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Biomedical subjects

P A Shuler

Publications and source records attributed to P A Shuler.

10 recordsLinked to original sources
PubMed2001

Providing wholistic health care for the elderly: utilization of the Shuler Nurse Practitioner Practice Model.

PURPOSE: To present an application of The Shuler Nurse Practitioner Practice Model with elderly patients through use of a gerontological wholistic assessment and the utilization of the model in developing a treatment plan and evaluating patient outcomes. DATA SOURCES: Selected literature from nursing and medicine, including natural, alternative, and complementary (NAC) therapies, as well as the authors' personal experiences. CONCLUSIONS: Providing health care services to the elderly involves recognition of not only physical ailments, but also an awareness of how functional status, psychological condition, social support, environmental conditions and cultural, as well as spiritual beliefs, shape the total health care needs of this vulnerable group. IMPLICATIONS FOR PRACTICE: Nurse practitioners who work with the aged could benefit from a theoretically based, wholistic assessment guide. Treatment plans that include NAC therapies and healing strategies should be considered. Outcome evaluations should reflect adherence to the elders' preferences regarding quality and end-of-life issues.

Aged↗
PubMed2000

A biobehavioral framework for examining altered sleep-wake patterns in homeless women.

The interactions among psychosocial and environmental stressors and the hypothalamus-pituitary-adrenal-ovarian-immune axes may provide a framework for examining altered sleep-wake patterns in women. Based on this biobehavioral framework, homeless women represent a subgroup of the female population who have many lifestyle factors that might make them vulnerable to sleep disturbances. This article presents a study designed to investigate the self-reported sleep patterns and lifestyle factors associated with the sleep of 50 homeless women, 18-44 years of age, residing in the downtown area of Los Angeles. Results indicated that almost half of the women slept six or less hours a day and had a day/night sleep pattern. A majority of the women reported restless sleep. Drinking beer, using cocaine, anxiety, depression, loneliness, and concerns about safety and money were factors significantly related to altered sleep patterns.

Adolescent↗
PubMed2000

Development of a local advanced practice nurse coalition.

PURPOSE: To describe the experiences of a group of advanced practice nurses (APNs) in a rural area in developing an APN Coalition. DATA SOURCES: Selective review of literature and documents from the newly developed organizational framework for the coalition. CONCLUSION: Professional connections can begin at the local level through the development of local APN coalitions and then expand to involvement in state and national organizations. IMPLICATIONS FOR PRACTICE: Guidelines for establishing the coalition organizational structure are included and can be used as a template by similar evolving APN coalitions.

Group Practice↗
PubMed1998

Clarifying nurse practitioners' unique contributions: application of the Shuler Nurse Practitioner Practice Model.

Even though nurse practitioners (NPs) have been widely accepted as members of the health care team for more than 30 years, their unique contributions in health care delivery are still unclear. It is critical that NPs collectively define their role, which is a blend of nursing and medicine, and consistently adhere to a model that defines practice parameters. This article proposes use of The Shuler Nurse Practitioner Practice Model as the critical missing link needed to guide NPs toward the demonstration of their unique contributions.

Health Promotion↗
PubMed1995

Characteristics associated with the risk of unintended pregnancy among urban homeless women: use of the Shuler Nurse Practitioner Practice Model in research.

In this pilot study, family planning practices and risk for unintended pregnancy among 50 homeless women residing in the downtown area of Los Angeles were investigated through the retrospective analysis of data collected through a wholistic clinic intake questionnaire. Those women who were least likely to use a birth control method in this study were Black, used cocaine daily, had multiple sources of emotional support, were satisfied with their sex lives, and reported access problems to family planning services (p < or = .05). Furthermore, over half of the total sample was at risk for unintended pregnancy. These at risk women were more likely to be separated from their children (p < or = .05), report current (p < or = .05) and past (p < or = .01) drug problems, have multiple sex partners (p < or = .001), engage in prostitution (p < or = .01), have a past history of sexually transmitted diseases (p < or = .05), and were least likely to be satisfied with their sex lives (p < or = .05). The findings suggest that homeless women are in great need of family planning health services, and that such services should be combined with vocational, social service, and drug treatment programs.

Adult↗
PubMed1994

The effects of spiritual/religious practices on psychological well-being among inner city homeless women.

As part of a larger, retrospective investigation of homeless women's wholistic family planning needs, we examined spiritual/religious practices in relationship to mental health status and substance use. Ninety-two percent of our sample reported one or more spiritual/religious practices, such as praying, attending worship services, or reading religious materials. Forty-eight percent of the women reported the use of prayer as significantly related to less use of alcohol and/or street drugs, fewer perceived worries, and fewer depressive symptoms.

Adolescent↗
PubMedDate not supplied

The Shuler nurse practitioner practice model: a theoretical framework for nurse practitioner clinicians, educators, and researchers, Part 1.

Because nurse practitioners (NPs) have expanded their nursing knowledge and skills into medicine they need a model that reflects this expanded role. This article presents the Shuler Nurse Practitioner Practice Model, which is wellness-oriented and suggests how patient interaction, assessment, intervention, and evaluation should occur.

Clinical Competence↗
PubMedDate not supplied

The Shuler Nurse Practitioner Practice Model: clinical application, Part 2.

Nurse practitioners' unique contributions to primary care can be demonstrated more clearly if clinicians would adhere to a theoretical framework that reflects their combined nursing and medical role. This article explicitly delineates the process of utilizing the Shuler Nurse Practitioner Practice Model in clinical practice.

Humans↗