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PubMedDate not supplied

Outbreaks can be disasters: a guide to developing your plan.

Disaster can strike at any time. Most hospitals have a contingency plan for attack from without, but it can also happen from within as one small rural hospital discovered. The authors share practical tips for prevention, detection crisis management, and post-crisis follow-up based on principles of disaster planning. Experience is a great teacher and we can benefit from the authors' helpful tips for creating a more complete plan.

Canada↗
PubMed2005

Field guide to pain part 2. Developing a plan of care.

In this second installment of the Field Guide to Pain, the authors describe pharmacological treatments, physical therapy, interventional treatments, and behavior therapy as viable options to incorporate into a plan of care. By using simple assessment tools and becoming familiar with the various classes of pain medication, primary care providers can facilitate treatment of patients in pain.

Adult↗
PubMed1997

Delivery-of-care systems using clinical nursing assistants: making it work.

This article describes a systems approach for effectively implementing a delivery model of care using unlicensed support personnel, unlicensed workers trained in assistive tasks of clinical care under the direct supervision of the RN. The approaches described derive from practice, research, and consultant experiences. Successful implementation requires an ongoing, multisystems approach to the development of a change plan, development of roles, development of staff, and development of rituals of practice that promote successful differentiated practice and team functioning.

Clinical Competence↗
PubMed1994

Beyond rhetoric: building and achieving community consensus in planning and developing an innovative public health nurse-midwifery education program.

Program planners collaborated with communities to achieve the goal of increasing the number of public health-educated nurse-midwives, and thus improve women's access to health services. By developing an innovative master's degree in public health nurse-midwifery education program. Boston University School of Public Health revitalized a model first developed at Johns Hopkins University School of Hygiene and Public Health. The dearth of nurse-midwifery education programs in the Northeast, coupled with the critical deficit of obstetric providers, had contributed to an alarmingly is an exciting alternative for meeting the health care needs of mothers and children and achieving the year 2000 objectives for the nation. Such a program, coupled with a foundation in public health education, synthesizes the best in nursing, nurse-midwifery, and public health Graduate nurse-midwives will have an enhanced understanding of the health care delivery system, the causal factors that contribute to disease, and the environmental, legal, and management dimensions surrounding the delivery of care.

Boston↗
PubMed1992

Developing family planning services for female chronic mentally ill outpatients.

The family planning needs of chronic mentally ill women outpatients, many of whom do not use contraceptives and are at high risk for unwanted pregnancies, have been rarely addressed. Taking a thorough sexual history is the first step in assessing patients' need for family planning services. Patient education, including instruction about physiological processes and contraceptive methods and assertiveness training, is the most important service component. Offering family planning services in the mental health center has many advantages, including better communication between mental health care providers and family planning specialists about patients' special needs and enhanced opportunities for integrating family planning with other programs such as parenting classes, substance abuse treatment, and services for preventing sexually transmitted diseases.

Acquired Immunodeficiency Syndrome↗
PubMed1998

Current progress and future plans for developing effective treatments: comments and perspectives.

Examined the conclusions and implications of articles in this special issue. Treatments can be differentiated on their empirical basis and, for the problems reviewed, one can identify treatments of choice. To build on the documented advances, we provide a blueprint for progress in treatment research. The blueprint focuses on a series of steps that involve conceptualization of clinical dysfunction and treatment, supportive research on these conceptual views, careful specification of treatment, evaluation of treatment outcome, and tests of mediators and moderators of treatment. To improve research, we recommend expanding assessment, addressing a broad range of questions about treatment, attending to measures of clinical significance, replicating key findings, and investigating the transportability of the findings to service-oriented clinical settings.

Adolescent↗