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Biomedical subjects

H S Faller

Publications and source records attributed to H S Faller.

8 recordsLinked to original sources
PubMed1995

Bridge to the future: nontraditional clinical settings, concepts and issues.

Healthcare restructuring in the wake of healthcare reform places greater emphasis on primary healthcare. Clinical education in acute care settings and existing community health agencies are not compatible with teaching basic concepts, principles and skills fundamental to nursing. Problems of clients in acute care settings are too complex and clients in the community are often too dispersed for necessary faculty support and supervision of beginning nursing students. Nontraditional learning settings offer the baccalaureate student the opportunity to practice fundamental skills of care and address professional skills of negotiation, assertiveness, organization, collaboration and leadership. An overview of faculty designed clinical learning experiences in nontraditional sites such as McDonald's restaurants, inner city churches, YWCA's, the campus community and homes are presented. The legal, ethical and academic issues associated with nontraditional learning settings are discussed in relation to individual empowerment, decision making and evaluation. Implications for the future address the role of the students and faculty as they interact with the community in which they live and practice.

Community Health Nursing↗
PubMed1993

Sibling visitation: how far should the pendulum swing?

This study describes development of early interaction between siblings. Subjects (N = 22) were the older siblings (30 to 52 months) of healthy new babies. Data were collected to describe initial contact, regressive behaviors, and extent and quality of sibling interaction at 3 weeks, 5 months, and 7 months. Patterns of visualization, touch, and communication were observed. There was no evidence of sibling regressive behavior. Behaviors were more positive than negative and older siblings were in proximity for initiation of interaction by the new baby at 5 and 7 months. Findings indicate positive sibling relationships may be the norm rather than the exception.

Age Factors↗
PubMed1992

Hmong women: characteristics and birth outcomes, 1990.

Current demographic characteristics and pregnancy outcomes of immigrant Hmong women in a small town in southeastern United States were documented in a retrospective study. Interviews and review of existing records were used to determine prenatal practices and perceived problems. Sixteen health professionals and two women from the community were interviewed, and the labor and delivery records from 1985 to 1990 were reviewed for parity, child spacing, and health status of the women and newborns. The greatest concerns voiced by health caregivers were multiparity and the need for contraceptive compliance. Seventy-eight full-term infants were born to 64 women in five years, with 2 stillbirths. No eclampsia, diabetes, or Rh incompatibilities were noted. Evidence is limited that birth frequency or outcome for Hmong women is a problem. Their perinatal difficulties were thought to be sociocultural rather than medical. Further study of the effects of acculturation on maternal family position, perinatal risks, and birth outcomes is imperative as lifestyle and environment change for these immigrant women.

Adolescent↗
PubMedDate not supplied

Perinatal needs of immigrant Hmong women: surveys of women and health care providers.

The Hill People of Laos in Southeast Asia, who are called the Hmong, are from a primitive culture which has had a written language for only 31 years. By 1980, about 3,000 of them were living in Colorado, one of 9 States to which they had migrated. In an effort to determine whether or not local health care service was accessible and acceptable to child-bearing families, a pilot survey was conducted in the Denver area. The survey consisted of interviews of the Hmong women themselves and questions of area health care providers. The interviews proved to be both difficult and illuminating. They were difficult because of the language barrier, which required exclusive use of interpreters, and because of the diffidence of the women themselves, especially in discussing matters of sex and childbearing. Illumination came from learning Hmong customs and culture and some of the benefits of their version of self-care. It also came from whatever value may lie in applying this knowledge to other immigrant ethnic groups with comparable problems. Responses to questionnaires from the health care providers disclosed that, from their viewpoint, principal Hmong concerns were family planning and nutrition. They also revealed surprisingly few maternal or child deaths among the Hmong. There still exists a need for both cross-sectional and longitudinal studies to document the effect of migration on the Hmong.

Attitude to Health↗