<1. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23580999 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, Madeline A IN - Naegle,Madeline A. Division of Nursing, New York University, New York, NY, USA. TI - Nursing education in the prevention and treatment of SUD. [Review] SO - Substance Abuse. 23(3 Suppl):247-61, 2002 Sep. AS - Subst Abus. 23(3 Suppl):247-61, 2002 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - *Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - Alcoholism/rh [Rehabilitation] MH - Clinical Competence/st [Standards] MH - Curriculum/st [Standards] MH - Curriculum/td [Trends] MH - Education, Nursing/st [Standards] MH - *Education, Nursing/td [Trends] MH - Education, Nursing, Continuing/st [Standards] MH - Education, Nursing, Continuing/td [Trends] MH - Faculty, Nursing/st [Standards] MH - Forecasting MH - Humans MH - Models, Nursing MH - Nurse's Role MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Review LG - English DP - 2002 Sep DC - 20130412 YR - 2002 ED - 20130701 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23580999 <2. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23580998 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vasquez E AU - Onieal ME FA - Vasquez, Elias FA - Onieal, Marie Eileen IN - Vasquez,Elias. Department of Child, Women's, and Family Health, School of Nursing, University of Maryland, Baltimore, MD, USA. TI - Substance abuse education for nurse practitioners in primary care. [Review] SO - Substance Abuse. 23(3 Suppl):235-46, 2002 Sep. AS - Subst Abus. 23(3 Suppl):235-46, 2002 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - *Advanced Practice Nursing/ed [Education] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - Clinical Competence MH - Combined Modality Therapy MH - Cooperative Behavior MH - Curriculum MH - Education, Nursing, Graduate MH - Family Nursing/px [Psychology] MH - Holistic Nursing MH - Humans MH - Interdisciplinary Communication MH - *Nurse Practitioners/ed [Education] MH - Nurse-Patient Relations MH - *Primary Care Nursing MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Review LG - English DP - 2002 Sep DC - 20130412 YR - 2002 ED - 20130701 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23580998 <3. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23580997 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paluzzi P AU - Deggins N AU - Hutchins E AU - Burkhardt P FA - Paluzzi, Pat FA - Deggins, Nicole FA - Hutchins, Ellen FA - Burkhardt, Patricia IN - Paluzzi,Pat. Baltimore City Health Department, Baltimore, MD, USA. TI - The role of midwives in caring for women with substance use disorders: implications for training. [Review] SO - Substance Abuse. 23(3 Suppl):223-33, 2002 Sep. AS - Subst Abus. 23(3 Suppl):223-33, 2002 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - Clinical Competence MH - *Cooperative Behavior MH - Curriculum MH - Female MH - Humans MH - Infant, Newborn MH - *Interdisciplinary Communication MH - *Midwifery/ed [Education] MH - Pregnancy MH - Referral and Consultation MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Review LG - English DP - 2002 Sep DC - 20130412 YR - 2002 ED - 20130701 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23580997 <4. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20156130 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boykins AD AU - Alvanzo AA AU - Carson S AU - Forte J AU - Leisey M AU - Plichta SB FA - Boykins, Anita D FA - Alvanzo, Anika A H FA - Carson, Susan FA - Forte, Janett FA - Leisey, Monica FA - Plichta, Stacey B IN - Boykins,Anita D. School of Nursing, University of Southern Mississippi, Hattiesburg, Mississippi 39406-0001, USA. Anita.Boykins@usm.edu TI - Minority women victims of recent sexual violence: disparities in incident history. SO - Journal of Women's Health. 19(3):453-61, 2010 Mar. AS - J Womens Health (Larchmt). 19(3):453-61, 2010 Mar. NJ - Journal of women's health (2002) PI - Journal available in: Print PI - Citation processed from: Internet JC - 101159262, 9208978 SB - Index Medicus CP - United States MH - Adult MH - *African Continental Ancestry Group/sn [Statistics & Numerical Data] MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/eh [Ethnology] MH - Cross-Sectional Studies MH - *European Continental Ancestry Group/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Incidence MH - *Minority Groups/sn [Statistics & Numerical Data] MH - *Rape/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - Substance-Related Disorders/ep [Epidemiology] MH - Suburban Population/sn [Statistics & Numerical Data] MH - Urban Population/sn [Statistics & Numerical Data] MH - Violence/eh [Ethnology] MH - *Violence/sn [Statistics & Numerical Data] AB - AIMS: The aims of this descriptive study were to (1) describe assault and care characteristics and (2) determine differences in assault and care characteristics between black women and white women who sought emergency care following sexual violence. AB - METHODS: A retrospective, cross-sectional design was used to examine forensic examination data characterizing the incident history reported by women victims of sexual violence at the time of a forensic nurse examination. Examinations occurred at an urban university-affiliated hospital emergency department (ED) over a 2-year period. AB - RESULTS: Of the women (n = 173) seeking care in the ED, 58.4% were black and 41.6% were white. When compared with white women, black women were more likely to have weapons used in their assaults (42.6% vs. 16.7%, p < 0.00) and to be assaulted in the city rather than the suburbs (82.8% vs. 56.5%, p < 0.00). In general, substance use prior to the assault was reported to have occurred in 49.1% of the victims and 41% of the assailants; however, differences existed in the type and pattern of substance use by race/ethnicity. Black victims were more likely to report use of illicit drugs (28.7% vs. 12.5%, p = 0.01). White women were more likely than black women to report personal alcohol use prior to their assault, with significant differences for drinking by victims (47.2% vs. 23.8%, p = 0.01) or assailant use of alcohol (47.2% vs. 23.8%, p = 0.00). White women were more likely than black women to report both they and the assailant had used some type of substance (38.9 vs. 21.8, p = 0.01). Black women were more likely to arrive to the ED via EMS services (45.5% vs. 29.2%, p = 0.03). There were no reported differences in care characteristics by race. AB - CONCLUSIONS: Findings from this study suggest that differences exist in assault characteristics between black and white women. Use of substances, including alcohol, plays an important role in sexual violence in women and should be a focus of preventive intervention initiatives when conducting a forensic examination. Both coordinated responses and comprehensive, individualized care by specially trained providers are important in the emergency care of minority women who are victims of recent sexual violence. ES - 1931-843X IL - 1540-9996 DO - http://dx.doi.org/10.1089/jwh.2009.1484 PT - Journal Article LG - English DP - 2010 Mar DC - 20100326 YR - 2010 ED - 20130212 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20156130 <5. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21665804 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Sharp DL AU - Blaakman SW AU - Cole RE AU - Evinger JS FA - Sharp, Daryl L FA - Blaakman, Susan W FA - Cole, Robert E FA - Evinger, James S IN - Sharp,Daryl L. Nursing Practice Program at the University of Rochester. TI - Report from a national tobacco dependence survey of psychiatric nurses. SO - Journal of the American Psychiatric Nurses Association. 15(3):172-81, 2009 Jun. AS - J Am Psychiatr Nurses Assoc. 15(3):172-81, 2009 Jun. NJ - Journal of the American Psychiatric Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 9507418 CP - United States AB - BACKGROUND: Persons with mental illness smoke proportionately more cigarettes and die earlier than the general population. Yet compared with other clinicians, psychiatric professionals have intervened slowly with smoking patients. To assess psychiatric nurses' perspectives concerning tobacco dependence interventions, the American Psychiatric Nurses Association (APNA) Tobacco Dependence Task Force surveyed email-accessible APNA members (N = 1,365). AB - OBJECTIVES: This paper reports survey results and implications for psychiatric nursing. AB - STUDY DESIGN: Cross-sectional analysis of a 29-item online survey conducted in early 2008. AB - RESULTS: Most nurses asked if patients smoked but fewer advised against smoking, referred to cessation resources, or delivered intensive interventions. Nurses referred to resources if they felt motivated, knowledgeable, and/or confident in their skills and rated highly their patients' ability and/or motivation to quit smoking. Workplace characteristics were related to nurses' behaviors. Nursing curricula lack tobacco dependence content. AB - CONCLUSIONS: Findings will guide efforts to support nurses in reducing/eliminating smoking by their patients through practice, education, research, and policy initiatives. IS - 1078-3903 IL - 1078-3903 DO - http://dx.doi.org/10.1177/1078390309336746 PT - Journal Article LG - English DP - 2009 Jun DC - 20110613 YR - 2009 ED - 20121002 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21665804 <6. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21665794 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Williams JM AU - Steinberg ML AU - Zimmermann MH AU - Gandhi KK AU - Lucas GE AU - Gonsalves DA AU - Pearlstein I AU - McCabe P AU - Galazyn M AU - Salsberg E FA - Williams, Jill M FA - Steinberg, Marc L FA - Zimmermann, Mia Hanos FA - Gandhi, Kunal K FA - Lucas, Gem-Estelle FA - Gonsalves, Dawn A FA - Pearlstein, Ivy FA - McCabe, Philip FA - Galazyn, Magdalena FA - Salsberg, Edward IN - Williams,Jill M. UMDNJ-Robert Wood Johnson Medical School and UMDNJ-School of Public Health, New Brunswick, NJ, jill.williams@umdnj.edu. TI - Training psychiatrists and advanced practice nurses to treat tobacco dependence. SO - Journal of the American Psychiatric Nurses Association. 15(1):50-8, 2009 Feb. AS - J Am Psychiatr Nurses Assoc. 15(1):50-8, 2009 Feb. NJ - Journal of the American Psychiatric Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 9507418 CP - United States AB - The lack of availability of continuing medical education programs on tobacco dependence for psychiatrists and psychiatric nurses is profound. We developed a 2-day curriculum delivered in November 2006 and March 2007 to 71 participants. Ninety-three percent ( n = 66) completed a pretest/posttest, and 91% (n = 65) completed the attitudes and beliefs survey. Scores on the pretest were low (M = 47% correct). Paired t tests found significant increases in raw scores from 6.7 to 13.6, t(65) = -22.8, p < .0001. More than 90% of psychiatrists and nurses indicated that motivating and helping patients to stop smoking and discussing smoking behavior were part of their professional role. Although 80% reported that they usually ask about smoking status, fewer reported recommending nicotine replacement (34%), prescribing pharmacotherapy (29%), or referring smokers to a telephone quit line (26%). Trainings are repeated twice a year because of ongoing demand. Further follow-up should evaluate changes in practices after training. IS - 1078-3903 IL - 1078-3903 DO - http://dx.doi.org/10.1177/1078390308330458 PT - Journal Article LG - English DP - 2009 Feb DC - 20110613 YR - 2009 ED - 20121002 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21665794 <7. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19587844 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Prochaska JJ AU - Fromont SC AU - Hudmon KS AU - Cataldo JK FA - Prochaska, Judith J FA - Fromont, Sebastien C FA - Hudmon, Karen Suchanek FA - Cataldo, Janine K IN - Prochaska,Judith J. Department of Psychiatry, University of California, San Francisco; JProchaska@ucsf.edu. TI - Designing for dissemination: development of an evidence-based tobacco treatment curriculum for psychiatry training programs. SO - Journal of the American Psychiatric Nurses Association. 15(1):24-31, 2009 Feb. AS - J Am Psychiatr Nurses Assoc. 15(1):24-31, 2009 Feb. NJ - Journal of the American Psychiatric Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 9507418 CP - United States KW - dissemination; education; nicotine dependence; tobacco; training AB - Psychiatry training programs provide a unique arena for affecting professional norms and increasing access to tobacco cessation services among smokers with mental illness. Psychiatry Rx for Change emphasizes evidence-based patient-oriented tobacco treatments relevant for tobacco users with psychiatric disorders. Following Diffusion of Innovations theory and the RE-AIM framework, the curriculum is being disseminated to psychiatry residency and graduate psychiatric nursing programs in the Western United States with plans to study curriculum adoption, implementation, and maintenance on a broad scale. Psychiatry Rx for Change aims to increase the likelihood that smokers with co-occurring disorders will receive evidence-based cessation treatment. IS - 1078-3903 IL - 1078-3903 DO - http://dx.doi.org/10.1177/1078390308329536 PT - Journal Article NO - K23 DA018691 (United States NIDA NIH HHS) NO - K23 DA018691-05 (United States NIDA NIH HHS) NO - P50 DA009253 (United States NIDA NIH HHS) NO - P50 DA009253-12 (United States NIDA NIH HHS) LG - English DP - 2009 Feb DC - 20110613 YR - 2009 ED - 20121002 RD - 20140908 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=19587844 <8. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19040877 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Jukes L AU - Gilchrist M FA - Jukes, Lisa FA - Gilchrist, Mollie IN - Jukes,Lisa. CCU, Southmead Hospital, Westbury-on-Trym, Bristol, BS10 5NB, United Kingdom. TI - Concerns about numeracy skills of nursing students. SO - Nurse Education in Practice. 6(4):192-8, 2006 Jul. AS - NURSE EDUC PRACT. 6(4):192-8, 2006 Jul. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 CP - England AB - Accurate mathematical calculation is a critical skill that nurses must demonstrate in order to administer medications safely. The ability of undergraduate nurses to calculate the correct dosage of medication consistently has been a concern of schools of nursing for a long time. This study explores the ability of a group of nursing students to calculate mathematical drug problems within an English University. A convenience sample of 37 second year nursing students volunteered to complete a 10-item drug calculation test, requiring understanding of simple division and multiplication, percentages, ratio and proportion, conversion of units and multiple-stage procedures. The students' median correct score was 6 out of 10 (range 0-9). No one achieved full marks. Only 3 were able to achieve 9 out of 10, indicating that, on average, students were unable to achieve 90% mastery. This finding supports past literature and is of concern. It is of concern that these student nurses did not have the ability to perform drug calculations at a 90% mastery level. It has been recommended that admission requirements be reviewed, and that students are tested throughout their programme and that skills are reinforced both in the classroom and practice setting. This could be achieved using a variety of methods, supporting a teaching and learning framework to integrate analytical and procedural competence underpinned by the creation of national standards. Also, both educators and practitioners must take responsibility for ensuring adequate support and guidance are available to student nurses. ES - 1873-5223 IL - 1471-5953 DO - http://dx.doi.org/10.1016/j.nepr.2005.12.002 PT - Journal Article LG - English EP - 20060207 DP - 2006 Jul DC - 20081201 YR - 2006 ED - 20121002 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=19040877 <9. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23008604 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Mandil AM AU - Bahnassy AA AU - Aboul-Azm SM AU - Bashawri LA FA - Mandil, A M FA - Bahnassy, A A FA - Aboul-Azm, S M FA - Bashawri, L A IN - Mandil,A M. Department of Family & Community Medicine, College of Medicine, King Faisal University, Dammam, Saudi Arabia. TI - Knowledge, attitude and smoking patterns among nursing and laboratory technology students, dammam, saudi arabia. SO - Journal of Family and Community Medicine. 6(2):51-8, 1999 Jul. AS - J Family Community Med. 6(2):51-8, 1999 Jul. NJ - Journal of family & community medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 101553144, 100911100 OI - Source: NLM. PMC3437104 CP - India KW - Saudi Arabia; Smoking; knowledge/attitudes/practice (KAP); laboratory technology; nursing; tobacco consumption; university students AB - OBJECTIVE: To study the reported practices of knowledge about and attitude towards smoking among nursing and medical laboratory technology (MLT) students, College of Medicine, King Faisal University at Dammam and Al-Khobar. AB - SETTING: College of Medicine, Dammam and King Fahd Hospital of the University, Al-Khobar, Saudi Arabia AB - METHODS: A cross-sectional approach involving a sample of 266 students and interns (152 nursing and 114 MLT), which included all enrolled students in the academic year (1998/1999). A self-administered questionnaire was used to collect data covering knowledge, practice and attitude to smoking. SPSS was used for statistical analysis. AB - RESULTS: The overall smoking prevalence was low (5.6%), slightly higher among nursing (6.6%) versus MLT (4.4%) students. Knowledge of and attitude towards smoking was generally satisfactory in both groups, although deficient in some key areas, such as the addictive nature of smoking, some of its consequences on health, and difficulty of quitting. AB - CONCLUSION AND RECOMMENDATIONS: The prevalence of smoking among nursing and MLT students is generally low but their knowledge and attitude need improvement. Health education on facts, dangers and consequences of smoking should start as early as the primary school, and should continue throughout the education of future health professionals (role models for the community). IS - 1319-1683 IL - 1319-1683 PT - Journal Article LG - English DP - 1999 Jul DC - 20120925 YR - 1999 ED - 20121002 RD - 20130530 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23008604 <10. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21685835 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Farrell SP AU - Zerull LM AU - Mahone IH AU - Guerlain S AU - Akan D AU - Hauenstein E AU - Schorling J FA - Farrell, Sarah P FA - Zerull, Lisa M FA - Mahone, Irma H FA - Guerlain, Stephanie FA - Akan, Doruk FA - Hauenstein, Emily FA - Schorling, John IN - Farrell,Sarah P. School of Nursing, Department of Systems and Information Engineering, and Division of General Medicine, University of Virginia, Charlottesville, VA 22908-0782, USA. TI - Electronic screening for mental health in rural primary care: feasibility and user testing. SO - CIN: Computers, Informatics, Nursing. 27(2):93-8, 2009 Mar-Apr. AS - Comput Inform Nurs. 27(2):93-8, 2009 Mar-Apr. NJ - Computers, informatics, nursing : CIN PI - Journal available in: Print PI - Citation processed from: Internet JC - 101141667 OI - Source: NLM. NIHMS204391 OI - Source: NLM. PMC3132812 SB - Index Medicus SB - Nursing Journal CP - United States MH - Feasibility Studies MH - Focus Groups MH - Humans MH - *Mental Disorders/di [Diagnosis] MH - *Mental Health Services/og [Organization & Administration] MH - *Primary Health Care/og [Organization & Administration] MH - Rural Health Services/og [Organization & Administration] AB - Despite attention to prevention and screening for depression and alcohol use, Healthy People 2010 objectives continue to include goals to increase the detection of depression and decrease the rates of alcohol abuse. These problems remain significant. The overall goal of this study was to develop a computer-based electronic screening (eScreening) tool and determine the feasibility of implementing computer-based eScreening technology for rural visitors to a primary care clinic. The study called specifically for an electronic touch screen with voice prompts. This tool, called the eScreening tool, screens for alcohol abuse and depression among rural patients in a primary care setting. The screening was offered to rural adults who are not in acute distress and not at end of life, regardless of their stated reason for seeking medical care. Phase 1 of the pilot was used to determine the perceptions of nurses, other providers, and consumers regarding the acceptability and perceived usefulness of an eScreening tool. Phase 2 involved user testing of the eScreening tool. The longer term goals of the research program are to work with rural nurses to improve patient outcomes and develop interventions and for educational, consultation, and/or direct clinical care. ES - 1538-9774 IL - 1538-2931 DO - http://dx.doi.org/10.1097/NCN.0b013e3181972a0d PT - Journal Article PT - Research Support, N.I.H., Extramural NO - P20 NR009009 (United States NINR NIH HHS) NO - P20 NR009009 (United States NINR NIH HHS) NO - P20 NR009009-01 (United States NINR NIH HHS) LG - English DP - 2009 Mar-Apr DC - 20110620 YR - 2009 ED - 20120110 RD - 20150204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21685835 <11. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20350317 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Riou Franca L AU - Dautzenberg B AU - Falissard B AU - Reynaud M FA - Riou Franca, Lionel FA - Dautzenberg, Bertrand FA - Falissard, Bruno FA - Reynaud, Michel IN - Riou Franca,Lionel. INSERM U669 - Maison de Solenn - 97, bvd de Port-Royal - 75679 Paris Cedex 14, France. TI - Peer substance use overestimation among French university students: a cross-sectional survey. SO - BMC Public Health. 10:169, 2010. AS - BMC Public Health. 10:169, 2010. NJ - BMC public health PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 OI - Source: NLM. PMC2858117 SB - Index Medicus CP - England MH - Adult MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - Behavior, Addictive/ep [Epidemiology] MH - Behavior, Addictive/px [Psychology] MH - Cross-Sectional Studies MH - Female MH - France/ep [Epidemiology] MH - Humans MH - Male MH - Marijuana Smoking/ep [Epidemiology] MH - Marijuana Smoking/px [Psychology] MH - *Peer Group MH - Prevalence MH - Risk-Taking MH - *Students/px [Psychology] MH - Students/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - *Universities MH - Young Adult AB - BACKGROUND: Normative misperceptions have been widely documented for alcohol use among U.S. college students. There is less research on other substances or European cultural contexts. This study explores which factors are associated with alcohol, tobacco and cannabis use misperceptions among French college students, focusing on substance use. AB - METHODS: 12 classes of second-year college students (n = 731) in sociology, medicine, nursing or foreign language estimated the proportion of tobacco, cannabis, alcohol use and heavy episodic drinking among their peers and reported their own use. AB - RESULTS: Peer substance use overestimation frequency was 84% for tobacco, 55% for cannabis, 37% for alcohol and 56% for heavy episodic drinking. Cannabis users (p = 0.006), alcohol (p = 0.003) and heavy episodic drinkers (p = 0.002), are more likely to overestimate the prevalence of use of these consumptions. Tobacco users are less likely to overestimate peer prevalence of smoking (p = 0.044). Women are more likely to overestimate tobacco (p < 0.001) and heavy episodic drinking (p = 0.007) prevalence. Students having already completed another substance use questionnaire were more likely to overestimate alcohol use prevalence (p = 0.012). Students exposed to cannabis prevention campaigns were more likely to overestimate cannabis (p = 0.018) and tobacco use (p = 0.022) prevalence. Other identified factors are class-level use prevalences and academic discipline. AB - CONCLUSIONS: Local interventions that focus on creating realistic perceptions of substance use prevalence could be considered for cannabis and alcohol prevention in French campuses. ES - 1471-2458 IL - 1471-2458 DO - http://dx.doi.org/10.1186/1471-2458-10-169 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20100329 DP - 2010 DC - 20100422 YR - 2010 ED - 20110914 RD - 20141204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20350317 <12. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21591829 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Meissner VG FA - Meissner, Victoria Grace IN - Meissner,Victoria Grace. University of Newcastle, Callaghan Campus, Callaghan NSW, Australia. TI - Exploring indigenous health using the clinical reasoning cycle: a student paper. SO - Contemporary Nurse. 37(1):82-9, 2010 Dec-2011 Jan. AS - Contemp Nurse. 37(1):82-9, 2010 Dec-2011 Jan. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - Alcoholism/co [Complications] MH - Australia MH - Cultural Competency MH - Health Behavior MH - Humans MH - Nursing Assessment MH - *Oceanic Ancestry Group MH - Patient Care Planning MH - Patient Education as Topic MH - *Students, Nursing AB - As a requirement for a third year nursing subject based on Australian Indigenous Health and Community Nursing, an assessment was undertaken based on the clinical reasoning cycle. The clinical reasoning cycle refers to clinical judgements and clinical decision-making which can be conceptualised as a logical process of cue collection, processing information, understanding the situation, planning and implementing interventions, evaluating outcomes and reflecting on the process (Levett-Jones et al., 2009). The clinical reasoning cycle for this assessment relates to interactions with Murray (pseudonym), an Australian Indigenous male being treated for alcohol dependence within a community setting. This paper will explore the nursing care of Murray through the clinical reasoning cycle, focusing on community-based, culturally appropriate nursing care. IS - 1037-6178 IL - 1037-6178 DO - http://dx.doi.org/10.5172/conu.2011.37.1.082 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 Dec-2011 Jan DC - 20110519 YR - 2010 ED - 20110829 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21591829 <13. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21218005 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Sadhu S AU - Salins NS AU - Kamath A FA - Sadhu, Sakshi FA - Salins, Naveen Sulakshan FA - Kamath, Asha IN - Sadhu,Sakshi. KMC Manipal, Manipal University, Manipal, India. TI - Palliative Care Awareness among Indian Undergraduate Health Care Students: A Needs-Assessment Study to Determine Incorporation of Palliative Care Education in Undergraduate Medical, Nursing and Allied Health Education. SO - Indian Journal of Palliative Care. 16(3):154-9, 2010 Sep. AS - Indian J. Palliat. Care. 16(3):154-9, 2010 Sep. NJ - Indian journal of palliative care PI - Journal available in: Print PI - Citation processed from: Internet JC - 101261221 OI - Source: NLM. PMC3012238 CP - India KW - Awareness; Education; Palliative care; Undergraduate AB - PURPOSE: Quality assurance data worldwide suggests that the current healthcare system is providing inadequate care for the dying. Current health care education focuses entirely on cure and care is almost compromised or nonexistent in end-of-life settings. The purpose of this study was to determine palliative care awareness among Indian undergraduate health care students and assess the need for incorporating palliative medicine education into undergraduate health education. AB - MATERIALS AND METHODS: A non-randomized population based study was conducted using 39-point questionnaire. Undergraduate medical, nursing and allied health students of Manipal University were the target population. AB - RESULTS: 326 students participated in the study. 61.7% of students feel that resuscitation is appropriate in advanced metastatic cancer. 67.5% feel that all dying patients need palliative care and most of the students think that palliative care is equivalent to pain medicine, geriatric medicine and rehabilitation medicine. 89% of students think that Morphine causes addiction in palliative care setting. 60.7% of students feel that prognosis should only be communicated to the family. AB - CONCLUSION: The outcomes of the study showed that the basic knowledge of palliative care among students was inadequate, and students are unprepared and uncertain in their approach of delivering end-of-life care. ES - 1998-3735 IL - 0973-1075 DO - http://dx.doi.org/10.4103/0973-1075.73645 PT - Journal Article LG - English DP - 2010 Sep DC - 20110110 YR - 2010 ED - 20110714 RD - 20130529 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21218005 <14. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20835355 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Cardoso G AU - Alexandre J AU - Rosa A FA - Cardoso, Graca FA - Alexandre, Joana FA - Rosa, Alda IN - Cardoso,Graca. Servico de Psiquiatria, Hospital Fernando Fonseca, 2720-276 Amadora, Portugal. TI - Depression, anxiety and alcohol abuse in a gastroenterology intensive care unit: prevalence and detection. SO - Clinical Practice & Epidemiology in Mental Health [Electronic Resource]: CP & EMH. 6:47-52, 2010. AS - Clin Pract Epidemol Ment Health. 