[Systematic nursing care. 7. The nursing process in practice].
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There has been a shift in emphasis in public health from the provision of personal health services for individuals to efforts targeted at improving the health of the whole community. Many in public health nursing (PHN) have welcomed this shift, recognizing the important role PHN can play in promoting health and preventing disease for all. There continues to be a need to redefine PHN roles and practice so that public health nurses can participate more effectively. Los Angeles County Department of Health Services Public Health Nursing (LAC PHN) has developed a practice model grounded in nationally recognized components: the public health team, PHN standards of practice, the 10 Essential Public Health Services, Healthy People 2010's 10 Leading Health Indicators and additional local indicators, and the Minnesota Public Health Nursing Interventions Model. The LAC PHN Practice Model provides a conceptual framework that assists in clarifying the role of the public health nurse and presents a guide for public health practice applicable to all public health disciplines.
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This study aimed at evaluating the structure for cancer patient assistance and antineoplasic chemotherapy assistance process. It has been performed at six internation units and one out-patient unit at a university hospital. Systematized observation and semistructured interview were used from January to June, 1996. It was noticed the there were some deficiencies in the physical area and installations of the studied units. Generally, nursing team had no formal training in Oncology, except for Chemotherapy Sector. The absence of a systematized nursing assistance and differences among the studied units as for technical organizational aspects for antineoplasic administration as well as patients and staff interaction has been observed. Inadequations observed could be minimized with such a politics which would be able to increase public sector financing, planting of systematized care and inclusion of Oncology in the permanent nursing team education.
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