Nursing in the community

2009 ◽  
pp. 1003-1020
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Nursing Care ◽  
Care Management ◽  
Social Care ◽  
Community Nursing ◽  
Nursing Assessment ◽  
Care And Support

Overview of primary care and public health, 1004 Overview of primary care and community nursing 1008 Nursing assessment and care management 1010 Delivering nursing care in the home 1012 Medicines and associated health care products 1014 Social care and support 1016 Working with carers 1018...

scholarly journals Desafios da interdisciplinaridade no pet-redes de atenção psicossocial e atuação da enfermagem

2018 ◽  
Vol 12 (5) ◽  
pp. 1491
Author(s):  
Tatiane Da Silva Santos ◽  
Antonio Carlos Ferreira Lima
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Education ◽  
Undergraduate Students ◽  
Nursing Care ◽  
Social Vulnerability ◽  
Social Care ◽  
Descriptive Study ◽  
Salud Mental ◽  
Health Nursing

RESUMOObjetivo: relatar a experiência como bolsista no programa PET-redes de atenção psicossocial, a fim de estimular outros graduandos a enveredarem pelos caminhos da extensão universitária, já que isso possibilita uma formação em saúde mais integral. Método: estudo observacional e descritivo tipo relato de experiência, com abordagem crítico-reflexivo sobre a vivência no Programa PET-SAÚDE na vertente redes de atenção psico-social no contexto dos serviços do municipio de maceio-AL, durante o periodo de vigencia da bolsa (agosto/2013 a agosto/2015). Resultados: a experiencia possibilitou a cosntrução de vinculo, trabalho interprofissional, ações intersetoriais, bem como um estimulo a ampliação da visao contextos, complexidade e intersubjetividade do universo da investigacão. Conclusão: acredita-se que este estudo contribua para o conhecimento e compilação de dados acerca da atenção a saúde de pessoas em vulnerabilidade social e que fazem uso de álcool, crack e outras drogas. Descritores: Redução de Danos; Enfermagem; Saúde Pública; Cuidados de Enfermagem; Núcleo de Atenção Psicossocial; Saúde Mental.ABSTRACTObjective: to report the experience as a scholar in the program PET-Redes de Atenção Psicossocial, in order to stimulate other undergraduate students to embark on the paths of university extension, once it can provide a more integral health education. Method: an observational and descriptive study, with a critical-reflexive approach to the experience on the Program PET-SAÚDE in the area of psycho-social care in the context of the services of the municipality of Maceió-AL, during the period of validity of the scholarship (August 2013 to August 2015). Results: the experience made possible the construction of a network, interprofessional work, intersectoral actions, as well as a stimulus to broaden the view of contexts, complexity and intersubjectivity of the research universe. Conclusion: this study contributes to the knowledge and compilation of data about the health care of people in social vulnerability and who use alcohol, crack and other drugs. Descriptors: Harm reduction; Nursing; Public Health; Nursing care; Psychosocial Attention Center; Mental Health.RESUMENObjetivo: relatar la experiencia como becario en el programa PET-redes de atención psicosocial para fomentar entre otros graduandos a entrar en los caminos de la extensión universitaria, ya que esto permite una formación en sanidad más integral. Método: estudio observacional y descriptivo tipo relato de experiencia, con abordaje crítico-reflexivo sobre la vivencia en el Programa PET-SALUD en la vertiente redes de atención psicosocial en el contexto de los servicios del municipio de Maceió(AL) durante el periodo de vigencia de la beca (agosto/2013 a agosto/2015). Resultados: la experiencia permitió la construcción del vínculo, trabajo interprofesional, acciones intersectoriales, así como un estímulo a la ampliación de la visión de contenidos, complejidad e intersubjetividad del universo de la investigación. Conclusión: se cree que este estudio contribuya al conocimiento y compilación de datos acerca de la atención a la salud de personas en vulnerabilidad social y que consumen alcohol, crack y otras drogas. Descriptores: Reducción de Daños; Enfermería; Sanidad Pública; Cuidados de Enfermería; Núcleo de Atención Psicosocial; Salud Mental.

Rheumatic Fever, Nursing Care in Pictures

PEDIATRICS ◽  
1949 ◽  
Vol 3 (5) ◽  
pp. 734-734
Author(s):  
HUGH MCCULLOCH
Keyword(s):  
Public Health ◽  
Rheumatic Fever ◽  
Nursing Care ◽  
Social Care ◽  
The Public ◽  
Fever Patient ◽  
Full Activity ◽  
Visiting Nurse

This has been written primarily for parents to supplement the services of the public health or visiting nurse in the home of a family with a rheumatic fever patient. It shows through the text and through many photographs, the course of an 11 year old child with rheumatic fever; first in bed at rest, then the successive stages of recovery back to full activity, pointing out the physical, emotional, mental and social care needed at these stages. The photographs are excellent and illustrate the application of the written material in the text.