6:47-52, 2010. NJ - Clinical practice and epidemiology in mental health : CP & EMH PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101245735 OI - Source: NLM. PMC2936008 CP - England KW - Depression; ICU.; alcohol abuse; anxiety; detection AB - OBJECTIVES: To assess depression, anxiety, and alcohol abuse in a Gastroenterology ICU, and the level of its detection by the staff. AB - METHOD: All patients consecutively admitted to the ICU during a six-month period, 18 or above, and staying > 24 hours, were assessed with the Hospital Anxiety and Depression Scale (HADS) and the CAGE. Doctors and nurses assessed the type and severity of patients' morbidity. Data were analyzed with Student's t-test, Pearson's and Spearman's correlations for ordinal variables, chi-square for nominal variables, and multiple logistic regression. AB - RESULTS: The 65 patients assessed had a mean age of 57, and were predominantly male (58.5%), married (72.3%), and retired (53.8%); 27.7% had a psychiatric history, 24.6% were on psychotropic drugs, and 32.3% had an alcohol intake above standards. Anxiety and depression HADS scores > 8 were present in 29.2% and 35.4% of the patients, respectively; 20%, mainly men, scored positive on the CAGE. Women had significantly higher anxiety scores (=.012) than men but did not differ in depression. A psychiatric history was significantly associated with higher anxiety (p<.001) and depression (p=.007) scores, as well as being on psychotropic drugs regularly (p<.001; p=.03, respectively). Doctors diagnosed somatic illness in 48.8%, and somatic illness with psychiatric co-morbidity in 51%; for nurses the rates were, respectively, 41.5% and 58.6%. Doctors' and nurses' detection of psychiatric disorders were significantly associated with the HADS anxiety scores (p=.013; p=.001, respectively), and doctor's detection with depression (p=.046) scores. There were no significant associations between nurses' detection of psychiatric disorders and depression, and between both professional groups detection and alcohol abuse. AB - CONCLUSION: High prevalence of depression, anxiety, and alcohol abuse in Gastroenterology ICU was confirmed. However, the level of detection by the staff was low and mainly when anxiety symptoms were present. ES - 1745-0179 IL - 1745-0179 DO - http://dx.doi.org/10.2174/1745017901006010047 PT - Journal Article LG - English EP - 20100708 DP - 2010 DC - 20100913 YR - 2010 ED - 20110714 RD - 20130529 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=20835355 <15. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19561690 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Vaca FE AU - Winn D FA - Vaca, Federico E FA - Winn, Diane IN - Vaca,Federico E. Department of Emergency Medicine, University of California, Irvine School of Medicine. TI - The basics of alcohol screening, brief intervention and referral to treatment in the emergency department. SO - The Western Journal of Emergency Medicine. 8(3):88-92, 2007 Aug. AS - West J Emerg Med. 8(3):88-92, 2007 Aug. NJ - The western journal of emergency medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 101476450 OI - Source: NLM. PMC2672213 CP - United States AB - Nearly eight million emergency department (ED) visits are attributed to alcohol every year in the United States. A substantial proportion is due to trauma. In 2005, 16,885 people were killed as a result of alcohol-related motor vehicle crashes. Patients with alcohol-use problems (AUPs) are not only more likely to drive after drinking but are also at greater risk for serious alcohol-related illness and injury. Emergency departments have an important and unique opportunity to identify these patients and intervene during the "teachable moment" of an ED visit. The American College of Emergency Physicians, Emergency Nurses Association, American College of Surgeons-Committee on Trauma, American Public Health Association, and the National Highway Traffic Safety Administration, have identified Alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT) as a pivotal injury- and illness-prevention strategy to improve the health and well-being of ED patients. We provide a general overview of the basis and need for integrating SBIRT into EDs. Models of SBIRT, as well as benefits and challenges to its implementation, are also discussed. IS - 1936-900X IL - 1936-900X PT - Journal Article LG - English DP - 2007 Aug DC - 20090629 YR - 2007 ED - 20110714 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=19561690 <16. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21561044 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mony PK AU - John P AU - Jayakumar S FA - Mony, Prem Kumar FA - John, Priya FA - Jayakumar, Sylvia IN - Mony,Prem Kumar. St John's Research Institute, St John's National Academy of Health Sciences, Koramangala, Bangalore 560034, India. prem_mony@sjri.res.in TI - Tobacco use habits and beliefs among undergraduate medical and nursing students of two cities in southern India. SO - National Medical Journal of India. 23(6):340-3, 2010 Nov-Dec. AS - Natl Med J India. 23(6):340-3, 2010 Nov-Dec. NJ - The National medical journal of India PI - Journal available in: Print PI - Citation processed from: Print JC - bnt, 8809315 SB - Index Medicus CP - India MH - Adult MH - Chi-Square Distribution MH - Cross-Sectional Studies MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - India MH - Male MH - *Students, Medical/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/px [Psychology] AB - BACKGROUND: Unless effective tobacco control is in place, most tobacco-related deaths in the coming decades are likely to be seen in low- and middle-income countries. Tobacco surveillance among medical students offers an opportunity to assess the preparedness for tobacco control among future healthcare professionals in India. AB - METHODS: We did a cross-sectional survey in two cities (Bangalore and Coimbatore) of India. The participants were third year undergraduate students from 7 medical colleges and 6 nursing colleges. A self-administered questionnaire was used to elicit information on tobacco use, exposure to environmental tobacco smoke, knowledge on disease burden and attitudes towards tobacco control. AB - RESULTS: Overall, 829 of 985 eligible students (84.1%) participated in the survey. About 14.5% (95% CI 12.0-17.0) of students had ever used tobacco. Current tobacco use was reported by 1.6% (95% CI 0.8-2.4) of students; 1.5% (95% CL 0.7-2.3) were current smokers and 0.4% (95% CI 0.1-0.7) were current chewers. The rates of smoking among male medical, female medical and female nursing students were 4.0%, 0.3% and 0%, respectively (p < 0.001). About 1 in 6 students reported frequent exposure to environmental tobacco smoke within their homes and over 1 in 4 reported frequent exposure outside the home environment. Median knowledge score on tobacco-related burden was 5/10. More than 80% favoured ban on tobacco sales to adolescents, tobacco advertising and tobacco use in public places. Over 90% reported interest in further training in tobacco control. AB - CONCLUSION: This scenario of comparatively low levels of tobacco use, positive attitudes towards tobacco control and suboptimal levels of knowledge coupled with a high interest in having further knowledge on tobacco control points to the need for a comprehensive curriculum for training in tobacco control that meets national requirements. IS - 0970-258X IL - 0970-258X PT - Journal Article PT - Multicenter Study LG - English DP - 2010 Nov-Dec DC - 20110512 YR - 2010 ED - 20110628 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21561044 <17. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21358770 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Quattrin R AU - Zanini A AU - Bulfone G AU - Farneti F AU - Panariti M AU - Calligaris L AU - Brusaferro S FA - Quattrin, Rosanna FA - Zanini, Antonietta FA - Bulfone, Giampiera FA - Farneti, Federico FA - Panariti, Matteo FA - Calligaris, Laura FA - Brusaferro, Silvio IN - Quattrin,Rosanna. Chair of Hygiene, DPMSC School of Medicine, University of Udine, Udine, Italy. quattrin.rosanna@aoud.sanita.fvg.it TI - Italian nurse students' and clinical preceptors' perceptions about clinical practice experiences: a questionnaire survey. SO - Igiene e Sanita Pubblica. 66(6):695-703, 2010 Nov-Dec. AS - Ig Sanita Pubbl. 66(6):695-703, 2010 Nov-Dec. NJ - Igiene e sanita pubblica PI - Journal available in: Print PI - Citation processed from: Print JC - 0373022 SB - Index Medicus CP - Italy MH - *Attitude MH - Education, Nursing MH - Humans MH - Italy MH - *Nursing MH - Preceptorship MH - *Students, Nursing MH - Surveys and Questionnaires AB - Aims of the study was to compare perception of both clinical preceptors and nursing students in relation to clinical nursing practice in Italy. The recent introduction of primary level nursing education to Italian University primed many changes in processes and required to think new methods and contents. Special attention was adopted on revaluation of clinical practice. The study was part of a large investigation conducted from 2005 until 2006 as prevalence survey throughout two questionnaire addressed to nurses student and to clinical guides. Participants were all students (tot. 172) from one School of Nursing and their clinical guides (tot.120) working in a high specialization hospital located in a large urban area in Northern Italy. Students' and nurses' perceptions differed in these fields: knowledge of students' learning objectives, explanation of students' competences and objectives already reached, prevalence execution of assistance activity, organization of briefing/debriefing meetings, planning of a learning programme with students at the beginning of tutorship, choosing occasions related to nursing subjects discussed in classroom, filling an intermediate evaluation of the student tutorship in addiction to the final. The perceptions of the students and preceptors were opposite on several factors. This means that students and clinical guides approach the clinical experience from individualized viewpoints. IS - 0019-1639 IL - 0019-1639 PT - Comparative Study PT - Journal Article LG - English DP - 2010 Nov-Dec DC - 20110301 YR - 2010 ED - 20110606 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21358770 <18. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20349889 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahern NR AU - Sole ML FA - Ahern, Nancy R FA - Sole, Mary Lou IN - Ahern,Nancy R. University of Central Florida, College of Nursing, Orlando, FL 32816-2210, USA. nahern@mail.ucf.edu TI - Drinking games and college students. Part 2: Nursing implications. SO - Journal of Psychosocial Nursing & Mental Health Services. 48(4):15-8, 2010 Apr. AS - J Psychosoc Nurs Ment Health Serv. 48(4):15-8, 2010 Apr. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Alcoholic Intoxication/nu [Nursing] MH - Alcoholic Intoxication/pc [Prevention & Control] MH - Counseling MH - Humans MH - *Leisure Activities MH - Patient Education as Topic MH - *Peer Group MH - Referral and Consultation MH - *Social Facilitation MH - Student Health Services MH - *Students MH - United States MH - Young Adult AB - In Part 1 of this article, published in the February 2010 issue, the problem of drinking game participation by U.S. college students was described. College students may play these games for reasons of peer acceptance and social interaction. Unfortunately, approximately two thirds of U.S. college students participate in this risky binge drinking behavior, from which serious consequences and harms can result. In this article, implications for community and mental health nurses are discussed. Nurses in a variety of settings have unique opportunities to educate, counsel, treat, and refer these students regarding the risks and protections of this behavior. IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20100302-03 PT - Journal Article LG - English DP - 2010 Apr DC - 20110414 YR - 2010 ED - 20110517 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20349889 <19. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20829177 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy-Oikonen J AU - Brownlee K AU - Montelpare W AU - Gerlach K FA - Murphy-Oikonen, Jodie FA - Brownlee, Keith FA - Montelpare, William FA - Gerlach, Keri IN - Murphy-Oikonen,Jodie. Faculty of Social Work, University of Calgary, Calgary, Canada. TI - The experiences of NICU nurses in caring for infants with neonatal abstinence syndrome. CM - Comment in: Neonatal Netw. 2011 Jan-Feb 1;30(1):74; PMID: 21317104 SO - Neonatal Network - Journal of Neonatal Nursing. 29(5):307-13, 2010 Sep-Oct. AS - Neonat Netw. 29(5):307-13, 2010 Sep-Oct. NJ - Neonatal network : NN PI - Journal available in: Print PI - Citation processed from: Internet JC - 8503921 SB - Nursing Journal CP - United States MH - Adult MH - Burnout, Professional/pc [Prevention & Control] MH - Burnout, Professional/px [Psychology] MH - Canada/ep [Epidemiology] MH - *Clinical Competence/st [Standards] MH - Female MH - Helping Behavior MH - Humans MH - Infant, Newborn MH - *Intensive Care Units, Neonatal/og [Organization & Administration] MH - Maternal Behavior/de [Drug Effects] MH - Middle Aged MH - *Narcotics/ae [Adverse Effects] MH - Neonatal Abstinence Syndrome/ep [Epidemiology] MH - Neonatal Abstinence Syndrome/nu [Nursing] MH - *Neonatal Abstinence Syndrome MH - Nurse-Patient Relations MH - Nursing Evaluation Research MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Social Problems MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders MH - Workplace/px [Psychology] AB - PURPOSE: This study explored the experiences of NICU nurses in caring for infants with neonatal abstinence syndrome (NAS). AB - DESIGN: A qualitative research approach was used with open-ended questions employing computer-assisted personal interviews. AB - SAMPLE: Fourteen NICU nurses employed in a regional hospital provided responses. AB - RESULTS: The nurses reflected a personal struggle between a desire to employ their technical and critical nursing skills and the need to provide expected maternal care to NAS infants. Other themes included frustration and burnout, challenges to values about parenting, and increased awareness of drug use in the community and at home. AB - DISCUSSION: The results suggest that nurses underrate the skill required to care for infants with NAS. The level of knowledge, patience, and commitment to these newborns should be reframed to increase job satisfaction, and education should be offered to nurses about women struggling with addictions. RN - 0 (Narcotics) ES - 1539-2880 IL - 0730-0832 PT - Journal Article LG - English DP - 2010 Sep-Oct DC - 20100910 YR - 2010 ED - 20110503 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20829177 <20. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20237960 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shanahan CW AU - Beers D AU - Alford DP AU - Brigandi E AU - Samet JH FA - Shanahan, Christopher W FA - Beers, Donna FA - Alford, Daniel P FA - Brigandi, Eileen FA - Samet, Jeffrey H IN - Shanahan,Christopher W. Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, USA. cshanaha@bu.edu TI - A transitional opioid program to engage hospitalized drug users. SO - Journal of General Internal Medicine. 25(8):803-8, 2010 Aug. AS - J Gen Intern Med. 25(8):803-8, 2010 Aug. NJ - Journal of general internal medicine PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 OI - Source: NLM. PMC2896583 SB - Index Medicus CP - United States MH - Adult MH - *Analgesics, Opioid MH - Case Management MH - Female MH - Harm Reduction MH - *Heroin Dependence/ep [Epidemiology] MH - Heroin Dependence/pc [Prevention & Control] MH - Heroin Dependence/rh [Rehabilitation] MH - *Hospitalization/sn [Statistics & Numerical Data] MH - Humans MH - Interview, Psychological MH - Male MH - Massachusetts/ep [Epidemiology] MH - *Methadone MH - Motivation MH - *Opiate Substitution Treatment MH - Outpatients/sn [Statistics & Numerical Data] MH - Program Development MH - *Program Evaluation MH - Risk Reduction Behavior MH - Street Drugs MH - Substance Abuse Treatment Centers/sn [Statistics & Numerical Data] MH - Time Factors AB - BACKGROUND: Many opioid-dependent patients do not receive care for addiction issues when hospitalized for other medical problems. Based on 3 years of clinical practice, we report the Transitional Opioid Program (TOP) experience using hospitalization as a "reachable moment" to identify and link opioid-dependent persons to addiction treatment from medical care. AB - METHODS: A program nurse identified, assessed, and enrolled hospitalized, out-of-treatment opioid-dependent drug users based on their receipt of methadone during hospitalization. At discharge, patients transitioned to an outpatient interim opioid agonist program providing 30-day stabilization followed by 60-day taper. The nurse provided case management emphasizing HIV risk reduction, health education, counseling, and medical follow-up. Treatment outcomes included opioid agonist stabilization then taper or transfer to long-term opioid agonist treatment. AB - RESULTS: From January 2002 to January 2005, 362 unique hospitalized, opioid-dependent drug users were screened; 56% (n = 203) met eligibility criteria and enrolled into the program. Subsequently, 82% (167/203) presented to the program clinic post-hospital discharge; for 59% (119/203) treatment was provided, for 26% (52/203) treatment was not provided, and for 16% (32/203) treatment was not possible (pursuit of TOP objectives precluded by medical problems, psychiatric issues, or incarceration). Program patients adhered to a spectrum of medical recommendations (e.g., obtaining prescription medications, medical follow-up). AB - CONCLUSIONS: The Transitional Opioid Program (TOP) identified at-risk hospitalized, out-of-treatment opioid-dependent drug users and, by offering a range of treatment intensity options, engaged a majority into addiction treatment. Hospitalization can be a "reachable moment" to engage and link drug users into addiction treatment. RN - 0 (Analgesics, Opioid) RN - 0 (Street Drugs) RN - UC6VBE7V1Z (Methadone) ES - 1525-1497 IL - 0884-8734 DO - http://dx.doi.org/10.1007/s11606-010-1311-3 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20100317 DP - 2010 Aug DC - 20100705 YR - 2010 ED - 20110428 RD - 20141204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20237960 <21. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20616459 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kubota K AU - Shimazu A AU - Kawakami N AU - Takahashi M AU - Nakata A AU - Schaufeli WB FA - Kubota, Kazumi FA - Shimazu, Akihito FA - Kawakami, Norito FA - Takahashi, Masaya FA - Nakata, Akinori FA - Schaufeli, Wilmar B IN - Kubota,Kazumi. Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. kazumikubota-tky@umin.net TI - Association between workaholism and sleep problems among hospital nurses. SO - Industrial Health. 48(6):864-71, 2010. AS - Ind Health. 48(6):864-71, 2010. NJ - Industrial health PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - g9l, 2985065r SB - Index Medicus CP - Japan MH - Adaptation, Psychological MH - Adult MH - *Behavior, Addictive/co [Complications] MH - Behavior, Addictive/px [Psychology] MH - Burnout, Professional MH - Confidence Intervals MH - Cross-Sectional Studies MH - Female MH - Health Status Indicators MH - Health Surveys MH - Humans MH - Japan MH - Job Satisfaction MH - Logistic Models MH - Middle Aged MH - *Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - Odds Ratio MH - Personality Inventory MH - Psychometrics MH - Risk Factors MH - Sleep Wake Disorders/di [Diagnosis] MH - *Sleep Wake Disorders/et [Etiology] MH - Sleep Wake Disorders/px [Psychology] MH - *Stress, Psychological/co [Complications] MH - Surveys and Questionnaires MH - *Work Schedule Tolerance/px [Psychology] MH - *Workload/px [Psychology] MH - Workload/sn [Statistics & Numerical Data] MH - Young Adult AB - The present study examined the association between workaholism, the tendency to work excessively hard in a compulsive fashion, and sleep problems among Japanese nurses. A cross-sectional survey was conducted among 600 nurses from 2 university hospitals in Japan using a self-reported questionnaire on workaholism, sleep, job-related variables (i.e., job demands, job control, and worksite support), and demographic variables. A total of 394 nurses returned the questionnaire (response rate=65.7%) and complete data from 312 female nurses were used for analyses (final coverage rate=52.0%). Workaholics, as measured using the Japanese version of the Dutch Workaholism Scale, were defined as those having high scores on both the "work excessively" and "work compulsively" subscales. Logistic regression analyses revealed that workaholics had higher risks for sleep problems in terms of subjective sleep insufficiency, excessive daytime sleepiness at work, difficulty awakening in the morning, and feeling tired when waking up in the morning (odds ratios [OR] of 4.40, 3.18, 3.48, and 4.61, respectively, p<0.05). These remained significant even after adjusting for demographic and job-related variables (OR 3.41, 5.36, 2.56, and 2.77, respectively). However, no significant associations were found between workaholism and insomnia symptoms. These results suggest that workaholic nurses had higher risks for impaired awakening, insufficient sleep, and workplace sleepiness. ES - 1880-8026 IL - 0019-8366 PT - Journal Article LG - English EP - 20100701 DP - 2010 DC - 20101221 YR - 2010 ED - 20110331 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20616459 <22. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20809348 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson ME AU - Robinson RV AU - Corey S AU - Dewane SL AU - Brems C AU - Diane Casto L FA - Johnson, Mark E FA - Robinson, Rebecca Volino FA - Corey, Staci FA - Dewane, Sarah L FA - Brems, Christiane FA - Diane Casto, L IN - Johnson,Mark E. Center for Behavioral Health Research and Services, University of Alaska Anchorage, Anchorage, AK, USA. afmej@uaa.alaska.edu TI - Knowledge, attitudes, and behaviors of health, education, and service professionals as related to fetal alcohol spectrum disorders. SO - International Journal of Public Health. 55(6):627-35, 2010 Dec. AS - Int J Public Health. 55(6):627-35, 2010 Dec. NJ - International journal of public health PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101304551 SB - Index Medicus CP - Switzerland MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - Data Collection MH - *Faculty MH - Female MH - Fetal Alcohol Spectrum Disorders/ep [Epidemiology] MH - Fetal Alcohol Spectrum Disorders/et [Etiology] MH - Fetal Alcohol Spectrum Disorders/pp [Physiopathology] MH - *Fetal Alcohol Spectrum Disorders MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel MH - Humans MH - Male MH - Middle Aged MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - *Social Work AB - OBJECTIVES: We explored differences in fetal alcohol spectrum disorders (FASD) knowledge, attitudes, and behaviors across six groups of professionals in key position to provide primary and secondary prevention efforts (physicians, educators, correctional staff, social workers, public health nurses, and substance abuse counselors). AB - METHODS: Achieving a 60.1% response rate, 2,292 professionals returned surveys, providing data on basic knowledge of FAS, FASD-associated risks and cognitive deficits, and willingness to confront and recommend treatment to alcohol-consuming pregnant women. AB - RESULTS: Across groups, findings revealed ample FASD knowledge and willingness to confront and recommend treatment to alcohol-consuming pregnant women that increases as consumption becomes more frequent and severe. However, results revealed significant between-group differences data that provide valuable guidance for targeted future FASD education efforts. AB - CONCLUSIONS: Public health initiatives regarding FASD have been effective in increasing knowledge among a broad range of professionals. However, between-group differences indicate the need for targeted, discipline-specific interventions. These differences highlight the need for all professional groups to provide a consistent public health message regarding maternal alcohol consumption. ES - 1661-8564 IL - 1661-8556 DO - http://dx.doi.org/10.1007/s00038-010-0186-8 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 5UD1SP09198 (United States CSAP SAMHSA HHS) LG - English EP - 20100901 DP - 2010 Dec DC - 20101126 YR - 2010 ED - 20110329 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20809348 <23. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21050334 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nash MJ AU - Romanos MT FA - Nash, M J FA - Romanos, M T IN - Nash,M J. Psychiatric Nursing, School of Nursing and Midwifery, Trinity College Dublin Consultant Forensic Psychiatrist, St Brendan's Hospital, Dublin, Ireland. michael.nash@tcd.ie TI - An exploration of mental health nursing students' experiences and attitudes towards using cigarettes to change client's behaviour. SO - Journal of Psychiatric & Mental Health Nursing. 17(8):683-91, 2010 Oct. AS - J Psychiatr Ment Health Nurs. 17(8):683-91, 2010 Oct. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9439514, b6e SB - Nursing Journal CP - England MH - *Attitude of Health Personnel MH - *Behavior Therapy/mt [Methods] MH - Female MH - Humans MH - Male MH - Mental Disorders/px [Psychology] MH - Mental Disorders/rh [Rehabilitation] MH - *Mental Disorders/th [Therapy] MH - Motivation MH - *Psychiatric Nursing/ed [Education] MH - *Smoking/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - Token Economy AB - Using cigarettes to change client behaviour is a common, yet little studied, practice in mental health care. A questionnaire survey was used to explore mental health nursing student's experiences and attitudes to this practice. The sample was four cohorts of mental health nursing students (n= 151). Of them, 84% had experienced the practice of using cigarettes to change client behaviour in acute wards (73%), rehabilitation wards (28%) and elderly care (14%). Cigarettes were used to change client behaviour in areas such as attending to personal hygiene (57%) or engaging in the ward routine (39%). However, items such as leave (60%) or drinks (tea and coffee) (38%) were also reportedly used. Of the respondents, 54% inferred that the practice did not work well with 46% stating it was not written up in care plans; 52% felt it was an ad hoc practice, 60% inferred that at times it was used as a punishment while 55% intimated that they felt bad withholding cigarettes. There are ethical and moral dilemmas around using lifestyle risk factors as rewards or using client's nicotine addiction as a means of controlling behaviour. The question of whether this intervention should ever be used, given its associated health risk, requires more critical debate in clinical practice.Copyright © 2010 Blackwell Publishing. ES - 1365-2850 IL - 1351-0126 DO - http://dx.doi.org/10.1111/j.1365-2850.2010.01605.x PT - Journal Article LG - English EP - 20100708 DP - 2010 Oct DC - 20101105 YR - 2010 ED - 20110311 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21050334 <24. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20405093 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hayes-Roth B AU - Saker R AU - Amano K FA - Hayes-Roth, B FA - Saker, R FA - Amano, K IN - Hayes-Roth,B. Lifelike Solutions Inc., 54 Marianna Lane, Atherton, CA 94027, USA. bhr@lifelikesolutions.com TI - Automating individualized coaching and authentic role-play practice for brief intervention training. SO - Methods of Information in Medicine. 49(4):406-11, 2010. AS - Methods Inf Med. 49(4):406-11, 2010. NJ - Methods of information in medicine PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - mvi, 0210453 SB - Index Medicus CP - Germany MH - Analysis of Variance MH - Automation/is [Instrumentation] MH - *Automation/mt [Methods] MH - Clinical Competence MH - Curriculum MH - Education MH - *Educational Measurement MH - Educational Status MH - Humans MH - Internet MH - *Role Playing MH - Statistics as Topic MH - Students, Medical MH - Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Teaching MH - Time Factors MH - *User-Computer Interface AB - OBJECTIVES: Brief intervention helps to reduce alcohol abuse, but there is a need for accessible, cost-effective training of clinicians. This study evaluated STAR Workshop , a web-based training system that automates efficacious techniques for individualized coaching and authentic role-play practice. AB - METHODS: We compared STAR Workshop to a web-based, self-guided e-book and a no-treatment control, for training the Engage for Change (E4C) brief intervention protocol. Subjects were medical and nursing students. Brief written skill probes tested subjects' performance of individual protocol steps, in different clinical scenarios, at three test times: pre-training, post-training, and post-delay (two weeks). Subjects also did live phone interviews with a standardized patient, post-delay. AB - RESULTS: STAR subjects performed significantly better than both other groups. They showed significantly greater improvement from pre-training probes to post-training and post-delay probes. They scored significantly higher on post-delay phone interviews. AB - CONCLUSION: STAR Workshop appears to be an accessible, cost-effective approach for training students to use the E4C protocol for brief intervention in alcohol abuse. It may also be useful for training other clinical interviewing protocols. IS - 0026-1270 IL - 0026-1270 DO - http://dx.doi.org/10.3414/ME9311 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural LG - English EP - 20100420 DP - 2010 DC - 20100805 YR - 2010 ED - 20110307 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20405093 <25. