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Biomedical subjects

L Josten

Publications and source records attributed to L Josten.

16 recordsLinked to original sources
PubMed1999

Factors associated with clients not keeping their initial home health visit.

Public health nursing home visits are one strategy used by health care providers and communities to improve the health of pregnant women and families with young children. This study investigates the influence of client characteristics, nurse characteristics, and nurse-client interaction on clients keeping or not keeping their initial maternal and child health promotion home visit appointments with a public health nurse. Results of the study suggest the hiring decisions for nurse home visitors should give priority to the nurse's experience and education, as well as his/her practice style of handling maternal/child health visits.

Adolescent↗
PubMed1997

Linking high-risk, low-income, pregnant women to public health services.

Utilization of public health services by high-risk pregnant women is contingent on women's awareness of those services. This article reports on an evaluation of public health promotional methods and compares high-risk pregnant women users of public health services to eligible nonusers. For women who used public health services, the two most frequently reported sources of information were a public health nurse or a friend. Users of services in contrast with nonusers tended to have had fewer pregnancies, lower income, and use WIC. They were also less likely to attend church and to have more contact with their child's school. These findings can assist agencies in planning outreach activities.

Adult↗
PubMed1995

Delegation to assistive personnel by school nurses--one state's experience.

Budget cuts to education, reduction of school health services and an increase in the nursing needs of school-age children have placed pressure on school nurses to delegate nursing procedures to assistive personnel. This paper reports on a study of school nurses in a Midwestern state. Nurses reported refusing to delegate, delegating against their better judgment, delegating without knowledge of the assistant's qualifications or without providing orientation or training, and delegating because they were told to by someone else. The study identified factors considered by nurses when deciding to delegate a procedure, educational preparation for delegation, and problems experienced with delegation.

Clinical Competence↗
PubMed1990

The Reva Rubin Inaugural Lectureship. Looking toward the year 2000: implications for maternal and child health nursing.

The document Promoting Health/Preventing Disease: Year 2000 Objectives for the Nation has as one of its five broad national goals, to "Reduce infant mortality to no more than 7 deaths per 1,000 live births." Many factors influence whether this nation will be able to achieve this and the other objectives contained in this document that pertain to mothers and children. The most critical variable to achieving these outcomes is the public will to commit the resources necessary to adequately address the problems that impede achievement of these desired ends. Factors in this country's macro socioeconomic environment will both contribute to expanding the need for resources and influence the willingness of our country to devote resources to the endeavor of promoting health and preventing disease by the year 2000. Many of these same macro socioeconomic factors contribute to the current reshaping of the health care delivery system. As a result of all these factors the health care delivery system is experiencing a great deal of turbulence. As with individuals, when a system is experiencing turbulence the opportunities to influence that system are increased. In addition to describing the interrelationships of these factors, this paper addresses opportunities that exist for maternal-child nurses to influence the changing system. The desired outcome would be to increase the probability that mothers and children get their fair share of national public and private resources.

Birth Weight↗
PubMed1983

Health-specific family coping index for noninstitutional care.

We report on attempts to improve the Richmond/Hopkins Family Coping Index. Factor analysis showed that revised operational guidelines for using the index probably contributed to a significantly higher per cent of variance explained by the index (83 per cent versus 59 per cent). Interrater reliability was high (greater than or equal to .97). Correlation between this index and another coping index was also high (.94). Results support the continued use of the Family Coping Index--with new instructions--to assess patient/family coping.

Adaptation, Psychological↗
PubMedDate not supplied

Association of maternal psychological functioning to pathology in child sexual abuse victims.

The purpose of this study was to assess the psychological impact of disclosure of sexual abuse on child victims and their mothers and evaluate whether there was an association between maternal distress and report of child behavioral and psychological problems. Data on child psychological and behavioral problems and maternal psychological functioning were collected at the time of disclosure of sexual abuse and 9 months later for 49 subjects. The study showed the heterogeneity and severity of problems among victims and their mothers at baseline. These problems persisted almost a year later. Maternal distress was strongly correlated with the mothers' assessments of child functioning and was less strongly associated with the children's own assessments of their status. Because the mothers in this study reported high levels of persistent distress for themselves and their children, comprehensive intervention with the family may be an efficient route to child recovery after disclosure of sexual abuse.

Adolescent↗
PubMedDate not supplied

The Minnesota Prenatal Care Coordination Project: successes and obstacles.

The Minnesota Prenatal Care Coordination Project was a statewide effort to present systematically education and technical support to providers as they implemented the Minnesota Prenatal Care Initiative for expanded services to high-risk women. Educational methods included holding 12 regional workshops throughout the State, one-to-one contacts by nurse consultants, and newsletters and a guidebook (manual) were distributed to reach community providers. Analysis of the implementation was conducted using site visits, interviews with providers, and reviews of medical records, claims data, and other project documents. Successes in the first year were a twofold increase in the numbers of Medicaid-enrolled women who received risk assessment and enhanced services, more than one-third increase in provider participation, greater collaboration among multidisciplinary providers at the community level, and improved communication between State and local health care agencies. Obstacles included provider resistance to changes in practice, dissatisfaction with the enhanced services package and level of reimbursement, and problems with implementation protocols. The project demonstrated that prenatal care providers will change; they will improve practices and collaboration as a result of personalized education and support.

Female↗