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Biomedical subjects

L Reutter

Publications and source records attributed to L Reutter.

17 recordsLinked to original sources
PubMed2000

Advocating healthy public policy: implications for baccalaureate nursing education.

Advocating healthy public policy is increasingly recognized as an essential strategy for enhancing the health of populations. The purpose of this paper is to discuss the implications this priority area portends for the educational preparation of public health nurses (PHNs). Population health is central to public health nursing, and as such, it is imperative that PHNs employ policy advocacy strategies to influence positively the determinants that affect the health of populations. In this paper, we introduce the concept of healthy public policy and its relevance for public health nursing and baccalaureate nursing education. We outline substantive content areas that are fundamental to policy advocacy, such as determinants of health and their interrelationships, the policy process, and theoretical frameworks consistent with a socioenvironmental approach to health. In addition, we detail examples of specific learning experiences that provide students with opportunities to apply the content. Some of these activities include analysis of a population health issue, developing a position paper or resolution, writing letters to policy makers and the media, and working with lobbyists and policy makers.

Canada↗
PubMed2000

A review of the research on the health of low-income Canadian women.

Reducing health inequities associated with poverty is an important public health nursing role. This article describes the scope of research on the health of low-income Canadian women. The research included was published in English-language peer-reviewed journals between 1990 and 1997. The 26 articles retrieved are summarized according to the focus of the study and the composition of the sample. Most addressed personal health practices and health status. Only one intervention study was identified. The studies and the findings of this analysis are discussed in relation to three recommendations for research on women's health: an emphasis on social context, including the structural conditions affecting women's health; active participation of women in the research process; and recognition of diversity among low-income women. Suggested priority areas for future research are: intervention studies; studies addressing the structural context of the lives of low-income women; research strategies that enhance the participation of women in the research process; and increased involvement of diverse groups of women such as homeless women and women of varied ethnic backgrounds, including First Nations women.

Canada↗
PubMed1998

Nursing research on the health of low-income women.

The purpose of this paper is to describe the scope of published nursing research on the health of low-income women. Williams' (1990) model of the relationship between socioeconomic status and health was used as a framework for the analysis. This model includes three major components: Medical Care, Psychosocial Factors, and Health Outcomes. There is a body of published nursing research that addresses a range of health issues of low-income women. Our search of English language literature published between 1989 and 1995 retrieved 49 articles that met the inclusion criteria. Most of the nursing studies examined a portion of Williams' model but did not address multiple components. The most frequently addressed component was Psychosocial Factors, particularly health practices, stress and coping, and social ties. Williams' model was an effective framework to classify nursing research. Results of our analysis suggest that further research is needed on the pathways by which low income influences health and on the effectiveness of nursing interventions.

Adolescent↗
PubMed1997

A critical review of the literature on sharps injuries: epidemiology, management of exposures and prevention.

This article reviews the literature related to the epidemiology, prevention and management of sharps injuries in health care workers, particularly nurses, and the subsequent risk of harm. The studies are reviewed chronologically, beginning with the efforts to reduce sharps injuries by changing behaviours, followed by the introduction of barriers to protect the caregiver, and finally, the engineering of safer products. Initial efforts to prevent sharps injuries focused on placing rigid, disposal containers at the site where sharps were used and instructing health care workers to refrain form the practice of recapping. When these interventions were shown to alter the type, but not the overall number, of sharps injuries, alternative measures were sought. This search intensified with the increasing evidence of the small, but measurable, risk of the transmission of human immunodeficiency virus from sharps injuries. The current knowledge of the factors related to sharps injuries has been collected primarily through retrospective surveillance. This surveillance has been conducted primarily in hospital settings and has focused on the type of sharp and the purpose for which it was used rather than prospective research. Research is now needed to elucidate the organizational and behavioural factors leading to sharps injury both within the hospital as well as other health care settings. The implications for nursing practice are discussed.

HIV Infections↗
PubMed1997

Enhancing client competence: melding professional and client knowledge in public health nursing practice.

Providing health information is an important aspect of public health nursing. This article describes how public health nurses (PHNs) give information to enhance client competence. The findings are part of a larger study that explored PHNs perspectives and experiences of their practice. The study employed an exploratory descriptive qualitative research design. Data were gathered through in-depth individual and focus group interviews with 28 PHNs in Alberta, Canada. Content analysis revealed that nurses work to enhance client competence by sharing professional knowledge and by building on the client's experiential knowledge. Nurses provide information to assist clients with immediate concerns and for future use, PHNs use three main strategies to deal with immediate concerns: being direct, providing options, and presenting a different view. Information for future use focused on enhancing development and forestalling future problems. Nurses build on clients' experiential knowledge by acknowledging their present situation, giving positive feedback, being there, and gently persuading. The authors suggest that the melding of professional and client knowledge is foundational to health promotion approaches that enhance client competence. There is a need for further research that explores the intricacies of developing partnerships between professionals and clients that embrace a sharing of professional and experiential knowledge.

Alberta↗
PubMed1997

Socialization into nursing: nursing students as learners.

