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Biomedical subjects

A Bushy

Publications and source records attributed to A Bushy.

At least 19 recordsLinked to original sources
PubMed2001

Critical access hospitals: rural nursing issues.

Critical Access Hospitals (CAHs) are a recent federal initiative to address the fiscal concerns of small rural hospitals and improve access to healthcare for rural residents. A national effort exists to examine the outcomes of this federal initiative, but there is a paucity of information about nursing in CAHs. This pilot study, using survey techniques, examined rural nurses' perceptions of CAH conversion. The authors discuss the authorizing legislation, Medicare Rural Hospital Flexibility Program (MRHFP), and highlight survey findings on nurses' perceptions about hospitals that converted to CAH status. The information can be used by nursing administrators and educators to prepare nurses to work in CAHs that are located in more remote areas of the United States.

Attitude of Health Personnel↗
PubMed2000

Thinking about a mobile health unit to deliver services? Things to consider before buying.

Purchasing a mobile unit to deliver health-care services can be an expensive undertaking for anyone interested in pursuing this option. Yet, little information is found in the literature on planning or designing such vehicles. A set of guidelines could help administrators to make better decisions regarding this approach for delivering healthcare. This article focuses on mobile health units (MHU). It provides a synthesis of the literature in addition to information from written and oral correspondence with the chief executive officers (CEO) of firms that manufacture MHU. On-site visits to agencies using an MHU were made by one of the authors (DM) to glean their perspective. The combined sources led to the development of guidelines and checklists that can assist administrators in planning the function, design and operation of an MHU to deliver health-care services to remote rural sites.

Cost-Benefit Analysis↗
PubMed1999

Factors to consider when buying a mobile health unit.

Purchasing a mobile unit to deliver healthcare services can be an expensive undertaking, and there is little information in the literature on planning or designing these vehicles. The authors discuss guidelines to help nurse administrators make better decisions regarding the purchase of mobile health units (MHUs). The guidelines resulted from a synthesis of the literature, correspondence with the chief executive officers of firms that manufacture MHUs, and onsite visits to agencies with an MHU.

Cost-Benefit Analysis↗
PubMed1998

Rural nursing in the United States: where do we stand as we enter a new millennium?

Approximately one-fourth of all Americans live in rural communities; and, of the 50 States, 31 have more than 60% of their counties designated as rural. No matter what indicator is used, United States residents in non-metropolitan areas have less than metropolitan counterparts (e.g. per capita income, health status, access to care, level of education and employment opportunities) and are more likely to need help from human services and health professionals. Additionally, rural people often must confront unique obstacles not experienced by most urban residents to access those services. As nurses live and work in rural communities they, too, must be aware of and contend with similar factors in their practice settings. In some ways rural nursing practice has changed dramatically over the last decade but in other ways things remain much the same. This article will examine common nursing issues associated with caring for clients in a rural environment. The information in this article is based on a review of the literature and the author's personal and professional nursing experiences.

Community Health Nursing↗
PubMed1998

Health issues of women in rural environments: an overview.

Significant attention has been devoted to the plight of rural residents and their health care systems in the past decade. The literature offers general information about rural environments, but little has been written about the many rural subgroups living across the 50 states. This article presents a profile of America's rural women and discusses the impact of economic, social, geographic, and cultural factors on their health. It is based on a review of the literature and the author's decades of personal and professional experiences in rural communities. The information can help physicians to better understand the medical concerns of the rural women they may encounter in their practices.

Ethnicity↗
PubMed1997

Empowering initiatives to improve a community's health status.

The rapid growth of managed care in this country has contributed to major and ongoing changes that affect how consumers receive care and how providers deliver it. No longer are the terms managed care and capitation limited to the vernacular of policy developers and fiduciary entities. Consumers quickly are becoming informed, and this is leading to greater regulation of the managed care industry. Managed care, too, is evolving to another level as communities of consumers find that their health maintenance plans are not what they expected, needed, or desired. Empowered consumers are assuming the driver's seat and negotiating changes in services provided to them. To counter the power of well-organized managed care entities, partnerships comprising concerned consumers are rapidly springing up across the 50 states. They are starting to hold managed care organizations accountable, demanding information about the health outcomes of enrollees in relation to costs. The article examines partnerships that are using the data-driven community health assessment process to improve a community's health and ensure that providers deliver quality services that are appropriate for those consumers.

Community Health Planning↗
PubMed1997

Case management: considerations for coordinating quality services in rural communities.

Case management is a growing phenomenon, being implemented across the continuum of care, employing a variety of models and approaches, and appearing in a spectrum of geographic locations. Implementing case management in rural communities involves unique dimensions. Consideration of these dimensions is critical to effective provision of quality health care services through case management.

Case Management↗
PubMed1995

Ethnocultural sensitivity and measurement of consumer satisfaction.

Stemming from the diversity in the U.S. population, ethnocultural factors no longer can be ignored when defining and assessing consumer satisfaction. Likewise, there is a critical need for process models that consider consumer heterogeneity. Continuous quality improvement (CQI) programs must look beyond whether or not services are accessible and cost-effective. The processes must also measure if services are acceptable and appropriate for a target population. This article describes how the discipline of anthropology can provide useful tools to obtain critically needed ethnocultural information.

Anthropology, Cultural↗
PubMed1995

Harnessing the chaos in health care reform with provider-community partnerships.

Within a context of national chaos as a reformed health care system is being forged, providers and consumers of care alike are expressing concern about the appropriateness of services. Particularly concerned are rural and other medically underserved populations. Provider-community partnerships are an effective model to develop a continuum of care that is of high quality and meshes with local preferences. The article describes the characteristics of a competent and empowered community. It also presents strategies to help nurses work with populations to achieve this goal as a way to develop, market, manage, and evaluate community-specific health care programs.

Community Health Nursing↗
PubMed1994

Women in rural environments: considerations for holistic nurses.

Rural women deserve particular attention as they experience different kinds of stressors than urban counterparts. This article will discuss health care delivery issues in rural environments that should be considered by holistic nurses when providing care to this target population.

Adult↗
PubMed1993

Rural women. Lifestyle and health status.

This article presented a "snapshot" of the concerns and issues confronting America's rural women. The discussion highlighted demographic, economic, and sociocultural factors that impact the health status of women living in diverse rural environments. Recommendations were proposed to assist nurses to better address the health concerns of these women.

Cultural Characteristics↗
PubMed1993

Response to innovation: behavioral patterns.

An innovation model describes behavior patterns and the specific responses these groups display when introduced to change. These six categories, which are not inclusive, extend along a continuum ranging from eager participation to outright rejection of change. Using this knowledge, the nurse manager can team up with certain group types to smoothly implement innovation into the system.

Adaptation, Psychological↗
PubMed1992

Rural nursing research priorities.

The magnitude and variety of clinical concerns in rural healthcare delivery mandate a focused plan for building a substantiated body of knowledge. The author identifies research priority areas to develop a body of knowledge for rural nursing.

Acquired Immunodeficiency Syndrome↗