Abstract:
:This article reports on a study of expertise in community health nursing. The objective of the study was to develop a model of expertise derived from identification of the characteristics and factors influencing clinical expertise in community health nurses (CHNs) practicing in district nursing, school health, and child health. Participant observations, individual interviews, and written retrospective accounts of clinical episodes were analyzed from 37 nurses (10 novices within the first year of community practice and 27 experts identified by peers and colleagues). The data identified the expert as someone in whom the following characteristics operate synchronously: knowledge; empathy; appropriate communication; holistic understanding; an ability to get right to the problem at hand; and self-confidence in her or his perceptions, judgments, and intervention strategies. The findings suggest that there is a combination of factors which influences the development of expertise. These include educational factors, personal factors, and experience. These factors are incorporated into the model of expertise. The data also suggest that, in order to educate for expert levels of practice, the educational process must be designed to stimulate the learner's perceptual as well as analytic abilities. This can best be achieved through clinical practice opportunities and through demonstrations and case studies which stimulate inferential and intuitive thinking in students.
journal_name
J Community Health Nursjournal_title
Journal of community health nursingauthors
McMurray Adoi
10.1207/s15327655jchn0902_1subject
Has Abstractpub_date
1992-01-01 00:00:00pages
65-75issue
2eissn
0737-0016issn
1532-7655journal_volume
9pub_type
杂志文章abstract::Pet therapy can be therapeutic for older adults living in the community. A crossover design was used to examine changes in blood pressure and heart rate before and after a pet therapy visit versus a volunteer-only visit in 28 community dwelling older adults. Relationships among stress, pet attitude, social support, an...
journal_title:Journal of community health nursing
pub_type: 临床试验,杂志文章
doi:10.1080/07370016.2016.1120587
更新日期:2016-01-01 00:00:00
abstract::In this article we describe how providing regular foot care for the residents of public housing at an on-site nursing clinic has become a vital part of the clinic's services for the elderly and disabled residents. Good foot care contributes significantly to the health and well-being of elderly and at-risk groups of cl...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn1401_2
更新日期:1997-01-01 00:00:00
abstract::Free clinics increase access to care, however, patients frequently miss appointments. The purpose of this quality improvement project was to determine if providing patient navigation affects first appointment no-show rates and hemoglobin A1c (HbA1c) in uninsured patients with diabetes at a free clinic. For 6 months, a...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370016.2018.1555315
更新日期:2019-01-01 00:00:00
abstract::The purpose of this article is to report how a group of 391 well-educated, White, midwestern American married fathers of young adolescents (11 to 14 years) described their perceptions of how they were raised. The question "Describe how your parents parented you" was asked as part of a larger quasi-experimental study t...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn1301_2
更新日期:1996-01-01 00:00:00
abstract::A 1-group pretest-posttest design to assess for changes in outcomes at 10 weeks and 6 months was the method used to evaluate the standardized 6-session Chronic Disease Self Management Program (CDSMP) with low income, urban African American older adults. Participants included 153 older adults (primarily African America...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370010802421178
更新日期:2008-10-01 00:00:00
abstract::Dealing with stress has become an important issue in health education in community settings. With increasing demands and changes in the daily lives of families, helping children to deal with stress has become increasingly more significant in community health nursing. Nurses who want to mediate effects of stress in chi...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn0801_2
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:Sexually transmitted infections (STIs) remains a serious healthcare problem costing approximately 13 billion dollars annually to treat. Men and women who contract STIs have a higher risk for reinfection and for developing human immunodeficiency virus (HIV). Determining the risk factors associated with STIs i...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370010903034425
更新日期:2009-07-01 00:00:00
abstract::This descriptive study assesses the beliefs held by a group of young Jordanian women toward mammography utilization as a screening procedure for breast cancer. The Health Belief Model (HBM) is the theoretical framework of this study. Champion's (1993) translated HBM tool was utilized as the self-administered questionn...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/S15327655JCHN1803_04
更新日期:2001-10-01 00:00:00
abstract::Homeless mothers and their children have become a highly politicized issue. This article presented a study comparing the stressors and coping behaviors of homeless women with their domiciled counterparts, low-income and poor mothers. The results of the study indicated that although homeless, poor, and low-income mothe...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn0802_3
更新日期:1991-01-01 00:00:00
abstract::A descriptive/correlational study was undertaken to compare lifestyle behaviors between the well elderly attending a nurse-managed clinic and students attending a university wellness center. The purpose of this study was threefold: (a) to determine current health behaviors of both well elderly and students, (b) to ide...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn1004_5
更新日期:1993-01-01 00:00:00
abstract::Despite high rates of smoking among socioeconomically disadvantaged pregnant women, few tobacco cessation programs have been geared for this client group. This article describes newly developed strategies for addressing tobacco reduction with disadvantaged, high-risk prenatal clients enrolled in a community-based Preg...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn1603_3
更新日期:1999-01-01 00:00:00
abstract::The purpose of this study is to develop and evaluate a theoretically appropriate measure for adherence to a self-care fitness walking routine. Self-care activities are very different from prescribed therapeutic regimens. One important difference is the determination of the activity prescription or behavioral standard....