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20542191 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fernandez D AU - Martin V AU - Molina AJ AU - De Luis JM FA - Fernandez, Daniel FA - Martin, Vicente FA - Molina, Antonio Jose FA - De Luis, Jose Manuel IN - Fernandez,Daniel. Department of Nursing and Physiotherapy, University of Leon, Oncology Unit, Hospital of Leon, Spain. daniel.fernandez@unileon.es TI - Smoking habits of students of nursing: a questionnaire survey (2004-2006). SO - Nurse Education Today. 30(5):480-4, 2010 Jul. AS - Nurse Educ Today. 30(5):480-4, 2010 Jul. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adolescent MH - Adult MH - Confidence Intervals MH - Health Surveys MH - Humans MH - Incidence MH - Logistic Models MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Odds Ratio MH - Prevalence MH - *Risk-Taking MH - Schools, Nursing/sn [Statistics & Numerical Data] MH - Self-Assessment MH - *Smoking/ep [Epidemiology] MH - Spain/ep [Epidemiology] MH - Statistics, Nonparametric MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Young Adult AB - AIM: To determine changes in the prevalence of tobacco use among students of nursing and associated factors. AB - BACKGROUND: The prevalence and distribution of smokers among nursing students varies according to the country and period of study. AB - METHOD: Transversal descriptive study by self-answered questionnaire. Eight hundred and fifty four subjects (94.9%) were questioned in the period 2004-2006. AB - FINDINGS: Twenty eight percent of the students declared themselves to be smokers. The habit began before the students started university. The tendency of prevalence by year of survey and by graduation year was downward. The students shown a low nicotine dependency according to Fagerstrom and little motivation to give up. The average age at the onset of consumption was 14.6 (1.8) years. From the logistical regression analysis, the model best explaining the prevalence of tobacco consumption included the variable of year surveyed and academic background, those coming from the baccalaureate showing a lesser prevalence and tendency to smoke. AB - CONCLUSIONS: Tobacco consumption among students of health sciences was less than in the general population of the same age but high given their future profession. The tendency to smoke is decreasing and most started smoking before joining the university. We recommend an intensification of actions directed at teenagers and the promotion of anti-tobacco campaigns in universities.Copyright 2009 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DO - http://dx.doi.org/10.1016/j.nedt.2009.10.012 PT - Journal Article LG - English DP - 2010 Jul DC - 20100614 YR - 2010 ED - 20110307 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20542191 <26. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19889482 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vandermause RK AU - Townsend RP FA - Vandermause, Roxanne K FA - Townsend, Ryan P IN - Vandermause,Roxanne K. Washington State University, College of Nursing, P.O. Box 1495, Spokane, WA 99210-1495, USA. rvandermause@wsu.edu TI - Teaching thoughtful practice: narrative pedagogy in addictions education. SO - Nurse Education Today. 30(5):428-34, 2010 Jul. AS - Nurse Educ Today. 30(5):428-34, 2010 Jul. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - *Behavior, Addictive/nu [Nursing] MH - *Curriculum MH - Education, Distance MH - *Education, Nursing MH - Evidence-Based Nursing MH - Humans MH - *Learning MH - Models, Educational MH - *Narration MH - Qualitative Research MH - *Substance-Related Disorders/nu [Nursing] MH - *Teaching AB - Preparing practitioners for this rapidly changing and demanding health care environment is challenging. A surge in knowledge development and scientific advancement has placed a priority on technical skill and a focus on content driven educational processes that prepare students for evidence-based practice. However, the most difficult health care scenarios require thinking-in-action and thoughtfulness as well as didactic knowledge. It is our contention that interpretive educational methods, like narrative pedagogy, will promote judgment-based practice that includes use of evidence and delivery of thoughtful care. In this article, we describe and interpret a narrative approach to addictions content and teaching thoughtful practice. We present our pedagogical process, including observations and field notes, to show how interpretive pedagogies can be introduced into nursing curricula. By presenting this process, the reader is invited to consider interpretive methods as a way to inspire and habituate thoughtful practice and judgment-based care.Copyright 2009 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DO - http://dx.doi.org/10.1016/j.nedt.2009.09.017 PT - Journal Article LG - English EP - 20091103 DP - 2010 Jul DC - 20100614 YR - 2010 ED - 20110307 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19889482 <27. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21172102 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carson G AU - Cox LV AU - Crane J AU - Croteau P AU - Graves L AU - Kluka S AU - Koren G AU - Martel MJ AU - Midmer D AU - Nulman I AU - Poole N AU - Senikas V AU - Wood R AU - Society of Obstetricians and Gynaecologists of Canada FA - Carson, George FA - Cox, Lori Vitale FA - Crane, Joan FA - Croteau, Pascal FA - Graves, Lisa FA - Kluka, Sandra FA - Koren, Gideon FA - Martel, Marie-Jocelyne FA - Midmer, Deana FA - Nulman, Irena FA - Poole, Nancy FA - Senikas, Vyta FA - Wood, Rebecca FA - Society of Obstetricians and Gynaecologists of Canada TI - Alcohol use and pregnancy consensus clinical guidelines. SO - Journal of Obstetrics & Gynaecology Canada: JOGC. 32(8 Suppl 3):S1-31, 2010 Aug. AS - J Obstet Gynaecol Can. 32(8 Suppl 3):S1-31, 2010 Aug. NJ - Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC PI - Journal available in: Print PI - Citation processed from: Print JC - 101126664 SB - Index Medicus CP - Canada MH - Adolescent MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking MH - Alcoholic Beverages/an [Analysis] MH - Alcoholism/co [Complications] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Canada/ep [Epidemiology] MH - Consensus MH - Counseling MH - Female MH - Fetal Alcohol Spectrum Disorders/et [Etiology] MH - Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - *Fetal Alcohol Spectrum Disorders MH - Fetal Diseases/et [Etiology] MH - Fetal Diseases/pc [Prevention & Control] MH - *Fetal Diseases MH - Humans MH - Mass Screening MH - Patient Education as Topic MH - Preconception Care MH - Pregnancy MH - Pregnancy Complications/di [Diagnosis] MH - Pregnancy Complications/th [Therapy] MH - *Pregnancy Complications MH - Randomized Controlled Trials as Topic MH - Risk Factors MH - Temperance AB - OBJECTIVE: to establish national standards of care for the screening and recording of alcohol use and counselling on alcohol use of women of child-bearing age and pregnant women based on the most up-to-date evidence. AB - EVIDENCE: published literature was retrieved through searches of PubMed, CINAHL, and the Cochrane Library in May 2009 using appropriate controlled vocabulary (e.g., pregnancy complications, alcohol drinking, prenatal care) and key words (e.g., pregnancy, alcohol consumption, risk reduction). Results were restricted to literature published in the last five years with the following research designs: systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no language restrictions. Searches were updated on a regular basis and incorporated in the guideline to May 2010. Grey (unpublished) literature was identified through searching the websites of health technology assessment (HTA) and HTA-related agencies, national and international medical specialty societies, clinical practice guideline collections, and clinical trial registries. Each article was screened for relevance and the full text acquired if determined to be relevant. The evidence obtained was reviewed and evaluated by the members of the Expert Workgroup established by the Society of Obstetricians and Gynaecologists of Canada. The quality of evidence was evaluated and recommendations were made according to guidelines developed by the Canadian Task Force on Preventive Health Care. AB - VALUES: the quality of evidence was rated using the criteria described by the Canadian Task Force on Preventive Health Care (Table 1). AB - SPONSOR: the Public Health Agency of Canada and the Society of Obstetricians and Gynaecologists of Canada. AB - ENDORSEMENT: these consensus guidelines have been endorsed by the Association of Obstetricians and Gynecologists of Quebec; the Canadian Association of Midwives; the Canadian Association of Perinatal, Women's Health and Neonatal Nurses (CAPWHN); the College of Family Physicians of Canada; the Federation of Medical Women of Canada; the Society of Rural Physicians of Canada; and Motherisk. SUMMARY STATEMENTS: 1. There is evidence that alcohol consumption in pregnancy can cause fetal harm. (II-2) There is insufficient evidence regarding fetal safety or harm at low levels of alcohol consumption in pregnancy. (III) 2. There is insufficient evidence to define any threshold for low-level drinking in pregnancy. (III) 3. Abstinence is the prudent choice for a woman who is or might become pregnant. (III) 4. Intensive culture-, gender-, and family-appropriate interventions need to be available and accessible for women with problematic drinking and/or alcohol dependence. (II-2). AB - RECOMMENDATIONS: 1. Universal screening for alcohol consumption should be done periodically for all pregnant women and women of child-bearing age. Ideally, at-risk drinking could be identified before pregnancy, allowing for change. (II-2B) 2. Health care providers should create a safe environment for women to report alcohol consumption. (III-A) 3. The public should be informed that alcohol screening and support for women at risk is part of routine women's health care. (III-A) 4. Health care providers should be aware of the risk factors associated with alcohol use in women of reproductive age. (III-B) 5. Brief interventions are effective and should be provided by health care providers for women with at-risk drinking. (II-2B) 6. If a woman continues to use alcohol during pregnancy, harm reduction/treatment strategies should be encouraged. (II-2B) 7. Pregnant women should be given priority access to withdrawal management and treatment. (III-A) 8. Health care providers should advise women that low-level consumption of alcohol in early pregnancy is not an indication for termination of pregnancy. (II-2A). IS - 1701-2163 IL - 1701-2163 PT - Journal Article PT - Practice Guideline PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 Aug DC - 20101221 YR - 2010 ED - 20110224 RD - 20151026 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21172102 <28. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21287847 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - David TI AU - Lee-Woolf E FA - David, Timothy I FA - Lee-Woolf, Elizabeth IN - David,Timothy I. Faculty of Medical and Human Sciences, University of Manchester. TI - Fitness to practise for student nurses: principles, standards and procedures. SO - Nursing Times. 106(39):23-6, 2010 Oct 5-11. AS - Nurs Times. 106(39):23-6, 2010 Oct 5-11. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - England MH - Deception MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Great Britain MH - Humans MH - Mental Disorders/pc [Prevention & Control] MH - Plagiarism MH - Practice Guidelines as Topic MH - Professional Competence/lj [Legislation & Jurisprudence] MH - *Professional Competence/st [Standards] MH - Professional Misconduct/lj [Legislation & Jurisprudence] MH - *Professional Misconduct MH - *Professional Staff Committees/og [Organization & Administration] MH - School Admission Criteria MH - *Schools, Nursing/og [Organization & Administration] MH - Students, Nursing/lj [Legislation & Jurisprudence] MH - *Students, Nursing MH - Substance-Related Disorders/pc [Prevention & Control] AB - Since 2009, all schools of nursing have been required to establish a fitness to practise committee to consider any pre-registration student health or character issues (Nursing and Midwifery Council, 2008). In 2009, fitness to practice standards were published (NMC, 2009a). This article outlines how fitness to practise procedures apply to nursing and midwifery students in the U.K. and explains the key differences between how they are applied to trainees and to registered nurses. IS - 0954-7762 IL - 0954-7762 PT - Journal Article LG - English DP - 2010 Oct 5-11 DC - 20110203 YR - 2010 ED - 20110218 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21287847 <29. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20487401 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tofthagen R AU - Fagerstrom L FA - Tofthagen, Randi FA - Fagerstrom, Lisbeth IN - Tofthagen,Randi. Lovisenberg Diaconal University College, Oslo, Norway. Randi.tofthagen@ldh.no TI - Clarifying self-harm through evolutionary concept analysis. SO - Scandinavian Journal of Caring Sciences. 24(3):610-9, 2010 Sep. AS - Scand J Caring Sci. 24(3):610-9, 2010 Sep. NJ - Scandinavian journal of caring sciences PI - Journal available in: Print PI - Citation processed from: Internet JC - sjo, 8804206 SB - Nursing Journal CP - Sweden MH - Attitude of Health Personnel MH - Humans MH - Nurses/px [Psychology] MH - *Self-Injurious Behavior AB - Clarification of the concept self-harm is needed in order to enable research and theory development and facilitate the development and evaluation of medical interventions and nursing care for individuals who self-harm. This study presents such a conceptual analysis. Articles from 1997 to 2007 were sought from the Medline, PubMed, Cinahl, and PsychINFO search engines by entering the search words 'self-harm', 'self-harming', and 'psychiatric care'. 25 medicine and 23 nursing science articles were chosen for inclusion and analysed. Rodgers' evolutionary concept analysis process was used to delineate and clarify the concept's context, surrogate terms, antecedents, attributes, and consequences, as well as to determine implications for further research. Attributes of self-harm may include repetitive injury of mouth or exterior body, that is to say the infliction of physical pain to alleviate mental pain, and time spent self-harming. Antecedents may be gender, mental pain, substance abuse and relational problems. Consequences often include the need for medication and help with altering coping behaviour. Some self-harm patients met with negative attitudes from nurses. Individualized care and treatment is recommended. Accordingly, inter-professional collaboration and postgraduate education is needed in order to provide better care and treatment for self-harm patients. Furthermore, better understanding is needed to help enable health care personnel understand why individuals self-harm. The conceptual analysis presented in this study may be helpful as regards theory development within this still rather unexplored field.Copyright © 2010 The Authors. Journal compilation © 2010 Nordic College of Caring Science. ES - 1471-6712 IL - 0283-9318 DO - http://dx.doi.org/10.1111/j.1471-6712.2009.00749.x PT - Journal Article LG - English DP - 2010 Sep DC - 20101105 YR - 2010 ED - 20110217 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20487401 <30. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20378618 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bertsche T AU - Bertsche A AU - Krieg EM AU - Kunz N AU - Bergmann K AU - Hanke G AU - Hoppe-Tichy T AU - Ebinger F AU - Haefeli WE FA - Bertsche, T FA - Bertsche, A FA - Krieg, E-M FA - Kunz, N FA - Bergmann, K FA - Hanke, G FA - Hoppe-Tichy, T FA - Ebinger, F FA - Haefeli, W E IN - Bertsche,T. Department of Clinical Pharmacology and Pharmacoepidemiology, INF 410, 69120 Heidelberg, Germany. TI - Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents. SO - Quality & Safety in Health Care. 19(5):e26, 2010 Oct. AS - Qual Saf Health Care. 19(5):e26, 2010 Oct. NJ - Quality & safety in health care PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101136980 SB - Health Administration Journals CP - England MH - Administration, Oral MH - Adult MH - Child MH - Child, Preschool MH - Cohort Studies MH - Female MH - Humans MH - Intubation, Gastrointestinal MH - Male MH - *Medical Staff, Hospital/ed [Education] MH - *Medication Errors/pc [Prevention & Control] MH - *Parents/ed [Education] MH - Pilot Projects MH - Prospective Studies MH - *Quality of Health Care MH - Young Adult AB - BACKGROUND: Drug administration in children is an error-prone task for nurses and parents because individual dose adjustment is often necessary, and suitable formulations for children are frequently lacking. Hence, in the absence of measures for their prevention, medication errors are likely to occur. AB - OBJECTIVE: To assess the error prevalence in drug administration by mouth or gastric tube before and after implementing a programme for quality improvement for nurses and parents. AB - DESIGN, SETTING AND PARTICIPANTS: Prospective, two-period cohort intervention study on a paediatric neurology ward of a university hospital where drug administration procedures of nurses and parents were consecutively monitored during the routine drug administration hours. AB - MAIN OUTCOMES MEASURE: Prevalence of administration errors before and after implementing instructions for appropriate drug administration, and a teaching and training programme supported by information pamphlets. AB - RESULTS: Altogether, 1164 predefined administration tasks were assessed, 675 before and 489 after the intervention. Of these, 95.7% (after the AB - INTERVENTION: 92.6%) were performed by nurses. Errors addressed by the intervention were reduced from 261/646 tasks (40.4%) to 36/453 (7.9%, p<0.001) in nurses and from 28/29 (96.6%) to 2/36 (5.6%, p<0.001) in parents. Errors in predefined categories concerning tablet dissolution, tablet storage, oral liquids, tablet splitting, administration by gastric tube and others were all considerably less frequent after the intervention (each p<0.001). AB - CONCLUSION: Errors of drug administration by mouth and gastric tube represent a considerable and often neglected drug-related problem in paediatric inpatients. Targeted quality-improvement programmes can substantially and rapidly reduce error prevalence. Appropriate teaching and training of both nurses and parents supported by pamphlets was a highly efficient way to reduce error prevalence. ES - 1475-3901 IL - 1475-3898 DO - http://dx.doi.org/10.1136/qshc.2009.033753 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20100408 DP - 2010 Oct DC - 20101027 YR - 2010 ED - 20110204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20378618 <31. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20054453 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Warren CW AU - Sinha DN AU - Lee J AU - Lea V AU - Jones NR FA - Warren, Charles W FA - Sinha, Dhirendra N FA - Lee, Juliette FA - Lea, Veronica FA - Jones, Nathan R IN - Warren,Charles W. Office on Smoking and Health, US Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. wcw1@cdc.gov TI - Tobacco use, exposure to secondhand smoke, and training on cessation counseling among nursing students: cross-country data from the Global Health Professions Student Survey (GHPSS), 2005-2009. SO - International Journal of Environmental Research & Public Health [Electronic Resource]. 6(10):2534-49, 2009 Oct. AS - Int J Environ Res Public Health. 6(10):2534-49, 2009 Oct. NJ - International journal of environmental research and public health PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101238455 OI - Source: NLM. PMC2790091 SB - Index Medicus CP - Switzerland MH - Adult MH - Confidence Intervals MH - Cross-Sectional Studies MH - *Directive Counseling MH - *Education, Nursing MH - Environmental Exposure/ae [Adverse Effects] MH - Female MH - Health Education MH - Health Occupations/ed [Education] MH - Health Occupations/sn [Statistics & Numerical Data] MH - Health Surveys MH - Humans MH - Male MH - Organizational Policy MH - Patient Education as Topic MH - *Smoking Cessation/mt [Methods] MH - *Students, Nursing MH - *Tobacco Smoke Pollution/ae [Adverse Effects] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/et [Etiology] MH - United States/ep [Epidemiology] MH - Young Adult KW - counseling training; health professionals; nursing students; tobacco use AB - The Nursing Global Health Professions Student Survey (GHPSS) has been conducted in schools in 39 countries and the Gaza Strip/West Bank (identified as "sites" for the remainder of this paper). In half the sites, over 20% of the students currently smoked cigarettes, with males having higher rates than females in 22 sites. Over 60% of students reported having been exposed to secondhand smoke in public places in 23 of 39 sites. The majority of students recognized that they are role models in society, believed they should receive training on counseling patients to quit using tobacco, but few reported receiving any formal training. Tobacco control efforts must discourage tobacco use among health professionals, promote smoke free workplaces, and implement programs that train health professionals in effective cessation-counseling techniques. RN - 0 (Tobacco Smoke Pollution) ES - 1660-4601 IL - 1660-4601 DO - http://dx.doi.org/10.3390/ijerph6102534 PT - Journal Article LG - English EP - 20090928 DP - 2009 Oct DC - 20100107 YR - 2009 ED - 20110201 RD - 20141204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20054453 <32. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20838174 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Becker J AU - Mendez-Quigley T AU - Phillips M FA - Becker, Julie FA - Mendez-Quigley, Teresa FA - Phillips, Maureen IN - Becker,Julie. Women's Health & Environmental Network, Philadelphia, Pennsylvania 19130, USA. becker.julie@gmail.com TI - Nursing role in the pharmaceutical life cycle. SO - Nursing Administration Quarterly. 34(4):297-305, 2010 Oct-Dec. AS - Nurs Adm Q. 34(4):297-305, 2010 Oct-Dec. NJ - Nursing administration quarterly PI - Journal available in: Print PI - Citation processed from: Internet JC - oae, 7703976 SB - Nursing Journal CP - United States MH - *Drug-Related Side Effects and Adverse Reactions MH - Environmental Exposure MH - Green Chemistry Technology/mt [Methods] MH - Humans MH - *Nurse's Role MH - Pharmaceutical Preparations/ch [Chemistry] MH - Pharmaceutical Preparations/me [Metabolism] MH - Prescription Drugs/ae [Adverse Effects] MH - Prescription Drugs/ch [Chemistry] MH - Prescription Drugs/me [Metabolism] MH - *Water Pollution, Chemical/pc [Prevention & Control] MH - *Water Purification/mt [Methods] MH - Water Supply/an [Analysis] AB - Biologically active, nontherapeutic levels of pharmaceuticals have been detected in waterways and effluent. Although the vast majority of releases stem from human or animal excretion and production effluent, some come from disposal practices. Studies have demonstrated numerous links between environmental exposures from pharmaceutical compounds and their impact upon aquatic life. Nurses need to be aware of this issue since their roles in health care are expanding and considered among the most trusted. Throughout the life cycle of pharmaceuticals (design, approval/regulation, production, use, and discharge/disposal), nursing can play pivotal roles in reducing and eliminating pharmaceutical waste as well as improving public safety through decreasing poisoning and drug abuse. This article discusses the environmental impact of the pharmaceutical life cycle and what roles nurses have as clinicians, educators, advocates, and researchers. RN - 0 (Pharmaceutical Preparations) RN - 0 (Prescription Drugs) ES - 1550-5103 IL - 0363-9568 DO - http://dx.doi.org/10.1097/NAQ.0b013e3181f5640a PT - Journal Article LG - English DP - 2010 Oct-Dec DC - 20100914 YR - 2010 ED - 20110106 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20838174 <33. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20582845 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Borelli JL AU - Goshin L AU - Joestl S AU - Clark J AU - Byrne MW FA - Borelli, Jessica L FA - Goshin, Lorie FA - Joestl, Sarah FA - Clark, Juliette FA - Byrne, Mary W IN - Borelli,Jessica L. Department of Psychology, Pomona College, Claremont, USA. TI - Attachment organization in a sample of incarcerated mothers: distribution of classifications and associations with substance abuse history, depressive symptoms, perceptions of parenting competency and social support. SO - Attachment & Human Development. 12(4):355-74, 2010 Jul. AS - Attach Hum Dev. 12(4):355-74, 2010 Jul. NJ - Attachment & human development PI - Journal available in: Print PI - Citation processed from: Internet JC - 100901315 OI - Source: NLM. NIHMS219670 OI - Source: NLM. PMC2946896 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Analysis of Variance MH - *Depression/px [Psychology] MH - Female MH - Health Status MH - Health Status Indicators MH - Humans MH - Middle Aged MH - *Mothers/px [Psychology] MH - Multivariate Analysis MH - Nurseries MH - *Object Attachment MH - *Parent-Child Relations MH - Parenting/px [Psychology] MH - *Prisoners/px [Psychology] MH - Prisons MH - Psychometrics MH - Regression Analysis MH - Social Perception MH - Social Support MH - *Substance-Related Disorders/px [Psychology] MH - Young Adult AB - We report attachment classifications in a sample of pregnant women incarcerated in a state prison with a nursery program. Analyses were based on 69 women serving sentences for felony crimes who were followed from the birth of their child to completion of the prison nursery co-residence. They completed the Adult Attachment Interview shortly after entering the program and scales measuring depression, perceived parenting competency, and social support at study entry (Time 1) and program completion (Time 2). Incarcerated mothers had higher rates of insecure attachment than previous low-risk community samples. Compared with dismissing and secure mothers, preoccupied mothers reported higher levels of depressive symptoms, lower parenting competency, and lower satisfaction with social support at the conclusion of the nursery program. Higher scores on unresolved loss and derogation were associated with a history of substance abuse; higher scores on unresolved trauma were associated with depressive symptoms at program completion. ES - 1469-2988 IL - 1461-6734 DO - http://dx.doi.org/10.1080/14616730903416971 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural NO - 1-F32AG032310-01 (United States NIA NIH HHS) NO - F32 AG032310-01 (United States NIA NIH HHS) NO - R01 NR007782 (United States NINR NIH HHS) NO - R01 NR007782-04 (United States NINR NIH HHS) NO - R01 NR007782-04 (United States NINR NIH HHS) LG - English DP - 2010 Jul DC - 20100628 YR - 2010 ED - 20110106 RD - 20141203 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20582845 <34. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20525095 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Caley LM AU - Riemer S AU - Weinstein HS FA - Caley, Linda M FA - Riemer, Sara FA - Weinstein, Helen S IN - Caley,Linda M. School of Nursing, University at Buffalo, Buffalo, New York 14214-3079, USA. lcaley@buffalo.edu TI - Results of a nurse-led workshop designed to prevent fetal alcohol spectrum disorder. SO - Public Health Nursing. 27(3):232-9, 2010 May-Jun. AS - Public Health Nurs. 27(3):232-9, 2010 May-Jun. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Internet JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - *Community Health Nursing/og [Organization & Administration] MH - Data Collection MH - Education/sn [Statistics & Numerical Data] MH - *Education, Nursing, Continuing/mt [Methods] MH - Educational Status MH - Female MH - Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Humans MH - Infant, Newborn MH - *Leadership MH - Nursing Education Research MH - Pregnancy MH - *Public Health Nursing/og [Organization & Administration] MH - Qualitative Research MH - Surveys and Questionnaires AB - Preventing the negative consequences of prenatal exposure to alcohol remains an unmet challenge. This paper presents the results of a workshop, designed to increase the implementation of fetal alcohol spectrum disorders (FASD) prevention interventions in 8 counties of New York. The workshop was based on constructivist learning theory and used the Population-Based Public Health Nursing Intervention Model as the structure for discussing potential interventions. The number and type of FASD interventions implemented were determined by surveys sent out postworkshop to 167 participants. At 4 months postworkshop, 37 participants reported implementing 226 primary, secondary, and tertiary interventions in 74 different worksites. The results indicate that incorporation of constructivist learning theory shows promise for future public health and continuing education programs aimed at changing or enhancing practice. ES - 1525-1446 IL - 0737-1209 DO - http://dx.doi.org/10.1111/j.1525-1446.2010.00848.x PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 May-Jun DC - 20100607 YR - 2010 ED - 20110106 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20525095 <35. