Abstract:
:Inappropriate models of nursing and nursing education based on the western medical model and medical education impede the development of adequate national health service and primary health services. Nurses are an untapped resource for primary health care (PHC) along with non-nurse PHC workers. They have the potential to change the nature, quality and quantity of PHC services to a much greater extent then investment in reform of medical education. Nursing's large numbers, position as health care providers, and their power in the community, district, and national explaining why radical nurse's education changes can have the greatest impact. The nursing education experience is the basis for the theoretical discussion of what developing countries need from the nurse. Questions of concern are what is the reality for most nurses in the 3rd World and how can nursing education be changed to prepare nurses to meet community needs. Nurses can provide clinical skills accessible to the community and respectful approaches and attitudes toward the impoverished. Nurses currently are geographically, socially, and psychologically removed from the community in need. Those working in rural PHC are ill-equipped by training and adjust poorly to conditions that don't meet ideal settings. However, in spite of the limitations of PHC training, these nurses may still be desired as the chosen provider over non-PHC trained personnel. Nursing education can be changed by changing content and process. The content must encompass an understanding of the social, economic, and political issues affecting health and health services, their clients, and themselves. Detailed situation and community needs must be incorporated into all curricula. Specialties need to be identified and a determination made about the suitability and number needed of comprehensively trained professional nurses with a hospital orientation. The author recommends limiting hospital nursing. Colonization has brought with it many disadvantages for health care. Authoritarian education which produced passive, subservient and uncritical nurses is not appropriate. An adult education approach with a new guard of educators equipped to train active PHC workers, educational policies which support educational innovation, and practical hands-on-learning is needed. The changes are necessary to produce confident, supportive community oriented nurses.
journal_name
Trop Doctjournal_title
Tropical doctorauthors
Hammond M,Mazibuko Rdoi
10.1177/004947559102100104subject
Has Abstractpub_date
1991-01-01 00:00:00pages
5-8issue
1eissn
0049-4755issn
1758-1133journal_volume
21pub_type
杂志文章相关文献
TROPICAL DOCTOR文献大全abstract::Infections of the central nervous system (CNS) are a leading cause of mortality in low- and middle-income countries. We studied the spectrum, aetiology and outcome of CNS infections in 401 consecutive patients aged ≥12 years admitted at the medical emergency centre of PGIMER, Chandigarh, India. An aetiological diagnos...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475520959905
更新日期:2021-01-01 00:00:00
abstract::Results from medical research from high-income countries may not apply to low- and middle-income countries. Some expatriate physicians combine clinical duties with research. We present global health research conducted by Dutch medical doctors in Global Health and Tropical Medicine in low- and middle-income countries a...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475519878335
更新日期:2020-01-01 00:00:00
abstract::Pain is the main complaint of patients presenting as surgical emergencies. However, preoperative analgesia has not been studied in developing countries. The adequacy of preoperative analgesia in 106 consecutive acute surgical cases admitted to the Accident and Emergency Department of The University College Hospital, I...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/004947506775598789
更新日期:2006-01-01 00:00:00
abstract::Local prevalences of individual diseases influence the prioritization of the differential diagnoses of a clinical syndrome of acute undifferentiated febrile illness (AFI). This study was conducted in order to delineate the aetiology of AFI that present to a tertiary hospital in southern India and to describe disease-s...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2010.100132
更新日期:2010-10-01 00:00:00
abstract::In order to emphasise the importance of histopathology in the clinically unsuspected diagnosis of duodenal strongyloidiasis, we report six cases diagnosed on duodenal biopsies identified from the database over a period of 15 years, and clinical, endoscopic and histopathological findings were analysed retrospectively. ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475520962744
更新日期:2020-10-12 00:00:00
abstract::Tuberculosis (TB) is one of the leading casues of morbidity and death in a number of countries worldwide. A healthy 42-year-old patient presented with a chronic palatal ulcer that was not responsive to routine antibiotic treatment. A biopsy and further systemic investigation revealed a diagnosis of TB. An eight-month ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2011.110240
更新日期:2012-01-01 00:00:00
abstract::On April 27, 1982 the Ministry of Health of the government of Bangladesh, set up an 8-man expert committee to evaluate all the registered pharmaceutical products presently available, and to formulate a draft National Drug Policy. Objectives are: 1) to provide support for ensuring quality and availability of drugs; 2...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947558401400103
更新日期:1984-01-01 00:00:00
abstract::2,4-D (2,4-dichlorphenoxyacetic acid) is a chlorphenoxy group pesticide. Its relative safety and broad leaf selectivity makes it a favourite herbicide of many home gardeners and agricultural workers. Severe systemic toxicity requiring hospital admission and intensive care usually occurs following intentional oral inge...