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/S15327655JCHN1703_04
更新日期:2000-10-01 00:00:00
abstract::Client satisfaction can serve as an outcome indicator of the quality of nursing care received, yet there is a paucity of literature and research describing client satisfaction within the home health care arena. This descriptive study explores the domain of client satisfaction with home health nursing as assessed by th...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn1002_1
更新日期:1993-01-01 00:00:00
abstract::The appearance of Acquired Immune Deficiency Syndrome (AIDS) has brought suffering and death to those who are afflicted. At the same time, this disease has posed enormous challenges to those who care for the sufferers, to biomedical scientists, and to those responsible for public health and social policy. The issue ad...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn0604_6
更新日期:1989-01-01 00:00:00
abstract::Citizen participation is heralded as a critical element of community health programs that emphasize empowerment and health promotion strategies. Although there is a growing body of research on public health nurses' primary health care practice, few studies have described how public health nurses foster citizen partici...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370010802605762
更新日期:2009-01-01 00:00:00
abstract::An increased understanding of the frequency and troublesomeness of symptoms for family members who are caring for a victim of Alzheimer's disease (AD) would be helpful for nurses in working with these families. This article reports on the changes of these symptoms over time as well as the troublesomeness of these symp...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn1201_5
更新日期:1995-01-01 00:00:00
abstract::The purpose1 of this study is to test a model describing the relations of various biopsychosocial, behavioral, and cognitive factors on the health outcomes of nutritional adequacy and infant birth weight in low-income pregnant women. Descriptive, cohort design assessed low-income women (N=55) in their 1st trimester of...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn2202_5
更新日期:2005-07-01 00:00:00
abstract::This study assessed the relationship of caregiving appraisal to depressive symptomatology and utilization of home health care. One-hundred family caregivers to functionally impaired older adults were interviewed in their homes about depressive symptoms, dimensions of caregiving appraisal, and use of home care. Satisfa...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn1602_3
更新日期:1999-01-01 00:00:00
abstract::Hormone replacement therapy, once the gold standard for treatment of osteoporosis, is no longer a clinical option. Effective alternatives are available using resistance exercise and supplementation with calcium and vitamin D to ameliorate bone loss and promote new bone formation. This article summarizes current eviden...
journal_title:Journal of community health nursing
pub_type: 杂志文章,评审
doi:10.1207/s15327655jchn2304_1
更新日期:2006-01-01 00:00:00
abstract::Domestic Violence (DV) is a public health problem with far-reaching effects for society. Local public health departments typically serve high-risk populations and have a unique opportunity to provide routine DV screening to all clients receiving services. This project piloted a DV screening program in the family plann...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/S15327655JCHN1903_01
更新日期:2002-10-01 00:00:00
abstract::This study examined the relationships between depressive symptoms and obesity/weight gain factors in 56 Black and Hispanic pregnant women and the differences in these variables between the 2 ethnic groups. Of the women, 32% were likely depressed, 66% were overweight/obese, and 45% gained excessive gestational weight. ...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370016.2014.868730
更新日期:2014-01-01 00:00:00
abstract::African Americans make up the greater proportion of AIDS cases in adolescent girls but little is understood about the development of sexual risk behaviors during the early adolescent years. This article will explore ecological factors influencing adolescent sexual risk behaviors. In the focus groups, which were conduc...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn2302_4
更新日期:2006-07-01 00:00:00
abstract::For homeless persons, posthospitalization care is increasingly provided in formal medical respite programs, and their success is now reported in the literature. However, there is a dearth of literature on posthospitalization transitional care for homeless persons in the absence of a respite program. Through this forma...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370016.2014.926675
更新日期:2014-01-01 00:00:00
abstract::Protecting older adult's cognitive health is a public health priority. Wellness behaviors within 6 domains have demonstrated effectiveness in protecting older adult's cognitive abilities. Interventions targeted to low-income older adults are needed because these populations experience greater social and physical healt...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370016.2017.1340554
更新日期:2017-07-01 00:00:00
abstract::This study aimed to clarify the incidence of infectious diseases and the associated risk factors among patients who use visiting nursing services in Japan. We conducted a one-year follow up cohort study with 419 participants. The incidence and period prevalence rate of infectious diseases were 0.63 and 15.0%, respecti...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370016.2020.1780047
更新日期:2020-07-01 00:00:00
abstract:PURPOSE:The purpose of this project was to identify the nutritional status of older adults in a primary care setting by using a standardized nutritional tool and to improve clinical outcomes by implementing appropriate interventions. METHODS:A retrospective chart review of 50 records was conducted prior to any interve...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370016.2015.991658
更新日期:2015-01-01 00:00:00
abstract::Older adults manage multiple medications for chronic disease and those living in rural areas are impacted by health care disparities due to health provider shortages and fewer pharmacies. The use of downloadable medication reminder apps on smartphones may serve as a strategy for medication self-management of chronic d...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370016.2019.1630960
更新日期:2019-07-01 00:00:00
abstract::Consistent daily routines have been associated with children's well-being, but children of single parents are less likely to engage in regular family meals or bedtime routines. This study explored routines and the challenges of maintaining routines as experienced by single mothers with a preschool age (3-5) child. Fou...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1080/07370016.2011.589236
更新日期:2011-07-01 00:00:00
abstract::The Declaration of Alma Ata in 1978 put primary health care into the forefront of government health agendas around the world. The Ottawa Charter followed in 1986, emphasizing the role of health promotion for enhancing the wellness of populations and the potential cost savings related to illness care. The findings from...
journal_title:Journal of community health nursing
pub_type: 杂志文章
doi:10.1207/s15327655jchn1503_1
更新日期:1998-01-01 00:00:00
abstract::Young women often have access to fewer resources to make expected behavior changes during pregnancy. This qualitative study aimed to explore the experiences of young pregnant and parenting women regarding behavioral expectations and behavior change during pregnancy. Nine women (aged 15 to 24) participated in individua...
journal_title:Journal of community health nursing
pub_type: 杂志文章,多中心研究
doi:10.1080/07370016.2014.958395
更新日期:2014-01-01 00:00:00