Image--the journal of nursing scholarship最新文献

{"title":"The complexity of obesity.","authors":"S D Orbanic, A Levi, J W Hawkins, J W Driscoll, F C Biley, J Kendall, J K Griffin, C Daisy, D Clemmens, C Klima, N Glass, P S Matteson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"31 4","pages":"315"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21483943","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}

{"title":"Linking concepts of enduring, uncertainty, suffering, and hope.","authors":"J M Morse, J Penrod","doi":"10.1111/j.1547-5069.1999.tb00455.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1999.tb00455.x","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"31 2","pages":"145-50"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1999.tb00455.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248523","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}

{"title":"Reimbursement to advanced practice nurses (APNs) through Medicare.","authors":"S T Wong","doi":"10.1111/j.1547-5069.1999.tb00462.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1999.tb00462.x","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze why U.S. legislation for direct Medicare reimbursement to advanced practice nurses (APNs) was approved during the 105th congressional session. Help in understanding the complexities of policy making and in strategizing future policy activities is needed. Given their vast numbers, nurses are a formidable group with potential to influence policy.</p><p><strong>Organizing construct: </strong>Kingdon's (1995) framework indicates that policy formation involves constant interaction among participants and the problem, its politics, and policy. When a policy is enacted into legislation, the three come together and an opportunity for policy formation exists, if even for a short period. Methods for data extraction included telephone interviews, information provided by the American Nurses Association (ANA), and information from the internet to access information.</p><p><strong>Findings: </strong>Lack of access to health care by Medicare beneficiaries, tagging a policy proposal onto the Balanced Budget Act of 1997, the national mood to provide cost-effective quality care, and lobbying by interest groups helped to make direct Medicare reimbursement for advanced practice nurses a reality.</p><p><strong>Conclusions: </strong>When lobbying for the enactment of legislation, nurses should decrease their tendency to fragment. Nurses should be more effectively organized and concentrate on specific agendas. Working together can influence policy and change clinical situations to improve patient care.</p>","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"31 2","pages":"167-73"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1999.tb00462.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21247840","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}

{"title":"Nursing in Greece in the 21st century.","authors":"C R Mahu","doi":"10.1111/j.1547-5069.1999.tb00440.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1999.tb00440.x","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"31 2","pages":"107-8"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1999.tb00440.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248515","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}

{"title":"Persistence of self in advanced Alzheimer's disease.","authors":"R M Tappen, C Williams, S Fishman, T Touhy","doi":"10.1111/j.1547-5069.1999.tb00445.x","DOIUrl":"10.1111/j.1547-5069.1999.tb00445.x","url":null,"abstract":"<p><strong>Purpose: </strong>To determine if evidence of the persistence of a sense of self or personal identity could be found in people in the middle and late stages of Alzheimer's disease. The theme of diminishing self pervades both the popular and professional literature on Alzheimer's disease.</p><p><strong>Design: </strong>Qualitative using conversational analysis. The purposive sample was 23 residents of two urban nursing homes in the southeastern United States who were in the middle and late stages of Alzheimer's disease. Their mean Mini-Mental State examination score was 10.65. Nineteen subjects were women, four were men in this 1993-1997 study.</p><p><strong>Methods: </strong>Analysis of 45 conversations lasting 30 minutes with nursing home residents with a diagnosis of probable Alzheimer's disease. Use of the first person indexical and other evidence, such as awareness and reactions to the changes that had taken place, in support of and counter to the notion of persistence of self, were sought in conversational analysis.</p><p><strong>Findings: </strong>Respondents used the first person indexical frequently, freely, and coherently. Evidence was also present that participants were aware of their cognitive changes. Many struggled to provide an explanation, but none mentioned Alzheimer's disease.</p><p><strong>Conclusions: </strong>Evidence suggests the persistence of awareness of self into the middle and late stages of Alzheimer's disease. Failure to recognize the continuing awareness of self and the human experience of the person in the middle and late stages can lead to task-oriented care and low expectations for therapeutic interventions. The bafflement noted in respondents suggests that people should be told their diagnosis and offered an explanation of what this diagnosis means.</p>","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"31 2","pages":"121-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1958994/pdf/nihms25137.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Need for NPs in developing countries.","authors":"F Aboul-Enein","doi":"10.1111/j.1547-5069.1999.tb00435.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1999.tb00435.x","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"31 2","pages":"106"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1999.tb00435.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248513","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}

