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Biomedical subjects

R L Sowell

Publications and source records attributed to R L Sowell.

At least 37 records · Page 2Linked to original sources
PubMed1995

The Georgia Rural-Based Nurse Model: primary care for persons with HIV/AIDS.

The need for specialized HIV education for nurses working in rural areas will increase as the incidence of HIV infection increases in rural areas. Public health nurses provide a viable alternative to providers in acute care facilities and will continue to be the primary care providers for persons with HIV/AIDS in rural areas. While approaches to HIV/AIDS education should include clinical treatment as the core, clinical knowledge alone will not promote the development of caring communities. The Rural-Based Nurse Model provides a comprehensive curriculum that addresses the many complex issues associated with the care of persons with HIV/AIDS. Additionally, participants are linked with care providers who serve clients across the continuum of HIV disease. Through meaningful educational opportunities and provider networking, this program has the potential for improving the quality of care in rural areas for persons with HIV/AIDS. HIV/AIDS education programs will require individualized community strategies that consider existing resources and barriers. However, the Rural-Based Nurse Model provides a formula for HIV/AIDS education that can be easily adapted to other settings.

Acquired Immunodeficiency Syndrome↗
PubMed1995

Integrated case management: the AID Atlanta Model.

This article describes the integrated case management model being developed by AID Atlanta, Inc., a community-based AIDS service organization. The case management system features centralized supervision and coordination with decentralized delivery of case management services that avoid duplication of services. The model establishes a system that links clients to appropriate levels of service. The integrated model seeks to address the client's physical, psychological, emotional, and spiritual needs across a continuum of care delivery. The cornerstone of the system is the development of standards of service, systematic documentation, and outcome evaluation criteria.

Acquired Immunodeficiency Syndrome↗
PubMed1994

King's theory as a framework for quality: linking theory to practice.

Quality care has long been an elusive concept. The pushing of health care services into community settings by health care reform demands new attention to the concept of quality. King's theory of goal attainment can provide a framework for the definition and delivery of quality care in community-based health services.

Community Health Nursing↗
PubMed1994

An integrated case management model: developing standards, evaluation, and outcome criteria.

Case management has become an important strategy in responding to the complex physical and social needs of persons with human immunodeficiency virus (HIV) disease. Yet, inconsistent implementation and professional turf guarding, based on disciplinary differences, have rendered traditional models ineffective. AID Atlanta has adopted an integrated, multisite approach to case management that uses the expertise of social workers, nurses, pastoral counselors, and therapists to develop client-centered plans of care across the continuum of need. This article presents the integrated model and describes the standards of service and outcome evaluation criteria that underpin this model. The impact of nursing expertise on the development of the model is discussed.

Acquired Immunodeficiency Syndrome↗
PubMed1992

Obtaining services for HIV-positive patients.

Services needed for HIV-positive persons and the availability of these services were reported in the July/August 1990 issue of JONA. This article includes further information from the original study--an analysis of the factors in each reporting hospital and community that enabled or barred the development of services for HIV-positive persons. This information offers strategies to nurse executives for obtaining services in their own settings.

Community Health Services↗
PubMed1991

The lived experience of survival and bereavement following the death of a lover from AIDS.

This phenomenologic study explored the lived experience of survival and bereavement following the death of a lover from AIDS. The sample (N = 8) included individuals who had lost a lover/partner to AIDS within the 18 month period prior to interview. Respondents were asked to reply to the following question: "Please describe your experience of losing a lover to AIDS. Describe events and feelings which you experienced both prior to and after the death of your lover." Themes were identified, analyzed, sorted into theme clusters and then categorized. Categories of Isolation/Disconnectedness, Emotional Confusion, and Acceptance/Denial were identified. A statement of the essential nature of the experience of surviving the death of a lover/partner from AIDS is presented.

Acquired Immunodeficiency Syndrome↗
PubMed1991

Rural nurses join forces for AIDS care.

Rural hospitals and communities across the nation lack comprehensive services for AIDS patients. This study identified 15 vital services that are scarce in rural settings at a time when AIDS is showing a greater increase in rural than in urban areas. Analysis of responses from rural settings that have acquired services shows that they were obtained through collaboration between rural hospitals and their communities. The authors identify strategies of successful communities that illustrate how rural hospital and community nurses can work together to obtain comprehensive services in their communities for persons with AIDS.

