Biomedical subjects
Publications and source records attributed to P A Reichelt.
More and more chief nurse executives (CNEs) are receiving incentive compensation plans. The authors report trends in incentive compensation and discuss what 184 CNEs in multihospital systems said about their incentive compensation plan.
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Structural interviews conducted with 532 female clients of a teen contraceptive clinic revealed a moderate level of coital activity i(in terms of both frequency of intercourse and number of partners) which typically began at age 15. Prior use of contraception was sporadic and almost exclusively confined to nonprescription methods. Primary reasons for nonuse of birth control included fear of lessening the pleasure of intercourse and lack of access to contraception. The data indicate that a combination of comprehensive sex education and ready access to birth control is necessary to prevent unintended adolescent pregnancy.
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The current high level of teenage sexual activity has important consequences for the psychological and social well-being of both individuals and the community. Because social workers often have professional contact with teenagers who are in need of contraceptive services, a nationwide survey was conducted to ascertain the attitudes of social work faculty and students toward birth control for teenagers. Both students and faculty were found to have positive attitudes. They are willing to provide service in this area within the bounds suggested by a realistic assessment of their preparation for this field of activity.
In summary, several points which indicate the desirability of involving adolescents in sex education planning need to be reiterated. First, without adolescent representation, adults tend to lack an awareness of teenagers' needs for sex information services. The negative consequences of not serving these needs are well-documented. A second important consideration is that without adolescent input there is less chance the sex education programs will be tailored to fit the target population. The data from the Detroit program are useful for making people aware of teenagers' needs for sex education. These data can form a basis for beginning program planning, but they should be strengthened with input from the specific target population the program is intended to serve. And third, getting adolescent health consumers involved in program planning and operation by giving them meaningful responsibility is important to their growth and development. It is hoped increased representation of teenagers in the planning process will improve the quality of sex education programs available to them to the point where the current situation will be reversed so that the majority of sexually active teenagers will not have engaged in intercourse without using contraception because of inaccurate knowledge or difficulty in obtaining birth control. Adolescents must be regarded as people with important things to say and must be included in sex information programs not just as passive receivers, but as active partners in policy formulation and operation.
Random samples of nurses in two states which differed in abortion statues were sent questionnaires. Content areas included experience with 12 specific nursing activities associated with abortion, willingness to participate in the same activities, and extent of agreement with statements related to abortion. Attitudes toward abortion were inferred from the willingness-to-participate items and from the agreement section. These two measures correlated highly suggesting a common underlying dimension. However, the two samples differed significantly in extent of agreement but did not differ in willingness to participate. These results were interpreted as supporting the position that attitudes derived from items using situational contexts might bear a better relationship to behavior. The findings also suggest that abortion facilities can probably be staffed without violating personal preferences since so many expressed willingness to participate in at least some of the activities. Comparison across the two samples suggest that increased experience or even the potential for experience with abortion patients tended to increase the favorableness of attitudes toward this issue.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.