Showing papers in "American Journal of Nursing in 1984"

From novice to expert : excellence and power in clinical nursing practice

Abstract: 1. Uncovering the Knowledge Embedded in Clinical Nursing Practice. 2. The Dreyfus Model of Skill Acquisition Applied to Nursing. 3. An Interpretive Approach to Identifying and Describing Clinical Knowledge. 4. The Helping Role. 5. The Teaching-Coaching Function. 6. The Diagnostic and Monitoring Function. 7. Effective Management of Rapidly Changing Situations. 8. Administering and Monitoring Therapeutic Interventions and Regimens. 9. Monitoring and Ensuring the Quality of Health Care Practices. 10. Organizational and Work-Role Competencies. 11. Implications for Research and Clinical Practice. 12. Implications for Career Development and Education. 13. The Quest for a New Identity and New Entitlement in Nursing. 14. Excellence and Power in Clinical Nursing Practice. Epilogue: Practical Applications. References. Glossary. Appendix. Index.

Health promotion in the workplace

Abstract: Health Promotion in the Workplace is written from a scholarly perspect ive that reflects the full knowledge of science in the field yet recog nizes the constraints of practical application. This comprehensive tex t covers the importance of health promotion programs; the process of d esigning, managing and evaluating programs; the positive effects such programs can have on employees and the workplace; the physical and emo tional services these programs can offer; and major issues, such as fa ctors affecting older workers and retirees and the emerging global per spective, impacting the health promotion field. Ideal as a text for st udents in undergraduate and graduate level health promotion programs o r as a reference for managers and consultants in the health promotion and/or human resource fields. V Financial analysis of health promotion programs provide necessary justification needed to secure funding.

The Premature Baby Book

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Infection control in long-term care facilities

Abstract: Infection Control in Long-Term Care Facilities was written to delineate the concepts of diagnosis, transmission, and prevention of infection that are particularly applicable to the long-term care facility, and to present those concepts in a manner that will provie a thorough but practical background for the infection control practitioner. This new edition has been completely updated and is now divided into three sections for easy referencing.

The bitter end.

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Sexuality and chronic pain.

Abstract: F or the chronic pain sufferer, sexual expression may become distorted, inhibited, sublimated, alienated, demanding or fearful-patterns frequently seen in people who view sexual activity as a duty or a means of procreation. The idea that sexual activity will cause, precipitate, or aggravate the pain may yield reluctance to participate, thus further anxiety and depression, which can diminish sexual function. Yet the human need and desire for sexual warmth is not negated by pain. Sexuality does not stop when pain strikes, it merely changes. "Some form of sexual expression is possible for, and the right of any, regardless of disability," according to Weinberg(1). Although many illnesses and surgical procedures may produce sexual difficulties, none have more devastating effects than diseases of the neuromuscular system(2). Any impairment of parasympathetic nerve activity, or loss of muscular and/or skeletal movement-such as with multiple sclerosis, muscular dystrophy, or arthritis-can involve sexual dysfunction. The most difficult position for people with restrictive movement is the one most frequently used for intercourse. Although the male-on-top position allows good vocal and visual communication, a female with arthritis may be unable to abduct and rotate her hips for the supine position(3). Alternative sidelying and rear-entry positions may be less strenuous and may ease the partner's fear of causing pain. Major tranquilizers, skeletal muscle relaxants, and narcotics are a major part of some pain treatments but a diminished libido and potency are common side effects. Patients need to be informed about these effects and should be helped in timing their doses. Peter Koestenbaum writes, "many people conceptualize their dissatisfaction with life in terms of sexual problems, but their real difficulty lies in

Nursing leadership and management : an experiential approach

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