Nursing Services: China vs. Hong Kong.

    Science.gov (United States)

    Chan, Wai Yee; Fung, Ita M; Chan, Eric

    2017-01-30

    this article looks at how the development of community nursing services in China and Hong Kong can enhance universal health coverage. literature and data review have been utilized in this study. nursing services have evolved much since the beginning of the nursing profession. The development of community nursing services has expanded the scope of nursing services to those in need of, not just hospital-level nursing care, but more holistic care to improve health and quality of life. despite the one-country-two-systems governance and the difference in population and geography, Hong Kong and China both face the aging population and its complications. Community nursing services help to pave the road to Universal Health Coverage. este artigo analisa a forma como o desenvolvimento de serviços de enfermagem comunitários na China e Hong Kong pode melhorar a cobertura universal de saúde. literatura e revisão de dados foram utilizados neste estudo. serviços de enfermagem têm evoluído muito desde o início da profissão de enfermagem. O desenvolvimento dos serviços de enfermagem da comunidade ampliou o escopo dos serviços de enfermagem, para aqueles que precisam não apenas de cuidados de enfermagem de nível de hospital, mas cuidados mais holísticos para melhorar a saúde e qualidade de vida. apesar de ser "um-país-dois-sistemas" de governo, e as diferenças de população e geografia, Hong Kong e China enfrentam o envelhecimento da população e suas complicações. Os serviços de enfermagem da comunidade ajudam a pavimentar o caminho para a cobertura de saúde universal. este artículo analiza cómo el desarrollo de los servicios de enfermería comunitaria en China y Hong Kong pueden expandir la cobertura universal de salud. revisión de datos y literatura han sido utilizados en este estudio. los servicios de enfermería han evolucionado mucho desde el comienzo de la profesión. El desarrollo de los servicios de enfermería comunitaria han ampliado el alcance

  14. Community nursing management practice and personnel training%社区护理管理实践与人才培养探讨

    Institute of Scientific and Technical Information of China (English)

    赵静; 刘秀梅; 宫彦婷

    2012-01-01

    目的:通过社区护理管理实践,探索满足社区居民健康需求的社区护理人才培养模式.方法:建立社区护理管理制度,合理配置有限护理人力资源,建设护理人员队伍,培养护理人才并进行效果评价.结果:护理人员综合素质得到全面提高并形成了稳定的业务骨干队伍.结论:社区护理管理实践促进了社区护理人才的培养及社区护理学科的发展.%Objectives:To explore community personnel training model in order to meet the health needs of community residents through community nursing management practice. Methods: We established community nursing management system, reasonably allocated limited nursing personnel, construct nursing team, cultivate nursing talents and evaluated the effect. Results: Nurses' comprehensive quality were improved and they formed a stable professional core team. Conclusion: Community nursing management practice improves the community nursing personnel training and the development of community nursing.

  15. Experience in community nursing management%社区护理管理工作经验初探

    Institute of Scientific and Technical Information of China (English)

    李纪文

    2015-01-01

    目的:本文主要探讨社区护理管理中指导护士怎样做才能使患者和社区居民满意,树立基层医疗机构的新形象。社区护士应具有很强的沟通能力和专业技能,并使之良好发挥。同时,通过护理管理,使社区居民和患者能积极主动地参与整个过程,具有良好的健康心理、生理状态。社区护理管理工作尚处在起步阶段,只有不断地学习、改进,才能使社区护理管理工作发挥更好的作用。%In this paper,the author mainly explored how to guide the nurses to do in the community nursing management so as to make the patients and community residents satisfied,and establish a new image of grassroots medical institutions.Community nurses should have strong communication skills and professional skills,and they can make good use of it.At the same time,through nursing management,community residents and patients can actively participate in the whole process,and they had good mental and physical state of health.Community nursing management was still in the initial stage,only through continuous learning and improvement can make the community nursing management work play a better role.

  16. Knowledge and attitudes of nurses in community health centres about electronic medical records

    Directory of Open Access Journals (Sweden)

    Don O'Mahony

    2014-02-01

    Full Text Available Background: Nurses in primary healthcare record data for the monitoring and evaluation of diseases and services. Information and communications technology (ICT can improve quality in healthcare by providing quality medical records. However, worldwide, the majority of health ICT projects have failed. Individual user acceptance is a crucial factor in successful ICT implementation.Objectives: The aim of this study is to explore nurses’ knowledge, attitudes and perceptions regarding ICT so as to inform the future implementation of electronic medical record (EMR systems.Methods: A qualitative design was used. Semi-structured interviews were undertaken with nurses at three community health centres (CHCs in the King Sabata Dalyindyebo Local Municipality. The interview guide was informed by the literature on user acceptance of ICT. Interviews were recorded and analysed using content analysis.Results: Many nurses knew about health ICT and articulated clearly the potential benefits of an EMR such as fewer errors, more complete records, easier reporting and access to information. They thought that an EMR system would solve the challenges they identified with the current paper-based record system, including duplication of data, misfiling, lack of a chronological patient record, excessive time in recording and reduced time for patient care. For personal ICT needs, approximately half used cellphone Internet-based services and computers.Conclusions: In this study, nurses identified many challenges with the current recording methods. They thought that an EMR should be installed at CHCs. Their knowledge about EMR, positive attitudes to ICT and personal use of ICT devices increase the likelihood of successful EMR implementation at CHCs. 

  17. Community transformation through culturally competent nursing leadership: application of theory of culture care diversity and universality and tri-dimensional leader effectiveness model.

    Science.gov (United States)

    Shapiro, Mina L; Miller, June; White, Kathleen

    2006-04-01

    Transcultural knowledge and competency have become a critical need for nurses to accommodate the global trends in cultural diversity and health care disparities. Today, nurses are increasingly taking on leadership roles in community settings. This article addresses the application of Leininger's culture care theory with the sunrise model and Hersey and Blanchard's tri-dimensional leader effectiveness model as potential collaborating theories for capacity building and community transformation from a global, transcultural nursing perspective. The two theories, used in collaboration, view the provision of competent leadership as the delivery of effective, culturally congruent nursing care in promoting health and health equity at the community level.

  18. Community environmental quality knowledge and awareness among nurses: developing and piloting an assessment survey in schools.

    Science.gov (United States)

    Shendell, Derek G; Alexander, Melannie S; Huang, Yuqi

    2010-01-01

    About one in five Americans spends a considerable number of hours in school each week, and thus, is exposed to a variety of environmental agents. Community health nursing professionals require resources and specific training to acquire the environmental knowledge needed to raise personal and community awareness as an enhancement of their practice. Given limited resources for schools and local public health education initiatives, identifying and prioritizing environmental concerns comes before actions to prevent or reduce exposures. With the rise in prevalence of childhood asthma, of special concern are those agents within the school environment that may serve as asthma triggers. This pilot project, within a larger study in a large school district in metropolitan Atlanta, Georgia, developed and piloted an environmental health priorities survey with school nurses and other school staff about indoor and outdoor microenvironments relevant to school-aged children. Findings indicate that participants (N = 34) could prioritize environmental issues to inform future intervention activities (such as continuing education training), and distinguish predominantly indoor from typical outdoor exposure agents and their major sources.

  19. Feelings of powerlessness in relation to pain: ascribed causes and reported strategies. A qualitative study among Dutch community nurses caring for cancer patients with pain.

    NARCIS (Netherlands)

    Schepper, A.M.E. de; Francke, A.L.; Huijer-Abu Saad, H.

    1997-01-01

    This qualitative study focused on the causes for the feelings of powerlessness experienced by dutch community nurses in caring for cancer patients with pain. In addition, the study focused on the strategies community nurses employed to cope with feelings of powerlessness. Semistructured interviews r

  20. Reflections on the Current Situation of Community Nursing and Development%对社区护理现状和发展的思考

    Institute of Scientific and Technical Information of China (English)

    张瑞

    2014-01-01

    社区护理是21世纪护理发展的重要方向,开展社区服务已成为我国卫生事业发展的趋势。本文对社区护理人才的培养、社区护理的工作、社区居民对社区护理的需求、社区护理的开展情况以及社区护士的现状等进行分析,以考虑我区社区护理的现状和发展。%Community nursing is the main direction of the 21st century nursing development. It is also an ir esistible trend of the health development. Through analyzing the training of community nursing talents, the work of community nursing, the need of community nursing from community resident, the development of community nursing and the situation of community nurse, the essay analyzed the community nursing situation and development of China.

  1. A pilot study exploring the relationship between self-compassion, self-judgement, self-kindness, compassion, professional quality of life and wellbeing among UK community nurses

    OpenAIRE

    Durkin, M.; Beaumont, EA; Hollins Martin, CJ; Carson, J.

    2016-01-01

    Background: Compassion fatigue and burnout can impact on performance of nurses. This paper explores the relationship between self-compassion, self-judgement, self-kindness, compassion, professional quality of life, and wellbeing among community nurses.\\ud Aim: To measure associations between self-compassion, compassion fatigue, wellbeing, and burnout in community nurses.\\ud Method: Quantitative data were collected using standardised psychometric questionnaires: (1) Professional Quality of Lif...

  2. Health promotion and partnerships: collaboration of a community health management center, county health bureau, and university nursing program.

    Science.gov (United States)

    Huang, Chih-Ling

    2002-06-01

    Effective partnerships were established between a community health management center, a county health bureau and a university nursing program. A health fair was undertaken to heighten public health awareness through the collaboration of these various agencies. In this research, formative, process, and summative evaluations were conducted to determine the benefits of partnerships. Elements evaluated included the planning process, health fair relevancy, integration of community resources, participants satisfaction and knowledge acquisition, and partnership satisfaction. The samples of this study included (1) 529 adult participants who completed the on-site evaluation questionnaires; (2) 1,090 child participants who returned gift-reward cards; (3) 114 partners who gave written feedback on their satisfaction; and (4) 57 third-year and 16 fourth-year undergraduate nursing student participants. Data was collected from the evidence report of the Department of Health, the project proposal, activity protocols, meeting records, the project final report, students term papers, and questionnaires. The chief administrator of the County Health Bureau was very impressed with the creative exhibits in the fair and, therefore, invited a coalition to continue further workshops. Seventeen educational exhibits, two dance programs and two drama programs related to health issues were demonstrated in the fair. Resources from community organizations were successfully integrated and allocated. Community participants expressed satisfaction with the fair and anticipated similar activities in the future. Participants revealed more than 80% accuracy in health knowledge quizzes. The senior nursing students highlighted their interaction with the community, community health nurses, and health volunteers. Community-based health promotion and nursing education can be successfully connected when various disciplines and sectors form effective partnerships.

  3. 城乡社区护士岗位培训需求的调查分析%Training demands of urban and rural community nurses

    Institute of Scientific and Technical Information of China (English)

    周春美; 吴黎明; 吴晓璐; 肖红双; 王敬华; 白桂春

    2013-01-01

    目的:调查城市和乡镇不同社区卫生服务机构护理人员的培训需求,为社区护理人员培训模式提供理论依据。方法:对唐山市48家社区卫生服务机构的334名社区护士进行调查。分析市区与乡镇社区卫生服务机构护理人员的构成以及培训需求的差异。结果:市区与乡镇社区卫生服务机构的护理人员在社区护理管理、护理科研、社区常用护理技术操作方面的需求存在统计学差异(P<0.05)。结论:应开展适合不同社区护理人员的培训项目,建立分区域、分层培训制度,进一步完善社区护理培训方法。%Objective:To investigate the training demands of urban and rural community nurses, and to provide theoretical basis for community nurses training. Methods:A total of 334 nurses were recruited from 48 community health stations in Tangshan and investigated their current status of nurses constitute and community nursing training demands. Results:The training demands of community nursing management, nursing research, community nursing technical operation were statistically signiifcant between urban and rural community nurses (P<0.05). Conclusion:The training content should follow the demands of community nursing. Regional and hierarchical training should be applied to further complete the community nurse training system.

  4. [Nurse-Led Care Models in the Context of Community Elders With Chronic Disease Management: A Systematic Review].

    Science.gov (United States)

    Hsieh, Pei-Lun; Chen, Ching-Min

    2016-08-01

    Longer average life expectancies have caused the rapid growth of the elderly as a percentage of Taiwan's population and, as a result of the number of elders with chronic diseases and disability. Providing continuing-care services in community settings for elderly with multiple chronic conditions has become an urgent need. To review the nurse-led care models that are currently practiced among elders with chronic disease in the community and to further examine the effectiveness and essential components of these models using a systematic review method. Twelve original articles on chronic disease-care planning for the elderly or on nurse-led care management interventions that were published between 2000 and 2015 in any of five electronic databases: MEDLINE, PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature) Plus with Full Text, Cochrane Library, and CEPS (Chinese Electronic Periodicals Service)were selected and analyzed systematically. Four types of nurse-led community care models, including primary healthcare, secondary prevention care, cross-boundary models, and case management, were identified. Chronic disease-care planning, case management, and disease self-management were found to be the essential components of the services that were provided. The care models used systematic processes to conduct assessment, planning, implementation, coordination, and follow-up activities as well as to deliver services and to evaluate disease status. The results revealed that providing continuing-care services through the nurse-led community chronic disease-care model and cross-boundary model enhanced the ability of the elderly to self-manage their chronic diseases, improved healthcare referrals, provided holistic care, and maximized resource utilization efficacy. The present study cross-referenced all reviewed articles in terms of target clients, content, intervention, measurements, and outcome indicators. Study results may be referenced in future

  5. 医护组合服务模式在社区护理工作中的应用%Application of doctor-nurse composite service model in the community nursing

    Institute of Scientific and Technical Information of China (English)

    陈丽; 乔莉华

    2014-01-01

    Objective:To explore the role of the doctor-nurse composite service model in the community nursing. Methods:The inlfuence of the doctor-nurse composite service model on the community nursing was evaluated through adopting questionnaire and interview surveys to the community nurses. Results:Implementation of the doctor-nurse composite service model enhanced 88.24% of the work ability of the community nurses, increased 76.46% of the work efficiency and 88.24%community nurses considered that the model could improve the relationship between the health personnel and the community residents. Conclusion:The doctor-nurse composite service model can promote the work ability of the community nurses, increase their work efifciency and improve their relationship with the community residents.%目的:探讨医护组合服务模式在社区护理工作中的作用。方法:通过对社区护士采用问卷式和访谈式调查评价医护组合服务模式对社区护理工作的影响。结果:医护组合服务模式的实施使88.24%的社区护士工作能力得到提升,76.46%的社区护士工作效率得到提高,88.24%的护士认为实行医护组合模式能促进医务人员与社区居民的关系。结论:医护组合服务模式能够提升社区护士的工作能力,提高工作效率和促进与社区居民的关系。

  6. The influence of geographical and social distance on nursing practice and continuity of care in a remote First Nations community.

    Science.gov (United States)

    Tarlier, Denise S; Browne, Annette J; Johnson, Joy

    2007-09-01

    The purpose of this article, which draws on the findings of a larger ethnographic study, is to explore the influences of geographical and social distancing on nursing practice and continuity of care in a remote First Nations community in Canada. Employing an ethnographic design, the authors use multiple data sources to ground the analysis in the unique context of health services in the selected community. The findings suggest that remote geographical location, the inequitable social conditions that shape the health and well-being of First Nations people, and nurses' level of preparedness to practise in this complex environment fostered patterns of social distancing in nurse-patient relationships. These patterns constrained nurses' ability to engage in practice that promotes continuity of care. In some cases, social distancing took the form of Othering practices and relational disengagement from patients. Changing the social determinants of Aboriginal people's health in remote communities is an important first step in supporting the changes in nurses' practice that are key to improving continuity of care and to effecting long-term, sustainable health improvements.

  7. 以专科护士为主导的社区护理协同服务体系建立与实施%Establishment and practice of community nursing collaborative service system led by specialized nurse

    Institute of Scientific and Technical Information of China (English)

    贾静; 高燕; 贡浩凌

    2013-01-01

    In order to make the high quality nursing service step into the community and family, the community nursing collaborative service team led by specialized nurse was established through collaborating with the community health service center. The community nursing collaborative service was carried out by improving the ifles of healthy management of community residents, establishing model family in community, home visits, and telephone follow-up. The pertinence, professionalism and accessibility of nursing service were enhanced by community nursing collaborative service team and the connotation of high quality nursing was further deepened.%为使优质护理服务走进社区和家庭,与社区卫生服务中心合作建立以专科护士为核心的社区护理协同服务小组,通过完善社区居民健康管理档案、建立社区模范家庭、进行家庭访视和电话随访等形式,开展社区护理协同服务,增强了护理服务的针对性、专业性和可及性,进一步深化了优质护理服务内涵。

  8. Coexistence of specialist and generalist species is shaped by dispersal and environmental factors.

    Science.gov (United States)

    Büchi, Lucie; Vuilleumier, Séverine

    2014-05-01

    Disentangling the mechanisms mediating the coexistence of habitat specialists and generalists has been a long-standing subject of investigation. However, the roles of species traits and environmental and spatial factors have not been assessed in a unifying theoretical framework. Theory suggests that specialist species are more competitive in natural communities. However, empirical work has shown that specialist species are declining worldwide due to habitat loss and fragmentation. We addressed the question of the coexistence of specialist and generalist species with a spatially explicit metacommunity model in continuous and heterogeneous environments. We characterized how species' dispersal abilities, the number of interacting species, environmental spatial autocorrelation, and disturbance impact community composition. Our results demonstrated that species' dispersal ability and the number of interacting species had a drastic influence on the composition of metacommunities. More specialized species coexisted when species had large dispersal abilities and when the number of interacting species was high. Disturbance selected against highly specialized species, whereas environmental spatial autocorrelation had a marginal impact. Interestingly, species richness and niche breadth were mainly positively correlated at the community scale but were negatively correlated at the metacommunity scale. Numerous diversely specialized species can thus coexist, but both species' intrinsic traits and environmental factors interact to shape the specialization signatures of communities at both the local and global scales.

  9. Improving the process of community-based student nurse practice through a high-fidelity simulated clinical experience.

    Science.gov (United States)

    Gotwals, Beth; Yeager, Shelley T

    2014-01-01

    Simulation can be used to facilitate knowledge and practice with clients/families in the community. Because student nurses appreciate the opportunity to practice skills in a nonthreatening environment, and faculty welcome the opportunity to observe all students providing a home visit to a similar type of client, the authors developed such a simulation. In this article, they outline the process taken to develop and evaluate a high-fidelity community simulated clinical experience.

  10. The role of the nurse in the community-based treatment of multidrug-resistant tuberculosis (MDR-TB).

    Science.gov (United States)

    Palacios, E; Guerra, D; Llaro, K; Chalco, K; Sapag, R; Furin, J

    2003-04-01

    A community-based treatment program for multidrug-resistant tuberculosis (MDR-TB) in Lima, Peru. To describe the activities carried out by the nurses working with the program. A qualitative study using a variety of ethnographic methods, including participant observation, focus groups, and key informant interviews over a 5-year period. Nurses were responsible for carrying out a wide variety of activities within the program. These included patient-focused activities such as identifying patients, evaluating patients prior to starting and during therapy, and managing emergencies; educational activities for both patients and health professionals managing MDR-TB; and coordination activities, including over-seeing health workers and communicating between team members. Nurses play a key role in the community-based management of MDR-TB.

  11. Use of photovoice to integrate a community-engaged scholarship model of research into an undergraduate clinical nursing course.

    Science.gov (United States)

    Kronk, Rebecca; Weideman, Yvonne

    2014-09-01

    For undergraduate nursing students to appreciate the underpinnings of research, it is essential to bring research to real-life clinical practice. This article reports on an innovative educational experience integrating qualitative research into the sophomore-level clinical setting. The elements of this pedagogical approach within the context of faculty-mentored and student-led community-based participatory research are described.

  12. A Guide to Curriculum Review for Basic Nursing Education. Orientation to Primary Health Care and Community Health.

    Science.gov (United States)

    World Health Organization, Geneva (Switzerland).

    A systematic procedure for reviewing a basic nursing curriculum, identifying needed changes, and developing and implementing a plan for change is described. Also examined are techniques used to evaluate the plan and to determine the relevance of the revised curriculum to community health needs. After presenting information on primary health care…

  13. Specialist Community Nurses: A Critical Analysis of Their Role in the Management of Long-Term Conditions

    Directory of Open Access Journals (Sweden)

    Karen A. Luker

    2009-09-01

    Full Text Available The aim of this narrative review is to identify strategies in use by specialist community and public health nurses in the prevention, care and management of individuals with long-term conditions, specifically chronic obstructive pulmonary disease (COPD and musculoskeletal disorders. These conditions have been selected as they are highly prevalent; a burden on health services globally and a major public health issue. From a UK policy perspective, specialist community nurses have been placed at the forefront of taking a lead role in the coordination and delivery of more responsive services for individuals with long-term conditions; whether this has been an effective use of skills and resource is questionable. We systematically searched relevant databases between 1999–2009 to identify interventions used by specialist community nurses and critically appraised the studies. This review reports on impact and value of interventions used by specialist community nurses in the prevention and management of COPD and musculoskeletal conditions, and makes recommendations for improving services.

  14. Ethical challenges and opportunities for nurses in HIV and AIDS community-based participatory research in Jamaica

    NARCIS (Netherlands)

    Davison, C.M.; Kahwa, E.; Atkinson, U.; Hepburn-Brown, C.; Aiken, J.; Dawkins, P.; Rae, T.; Edwards, N.; Roelofs, S.; MacFarlane, D.

    2013-01-01

    As part of a multinational program of research, we undertook a community-based participatory research project in Jamaica to strengthen nurses' engagement in HIV and AIDS policy. Three leadership hubs were purposefully convened and included small groups of people (6-10) from diverse HIV and AIDS

  15. Ethical challenges and opportunities for nurses in HIV and AIDS community-based participatory research in Jamaica

    NARCIS (Netherlands)

    Davison, C.M.; Kahwa, E.; Atkinson, U.; Hepburn-Brown, C.; Aiken, J.; Dawkins, P.; Rae, T.; Edwards, N.; Roelofs, S.; MacFarlane, D.

    2013-01-01

    As part of a multinational program of research, we undertook a community-based participatory research project in Jamaica to strengthen nurses' engagement in HIV and AIDS policy. Three leadership hubs were purposefully convened and included small groups of people (6-10) from diverse HIV and AIDS stak

  16. An Evaluative Case Study of the Dilemmas Experienced in Designing a Self-Assessment Strategy for Community Nursing Students

    Science.gov (United States)

    Fitzpatrick, Jane

    2006-01-01

    The Dearing Report's (1997) radical proposals challenged lecturers in higher education to develop innovative assessment strategies. This paper explores the dilemmas experienced by one teaching team in designing and implementing a student self-assessment strategy within a community nursing degree programme. The paper reviews the impact on students'…

  17. Áras Deirbhle Community Nursing Unit, Belmullet Community Hospital, Belmullet, Ballina, Mayo.

    LENUS (Irish Health Repository)

    Hickey, Anne

    2009-01-01

    BACKGROUND: Stroke is a leading cause of death and functional impairment. While older people are particularly vulnerable to stroke, research suggests that they have the poorest awareness of stroke warning signs and risk factors. This study examined knowledge of stroke warning signs and risk factors among community-dwelling older adults. METHODS: Randomly selected community-dwelling older people (aged 65+) in Ireland (n = 2,033; 68% response rate). Participants completed home interviews. Questions assessed knowledge of stroke warning signs and risk factors, and personal risk factors for stroke. RESULTS: Of the overall sample, 6% had previously experienced a stroke or transient ischaemic attack. When asked to identify stroke risk factors from a provided list, less than half of the overall sample identified established risk factors (e.g., smoking, hypercholesterolaemia), hypertension being the only exception (identified by 74%). Similarly, less than half identified established warning signs (e.g., weakness, headache), with slurred speech (54%) as the exception. Overall, there were considerable gaps in awareness with poorest levels evident in those with primary level education only and in those living in Northern Ireland (compared with Republic of Ireland). CONCLUSION: Knowledge deficits in this study suggest that most of the common early symptoms or signs of stroke were recognized as such by less than half of the older adults surveyed. As such, many older adults may not recognise early symptoms of stroke in themselves or others. Thus, they may lose vital time in presenting for medical attention. Lack of public awareness about stroke warning signs and risk factors must be addressed as one important contribution to reducing mortality and morbidity from stroke.

  18. The Interdisciplinary Generalist Project at the University of Nebraska Medical Center.

    Science.gov (United States)

    Steele, D; Susman, J; McCurdy, F; O'Dell, D; Paulman, P; Stott, J

    2001-04-01

    The Interdisciplinary Generalist Curriculum (IGC) Project at the University of Nebraska College of Medicine (Nebraska) had three goals: (1) to increase first- and second-year students' exposure to primary care practice in the community; (2) to develop specific educational programs introducing these students to the principles and practices of primary care medicine; and (3) to establish a generalist coordinating council to provide leadership and to nurture generalist educational initiatives in the College of MEDICINE: Students at Nebraska were already required to spend three half-days a semester in a longitudinal clinical experience (LCE) and to complete a three-week primary care block experience in the summer between the first and second years. IGC Project funds were used increase the number of required LCE visits to five a semester and to develop curricular enhancements that would maximize the educational potential of community-based clinical experiences for first- and second-year students. Curricular elements developed included a focus on faculty development for preceptors and development of the Primary Care Introduction to Medicine Curriculum, an eight-week, interdisciplinary module scheduled late in the first year to help prepare students for intensive summer rotations. Other developments were the implementation of a pediatric physical examination experience for first-year students and the implementation of instruction in community-oriented primary care in the second year. Lessons learned are related to: (1) the value and power of early clinical experiences; and (2) the enhancing effect of a holistic, longitudinal view of the curriculum on the planning of early clinical experiences.

  19. DIAGNOSIS AND EVALUATING ABOUT COMMUNITY LIEDERANCE MOBILIZATION: NURSING AND PREVENTION OF ACCIDENTS

    Directory of Open Access Journals (Sweden)

    AAgnes Carolina Ribeiro Pinto, Sibele Chagas Scachetti, Marcelo Zvir de Oliveira, Héridi Karine Moreira, Nayara Raema de Oliveira de Almeida, Polianna Farinon e Elenita de Cácia Menoci Mortean

    2007-12-01

    Full Text Available Considering Single Health System (SUS principles, the social mobilization for achievements in health, has great significance. This mobilization is a guarantee that people will participate in the process of policies formulation designed to health needs and quality of life. Therefore, this research aimed to encourage community leaders of neighborhoods from Basic Health Unit (BHU Model region - Campo Mourão, PR, to mobilize their communities to explore different ways to increase the transit security. Besides, this research also objective to evaluate results of social mobilization. Students of Nursing (Integrado College from Campo Mourão, the community and the health UBS Model group established the local epidemiological profile. Thus, an intervention project was carried out to stimulate the mobilization of leaders to make an undersigned in their respective districts, to ensure the presence of a transit guard at the access transit route (BR 158 road in UBS Model region. The indicator to evaluating community mobilization was the proportion of residents in UBS Model area aged over 18 years (2,792 individuals who attended the undersigned. Data show that 7.02% of undersigned was over than 18 years, from these, 62.01% were female and 37.99% were male. Considering the region of residence: 37.00% were from Jardim Modelo; 19.40% from Jardim Santa Cruz; 12.85% from Jardim Silvana; 12.20% from Jardim Batel; 11.55% from Jardim Mario Figueiredo and no signature was collected at Jardim Esperança. Regarding the proportion of signatures, results are proportional to population number in each region. Thus, community mobilization to undersigned, held by leaders from neighborhood, was low, and that popular participation in health at UBS model region should be reconsidered. It is necessary the development of methodological strategies to increase the latent capacity of persons (stakeholders, stimulating their potential.

  20. 社区护士对社区护理学课程需求的调查%A survey of community nursing curriculum requirements in community nurses in Hunan province

    Institute of Scientific and Technical Information of China (English)

    任森; 肖洁华

    2014-01-01

    目的:调查了解湖南省社区卫生服务机构中社区护士对社区护理学课程的实际需求,为社区护理学教程提供可靠的教学依据。方法:根据社区护理教材的内容采用自行设计的调查问卷,对湖南省5个城市中189名社区卫生护士进行调查,问卷有效回收率为92.6%。结果:社区护理人员认为较常用的内容依次为:社区营养与膳食管理(85.7%)、突发性公共卫生事件的处理(76.7%)、社区环境评估(69.8%)、人际沟通能力(69.8%)、流行病学与统计学应用(66.7%)、社区康复护理(64.0%)、家庭访视与家庭护理(51.9%);较少使用的内容依次是:社区健康档案管理(54.5%)、社区护理概述(36.0%)、常见传染病慢性病的护理(31.7%)、特殊人群保健(30.2%)、职业病(25.4%);社区护士对社区护理学学时的需要所占比例依次是:56~70节(45.0%)、41~55节占(29.6%)、71节以上(14.3%)、40节以下(11.1%)。结论:社区卫生服务机构中护理人员缺乏,应增加高职高专院校护理学专业学生的社区护理学课程;社区护理学课程应以预防保健为主,适当增加课时数,理论与实践紧密结合,建立实用型社区护理课程体系。%Objective To investigate the actual needs that community nurses have on community nursing courses in community health service organization in Hunan province,to provide a reliable teaching basis for the community nursing courses.Methods Investigations on 189 community health nurses in 5 cities,this is conducted on the self-designed questionnaires based on community nursing textbook content,the effective recovery rates of questionnaire is 92.6%.Results Community nursing personnel think the more important content is:community nutrition and dietary management 85.7%,the handling of sudden public health event 76.7%,and community environment assessment 69.8%,and

  1. Social representation of domestic violence against women among Nursing Technicians and Community Agents

    Directory of Open Access Journals (Sweden)

    Camila Daiane Silva

    2015-02-01

    Full Text Available OBJECTIVE To analyze the social representations of the Nursing Technicians and Community Health Agents about domestic violence against women. METHOD A qualitative study carried out in the city of Rio Grande, RS, in which evocations and interviews were collected between July and November 2013. For the treatment of data were used the EVOC 2005 software and the context analysis. RESULT It is a structured representation, in which the central nucleus contains conceptual, imaging and attitudinal elements, namely: abuse, aggression, physical aggression, cowardice and lack of respect. Such terms were present in the context of the interviews. The professionals acknowledged that violence is not limited to physical aspects and were judgemental about the acts of the aggressor. CONCLUSION This knowledge may enable the problematization of the studied phenomenon with the team, and facilitate the search for prevention and intervention strategies for victims, offenders and managers of health services.

