PubMed Health⌕ Search

Biomedical subjects

D Leners

Publications and source records attributed to D Leners.

4 recordsLinked to original sources

Pharmacists' attitudes toward advanced practice nurses' prescriptive authority.

In an era of managed care, the new healthcare paradigm emphasizes a team approach to primary care health services. A team approach requires collaboration among healthcare providers. One model that has not been adequately explored is that of the advanced practice nurse (APN) and the pharmacist. This study examines the attitudes of pharmacists in Colorado toward the prescriptive authority of APNs and explores some of the issues that may discourage a collaborative relationship between APNs and pharmacists. Although the response rate was limited (18%), a preliminary impression of pharmacists' attitudes was gathered. In general, the pharmacists were supportive of APNs' prescriptive authority, although they qualified their responses with the fact that the workload increased. Other concerns were lack of information about the legal ramifications of APNs' prescriptive authority and difficulty with third-party insurors who did not recognize APNs as primary care providers. Suggestions for developing a more cohesively collaborative relationship between APNs and pharmacists were discussed.

Adult↗

Suffering and ethical caring: incompatible entities.

Ethical problems are continuing to expand in health care due to conflicts of technology and value. This study investigated what kind of ethical problems nurses face in clinical situations and what process they use in deciding on actions to take. Ethical theories in justice and caring were explored. Qualitative research was used and ethnographic analysis was conducted with six staff nurses from three clinical areas. An analysis of the data yielded an overarching theme of 'Suffering and ethical caring: incompatible entities'. Six domains were identified: informant definitions, preceding conditions, actions taken, intervening variables, risks and recommendations. Future research is needed in the field of client and family suffering and pain.

Adult↗

The hysterectomy experience: an ethnographic study.

Women who undergo a hysterectomy typically experience preoperative symptoms that severely affect quality of life. The purpose of this study was to understand the hysterectomy experience from the informants' perspective. The research design chosen was ethnography. Research aims included (a) describing the quality of life before hysterectomy, (b) understanding the decision-making process involved in having a hysterectomy, (c) describing the knowledge base women have about hysterectomies, (d) describing concerns and fears about hysterectomies, (e) making comparisons before and 3 months after the hysterectomy, and (f) discovering what advice women give each other about hysterectomies. Ethnographic interviews were conducted and analyzed according to the Spradley method. The informants provided researchers with valuable advice for professionals caring for women who elect to undergo a hysterectomy.

Adult↗