RESUMO
College Bound Sisters (CBS) is a program that helps younger sisters of teenage mothers change their life trajectory by accomplishing three objectives: avoidance of pregnancy, completion of high school, and enrollment in college. Data related to religious activities and accomplishment of the three objectives for 129 members were analyzed using chi square. CBS defines health as the accomplishment of the three program objectives using Norbeck's theoretical model of social support. The adolescents were divided into three groups: those who became pregnant, dropped out of school, or completed high school. The three groups were compared with regard to the frequency of participating in religious activities. The majority of the CBS adolescents reported participating in weekly religious activities. No significant difference was found among the three groups, with regard to religious activities. However, CBS program participants were more likely than nonparticipants to graduate high school and enroll in college. Implications for incorporating religious activities in teenage pregnancy prevention programs are discussed.
Assuntos
Serviços de Saúde do Adolescente/organização & administração , Gravidez na Adolescência/prevenção & controle , Religião e Psicologia , Grupos de Autoajuda/organização & administração , Irmãos/psicologia , Adolescente , Comportamento do Adolescente/psicologia , Distribuição de Qui-Quadrado , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Enfermagem Materno-Infantil/organização & administração , Modelos de Enfermagem , Modelos Psicológicos , North Carolina , Pesquisa em Avaliação de Enfermagem , Gravidez , Gravidez na Adolescência/psicologia , Prevenção Primária/organização & administração , Avaliação de Programas e Projetos de Saúde , Psicologia do Adolescente , Autoimagem , Apoio Social , Inquéritos e Questionários , UniversidadesRESUMO
Due to increasing competitiveness in healthcare, emergency department personnel should focus on patient satisfaction initiatives.
Assuntos
Serviço Hospitalar de Emergência/normas , Relações Hospital-Paciente , Satisfação do Paciente , Gestão da Qualidade Total/organização & administração , Atitude do Pessoal de Saúde , Comunicação , Pesquisas sobre Atenção à Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , North Carolina , Relações Enfermeiro-Paciente , Pesquisa em Avaliação de Enfermagem , Avaliação de Resultados em Cuidados de Saúde , Sistemas Automatizados de Assistência Junto ao Leito , Comitê de Profissionais/organização & administração , Qualidade da Assistência à Saúde , Inquéritos e QuestionáriosAssuntos
Anemia Falciforme/enfermagem , Tempo de Internação/estatística & dados numéricos , Satisfação do Paciente , Serviço Hospitalar de Emergência/economia , Serviço Hospitalar de Emergência/organização & administração , Humanos , Tempo de Internação/economia , North Carolina , Dor/tratamento farmacológico , Educação de Pacientes como AssuntoAssuntos
Instituição de Longa Permanência para Idosos , Recursos Humanos de Enfermagem/provisão & distribuição , Reorganização de Recursos Humanos/estatística & dados numéricos , Instituições de Cuidados Especializados de Enfermagem , Idoso , Escolaridade , Humanos , North Carolina , Enfermeiros Administradores/normas , Cultura Organizacional , Salários e Benefícios/estatística & dados numéricos , Desenvolvimento de Pessoal/estatística & dados numéricos , Inquéritos e Questionários , Recursos Humanos , Local de TrabalhoRESUMO
PURPOSE: To explore hospitalized patients' attitudes toward advance directives, their reasons for completing or not completing advance directive forms, and demographic differences between patients who did and did not complete advance directive forms. DESIGN AND METHOD: The convenience sample comprised 30 hospitalized patients in North Carolina. Participants were interviewed using an adapted advance directive attitude survey (ADAS), and were asked five general questions about advance directives. Validity and reliability were established on the adapted tool. FINDINGS: The overwhelming majority of participants had received information on advance directives and they were moderately positive about them. The majority who had completed advance directives were Caucasian, female, over age 65, had less than a high school education, and perceived their health as poor. Most believed that an advance directive would ensure they received the treatment they desired at the end of life. CONCLUSIONS: Patients' attitudes alone did not determine who will and will not complete advance directives. Most participants who completed advance directives had specific reasons for doing so. Nurses have responsibility for discussing advance directives with patients, families, and physicians to ensure adequate education about the completion of advance directives.