scholarly journals NURSES' KNOWLEDGE IN CHILD HEALTH PRIMARY CARE PRIMARY

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Marina Sayuri Yakuwa ◽  
Raquel Dully Andrade ◽  
Monika Wernet ◽  
Luciana Mara Monti Fonseca ◽  
Maria Cândida de Carvalho Furtado ◽  
...  
Keyword(s):  
Primary Care ◽  
Child Health ◽  
Nursing Care ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Care Management ◽  
Family Health ◽  
Clinical Protocols ◽  
Institutional Organization ◽  
Child Evaluation

ABSTRACT The study aimed to characterize nurses' needs for scientific knowledge that supports nursing care in clinical practice of child health primary care. An exploratory and qualitative study was undertaken, grounded in health care and longitudinality of nursing care for children, based on interviews with 35 nurses from family health services with thematic analysis of the data. The results indicate the need to use child evaluation, family guidance, clinical protocols, care management and partnership among health professionals, which imply a range of knowledge, in order to trigger effective and problem-solving care actions. Practice based on professional knowledge and the subjects' needs can enhance care, with benefits for children, families and the institutional organization. It is vital for nurses to take responsibility for their own practice, continuously examining ways to deliver care for and remain up to date.

scholarly journals Managerial role in enhancing employee motivation in public health care

2011 ◽  
Vol 8 (4) ◽  
pp. 401-410
Author(s):  
Ghamiet Aysen ◽  
Sanjana Brijball Parumasur
Keyword(s):  
Public Health ◽  
Health Care ◽  
Working Conditions ◽  
Care Management ◽  
Employee Motivation ◽  
Public Health Care ◽  
Intrinsic Factors ◽  
Managerial Role ◽  
Public Sector Employees ◽  
Sustainable Health

Engulfed by numerous setbacks pronounced by huge manpower crises, work overload and poor working conditions, public sector employees find it increasingly difficult to ensure a more patient-focused, results-driven and sustainable health care system. Whilst extrinsic rewards are almost non-existent, managers in public health care can play a pivotal role in enhancing employee motivation through intrinsic factors. This study aims to assess managerial characteristics for public health care (management of attention, meaning, self, trust, risk, feelings) and employee motivation (achievement, power, affiliation) and, the relationships between these. A sample of 338 employees (stratified random sampling) and 18 managers (consensus sampling) were drawn. Descriptive and inferential statistics were used to analyse the data. Based on the results, the study provides guidance for enhancing employee motivation and consequently, service delivery in public health care.

scholarly journals The cumulation of ill health and low agency in socially excluded city dwellers in the Netherlands: how to better identify high-risk/high-need population segments with public health survey data

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Addi P. L. van Bergen ◽  
Annelies van Loon ◽  
Stella J. M. Hoff ◽  
Judith R. L. M. Wolf ◽  
Albert M. van Hemert
Keyword(s):  
Public Health ◽  
Health Care ◽  
High Risk ◽  
Social Exclusion ◽  
Social Care ◽  
Health Indicators ◽  
Personal Control ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Labour Market Position

Abstract Background Population segmentation and risk stratification are important strategies for allocating resources in public health, health care and social care. Social exclusion, which is defined as the cumulation of disadvantages in social, economic, cultural and political domains, is associated with an increased risk of health problems, low agency, and as a consequence, a higher need for health and social care. The aim of this study is to test social exclusion against traditional social stratifiers to identify high-risk/high-need population segments. Methods We used data from 33,285 adults from the 2016 Public Health Monitor of four major cities in the Netherlands. To identify at-risk populations for cardiovascular risk, cancer, low self-rated health, anxiety and depression symptoms, and low personal control, we compared relative risks (RR) and population attributable fractions (PAF) for social exclusion, which was measured with the Social Exclusion Index for Health Surveys (SEI-HS), and four traditional social stratifiers, namely, education, income, labour market position and migration background. Results The analyses showed significant associations of social exclusion with all the health indicators and personal control. Particular strong RRs were found for anxiety and depression symptoms (7.95) and low personal control (6.36), with corresponding PAFs of 42 and 35%, respectively. Social exclusion was significantly better at identifying population segments with high anxiety and depression symptoms and low personal control than were the four traditional stratifiers, while the two approaches were similar at identifying other health problems. The combination of social exclusion with a low labour market position (19.5% of the adult population) captured 67% of the prevalence of anxiety and depression symptoms and 60% of the prevalence of low personal control, as well as substantial proportions of the other health indicators. Conclusions This study shows that the SEI-HS is a powerful tool for identifying high-risk/high-need population segments in which not only ill health is concentrated, as is the case with traditional social stratifiers, but also a high prevalence of anxiety and depression symptoms and low personal control are present, in addition to an accumulation of social problems. These findings have implications for health care practice, public health and social interventions in large cities.

scholarly journals Delays and Unmet Need for Health Care Among Adult Primary Care Patients in a Restructured Urban Public Health System