In this article, we describe how the functionalist and interactionist approaches to socialization are exemplified in the learning experiences of nursing students in a 4-year baccalaureate program. A qualitative longitudinal exploratory research design was used to study the socialization of baccalaureate nursing students in a large western Canadian university. The findings suggest that student learning reflects a combination of functionalist and interactionist approaches, with the relative emphasis of each approach varying over the 4 years. In the first year, functionalist learning predominates as students learn the "ideal." In second and third year, students are confronting and adapting to reality, which requires a more interactionist approach. Fourth year students look beyond their practice situation as they anticipate and prepare for a reality beyond the student world. This article concludes with implications for nursing education.

Adaptation, Psychological↗
PubMed1995

Students' evolving beliefs about nursing: from entry to graduation in a four-year baccalaureate programme.

Students become socialised into nursing during an educational programme through interaction with faculty members, classes and seminars, and by the experience of practicing nursing. In this paper, some results from a qualitative study that examined the socialisation of nursing students from one four-year baccalaureate programme are described. The changes in the students' attitudes and values are presented. Davis' (1975) theory of doctrinal conversion is used to examine progress in the process of socialisation. There is evidence that students moved from a lay to a professional image of nursing over the course of their four-year programme. While they tended to remain idealistic, elements of realism were evident in the final year as they looked toward their role as a registered nurse and recognised the constraints inherent in the hospital system.

Adult↗
PubMed1995

Using critical feminist principles to analyze programs for low-income urban women.

Public health nurses are committed to promoting the health of vulnerable populations, including the economically disadvantaged. One of the perspectives that can be used to work with low-income women is feminist theory. In this paper, we analyze program descriptions from 45 community agencies whose services are accessed by urban low-income women. The purpose of the analysis is to identify congruence between agency programs and selected feminist principles. As a result of the content analysis, empirical referents and examples were identified for each principle. Public health nursing programs can incorporate feminist principles by responding to the perspectives of the vulnerable and facilitating their efforts to change the conditions that led to their vulnerability. Questions are presented that could guide public health nurses in stimulating reflection and in facilitating dialogue in the process of developing programs for low-income women.

Alberta↗
PubMed1994

Learning to nurse in the clinical setting.

The findings reported in this paper are part of a larger study examining student socialization into nursing. In analysing the data, it became evident that two major factors influenced the students' learning in the clinical setting: the first was the clinical instructor, the second peer support. Instructors who were organized, encouraging, outgoing, and who had good relationships with students, patients and nursing staff were seen as 'good' role models. When instructors were unable to establish rapport on a unit, negative feedback from nursing staff could be detrimental to student learning. Peer support encompassed three dimensions: facilitating learning, providing emotional support, and assisting with physical tasks. There was evidence that practising faculty had a stronger influence in shaping students' attitudes towards nursing than classroom teachers.

Alberta↗
PubMed1984

Family health assessment--an integrated approach.

The author discusses the development of a family assessment guide which combines family systems theory and Orem's self-care nursing framework. The rationale for integrating these two approaches is presented, based on the argument that a family conceptual framework or nursing framework alone cannot provide adequate guidelines for family nursing in the community. The family is viewed as a system with structure and function. Orem's self-care requirements are incorporated into the functions of the family. Five major assessment categories are discussed: environmental data; family structure; family function--meeting self-care requisites of family members; family function--adapting to change; and family perception of health situation. Data to be collected within each category is outlined, as well as the rationale for its inclusion in terms of its relevance for nursing of families in community health nursing.

Community Health Nursing↗
PubMedDate not supplied

Women's health and community health nursing practice in geographically isolated settings: a Canadian perspective.

In this article we examine the literature on women's health and community health nursing practice in geographically isolated settings from a Canadian perspective. An extensive review of journal literature, Canadian government documents and reports, and reports by women's organizations forms the basis of this examination. Following a brief introduction to the concept of geographical isolation, literature relating to women's health issues in rural and northern settings is described. This is followed by a discussion of community health nursing practice and women's health in rural and northern settings. The discussion section identifies major gaps in the literature and suggests implications for community health nursing practice and research, as well as strategies for policy and programming to improve women's health and community health nursing practice in geographically isolated settings in Canada.

Canada↗
PubMedDate not supplied

Public perceptions of the relationship between poverty and health.

The public's view on how poverty and health are related will influence support for different policies and programs. The purpose of this study was to examine public perceptions of the relationship between poverty and health and to identify demographic variables that predict support for the four explanations of the relationship between poverty and health (artifact, drift, behavioural, and structural) first identified in the Black Report in the United Kingdom. A telephone survey of a representative sample of Albertans (N = 1,216) was conducted. The majority of respondents believed that poverty leads to poor health. The explanation that health is influenced by the context in which individuals live (structural) received the most support. Demographic variables (sex, age, education, occupation, income, residence, conservatism) explained less than 10% of the variance for each of the four explanations, with conservatism the most consistent predictor.

Age Factors↗
PubMedDate not supplied

Public opinion regarding AIDS policy: fear of contagion and attitude toward homosexual relationships.

This study examines public attitudes toward AIDS issues and tests the extent to which fear of contracting AIDS and attitude toward homosexuality influence opinions regarding the screening of potentially infected persons and the isolation of those already identified as infected. The data for this study are drawn from a 1989 survey of a representative sample of the adult residents of Edmonton, Alberta (n = 443). Stepwise regression analysis reveals that fear of contracting AIDS and attitude toward homosexual relationships independently predict support for AIDS screening and isolation policies. The implications for public health education are discussed.

Acquired Immunodeficiency Syndrome↗