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An interview with John Kitzhaber. Interview by Connie R Curran.

Oregon Governor John Kitzhaber has been instrumental in developing a blueprint for universal access to basic and affordable health coverage. The Oregon Health Plan is a bipartisan plan, created by the people of Oregon through community, business, labor, and government participation. In this interview, Gov. Kitzhaber discusses the challenges and opportunities facing patients and providers in the U.S. health care system.

Health Services Accessibility↗

An interview with Rick Scott. Interview by Connie R Curran.

Richard (Rick) L. Scott is president and chief executive officer of Columbia/HCA Healthcare Corporation, the nation's largest health care services provider. In this interview, he discusses principles of patient care, measuring and sharing systems, the future of academic health centers, and the importance of information dissemination.

Chief Executive Officers, Hospital↗

Integrating research and practice for optimal clinical outcomes: an interview with Tim Porter-O'Grady. Interview by Gail S Wick.

Dr. Porter-O'Grady has written over 125 articles and book chapters and has published eight books and is completing a ninth. He has consulted with over 500 institutions and has spoken in 1300 settings in the U.S., Canada, Europe, and Asia and logs about 350,000 miles a year. Dr. Porter-O'Grady is listed in six different categories of Who's Who in America, serves on 7 editorial boards, and is a member of the New York Academy of Sciences and a Fellow in the American Academy of Nursing. He has served on a number of community boards and has been an elected officer in a variety of health related agencies and organizations. He is currently a health systems expert for the National Health Policy Council and is a member of the Georgia Health Care Reform Project. In this interview, which took place in Atlanta by ANNA Past President Gail Wick, Dr. Porter-O'Grady shares his wealth of knowledge and experience by challenging us to move beyond the old thinking of caring for a specific patient population to managing lives on a continuum of care in an interdependent relationship with other providers, to refine the term "patient care," letting go of the medical sickness model and returning to our life-centered, health-oriented nursing roots and to broaden our educational preparation to a systems perspective and a continuum of caring.

Clinical Competence↗

An interview with SueEllen Pinkerton. Interview by Connie R. Curren.

SueEllen Pinkerton, PhD, RN, winner of the 1995 Nursing Economics Excellence Award, is vice president and chief nursing officer, Shands Hospital at the University of Florida, Gainesville. In this interview, she describes her career, comments on the future of academic health centers, outlines innovations in home care, and offers career advice.

Academic Medical Centers↗

An interview with Joanne Disch. Interview by Connie R. Curran.

Joanne Disch, PhD, RN, FAAN, is senior associate director and director of patient-family services at the University of Minnesota Hospital and Clinic (UMHC). In this interview, she discusses patient care system redesign and UMHC's, and the nursing staff's, development and evolution in a Stage 4 managed care market.

Hospital Restructuring↗

The way forward: an interview with Carol Lindeman. Interview by Cheryl Slagle King.

Across the country, in both the public and private sectors, the innumerable virtues of advanced practice nurses are being appropriately heralded. In this article, Cheryl King, associated editor of Advanced Practice Nursing Quarterly, interviews Carol A. Lindeman, Dean and Professor of the School of Nursing at Oregon Health Sciences University in Portland, Oregon. Over the past several decades, Dr. Lindeman has been at the forefront of promoting opportunities for advanced practice nursing in the political, legislative, and academic arenas.

Humans↗

The politics of advanced practice: an interview with Roxane Spitzer-Lehmann. Interview by Cheryl Slagle King.

Teamed with the economic reality of the spiraling cost of health care and the nation's search for alternative providers, advanced practice nurses (APNs) are strategically positioned for maximum opportunity. In this article, Cheryl Slagle King, Associate Editor of APNQ, interviews Roxane Spitzer-Lehman, Professor and Associate Dean for Practice Management at the Vanderbilt University School of Nursing, who shares her views and experiences in the utilization of APNs in innovative practice settings.

Humans↗

Nursing's new paradigm is transcultural nursing: an interview with Madeleine Leininger. Interview by Susan Cummings.

