MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Nursing Clinics of North America' source. Wed, 08 Feb 2012 21:55:06 +0100 http://www.medworm.com/index.php?rid=5650492&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646512000175%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650492 Fri, 03 Feb 2012 02:41:30 +0100 5650492 http://www.medworm.com/index.php?rid=5650491&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000636%2Fabstract%3Frss%3Dyes This article provides an overview of the history, production, and marketing of e-cigarettes, the contents of e-cigarettes and vapor, how they are used, public health concerns, and implications for nursing practice, research, and policy development. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650491 Fri, 03 Feb 2012 02:41:30 +0100 5650491 http://www.medworm.com/index.php?rid=5650486&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000703%2Fabstract%3Frss%3Dyes Tobacco use is the number one preventable cause of death and disability in the United States today. In 2003, the Interagency Committee on Smoking and Health recommended to establish a federally funded national tobacco quitline network by 2005. Quitlines are telephone-based programs that assist tobacco users to quit. The combination of health professionals referring patients to an accessible, evidence-based, cost-effective cessation resource can produce a substantial reduction in the number of tobacco users in the United States. Initiatives to increase knowledge and working relationships between nurses and quitlines need to be created, implemented, and evaluated. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650486 Fri, 03 Feb 2012 02:41:30 +0100 5650486 http://www.medworm.com/index.php?rid=5650478&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000661%2Fabstract%3Frss%3Dyes Nursing faculty practice groups can play a vital role in tobacco cessation in academic medical centers. Outcomes from the Georgia Health Sciences University Nursing Faculty Practice Group Tobacco Cessation Program revealed 64% abstinence outcomes at the end of treatment (N = 160) over a 2-year period from the campus-wide tobacco-free policy initiation. A nurse-led, evidence-based, interdisciplinary approach can be an effective strategy to make a difference in the lives of tobacco-dependent individuals, while at the same time integrating practice with education and research. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650478 Fri, 03 Feb 2012 02:41:30 +0100 5650478 http://www.medworm.com/index.php?rid=5650476&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646512000163%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650476 Fri, 03 Feb 2012 02:41:30 +0100 5650476 http://www.medworm.com/index.php?rid=5650475&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646512000151%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650475 Fri, 03 Feb 2012 02:41:30 +0100 5650475 http://www.medworm.com/index.php?rid=5650474&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651200014X%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650474 Fri, 03 Feb 2012 02:41:30 +0100 5650474 http://www.medworm.com/index.php?rid=5650479&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000909%2Fabstract%3Frss%3Dyes Prenatal exposure to secondhand smoke (SHS) is responsible for adverse perinatal outcomes, including preterm birth. Smoking at home is the primary source of exposure to women during pregnancy. Hair nicotine analysis of mothers and infants was used to describe the relationship between prenatal SHS exposure and number of household smokers. Maternal hair nicotine was strongly correlated with the number of household smokers and was a more sensitive measure of household smoking than infant hair. Home smoking bans and focused public media campaigns on the harmful effects of SHS exposure are necessary prevention strategies to avoid adverse perinatal outcomes. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650479 Tue, 03 Jan 2012 05:00:00 +0100 5650479 http://www.medworm.com/index.php?rid=5650482&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000880%2Fabstract%3Frss%3Dyes Pregnant Latina women living in the United States are a heterogeneous group represented by various countries, cultures, immigration status, and other socioeconomic factors. Although some of the literature refers to a Latina health paradox that may serve as a protective factor against smoking for recent immigrants, acculturation may increase the vulnerability of pregnant Latina women to begin smoking. Social-support treatments should be individualized based on what types of emotional, informational, or instrumental resources the woman desires. Evidence-based strategies delivered in English or Spanish by bilingual lay health educators and tailored to embrace Latina values are cost-effective and successful. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650482 Mon, 19 Dec 2011 05:00:00 +0100 5650482 http://www.medworm.com/index.php?rid=5650488&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651100065X%2Fabstract%3Frss%3Dyes Tobacco use among adolescents is declining in the United States but remains a major public health problem in the United States and globally. The Healthy People 2020 model of determinants of health is useful in understanding the complex interaction of factors that help explain adolescent smoking-related behaviors. Nurses are well positioned to take leadership roles in health care settings, schools, and their own communities as well as at the state, national, and global levels in advocating for policies that prevent and treat adolescent tobacco use and the subsequent burden of disease in future populations. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650488 Thu, 15 Dec 2011 05:00:00 +0100 5650488 http://www.medworm.com/index.php?rid=5650485&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000867%2Fabstract%3Frss%3Dyes This article reviews the evidence of the use of community-based participatory research (CBPR) and smoking cessation interventions. An overview of CBPR is provided, along with a description of the search methods and quality scoring. Research questions are explored to determine if CBPR improves the quality of research methods and community involvement in cessation intervention studies and cessation outcomes when using CBPR approaches. Results of the review are provided along with a comprehensive table summarizing all the included studies. Strengths and challenges of the CBPR approach are presented with recommendations for future research. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650485 Thu, 15 Dec 2011 05:00:00 +0100 5650485 http://www.medworm.com/index.php?rid=5650487&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000892%2Fabstract%3Frss%3Dyes This article describes a 3-pronged compliance strategy to implement a tobacco-free campus policy at 1 large, land grant public university in the South, and evaluates its impact on outcomes and costs. Although there has been a recent wave of tobacco-free colleges, policy restrictiveness and implementation vary, and compliance remains a challenge. The 3 Ts strategy (Tell-Treat-Train) involves regular, consistent communications, access to tobacco treatment medications and counseling, and ongoing training of supervisors and student leaders. Administrative support, access to tobacco treatment, campus buy-in, sustained communications, and careful implementation planning are critical to instituting a tobacco-free university policy. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650487 Tue, 06 Dec 2011 05:00:00 +0100 5650487 http://www.medworm.com/index.php?rid=5650484&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000673%2Fabstract%3Frss%3Dyes This article presents an overview of an online education offering to improve standards of practice for nurses intervening with tobacco-dependent mentally ill populations. Designed as a pilot study and guided by the theory of reasoned action framework, the pretest-posttest educational program was conducted to examine attitudes and beliefs, knowledge, and intentions to integrate tobacco cessation interventions into practice. Although positive attitudes and beliefs were demonstrated, knowledge gaps continued to exist after the online program. Strengths and challenges of the online education offering are presented with recommendations for future research. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650484 Mon, 05 Dec 2011 05:00:00 +0100 5650484 http://www.medworm.com/index.php?rid=5650480&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000685%2Fabstract%3Frss%3Dyes This article provides an overview of what is known about cigarette smoking in this population as well as existing interventions for smoking prevention, cessation, and exposure to secondhand smoke on college campuses. Strategies to reduce tobacco use are presented, many of which have been demonstrated to be effective in the short-term. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650480 Mon, 28 Nov 2011 05:00:00 +0100 5650480 http://www.medworm.com/index.php?rid=5650490&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000648%2Fabstract%3Frss%3Dyes In recent times, rates of consumption of smokeless tobacco have increased significantly amongst specific subgroups of men, particularly young college men. Recent increases in smokeless tobacco consumption have been characterized by a shift from chewing tobacco to moist snuff. In addition to laying out the health risks of moist snuff, this article describes the social and gendered meanings of smokeless tobacco that reinforce its use. Men-centered approaches to raising awareness about the connections between moist snuff and oral cancer and the availability of oral cancer screening are highlighted as 2 key nursing practice considerations. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650490 Mon, 21 Nov 2011 05:00:00 +0100 5650490 http://www.medworm.com/index.php?rid=5650489&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000727%2Fabstract%3Frss%3Dyes This article provides information on the growing threat of water pipe smoking (hookah) around the world and in the United States. Historically an activity of Middle Eastern older adults, the most recent growth in water pipe smoking (WPS) has been among adolescents and young adults. Associated with its use is a growing list of health problems. To date no interventions have been specifically designed for this form of tobacco use and they are sorely needed. Nurses must continue to teach No Tobacco Use in any form and that means no water pipe smoking must be part of every health message. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650489 Mon, 21 Nov 2011 05:00:00 +0100 5650489 http://www.medworm.com/index.php?rid=5650481&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000697%2Fabstract%3Frss%3Dyes This article describes the personal narratives of current and former smokers living in an economically distressed, rural area of Appalachian Kentucky. Three categories emerged: personal motivators to quit smoking, external influences, pride of place. Capturing personal narratives represents an evidence-based, data-rich strategy for development of culturally sensitive, population-based interventions for rural smokers. Such strategies may be effective in reaching rural smokers and motivating them to quit, thereby reducing tobacco-related disease and premature death in rural, economically distressed communities. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650481 Mon, 21 Nov 2011 05:00:00 +0100 5650481 http://www.medworm.com/index.php?rid=5650483&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000715%2Fabstract%3Frss%3Dyes Smoking rates among and between men and women are in large part a reflection of the influence of gender and its intersections with other social factors including ethnicity, age, and social class that influence tobacco use and, ultimately, tobacco reduction and cessation. In this article, opportunities for developing and delivering gender-sensitive (programs addressing gender) and gender-specific (programs designed for men or women) interventions in the context of tobacco dependence treatment are discussed. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650483 Fri, 18 Nov 2011 05:00:00 +0100 5650483 http://www.medworm.com/index.php?rid=5390478&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000818%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390478 Thu, 10 Nov 2011 15:58:08 +0100 5390478 http://www.medworm.com/index.php?rid=5390475&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000612%2Fabstract%3Frss%3Dyes This article reviews the literature on community services and prevention available for all victims of interpersonal violence, and examines the literature on whether these programs are effective. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390475 Thu, 10 Nov 2011 15:58:08 +0100 5390475 http://www.medworm.com/index.php?rid=5390471&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000508%2Fabstract%3Frss%3Dyes Very strong links exist between abuse and depression in clinical practice. Abuse and depression often coexist in the victims and perpetrators of abuse. In nursing practice, responding to patients, particularly women, presenting with depression or depressive symptoms requires an understanding of the underlying and perhaps hidden issues of abuse and violence. Women who have experienced trauma often are diagnosed with depression, when in fact they have symptoms more consistent with posttraumatic stress disorder. Furthermore, depression often improves over time, when women manage to escape the abuse and violence in the relationship. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390471 Thu, 10 Nov 2011 15:58:08 +0100 5390471 http://www.medworm.com/index.php?rid=5390470&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000569%2Fabstract%3Frss%3Dyes Elder abuse is a growing public health concern that affects elders regardless of residence, socioeconomic status, or geographic locale. Elder abuse includes acts of physical, psychological, verbal, and financial abuses as well as abandonment and neglect. Elder abuse has the potential to occur in multiple settings, whether in the home, rehabilitation centers, long-term care facilities, nursing homes, and/or senior day care centers. Children, family members, friends, and formal caregivers are prospective perpetrators of elder abuse. Public policy changes are necessary to standardize and delineate guidelines and procedures for the detection and prevention of elder abuse in the future. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390470 Thu, 10 Nov 2011 15:58:08 +0100 5390470 http://www.medworm.com/index.php?rid=5390468&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000582%2Fabstract%3Frss%3Dyes Child abuse can have a long-lasting and devastating effect on the growth and development of infants, children, and adolescents. Studies of abused and neglected children indicate that they have a higher rate of delayed intellectual development, poor school performance, aggressive behaviors, and social and relationship deficits compared with nonmaltreated children. Early recognition and appropriate treatment is one of the most important factors in preventing further child abuse and maltreatment. Every practitioner should be educated on the signs and symptoms of child abuse. The referral to child protective services is a necessity for the future well-being of the child. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390468 Thu, 10 Nov 2011 15:58:08 +0100 5390468 http://www.medworm.com/index.php?rid=5390466&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000545%2Fabstract%3Frss%3Dyes This article describes the important role that nurses and health care providers play in detecting, assessing, and reporting abuse. Armed with increased knowledge about signs and symptoms of abuse, nurses can guide patients to the appropriate resources. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390466 Thu, 10 Nov 2011 15:58:08 +0100 5390466 http://www.medworm.com/index.php?rid=5390465&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000624%2Fabstract%3Frss%3Dyes Abuse does not emerge by a certain age, happen in a single socioeconomic group, present in a distinct way, or occur in a single setting. Whether in the privacy of one’s home or in a public arena such as a daycare or community center or health care facility, infants, children, teenagers, gays, bisexuals, transvestites, elderly, and disabled of all races, cultures, religions, and socioeconomic levels are potential victims of abuse. Abuse can begin innocuously and be sporadic, but usually always escalates over time. Abuse affects individuals, families, communities, and nations. The scope of abuse is enormous. Abuse is not entirely physical. It is emotional, psychological, financial, and/or sexual in nature. Whether one is a victim, witness, or perpetrator of abuse, the health effects are al... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390465 Thu, 10 Nov 2011 15:58:08 +0100 5390465 http://www.medworm.com/index.php?rid=5390464&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000806%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390464 Thu, 10 Nov 2011 15:58:08 +0100 5390464 http://www.medworm.com/index.php?rid=5390463&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651100079X%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390463 Thu, 10 Nov 2011 15:58:08 +0100 5390463 http://www.medworm.com/index.php?rid=5390462&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000788%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390462 Thu, 10 Nov 2011 15:58:08 +0100 5390462 http://www.medworm.com/index.php?rid=5650477&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000739%2Fabstract%3Frss%3Dyes Tobacco use remains the leading cause of preventable death in the United States despite numerous advances in tobacco prevention and control within the past two decades. Although smoking prevalence rates are declining as a result of these efforts, the Centers for Disease Control and Prevention (CDC) estimates 46 million, or 20.6%, adults in the United States smoke cigarettes. The CDC also estimates 1 in 5 deaths in the United States is attributable to cigarette smoking and that, on average, adult cigarette smokers will die 14 years earlier than nonsmokers. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5650477 Mon, 31 Oct 2011 04:00:00 +0100 5650477 http://www.medworm.com/index.php?rid=5390477&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651100051X%2Fabstract%3Frss%3Dyes This article discusses the application of counseling, economic skills building, and microcredit programs as practical and effective interventions to improve the health outcomes of abused women and, therefore, improving maternal and child health in the Pakistani society. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390477 Mon, 17 Oct 2011 04:00:00 +0100 5390477 http://www.medworm.com/index.php?rid=5390474&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000533%2Fabstract%3Frss%3Dyes This article describes the indicators of interpersonal violence, and outlines strategies for assessment and prevention. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390474 Mon, 17 Oct 2011 04:00:00 +0100 5390474 http://www.medworm.com/index.php?rid=5390472&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000600%2Fabstract%3Frss%3Dyes Today’s military has a greater percentage of families and children in comparison with previous generations. There are many, and unique, demands on military families made by the ongoing conflicts, and military life can be stressful. The presence of an increasing number of stressors is associated with an increased likelihood of domestic violence in military families and sexual trauma in service members. In this article, literature and research are presented to provide an overview of military deployment and families, and the effect of deployment on families; this is followed by a review of research on family violence and military sexual trauma. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390472 Mon, 17 Oct 2011 04:00:00 +0100 5390472 http://www.medworm.com/index.php?rid=5390469&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000521%2Fabstract%3Frss%3Dyes This article contends that nurses must begin to assess adult patients for this type of violence. Direct questions about being bullied at work or in cyberspace should be added to assessments. Questioning will help bullying victims recognize that what they are going through is not acceptable and not their fault. It will also help identify patients who may need interventions beyond the treatment of the physically traumatic effects of bullying. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390469 Mon, 17 Oct 2011 04:00:00 +0100 5390469 http://www.medworm.com/index.php?rid=5390476&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000594%2Fabstract%3Frss%3Dyes This article provides examples of organizational structure, dependency and age of the victim, definitions of abuse, classification of penalties, and investigation processes. Health care providers must learn their state’s elder abuse laws and review any operating manuals produced from the statutes or regulations. All health care workers must know and implement the law to protect the welfare of older persons. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390476 Mon, 10 Oct 2011 04:00:00 +0100 5390476 http://www.medworm.com/index.php?rid=5390473&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000557%2Fabstract%3Frss%3Dyes Workplace violence is not a new phenomenon and is often sensationalized by the media when an incident occurs. Verbal abuse is a form of workplace violence that leaves no scars. However, for nurses, the emotional damage to the individual can affect productivity, increase medication errors, incur absenteeism, and decrease morale and overall satisfaction within the nursing profession. This results in staffing turnover and creates a hostile work environment that affects the culture within the organization. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390473 Mon, 10 Oct 2011 04:00:00 +0100 5390473 http://www.medworm.com/index.php?rid=5390467&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000570%2Fabstract%3Frss%3Dyes This article discusses partner violence in adults and adolescents, child maltreatment, and peer abuse in children and adolescents. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5390467 Mon, 10 Oct 2011 04:00:00 +0100 5390467 http://www.medworm.com/index.php?rid=5065272&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000454%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065272 Wed, 27 Jul 2011 04:28:44 +0100 5065272 http://www.medworm.com/index.php?rid=5065271&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000363%2Fabstract%3Frss%3Dyes Providing educational materials for low-literate patients is an enormous challenge for nursing professionals given that 90 million adults in the health care setting have limited literacy skills. Through the use of a 5-step process, patient educational materials can be created to increase patient understanding of health messages and improve patient compliance. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065271 Wed, 27 Jul 2011 04:28:44 +0100 5065271 http://www.medworm.com/index.php?rid=5065270&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651100034X%2Fabstract%3Frss%3Dyes Patient education is a nursing responsibility that is often impromptu, spontaneous, and poorly documented. In many cases the patient’s ability to perform a skill or task in the management of an illness or disease process affects the patient’s outcome. A tool designed to evaluate patient performance guides the teaching process, promotes communication between the patient and nurse, and promotes communication among health care providers as it relates to patient performance. Nurses are in key positions to develop patient performance tools to ensure that the patient, or a patient’s family member, can manage the health care requisites. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065270 Wed, 27 Jul 2011 04:28:44 +0100 5065270 http://www.medworm.com/index.php?rid=5065268&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000338%2Fabstract%3Frss%3Dyes Changes in demographics, economic, and political factors have affected health care delivery, while the patient population and the health care providers have continued to increase in diversity. Cultural sensitivity is a necessary component in development of comprehensive patient, family, or community health education plans. Consideration of the ACCESS Model can facilitate the development of successful interactions in providing culturally sensitive patient education programs. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065268 Wed, 27 Jul 2011 04:28:44 +0100 5065268 http://www.medworm.com/index.php?rid=5065267&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000326%2Fabstract%3Frss%3Dyes This article explores the concept of health literacy and its relationship to patient education and communication. Practical strategies that the nurse can use to assess, communicate with, and evaluate comprehension in patients with low literacy skills are provided. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065267 Wed, 27 Jul 2011 04:28:43 +0100 5065267 http://www.medworm.com/index.php?rid=5065266&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000314%2Fabstract%3Frss%3Dyes This article reviews assessment of patient learning styles in combination with context for an individualized approach, as well as motivation for adult learners as a framework for organization of patient teaching. Methods and modes of patient teaching are discussed as well as tips for overcoming barriers to planning and implementing patient teaching. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065266 Wed, 27 Jul 2011 04:28:43 +0100 5065266 http://www.medworm.com/index.php?rid=5065265&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000272%2Fabstract%3Frss%3Dyes Whenever the nurse encounters a patient or a patient’s family, there is a transfer of information that is expected to be incorporated into the patient’s overall outcome. Objectives help guide the transfer of knowledge and provide a basis by which to evaluate the extent of the patient’s understanding. Bloom’s Taxonomy has been a cornerstone for the development of objectives in academe for over half of a century. The Revised Bloom’s Taxonomy is a tool that can be used by nurses who educate patients to ensure the education session is focused, clear, has standards for evaluation, and is well documented. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065265 Wed, 27 Jul 2011 04:28:43 +0100 5065265 http://www.medworm.com/index.php?rid=5065264&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000284%2Fabstract%3Frss%3Dyes This article describes how the authors used these questions as a guide to achieve congruence among intended learning, instruction, and evaluation to design and implement a patient education program, Managing Heart Failure, at a local hospital. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065264 Wed, 27 Jul 2011 04:28:43 +0100 5065264 http://www.medworm.com/index.php?rid=5065263&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000260%2Fabstract%3Frss%3Dyes This article examines the ethical underpinning of this distress and of this neglect in patient education and what actions nurses can take to correct this situation. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065263 Wed, 27 Jul 2011 04:28:42 +0100 5065263 http://www.medworm.com/index.php?rid=5065262&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000296%2Fabstract%3Frss%3Dyes Medication nonadherence is a challenging and prevalent problem in older adults. Effective medication management involves successfully completing a complex group of behaviors. Meta-analyses and narrative review findings support limited benefits to medication adherence with interventions preoccupied with personal characteristics, intention, and motivation. Evidence supports a paradigm shift toward changing personal systems in which the person lives to improve and maintain medication adherence behavior. Personal-systems change systematically improves individual systems through collaboratively shaping routines, involving supportive-others in routines, and using medication self-monitoring to improve and maintain behavior. Other advances that support personal systems change are also presented. (... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065262 Wed, 27 Jul 2011 04:28:42 +0100 5065262 http://www.medworm.com/index.php?rid=5065261&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000351%2Fabstract%3Frss%3Dyes Chronic disease self-management is a growing field yet few systematic measures of its impact exist. The Health Education Impact Questionnaire (heiQ)–rigorously developed in partnership with key stakeholders–is a panel of eight highly relevant questionnaires that has been tested and applied in many settings. Wide uptake across diseases has occurred because it resonates with patient concerns, helps researchers and practitioners develop quality services, and assists policy-makers to appreciate the value of self-management support interventions. The heiQ continues to be adapted for new uses and applications creating a web of knowledge of the value and impact of health education programs. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065261 Wed, 27 Jul 2011 04:28:42 +0100 5065261 http://www.medworm.com/index.php?rid=5065260&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000375%2Fabstract%3Frss%3Dyes Therapeutic patient education embodies an approach to learning processes that are patient centered and focus on the needs of the patient, the resources available to the patient, the learning style of the patient, as well as the values and system of values of the patient. Effective patient education allows the patient to move from focusing on the illness or condition itself to the management and treatment of the illness, disease, risk factor, or condition. The goal of patient education focuses on the improvement of the patient’s overall quality of life through objectives related to individual therapeutic compliance and preventing or reducing serious complications. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065260 Wed, 27 Jul 2011 04:28:42 +0100 5065260 http://www.medworm.com/index.php?rid=5065259&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000442%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065259 Wed, 27 Jul 2011 04:28:42 +0100 5065259 http://www.medworm.com/index.php?rid=5065258&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000430%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065258 Wed, 27 Jul 2011 04:28:42 +0100 5065258 http://www.medworm.com/index.php?rid=5065257&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000429%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065257 Wed, 27 Jul 2011 04:28:42 +0100 5065257 http://www.medworm.com/index.php?rid=5065269&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000302%2Fabstract%3Frss%3Dyes This article provides an overview and some recommendations for clinicians to help patients better use information to achieve better outcomes. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=5065269 Sun, 26 Jun 2011 23:00:00 +0100 5065269 http://www.medworm.com/index.php?rid=4727728&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000211%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727728 Wed, 20 Apr 2011 04:52:53 +0100 4727728 http://www.medworm.com/index.php?rid=4727727&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000119%2Fabstract%3Frss%3Dyes Hispanic men who have sex with men (MSM) are at risk for HIV and other sexually transmitted infections related to high-risk sexual behaviors. The aim of this study was to test a model that predicts the sexual behaviors of Hispanic MSM that is based on an epidemiologic framework. The results of this study provide some important new information regarding the predictors of sexual behaviors among Hispanic MSM. The final model suggests that mental health is a significant predictor of sexual behaviors in this sample. Major implications for the development of interventions to address high-risk sexual behaviors highlight the need for health care providers and researchers to be cognizant of the influence of mental health issues on sexual behaviors. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727727 Wed, 20 Apr 2011 04:52:53 +0100 4727727 http://www.medworm.com/index.php?rid=4727726&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000089%2Fabstract%3Frss%3Dyes Specific knowledge of African American communities, culture, and history is crucial to achieving culturally competent care. The unique and complex relationship that belief systems have to health care outcomes must be considered for all patients. This is even more apparent in the connection between religion and health outcomes for African Americans. However, as with all ethnic groups, nothing is absolute. Therefore, one must avoid stereotyping and recognize there are differences within each cultural group. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727726 Wed, 20 Apr 2011 04:52:53 +0100 4727726 http://www.medworm.com/index.php?rid=4727725&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000090%2Fabstract%3Frss%3Dyes This article provides a brief review on family history screening for CVD and T2D risk identification and presents the results of a pilot study to translate and evaluate the use of a family history tool for Spanish-speaking Latinas. Implications for the use of family history screening to guide CVD and T2D prevention interventions with Latinas are discussed. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727725 Wed, 20 Apr 2011 04:52:53 +0100 4727725 http://www.medworm.com/index.php?rid=4727724&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000053%2Fabstract%3Frss%3Dyes This article describes an exemplar educational approach used to teach cultural competency to beginning graduate psychiatric mental health nursing students. Using interactive strategies delivered within the 4 phases of the curriculum, the approach has been shown to facilitate students’ ongoing journey to cultural competence. Building on baccalaureate nursing competencies, the course addresses attitudes, knowledge, skills, and cultural humility to strengthen cultural self-assessment, cross-cultural clinical practice expertise, and the use of culturally appropriate research for graduate students. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727724 Wed, 20 Apr 2011 04:52:53 +0100 4727724 http://www.medworm.com/index.php?rid=4727723&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000107%2Fabstract%3Frss%3Dyes Acculturation does not inform practice in the acute or primary care setting; nor does it explain ethnic disparities in the recognition and treatment of chronic diseases, particularly chronic pain. As clinicians, it is imperative that we recognize contributing factors, comorbid conditions, and the impact of chronic pain on individuals and families. The purposes of this article are to present evidence that exemplifies the nonsignificant role acculturation plays in expression of pain and function of a predominantly Hispanic population on the United States border; and to identify more meaningful perspectives of culture that may lessen health disparities and improve pain management. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727723 Wed, 20 Apr 2011 04:52:53 +0100 4727723 http://www.medworm.com/index.php?rid=4727722&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000028%2Fabstract%3Frss%3Dyes This article reports findings from a qualitative study that explored the attitudes and beliefs concerning colorectal cancer (CRC) screening among patients and health care providers in Appalachian Kentucky. Results from 5 focus groups are discussed here: 3 with primary care providers and 2 with patients. Although there are some areas of agreement, there are marked differences between the perceptions of Appalachian health care providers and participants regarding CRC screening. This article compares and contrasts those perceptions and provides suggestions for culturally competent practice and culturally relevant research to improve CRC screening in this vulnerable population. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727722 Wed, 20 Apr 2011 04:52:53 +0100 4727722 http://www.medworm.com/index.php?rid=4727721&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000041%2Fabstract%3Frss%3Dyes Findings from a qualitative ethnographic study that examined the experiences of a group of persons with Parkinson disease are presented in this article. Culturally competent care for persons who share a common illness, such as Parkinson disease, is facilitated when the findings are incorporated into the Clinically Relevant Continuum Model. Use of this model allows providers to evaluate and use appropriate published evidence in addition to provider expertise and patient preferences and values. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727721 Wed, 20 Apr 2011 04:52:53 +0100 4727721 http://www.medworm.com/index.php?rid=4727720&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000077%2Fabstract%3Frss%3Dyes This article reviews the culture of biomedicine and current practices in pain management education, which often merge to create a hostile environment for effective chronic pain care. Areas of cultural tensions in chronic pain frequently involve the struggle to achieve credibility regarding one's complaints of pain (or being believed that the pain is real) and complying with pain medication protocols. The clinically relevant continuum model is presented as a framework allowing providers to approach care from an evidence-based, culturally appropriate (patient centered) perspective that takes into account the highest level of evidence available, provider expertise, and patient preferences and values. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727720 Wed, 20 Apr 2011 04:52:52 +0100 4727720 http://www.medworm.com/index.php?rid=4727719&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000065%2Fabstract%3Frss%3Dyes This article incorporates the findings from a predominantly qualitative, mixed-method study examining sibling survivors’ experiences of a major childhood burn injury into the clinically relevant continuum model as a means of promoting culturally competent and family-centered care. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727719 Wed, 20 Apr 2011 04:52:52 +0100 4727719 http://www.medworm.com/index.php?rid=4727718&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651100003X%2Fabstract%3Frss%3Dyes Medical anthropology provides an excellent resource for nursing research that is relevant to clinical nursing. By expanding the understanding of ethnographic research beyond ethnicity, nurses can conduct research that explores patient's constructions and explanatory models of health and healing and how they make meaning out of chronic conditions and negotiate daily life. These findings can have applicability to culturally competent care at both the organizational or systems level, as well as in the patient/provider encounter. Individual patient care can be improved by applying ethnographic research findings to build provider expertise and then using a cultural negotiation process for individualized patient care. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727718 Wed, 20 Apr 2011 04:52:52 +0100 4727718 http://www.medworm.com/index.php?rid=4727717&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000132%2Fabstract%3Frss%3Dyes More than 50 years ago, the developing fields of medical anthropology and transcultural nursing laid the foundations for the concept of cultural competence. Our knowledge base has exploded since then; yet, the gap between the definition of culturally competent care and the practical application of culturally competent care is still often a mystery. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727717 Wed, 20 Apr 2011 04:52:52 +0100 4727717 http://www.medworm.com/index.php?rid=4727716&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000120%2Fabstract%3Frss%3Dyes Refers to: The Implementation of the UHC/AACN New Graduate Nurse Residency Program in a Community Hospital (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727716 Wed, 20 Apr 2011 04:52:52 +0100 4727716 http://www.medworm.com/index.php?rid=4727715&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651100020X%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727715 Wed, 20 Apr 2011 04:52:52 +0100 4727715 http://www.medworm.com/index.php?rid=4727714&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000193%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727714 Wed, 20 Apr 2011 04:52:52 +0100 4727714 http://www.medworm.com/index.php?rid=4727713&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646511000181%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4727713 Wed, 20 Apr 2011 04:52:52 +0100 4727713 http://www.medworm.com/index.php?rid=4583935&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510001155%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583935 Tue, 01 Mar 2011 00:00:00 +0100 4583935 http://www.medworm.com/index.php?rid=4583933&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651000099X%2Fabstract%3Frss%3Dyes Nursing leadership is committed to advancing the profession of nursing through research and evidence-based practice. Partnerships between the hospital and area academic institutions were formed to develop a comprehensive research program that supported active involvement for frontline staff and provide clinical research opportunities for area faculty. Through this collaborative model, the research program has continually expanded and provided clinical research that is making a difference for patients and families. The commitment of this service/academic research partnership is shown by the close involvement of each in future planning for studies and program development. A collaborative partnership is an excellent means to promote clinical research and support nursing excellence. (Source: N... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583933 Tue, 01 Mar 2011 00:00:00 +0100 4583933 http://www.medworm.com/index.php?rid=4583931&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510001015%2Fabstract%3Frss%3Dyes This article is a case study of an organization that on all levels from economic, manpower, quality, and safety has benefited from the Magnet journey. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583931 Tue, 01 Mar 2011 00:00:00 +0100 4583931 http://www.medworm.com/index.php?rid=4583929&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510001027%2Fabstract%3Frss%3Dyes This article describes the development, implementation, and successful outcomes of a clinical advancement system that was aligned with a PPM. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583929 Tue, 01 Mar 2011 00:00:00 +0100 4583929 http://www.medworm.com/index.php?rid=4583928&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000988%2Fabstract%3Frss%3Dyes In 1980, Froedtert Hospital opened its doors using an innovative registered nurse scheduling model. The hospital has grown to 500 beds, with over 1,600 registered nurses, and continues to use the 7/70 staffing pattern as a core scheduling model. Registered nurses work a straight seven, 10-hour days, and then have 1 week off, or 26 weeks off a year. For professional registered nurses in acute care, the schedule is predictable and consistent for years. This scheduling pattern has resulted in excellent registered nurse satisfaction, increased retention, and consistency in care delivery teams since 1980. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583928 Tue, 01 Mar 2011 00:00:00 +0100 4583928 http://www.medworm.com/index.php?rid=4583924&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510001003%2Fabstract%3Frss%3Dyes This article describes an evidence-informed strategic planning process and framework used by a Magnet-recognized public health system in California. This article includes (1) an overview of the organization and its strategic planning process, (2) the structure created within nursing for collaborative strategic planning and decision making, (3) the strategic planning framework developed based on the organization's balanced scorecard domains and the new Magnet model, and (4) the process undertaken to develop the nursing strategic priorities. Outcomes associated with the structure, process, and key initiatives are discussed throughout the article. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583924 Tue, 01 Mar 2011 00:00:00 +0100 4583924 http://www.medworm.com/index.php?rid=4583921&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510001143%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583921 Tue, 01 Mar 2011 00:00:00 +0100 4583921 http://www.medworm.com/index.php?rid=4583920&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510001131%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583920 Tue, 01 Mar 2011 00:00:00 +0100 4583920 http://www.medworm.com/index.php?rid=4583919&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651000112X%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583919 Tue, 01 Mar 2011 00:00:00 +0100 4583919 http://www.medworm.com/index.php?rid=4583934&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000964%2Fabstract%3Frss%3Dyes The progression of five professional nurses from shared governance council chairs to unit director positions and the progression of three nurses from shared governance council chairs to clinical nurse specialist roles in an 18-year period provide compelling evidence of the impact shared governance has provided in the development of future nurse leaders in our organization. The collective wisdom of those who have lived this experience suggests that the opportunities inherent in these clinical nurse leadership roles make this a logical progression, including getting noticed and nudged, developing an understanding of the big picture, developing a results orientation, and substantial skill acquisition. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583934 Mon, 20 Dec 2010 00:00:00 +0100 4583934 http://www.medworm.com/index.php?rid=4583932&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510001039%2Fabstract%3Frss%3Dyes Nurse recruitment and the retention of a high-quality workforce are challenging issues facing rural hospitals and health centers. The Bassett Healthcare Network has met these challenges by building a supportive framework to develop and support nurses at every level of their professional careers. The organization has partnered with local colleges to help staff nurses further their education. These and other partnership endeavors, such as the organization's clinical ladder and collaborative continuing nursing education opportunities, are helping Bassett sustain and grow the nursing workforce across 8 counties in rural upstate New York and develop stronger ties with academic partners. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583932 Fri, 03 Dec 2010 00:00:00 +0100 4583932 http://www.medworm.com/index.php?rid=4583930&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000976%2Fabstract%3Frss%3Dyes Professional certification has been linked to positive patient, system, and nurse outcomes. However, certification rates among nurses remain low. Using tenets from employee engagement theory, we designed strategies to fully engage nurses within our nursing division to pursue certification. After 1 year, certification rates more than doubled in our cardiac departments. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583930 Fri, 03 Dec 2010 00:00:00 +0100 4583930 http://www.medworm.com/index.php?rid=4583927&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000952%2Fabstract%3Frss%3Dyes Nursing shared governance (NSG) provides a framework for the professionalization of nursing, provides a broader distribution of decision making across the profession, and allocates decisions based on accountability and role expectations. Shared governance defines staff-based decisions, accountability, roles, and ownership of staff in those activities that directly affect nurses’ lives and practice. Although NSG is a somewhat ambiguous concept with a vast application, examining it from the perspective of structure, process, and outcomes can more clearly outline a successful strategy for implementation and growth. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583927 Fri, 03 Dec 2010 00:00:00 +0100 4583927 http://www.medworm.com/index.php?rid=4583926&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510001040%2Fabstract%3Frss%3Dyes In the current health care climate, economic and cultural conditions have created an optimal opportunity to envision a new direction for nursing as a profession. Nurses find themselves at the formative stages of charting this new direction. The articulation of a professional practice model provides a framework for setting this new direction and thus the achievement of exemplary clinical outcomes. In this article, the authors describe the evolution of the professional practice model at the Massachusetts General Hospital and how the model continues to be evaluated and modified over time by the nurses within the system. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583926 Fri, 03 Dec 2010 00:00:00 +0100 4583926 http://www.medworm.com/index.php?rid=4583925&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510001076%2Fabstract%3Frss%3Dyes Transition into the workforce for the new graduate nurse is affected by many factors. New graduate nurses can benefit from support provided through participation in the UHC/AACN Residency Program. The retention of even one graduate nurse saves the employing institution up to an estimated $80,000 annually. St Joseph's Hospital has improved the retention of new graduate nurses from approximately 40% to 100% with the addition of the UHC/AACN Residency Program alongside other system changes. Data are being monitored at St Joseph's and on a national level through this multisite collaborative aimed at improving patient care and increasing nurse retention. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583925 Fri, 03 Dec 2010 00:00:00 +0100 4583925 http://www.medworm.com/index.php?rid=4583923&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000940%2Fabstract%3Frss%3Dyes This article describes the magnitude of the aging nursing workforce issue, explores the myths and realities related to the aging process, discusses evidence-based strategies supporting healthy aging and retention of experienced nurses in one Magnet hospital, and introduces recommendations for further study. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583923 Fri, 03 Dec 2010 00:00:00 +0100 4583923 http://www.medworm.com/index.php?rid=4583922&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510001052%2Fabstract%3Frss%3Dyes It is an honor to serve as the guest editor of this edition of Nursing Clinics of North America. The recruitment of talented, dedicated nurses and the retention of these professionals in all realms of nursing practice are essential elements of nurse executive practice. The development and support of structures undergirding workforce development should not be minimized in importance in any organization or practice setting. Successful outcomes in recruitment and retention and thus nurse satisfaction are essential for leaders targeting resource stewardship, standards of excellence, and quality in care delivery. It has been demonstrated that the retention of experienced, skilled nurses supports knowledge transfer between generations of nurses. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4583922 Fri, 03 Dec 2010 00:00:00 +0100 4583922 http://www.medworm.com/index.php?rid=4102555&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000885%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102555 Tue, 26 Oct 2010 04:16:40 +0100 4102555 http://www.medworm.com/index.php?rid=4102554&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000782%2Fabstract%3Frss%3Dyes This article provides detailed information about assessing the mental health needs of older adults as well as strategies to maintain mental health. An overview of the public health needs of older adults is provided that includes examples of policies that ensure minimum physical and mental health for older adults. Multiple resources are described that will enable clinicians to access information that will increase their knowledge of assessment of mental health needs of older adults. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102554 Tue, 26 Oct 2010 04:16:40 +0100 4102554 http://www.medworm.com/index.php?rid=4102553&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000733%2Fabstract%3Frss%3Dyes This article describes policy issues related to chronic mental health disorders and the older population. Mental health parity, a recent policy issue occurring at the national level, is discussed first followed by workforce issues specific to the discipline of nursing. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102553 Tue, 26 Oct 2010 04:16:40 +0100 4102553 http://www.medworm.com/index.php?rid=4102552&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000757%2Fabstract%3Frss%3Dyes This integrative review summarizes current research on resilience in adult family members who have a relative with a diagnosed mental disorder that is considered serious. Within the context of resilience theory, studies identifying risk/vulnerability and positive/protective factors in family members are summarized, and studies examining seven indicators of resilience, including acceptance, hardiness, hope, mastery, self-efficacy, sense of coherence, and resourcefulness, are described. Implications for clinical practice and recommendations for future research are presented. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102552 Tue, 26 Oct 2010 04:16:40 +0100 4102552 http://www.medworm.com/index.php?rid=4102551&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000769%2Fabstract%3Frss%3Dyes The physical health of people with schizophrenia is poor, and the challenges in finding effective treatment and optimizing health outcomes are significant. However, it is likely that people diagnosed with schizophrenia can be partners in the treatment of their physical health problems. Research suggests that many people with schizophrenia value physical health and will participate in health-related behaviors when they are provided with the opportunity to do so. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102551 Tue, 26 Oct 2010 04:16:40 +0100 4102551 http://www.medworm.com/index.php?rid=4102549&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651000071X%2Fabstract%3Frss%3Dyes In greater numbers than in prior conflicts, service members deployed as part of Operation Enduring Freedom and Operation Iraqi Freedom have an increased risk of experiencing a traumatic brain injury (TBI). The basics of TBI are discussed, with particular attention paid to blast-related events, as this is a common mechanism of injury in this population. Particular attention is focused on the pharmacologic treatment of the sequlae of TBI and common comorbid conditions. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102549 Tue, 26 Oct 2010 04:16:39 +0100 4102549 http://www.medworm.com/index.php?rid=4102548&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000745%2Fabstract%3Frss%3Dyes Anxiety is a common feeling for patients and families during the critical care experience. As anxiety for critically ill patients presents increased risks for morbidity and mortality, it is imperative that nurses strive to identify unrelieved anxiety early to prevent adverse events. Alleviating anxiety experienced by families as a result of the critical care experience involves providing assurance, allowing them to remain near the patient, providing accurate and current information, providing for their comfort, and projecting a supportive attitude. As constant care providers, nurses can have the greatest impact on creating an environment that is safe, healing, and humane for critically ill patients and their families. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102548 Tue, 26 Oct 2010 04:16:39 +0100 4102548 http://www.medworm.com/index.php?rid=4102546&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000708%2Fabstract%3Frss%3Dyes If the health of children is to be improved, systems of care for youth must organize and collaborate around an emphasis toward promotion of health and prevention of mental illness. This approach demands an understanding of the complex interplay of genes, environment, risk, and protective factors that influence the manifestation of behavior problems. The focus of this article is prevention efforts aimed at processes thought to be involved in the development of mental illnesses. A particular emphasis is on prevention strategies that reduce risk prior to the onset of an identifiable mental disorder. Included are interventions appropriate to nurses who deal with children in schools, pediatric primary care, and specialty mental health care. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102546 Tue, 26 Oct 2010 04:16:39 +0100 4102546 http://www.medworm.com/index.php?rid=4102545&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000721%2Fabstract%3Frss%3Dyes This article describes what is known about mental health in children, adolescents, adults, and the elderly globally in high-, middle- and low-income countries. The social determinants of health are described as well as the paradigm shift from focusing on psychopathology to looking at ways in which individuals and communities can embrace mental health promotion to decrease stigma and provide care for all individuals in resource-rich and resource-poor environments. The need to expand the content in nursing curricula to include mental health concepts at all levels of training, foster mental health research, and promote international collaboration around best practices is also discussed. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102545 Tue, 26 Oct 2010 04:16:39 +0100 4102545 http://www.medworm.com/index.php?rid=4102544&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000800%2Fabstract%3Frss%3Dyes A number of foundational principles have emerged in recent years to explain mental health and mental illness. Each is simply stated, yet each has profound importance for patients and nurses: 1) mental health is fundamental to overall health; 2) mental illnesses can occur at any age; and 3) the presence or absence of a mental illness has significant implications for functioning, well-being, and life satisfaction throughout a person’s life. Available statistics illuminate the prevalence of mental illnesses across the lifespan: almost 21% of children have a diagnosed mental illness, primarily anxiety, mood, or disruptive disorders. Similarly, the overall prevalence rate of mental illnesses among adults is about 21%, with the primary diagnoses being anxiety, particularly phobias and post-tra... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102544 Tue, 26 Oct 2010 04:16:39 +0100 4102544 http://www.medworm.com/index.php?rid=4102543&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000873%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102543 Tue, 26 Oct 2010 04:16:39 +0100 4102543 http://www.medworm.com/index.php?rid=4102542&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000861%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102542 Tue, 26 Oct 2010 04:16:39 +0100 4102542 http://www.medworm.com/index.php?rid=4102541&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651000085X%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102541 Tue, 26 Oct 2010 04:16:39 +0100 4102541 http://www.medworm.com/index.php?rid=3922827&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000630%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922827 Tue, 31 Aug 2010 23:00:00 +0100 3922827 http://www.medworm.com/index.php?rid=3922826&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651000040X%2Fabstract%3Frss%3Dyes We describe the initial impact of such a diagnosis and its immediate life-changing consequences, treatment decisions and sequelae, remission and recurrence, and choices about living with a chronic illness and the ever-present specter of death. We recognize that our experience is uniquely ours, yet we believe it has meaning for all patients and caregivers, as well as the many health professionals who treat, care for, guide and comfort those who bear the burden of cancer. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922826 Tue, 31 Aug 2010 23:00:00 +0100 3922826 http://www.medworm.com/index.php?rid=3922824&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000344%2Fabstract%3Frss%3Dyes The diagnosis of advanced illness often brings with it an element of limited time. Being diagnosed with a life-limiting illness and facing death can evoke many painful emotions including anxiety, sadness, and uncertainty. However, it can also create the potential for profound growth and transformation. The end of life is a time-intensive crucible in which patients and family members have important things to express to one another. Embedded in this time are 2 elements of daily functioning: personal relationships and communication. Having conversations about the relationship and communicating love, gratitude, and/or forgiveness may have potential benefits for the dying person and those considered close and important. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922824 Tue, 31 Aug 2010 23:00:00 +0100 3922824 http://www.medworm.com/index.php?rid=3922819&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000290%2Fabstract%3Frss%3Dyes Sickle cell disease is a chronic illness that affects patients physically and emotionally and can do so at an early age. An ecological model of palliative care that involves improved communication among the health care team, patients, and their families can be beneficial. Open and honest communication regarding advance care planning, disease management, relief of pain and other symptoms, and bereavement and grief are all important for the patient, family, and health care team. Given the multiple acute and chronic complications of sickle cell disease, an approach to care that is holistic and comprehensive may help to improve a patient's biologic function and the perceived health, functional status, and quality of life of the patient and family. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922819 Tue, 31 Aug 2010 23:00:00 +0100 3922819 http://www.medworm.com/index.php?rid=3922818&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000277%2Fabstract%3Frss%3Dyes Ensuring patient comfort begins with a comprehensive assessment for symptom distress. The dying patient poses unique challenges for assessment because of the high prevalence of declining and impaired cognition that typifies this population. The focus of this paper is on the practical clinical question: How can we recognize respiratory distress when the patient cannot provide a report about dyspnea? (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922818 Tue, 31 Aug 2010 23:00:00 +0100 3922818 http://www.medworm.com/index.php?rid=3922817&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000289%2Fabstract%3Frss%3Dyes Clinical decision making involves a consideration of multiple factors; clinical options are constructed based on the objective clinical data and evidence-based standards. Technologic advances have led not only to life saving interventions, but also to the use of these technologies when benefit to the patient was unclear or unexamined. The cases of Karen Quinlan, Nancy Cruzan, and Terri Schiavo provide a framework for examining the evolution of clinical decision making, including when to use or not to use technologies such as ventilators and artificial nutrition and hydration, and the role of specific questions in the process. Advance directives are a means to convey patient preferences, however, in the absence of advance directives, skilled questioning can elicit patient preferences. Nurse... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922817 Tue, 31 Aug 2010 23:00:00 +0100 3922817 http://www.medworm.com/index.php?rid=3922816&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000307%2Fabstract%3Frss%3Dyes This article outlines what needs to be considered when taking on the challenge of involving children with life-threatening and life-limiting illnesses in decision making regarding care and treatment and suggests an approach to involving children that recognizes their abilities, vulnerabilities, and relationships with others while at the same time ensuring an ethical and meaningful role for children. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922816 Tue, 31 Aug 2010 23:00:00 +0100 3922816 http://www.medworm.com/index.php?rid=3922815&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000393%2Fabstract%3Frss%3Dyes This article reviews the management of selected symptoms in palliative and end of life care. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922815 Tue, 31 Aug 2010 23:00:00 +0100 3922815 http://www.medworm.com/index.php?rid=3922814&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000538%2Fabstract%3Frss%3Dyes In this issue, Drs Karen Buhler-Wilkerson and Neville Strumpf share the experience of living with Karen's ovarian cancer, which resulted in her death shortly after the article was completed. Nevertheless, readers are privileged to glimpse two lives well lived, even in the face of serious illness. Pascal wrote, “The strength of [one's] virtue should not be measured by [her] special exertions, but by [her] habitual acts.” Karen's “habitual acts,” as Neville said at the funeral, “set a high bar, without being too serious, [whether] with her children, with her students, [or] in her dying.” Her standards of excellence, evidenced by myriad accomplishments, worn lightly, included uncovering and telling the stories of our profession, learning from our forebears, and urging us to accept... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922814 Tue, 31 Aug 2010 23:00:00 +0100 3922814 http://www.medworm.com/index.php?rid=3922813&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000526%2Fabstract%3Frss%3Dyes During the past decade, “palliative care” became a widely used phrase in health care. Often believed to be synonymous with “end of life care” by many health care providers, palliative care is actually a much broader concept. “The goal of palliative care is to prevent and relieve suffering and to support the best possible quality of life for patients and their families, regardless of the stage of the disease or the need for other therapies.” Palliative care, then, should be considered and available for many patients, independent of prognosis. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922813 Tue, 31 Aug 2010 23:00:00 +0100 3922813 http://www.medworm.com/index.php?rid=3922812&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000629%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922812 Tue, 31 Aug 2010 23:00:00 +0100 3922812 http://www.medworm.com/index.php?rid=3922811&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000617%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922811 Tue, 31 Aug 2010 23:00:00 +0100 3922811 http://www.medworm.com/index.php?rid=3922810&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000605%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922810 Tue, 31 Aug 2010 23:00:00 +0100 3922810 http://www.medworm.com/index.php?rid=4102547&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000770%2Fabstract%3Frss%3Dyes Chronic medical illness among children and adolescents is a growing concern with implications for informal and formal caregivers. When coupled with a psychiatric comorbidity, implications grow exponentially. Nurses who care for child and adolescent populations play a crucial role in optimizing physical and mental health when they interface with patients and their caregivers. Evidence-based interventions can promote positive outcomes and enhance quality of life, whereas failure to use evidence-based approaches has serious consequences to the health of youth with medical and psychiatric comorbidities. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102547 Sun, 15 Aug 2010 23:00:00 +0100 4102547 http://www.medworm.com/index.php?rid=4102550&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000691%2Fabstract%3Frss%3Dyes This article provides suggestions for skill development for substance abuse (SA) treatment agencies and providers for implementing Treatment Improvement Protocol number 25: Substance Abuse Treatment and Domestic Violence. Methods for detecting, screening, intervening, and referring victims and perpetrators of intimate partner violence enrolled in SA treatment are presented. Evidence-based brief intervention is presented. A 2-minute screen for domestic violence as well as danger assessment for lethality of abuse and the Conflict Tactics Scales 2 are reviewed. A survey of interventions aimed at establishing trust, brief intervention from best practice, guidelines for safety planning, compliance strategies for SA treatment, and community resource development are presented. (Source: Nursing Cl... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=4102550 Sun, 08 Aug 2010 23:00:00 +0100 4102550 http://www.medworm.com/index.php?rid=3616551&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000484%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616551 Mon, 31 May 2010 23:00:00 +0100 3616551 http://www.medworm.com/index.php?rid=3616550&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000253%2Fabstract%3Frss%3Dyes This article describes health care governance initiatives implemented by the Aeromedical Evacuation Squadron, based at Royal Air Force (RAF), United Kingdom. It focuses on quality and performance improvements via a program of clinical-effectiveness auditing. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616550 Mon, 31 May 2010 23:00:00 +0100 3616550 http://www.medworm.com/index.php?rid=3616549&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000149%2Fabstract%3Frss%3Dyes This article provides an overview of the complex nursing care provided to burn patients treated at the Burn Center. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616549 Mon, 31 May 2010 23:00:00 +0100 3616549 http://www.medworm.com/index.php?rid=3616548&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000241%2Fabstract%3Frss%3Dyes Infections, troublesome in even optimal health care environments, can be a source of serious and persistent concern for local populations and health care workers during a disaster, and in austere environments such as those found in Iraq and Afghanistan. For these scenarios, it is vital to have standard infection control practices in place and to have them used consistently. Only then will healthcare workers be able to contain the potential spread of disease and improve conditions for those affected. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616548 Mon, 31 May 2010 23:00:00 +0100 3616548 http://www.medworm.com/index.php?rid=3616547&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000174%2Fabstract%3Frss%3Dyes Since the beginning of the Overseas Contingency Operation, more than 45,000 ill and wounded service members have been evacuated from the battlefield to Landstuhl Regional Medical Center (LRMC) in western Europe. LRMC is a stopover for these service members, where they are further assessed, treated, and stabilized before they return to the United States. This process requires coordination between different military services, health care teams, and modes of transportation. These processes can be complicated given the severity of the wounded. Nurses at LRMC have learned how to streamline services, providing efficient, comprehensive care for wounded service members and their families. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616547 Mon, 31 May 2010 23:00:00 +0100 3616547 http://www.medworm.com/index.php?rid=3616546&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000204%2Fabstract%3Frss%3Dyes This article describes the experiences of two obstetric nurses as they deployed to the war zone in Iraq. Each discusses her role as a medical-surgical nurse and an emergency room nurse, respectively, and how she dealt with learning to practice in these areas. Each nurse came away from the experience with newfound confidence in her abilities and an appreciation for flexibility in practice. They also describe the challenges of deployment and being away from family, and how they coped with their feelings associated with nursing in a war zone and caring for injured service members and the indigenous population. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616546 Mon, 31 May 2010 23:00:00 +0100 3616546 http://www.medworm.com/index.php?rid=3616545&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000216%2Fabstract%3Frss%3Dyes Severe Acute Respiratory Syndrome (SARS) had an enormous effect on Taiwan's public health and the nation's economy. To prevent the spread of the epidemic, the government implemented strategies and measures for the control of the epidemic. The Ministry of National Defense also fully supported epidemic prevention by mobilizing all necessary human and material resources. Under the plan executed by the Ministry of National Defense, the SongShan Armed Forces Hospital became Taiwan's first hospital dedicated exclusively for the treatment of patients with SARS. Uniformed Service Nurses' devoted to caring for patients with SARS during the outbreak made significant contributions to the prevention and control of SARS. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616545 Mon, 31 May 2010 23:00:00 +0100 3616545 http://www.medworm.com/index.php?rid=3616544&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000198%2Fabstract%3Frss%3Dyes This article describes the competencies necessary for practice by military nurses. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616544 Mon, 31 May 2010 23:00:00 +0100 3616544 http://www.medworm.com/index.php?rid=3616543&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000228%2Fabstract%3Frss%3Dyes This article discusses the knowledge nurses need to care for casualties returning from Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) who may be at risk for developing pressure ulcers. This article also describes the development of an evidence-based pressure ulcer awareness program for young adults aged 18 to 35 years at a military treatment facility that receives casualties from OIF/OEF. This evidence-based program enables nurses to rapidly assess casualties for risk factors and initiate nursing interventions to mitigate the development of pressure ulcers. Improving the detection of pressure ulcers among the young OIF and OEF casualties may, in turn, reduce mortality and morbidity among these service members. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616543 Mon, 31 May 2010 23:00:00 +0100 3616543 http://www.medworm.com/index.php?rid=3616542&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651000023X%2Fabstract%3Frss%3Dyes The events of September 11, 2001, set in motion the broadest emergency response ever conducted by the US Department of Health and Human Services. In this article, some of the nurses who deployed to New York City in the aftermath of that horrific attack on the United States offer their recollections of the events. Although Public Health Service Commissioned Corps (PHS CC) officers participated in deployments before 9/11, this particular deployment accelerated the transformation of the PHS CC, because people came to realize the tremendous potential of a uniformed service of 6,000 health care professionals. When not responding to emergencies, PHS CC nurses daily serve the mission of the PHS to protect, promote, and advance the health and safety of the nation. In times of crisis, the PHS CC nu... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616542 Mon, 31 May 2010 23:00:00 +0100 3616542 http://www.medworm.com/index.php?rid=3616541&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000162%2Fabstract%3Frss%3Dyes The US Public Health Service (PHS) is one of 7 uniformed services operating for the nation. Nurses form the largest category of personnel in the PHS and are integral members of teams identified to deploy in times of national need. PHS nurses serve “in harm's way” to protect and defend the public health of the nation during national emergencies and disasters of great magnitude, such as 9/11, Hurricane Katrina, the H1N1 virus outbreak, and so forth. In this article, the authors discuss how active-duty Commissioned Corps nurses in the US PHS respond during times of national need. Military nurses may be asked to serve in war zones, participate in humanitarian missions, and care for military beneficiaries. By contrast, the role of nurses in the Commissioned Corps is to protect, defend, and ... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616541 Mon, 31 May 2010 23:00:00 +0100 3616541 http://www.medworm.com/index.php?rid=3616540&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000150%2Fabstract%3Frss%3Dyes This article highlights the potential negative effect of the current combat environment on bone health of young military men and women who may be at risk for stress fractures and future bone disease because of alterations primarily in diet and physical activity level during deployment. A combination of physiologic biomarkers, including bone turnover and bone mineral density, and nutrition and exercise surveys can provide meaningful data on potential health risks related to deployment. Soldiers participating in an investigation into bone health before and after deployment did not have decreased bone density but the study did raise awareness about an issue that might otherwise go unnoticed because preventive care is typically focused on older adults. Several risk factors may be modifiable an... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616540 Mon, 31 May 2010 23:00:00 +0100 3616540 http://www.medworm.com/index.php?rid=3616539&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000186%2Fabstract%3Frss%3Dyes This article describes the pathophysiology of iron deficiency and iron deficiency anemia, the consequences of each, and the need to routinely screen military women for iron depletion. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616539 Mon, 31 May 2010 23:00:00 +0100 3616539 http://www.medworm.com/index.php?rid=3616538&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000381%2Fabstract%3Frss%3Dyes Refers to: Preface (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616538 Mon, 31 May 2010 23:00:00 +0100 3616538 http://www.medworm.com/index.php?rid=3616537&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964651000037X%2Fabstract%3Frss%3Dyes There are 3 military services in the United States—the Army, the Navy, and the Air Force. Nurses who join the military wear the uniform of their respective service. Nurses may also join the United States Public Health Service (USPHS). They wear the uniforms of the USPHS and, as such, they are a part of the uniformed services although they are not part of the military. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616537 Mon, 31 May 2010 23:00:00 +0100 3616537 http://www.medworm.com/index.php?rid=3616536&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000472%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616536 Mon, 31 May 2010 23:00:00 +0100 3616536 http://www.medworm.com/index.php?rid=3616535&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000460%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616535 Mon, 31 May 2010 23:00:00 +0100 3616535 http://www.medworm.com/index.php?rid=3616534&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000459%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3616534 Mon, 31 May 2010 23:00:00 +0100 3616534 http://www.medworm.com/index.php?rid=3922822&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000368%2Fabstract%3Frss%3Dyes Life-sustaining therapy (LST) is commonly withdrawn in critical care units. Little is known about the families' perceptions of death when a critically ill patient dies after LST is withdrawn. The purpose of this study was to understand if families perceived that their family members had a good or a bad death when a family member had LST withdrawn after an unexpected, life-threatening illness or injury. Twenty-two family members participated in a hermeneutic phenomenological study. They were interviewed 1 to 2 years after a family member had died after withdrawal of LST. Most family members perceived that their loved ones died a good death. Although the timing and circumstances of a person's death may be bad in many ways, the actual dying and death can be good. (Source: Nursing Clinics of N... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922822 Sun, 30 May 2010 23:00:00 +0100 3922822 http://www.medworm.com/index.php?rid=3922820&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000332%2Fabstract%3Frss%3Dyes This article briefly reports a pilot study of perceived barriers to palliative care and related issues in an urban cancer clinic, reviews the current literature, and suggest ways to identify and overcome such barriers in low-income patients with cancer. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922820 Sun, 09 May 2010 23:00:00 +0100 3922820 http://www.medworm.com/index.php?rid=3922823&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000356%2Fabstract%3Frss%3Dyes A main hurdle for end of life research is recruitment of patients. Researchers can enroll interested patients and their families for end of life studies by gaining the trust of the hospice staff, who can make valuable referrals of patients nearing the end of life. Participants in the study should be made as comfortable as possible and not be coerced into the interview process. Once the patients have confidence in the researchers, they are more than willing to be a part of the research process because it can prove to be cathartic to many of the patients and their family members. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922823 Thu, 06 May 2010 23:00:00 +0100 3922823 http://www.medworm.com/index.php?rid=3922825&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000320%2Fabstract%3Frss%3Dyes American parents of chronically ill children prefer to be involved in decision making about their ill child's end of life care. Parents trust the clinicians involved with their ill child to make reasoned judgments on behalf of the ill child and to consistently look out for the child's best interests. Parents report that having access to understandable information about their child's health status influences their ability to participate in end of life decisions. This information includes the certainty that all reasonable attempts to save the child have been done and in the best possible ways. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922825 Thu, 29 Apr 2010 23:00:00 +0100 3922825 http://www.medworm.com/index.php?rid=3922821&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646510000319%2Fabstract%3Frss%3Dyes As the seventh leading cause of death among people aged 25 to 64 years, end-stage liver disease (ESLD) affects many Americans in the most productive years of their lives. Despite the increasing number of individuals who are dying of ESLD, little is documented about their end of life challenges as the disease progresses. The purpose of this article is to highlight specific challenges for people with ESLD, their families, and their implications for health care providers: ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, malnutrition, altered drug metabolism, renal insufficiency and hyponatremia, hepatocellular carcinoma, and pain. The authors also present a case study to illustrate disease progression and difficulties facing patients, family members, and providers. (Source:... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=3922821 Thu, 29 Apr 2010 23:00:00 +0100 3922821 http://www.medworm.com/index.php?rid=2914318&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000772%2Fabstract%3Frss%3Dyes (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914318 Thu, 22 Oct 2009 13:44:52 +0100 2914318 http://www.medworm.com/index.php?rid=2914317&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS002964650900053X%2Fabstract%3Frss%3Dyes The influence of religious beliefs and practices at the end of life is underinvestigated. Given nursing's advocacy role and the intimate and personal nature of the dimensions of religiosity and the end of life, exploring the multidimensional interplay of religiosity and end-of-life care is a significant aspect of the nurse-patient relationship and must be better understood. The question that must be faced is whether nurses' own belief systems impinge on or influence patient care, especially for patients who are at the end of life. When nurses understand their own beliefs and respect the religious practices and needs of patients and their families, it deepens the humanistic dimensions of the nurse-patient relationship. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914317 Thu, 22 Oct 2009 13:44:51 +0100 2914317 http://www.medworm.com/index.php?rid=2914316&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000486%2Fabstract%3Frss%3Dyes The withdrawal, withholding, or implementation of life-sustaining treatments such as artificial nutrition and hydration challenge nurses on a daily basis. To meet these challenges, nurses need the composite skills of moral and ethical discernment, practical wisdom and a knowledge base that justifies reasoning and actions that support patient and family decision making. Nurses' moral knowledge develops through experiential learning, didactic learning, and deliberation of ethical principles that merge with moral intuition, ethical codes, and moral theories. Only when a nurse becomes skilled and confident in gathering empiric and ethical knowledge can he or she fully act as a moral agent in assisting families faced with making highly emotional decisions regarding the provision, withholding, o... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914316 Thu, 22 Oct 2009 13:44:51 +0100 2914316 http://www.medworm.com/index.php?rid=2914315&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000528%2Fabstract%3Frss%3Dyes Culture has been defined as the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. A culture of nursing refers to the learned and transmitted lifeways, values, symbols, patterns, and normative practices of members of the nursing profession of a particular society. To serve the unique and diverse needs of patients in the United States, it is imperative that nurses understand the importance of cultural differences by valuing, incorporating, and examining their own health-related values and beliefs and those of their health care organizations, for only then can they support the principle of respect for persons and the ideal of transcultural care. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914315 Thu, 22 Oct 2009 13:44:51 +0100 2914315 http://www.medworm.com/index.php?rid=2914314&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000474%2Fabstract%3Frss%3Dyes This article gives a historical overview of the role of nurses in war zones, followed by a review from the perspectives of environment, safety, the nature of injuries, and treatment of military personnel and civilians. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914314 Thu, 22 Oct 2009 13:44:51 +0100 2914314 http://www.medworm.com/index.php?rid=2914313&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000541%2Fabstract%3Frss%3Dyes Clinical research is a systematic investigation of human biology, health, or illness involving human beings. It builds on laboratory and animal studies and often involves clinical trials, which are specifically designed to test the safety and efficacy of interventions in humans. Nurses are critical to the conduct of ethical clinical research and face clinical, ethical, and regulatory challenges in research in many diverse roles. Understanding and addressing the ethical challenges that complicate clinical research is integral to upholding the moral commitment that nurses make to patients, including protecting their rights and ensuring their safety as patients and as research participants. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914313 Thu, 22 Oct 2009 13:44:51 +0100 2914313 http://www.medworm.com/index.php?rid=2914312&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000450%2Fabstract%3Frss%3Dyes This article discusses delegation challenges and legal and regulatory oversight associated with delegation in the clinical practice setting. The authors address moral and legal attributes of the roles and responsibilities of health care providers regarding delegating health care interventions. The article also explores guiding principles and rules of delegation within professional standards, national practice guidelines, and state nurse practice acts. Nurse experts provide thoughtful reflection on nursing models and the role of delegation, emphasizing the critical role of delegation in extending the role of the health care professional in patient care services. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914312 Thu, 22 Oct 2009 13:44:51 +0100 2914312 http://www.medworm.com/index.php?rid=2914311&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000449%2Fabstract%3Frss%3Dyes This article addresses nursing presence, a phenomenon essential to holistic nursing care. The concept is introduced and explained, supporting background information is reviewed, barriers are identified, and successful applications are illustrated in different clinical settings. Avowing that metaphysical knowledge is the underpinning to the art of nursing presence, a Transformative Nursing Presence Model is offered as a distinctive framework for nurses and organizations interested in fostering enhanced nursing presence. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914311 Thu, 22 Oct 2009 13:44:51 +0100 2914311 http://www.medworm.com/index.php?rid=2914310&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000504%2Fabstract%3Frss%3Dyes The Human Genome Project will change how health is defined and how disease is prevented, diagnosed, and treated. As the largest group of health care providers in contact with patients, nurses need to be competent in the science of genetics. Beyond this, nurses need to understand the complexities that arise in genomic health care. Ethical, legal, and social issues are integral to the delivery of genomic health care, and nurses must have an astute understanding of such complexities. What it means to know, to reason, and to act in this postgenomic age is explored. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914310 Thu, 22 Oct 2009 13:44:51 +0100 2914310 http://www.medworm.com/index.php?rid=2914309&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000498%2Fabstract%3Frss%3Dyes The therapeutic nature of the nurse-patient relationship is grounded in an ethic of caring. Florence Nightingale envisioned nursing as an art and a science…a blending of humanistic, caring presence with evidence-based knowledge and exquisite skill. In this article, the author explores the caring practice of nursing as a framework for understanding moral accountability and integrity in practice. Being morally accountable and responsible for one's judgment and actions is central to the nurse's role as a moral agent. Nurses who practice with moral integrity possess a strong sense of themselves and act in ways consistent with what they understand is the right thing to do. A review of the literature related to caring theory, the concepts of moral accountability and integrity, and the document... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914309 Thu, 22 Oct 2009 13:44:51 +0100 2914309 http://www.medworm.com/index.php?rid=2914308&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000462%2Fabstract%3Frss%3Dyes This article discusses the profession of nursing as an art and a science, and it explores the challenges associated with keeping the care in nursing. (Source: Nursing Clinics of North America) Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914308 Thu, 22 Oct 2009 13:44:51 +0100 2914308 http://www.medworm.com/index.php?rid=2914307&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000516%2Fabstract%3Frss%3Dyes The moral practice of nursing requires the difficult work of discerning the best response to an ethical quandary. Determining the right course of action can rarely be discovered by assuming that one value, one theory, one point of view will always and reliably identify the morality of an action. Thus, the role of a nurse is an inherently moral activity that is at the heart and soul of health care. Practitioners who move too quickly to a state of moral certainty about a decision may be missing essential components of the enactment of moral agency. Personal integrity and professional integrity, patient interests, society's expectation of a profession, the balance between rights and obligations within the nurse-patient relationship, acting according to one's conscience, power, control, and mo... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914307 Thu, 22 Oct 2009 13:44:50 +0100 2914307 http://www.medworm.com/index.php?rid=2914306&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000553%2Fabstract%3Frss%3Dyes This article uses philosophical inquiry to present the relationship between the helping role in nursing and the concept of trust essential to it. It characterizes helping as the moral center of the nurse-patient relationship and discusses how patients' expectations of help and caring create obligations of trustworthiness on the part of the nurse. It uses literature from various disciplines to examine different theoretical accounts of trust, each presenting important features of trust relationships that apply to health care professionals, patients, and families. Exploring the concept of trust, and the key leverage points that elicit it, develops a thesis that nurses can improve their understanding of the principal attributes and the conditions that foster or impede trust. The article conclu... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914306 Thu, 22 Oct 2009 13:44:50 +0100 2914306 http://www.medworm.com/index.php?rid=2914305&cid=s_38698_27_f&fid=38698&url=http%3A%2F%2Fwww.nursing.theclinics.com%2Farticle%2FPIIS0029646509000693%2Fabstract%3Frss%3Dyes Ethics is fundamentally an inquiry into human experience and the values, beliefs, and judgments that guide human action. Ethical inquiry and reflection in nursing are concerned with critically examining which values, actions, or standards ought to govern our personal and professional lives as well as our relationships with others. This examination ranges over a wide territory of concerns and aspirations, many of which are reflected in historical traditions, contemporary practice guidelines, and ageless quests regarding the good life and what it means to be a person of good character. An understanding of the core ethical values and virtues that embody the nursing profession is an essential component of responsible knowing, ethical discernment, and moral agency. This understanding in turn he... Nursing Clinics of North America journals http://www.medworm.com/rss/comments.php?id=2914305 Thu, 22 Oct 2009 13:44:50 +0100 2914305