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The Journal of the New York State Nurses' Association最新文献

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Social justice issues related to uneven distribution of resources. 与资源分配不均有关的社会公正问题。
The Journal of the New York State Nurses' Association Pub Date : 2004-02-01
Naomi E Ervin, Sue Ellen Bell
{"title":"Social justice issues related to uneven distribution of resources.","authors":"Naomi E Ervin,&nbsp;Sue Ellen Bell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article examines the social justice issues resulting from the uneven distribution of resources. In this article, justice theories are discussed in relation to two of these issues: lack of adequate food and shelter and inequitable access to an appropriate continuum of health care. Public health nurses have the obligation to deal with the results of poverty and the uneven distribution of resources, which pose a threat to the common good in the United States and throughout the global community.</p>","PeriodicalId":76678,"journal":{"name":"The Journal of the New York State Nurses' Association","volume":"35 1","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"2004-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25021459","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
Looking backward toward our future: creating the nexus between community health nursing and palliative care. 回顾我们的未来:建立社区卫生护理和姑息治疗之间的联系。
The Journal of the New York State Nurses' Association Pub Date : 2004-02-01
Barbara B Pieper, Joan E Dacher
{"title":"Looking backward toward our future: creating the nexus between community health nursing and palliative care.","authors":"Barbara B Pieper,&nbsp;Joan E Dacher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Palliative care literature and practice have historically been dominated by end-of-life discussion, with palliative care often seen as the prequel to hospice care. As the population ages and previously fatal illnesses convert to chronic illnesses, the medically modeled, institutionally based care model is changing. Community health nurses (CHNs) are well equipped to play a role in this arena of care. They have a population-focused practice, experience with care in the community, an orientation to health, and skills related to advocacy and social justice. The authors outline salient issues in palliative care, exemplars of community-based palliative care programs, and the contributions CHNs can make toward development of an integrated model of care. A course of action is outlined for CHNs to pursue in this rapidly developing field and they are urged to participate in the next iteration of palliative care.</p>","PeriodicalId":76678,"journal":{"name":"The Journal of the New York State Nurses' Association","volume":"35 1","pages":"20-4"},"PeriodicalIF":0.0,"publicationDate":"2004-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24852115","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
Understanding the culture of primary health care: implications for clinical practice. 了解初级卫生保健文化:对临床实践的影响。
The Journal of the New York State Nurses' Association Pub Date : 2004-02-01
Pat Camillo
{"title":"Understanding the culture of primary health care: implications for clinical practice.","authors":"Pat Camillo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A qualitative, ethnographic study was undertaken to determine whether older women experienced barriers to health care related to gender and power relations within biomedical culture. A feminist perspective was utilized, incorporating concepts from critical medical anthropology. Data collection methods included individual interviews, focus groups and participant observation. The participants were active in guiding the research and validating the findings. Barriers related to gender and age were observed during primary health care visits, although they were not always directly apparent to the women. There is evidence to suggest that older women's ability to access primary health care depends on the degree of cultural connectedness they encounter within their particular health care facility. Using the findings of this study, a theoretical model is proposed to understand the culture of primary health care within a critical and cultural context.</p>","PeriodicalId":76678,"journal":{"name":"The Journal of the New York State Nurses' Association","volume":"35 1","pages":"14-9"},"PeriodicalIF":0.0,"publicationDate":"2004-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25021463","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
Using the "Seven A's" assessment tool for developing competency in case management. 运用“7a”评估工具发展个案管理能力。
The Journal of the New York State Nurses' Association Pub Date : 2004-02-01
Louise P Gallagher, Marie Truglio-Londrigan
{"title":"Using the \"Seven A's\" assessment tool for developing competency in case management.","authors":"Louise P Gallagher,&nbsp;Marie Truglio-Londrigan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the latter part of the 20th century, healthcare reform sparked a transition in the nursing curriculum from acute care to primary and secondary care. Faculty responded to this challenge by redesigning curricula in creative ways. The transitional curriculum introduced community clinical experiences designed to challenge students to practice in diverse, nontraditional sites and in more independent ways. Such practice requires the nurse to function as designer, coordinator, and manager of patient care in addition to the traditional provider role. Additionally, the transitional curricula emphasized the roles of communicator, educator, facilitator, listener, and advocate to a greater degree. For students to achieve competence in the above roles, the curriculum must include learning activities that allow them to practice as case managers in the community. This paper presents the \"Seven A's\" as a framework for students to gain an understanding of and engage in the role and process of case management in the community.</p>","PeriodicalId":76678,"journal":{"name":"The Journal of the New York State Nurses' Association","volume":"35 1","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2004-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24852037","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
