Specialty maldistribution. The next nursing crisis?

Clinical specialty maldistribution is a problem in the United States due, in part, to ongoing supply and demand problems created by the nursing shortage. Although the extent of difficulty is unclear, predictions of future shortages in some specialties are startling. If unresolved, maldistribution may affect quality of care or result in rationing of care in some specialties areas.

Sexuality and spinal cord injury.

Spinal cord injury may have a profound effect on the patient's sexuality. In order to maximize the patient's potential, concern and support from health care professionals is needed. This article reviews normal sexual function and changes occurring following spinal cord injury. The PLISSIT model is described and is used to describe nursing interventions designed to deal with the sexual concerns of spinal cord-injured patients.