{"title":"Supply and demand for nurses.","authors":"D Allen","doi":"10.1111/j.1547-5069.1999.tb00441.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1999.tb00441.x","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"31 2","pages":"108"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1999.tb00441.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248516","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}

{"title":"Adults seeking presymptomatic gene testing for Huntington disease.","authors":"J K Williams,&nbsp;D L Schutte,&nbsp;C A Evers,&nbsp;C Forcucci","doi":"10.1111/j.1547-5069.1999.tb00443.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1999.tb00443.x","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the expectations of those seeking presymptomatic gene testing for Huntington disease (HD). Identification of the gene for HD makes it possible to conduct testing to determine if a healthy person with a family history of HD has a mutation in this gene. Presymptomatic gene testing reveals the likelihood that a person will develop an inherited disease in the future. Understanding expectations allows for more complete assessment and counseling before presymptomatic gene testing for genetic diseases.</p><p><strong>Design: </strong>Descriptive qualitative. The population was people with a family history of HD. The sample was 17 asymptomatic adults with a positive family history of HD who requested presymptomatic gene identification at one tertiary genetic counseling program, 1995 to 1996.</p><p><strong>Methods: </strong>Semi-structured interviews concerning expectations of adults seeking presymptomatic genetic testing were conducted by telephone. Interviews occurred after the individuals had requested presymptomatic gene identification but before results were reported. Content analysis was used to identify the expectations and questions of those who had decided to seek presymptomatic testing.</p><p><strong>Findings: </strong>Common expectations included anticipating relief from uncertainty, hoping to plan for their future health care and life decisions, wanting to know if their children were at risk of developing HD, anticipating loss of family support from relatives, expecting relief from self monitoring, venturing into the unknown, and planning for disclosure. Participants attempted to avoid their loss of genetic privacy by withholding the decision to seek testing from their primary care providers.</p><p><strong>Conclusions: </strong>Participants seeking presymptomatic HD gene testing consider the effect of gene identification on themselves and their families. A desire to limit insurance or employment discrimination contributes to subjects not seeking input from health care providers in their decision making.</p>","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"31 2","pages":"109-14"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1999.tb00443.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248517","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}

{"title":"Pearle Arnold Capwell (1885-1982), pioneer nurse.","authors":"S M Pickwell","doi":"10.1111/j.1547-5069.1999.tb00469.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1999.tb00469.x","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"31 2","pages":"193-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1999.tb00469.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21276256","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}

{"title":"A model for cognitive-behavioral interventions in cancer pain management.","authors":"K L Kwekkeboom","doi":"10.1111/j.1547-5069.1999.tb00456.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1999.tb00456.x","url":null,"abstract":"<p><strong>Purpose: </strong>To propose a model for predicting success with cognitive-behavioral interventions in cancer pain management. Practice guidelines are useful, however nurses currently have little theoretic or empiric basis for choosing one particular strategy over another. Moreover, nurses have no way of knowing if a particular intervention is likely to work.</p><p><strong>Organizing construct: </strong>The model indicates characteristics of a person in relation to interventions including skill and ability, outcome expectancies, perceived credibility, history of use, preferred coping style, and pain outcomes.</p><p><strong>Sources: </strong>The model was developed using sources identified through a literature search of relevant topics in MEDLINE, CINAHL, and Psychlit (1996-1997), as well as through clinical experience.</p><p><strong>Conclusions: </strong>Continued empiric testing of the model is necessary to confirm proposed relationships and to assess accuracy of the model's predictions with various cognitive-behavioral interventions. With this testing, the model can help nurses select appropriate interventions for individual patients.</p>","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"31 2","pages":"151-6"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1999.tb00456.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21247837","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}