journal_title:Tropical doctor
pub_type: 杂志文章,评审
doi:10.1177/0049475518786834
更新日期:2018-10-01 00:00:00
abstract::Cirrhotic patients with ascites are at high risk of developing spontaneous bacterial peritonitis (SBP). After exclusion of patients with acute kidney injury (AKI) or other infections, urinary neutrophil gelatinase-associated lipocalin (NGAL) levels were compared between two matched groups of Egyptian cirrhotic patient...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475519830265
更新日期:2019-07-01 00:00:00
abstract::Ear discharge is a common symptom encountered in clinical practice in the tropics. The aim of this paper is to highlight the practical management of otorrhoea from a general practitioner's perspective with special reference to the tropics and developing countries. ...
journal_title:Tropical doctor
pub_type: 杂志文章,评审
doi:10.1177/004947559902900414
更新日期:1999-10-01 00:00:00
abstract::Most growth monitoring programmes in developing countries have not been successful in reducing malnutrition. This is due, at least in part, to the exclusion of mothers from the process of growth monitoring. An essential requisite for greater participation is for mothers to understand the meaning of a growth chart. The...
journal_title:Tropical doctor
pub_type: 临床试验,杂志文章
doi:10.1177/004947559802800311
更新日期:1998-07-01 00:00:00
abstract::Chronic osteomyelitis is a relapsing, persistent, low-grade inflammation of bone caused by various infectious agents. The present study, conducted over a two-year period, on specimens received from cases of chronic osteomyelitis was, to determine the frequency of isolation of aerobic and anaerobic bacteria and to anal...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475520921283
更新日期:2020-07-01 00:00:00
abstract::In this project, sponsored by the McArthur Foundation and the Population Council, magnesium sulphate was introduced in February 2007 to 10 general hospitals in Kano State, northern Nigeria. Changes were monitored via data collected at the hospital. At an initial training of the trainers' workshop, 25 master trainers w...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2011.110034
更新日期:2011-10-01 00:00:00
abstract::Chronic volvulus of the stomach is a relatively rare entity. We present a series of six cases diagnosed over the past 18 months. Three patients underwent surgical treatment by gastropexy alone or with gastrojejunostomy while the other three were managed conservatively. Symptomatic relief was equally good in both group...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559702700115
更新日期:1997-01-01 00:00:00
abstract::Gallbladder function was studied in 22 patients with portal hypertension due to advanced Schistosoma mansoni infection and in 17 healthy adults. The fasting volume of the gallbladder was significantly less in patients than in controls. The gallbladder wall was grossly thickened in the study group. There was a signific...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947559002000308
更新日期:1990-07-01 00:00:00
abstract::Zaria has the highest incidence of peripartum cardiac failure, a syndrome of unsettled aetiology. Over the years it has been noted that there has been a decrease in the period of treatment by traditional methods from an average of 90 days to 30 days and with a complete avoidance of hot bed treatment. Twenty-one subjec...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947550203200112
更新日期:2002-01-01 00:00:00
abstract::Epilepsy is a common and often neglected illness in developing countries requiring a conscious effort by health workers, especially at community level, to enhance access to regular treatment and to motivate patients to continue treatment. Effective new drugs have recently come on to the market. However, their high cos...
