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Nursing Theory of the Future: Situation-Specific Theories

Article (PDF Available) in Pflege 24(6):345-7 · December 2011 with 2,311 Reads DOI: 10.1024/1012-5302/a000150 · Source: PubMedCite this publication

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REATIVA: “Reforma Ativa”: estudo de um programa promotor de um envelhecimento saudável

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Lancet Commission on Health Professionals for a New Century

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Health Informatics - IMIA NISIG

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A Systematic Review of Complementary and Alternative Medicine for Asthma Self-management

March 2013 · Nursing Clinics of North America This article is a systematic review of complementary and alternative medicine use for pediatric and adult asthma self-management. The aim of the review was to summarize the existing body of research regarding the types and patterns of, adverse events and risky behaviors associated with, and patient-provider communication about complementary therapies in asthma. This evidence serves as the basis ... [Show full abstract] for a series of recommendations in support of patient-centered care, which addresses both patient preferences for integrated treatment and patient safety. Read more Article Full-text available

Being and Becoming Healthy: The Core of Nursing Knowledge

February 1990 · Nursing Science Quarterly Health has been described as a central concept and the goal of nursing. The incongruence between that centrality in nursing and in other disciplines and the public's view is discussed. Other issues and views of health also are considered, including diversity and unity in conceptualizing health, the social nature and societal obligations toward the health of the individual, the lack of congruency ... [Show full abstract] between conceptual and empirical views of health, and health as viewed in nursing and in the international arena. Several conditions to be included in nurses' attempts in the theoretical development of health are articulated. The need for focusing on an understanding of the health care needs of underserved populations, the potential advantage in using a feminist framework, and the integration between a static conception of being healthy and a process/dynamic/becoming conception of health are some of the strategies that can be used to develop a contextual conception of health. View full-text Article Full-text available

Between two cultures: Identity, roles, and health

October 1991 · Health Care For Women International Population shifts and migration are increasing worldwide, and with it there is a renewed interest in maintaining uniqueness and cultural heritage. Immigrants are constantly attempting to balance the values of their cultural heritage with those of the new host society. To deal with immigrant women's health-care needs, scientists from the host country need to understand the delicate interplay ... [Show full abstract] between several dynamic properties inherent in being a woman and an immigrant and to develop ways to describe the health-care needs and responses that are congruent with the properties of immigrant women's situations. Properties selected for this article are uniqueness versus stereotyping, permanence versus temporariness, and host-country values versus country-of-origin values. Appropriate methods of research discussed are involvement, lived experiences, and satisfaction and stress in roles. Proposed agendas for future study of immigrant women include identifying high-risk populations among immigrant women and developing appropriate methodological strategies and population-specific interventions. View full-text Article Full-text available

Validation of the Asthma Illness Representation Scale–Spanish (AIRS-S © )

May 2010 · Journal of Asthma To expand knowledge surrounding parental illness representations (IRs) of their children's asthma, it is imperative that culturally appropriate survey instruments are developed and validated for use in clinical and research settings. The Asthma Illness Representation Scale (AIRS) provides a structured assessment of the key components of asthma IRs, allowing the health care provider (HCP) to ... [Show full abstract] quickly identify areas of discordance with the professional model of asthma management. The English AIRS was developed and validated among a geographically and ethnically diverse sample. The authors present the validation results of the AIRS-S (Spanish) from a sample of Mexican and Puerto Rican parents. The AIRS was translated and back translated per approved methodologies. Factor analysis, internal reliability, external validity, and 2-week test-retest reliability (on a subsample) were carried out and results compared with the validated English version. Data were obtained from 80 Spanish-speaking Mexican and Puerto Rican parents of children with asthma. The sample was recruited from two school-based health centers and a free medical clinic in Phoenix, Arizona, and a hospital-based asthma clinic in Bronx, New York. The original Nature of Asthma Symptoms, Facts About Asthma, and Attitudes Towards Medication Use subscales emerged. Remaining factors were a mixture of items with no coherent or theoretical distinction between them. Interpretation of results is limited due to not meeting the minimum requirement of 5 observations/item. Cronbach's alpha coefficients for the total score (alpha = .77) and majority of subscales (alpha range = .53-.77) were acceptable and consistent with the English version. Parental reports of a positive relationship with the HCP significantly predicted AIRS scores congruent with the professional model; longer asthma duration was associated with beliefs aligned with the lay model; and AIRS scores congruent with the professional model were related to lower asthma severity. Stability in AIRS-S scores over 2 weeks was demonstrated. The AIRS-S is a culturally appropriate instrument that can be used by HCPs to ascertain Spanish-speaking parents' asthma illness beliefs and assess discordance with the professional model of asthma management. This information can be used by the HCP when discussing parent's asthma management strategies for their children during clinical encounters. View full-text Article Full-text available

Developing A Tool To Support Decisions On Patient Prioritization At Admission To Home Health Care

January 2014 and aims: Millions of Americans are discharged from hospitals to home health every year and about third of them return to hospitals. A significant number of rehospitalizations (up to 60%) happen within the first two weeks of services. Early targeted allocation of services for patients who need them the most, have the potential to decrease readmissions. Unfortunately, there is only fragmented ... [Show full abstract] evidence on factors that should be used to identify high-risk patients in home health. This dissertation study aimed to (1) identify factors associated with priority for the first home health nursing visit and (2) to construct and validate a decision support tool for patient prioritization. I recruited a geographically diverse convenience sample of nurses with expertise in care transitions and care coordination to identify factors supporting home health care prioritization. Methods: This was a predictive study of home health visit priority decisions made by 20 nurses for 519 older adults referred to home health. Variables included sociodemographics, diagnosis, comorbid conditions, adverse events, medications, hospitalization in last 6 months, length of stay, learning ability, self-rated health, depression, functional status, living arrangement, caregiver availability and ability and first home health visit priority decision. A combination of data mining and logistic regression models was used to construct and validate the final model. Results: The final model identified five factors associated with first home health visit priority. A cutpoint for decisions on low/medium versus high priority was derived with a sensitivity of 80% and specificity of 57.9%, area under receiver operator curve (ROC) 75.9%. Nurses were more likely to prioritize patients who had wounds (odds ratio [OR]=1.88), comorbid condition of depression (OR=1.73), limitation in current toileting status (OR= 2.02), higher numbers of medications (increase in OR for each medication =1.04) and comorbid conditions (increase in OR for each condition =1.04). Discussion: This dissertation study developed one of the first clinical decision support tools for home health, the "PREVENT"- Priority for Home Health Visit Tool. Further work is needed to increase the specificity and generalizability of the tool and to test its effects on patient outcomes. View full-text Discover more Last Updated: 31 Jul 2018 Download citation What type of file do you want? RIS BibTeX Plain Text What do you want to download? Citation only Citation and abstract Download Interested in research on Nursing Theory? Join ResearchGate to discover and stay up-to-date with the latest research from leading experts in Nursing Theory and many other scientific topics. Join for free or Discover by subject area About News Company Careers Support Help center FAQ Business solutions Recruiting Advertising Ad © ResearchGate 2018. All rights reserved.