  2. Signing Communities Dealing with Non-Knowledge: Some Cases from Nursing

    Directory of Open Access Journals (Sweden)

    Karen Jensen

    2014-06-01

    Full Text Available This article takes signatures and practices of signing as a point of departure for exploring and understanding nurses’ work with non-knowledge as a new responsibility. In this context, non-knowledge does not relate to the absence of knowledge as such but to the practices by which nurses recognize knowledge challenges and implement strategies for specifying, explicating and further detailing what they know they do not know. Here, nurses’ work with procedures is used as a specific example of non-knowledge. Considering signatures as a community-forming device takes us directly into these new work situations. It provides fertile starting points for the analysis of engagement with non-knowledge, traces different ways in which the signature is achieved and points to significant changes in professional work.

  3. [Social representation of domestic violence against women among Nursing Technicians and Community Agents].

    Science.gov (United States)

    Silva, Camila Daiane; Gomes, Vera Lúcia de Oliveira; Oliveira, Denize Cristina de; Marques, Sergio Corrêa; Fonseca, Adriana Dora da; Martins, Sibele da Rocha

    2015-02-01

    To analyze the social representations of the Nursing Technicians and Community Health Agents about domestic violence against women. A qualitative study carried out in the city of Rio Grande, RS, in which evocations and interviews were collected between July and November 2013. For the treatment of data were used the EVOC 2005 software and the context analysis. It is a structured representation, in which the central nucleus contains conceptual, imaging and attitudinal elements, namely: abuse, aggression, physical aggression, cowardice and lack of respect. Such terms were present in the context of the interviews. The professionals acknowledged that violence is not limited to physical aspects and were judgemental about the acts of the aggressor. This knowledge may enable the problematization of the studied phenomenon with the team, and facilitate the search for prevention and intervention strategies for victims, offenders and managers of health services.

  4. Delivery of Community-Based Care Through Inter-professional Teams in Brazil's Unified Health System (UHS): Comparing Perceptions Across Community Health Agents (CHAs), Nurses and Physicians.

    Science.gov (United States)

    Rahman, Rahbel; Pinto, Rogério Meireles; Zanchetta, Margareth Santos; Wall, Melanie M

    2017-05-27

    Given the shortage of medical providers and the need for medical decisions to be responsive to community needs, including lay health providers in health teams has been recommended as essential for the successful management of global health care systems. Brazil's Unified Health System (UHS) is a model for delivering community-based care through Family Health Strategy (FHS) interdisciplinary teams comprised of medical and lay health providers-Community Health Agents (CHAs), nurses, and physicians. This study aims to understand how medical and lay health providers' perceptions and attitudes could impact the delivery of community-based care. The study compares perceptions and attitudes of 168 CHAs, 62 nurses, and 32 physicians across their job context, professional capacities, professional skills, and work environment. Descriptive and bivariate analysis were performed. CHAs reported being the most efficacious amongst the providers. Physicians reported incorporating consumer-input to a lesser degree than nurses and CHAs. CHAs reported using a lesser variety of skills than physicians. A significant proportion of physicians compared to CHAs and nurses reported that they had decision-making autonomy. Providers did not report differences that lack of resources and poor work conditions interfered with their ability to meet consumer needs. This study offers technocratic perspectives of medical and lay health providers who as an inter-professional team provide community-based primary health care. Implications of the study include proposing training priorities and identifying strategies to integrate lay health providers into medical teams for Brazil's Unified Health System and other health systems that aim to deliver community-based care through inter-professional health teams.

  5. Stressors, moderators and stress outcomes: findings from the All-Wales Community Mental Health Nurse Study.

    Science.gov (United States)

    Edwards, D; Burnard, P; Coyle, D; Fothergill, A; Hannigan, B

    2000-12-01

    The All-Wales Community Mental Health Nurse Stress Study was the largest study undertaken in the UK to date to investigate stress, burnout and coping amongst the CMHN workforce. The aim of the study was to examine the variety, frequency and severity of stressors, to describe coping strategies used to reduce work-based stress, and to determine stress outcomes. Questionnaires were sent out to 614 CMHNs from ten NHS Trusts throughout Wales. The response rate was 49% (n = 301). The measures used included the Maslach Human Services Survey, the CPN Stress Questionnaire, the Psychnurse Methods of Coping Questionnaire, the Rosenberg Self-Esteem Scale and the General Health Questionnaire GHQ-12. Community mental health nurses indicated that trying to maintain a good quality service in the midst of long waiting lists, poor resources, and having too many interruptions while trying to work in the office were particularly stressful items. The coping strategies that CMHNs utilized the most were having a stable home life and looking forward to going home at the end of the day, having outside interests and hobbies and talking to people that they got on well with. Forty per cent of CMHNs tended to view themselves negatively, feeling that others did not hold much respect for them. The GHQ-12 measure indicated that 35% of CMHNs had crossed a threshold of psychiatric caseness. Measured against a normative sample of mental health workers, 51% of CMHNs were experiencing high levels of long-term emotional exhaustion. Twenty-four per cent were suffering from high levels of depersonalization burnout and were not relating well to clients, whilst 14% were experiencing severe long-term feelings of lack of personal accomplishment. The results from the study provided us with a picture of stress and coping in CMHNs in Wales. Addressing these factors may help to reduce levels of experienced stress and burnout.

  6. Introduction to Community Nursing in the Application of Community Service%浅谈社区护理在社区服务中的应用

    Institute of Scientific and Technical Information of China (English)

    宋楠

    2015-01-01

    In today’s society is developing fast, people growing demand for health, health care reform progress is particularly important, therefore, to speed up the nursing work of the most close to the public life of the development of community health nursing is more and more important. At the grassroots health hospital to implement the health education work, is also facing some problems, but there is a big difficulty. So as a nursing staff, the effective use of high quality nursing service, improve the quality of nursing, community service in an atmosphere of friendship and trust, to improve the satisfaction of the medical community and community work smoothly in the future has a certain effect.%目的:浅谈社区护理在社区服务中的应用。方法当今社会发展迅速,人们对于健康的需求日益增长,卫生事业改革进展变得尤为重要。结果因此,加快护理工作中最贴近大众生活的社区医疗护理工作的发展也就越来越重要。在基层卫生医院贯彻实施健康教育工作中,也面临不少问题,更是存在很大的难度。结论所以作为护理人员,有效的运用优质护理服务,提高护理质量,使社区服务在友好信任的氛围中进行,对于提高社区体检者的满意度和今后社区工作的顺利开展有着一定的作用。

  7. To each its own: differential response of specialist and generalist herbivores to plant defence in willows.

    Science.gov (United States)

    Volf, Martin; Hrcek, Jan; Julkunen-Tiitto, Riitta; Novotny, Vojtech

    2015-07-01

    Plant-insect food webs tend to be dominated by interactions resulting from diffuse co-evolution between plants and multiple lineages of herbivores rather than by reciprocal co-evolution and co-cladogenesis. Plants therefore require defence strategies effective against a broad range of herbivore species. In one extreme, plants could develop a single universal defence effective against all herbivorous insects, or tailor-made strategies for each herbivore species. The evolution and ecology of plant defence has to be studied with entire insect assemblages, rather than small subsets of pairwise interactions. The present study examines whether specialists and generalists in three coexisting insect lineages, forming the leaf-chewing guild, respond uniformly to plant phylogeny, secondary metabolites, nutrient content and mechanical antiherbivore defences of their hosts, thus permitting universal plant defence strategies against specialized and generalist folivorous insects from various taxa. The extensive data on folivorous assemblages comprising three insect orders and 193 species are linked with plant phylogeny, secondary chemistry (salicylates, flavonoids and tannins), leaf morphological traits [specific leaf area (SLA) and trichome coverage], nutrient (C : N) content and growth form of eight willow (Salix) and one aspen (Populus) species growing in sympatry. Generalists responded to overall host plant chemistry and trichomes, whilst specialists responded to host plant phylogeny and secondary metabolites that are unique to willows and that are capable of being utilized as an antipredator protection. We did not find any significant impact of other plant traits, that is SLA, C : N ratio, flavonoids, tannins and growth form, on the composition of leaf-chewing communities. Our results show that the response to plant traits is differential among specialists and generalists. This finding constrains the ability of plants to develop defensive traits universally effective

  8. 浅析社区护理培训体系的影响因素及策略%Analysis of Influence Factors of Community Nursing Training System

    Institute of Scientific and Technical Information of China (English)

    陈晓俊

    2014-01-01

    The community nursing is an important part of the community health service, the community nursing staf of high quality can improve the quality of community care, community care and training to improve the overal quality of the community nursing personnel is an important way to. Discussion on Influencing Factors of community nursing training system and the corresponding strategy, actively related knowledge on community nursing of understanding and targeted training, provides reference for further perfect our community nursing training system.%社区护理是社区卫生服务的一个重要的构成部分,高素质的社区护理人员可以提高社区护理质量,社区护理培训对社区护理人员的整体素质提高是一个重要途径。探讨影响社区护理培训体系中的主要因素及相应的针对策略,积极对社区护理的相关知识进行了解并且有针对性地进行培训,为进一步的完善我国的社区护理培训体系提供参考。

  9. Expanded practice roles for community mental health nurses in Australia: confidence, critical factors for preparedness, and perceived barriers.

    Science.gov (United States)

    Elsom, Stephen; Happell, Brenda; Manias, Elizabeth

    2008-07-01

    As the momentum for nurse practitioner roles rapidly increases in Australia, little scholarly attention has been directed towards barriers to role expansion, the confidence necessary to undertake expanded practice roles (other than prescription of medication), or the educational preparation required for expanded roles. This paper reports on community mental health nurses' views regarding confidence to undertake expanded roles, their opinions regarding the necessary preparation for such roles, and barriers to role expansion. An questionnaire was administered to 296 community mental health nurses employed in metropolitan and rural settings in Victoria, Australia. In regards to various domains of expanded practice, nurses were least confident about prescribing but more than half (54%) reported that they would either "definitely" or "probably" feel confident. Over 90% reported "probably" or "definitely" feeling confident to make recommendations for involuntary treatment. Eighty-four percent and 79% reported similar levels of confidence in relation to ordering diagnostic tests and referring patients to medical specialists, respectively. Most (95%) agreed that extra educational preparation was necessary in relation to undertaking expanded practice roles successfully. Factors considered most strongly as barriers to expanded nursing practice included the medical profession, followed by fear of litigation, and government departments and policies.

  10. Sustainability Factor Related with the Implementation of Community Mental Health Nursing (CMHN in South and West Jakarta

    Directory of Open Access Journals (Sweden)

    Esti Winahayu

    2016-09-01

    Full Text Available The aim of this study was to determine the sustainability factor related with the implementation of CMHN in South and West Jakarta. The method of the study was cross sectional, data of the nurses was collected by questionnaire of CMHN and pearson correlation was used to analyzed the data. Interviews conducted on stakeholder to get stakeholder perceptions about the sustainability factor of CMHN. The ability of nurse in the implementation of CMHN is 45,86%. The nurse perception toward sustainability factor of CMHN is 67,49%. The result of study shows the significant relationship between the sustainability factor with the implementation of CMHN. The result of analysis interviews with stakeholder about 8 sustainability factors is obtained into several themes: the positive opinion of stakeholder toward the CMHN (the existence of nursing care to the patients, detecting of new case, and reducing stigma and the effort for the sustainability of CMHN (increasing the perception, budget planning, and socialization. The result of the study is recomended to improve the community mental health nursing service in other region. Keywords: CMHN nurses, stakeholder, sustainability, the implementation of CMHN

  11. 我国社区护理学发展的思考与展望%Thinking and perspective on the development of community nursing in China/

    Institute of Scientific and Technical Information of China (English)

    尚少梅; 侯淑肖

    2011-01-01

    社区护理学是护理学专业发展的重要领域之一,在我国护理学科成为一级学科的大背景下,需要重新审视和分析社区护理学的发展现状,对学科的发展趋势进行深入的思考和探讨.本文结合我国社区卫生服务的发展形势和国际社区护理学的发展经验,深入剖析了目前我国社区护理学科发展中存在的现实问题,并进一步展望了我国社区护理学的发展方向,提出了明确学科定位、完善服务内涵与外延、建立人才培养体系等展望和建议,以促进社区护理学的良性健康发展.%Community nursing is an important field of nursing discipline. In China,Nursing has become a first level discipline. It is necessary to review and discuss the current status and development trends of community nursing. Combining the development situation of Chinese community health care with the experience of international community nursing,this article analyzed the practical problems existing in the development of community nursing and further looked forward to the developing direction of community nursing in China. Some suggestions,such as identifying discipline orientation,improving the connotation and extension of community health care,and setting up community nurse training system,were proposed for the healthy development of community nursing.

  12. Australian survey of current practice and guideline use in adult cancer pain assessment and management: The community nurse perspective.

    Science.gov (United States)

    Phillips, Jane L; Lovell, Melanie; Luckett, Tim; Agar, Meera; Green, Anna; Davidson, Patricia

    2015-01-01

    Cancer pain remains a major public health concern. Despite effective treatments being available to manage the majority of cancer pain, this debilitating symptom is frequently under treated. As cancer has becomes a chronic disease a range of health professionals, including community nurses in Australia are increasingly caring for people living with cancer related pain. Yet, little is known about community nurses capacity to assess and manage cancer pain in accordance with best available evidence. This study aimed to: identify the barriers and facilitators to adult cancer pain assessment and management as perceived by Australian health professionals; identify if cancer pain guidelines are currently used; identify barriers and facilitators to guideline use; and establish the need for Australian cancer pain guidelines. This article reports on community nurses' perceptions of managing cancer pain in the community setting. A cross-sectional survey was administered online. Invitations were circulated via peak bodies and clinical leaders seeking the views and experiences of health professionals involved in caring for people living with cancer pain. Descriptive statistics were used to summarise the quantitative data, and thematic content analysis were used to describe the qualitative data. Sixty-two community nurses responded to the survey, representing 29% of the total sample. These participants reported high levels of adherence to accepted cancer pain management practices in their workplace, with 71% nominating the Palliative Care Therapeutic Guideline V.3 as being most frequently used to manage community patients' cancer related pain. Key barriers to effective cancer pain management in the community were: difficulties accessing non-pharmacological interventions (89%), lack of coordination by multiple providers (89%), and impact of distance on ability to access pain-related services for patients (86%). A range of system, health professional and consumer barriers limit

  13. Human resources and wage package (Generalist{sub TM}); Jinji kyuyo package (Generalist{sub TM})

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    The Generalist{sub TM} is an enterprise resource planning (ERP) package to manage human resource information as the property for an enterprise and calculate wages. Enterprises are making efforts to improve the management efficiency in recent years, and put up effective human resource arrangements and utilization, and structuring new wage systems intended of appropriate remuneration. There is a rapid movement to switch the conventional systems structured independently based on general purpose large computers and office computers into packages in open environment by using UNIX and Windows NT(reg sign). The present package is enjoying the growing sales since the release of the first edition in April 1998. It is intended to continue strengthening the functions aiming at achieving the industry's No. 1 package by releasing in April 2000 the version 2.0 that operates on web top. (translated by NEDO)

  14. Training Method of Community Nurses in China%中国社区护士培训方法研究

    Institute of Scientific and Technical Information of China (English)

    杨玲; 杜雪平; 王永利; 苏秀玉

    2011-01-01

    目的 结合中国社区护士培训现状和慢性病患者社区护理服务需求开展社区护理师资培训,探索研究社区护士培训方法,为逐级开展社区护士培训提供参考意见.方法 在9个市的10个社区护理培训基地内,采用整体抽样的方法选取社区护士268人进行社区护理培训现状调查;采用完全随机的方法选取高血压患者274人、糖尿病患者331人进行慢性病患者社区护理服务需求调查;结合社区护理培训现状和慢性病患者社区护理服务需求,采用目的 性抽样的方法选取社区护士及其合作护理学院教师共43名师资,对其进行社区护理理论与实践知识培训,利用培训前后理论考核、总体满意度及教师满意度调查、访谈等方法评价培训效果.结果 社区护士和慢性病患者在基本公共卫生服务等方面有着一致的需求,结合两者需求开展社区护理师资培训,理论摸底考试成绩70分及以下者36人(占85.72%),结业考试成绩70分以上者37人(占88.10%),总体满意度各项评分>9分(总分10分),教师满意度各项评分>9分(总分10分).结论 绝大多数社区护士对社区护理培训有需求,与社区慢性病患者护理需求一致,应结合两者需求对社区护士进行培训.经过社区护理师资培训,社区护理师资理论水平得到提高,培训总体满意度和教师满意度评分较高,反馈较好,总体培训效果较理想.%Objective To organize the TOT ( train of trainers ) based on community nurse training status and demand of chronic disease patients for community nursing services; to explore methods for community nurse training, which will be used to guide the consequent community nurse training step by step. Methods A total of 268 nurses were selected from 10 community nursing training pilots from 9 cities in mainland China using the cluster sampling method and investigated on the status of community nursing training. A total of 274

  15. The APA and the rise of pediatric generalist network research.

    Science.gov (United States)

    Wasserman, Richard; Serwint, Janet R; Kuppermann, Nathan; Srivastava, Rajendu; Dreyer, Benard

    2011-01-01

    The Academic Pediatric Association (APA, formerly the Ambulatory Pediatric Association) first encouraged multi-institutional collaborative research among its members over 30 years ago. Individual APA members subsequently went on to figure prominently in establishing formal research networks. These enduring collaborations have been established to conduct investigations in a variety of generalist contexts. At present, 4 generalist networks--Pediatric Research in Office Settings (PROS), the Pediatric Emergency Care Applied Research Network (PECARN), the COntinuity Research NETwork (CORNET), and Pediatric Research in Inpatient Settings (PRIS)--have a track record of extensive achievement in generating new knowledge aimed at improving the health and health care of children. This review details the history, accomplishments, and future directions of these networks and summarizes the common themes, strengths, challenges, and opportunities inherent in pediatric generalist network research. Copyright © 2011 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  16. Enhancing nursing students' understanding of threshold concepts through the use of digital stories and a virtual community called 'Wiimali'.

    Science.gov (United States)

    Levett-Jones, Tracy; Bowen, Lynette; Morris, Amanda

    2015-03-01

    Wiimali is a dynamic virtual community developed in 2010 and first implemented into our Bachelor of Nursing (BN) program in 2011. The word Wiimali comes from the Gumiluraai Aboriginal language. Wiimali and the digital stories it comprises were designed to engage nursing students and enhance their understanding of the threshold concepts integral to safe and effective nursing practice. In this paper we illustrate some of the key features of Wiimali with web links to a virtual tour of the community and a selection of digital stories. We explain how this innovative educational approach has the potential to lead to transformative learning about concepts such as social justice, person-centred care and patient safety. Consistent feedback about Wiimali attests to the positive impact of this educational approach. Students have commented on how Wiimali caused them to think differently about the concepts of community and social justice; how it brings the health-related problems of community members to life; and how the digital stories enhance their learning about person-centred care and patient safety. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. The training of specialists in Family and Community Health Nursing according to the supervisors of the teaching units.

    Science.gov (United States)

    Oltra-Rodríguez, Enrique; Martínez-Riera, José Ramón; Mármol-López, María Isabel; Pastor-Gallardo, Francisco Javier; Gras-Nieto, Elvira; Holgado-Fernández, Ana

    To analyze the current situation of the training of specialists in family and community nursing from the perspective of nurses responsible for teaching units. Exploratory analysis using nominal group technique of the contributions made by representatives of 19 multidisciplinary teaching units in family and community care from 11 Spanish autonomous communities. They categorized and weighted those contributions. The emerging categories on the strengths and difficulties encountered related to the tutors, the environment where the training took place, the structure of the teaching unit, the organization of the teaching and the official programme of the speciality, the external supports and the theoretical training. Training in Family and Community Nursing is an opportunity to improve primary health care to train in news and necessary but complex skills. Support is required for training to be effective and the specialty and training should be made known. Tutors are a key part of this process. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  18. Problem-Based Learning: An Educational Strategy To Support Nurses Working in a Multicultural Community.

    Science.gov (United States)

    Blackford, Jeanine; Street, Annette

    1999-01-01

    A group of 26 nurses working with families from non-English-speaking backgrounds collaborated in the development and testing of problem-based learning packages. Their usefulness for graduate nursing programs and inservice education was demonstrated. (SK)

  19. Community nursing problems and countermeasures%社区护理存在的问题及对策

    Institute of Scientific and Technical Information of China (English)

    洪丽

    2015-01-01

    社区护理是社区卫生服务的重要组成部分。本文针对目前我国社区护理的发展速度滞后于全科医学发展的状况,结合作者本人基层社区卫生服务中心的工作实践,发现目前我国社区护理所普遍存在的问题,并提出相应的应对策略。%Community nursing is an important part of the community health service. In this paper, aiming at the development of China's community care velocity lag status of general medical development, combining with working practice, the author grass-roots community health service found widespread problems in the community care at present, and puts forward corresponding countermeasures.

  20. Beyond section Q: prioritizing nursing home residents for transition to the community

    Directory of Open Access Journals (Sweden)

    Fries Brant E

    2012-07-01

    Full Text Available Abstract Background Nursing Facility Transition (NFT programs often rely on self-reported preference for discharge to the community, as indicated in the Minimum Data Set (MDS Section Q, to identify program participants. We examined other characteristics of long-stay residents discharged from nursing facilities by NFT programs, to “flag” similar individuals for outreach in the Money Follows the Person (MFP initiative. Methods Three states identified persons who transitioned between 2001 and 2009 with the assistance of a NFT or MFP program. These were used to locate each participant’s MDS 2.0 assessment just prior to discharge and to create a control sample of non-transitioned residents. Logistic regression and Automatic Interactions Detection were used to compare the two groups. Results Although there was considerable variation across states in transitionees’ characteristics, a derived “Q + Index” was highly effective in identifying persons similar to those that states had previously transitioned. The Index displays high sensitivity (86.5% and specificity (78.7% and identifies 28.3% of all long-stayers for follow-up. The Index can be cross-walked to MDS 3.0 items. Conclusions The Q + Index, applied to MDS 3.0 assessments, can identify a population closely resembling persons who have transitioned in the past. Given the US Government’s mandate that states consider all transition requests and the limited staffing available at local contact agencies to address such referrals, this algorithm can also be used to prioritize among persons seeking assistance from local contact agencies and MFP providers.

  1. Bridging Community Generational Gaps through Experiential Learning: A College Nursing Student Practicum for Elderly Patients

    Science.gov (United States)

    Pate, Jane D.

    2013-01-01

    At the study site, an elder care practicum was adopted after nursing students demonstrated a lack of interest in the well-being of elderly patients. The purpose of the study was to determine if there was a change in college nursing students' attitudes toward nursing home residents as a result of increased intergenerational exposure following an…

  2. Bridging Community Generational Gaps through Experiential Learning: A College Nursing Student Practicum for Elderly Patients

    Science.gov (United States)

    Pate, Jane D.

    2013-01-01

    At the study site, an elder care practicum was adopted after nursing students demonstrated a lack of interest in the well-being of elderly patients. The purpose of the study was to determine if there was a change in college nursing students' attitudes toward nursing home residents as a result of increased intergenerational exposure following…

  3. Appraisal of cooperation with a palliative care case manager by general practitioners and community nurses: a cross-sectional questionnaire study.

    NARCIS (Netherlands)

    Plas, A.G.M. van der; Onwuteaka-Philipsen, B.D.; Vissers, K.C.; Deliens, L.; Jansen, W.J.J.; Francke, A.L.

    2016-01-01

    Aims: To investigate how general practitioners and community nurses value the support that they receive from a nurse case manager with expertise in palliative care, whether they think the case manager is helpful in realizing appropriate care and what characteristics of the patient and case managemen

  4. Enhancing parents' confidence to care in acute childhood illness: triangulation of findings from a mixed methods study of Community Children's Nursing.

    Science.gov (United States)

    Callery, Peter; Kyle, Richard G; Banks, Michele; Ewing, Carol; Kirk, Susan

    2013-11-01

    Children's emergency hospital use is of concern internationally, but there has been little examination of home care by nurses. To examine the care provided by community children's nurses during acute illness. Triangulation of findings from case studies of three Community Children's Nursing Teams. Parents or carers (n = 763) completed questionnaires between 2008-2010 about their contacts with nurses and satisfaction with aspects and overall assessment of nursing care provided. Eighty-one individuals participated in semi-structured interviews: 29 parents/carers described their experiences and explained their questionnaire responses in more detail; 13 children talked about their care both in hospital and at home; and 39 nurses and other healthcare providers explained how nurses supported care of children at home. Questionnaire data were analysed descriptively and interview data qualitatively. The findings were integrated by triangulation of methods (questionnaires and interviews) and of data from different informants (children, parents, healthcare providers). Nursing care most frequently took the form of advice and education by either home visits or telephone contact. Parents and children were reassured by access to nurses and it gave them confidence to care at home. Most respondents thought that it reduced the time their children spent in hospital. Nurses can make an important contribution to supporting parents to care confidently for their children at home to reduce or even to avoid hospitalization for acute conditions and give them confidence to manage future episodes of illness. © 2013 Blackwell Publishing Ltd.

  5. Community nurses' experiences of ethical problems in end-of-life care in the patient's own home.

    Science.gov (United States)

    Karlsson, Margareta; Karlsson, Christina; Barbosa da Silva, António; Berggren, Ingela; Söderlund, Maud

    2013-12-01

    To gain a deeper understanding of community nurses' experiences of ethical problems in end-of-life care in the patient's own home. Ten female nurses from five different communities with experience of end-of-life care were interviewed. A hermeneutic approach inspired by Gadamer was used to analyse the qualitative data from the interviews. In the first step of interpretation, two themes emerged: Uncomfortable feelings and Lack of cooperation and in the second step, one theme Lack of security emerged. Finally, the overall interpretation revealed the theme Feelings of loss of control in end-of-life care in the patient's own home. The nurses exhibited commitment and a desire to do good when caring for patients in the end-of-life phase, even if they sometimes experienced feelings of lack of control. This implies that, when confronted with care-related issues, they have the power to both act and react. This study aimed to increase understanding of ethical problems that arise in end-of-life care in the patient's own home and revealed the need to take the patients', relatives' and nurses' perspectives on health and suffering into consideration to ensure good end-of-life home care. © 2012 The Authors Scandinavian Journal of Caring Sciences © 2012 Nordic College of Caring Science.

  6. Emotional rescue: the role of emotional intelligence and emotional labour on well-being and job-stress among community nurses.

    Science.gov (United States)

    Karimi, Leila; Leggat, Sandra G; Donohue, Lisa; Farrell, Gerald; Couper, Greta E

    2014-01-01

    To investigate the extent to which emotional labour and emotional intelligence are associated with well-being and job-stress among a group of Australian community nurses. The moderating role of emotional intelligence was evaluated as a key factor in the rescue of healthcare workers from job-stress, thus increasing job retention. Although emotional labour has been broadly investigated in the literature, the contribution of emotional labour and emotional intelligence to the well-being and experience of job-stress in a community nursing setting requires further exploration. This study used a cross-sectional quantitative research design with data collected from Australian community nurses. Australian community nurses (n = 312) reported on their perceived emotional labour, emotional intelligence and their levels of well-being and job-stress using a paper and pencil survey in 2010. Results from structural equation modelling support the hypothesis that both emotional labour and emotional intelligence have significant effects on nurses' well-being and perceived job-stress. Emotional intelligence plays a moderating role in the experience of job-stress. These findings provide additional evidence for the important effects that emotional labour and emotional intelligence can have on well-being and job-stress among community nurses. The potential benefits of emotional intelligence in the nurses' emotional work have been explored. © 2013 John Wiley & Sons Ltd.

  7. Shifts in Attitudes, Knowledge, and Social Goals in Nursing Students Following Structured Contact With Community-Dwelling Older Adults.

    Science.gov (United States)

    Redfield, Carol S; McGuire, Adam P; Lin, Ting-Chun; Orton, Valorie J; Aust, Melissa; Erickson, Thane M

    2016-10-01

    Traditional nursing pedagogies have not systematically addressed the ageist perspectives students bring into training that threaten competent care for older adults. The current study evaluated nursing students' shifts in attitudes, knowledge about aging, and social goals during a program of repeated and structured social interactions with community-dwelling older adults. Beginning nursing students in pairs met with high-functioning older adults four times over 8 months to provide brief health promotion activities. Students' knowledge and attitudes on aging were assessed at baseline and prior to each visit; social goals were assessed after each visit. Multilevel growth curves revealed increases in students' knowledge about aging and positive views on caring for older adults. Motivation to help older adults (i.e., compassionate goals) did not change, but students' motivation to defend their competence (i.e., self-image goals) declined. A relational contact-based program may shift knowledge, attitudes, and social goals in nursing students, complementing traditional classroom nursing education. [J Nurs Educ. 2016;55(10):569-573.]. Copyright 2016, SLACK Incorporated.