journal_title:Tropical doctor
pub_type: 杂志文章,评审
doi:10.1177/004947559802800204
更新日期:1998-04-01 00:00:00
abstract::We report a 46-year-old woman presenting with leprosy, HIV and active pulmonary tuberculosis (TB). It is advisable to screen for each one of TB, HIV and leprosy patients, especially when an extra feature emerges. Particularly in a leprosy case, if TB remains undiagnosed, the development of rifampicin resistance second...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475518819618
更新日期:2019-04-01 00:00:00
abstract:UNLABELLED:: Wonder of Life (kalanchoe pinnata) leaves are commonly used to treat diabetic foot infections. These patients are usually non-compliant with conventional medical therapy. We surmised that these patients would have a higher incidence of treatment failures. Patients admitted with diabetic foot infections wer...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475514543656
更新日期:2014-10-01 00:00:00
abstract::The complications which may occur after existing haemorrhoidectomy procedures are enumerated. A new cost-effective operative procedure which requires minimal facilities and entails anal dilatation with simple transfixion-ligation of all primary and secondary haemorrhoids in one operating session is described. The preo...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/004947558901900208
更新日期:1989-04-01 00:00:00
abstract::Locally fabricated phototherapy devices (LFPDs) are widely used in Nigeria for the treatment of neonatal jaundice. Ours was a cross-sectional observational study of all LFPDs in major hospitals in Jos between January and March 2015. We evaluated a total of 24 LFPDs. The irradiance at the level of the baby was in the r...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475517740491
更新日期:2018-04-01 00:00:00
abstract::This technical note describes a new simple, cheap and affordable adult cervical traction device that is especially suitable for use in resource-poor third world countries because of its cost-effectiveness. While the widely used imported Gardner-Wells tongs cost over N250,000 (Nigerian) naira (approximately $1630 USD),...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/td.2010.100277
更新日期:2011-01-01 00:00:00
abstract::Gallbladder cancer (GBC) is a rare gastrointestinal tumour. It occurs in women with pre-existing cholelithiasis. These tumours pose therapeutic as well as diagnostic challenges to treating clinicians. Early suspicion and optimal surgery for suspected GBC results in the best outcome. We describe two cases of metastatic...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475518788486
更新日期:2018-10-01 00:00:00
abstract::Kawasaki disease is a common childhood vasculitis. Fever and lymphadenopathy, at times, are the only clinical presentation of Kawasaki disease, which mimics infectious lymphadenitis, especially, when other features are yet to evolve. In such a scenario, ultrasonography of cervical lymph nodes can help to differentiate...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475520975943
更新日期:2020-12-06 00:00:00
abstract::Hepatitis A virus uncommonly causes neurological problems. Among these manifestations meningoencephalitis is very rare. We describe the clinical and laboratory features of a young boy with hepatitis A associated meningoencephalitis and compare it with other cases which had the same diagnoses. ...
journal_title:Tropical doctor
pub_type: 杂志文章,评审
doi:10.1258/td.2010.090424
更新日期:2010-07-01 00:00:00
abstract::A structured questionnaire was administered to 50 medical patients, 50 surgical patients and 50 staff members at Vila Central Hospital, Vanuatu. A similar study was conducted 10 years earlier. In the intervening decade, Vanuatu has seen unprecedented population growth, increasing expatriate numbers, and the introducti...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475514526593
更新日期:2014-07-01 00:00:00
abstract::The impact of HIV-1 infection on the survival of patients with haematological cancers in Yaoundeé, Cameroon, was examined. The prevalence of HIV-1 was 26.2% among 172 patients, predominantly lymphoid malignancies. At the time of analysis, 75% of patients had died giving an incidence rate of 0.05 deaths per year and a ...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/004947507781524836
更新日期:2007-07-01 00:00:00
abstract::Symmetrical peripheral gangrene (SPG) is an extremely rare complication of malaria that has been well described in multiple case reports of Plasmodium falciparum and mixed infection. We present a case of malaria with isolated Pl. vivax infection complicated by SPG. This index case is the first reported case of periphe...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1177/0049475512472440
更新日期:2013-01-01 00:00:00
abstract::The increasing number of patients presenting with severe anaemia and who invariably receive blood transfusion is of concern. This retrospective study reports the pattern of presentation and the outcome of management of patients who were transfused in the Emergency Paediatric Unit of Federal Medical Centre, Owerri, bet...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/004947506778604940
更新日期:2006-10-01 00:00:00
abstract::A case-controlled study of the prevalence of genital Chlamydia trachomatis infection in 120 patients with tubal infertility (study group) and 120 clients of the family planning clinic (control group) attending the Ahmadu Bello University Teaching Hospital, Zaria in northern Nigeria is reported. The prevalence was 38.3...
journal_title:Tropical doctor
pub_type: 杂志文章
doi:10.1258/004947506775598987
更新日期:2006-01-01 00:00:00