PubMed Health⌕ Search

Biomedical subjects

J V Zerwekh

Publications and source records attributed to J V Zerwekh.

15 recordsLinked to original sources
PubMed1995

A family caregiving model for hospice nursing.

The literature reveals only superficial description of the clinical judgment needed to practice hospice nursing. Practice wisdom remains vague and taken for granted. To improve documentation of the nature of hospice nursing practice, 32 expert hospice nurses were asked to tell stories of memorable practice experiences. Those narratives were interpreted using qualitative methodology to identify 10 hospice nursing practice competencies and a visual model of practice. This model can be used to articulate hospice nursing practice to students, fellow professionals, and those making decisions about health care in the future.

Caregivers↗
PubMed1992

Laying the groundwork for family self-help: locating families, building trust, and building strength.

The practice stories of 30 expert home visiting public health nurses were recorded and interpreted qualitatively, using constant comparative analysis. Three family caregiving competencies, which provide the essential preliminary groundwork to enable family self-help, were identified: locating the family, which involves tracking down highly unstable families; building trust, which involves developing rapport with clients who have seldom experienced trust; and building strength, which occurs with those who have neither apparent strengths nor belief in their own capacity. These descriptions have major implications for investigation, teaching, and integration into policy.

Adult↗
PubMed1992

The practice of empowerment and coercion by expert public health nurses.

This article describes the dialectic of public health nursing responsibility to empower families in self care as well as the nursing responsibility to evoke authority as needed to protect children from violence and neglect. Through qualitative study of expert home visiting public health nurses' anecdotes (N = 95), these apparently contradictory activities were discovered to co-exist in helping relationships. The synthesis of the apparent contradictions applies community rather than autonomy as the fundamental moral guide.

Child Advocacy↗
PubMed1992

Public health nursing legacy. Historical practical wisdom.

The author uses an anecdotal style to convey the practical knowledge shown by public health nurses since the days of Lillian Wald on New York City's Henry Street in the 1890s. Public health nurses have had to work with high-risk families--a fact that often requires a common-sense approach.

Anecdotes as Topic↗
PubMed1989

The mutual-participation relationship: key to facilitating self-care practices in clients and families.

The relationship among formal providers, clients, and families in home care is critical. If clients and family care givers are to develop adequate and safe self-care practices, they must be involved in mutual decision making concerning issues related to the illness and the care to be given. A relationship of mutual participation involves facilitating and negotiating goals with clients and their family members.

Family↗
PubMedDate not supplied

A family caregiving model for public health nursing.

The absence of clear definitions of public health nursing competency have plagued efforts to demonstrate the need for public health nursing programs. This article describes a model that can be used to explain why public health nursing services should be integral to the public agenda.

Child↗
PubMedDate not supplied

At the expense of their souls.

Thirty experienced public health nurses in western Washington were interviewed to determine how they knew that they had improved their clients' lives. Although they still perceive themselves as making a difference, their remarks reveal that clients' substance abuse and violence are threatening the nurses' own physical and emotional well-being.

Anecdotes as Topic↗
PubMedDate not supplied

High-tech home care for nurses: questioning technologies.

To build a common ground for questioning, this paper describes and defines technology, inappropriate technology, technology assessment, and technological regimes that community health nurses confront. Then, control of technology and effects on individual, family, and community are explored. In conclusion, two decision-making guides are proposed to help the home health nurse assess the human effects of technology and to support family decisions about whether technology is appropriate.

Adaptation, Psychological↗