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20846223 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCreaddie M AU - Lyons I AU - Watt D AU - Ewing E AU - Croft J AU - Smith M AU - Tocher J FA - McCreaddie, May FA - Lyons, Imogen FA - Watt, Debbie FA - Ewing, Elspeth FA - Croft, Jeanette FA - Smith, Marion FA - Tocher, Jennifer IN - McCreaddie,May. Nursing and Midwifery Department, University of Stirling, Stirling, Ireland. TI - Routines and rituals: a grounded theory of the pain management of drug users in acute care settings. [Review] SO - Journal of Clinical Nursing. 19(19-20):2730-40, 2010 Oct. AS - J Clin Nurs. 19(19-20):2730-40, 2010 Oct. NJ - Journal of clinical nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Focus Groups MH - Humans MH - Interviews as Topic MH - Pain/co [Complications] MH - *Pain/dt [Drug Therapy] MH - *Substance-Related Disorders/co [Complications] AB - AIM: This study reviewed the perceptions and strategies of drug users and nurses with regard to pain management in acute care settings. AB - BACKGROUND: Drug users present unique challenges in acute care settings with pain management noted to be at best suboptimal, at worst non-existent. Little is known about why and specifically how therapeutic effectiveness is compromised. AB - DESIGN: Qualitative: constructivist grounded theory. AB - METHOD: A constructivist grounded theory approach incorporating a constant comparative method of data collection and analysis was applied. The data corpus comprised interviews with drug users (n = 11) and five focus groups (n = 22) of nurses and recovering drug users. AB - RESULTS: Moral relativism as the core category both represents the phenomenon and explains the basic social process. Nurses and drug users struggle with moral relativism when addressing the issue of pain management in the acute care setting. Drug users lay claim to expectations of compassionate care and moralise via narration. Paradoxically, nurses report that the caring ideal and mutuality of caring are diminished. Drug users' individual sensitivities, anxieties and felt stigma in conjunction with opioid-induced hyperalgesia complicate the processes. Nurses' and hospitals' organisational routines challenge drug user rituals and vice versa leading both protagonists to become disaffected. Consequently, key clinical issues such as preventing withdrawal and managing pain are left unaddressed and therapeutic effectiveness is compromised. AB - CONCLUSION: This study provides a robust account of nurses' and drug users' struggle with pain management in the acute care setting. Quick technological fixes such as urine screens, checklists or the transient effects of (cognitive-based) education (or training) are not the answer. This study highlights the need for nurses to engage meaningfully with this perceptibly 'difficult' group of patients. AB - RELEVANCE TO CLINICAL PRACTICE: The key aspects likely to contribute to problematic interactions with this patient cohort are outlined so that they can be prevented and, or addressed.Copyright © 2010 Blackwell Publishing Ltd. ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2010.03284.x PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2010 Oct DC - 20100917 YR - 2010 ED - 20101230 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20846223 <36. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21061783 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brennan JM FA - Brennan, Jane M IN - Brennan,Jane M. Widener University School of Nursing, USA. TI - Understanding the impact of war zone experiences: a primer for civilian nurses. SO - Pennsylvania Nurse. 65(3):20-2, 2010 Sep. AS - Pa Nurse. 65(3):20-2, 2010 Sep. NJ - The Pennsylvania nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ooj, 19540010r SB - Nursing Journal CP - United States MH - Afghan Campaign 2001- MH - *Brain Injuries/ep [Epidemiology] MH - Brain Injuries/px [Psychology] MH - *Combat Disorders/ep [Epidemiology] MH - Combat Disorders/px [Psychology] MH - *Depression/ep [Epidemiology] MH - Depression/px [Psychology] MH - Emergency Nursing MH - Humans MH - Internet MH - Iraq War, 2003-2011 MH - Military Nursing/ed [Education] MH - Military Nursing/og [Organization & Administration] MH - Military Personnel/px [Psychology] MH - Military Personnel/sn [Statistics & Numerical Data] MH - *Military Personnel MH - Nurse's Role MH - Primary Health Care MH - *Stress Disorders, Post-Traumatic/ep [Epidemiology] MH - Stress Disorders, Post-Traumatic/px [Psychology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Suicide/px [Psychology] MH - Suicide/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] AB - As the United States continues to fight the war on terror in Iraq and Afghanistan, the number of personnel deployed to war zones and transitioning back to the home front increases. After nine years of intensive experience, military nurses have learned much about the needs of wounded warriors in critical care settings and in acute phases of recovery. Several articles have been published about the lessons learned and skill sets needed by military nurses in critical care settings. The unique nature of the volunteer military, along with the deployment of reservists and contractors to war zones, has created a sub-population of individuals who have transitioned or are transitioning back into their civilian world. Nurses involved in primary care and emergency nursing can learn much from the experiences of those nurses who have worked with traumatic brain injuries (TBI), posttraumatic stress disorders (PTSD), alcohol abuse and substance abuse as ineffective coping mechanisms and risks of suicide. The purpose of this article is to share some of the lessons learned by military and veterans administration healthcare workers with civilian nurses. IS - 0031-4617 IL - 0031-4617 PT - Journal Article LG - English DP - 2010 Sep DC - 20101110 YR - 2010 ED - 20101215 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21061783 <37. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21061780 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wieland D AU - Hursey M AU - Delgado D FA - Wieland, Diane FA - Hursey, Melodee FA - Delgado, Deborah IN - Wieland,Diane. La Salle University, School of Nursing & Health Sciences, USA. TI - Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military mental health issues. Information on the wars' signature wounds: posttraumatic stress disorder and traumatic brain injury. SO - Pennsylvania Nurse. 65(3):4-11; quiz 12-3, 2010 Sep. AS - Pa Nurse. 65(3):4-11; quiz 12-3, 2010 Sep. NJ - The Pennsylvania nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ooj, 19540010r SB - Nursing Journal CP - United States MH - Afghan Campaign 2001- MH - Brain Injuries/di [Diagnosis] MH - Brain Injuries/ep [Epidemiology] MH - Brain Injuries/th [Therapy] MH - *Brain Injuries MH - Health Services Accessibility MH - Health Services Needs and Demand MH - Humans MH - Iraq War, 2003-2011 MH - Military Medicine MH - Military Nursing/ed [Education] MH - Military Nursing/og [Organization & Administration] MH - *Military Personnel MH - Military Psychiatry MH - Nurse's Role MH - Risk Factors MH - Stereotyping MH - Stress Disorders, Post-Traumatic/di [Diagnosis] MH - Stress Disorders, Post-Traumatic/ep [Epidemiology] MH - Stress Disorders, Post-Traumatic/th [Therapy] MH - *Stress Disorders, Post-Traumatic MH - United States/ep [Epidemiology] MH - *Veterans AB - This topic can be related to the nursing profession and the need to be better educated on military mental health. Since mood disorder, suicide, alcohol abuse, PTSD and TBI are evident in actively serving and returning service members, it is imperative to educate nurses and healthcare providers about these conditions, the available evidence-based treatments and referrals to programs for these signature OEF/OIF wounds. The authors encourage nurse educators to consider ways to include military mental health and other service-related health issues into nursing curricula and to use Veterans Administration and veterans-related healthcare facilities for clinical courses. As the wars in Afghanistan and Iraq continue into the foreseeable future, many veterans will be seen not only in VA facilities, but they will self-refer to academic and community hospitals, and psychiatric and rehabilitation centers. It is important for all nurses to be aware of the effects of PTSD, depression, suicide, substance abuse and TBI on our patients and to be effective advocates for quality care of veterans in all settings. Nurses need to advocate for screening and provision of mental health services in primary care settings. When such services are offered in primary care settings, it normalizes the care and the service member will more likely allow themselves to receive the care (Jones, 2004). All nurses must understand the price of war experienced by U.S. service members and their families, and in particular, the invisible wounds of war. IS - 0031-4617 IL - 0031-4617 PT - Journal Article LG - English DP - 2010 Sep DC - 20101110 YR - 2010 ED - 20101215 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21061780 <38. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21086781 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nitkin DI AU - Gastaldo D FA - Nitkin, Debora Isane R Kirschbaum FA - Gastaldo, Denise IN - Nitkin,Debora Isane R Kirschbaum. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada. TI - Addressing physical health problems experienced by people with schizophrenia in Canada: a critical literature review. [Review] SO - Canadian Journal of Nursing Research. 42(3):124-40, 2010 Sep. AS - Can J Nurs Res. 42(3):124-40, 2010 Sep. NJ - The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres PI - Journal available in: Print PI - Citation processed from: Print JC - cjn, 8910581 SB - Nursing Journal CP - Canada MH - Canada MH - Comorbidity MH - Humans MH - Schizophrenia/co [Complications] MH - *Schizophrenia/pp [Physiopathology] AB - The authors present a critical review of the literature produced by Canadian researchers regarding medical co-morbidities and the resources and strategies they recommend for assessing and managing the physical health problems of people with schizophrenia. Scientific production in the field consists of 9 original research articles and 6 literature reviews, revealing a dearth of studies in this area in Canada. The studies examined show that diabetes, obesity, heart disease, and substance abuse are the most frequent co-morbidities affecting people with schizophrenia. Another finding is that most researchers are challenged methodologically to generalize results due to limitations in design or sample characteristics. The authors point to the need for more research to better understand the role of treatment, individual characteristics, lifestyle, and structural issues in the development of co-morbidities among people with schizophrenia. They also discuss the importance of addressing these topics in nursing practice and education. IS - 0844-5621 IL - 0844-5621 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2010 Sep DC - 20101119 YR - 2010 ED - 20101210 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21086781 <39. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20492022 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tsai YF AU - Tsai MC AU - Lin YP AU - Weng CE AU - Chen CY AU - Chen MC FA - Tsai, Yun-Fang FA - Tsai, Mei-Chu FA - Lin, Yea-Pyng FA - Weng, Chih-Erh FA - Chen, Ching-Yen FA - Chen, Min-Chi IN - Tsai,Yun-Fang. School of Nursing, Chang Gung University, Tao-Yuan, Taiwan. yftsai@mail.cgu.edu.tw TI - Facilitators and barriers to intervening for problem alcohol use. SO - Journal of Advanced Nursing. 66(7):1459-68, 2010 Jul. AS - J Adv Nurs. 66(7):1459-68, 2010 Jul. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Cross-Sectional Studies MH - Female MH - Humans MH - Linear Models MH - Male MH - Middle Aged MH - *Nursing Assessment MH - *Nursing Staff, Hospital/px [Psychology] MH - Self Efficacy MH - Taiwan MH - Young Adult AB - AIM: This article is a report of a study exploring nurses' perceived facilitators and barriers to conducting brief interventions for problem alcohol use. AB - BACKGROUND: Excessive alcohol use has been associated with health, social and legal problems. Healthcare providers worldwide need help to detect and intervene with hazardous/harmful drinkers. AB - METHODS: For this cross-sectional study, ten hospitals were randomly selected throughout Taiwan during 2007. Nurses (N = 741) were selected from the emergency department, and psychiatric and gastrointestinal medical-surgical units where most patients with alcohol problems are seen. Data collected using facilitator and barrier scales and a demographic information form were analysed by descriptive statistics and stepwise, multiple linear regression analysis. AB - RESULTS: Nurses identified the top facilitator to intervening for problem alcohol use as 'patients' drinking problems are related to their illness'. Top barriers were 'patients lack motivation to change' and 'patients express no interest in receiving intervention'. Perceived facilitators were associated with nurses' work unit, intention to intervene for problem alcohol use, and age. Perceived barriers were associated with work unit, experience in intervening for problem alcohol use, and having attended a training course. AB - CONCLUSION: Source of perceived barriers reflected cultural influences. Taiwanese nurse education needs to be strengthened in terms of brief interventions for problem alcohol use. Emergency department nurses need to become more aware of their important role in alcohol intervention. Alcohol-related education is needed for the general population and hospital policymakers to enhance facilitators and reduce barriers to intervening for problem alcohol use. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/j.1365-2648.2010.05299.x PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English EP - 20100513 DP - 2010 Jul DC - 20100712 YR - 2010 ED - 20101129 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20492022 <40. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20181532 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Willsher KA FA - Willsher, Kerre A IN - Willsher,Kerre A. University of South Australia, Nursing and Rural Health Unit, 111 Nicolson Ave, Whyalla, South Australia 5600, Australia. kerre.willsher@unisa.edu.au TI - Overcoming mixed messages on alcohol consumption: a teaching strategy. SO - Nurse Education in Practice. 10(5):279-84, 2010 Sep. AS - NURSE EDUC PRACT. 10(5):279-84, 2010 Sep. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Alcohol Drinking/ae [Adverse Effects] MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - *Education, Nursing/mt [Methods] MH - *Health Promotion/mt [Methods] MH - Holistic Health MH - Humans MH - South Australia MH - Students, Nursing/px [Psychology] AB - The aim of this discussion paper is to outline the teaching of nursing students using a health promotion approach to guide young people on issues involving alcohol consumption. Health promotion uses a holistic approach involving the individual, attempts to understand complexities of human behaviour and attempts to address environmental and social issues which impact upon health. There are several models of health promotion but the health assessment tool chosen was HEEADSSS which focuses upon assessment of the Home environment, Education and Employment, eating disorders, peer related activities, Drugs, Sexuality, Suicide/depression and Safety from injury or violence . Society's approach to alcohol consumption is considered ambiguous therefore it is essential to teach health promotion. Research based on demographic and epidemiological information and anecdotal media reports indicates a high incidence of binge drinking among young people on the Eyre Peninsula. The plan was to develop and provide developmentally appropriate health promotion using the Australian National Health and Medical Research Council Recommendations on alcohol consumption and the Australian Nursing and Midwifery Council Competencies for the Registered Nurse.Copyright (c) 2010 Elsevier Ltd. All rights reserved. ES - 1873-5223 IL - 1471-5953 DO - http://dx.doi.org/10.1016/j.nepr.2010.01.003 PT - Journal Article LG - English EP - 20100223 DP - 2010 Sep DC - 20100726 YR - 2010 ED - 20101116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20181532 <41. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20622411 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sinha DN AU - Singh G AU - Gupta PC AU - Pednekar M AU - Warrn CW AU - Asma S AU - Lee J FA - Sinha, D N FA - Singh, G FA - Gupta, P C FA - Pednekar, M FA - Warrn, C W FA - Asma, S FA - Lee, J IN - Sinha,D N. School of Preventive Oncology, Patna, India. TI - Linking India Global Health Professions Student Survey data to the World Health Organization Framework Convention on Tobacco Control. SO - Indian Journal of Cancer. 47 Suppl 1:30-4, 2010 Jul. AS - Indian J Cancer. 47 Suppl 1:30-4, 2010 Jul. NJ - Indian journal of cancer PI - Journal available in: Print PI - Citation processed from: Internet JC - ghy, 0112040 SB - Index Medicus CP - India MH - Counseling MH - *Health Occupations MH - *Health Surveys MH - Humans MH - India/ep [Epidemiology] MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Students/px [Psychology] MH - *Tobacco Industry/lj [Legislation & Jurisprudence] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - *World Health Organization AB - The 2003 India Tobacco Control Act (ITCA) includes provisions designed to reduce tobacco consumption and protect citizens from exposure to secondhand smoke. India ratified the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) on February 27, 2005. The WHO FCTC is the world's first public health treaty that aims to promote and protect public health and reduce the devastating health and economic impact of tobacco. The Global Health Professions Student Survey (GHPSS) was developed to track tobacco use among third-year dental, medical, nursing, and pharmacy students across countries. Data from the dental (2005), medical (2006), nursing(2007), and pharmacy (2008) GHPSS conducted in India showed high prevalence of tobacco use and a general lack of training by health professionals in patient cessation counseling techniques. The Ministry of Health and Family Welfare could use this information to monitor and evaluate the existing tobacco control program effort in India as well as to develop and implement new tobacco control program initiatives. ES - 1998-4774 IL - 0019-509X DO - http://dx.doi.org/10.4103/0019-509X.65177 PT - Journal Article LG - English DP - 2010 Jul DC - 20100712 YR - 2010 ED - 20101105 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20622411 <42. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20480416 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lemke S AU - Schaefer JA FA - Lemke, Sonne FA - Schaefer, Jeanne A IN - Lemke,Sonne. Center for Health Care Evaluation, Menlo Park, CA, USA. sonne.lemke@va.gov TI - VA nursing home residents with substance use disorders: Mental health comorbidities, functioning, and problem behaviors. SO - Aging & Mental Health. 14(5):593-602, 2010 Jul. AS - Aging Ment Health. 14(5):593-602, 2010 Jul. NJ - Aging & mental health PI - Journal available in: Print PI - Citation processed from: Internet JC - d46, 9705773 SB - Index Medicus CP - England MH - *Activities of Daily Living MH - Aged MH - Aged, 80 and over MH - Comorbidity MH - Databases, Factual MH - Female MH - Health Status MH - Humans MH - Male MH - *Mental Disorders/ep [Epidemiology] MH - *Mental Health MH - *Nursing Homes MH - Patient Admission MH - *Social Behavior Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] MH - *United States Department of Veterans Affairs AB - OBJECTIVES: This research addresses whether residents with substance use disorders (SUDs) in VA nursing homes (VANHs) are distinctive in terms of their demographic characteristics, medical and mental health comorbidities, functioning, and problem behaviors. AB - METHODS: Residents over age 55 admitted to VANHs (n = 27,002) were identified in VA administrative files, and SUD and non-SUD residents were compared. AB - RESULTS: Compared with other residents, the residents with SUDs (18% of admissions over age 55) were more likely to be younger, male, African-American, unmarried, have low income and a tobacco use disorder. Controlling for demographic factors and smoking, SUD residents were more likely to have mental health comorbidities (dementia, serious mental illness, depressive disorders, and post-traumatic stress disorder), as well as AIDS/hepatitis, pulmonary disease, gastro-intestinal disorders, and injuries. SUD residents were less likely to have cancer, diabetes, neurological disorders, heart failure, and renal failure. SUD residents were more independent in activities of daily living, such as mobility and toileting. They were more likely to engage in verbal disruption but not in other problem behaviors such as aggression. With demographic factors and comorbidities controlled, the functioning differences were diminished, and SUD and non-SUD residents did not differ in the levels of problem behaviors. AB - DISCUSSION: VANH residents with SUDs have distinctive patterns of comorbidities and functioning. SUD appears to represent a separate risk factor for VANH admission. Residents with SUDs present challenges but may have good potential for positive discharge outcomes if their substance use problems and limited resources can be addressed. ES - 1364-6915 IL - 1360-7863 DO - http://dx.doi.org/10.1080/13607860903586169 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 2010 Jul DC - 20100708 YR - 2010 ED - 20101027 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20480416 <43. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20027801 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saade G AU - Warren CW AU - Jones NR AU - Mokdad A FA - Saade, Georges FA - Warren, Charles W FA - Jones, Nathan R FA - Mokdad, Ali IN - Saade,Georges. Lebanese University, Faculty of Public Health, Fanar Campus, Beirut, Lebanon. gasaade@yahoo.com TI - Tobacco use and cessation counseling among health professional students: Lebanon Global Health Professions Student Survey. SO - Journal Medical Libanais - Lebanese Medical Journal. 57(4):243-7, 2009 Oct-Dec. AS - J Med Liban. 57(4):243-7, 2009 Oct-Dec. NJ - Le Journal medical libanais. The Lebanese medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - j1z, 0375352 SB - Index Medicus CP - Lebanon MH - Adult MH - Attitude of Health Personnel MH - *Counseling/ed [Education] MH - Counseling/mt [Methods] MH - Counseling/sn [Statistics & Numerical Data] MH - Female MH - Global Health MH - Health Behavior MH - Humans MH - Lebanon/ep [Epidemiology] MH - Male MH - Population Surveillance MH - Prevalence MH - Risk-Taking MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - Students, Dental/sn [Statistics & Numerical Data] MH - *Students, Health Occupations/sn [Statistics & Numerical Data] MH - Students, Medical/sn [Statistics & Numerical Data] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - Students, Pharmacy/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - Young Adult AB - INTRODUCTION: The number of deaths attributable to tobacco use is rising globally. Health professionals can help reduce tobacco use by providing advice to patients regarding smoking cessation. Very few studies have collected information on tobacco use and cessation counseling training among health professional students. The purpose of this paper is to examine these issues using data from the 2005 Lebanon Global Health Professions Student Survey (GHPSS). AB - METHODS: The 2005 Lebanon GHPSS includes nationally representative estimates of third-year students in all dental, medical, nursing, and pharmacy schools in Lebanon. AB - RESULTS: Current cigarette use ranged from 14.8% for pharmacy students to 26.9% for nursing students and 27.4% for medical students. Current waterpipe use ranged from 20.6% for medical students to 44.9% for nursing students. About 8 in 10 students in all four disciplines were exposed to second-hand smoke in public places. More than 8 in 10 students in medical, nursing, and pharmacy schools believed that health professionals have a role in giving advice or information on smoking cessation to patients. More than 9 in 10 students in all four disciplines believed that health professionals should receive training on smoking cessation techniques. However, those who received training ranged from 19.8% of pharmacy students to 43.7% of nursing students. AB - CONCLUSION: Tobacco use (cigarettes and water-pipe) is high among third-year health professional students in Lebanon. Students are willing to provide smoking-cessation counseling but lack training. The Ministry of Public Health, the Ministry of Education, and educational institutions in Lebanon should work together with other interested partners in developing, testing, and implementing successful patient cessation counseling training programs for health professionals. IS - 0023-9852 IL - 0023-9852 PT - Journal Article LG - English DP - 2009 Oct-Dec DC - 20091223 YR - 2009 ED - 20101014 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20027801 <44. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20836482 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gillespie GL AU - Gates DM AU - Miller M AU - Howard PK FA - Gillespie, Gordon Lee FA - Gates, Donna M FA - Miller, Margaret FA - Howard, Patricia Kunz IN - Gillespie,Gordon Lee. University of Cincinnati, College of Nursing, Cincinnati, OH, USA. gordon.gillespie@uc.edu TI - Workplace violence in healthcare settings: risk factors and protective strategies. [Review] [51 refs] SO - Rehabilitation Nursing Journal. 35(5):177-84, 2010 Sep-Oct. AS - Rehabil Nurs. 35(5):177-84, 2010 Sep-Oct. NJ - Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 8104825, r25 SB - Nursing Journal CP - United States MH - Education, Nursing, Continuing MH - Humans MH - *Occupational Exposure/pc [Prevention & Control] MH - *Rehabilitation Nursing MH - Risk Factors MH - *Social Support MH - *Violence/pc [Prevention & Control] MH - *Workplace AB - This article describes the risk factors and protective strategies associated with workplace violence perpetrated by patients and visitors against healthcare workers. Perpetrator risk factors for patients and visitors in healthcare settings include mental health disorders, drug or alcohol use, inability to deal with situational crises, possession of weapons, and being a victim of violence. Worker risk factors are gender, age, years of experience, hours worked, marital status, and previous workplace violence training. Setting and environmental risk factors for experiencing workplace violence include time of day and presence of security cameras. Protective strategies for combating the negative consequences of workplace violence include carrying a telephone, practicing self-defense, instructing perpetrators to stop being violent, self- and social support, and limiting interactions with potential or known perpetrators of violence. Workplace violence is a serious and growing problem that affects all healthcare professionals. Strategies are needed to prevent workplace violence and manage the negative consequences experienced by healthcare workers following violent events. [References: 51] IS - 0278-4807 IL - 0278-4807 PT - Journal Article PT - Review LG - English DP - 2010 Sep-Oct DC - 20100914 YR - 2010 ED - 20100930 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20836482 <45. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19594654 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sobczak JA FA - Sobczak, Janet Ambrogne IN - Sobczak,Janet Ambrogne. College of Nursing, Upstate Medical University, Syracuse, New York 13210, USA. sobczakj@upstate.edu TI - Managing high-acuity-depressed adults in primary care. SO - Journal of the American Academy of Nurse Practitioners. 21(7):362-70, 2009 Jul. AS - J Am Acad Nurse Pract. 21(7):362-70, 2009 Jul. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Internet JC - ase, 8916634 SB - Nursing Journal CP - United States MH - *Antidepressive Agents/tu [Therapeutic Use] MH - Antidepressive Agents, Tricyclic/tu [Therapeutic Use] MH - Depression/dt [Drug Therapy] MH - *Depression/nu [Nursing] MH - Evidence-Based Nursing MH - Humans MH - *Nurse Practitioners MH - *Primary Health Care MH - Psychometrics MH - Risk Factors MH - Serotonin Uptake Inhibitors/tu [Therapeutic Use] MH - Severity of Illness Index MH - *Suicide/pc [Prevention & Control] AB - PURPOSE: To identify strategies for managing high-acuity-depressed adults in primary care settings. Patients who do not achieve remission with initial treatment, patients at risk for suicide, and patients with co-occurring substance use disorders are specifically addressed. AB - DATA SOURCES: Scientific literature and evidence-based practice guidelines. AB - CONCLUSION: Accurate diagnosis is best accomplished using screening instruments as an adjunct to a thorough history and assessment. The goal of interventions is remission of symptoms as opposed to a partial response. Patient preferences regarding choice of intervention must be considered. Initial pharmacotherapy must include adequate doses and a trial of adequate duration. Patients who do not respond to two medication trials are at risk for suicide and/or have a co-occurring substance use disorder may require: (a) a combination of medications coupled with psychotherapy; or (b) referral to mental health specialists to achieve the best outcomes. AB - IMPLICATIONS FOR PRACTICE: High-acuity patients with mental health needs will continue to be seen in primary care settings. Through educational preparation and a patient-centered focus, advanced practice nurses in primary care settings are in an optimal position to set a high standard of care for complex mental health patients. RN - 0 (Antidepressive Agents) RN - 0 (Antidepressive Agents, Tricyclic) RN - 0 (Serotonin Uptake Inhibitors) ES - 1745-7599 IL - 1041-2972 DO - http://dx.doi.org/10.1111/j.1745-7599.2009.00422.x PT - Journal Article LG - English DP - 2009 Jul DC - 20090714 YR - 2009 ED - 20100929 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19594654 <46. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20509811 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McKenna B AU - Thom K AU - Howard F AU - Williams V FA - McKenna, Brian FA - Thom, Katey FA - Howard, Fiona FA - Williams, Val IN - McKenna,Brian. Centre for Mental Health Research, Policy and Service Development, University of Auckland, Auckland, New Zealand. TI - In search of a national approach to professional supervision for mental health and addiction nurses: The New Zealand experience. SO - Contemporary Nurse. 34(2):267-76, 2010 Feb-Mar. AS - Contemp Nurse. 34(2):267-76, 2010 Feb-Mar. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - *Attitude of Health Personnel MH - Credentialing/og [Organization & Administration] MH - Cross-Sectional Studies MH - Cultural Competency/ed [Education] MH - Cultural Competency/og [Organization & Administration] MH - Cultural Competency/px [Psychology] MH - Health Services Needs and Demand MH - Humans MH - Leadership MH - Mental Disorders/nu [Nursing] MH - New Zealand MH - Nurse Administrators/ed [Education] MH - Nurse Administrators/og [Organization & Administration] MH - *Nurse Administrators/px [Psychology] MH - Nurse's Role/px [Psychology] MH - Nursing Methodology Research MH - *Nursing, Supervisory/og [Organization & Administration] MH - *Practice Guidelines as Topic MH - *Professional Competence MH - *Psychiatric Nursing/og [Organization & Administration] MH - Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - A competent nursing workforce is crucial for recovery of mental health and addiction service users. Professional supervision is central to facilitating this competency. This article reports on research that scoped the current provision of professional supervision then explores possibilities for developing a standardised national approach to professional supervision for mental health and addiction nurses in New Zealand. The study involved telephone and mail surveys with nurse leaders and current supervisors from district health boards and non-government organisations. The findings indicated that the majority of those canvassed were supportive of a nationally endorsed approach. Standardisation was seen as a means of assisting in the monitoring and quality refinement of the content and provision of professional supervision, and the training of supervisors. It was also recommended that to be successful, a national approach must incorporate partnerships with significant stakeholders in the sector, including service users and Maori. IS - 1037-6178 IL - 1037-6178 DO - http://dx.doi.org/10.5172/conu.2010.34.2.267 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 Feb-Mar DC - 20100531 YR - 2010 ED - 20100916 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20509811 <47. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20830986 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Aina BA AU - Oyerinde OO AU - Joda AE AU - Dada OO FA - Aina, B A FA - Oyerinde, O O FA - Joda, A E FA - Dada, O O IN - Aina,B A. Department of Clinical Pharmacy and Biopharmacy, Faculty of Pharmacy, University of Lagos, Idi Araba Campus, Lagos, Nigeria. bolajokoaina@yahoo.com TI - Cigarette smoking among healthcare professional students of University of Lagos and Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria. SO - Nigerian Quarterly Journal of Hospital Medicine. 19(1):42-6, 2009 Jan-Mar. AS - Niger. q. j. hosp. med.. 19(1):42-6, 2009 Jan-Mar. NJ - Nigerian quarterly journal of hospital medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 9713944 SB - Index Medicus CP - Nigeria MH - Adolescent MH - Cross-Sectional Studies MH - Female MH - Hospitals, Teaching MH - Humans MH - Male MH - Nigeria/ep [Epidemiology] MH - Prevalence MH - Sex Distribution MH - Smoking/ae [Adverse Effects] MH - *Smoking/ep [Epidemiology] MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Universities MH - Young Adult AB - BACKGROUND: It is a known fact that health professionals can play a critical role in reducing tobacco use. In fact, it has been shown that even brief and simple advice from health care professionals can substantially increase smoking cessation rates. Students in healthcare professions are future healthcare professionals, identifying and documenting their knowledge, attitudes and practices with regards to tobacco smoking would shed light as to their future effectiveness in providing this much needed public health initiative in their practices. AB - OBJECTIVE: This research was carried out to determine cigarette smoking habit among healthcare professional students of University of Lagos and Nursing students of Lagos University Teaching Hospital. AB - METHODS: The study was a cross-sectional descriptive survey. Data was collected by the use of a structured, self administered questionnaire which was aimed at determining their smoking status and their attitudes. The target population was first and final professional year students representing the two class extremes and attempt was made to survey all the students that fell within this identified target population without randomization. Data was collected between March and June 2007. AB - RESULTS: Out of 814 qualified participants, 433 responded to the questionnaire (53%). Smoking prevalence was highest among dental students (8.48%) while both Physiotherapy and Nursing students had nil prevalence rates. Overall, the current smoking prevalence was 3.93%. There was no statistically significant difference between the smoking habits of first year and final year students (p = 0.99). Based on Fagerstrom nicotine addiction test, only a small proportion of the current smokers can be classified as being maximally addicted (6.0%). AB - CONCLUSIONS: From this study it can be concluded that smoking prevalence is low among healthcare professional students at the University of Lagos and this is a good indication that they would play critical role in reducing tobacco use. It is recommended that a tobacco counselling unit should be set up by the school authority. IS - 0189-2657 IL - 0189-2657 PT - Journal Article LG - English DP - 2009 Jan-Mar DC - 20100913 YR - 2009 ED - 20100916 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20830986 <48. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20645589 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Suydam L AU - Garcia A FA - Suydam, Linda FA - Garcia, Amy IN - Suydam,Linda. Consumer Healthcare Products Association, Washington, DC, USA. TI - School nurses connect schools and parents from home to homeroom to prevent teen medicine abuse. SO - NASN school nurse. 25(4):170-1, 2010 Jul. AS - NASN Sch Nurse. 25(4):170-1, 2010 Jul. NJ - NASN school nurse (Print) PI - Journal available in: Print PI - Citation processed from: Print JC - 101528330 SB - Nursing Journal CP - United States MH - Adolescent MH - *Health Education MH - Humans MH - *Nonprescription Drugs MH - Parents MH - *Prescription Drugs MH - Professional-Family Relations MH - *School Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States RN - 0 (Nonprescription Drugs) RN - 0 (Prescription Drugs) IS - 1942-602X IL - 1942-602X PT - Journal Article LG - English DP - 2010 Jul DC - 20100721 YR - 2010 ED - 20100818 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20645589 <49. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19930113 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murnion BP AU - Gnjidic D AU - Hilmer SN FA - Murnion, Bridin P FA - Gnjidic, Danijela FA - Hilmer, Sarah N IN - Murnion,Bridin P. Drug Health Services, Royal Prince Alfred Hospital, Royal North Shore Hospital, Sydney, NSW, Australia. bmurnion@med.usyd.edu.au TI - Prescription and administration of opioids to hospital in-patients, and barriers to effective use. SO - Pain Medicine. 11(1):58-66, 2010 Jan. AS - PAIN MED. 11(1):58-66, 2010 Jan. NJ - Pain medicine (Malden, Mass.) PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Aged, 80 and over MH - Analgesia, Patient-Controlled MH - Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Australia MH - Cross-Sectional Studies MH - *Drug Prescriptions MH - Drug Utilization MH - Ethnic Groups MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Inpatients MH - Male MH - Middle Aged MH - Morphine/tu [Therapeutic Use] MH - Nurses MH - Oxycodone/tu [Therapeutic Use] MH - *Pain/dt [Drug Therapy] MH - Pain Measurement MH - Physicians MH - Tramadol/tu [Therapeutic Use] MH - Young Adult AB - OBJECTIVE: This study aimed to describe prescribing and administration of opioids in a tertiary referral teaching hospital. Secondary aims were assessment of staff knowledge of opioid pharmacology and available preparations, and of perceived barriers limiting opioid use. AB - DESIGN: A cross-sectional survey of in-patients requiring opioid analgesia was performed. An anonymous semi-structured questionnaire was administered to medical and nursing staff. AB - SETTING: Australian tertiary referral teaching hospital. AB - PATIENTS: All patients prescribed opioids on study wards over 3 months (N = 190). AB - RESULTS: Oxycodone was the most frequently prescribed opioid (51.4%). The majority (64.7%) of participants had incomplete pain relief, which was significantly associated with having opioid related side effects. There was no association between pain relief and prescribed daily dose or received daily dose of opioids. Limited understanding of opioid preparations, tolerance, and dependence was demonstrated by staff. The most common perceived barriers to opioid use included difficulties in identifying the right dose, staff time required to prescribe and monitor, and large numbers of preparations. While prescription of inadequate doses was perceived as a barrier, this study identified that submaximal doses were administered. An opioid educational session improved knowledge of opioid formulations. AB - CONCLUSION: The majority of participants had incomplete pain relief and the maximum prescribed doses of opioids were not administered. Reported barriers included staff knowledge of opioid dose titration and opioid preparations, and time constraints. Identified barriers included poor knowledge of opioid preparations. RN - 0 (Analgesics, Opioid) RN - 39J1LGJ30J (Tramadol) RN - 76I7G6D29C (Morphine) RN - CD35PMG570 (Oxycodone) ES - 1526-4637 IL - 1526-2375 DO - http://dx.doi.org/10.1111/j.1526-4637.2009.00747.x PT - Journal Article LG - English EP - 20091117 DP - 2010 Jan DC - 20100507 YR - 2010 ED - 20100812 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19930113 <50. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20527483 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shrimpton A FA - Shrimpton, Annabel TI - Intoxicated patient needed an advocate to protect his leg. SO - Nursing Standard. 24(36):29, 2010 May 12-18. AS - Nurs Stand. 24(36):29, 2010 May 12-18. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Alcoholic Intoxication MH - Ankle Injuries/th [Therapy] MH - Cellulitis/di [Diagnosis] MH - *Emergency Service, Hospital MH - Fracture Fixation MH - Humans MH - Male MH - Middle Aged MH - Nurse's Role MH - *Patient Advocacy MH - Students, Nursing IS - 0029-6570 IL - 0029-6570 PT - Case Reports PT - Journal Article LG - English DP - 2010 May 12-18 DC - 20100609 YR - 2010 ED - 20100708 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20527483 <51. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20136166 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruggiero C AU - Lattanzio F AU - Dell'Aquila G AU - Gasperini B AU - Cherubini A FA - Ruggiero, Carmelinda FA - Lattanzio, Fabrizia FA - Dell'Aquila, Giuseppina FA - Gasperini, Beatrice FA - Cherubini, Antonio IN - Ruggiero,Carmelinda. Institute of Gerontology and Geriatrics, Department of Clinical and Experimental Medicine, University of Perugia, Perugia, Italy. ruggieroc07@hotmail.it TI - Inappropriate drug prescriptions among older nursing home residents: the Italian perspective. [Review] [45 refs] SO - Drugs & Aging. 26 Suppl 1:15-30, 2009 Dec. AS - Drugs Aging. 26 Suppl 1:15-30, 2009 Dec. NJ - Drugs & aging PI - Journal available in: Print PI - Citation processed from: Internet JC - bek, 9102074 SB - Index Medicus CP - New Zealand MH - Aged MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - *Homes for the Aged MH - Humans MH - Italy MH - North America MH - *Nursing Homes AB - Older people take up a large proportion of health care, including drugs, and evidence shows that drug prescribing to this group is often inappropriate. Negative consequences of potential inappropriate drug prescription (PIDP) include adverse drug events, high healthcare service utilization and high costs for the patients and society. Although nursing home residents are the most vulnerable persons exposed to PIDP, few observational studies have investigated the prevalence, the factors associated with and the consequences of PIDP. Epidemiological studies assessing PIDP mainly based on the Beers' criteria showed that approximately half of US and Canadian nursing home residents have at least one PIDP in this setting. The most frequent inappropriate prescriptions concern neuroleptics and long-term benzodiazepines. Nursing home residents aged 80 years or more, those taking a low number of drugs, cognitive or communication problems are less exposed to PIDP compared with residents younger than 80 years, living in facilities with a high number of beds and a lower registered nurse-to-resident ratio. In European countries, the prevalence of PIDP among older nursing home residents was comparable to or higher than that observed in US and Canadian nursing homes. To date, the issue of PIDP has never been investigated in a representative sample of Italian nursing home residents. In a preliminary study performed by our group in 496 nursing home residents randomly selected from 40 nursing homes in Umbria, the prevalence of residents taking at least one or two inappropriate medications was 28% and 7%, respectively. The prevalence of PIDP considering diagnosis (18%) as well as those regardless of diagnosis (17%), as determined by Beers' criteria, were equally distributed in older Italian nursing home residents and no difference was found between sexes. Overall, this review reveals that the prevalence of PIDP is high in both North American and European nursing homes and highlights the urgent need for intervention trials testing strategies to reduce the health and social burden of PIDP. [References: 45] ES - 1179-1969 IL - 1170-229X DO - http://dx.doi.org/10.2165/11534630-000000000-00000 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2009 Dec DC - 20100208 YR - 2009 ED - 20100708 RD - 20150529 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20136166 <52. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20360274 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lemke SP AU - Schaefer JA FA - Lemke, Sonne P FA - Schaefer, Jeanne A IN - Lemke,Sonne P. Department of Veterans Affairs Palo Alto Health Care System, Center for Health Care Evaluation, 795 Willow Rd., Menlo Park, CA 94025, USA. sonne.lemke@va.gov TI - Recent changes in the prevalence of psychiatric disorders among VA nursing home residents. CM - Comment in: Psychiatr Serv. 2010 Apr;61(4):335; PMID: 20360269 SO - Psychiatric Services. 61(4):356-63, 2010 Apr. AS - Psychiatr Serv. 61(4):356-63, 2010 Apr. NJ - Psychiatric services (Washington, D.C.) PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t SB - Index Medicus CP - United States MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Cohort Studies MH - Cross-Sectional Studies MH - Dementia/di [Diagnosis] MH - Dementia/ep [Epidemiology] MH - Depressive Disorder/di [Diagnosis] MH - Depressive Disorder/ep [Epidemiology] MH - Female MH - Health Services Research MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Homes for the Aged/td [Trends] MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/ep [Epidemiology] MH - Middle Aged MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Nursing Homes/td [Trends] MH - Schizophrenia/di [Diagnosis] MH - Schizophrenia/ep [Epidemiology] MH - Stress Disorders, Post-Traumatic/di [Diagnosis] MH - Stress Disorders, Post-Traumatic/ep [Epidemiology] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - United States MH - *Veterans/px [Psychology] MH - *Veterans/sn [Statistics & Numerical Data] AB - OBJECTIVE: This study identified recent changes in the prevalence of psychiatric disorders among Department of Veterans Affairs (VA) nursing home residents. AB - METHODS: Psychiatric diagnoses in administrative databases were summarized for nursing home residents in 1998, 2002, and 2006. Census prevalence rates were compared with findings from earlier VA nursing home surveys. Prevalence rates were compared for age groups and birth cohorts of VA nursing home admissions in 1998 (N=27,734) and 2006 (N=32,543). AB - RESULTS: Among residents in the census samples, prevalence rates for dementia and schizophrenia fluctuated moderately from 1990 to 2006, depression prevalence increased sharply, alcohol use disorder prevalence declined, and drug use disorder prevalence increased. Among 1998 and 2006 admissions, dementia prevalence increased for most birth cohorts but declined for most age groups (35% to 32% overall). Depression prevalence increased for all age groups and birth cohorts (27% to 37% overall), as did posttraumatic stress disorder prevalence (5% to 12% overall). Serious mental illness prevalence increased among the oldest residents and birth cohorts (19% to 22% overall). Alcohol use disorder prevalence declined for all birth cohorts and most age groups (18% to 16% overall), but drug use disorder prevalence increased substantially for younger age groups (6% to 9% overall). AB - CONCLUSIONS: Examining differences in prevalence between birth cohorts and age groups can clarify trends in nursing home resident characteristics and improve projections of their future needs. ES - 1557-9700 IL - 1075-2730 DO - http://dx.doi.org/10.1176/appi.ps.61.4.356 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 2010 Apr DC - 20100402 YR - 2010 ED - 20100630 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20360274 <53. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20384385 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olsson J AU - Bergman A AU - Carlsten A AU - Oke T AU - Bernsten C AU - Schmidt IK AU - Fastbom J FA - Olsson, Jonny FA - Bergman, Asa FA - Carlsten, Anders FA - Oke, Thimothy FA - Bernsten, Cecilia FA - Schmidt, Ingrid K FA - Fastbom, Johan IN - Olsson,Jonny. Department of Drug Safety, Medical Products Agency, Uppsala, Sweden. TI - Quality of drug prescribing in elderly people in nursing homes and special care units for dementia: a cross-sectional computerized pharmacy register analysis. SO - Clinical Drug Investigation. 30(5):289-300, 2010. AS - Clin Drug Invest. 30(5):289-300, 2010. NJ - Clinical drug investigation PI - Journal available in: Print PI - Citation processed from: Print JC - 9504817 SB - Index Medicus CP - New Zealand MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - Dementia/dt [Drug Therapy] MH - Female MH - Humans MH - Male MH - Nursing Homes/sn [Statistics & Numerical Data] MH - *Pharmaceutical Preparations/ad [Administration & Dosage] MH - Physicians/st [Standards] MH - *Physicians/sn [Statistics & Numerical Data] MH - *Practice Patterns, Physicians'/st [Standards] MH - Quality Indicators, Health Care MH - *Quality of Health Care MH - Registries MH - Sweden AB - BACKGROUND: Drug prescribing to the elderly is extensive and often inappropriate. Furthermore, the number of drugs used is the most important risk factor for adverse drug reactions. Despite this, drug prescribing in the elderly in Sweden is high and increasing. In 2003 the Swedish National Board of Health and Welfare launched a set of indicators to evaluate the quality of drug therapy in the elderly. Use of this tool in combination with the Swedish computerized national register covering all persons receiving multi-dose drug dispensing (drugs dispensed in one dose unit bag for each dose occasion) would enable detection of inappropriate drug prescribing and could help reduce the risk of drug-related problems among the elderly. AB - OBJECTIVES: To assess the extent and quality of drug prescribing in younger and older elderly residents receiving multi-dose drug dispensing in ordinary nursing homes (NHs) and special care units for dementia (NHDs), and to evaluate the relationship between the quality of prescribing and the number of prescribers per resident, in a Swedish county. AB - METHODS: The computerized national pharmacy drug register provided the database and a cross-sectional design was used. Selected drug-specific quality indicators proposed by the Swedish National Board of Health and Welfare in 2003 were used to assess the quality of drug prescribing. AB - RESULTS: This study included 3705 residents. Their mean age was 85 years and 72% were women. The mean number of prescribed drugs was 10.3 per resident. The proportion of residents with prescriptions for psychotropic drugs was 80% in NHs and 85% in NHDs. The prevalence of each drug-specific quality indicator was as follows: long-acting benzodiazepines 16.4% (NHs) versus 11.7% (NHDs), anticholinergic drugs 20.7% versus 18.5%, drug duplication 14.6% versus 13.6%, three or more psychotropic drugs 25.6% versus 35.3%, class C interactions (drug combinations that may require dose adjustment) 41.9% versus 38.7% and class D interactions (drug combinations that should be avoided) 8.1% versus 5.6%. Younger elderly residents (age 65-79 years) had a lower quality of drug prescribing. An increasing number of prescribers per resident was associated with a lower quality of drug therapy. AB - CONCLUSIONS: We found a lower quality of drug prescribing, e.g. anticholinergic drugs prescribed to approximately 20% of residents of NHs and NHDs, and a higher rate of psychotropic drug use (>/=80%) compared with previous studies in NHs. Our results also demonstrated a negative correlation between quality of prescribing and number of prescribers per resident. RN - 0 (Pharmaceutical Preparations) IS - 1173-2563 IL - 1173-2563 DO - http://dx.doi.org/10.2165/11534320-000000000-00000 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 DC - 20100413 YR - 2010 ED - 20100610 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20384385 <54. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19737209 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Rice VH AU - Wewers ME FA - Sarna, Linda FA - Bialous, Stella A FA - Rice, Virginia H FA - Wewers, Mary Ellen IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, CA 90095-6918, USA. lsarna@sonnet.ucla.edu TI - Promoting tobacco dependence treatment in nursing education. [Review] [80 refs] SO - Drug & Alcohol Review. 28(5):507-16, 2009 Sep. AS - Drug Alcohol Rev. 28(5):507-16, 2009 Sep. NJ - Drug and alcohol review PI - Journal available in: Print PI - Citation processed from: Internet JC - 9015440 SB - Index Medicus CP - England MH - Attitude of Health Personnel MH - Curriculum/td [Trends] MH - *Education, Nursing/mt [Methods] MH - Education, Nursing/td [Trends] MH - Humans MH - *Nurse's Role MH - Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/th [Therapy] AB - ISSUES: There are 17.3 million nurses worldwide, the largest group of health-care professionals, and they have great potential to address the epidemic of tobacco use and its related morbidity and mortality. However, the evidence indicates that the educational preparation of nurses for tobacco control remains inadequate. AB - APPROACH: This paper provides an overview of the efficacy of nurses in the delivery of smoking cessation interventions, existing tobacco control content in nursing educational programs, model curricula, teaching resources and strategies for reducing barriers to curricular change. AB - KEY FINDINGS: Despite the efficacy of nursing intervention for tobacco cessation, lack of appropriate knowledge and/or skill presents a major problem for implementation. An important factor fostering this lack of preparation is limited tobacco control content in current nursing educational programs. Barriers to enhancing and building this curricula include lack of preparation of educators, low priority for this content in an already overloaded curricula, negative attitudes, continued smoking by nursing students and/or faculty and lack of tested curricula. The availability of new tobacco control resources, including those specifically tailored for nurses can assist educators in teaching this content and nurses in implementing interventions. AB - IMPLICATIONS: Research and changes in policy are needed to ensure that nursing education includes essential content on tobacco control. AB - CONCLUSION: Nurses can be effective in delivering tobacco cessation interventions. Efforts are needed to promote curriculum that ensures that all nursing students and practicing nurses receive tobacco control content and are competent in the delivery of interventions; and to disseminate resources to nursing educators [References: 80] ES - 1465-3362 IL - 0959-5236 DO - http://dx.doi.org/10.1111/j.1465-3362.2009.00107.x PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - CDC, 1R18DP001149-01 (United States NCCDPHP CDC HHS) LG - English DP - 2009 Sep DC - 20090909 YR - 2009 ED - 20100518 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19737209 <55. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20015951 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gill JS AU - Gibson C AU - Nicol M FA - Gill, Jan S FA - Gibson, Caroline FA - Nicol, Maggie IN - Gill,Jan S. School of Health Sciences, Queen Margaret University, Edinburgh, EH21 6UU, UK. jgill@qmu.ac.uk TI - Healthcare and medical graduates of 2009: their reactions to four key proposals in the Scottish Government's strategy for tackling alcohol misuse. SO - Alcohol & Alcoholism. 45(2):200-6, 2010 Mar-Apr. AS - Alcohol Alcohol. 45(2):200-6, 2010 Mar-Apr. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - aal, 8310684 SB - Index Medicus CP - England MH - Accidents, Traffic/lj [Legislation & Jurisprudence] MH - Accidents, Traffic/pc [Prevention & Control] MH - Adult MH - Age Factors MH - *Alcohol Drinking/lj [Legislation & Jurisprudence] MH - Alcoholic Beverages/ec [Economics] MH - Alcoholic Intoxication/bl [Blood] MH - *Alcoholic Intoxication/pc [Prevention & Control] MH - *Allied Health Personnel/ed [Education] MH - *Allied Health Personnel/px [Psychology] MH - *Attitude of Health Personnel MH - Ethanol/bl [Blood] MH - Female MH - *Government Regulation MH - Humans MH - Male MH - Middle Aged MH - Scotland MH - *Students, Medical/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires AB - AIMS: This study compares the views of final year medical, and nursing and allied health professional (NAHP) students in relation to four governmental proposals impacting on the sale and purchase of alcohol. AB - METHODS: Against a background of political will to address alcohol abuse in Scotland and moves within the National Health Service promoting a shifting of professional roles, self-completed questionnaires were administered in spring 2009 through course websites and lectures to final year medical and NAHP students. AB - RESULTS: Questionnaires were returned by 406 NAHPs and 121 medical students. Over three quarters of all students agreed with the proposed change to reduce the drink driving limit to 50 mg/100 ml blood. Less support was evident for the raising of the minimum legal purchase age for off-sales (37%), the banning of below cost price promotions of alcohol (47%) and minimum retail pricing (37%). However, there were differences between the NAHP and medical students in the case of the final two proposals; over 60% of the medical students agreed they would have a positive impact. For NAHPs, figures were 41% and 31%, respectively. AB - CONCLUSIONS: Support for four key proposals outlined by the Scottish Government to address alcohol misuse varied. Only the suggestion to lower the drink driving limit received backing overall and within students in these professions. Effectiveness of proposed restrictions on the price of alcohol was less well regarded except by medical students. Evident gaps in knowledge around health guidelines, and the finding that almost half of NAHPs disagreed that they had the appropriate knowledge to advise patients about responsible drinking advice and alcohol misuse problems, suggest a need for improved undergraduate education and continued professional development with respect to public health aspects of alcohol use. RN - 3K9958V90M (Ethanol) ES - 1464-3502 IL - 0735-0414 DO - http://dx.doi.org/10.1093/alcalc/agp084 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20091216 DP - 2010 Mar-Apr DC - 20100204 YR - 2010 ED - 20100430 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20015951 <56. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20388674 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stafford N FA - Stafford, Ned TI - At least 25% of elderly residents of German nursing homes are addicted to psychotropic drugs, report claims. SO - BMJ. 340:c2029, 2010. AS - BMJ. 340:c2029, 2010. NJ - BMJ (Clinical research ed.) PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 8900488, bmj, 101090866 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Aged MH - Female MH - Germany/ep [Epidemiology] MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Middle Aged MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Psychotropic Drugs MH - Risk Factors MH - *Substance-Related Disorders/ep [Epidemiology] RN - 0 (Psychotropic Drugs) ES - 1756-1833 IL - 0959-535X DI - bmj.c2029 DO - http://dx.doi.org/10.1136/bmj.c2029 PT - News LG - English EP - 20100413 DP - 2010 DC - 20100414 YR - 2010 ED - 20100426 RD - 20120306 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20388674 <57. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20038876 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Poole S FA - Poole, Susan IN - Poole,Susan. Southwest Horizon Healthcare Consulting, USA. TI - Update on the treatment and management of patients with hepatitis. SO - Journal of Infusion Nursing. 32(5):269-75, 2009 Sep-Oct. AS - J Infus Nurs. 32(5):269-75, 2009 Sep-Oct. NJ - Journal of infusion nursing : the official publication of the Infusion Nurses Society PI - Journal available in: Print PI - Citation processed from: Internet JC - d5m, 101124170 SB - Nursing Journal CP - United States MH - Female MH - Hepatitis A/im [Immunology] MH - *Hepatitis A/nu [Nursing] MH - Hepatitis A Vaccines/tu [Therapeutic Use] MH - Hepatitis B/im [Immunology] MH - *Hepatitis B/nu [Nursing] MH - Hepatitis B Vaccines/tu [Therapeutic Use] MH - Hepatitis C/im [Immunology] MH - *Hepatitis C/nu [Nursing] MH - Hepatitis D/im [Immunology] MH - *Hepatitis D/nu [Nursing] MH - Humans MH - Infusions, Intravenous/nu [Nursing] MH - Male MH - Viral Hepatitis Vaccines/tu [Therapeutic Use] AB - Hepatitis is an inflammation of the liver that can be mild to life-threatening, based on the causative agent. Hepatitis viruses A through G are described along with potential treatments and infusion therapies. Nonviral causes of hepatitis include autoimmune, toxic, drug-induced, and alcoholic. The role of the infusion nurse is critical in prevention, patient education regarding all aspects of the condition, and administering and monitoring appropriate therapy. RN - 0 (Hepatitis A Vaccines) RN - 0 (Hepatitis B Vaccines) RN - 0 (Viral Hepatitis Vaccines) ES - 1539-0667 IL - 1533-1458 DO - http://dx.doi.org/10.1097/NAN.0b013e3181b42d30 PT - Journal Article LG - English DP - 2009 Sep-Oct DC - 20091229 YR - 2009 ED - 20100423 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20038876 <58. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19560771 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Molina AJ AU - Fernandez D AU - Delgado M AU - Martin V FA - Molina, Antonio J FA - Fernandez, Daniel FA - Delgado, Miguel FA - Martin, Vicente IN - Molina,Antonio J. Area of Preventive Medicine and Public Health, Department of Biomedical Sciences, University of Leon, Altos de la Nava s/n; Postal code 24071, Leon, Spain. ajmolt@unileon.es TI - Sensitivity and specificity of a self-administered questionnaire of tobacco use; including the Fagerstrom test. SO - International Journal of Nursing Studies. 47(2):181-9, 2010 Feb. AS - Int J Nurs Stud. 47(2):181-9, 2010 Feb. NJ - International journal of nursing studies PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Cotinine/an [Analysis] MH - Female MH - Humans MH - Physical Therapy Specialty/ed [Education] MH - Saliva/ch [Chemistry] MH - Sensitivity and Specificity MH - Smoking/ep [Epidemiology] MH - *Smoking MH - Students, Nursing MH - *Surveys and Questionnaires/st [Standards] MH - Tobacco Smoke Pollution AB - BACKGROUND: Preventing tobacco consumption and promoting cessation among health professionals are of great significance as their habits can influence their patients' attitudes. Knowledge of the prevalence and characteristics of tobacco use in a specific population is important for the design of efficient strategies for preventing people from acquiring the habit and persuading them to stop. Self-administered questionnaires are a very common method for determining tobacco use, but assessment is needed of their validity for specific groups, such as occasional smokers or students of health sciences. AB - OBJECTIVES: The aim of this study was to determine the sensitivity and specificity of a self-administered questionnaire for determining tobacco use among a population of young female students of health sciences. As a gold standard, we used a measure of the concentration of cotinine in saliva with different cut-off points. We also analysed the influence on sensitivity and specificity of the questionnaire of nicotine dependence and exposure to secondary smoke. AB - DESIGN: This is an internal validity study (sensitivity and specificity) of a self-administered questionnaire. AB - SETTINGS: The study was carried out in the School of Health Sciences of the University of Leon, at its centres in Leon and Ponferrada. AB - PARTICIPANTS: Data were collected on 432 of a total of 480 women aged under 25 who were studying Health Sciences at the University of Leon in 2007. AB - METHODS: The self-administered questionnaire included data concerning demography, education, tobacco habits and exposure to environmental smoke. Saliva cotinine concentration was determined with an EIA kit. AB - RESULTS: The questionnaire used showed high values of sensitivity and specificity (85.3% and 95.3%) and a very good correlation (Kappa=81.0%) with cotinine values of 10ng/ml or higher. Discrepancies in the test results for those who declared themselves to be smokers only occurred in women with a low nicotine dependency. Among those who did not declare themselves smokers, those exposed to second-hand smoke were 7 times more frequently classified erroneously as smokers than those who had not been exposed. AB - CONCLUSION: The self-administered questionnaire used showed a very good internal validity and a good correlation with cotinine levels of 10ng/mg, and therefore seems to be a good instrument for measuring tobacco use in this population. The availability of information on passive smoking and nicotine dependence is essential for the correct interpretation of the discrepancies.Copyright 2009 Elsevier Ltd. All rights reserved. RN - 0 (Tobacco Smoke Pollution) RN - K5161X06LL (Cotinine) ES - 1873-491X IL - 0020-7489 DO - http://dx.doi.org/10.1016/j.ijnurstu.2009.05.022 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20090627 DP - 2010 Feb DC - 20100201 YR - 2010 ED - 20100422 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19560771 <59. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20222513 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - FL: Nurse used hospital's drugs for murder: hospital's motion to dismiss suit overruled. Herndon v. Shands Teaching Hospital, 1D09-0437 (11/30/2009)-FL. SO - Nursing Law's Regan Report. 50(8):3, 2010 Jan. AS - Nurs Law Regan Rep. 50(8):3, 2010 Jan. NJ - Nursing law's Regan report PI - Journal available in: Print PI - Citation processed from: Print JC - 100936959 SB - Nursing Journal CP - United States MH - *Employee Discipline/lj [Legislation & Jurisprudence] MH - Florida MH - *Homicide/lj [Legislation & Jurisprudence] MH - Humans MH - *Nursing Staff, Hospital/lj [Legislation & Jurisprudence] MH - *Personnel Selection/lj [Legislation & Jurisprudence] MH - *Professional Misconduct/lj [Legislation & Jurisprudence] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders IS - 1528-848X IL - 1528-848X PT - Journal Article PT - Legal Cases LG - English DP - 2010 Jan DC - 20100312 YR - 2010 ED - 20100409 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20222513 <60. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20146552 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruetsch C FA - Ruetsch, Charles IN - Ruetsch,Charles. Health Analytics, LLC, 9250 BendixnRd. N., Ste. 240, Columbia, MD 21045, USA. Charles.Ruetsch@healthanalytic.com. TI - Practice strategies to improve compliance and patient self-management. [Review] [4 refs] SO - Journal of Managed Care Pharmacy. 16(1 Suppl B):S26-7, 2010 Feb. AS - J Manage Care Pharm. 16(1 Suppl B):S26-7, 2010 Feb. NJ - Journal of managed care pharmacy : JMCP PI - Journal available in: Print PI - Citation processed from: Print JC - 9605854 SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Behavior Therapy MH - Chronic Disease MH - Combined Modality Therapy MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Opioid-Related Disorders/th [Therapy] MH - *Pain/dt [Drug Therapy] MH - Patient Care Team MH - *Patient Compliance MH - *Patient Education as Topic MH - *Self Care MH - Treatment Outcome AB - BACKGROUND: Failure in treating opioid dependence is costly to the patient, the employer, managed care organizations, and the overall health care system. Opioid dependent patients tend to be less productive at work and in society and utilize a great many health care resources. Optimizing outcomes is essential. AB - OBJECTIVE: To introduce the benefit of integrated strategies and patient support in the treatment of opioid dependence. AB - SUMMARY: Health Analytics is currently studying the benefit of HereToHelp, a behavioral support program in which registered nurses or addiction treatment counselors with specialized training in addiction education provide information and encouragement to patients receiving pharmacologic treatment for opioid dependence. A total of 470 physicians in 41 states have been enlisted to participate in this patient support study. The study hypothesis is that patients who receive behavioral support and encouragement will be more compliant with their opioid replacement therapy, leading to better outcomes. Additional treatment strategies are also being developed to minimize the risk of abuse and diversion. Prodrugs and vaccines are also being investigated. AB - CONCLUSION: A coordinated team approach is essential in treating pain patients and opioid-dependent patients. Offering behavior modification in addition to pharmacotherapy and utilizing strategies such as prescription monitoring programs, pain contracts, and screening are all vital components necessary for positive outcomes. [References: 4] RN - 0 (Analgesics, Opioid) IS - 1083-4087 IL - 1083-4087 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2010 Feb DC - 20100211 YR - 2010 ED - 20100408 RD - 20141117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20146552 <61. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20081090 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Peterson J FA - Peterson, Jane IN - Peterson,Jane. University of Missouri Kansas City, School of Nursing, Kansas City, Missouri, USA. TI - A qualitative comparison of parent and adolescent views regarding substance use. SO - Journal of School Nursing. 26(1):53-64, 2010 Feb. AS - J Sch Nurs. 26(1):53-64, 2010 Feb. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Internet JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - Alcohol Drinking/pc [Prevention & Control] MH - *Attitude to Health MH - Child MH - Female MH - Focus Groups MH - Humans MH - Male MH - Marijuana Smoking/pc [Prevention & Control] MH - Midwestern United States MH - *Parents MH - Risk Factors MH - Smoking/pc [Prevention & Control] MH - *Students MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Young Adult AB - Substance use is a major cause of adolescent morbidity and mortality. By age 14, 70% of adolescents have consumed alcohol and half of 12th graders report having used marijuana. The purpose of this study was to increase the understanding of parent and adolescent perceptions regarding adolescent use of alcohol, tobacco, and other drugs (ATOD) to enhance the development of effective prevention programs. Six adolescent focus groups and one parent focus group participated. Results were derived following elicitation of adolescents' and parents' beliefs regarding adolescent ATOD use and current prevention programs. Findings indicate that current prevention programs are ineffective; ATOD use is normalized by schools, community, and family; positive adult role models deter use; and programs should involve youth, parents, schools, and community. Focus group discussions can strengthen the development of tailored ATOD prevention programs. School nurses can foster collaboration between families, schools, and communities to reduce adolescent substance use. ES - 1546-8364 IL - 1059-8405 DO - http://dx.doi.org/10.1177/1059840509355586 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 Feb DC - 20100118 YR - 2010 ED - 20100407 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20081090 <62. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19366423 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tran DT AU - Stone AM AU - Fernandez RS AU - Griffiths RD AU - Johnson M FA - Tran, Duong Thuy FA - Stone, Andrea M FA - Fernandez, Ritin S FA - Griffiths, Rhonda D FA - Johnson, Maree IN - Tran,Duong Thuy. Centre for Applied Nursing Research, University of Western Sydney, Penrith, New South Wales, Australia. danielle.tran@sswahs.nsw.gov.au TI - Changes in general nurses' knowledge of alcohol and substance use and misuse after education. SO - Perspectives in Psychiatric Care. 45(2):128-39, 2009 Apr. AS - Perspect Psychiatr Care. 45(2):128-39, 2009 Apr. NJ - Perspectives in psychiatric care PI - Journal available in: Print PI - Citation processed from: Internet JC - ozt, 0401133 SB - Nursing Journal CP - United States MH - Adult MH - Alcohol Withdrawal Delirium/di [Diagnosis] MH - *Alcohol Withdrawal Delirium/nu [Nursing] MH - Alcohol Withdrawal Delirium/rh [Rehabilitation] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - *Clinical Competence MH - Curriculum MH - Female MH - Humans MH - *Inservice Training MH - Male MH - Middle Aged MH - New South Wales MH - *Nursing Staff, Hospital/ed [Education] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] AB - PURPOSE: This study aims to assess the impact of an education program on Australian general nurses' knowledge and competence in identifying and managing patients with alcohol and substance use and misuse, and compare findings with existing literature on mental health nurses. AB - DESIGN AND METHODS: Pre- and posttest design without a control group. AB - FINDINGS: The nurses' knowledge of safe drinking limits and alcohol withdrawal management improved following the education. Nevertheless, overall the nurses reported a lack of adequate knowledge and competence. Compared to mental health nurses, the nurses in this study had lower levels of knowledge and competence. AB - PRACTICE IMPLICATIONS: We suggest several opportunities for general nurses to strengthen their knowledge and skills and the need for a comprehensive and regular education program. ES - 1744-6163 IL - 0031-5990 DO - http://dx.doi.org/10.1111/j.1744-6163.2009.00213.x PT - Journal Article LG - English DP - 2009 Apr DC - 20090415 YR - 2009 ED - 20100329 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19366423 <63. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20192112 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hahn EJ AU - Ashford KB AU - Okoli CT AU - Rayens MK AU - Ridner SL AU - York NL FA - Hahn, Ellen J FA - Ashford, Kristin B FA - Okoli, Chizimuzo T C FA - Rayens, Mary Kay FA - Ridner, S Lee FA - York, Nancy L IN - Hahn,Ellen J. University of Kentucky College of Nursing, USA. TI - Nursing research in community-based approaches to reduce exposure to secondhand smoke. [Review] [116 refs] SO - Annual Review of Nursing Research. 27:365-91, 2009. AS - Annu Rev Nurs Res. 27:365-91, 2009. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - Attitude to Health MH - Consumer Participation MH - Environmental Exposure/ae [Adverse Effects] MH - *Environmental Exposure/pc [Prevention & Control] MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Nursing Research MH - *Public Policy MH - *Smoking/lj [Legislation & Jurisprudence] MH - Smoking/pc [Prevention & Control] MH - Tobacco Smoke Pollution/ae [Adverse Effects] MH - *Tobacco Smoke Pollution/pc [Prevention & Control] MH - United States MH - Workplace AB - Secondhand smoke (SHS) is the third leading cause of preventable death in the United States and a major source of indoor air pollution, accounting for an estimated 53,000 deaths per year among nonsmokers. Secondhand smoke exposure varies by gender, race/ethnicity, and socioeconomic status. The most effective public health intervention to reduce SHS exposure is to implement and enforce smoke-free workplace policies that protect entire populations including all workers regardless of occupation, race/ethnicity, gender, age, and socioeconomic status. This chapter summarizes community and population-based nursing research to reduce SHS exposure. Most of the nursing research in this area has been policy outcome studies, documenting improvement in indoor air quality, worker's health, public opinion, and reduction in Emergency Department visits for asthma, acute myocardial infarction among women, and adult smoking prevalence. These findings suggest a differential health effect by strength of law. Further, smoke-free laws do not harm business or employee turnover, nor are revenues from charitable gaming affected. Additionally, smoke-free laws may eventually have a positive effect on cessation among adults. There is emerging nursing science exploring the link between SHS exposure to nicotine and tobacco dependence, suggesting one reason that SHS reduction is a quit smoking strategy. Other nursing research studies address community readiness for smoke-free policy, and examine factors that build capacity for smoke-free policy. Emerging trends in the field include tobacco free health care and college campuses. A growing body of nursing research provides an excellent opportunity to conduct and participate in community and population-based research to reduce SHS exposure for both vulnerable populations and society at large. [References: 116] RN - 0 (Tobacco Smoke Pollution) IS - 0739-6686 IL - 0739-6686 PT - Journal Article PT - Review LG - English DP - 2009 DC - 20100302 YR - 2009 ED - 20100323 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20192112 <64. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20192111 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McDaniel AM AU - Stratton RM AU - Britain M FA - McDaniel, Anna M FA - Stratton, Renee M FA - Britain, Maria IN - McDaniel,Anna M. Indiana University Schools of Nursing, USA. TI - Systems approaches to tobacco dependence treatment. [Review] [70 refs] SO - Annual Review of Nursing Research. 27:345-63, 2009. AS - Annu Rev Nurs Res. 27:345-63, 2009. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Delivery of Health Care, Integrated/og [Organization & Administration] MH - *Diffusion of Innovation MH - Education, Nursing, Continuing MH - Electronic Health Records MH - Health Services Research MH - Humans MH - Nursing Research MH - Patient Identification Systems MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation MH - Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder/th [Therapy] MH - United States AB - Nurses have been at the forefront of initiatives to improve patient outcomes through systems change. Nursing research addressing systems approaches to treatment of tobacco dependence has demonstrated increased implementation of evidence-based practice guidelines. Existing health system research conducted by nurse scientists has focused on four strategies: tobacco use identification systems, education and training of nursing staff to deliver tobacco intervention, dedicated staff for tobacco dependence treatment in both acute and primary care settings, and institutional policies to support tobacco intervention. Nursing involvement in multidisciplinary health services research focusing on tobacco treatment has lagged behind advances in clinical nursing research of individual-focused smoking cessation interventions. Health information technology shows promise as part of an integrated approach to systems changes to support tobacco intervention, particularly in light of the current national emphasis on adoption and meaningful use of electronic health records. Future directions for translational research present unprecedented opportunity for nurse scientists to respond to the call for policy and systems changes to support tobacco treatment. [References: 70] IS - 0739-6686 IL - 0739-6686 PT - Journal Article PT - Review LG - English DP - 2009 DC - 20100302 YR - 2009 ED - 20100323 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20192111 <65. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20192104 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tingen MS AU - Andrews JO AU - Stevenson AW FA - Tingen, Martha S FA - Andrews, Jeannette O FA - Stevenson, Ashley W IN - Tingen,Martha S. Department of Pediatrics, School of Medicine, Medical College of Georgia, USA. TI - Primary and secondary tobacco prevention in youth. [Review] [90 refs] SO - Annual Review of Nursing Research. 27:171-93, 2009. AS - Annu Rev Nurs Res. 27:171-93, 2009. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Child MH - Community Health Nursing/mt [Methods] MH - Family Nursing/mt [Methods] MH - *Health Promotion/mt [Methods] MH - Humans MH - Nursing Research MH - School Nursing/mt [Methods] MH - *Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - *Smoking Cessation/mt [Methods] AB - The childhood years represent a critical time for tobacco experimentation and addiction. This chapter presents risk factors for youth smoking, state of the science of nurse-led primary and secondary tobacco prevention research in youth, and implications for future research, policy, and practice. Nursing research on both primary and secondary tobacco prevention efforts that are school-based, family-based, and community-based are presented. Interventions, including both state and community approaches, and media and policy endeavors to prevent tobacco use and foster successful cessation are discussed. The nursing profession has made an impact on primary and secondary prevention in youth regarding tobacco; however, much remains to be accomplished. As one of the largest health care professions, nurses should seize the important opportunity of positively impacting the health of children and youth through comprehensive and effective primary and secondary tobacco prevention efforts. [References: 90] IS - 0739-6686 IL - 0739-6686 PT - Journal Article PT - Review LG - English DP - 2009 DC - 20100302 YR - 2009 ED - 20100323 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20192104 <66. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20192103 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahijevych K FA - Ahijevych, Karen IN - Ahijevych,Karen. The Ohio State University, College of Nursing, USA. TI - Biological models for studying and assessing tobacco use. [Review] [55 refs] SO - Annual Review of Nursing Research. 27:145-68, 2009. AS - Annu Rev Nurs Res. 27:145-68, 2009. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - Biomarkers MH - Genetic Predisposition to Disease MH - Humans MH - Models, Biological MH - Smoking/ge [Genetics] MH - Smoking/me [Metabolism] MH - *Smoking/pp [Physiopathology] MH - Tobacco/ch [Chemistry] MH - Tobacco Use Disorder/ge [Genetics] MH - Tobacco Use Disorder/me [Metabolism] MH - *Tobacco Use Disorder/pp [Physiopathology] AB - The purpose of this chapter on biological models for studying and assessing tobacco use is to provide an introduction to some of the common concepts and biomarkers in this arena to ultimately inform intervention research by nurse scientists. An overview of selected biomarkers of tobacco exposure in individuals includes exhaled carbon monoxide, cotinine (the proximate metabolite of nicotine), and measurement of an individual's puffing pattern termed smoking topography. Common tobacco contents discussed include tobacco specific nitrosamines (TSNA) and polycyclic aromatic hydrocarbons (PAH) some of which increase disease risk including cancer. Exemplars of additives to cigarettes by the tobacco industry will be described including menthol, one additive marketed by the industry. Genetics and tobacco addiction has emerged as a rapidly expanding field. Illustrative of this area are twin studies, nicotinic receptors, CYP2A6 polymorphisms, and genes that impact dopamine receptors. The cadre of nurse scientists conducting research in this much needed area is small. The opportunity for nurse scientists educated in biological inquiry in tobacco-related research is great. Nurse scientists actively involved in multidisciplinary translational teams to address nicotine addition are needed. [References: 55] RN - 0 (Biomarkers) IS - 0739-6686 IL - 0739-6686 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review NO - R01 DA017313 (United States NIDA NIH HHS) LG - English DP - 2009 DC - 20100302 YR - 2009 ED - 20100323 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20192103 <67. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20192098 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA FA - Sarna, Linda FA - Bialous, Stella Aguinaga IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, USA. TI - Why nursing research in tobacco control?. SO - Annual Review of Nursing Research. 27:3-31, 2009. AS - Annu Rev Nurs Res. 27:3-31, 2009. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - Health Promotion/td [Trends] MH - *Health Promotion MH - Humans MH - Nursing Research/ec [Economics] MH - Nursing Research/ed [Education] MH - Nursing Research/td [Trends] MH - *Nursing Research MH - Research Support as Topic MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - Smoking/th [Therapy] MH - Smoking Cessation MH - Tobacco Smoke Pollution/ae [Adverse Effects] MH - Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - Tobacco Use Disorder/rh [Rehabilitation] MH - United States/ep [Epidemiology] AB - Tobacco use is an epidemic of overwhelming proportions affecting survival, causing millions of deaths every year, causing untold human suffering worldwide, and contributing to escalating health care costs. Nursing research is vital to advancing knowledge in the field and to the translation of science to evidence-based practice. As the largest group of health care professionals (17 million worldwide), nurses have the capacity for an enormous impact on this leading cause of preventable death. This chapter thus provides a historical overview of the tobacco epidemic, health risks of smoking and benefits of quitting, nicotine addiction, and recommendations of evidence-based tobacco dependence treatment as a backdrop for understanding the importance and need for nursing scholarship. Also examined are nursing science efforts and leadership in removing two barriers to mounting programs of nursing research in tobacco control: (1) lack of nursing education and training in tobacco control, and (2) limited research funding and mentorship. The chapter also addresses the issue of smoking in the profession as it impacts nurses' health, clinical practice, and, potentially, scholarship efforts. RN - 0 (Tobacco Smoke Pollution) IS - 0739-6686 IL - 0739-6686 PT - Journal Article LG - English DP - 2009 DC - 20100302 YR - 2009 ED - 20100323 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20192098 <68. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19625023 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Losa Iglesias ME AU - Becerro de Bengoa Vallejo R AU - Salvadores Fuentes P FA - Losa Iglesias, Marta Elena FA - Becerro de Bengoa Vallejo, Ricardo FA - Salvadores Fuentes, Paloma IN - Losa Iglesias,Marta Elena. Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain. marta.losa@urjc.es TI - The relationship between experiential avoidance and burnout syndrome in critical care nurses: a cross-sectional questionnaire survey. SO - International Journal of Nursing Studies. 47(1):30-7, 2010 Jan. AS - Int J Nurs Stud. 47(1):30-7, 2010 Jan. NJ - International journal of nursing studies PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Avoidance Learning MH - *Burnout, Professional MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nursing Staff, Hospital/px [Psychology] MH - Spain MH - Surveys and Questionnaires AB - BACKGROUND: Critical care nurses often face complex stressful situations, and the phenomenon of burnout syndrome has been recognized as an important and increasing problem. Recent research suggests that another phenomenon, experiential avoidance, may be associated with burnout syndrome. AB - OBJECTIVES: To determine the relationship between burnout syndrome and experiential avoidance in Spanish critical care nurses and to evaluate the relationships between burnout, experiential avoidance, certain health habits, and sociodemographic and job-related factors. AB - DESIGN: A descriptive survey. AB - SETTING: Participants were recruited from the critical care units of five major hospitals in the Northern State of Spain, Principado de Asturias. AB - PARTICIPANTS: Of 98 critical care nurses who met the criteria for study inclusion, 80 agreed to participate and completed the survey. The participants were staff nurses who had worked a minimum of 1 year full-time in a critical care unit. Most were women and were aged 22-56 years. AB - METHODS: The survey instrument consisted of the Maslach Burnout Inventory (to measure burnout) and the Acceptance and Action Questionnaire (to measure experiential avoidance). The survey also collected data regarding age, sex, marital status, type of hospital, years of critical care experience, number of patients per nurse, and self-reported tobacco dependency greater than 6 months. AB - RESULTS: Participants showed high levels of emotional exhaustion (25.19+/-10.52), moderate levels of depersonalization (6.53+/-6.04), and low levels of accomplishment (8.95+/-7.890) as measured by the Maslach Burnout Inventory. The Acceptance and Action Questionnaire revealed a mean low pathologic score of 35.29+/-6.56. Pearson product moment correlation analysis indicated a significant inverse correlation between scores on the Maslach Burnout Inventory accomplishment subscale and scores on the Acceptance and Action Questionnaire frequency (r=0.237, p=0.05). More marked and significant was the positive correlation between the Acceptance and Action Questionnaire score and the depersonalization (r=0.525, p=0.01) and emotional exhaustion (r=0.507, p=0.01) subscale scores. Being older than 30 years and having more than 10 years of experience in a critical care environment as a nurse were significantly related to emotional exhaustion as measured by the Maslach Burnout Inventory. Clear evidence was found of an association between marital status and accomplishment (p=0.01) and between tobacco habit and depersonalization (p=0.003). AB - CONCLUSIONS: This study demonstrates a relationship between experiential avoidance and burnout syndrome in critical care nurses in Spain. Being older than 30 years, having more than 10 years of experience, being single, and smoking were associated with a nurse's vulnerability to burnout syndrome. ES - 1873-491X IL - 0020-7489 DO - http://dx.doi.org/10.1016/j.ijnurstu.2009.06.014 PT - Journal Article LG - English EP - 20090722 DP - 2010 Jan DC - 20091208 YR - 2010 ED - 20100309 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19625023 <69. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19889887 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruf D AU - Berner M AU - Kriston L AU - Lohmann M AU - Mundle G AU - Lorenz G AU - Niebling W AU - Harter M FA - Ruf, D FA - Berner, M FA - Kriston, L FA - Lohmann, M FA - Mundle, G FA - Lorenz, G FA - Niebling, W FA - Harter, M IN - Ruf,D. Department of Psychiatry and Psychotherapy, Section of Clinical Epidemiology and Health Services Research, University Medical Centre Freiburg, D-79104 Freiburg, Germany. daniela.ruf@uniklinik-freiburg.de TI - Cluster-randomized controlled trial of dissemination strategies of an online quality improvement programme for alcohol-related disorders. SO - Alcohol & Alcoholism. 45(1):70-8, 2010 Jan-Feb. AS - Alcohol Alcohol. 45(1):70-8, 2010 Jan-Feb. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - aal, 8310684 SB - Index Medicus CP - England MH - *Alcohol-Related Disorders/di [Diagnosis] MH - *Education, Medical, Continuing/mt [Methods] MH - Education, Nursing/mt [Methods] MH - Evidence-Based Practice/mt [Methods] MH - *Family Practice/ed [Education] MH - Family Practice/mt [Methods] MH - Female MH - Humans MH - *Information Dissemination/mt [Methods] MH - Male MH - Middle Aged MH - Nurses MH - *Online Systems MH - Program Evaluation MH - *Quality of Health Care AB - AIMS: This project investigated different dissemination strategies of an online quality improvement programme for alcohol-related disorders into routine care in South Baden and South Wurttemberg in Germany. AB - METHODS: In a cluster-randomized controlled trial, 112 general practices were randomized into three groups. The first group (n = 43) received access to the online system and a training programme for the general practitioners (GPs). The second group (n = 42) additionally received education for the whole practice team. The third group (n = 27) acted as control and received only access to the online system. AB - RESULTS: Two thousand six hundred and forty-seven practitioners were asked to take part in the study, and it was possible to randomize 112 (4%) practices. There were no significant differences concerning the use of the system between the groups: 41.9% of the GPs in the first group, 42.9% in the second group and 44.4% in the control group used the system. In terms of only the system users, 55.6% of the GPs in the first group, 33.3% in the second group and 8.3% in the control group used the system six times or more (P = 0.019). Diagnostic assessments made by the GPs in the groups differed substantially: 72.2% of diagnoses in the first group were correct, while this figure lay at 69.7% in the second group and 36.4% in the control group (P = 0.034). AB - CONCLUSIONS: No effect of the additional training on the primary outcome (acceptance) was identified, but on two of the secondary outcomes. Further cost-effectiveness studies should investigate whether the effort involved in providing training additionally to the system is justifiable. The study is registered at ClinicalTrials.gov: NCT00314067. This article conforms to the guidelines in the Consolidated Standards of Reporting Trials (CONSORT) statement (Moher et al., 2001; Campbell et al., 2004). ES - 1464-3502 IL - 0735-0414 DO - http://dx.doi.org/10.1093/alcalc/agp079 PT - Journal Article PT - Randomized Controlled Trial SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT00314067 SL - http://clinicaltrials.gov/search/term=NCT00314067 LG - English EP - 20091104 DP - 2010 Jan-Feb DC - 20091229 YR - 2010 ED - 20100304 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19889887 <70. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19882396 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kunins HV AU - Sohler NL AU - Roose RJ AU - Cunningham CO FA - Kunins, Hillary V FA - Sohler, Nancy L FA - Roose, Robert J FA - Cunningham, Chinazo O IN - Kunins,Hillary V. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY 10467, USA. hkunins@montefiore.org TI - HIV provider endorsement of primary care buprenorphine treatment: a vignette study. SO - Family Medicine. 41(10):722-8, 2009 Nov-Dec. AS - Fam Med. 41(10):722-8, 2009 Nov-Dec. NJ - Family medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - fal, 8306464 OI - Source: NLM. NIHMS161102 OI - Source: NLM. PMC2827924 SB - Index Medicus CP - United States MH - African Continental Ancestry Group MH - *Attitude of Health Personnel MH - *Buprenorphine/tu [Therapeutic Use] MH - Cross-Sectional Studies MH - Family Practice MH - Female MH - *HIV Infections/co [Complications] MH - Humans MH - Internal Medicine MH - Male MH - Middle Aged MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - *Primary Health Care MH - Surveys and Questionnaires AB - BACKGROUND AND OBJECTIVES: Opioid dependence is common among HIV-infected persons in the United States. Factors associated with HIV care providers recommending buprenorphine for opioid dependence are poorly defined. Using vignettes, we sought to identify HIV provider characteristics associated with endorsing buprenorphine treatment in primary care. AB - METHODS: We used a cross-sectional survey of HIV providers, including 497 physicians, nurse practitioners, and physician assistants attending HIV educational conferences in 2006. Anonymous questionnaires distributed to conference attendees contained one of two vignettes depicting opioid-dependent patients. Respondents recommended type of substance abuse treatment for the vignette patient. Using logistic regression, we tested patient and provider factors associated with HIV provider endorsement of buprenorphine in primary care. AB - RESULTS: Sixteen percent of providers endorsed buprenorphine treatment in primary care for vignette patients. Family physicians and general internists (AOR=2.8, CI=1.1-7.1), African American providers (AOR=3.0, CI=1.3-6.8), and those with previous buprenorphine prescribing experience (AOR=4.6, CI=1.2-17.9) were more likely to endorse buprenorphine treatment in primary care. AB - CONCLUSIONS: HIV providers infrequently endorsed buprenorphine treatment in primary care for vignette patients. Generalist and African American providers and those with previous buprenorphine prescribing experience are more likely to endorse buprenorphine treatment in primary care. Targeting generalist and minority providers may be one strategy to promote effective integration of HIV care and opioid addiction treatment. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1938-3800 IL - 0742-3225 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - 5P30 A1051519 (United States PHS HHS) NO - 6H97HA00247 (United States PHS HHS) NO - M01-RR12248 (United States NCRR NIH HHS) NO - R25 DA014551 (United States NIDA NIH HHS) NO - R25 DA014551-02 (United States NIDA NIH HHS) NO - R25DA14551 (United States NIDA NIH HHS) LG - English DP - 2009 Nov-Dec DC - 20091102 YR - 2009 ED - 20100219 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19882396 <71. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19929161 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lovi R AU - Barr J FA - Lovi, Renee FA - Barr, Jennieffer IN - Lovi,Renee. School of Nursing and Midwifery, Queensland University of Technology, Brisbane, QLD, Australia. TI - Stigma reported by nurses related to those experiencing drug and alcohol dependency: a phenomenological Giorgi study. SO - Contemporary Nurse. 33(2):166-78, 2009 Oct. AS - Contemp Nurse. 33(2):166-78, 2009 Oct. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - *Alcoholism/px [Psychology] MH - Health Education MH - Humans MH - Patient Advocacy MH - Queensland MH - *Stereotyping MH - *Substance-Related Disorders/px [Psychology] AB - Alcohol and drug dependency is a widespread health and social issue encountered by registered nurses in contemporary practice. A study aiming to describe the experiences of registered nurses working in an alcohol and drug unit in South East Queensland was implemented. Data were analysed via Giorgi's phenomenological method and an unexpected but significant finding highlighted the frustration felt by registered nurses regarding experiences of stigma they identified in their daily work encounters. Secondary analysis confirmed the phenomenon of stigma with three themes: (1) inappropriate judgement; (2) advocacy; and (3) education. Resultantly, findings concluded registered nurses' working in this field need to become advocates for their clients, ensuring professional conduct is upheld at all times. This paper recommends that stigma could be addressed by incorporating alcohol and other drug dependency subjects and clinical placements into the curriculum of the Bachelor of Nursing degrees, and in-services for all practising registered nurses. IS - 1037-6178 IL - 1037-6178 PT - Journal Article LG - English DP - 2009 Oct DC - 20091125 YR - 2009 ED - 20100218 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19929161 <72. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19729111 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schwartz SR AU - Cohen SM AU - Dailey SH AU - Rosenfeld RM AU - Deutsch ES AU - Gillespie MB AU - Granieri E AU - Hapner ER AU - Kimball CE AU - Krouse HJ AU - McMurray JS AU - Medina S AU - O'Brien K AU - Ouellette DR AU - Messinger-Rapport BJ AU - Stachler RJ AU - Strode S AU - Thompson DM AU - Stemple JC AU - Willging JP AU - Cowley T AU - McCoy S AU - Bernad PG AU - Patel MM FA - Schwartz, Seth R FA - Cohen, Seth M FA - Dailey, Seth H FA - Rosenfeld, Richard M FA - Deutsch, Ellen S FA - Gillespie, M Boyd FA - Granieri, Evelyn FA - Hapner, Edie R FA - Kimball, C Eve FA - Krouse, Helene J FA - McMurray, J Scott FA - Medina, Safdar FA - O'Brien, Karen FA - Ouellette, Daniel R FA - Messinger-Rapport, Barbara J FA - Stachler, Robert J FA - Strode, Steven FA - Thompson, Dana M FA - Stemple, Joseph C FA - Willging, J Paul FA - Cowley, Terrie FA - McCoy, Scott FA - Bernad, Peter G FA - Patel, Milesh M IN - Schwartz,Seth R. Virginia Mason Medical Center, 1100 Ninth Avenue, MS X10-ON, PO Box 900, Seattle, WA 98111, USA. seth.schwartz@vmmc.org TI - Clinical practice guideline: hoarseness (dysphonia). CM - Comment in: Otolaryngol Head Neck Surg. 2010 Aug;143(2):175-7; discussion 175-80; PMID: 20647114 SO - Otolaryngology - Head & Neck Surgery. 141(3 Suppl 2):S1-S31, 2009 Sep. AS - Otolaryngol Head Neck Surg. 141(3 Suppl 2):S1-S31, 2009 Sep. NJ - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery PI - Journal available in: Print PI - Citation processed from: Internet JC - 7909794, 8508176, on7, on8 SB - Index Medicus CP - United States MH - Anti-Bacterial Agents/tu [Therapeutic Use] MH - Anti-Infective Agents/tu [Therapeutic Use] MH - Botulinum Toxins, Type A/tu [Therapeutic Use] MH - Chronic Disease MH - *Dysphonia/di [Diagnosis] MH - Dysphonia/dt [Drug Therapy] MH - Dysphonia/ep [Epidemiology] MH - Dysphonia/et [Etiology] MH - *Dysphonia/th [Therapy] MH - Evidence-Based Medicine MH - Glucocorticoids/tu [Therapeutic Use] MH - Humans MH - Laryngitis/dt [Drug Therapy] MH - Laryngoscopy MH - Magnetic Resonance Imaging MH - Postoperative Complications/ep [Epidemiology] MH - Proton Pump Inhibitors/tu [Therapeutic Use] MH - Quality of Life MH - Treatment Outcome MH - Voice/de [Drug Effects] MH - Voice Training AB - OBJECTIVE: This guideline provides evidence-based recommendations on managing hoarseness (dysphonia), defined as a disorder characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication or reduces voice-related quality of life (QOL). Hoarseness affects nearly one-third of the population at some point in their lives. This guideline applies to all age groups evaluated in a setting where hoarseness would be identified or managed. It is intended for all clinicians who are likely to diagnose and manage patients with hoarseness. AB - PURPOSE: The primary purpose of this guideline is to improve diagnostic accuracy for hoarseness (dysphonia), reduce inappropriate antibiotic use, reduce inappropriate steroid use, reduce inappropriate use of anti-reflux medications, reduce inappropriate use of radiographic imaging, and promote appropriate use of laryngoscopy, voice therapy, and surgery. In creating this guideline the American Academy of Otolaryngology-Head and Neck Surgery Foundation selected a panel representing the fields of neurology, speech-language pathology, professional voice teaching, family medicine, pulmonology, geriatric medicine, nursing, internal medicine, otolaryngology-head and neck surgery, pediatrics, and consumers. AB - RESULTS: The panel made strong recommendations that 1) the clinician should not routinely prescribe antibiotics to treat hoarseness and 2) the clinician should advocate voice therapy for patients diagnosed with hoarseness that reduces voice-related QOL. The panel made recommendations that 1) the clinician should diagnose hoarseness (dysphonia) in a patient with altered voice quality, pitch, loudness, or vocal effort that impairs communication or reduces voice-related QOL; 2) the clinician should assess the patient with hoarseness by history and/or physical examination for factors that modify management, such as one or more of the following: recent surgical procedures involving the neck or affecting the recurrent laryngeal nerve, recent endotracheal intubation, radiation treatment to the neck, a history of tobacco abuse, and occupation as a singer or vocal performer; 3) the clinician should visualize the patient's larynx, or refer the patient to a clinician who can visualize the larynx, when hoarseness fails to resolve by a maximum of three months after onset, or irrespective of duration if a serious underlying cause is suspected; 4) the clinician should not obtain computed tomography or magnetic resonance imaging of the patient with a primary complaint of hoarseness prior to visualizing the larynx; 5) the clinician should not prescribe anti-reflux medications for patients with hoarseness without signs or symptoms of gastroesophageal reflux disease; 6) the clinician should not routinely prescribe oral corticosteroids to treat hoarseness; 7) the clinician should visualize the larynx before prescribing voice therapy and document/communicate the results to the speech-language pathologist; and 8) the clinician should prescribe, or refer the patient to a clinician who can prescribe, botulinum toxin injections for the treatment of hoarseness caused by adductor spasmodic dysphonia. The panel offered as options that 1) the clinician may perform laryngoscopy at any time in a patient with hoarseness, or may refer the patient to a clinician who can visualize the larynx; 2) the clinician may prescribe anti-reflux medication for patients with hoarseness and signs of chronic laryngitis; and 3) the clinician may educate/counsel patients with hoarseness about control/preventive measures. AB - DISCLAIMER: This clinical practice guideline is not intended as a sole source of guidance in managing hoarseness (dysphonia). Rather, it is designed to assist clinicians by providing an evidence-based framework for decision-making strategies. The guideline is not intended to replace clinical judgment or establish a protocol for all individuals with this condition, and may not provide the only appropriate approach to diagnosing and managing this problem. RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Infective Agents) RN - 0 (Glucocorticoids) RN - 0 (Proton Pump Inhibitors) RN - EC 3-4-24-69 (Botulinum Toxins, Type A) ES - 1097-6817 IL - 0194-5998 DO - http://dx.doi.org/10.1016/j.otohns.2009.06.744 PT - Journal Article PT - Practice Guideline PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Sep DC - 20090904 YR - 2009 ED - 20100218 RD - 20131106 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19729111 <73. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18394848 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Avegno J AU - Mills TJ AU - Mills LD FA - Avegno, Jennifer FA - Mills, Trevor J FA - Mills, Lisa D IN - Avegno,Jennifer. Department of Emergency Medicine, Louisiana State University-New Orleans, New Orleans, Louisiana, USA. TI - Sexual assault victims in the emergency department: analysis by demographic and event characteristics. SO - Journal of Emergency Medicine. 37(3):328-34, 2009 Oct. AS - J Emerg Med. 37(3):328-34, 2009 Oct. NJ - The Journal of emergency medicine PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ibo, 8412174 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - African Americans MH - Age Distribution MH - Aged MH - Aged, 80 and over MH - Alcoholic Intoxication MH - Child MH - Emergency Service, Hospital MH - European Continental Ancestry Group MH - Female MH - Hospitals, Teaching/sn [Statistics & Numerical Data] MH - Humans MH - Louisiana/ep [Epidemiology] MH - Male MH - Middle Aged MH - *Rape/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - Sex Distribution MH - Urban Population/sn [Statistics & Numerical Data] MH - *Violence/sn [Statistics & Numerical Data] MH - Wounds and Injuries MH - Young Adult AB - The objective of this study was to analyze demographic and event characteristics of patients presenting to the Emergency Department (ED) for evaluation after sexual assault, using a Sexual Assault Nurse Examiner standardized database. Data were prospectively collected as part of the Sexual Assault Nurse Examiner program at an urban teaching hospital. This study reviewed all ED patient records with a complaint of sexual assault between January 1, 2000 and December 31, 2004. Data were collected on 1172 patients; 92.6% were women, with a mean age of 27 years. The sample was 59.1% black, 38.6% white, and 2.3% "Other." Black victims of sexual assault were significantly more likely to be young (25 years or less) than Whites. Over half (54%) reported involvement of drugs or alcohol during the event. Fifty-three percent knew their assailant(s), and black and young patients were significantly more likely to know the perpetrator(s). Threats of force were common (72.4% of sample), and multiple assailants were uncommon (18.1% of sample). Physical evidence of trauma was present in more than half (51.7%), with increased rates among Whites and older persons. Multivariate analysis showed that race, age, threats, and substance use during the event were independent risk factors for evident trauma on physical examination. Survivors of sexual assault who present to the ED are overwhelmingly female, relatively young, often know the perpetrator of the event, and are likely to be threatened and show signs of physical trauma. Differences between patients according to demographic and event characteristics may have important implications for ED management and treatment plans. IS - 0736-4679 IL - 0736-4679 DO - http://dx.doi.org/10.1016/j.jemermed.2007.10.025 PT - Journal Article LG - English EP - 20080418 DP - 2009 Oct DC - 20090922 YR - 2009 ED - 20100112 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18394848 <74. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19715491 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tran DT AU - Stone AM AU - Fernandez RS AU - Griffiths RD AU - Johnson M FA - Tran, Duong Thuy FA - Stone, Andrea M FA - Fernandez, Ritin S FA - Griffiths, Rhonda D FA - Johnson, Maree IN - Tran,Duong Thuy. Centre for Applied Nursing Research, Sydney South West Area Health Service, Sydney, NSW, Australia. TI - Does implementation of clinical practice guidelines change nurses' screening for alcohol and other substance use?. SO - Contemporary Nurse. 33(1):13-9, 2009 Aug. AS - Contemp Nurse. 33(1):13-9, 2009 Aug. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - Attitude of Health Personnel MH - Chi-Square Distribution MH - Clinical Competence MH - *Diffusion of Innovation MH - Education, Nursing, Continuing/og [Organization & Administration] MH - *Guideline Adherence/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Mass Screening/nu [Nursing] MH - *Mass Screening/sn [Statistics & Numerical Data] MH - New South Wales MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Nursing Audit MH - Nursing Education Research MH - Nursing Evaluation Research MH - *Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/og [Organization & Administration] MH - Nursing Staff, Hospital/px [Psychology] MH - *Practice Guidelines as Topic MH - Program Evaluation MH - Referral and Consultation/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/di [Diagnosis] AB - AIM: To examine the effectiveness of the implementation of a clinical practice guideline on nurses screening patients for alcohol and other substance use, providing brief interventions, and referring patients at risk for treatment. AB - METHOD: Medical record audits were conducted in selected medical and surgical wards of two metropolitan hospitals in Sydney prior to and three months following the guideline implementation. AB - RESULT: Seventy-nine (pre) and 84 (post) patient records were audited. There were no differences in screening rates for alcohol (28% and 29%), tobacco (29% and 23%) and illicit drug use (16% and 8%) before and after implementation of the guideline. AB - PRACTICE IMPLICATION: Factors which may have limited the effectiveness of the clinical practice guideline dissemination included design of the education program, existing level of nurses' knowledge and competence, and strategies in place to ensure sustainability of the program. We also provided suggestions for improvement of screening for alcohol and other substance use. IS - 1037-6178 IL - 1037-6178 PT - Evaluation Studies PT - Journal Article LG - English DP - 2009 Aug DC - 20090831 YR - 2009 ED - 20100106 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19715491 <75. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19538562 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anthierens S AU - Grypdonck M AU - De Pauw L AU - Christiaens T FA - Anthierens, Sibyl FA - Grypdonck, Mieke FA - De Pauw, Liesbeth FA - Christiaens, Thierry IN - Anthierens,Sibyl. Department of General Practice and Primary Health Care, Ghent University, De Pintelaan 185, Ghent, Belgium. sibyl.anthierens@ugent.be TI - Perceptions of nurses in nursing homes on the usage of benzodiazepines. SO - Journal of Clinical Nursing. 18(22):3098-106, 2009 Nov. AS - J Clin Nurs. 18(22):3098-106, 2009 Nov. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Attitude of Health Personnel MH - *Benzodiazepines/ad [Administration & Dosage] MH - Focus Groups MH - Humans MH - *Nurses/px [Psychology] MH - *Nursing Homes/ma [Manpower] AB - AIM: This paper reports the findings of a qualitative study on how nurses perceive their own role in the use of benzodiazepines in nursing homes and to identify the factors that have an impact on the nurses' role in the use of benzodiazepines. AB - BACKGROUND: The use of benzodiazepines in nursing homes is of particular concern, as nursing-home residents receive considerably more benzodiazepines than non-institutionalised older persons. Evidence of their long-term effectiveness is lacking. Nurses are important partners in the decision-making process of starting and discontinuation of benzodiazepines. AB - DESIGN: Qualitative descriptive. AB - METHOD: Three focus group interviews and 10 additional semi-structured interviews were used with 33 registered nurses. The interviews were thematically analysed. AB - FINDINGS: Nurses' main concern is to work towards the comfort of the patient. Benzodiazepines are an easy option with not too many side effects and administration of benzodiazepines is experienced as a routine action. When prescribed they will almost automatically lead to chronic usage as there is no evaluation of their effect. There are three aspects that have an impact on nurse's perceptions of their role in benzodiazepine usage: their own individual attitude and perceptions, their knowledge and organisational factors. AB - CONCLUSION: Nurses do not see benzodiazepines as a problem drug and once a prescription is initiated it will almost automatically lead to chronic usage. Nurses should work towards a pro-active promotion of addressing sleeping problems and they can play a key role in non-pharmacological interventions. AB - RELEVANCE TO CLINICAL PRACTICE: Nurses can play a key role in suggesting non-pharmacological alternatives. Education to provide more insight into the problems of insomnia and anxiety may positively influence their attitudes and behaviour. All caregivers in nursing homes should be informed about the relevance of this issue. RN - 12794-10-4 (Benzodiazepines) ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2008.02758.x PT - Journal Article LG - English EP - 20090617 DP - 2009 Nov DC - 20091014 YR - 2009 ED - 20091228 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19538562 <76. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19798491 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bergqvist M AU - Ulfvarson J AU - Karlsson EA FA - Bergqvist, Monica FA - Ulfvarson, Johanna FA - Karlsson, Eva Andersen IN - Bergqvist,Monica. Department of Clinical Science and Education, Karolinska Institutet, Sodersjukhuset, Stockholm, Sweden. monica.bergqvist@sodersjukhuset.se TI - Nurse-led medication reviews and the quality of drug treatment of elderly hospitalized patients. SO - European Journal of Clinical Pharmacology. 65(11):1089-96, 2009 Nov. AS - Eur J Clin Pharmacol. 