J. Michael Homan, Medical Library Association President, 2000-2001.
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Biomedical subjects
Publications and source records attributed to D B Morris.
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Publishing in a professional journal is a very rewarding experience, and it provides nurses with the opportunity to share knowledge with thousands of colleagues in all types of practice settings that otherwise probably wouldn't be possible.
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We describe the occurrence of a renoduodenal fistula related to a nephrostomy tube in a patient with xanthogranulomatous pyelonephritis and renal calculi. The patient was successfully treated by nephrectomy. Etiological, diagnostic and therapeutic aspects are discussed.
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Scientific expertise in the management of diabetes was an important factor in overcoming physician resistance to the education program. Nurses have expertise, and their expertise must be acknowledged for them to be viewed as leaders. Not only are nurses responsible for sharing their expertise with other nurses, it is equally important for them to share their expertise with the physicians, who may appreciate receiving any information that can help them improve their patients' outcomes. The components that are essential for success in pioneering a new program are good listening skills, a willingness to cooperate, self-confidence, scientific knowledge, vigilance, determination, and a clear vision. Patient outcomes will improve when nurses use their scientific knowledge base and leadership skills through patient-centered nursing practice, planned change strategies, and advanced practice nursing.
Rural residents with diabetes often feel isolated from health professionals. Support groups provide a bridge between formal health care and the self-help that is practiced by clients with diabetes. Increased knowledge and social support can lead to increased glucose control in adults with diabetes. The purpose of this project was to address the social support and educational needs of rural residents with diabetes by implementing an adult diabetes support group. Future research on implementing support groups would guide advanced practice nurses and nurse educators in developing more appropriate support groups for clients.