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Biomedical subjects

J A Milstead

Publications and source records attributed to J A Milstead.

9 recordsLinked to original sources
PubMed1997

Using advanced practice to shape public policy: agenda setting.

Advanced practice nurses (APNs) of today have incorporated many roles, such as educator, administrator, and consultant, into their practices. However, many APNs have not integrated the role of political activist. Kingdon's model of agenda setting serves as a framework to illustrate how the APN can use nursing practice to shape the agenda-setting component of public policy toward improved patient-client well-being. The author provides rationale for redefinition of specialty practice and offers expert advice on where and how to act prior to seeking legislative activity at the state or national level.

Health Policy↗
PubMed1997

A social mandate: APN leadership for the whole policy process.

Advanced practice nurses (APNs) have a societal mandate to shape public policy. Thus nurses must be knowledgeable about the entire process of developing public policy, not just the legislative aspect. The policy process encompasses agenda setting; government response in the form of laws, regulations, and programs; and the design, implementation, and evaluation of policies and programs. The education and experience of APNs can provide innovative responses to a wide array of health-related problems.

Education, Nursing, Continuing↗
PubMedDate not supplied

Delegation: a critical skill for the orthopaedic nurse.

Delegation is a learned skill that is critical for the orthopaedic staff nurse today. The evolution of assistive personnel and the health care delivery system is introduced, along with who unlicensed assistive personnel are and distinctions between delegation and assignment. The scope of nursing practice is discussed in relation to nurse practice acts, standards, position statements, and evaluation of practice. Several models, including the nursing process, present criteria for delegation. Barriers to delegation involve characteristics of the staff nurse, issues of supervision, and reverse delegation. Benefits are noted that will encourage the orthopaedic nurse to delegate legally and effectively in an effort to work efficiently and to empower colleagues.

Humans↗
PubMedDate not supplied

Basic tools for the orthopaedic staff nurse. Part I: Assertiveness.

Organizational restructuring and expanded settings of health care delivery provide opportunities for the orthopaedic staff nurse to review basic communication tools that are useful with clients and families, managers, and other health care providers. It is critical for the staff nurse to build a repertoire of skills that support leadership and encourage enlightened followers. This two-part article addresses assertiveness, conflict management, and negotiation skills that are basic to providing professional care with confidence and competence in a changing health care environment.

Assertiveness↗
PubMedDate not supplied

Basic tools for the orthopaedic staff nurse--Part II: conflict management and negotiation.

Organizational restructuring and expanded settings of health care delivery provide opportunities for the orthopaedic staff nurse to review basic communication tools that are useful with clients and families, managers, and other health care providers. It is critical for the staff nurse to build a repertoire of skills that support leadership and enlightened followers. The second of this two-part article builds on "Part I: Assertiveness" and addresses conflict management and negotiation skills that are basic to providing professional care with confidence and competence in a changing health care environment.

Clinical Competence↗
PubMedDate not supplied

Public policy and child lead poisoning: implementation of Title X.

Nurses who care for pediatric patients in all settings must be aware of the critical effects of lead poisoning in children. Lead causes toxic effects in the human body, especially in children. These hazards have led to government involvement related to the issues of lead poisoning. Currently, governmental programs are set up under Title X: The Residential Lead Based Paint Hazard Reduction Act of 1992. However, the political changes and potential cuts in government spending may affect programs such as Title X. Because of this and their important role in child health, pediatric nurses should understand the political process, the implementation of such programs, and effects of potential funding cuts.

Child↗
PubMedDate not supplied

Preparation for an online asynchronous university doctoral course. Lessons learned.

This article addresses the development of the initial course in the first completely online doctoral program in nursing. Synchronous and asynchronous methods of distance education were assessed. Planning focused at the university, school, and course levels. University planning involved the technical infrastructure, registration, student services, and library services. School planning examined administrative commitment and faculty commitment and willingness. Course planning focused on marketing, precourse information, time frame, modular design, planned interaction, and professor availability and support. Implementation issues centered on getting students connected, learning the software, changing instructional methods, and managing chats. Traditional methods of evaluating student learning and course evaluation were supplemented with the development of qualitative and quantitative tools to gather data for making administrative decisions. The Dean and faculty agreed that the internet was an effective method of delivering content in the initial Health Policy course. The Dean and faculty agreed to continue the PhD program online for one cohort and continue to evaluate student progress and faculty and student satisfaction.

Curriculum↗