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(Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Source Type: journals

Nursing, Religiosity, and End-of-Life Care: Interconnections and Implicationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 pat...
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Dana Bjarnason Source Type: journals

From Means to Ends: Artificial Nutrition and Hydrationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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...
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Cheryl Monturo, Kevin Hook Source Type: journals

Perspectives on Transcultural Careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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...
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Dana Bjarnason, JoAnn Mick, Julia A. Thompson, Elizabeth Cloyd Source Type: journals

Care and Meaning in War Zone Nursingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Ernestine (Tina) Cuellar Source Type: journals

Science, Technology, and Innovation: Nursing Responsibilities in Clinical Researchemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 a...
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Christine Grady, Maureen Edgerly Source Type: journals

Thoughtful Nursing Practice: Reflections on Nurse Delegation Decision-Makingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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...
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Leigh Ann McInnis, Lynn C. Parsons Source Type: journals

Healing During Existential Moments: The “Art” of Nursing Presenceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Karen Iseminger, Francesca Levitt, Lisa Kirk Source Type: journals

Nursing Advocacy in a Postgenomic Ageemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Rebekah Hamilton Source Type: journals

Moral Accountability and Integrity in Nursing Practiceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 wit...
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Cynthia Ann LaSala Source Type: journals

Art, Science, or Both? Keeping the Care in Nursingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Tayray Jasmine Source Type: journals

Personal Conscience and the Problem of Moral Certitudeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 e...
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Cheryl Ellis Vaiani Source Type: journals

Trust, Power, and Vulnerability: A Discourse on Helping in Nursingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 th...
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Michele A. Carter Source Type: journals

Preface: To Know, To Reason, To Actemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 va...
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Authors: Dana Bjarnason, Michele A. Carter Source Type: journals

Forthcoming Issuesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Source Type: journals

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(Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - October 22, 2009 Category: Nursing Source Type: journals

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(Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Source Type: journals

Global Women's Health: A Spotlight on Caregivingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Caregiving is a women's health issue globally, as many more women than men are informal caregivers. Caregiving related to gender role socialization, burden, and economic and health consequences has been discussed in the literature. Together this body of work demonstrates some positive but mainly negative consequences to the health and economic circumstances of women. Overall achievement of the United Nations' Millennium Development Goals has important implications for informal caregivers globally, because achievement of these goals is essential to reducing the undue burden, the lost opportunities, and the injustice of heal...
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Judith A. Berg, Nancy Fugate Woods Source Type: journals

Women Prisoners: Health Issues and Nursing Implicationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The purpose of this article is to describe health issues of women prisoners, analyze the implications of these issues for nursing practice, and consider strategies to improve the health of this vulnerable population. The article focuses primarily on women prisoners in the United States and includes a brief contextual background to explain the rapid increase in their numbers. Although the incarceration of women is increasingly a global problem, the authors focus primarily on the situation in the United States. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Anastasia A. Fisher, Diane C. Hatton Source Type: journals

Women's Mental Health: Depression and Anxietyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article focuses on depression and anxiety in women, and other conditions comorbid with depression or anxiety: cardiac disease, obesity, vitamin D deficiency, and irritable bowel syndrome. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Robynn Zender, Ellen Olshansky Source Type: journals

Computer-Mediated Patient Education: Opportunities and Challenges for Supporting Women with Ovarian Canceremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article reviews prior studies of computer-based patient education interventions to identify key intervention components and other factors associated with improved patient outcomes. Opportunities for using computer-based technologies to support women with ovarian cancer are discussed and WRITE Symptoms (a Written Representational Intervention To Ease Symptoms), a web-based, symptom management intervention for women with recurrent ovarian cancer, is introduced. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Phensiri Dumrongpakapakorn, Kathy Hopkins, Paula Sherwood, Kristin Zorn, Heidi Donovan Source Type: journals

Genetics: Breast Cancer as an Exemplaremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Genetic testing for adult-onset diseases is now available. One such test is for the mutations present in the BRCA gene that result in a significantly higher risk for the development of breast cancer or ovarian cancer. Women who have one of these mutations face difficult choices in terms of increased surveillance or prophylactic surgeries. Examining experiences of women with BRCA mutations can serve as an exemplar for other populations at risk for genetically associated adult-onset diseases. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Rebekah Hamilton Source Type: journals

Cardiac Health: Primary Prevention of Heart Disease in Womenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article presents current evidence for the prevention of heart disease related to dietary intake, physical activity, weight management, smoking cessation, blood pressure control, and lipid management. Guidelines for implementing findings in clinical practice are discussed. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Melanie Warziski Turk, Patricia K. Tuite, Lora E. Burke Source Type: journals

The Role of Nursing in the Management of Unintended Pregnancyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article explores the role of nurses in the prevention, management, and treatment of unintended pregnancy. All nurses have a responsibility to understand the importance of reproductive health care in the primary care of women and their families, and to be prepared to respond to patients' needs for the prevention and management of unintended pregnancy. A public health framework provides an opportunity to identify the role of the nurse in primary, secondary, and tertiary prevention strategies that can contribute to the management of unintended pregnancy for the health of women and their families. Nursing education and th...
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Amy J. Levi, Katherine E. Simmonds, Diana Taylor Source Type: journals

Human Papillomavirus and the HPV Vaccine: Are the Benefits Worth the Risks?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article gives an overview and discussion of HPV virus types and transmission, and the quadrivalent vaccine now available to protect against it. Included are the nursing implications for the HPV vaccine related to education and counseling of parents, patients, and young adult women regarding HPV vaccination, for whom the vaccine is indicated. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Mary Knudtson, Susan Tiso, Susanne Phillips Source Type: journals

Promoting Wellness in Women Across the Life Spanemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article discusses women's wellness through the life span, from preconception through death, and considers the implications of these issues for the nursing profession. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Robynn Zender, Ellen Olshansky Source Type: journals

A Historical Perspective of the Women's Health Nurse Practitioneremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
There are more than 12,000 women's health nurse practitioners (WHNPs) currently certified by the National Certification Corporation (NCC) and practicing in a wide range of roles. The purpose of this article is to describe the historical development of the WHNP specialty, and to review the evolution of the specialty from an initially very focused practice in the area of family planning into obstetric and gynecologic care to today's more diffuse role inclusive of primary care. Women's health nurse practitioners must broaden their educational background to include the lifespan of women, not just the reproductive years. With t...
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Jane H. Kass-Wolff, Nancy K. Lowe Source Type: journals

Prefaceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
As the first decade of the twenty-first century comes to a close, we are faced with many complicated challenges. These are embodied in several critical concerns: the environment, the economy, global relationships, and many others. Health and health care continue to be front and center as major issues of concern. And women's health, in particular, continues to have many unanswered, albeit, important questions. In reality, we can't separate women's health from health in general and we can't separate health from other societal concerns, such as the environment, the economy, and our national and international relationships. Al...
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Authors: Ellen Olshansky Source Type: journals

Forthcoming Issuesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Source Type: journals

Contentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - August 18, 2009 Category: Nursing Source Type: journals