Biomedical subjects

Kristy K Martyn

Publications and source records attributed to Kristy K Martyn.

5 recordsLinked to original sources

PubMed2003

Nurse practitioner coding practices in primary care: a retrospective chart review.

PURPOSE: To describe the coding and documentation practices of nurse practitioners (NPs) when using evaluation and management (E & M) codes in an academic primary care center. DATA SOURCES: A randomized retrospective review of ten charts from a nurse-managed primary care clinic affiliated with a midwestern research-intensive university. CONCLUSION: The findings demonstrate that the documentation in the chart for six of the ten client encounters did not support the E & M codes assigned by the clinicis NPs. Four of these six client encounters were overcoded; the remaining two encounters were undercoded. IMPLICATIONS FOR PRACTICE: Findings of this study support the need for additional education of NPs in the areas of coding and documentation.

Forms and Records Control↗

PubMedDate not supplied

Improving adolescent sexual risk assessment with event history calendars: a feasibility study.

INTRODUCTION: Nurses assess adolescent sexual risk to prevent pregnancy and sexually transmitted infections. However, barriers to sexual risk assessment include lack of time and adolescent-friendly services. The purpose of this feasibility study is to evaluate the clinical utility and feasibility of using an Event History Calendar (EHC) for sexual risk assessment. METHOD: Latina females aged 15 to 19 years (n = 30) completed an adolescent risk assessment EHC, reviewed it with a nurse, and reported their perceptions of the EHC. Two nurse practitioners used the EHCs to identify the adolescent's risk behavior and reported their perceptions of EHC risk assessment and communication. RESULTS: Descriptive statistics and qualitative analysis indicated the EHC is a time-efficient, adolescent-friendly risk assessment tool that facilitates identification and discussion of sexual risk and co-morbid risk behaviors. DISCUSSION: Although larger scale evaluation of the EHC is needed, it is useful for improving adolescent risk assessment and communication.

Adolescent↗

PubMedDate not supplied

Adolescent sexual risk assessment.

This article describes the use of a self-administered event history calendar and interviews about sexual partners, sexual activity, and contraception within the broader context of the adolescent's life. Constant comparative analysis was used to analyze the event history calendar interview data. Detailed 5- to 9-year sexual histories were obtained on the event history calendars, including patterns of sexual activity progression and triggers for unintended sexual intercourse. Discussions of protective and risky sexual decision making were stimulated by adolescents' self-report of sexual risk behavior in their own words and reflective responses on the event history calendar. Both the adolescents and the interviewers thought the calendars encouraged recall and discussion of sexual risk behavior.

Adolescent↗

PubMedDate not supplied

Retrospective data collection using event history calendars.

BACKGROUND: Event history calendars are used to collect retrospective data about events and life transitions over short and long periods of time. Event history calendars are highly structured, but flexible, approaches to interviewing respondents about past events that use their own past experiences as cues to remembering. Event history calendars incorporate autobiographical memory retrieval mechanisms to assist respondents in reconstructing past events and experiences accurately and completely. APPROACH: A sample event history calendar and experiences from an ongoing study of adolescent risk behavior are described to illustrate event history calendar methodology application in nursing research. Event history calendar design, recording, interviewing, and interviewer training descriptions are included. DISCUSSION: Event history calendars have been used extensively for retrospective data collection of occurrence, timing, and sequencing of a variety of life events in population studies, psychology, and sociology research, but not in nursing research. Because event history calendars improve recollection of complex sequences of personal events, they would be ideal for retrospective data collection in quantitative and qualitative nursing studies. Nursing expertise in history-taking make this a natural method of choice for retrospective data collection and as a means of stimulating communication during interviewing.

Adult↗

PubMedDate not supplied

Lucky girls: unintentional avoidance of adolescent pregnancy among low-income African-American females.

PURPOSE: To describe lucky adolescents who unintentionally avoid pregnancy. DESIGN AND METHODS: The second phase of a descriptive qualitative study in which 17 low-income African-American females ages 19 to 26 participated in open-ended interviews on how they avoided pregnancy as adolescents. RESULTS: Constant comparative analysis revealed that five of the girls avoided pregnancy because they were "lucky" that others insisted they use contraceptives. These lucky girls were unaware of sexual risks, but used contraceptives because they complied with decisions made by their parents, grandparents, and partners. PRACTICE IMPLICATIONS: Lucky girls are at risk for adolescent pregnancy because they abdicate decision making to others and are likely to be overlooked in practice because they are using contraceptives. Promoting self-protection includes assessment, knowledge, skills-building strategies, and health-promoting contracts between the nurse and adolescent.

Adult↗