Biomedical subjects
Publications and source records attributed to D Ciliska.
Chronic dieting is not free of risks. Relevant literature is assessed to aid in making the decision about whether an obese woman should attempt weight loss repeatedly. Alternative strategies to weight loss are offered that shift the focus from weight loss to stabilization and from dieting to normalizing eating patterns and intake.
Public health nurses (PHNs) have been attached to family doctors' offices as one mode of organizing the delivery of nursing services in the community. However, different nurses function in different roles on a continuum from generalist to liaison. A descriptive study was undertaken to determine the most effective role for PHNs attached to family physicians' offices. Outcomes for both physicians and nurses were satisfaction with the role of the PHN, appropriateness of referrals, and accessibility for consultation. These outcomes were compared relative to the rating of PHNs of their role. A cohort of physicians without attachment PHNs were also surveyed to compare responses on the same criteria. The majority of nurses described their role generalist. This role was related to greater satisfaction for nurses and the physicians with whom they worked. Satisfaction with PHN service, ease of arranging consultation with PHN, and appropriateness of referrals from PHNs was greater for physicians who had the attachment than those who used the usual service.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
An intersectoral immigrant health promotion project in Hamilton, Ontario is described. The project goal was to facilitate the entry of new immigrants to the Ontario health care system and equip them with knowledge and skills to strengthen their preventive and promotive health practices. A needs assessment preceded project development. The three phases of the project are described. The first phase commenced with the development of culturally sensitive health promotion resource materials to be used with immigrants enrolled in English as a Second Language Classes. In phase two, activities focussed on strengthening the ability of ESL teachers to incorporate a preventive and promotive health focus in their classes. The final phase shifted to a community-based project. During this phase, a core immigrant group developed their skills as health advocates for their immigrant community.
The purpose of this study was to compare hospital staff nurses to public health liaison nurses in the accuracy and cost of postpartum referrals for public health nursing follow-up in the community. In the before phase of the study, public health liaison nurses assessed 304 mothers to determine the need for a follow-up visit by the public health nurse. In the after phase, staff nurses assessed 326 mothers. Public health nurses, unaware of the identity of the referring nurse and the referral decision, judged whether their visit had been required. Staff nurses correctly identified a higher proportion of referrals requiring public health nurse follow-up than liaison nurses. Although they referred more clients who did not require a public health nurse visit, costs of referrals by staff nurses remained lower.