Journal of the American Academy of Nurse Practitioners最新文献_第8页

American Academy of Nurse Practitioners FACT SHEET 美国执业护士学会的情况说明书

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-11-01 DOI: 10.1111/j.1745-7599.2003.tb00342.x

引用次数: 3

Nurse practitioner self-confidence and attitudes regarding managed care. 护士从业人员对管理式护理的自信和态度。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-11-01 DOI: 10.1111/j.1745-7599.2003.tb00339.x

Eileen F Hayes

{"title":"Nurse practitioner self-confidence and attitudes regarding managed care.","authors":"Eileen F Hayes","doi":"10.1111/j.1745-7599.2003.tb00339.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb00339.x","url":null,"abstract":"Purpose: To examine the relationship between nurse practitioner (NP) perceived self-confidence in performing managed care tasks and NP attitudes toward managed care.Data sources: A random sample of NPs--members of the Massachusetts Coalition of Nurse Practitioners--completed a demographic survey, responded to questions measuring self-confidence in performing managed care tasks and attitudes toward managed care, and wrote about their managed care experiences.Conclusions: NPs were only moderately confident in performing managed care tasks and had mostly negative attitudes toward managed care. They reported intense frustration related to prescriptive coverage and referrals to specialty services, potential trust issues between providers and patients, and ethical and legal dilemmas in tailoring plans of care to fit the patient's insurance. The NPs' written comments indicate a need for more in-depth exploration of NP attitudes toward managed care. IMPLICATIONS FOR PRACTICE AND EDUCATION: Continuing education in selected managed care competencies, better education of NP students, and promotion of organizational cultures that support interdisciplinary teamwork as well as population- and evidence-based practice may help NPs to embrace the promise of managed care and to offer solutions to its problems.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 11","pages":"501-8"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb00339.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24135369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

2001-2002 AANP national nurse practitioner practice site survey. 2001-2002年AANP全国护士执业现场调查。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-11-01 DOI: 10.1111/j.1745-7599.2003.tb00335.x

Mary Jo Goolsby

引用次数: 9

Diagnosis and treatment of heel pain. 脚后跟疼痛的诊断与治疗。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-11-01 DOI: 10.1111/j.1745-7599.2003.tb00336.x

Mary Jo Goolsby

引用次数: 9

Knowledge of AIDS, perceived risk of AIDS, and at-risk sexual behaviors among older adults. 老年人的艾滋病知识、艾滋病风险认知和高危性行为。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-11-01 DOI: 10.1111/j.1745-7599.2003.tb00340.x

Cheryl A Maes, Margaret Louis

{"title":"Knowledge of AIDS, perceived risk of AIDS, and at-risk sexual behaviors among older adults.","authors":"Cheryl A Maes, Margaret Louis","doi":"10.1111/j.1745-7599.2003.tb00340.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb00340.x","url":null,"abstract":"Purpose: To identify older adults' knowledge of acquired immune deficiency syndrome (AIDS), perceptions of their risk of AIDS, and at-risk behaviors by using a questionnaire derived from the health belief model.Data sources: A descriptive correlation design was used to survey persons 50 years of age and older who participate in university-based senior programs. The sample of 166 persons (55% return rate) had a mean age of 71 years and included 33% males. The sample is representative of the participants in these programs.Conclusions: Five hypotheses based on the health belief model were tested. Statistical analyses showed significant predictors of the likelihood of using recommended safe sexual practices were gender, knowledge of AIDS, perceived susceptibility to AIDS, and perceived threat of AIDS. The results indicated the respondents were knowledgeable about human immunodeficiency virus (HIV) transmission through casual contact and medical aspects of AIDS. Although the respondents recognized the seriousness of AIDS, they generally did not believe that they were susceptible to this disease, even though about 10% indicated sexual activity outside of a long-term relationship.Implications for practice: The study findings support the need for nurse practitioners to assess sexual behaviors in and provide information about safe sex practices to older clients because of the documented rising incidence of AIDS in persons over 50 years of age.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 11","pages":"509-16"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb00340.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24135370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 94

The discovery of unique nurse practitioner theory in the literature: seeking evidence using an integrative review approach. 在文献中发现独特的执业护士理论:使用综合评价方法寻求证据。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-11-01 DOI: 10.1111/j.1745-7599.2003.tb00338.x

Jo Ann Nicoteri, Caryn Andrews

{"title":"The discovery of unique nurse practitioner theory in the literature: seeking evidence using an integrative review approach.","authors":"Jo Ann Nicoteri, Caryn Andrews","doi":"10.1111/j.1745-7599.2003.tb00338.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb00338.x","url":null,"abstract":"Purpose: To determine if theory unique to nurse practitioners (NPs) exists and to describe the attributes of such theory.Data sources: An integrative review of the literature was used. CINAHL and MEDLINE were searched using key terms such as nurse practitioners, theory, or research. Forty-five articles contributed to the final analysis.Conclusions: The NP role evolved from nursing yet is heavily influenced by medicine. This integration may affect both the use of theory in NP literature and the types of theories that are used to guide NP literature generation and research. Evidence was found of emerging theory unique to NPs with theoretical origins grounded in nursing, medicine, and social science.Implications for practice: NPs are beginning to develop theories of \"nurse practitionering.\" This development is imperative for NP education, practice, and research to further the knowledge of the discipline and to help articulate the unique body of knowledge possessed by NPs.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 11","pages":"494-500"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb00338.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24135368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Improving access--an innovative model. 改善获取途径——创新模式。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-11-01 DOI: 10.1111/j.1745-7599.2003.tb00341.x

