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Biomedical subjects

B Munjas

Publications and source records attributed to B Munjas.

5 recordsLinked to original sources

Predicting whether patients receive continuity of care after discharge from state hospitals: policy implications.

This article reports the results of a comprehensive study of predictors of factors influencing continuity of care for individuals discharged from state hospitals to communities. Continuity of care is defined and the predisposing, enabling and need factors are examined using a statewide database. The conceptual model is based on community support system principles, and it drives the research. The findings will influence policy, which will then affect community support system principles. Logistic regression analysis is employed as statistical analysis that lends itself to graphical form. Implications for policy and future research are presented.

Aftercare↗

Clinical ladder to professional advancement program. An evolutionary process.

Since the early 1970s, clinical ladder programs have been a method of defining, recognizing, and rewarding nursing practice. As clinical practice in an institution grows and evolves, so must the program that supports the development of the practitioner. An in-depth evaluation of one clinical ladder program was conducted to determine if it was reflective of current practice. The authors discuss the method of evaluation, findings, and the revised program.

Career Mobility↗

Psychiatric-mental health head nurse management concerns.

Psychiatric-mental health head nurses supervise and direct patient care, and therefore, possess a critical, front-line perspective of nursing practice problems. This article explores this perspective by interviewing four head nurses about patient care, staffing, and organizational management concerns. Interestingly, some of the findings of the study, such as head nurse concerns regarding retaining, recruiting, and motivating staff, and increasing patient acuity, already have been supported in the general nursing literature. Other concerns, including the need to clarify the role of the nurse and to define areas of responsibility with other mental health professionals, seem unique to mental health nursing.

Humans↗

HIV/AIDS clients' satisfaction with selected aspects of clinic nursing services.

The authors report findings from a semistructured interview study of a random sample of adult clients (N = 20) receiving care in the infectious disease clinic at a large university-affiliated state-supported teaching hospital. Clients were asked to respond to items designed to measure their satisfaction with nursing and social work services at the ID Clinic. Over all, the clients interviewed reported relative satisfaction with services received; however, clients offered substantive suggestions for continuing quality improvement.

Adult↗

Altered thought processes and sensory/perceptual alterations: a critique.

Concerns about the clinical usefulness of altered thought processes and sensory/perceptual alterations--and the resulting avoidance of these two diagnoses--led to a study to determine how expert nurses differentiate between the diagnoses and how the diagnoses are used in practice. The authors developed a questionnaire and mailed it to 128 members of NANDA who had identified themselves as experts in the diagnoses; sixty-six (52%) responded. Conclusions were that the defining characteristics for altered thought processes were cognitively oriented and those for sensory/perceptual alterations were perceptually oriented. The overlap of defining characteristics, such as change in problem-solving ability, makes differential diagnosis a difficult task.

Adult↗