  8. The implementation of the UHC/AACN new graduate nurse residency program in a community hospital.

    Science.gov (United States)

    Maxwell, Karen L

    2011-03-01

    Transition into the workforce for the new graduate nurse is affected by many factors. New graduate nurses can benefit from support provided through participation in the UHC/AACN Residency Program. The retention of even one graduate nurse saves the employing institution up to an estimated $80,000 annually. St Joseph's Hospital has improved the retention of new graduate nurses from approximately 40% to 100% with the addition of the UHC/AACN Residency Program alongside other system changes. Data are being monitored at St Joseph's and on a national level through this multisite collaborative aimed at improving patient care and increasing nurse retention.

  9. A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts.

    Science.gov (United States)

    Allen, Jacqui; Annells, Merilyn

    2009-04-01

    To explore through literature review the appropriateness of three common tools for use by community nurses to screen war veteran and war widow(er) clients for depression, anxiety and post-traumatic stress disorder. War veterans and, to a lesser extent, war widow(er)s, are prone to mental health challenges, especially depression, anxiety and post-traumatic stress disorder. Community nurses do not accurately identify such people with depression and related disorders although they are well positioned to do so. The use of valid and reliable self-report tools is one method of improving nurses' identification of people with actual or potential mental health difficulties for referral to a general practitioner or mental health practitioner for diagnostic assessment and treatment. The Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist are frequently recommended for mental health screening but the appropriateness of using the tools for screening war veteran and war widow(er) community nursing clients who are often aged and have functional impairment, is unknown. Systematic review. Current literature informs that the Geriatric Depression Scale accurately predicts a diagnosis of depression in community nursing cohorts. The three Depression Anxiety Stress Scales subscales of depression, anxiety and stress are valid; however, no studies were identified that compared the performance of the Depression Anxiety Stress Scales in predicting diagnoses of depression or anxiety. The Post-traumatic Stress Disorder Checklist predicts post-traumatic stress disorder in community cohorts although no studies meeting the selection criteria included male participants. This review provides recommendations for the use of the Geriatric Depression Scale, Depression Anxiety Stress Scales and The Post-traumatic Stress Disorder Checklist based on examination of the published evidence for the application of these screening tools in samples

  10. Community Health Care for the Elderly and Nursing care%社区老年人的保健与护理

    Institute of Scientific and Technical Information of China (English)

    付敏

    2013-01-01

    Objective:To explore community; health care for the elderly and nursing methods. Methods:since 2010 my community for people over 60 years old in 80 cases and nursing care data analysis. Results: Through community care and nursing work effectively prevent senile body function decline, maintain elderly normal activities, improve the elderly population health, delaying senility. Conclusion: The community nursing staff skilled in related professional knowledge, keen observation and accurate judgment, can be found in elderly patients with health problems and a variety of subtle changes, take effective measures, as soon as possible to restore the health of the elderly.%  目的:探讨社区老年人的保健及护理方法。方法:选取2010年以来我社区60岁以上老年人80例保健及护理资料进行分析。结果:通过社区保健及护理工作有效地预防老年人机体功能减退、维持老年人正常的生活活动能力,提高老年群体健康,延缓衰老。结论:社区护理人员熟练地掌握相关的专业知识,具备敏锐的观察能力和准确的判断能力,能够及时发现老年患者的健康问题及各种细微的变化,及早采取正确有效的措施,尽快恢复老人健康。

  11. Investigation on public health nursing knowledge and the demand among nurses in Shenzhen community%深圳市社区护士公共卫生护理知识掌握及需求情况的调查

    Institute of Scientific and Technical Information of China (English)

    曾维; 吴惠平; 李晓惠; 林怿昊; 李学云; 牛姬飞

    2010-01-01

    目的 对深圳市社区卫生服务中心,社区护士公共卫生护理知识掌握及需求情况进行调查,为社区公共卫生护理的发展定位与护士的培养提出方法 和对策.方法 采用问卷调查,随机整群抽取辖区33家社康中心150名护士作为调查对象,了解社区护士对公共卫生知识的掌握情况和培训需求的顺位.结果 深圳市社区护士学历和职称偏低,掌握知识较少的为现场流行病学与统计的应用,社区公共卫生护理模式,最需要培训的是社区突发性公共卫生事件紧急救护,常见传染性疾病的预防与护理.结论 社区护士对公共卫生护理知识缺乏,社区护理工作应均衡发展,根据社区护士对公共卫生护理知识不足及需求,有针对性加强培训.%Objective To investigate the public health nursing knowledge and the demand among nurses in Shenzhen community health service center, so as to provide evidence for the development of orientation and training methods and measures. Methods Random cluster sample and questionnaire survey were used to investigate 150 nurses from 33 community health service centers in order to understand public health knowledge and the training demand of Shenzhen community nurses. Results The education and professional level of Shenzhen community nurses were comparely low. They were lack of knowledge in terms of the epidemiology, the application of statistics, the community public health nursing mode. The most needed training was the abilities of sudden public health event emergency and common infectious disease prevention and care.Conclusions Community nurse lacks the public health nursing knowledge. The work of community nurses should develop balanced. Community nursers should be strengtened to train according to the public health nursing knowledge insufficiency and the demand of nurses.

  12. 高血压病的社区护理干预分析%Community nursing intervention analysis of hypertension

    Institute of Scientific and Technical Information of China (English)

    徐天红

    2014-01-01

    Objective To analyze the hypertension of community nursing intervention effect. Methods Analysis of 200 cases of patients with high blood pressure the effect of the implementation of community nursing intervention. Results After the intervention effect of the patient's blood pressure levels significantly decreased,compared with before treatment. Conclusion Hypertension,community nursing for hypertension patients,to improve the cognitive and protection consciousness.%目的:分析研究高血压病的社区护理干预实施效果。方法分析研究200例高血压患者实施社区护理干预的效果。结果干预实施后,患者的血压水平明显下降,与治疗前相比有差异。结论高血压病实施社区护理,有利于提高患者对高血压认知以及防护意识,对于提高患者生活质量水平相当重要。

  13. 试析社区护士角色道德%Analysis of Role Morality on Community Nurses

    Institute of Scientific and Technical Information of China (English)

    刘丽; 李含晖; 孙燕

    2013-01-01

    角色道德是由角色产生、发展而形成的一种心理结构.社区护士的角色道德问题表现为角色不清、缺乏角色转换的心理准备,原因在于社区护士的形象模糊、制度建设不完善以及缺乏提升自我素质和境界的环境.建议以道德文化为切入点推进角色道德建设,以角色道德价值观教育为核心,构建适合社区护士的角色道德规范.%The role morality is a psychological structure of the development and formation.Performance of role ethical issues of community nurse are unclear and lack of role switch with psychologically prepared.The reasons are fussiness of community nurses image,imperfections of system construction and the lack of an environment to enhance the the quality of self and ideological level.It is proposal that from moral culture promoting role of moral construction,building role morality standards for community nurses with the role of moral values education as the core.

  14. Implementing Cooperative Learning in Australian Primary Schools: Generalist Teachers' Perspectives

    Science.gov (United States)

    Hennessey, Angela; Dionigi, Rylee A.

    2013-01-01

    To implement cooperative learning successfully in practice, teachers require knowledge of cooperative learning, its features and terms, and how it functions in classrooms. This qualitative study examined 12 Australian generalist primary teachers', understandings of cooperative learning and perceived factors affecting its implementation. Using…

  15. Evolution of pollination niches in a generalist plant clade.

    Science.gov (United States)

    Gómez, José María; Perfectti, Francisco; Abdelaziz, Mohamed; Lorite, Juan; Muñoz-Pajares, Antonio Jesús; Valverde, Javier

    2015-01-01

    It is widely assumed that floral diversification occurs by adaptive shifts between pollination niches. In contrast to specialized flowers, identifying pollination niches of generalist flowers is a challenge. Consequently, how generalist pollination niches evolve is largely unknown. We apply tools from network theory and comparative methods to investigate the evolution of pollination niches among generalist species belonging to the genus Erysimum. These species have similar flowers. We found that the studied species may be grouped in several multidimensional niches separated not by a shift of pollinators, but instead by quantitative variation in the relative abundance of pollinator functional groups. These pollination niches did not vary in generalization degree; we did not find any evolutionary trend toward specialization within the studied clade. Furthermore, the evolution of pollination niche fitted to a Brownian motion model without phylogenetic signal, and was characterized by frequent events of niche convergences and divergences. We presume that the evolution of Erysimum pollination niches has occurred mostly by recurrent shifts between slightly different generalized pollinator assemblages varying spatially as a mosaic and without any change in specialization degree. Most changes in pollination niches do not prompt floral divergence, a reason why adaptation to pollinators is uncommon in generalist plants. © 2014 The Authors. New Phytologist © 2014 New Phytologist Trust.

  16. 不同教育层次护生对社区护理认知及就业意愿的调查%Investigation on awareness of community nursing and employment intentions among nursing students in different education levels

    Institute of Scientific and Technical Information of China (English)

    张丽凤; 卢孟密; 李春坚; 韦义萍; 廖海涛

    2012-01-01

    目的 了解不同教育层次护士学生(以下简称护生)对社区护理的认知及就业意愿,为促进高校社区护理教育改革,发展社区护理提供依据.方法 采用自行设计的调查问卷对821名不同教育层次护生进行调查.结果 不同教育层次护生对社区护理工作的主观认识及社区护理的就业意愿比较,差异具有统计学意义(均P<0.01).影响护生选择社区护理作为就业意向的因素有个人因素、专业因素和社会因素.已学习《社区护理学》课程的护生较未学习的护生对社区护理知识的认知得分高.结论 在校护生对社区护理知识整体认知不足,就业于社区的意愿不高.学校应加强指导,改善社区护理实践环境,并适当开展职业指导以培养护生正确的择业观.%Objective To investigate the community nursing knowledge of nursing students in different education levels and their employment intentions so as to promote the university community nursing education reform and provide the basis for the development of community nursing. Method A total of 821 nursing students were surveyed by a self-made questionnaire. Results Among the nursing students in different education levels, there were significant differences in the subjective understanding of the community nursing and their employment intentions (all P < 0.01). The factors influencing nursing students' intentions to choose community nursing as their career included personal, professional and social factors. There were significant differences in the recognition of community nursing knowledge between those having learned the course of Community Nursing and those not having learned it (P < 0.05), but both scored lower. Conclusions The nursing students are lack of recognition of community nursing knowledge and their intentions to work at the communities are not powerful. The schools should strengthen theoretical teaching, improve community nursing practice environment, carry

  17. Critical moments in preschool obesity: the call for nurses and communities to assess and intervene.

    Science.gov (United States)

    Water, Tineke

    2011-12-01

    Thirty years ago obesity was rarely seen in children but is now described as a world wide pandemic. Previous research has focused on school age children; however, researchers have now identified critical moments of development during uterine life and early infancy where negative factors or insults could cause permanent changes in the structure and function of tissues and lead to epigenetic changes. Obesity in preschool children can cause premature and long term chronic health problems; has been associated with academic and social difficulties in kindergarten children; difficulty with social relationships; increased feelings of sadness, loneliness and anxiety; and negative self image in children as young as 5 years of age. The importance of identifying children under the age of five with obesity and associated risks is important yet less than half of health professionals intervene in cases of preschool obesity. This paper explores the concerns around antenatal and preschool obesity and the challenges for nurses and midwives in assessing and providing appropriate interventions for children and families in community settings.

  18. Macrophytes shape trophic niche variation among generalist fishes

    Science.gov (United States)

    Vejřík, Lukáš; Šmejkal, Marek; Čech, Martin; Sajdlová, Zuzana; Frouzová, Jaroslava; Kiljunen, Mikko; Peterka, Jiří

    2017-01-01

    Generalist species commonly have a fundamental role in ecosystems as they can integrate spatially distinct habitats and food-web compartments, as well as control the composition, abundance and behavior of organisms at different trophic levels. Generalist populations typically consist of specialized individuals, but the potential for and hence degree of individual niche variation can be largely determined by habitat complexity. We compared individual niche variation within three generalist fishes between two comparable lakes in the Czech Republic differing in macrophyte cover, i.e. macrophyte-rich Milada and macrophyte-poor Most. We tested the hypothesis that large individual niche variation among generalist fishes is facilitated by the presence of macrophytes, which provides niches and predation shelter for fish and their prey items. Based on results from stable nitrogen (δ15N) and carbon (δ13C) isotopic mixing models, perch (Perca fluviatilis L.) and rudd (Scardinius erythrophthalmus (L.)) showed larger individual variation (i.e., variance) in trophic position in Milada as compared to Most, whereas no significant between-lake differences were observed for roach (Rutilus rutilus (L.)). Contrary to our hypothesis, all the three species showed significantly lower individual variation in the relative reliance on littoral food resources in Milada than in Most. Rudd relied significantly more whereas perch and roach relied less on littoral food resources in Milada than in Most, likely due to prevalent herbivory by rudd and prevalent zooplanktivory by perch and roach in the macrophyte-rich Milada as compared to macrophyte-poor Most. Our study demonstrates how the succession of macrophyte vegetation, via its effects on the physical and biological complexity of the littoral zone and on the availability of small prey fish and zooplankton, can strongly influence individual niche variation among generalist fishes with different ontogenetic trajectories, and hence the overall

  19. Assessing the educational and support needs of nursing staff serving older adults: a case study of a community coalition/university partnership.

    Science.gov (United States)

    Perry, Tam E; Ziemba, Rosemary

    2014-09-01

    Given the expected changes in demography and dependent care ratios, communities are preparing for the needs of older populations. Sometimes, communities form coalitions to address health-care needs. This case study evaluates a coalition/university partnership formed to assess the educational and support needs of nursing staff who are taking care of older adults across all service settings in one geographically defined community. A 17-member community-based coalition contracted with researchers from an external university to determine the perceptions of three key stakeholder groups: older adults and their families, all levels of nursing staff, and agency administrators. By applying principles of Participatory Action Research (PAR), this case study presents the challenges faced in the community-based coalition/university research team partnership. This coalition/research partnership is unique, differing from most academic examples of PAR because nursing professionals initiated the partnership.

  20. Supporting communities of practice: A reflection on the benefits and challenges facing communities of practice for research and engagement in nursing

    Directory of Open Access Journals (Sweden)

    Maretha De Waal

    2016-09-01

    Full Text Available Because of its potential self-sustainability, communities of practice may serve as useful practice-based knowledge sharing platforms for collaborative research and training, and thereby enhance development of human resources in the health sector. However, communities of practice are complex structures and need support from their host organisations and commitment from their members.  This article examines the diverse ways in which communities of nurse educators and practitioners who were part of a funded program in Tshwane District, South Africa evolved over a period of seven years. Adopting an ethnographic approach of reflexivity and learning, we compared and analysed the ways in which the communities of practice became sustainable over time. Our recommendations for institutional support of communities of practice in the health sector are based on the lessons we learned during the program that contributed to the configuration and reconfiguration of some of our communities of practice and the disengagement of others. We believe that our findings may have implications for replicability and sustainability of other communities of practice. Keywords: collaborative learning, collective knowledge, self-sustainability

  1. Benefits, barriers, and intentions/desires of nurses related to distance learning in rural island communities.

    Science.gov (United States)

    Kataoka-Yahiro, Merle R; Richardson, Karol; Mobley, Joseph

    2011-03-01

    This study assessed distance learning needs among nurses on the Neighbor Islands in Hawaii. An exploratory study was conducted using a descriptive qualitative design. Of the 37 nurses who completed the study, 7 were nurse administrators and 30 were staff nurses. There were 18 focus groups of nurses recruited from six public hospitals on the Neighbor Islands. Three major themes related to distance learning emerged in this study: benefits, barriers, and intentions/desires. Each major theme had several linkages to categories and subcategories. Overall findings were as follows: (1) cost was mentioned more often in three major thematic areas (benefit, barriers, and intentions/desires); (2) the need to revisit and address current curriculum approaches and practices in distance learning programs was identified; and (3) strong recommendations were made for programs and organizational support for distance learning in hospital settings. These findings have implications for nursing research, education, and practice. Copyright 2011, SLACK Incorporated.

  2. Survey and analysis on demand on training context of nursing station for community nurses%社区护士对护理岗位培训内容需求的调查与分析

    Institute of Scientific and Technical Information of China (English)

    张勤梅; 黄娟琴; 姚智萍; 许月萍

    2011-01-01

    Objective To investigate the demand on training context of nursing station for community nurses. Method Investigate 119 nurses by self-designed questionnaire. Result The first five training demands of community nursing station are comprehensive service skills (89. 9%), interpersonal communication skills (76. 5%), obtaining new knowledge and improvement on professional level (74. 8%), coping ability on community emergencies (73. 9%) and self - protection (72. 3%}. Conclusion Community nurses have a comprehensive demand on training context of nursing station.%目的 调查社区护士对护理岗位培训内容的需求.方法 自行设计调查问卷,对119名社区护士进行调查.结果 社区护理岗位培训需求前5位内容分别是综合服务技能(89.9%)、人际交往与沟通技巧(76.5%)、获取新知识发展自身业务水平(74.8%)、社区突发事件应对(73.9%),自我防护(72.3%).结论 社区护士对护理岗位培训的需求高,面较广.

  3. 高职护生社区护理职业情感和就业意向的调查%Investigation on professional affection about community nursing and employment intention of the associate nursing students

    Institute of Scientific and Technical Information of China (English)

    郑婉玉; 胡蓉芳

    2011-01-01

    Objective To learn the professional affection about community nursing and employment intention of the associate nursing students. Methods 109 associate nursing students were investigated with selfdesigned questionnaires. Results Most students felt high pressure about employment, only 30. 3 percent students were willing to be community nurses, the data revealed that inferior personal prospect, lower salary and insufficiency knowledge about community nursing influenced the participants' career choice, they were passive to community nursing,70.6 percents students thought that community nursing education at school was not enough to meet the needs of community work. Conclusions Nursing schools should pay more attention to cultivate the professional affection about community nursing and the communication ability of the students, develop the professional guidance and improve the teaching environment of community nursing.%目的 了解高职毕业护生社区护理的职业情感和就业意向状况,为高职护生的培养提供参考.方法 采用自制问卷对109名高职毕业护生进行问卷调查.结果 高职护生多数感到就业压力大,仅30.3%表示愿意选择社区护理岗位,其影响因素有个人发展前景不好、社区护士待遇低、人们对社区护理的认识不够等;护生对社区护理的职业情感负性情绪较多,70.6%的护生认为学校的社区护理教育不能够满足社区护理工作的需要.结论 学校应加强培养高职护生正确的职业认知,开展适当的职业指导,加强社区护理实习教学环境的建设,重视护生人文沟通能力的培养.

  4. Nurse clinic versus home delivery of evidence-based community leg ulcer care: A randomized health services trial

    Directory of Open Access Journals (Sweden)

    Buchanan Maureen

    2008-11-01

    Full Text Available Abstract Background International studies report that nurse clinics improve healing rates for the leg ulcer population. However, these studies did not necessarily deliver similar standards of care based on evidence in the treatment venues (home and clinic. A rigorous evaluation of home versus clinic care is required to determine healing rates with equivalent care and establish the acceptability of clinic-delivered care. Methods Health Services RCT was conducted where mobile individuals were allocated to either home or nurse clinic for leg ulcer management. In both arms, care was delivered by specially trained nurses, following an evidence protocol. Primary outcome: 3-month healing rates. Secondary outcomes: durability of healing (recurrence, time free of ulcers, HRQL, satisfaction, resource use. Data were collected at base-line, every 3 months until healing occurred, with 1 year follow-up. Analysis was by intention to treat. Results 126 participants, 65 randomized to receive care in their homes, 61 to nurse-run clinics. No differences found between groups at baseline on socio-demographic, HRQL or clinical characteristics. mean age 69 years, 68% females, 84% English-speaking, half with previous episode of ulceration, 60% ulcers at inclusion 2 for Conclusion Our findings indicate that organization of care not the setting where care is delivered influences healing rates. Key factors are a system that supports delivery of evidence-based recommendations with care being provided by a trained nursing team resulting in equivalent healing rates, HRQL whether care is delivered in the home or in a community nurse-led clinic. Trial registration ClinicalTrials.gov Protocol Registration System: NCT00656383

  5. Nursing diagnosis of the Nutrition domain identified among the elderly in the community

    OpenAIRE

    Jorge Wilker Bezerra Clares; Maria Célia de Freitas

    2013-01-01

    The objective of this descriptive study was to identify the nursing diagnosis under the Nutrition domain, according to NANDA International Taxonomy II, in elderly patients of primary health care units in Fortaleza, Ceará, Brazil. The intentional sample consisted of 52 subjects. Data collection was performed at the elderly’s home, in May and June of 2011, by means of the application of a nursing history, following the theoretical framework proposed by Henderson. The nursing diagnoses were esta...

  6. Development of community nursing: analysis of the central services and practice dilemmas.

    Science.gov (United States)

    Timpka, T; Svensson, B; Molin, B

    1996-06-01

    As examples of nurse practitioners in primary care, Swedish district nurses have been shown, in several studies, to respond well to the general pressure to achieve higher productivity in health care. Yet they have less frequently been involved in studies of the detailed content of the service they provide. To maintain total service quality, change should not be brought about only for the sake of efficacy. This study is divided into an analysis of the basic service provided in district nursing by identifying a typical interaction with a patient; and an analysis of the daily dilemmas district nurses experience, their consequences, and possible measures for change. For the consultation study, data were collected from 40 videorecordings of office-hour consultations by a rural district nurse. Regarding the dilemma situations, a critical incident questionnaire was returned by 153 district nurses in a Swedish country. The analyses showed that the district nurse practises in an area between self-care on the one hand, and the intersection of the different specialties in health care, on the other. Both the consultation study and the study of dilemmas in practice showed that the district nurse has to approach the health care organisation from a viewpoint close to that of the patient, which implies that she can, and has to, maintain an overview of the patient's total interaction with social institutions. This focal localisation of the shared care and co-ordination aspects constitutes a critical target for change and development efforts. The conclusions are that, first, the role of the district nurse/nurse practitioner as co-ordinator and advocate in patient-centred care could be considered in central health services policies and planning. Second, the content of the district nurses' daily work could be taken into account in the implementation of quality programs. These measures together can lead to an integration between today's theoretical nursing models and the dynamically

  7. Investigation of work pressure status in community nursing personnel%社区护理人员工作压力状况的调查

    Institute of Scientific and Technical Information of China (English)

    罗菊珍; 陈秀香; 王延红; 苏燕; 王燕华; 朱丽平; 陶金风

    2010-01-01

    目的 了解龙岗区社区护理人员工作压力现状,以寻找帮助减轻其工作压力的途径.方法 采取问卷调查的方式,应用中国护士工作压力源量表,全区随机进行测查200名社区护士,共发放问卷200份,收回有效问卷198份,并进行统计分析.结果 护理人员的社会地位低、护士编制不足、非护理性的工作多、继续深造的机会少是社区护理人员的主要工作压力源.结论 应适当调整社区护理人员人力资源结构,完善管理模式,合理安排休假,提高护士的奖金、福利待遇及社会地位.%Objective To understand the work pressure status in community nursing personnel in Longgang district of Shenzhen, to look for the ways to reduce their work pressure. Methods Through questionnaire, with work pressure source quantity table of China nurses, 200 community nurses in Longgang district of Shenzhen were randomly investigated, the effective questionnaire of 198 community nurees in Longgang district of Shenzhen were collected for statistical analysis. Results The social position of nursing jobs is low, the quantity of nurses on duty is not enough, the work load of nurses is too heavy, non-nursing work is too much; the opportunity of further education is rare. Conclusions The structure of human resources in community nursing personnel should be properly adjusted; community nursing management model should be perfected.

  8. The impact of ongoing national terror on the community of hospital nurses in Israel.

    Science.gov (United States)

    Ron, Pnina; Shamai, Michal

    2014-04-01

    The main goal of this study was to explore the connections between the exposure of nurses in Israel to national terror and the levels of distress experienced due to ongoing terror attacks. The data were collected from 214 nurses from various parts of Israel who work in three types of heath services (mainly hospital departments) and provide help to victims of terror. The nurses reported very high levels of burnout, high levels of stress and medium-to high levels of intrusive memories. Levels of exposure were associated with burnout, intrusive memories and level of stress. More professional attention should be given to hospital nurses who provide care for trauma patients.

  9. Functional Diversity as a New Framework for Understanding the Ecology of an Emerging Generalist Pathogen.

    Science.gov (United States)

    Morris, Aaron; Guégan, Jean-François; Benbow, M Eric; Williamson, Heather; Small, Pamela L C; Quaye, Charles; Boakye, Daniel; Merritt, Richard W; Gozlan, Rodolphe E

    2016-09-01

    Emerging infectious disease outbreaks are increasingly suspected to be a consequence of human pressures exerted on natural ecosystems. Previously, host taxonomic communities have been used as indicators of infectious disease emergence, and the loss of their diversity has been implicated as a driver of increased presence. The mechanistic details in how such pathogen-host systems function, however, may not always be explained by taxonomic variation or loss. Here we used machine learning and methods based on Gower's dissimilarity to quantify metrics of invertebrate functional diversity, in addition to functional groups and their taxonomic diversity at sites endemic and non-endemic for the model generalist pathogen Mycobacterium ulcerans, the causative agent of Buruli ulcer. Changes in these metrics allowed the rapid categorisation of the ecological niche of the mycobacterium's hosts and the ability to relate specific host traits to its presence in aquatic ecosystems. We found that taxonomic diversity of hosts and overall functional diversity loss and evenness had no bearing on the mycobacterium's presence, or whether the site was in an endemic area. These findings, however, provide strong evidence that generalist environmentally persistent bacteria such as M. ulcerans can be associated with specific functional traits rather than taxonomic groups of organisms, increasing our understanding of emerging disease ecology and origin.

  10. Community Nursing Willingness and Its Influencing Factors of Clinical Nurses in Wenzhou%温州市部分临床护士从事社区护理工作的意愿及其影响因素

    Institute of Scientific and Technical Information of China (English)

    胡晓秋; 严笑金

    2011-01-01

    目的 了解临床护士从事社区护理的意愿,分析影响临床护士从事社区护理的因素,为上级行政部门在建设社区护士队伍的过程中提供政策依据.方法 2010年3-7月,采取分层抽样与整群抽样结合的方式,选取温州地区3所医院的393名临床护士为调查对象,对其进行自填式问卷调查,对临床护士从事社区护理工作的意愿进行Logistic回归分析.结果 温州市49.10%的护士愿意从事社区护理工作,当前温州市社区护理工作的客观条件满意度总评分为3.07分.医院等级、工作年限、职称、年薪、是否参加过有关学习或培训这5个变量对温州市临床护士从事社区护理工作的意愿具有显著影响(P<0.05).结论 较小的工作压力、良好的行业发展前景是吸引临床护士从事社区护理工作的主要因素,而较低的社会认同度、一般的工作环境和不太高的薪资待遇则是临床护士不愿意从事社区护理工作的主要原因.%Objective To comprehend the community nursing willingness of clinical nurses, and analyze the factors affecting the community nursing willingness,so as to provide the policy basis for the administrative department in the process of developping community nurses. Methods Using the stratified sampling and cluster sampling methods,393 nurses from three hospitals in Wenzhou were selected for the investigation of the community care willingness from March to July 2010. A self-administered questionnaire was adopted for the community nursing willingness in clinical nurses and the results were analyzed by Logistic regression. Results Totally 49. 10% of the nurses were willing to engage in community nursing work. The total score of objective conditions was 3. 07 points for current wenzhou community nursing work. The five variables of hospital level,service year,title,salary,whether attending the learning or training have significant effect in the community nursing willingness of

  11. 社区护士对中医护理理论和技能的认知和需求现状%Survey of community nurses knowledge and demands on nursing theories and skills of Traditional Chinese Medicine

    Institute of Scientific and Technical Information of China (English)

    陆旭亚; 马小琴

    2011-01-01

    目的 了解社区护士对中医护理理论和技能的认知和需求情况.方法 采用便利抽样法抽取杭州市10所社区卫生服务中心184名社区护士进行问卷调查.结果 社区护士对中医养生保健的认知和需求度最高,而中医基础知识需求度最低.结论 应加强对社区护士中医护理理论和技能的系统培训,发挥中医护理特色与优势,促进中医护理在社区卫生保健服务中的推广.%Objective To investigate the status of community nurses knowledge and demands on nursing theories and skills of Traditional Chinese Medicine (TCM).Methods A total of 184 community nurses from ten community health service centers in Hangzhou City were conveniently sampled and investigated with a self- designed questionnaire.Results The degree of community nursesknowledge and demands on TCM heath care was the highest.And the degree of their demands on the basic theories of TCM was the lowest.Conclusion The training for community nurses on the nursing theories and skills of TCM should be enhanced, thus utilizing the unique features and advantages of TCM nursing and promoting the popularity of TCM nursing in community health care services.

  12. Impact of Generalist Physician Initiatives on Residency Selection

    Directory of Open Access Journals (Sweden)

    Michael H. Malloy

    2001-10-01

    Full Text Available Objective:To compare the residency selection choices of students who experienced courses resulting from generalist physician initiatives to choices made by students prior to the implementation of those courses and to describe the characteristics of students selecting primary care residencies. Background:In the fall of 1994 a first year Community Continuity Experience course was initiated and in the summer of 1995 a third year Multidisciplinary Ambulatory Clerkship was begun at the University of Texas Medical Branch in Galveston. These courses were inserted into the curriculum to enhance and promote primary care education. Design/Methods:We examined the residency selections of cohorts of graduating medical students before (1992-1996 and after (1997-1999 the implementation of the primary care courses. Survey information on career preferences at matriculation and in the fourth year of medical school were available for students graduating after the programs began. We compared the career preferences and characteristics of those students who selected a primary care residency to those who did not. Results:Prior to the implementation of the programs, 45%(425/950 of students graduating selected primary care residencies compared to 45% (210/465 of students participating in the programs (p=0.88. At matriculation, 45% of students had listed a primary care discipline as their first career choice. Among the students who had indicated this degree of primary care interest 61% ended up matching in a primary care discipline. At year 4, 31% of students indicated a primary care discipline as their first career choice and 92% of these students matched to a primary care residency. By univariate analysis, minority students (53% were more likely to select a primary care residency than non-minority students (40%; students in the two lowest grade point average quartiles (55% and 50% selected primary care residencies compared to 37% and 38% of students in the top 2

  13. Factors influencing compliance to hygiene routines in community care - the viewpoint of medically responsible nurses in Sweden.