Around the world, transcultural nursing is being developed to provide culturally competent, congruent, humanistic health care. In this article, Susan Cummings, Associate Editor of Advanced Practice Nursing Quarterly, interviews Madeleine Leininger, founder of transcultural nursing and leader in human care nursing research. For the past 40 years Dr. Leininger has been instrumental in developing concepts, definitions, and a theoretical and research base for the development of transcultural nursing with a human care focus.

Holistic Nursing↗

The personal origins of attachment theory. An interview with Mary Salter Ainsworth. Interview by Peter L. Rudnytsky.

This interview took place in Charlottesville, Virginia, on August 20, 1991, at the home of Mary Salter Ainsworth. One of the foremost exponents of attachment theory and a colleague of the late John Bowlby, Dr. Ainsworth is best known for her innovative Strange Situation procedure, an experimental method to test the strength and styles of infants' attachments to their primary caregiver. She is the author of numerous papers and books, including Infancy in Uganda: Infant Care and the Growth of Love (1967), Patterns of Attachment (1978), and, with John Bowlby, Child Care and the Growth of Love (2nd ed., 1965).

Humans↗

Accreditation in managed behavioral health care: an interview with Mary Cesare-Murphy and Claire Sharda. Interview by Gary J. Mihalik.

Accreditation of managed behavioral health care organizations is being driven by the demands of multiple stakeholders in the health care industry. Accreditation is expensive-both in terms of the direct and indirect costs of preparation and survey but also in terms of the consequences of failure. Though accreditation is a new expectation for the managed behavioral health care field, it is unlikely that the major organizations in the industry will have the years to achieve accreditation that the nonbehavioral managed care field enjoyed. This article explores, in an interview format, the managed behavioral health care accreditation programs of the Joint Commission on Accreditation of Healthcare Organizations and the National Committee for Quality Assurance.

Accreditation↗

Outcomes: essential information for clinical decision support: an interview with Ellen B. White. Interview by Melinda L. Orlando.

There is an increasing demand for outcomes data from both purchasers of health care and providers. This is especially true for the managed behavioral health care industry. Patients are more educated about health care and active in treatment decisions. Patient-reported outcomes data, clinical information, and functional status are components of the clinical decision support system. This article describes, in interview format, an outcomes measurement system for clinical decision support.

Confidentiality↗

Sports medicine across Missouri: interviews with Dr. Paul Meyer and Dr. Stanley London. Interview by Thomas D. Eppright, Shane Bradley, Maureen Alwood.

Paul Meyer and Stanley London are two Missourians who have led the way for many in the field of Sports Medicine. The careers of many professional athletes have been extended due to the clinical expertise of these exemplary physicians who both began their medical careers in the 1940s. Through this interview, they offer a historical perspective of Sports Medicine and baseball. They also share their life experiences, as well as their formulas for successful careers and long-lasting marriages.

Baseball↗

The Fitness to stand trial Interview Test: how four professions rate videotaped fitness interviews.

The results of this study provide some preliminary support for the use of the FIT as a method for providing structure to interviewers. The FIT may be particularly useful as a guide for making initial decisions about fitness. It was suggested that a screening evaluation based on the FIT could be completed by any properly trained individual with some professional background. The more difficult cases can be referred for lengthier evaluations. Of course, further research on the use of the FIT with actual defendants in real assessments will need to occur before such a procedure can be used as a matter of routine. Finally, the FIT promises to be an effective research tool for isolating professional group differences in definitions of fitness and the importance of different aspects of it, from both a legal and a mental health perspective.

Expert Testimony↗

The Asperger Syndrome (and high-functioning autism) Diagnostic Interview (ASDI): a preliminary study of a new structured clinical interview.

The development of the Asperger Syndrome (and high-functioning autism) Diagnostic Interview (ASDI) is described. Preliminary data from a clinical study suggest that inter-rater reliability and test-retest stability may be excellent, with kappas exceeding 0.90 in both instances. The validity appears to be relatively good. No attempt was made in the present study to validate the instrument as regards the distinction between Asperger syndrome and high-functioning autism.

Adolescent↗