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[Cost effective health services in a First and Third World context].

An alarming increase in the per capita costs of curative services compels the nurse manager in both the First and Third World context to see cost-effective care as a priority. To organize a service for the benefit of the consumer, personnel should be developed in organizational strategies. The shortage of trained manpower, especially in the Third World, necessitates educational opportunities to stimulate economical growth. Utilization of personnel and job-enrichment could also contribute towards cost-effective service.

Cost-Benefit Analysis↗

Redefining sexuality from women's own experiences.

Traditionally women's sexuality has been defined and described using narrow and socially prescribed concepts. In the past 20 years new ideas about women's sexuality have emerged. At the same time, sexuality has become a legitimate concern for health professionals. Nurses and their clients can benefit from learning about the emerging woman-centered concepts of sexuality. Women's sexuality is not primarily a response to men's sexuality but has its own characteristics. A woman's sexuality is an expression of mutuality, involving not only physical gratification but also a sense of herself as a woman in the context of her life, her relationships, and emotions. Several groups of women whose sexual needs have traditionally been unmet by nurses and other health care professionals include adolescents, physically disabled women, lesbians, and older women. A self-care frame-work differentiates socially constructed definitions of sexuality from lived experience and suggests the importance of attending to individual women's experiences throughout life.

Adolescent↗

One world.

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Developing Countries↗

Nurse managed prenatal programs affect outcomes for corporations.

Faced with higher medical costs and increased insurance premiums, corporations are focusing on health promotion and wellness. With increasing numbers of women in the workforce, corporations have identified the need for prenatal programs. By developing, initiating, and evaluating outcome-based prenatal programs nurses can target the health care needs of this select population. One such program documented several outcomes including improved employee health and an 86% reduction in maternal/newborn costs.

Cost-Benefit Analysis↗