    Science.gov (United States)

    Lindh, Marianne; Kihlgren, Annica; Perseius, Kent-Inge

    2013-06-01

    The aim of the study was to describe factors influencing compliance to hygiene routines in community care in Swedish municipalities from the perspective of medically responsible nurses (MRN). A web-based questionnaire was sent to all MRNs in Swedish municipalities, N = 268. Beside demographical background data, the questionnaire contained two core open-ended questions generating free text data. Data were analysed with descriptive statistics and qualitative content analysis. Four categories of factors were found: resources, management, staff and external factors. All four categories contained subcategories. To some extent, the challenges to uphold adequate compliance to hygiene routines seem different in community care than in hospitals. Resources regarding equipment and supplies seem as an uncertain asset and uneven distributed among municipalities. Home likeness was seen as a major obstacle for upholding adequate hygiene routines. To uphold sufficient hygiene routines in a person's home or in a home-like environment might be one of the major challenges for community health care in the future. The MRN's narratives suggest that Registered Nurses have a key role in upholding sufficient hygiene in community care. This report might contribute in providing them with more knowledge to take on this urgent task. © 2012 Nordic College of Caring Science.

  14. Perspectives on key principles of generalist medical practice in public service in sub-saharan africa: a qualitative study

    Directory of Open Access Journals (Sweden)

    Downing Raymond V

    2011-07-01

    Full Text Available Abstract Background The principles and practice of Family Medicine that arose in developed Western countries have been imported and adopted in African countries without adequate consideration of their relevance and appropriateness to the African context. In this study we attempted to elicit a priori principles of generalist medical practice from the experience of long-serving medical officers in a variety of African counties, through which we explored emergent principles of Family Medicine in our own context. Methods A descriptive study design was utilized, using qualitative methods. 16 respondents who were clinically active medical practitioners, working as generalists in the public services or non-profit sector for at least 5 years, and who had had no previous formal training or involvement in academic Family Medicine, were purposively selected in 8 different countries in southern, western and east Africa, and interviewed. Results The respondents highlighted a number of key issues with respect to the external environment within which they work, their collective roles, activities and behaviours, as well as the personal values and beliefs that motivate their behaviour. The context is characterized by resource constraints, high workload, traditional health beliefs, and the difficulty of referring patients to the next level of care. Generalist clinicians in sub-Saharan Africa need to be competent across a wide range of clinical disciplines and procedural skills at the level of the district hospital and clinic, in both chronic and emergency care. They need to understand the patient's perspective and context, empowering the patient and building an effective doctor-patient relationship. They are also managers, focused on coordinating and improving the quality of clinical care through teamwork, training and mentoring other health workers in the generalist setting, while being life-long learners themselves. However, their role in the community, was

  15. A Game of Russian Roulette for a Generalist Dinoflagellate Parasitoid: Host Susceptibility Is the Key to Success

    Science.gov (United States)

    Alacid, Elisabet; Park, Myung G.; Turon, Marta; Petrou, Katherina; Garcés, Esther

    2016-01-01

    Marine microbial interactions involving eukaryotes and their parasites play an important role in shaping the structure of phytoplankton communities. These interactions may alter population densities of the main host, which in turn may have consequences for the other concurrent species. The effect generalist parasitoids exert on a community is strongly dependent on the degree of host specificity. Parvilucifera sinerae is a generalist parasitoid able to infect a wide range of dinoflagellates, including toxic-bloom-forming species. A density-dependent chemical cue has been identified as the trigger for the activation of the infective stage. Together these traits make Parvilucifera-dinoflagellate hosts a good model to investigate the degree of specificity of a generalist parasitoid, and the potential effects that it could have at the community level. Here, we present for the first time, the strategy by which a generalist dinoflagellate parasitoid seeks out its host and determine whether it exhibits host preferences, highlighting key factors in determining infection. Our results demonstrate that in its infective stage, P. sinerae is able to sense potential hosts, but does not actively select among them. Instead, the parasitoids contact the host at random, governed by the encounter probability rate and once encountered, the chance to penetrate inside the host cell and develop the infection strongly depends on the degree of host susceptibility. As such, their strategy for persistence is more of a game of Russian roulette, where the chance of survival is dependent on the susceptibility of the host. Our study identifies P. sinerae as a potential key player in community ecology, where in mixed dinoflagellate communities consisting of hosts that are highly susceptible to infection, parasitoid preferences may mediate coexistence between host species, reducing the dominance of the superior competitor. Alternatively, it may increase competition, leading to species exclusion. If

  16. A game of Russian roulette for a generalist dinoflagellate parasitoid: host susceptibility is the key to success

    Directory of Open Access Journals (Sweden)

    Elisabet eAlacid

    2016-05-01

    Full Text Available Marine microbial interactions involving eukaryotes and their parasites play an important role in shaping the structure of phytoplankton communities. These interactions may alter population densities of the main host, which in turn may have consequences for the other concurrent species. The effect generalist parasitoids exert on a community is strongly dependent on the degree of host specificity. Parvilucifera sinerae is a generalist parasitoid able to infect a wide range of dinoflagellates, including toxic-bloom-forming species. A density-dependent chemical cue has been identified as the trigger for the activation of the infective stage. Together these traits make Parvilucifera-dinoflagellate hosts a good model to investigate the degree of specificity of a generalist parasitoid, and the potential effects that it could have at the community level. Here, we present for the first time, the strategy by which a generalist dinoflagellate parasitoid seeks out its host and determine whether it exhibits host preferences, highlighting key factors in determining infection. Our results demonstrate that in its infective stage, P. sinerae is able to sense potential hosts, but does not actively select among them. Instead, the parasitoids contact the host at random, governed by the encounter probability rate and once encountered, the chance to penetrate inside the host cell and develop the infection strongly depends on the degree of host susceptibility. As such, their strategy for persistence is more of a game of Russian roulette, where the chance of survival is dependent on the susceptibility of the host. Our study identifies P. sinerae as a potential key player in bloom community ecology, where in mixed dinoflagellate communities consisting of hosts that are highly susceptible to infection, parasitoid preferences may mediate coexistence between host species, reducing the dominance of the superior competitor. Alternatively, it may increase competition, leading

  17. A Game of Russian Roulette for a Generalist Dinoflagellate Parasitoid: Host Susceptibility Is the Key to Success.

    Science.gov (United States)

    Alacid, Elisabet; Park, Myung G; Turon, Marta; Petrou, Katherina; Garcés, Esther

    2016-01-01

    Marine microbial interactions involving eukaryotes and their parasites play an important role in shaping the structure of phytoplankton communities. These interactions may alter population densities of the main host, which in turn may have consequences for the other concurrent species. The effect generalist parasitoids exert on a community is strongly dependent on the degree of host specificity. Parvilucifera sinerae is a generalist parasitoid able to infect a wide range of dinoflagellates, including toxic-bloom-forming species. A density-dependent chemical cue has been identified as the trigger for the activation of the infective stage. Together these traits make Parvilucifera-dinoflagellate hosts a good model to investigate the degree of specificity of a generalist parasitoid, and the potential effects that it could have at the community level. Here, we present for the first time, the strategy by which a generalist dinoflagellate parasitoid seeks out its host and determine whether it exhibits host preferences, highlighting key factors in determining infection. Our results demonstrate that in its infective stage, P. sinerae is able to sense potential hosts, but does not actively select among them. Instead, the parasitoids contact the host at random, governed by the encounter probability rate and once encountered, the chance to penetrate inside the host cell and develop the infection strongly depends on the degree of host susceptibility. As such, their strategy for persistence is more of a game of Russian roulette, where the chance of survival is dependent on the susceptibility of the host. Our study identifies P. sinerae as a potential key player in community ecology, where in mixed dinoflagellate communities consisting of hosts that are highly susceptible to infection, parasitoid preferences may mediate coexistence between host species, reducing the dominance of the superior competitor. Alternatively, it may increase competition, leading to species exclusion. If

  18. Changing the way that I am: students experience of educational preparation for advanced nursing roles in the community.

    Science.gov (United States)

    Illingworth, Andrea; Aranda, Kay F; De Goeas, Sharon M; Lindley, Penny J

    2013-09-01

    The redesign of the healthcare workforce in the United Kingdom (UK) has resulted in the rapid introduction of more 'advanced' community nursing roles. This presents varying challenges for universities seeking to prepare practitioners for these roles. This paper reports on a qualitative study conducted at one university in England which sought to explore the educational experiences of students preparing for and engaging in advanced nursing roles. Data was collected through focus groups and semi-structured interviews. This study found that educational preparation for advanced nursing roles in the community is varied and complex and involved a number of claims, concerns and issues, captured in three themes: 1. Re-inventing roles; 2. Re-creating selves; and 3. Re-engaging with learning. The findings reveal how those in advanced roles work across occupational boundaries and manage conflicts, using differentiated and complex sources and forms of knowledge and skills. Learning occurs in non-linear ways and is a good example of expansive or sideways learning. There is a need for further research on the type of curriculum and methods to best support students preparing for these roles and further study on the impact on patient experience and outcomes.

  19. Examining Student Achievement and Curriculum in a Nursing Program at a Midwestern Community College

    Science.gov (United States)

    Cooper, Sandra E.

    2012-01-01

    The purpose of this study was to examine the pathway model of a nursing curriculum and evaluate the relationship and predictive ability of demographic and academic variables on the success or failure of those taking the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) and to determine the impact of noncognitive role…

  20. Teamwork in primary care: perspectives of general practitioners and community nurses in Lithuania

    Science.gov (United States)

    2013-01-01

    Background A team approach in primary care has proven benefits in achieving better outcomes, reducing health care costs, satisfying patient needs, ensuring continuity of care, increasing job satisfaction among health providers and using human health care resources more efficiently. However, some research indicates constraints in collaboration within primary health care (PHC) teams in Lithuania. The aim of this study was to gain a better understanding of the phenomenon of teamwork in Lithuania by exploring the experiences of teamwork by general practitioners (GPs) and community nurses (CNs) involved in PHC. Methods Six focus groups were formed with 29 GPs and 27 CNs from the Kaunas Region of Lithuania. Discussions were recorded and transcribed verbatim. A thematic analysis of these data was then performed. Results The analysis of focus group data identified six thematic categories related to teamwork in PHC: the structure of a PHC team, synergy among PHC team members, descriptions of roles and responsibilities of team members, competencies of PHC team members, communications between PHC team members and the organisational background for teamwork. These findings provide the basis for a discussion of a thematic model of teamwork that embraces formal, individual and organisational factors. Conclusions The need for effective teamwork in PHC is an issue receiving broad consensus; however, the process of teambuilding is often taken for granted in the PHC sector in Lithuania. This study suggests that both formal and individual behavioural factors should be targeted when aiming to strengthen PHC teams. Furthermore, this study underscores the need to provide explicit formal descriptions of the roles and responsibilities of PHC team members in Lithuania, which would include establishing clear professional boundaries. The training of team members is an essential component of the teambuilding process, but not sufficient by itself. PMID:23945286

  1. Teamwork in primary care: perspectives of general practitioners and community nurses in Lithuania.

    Science.gov (United States)

    Jaruseviciene, Lina; Liseckiene, Ida; Valius, Leonas; Kontrimiene, Ausrine; Jarusevicius, Gediminas; Lapão, Luís Velez

    2013-08-15

    A team approach in primary care has proven benefits in achieving better outcomes, reducing health care costs, satisfying patient needs, ensuring continuity of care, increasing job satisfaction among health providers and using human health care resources more efficiently. However, some research indicates constraints in collaboration within primary health care (PHC) teams in Lithuania. The aim of this study was to gain a better understanding of the phenomenon of teamwork in Lithuania by exploring the experiences of teamwork by general practitioners (GPs) and community nurses (CNs) involved in PHC. Six focus groups were formed with 29 GPs and 27 CNs from the Kaunas Region of Lithuania. Discussions were recorded and transcribed verbatim. A thematic analysis of these data was then performed. The analysis of focus group data identified six thematic categories related to teamwork in PHC: the structure of a PHC team, synergy among PHC team members, descriptions of roles and responsibilities of team members, competencies of PHC team members, communications between PHC team members and the organisational background for teamwork. These findings provide the basis for a discussion of a thematic model of teamwork that embraces formal, individual and organisational factors. The need for effective teamwork in PHC is an issue receiving broad consensus; however, the process of teambuilding is often taken for granted in the PHC sector in Lithuania. This study suggests that both formal and individual behavioural factors should be targeted when aiming to strengthen PHC teams. Furthermore, this study underscores the need to provide explicit formal descriptions of the roles and responsibilities of PHC team members in Lithuania, which would include establishing clear professional boundaries. The training of team members is an essential component of the teambuilding process, but not sufficient by itself.

  2. On Community Nursing Teaching Integration with Ethical Education%社区护理专业教学与伦理教育一体化探讨

    Institute of Scientific and Technical Information of China (English)

    宋梅; 荆亚茹; 唐俐玲; 黄黎; 白燕

    2012-01-01

    Sixty community nursing students of 2008 were given the community nursing education integrated with ethics education by the methods of community case study and community scene teaching. The contents included the humanistic nursing philosophy, community responsibility training, self - supervision accomplishment, community team cooperation spirit training, showing respect to the people they served and so forth. These educations aimed to a-rouse students' interests in learning, improve the ability of students to community practice and innovation, and strengthen the professional quality of education, and provide an effective way to solve the problem of the deficiency in community nurses in our province.%采取社区案例思考与社区情景教学等方法,对西安医学院2008级60名社区方向护理大专学生讲授社区人性化护理理念教育、社区责任感培养、慎独修养、社区团队协作精神培养、尊重服务对象等社区护理伦理教育的基本内容.以期激发学生学习兴趣,提高学生社区实践能力和创新能力,强化专业素质教育,为解决本省社区护士人才缺乏提供有效途径.

  3. Effect of professional self-concept on burnout among community health nurses in Chengdu, China: the mediator role of organisational commitment.

    Science.gov (United States)

    Cao, Xiaoyi; Chen, Lin; Tian, Lang; Diao, Yongshu; Hu, Xiuying

    2015-10-01

    To examine the associations among professional self-concept, organisational commitment and burnout, and to analyse the mediating role of organisational commitment on the relationship between professional self-concept and burnout among community health nurses in Chengdu, China. Previous studies have focused on work environmental variables that contributed to burnout in nurses. However, no study has explored the mediating effect of organisational commitment on the correlation between professional self-concept and burnout in community health nurses. A cross-sectional descriptive study. This study was conducted at 36 community health centres in Chengdu, China with 485 nurses sampled using a two-stage sampling method. The measures used in our study included Nurses' Self-concept Questionnaire, Organisational Commitment Scale and Maslach Burnout Inventory. The results of structural equation model techniques indicated that, in the direct approach, positive professional self-concept resulted in increased organisational commitment and reduced burnout. Higher organisational commitment resulted in less burnout. In the indirect approach, organisational commitment performed as a partial mediator on the correlation between professional self-concept and burnout. Positive perception of professional self-concept can result in reduced burnout via enhancing organisational commitment. It is crucial for nursing administrators to develop effective intervention strategies such as skills escalator training and assertive training, and establishing a supportive working environment to enhance nurses' professional self-concept and organisational commitment, and decrease burnout. © 2015 John Wiley & Sons Ltd.

  4. Community-based participatory research and the challenges of qualitative analysis enacted by lay, nurse, and academic researchers.

    Science.gov (United States)

    Foster, Jennifer W; Chiang, Fidela; Burgos, Rosa I; Cáceres, Ramona E; Tejada, Carmen M; Almonte, Asela T; Noboa, Frank R M; Perez, Lidia J; Urbaez, Marilín F; Heath, Annemarie

    2012-10-01

    There are multiple challenges in adhering to the principles of community-based participatory research (CBPR), especially when there is a wide range of academic preparation within the research team. This is particularly evident in the analysis phase of qualitative research. We describe the process of conducting qualitative analysis of data on community perceptions of public maternity care in the Dominican Republic, in a cross-cultural, CBPR study. Analysis advanced through a process of experiential and conversational learning. Community involvement in analysis provided lay researchers an imperative for improvements in maternity care, nurses a new perspective about humanized care, and academic researchers a deeper understanding of how to create the conditions to enable conversational learning. Copyright © 2012 Wiley Periodicals, Inc.

  5. Factors associated with nursing home placement of all patients admitted for inpatient rehabilitation in Singapore community hospitals from 1996 to 2005: a disease stratified analysis.

    Directory of Open Access Journals (Sweden)

    Cynthia Chen

    Full Text Available OBJECTIVES: To (1 identify social and rehabilitation predictors of nursing home placement, (2 investigate the association between effectiveness and efficiency in rehabilitation and nursing home placement of patients admitted for inpatient rehabilitation from 1996 to 2005 by disease in Singapore. DESIGN: National data were retrospectively extracted from medical records of community hospital. DATA SOURCES: There were 12,506 first admissions for rehabilitation in four community hospitals. Of which, 8,594 (90.3% patients were discharged home and 924 (9.7% patients were discharged to a nursing home. Other discharge destinations such as sheltered home (n = 37, other community hospital (n = 31, death in community hospital (n = 12, acute hospital (n = 1,182 and discharge against doctor's advice (n = 24 were excluded. OUTCOME MEASURE: Nursing home placement. RESULTS: Those who were discharged to nursing home had 33% lower median rehabilitation effectiveness and 29% lower median rehabilitation efficiency compared to those who were discharged to nursing homes. Patients discharged to nursing homes were significantly older (mean age: 77 vs. 73 years, had lower mean Bathel Index scores (40 vs. 48, a longer median length of stay (40 vs. 33 days and a longer time to rehabilitation (19 vs. 15 days, had a higher proportion without a caregiver (28 vs. 7%, being single (21 vs. 7% and had dementia (23 vs. 10%. Patients admitted for lower limb amputation or falls had an increased odds of being discharged to a nursing home by 175% (p<0.001 and 65% (p = 0.043 respectively compared to stroke patients. CONCLUSIONS: In our study, the odds of nursing home placement was found to be increased in Chinese, males, single or widowed or separated/divorced, patients in high subsidy wards for hospital care, patients with dementia, without caregivers, lower functional scores at admission, lower rehabilitation effectiveness or efficiency at discharge and primary diagnosis groups such

  6. Status quo of British communities and their nurse prescribing rights%英国社区及其护士处方权现状

    Institute of Scientific and Technical Information of China (English)

    李进鹏; 韩世范

    2014-01-01

    综述英国社区在国家医疗体系中的位置、英国社区护士发展现状及其先进的护士处方权管理办法,为我国社区护理健康快速的发展提供参考。%It reviewed the position of British community in national health care system,nurses development status and advanced nurse prescribing rights management approach in British community,so as to provide a refer-ence for the healthy and rapid development of China’s community care.

  7. Strategies of Community Nursing Intervention Hypertension Disease%高血压病社区护理干预策略

    Institute of Scientific and Technical Information of China (English)

    付晓庆

    2014-01-01

    Summary of community nursing intervention measures disease such as hypertension, health education, psychological intervention, intervention of daily life, weight control intervention, compliance behavior intervention, exercise intervention, family visit and nursing home care. To further enhance the awareness of hypertension, hypertension disease get better control, so as to improve people's quality of life.%概括高血压病社区护理干预措施,如健康教育、心理干预、饮食起居干预、体重控制干预、遵医行为干预、运动锻炼干预、家庭访视与家庭护理。进一步提高人们对高血压的认知,使高血压病得到更好的防控,从而提高人们的生活质量。

  8. Specialist and generalist symbionts show counterintuitive levels of genetic diversity and discordant demographic histories along the Florida Reef Tract

    Science.gov (United States)

    Titus, Benjamin M.; Daly, Marymegan

    2017-03-01

    Specialist and generalist life histories are expected to result in contrasting levels of genetic diversity at the population level, and symbioses are expected to lead to patterns that reflect a shared biogeographic history and co-diversification. We test these assumptions using mtDNA sequencing and a comparative phylogeographic approach for six co-occurring crustacean species that are symbiotic with sea anemones on western Atlantic coral reefs, yet vary in their host specificities: four are host specialists and two are host generalists. We first conducted species discovery analyses to delimit cryptic lineages, followed by classic population genetic diversity analyses for each delimited taxon, and then reconstructed the demographic history for each taxon using traditional summary statistics, Bayesian skyline plots, and approximate Bayesian computation to test for signatures of recent and concerted population expansion. The genetic diversity values recovered here contravene the expectations of the specialist-generalist variation hypothesis and classic population genetics theory; all specialist lineages had greater genetic diversity than generalists. Demography suggests recent population expansions in all taxa, although Bayesian skyline plots and approximate Bayesian computation suggest the timing and magnitude of these events were idiosyncratic. These results do not meet the a priori expectation of concordance among symbiotic taxa and suggest that intrinsic aspects of species biology may contribute more to phylogeographic history than extrinsic forces that shape whole communities. The recovery of two cryptic specialist lineages adds an additional layer of biodiversity to this symbiosis and contributes to an emerging pattern of cryptic speciation in the specialist taxa. Our results underscore the differences in the evolutionary processes acting on marine systems from the terrestrial processes that often drive theory. Finally, we continue to highlight the Florida Reef

  9. Weather Conditions Drive Dynamic Habitat Selection in a Generalist Predator

    DEFF Research Database (Denmark)

    Sunde, Peter; Thorup, Kasper; Jacobsen, Lars Bo

    2014-01-01

    Despite the dynamic nature of habitat selection, temporal variation as arising from factors such as weather are rarely quantified in species-habitat relationships. We analysed habitat use and selection (use/availability) of foraging, radio-tagged little owls (Athene noctua), a nocturnal, year......-round resident generalist predator, to see how this varied as a function of weather, season and availability. Use of the two most frequently used land cover types, gardens/buildings and cultivated fields varied more than 3-fold as a simple function of season and weather through linear effects of wind...... with temperature and was proportional to their availability. The study shows that habitat selection by generalist foragers may be highly dependent on temporal variables such as weather, probably because such foragers switch between weather dependent feeding opportunities offered by different land cover types...

  10. Weather Conditions Drive Dynamic Habitat Selection in a Generalist Predator

    DEFF Research Database (Denmark)

    Sunde, Peter; Thorup, Kasper; Jacobsen, Lars Bo;

    2014-01-01

    Despite the dynamic nature of habitat selection, temporal variation as arising from factors such as weather are rarely quantified in species-habitat relationships. We analysed habitat use and selection (use/availability) of foraging, radio-tagged little owls (Athene noctua), a nocturnal, year......-round resident generalist predator, to see how this varied as a function of weather, season and availability. Use of the two most frequently used land cover types, gardens/buildings and cultivated fields varied more than 3-fold as a simple function of season and weather through linear effects of wind...... with temperature and was proportional to their availability. The study shows that habitat selection by generalist foragers may be highly dependent on temporal variables such as weather, probably because such foragers switch between weather dependent feeding opportunities offered by different land cover types...

  11. A novel statistical method for classifying habitat generalists and specialists

    DEFF Research Database (Denmark)

    Chazdon, Robin L; Chao, Anne; Colwell, Robert K

    2011-01-01

    We develop a novel statistical approach for classifying generalists and specialists in two distinct habitats. Using a multinomial model based on estimated species relative abundance in two habitats, our method minimizes bias due to differences in sampling intensities between two habitat types...... as well as bias due to insufficient sampling within each habitat. The method permits a robust statistical classification of habitat specialists and generalists, without excluding rare species a priori. Based on a user-defined specialization threshold, the model classifies species into one of four groups...... fraction (57.7%) of bird species with statistical confidence. Based on a conservative specialization threshold and adjustment for multiple comparisons, 64.4% of tree species in the full sample were too rare to classify with confidence. Among the species classified, OG specialists constituted the largest...

  12. Learning Abilities and Disabilities: Generalist Genes, Specialist Environments.

    Science.gov (United States)

    Kovas, Yulia; Plomin, Robert

    2007-10-01

    Twin studies comparing identical and fraternal twins consistently show substantial genetic influence on individual differences in learning abilities such as reading and mathematics, as well as in other cognitive abilities such as spatial ability and memory. Multivariate genetic research has shown that the same set of genes is largely responsible for genetic influence on these diverse cognitive areas. We call these "generalist genes." What differentiates these abilities is largely the environment, especially nonshared environments that make children growing up in the same family different from one another. These multivariate genetic findings of generalist genes and specialist environments have far-reaching implications for diagnosis and treatment of learning disabilities and for understanding the brain mechanisms that mediate these effects.

  13. Beyond google: finding and evaluating web-based information for community-based nursing practice.

    Science.gov (United States)

    Miller, Louise C; Graves, Rebecca S; Jones, Barbara B; Sievert, Maryellen C

    2010-01-01

    Nurses are challenged to find and use reliable, credible information to support clinical decision-making and to meet expectations for evidence-based nursing practice. This project targeted practicing public health and school nurses, teaching them how to access and critically evaluate web-based information resources for frontline practice. Health sciences librarians partnered with nursing faculty to develop two participatory workshops to teach skills in searching for and evaluating web-based consumer and professional practice resources. The first workshop reviewed reliable, credible consumer web-resources appropriate to use with clients, using published criteria to evaluate website credibility. In the second workshop, nurses were taught how to retrieve and evaluate health-related research from professional databases to support evidence-based nursing practice. Evaluation data indicated nurses most valued knowing about the array of reliable, credible web-based health information resources, learning how to evaluate website credibility, and understanding how to find and apply professional research literature to their own practice.

  14. Individual prey choices of octopuses: Are they generalist or specialist?

    Directory of Open Access Journals (Sweden)

    Jennifer A. MATHER, Tatiana S. LEITE, Allan T. BATISTA

    2012-08-01

    Full Text Available Prey choice is often evaluated at the species or population level. Here, we analyzed the diet of octopuses of different populations with the aim to assess the importance of individual feeding habits as a factor affecting prey choice. Two methods were used, an assessment of the extent to which an individual octopus made choices of species representative of those population (PSi and IS and 25% cutoff values for number of choices and percentage intake of individual on their prey. In one population of Octopus cf vulgaris in Bermuda individuals were generalist by IS=0.77, but most chose many prey of the same species, and were specialists on it by >75% intake. Another population had a wider prey selection, still generalist with PSi=0.66, but two individuals specialized by choices. In Bonaire, there was a wide range of prey species chosen, and the population was specialists by IS= 0.42. Individual choices revealed seven specialists and four generalists. A population of Octopus cyanea in Hawaii all had similar choices of crustaceans, so the population was generalist by IS with 0.74. But by individual choices, three were considered a specialist. A population of Enteroctopus dofleini from Puget Sound had a wide range of preferences, in which seven were also specialists, IS=0.53. By individual choices, thirteen were also specialists. Given the octopus specialty of learning during foraging, we hypothesize that both localized prey availability and individual personality differences could influence the exploration for prey and this translates into different prey choices across individuals and populations showed in this study [Current Zoology 58 (4: 597-603, 2012].

  15. Research in demand of community nursing talents' occupation quality%社区护理人才职业素质需求的研究

    Institute of Scientific and Technical Information of China (English)

    张文娟; 汪漫江

    2013-01-01

    Objective To explore the community nursing talents' occupation quality demand in the purpose of periodically providing reference for higher medical institutions' nursing education and for job training of community nurses.Methods The community nurses in the 15 qualified communities' medical organizations in the city of Zunyi were investigated through self-designed questionnaires,analyzing the basic qualifications,humanistic knowledge,professional knowledge and profession ability demand that community nursing talents were supposed to possess.Results The demand of high occupation responsibility and strict working style amounted to a relatively large proportion among the 11 basic qualifications.Demand of nursing etiquette and community nursing management occupied a relatively large proportion among the 9aspects of community nurses' humanistic knowledge demands.Demand of the often used community nursing technical operation and common drugs' clinical application knowledge took up a relatively large proportion among the 16 community nurses' professional knowledge demands.Demand of interpersonal and communication skills and self protection ability held a relatively large proportion among the 14 community nursing talents' occupation ability demands.Conclusions Oriented to the demand of the community nursing talents' occupation quality demands,relevant higher medical institutions or colleges concerned should strengthen the basic quality,optimize the curriculum structure and improve occupation ability in the purpose of culturing the community nursing talents who are able to adapt to the demand of community health service and have higher overall qualities as well.%目的 探讨社区护理人才职业素质需求,以期为高等医学院校社区护理教育及社区护士岗位培训提供参考.方法 通过自行设计问卷调查表对遵义市15个社区医疗机构具有执业资格的社区护士进行调查,对社区护理人才应具备的基本素养、人文知识

  16. Colorectal cancer screening with nurse-performed flexible sigmoidoscopy: results from a Canadian community-based program.