Strengthening nurses' political identity through service learning partnerships in education. 通过教育中的服务学习伙伴关系加强护士的政治认同。
The Journal of the New York State Nurses' Association Pub Date : 2003-09-01
Tobie H Olsan, Rebecca A Forbes, Gail MacWilliams, Wade S Norwood, Mary A Reifsteck, Brenda Trosin, Margaret M Weber
{"title":"Strengthening nurses' political identity through service learning partnerships in education.","authors":"Tobie H Olsan,&nbsp;Rebecca A Forbes,&nbsp;Gail MacWilliams,&nbsp;Wade S Norwood,&nbsp;Mary A Reifsteck,&nbsp;Brenda Trosin,&nbsp;Margaret M Weber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The extent to which nursing students are educationally prepared to lead health policy initiatives is inextricably linked to their political identity. Knowing and showing oneself to be a politic person in interactions with others is a dynamic social process that the authors propose can be facilitated by innovative, community-based service learning partnerships. A partnership between an elected city councilman and Registered Nurses in a baccalaureate-level professional issues course demonstrates how service learning can create a context for students' political socialization. In a pilot study, systematic qualitative research techniques were used to analyze the partners' reflections about their relationship. Findings suggest that students' political identities were developed through involvement in the community. Working on issues of mutual interest also raised policy makers' and nurses' consciousness of the value both groups contribute to addressing problems in urban communities.</p>","PeriodicalId":76678,"journal":{"name":"The Journal of the New York State Nurses' Association","volume":"34 2","pages":"16-21"},"PeriodicalIF":0.0,"publicationDate":"2003-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24580878","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
The New York State Health Care Proxy Law and the issue of artificial hydration and nutrition. 纽约州卫生保健代理法和人工补水和营养问题。
The Journal of the New York State Nurses' Association Pub Date : 2003-09-01
Donna Nolde
{"title":"The New York State Health Care Proxy Law and the issue of artificial hydration and nutrition.","authors":"Donna Nolde","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The New York State Health Care Proxy (HCP) Law allows a surrogate to make medical decisions for an individual when he or she loses the capacity to make them. In the area of artificial hydration and nutrition, however, this law dictates that if the agent is not aware of the patient's wishes regarding hydration and nutrition, the agent cannot decide about this treatment.</p>","PeriodicalId":76678,"journal":{"name":"The Journal of the New York State Nurses' Association","volume":"34 2","pages":"22-7"},"PeriodicalIF":0.0,"publicationDate":"2003-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24580879","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
Access to health care for the uninsured on Long Island: a case study. 长岛没有保险的人获得医疗保健:一个案例研究。
The Journal of the New York State Nurses' Association Pub Date : 2003-09-01
Sue Greenfield, Rosemarie Guercia, Donna Kass
{"title":"Access to health care for the uninsured on Long Island: a case study.","authors":"Sue Greenfield,&nbsp;Rosemarie Guercia,&nbsp;Donna Kass","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sixteen percent of people living on Long Island have no health insurance. They do not receive health insurance at their place of employment and are too poor to pay for it on their own. Most are too young to qualify for Medicare and fall between the cracks of the Medicaid system. Not-for-profit hospitals receive funding from the state that requires them to provide some community benefits--the most important of which is charity care. The Long Island Health Access Monitoring Project (LIHAMP) was established as an arm of the Long Island Coalition for a National Health Plan to study the access to charity or free care for Long Island's uninsured population. In a study that incorporated three phases, LIHAMP surveyed 23 not-for-profit hospitals on Long Island. The results led to the passage of legislation in Nassau and Suffolk counties designed to assist the uninsured in receiving care. This article summarizes this project, which may be used as a model for other communities.</p>","PeriodicalId":76678,"journal":{"name":"The Journal of the New York State Nurses' Association","volume":"34 2","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2003-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24580876","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
Innovation and creativity in a new age for health care. 卫生保健新时代的创新和创造力。
The Journal of the New York State Nurses' Association Pub Date : 2003-09-01
Tim Porter-O'Grady
