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Biomedical subjects

B J McElmurry

Publications and source records attributed to B J McElmurry.

At least 19 recordsLinked to original sources
PubMed2000

Global nursing leadership: a professional imperative.

Globalization is an inevitable trend in the modern world, as our communities become both closer and more diverse. Globalization is examined in this report as a key factor in recognizing the intersection of health and development. Nurse leaders face the crucial need to understand and take initiatives in responding to this radically changing world. The transformation of nursing requires active participation and leadership in practice, education, research, and policy arenas. To participate in shaping the public understanding of health and development, nurse leaders must be included in the multinational and multidisciplinary decision processes that shape health care at home and abroad.

Education, Nursing↗
PubMed1999

Primary health care.

Primary Health Care (PHC) has been promulgated for over two decades as a global strategy for ensuring basic health care for all people. PHC is characterized by equity, accessibility, availability of resources, social participation, intersectoral community action, and cultural sensitivity. While PHC can be discussed as philosophy or a process, it is critical that PHC be understood as a community focus in health care that differs from a primary care focus on individuals. Capturing PHC components in community-based interventions in order to advance the development of a rigorous research base requires a shift in thinking about what constitutes acceptable methods and evidence for evaluating changes in health care. To this end, the authors of this review discuss perspectives and available research that inform practice within multidisciplinary teams, highlight the importance of social discourse, and review participatory evaluation issues for achieving a working relationship with communities. Particular attention is focused on education for nurses' roles in PHC activities within implementation models fostering community mobilization and development. An action plan is suggested as a means for situating discrete research activity within a PHC framework.

Education, Nursing↗
PubMed1997

The Chicago Health Corps: strengthening communities through structured volunteer service.

The Chicago Health Corps is an AmeriCorps*USA program, established in 1994 by the Corporation for National Service in partnership with the Health Resources and Services Administration (HRSA) of the U.S. Public Health Service. The Chicago Health Corps deploys 20 full-time equivalent corps members in selected community sites that offer primary health care services to Chicago's underserved families. Chicago Health Corps members provide a combination of outreach, home visit, and case management services to address unmet health needs identified by community members, including both laypersons and professionals. Providing meaningful opportunities for participants to assist their communities with health care helps corps members develop an awareness of their fellow community members and an ethic of service.

Chicago↗
PubMed1990

Community health advocacy: primary health care nurse-advocate teams in urban communities.

In summary, our health advocacy program uses PHC teams in urban, underserved communities to deal with the interaction of social and health factors in solving problems related to access to appropriate (as perceived by residents) and affordable health care. This approach encourages grass-roots participation in problem identification and solution, a fundamental ingredient of community empowerment. Further, this program facilitates community identification of nurses as resource persons who encourage collaboration to improve the community's health status and as health providers who enhance the authority and autonomy of community participation in the resolution of health issues.

Community Health Nursing↗
PubMed1989

Ethical concerns in caring for older women in the community.

Given the preceding discussion, what can be summarized at this point about the ethical concerns we face in the care of older women? Overall, we have presented a perspective that combines our understanding of women's health and nursing ethics. The essence of much of our concern about caring for older women is that we have views about their care that reflect our understanding of what it means to be professionals who have a social contract with our clients. We have discussed nursing ethics as a process that occurs within a social context that emphasizes working to maximize self-determination and informed choices for older women. We have emphasized autonomy and a perspective that places the nurse in an advocacy position with the patient in a relationship of partners. Arriving at reasoned positions on the ethical issues in the care of older women leads to agreement with Gloria Steinem that women may be the one group that grows more radical with age.

Aged↗
PubMed1987

Health advocacy for young, low-income, inner-city women.

The Urban Women's Health Advocacy Training Project was a university-based demonstration program designed to collect data on the health status of urban women and to test nursing interventions for training community health advocates. Thirty Hispanic and black trainees between 17 and 21 years of age were selected to participate in an eight-week, 20-h/w program emphasizing women's health education, health advocacy skills, and career awareness. This project has many implications for nursing practice with young, inner-city women. Enhancing the self-care and advocacy skills of these women maximizes their potential for use of available health services and their ability to influence the expansion of the services required to meet their own and their families' health care needs. Problems in funding and conducting such demonstration projects are discussed.

Adolescent↗
PubMed1986

The moral foundation of nursing.

The authors argue that the moral predicament facing nurses is their not being free to be moral because they are deprived of the free exercise of moral agency. Two occurrences are needed for nurses to be free to be moral: (1) the emergence of a strong sense of professional autonomy for nurses and (2) a shift in the locus of accountability from other health care professionals to the patient. The direction urged is to view nursing ethics as reform ethics.

Conflict, Psychological↗
PubMed1986

The health of older women.

The emerging profile of a healthy older woman in the community is that of an active, independent, and positive person. Data from in-depth interviews are presented to illustrate the value of research in assessing health status. Nurses are encouraged to use research to accurately portray older women and their nursing care requirements.

Aged↗