    Science.gov (United States)

    Shapero, Theodore F; Hoover, Jean; Paszat, Lawrence F; Burgis, Elaine; Hsieh, Eugene; Rothwell, Deanna M; Rabeneck, Linda

    2007-04-01

    Despite highest-quality evidence that early detection of colorectal cancer (CRC) can lead to reduced mortality, no organized CRC screening programs exist in Canada. To report the safety, the feasibility, and the detection rate for the first Canadian community-based nurse-performed flexible sigmoidoscopy (FS) screening program for CRC, established in 1999. Cross-sectional analysis of data collected from a prospective study of FS done by nurses from March 1999 to November 2002. Estimate of differences between men and women in FS findings, with relative risks. Logistic regression used to calculate odds ratios for advanced neoplasia. Endoscopy suite of a community hospital. Asymptomatic men and women > or =50 years, with no previous history of CRC. FS done by a nurses, and colonoscopy for persons with abnormalities done by an experienced gastroenterologist. Mean depth of insertion of endoscope; duration of FS procedure; number and location of polyps found during FS; number, location, and type of polyps found during colonoscopy. A total of 1818 individuals (mean age, 62 years) underwent nurse-performed FS (mean duration, 7.3 minutes; mean depth of insertion of the endoscope, 53.5 cm), without complications. Results of the FS were abnormal for 240 (13.2%) of the 1818 participants; 231 (12.7%) underwent colonoscopy. Distal neoplasms (adenomas or cancer) were detected in 8.7% (158/1818). After adjustment for age and family history of CRC, the risk of advanced neoplasm in the distal colon for men was about twice that for women (odds ratio 1.95, 95% confidence interval 1.21-3.14). Cancer was detected in 5 of the 1818 participants screened (0.28%), and high-grade dysplasia was detected in an additional 5 (0.28%). One of the cancers and all the lesions with high-grade dysplasia were treated endoscopically. Our community-based nurse-performed FS screening program was feasible and safe. The referral rate for colonoscopy was 13%, and the cancer detection rate was 2.8 per 1000

  17. The development status of community nursing management and countermeasure%社区护理管理发展现状及对策

    Institute of Scientific and Technical Information of China (English)

    王维宁

    2013-01-01

    社区护理在社区卫生服务之中的重要作用已成为21世纪护理教育、护理理论、护理网络发展的焦点,更为社区护理管理提出了新的课题.随着城市社区卫生服务的深入发展,积极开展多种形式的社区护理服务,对提高护理质量,保障和增进社区居民健康发挥了重要作用.提高社区护理服务质量的关键之一是规范化的管理.针对我国社区护理处于探索阶段,本文综述了社区护理管理的含义及特点,以及社区护理管理现存的问题,并提出了完善社区护理管理体系、加强社区知识培训保证护理质量、促进社区专业护理人才培养等具体措施,力求实行社区护理的规范化管理,使社区护理更具有科学性、规范性和可操作性.%The important role of community nursing in community health services has been the focus of nursing education,nursing theory,nursing network development in 21st century,so it becomes a new topic of community nursing management.With the deepening of urban community health service's development,there are various forms of community care services to play an important role by improving the quality of care,protection and promotion of health of community residents.One of the key to improve the quality of community care services is standardized management.In view of the community care in the exploratory stage,this paper summarized the meaning of community care management and characteristics,as well as community nursing management of existing problems,proposes specific measures aiming at the implementation of standardized management of community care,make it more scientific,standardized and operability such as to build a comprehensive community care management system,to ensure quality of care by strengthening community knowledge and training,to promote personnel training of skilled nurses.

  18. Economic aspects of community-based academic-practice transition programs for unemployed new nursing graduates.

    Science.gov (United States)

    Wallace, Jonalyn; Berman, Audrey; Karshmer, Judith; Prion, Susan; Van, Paulina; West, Nikki

    2014-01-01

    Four partnerships between schools of nursing and practice sites provided grant-funded 12- to 16-week transition programs to increase confidence, competence, and employability among new RN graduates who had not yet found employment in nursing. Per capita program costs were $2,721. Eighty-four percent of participants completing a postprogram employment survey became employed within 3 months; 55% of participants became employed at their program practice site. Staff development educators may find this model a useful adjunct to in-house nurse residency programs for new RN graduates.

  19. Using conflict theory to explore the role of nursing home social workers in home- and community-based service utilization.

    Science.gov (United States)

    Fogler, Sarah

    2009-11-01

    Nursing home social work (NHSW) practitioners are central to home- and community-based service (HCBS) utilization. They assist residents with long-term care (LTC) decision-making and coordinate community-based LTC supports and services for older adults transitioning back into the community after a rehabilitative nursing home (NH) stay. As members of multiple groups, they must simultaneously balance the needs of NH residents, the NH organization, and social policies related to LTC. To date, policy research on HCBS has been atheoretical in that it has not accounted for the possible inherent conflicts that adversely affect the discharge planning practices of NHSW practitioners. This article applies the Conflict Theory to (a) explore the competing interests of the NH industry and the nation's government, (b) examine the potential effect of these competing interests on the effectiveness of NHSW discharge planning practices, and (c) present a conceptual framework to further investigate the relationship between NHSW and both individual LTC outcomes and national policy initiatives aimed at increasing HCBS utilization.

  20. Primary health care nurses implement and evaluate a community outreach approach to health care in the South African agricultural sector.

    Science.gov (United States)

    Dick, J; Clarke, M; van Zyl, H; Daniels, K

    2007-12-01

    Early detection and effective case management of tuberculosis (TB) among a high-risk group of materially poor farm workers in an area of the Cape Winelands, South Africa, presents special challenges to the health community, where resource constraints lead to service reduction. In order to address this problem, local nurses established a collaborative partnership between permanent farm workers and their families, their employers, selected non-governmental organizations and the public health sector. In consultation with stakeholders, they developed an intervention primarily focusing on having peer selected trained lay health workers (LHWs) on farms, mentored and managed by nurses. To describe the complex process of implementation and evaluation of the LHW project, and provide a summary of a number of discrete studies evaluating the effectiveness, cost implications, and the perceptions and experiences of key stakeholders of the intervention. Quantitative and qualitative research methods conducted within the context of a pragmatic unblinded community cluster randomized control trial were used. Emphasis was placed on an iterative participatory interaction between the researchers and key stakeholders. The intervention contributed to significantly better successful treatment completion rates among adult new smear-positive TB cases. The process implemented proved cost-effective and was pivotal in initiating a community-based social development programme. The use of peer-selected LHWs within a wider programme of integrated care designed to merge technical biomedical approaches to disease management with more holistic social development activities, appears essential to meet the complex health needs in conjunction with public health of the rural poor.

  1. Insights about the process and impact of implementing nursing guidelines on delivery of care in hospitals and community settings

    Directory of Open Access Journals (Sweden)

    Ploeg Jenny

    2008-02-01

    Full Text Available Abstract Background Little is known about the impact of implementing nursing-oriented best practice guidelines on the delivery of patient care in either hospital or community settings. Methods A naturalistic study with a prospective, before and after design documented the implementation of six newly developed nursing best practice guidelines (asthma, breastfeeding, delirium-dementia-depression (DDD, foot complications in diabetes, smoking cessation and venous leg ulcers. Eleven health care organisations were selected for a one-year project. At each site, clinical resource nurses (CRNs worked with managers and a multidisciplinary steering committee to conduct an environmental scan and develop an action plan of activities (i.e. education sessions, policy review. Process and patient outcomes were assessed by chart audit (n = 681 pre-implementation, 592 post-implementation. Outcomes were also assessed for four of six topics by in-hospital/home interviews (n = 261 pre-implementation, 232 post-implementation and follow-up telephone interviews (n = 152 pre, 121 post. Interviews were conducted with 83/95 (87% CRN's, nurses and administrators to describe recommendations selected, strategies used and participants' perceived facilitators and barriers to guideline implementation. Results While statistically significant improvements in 5% to 83% of indicators were observed in each organization, more than 80% of indicators for breastfeeding, DDD and smoking cessation did not change. Statistically significant improvements were found in > 50% of indicators for asthma (52%, diabetes foot care (83% and venous leg ulcers (60%. Organizations with > 50% improvements reported two unique implementation strategies which included hands-on skill practice sessions for nurses and the development of new patient education materials. Key facilitators for all organizations included education sessions as well as support from champions and managers while key barriers were lack

  2. Influence of community nursing intervention in patients with hypertension.%社区护理干预对高血压病人降压效果的影响

    Institute of Scientific and Technical Information of China (English)

    朱芹英

    2011-01-01

    目的:探讨社区护理干预对高血压病人的降压效果.方法:对252例原发性高血压病人实施社区护理干预,包括健康教育、饮食、运动、心理指导、药物治疗及定期血压监测等,比较干预措施前后病人的血压控制情况.结果:实施社区护理干预管理前后病人血压明显低于干预前(P<0.01).结论:社区护理干预对降低病人的血压水平,提高其血压控制率有积极的作用.%Objective :To discuss the efficacy of community nursing intervention on the patients with hypertension. Methods :252 patients with primary hypertension were implemented community nursing intervention, including healthy education, food and drink, exercise, mentality, medical therapy, and periodical blood pressure monitor. Compare to blood pressure before and after community nursing intervention on the patients with hypertension. Results :The blood pressure after community nursing intervention was lower than before intervention ( P < 0.01 ). Conclusion:Community nursing intervention for patients with hypertension can help to decrease blood pressure levels.

  3. PA30 Why specialist community public health nurses should work in end of life care.

    Science.gov (United States)

    Knowles, Sandy

    2015-04-01

    Overview of roots of public health nursing in UK. Specialist Community Public Health Nurses, formerly known as Health Visitors, have been responding to key health priorities in the United Kingdom for the past 150 years. The profession emerged in response to the appalling poverty and high infant mortality rates which characterised nineteenth century Victorian slums, and transformed itself in the twentieth century to provide family welfare "from the cradle to the grave", including social and mental health. Acheson's 1998 definition of public health as "the organised application of resources to achieve the greatest health for the greatest number", dominated practice and preceded The New NHS: Modern and Dependable (1997) which put public health at the top of the agenda. The new approach meant crossing traditional boundaries and putting the 'community' at the centre of healthcare through empowerment. Throughout these changes, the underpinning principles have remained the same, including the search for health needs, stimulation of awareness of health needs, influence on policies affecting health and facilitation of health-enhancing activities. To learn from other public health professionals. Literature review. Specialist Community Public Health Nurses with an interest and experience in end of life care, can apply these same principles to the new public health approach to death and dying, searching for death and dying needs whilst stimulating an awareness. This would lead to exerting influence on policies affecting death and dying and facilitating health-enhancing activities. The public health approach is new to palliative and end of life care so it makes sense to learn from those professionals who have a long history of successfully responding, adapting to change, rising to contemporary challenges and harnessing opportunities. Understanding of how and when the public health agenda emerged. Other professionals have skills we need. © 2015, Published by the BMJ Publishing

  4. 社区护士执行社区护理服务水平的现状研究%Study on Present Situation of Nursing Services Provided by Community Health Nurses

    Institute of Scientific and Technical Information of China (English)

    郭玲; 刘素珍

    2012-01-01

    目的 了解武侯区社区护士执行社区护理服务水平的现状,为规范社区护理服务内容及有针对性地提高社区护士的工作应对能力提供依据.方法 采用世界卫生组织在我国开展的"中国医疗卫生体制改革背景下的社区护理发展"项目提供的对武侯区社区护士执行社区护理服务的现状进行普查.结果 参与护理技术性服务的护士比例最大(91.5%),参与妇幼青少年健康保健服务者比例最小(69.3%).社区护士执行社区护理服务难度最大的是健康教育类别的服务,得分为(3.62±0.73)分;难度最小的是护理技术性服务,得分为(4.15±0.58)分.不同聘用类型和工作经历的社区护士其服务难易度间差异有统计学意义(P<0.05).结论 社区护士执行的社区护理服务内容及类别有限,执行服务也有一定难度,因此应拓展和深化社区护理服务,特别是有针对性地加强社区护士胜任公共卫生护理服务能力和基本专科技能的培养.%Objective To learn the nursing services provided by community health nurses in Wuhou District. Methods A cross - sectional survey was conducted in Wuhou district focusing on the community nursing services. The questionnaire was adapted from the research project " Development of Community Health Nursing during Healthcare Reform" hosted by the Ministry of Health of China and WHO. Results " Technical nursing service" was the largest service category ( 91. 5% ) provided by the community health nurses, whereas " maternal and adolescent health care services" was the smallest category ( 69. 3% ). Among the dimensions of service, " Health education" , with a score of ( 3. 62 ± 0. 73 ), was the most difficult service for community health nurses. " Technical nursing service" was the least difficult service, with a score of ( 4. 15 ±0. 58 ). The nurses with different training background and working experiences had significantly different opinions on the difficulty of

  5. Landscape structure affects specialists but not generalists in naturally fragmented grasslands

    Science.gov (United States)

    Miller, Jesse E.D.; Damschen, Ellen Ingman; Harrison, Susan P.; Grace, James B.

    2015-01-01

    Understanding how biotic communities respond to landscape spatial structure is critically important for conservation management as natural landscapes become increasingly fragmented. However, empirical studies of the effects of spatial structure on plant species richness have found inconsistent results, suggesting that more comprehensive approaches are needed. In this study, we asked how landscape structure affects total plant species richness and the richness of a guild of specialized plants in a multivariate context. We sampled herbaceous plant communities at 56 dolomite glades (insular, fire-adapted grasslands) across the Missouri Ozarks, and used structural equation modeling (SEM) to analyze the relative importance of landscape structure, soil resource availability, and fire history for plant communities. We found that landscape spatial structure-defined as the area-weighted proximity of glade habitat surrounding study sites (proximity index)-had a significant effect on total plant species richness, but only after we controlled for environmental covariates. Richness of specialist species, but not generalists, was positively related to landscape spatial structure. Our results highlight that local environmental filters must be considered to understand the influence of landscape structure on communities, and that unique species guilds may respond differently to landscape structure than the community as a whole. These findings suggest that both local environment and landscape context should be considered when developing management strategies for species of conservation concern in fragmented habitats.

  6. Evidence of unique and generalist microbes in distantly related sympatric intertidal marine sponges (Porifera: Demospongiae).

    Science.gov (United States)

    Alex, Anoop; Silva, Vitor; Vasconcelos, Vitor; Antunes, Agostinho

    2013-01-01

    The diversity and specificity of microbial communities in marine environments is a key aspect of the ecology and evolution of both the eukaryotic hosts and their associated prokaryotes. Marine sponges harbor phylogenetically diverse and complex microbial lineages. Here, we investigated the sponge bacterial community and distribution patterns of microbes in three sympatric intertidal marine demosponges, Hymeniacidon perlevis, Ophlitaspongia papilla and Polymastia penicillus, from the Atlantic coast of Portugal using classical isolation techniques and 16S rRNA gene clone libraries. Microbial composition assessment, with nearly full-length 16S rRNA gene sequences (ca. 1400 bp) from the isolates (n = 31) and partial sequences (ca. 280 bp) from clone libraries (n = 349), revealed diverse bacterial communities and other sponge-associated microbes. The majority of the bacterial isolates were members of the order Vibrionales and other symbiotic bacteria like Pseudovibrio ascidiaceiocola, Roseobacter sp., Hahellaceae sp. and Cobetia sp. Extended analyses using ecological metrics comprising 142 OTUs supported the clear differentiation of bacterial community profiles among the sponge hosts and their ambient seawater. Phylogenetic analyses were insightful in defining clades representing shared bacterial communities, particularly between H. perlevis and the geographically distantly-related H. heliophila, but also among other sponges. Furthermore, we also observed three distinct and unique bacterial groups, Betaproteobactria (~81%), Spirochaetes (~7%) and Chloroflexi (~3%), which are strictly maintained in low-microbial-abundance host species O. papilla and P. penicillus. Our study revealed the largely generalist nature of microbial associations among these co-occurring intertidal marine sponges.

  7. Factors Influencing University Nursing Students' Measles Vaccination Rate During a Community Measles Outbreak

    Directory of Open Access Journals (Sweden)

    Ji Soo Kim, RN, PhD

    2016-03-01

    Conclusions: A systematic measles vaccination program targeting nursing students upon their entry to university is needed. In order to increase the measles vaccination rate, application of effective promotion campaigns and education programs is necessary.

  8. The Ten-Hour Shift on Trial at Blanchfield Army Community Hospital: A study Of Staff Nurse Perceptions of Their Job Satisfaction

    Science.gov (United States)

    1984-07-31

    written care plans, inservice education (7) better arrangement of staff to provide more nursing personnel during peak periods (8) provides a means of...years 2) 13 to 23 months 3) 2 to 4 years 8. 4y sex is: 4) 5 to 7 years 5) more than 7 years 1) female 2) male 3. My basic nursing education was: 9...COMMUNITY HOSPITAL; A STUDY OF STAFF NURSE PERCEPTIONS OF THEIR JOB SATISFACTION ’U IMf’rI VaU T°’inholt Johnson li. TYPE OF REPORT 13b. TIME COVEED 4 14

  9. Is the Community Attitudes towards the Mentally Ill scale valid for use in the investigation of European nurses' attitudes towards the mentally ill? A confirmatory factor analytic approach.

    Science.gov (United States)

    Morris, Roisin; Scott, Philomena Anne; Cocoman, Angela; Chambers, Mary; Guise, Veslemøy; Välimäki, Maritta; Clinton, Gerard

    2012-02-01

    This study aimed to assess the construct validity of the Community Attitudes towards the Mentally Ill scale in the investigation of European nurses' attitudes towards mental illness and mental health patients. The harbouring of negative attitudes by nurses towards any patient can have implications for recovery. To gather robust evidence upon which to base information and education aimed at fostering acceptance, support and general positivity towards people with mental health illness, a valid and reliable system of data collection is required. A confirmatory factor analysis of both the original Community Attitudes towards the Mentally Ill scale and two modified versions of the scale were carried out during May - June 2007 using a data set representing the responses of 858 European nurses to the scale. Data were subjected to three different confirmatory factor analyses using Maximum Likelihood estimation in the software package, Analysis of Moment Structures 7. A number of absolute, relative and incremental fit statistics were used to assess the fit of the original Community Attitudes towards the Mentally Ill scale and two modified versions to the European nursing data. A modification of the scale was found to be most suitable for use in the investigation of European nurses' attitudes towards mental illness and people with mental illness. Further research is recommended to develop a valid and reliable research tool to specifically measure the attitudes of 'nurses' working across different mental healthcare facilities towards this vulnerable patient group. © 2011 Blackwell Publishing Ltd.

  10. Evaluation of a community-based mental health drug and alcohol nurse in the care of people living with HIV/AIDS.

    Science.gov (United States)

    Allen, J; Hamilton, A; Nunn, R; Crock, L; Frecker, J; Burk, N

    2009-03-01

    There is a growing need for advanced practice mental health and drug and alcohol nursing roles in the care of people living with HIV/AIDS; however, limited publications address these domains. This study evaluated a community-based mental health drug and alcohol nurse role caring for people living with HIV/AIDS (Mental Health D&A Nurse) in a large not-for-profit district nursing organization providing care to people living with HIV/AIDS in an Australian city. Outcomes from a client assessment and 6-8-week follow-up by the Mental Health D&A Nurse are presented as captured by the Depression Anxiety Stress Scales (DASS 21), Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), Health of the Nation Outcome Scales (HONOS) and WHOQoL BREF. Mean scores and caseness were analysed, and significant differences were found on the 'impairment' and 'social problems' subscales of the HONOS. Results of semi-structured interviews with clients describe effective and supportive mental health care and health-promoting education following visits by the Mental Health D&A Nurse. These positive findings support continuing implementation of the role within this community setting and indicate that even greater benefits will ensue as the role develops further. Findings are of interest to clinicians and policy makers seeking to implement similar roles in community-based HIV/AIDS care.

  11. Interrater reliability of the National Institutes of Health Stroke Scale: rating by neurologists and nurses in a community-based stroke incidence study.

    Science.gov (United States)

    Dewey, H M; Donnan, G A; Freeman, E J; Sharples, C M; Macdonell, R A; McNeil, J J; Thrift, A G

    1999-01-01

    The reliability of the National Institutes of Health Stroke Scale (NIHSS) for use by trained neurologists in clinical trials of acute stroke has been established in several hospital-based studies. However, it also has the potential for application in community-based settings and to be used by nonneurologists: issues which have not been explored before. Hence, we aimed to determine the reliability of the NIHSS when administered by research nurses within the existing North Eastern Melbourne Stroke Incidence Study. Using the NIHSS, thirty-one consecutively registered stroke patients were assessed by 2 neurologists and 1 of 2 trained research nurses. The interrater reliability of observations was compared using weighted and unweighted kappa statistics and intraclass correlation coefficients (ICC). There was a high level of agreement for total scores between the 2 neurologists (ICC = 0.95) and between each neurologist and research nurse (ICC = 0.92 and 0.96). While there was moderate to excellent agreement among neurologists and research nurse (weighted kappa > 0.4) for the majority of the NIHSS items, there was poor agreement for the component 'limb ataxia'. Overall, agreement between nurse and neurologist for individual items was not significantly different from agreement between neurologists. It appears that in both hospital and community settings, trained research nurses can administer the NIHSS with a reliability similar to stroke-trained neurologists. This ability could be used to advantage in large community-based trials and epidemiological studies.

  12. Nicaraguan and US nursing collaborative evaluation study: Identifying similarities and differences between US and Nicaraguan curricula and teaching modalities using the community engagement model.

    Science.gov (United States)

    Lake, Donna; Engelke, Martha K; Kosko, Debra A; Roberson, Donna W; Jaime, Joba Fany; López, Feliciana Rojas; Rivas, Fidelia Mercedes Poveda; Salazar, Yolanda Matute; Salmeron, Juana Julia

    2017-04-01

    Curricula evaluation is an essential phase of curriculum development. Study describes the implementation of a formative evaluation used by faculty members between Universidad Nacional Autonóma de Nicaragua (UNAN-Leon) Escuela de Enfermeriá, Nicaragua and East Carolina University College of Nursing (ECU CON) in North Carolina, US. Program evaluation study to conduct an assessment, comparison of a medical-surgical adult curriculum and teaching modalities. Also, explore the Community Engagement (CE) Model to build a Central American-US faculty partnership. Methodological evaluation study utilizing a newly developed International Nursing Education Curriculum Evaluation Tool related to adult medical and surgical nursing standards. Also, the CE Model was tested as a facilitation tool in building partnerships between nurse educators. Nicaragua and US nursing faculty teams constructed the curriculum evaluation by utilizing the International Nursing Education Curriculum Evaluation Tool (INECET) by reviewing 57 elements covering 6 Domains related to adult medical and surgical nursing standards. Developed, explored the utilization of the INECET based on a standard of practice framework. The Community Engagement Model, a fivephase cycle, Inform, Consult, Involve, Collaborate, and Empower was utilized to facilitate the collaborative process. Similarities between the US and Nicaraguan curricula and teaching modalities were reflective based on the 57 elements covering 6 Domain assessment tool. Case studies, lecture, and clinical hospital rotations were utilized as teaching modalities. Both schools lacked sufficient time for clinical practicum time. The differences, included UNAN-Leon had a lack of simulation skill lab, equipment, and space, whereas ECU CON had sufficient resources. The ECU school lacked applied case studies from a rural health medical-surgical adult nursing perspective and less time in rural health clinics. The UNAN-Leon nursing standards generalized based on

  13. Building community partnerships to end interpersonal violence: a collaboration of the schools of social work, law, and nursing.

    Science.gov (United States)

    Busch-Armendariz, Noël Bridget; Johnson, Regina Jones; Buel, Sarah; Lungwitz, Jeana

    2011-09-01

    The article discusses the University of Texas at Austin's (UT Austin) Institute on Domestic Violence and Sexual Assault (IDVSA), an institution that was established in 2001. IDVSA is a collaboration of the Schools of Social Work, Law, and Nursing, and 150 community affiliates. Recognizing that interpersonal violence does not occur in a vacuum, the IDVSA operates within an ecological framework in which explanations for interpersonal violence acknowledge that individuals and families are nested in larger mezzo and macro systems, and factors such as gender, poverty, ethnicity, religion, disability, sexual orientation, and immigration status play influential roles in our understanding of these issues. The overarching goal is to advance knowledge and meaningful practice in the field through partnerships with survivors and community practitioners. Specifically, the mission is to advance the knowledge related to domestic violence and sexual assault in order to end interpersonal violence. IDVSA seeks to achieve its mission by focusing on three key areas: (1) rigorous research and scholarship on domestic violence and sexual assault; (2) comprehensive training, technical assistance, and information dissemination to the practitioner community and the community at large; and (3) substantial collaboration with our community partners. This article summarizes the authors' pursuit.

  14. The cutting edge in the blunt space: an anthropological construct of auxiliary nurse midwives’ social world in the community

    Directory of Open Access Journals (Sweden)

    Avanish Kumar

    2013-04-01

    Full Text Available Auxiliary nurse midwives (ANMs are the most peripheral health providers and manage the rural health sub-centre in a community. They mediate directly between the community and the health system for the management of Maternal and Child Health Programme in India. The purpose of this study was to find out the role of cultural factors, such as ANMs’ caste, age, marital status, being non-resident in the working village and other social factors regarding their acceptance in the community. The study is exploratory and qualitative. The area of study was a multi-caste remote village, Mavaibhachan, in Kanpur Dehat district of Uttar Pradesh, India. Data were collected through in-depth interviews and fieldwork notes taken during and immediately after the interviews with ANMs, and thematically analyzed. Our results show that if ANMs belong to a different caste group, do not live in the working village and are relatively younger, they are socially insecure and stressed and the community hardly accepts them. Despite direct interface with the community, their social status and lowest position in the health system is reflected in acceptability and recognition. The position of ANMs needs to be strengthened, within society and the health system. In order to make public health services effective and efficient the health system has to reduce stratification based on role and status.

  15. American Association of Colleges of Nursing

    Science.gov (United States)

    ... Interprofessional Education Public Health Nursing QSEN Module Series NURSING SHORTAGE RESOURCES About the Nursing Shortage I mpact ... Social Media Communities American Association of Colleges of Nursing One Dupont Circle, NW Suite 530 Washington, DC ...

  16. Analysis of community nursing management situation of new medical reform form%新医改形式下社区护理管理现状分析

    Institute of Scientific and Technical Information of China (English)

    李海燕

    2014-01-01

    本文阐述了新医改形势下的社区卫生现状。综述了社区护理概况、社区卫生服务的特性和社区护理管理特点及现状,并提出了加强制度建设,完善社区护理管理体系,强化绩效管理,探索社区护理规培,培养社区专业人才等具体措施。%In this paper,we analyze the status of community health under the new medical reform.We review the general situation of community nursing,characteristics of community health services and community nursing management features and the present situation.We propose to strengthen the system construction,improve the community nursing management system,strengthen performance management,and explore the community nursing compliance training and other specific measures.

  17. Research progress on health aging and geratic nursing in community%健康老龄化与社区老年护理研究进展

    Institute of Scientific and Technical Information of China (English)

    宋龄; 李闺臣; 乔志玲; 谭君梅; 毛睿智; 王秀丽

    2011-01-01

    It introduced the viewpoint, definition,meaning of health aging and the status quo of geratic nursing in community. It suggested that one strengthen hardware facilities in community nursing and increase the numbers of high - diathesis community nursing and develop health education in widespread among aged,so as to promote health aging.%介绍了健康老龄化的观点、定义、意义及社区老年护理现状,提出了加强社区护理硬件设施、增加高素质社区护理人员数量、广泛开展老年人健康教育,从而促进健康老龄化.

  18. 社区护士开展健康教育现状调查%Investigation on the current situation of community nurses to develop health education

    Institute of Scientific and Technical Information of China (English)

    周君妹

    2016-01-01

    目的:调查社区护士开展健康教育的现状,分析形成原因,为日后有效开展社区健康教育提供依据。方法:随机选取社区护士150例,通过问卷调查获取社区健康教育情况。结果:95.8%社区护士认为开展社区教育极其重要,94.7%护士到社区以发放宣传资料、利用宣传橱窗的方式开展健康教育,但能主动参与社区健康教育的仅29.8%,主要原因是社区护士本身缺乏健康教育知识、缺乏活动经费、人员不足、社区居民热情度不高等。结论:开展成功的社区健康教育,需要社区护士本身有较好素质和知识技能,也需要社区居民配合和经费。%Objective:To investigate the current situation of community nurses to develop health education,and analyze the formation reasons,and provide evidence for the effective development of community health education.Methods:150 cases of community nurses were randomly selected.The community health education situation was obtained through questionnaire survey. Results:95.8% community nurses thought that developing community education was extremely important.94.7% nurses developed health education by distributing publicity materials and using the way of propaganda window in community,but only 29.8% could actively participate in community health education.The main reason was community nurses lack of the health education knowledge,lack of activity funds,lack of personnel,not high community residents enthusiasm.Conclusion:Developing successful community health education needs than community nurses have a good quality and knowledge skills,also needs the community residents coordination and funds.

  19. [Integral approach by the case manager and the community nurse to a complex case of diabetes mellitus in the home].

    Science.gov (United States)

    Prats-Guardiola, Marta; López-Pisa, Rosa María

    2010-01-01

    We present the case of a patient with long-term and clinically complex Diabetes Mellitus. She was taking part in the home care program in Primary Care. The complications of her DM affected her quality of life: blindness, kidney failure, treated with hemodialysis, and a cerebrovascular attack. We describe the evaluation following Virginia's Henderson model. This evaluation was made in the patient's home after she was discharged from the socio-health centre where she was admitted as her right leg was amputated at a supracondylar level. It was designed a care plan between the community nurse and the case manager using NANDA, NOC and NIC taxonomy. The care plan was carried out as a joint effort between the community nurse and the case manager who coordinated the planning with the rest of professionals. Results were evaluated 6 months after the initial assessment. This case, which had a high dependence and a high clinical complexity, required a multidisciplinary approach and the integration of different professionals, services and institutions to implement the patient's treatment. Because of all the above, it is important to mention the case management function to guarantee continuity, and overall and integrated care.

