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Biomedical subjects

V D George

Publications and source records attributed to V D George.

9 recordsLinked to original sources

African American women's health self-assessment: health status and the sense of coherence.

This descriptive study examines the relationship between health self-assessment, health status, and the sense of coherence (SOC) in a random sample of 48 African American women. Sense of coherence and health status were measured by Antonovsky's Orientation to Life Questionnaire and the Perception of Health Status Scale, respectively; health self-assessment was determined by placement on a rung of the Cantril ladder. Women who viewed their current health status as devoid of acute, chronic, or serious health problems had a significantly stronger SOC than those with serious, chronic, and degenerating health problems. Generally, women did not differ on the meaningfulness they attached to their lives based on their health status; however, women with no acute health concerns and those with serious health problems differed significantly on this subscale. The women's SOC was significantly different based on the amount of pain being experienced, particularly on the manageability scale, indicating their inability to handle pain. The women's overall health self-assessment was negatively related to their SOC. A strong SOC was negatively related to two dimensions of health status: perception of pain and current health status. A strong SOC was negatively related to overall health status. Implications to promote the health of African American women are discussed.

Adult↗

Field-workers' sense of coherence and perception of risk when making home visits.

This study explored the relationship between the strength of the sense of coherence (SOC) and perceptions of different aspects of risks perceived by field-workers making home visits for Medicare-certified home care agencies. SOC is the disposition that individuals have toward stimuli. Field-workers with a strong SOC identified fewer risk encounters, attributed a lower level of risk to characteristics of home visits that have the potential for injury, and evaluated fewer situations as having the potential to be threatening than their weak SOC counterparts. Strong SOC field-workers were prepared to use behaviors similar to those of their weak SOC counterparts to protect themselves from harm should a situation become threatening. Knowledge of the strength of the SOC of field-workers can be helpful in the screening, selection, and orientation of potential field-workers as well as in designing programs to enhance the safety of home health care agency staff.

Adult↗

Defining risk in home visiting.

Risks associated with home visiting have been acknowledged in the nursing literature since the 19th century, yet there is not a well-defined body of literature on this subject. This void in the literature needs to be addressed in view of the current emphasis on practice in the community and the increase in the number of nurses and other health professionals that are new to the field who currently make visits. This article explores how different disciplines define risk and risk taking, identifies attributes of those who become involved in risk situations, and proposes the Cognitive-Perceptual Model of Risk in Home Visiting (CPMRHV) for community and public health nursing. The CPMRHV model provides a framework for identifying how field workers (FWs) perceive, assess, and evaluate situations relative to risk and suggests the development of policies and procedures to empower them and to assure the quality of care.

Behavior↗

A model to restructure nursing education. Vision on 22nd street.

Since 1993, the Cleveland State University Department of Nursing and the Visiting Nurse Association of Cleveland have been involved in an innovative partnership known as Vision on 22nd Street. This partnership has produced a model to restructure the nursing curriculum and the practice setting in such a way that a seamless process, fully integrated within university and agency operations, prepares undergraduate nursing students for community-based practice. The groundwork supporting the model, the development of the curriculum, the preparation of participants, and the implementation of the model for program evaluation are the subject of this article.

Clinical Competence↗

Nurses' attitude toward alcohol abuse and alcoholism.

Nurses have the opportunity to make significant contributions to primary, secondary and tertiary prevention of alcoholism because of their proximity to patients in inpatient, ambulatory and community settings. However, often nurses do not intervene because of attitudinal barriers. This paper addresses the attitudes of nurses toward alcohol abuse and alcoholism and how these attitudes are developed. Strategies for promoting attitude change are discussed.

Alcoholism↗