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Israeli men in nursing: social and personal motives.

AIM: This paper intends to explore what leads Israeli men to choose nursing as their profession. BACKGROUND: In the early years of nursing education in Israel, like in other western societies, men were excluded from the profession. Shortage in nursing personnel and urgent needs led to recruitment of men into the profession for a short period of time. Only since the early 1990s the nursing profession is experiencing a gradual but steady influx of men. Yet, nursing is generally perceived as women's work, and men have to cope with the stereotypes attributed to them as a prominent minority in a profession primarily occupied by women. Currently, no study had examined who are the Israeli men who are willing to enter the profession and why. METHODS: A 52-item questionnaire was distributed among all registered female and male nurses in three general and three psychiatric hospitals during 1997-98. The questionnaire covered sociodemographic characteristics, exposure to the profession and reasons for choosing the profession. The response rate of 74% included 123 male and 137 female registered nurses. CONCLUSIONS: Early exposure to the profession and the fact that the majority of male nurses belong to ethnic minorities and recent immigrants to the Israeli society were the most prominent factors in the selection of the nursing profession by these men. Surprisingly, economic considerations did not constitute a compelling motive in this population.

Adult↗

Using a site visit to a contaminated location as a focus for environmental health education for academic and public health nurses.

We describe a conference initiative that is distinguished by the use of a "community case study" to increase the knowledge and skills of nursing faculty and public health nurses in environmental health and to provide networking support to facilitate infusion of environmental health into nursing curricula and public health nursing practice. The Institute of Medicine's (1995) general environmental health competencies for nurses provided the conference framework. Woburn, Massachusetts, a Superfund site, served as the community case study to illustrate a complex environmental health problem. Over an extended period of time, Woburn was contaminated with multiple chemicals that eventually contaminated the drinking water supply; a cluster of childhood leukemia cases was linked subsequently to the Superfund site contaminants. A 6-hr interpreted walking and bus tour of the Superfund site enabled us to visit the premises of responsible parties, the vapor extraction fields, the capped Well H in the wooded wetlands, and to tour the affected neighborhood. This intensive, hands-on approach to learning environmental health content and skills that incorporated multiple learning strategies serves as a model for developing future conferences for public health nurses and nursing faculty.

Attitude of Health Personnel↗

Centric relation definitions taught in 7 dental schools: results of faculty and student surveys.

PURPOSE: The purpose of this investigation was to assess the level of consensus regarding the definition of centric relation and its clinical use in 7 US dental schools. MATERIALS AND METHODS: The preclinical and clinical faculty in the departments of prosthodontics, operative, and general dentistry (n = 137) at 7 dental schools and a convenience sample of fourth year students (n = 150) at the same schools were invited to complete 2-page surveys regarding the definitions and use of centric relation at their institutions. The faculty and student survey included 6 commonly used centric relation definitions from the 1994 Glossary of Prosthodontic Terms, and provided space for writing in definitions not listed on the form. The participants were asked to identify which definition was used at their school. RESULTS: Return rate was 85% for faculty and 75% for students. Both faculty and students identified a low level of consensus regarding the definition and clinical use of centric relation at their dental school. Numerous definitions are in use at each institution. Extramural practice participation and the number of years since dental school graduation were variables associated with the faculty's choice of definition. The faculty who did not participate in an extramural practice chose older definitions. Dental educators graduating before 1975 selected either the oldest or the most recent centric relation definition, whereas the more recent graduates frequently selected the newer definitions. There were no statistical differences between prosthodontic specialists and nonspecialists in choice of definitions. Three courses identified by the students as having the most influence on their understanding of centric relation were preclinical removable prosthodontics, preclinical occlusion, and clinical removable prosthodontics. CONCLUSION: The results of this survey suggest that the controversy will continue, because to date there is no consensus regarding the definition of centric relation within the 7 dental schools surveyed.

Centric Relation↗

Public dental programs for old-age pensioners in Norway: sociopolitical opinion among recipients.

