Cultural considerations for primary health care: where do self-care and folk medicine fit?
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Biomedical subjects
Publications and source records attributed to A Bushy.
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The magnitude and variety of clinical concerns in rural healthcare delivery mandate a focused plan for building a substantiated body of knowledge. The author identifies research priority areas to develop a body of knowledge for rural nursing.
Ethical conflicts occur in rural as well as in urban healthcare institutions. One means of addressing these complex issues is through interdisciplinary discussions by a bioethics committee. There are, however, social, economic, geographic, and demographic variations unique to both environments that can impact ethical issues, and these must be addressed when such a committee is implemented in either setting. The authors describe the rural variations and the implications for nurse administrators who often assume an active role in planning and organizing bioethics committees.
Within the last decade there has been an expanding amount of information on quality assurance in healthcare. Despite the prolific citations on the topic, only a few address the needs and concerns regarding quality assurance programs in rural healthcare institutions. The author summarizes the more frequently expressed concerns of nursing administrators in implementing a comprehensive quality assurance program in the rural environment.
Little is written about retention and recruitment of nurses in small rural hospitals. The authors present findings of a nursing study that identified factors that encouraged and deterred nurses to practice in the rural environment.
Because of the nature of the sport of rodeo, there is a unique lifestyle associated with it. The impact of its stereotypical myth versus the realistic lifestyle of cowboys and the subsequent effects on the women and children who share their lives are described in this article. This information has implications for health professionals and community planners who provide services to this group of individuals.
Warren (1972) proposed a means for determining differences between rural and urban social contexts that expands on the population definitions. Essentially, these differences are geographical, social, and economic in nature, and the health status of individuals in either setting may be affected by these variations. The health issues of women that evolve from these rural factors are the focus of this article.
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In this era of marketplace competition and cost containment, the most efficient methods of implementing change must be utilized. Rogers' adoption of innovation theory (1972; 1983) provides a framework to identify human responses to innovation/change. The model's six categories exemplify varying degrees of acceptance or rejection behaviors. In the current paper employee responses to the implementation of a new computer system in a larger hospital in the upper midwest with implications for clinical nurse specialists will be discussed.
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Many nursing conferences include research reports in the form of oral reports, symposia discussions, and poster presentations. To assist faculty, students, and clinicians in the systematic preparation and critique of poster presentations, the author discusses her 30-item research-poster appraisal tool (R-PAT). The tool assists nurses in preparing nursing research posters, guides nursing faculty in grading research posters that are a class assignment, and lets viewers systematically critique posters.