  20. Implementation Process of a Canadian Community-based Nurse Mentorship Intervention in HIV Care

    Science.gov (United States)

    Caine, Vera; Mill, Judy; O’Brien, Kelly; Solomon, Patricia; Worthington, Catherine; Dykeman, Margaret; Gahagan, Jacqueline; Maina, Geoffrey; De Padua, Anthony; Arneson, Cheryl; Rogers, Tim; Chaw-Kant, Jean

    2016-01-01

    We describe salient individual and organizational factors that influenced engagement of registered nurses in a 12-month clinical mentorship intervention on HIV care in Canada. The intervention included 48 nurses and 8 people living with HIV (PLWH) who were involved in group-based and one-on-one informal mentorship informed by transformative learning theory. We evaluated the process of implementing the mentorship intervention using qualitative content analysis. The inclusion of PLWH as mentors, the opportunities for reciprocal learning, and the long-term commitment of individual nurses and partner organizations in HIV care were major strengths. Challenges included the need for multiple ethical approvals, the lack of organizational support at some clinical sites, and the time commitment required by participants. We recommend that clinical mentorship interventions in HIV care consider organizational support, adhere to the Greater Involvement of People Living with HIV/AIDS principles, and explore questions of professional obligations. PMID:26644019

  1. Internationalising the nursing curriculum using a Community of Inquiry Framework and blended learning.

    Science.gov (United States)

    Stephens, Melanie; Hennefer, Dawn

    2013-05-01

    The study examined how computer mediated tools, blended with traditional forms of teaching activity supported undergraduate pre-registration nursing students on international placement and for those students unable to go out into the world, how could this world be brought to their home campus? The researchers sought to examine whether synchronous online face to face contact using Skype, improved support and communication for students nursing overseas and if cultural awareness was developed for those nursing students who stayed on native soil. Data was collected using focus groups and online questionnaires. Themes arising from the thematic analysis of the narratives included operational issues, pastoral care, academic and peer support and cultural awareness and development. The use of Blended Learning tools such as Skype and weblogs were found to be extremely beneficial as a form of online communication and support for students undertaking an international placement. In relation to cultural awareness further work is required.

  2. Individual prey choices of octopuses: Are they generalist or specialist?

    Institute of Scientific and Technical Information of China (English)

    Jennifer A. MATHER; Tatiana S. LEITE; Allan T. BATISTA

    2012-01-01

    Prey choice is often evaluated at the species or population level.Here,we analyzed the diet of octopuses of different populations with the aim to assess the importance of individual feeding habits as a factor affecting prey choice.Two methods were used,an assessment of the extent to which an individual octopus made choices of species representative of those population (PSi and IS) and 25% cutoff values for number of choices and percentage intake of individual on their prey.In one population of Octopus cf vulgaris in Bermuda individuals were generaiist by IS=0.77,but most chose many prey of the same species,and were specialists on it by >75% intake.Another population had a wider prey selection,still generalist with PSi=0.66,but two individuals specialized by choices.In Bonaire,there was a wide range of prey species chosen,and the population was specialists by IS=0.42.Individual choices revealed seven specialists and four generalists.A population of Octopus cyanea in Hawaii all had similar choices of crustaceans,so the population was generalist by IS with 0.74.But by individual choices,three were considered a specialist.A population of Enteroctopus dofleini from Puget Sound had a wide range of preferences,in which seven were also specialists,IS=0.53.By individual choices,thirteen were also specialists.Given the octopus specialty of learning during foraging,we hypothesize that both localized prey availability and individual personality differences could influence the exploration for prey and this translates into different prey choices across individuals and populations showed in this study.

  3. Application of nursing staff appraisal technology archives in the community nursing management%护理人员考核技术档案在社区护理管理中的应用

    Institute of Scientific and Technical Information of China (English)

    杨敏; 刘颖颜

    2013-01-01

    目的:探讨护理人员考核技术档案在社区护理管理中的应用。方法:2011年1月-12月,本中心全体护士使用护理人员考核技术档案进行管理,并对护理技术档案实施前后的考核结果比较分析。结果:护理部质量考核、理论考试、操作考试的平均分、患者满意率等均较使用护理人员考核技术档案前有所提高,差错及不良事件发生数明显下降。结论:通过护理人员考核技术档案的使用,提高了护理质量,提升了管理者的能力,减少了护理不良事件的发生。%Objective:To explore the role of the nursing staff appraisal technology archives in the community nursing management. Methods:From January to December of 2011, the nursing staff examination technology files were managed for the all nurses in this center, and their results were compared and analyzed before and after implementation. Results:The nursing quality examination, theory test and average operation test scores, patients’ satisfaction were enhanced after using the nursing staff examination technology files. The number of errors and adverse events occurred were reduced remarkably. Conclusion:Use of nursing personnel evaluation technology archives can improve the nursing quality, enhance the ability of managers, and reduce the occurrence of nursing adverse events.

  4. A Case Study of Connecticut Community Colleges Nursing Programs to Describe Gerontological Content Inclusion in Associate Degree Registered Nursing Programs Using an Educational Curriculum Framework

    Science.gov (United States)

    Harris, Leslie J.

    2013-01-01

    The population of adults over age 65 must have competently prepared registered nurses to meet their current and future health care needs. There is a societal component in nursing to ensure that all nurses have the content, skills, and strategies, which includes a focus on basic gerontology preparation. Therefore, the purpose of this descriptive…

  5. A Case Study of Connecticut Community Colleges Nursing Programs to Describe Gerontological Content Inclusion in Associate Degree Registered Nursing Programs Using an Educational Curriculum Framework

    Science.gov (United States)

    Harris, Leslie J.

    2013-01-01

    The population of adults over age 65 must have competently prepared registered nurses to meet their current and future health care needs. There is a societal component in nursing to ensure that all nurses have the content, skills, and strategies, which includes a focus on basic gerontology preparation. Therefore, the purpose of this descriptive…

  6. A specialist-generalist classification of the arable flora and its response to changes in agricultural practices

    Directory of Open Access Journals (Sweden)

    Fried Guillaume

    2010-09-01

    Full Text Available Abstract Background Theory in ecology points out the potential link between the degree of specialisation of organisms and their responses to disturbances and suggests that this could be a key element for understanding the assembly of communities. We evaluated this question for the arable weed flora as this group has scarcely been the focus of ecological studies so far and because weeds are restricted to habitats characterised by very high degrees of disturbance. As such, weeds offer a case study to ask how specialization relates to abundance and distribution of species in relation to the varying disturbance regimes occurring in arable crops. Results We used data derived from an extensive national monitoring network of approximately 700 arable fields scattered across France to quantify the degree of specialisation of 152 weed species using six different ecological methods. We then explored the impact of the level of disturbance occurring in arable fields by comparing the degree of specialisation of weed communities in contrasting field situations. The classification of species as specialist or generalist was consistent between different ecological indices. When applied on a large-scale data set across France, this classification highlighted that monoculture harbour significantly more specialists than crop rotations, suggesting that crop rotation increases abundance of generalist species rather than sets of species that are each specialised to the individual crop types grown in the rotation. Applied to a diachronic dataset, the classification also shows that the proportion of specialist weed species has significantly decreased in cultivated fields over the last 30 years which suggests a biotic homogenization of agricultural landscapes. Conclusions This study shows that the concept of generalist/specialist species is particularly relevant to understand the effect of anthropogenic disturbances on the evolution of plant community composition and that

  7. Individual and species-specific traits explain niche size and functional role in spiders as generalist predators.

    Science.gov (United States)

    Sanders, Dirk; Vogel, Esther; Knop, Eva

    2015-01-01

    The function of a predator within a community is greatly based on its trophic niche, that is the number and the strength of feeding links. In generalist predators, which feed on a wide range of prey, the size and position of the trophic niche is likely determined by traits such as hunting mode, the stratum they occur in, their body size and age. We used stable isotope analyses ((13)C and (15)N) to measure the trophic niche size of nine spider species within a forest hedge community and tested for species traits and individual traits that influence stable isotope enrichment, niche size and resource use. The spiders Enoplognatha, Philodromus, Floronia, and Heliophanus had large isotopic niches, which correspond to a more generalistic feeding behaviour. In contrast, Araneus, Metellina and Agelena, as top predators in the system, had rather narrow niches. We found a negative correlation between trophic position and niche size. Differences in trophic position in spiders were explained by body size, hunting modes and stratum, while niche size was influenced by hunting mode. In Philodromus, the size of the trophic niche increased significantly with age. Fitting spiders to functional groups according to their mean body size, hunting mode and their habitat domain resulted in largely separated niches, which indicates that these traits are meaningful for separating functional entities in spiders. Functional groups based on habitat domain (stratum) caught the essential functional differences between the species with species higher up in the vegetation feeding on flying insects and herb and ground species also preying on forest floor decomposers. Interestingly, we found a gradient from large species using a higher habitat domain and having a smaller niche to smaller species foraging closer to the ground and having a larger niche. This shows that even within generalist predators, such as spiders, there is a gradient of specialism that can be predicted by functional traits.

  8. [Joint home follow-up of a patient with complicated diabetes mellitus by the case manager and the community nurse: II].

    Science.gov (United States)

    López-Pisa, Rosa María; Prats-Guardiola, Marta

    2012-01-01

    This is a continuation of the article published in this journal (Enfermeria Clinica), entitled "Integral approach by the case manager and the community nurse to a complex case of diabetes mellitus in the home". We present the case of a 76 year- old patient with long-term and clinically complex Diabetes Mellitus. The patient was taking part in the Primary Care home care program. This article describes the follow-up of the case in which new complications appeared in the right limb, which led to the amputation of the second limb. A new evaluation following Virginia's Henderson model was performed six months after the initial care plan. Nursing diagnoses were made following the North American Nursing Diagnosis Association (NANDA). These diagnoses led to changes in objectives and performance criteria using, nursing outcomes classification (NOC) and nursing interventions classification (NIC). One of the results obtained was the improvement of her well-being by enabling the patient to interact and integrate socially within her environment after mobilising the corresponding social and family resources.Involvement in clinical practice is important in the prevention of diabetes mellitus and diabetic foot complications. Difficult and complex situations are sometimes beyond the ability of the community nurse. It can be beneficial to take advantage of the clinical support offered by the case management model and the integrated approach of a multidisciplinary team.

  9. Views of newly-qualified GPs about their training and preparedness: lessons for extended generalist training.

    Science.gov (United States)

    Sabey, Abigail; Hardy, Holly

    2015-04-01

    General practice is becoming increasingly complex due to an ageing population with multiple morbidities and the shift of services from secondary to primary care, yet GP training remains largely the same. Extended training is now recommended, initially proposed as a fourth GP specialty trainee year, but more recently as a broad-based 4-year specialty training programme. To explore the views of newly-qualified GPs about their training and preparedness for specific aspects of the GP's role. Qualitative study with newly-qualified GPs who qualified with Severn Deanery between 2007 and 2010. Semi-structured interviews with 18 GPs between November 2011 and April 2012. Gaining experience in a variety of primary care environments widens insight into patient populations as well as helping GPs develop adaptability and confidence, although this is not routinely part of GP training. However, alongside variety, having continuity with patients in practice remains important. Opportunities to be involved in the management of a practice or to take on substantial leadership roles also vary widely and this may limit preparedness and development of generalist skills. Extended training could help prepare GPs for the current challenges of general practice. It could ensure all trainees are exposed to a greater variety of primary care settings including those outside GP practice, as well as experience of business, finance, and leadership roles. Collectively, these changes have the potential to produce GPs with both generalist and enhanced skills, who are better prepared to work collaboratively across the organisational boundaries between primary, secondary, and community care. © British Journal of General Practice 2015.

  10. Implementation Process of a Canadian Community-based Nurse Mentorship Intervention in HIV Care.

    Science.gov (United States)

    Caine, Vera; Mill, Judy; O'Brien, Kelly; Solomon, Patricia; Worthington, Catherine; Dykeman, Margaret; Gahagan, Jacqueline; Maina, Geoffrey; De Padua, Anthony; Arneson, Cheryl; Rogers, Tim; Chaw-Kant, Jean

    2016-01-01

    We describe salient individual and organizational factors that influenced engagement of registered nurses in a 12-month clinical mentorship intervention on HIV care in Canada. The intervention included 48 nurses and 8 people living with HIV (PLWH) who were involved in group-based and one-on-one informal mentorship informed by transformative learning theory. We evaluated the process of implementing the mentorship intervention using qualitative content analysis. The inclusion of PLWH as mentors, the opportunities for reciprocal learning, and the long-term commitment of individual nurses and partner organizations in HIV care were major strengths. Challenges included the need for multiple ethical approvals, the lack of organizational support at some clinical sites, and the time commitment required by participants. We recommend that clinical mentorship interventions in HIV care consider organizational support, adhere to the Greater Involvement of People Living with HIV/AIDS principles, and explore questions of professional obligations. Copyright © 2016 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.

  11. Community College Nursing Student Success on Professional Qualifying Examinations from Admission to Licensure

    Science.gov (United States)

    Yates, Lenora; Sandiford, Janice

    2013-01-01

    The purpose of this study was threefold: (1) to investigate variables associated with learning and performance as measured by the National Council Licensure Examination for Registered Nurses (NCLEX-RN), (2) to validate the predictive value of the Assessment Technologies Institute (ATI) achievement exit exam, and (3) to provide a model that could…

  12. Integrating community children's nursing in urgent and emergency care: a qualitative comparison of two teams in North West England.

    Science.gov (United States)

    Kyle, Richard G; Banks, Michele; Kirk, Susan; Powell, Peter; Callery, Peter

    2012-07-16

    Despite the policy principle that "children are best cared for at home whenever possible" children continue to have high rates of emergency department (ED) attendance and emergency hospital admission. Community Children's Nursing Teams (CCNTs) can care for acutely ill children at home but their potential to provide an alternative to ED attendance and hospitalisation depends on effective integration with other services in the urgent care system, such as EDs and Observation and Assessment Units (OAUs). Although challenges of integrating CCNTs have been identified, there has been no comparative assessment of the factors that facilitate or hinder integration of care of acutely ill children by CCNTs with the urgent care system. The aim of this study was to identify enablers and barriers to integration of CCNTs with urgent and emergency care. Comparative case studies were conducted of two CCNTs serving Primary Care Trusts in North West England. Twenty-two health professionals including CCNT managers and staff; paediatricians; nurses; children's ward, ED and OAU staff; commissioners of children's services; GPs and primary care staff were interviewed between June 2009 and February 2010. Qualitative data were analysed thematically using the Framework approach. Barriers to integration included paediatricians' perceived lack of ownership of the CCNT, poor communication between consultants and community children's nurses (CCNs), and weak personal relationships. This prevented early referral to the CCNT as an alternative to hospital care. Enablers of integration included co-location and rotation of CCNs through urgent care settings including OAUs and EDs. This enabled nurses to develop skills, make decisions about referral to home care and gain the confidence of referring clinicians. Integration of CCNTs at multiple points in the urgent care system is required in order to provide an alternative to inappropriate ED attendances and emergency admission. The principal enablers and

  13. Nursing informatics and nursing ethics

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer

    2013-01-01

    All healthcare visions, including that of The TIGER (Technology-Informatics-Guiding-Educational-Reform) Initiative envisage a crucial role for nursing. However, its 7 descriptive pillars do not address the disconnect between Nursing Informatics and Nursing Ethics and their distinct communities......-of-(care)-decision. Increased pressure for translating 'evidence-based' research findings into 'ethically-sound', 'value-based' and 'patient-centered' practice requires rethinking the model implicit in conventional knowledge translation and informatics practice in all disciplines, including nursing. The aim is to aid 'how...... nurses and other health care scientists more clearly identify clinical and other relevant data that can be captured to inform future comparative effectiveness research. 'A prescriptive, theory-based discipline of '(Nursing) Decisionics' expands the Grid for Volunteer Development of TIGER's newly launched...

  14. 本科社区护理学课程实践的教学改革%Reform of undergraduate community nursing practice program

    Institute of Scientific and Technical Information of China (English)

    孔令磷; 鲍翠玉; 陈蒲宾; 涂丽娟; 饶玉霞; 张志霞

    2012-01-01

    目的 提高社区护理学实践教学效果和护生从事社区护理工作的综合能力.方法 将社区护理学课程的实践教学改革方案应用于2007级护理本科学生72人,即开拓实践教学基地,设置带领学生真实走进社区为特点的社区护理实践教学内容并进行社区护理实践,开展第二课堂活动等.结果 学生的社区护理实践成绩为(84.88±7.32)分,61名(84.72%)学生的实践成绩达优良;69人(95.83%)对实践教学表示满意,67人(93.06%)认为有必要聘请社区工作人员作为实践教学教师,65人(90.28%)表示有必要在实习期间增加2周的社区实习.结论 社区护理实践教学改革方案的实施,使学生的综合素质得到了全面提高,但需要进一步拓展社区护理实践场所,建立更加完善的实践教学基地,培训社区教学师资,以提高社区护理学实践教学质量.%Objective To improve the effect on teaching of community nursing practice and nursing student s comprehensive quality. Methods The reformed undergraduate community nursing practice program was applied to 72 undergraduate nursing students admitted in 2007:community practicing bases were established; practice content focused on leading students to have real practice in community settings; students were asked to be involved in second-curricula activities, etc. Results The score of community practice test was (84. 88 + 7. 32)and 61 students (84. 72%) did well in the test; 69 of them (95. 83%) were satisfied with community nursing practice teaching; 67 of them (93. 06%) considered it necessary to employ community workers as mentors in the community nursing practice program, and 65 of them (90. 28%) expressed their need for two more weeks of community practice. Conclusion The implementation of the reformed undergraduate community nursing practice program improves comprehensive quality of undergraduate nursing students. However, in order to improve the quality of community

  15. Job Intentions in Community Nursing and Its Driving Factor among Nursing Students%233名护生社区护理就业意向及驱动因素分析

    Institute of Scientific and Technical Information of China (English)

    涂丽娟; 张平; 孔令磷

    2012-01-01

    Objective To understand job intentions in coiTimunity nursing and its driving factors among nursing students and to provide guidance for community nursing. Methods A self-designed questionnaire was applied among 233 nursing students about job intention, its driving factors and employment autonomy. Results Of the total. 47,2% students showed willingness to work in community health center and there existed difference among students with different educational background and nursing experience (P<0.05 or P<0.03.). Driving factor of students' willingness to work in community nursing included pressure of employment, cognition of community nursing and personal ambition. Difference of employment autonomy showed statistic significance among nursing students with, low employment autonomy, those from different birthplaces and those with nursing experience and those without (P<0.01). Conclusion The job intentions in community nursing among nursing students keeps in moderate level. There exist differences among job intentions, form and employment autonomy. Teaching reform and employment guidance in community nursing should be enhanced.%目的 了解不同类别护生的社区就业意向及驱动因素,以期为社区护理教学及社区护理就业指导提供参考.方法 运用自制问卷对233 名护理本、专科学生进行问卷调查,内容包括社区就业意向,愿意、不愿意到社区就业的驱动因素及就业决策自主性等.结果 47.2%的护生表示愿意从事社区护理工作,本、专科护生之间、是否有实习经历的护生之间差异有统计学意义(P<0.05 或P<0.01);就业压力、对社区护理工作的认知、个人志向是护生从事社区护理工作的主要驱动因素;护生就业决策自主性不高,不同生源地护生、是否有实习经历护生决策自主性差异有统计学意义(P<0.01).结论 地方院校护生社区就业积极性为中等水平,不同类型护生的就业意愿、形式及决策自主性有

  16. 社区护士开展健康教育的现状调查与分析%Health education status among community nurses

    Institute of Scientific and Technical Information of China (English)

    李晓翠; 万巧琴; 张跃红; 马春红; 尚少梅

    2011-01-01

    Objective: To explore health education status among community nurses. Methods: One hundred and forty-two nurses in Haidian and Xicheng District in Beijing were investigated by self-designed questionnaire using convenient sampling, Results: About 95.1% of community nurses thought health education was important. About 90.2% of community nurses were willing to take health education positively. The factors affecting community nurses to take health education were limited professional knowledge (53.8%), no enthusiasm for community residents to participate (437%), no convenient and practical health education reference books (42.3%). The difficults that the community nurses confronted with were the organizing and atmosphere controling at the activity scene (58.5%), choosing and applying educational methods (17.6%), organizing community residents to participate in activities (16.9%).Conclusion: Community nurses carry out health education very positively, but they lack the practical skills of health education. Further training is needed to improve their health education ability.%目的:了解社区护士开展健康教育的现状.方法:方便取样,采用自设问卷对北京市西城区和海淀区社区的142名在职护士进行调查.结果:95.1%的社区护士认为健康教育是重要的,90.2%的社区护士积极参与健康教育;影响社区护士进行健康教育积极性的前三位因素分别是:专科知识掌握有限(53.8%),社区居民参与热情不高(43.7%),没有方便、实用的健康教育参考书(42.3%);影响社区护士开展健康教育的困难环节中列前三位的依次是:活动现场的组织与气氛调控(58.5%),宣教方式、方法的选择与应用(17 6%),组织社区居民来参与活动(16.9%).结论:社区护士开展健康教育的态度十分积极,但实施健康教育的技能相对较低,有待于进一步提高.

  17. 关于社区护士能力需求现象学研究%Phenomenology research on the competency requirements for community nurses

    Institute of Scientific and Technical Information of China (English)

    王文焕; 孙宏玉; 尹翔燕

    2011-01-01

    目的:探讨我国社区护士应具备的能力。方法:采用现象学研究方法,在北京市某3家社区卫生服务中心,采用目的抽样方法选取社区护士、社区护理管理者、社区医生及社区居民共23名进行半结构式访谈。结果:社区护士需要具备的能力包括综合护理能力、人际交往和沟通能力、评估分析能力、安全防护能力、协调管理能力、自主学习能力、教育指导能力以及研究能力。结论:社区护士需要具备各方面的综合能力,我国目前社区护士能力尚不能满足社会需求,需通过完善社区护理教育体系等,以提高能力。%Objective:To explore the competency requirements for community nurses. Methods: We study used phenomenology research method.Totally 23 community nurses,community care managers, community physicians,and community residents were selected by purposive sampling method and interviewed with a semi-structured queationnaire. Results: The competency requirements for community nurses include: integrated nursing competency, interpersonal and communication competency, assessment and analysis competency, security protection competency, coordination and management competency, automatic learning competency, education and guiding competency,and research competency. Conclusion: Community nurses need to have all aspects of competency, while the current competency of Chinese community nurses can not meet the social needs, We should improve their competencies by strengthening the nursing education system and taking other effective measures.

  18. Applying research to practice: generalist and specialist (visual ergonomics) consultancy.

    Science.gov (United States)

    Long, Jennifer; Long, Airdrie

    2012-01-01

    Ergonomics is a holistic discipline encompassing a wide range of special interest groups. The role of an ergonomics consultant is to provide integrated solutions to improve comfort, safety and productivity. In Australia, there are two types of consultants--generalists and specialists. Both have training in ergonomics but specialist knowledge may be the result of previous education or work experience. This paper presents three projects illustrating generalist and specialist (visual ergonomics) consultancy: development of a vision screening protocol, solving visual discomfort in an office environment and solving postural discomfort in heavy industry. These case studies demonstrate how multiple ergonomics consultants may work together to solve ergonomics problems. It also describes some of the challenges for consultants, for those engaging their services and for the ergonomics profession, e.g. recognizing the boundaries of expertise, sharing information with business competitors, the costs-benefits of engaging multiple consultants and the risk of fragmentation of ergonomics knowledge and solutions. Since ergonomics problems are often multifaceted, ergonomics consultants should have a solid grounding in all domains of ergonomics, even if they ultimately only practice in one specialty or domain. This will benefit the profession and ensure that ergonomics remains a holistic discipline.

  19. Weather conditions drive dynamic habitat selection in a generalist predator.

    Directory of Open Access Journals (Sweden)

    Peter Sunde

    Full Text Available Despite the dynamic nature of habitat selection, temporal variation as arising from factors such as weather are rarely quantified in species-habitat relationships. We analysed habitat use and selection (use/availability of foraging, radio-tagged little owls (Athene noctua, a nocturnal, year-round resident generalist predator, to see how this varied as a function of weather, season and availability. Use of the two most frequently used land cover types, gardens/buildings and cultivated fields varied more than 3-fold as a simple function of season and weather through linear effects of wind and quadratic effects of temperature. Even when controlling for the temporal context, both land cover types were used more evenly than predicted from variation in availability (functional response in habitat selection. Use of two other land cover categories (pastures and moist areas increased linearly with temperature and was proportional to their availability. The study shows that habitat selection by generalist foragers may be highly dependent on temporal variables such as weather, probably because such foragers switch between weather dependent feeding opportunities offered by different land cover types. An opportunistic foraging strategy in a landscape with erratically appearing feeding opportunities in different land cover types, may possibly also explain decreasing selection of the two most frequently used land cover types with increasing availability.

  20. Weather conditions drive dynamic habitat selection in a generalist predator.

    Science.gov (United States)

    Sunde, Peter; Thorup, Kasper; Jacobsen, Lars B; Rahbek, Carsten

    2014-01-01

    Despite the dynamic nature of habitat selection, temporal variation as arising from factors such as weather are rarely quantified in species-habitat relationships. We analysed habitat use and selection (use/availability) of foraging, radio-tagged little owls (Athene noctua), a nocturnal, year-round resident generalist predator, to see how this varied as a function of weather, season and availability. Use of the two most frequently used land cover types, gardens/buildings and cultivated fields varied more than 3-fold as a simple function of season and weather through linear effects of wind and quadratic effects of temperature. Even when controlling for the temporal context, both land cover types were used more evenly than predicted from variation in availability (functional response in habitat selection). Use of two other land cover categories (pastures and moist areas) increased linearly with temperature and was proportional to their availability. The study shows that habitat selection by generalist foragers may be highly dependent on temporal variables such as weather, probably because such foragers switch between weather dependent feeding opportunities offered by different land cover types. An opportunistic foraging strategy in a landscape with erratically appearing feeding opportunities in different land cover types, may possibly also explain decreasing selection of the two most frequently used land cover types with increasing availability.

  1. Perceived sense of community, cognitive engagement, and learning outcomes among undergraduate nursing students enrolled in an internet-based learning course.

    Science.gov (United States)

    Seckman, Charlotte A

    2014-10-01

    Internet-based learning environments are a popular instructional delivery method that provides flexibility, easy access, convenience, and self-directed learning. There is concern that Internet-based learning creates a loss of community and lacks the power to fully engage the student, leading to negative learning outcomes. This descriptive, correlational study evaluated the relationship among a perceived sense of community, cognitive engagement, and learner outcomes among undergraduate nursing students enrolled in an Internet-based learning course. A convenience sample of 96 undergraduate nursing students enrolled in an online health informatics course participated in this study. Findings indicated a moderate sense of community and a positive relationship between student engagement and learning outcomes. A variety of group activities such as wikis, blogs, and discussion board were helpful in promoting a sense of community, but students emphasized a desire for more faculty feedback and interaction. Nursing is a collaborative profession where community building is a critical skill; therefore, innovative teaching/learning techniques that promote a sense of belonging and community are needed to improve learning outcomes, prepare students to provide quality patient care, and interact with an interprofessional team.

  2. Generalist Pre-Service Teacher Education, Self-Efficacy and Arts Education: An Impossible Expectation?

    Science.gov (United States)

    Collins, Anita

    2016-01-01

    Generalist teacher educators in Australia are struggling with an impossible expectation in the area of arts education. This is due to a cascading trio of systemic issues. Firstly generalist teachers are entering their teacher education courses with variable and often minimal personal arts training. Secondly they are ill supported to improve their…

  3. Host plant specialization in the generalist moth Heliothis virescens and the role of egg imprinting

    NARCIS (Netherlands)

    Karpinski, A.; Haenniger, S.; Schöfl, G.; Heckel, D.G.; Groot, A.T.

    2014-01-01

    Even though generalist insects are able to feed on many different host plants, local specialization may occur, which could lead to genetic differentiation. In this paper we assessed the level and extent of host plant specialization in the generalist herbivore Heliothis virescens Fabricius

  4. The potential role of nursing students in the implementation of community-based hypertension screening programs in Sudan.

    Science.gov (United States)

    Abdelsatir, Suhair; Al-Sofi, Aisha; Elamin, Sarra; Abu-Aisha, Hasan

    2013-01-01

    Hypertension (HTN), diabetes mellitus (DM) and chronic kidney disease (CKD) are important health problems worldwide, and it is possible to reduce their burden through effective HTN screening and treatment programs. It may be feasible to incorporate such programs in the community outreach activities of nursing and medical schools in Sudan. Village inhabitants in the Northern state of Sudan were invited to attend a free clinic for screening of hypertension as well as for follow up and treatment of persons with previously diagnosed hypertension. Fourth year nursing students from the National Ribat University were asked to record demographic data and blood pressure measurements for the attendants of the clinic. A total of 389 adults were screened, their mean age was 41±15 years and 83.8% of them were females. Family history of HTN, DM and CKD was reported by 52.7%, 40.4% and 12.9% respectively. Personal history of HTN, DM and CKD was reported by 28.5%, 17% and 6.4% respectively. The overall prevalence of HTN was 39.6%. Among persons previously diagnosed as hypertensive, 80.2% were on antihypertensive medication but only 48.6% had blood pressure > 140/90 mmHg. Among the 278 persons with no personal history of HTN, 19.1% had blood pressure ≥ 140/90 mmHg. Variables significantly and independently associated with the presence of HTN were family history of HTN (OR: 6.4, P: 0.005), less than 10 years of formal education (OR: 3.5, P: 0.000) and age ≥ 40 years (OR: 2.4, P: 0.005). With proper coordination, nursing and medical students can effectively contribute to the implementation of hypertension screening programs.

  5. Professional writing in nursing education: creating an academic-community writing center.

    Science.gov (United States)

    Latham, Christine L; Ahern, Nancy

    2013-11-01

    Contemporary professional nursing requires competency in both oral and written communication. Outside of writing for publication, instructional methods to teach professional writing in baccalaureate nursing programs are not well documented in the literature. The need for professional writing, coupled with the need to diversify the workforce with students from varying ethnic and educational backgrounds, creates some additional challenges to meet programmatic requirements for scholarly, evidence-based writing outcomes. As two new prelicensure programs were initiated, a comprehensive assessment was conducted that included student focus groups and writing assessment tools to assess writing quality and student support needs. As a result of these data, faculty implemented curricular and instructional revisions and created a writing center that was staffed by older adult volunteers who had careers in writing. The processes, tools, and preliminary outcomes of these faculty-initiated changes to improve student support for writing are presented.

