Subject(s)
Community Health Centers/organization & administration , Nurse Practitioners/organization & administration , Nursing Faculty Practice/organization & administration , Primary Health Care/organization & administration , Adult , Child , Child, Preschool , Female , Humans , Male , Missouri , Nursing Evaluation Research , Patient Satisfaction , Program EvaluationABSTRACT
A computerized database for the collection of patient encounter information by nurse practitioner students provides insight into the number and diversity of cases seen. Menu-driven data entry and controlled vocabulary in the form of diagnostic clusters provide a mechanism to categorize and analyze the data. Faculty are able to review student clinical experience by quantitative measures such as number of patient encounters, diagnostic cluster of the encounter, and patient demographic data. Qualitative measures such as student's level of responsibility and student prior experience with stated encounter also are included in the database. Data analysis of two interdisciplinary pilots provided comparisons across disciplines of nursing, medicine, and physical therapy. A subsequent nurse practitioner student pilot provided further refinement and a broadened database terminology more inclusive of a nursing perspective. Educational and clinical issues involved in development, maintenance, and future use of the database are discussed.
Subject(s)
Clinical Competence/standards , Computer-Assisted Instruction/methods , Databases, Factual , Education, Nursing, Graduate/methods , Nurse Practitioners/education , Primary Health Care , Students, Nursing , Data Collection/methods , Humans , Physical Therapy Modalities/education , Pilot Projects , Students, Medical , Vocabulary, ControlledSubject(s)
Models, Nursing , Nursing , Regional Health Planning , Rural Health , Aged , Decision Making, Organizational , Education, Nursing , Humans , Missouri , WorkforceABSTRACT
1. Falls represent a major health threat to the elderly, often resulting in injury, disability and/or death. 2. A significant association between acute changes in health status and falling was revealed in this study over 1-month, 2-month and alternating time periods. 3. Nurses' fall prevention efforts should be more attuned to the more relevant predictor of changing health status and functioning capability of residents.
Subject(s)
Accidental Falls , Health Status , Homes for the Aged , Nursing Homes , Accidental Falls/prevention & control , Accidental Falls/statistics & numerical data , Activities of Daily Living , Acute Disease , Adult , Aged , Aged, 80 and over , Female , Geriatric Assessment , Humans , Male , Middle Aged , Nursing Assessment , Retrospective StudiesABSTRACT
Nearly one-half of the estimated 1.63 million American patients who survived the polio epidemics of the 1940s and 1950s are re-experiencing symptoms of the acute illness. This exploratory study of 125 aging post-polio survivors examined the differences of symptom distress, health locus of control, and coping resources for survivors who had and those who had not incurred a chronic physical disability following the acute phase of poliomyelitis. The Symptom Rating Test, the Multidimensional Health Locus of Control Scale, and the Coping Resources Inventory were used. No significant differences were found between disability groups concerning symptom distress, health locus of control, or coping resources. However, significant negative correlations were found between coping resources and both the quantity and severity of symptom distress. The differences found between perceived health locus of control and both coping resources and symptom distress were marginally significant.
