PubMed Health⌕ Search

Biomedical subjects

K Brykczynski

Publications and source records attributed to K Brykczynski.

5 recordsLinked to original sources
PubMed1999

Giving voice to childbearing teens: views on sexuality and the reality of being a young parent.

Interpretive phenomenology was the qualitative research approach used to explore the lived experience of teenage mothers in regard to their sexuality and associated development, decision making, relationships, and hopes for the future. Several interviews were conducted with each of nine low-income, African-American teen mothers over the course of several months. This paper presents narrative exemplars from the lives of these teenage mothers gathered during interviews in the school nurse's office. Exemplars were: Sand Castles: the unreliability of support systems; Tough Boys, Soft Hearts: feeling less powerless with a strong male; Erosion of Trust: the deterioration of trusted kin networks; and Staying the Course: the intergenerational nature of adolescent pregnancy. Intervention and prevention implications for school nurses and other school professionals are suggested based on the findings.

Adolescent↗
PubMed1982

Health contracting.

Health contracting provides for clarification of expectations and responsibilities, client participation, open communication, motivation through feedback, evaluation with emphasis on outcomes, realistic goal setting, as well as clarity and accountability of nursing practice. According to Etzwiler, contracting may provide some protection against claims for malpractice. Health contracting also represents a model for problem solving that the client may utilize in solving other common problems of daily living. It constitutes a methodology for enhancing not only the measurability and the quality of care, but also the comprehensiveness of care.

Goals↗
PubMedDate not supplied

Judgment strategies for coping with ambiguous clinical situations encountered in primary health care [corrected].

This naturalistic study identifies and describes strategies for clinical problem solving in situations of uncertainty, from observations of patient/family visits in a family health center. Judgment strategies were described for four types of uncertainty: information, diagnosis, treatment, and patient response that roughly correspond to the phases of assessment, planning, implementation, and evaluation of the clinical problem-solving process. The study contributes to increased understanding of the practical (experiential) knowledge involved in clinical judgment.

Adaptation, Psychological↗