  6. Effectiveness of the Rural Trauma Team Development Course for Educating Nurses and Other Health Care Providers at Rural Community Hospitals.

    Science.gov (United States)

    Zhu, Thein Hlaing; Hollister, Lisa; Scheumann, Christopher; Konger, Jennifer; Opoku, Dazar

    2016-01-01

    The study evaluates (1) health care provider perception of the Rural Trauma Team Development Course (RTTDC); (2) improvement in acute trauma emergency care knowledge; and (3) early transfer of trauma patients from rural emergency departments (EDs) to a verified trauma center. A 1-day, 8-hour RTTDC was given to 101 nurses and other health care providers from nine rural community hospitals from 2011 to 2013. RTTDC participants completed questionnaires to address objectives (1) and (2). ED and trauma registry data were queried to achieve objective (3) for assessing reduction in ED time (EDT), from patient arrival to decision to transfer and ED length of stay (LOS). The RTTDC was positively perceived by health care providers (96.3% of them completed the program). Significant improvement in 13 of the 19 knowledge items was observed in nurses. Education intervention was an independent predictor in reducing EDT by 28 minutes and 95% confidence interval (CI) [-57, -0.1] at 6 months post-RTTDC, and 29 minutes and 95% CI [-53, -6] at 12 months post-RTTDC. Similar results were observed with ED LOS. The RTTDC is well-perceived as an education program. It improves acute trauma emergency care knowledge in rural health care providers. It promotes early transfer of severely injured patients to a higher level of care.

  7. The value of community mental health nurses based in primary care teams: 'switching the light on in a cellar'.

    Science.gov (United States)

    Crawford, P; Carr, J; Knight, A; Chambers, K; Nolan, P

    2001-06-01

    This paper explores the impact of placing Community Mental Health Nurses (CMHNs) at two primary care practices in South Staffordshire. Data were collected by means of a questionnaire which was sent to primary care personnel at these practices, to ascertain their opinions with respect to the contribution of practice-based CMHNs. Overall, primary care personnel were satisfied with the quality of the service received from the CMHNs, especially in terms of improved communication. They felt that the new arrangements enabled a quicker and more efficient access to the services of the CMHN. The results are discussed in terms of the value of having CMHNs within the primary care setting, and in terms of service planning and future recommendations for mental health services within primary care.

  8. Progress of the community hospice care and nursing%社区临终关怀护理进展

    Institute of Scientific and Technical Information of China (English)

    辛婵滢

    2014-01-01

    伴随养老问题的日益严峻,老年人的临终关怀逐渐得到重视。本文综述目前社区临终关怀服务的开展,包括现状、概念、作用、服务内容、不足之处以及建议对策,以期为提高患者临终生命质量,减轻身心痛苦提供科学的护理。%With the elderly problem increasing the attention to the elderly hospice care has been paid gradually. The development of the community hospice care service in recent years including the situation, concepts, roles, service contents, inadequacies and recommendations was reviewed in order to improve the life quality when people die, relieve the physical and mental suffering, and provide the reasonable nursing.

  9. Flexibility in competency-based workplace transition programs: an exploratory study of community child and family health nursing.

    Science.gov (United States)

    Cusack, Lynette; Gilbert, Sandra; Fereday, Jennifer

    2013-03-01

    Successful transition to practice programs that use competency-based assessment require the involvement of all staff, especially those undertaking the preceptor role. Qualitative data were collected using interview methods. Participants were 14 newly employed nurses and 7 preceptors in the child and family community health service in South Australia. Participant narratives were recorded electronically, transcribed, and thematically analyzed using the paradigm of critical social science. Five themes were identified that describe enablers as well as barriers to applying a flexible transition to practice program using competency-based assessment. These included flexibility in the program design, flexibility on the part of preceptors, flexibility to enable recognition of previous learning, flexibility in the assessment of competencies, and flexibility in workload. To ensure successful application of a transition to practice program using competency-based assessment, preceptors must understand the flexible arrangements built into the program design and have the confidence and competence to apply them. Copyright 2013, SLACK Incorporated.

  10. The role of a community palliative care specialist nurse team in caring for people with metastatic breast cancer.

    Science.gov (United States)

    Leadbeater, Maria

    2013-02-01

    An audit was undertaken of people with a diagnosis of breast cancer who were referred to a community palliative care specialist nursing team over a 12-month period, to explore the reasons for referral to the service and the duration of involvement with the service. Breast cancer patients accounted for 10% of the total referrals to the specialist service, with symptom management (including pain control) and emotional support being the main reasons for referral. The majority of people referred with breast cancer had metastatic breast cancer (87%); interestingly, 13% had primary breast cancer. The mean duration of intervention was 3 months and 1 week. Referrals seemed to occur late in patients' disease trajectories, and total numbers were lower than might be expected. It may be concluded that there is scope for the specialist palliative care team to be a more integral part of care for patients with metastatic breast cancer.

  11. Community-Acquired Methicillin-Resistant "Staphylococcus aureus": Considerations for School Nurses

    Science.gov (United States)

    Alex, Aniltta; Letizia, MariJo

    2007-01-01

    Methicillin-resistant "Staphylococcus aureus" (MRSA) is a disease-causing organism that has been present in hospital settings since the 1960s. However, a genetically distinct strain of MRSA, called community-acquired methicillin-resistant "Staphylococcus aureus" (CA-MRSA), has emerged in recent years in community settings among healthy…

  12. The effect of rehabilitation nursing on chronic disease of senile people of community%康复护理在社区老年人慢性病医疗中的作用

    Institute of Scientific and Technical Information of China (English)

    苗文哲; 姜万梅; 赵薇; 姜艳滨

    2003-01-01

    @@ INTRODUCTION With aging of population structure and small- size of family structure the need of senile patients on long- term rehabilitation serves increases,which greatly improve and propel the development of rehabilitation nursing of senile people in domain of nursing speciality. The assessment of need of senile people on long- term nursing and knowing about available service items of senile nursing of community and on what extent the items satisfying providing massage and foundation for senile nursing are urgently needed from the levels of body, psychology and social support through social investigation,which also can provide reference about plan and policy for managers of senile health serve system.

  13. District nurses: relationships in nurse prescribing.

    OpenAIRE

    Fisher, Richard

    2004-01-01

    Although nurse prescribing has been established in the UK for approximately 8 years, little is known about the effect this additional role is having on those who are involved in its processes. This article reports on the early phrases of an ethnographic study which is aiming to discover how prescribing is altering the ways in which district nurses relate to general practitioners, pharmacists, other community nurses, patients and carers during the experience of nurse prescribing. Using qualita...

  14. Evidence of unique and generalist microbes in distantly related sympatric intertidal marine sponges (Porifera: Demospongiae.

    Directory of Open Access Journals (Sweden)

    Anoop Alex

    Full Text Available The diversity and specificity of microbial communities in marine environments is a key aspect of the ecology and evolution of both the eukaryotic hosts and their associated prokaryotes. Marine sponges harbor phylogenetically diverse and complex microbial lineages. Here, we investigated the sponge bacterial community and distribution patterns of microbes in three sympatric intertidal marine demosponges, Hymeniacidon perlevis, Ophlitaspongia papilla and Polymastia penicillus, from the Atlantic coast of Portugal using classical isolation techniques and 16S rRNA gene clone libraries. Microbial composition assessment, with nearly full-length 16S rRNA gene sequences (ca. 1400 bp from the isolates (n = 31 and partial sequences (ca. 280 bp from clone libraries (n = 349, revealed diverse bacterial communities and other sponge-associated microbes. The majority of the bacterial isolates were members of the order Vibrionales and other symbiotic bacteria like Pseudovibrio ascidiaceiocola, Roseobacter sp., Hahellaceae sp. and Cobetia sp. Extended analyses using ecological metrics comprising 142 OTUs supported the clear differentiation of bacterial community profiles among the sponge hosts and their ambient seawater. Phylogenetic analyses were insightful in defining clades representing shared bacterial communities, particularly between H. perlevis and the geographically distantly-related H. heliophila, but also among other sponges. Furthermore, we also observed three distinct and unique bacterial groups, Betaproteobactria (~81%, Spirochaetes (~7% and Chloroflexi (~3%, which are strictly maintained in low-microbial-abundance host species O. papilla and P. penicillus. Our study revealed the largely generalist nature of microbial associations among these co-occurring intertidal marine sponges.

  15. Seed dispersal by specialist versus generalist foragers: the plant's perspective

    Science.gov (United States)

    Larson, D.L.

    1996-01-01

    I examined the seed dispersal ecology of the stem parasitic plant, desert mistletoe (Phoradendron californicum, Viscaceae), with the objectives of (1) determining the relative effectiveness of specialist and generalist foragers for seed dispersal, (2) determining the extent to which desert mistletoe fruiting characteristics correspond to those predicted for plants attracting specialist versus generalist foragers, and (3) examining the potential consequences of the observed dispersal strategy for mistletoe reproduction. Three species of birds, phainopepla, Gila woodpecker, and northern mockingbird, fed on desert mistletoe at my study site. The specialist, phainopepla, was the most abundant and the most likely to perch in host species, where defecated seeds had a greater probability of lodging in a site suitable for establishment. Gila woodpeckers, although abundant, spent little time in host plants, thus dooming most of the seeds they consumed. Mockingbirds may disperse a small number of seeds, but were abundant enough to consume only a small portion of the available fruits. As expected for plants attracting specialist frugivores, mistletoes produced fruits throughout the 6-month season in which phainopeplas reside in the Sonoran desert. Contrary to expectation, numbers of fruits produced far exceeded the amount that could be consumed by the frugivores at my study site. Fruit crop size was positively related to absolute fruit removal, but not to proportional removal at the scale of the entire study site. However, crop size was positively related to proportional removal within the neighborhood of mistletoes occupying an individual host tree. Frugivores were attracted to infected hosts, host attractiveness increased, although proportional removal of fruit declined, with number of female mistletoes. The observed dispersal ecology of desert mistletoe suggests the likelihood of increasingly clumped distributions of mistletoe plants, as more and more seeds are deposited

  16. Investigation of community rehabilitation nursing status and training needs%社区康复护理开展现状及护士培训需求调查

    Institute of Scientific and Technical Information of China (English)

    吴丽荣

    2011-01-01

    目的:调查苏州市城区社区康复护理开展现状.方法:以问卷调查的方式向苏州市37家城区社区卫生服务机构120名社区卫生服务人员发放调查问卷.结果:社区康复在社区卫生服务“六位一体”工作中是最薄弱的环节,73.3%护士认为康复护理在社区卫生服务工作中很重要,76.2%护士对康复护理在我国开展现状一般了解,84.2%护士愿意参加康复护理培训.结论:社区卫生服务发展不平衡,康复护理发展滞后;社区护士对康复护理态度是积极的,但认识较肤浅;社区护士对康复护理培训需求较迫切.应大力宣传和发展康复护理工作,拓展服务对象,加强社区康复护理人才的培养.%Objective: To describe the community rehabilitation nursing status in Suzhou. Methods: Thirty-seven community health services and 120 community health service staff were investigated by a questionnaire. Results: Community rehabilitation was the weakest link in "six in one" work of community health service. About 73.3% nurses thought rehabilitation nursing was very important in community health service. About 76.2% nurses understood rehabilitation nursing status in China and 84.2% nurses were willing to participate in rehabilitation nursing training. Conclusion: The development of community health service is not balanced and rehabilitation nursing development lags behind. Community nurses' attitude to rehabilitation nursing is positive but superficial. Community nurses' training needs to rehabilitation nursing is urgent. We should disseminate and develop rehabilitation nursing work, extend the service objects and cultivate community rehabilitation nursing talents.

  17. Generalist birds promote tropical forest regeneration and increase plant diversity via rare-biased seed dispersal.

    Science.gov (United States)

    Carlo, Tomás A; Morales, Juan M

    2016-07-01

    Regenerated forests now compose over half of the world's tropical forest cover and are increasingly important as providers of ecosystem services, freshwater, and biodiversity conservation. Much of the value and functionality of regenerating forests depends on the plant diversity they contain. Tropical forest diversity is strongly shaped by mutualistic interactions between plants and fruit-eating animals (frugivores) that disperse seeds. Here we show how seed dispersal by birds can influence the speed and diversity of early successional forests in Puerto Rico. For two years, we monitored the monthly fruit production of bird-dispersed plants on a fragmented landscape, and measured seed dispersal activity of birds and plant establishment in experimental plots located in deforested areas. Two predominantly omnivorous bird species, the Northern Mockingbird (Mimus polyglottos) and the Gray Kingbird (Tyrannus dominicensis), proved critical for speeding up the establishment of woody plants and increasing the species richness and diversity of the seed rain in deforested areas. Seed dispersal by these generalists increased the odds for rare plant species to disperse and establish in experimental forest-regeneration plots. Results indicate that birds that mix fruit and insects in their diets and actively forage across open and forested habitats can play keystone roles in the regeneration of mutualistic plant-animal communities. Furthermore, our analyses reveal that rare-biased (antiapostatic) frugivory and seed dispersal is the mechanism responsible for increasing plant diversity in the early-regenerating community. © 2016 by the Ecological Society of America.

  18. 姑息护理--社区护士工作新领域%Palliative Care-community Nurses Work in the New Field

    Institute of Scientific and Technical Information of China (English)

    王玉兰; 王爱红

    2014-01-01

    综述了国外社区姑息护理中护士的工作范畴,国内姑息护理概况,提出以社区为核心的姑息护理模式是我国姑息护理的发展方向,并论证新模式的优越性,以及社区护士在新模式中的重要作用和目标。%Community palliative care nurses working in abroad are reviewed in this paper, the domestic situation of palliative care offered to the community as the core of palliative care model is the development direction of palliative care in our country, and demonstrates the superiority of the new model, and the important function of community nurses in the new model and the target.

  19. Evolution of a collaborative model between nursing and computer science faculty and a community service organization to develop an information system.

    Science.gov (United States)

    Vanderbeek, Jean; Carson, Anne; Troy, Douglas

    2008-01-01

    Nursing and computer science students and faculty worked with the American Red Cross to investigate the potential for information technology to provide Red Cross disaster services nurses with improved access to accurate community resources in times of disaster. Funded by a national 3-year grant, this interdisciplinary partnership led to field testing of an information system to support local community disaster preparedness at seven Red Cross chapters across the United States. The field test results demonstrate the benefits of the technology and the value of interdisciplinary research. The work also created a sustainable learning and research model for the future. This article describes the collaborative model used in this interdisciplinary research and exemplifies the benefits to faculty and students of well-timed interdisciplinary and community collaboration.

  20. 某医学院校护理本科生社区护理就业认知现况调查%Survey on Community Nursing Employment Cognitive Status of Undergrad-uate Nursing Students in Some Medical College

    Institute of Scientific and Technical Information of China (English)

    唐赛; 陈蕾; 杨娟

    2016-01-01

    Objective To know the community nursing employment cognition and influence factors of undergraduate nursing students and study the methods of improving the community nursing employment cognition of them thus enriching the com-munity nursing team and improving the service quality. Methods 108 cases of undergraduate nursing students in four-year system and nursing students turning the junior into the undergraduate were surveyed for community nursing employment cognition by the self-made questionnaire. Results In terms of community understanding degree, 55.6% of the undergradu-ates in four-year system had heard of it but did not understand it, 68.5% of the students turning the junior into the under-graduate had a certain understanding;in terms of community employment intention, most of the undergraduates in four-year system and nurse students turning junior into the undergraduate chose “perhaps considering it if failing to find job”, 59.3%, 55.6% and 35.2% of the students wanted to work in the first and second tire cities, small city and countryside, the primary cause of the undergraduates in four-year system and nurse students turning junior into the undergraduate glad to work in community was the high work freedom degree, respectively accounting for 48.1% and 48.1%, the primary cause of the un-dergraduates in four-year system unwilling to work in community was fewer development opportunities, accounting for 42.9%, and the cause of the nurse students turning junior into the undergraduate unwilling to work in community was low salary, accounting for 46.3%. Conclusion The employment intension of nursing undergraduates to community hospital is lower, it is suggested to promote the nursing undergraduates to work in community hospital by vocational education, deepen-ing community nursing education reform and promoting the construction of community health service institutions.%目的:了解护理本科生社区护理就业认知及影响因素,探讨提升护理

  1. Early Explore of Military Hospital Pushing Community Nursing%军队医院推行社区护理初探

    Institute of Scientific and Technical Information of China (English)

    李丽娜

    2001-01-01

    The community nursing is the need of the development view in modern nursing. It is important part of incorporating prevent, medical treatment and health care. It also is the effective action that adapting the hospital logistics socialization. The community nursing can make the role of nurse many entities. The nurse will take on many serving functions such as the early prevent, the health care education, the healing service, the screening and checking, the individual case management, the transferring and tracing. The special contingent should be set up in the hospital, the cadreman of the part-time job is trained in the grass roots medical treatment units, the retiree is utilized for building up the unestablished contingent of the community nursing.%社区护理是现代护理观发展的需要。它是预防、医疗、保健一体化的重要组成部分。它是适应医院后勤社会化保障的有效举措。社区护理将使护士承担初期预防、保健教育、康复服务、筛检、个案管理、转介和追踪等服务职能。医院应组织专门队伍,在基层医疗单位培养兼职骨干,利用退休人员组成编外社区护理队伍。

  2. Practice of follow up training model of emergency nursing skills for community nurses%社区护士急救护理技术跟进式培训模式的实践

    Institute of Scientific and Technical Information of China (English)

    巨海燕; 张发斌; 孙德俊; 袁怡婷; 刘善梅

    2011-01-01

    目的 研究社区护士急救护理技能培训模式的有效方式.方法 对学员实施急救理论讲授、实训、实习、跟踪指导和全程督导的跟进式培训模式.结果 学员对培训后的急救内容、创伤急救技术、中毒急救技术、传染病防护知识等认知较培训前有很大程度的提高,差异有统计学意义(P<0.01).结论 社区护士急救护理技术跟进式培训模式,对学员跟进式管理和培训有积极的作用.%Objective To explore an effective training model of emergency nursing skills for community nurses. Method The follow up training model was implemented for community nurses .including emergency theory, experiment, clinical practice, follow up instruction and whole course supervision. Results The trainees showed significant improvement in the contents of e-mergency,trauma emergency skills,toxication emergency skills and prevention of infectious diseases (P<0.01). Conclusion The follow up training model of emergency nursing skills for community nurses has led to positive results to the follow up management and training.

  3. Globalization and global health: toward nursing praxis in the global community.

    Science.gov (United States)

    Falk-Rafael, Adeline

    2006-01-01

    Considerable evidence suggests that neocolonialism, in the form of economic globalization as it has evolved since the 1980s, contributes significantly to the poverty and immense global burden of disease experienced by peoples of the developing world, as well as to escalating environmental degradation of alarming proportions. Nursing's fundamental responsibilities to promote health, prevent disease, and alleviate suffering call for the expression of caring for humanity and environment through political activism at local, national, and international levels to bring about reforms of the current global economic order.

  4. Introduction: on the role of a generalist journal

    Directory of Open Access Journals (Sweden)

    Alessandro Roncaglia

    2013-03-01

    Full Text Available Economists commonly specialize in some limited parts of the general field. This is a necessity, due to the complexity of the different issues, the amount of literature available on each of them and the possibility of recourse to different analytical or statistical tools. However, specialization has its drawbacks. Quite often, specialists in the fields of, for instance, labour economics or industrial organization, utilize tools such as the aggregate production function or Marshallian U-shaped cost curves for the firm and the industry; tools which any specialist in abstract theory knows to have been proved faulty. Again, quite often econometric exercises rely on implicit, forgotten assumptions which if duly recognized would deprive the results of any meaning with regard to the interpretation of real world events. The risks of field specialization are commonly countered by the existence of generalist journals, such as the present one.

  5. The Generalist Model: Where do the Micro and Macro Converge?

    Directory of Open Access Journals (Sweden)

    Shari E. Miller

    2008-12-01

    Full Text Available Although macro issues are integral to social work, students continue to struggle with the acquisition of knowledge and skills pertaining to larger systems. Educators have developed innovative methods to integrate learning across systems of various sizes however it appears an imbalance persists. This challenge is supported by baccalaureate student responses to a social work program evaluation. Four years of data from 295 undergraduate students revealed that they felt less prepared to practice with larger, macro systems. Changes in curriculum to reflect collaboration and holism, and more research are needed to adequately provide macro learning and macro practice opportunities within the generalist model and in the context of the current socio-economic-political environment.

  6. The Role of Nurses and Community Health Workers in Confronting Neglected Tropical Diseases in Sub-Saharan Africa: A Systematic Review

    Science.gov (United States)

    Corley, Andrew G.; Thornton, Clifton P.; Glass, Nancy E.

    2016-01-01

    Introduction Neglected tropical diseases produce an enormous burden on many of the poorest and most disenfranchised populations in sub-Saharan Africa. Similar to other developing areas throughout the world, this region’s dearth of skilled health providers renders Western-style primary care efforts to address such diseases unrealistic. Consequently, many countries rely on their corps of nurses and community health workers to engage with underserved and hard-to-reach populations in order provide interventions against these maladies. This article attempts to cull together recent literature on the impact that nurses and community health workers have had on neglected tropical diseases. Methods A review of the literature was conducted to assess the role nurses and community health workers play in the primary, secondary, and tertiary prevention of neglected tropical diseases in sub-Saharan Africa. Articles published between January 2005 and December 2015 were reviewed in order to capture the full scope of nurses’ and community health workers’ responsibilities for neglected tropical disease control within their respective countries’ health systems. Results A total of 59 articles were identified that fit all inclusion criteria. Conclusions Successful disease control requires deep and meaningful engagement with local communities. Expanding the role of nurses and community health workers will be required if sub-Saharan African countries are to meet neglected tropical disease treatment goals and eliminate the possibility future disease transmission. Horizontal or multidisease control programs can create complimentary interactions between their different control activities as well as reduce costs through improved program efficiencies—benefits that vertical programs are not able to attain. PMID:27631980

  7. Effect of Community Nursing on Elderly Patients with Chronic Obstructive Pulmonary Disease%老年慢阻肺患者社区护理效果分析

    Institute of Scientific and Technical Information of China (English)

    胡洁

    2016-01-01

    目的:通过实施社区护理,提高老年COPD患者生活质量、提高其福度指数。方法对300例患者进行知、信、行三方面的社区宣教,对患者在干预前后分别进行调查,问卷行统计学分析。结果患者疾病知识了解程度、服务满意度及幸福度得分都有所增加。结论对老年COPD患者进行科学系统的社区护理,对提高患者生活质量起着重要作用。%Objective Through the implementation of community nursing to improve the utilization of community health resource in the elderly of chronic obstructive pulmonary disease(COPD)patients,ultimately to improve their quality of life and subjective well-being.Methods 300 patients were received three aspects of the community nursing intervention,including knowledge,beliefs,behavior,the patients in the intervention received the questionnaire before and after the investigation.Results After the community nursing intervention,the degree of disease knowledge,community service satisfaction and subjective well-being scores have increased in the COPD patients.Conclusion The community nursing of the elderly patients with COPD is very important to improve the quality of life.

  8. Analysis of the Effect of Family Nursing Management on the Nursing of Patients With Diabetes in Community%家庭护理管理对社区糖尿病患者护理效果分析

    Institute of Scientific and Technical Information of China (English)

    初金燕

    2015-01-01

    目的:分析家庭护理管理对社区糖尿病患者护理效果。方法将200患者分为观察组和对照组各100例,分别采取家庭护理管理和常规护理。结果观察组自我管理能力高于对照组,空腹血糖、餐后2h血糖控制优于对照组。结论家庭护理管理在社区糖尿病患者中的应用效果显著。%Objective To analysis the effect of family nursing management for diabetes patients in community nursing. Methods 200 patients were divided into observation group and control group 100 cases, respectively take management and routine nursing home care. Results Observation group self-management ability is higher than the control group, fasting blood sugar, 2 h postprandial blood glucose control is better than that of control group. Conclusion The effect of family nursing management in the patients with diabetes in community was remarkable.

  9. 珠海市香洲区社区护理现状的调查及护理技能培训的效果%Investigation on community nursing and effect of nursing skills training in Zhuhai city

    Institute of Scientific and Technical Information of China (English)

    许章英

    2010-01-01

    目的 调查珠海市社区护理的现状,分析提高社区护理质量的新模式.方法 对珠海市部分公立、集体及私营性质的社区卫生服务机构的护士进行问卷调查;并对部分社区护理人员进行综合素质、基础护理技术以及急救技能等进行培训;对社区的部分病人进行满意度问卷调查.结果 珠海市香洲区社区护理的现状不容乐观,但通过对148名社区护理人员综合素质、基础护理技能及急救技能培训后,病人与培训前比较对社区护理服务满意率显著提高,差异有统计学意义(P<0.01).结论 珠海市社区护理还存在一些不容忽视的问题,加强管理和培训,是不断提高社区护理服务质量的重要保障.%Objective To investigate the status of community care in Zhuhai and to discuss how to improve the quality of the new model of community care. Methods Questionnaire survey were conducted in part of the public, collective or private nurses in community health service in Zhuhai ; trainings of overall quality, basic nursing skills and first aid skills were conducted in some of the community nursing staff; and satisfaction questionnaire were investigated in part of the community patient. Results The status of community care in Xiangzhou District, Zhuhai City, can not be optimistic, but significant statistical differences showed after training compare with before training in the aspect of basic nursing skills, first-aid skills training, service concept, and overall quality of patient care skills, patients' satisfaction with community care services were significantly increased (P<0.01). Conclusions There are still some problems can not be ignored in Zhuhai community care, and strengthening management and training, could constantly improve the quality of community care services.

  10. COPD患者社区护理需求调查分析与对策%Analysis and countermeasures of COPD patients with community nursing require

    Institute of Scientific and Technical Information of China (English)

    廖伟华; 黄军军

    2013-01-01

    目的:通过COPD患者对社区护理的需求分析,为COPD患者制定有效的社区护理措施,提高患者生活质量.方法:采用自行设计的同卷,对管辖范围的396例COPD患者选择社区康复护理相关问题进行入户调查.结果:回收有效问卷394份,对社区护理需求包括心理需求、用药指导、戒烟、实际困难、家庭氧疗、运动指导、饮食指导等,分别为93.90%,91.87%,56.34%,89.84%,89.84%,81.97%,81.47%.结论:COPD患者社区护理有较高需求,社区卫生服务机构研究制定社区护理对策,把COPD纳入社区健康专案管理,可实施规范、有效的社区护理干预,提高患者生活质量.%Objective:To analyze the community musing requirements of COPD patients,formulate the effective community care measures for COPD pa-tients ,to improve the quality and reduce mortality. Methods:Used the household survey questionnaire designed valuntarily,396 cases of COPD under the ju-risdiction who choose the community rehabilitation nursing were accepted the investigate. Results:394 valid questionnaires were recovered,the requirements about community nursing iriclud psychological, medication guide,smoking cessation, practical difficulties, home oxygen therapy, exercise guidance, dietary guidance etc ,were 03.90% ,91. 87% ,90. 24% ,56.34% ,89.84% ,89.84% ,81.97% and 81.47%. Conclution:COPD patients have a higher demand for community nursing,community health services formulate the measures of community nursing,include COPD into community health project management .im-plement the regulate effective intervetion of community nursing to improve the quality and reduce mortality.

  11. Transforming nursing home-based day care for people with dementia into socially integrated community day care: process analysis of the transition of six day care centres.

    Science.gov (United States)

    van Haeften-van Dijk, A M; Meiland, F J M; van Mierlo, L D; Dröes, R M

    2015-08-01

    The community-based Meeting Centres Support Programme for people with dementia and their carers has been proven more effective in influencing behaviour and mood problems of people with dementia and improving sense of competence of carers compared to nursing home-based day care centres for people with dementia. Six Dutch nursing home-based day care centres were transformed into Community-based day care centres with carer support, according to this Meeting Centres model. To determine which factors facilitate or impede the transition to Community-based day care. A process evaluation was conducted with a qualitative study design. Six nursing home-based day care centres transformed into Community-based day care centres for people with dementia and their carers. Stakeholders (n=40) that were involved during the transition. Factors that facilitated or impeded the transition were traced by means of (audiotaped and transcribed) interviews with stakeholders and document analysis. All data were coded by two independent researchers and analyzed using thematic analysis based on the Theoretical framework of adaptive implementation. Six nursing home-based day care centres successfully made the transition to Community-based day care with carer support. Success factors for the start of the project were: the innovation being in line with the current trend towards more outpatient care and having motivated pioneers responsible for the execution of the transition. Barriers were difficulties reaching/recruiting the target group (people with dementia and carers), inflexible staff and little or no experience with collaboration with community-based care and welfare organizations. Facilitating factors during the implementation phase were: finding a suitable location in the community, positive changes in staff attitude and adoption of the new vision, and good cooperation with care and welfare organizations. Barriers were insufficient involvement of, and support from the managers of the

  12. Transcription, translation, and the evolution of specialists and generalists.

    Science.gov (United States)

    Zhong, Shaobin; Miller, Stephen P; Dykhuizen, Daniel E; Dean, Antony M

    2009-12-01

    We used DNA microarrays to measure transcription and iTRAQ 2D liquid chromatography-mass spectrometry/mass spectrometry (a mass-tag labeling proteomic technique) to measure protein expression in 14 strains of Escherichia coli adapted for hundreds of generations to growth-limiting concentrations of either lactulose, methylgalactoside, or a 72:28 mixture of the two. The two ancestors, TD2 and TD10, differ only in their lac operons and have similar transcription and protein expression profiles. Changes in transcription and protein expression are observed at 30-250 genes depending on the evolved strain. Lactulose specialists carry duplications of the lac operon and show increased transcription and translation at lac. Methylgalactoside specialists are galS(-) and so constitutively transcribe and translate mgl, which encodes a transporter of methylgalactoside. However, there are two strains that carry lac duplications, are galS(-), and show increased transcription and translation at both operons. One is a generalist, the other a lactulose specialist. The generalist fails to sweep to fixation because its lac(+), galS(+) competitor expresses the csg adhesin and sticks to the chemostat wall, thereby preventing complete washout. Transcription and translation are sometimes decoupled. Lactulose-adapted strains show increased protein expression at fru, a fructose transporter, without evidence of increased transcription. This suggests that fructose, produced by the action of beta-galactosidase on lactulose, may leach from cells before being recouped. Reduced expression, at "late" flagella genes and the constitutive gat operon, is an adaptation to starvation. A comparison with two other long-term evolution experiments suggests that certain aspects of adaptation are predictable, some are characteristic of an experimental system, whereas others seem erratic.