{"title":"Innovation and creativity in a new age for health care.","authors":"Tim Porter-O'Grady","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The world of healthcare is changing. If nursing is to remain relevant in this transforming environment, nurses must be able to see past current conditions and circumstances and prepare a different world for nursing practice. In order to do this well, nursing leaders must embrace innovation and engage newer strategies for responding to the changing demands for nursing practice. Through use of key innovative strategies and techniques, nurses can both visualize a changing context for practice and develop effective strategies to address them. Preparing for the future of practice calls for concerted yet progressive action. Nurses must be willing to challenge the past and write a new and legitimate script for nursing practice that better reflects the highly mobilized and technologically defined health service delivery of the future.</p>","PeriodicalId":76678,"journal":{"name":"The Journal of the New York State Nurses' Association","volume":"34 2","pages":"4-8"},"PeriodicalIF":0.0,"publicationDate":"2003-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24580874","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
A pilot feasibility study of the effects of touch therapy on nurses. 触摸疗法对护士影响的初步可行性研究。
The Journal of the New York State Nurses' Association Pub Date : 2003-02-01
Deborah McElligott, Mary Beth Holz, Laurie Carollo, Susan Somerville, Margarita Baggett, Sally Kuzniewski, Qiuhu Shi
{"title":"A pilot feasibility study of the effects of touch therapy on nurses.","authors":"Deborah McElligott,&nbsp;Mary Beth Holz,&nbsp;Laurie Carollo,&nbsp;Susan Somerville,&nbsp;Margarita Baggett,&nbsp;Sally Kuzniewski,&nbsp;Qiuhu Shi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The White House Commission on Complementary Alternative Medicine (CAM) has recommended that safe and effective CAM practices be evaluated to determine their role in maintaining wellness and promoting health. There is little research on individual bodywork/energy therapies and their effects on wellness. The purpose of this pilot study was to assess the effect of AMMA treatments on relaxation and anxiety in staff nurses, and to examine themes describing the nurses' experiences. It was hypothesized that nurses receiving AMMA treatments would demonstrate reduced anxiety, as measured by a Visual Analog Scale (VAS) and increased relaxation, measured by physiologic parameters. The study was designed as a prospective, randomized, blinded clinical trial, with convenience sampling of 24 nurses working 12-hour shifts. While both groups demonstrated decreased anxiety after intervention, the experimental group consistently showed greater differences between pre- and post-treatment anxiety scores. The mean change in physiologic parameters between groups was not significant. Themes derived from a final interview included: importance of touch in nursing care, stress reduction, increased self-awareness, the need for self-care and a new understanding of the mind-body connection. Outcomes suggest the need for further research with a larger population to assess this intervention's impact on anxiety, stress, self-care and caring relationships.</p>","PeriodicalId":76678,"journal":{"name":"The Journal of the New York State Nurses' Association","volume":"34 1","pages":"16-24"},"PeriodicalIF":0.0,"publicationDate":"2003-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24094642","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
Holistic nursing management of pain and suffering: a historical view with contemporary applications. 疼痛和痛苦的整体护理管理:与当代应用的历史观点。
The Journal of the New York State Nurses' Association Pub Date : 2003-02-01
Deborah Matteliano
{"title":"Holistic nursing management of pain and suffering: a historical view with contemporary applications.","authors":"Deborah Matteliano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nursing is rooted in caring for those who suffer and experience pain. As nursing has grown through the ages, technological advances and socioeconomic changes have required nurses to adapt as they continue to provide holistic, patient-centered care. Over the past century, nursing practice has been dominated by Western medical culture, resulting in a relegation of the caring-healing practices of nurses to the margins of healthcare delivery. Recent changes in the ontology of caring-healing practices are rooted in a new knowledge of complimentary practices. Advancements in behavioral sciences and the neurobiology of pain and suffering, together with an acceptance of Eastern and other healing practices, have enriched and enlightened our understanding of pain management. The recent growth of self-help and support programs has enlightened the healthcare consumer in choosing treatments. Contemporary clinical practice may now include methods that reflect the interconnectedness between the mind and body, such as biofeedback, healing touch, aromatherapy, progressive relaxation, meditation, and behavioral therapy. This article examines the historical concepts of pain and suffering that have influenced the approach to pain management and describes significant holistic methods that may be utilized by the nurse in managing pain.</p>","PeriodicalId":76678,"journal":{"name":"The Journal of the New York State Nurses' Association","volume":"34 1","pages":"4-8"},"PeriodicalIF":0.0,"publicationDate":"2003-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24094633","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
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