ABSTRACT
The health care industry is in the throes of remarkably penetrating and destabilizing change, the effects of which have been felt earliest by perinatal service directors. In anticipation of future trends marked by rampant change, a survey of perinatal service directors and vice presidents was conducted to elicit their opinions about the current and future states of perinatal health care. Findings supported the notions that change is a constant, that clinical and service excellence is a mandate, and that collaboration is key. Future success will require many old behaviors and systems to be replaced. Leadership to guide us to the future has never been more important.
Subject(s)
Attitude of Health Personnel , Health Care Reform/organization & administration , Neonatal Nursing/organization & administration , Nurse Administrators/psychology , Forecasting , Humans , Infant, Newborn , Job Description , Organizational Innovation , Surveys and Questionnaires , United StatesABSTRACT
Low birth weight is an ever-increasing threat to the health of America's future generations. In national efforts to improve the status of children's health, it is the primary condition to be targeted for prevention. In this chapter, low birth weight and infant mortality trends are presented. Causative and consequential factors are discussed. Strategies to reduce the incidence of low birth weight are identified.
Subject(s)
Health Policy , Infant Mortality , Infant, Low Birth Weight , Female , Humans , Infant, Newborn , Maternal Health Services/organization & administration , Pregnancy , Pregnancy Outcome , Prenatal Care/standards , United States/epidemiologySubject(s)
Health Policy/legislation & jurisprudence , Nursing Care , Parents , Child Care , Family Characteristics , Humans , Patient Advocacy , Social Change , United StatesABSTRACT
Gathered MMPI and demographic data on six groups of 25 men each who had been remanded by the courts to a maximum security psychiatric hospital for pretrial assessment. The groups differed according to offense type: Murder or attempted murder of a family member or girlfriend, murder or attempted murder of an unrelated victim, rape, arson, child molesting, or property. The MMPI profiles of the groups were remarkably similar, and the prediction that the murder family group would have the highest Overcontrolled Hostility scores was not supported. Multiple discriminant analyses showed that the remand's age on admission and whether he had been in corrections before the current offense were the best discriminators among the groups. These data indicate that the MMPI is not related to the offense types of mentally disordered offenders referred by the courts for assessment, but does reflect their relatively high levels of psychopathology.
