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At least 19 recordsLinked to original sources

Role of nurse clinician in urologic oncology.

The incorporation of single and combination chemotherapy into the therapeutic regimen for some advanced genitourinary tumors has greatly added to the myriad of medical and psychologic problems already present in these patients. Working closely with a urologist, a nurse clinician can be of significant help in the total care of this group of patients. Due to the seriousness and chronicity of the neoplastic process, the emotional and social impact as well as physical factors affect all phases of the patient's life, as well as the lives of family members. The incorporation of traditional nursing values into the medical education of nurse clinicians helps to prepare them to deal with these problems, and their participation serves to make the medical team more complete.

Aged

Professional development of nurse practitioners as a function of need motivation, learning style, and locus of control.

This study assessed the relationship of loci of control, learning styles, and motivational needs of 53 graduates of the Wichita State University Nurse Clinician Program to amounts and types of professional activities performed in a clinical setting. A self-appraisal was also considered in the analyses. Motivational needs assessed included the needs for achievement, affiliation, and power. Findings revealed that nurse clinicians with moderate need for achievement, high need for affiliation, and moderate need for power performed significantly (p less than .03) more professional activities than nurses with high need for achievement, low need for affiliation, and high need for power. Other findings showed a significant (p less than .04) negative relationship between chance locus of control and self-appraisals. Amounts and types of professional activities performed were not significantly related to loci of control or to learning styles.

Achievement

Clinical examination of the breasts by nonphysicians: a viable screening option?

After four years of annual screening 10,566 women, physical examination (PE) by nurse clinicians is as effective in detecting suspect cases as is the examination of surgeons and the general medical community of Cincinnati. Carefully performed physical examination has found 45% of the extant cancers detected. Twenty-eight percent of the cancers detected by PE were minimal lesions. One-third of all the minimal cancers currently detectable were discovered by PE.

Breast Neoplasms

Liaison nursing.

In reviewing my efforts to clarify the role of the nurse clinician as a psychiatric consultant in a hospital setting, I came away with many impressions. Inherent in my search was a desire to experiment with various means of providing nursing service and much of my time was spent examining the collaborative aspects of the nursing role that would add greater depth to patient care. This involved role experimentation and allowed me the opportunity to develop my role within the context of the guidelines of community organization and consultation in a hospital setting. Although much of the time I found that the liaison role has been aimed at the supportive level, I have also discovered that as I developed security in the role wherein I could function in new and more independent ways--the parameters of the role expanded. Whereas initially I envisioned working only with nursing staff, I have found myself collaborating with many disciplines and many levels of care givers and I have also been able to function collaboratively with other psychiatric liaison team members. Thus, at this time I see the liaison nurse functioning basically as a coordinator, who, at any time, may assume one or more of the following roles: 1) Integrator; 2) Provider of direct services; 3) Educator and consultant; 4) Change agent.

Hospitals

Conflict in teamwork: understanding roles and relationships.

Out of the recognition that chronic renal failure has psychological and social as well as medical ramifications, the renal treatment team is composed of different professionals. As these disciplines respond to the psychosocial and medical dimensions, potential for role conflict arises. The paper focuses on this problem as it relates to the responsibilities of the social worker and the nurse clinician. The process is studied from the theoretical framework of role conflict, ambiguity, crisis, and resolution. A model of team development evolved from the study. Findings illustrate ways in which these conflicts can be minimized and clarified to enhance team functioning and improve services delivered to patients and their families.

Conflict, Psychological

What are mental health nurses doing?

In the analysis of a select set of questions from a questionnaire designed to survey the major roles of the MHN in a large metropolitan DHR, a number of trends were suggested: 1. A majority of the nurses surveyed functioned highest in the nurse-clinician area, with the majority being able to participate in planning and evaluating of their roles. 2. The role of nurse-therapist appears to still be the least practiced function. 3. It appears that, overall, the outpatient nurse is able to function more independently than is the inpatient nurse. The impression from this sample of MHNs is that they are being asked to participate in areas which have been traditionally considered the territory of other disciplines, such as: therapy, policy-making, and family contacts. Hopefully, nursing will continue to expand its role as a team member of the multidisciplinary community mental health center.

Community Mental Health Services