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The role of advanced practice psychiatric nurses in treating tobacco use and dependence

ARCHIVES OF PSYCHIATRIC NURSING 2001年第3期15卷 107-119页

作者： Cataldo, JK Yale Univ Sch Nursing New Haven CT 06536 USA

Tobacco use is treatable and the benefits of smoking cessation are impressive, yet like other health care providers, psychiatric nurses have failed to consistently assess and treat tobacco use effectively, Tobacco use continues to cause illness, disability, and death at unprecedented rates. Nicotine addiction is drug abuse and it is a chronic disease and needs to be treated as such. There are clear health benefits to smoking cessation regardless of the age of smoking initiation or the age of smoking cessation, Advanced practice psychiatric nurses (APPNs) are in a unique position to make an impact on a smoker's risk of suffering from tobacco-related diseases: the treatment of choice is the combination of pharmacotherapy and psychosocial interventions, both within the realm of APPN practice;psychiatric and substance abusing patients consistently demonstrate increased rates of cigarette smoking compared with healthy controls;and tobacco use is drug abuse, a treatable chronic disease, The ability of APPNs to deliver psychotherapeutic and pharmacologic care secures a position in the forefront of treating tobacco use. In addition to intervention, psychiatric nurses need to step up and take an active role in initiating and supporting tobacco control policy and legislation. Copyright (C) 2001 by W,B, Saunders Company.

关键词：咨询/方法职务说明动机临床护理医生/组织和管理护士病人关系护理估计护理评价研究精神病护理学/组织和管理危险因素吸烟/预防和控制戒烟/方法社会支持烟草对健康的危害/并发症烟草对健康的危害/诊断烟草对健康的危害/护理人类

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Prescribing practices of advanced practice psychiatric nurses: Part I - Demographic, educational, and practice characteristics

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ARCHIVES OF PSYCHIATRIC NURSING 2001年第5期15卷 205-213页

作者： Talley, S Richens, S YaleUniversitySchoolofNursing 100ChurchStreetSouthNewHavenCT06536-0740USA.Sandra.talley@yale.edu

This study was designed to identify and describe the prescribing practices of advanced practice psychiatric nurses. Part I describes the demographic, educational, and clinical setting characteristics. A survey method was used with N = 88 nurses representing seven different states. Nurse prescribers were: younger than nonprescribers, employed in community mental health settings, and voluntarily using a consulting physician arrangement. Limitations on practice included: statute formulary, controlled substances, and formulary/protocols with a consulting physician. Results suggest nurses' prescribing practices are used in outpatient settings, viewed as conservative, with a value on physician collaboration even in the absence of legal mandates. Copyright (C) 2001 by W.B. Saunders Company.

关键词：年龄因素门诊医疗/统计学和数值数据药物利用评审教育程度就业/统计学和数值数据临床护理医生/教育临床护理医生/组织和管理开业护士/教育开业护士/组织和管理护理评价研究医师诊疗模式处方药物/统计学和数值数据职业自主权精神病护理学/教育精神病护理学/组织和管理问卷调查转诊和会诊/统计学和数值数据美国成年人女(雌)性人类男(雄)性中年人

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Future directions for gerontology: a nursing perspective

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NURSE EDUCATION TODAY 2000年第5期20卷 389-394页

作者： Ford, P McCormack, B Gerontol Nursing Programme London W1M 0AB England

This paper discusses the contribution nursing has made to the development of person-centred services, and the influence of gerontology upon such developments. It examines traditional attitudes to medicine and nursing, when curing was all-important and caring treated as secondary and the shift away from this attitude to a more holistic approach to nursing, where the dignity of the patient is an important issue. it argues that good practice utilizes different sources of knowledge, including intuitive knowledge, and discusses the integrated programme of policy, development, research and education activities that the Royal College of Nursing is developing. The options currently available to anyone wishing to study gerontology are discussed, and the pros and cons of the current emphasis on broad-based clinical and educational experience prior to specialization analysed. The key aim of the RCN is to develop the specialism of gerontological nursing and the quality of care experienced by older people. With this end in view, this paper describes the education programme being developed by the RCN, leading to the award of Gerontological Nurse Specialist - a person able to demonstrate knowledge of rehabilitation, clinical assessment, health care assessment and a holistic knowledge of the ageing process. (C) 2000 Harcourt Publishers Ltd.

关键词：规范/组织和管理课程预测老年护理学/教育老年护理学/组织和管理大不列颠卫生服务需求整体保健人道主义知识临床护理医生/教育临床护理医生/组织和管理护士作用组织目标组织方针病人辩护以病人为中心医护/组织和管理哲学护理学权力(心理学) 规划制订学会护理学/组织和管理专门化老年人人类

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Challenges and opportunities in psychiatric-mental health nursing

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NURSING OUTLOOK 2000年第5期48卷 238-239页

作者： Valentine, NM Dept Vet Affairs Washington DC USA Amer Psychiat Nurses Assoc Washington DC USA Amer Coll Mental Hlth Adm Pittsburgh PA USA

Nurs Outlook 2000;48:238-9.

