Tenure for nursing faculty: who decides and does it matter?
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Biomedical subjects
Publications and source records attributed to M K Hutchinson.
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It is estimated that 2 to 3 million Muslims live in the United States. This article describes the Islamic beliefs and practices nurses must be aware of to understand the spiritual needs of childbearing Muslim families. Strategies are suggested for developing a plan of care to meet the needs of childbearing Muslim families during the prenatal, intrapartal, and postpartal periods.
OBJECTIVES: To describe sexual risk communication between young women and their male sexual partners and examine its impact on women's perceptions of sexual risk. DESIGN: The study and results reported were part of a larger descriptive, retrospective study in which data were collected from young women and their male partners via telephone interviews. PARTICIPANTS: Participants included 93 unmarried, sexually active heterosexual women, ages 17 to 26 years, and 82 of their male sexual partners. The sample was predominantly white; all other ethnic groups were underrepresented. RESULTS: Nearly all of the women described their partners as "no risk" or "low risk," despite the fact that nearly half never discussed their partner's sexual risk histories. Women gave three primary reasons why sexual risk was not discussed: (a) did not know the partner well enough/too embarrassed to ask; (b) "knew" the partner was low risk/no need to discuss it; and (c) did not think of it. CONCLUSIONS: Nurses should adopt and promote the premise that all sexually active women are at some risk for sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV). Furthermore, sexually active women should be advised to distinguish between what they think they know about their partners and what they actually know. As client advocates, nurses should empower women to recognize that they have the right to insist on full sexual history disclosure and STD/HIV testing, to question whether they want to have sexual relations, and to refuse to engage in sexual activity if they wish.
OBJECTIVE: To identify the individual, dyad, and family variables that influence young women's perceptions of risk for sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV). DESIGN: Cross-sectional telephone survey using forced-choice questioning. Data were analyzed using first-order correlations and logistic regression. SETTING: Participants were recruited from a mid-Atlantic study of young adults and from volunteers at a mid-Atlantic university and surrounding community. PARTICIPANTS: A convenience sample of 93 sexually active, unmarried, heterosexual women, ages 17-26 years. The majority of the study sample was white. MAIN OUTCOME MEASURE: Respondents were asked to estimate their own level of risk for STDs, including HIV, using the responses no, low, moderate, and high risk. Responses were later recoded into no risk versus some risk. RESULTS: Communication with parents about sexual risk decreased the odds that women would see themselves as being at no risk. Consistent condom use, relationship satisfaction, and perceiving the partner as no risk increased the odds that women would believe they were at no risk. CONCLUSIONS: Nurses can incorporate these and other study findings into the design of sexual risk reduction programs. Programs that enhance parent-teen communication about sexual risks and assist young women to examine their perceptions of their partners may be more effective than programs that provide information only.
OBJECTIVE: To identify the sexual protective strategies of late adolescent heterosexual women. DESIGN: Open-ended questioning regarding sexual protective strategies was included in a larger cross-sectional survey on sexual risk. Participants' responses were recorded verbatim and analyzed using content analysis. PARTICIPANTS: 234 African American, Hispanic/ Latina, and non-Hispanic white 19- to 21-year-old females were recruited from the driver's license records of a mid-Atlantic state. MAIN OUTCOME MEASURES: Participants responded to the open-ended question, "How or what do you do to reduce your risk for sexually transmitted diseases and HIV?" RESULTS: Seven primary sexual protective strategies were identified from participants' responses: using condoms, abstaining or postponing sexual intercourse, getting tested for human immunodeficiency virus (HIV) and sexually transmitted diseases (STDs), selecting safe partners, negotiating condom use, talking about sexual risk histories, and limiting the number of sexual partners. CONCLUSIONS: Some of the sexual protective strategies identified by study participants were less than effective and left young women vulnerable to infection with HIV and STDs. In addition, the use of these alternative strategies may leave young women feeling less at risk and thus less likely to use other more effective strategies such as condoms. The implications for nursing practice and the assessment of the sexual protective strategies of young heterosexual women are discussed.
Lesbians experience significant health disparities in preventive care utilization and health outcomes compared to heterosexual women. In this study, a multisystems ecologic approach is taken to identify barriers to access, treatment, and preventive care among lesbian women. Recommendations include increasing knowledge of lesbian health care needs, developing cultural sensitivity and competence in communication and care for lesbian women, and creating practice environments that convey respect, acceptance, and welcome to all women, regardless of sexual orientation.