A dentist in a gold rush town.
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Biomedical subjects
Publications and source records attributed to N B Stern.
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Performance appraisal can be an emotionally charged experience for both the supervisor and the employee. The accuracy of the appraisal is dependent not only upon the evaluator, but also upon the appropriateness of the tool being used for the task. An employee's career advancement, professional development, monetary remuneration and self-esteem often may depend upon the final outcome of the process. A group of nurse practitioners practicing in a wide variety of clinical and administrative roles at the Johns Hopkins Hospital formed a task force to develop a performance appraisal tool that would adequately reflect the nurse practitioner role and that could be individualized according to the work setting. A general overview of the development process, the tool, its scoring system and instructions for implementation are presented.
During her physical pregnancy, a mother also undergoes a psychological pregnancy in which she imagines her baby as having certain physical and intellectual attributes. Shortly after birth, a mother finds that her "imagined baby" encounters her "real baby"--a moment when her prepartum thoughts of an idealized baby may conflict with the reality of her newborn. This encounter contributes to the future of their relationship in many ways, some of which may have clinical implications. For example, in the case of a preterm or premature birth, the mother is also premature psychologically and may need professional support to effectively deal with her unexpected infant. The Brazelton Neonatal Behavioral Assessment Scale can be an effective therapeutic tool during these perinatal encounters.