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Biomedical subjects

C O Helvie

Publications and source records attributed to C O Helvie.

13 recordsLinked to original sources

Reconceptualization of community health nursing clinicals for undergraduate students.

The multilevel community intervention model is a way of maximizing community resources and services and providing a community focus for undergraduate community health nursing students. The rationale for a change from traditional community health nursing clinical experiences to more community focused ones and current nursing standards supporting this change are identified. The model and its utilization with undergraduate nursing students is discussed. Three groups of undergraduate community health nursing students will each implement one piece of the model and through group discussions learn about the total model.

Community Health Nursing↗

Efficacy of primary care in a nursing center.

Nursing opportunities have expanded beyond the traditional bedside role. Nurses serve in a variety of roles such as administrators, teachers, or primary care givers in a variety of settings. The role of primary care giver is a more recent role; it involves relatively independent nursing practice with clients who have acute or chronic illnesses. Client groups may include the elderly in high rise buildings, mothers and children at schools, or homeless and low-income populations at homeless shelters. This care is often provided in a nursing center. Nursing centers are nurse-managed centers in which nurses are accountable and responsible for care of clients; they are the primary provider of care and the one most seen by clients. Case managers may be in a position to refer patients to nursing centers or to work directly with nurse practitioners in nursing centers. However, questions about the primary care provided in nursing centers must be addressed for healthcare providers, insurance companies, and patients to be confident in the efficacy of this delivery system. Is the primary care comprehensive? Is it of high quality? Is it cost effective? Is it satisfactory to clients? These and other questions about the primary care provided in nursing centers must be answered to effect political and other changes needed to fulfill the role of nursing centers envisioned by early leaders of the movement. This article addresses questions related to the efficacy of primary care provided in nursing centers by family nurse practitioners. After defining efficacy, the discussion focuses on the components identified and studied in one nursing center and includes information on opportunities for case managers to utilize nursing centers for referral and appropriate follow-up of their patients.

Case Management↗

Using after-shelter case management to improve outcomes for families with children.

Homelessness and living in shelters have complex and multiple adverse effects on children that lend urgency to assisting families with children to leave shelters and to achieve independent and stable living arrangements. Some shelters offer only short-term housing with no additional support services. Others offer long stays with a comprehensive range of social and economic support services. While living in a shelter, families are faced with such major challenges as finding employment that is adequate to meeting the family's financial needs and locating permanent housing. Because shelter or street living may exacerbate children's health and developmental problems, families with children should move from them into a stable home situation as quickly as possible. The researchers examined some of the specific effects of living in a shelter for homeless families with children in Virginia Beach, VA. They focused on whether the policy of offering families after-shelter case management services for 1 year decreased their average length of the time in the shelter, and whether case management of families with children for 1 year after leaving a shelter increased the proportion of families who obtained permanent housing. A non experimental descriptive design was used. In case management after the shelter stay, an advisor worked intensively with families, helping to locate resources and serving as a resource link, assisting with application processes, providing transportation when necessary, and acting as advocate and support person. Some families needed minimal assistance, while others needed more intensive assistance. The findings suggest that case management services for families following discharge from a homeless shelter effectively reduces the length of stay ina shelter and increases housing stability after discharge from the shelter. For this sample, the average shelter stay was reduced from 31.1 to 22.8 days.

Child Development↗