Nelouise Geyer

{"title":"Improving access--an innovative model.","authors":"Nelouise Geyer","doi":"10.1111/j.1745-7599.2003.tb00341.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb00341.x","url":null,"abstract":"Purpose: To present a model of health care delivery in South Africa that made health care services accessible and affordable to members of the community who do not have medical insurance.Data sources: Statutes and laws governing the practice of health care professionals in South Africa, published professional guidelines, local research data, and the author's experience of the model of health care delivery.Conclusions: The innovative and visionary approach of a few health care professionals has established a model of health care delivery specifically suited to their community's needs. This model of service delivery has provided an affordable and accessible health service to members of the local community, who have indicated their satisfaction with the service.Implications for practice: Economic and legal barriers to accessible and affordable health care services can be overcome to ensure that health care is available to the whole population. The nurse practitioner has an important role to play in making health care affordable and accessible to the community.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 11","pages":"517-20"},"PeriodicalIF":0.0,"publicationDate":"2003-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb00341.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24135371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictors of Nurse Practitioners’ Autonomy: Effects of Organizational, Ethical, and Market Characteristics 护士执业自主权的预测因素:组织、伦理和市场特征的影响

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-07-01 DOI: 10.1111/j.1745-7599.2003.tb00405.x

C. Ulrich, K. Soeken, Nancy Miller

{"title":"Predictors of Nurse Practitioners’ Autonomy: Effects of Organizational, Ethical, and Market Characteristics","authors":"C. Ulrich, K. Soeken, Nancy Miller","doi":"10.1111/j.1745-7599.2003.tb00405.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb00405.x","url":null,"abstract":"Purpose To identify the predictors of autonomy of nurse practitioners (NPs) affiliated directly and/or indirectly with managed‐care systems (e.g., HMOs). Data Sources A mailed survey sent to a stratified random sample of 254 NPs certified and licensed to practice in the state of Maryland. The measures consisted of selected organizational char‐acteristics; market factors of HMO penetration and percentage of client population enrolled in managed care; and factors of ethical concern, such as ethical ideology, ethics education, and autonomy. The County Surveyor Database was used to assess market penetration in the state. Conclusions Although NPs were ethically concerned about their autonomy in a managed‐care environment (70.2%), actual autonomy scores were high. The higher the percentage of HMO penetration, percentage of client population enrolled in managed care, and perceived ethi‐cal concern, the lower the perceived autonomy of NPs. Implications for Practice Findings may be used for future research to address the complexity of variables that influence the autonomous practice of NPs.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 1","pages":"367–375"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb00405.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63366442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Optimizing mental health in an academic nurse-managed clinic. 优化精神健康在学术护士管理的诊所。

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-07-01 DOI: 10.1111/j.1745-7599.2003.tb01314.x

Karen H Sousa, Gretchen M Zunkel, Elizabeth Jordan Holman

{"title":"Optimizing mental health in an academic nurse-managed clinic.","authors":"Karen H Sousa, Gretchen M Zunkel, Elizabeth Jordan Holman","doi":"10.1111/j.1745-7599.2003.tb01314.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb01314.x","url":null,"abstract":"Purpose: To evaluate the initial results of tracking the health outcomes, specifically mental health outcomes, for clients at an academic nursing clinic and to describe an approach to mental health treatment in this setting.Data sources: Descriptive-survey design with convenience sampling of patients from a nurse-managed clinic (N = 151). As part of the routine documentation for clinic clients, the Medical Outcomes Study Short-Form 36-Item Health Survey (SF-36) was selected to monitor client health outcomes.Conclusions: This health status evaluation indicated that the mental health scores for clinic clients were lower than national normed data. This result could reflect unmet mental health needs in clinic clients. Mental health reasons for the visit were reported in only 3% of the sample. Most clients in this sample sought treatment in the clinic for physical health screening and episodic health problems.Implications for practice: Integration of mental health interventions in primary care settings may help providers to optimize the management of clients' overall health status.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 7","pages":"313-8"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb01314.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22539468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Optimizing Mental Health in an Academic Nurse‐Managed Clinic 优化学术护士管理诊所的心理健康

Journal of the American Academy of Nurse Practitioners Pub Date : 2003-07-01 DOI: 10.1111/j.1745-7599.2003.tb00404.x

K. Sousa, Gretchen M. Zunkel, E. Holman

{"title":"Optimizing Mental Health in an Academic Nurse‐Managed Clinic","authors":"K. Sousa, Gretchen M. Zunkel, E. Holman","doi":"10.1111/j.1745-7599.2003.tb00404.x","DOIUrl":"https://doi.org/10.1111/j.1745-7599.2003.tb00404.x","url":null,"abstract":"Purpose To evaluate the initial results of tracking the health outcomes, specifically mental health outcomes, for clients at an academic nursing clinic and to describe an approach to mental health treatment in this setting. Data Sources Descriptive‐survey design with convenience sampling of patients from a nurse‐managed clinic (N = 151). As part of the routine documentation for clinic clients, the Medical Outcomes Study Short‐Form 36‐Item Health Survey (SF‐36) was selected to monitor client health outcomes. Conclusions This health status evaluation indicated that the mental health scores for clinic clients were lower than national normed data. This result could reflect unmet mental health needs in clinic clients. Mental health reasons for the visit were reported in only 3% of the sample. Most clients in this sample sought treatment in the clinic for physical health screening and episodic health problems. Implications for Practice Integration of mental health interventions in primary care settings may help providers to optimize the management of clients' overall health status.","PeriodicalId":50020,"journal":{"name":"Journal of the American Academy of Nurse Practitioners","volume":"15 1","pages":"361–366"},"PeriodicalIF":0.0,"publicationDate":"2003-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1745-7599.2003.tb00404.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63395416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2