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Biomedical subjects

M A Draye

Publications and source records attributed to M A Draye.

11 recordsLinked to original sources
PubMed2000

Surviving the proving ground: lessons in change from NP pioneers.

Increasing competition, health care complexity, threats to quality, and rapidly changing environments confront nurse practitioners (NPs) as they enter the new millennium. If NPs are to strengthen their positions as health care providers and continue to make a lasting contribution, they must exhibit proficiency in creating and managing change. Lessons gleaned from those who pioneered the NP role can provide the wisdom needed to address contemporary role challenges. The purpose of this study was to identify the strategies employed by NP pioneers who contributed to role survival and growth. This article provides a discussion of the change strategies utilized by NP pioneers and highlights their relevance to current practice issues.

Adaptation, Psychological↗
PubMed1985

An approach to infertility investigation.

Infertility has been described as a major developmental crisis. It affects one out of every six couples of childbearing age in the United States. With infertility rates increasing, it is likely that nurse practitioners will encounter patients seeking help for this problem. Although eventual management of these patients requires specialists, nurse practitioners can initiate the workup and provide patient support and education. This article describes the first-level approach to infertility investigation. It provides guidelines for taking the history, doing the physical and ordering laboratory tests. A discussion of infertility as a crisis is included in order to help practitioners provide empathetic support to couples facing fertility problems.

Adult↗
PubMed1978

Family nurse practitioners in primary care: a study of practice and patients.

In this nationwide study 8,905 patients were seen by 356 family nurse practitioners (FNPs) during February through April 1977. The ratio of white to black and white to "other" patients was six to one. Racial minorities were seen significantly more often than were whites in public clinics supported predominantly by public tax monies. The smallest number of patients seen was in the "elderly" age group, 65 and over. Elderly patients were located to a greater extent in the South and they used both private and public clinics. The number of infants and children seen was greater in the Western region and in semi-urban areas. The predominant patient problems seen by FNPs were Prevention/Health Supervision and Respiratory. Although there were similarities between top ranking primary care problems seen by FNPs in this study compared with primary care physicians in other studies, proportionately more FNP patient contacts were for Prevention/Health Supervision and the patients tended to be in the younger age group.

Adolescent↗
PubMedDate not supplied

Infertility: women's experiences.

Recent scientific nursing literature and clinical practice yield important information regarding women's varied responses to the diagnosis and treatment of infertility, as well as the multiple pathways women take through the infertility experience. In this article, we examine infertility through women's eyes, explore the influence of the social context on women's infertility experiences, and present ideas for clinical approaches to working with infertile women. Three approaches for nursing practice are suggested: (a) preserving self-esteem, (b) promoting access to social resources, and (c) facilitating use of coping methods to reduce distress.

Adaptation, Psychological↗
PubMedDate not supplied

Diagnostic scope and certainty: an analysis of FNP practice.

The health problems of 2,136 patients randomly selected from 8,905 patients seen by 356 family nurse practitioners around the U.S.A. were analyzed. Primary diagnoses were reported on all patients using an adapted H-ICDA/ICHPPC classification. This system allowed for 18 diagnostic categories and 115 diagnoses relevant to primary care. The ten most frequent diagnostic categories were reported and analyzed as to certainty and status (old or new diagnosis). Analysis of diagnostic certainty revealed areas where FNPs felt most accurate. Reporting both diagnoses and diagnostic categories allowed greater understanding of the health problems presented to family nurse practitioners in primary care. This comprehensive data bank of patient care problems adds another dimension to the study of primary care and is a useful tool in further family nurse practitioner research and in curriculum development.

Adult↗