RESUMO
BACKGROUND: There is a lack of literature describing the changes in daily routine that parents caring for a child in a body cast must experience. The investigator's clinical experience suggested that determining these changes in parental daily routine would inform nurses of appropriate interventions for these parents. PURPOSE: This Roy Adaptation Model-based pilot study was designed to examine the relation of personal health and self-esteem to functional status of caregivers of children in a body cast. Functional status was defined as performance of household activities, social and community activities, care of the child in the body cast activities, care of other children activities, personal care activities, and occupational activities. METHODS: Data was collected from 16 caregivers of children in body casts, birth to up to 3 years of age, and 14 caregivers of children in body casts, 3 to 12 years of age. RESULTS: The results of the study suggested that parents of children in body casts undergo many changes in their daily activities. Parents of children ages 3-12 years had more changes than parents of children ages birth to 3 years. The study findings suggest that a larger sample may yield some statistically significant results.
Assuntos
Cuidadores/psicologia , Moldes Cirúrgicos , Nível de Saúde , Autoimagem , Adulto , Criança , Educação Continuada , Humanos , Projetos PilotoRESUMO
This article describes a community nursing center that provided clinical learning experiences for students from two schools of nursing. Work at the center was based on the Neuman systems model, which views the client as a system in interaction with environmental stressors. Nursing interventions focused on health promotion services for an underserved elderly population. The benefits of using the Neuman systems model for patient care, education, and research are outlined.
Assuntos
Centros Comunitários de Saúde/organização & administração , Enfermagem em Saúde Comunitária , Bacharelado em Enfermagem/organização & administração , Enfermagem Geriátrica , Promoção da Saúde/organização & administração , Idoso , Competência Clínica , Enfermagem em Saúde Comunitária/educação , Enfermagem em Saúde Comunitária/organização & administração , Controle de Formulários e Registros , Idoso Fragilizado , Enfermagem Geriátrica/educação , Enfermagem Geriátrica/organização & administração , Saúde Holística , Humanos , Relações Interinstitucionais , Área Carente de Assistência Médica , Modelos de Enfermagem , Avaliação das Necessidades/organização & administração , Pesquisa em Avaliação de Enfermagem , Registros de Enfermagem , Pennsylvania , Filosofia em Enfermagem , Avaliação de Programas e Projetos de Saúde , Apoio Social , Teoria de Sistemas , Populações VulneráveisRESUMO
This column focuses on advanced practice nursing. A definition and central competency of advanced practice are given and four roles assumed by advanced practice nurses are identified. Questions related primarily to the advanced practice role of nurse practitioner are raised. Two nurse scholars who teach and practice discuss their experiences as advanced practice nurses, with an emphasis on the importance of using a conceptual model of nursing as a guide for their practice.
Assuntos
Modelos de Enfermagem , Profissionais de Enfermagem/organização & administração , Papel do Profissional de Enfermagem , Atitude do Pessoal de Saúde , Educação de Pós-Graduação em Enfermagem/organização & administração , Humanos , Liderança , Profissionais de Enfermagem/educação , Profissionais de Enfermagem/psicologia , Filosofia em Enfermagem , Autonomia Profissional , Competência Profissional/normasRESUMO
This study explores the adoption of information technology (IT) and the association between organizational and market factors, and IT adoption in hospitals. Results suggest that a wide range of amounts and types of IT are adopted. Hospitals with higher overall IT adoption adopt strategic IT most often. Hospitals with lower IT adoption adopt administrative IT most often. Results also show hospital IT adoption to be positively associated with hospital size, location, system membership, ownership, and market competition.