Steps towards Körner.
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Biomedical subjects
Publications and source records attributed to J Jones.
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Since there are data to indicate that the composition of clinic staff is important in attracting and maintaining contact with adolescents seeking contraceptive services, in this paper the importance of age, sex, and ethnicity of counselors and medical providers is examined. Female clients of the Young Adult Clinic at Columbia-Presbyterian Hospital, New York City--most of them low-income blacks or Hispanics--were asked to complete questionnaires. The 150 respondents, aged 16-21 years, used a 4-point rating scale of very important = 4 to not important at all = 1. The findings indicated that the sex of the counselor and examiner was more important to female teenagers than ethnicity or age. Clinic administrators seeking to provide contraceptive services to teenagers should make an effort to include at least one female counselor and medical provider. However none of these characteristics was very important to the majority of patients. These findings are discussed in the context of the literature on the provision of contraceptive services to teenagers and on patient preferences for counselors or therapists in general.
Concerns about the clinical usefulness of altered thought processes and sensory/perceptual alterations--and the resulting avoidance of these two diagnoses--led to a study to determine how expert nurses differentiate between the diagnoses and how the diagnoses are used in practice. The authors developed a questionnaire and mailed it to 128 members of NANDA who had identified themselves as experts in the diagnoses; sixty-six (52%) responded. Conclusions were that the defining characteristics for altered thought processes were cognitively oriented and those for sensory/perceptual alterations were perceptually oriented. The overlap of defining characteristics, such as change in problem-solving ability, makes differential diagnosis a difficult task.
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With an ever increasing awareness of the need to deliver a quality of care that is measurable in Nursing, the concept of Standards provides an ideal tool (1). Standards operate outside the boundaries of policies and procedures to provide an audit tool of authenticity and flexibility. Within our five Renal Units, while we felt confident that we were delivering an excellent standard of care to our patients and continually trying to improve upon it, what we really needed was a method of measuring this current level of care and highlighting key areas where we could offer improvement.