  13. American Nurses Association Nursing World

    Science.gov (United States)

    ... ANA Staff Nurses Advanced Practice Nurses Nurse Managers Nursing Research Student Nurses Educators What is Nursing? NursingWorld About ... Online Course Alert! The Ins and Outs of Nursing Research 11/09/16 ANA Ready to Work with ...

  14. Promoting good dental health in older people: role of the community nurse.

    Science.gov (United States)

    Daly, Blánaid; Smith, Kerry

    2015-09-01

    Good dental health enables a person to eat, speak, and socialise. It contributes to nutrition, general health, and quality of life. The dental health of people living in the UK has improved in the last 40 years, and older people are retaining their natural teeth throughout their life; nontheless, a significant proportion of people over 75 years still rely on partial and full dentures. Dental disease in all age groups is readily prevented by daily oral hygiene and adherence to a healthy diet, avoidance of smoking, and sensible alcohol intake. Some older people may simply need reminding and encouragement to carry out oral hygiene, while more dependent adults may need support and active help to do so. Nursing teams and health professionals play a key role in promoting oral health by supporting oral hygiene and adequate nutrition, preventing discomfort, and detecting dental diseases early. This article gives a brief overview of how nursing teams and health professionals can promote oral health and provides details of resources from which further detailed information may be obtained.

  15. 关于弱视、斜视患儿社区护理的现状调查%Investigation on Present Situation of Community Nursing in Children with Amblyopia and Strabismus

    Institute of Scientific and Technical Information of China (English)

    卢志霞; 刘文兰

    2016-01-01

    目的:探究目前针对弱视、斜视患儿实施社区护理的状况é方法利用问卷调查的形式对该市200名弱视、斜视患儿的护理需求进行调查,并对目前社区50名护理人员护理现状进行调查分析é结果在经过问卷调查后,74%的弱视、斜视患儿有社区护理需求,且社区内有54%的护理人员对弱视、斜视患儿的规范护理措施知晓é结论目前社区内弱视、斜视患儿对社区护理的需求率较高,因而有必要强化社区对弱视、斜视儿童患儿的护理模式,提升社区护理质量é%Objective To explore the current status of the implementation of community nursing for children with amblyopia and strabismus. Methods Using the questionnaire of nursing needs of our 200 children with amblyopia and strabismus were investigated, and the current community nurses from 50 nursing status investigation and analysis. Results After the survey, 74% of the children with amblyopia and strabismus of community nursing needs and community awareness of standardized nursing care personnel of 54% children with amblyopia and strabismus. Conclusion The community of amblyopia and stra-bismus in children with community nursing demand rate is higher, so it is necessary to strengthen the nursing mode of com-munity of amblyopia and strabismus of children, improve the quality of community nursing.

  16. Investigation on the post training of community nurses%社区护士岗位培训相关情况调查

    Institute of Scientific and Technical Information of China (English)

    何玉霞

    2011-01-01

    Objective To investigate the related things of community nurse post training, so that training can be carried out accordingly. Methods 160 trainees of Suining and Neijiang in 2009 were investigated anonymously with self-designed questionnaire. Results Trainees mainly came from the 1st and.2nd grade public hospitals and community health service centers. 68.7% of trainees were engaged in clinical nursing in hospitals before training, and 51.5% trainees went in for community nursing after the training. Trainees were generally clear about the category, related knowledge and skill requirements of community nursing. Conclusion The present post training time is relatively short. Continuing education of community nursing and exploration on training model of community nursing specialists are suggested.%目的 了解社区护士岗位培训的相关情况,以便有针对性地开展培训工作。方法 采用自制的调查问卷对遂宁市和内江市2009年的社区护士岗位培训学员共160名进行不记名调查。结果 培训学员主要来自公立的一、二级医院和社区卫生服务中心;68.7%的学员培训前从事医院临床护理工作,51.5%的学员培训后从事社区护理工作;学员普遍对社区护理工作范畴、相关知识和技能要求有比较清晰的认识。结论 目前的岗位培训时间相对较短,建议在岗位培训的基础上开展社区护理继续教育,同时探索社区专科护士的培养模式。

  17. The Courage to Care-An innovative arts-based event to engage students and the local community to reflect on Australian nurses' roles in the First World War and after.

    Science.gov (United States)

    McAllister, Margaret; Davis, Susan; Brien, Donna Lee; Rogers, Irene; Flanagan, Wendy; Howie, Virginia; Dargusch, Jo

    2016-12-01

    There is a large body of work that documents the history of the nursing profession and the experiences of nurses during significant historical eras such as the First World War. Yet learning about nursing history is commonly a tiny, or absent, component in the undergraduate nursing curriculum. This paper discusses an innovative project that had multiple aims. A primary aim was to engage nursing students and educators in a project that valued nursing history by integrating it into an event to celebrate International Nurses Day. As the paper will explain, other aims were in organising the event so that it capitalised on particular creative arts strengths within the faculty, offering cross-disciplinary connections, engagement and appreciation. A Readers' Theatre event, involving academics and students in nursing, creative arts and education, was conceived, developed and performed for the community. The theme was the experiences of First World War nurses and how they encapsulated values important to nursing today - the 6 Cs - which guide high standards of nursing. The 6 Cs are care, compassion, competence, communication, courage and commitment. We called the Readers' Theatre "The Courage to Care", and this involved a 4month process of script development, event planning and a performance. This process and outcomes were evaluated, prompting a reflection on the strengths and challenges of working in this creative way to engage a wide group of stakeholders to advance the profession of nursing. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. 社区护理对老年人健康行为的影响%The effect of community nursing intervention on health behaviors of the elderly

    Institute of Scientific and Technical Information of China (English)

    刘芳

    2015-01-01

    Objective:To explore the effect of community nursing on health behaviors of the elderly.Methods:Community care and health behavior education were given for the elderly and patients with chronic diseases.Results:The critical hypertension in community elderly decreased 27.9%,and the incidence of diabetic decreased 3.9% in patients with impaired glucose tolerance. Conclusion:Community nursing provided comprehensive,convenient and effective nursing care services for the elderly,health behavior is the main way to get effective control of the disease in elderly people.%目的:探讨社区护理对老年人健康行为的影响。方法:对老年人、慢性病患者进行社区护理,进行健康行为教育活动。结果:社区老人临界高血压的发生率下降27.9%,糖耐量减低患者糖尿病的发生率下降3.9%。结论:社区护理为老年人提供了全面、方便、有效的护理服务,健康行为方式是老年疾病得到有效控制的主要途径。

  19. Fundraising for Accelerated Study for the PhD in Nursing: A Community Partnership.

    Science.gov (United States)

    Starck, Patricia L

    2015-01-01

    This article describes fundraising strategies by a School of Nursing to support a post-master's accelerated (3-year) PhD degree program. A sample proposal to solicit funds is included, as well as a contract that students sign before accepting the scholarship and agreeing to teach for 3 years or repay the money. The first campaign raised $2.3 million for ten students, and the second campaign raised $1.3 million for six students. One useful marketing strategy is to show the impact of an investment in educating ten doctoral students who will become faculty and teach 100 additional students per year, who will then become professionals caring for thousands of patients during their careers. Over a 10 year period, the impact of an accelerated program is enormous, with 660 students taught who in their lifetime will care for 2.4 million patients. The article also discusses motivation and mind sets for giving to promote success in fundraising.

  20. Nursing Role Transition Preceptorship

    Science.gov (United States)

    Batory, Susan M.

    2014-01-01

    The preceptorship clinical experience in a practical nursing (PN) program at a Midwestern community college is considered crucial to the PN students' transition from novice nurse to professional nurse. However, no research has been available to determine whether the preceptorship clinical accomplishes its purpose. A case study was conducted to…

  1. Community nurse resource implications for a change in heparin prophylaxis policy

    Directory of Open Access Journals (Sweden)

    Parker Martyn J.

    2015-01-01

    Full Text Available Introduction: A review was undertaken for a consecutive series of hip fracture patients for the year before and then after a change in low dose heparin prophylaxis policy. Patients and methods: For the first year heparin was administered in hospital for a maximum of 14 days only. Patients sent home before this time were not discharged taking heparin. For the second year heparin was administered as recommended by NICE guidelines for 28 days from admission regardless of whether the patient was discharged. Results: For the first year 486 patients were treated with a mean of 10.4 doses of heparin per patient. For the second year 465 patients were treated with a mean of 24.3 doses per patient. In total an extra 6,464 doses of heparin were administered. 33.8% of patients were unable to administer their heparin at home therefore a district nurse administered 2,284 of these doses of subcutaneous heparin at the patient’s home. The increased cost associated with the change in policy was estimated to be £161 per patient, with over 90% of this increase being incurred by the district nurse expense. If applied nationally for the England, using extended heparin prophylaxis for hip fracture patients would cost in excess of 12 million pounds each year. Conclusion: Whilst the necessity for and duration of thromboembolic prophylaxis for these patients remains undetermined, there is a need to re-evaluate the cost effectiveness of the current recommendations for hip fracture patients.

  2. Surveying Community Nursing Support for Persons with an Intellectual Disability and Palliative Care Needs

    Science.gov (United States)

    Bailey, Maria; Doody, Owen; Lyons, Rosemary

    2016-01-01

    Palliative care services have developed over the years to support all persons with life-limiting conditions. Moreover, services for people with an intellectual disability have moved from the traditional institutional setting to supporting people with an intellectual disability to live in their own community and family home. The expansion of…

  3. Nursing 2000: Collaboration to Promote Careers in Registered Nursing.

    Science.gov (United States)

    Wilson, Connie S.; Mitchell, Barbara S.

    1999-01-01

    The effectiveness of the collaborative Nursing 2000 model in promoting nursing careers was evaluated through a survey of 1,598 nursing students (637 responses). Most effective techniques were the "shadow a nurse" program, publications, classroom and community presentations, and career-counseling telephone calls. (SK)

  4. osni.info-Using free/libre/open source software to build a virtual international community for open source nursing informatics.

    Science.gov (United States)

    Oyri, Karl; Murray, Peter J

    2005-12-01

    Many health informatics organizations seem to be slow to take up the advantages of dynamic, web-based technologies for providing services to, and interaction with, their members; these are often the very technologies they promote for use within healthcare environments. This paper aims to introduce some of the many free/libre/open source (FLOSS) applications that are now available to develop interactive websites and dynamic online communities as part of the structure of health informatics organizations, and to show how the Open Source Nursing Informatics Working Group (OSNI) of the special interest group in nursing informatics of the International Medical Informatics Association (IMIA-NI) is using some of these tools to develop an online community of nurse informaticians through their website, at . Some background introduction to FLOSS applications is used for the benefit of those less familiar with such tools, and examples of some of the FLOSS content management systems (CMS) being used by OSNI are described. The experiences of the OSNI will facilitate a knowledgeable nursing contribution to the wider discussions on the applications of FLOSS within health and healthcare, and provides a model that many other groups could adopt.

  5. [Practical nursing training in the University School of Nursing of the Community of Madrid. Opinion of students and health professionals. Qualitative study with discussion groups].

    Science.gov (United States)

    Pérez Andrés, Cristina; Alameda Cuesta, Almudena; Albéniz Lizarraga, Carmen

    2002-01-01

    In the nursing schools, the contrast between what is taught in the classrooms and what is practiced at the health care centers usually creates a great deal of confusion on the part of the students. The objective of this research is to ascertain the opinion of the students and of the professionals at the health care centers where they are doing their training with regard thereto in order to detect their problems and see what differences exist between primary and specialized care. This research was conducted throughout the first half of 2000 employing qualitative methodology, by means of four discussion groups comprised of students, former students, primary care training advisors and nursing professionals at the hospitals where the students of the school in question are doing their nursing training. The initial involvement employed was indirect. The comments of the nursing students and of their training advisors with regard to the practice nursing during the diploma studies reveal dissatisfaction on the part of both of these groups. In all of the groups point out anxiety as the leading factor involved in their teaching as well as learning activities and during professional training. The lack of identification as a group of professionals seems to be related to the lack of recognition on the part of the others, the demand for a degree being granted for their college studies and for the setting up of specialities would contribute to their social recognition and, as a result thereof, to their identification as a professional group. Until a solution is provided to the anxiety which the nursing professionals feel with regard to their professional practice, which they pass on to their students during nursing training, it will not be possible to achieve a higher degree of satisfaction with nursing training experiences either on the part of the training advisors or on the part of the students.

  6. Dissemination of the nurse-administered Tobacco Tactics intervention versus usual care in six Trinity community hospitals: study protocol for a comparative effectiveness trial

    Directory of Open Access Journals (Sweden)

    Duffy Sonia A

    2012-08-01

    Full Text Available Abstract Background The objectives of this smoking cessation study among hospitalized smokers are to: 1 determine provider and patient receptivity, barriers, and facilitators to implementing the nurse-administered, inpatient Tobacco Tactics intervention versus usual care using face-to-face feedback and surveys; 2 compare the effectiveness of the nurse-administered, inpatient Tobacco Tactics intervention versus usual care across hospitals, units, and patient characteristics using thirty-day point prevalence abstinence at thirty days and six months (primary outcome post-recruitment; and 3 determine the cost-effectiveness of the nurse-administered, inpatient Tobacco Tactics intervention relative to usual care including cost per quitter, cost per life-year saved, and cost per quality-adjusted life-year saved. Methods/Design This effectiveness study will be a quasi-experimental design of six Michigan community hospitals of which three will get the nurse-administered Tobacco Tactics intervention and three will provide their usual care. In both the intervention and usual care sites, research assistants will collect data from patients on their smoking habits and related variables while in the hospital and at thirty days and six months post-recruitment. The intervention will be integrated into the experimental sites by a research nurse who will train Master Trainers at each intervention site. The Master Trainers, in turn, will teach the intervention to all staff nurses. Research nurses will also conduct formative evaluation with nurses to identify barriers and facilitators to dissemination. Descriptive statistics will be used to summarize the results of surveys administered to nurses, nurses’ participation rates, smokers’ receipt of specific cessation services, and satisfaction with services. General estimating equation analyses will be used to determine differences between intervention groups on satisfaction and quit rates, respectively, with

  7. Theatre and emergency services rendered by generalist medical ...

    African Journals Online (AJOL)

    sterilization was the most frequently performed surgical procedure, and secondly ... surgery, anaesthetics and orthopaedics. 3,4,5 ... profile of medical practitioners in ..... was carried out of the186 nurses who completed the Diploma in Clinical ...

  8. Unbiased Transcriptional Comparisons of Generalist and Specialist Herbivores Feeding on Progressively Defenseless Nicotiana attenuata Plants

    NARCIS (Netherlands)

    Govind, G.; Mittapalli, O.; Griebel, T.; Allmann, S.; Böcker, S.; Baldwin, I.T.

    2010-01-01

    Background Herbivore feeding elicits dramatic increases in defenses, most of which require jasmonate (JA) signaling, and against which specialist herbivores are thought to be better adapted than generalist herbivores. Unbiased transcriptional analyses of how neonate larvae cope with these induced

  9. Organization and evaluation of generalist palliative care in a Danish hospital

    DEFF Research Database (Denmark)

    Bergenholtz, H; Hølge-Hazelton, B; Jarlbæk, Lene

    2015-01-01

    Background Hospitals have a responsibility to ensure that palliative care is provided to all patients with life-threatening illnesses. Generalist palliative care should therefore be acknowledged and organized as a part of the clinical tasks. However, little is known about the organization...... and evaluation of generalist palliative care in hospitals. Therefore the aim of the study was to investigate the organization and evaluation of generalist palliative care in a large regional hospital by comparing results from existing evaluations. Methods Results from three different data sets, all aiming...... to evaluate generalist palliative care, were compared retrospectively. The data-sets derived from; 1. a national accreditation of the hospital, 2. a national survey and 3. an internal self-evaluation performed in the hospital. The data were triangulated to investigate the organization and evaluation...

  10. Pest species diversity enhances control of spider mites and whiteflies by a generalist phytoseiid predator

    NARCIS (Netherlands)

    Messelink, G.J.; van Maanen, R.; van Holstein-Saj, R.; Sabelis, M.W.; Janssen, A.

    2010-01-01

    To test the hypothesis that pest species diversity enhances biological pest control with generalist predators, we studied the dynamics of three major pest species on greenhouse cucumber: Western flower thrips, Frankliniella occidentalis (Pergande), greenhouse whitefly, Trialeurodes vaporariorum

  11. Comparative observation on nursing efficacy between home nursing and routine nursing in community diabetic patients%居家护理和常规护理在社区糖尿病患者中的护理效果对比观察

    Institute of Scientific and Technical Information of China (English)

    宋华琴

    2016-01-01

    Objective:To explore the comparison of nursing efficacy between home nursing and routine nursing in community diabetic patients.Method:There were 220 diabetic patients randomly divided into two groups.The patients in the control group received routine nursing,the ones in the research group received home nursing.Nursing results were compared between the two groups.Results:The treatment outcome of the two groups was that the levels of fasting blood glucose and glycosylated hemoglobin of the study group were significantly better than the ones of the control group.The difference was statistically significant(P<0.05). Conclusion:Application of home nursing can significantly improve the patients'' blood glucose control level and quality of life in the nursing process of community diabetic patients.%目的:探讨居家护理和常规护理在社区糖尿病患者中的护理效果对比情况.方法:收治糖尿病患者220例,随机平分为两组,对照组患者使用常规护理,研究组患者使用居家护理,对比两组患者的护理结果.结果:在两组患者的治疗结果方面,研究组患者的空腹血糖以及糖化血红蛋白水平均显著优于对照组,差异有统计学意义(P<0.05).结论:在社区糖尿病患者的护理过程当中,应用居家护理能够显著改善患者的血糖控制水平,提高患者的生活质量.

  12. 如何做好高血压病的社区护理%How to do community nursing of hypertensive disease

    Institute of Scientific and Technical Information of China (English)

    李爱民; 栾积毅

    2014-01-01

    目的:随着人们生活水平的提高和生活习惯的改变,高血压患病率明显升高,与冠心病、脑血管病等可致人死亡的主要疾病密切相关,如何做好高血压病的社区护理成为社区医护人员关注的焦点。根据国外经验表明控制高血压的关键是做好社区护理,结合国内外有关文献和自己的工作实际对如何做好高血压病的社区护理进行阐述,并对我国有关高血压人群的护理提出一些观点。%With the improvement of the peoples’ living level and living habits change,the prevalence rate of hypertension was significantly increased,it had close relationship to major diseases which can cause human death,such as coronary heart disease, cerebrovascular disease.how to do community nursing of hypertensive disease has become the focus of the community medical staff.The foreign experience shows that the key of hypertension control is to do a good job of community nursing,I expounded how to do a good job of hypertension in community nursing combined domestic and foreign relevant documents and my actual work, and provide some views of nursing about hypertension population in our country.

  13. 谈社区护理的开展与护士的关系%Discussion on Relationship between Development and Nurses in Community Care

    Institute of Scientific and Technical Information of China (English)

    张芬娜

    2014-01-01

    The community nursing care is to the hospice care, rehabilitation, elderly care, chronic disease prevention and control and other areas of development, into the family planning technical service, prevention, rehabilitation, health education, health, medical care as a whole. This paper first analyzes the community nurses should have the conditions and ability, secondly, role of nurses in community care has carried on a more thorough discussion, with some reference value. With the practical action, to the"good service, good quality, good medical ethics, masses satisfaction"as the main content of the"merit yimanyi"community nursing activities into the depth.%社区护理工作正在向临终关怀、康复、老年护理、慢性病防治等领域发展,融计划生育技术服务、预防、健康教育、康复、保健、医疗等为一体。本文首先分析了社区护士应具备的条件和能力,其次,就护士在社区护理中的作用进行了较为深入的探讨,具有一定的参考价值。用实际行动,把以"服务好、质量好、医德好、群众满意"为主要内容的"三好一满意"社区护理活动推向纵深。

  14. Cardiovascular nursing in Israel.

    Science.gov (United States)

    Blaer, Yosef; Rosenberg, Orit; Reisin, Leonardo

    2003-01-01

    Cardiovascular (CV) nursing as an entity in Israel dates back to 1952, when the nurses in Tel-Hashomer hospital took care of postoperative heart surgery patients. The first intensive cardiac care units (ICCUs) were established in 1971. In 1982, the first ICCU course was established in Tel-Hashomer hospital nursing school. Today, most of the nursing staff in Israels ICCUs are graduates of ICCU courses. The nurses professional society, the Society for Nursing of Israel, was established in 1947. In 1989 the Society for Advancement of Cardiac Nursing in Israel (SACN) was established. The main goals of the society were: the exchange of CV nursing knowledge, CV nursing research, CV nursing education in nursing schools, education of nurses in other departments in the care of the cardiac patient, and CV nursing education in the community. The CV nurse takes a large role in the total care of the cardiac patient, which includes rehabilitation within the hospital and in the ambulatory setting and coordination of nursing in national and international multicenter clinical trials. In collaboration with the Ministry of Health Nursing Division, Israeli CV nurses participate in national and international projects to: develop and upgrade nursing education; train new CV nurses; develop, review, and revise nursing protocols and guidelines; and establish new, more advanced ICCUs in underdeveloped areas within Israel and around the world. Our vision for the future development of CV nursing in Israel includes coordination and management roles in the hospital setting, and the establishment and management of home-care programs. Copyright 2003 CHF, Inc.

  15. Living with companion animals after stroke: experiences of older people in community and primary care nursing.

    Science.gov (United States)

    Johansson, Maria; Ahlström, Gerd; Jönsson, Ann-Cathrin

    2014-12-01

    Older people often have companion animals, and the significance of animals in human lives should be considered by nurses-particularly in relation to older people's health, which can be affected by diseases. The incidence of stroke increases with age and disabilities as a result of stroke are common. This study aimed to explore older people's experiences of living with companion animals after stroke, and their life situation with the animals in relation to the physical, psychological and social aspects of recovery after stroke. The study was performed using individual interviews approximately 2 years after stroke with 17 participants (10 women and 7 men) aged 62-88 years. An overarching theme arising from the content analysis was contribution to a meaningful life. This theme was generated from four categories: motivation for physical and psychosocial recovery after stroke; someone to care for who cares for you; animals as family members; and providers of safety and protection. The main conclusion was that companion animals are experienced as physical and psychosocial contributors to recovery and a meaningful life after stroke.

  16. 社区护士在社区高血压管理中的服务内容及具体职责%The service contents and specific responsibilities of community nurses in community hypertension management

    Institute of Scientific and Technical Information of China (English)

    刘丽; 唐艳; 叶付连; 廖小兵

    2016-01-01

    Objective To discuss the service contents and specific responsibilities of community nurses in community hypertension management . Methods A total of 208 cases of hypertension patients of the health service center of niuhu community in Longhua district Guanlan cattle lake street of Shenzhen city were selected as an observation group and given service according to the community hypertension nursing implementation route model with community nurses participating in .Another 208 hypertension patients in Zhangge health service center of in Longhua district guanlan street of LongHua new district of Shenzhen city were selected as a control group , provided with the traditional nursing management . Then the hypertension community nursing management of the two groups were evaluated .Results In the observation group ,the control rate of hypertension increased from significantly from 68 .27% before nursing to 85 .58% after the intervention ,also significantly higher than 71 .15% of the control group after the intervention .The medication compliance rate (89 .42% ) , rate of self testing blood pressure (66 .35% ) and hypertension knowledge awareness rate (91 .35% ) of the observation group were significantly better than those of the control group .Moreover ,the satisfaction of the observation group was 94 .23%significantly higher than that in the control group (78 .85% ) .Conclusion Community hypertension nursing implementation route with community nurses participating in is useful for hypertension prevention and control in community .%目的:探讨社区护士在社区高血压管理中的服务内容和具体职责。方法选取深圳市龙华新区观澜街道章阁社康中心208例高血压患者为对照组,实施传统护理管理模式;选取深圳市龙华新区观澜街道牛湖社区健康服务中心208例高血压患者为观察组,实施社区护士参与下的高血压社区护理实施路径运行模式。评价2组社区高血压护理管理效果。

  17. Gerontology Nurses: Are They Needed in the Air Force?

    Science.gov (United States)

    1985-04-01

    Nurse Administration, Education 16 Community Health Nursing 12 Midwifery II. Public Health Nursing 10 Cardio-Vascular Nursing 7 Nurse Science 4...gerontology prepare nurses in the role of clinician, educator, administrator or practitioner. A big focus of the masters programs is on community services...have Identified a need for gerontology nursing in their communities and have established masters programs in this new field. Should the Air Force

  18. 庄行社区居家舒缓疗护实践与思考%Practice and thinking of home hospice nursing in Zhuanghang Community

    Institute of Scientific and Technical Information of China (English)

    潘冬英; 唐晨黎; 韩月英

    2016-01-01

    The hospice nursing work at homes of Zhuanghang Community Health Service Center in Fengxian District from August 2014 to May 2015 is summarized. According to the background of the work development and the speciifc situation of 32 cases, the proportions of doctors, nurses and patients and the methods of hospice nursing work at homes are analyzed and a few suggestions are put forward for the present hospice nursing work at home in the present grass-roots community. Firstly, the patients who need hospice nursing make“wills”in advance can be suggested, secondly, according to the relevant work of community hospice nursing at home it is urgent to need a complete policy, law and economic support, and thirdly the most important is to strengthen the construction of the entire hospice nursing team. It is advocated to respect the value of life in the whole society to enhance the social and economic status of the workers engaged in the work.%总结奉贤区庄行社区卫生服务中心2014年8月—2015年5月开展的居家舒缓疗护工作。针对工作开展背景及32例患者的具体情况,分析社区医护患比例及居家舒缓疗护方式,并提出目前针对基层社区居家舒缓的一些建议。首先,可以建议舒缓疗护患者事先立好“预嘱”;其次,针对社区居家舒缓疗护的相关工作迫切需要完整的政策、法律以及经济支持。再者,最重要的是加强整个舒缓疗护团队的建设。在全社会倡导尊重生命价值以提高从事此项工作者的社会地位及经济地位。

  19. Linking Spiritual and Religious Coping With the Quality of Life of Community-Dwelling Older Adults and Nursing Home Residents

    Directory of Open Access Journals (Sweden)

    Luciano Magalhães Vitorino BSN, MSc

    2016-07-01

    Full Text Available Objective: This study examined the effect of Positive and Negative Spiritual and Religious Coping (SRC upon older Brazilian’s quality of life (QOL. Method: A secondary analysis of data collected from 77 nursing home residents (NHRs; M age = 76.56 and 326 community-dwelling residents (CDRs; M age = 67.22 years was conducted. Participants had completed the Brief SRC, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF and World Health Organization Quality of Life-OLD (WHOQOL-OLD. A General Linear Model regression analysis was undertaken to assess the effects of SRC upon 10 aspects of participants’ QOL. Results: Positive (F = 6.714, df = 10, p < .001 as opposed to Negative (F = 1.194, df = 10, p = .294 SRC was significantly associated with QOL. Positive SRC was more strongly associated with NHR’s physical, psychological, and environmental QOL, and their perceived sensory abilities, autonomy, and opportunities for intimacy. Conclusion: Positive SRC behaviors per se were significantly associated with QOL ratings across both study samples. The effect size of Positive SRC was much larger among NHRs across six aspects of QOL. Place of residence (POR in relation to SRC and QOL in older age warrants further study.

  20. Linking Spiritual and Religious Coping With the Quality of Life of Community-Dwelling Older Adults and Nursing Home Residents

    Directory of Open Access Journals (Sweden)

    Luciano Magalhães Vitorino BSN, MSc

    2016-07-01

    Full Text Available Objective: This study examined the effect of Positive and Negative Spiritual and Religious Coping (SRC upon older Brazilian’s quality of life (QOL. Method: A secondary analysis of data collected from 77 nursing home residents (NHRs; M age = 76.56 and 326 community-dwelling residents (CDRs; M age = 67.22 years was conducted. Participants had completed the Brief SRC, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF and World Health Organization Quality of Life-OLD (WHOQOL-OLD. A General Linear Model regression analysis was undertaken to assess the effects of SRC upon 10 aspects of participants’ QOL. Results: Positive ( F = 6.714, df = 10, p < .001 as opposed to Negative ( F = 1.194, df = 10, p = .294 SRC was significantly associated with QOL. Positive SRC was more strongly associated with NHR’s physical, psychological, and environmental QOL, and their perceived sensory abilities, autonomy, and opportunities for intimacy. Conclusion: Positive SRC behaviors per se were significantly associated with QOL ratings across both study samples. The effect size of Positive SRC was much larger among NHRs across six aspects of QOL. Place of residence (POR in relation to SRC and QOL in older age warrants further study.