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Biomedical subjects

S P Lundeen

Publications and source records attributed to S P Lundeen.

10 recordsLinked to original sources
PubMed1997

Research and practice in an academic community nursing center.

PURPOSE: To identify issues and describe strategies used in developing a successful program of clinical research focused on the vulnerable populations served by one urban academic nursing center. Academic community nursing centers provide ideal settings to implement programs of research. Understanding the challenges when integrating research into these practices and the strategies used is important. SETTING AND SCOPE: The University of Wisconsin-Milwaukee Silver Spring Community Nursing Center has provided primary health care services to a low-income urban population since 1987. A team of advanced practice nurse clinicians, community health nurses, and other health care professionals and community residents implemented a broad range of innovative, community-focused, clinical interventions that are routinely studied through an integrated program of nursing research. Their strategies for research implementation are analyzed. CONCLUSIONS AND IMPLICATIONS: Factors affecting the integration of research into the center include (a) community mistrust, (b) the need for participatory recruitment strategies, and (c) the need for multiple data collection methods. Meeting these challenges requires that research agendas and methods are consonant with community goals. The inclusion of clinicians, other providers, and community residents as active members of research teams is critical to success. Reframing research and practice role in terms of team effort that incorporates the community can strengthen research and practice-and benefit professionals and the populations they serve.

Academic Medical Centers↗
PubMed1997

Community nursing centers--issues for managed care.

Community nursing centers (CNCs) can contribute significantly to the effectiveness and efficiency of managed care networks. The Silver Spring CNC is one example of a community nursing center that has demonstrated the ability to positively affect both the process and outcome of care for users from an urban community in Milwaukee. The CNCs must develop mechanisms to document both the process and outcomes of nursing practice and place these data squarely in the public policy arena if the full potential of these innovative practice organizations is to be realized.

Community Health Centers↗
PubMed1996

Using nursing diagnoses to explain utilization in a Community Nursing Center.

The purpose of this study was to examine the usefulness of nursing diagnoses, based on the Omaha System framework, in explaining utilization of primary health care services in a Community Nursing Center (CNC). Utilization was defined as the number of client visits at the CNC. Data were obtained from a total of 331 client records where the Omaha System taxonomy was used in the documentation of nursing diagnoses with each nurse/client encounter. Hierarchic regression analysis was conducted to examine predictors of utilization. Nursing diagnoses were significant predictors of utilization at the CNC above and beyond client demographics. These findings suggest that nursing diagnoses data may be useful in explaining clients' use of CNCs.

Adolescent↗
PubMed1996

Symposium on nursing centers: past, present and future.

A call for articles related to nursing centers was generated (Tanner, 1994), based on the fact that many existing nursing centers operate out of schools of nursing. Proceedings of a symposium on nursing centers presented at the Midwest Nursing Research Society (MNRS) meeting in April 1994 are shared as a way of advancing the development, implementation, and evaluation of nursing centers. The four contributions represent a review of the historical, empirical, and anecdotal literature, key elements in creating and maintaining a research laboratory, data sets useful for practice and research, and policy issues germane to nursing centers, which are a cornerstone of health care reform.

Community Health Centers↗
PubMed1992

Health needs of a suburban community: a nursing assessment approach.

Community health nursing can play an important role in conducting community needs assessments that provide critical data upon which programming, planning, and evaluation should be based. The community health services developed for any given community should be planned with the specific needs of the community residents in mind. A community needs survey is one method that should be periodically employed to ascertain the specific needs and concerns of community residents. Nursing conceptual models developed by CHNs are very appropriate to the assessment of all aspects of community life related to health and well-being. Comprehensive community needs surveys should include assessment of environmental, psychosocial, and physiological aspects of health as well as indicators of health-related behaviors in the population. The Omaha classification system adapted for this study provides a broad conceptual framework that facilitates the development of comprehensive programs of assessment. Public health services are in a state of crisis in many states. Traditional program offerings may no longer be the key to providing the types of services most needed by some communities. Analysis of data on problems related to personal and family well-being in one upper middle class suburban community indicate a need for health promotion and services focused on many of the psychosocial aspects of health. The stress experienced by younger community residents appears to be related to issues of parenting and balancing the dual roles required at work and home. Families of elders are also confronted by issues concerning the decreasing independence of these individuals and the need to find additional support services for them. Community health services must be designed that take these factors into account. Professional nurses can provide the leadership necessary to assess health needs and current public health practices in these communities and to recommend and implement programs appropriate to the needs of the present and the goals of the future.

Adult↗
PubMed1989

Survival strategies for community nursing centers.

The development of innovations in any area presents a myriad of challenges. The establishment of a community nursing center in a competitive health care market place is not a role for the faint of heart or those with limited motivation or energy to devote to such an endeavor. Even so, many nurses are committed to the goal of establishing CNCs as demonstration sites for experimentation with alternative structures of health care delivery in spite of the challenges and the odds. Until reimbursement mechanisms are modified to allow nurses practicing in CNCs to generate client/service-based revenue, reliance on alternative sources of funding will continue. Several strategies have been presented here that have been identified as useful in the acquisition of financial resources for the support of a community nursing center. The strategies include: focusing on community need rather than the model of delivery when approaching potential donors; securing funds from multiple sources; centralizing the funding strategy and the preparation of grant applications; and adopting a policy of patience and persistence in seeking extramural funding. It is my hope that these strategies will assist those of you engaged in the struggle to develop community nursing centers to significantly improve the level of financial security in your center.

Community Health Centers↗