ABSTRACT
This article describes a nursing intervention called Teen Club that was designed to reduce risk-taking behavior and improve well-being in female African American adolescents. Participants were referred to Teen Club by their nurse practitioners, physicians, and a community health nurse who were working at an urban neighborhood health center's teen clinic. Referrals were based on factors such as parental substance abuse, lack of social and family support, and other characteristics thought to increase vulnerability to risk-taking behavior. The 2-year intervention included weekly group meetings co-led by a European American female community health nurse and a Latino American male community worker, supplemented by case management and home visits by both these persons. Findings from a retrospective group interview conducted with 11 of the 12 original participants are presented. This is the first step in a series of pilot studies designed to refine the Teen Club intervention in anticipation of a future prospective, randomized investigation of this health promotion and disease prevention model of nursing care.
Subject(s)
Adolescent Behavior/psychology , Black or African American/psychology , Community Health Nursing/organization & administration , Community Health Workers/organization & administration , Health Behavior , Health Promotion/organization & administration , Risk-Taking , Self-Help Groups/organization & administration , Adolescent , Attitude to Health , Female , Humans , New York , Nursing Evaluation Research , Pilot Projects , Program Evaluation , Psychology, Adolescent , Retrospective Studies , Surveys and QuestionnairesABSTRACT
The increased use of unlicensed assistive personnel (UAP) has raised the question: "What nursing research has been conducted to evaluate the effectiveness of the UAP in relation to patient outcomes?" To answer this question, the New York State Nurses Association Council on Nursing Research conducted a literature review on the issue of UAP. The specific purposes of this article are to: (a) present an overview of the health care climate and consumer and RN reaction in relation to the UAP movement, (b) summarize reported reviews of UAP research conducted between 1988 and 1994, (c) critique and synthesize the most recent UAP nursing research conducted between 1994 and 1997, and (d) make recommendations for education, practice, and research.
Subject(s)
Nursing Assistants/organization & administration , Nursing Research , Outcome Assessment, Health Care , Attitude of Health Personnel , Attitude to Health , Humans , Nursing Assistants/educationABSTRACT
This paper describes policy formation and its relationship to nursing research, examining ways in which nursing's disciplinary research can have greater influence on American health care policy. The American Nurses Association's Social Policy Statement (1995) is discussed in its role as a guide for nursing research efforts in a health care reform environment where favorable patient outcomes are key.
Subject(s)
American Nurses' Association , Health Policy , Nursing Research , Health Care Reform , Humans , United StatesABSTRACT
This paper outlines strategies for all nurses to participate in nursing's research agenda, which aims to enhance the scientific basis of nursing practice. The emphasis here is on generating data for the outcomes movement as a tool for transforming the American health care delivery system.
