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Biomedical subjects

Judith A Lewis

Publications and source records attributed to Judith A Lewis.

8 recordsLinked to original sources

Understanding gender construction: creating space for feminist health care practice and research.

An understanding of imposed cultural norms allows the scientist, researcher, and health care practitioner to move beyond the social construction of gender and illness. From Aristotle's theory of reproduction to neurological and psychological research asserting sex as destiny to present-day attitudes toward intersexuality, we can trace the conceptualization of women in terms of biological inferiority. These theories elucidate the ways in which the cultural assumptions influence the institution of scientific inquiry and vice versa. To assure equal and fair health care practices, a paradigm shift is called for that actively accepts feminist research practices and rejects culturally dominant methods of research in medicine and science.

Female↗

Creating a nursing vision for leadership in genetics.

Today, an increasing number of nurses are applying new genetic knowledge in their practice, research, and educational activities. Just as the evolving precepts of biology, psychology, sociology, medicine, public health, and economics are integral to the practice of quality patient care, so too are those of genomics. The International Society of Nurses in Genetics (ISONG) has taken up the challenge of educating nurses about genetics and about ways such knowledge might be integrated into practice.

Cause of Death↗

Jewish perspectives on pregnancy and childbearing.

There are approximately 6 million Jewish people in the United States today. They may be affiliated with the Orthodox, Conservative, or Reform streams of Jewish practice, or they may be secular and unaffiliated. Although religious practices and levels of observance among these streams of Judaism vary widely, nurses should become familiar with the religious traditions of Judaism in order to provide the most comprehensive care for a childbearing Jewish woman and her partner. This article describes the range of practices that may be observed, and offers information that may assist the nurse in providing culturally competent care. While it is important to tailor care to the individual needs of each childbearing couple, background knowledge of customs and traditions will help provide a basic context that can be used as a basis for understanding cultural variation and specific practices.

Attitude to Health↗

Essential nursing competencies and curricula guidelines for genetics and genomics.

Genomics is a central science for nursing practice. Essentially all diseases and conditions have a genetic or genomic component. In the future, individuals and families seeking care will increasingly have to make decisions that involve both genetics and genomics in the areas of health promotion and disease prevention, screening, diagnosis, selection of treatment, and evaluating treatment effectiveness. Nurses will definitely need certain minimum competencies in the areas of genetics and genomics in order to practice effectively in the 21st century. An independent panel of nurse leaders developed a draft document, shared it with other experts, the nursing community at large, and organizational representatives from key stakeholder groups. Selected portions of the resulting document, developed by consensus, are presented here.

Clinical Competence↗

Genetics in perinatal nursing: clinical applications and policy considerations.

Genetics is becoming an important part of perinatal nursing care. The need for genetic counseling and referral may be identified before conception, early in pregnancy, upon the demise of a fetus with an abnormality, or after the birth of an infant with a genetic condition. Perinatal nurses often are present when parents first discover the presence of a genetic condition in their fetus or infant. Women who will be 35 at the time of their infant's birth and women who have family histories of genetic disorders should be offered appropriate screening tests.

Adult↗

Personal data assistants: using new technology to enhance nursing practice.

This article explains how the new technology of personal data assistants can be used to enhance and augment comprehensive nursing care. Nurses are constantly challenged in their need for current, reliable, and accurate information at the point of patient care. Professional books and journals, by the very nature of their print format, have been prepared long before they can be actually used in practice. More current information is available from the World Wide Web, but it is often impractical for a nurse to access a computer during a patient encounter. Personal data assistants [PDAs] allow clinicians to access and document absolutely current information at the moment the patient is being seen. There are many general applications for PDAs that nurses might use such as keeping electronic calendars, address books, and reminder lists. In addition, however, there are even more actual healthcare applications, including patient tracking systems, access to pharmacologic databases, and a variety of clinical decision-making support tools. This article describes the wide variety of PDAs, along with the factors a nurse should consider in the decision of whether to purchase a PDA, and which type of device is best suited for which application.

Decision Support Systems, Clinical↗