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At least 505 records · Page 28Linked to original sources
PubMed1996

Development of community nursing: analysis of the central services and practice dilemmas.

As examples of nurse practitioners in primary care, Swedish district nurses have been shown, in several studies, to respond well to the general pressure to achieve higher productivity in health care. Yet they have less frequently been involved in studies of the detailed content of the service they provide. To maintain total service quality, change should not be brought about only for the sake of efficacy. This study is divided into an analysis of the basic service provided in district nursing by identifying a typical interaction with a patient; and an analysis of the daily dilemmas district nurses experience, their consequences, and possible measures for change. For the consultation study, data were collected from 40 videorecordings of office-hour consultations by a rural district nurse. Regarding the dilemma situations, a critical incident questionnaire was returned by 153 district nurses in a Swedish country. The analyses showed that the district nurse practises in an area between self-care on the one hand, and the intersection of the different specialties in health care, on the other. Both the consultation study and the study of dilemmas in practice showed that the district nurse has to approach the health care organisation from a viewpoint close to that of the patient, which implies that she can, and has to, maintain an overview of the patient's total interaction with social institutions. This focal localisation of the shared care and co-ordination aspects constitutes a critical target for change and development efforts. The conclusions are that, first, the role of the district nurse/nurse practitioner as co-ordinator and advocate in patient-centred care could be considered in central health services policies and planning. Second, the content of the district nurses' daily work could be taken into account in the implementation of quality programs. These measures together can lead to an integration between today's theoretical nursing models and the dynamically changing structures of health care organisations.

Adult↗
PubMed1987

The Saradidi, Kenya, rural health development programme.

A primary health care community development programme was initiated in 1979 by people living in Saradidi, Kenya. The community was involved in planning, organization, setting of priorities and objectives, implementation, evaluation and benefits. This paper describes the developmental process that occurred including how the programme began, how it was organized and what it attempted to accomplish.

Community Health Services↗
PubMed1984

A community hospital develops an integrated, comprehensive toxicology laboratory.

A model system was developed at the author's institution for providing toxicology and therapeutic drugs monitoring services. These services were expanded with chromatography instrumentation and the Syva EMIT-st Drug Detection System. An emergency screen for various drugs in urine takes about one hour. The drugs or drug families detected are opiates, barbiturates, benzodiazepines, amphetamines, phenothiazines, cocaine metabolite, acetaminophen, and ethyl alcohol. Confirmation and quantitation of drugs in serum can be done by either higher performance liquid chromatography, gas chromatography, or radioimmunoassay. Sample preparation takes from five to 15 minutes and chromatography requires about 15 minutes in most cases. While more than 60 drugs can be quantitated using these procedures, rarely are more than one or two drugs present in patient samples.

Clinical Laboratory Techniques↗
PubMed1994

Urbanization gradients and cancer mortality in Uruguay, 1988-1992.

Cancer deaths occurring in Uruguay in the period 1988-1992 were classified by site, sex and residence according to the ninth version of the International Classification of Diseases (ICD-9), in order to analyze gradients of urbanization. For this purpose, Uruguayan counties were classified as rural, suburban and urban, using population density as an ordinal indicator of the degree of urbanization. Significant increasing trends with urban excess were observed for cancers of the colon, rectum, lung and female breast. In addition, this study showed significant urban deficits for esophageal, gastric and uterine cancers, contrasting with previous studies. These differences seem to be real rather than artifactual due to misclassification. The study thus provides interesting new findings concerning urban differences between developed communities and a partially developing country.

Adolescent↗
PubMed2006

Short-term testing of antifouling surfaces: the importance of colour.

Data from short-term biofouling assays are frequently used to evaluate the performance of antifouling (AF) coatings. There are a large number of factors, however, that may influence community development. One such factor is colour. The hypothesis was that differences in colour may impact the short-term development of a biofouling community and therefore bias the results. An experiment was designed to investigate the effect of black and white substrata on settlement of fouling organisms in the field. Both Ulva sp. and Spirorbis sp. had significantly higher settlement on black surfaces. This result emphasises the importance of considering colour and other factors when undertaking short-term testing of AF coatings.

Acrylates↗
PubMed2005

'Implementation deficit' and 'street-level bureaucracy': policy, practice and change in the development of community nursing issues.

The present paper examines the mechanisms by which health and social care policies put forward by the Government may be translated into community nursing practice. Data from a research project on community nurse case managers were re-examined in the light of two classic theories often cited by policy analysts (i.e. implementation theory and 'street-level bureaucracy'). It was found that the extent to which nurses adopted the case management role, and the model of choice, depended on four major interrelated variables, namely: (1) the clarity of policy guidance; (2) the extent to which it coincided with professional (nursing) values; (3) local practices and policies; and (4) the personal vision of the community nurse. It is argued that this framework may have wider relevance, and this was tested out in two ways. First, major change in one of these variables (Government policy) over time was analysed for its effect on case management practice via the remaining variables. Secondly, an unrelated, but policy-initiated, nursing issue (nurse prescribing) was briefly examined in the light of the framework. It is suggested that this framework may be of some use when considering the likely practice response to policy-related changes in community nursing.

Attitude of Health Personnel↗