In the adult Norwegian population there is substantial support for the expansion of public programs for old-age pensioners. However, the perception of old-age pensioners concerning dental services as social welfare institutions is practically unknown. The purpose of this study was to provide some tentative data on this sociopolitical tissue. As part of a field experiment on delivery of dental services for old-age pensioners in the county of Troms, the old-age pensioners of one municipality (n = 572) were asked about which strategy public authorities should adhere to when allocating dental care resources to old-age pensioners. About 40% favored equal opportunities for all, while about 50% preferred dental services based upon need. This indicates a pattern of polarization, but this was not confirmed in a multivariate analysis (R2 = 0.01), which might be interpreted as indifference to the issue on the part of a majority of the pensioners. Only one subgroup deviated significantly from the aggregate distribution: of those who were negative to the pensioner role, 68% favored need-based dental services.

Aged↗

Nursing supply and characteristics in the nonmetropolitan areas of the United States: findings from the 1988 National Sample Survey of Registered Nurses.

This study examines the supply and selected characteristics of nurses working in nonmetropolitan areas of the United States using the most recent data reported in the third national sample survey of registered nurses in 1988. Nursing supply is analyzed in terms of the ratio of registered nurses per 100,000 people for three standard nonmetropolitan census county size classifications and nine regional groupings of states. Seven dimensions relating to the educational background and current professional characteristics of registered nurses are studied. Findings indicate a notable difference in the ratio of nurses per population across county size and regions of the country. In terms of characteristics selected for this study, the educational background, salary gap, and time spent in various activities differentiate nurses in rural areas from those working in urban counties. Results of this study should be particularly relevant because a variety of educational, financial, and other incentives are being considered to address what is perceived to be a crisis in rural nursing availability.

Data Collection↗

The research-policy continuum. Comparing allo- and xenotransplantation.

Where are we on the continuum leading from research to policy decisions in allo- and xenotransplantation? In the case of allotransplantation all the activities needed in achieving an effective research policy transfer are ongoing. Research is vibrant and several technology assessment reports have been produced and translated into decisions at the policy, institutional, and practice levels, and quality monitoring activities are an integral part of transplant programs. The field of xenotransplantation is young and so the major emphasis in xenotransplantation will remain knowledge production for the coming years. Exploring the intricacies of the physiology of xenotransplantation, the associated risks of infection, and the complexity of the immunological response will remain research priorities. The social and ethical debate, necessary to the formulation of sound health policy, will intensify and be focused on whether to allow human experimentation and under what conditions.

Animals↗

Outbreak of Pichia anomala infection in the pediatric service of a tertiary-care center in Northern India.

An outbreak of nosocomial fungemia due to the unusual yeast, Pichia anomala occurred in the pediatric wards of our hospital over a period of 23 months (April 1996 to February 1998). A total of 379 neonates and children (4.2% admissions) were infected. The probable index case was admitted to the pediatric emergency ward, with subsequent transmission to the premature nursery, pediatric intensive care units, and other children wards. Carriage on the hands of health care personnel was likely to be responsible for dissemination of the fungus. The outbreak could only be controlled after a health education campaign to improve hand-washing practices was instituted and after nystatin-fluconazole prophylaxis to all premature neonates and high-risk infants was introduced. In a case-control study, we identified a lower gestational age, a very low birth weight (<1,500 g), and a longer duration of hospital stay as significant risk factors associated with P. anomala fungemia in premature neonates. We conducted a culture prevalence survey of 50 consecutive premature neonates and found that 28% were colonized with P. anomala at a skin or mucosal site on the date of delivery and that 20% of these neonates subsequently developed P. anomala fungemia. We performed multilocus enzyme electrophoresis on 40 P. anomala outbreak isolates (including patient and health care workers' hand isolates), and the results suggested that these isolates were identical. Our study highlights the importance of P. anomala as an emerging nosocomial fungal pathogen.

Antifungal Agents↗