关键词：预测职务说明精神卫生服务/组织和管理需求估价/组织和管理临床护理医生/组织和管理组织改革人员选用/组织和管理精神病护理学/教育精神病护理学/组织和管理人类

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The scope of practice of diabetes educators in the state of Georgia

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DIABETES EDUCATOR 1999年第1期25卷 56-64页

作者： Kaufman, MW All, AC Davis, H Womack Army Med Ctr Fayetteville AR USA

PURPOSE The purpose of this study was fu identify, and describe the scope of practice trends of diabetes educators in the state Of Georgia. METHODS The Diabetes Educator Responsibilities Questionnaire (DERQ) was sent to 221 members of the American Association of Diabetes Educators listed in the 1995 membership directory in Georgia. Of the 221 members, 97 returned completed questionnaires. This population of healthcare professionals comprised the sample population. RESULTS In assessing the primary responsibilities of the sample, more than 50% of the responsibilities performed six of mine nine educator roles. LESS than 50% of the respondents indicated that they "Always" or "Frequently" risen behavior modification strategies in teaching people with diabetes. CONCLUSIONS The questionnaire used in this study should Dc expanded to elicit more detailed information regarding decisions to use OY not use behavior modification techniques in diabetes education.

关键词：行为疗法糖尿病/预防和控制膳食学/教育膳食学/组织和管理教育医学佐治亚健康知识态度实践职务说明医学/组织和管理临床护理医生/教育临床护理医生/组织和管理病人教育(主题)/组织和管理职业自主权专业性职业人类

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Making a case for the CDE's role in outsourcing diabetes services to a freestanding outpatient diabetes disease state management center

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DIABETES EDUCATOR 1999年第5期25卷 766-+页

作者： Hendricks, LE Hendricks, RT LHCA Diabet Self Management Skills Training Ctr Wheaton MD 20906 USA

Outsourcing of diabetes disease state management services by MCOs is a good thing for enrollees with diabetes. It is a good mechanism for MCOs that are striving to cut the costs of diabetes care, and it is a trend that the authors expect to see continue in an accelerated way, given the new diagnostic guidelines released by the American Diabetes Association and the epidemic of diabetes among older persons. Through a partnership with a quality, freestanding, outpatient diabetes disease state management center staffed by CDEs, MCOs with a vision can expect to profit now and pay less later for devastating, expensive diabetes complications that lead to increased hospitalizations.

关键词：算法门诊医疗设施/组织和管理证明合同业务/组织和管理糖尿病/预防和控制疾病管理职务说明管理医疗规划/组织和管理临床护理医生/教育临床护理医生/组织和管理病人教育(主题)/组织和管理人类

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Specialist practice in community mental health nursing

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NURSE EDUCATION TODAY 1999年第6期19卷 509-516页

作者： Hannigan, B Univ Coll N Wales Coll Med Sch Nursing Studies Cardiff CF4 4XN S Glam Wales

Community mental health nurses (CMHNs) work in an increasingly complex health and social care environment. Over recent years, the evolving direction of general health service and specific mental hearth policy has directed CMHNs towards: the provision of clinically-effective interventions;a closer attention to meeting the needs of people experiencing severe and long-term mental health problems;the simultaneous provision of services to meet the needs of people experiencing a wide range of mental health problems presenting in primary care settings;greater collaboration with workers representing other disciplines and agencies;and the development of active partnerships with mental health service users. This paper explores the context within which CMHNs practise, and within which education programmes preparing specialist practitioners in community mental health nursing have been developed. One recently-validated specialist practice course for CMHNs is described in detail, with the intention of stimulating discussion and debate surrounding the practice of, and the educational preparation for, community mental health nursing. (C) 1999 Harcourt Publishers Ltd.

关键词：社区保健护理/教育社区保健护理/组织和管理社区精神卫生服务/人力课程大不列颠职务说明需求估价临床护理医生/教育临床护理医生/组织和管理精神病护理学/教育精神病护理学/组织和管理人类

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Parenting by people with learning disabilities: the educational needs of the community nurse

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NURSE EDUCATION TODAY 1999年第6期19卷 502-508页

作者： Culley, L Genders, N De Montfort Univ Dept Hlth & Continuing Profess Studies Leicester LE7 9SU Leics England De Montfort Univ Dept Nursing & Midwifery Leicester LE7 9SU Leics England

This article discusses some of the findings of a research project which was designed to examine the role of community learning disability nurses in supporting people with learning disabilities who become parents. The need for information and help with the experience of pregnancy, childbirth, becoming parents and bringing up children has been highlighted in a recently issued guide for commissioning and providing services for people with learning disabilities (NHS Executive 1998). This research, however, indicates that nurses do not feel themselves to be adequately prepared for their role in supporting parenting. Responses from a questionnaire survey of 266 practitioners revealed little coverage of key issues relating to parenting on either pre-registration or post-basic courses and suggests, therefore, that some courses may not be meeting the perceived needs of these nurses in this crucial aspect of their role. This is likely to have significant consequences for this client group and suggests that educationalists need to consider ways of including more extensive discussion of parenting in educational provision for the multiplicity of professional groups who support and care for adults with learning disabilities. (C ) 1999 Harcourt Publishers Ltd.

关键词：医务工作者的态度临床工作能力/标准社区保健护理/教育教育职务说明精神发育迟滞/护理精神发育迟滞/心理学需求估价/组织和管理临床护理医生/教育临床护理医生/组织和管理临床护理医生/心理学护理教育研究双亲/教育问卷调查社会支持成年人女(雌)性人类妊娠

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Spotlight on forensic nursing

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International Journal of Trauma Nursing 1999年第3期5卷 106-109页

作者： Kent-Wilkinson, Arlene Calgary Alta. T3J 2V3 116 Martindale Close NE Canada

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