2004 ◽  
Vol 94 (5) ◽  
pp. 783-789 ◽  
Author(s):  
Allison L. Diamant ◽  
Ron D. Hays ◽  
Leo S. Morales ◽  
Wesley Ford ◽  
Daphne Calmes ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Health System ◽  
Public Health System ◽  
Unmet Need ◽  
Primary Care Patients

scholarly journals Promoting Self-Care Management Among Persons With Serious Mental Illness and HIV

2011 ◽  
Vol 23 (6) ◽  
pp. 421-427 ◽  
Author(s):  
Nancy P. Hanrahan ◽  
Donna Rolin-Kenny ◽  
June Roman ◽  
Aparna Kumar ◽  
Linda Aiken ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Mental Illness ◽  
Nursing Students ◽  
Case Studies ◽  
Serious Mental Illness ◽  
Care Management ◽  
Self Care ◽  
Public Health Nurses ◽  
Management Approach

People with a serious mental illness (SMI) along with HIV have complex health conditions. This population also has high rates of poverty, difficulty in sustaining regular housing, and limited supportive networks. Typically, the combination of psychotropic and HIV medication regimens is complicated, changes frequently, and requires coordination among multiple providers. Furthermore, fragmented and divided primary health care and mental health care systems present substantial barriers for these individuals and for the public health nurses who care for them. In this article, we present “real world” case studies of individuals with SMI and HIV and the self-care management strategies used by nurses to address medication and treatment management, build interpersonal skills, and develop sustainable health networks. The case studies can be used for quality improvement discussions among practicing public health nurses and for instructing nursing students in a self-care management approach.

Historical and medical aspects of the formation and development of regional general medical practice

2021 ◽  
pp. 55-61
Author(s):  
Lyudmila Ilyinichna Kaspruk
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Medical Practice ◽  
Public Health Care ◽  
General Medical Practice ◽  
Orenburg Region ◽  
Medical Analysis ◽  
Territorial Systems

The results of the historical and medical analysis of the processes of formation and development of primary care in the Orenburg Region are quite relevant, especially in connection with the renewed demand for resolving urgent issues that have arisen in the system of domestic health care. Consideration of the above aspects on the example of a separate territory, the Orenburg Region, is significant, given that public health care is formed by various structures of territorial systems in the context of demographic, social and economic gradations.

Women and the Invention of Well Child Care

PEDIATRICS ◽  
1994 ◽  
Vol 94 (4) ◽  
pp. 527-531
Author(s):  
Jeffrey P. Baker
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
The United States ◽  
European Countries ◽  
Office Visits ◽  
Separate Spheres ◽  
Well Child Care ◽  
American Academy Of Pediatrics ◽  
Therapeutic Services

Few rituals better capture the preventive ethos of pediatrics than does the well child examination. In the United States, 25 to 50% of all general pediatric office visits involve the supervision of routine health care. Yet the same cannot be said for many European countries. In Britain, pediatricians function primarily as hospital-based specialists, with general practitioners and public health nurses providing most preventive care and immunizations. Indeed, an American Academy of Pediatrics (AAP) study of several European countries and Canada in 1990 noted that only a minority of the nations surveyed relied principally on pediatricians for primary care. In the European paradigm, preventive and therapeutic services are frequently administered in separate spheres.

scholarly journals Improving Health Care Management in Primary Care for Homeless People: A Literature Review

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Jego ◽  
J Abcaya ◽  
C Calvet-montredon ◽  
S Gentile
Keyword(s):  
Social Support ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
General Population ◽  
Literature Review ◽  
Care Management ◽  
Multidisciplinary Approach ◽  
Homeless People ◽  
Primary Health

Abstract Background Homeless people have poorer health status than the general population. They need complex care management, because of associated medical troubles (somatic and psychiatric) and social difficulties. However, they face multiple difficulties in accessing primary health care and receive less preventive health care than the general population. Methods We performed a literature review that included articles which described and evaluated primary care programs for homeless people. We searched into the MEDLINE, PsycINFO, COCHRANE library, and Cairn.info databases primary articles published between 1 January 2012 and 15 December 2016. We also performed a grey literature search, and we added relative articles as we read the references of the selected articles. We described the main characteristics of the primary care programs presented in the selected articles. Then we classified these characteristics in main categories, as a descriptive thematic analysis. Secondarily, we synthetized the main results about the evaluation of each intervention or organization. Results Most of the programs presented a team-based approach, multidisciplinary and/or integrated care. They often proposed co-located services between somatic health services, mental health services and social support services. They also tried to answer to the specific needs of homeless people. Some characteristics of these programs were associated with significant positive outcomes: tailored primary care organizations, clinic orientation, multidisciplinary team-based models which included primary care physicians and clinic nurses, integration of social support, and engagement in the community’s health. Conclusions Primary health care programs that aimed at taking care of the homeless people should emphasize a multidisciplinary approach and should consider an integrated (mental, somatic and social) care model. Key messages To improve the health care management of homeless people it seems necessary to priorize multidisciplinary approach, integrated care, involve community health and answer their specific needs. It is necessary to evaluate more non-tailored primary care programs that collaborate with tailored structures.

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