Biomedical subjects

L Anderko

Publications and source records attributed to L Anderko.

4 recordsLinked to original sources

PubMed2000

The effectiveness of a rural nursing center in improving health care access in a three-county area.

The purpose of this article is to describe an innovative nurse-managed health center that has been effective in improving access to primary health care for residents of a Midwestern three-county rural area. Penchansky and Thomas's (1981) framework for evaluating health care access was used to analyze client satisfaction and utilization data. Findings clearly indicate success in improving access. Client satisfaction surveys consistently show a high level of satisfaction across all framework dimensions, including overall satisfaction with the health care received. Utilization data indicate a steady increase in the number of clients served, especially those who are uninsured or underinsured. This article demonstrates that key dimensions of access can be effectively measured using the Penchansky and Thomas framework and concludes with recommendations for enhancing the model.

Community Health Centers↗

PubMed2000

Nursing students' evaluation of clinical experiences in a rural differentiated-practice setting.

This article describes nursing students' evaluations of clinical experiences in a rural nursing center that uses a differentiated practice model. The center provides clinical experiences for associate degree, baccalaureate degree, and master's degree nursing students. Learning objectives and student roles are differentiated according to educational level and reflect the practice model used by the nursing center. Student evaluations showed high levels of satisfaction for all three groups and indicated that experience at the center increased students' knowledge of rural health. Findings also showed that autonomy, independence, and a supportive staff are valued characteristics of this practice setting.

Attitude of Health Personnel↗

PubMed1999

Improving client outcomes through differentiated practice: a rural nursing center model.

The TriCounty Community Health Center (the Center) was created in 1994 with federal grant monies to increase access and to provide outreach and primary health care services for rural residents. The Center employs a differentiated practice model of nursing care in which all nurses use the nursing process targeted to client systems that match the nurse's level of educational preparation and competence. The model allows nurses to intervene with various client systems, including the individual, family, aggregate, and community. Program outcomes for the Center suggest that using a differentiated nursing practice model for outreach and primary care services appears to have a positive impact on the health of individuals, families, and aggregates in rural settings, using the Omaha Classification System as a framework for evaluation.

Community Health Centers↗

PubMed1999

Job satisfaction in a rural differentiated-practice setting.

This article reports the findings of a 3-year study that assessed the job satisfaction of nursing personnel in a rural nursing center that uses a differentiated practice model. Job satisfaction was measured using the Brayfield Job Satisfaction Questionnaire, the McCloskey/Mueller Satisfaction Survey, and the Job Descriptive Index. A high level of job satisfaction was found across all 3 years. Factors associated with job satisfaction are also described. The findings of this study add to the growing body of literature on the importance of differentiated practice in creating satisfying work environments.

Community Health Nursing↗