Acquired Immunodeficiency Syndrome↗
PubMed1990

Consumer-centric advocacy: its connection to nursing frameworks.

The concept of advocacy is redefined here as consumer-centric advocacy and its essential attributes are identified. Theoretical linkages between advocacy and selected nursing models are described. Specifically, the construct of advocacy is considered as it is operationalized within the theoretical frameworks of King, Newman, Orem, and Rogers. The health care system in the United States is in a state of unrest and undergoing nearly continuous change and reorganization. This reorganization has been hastened by tightened resources within the health care financing system, a growing number of elderly and indigent needing care, and the advent of care intensive disease processes such as AIDS and substance addicted newborns. In addition, the general public has become better informed concerning health and is seeking new approaches to the delivery of health care services. As changes in the health care system continue to occur, the role of nurses, the largest group of health care providers also is changing. In a system in which there is both a shortage of registered nurses and a growing demand for their services, nurses must develop strategies to maximize their impact on the health care system to meet the needs of consumers as well as protect their own professional integrity. The development of such strategies within nursing frameworks may be facilitated by closer scrutiny and clarification of the nurse's traditional role as advocate.

Consumer Advocacy↗
PubMed1989

Role issues, job satisfaction and unit of assignment.

A prospective, descriptive study of role conflict and role ambiguity and its relationship to job satisfaction among a stratified, random sample of 100 registered nurses in an acute care setting is reported. Job satisfaction was measured using the Job-in-General scale developed by Smith and Ironson. Role conflict and role ambiguity were measured using the Nursing Index of Role Conflict and Role Ambiguity developed for use in this study. Both role conflict and role ambiguity were inversely related to job satisfaction, providing Pearson Project Moment correlations of -.48 (P less than .001) and -.38 (P less than .001), respectively. Additionally, perceptions of role conflict and role ambiguity were found to be greater among intensive care unit nurses. Management implications of these findings are discussed.

Adult↗
PubMed1988

Comprehensive planning for AIDS-related services.

Because of the potentially devastating effects AIDS has on both individuals and the health care system, nursing administrators can take a leadership role in developing comprehensive and humane strategies to combat this disease. To develop such strategies, the authors present an AIDS-related services planning model for provision of patient care, human resource management, and community development.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Community-based HIV case management: challenges and opportunities.

Over the past decade, case management has become a popular strategy for the organization and delivery of health service. Yet, in many settings, a lack of clarity exists as to the exact function and process of case management. The author addresses key issues in the debate surrounding case management and provides insight into how these issues can be resolved. The potential of case management in future healthcare restructuring and HIV/AIDS prevention is explored.

Community Health Nursing↗
PubMedDate not supplied

Identifying HIV/AIDS research priorities for the next millennium: a Delphi study with nurses in AIDS care.

The purpose of this study was to identify HIV/AIDS research priorities for the next millennium from the perspective of nurses in AIDS care. The study used a three-round Delphi technique, with study participants (the panel of experts) selected from the membership of the Association of Nurses in AIDS Care. In the first round of the Delphi study, 317 nurses identified more than 2,000 topics they viewed as important for overall HIV/AIDS research and for HIV/AIDS nursing research. Using qualitative analysis, 12 priority topics were generated in the overall research category and 12 priority topics in the nursing research category. In Round II of the Delphi survey, study participants ranked the 12 topics in categories (overall and nursing research priorities) identified in Round I. Finally, in Round III, the top five priority topics from Round II were prioritized in each category. The overall HIV/AIDS research topics identified were (a) HIV community-level education and prevention; (b) development of more tolerable drugs; (c) HIV prevention focusing on individual or specific group behavior; (d) vaccine development; and (e) development of new and more effective drugs. The HIV/AIDS nursing research priorities identified were (a) symptom management; (b) community-level HIV education and prevention; (c) quality of life issues in chronic HIV disease; (d) HIV prevention focusing on individual or specific group behavior; and (e) research related to adherence to drug therapy.

Acquired Immunodeficiency Syndrome↗