65(11):1089-96, 2009 Nov. NJ - European journal of clinical pharmacology PI - Journal available in: Print PI - Citation processed from: Internet JC - en4, 1256165 SB - Index Medicus CP - Germany MH - Aged MH - Aged, 80 and over MH - Drug Therapy/st [Standards] MH - *Drug Utilization Review/mt [Methods] MH - Education, Nursing MH - Female MH - Hospitalization MH - Humans MH - Male MH - *Medication Errors/pc [Prevention & Control] MH - Nurse's Role MH - *Nurses MH - Patient Discharge MH - Patient Readmission MH - Pharmacology/ed [Education] AB - PURPOSE: To evaluate if nurses after receiving training in clinical pharmacology can improve the quality of the drug therapy in elderly hospitalized patients. AB - METHODS: Nurses were given a 1-day training in clinical pharmacology to identify drug-related problems (DRPs).All patients admitted to the ward aged 65 or more were studied. Patients at the same ward before the intervention were considered as control group. Outcome variables were re-hospitalized 3 months from discharge, drug-related readmissions, the proportion of inappropriate drug use (IDU), and DRPs found by the nurses. AB - RESULTS: Of 460 patients (250 intervention group and 210 in the control group) 38 and 36%, respectively, had at least one re-admission to hospital (p=0.86) and 24% of the patients died. Eighteen and 17% (43/37), respectively, used one or more inappropriate drug (p 0.90). The nurses found 86 clinically significant DRPs not detected by the usual care. A substantial part of the DRPs detected by the nurses were revealed with assistance of Symptoms Assessment Form (SYM). There were no statistical difference in the number of drug-related re-admissions between the groups, 14/16, respectively, (p=0.40). AB - CONCLUSIONS: Nurses are able to detect a high proportion of clinically relevant DRPs not detected by the usual care and thereby increase the quality of the drug treatment in elderly hospitalized patients. Our study showed no effect on re-hospitalization or IDU. By using a SYM nurses can find DRPs that computer-based decision support systems miss. ES - 1432-1041 IL - 0031-6970 DO - http://dx.doi.org/10.1007/s00228-009-0728-2 PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Nov DC - 20091022 YR - 2009 ED - 20091211 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19798491 <77. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19812027 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heikkinen AM AU - Broms U AU - Pitkaniemi J AU - Koskenvuo M AU - Meurman J FA - Heikkinen, Anna Maria FA - Broms, Ulla FA - Pitkaniemi, Janne FA - Koskenvuo, Markku FA - Meurman, Jukka IN - Heikkinen,Anna Maria. Kotka Health Centre/Network of Academic Health Centers, Department of General Practice and Primary Health Care, Institute of Clinical Medicine, Unit of General Practice, Hospital District of Helsinki and Uusimaa, Institute of Dentistry, University of Helsinki, Helsinki, Finland. TI - Key factors in smoking cessation intervention among 15-16-year-olds. SO - Behavioral Medicine. 35(3):93-9, 2009. AS - Behav Med. 35(3):93-9, 2009. NJ - Behavioral medicine (Washington, D.C.) PI - Journal available in: Print PI - Citation processed from: Print JC - beh, 8804264 SB - Index Medicus CP - United States MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Circadian Rhythm MH - Dentist-Patient Relations MH - Female MH - Follow-Up Studies MH - Humans MH - Logistic Models MH - Male MH - *Peer Group MH - Psychometrics MH - School Health Services MH - School Nursing MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation/px [Psychology] MH - *Tobacco Use Disorder/px [Psychology] MH - Tobacco Use Disorder/th [Therapy] MH - Treatment Outcome AB - The authors aimed to investigate factors associated with smoking cessation among adolescents after tobacco intervention. They examined smokers (n = 127) from one birth cohort (n = 545) in the city of Kotka in Finland. These smokers were randomized in 3 intervention groups the dentist (n = 44) and the school nurse (n = 42 groups), and a control group (n = 39). After 2 months, the authors sent a follow-up questionnaire to the initial smokers to find out who had quit.The authors found that those whose best friend was a nonsmoker were more likely to stop smoking (relative risk RR 7.0 95% Cl 4.6-10.7). Moreover, the nicotine-dependent participants (measured according to the Fagerstrom Test for Nicotine Dependence(36)) were less likely to stop (RR 0.1 95% Cl 0.08-0.11) compared to non-nicotine dependent participants. Last, of the diurnal types, the morning types found it easier to quit smoking than the evening types (RR 2.2 95% Cl 1.4-3.6). Thus, the authors concluded that the best friend''s influence, nicotine dependence, and diurnal type could be taken more into account in individual counseling on smoking cessation. IS - 0896-4289 IL - 0896-4289 DO - http://dx.doi.org/10.1080/08964280903232035 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 DC - 20091008 YR - 2009 ED - 20091211 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19812027 <78. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19820860 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - dos Santos SM AU - de Oliveira ML FA - dos Santos, Sonia Maria Soares FA - de Oliveira, Magda Lucia Felix IN - dos Santos,Sonia Maria Soares. Universidade Estadual de Maringa, Brazil. enfso@hotmail.com TI - Knowledge about AIDS and drugs among undergraduate students in a higher education institution in the state of Parana. SO - Revista Latino-Americana de Enfermagem. 17(4):522-8, 2009 Jul-Aug. AS - Rev Lat Am Enfermagem. 17(4):522-8, 2009 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - *Acquired Immunodeficiency Syndrome MH - Adolescent MH - Adult MH - Brazil MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - *Students, Nursing MH - *Substance-Related Disorders MH - *Surveys and Questionnaires MH - Young Adult AB - The main objective of this study was to measure the knowledge of undergraduate nursing students about Acquired Immunodeficiency Syndrome (AIDS) and drugs. The study was carried out in 2007 with a random sample of 289 undergraduate students at a State University in the Northwest of Parana, Brazil. The students self-applied a questionnaire validated by experts. Questions were divided into three levels of complexity: low, average and high. The level of correct answers was higher in the questions of low complexity, diminishing as the questions' complexity increased. Thirteen percent of questions concerning risk factors and vulnerability to HIV infection among injection drug users (IDU) and biological material for diagnosis of AIDS was correctly answered by 90% of students. Students possessed knowledge concerning AIDS and drugs, however such knowledge was considered insufficient, showing lack of information and gaps in education with a dissociation of interdisciplinary and inter-curricular content. IS - 0104-1169 IL - 0104-1169 DI - S0104-11692009000400014 PT - Journal Article LG - English DP - 2009 Jul-Aug DC - 20091012 YR - 2009 ED - 20091203 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19820860 <79. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19880694 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson H FA - Wilson, Heather TI - Environmental cues and relapse: an old idea that is new for reentry of recovering anesthesia care professionals. CM - Comment on: Mayo Clin Proc. 2009 Jul;84(7):576-80; PMID: 19567710 SO - Mayo Clinic Proceedings. 84(11):1040-1; author reply 1041, 2009 Nov. AS - Mayo Clin Proc. 84(11):1040-1; author reply 1041, 2009 Nov. NJ - Mayo Clinic proceedings PI - Journal available in: Print PI - Citation processed from: Internet JC - 0405543, lly OI - Source: NLM. PMC2770916 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Anesthesiology/st [Standards] MH - Anesthesiology/td [Trends] MH - *Clinical Competence MH - Cues MH - *Employment/sn [Statistics & Numerical Data] MH - *Environment MH - Female MH - Health Personnel/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Nurse Anesthetists/sn [Statistics & Numerical Data] MH - Physician Impairment/sn [Statistics & Numerical Data] MH - Recurrence MH - Risk Assessment MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] ES - 1942-5546 IL - 0025-6196 DO - http://dx.doi.org/10.1016/S0025-6196(11)60675-7 PT - Comment PT - Letter LG - English DP - 2009 Nov DC - 20091102 YR - 2009 ED - 20091123 RD - 20141204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19880694 <80. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19220620 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tsai YF FA - Tsai, Yun-Fang IN - Tsai,Yun-Fang. School of Nursing, Chang Gung University, Tao-Yuan, Taiwan. yftsai@mail.cgu.edu.tw TI - Nurses' perceived facilitators and barriers to assessing for alcohol use in Taiwan. SO - Journal of Clinical Nursing. 18(14):2078-86, 2009 Jul. AS - J Clin Nurs. 18(14):2078-86, 2009 Jul. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adult MH - *Alcohol Drinking MH - Cross-Sectional Studies MH - Humans MH - Middle Aged MH - *Nursing Assessment MH - Taiwan AB - AIMS: To explore nurses' perceived facilitators and barriers to assessing for alcohol use in Taiwan. AB - BACKGROUND: Excessive alcohol use has been associated with health, social and legal problems. Helping health care providers to detect and treat hazardous or harmful drinkers is an important worldwide issue. AB - DESIGN: A cross-sectional design was used. AB - METHODS: Nurse participants (n = 741) were recruited from 10 randomly selected hospitals in Taiwan. In these hospitals, nurses were selected from the Emergency Department, psychiatric and gastrointestinal medical-surgical units where most patients with alcohol problems are seen. Data were collected by facilitator and barrier scales as well as a background information form. AB - RESULTS: Nurses identified the top facilitator and barriers to assessing for alcohol use as 'want to know if patients' drinking problems are related to their illness' and 'patients' purposefully conceal information', respectively. Older nurses and those with longer general clinical experience had more perceived facilitators to assessing for alcohol use. Nurses' perceived facilitator scores were significantly and positively related to their intention scores, whereas their perceived barrier scores were significantly and negatively related to their intention scores. In addition, scores for perceived facilitators and barriers differed significantly by nurses' education level, work unit, experiences with assessing for alcohol use and previous attendance at training courses for assessing alcohol use. AB - CONCLUSIONS: Our results suggest a need to strengthen nurses' education and training on the assessment of alcohol use in Taiwan. AB - RELEVANCE TO CLINICAL PRACTICE: Education and training programmes should aim to enhance Taiwanese nurses' alcohol knowledge, to emphasise the impact of alcohol use on illness and treatment and to enhance nurses' perceived facilitators and decrease their perceived barriers to assessing for alcohol use. ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2008.02590.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20090212 DP - 2009 Jul DC - 20090729 YR - 2009 ED - 20091110 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19220620 <81. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19638045 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vallido T AU - Peters K AU - O'Brien L AU - Jackson D FA - Vallido, Tamara FA - Peters, Kathleen FA - O'Brien, Louise FA - Jackson, Debra IN - Vallido,Tamara. School of Nursing, College of Health and Science, University of Western Sydney, Penrith South DC, NSW, Australia. TI - Sleep in adolescence: a review of issues for nursing practice. [Review] [54 refs] SO - Journal of Clinical Nursing. 18(13):1819-26, 2009 Jul. AS - J Clin Nurs. 18(13):1819-26, 2009 Jul. NJ - Journal of clinical nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adolescent MH - Education, Nursing MH - Humans MH - *Nursing MH - *Sleep Wake Disorders AB - AIMS AND OBJECTIVES: The aim of this review was to explore the literature to determine what is known about adolescent sleep, the causes and consequences of disturbed sleep in adolescence and the implications this has for nursing practice. AB - BACKGROUND: Sleep disorders are relatively common in young people. Disturbed sleep can be both a cause and a result of ill health and if recognised can indicate psychosocial, psychological or physical difficulties. AB - DESIGN: Literature review. AB - METHODS: Searching of key electronic databases. AB - RESULTS: Disturbed sleep in adolescents has several potential consequences, including daytime sleepiness, reduced academic performance and substance use/abuse. However, despite its significance and frequency, sleep disturbance is an area of adolescent health that is almost entirely unaddressed within the nursing literature. AB - CONCLUSION: Nursing has a role to play in assisting adolescents and their families to recognise the importance of sleep to the general health and well-being of young people. AB - RELEVANCE TO CLINICAL PRACTICE: There is a need for nursing to develop tools to assess sleep in adolescent clients and non-pharmaceutical interventions to assist adolescents achieve optimum sleep and rest. Nurses may also contribute to educating adolescents and their families regarding the importance of good sleep hygiene. [References: 54] ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2009.02812.x PT - Journal Article PT - Review LG - English DP - 2009 Jul DC - 20090729 YR - 2009 ED - 20091110 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19638045 <82. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19731842 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Quinlan D FA - Quinlan, Diana IN - Quinlan,Diana. peerassist@aol.com TI - Peer assistance reaches its 25th year. [Review] [11 refs] SO - AANA Journal. 77(4):254-8, 2009 Aug. AS - AANA J. 77(4):254-8, 2009 Aug. NJ - AANA journal PI - Journal available in: Print PI - Citation processed from: Print JC - 0431420 SB - Nursing Journal CP - United States MH - Health Promotion MH - Humans MH - Internet/og [Organization & Administration] MH - Interprofessional Relations MH - Nurse Anesthetists/ed [Education] MH - Nurse Anesthetists/og [Organization & Administration] MH - *Nurse Anesthetists MH - Occupational Health MH - *Peer Group MH - *Professional Impairment MH - Professional Staff Committees MH - *Self-Help Groups/og [Organization & Administration] MH - *Societies, Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - This column traces the history of the efforts of the American Association of Nurse Anesthetists to provide assistance to members struggling with addiction. The work of the Ad Hoc Committee on Chemical Dependency, the Peer Assistance Advisors, Anesthetists in Recovery, the Council on Public Interest in Anesthesia, and the Wellness Program are examined. [References: 11] IS - 0094-6354 IL - 0094-6354 PT - Journal Article PT - Review LG - English DP - 2009 Aug DC - 20090907 YR - 2009 ED - 20091029 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19731842 <83. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19587253 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fleming M AU - Olsen D AU - Stathes H AU - Boteler L AU - Grossberg P AU - Pfeifer J AU - Schiro S AU - Banning J AU - Skochelak S FA - Fleming, Michael FA - Olsen, Dale FA - Stathes, Hilary FA - Boteler, Laura FA - Grossberg, Paul FA - Pfeifer, Judie FA - Schiro, Stephanie FA - Banning, Jane FA - Skochelak, Susan IN - Fleming,Michael. Department of Family Medicine, University of Wisconsin, Madison, WI 53715, USA. mike.fleming@fammed.wisc.edu TI - Virtual reality skills training for health care professionals in alcohol screening and brief intervention. SO - Journal of the American Board of Family Medicine: JABFM. 22(4):387-98, 2009 Jul-Aug. AS - J Am Board Fam Med. 22(4):387-98, 2009 Jul-Aug. NJ - Journal of the American Board of Family Medicine : JABFM PI - Journal available in: Print PI - Citation processed from: Internet JC - 101256526 OI - Source: NLM. NIHMS92946 OI - Source: NLM. PMC2709742 SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/di [Diagnosis] MH - *Clinical Competence MH - *Computer Simulation MH - Female MH - *Health Personnel MH - Humans MH - Male MH - *Mass Screening/st [Standards] MH - Middle Aged MH - *User-Computer Interface MH - Wisconsin AB - BACKGROUND: Educating physicians and other health care professionals about the identification and treatment of patients who drink more than recommended limits is an ongoing challenge. AB - METHODS: An educational randomized controlled trial was conducted to test the ability of a stand-alone training simulation to improve the clinical skills of health care professionals in alcohol screening and intervention. The "virtual reality simulation" combined video, voice recognition, and nonbranching logic to create an interactive environment that allowed trainees to encounter complex social cues and realistic interpersonal exchanges. The simulation included 707 questions and statements and 1207 simulated patient responses. AB - RESULTS: A sample of 102 health care professionals (10 physicians; 30 physician assistants or nurse practitioners; 36 medical students; 26 pharmacy, physican assistant, or nurse practitioner students) were randomly assigned to a no training group (n = 51) or a computer-based virtual reality intervention (n = 51). Professionals in both groups had similar pretest standardized patient alcohol screening skill scores: 53.2 (experimental) vs 54.4 (controls), 52.2 vs 53.7 alcohol brief intervention skills, and 42.9 vs 43.5 alcohol referral skills. After repeated practice with the simulation there were significant increases in the scores of the experimental group at 6 months after randomization compared with the control group for the screening (67.7 vs 58.1; P < .001) and brief intervention (58.3 vs 51.6; P < .04) scenarios. AB - CONCLUSIONS: The technology tested in this trial is the first virtual reality simulation to demonstrate an increase in the alcohol screening and brief intervention skills of health care professionals. IS - 1557-2625 IL - 1557-2625 DO - http://dx.doi.org/10.3122/jabfm.2009.04.080208 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural NO - 1R42 AA016486-01 (United States NIAAA NIH HHS) NO - R42 AA016486 (United States NIAAA NIH HHS) NO - R42 AA016486-01 (United States NIAAA NIH HHS) LG - English DP - 2009 Jul-Aug DC - 20090709 YR - 2009 ED - 20091013 RD - 20160129 UP - 20160201 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=19587253 <84. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19587253 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fleming M AU - Olsen D AU - Stathes H AU - Boteler L AU - Grossberg P AU - Pfeifer J AU - Schiro S AU - Banning J AU - Skochelak S FA - Fleming, Michael FA - Olsen, Dale FA - Stathes, Hilary FA - Boteler, Laura FA - Grossberg, Paul FA - Pfeifer, Judie FA - Schiro, Stephanie FA - Banning, Jane FA - Skochelak, Susan IN - Fleming,Michael. Department of Family Medicine, University of Wisconsin, Madison, WI 53715, USA. mike.fleming@fammed.wisc.edu TI - Virtual reality skills training for health care professionals in alcohol screening and brief intervention. SO - Journal of the American Board of Family Medicine: JABFM. 22(4):387-98, 2009 Jul-Aug. AS - J Am Board Fam Med. 22(4):387-98, 2009 Jul-Aug. NJ - Journal of the American Board of Family Medicine : JABFM PI - Journal available in: Print PI - Citation processed from: Internet JC - 101256526 OI - Source: NLM. NIHMS92946 OI - Source: NLM. PMC2709742 SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/di [Diagnosis] MH - *Clinical Competence MH - *Computer Simulation MH - Female MH - *Health Personnel MH - Humans MH - Male MH - *Mass Screening/st [Standards] MH - Middle Aged MH - *User-Computer Interface MH - Wisconsin AB - BACKGROUND: Educating physicians and other health care professionals about the identification and treatment of patients who drink more than recommended limits is an ongoing challenge. AB - METHODS: An educational randomized controlled trial was conducted to test the ability of a stand-alone training simulation to improve the clinical skills of health care professionals in alcohol screening and intervention. The "virtual reality simulation" combined video, voice recognition, and nonbranching logic to create an interactive environment that allowed trainees to encounter complex social cues and realistic interpersonal exchanges. The simulation included 707 questions and statements and 1207 simulated patient responses. AB - RESULTS: A sample of 102 health care professionals (10 physicians; 30 physician assistants or nurse practitioners; 36 medical students; 26 pharmacy, physican assistant, or nurse practitioner students) were randomly assigned to a no training group (n = 51) or a computer-based virtual reality intervention (n = 51). Professionals in both groups had similar pretest standardized patient alcohol screening skill scores: 53.2 (experimental) vs 54.4 (controls), 52.2 vs 53.7 alcohol brief intervention skills, and 42.9 vs 43.5 alcohol referral skills. After repeated practice with the simulation there were significant increases in the scores of the experimental group at 6 months after randomization compared with the control group for the screening (67.7 vs 58.1; P < .001) and brief intervention (58.3 vs 51.6; P < .04) scenarios. AB - CONCLUSIONS: The technology tested in this trial is the first virtual reality simulation to demonstrate an increase in the alcohol screening and brief intervention skills of health care professionals. IS - 1557-2625 IL - 1557-2625 DO - http://dx.doi.org/10.3122/jabfm.2009.04.080208 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural NO - 1R42 AA016486-01 (United States NIAAA NIH HHS) NO - R42 AA016486-01 (United States NIAAA NIH HHS) LG - English DP - 2009 Jul-Aug DC - 20090709 YR - 2009 ED - 20091013 RD - 20141207 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19587253 <85. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19573211 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bialous SA AU - Sarna L AU - Wells M AU - Elashoff D AU - Wewers ME AU - Froelicher ES FA - Bialous, Stella Aguinaga FA - Sarna, Linda FA - Wells, Marjorie FA - Elashoff, David FA - Wewers, Mary Ellen FA - Froelicher, Erika S IN - Bialous,Stella Aguinaga. Tobacco Policy International, San Francisco, California, USA. TI - Characteristics of nurses who used the Internet-based nurses QuitNet for smoking cessation. SO - Public Health Nursing. 26(4):329-38, 2009 Jul-Aug. AS - Public Health Nurs. 26(4):329-38, 2009 Jul-Aug. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Internet JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - *Attitude of Health Personnel MH - *Attitude to Computers MH - Chi-Square Distribution MH - Computer-Assisted Instruction MH - Cross-Sectional Studies MH - Female MH - Health Care Surveys MH - Health Education MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internet/og [Organization & Administration] MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - Nurses/sn [Statistics & Numerical Data] MH - Nursing Methodology Research MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation MH - Social Support MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - BACKGROUND: Smoking among nurses is higher than other health care professionals but nurse-specific cessation programs are limited. Nurses QuitNet, launched in January 2004, provided an evidence-based online smoking cessation program for nurses and nursing students. AB - OBJECTIVES: To describe Nurses QuitNet registrants and relationships among the demographic and smoking characteristics, program dissemination strategies, and site utilization patterns. AB - DESIGN: Cross-sectional study. AB - SAMPLE: 1,790 Nurses QuitNets registrants. AB - MEASUREMENTS: Demographics and smoking characteristics on the Nurses QuitNet intake questionnaire. AB - RESULTS: Most registrants were female (92.5%), 45-54 years old (34.3%), Caucasian (84.5%), and college graduates (57.5%). Over 68% smoked 10-20 cigarettes/day; 66.4% smoked within 30 min of waking. Half of those with previous quit attempts did not use evidence-based methods; 30% had not made a quit attempt in the past year. "Read-only" social support was the most frequently used Nurses Quitnet feature. AB - CONCLUSIONS: The Internet can be a viable option to support nurses' cessation and is available to accommodate their work schedules. The sample is similar to the general nursing population, except for higher levels of education. Efforts are needed to assist nurses struggling with nicotine addiction and disseminate cessation resources, particularly targeting nurses with the highest prevalence of current smoking, for example licensed practical nurses. ES - 1525-1446 IL - 0737-1209 DO - http://dx.doi.org/10.1111/j.1525-1446.2009.00787.x PT - Journal Article LG - English DP - 2009 Jul-Aug DC - 20090703 YR - 2009 ED - 20091008 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19573211 <86. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19591059 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baldwin JN AU - Bartek JK AU - Scott DM AU - Davis-Hall RE AU - DeSimone EM 2nd FA - Baldwin, Jeffrey N FA - Bartek, Jean K FA - Scott, David M FA - Davis-Hall, R Ellen FA - DeSimone, Edward M 2nd IN - Baldwin,Jeffrey N. College of Pharmacy, The University of Nebraska Medical Center, Omaha, Nebraska 68198-6045, USA. jbaldwin@unmc.edu TI - Survey of alcohol and other drug use attitudes and behaviors in nursing students. SO - Substance Abuse. 30(3):230-8, 2009 Jul-Sep. AS - Subst Abus. 30(3):230-8, 2009 Jul-Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol Drinking/px [Psychology] MH - *Attitude of Health Personnel MH - Data Collection MH - Education, Nursing MH - Family Health MH - Humans MH - *Risk-Taking MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] AB - Statewide nursing student alcohol and other drug (AOD) use attitudes and behaviors were assessed. Response was 929/2017 (46%) (practical nursing [n = 173/301] 57.3%; diploma and associate degree in nursing [n = 282/417] 67.6%; bachelor of science in nursing [n = 474/1299] 36.5%). Nearly 44% reported inadequate substance abuse education. Past-year AOD use included tobacco 36.9%, marijuana 6.8%, sedatives 4.6%, and opioids 2.6%. Past-year AOD-related events included blackouts 19.8%, class/work under the influence 6.3%, patient care under the influence 3.9%, lowered grades/job evaluations 6.6%, and legal charges 3.6%. Heavy drinking was reported by 28.9%. Practical nursing (PN) students most often reported tobacco use and sedative use, whereas Bachelor of Science in nursing (BSN) students most often reported marijuana use. Family histories of alcohol-related problems and drug-related problems were reported, respectively, by 48.1% and 19.2% of respondents; 51.1% reported at least one of these. PN students most often reported such family histories. Nursing educational systems should proactively address student AOD prevention, education, and assistance. IS - 0889-7077 IL - 0889-7077 DO - http://dx.doi.org/10.1080/08897070903040964 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Jul-Sep DC - 20090710 YR - 2009 ED - 20091006 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19591059 <87. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19560720 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stefanacci RG AU - Lester PE AU - Kohen I AU - Feuerman M FA - Stefanacci, Richard G FA - Lester, Paula E FA - Kohen, Izchak FA - Feuerman, Martin IN - Stefanacci,Richard G. The Institute for Geriatric Studies, Mayes College of Healthcare Business & Policy, University of Sciences in Philadelphia, PA, USA. r.stefan@usp.edu TI - Nursing home policies on items brought in from the outside for facility residents. SO - Journal of the American Medical Directors Association. 10(6):419-22, 2009 Jul. AS - J AM MED DIR ASSOC. 10(6):419-22, 2009 Jul. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100893243 SB - Index Medicus CP - United States MH - Alcoholic Beverages MH - Food MH - Health Care Surveys MH - Humans MH - Nonprescription Drugs MH - *Nursing Homes/og [Organization & Administration] MH - *Organizational Policy MH - Tobacco MH - United States MH - *Visitors to Patients AB - OBJECTIVE: To identify nursing home standards related to items brought in from the community for residents through a nationwide survey of directors of nursing. Specifically we examined the policies with regard to food, cigarettes, alcoholic beverages, and over-the-counter medications. AB - METHODS: A national survey was distributed online and was completed by 299 directors of nursing of skilled nursing facilities. The directors of nursing were asked about policies regarding whether family and friends of residents are permitted to bring in items such as food, cigarettes, alcohol, and over-the-counter medications. Specifically, questions were related to monitoring, staff involvement, safety precautions, and policy implementation. AB - RESULTS: The results of the survey demonstrated a consistent policy practiced among facilities. Items commonly restricted for all residents included over-the-counter medications, alcohol, and cigarettes. On the other hand, food was significantly less likely to be restricted. AB - CONCLUSION: Despite overall strict policies regarding the monitoring of access to over-the-counter medications, alcohol, and cigarettes by nursing home residents, ingestion of outside food remains fairly unrestricted. This is especially concerning given the growing number of residents with end-stage congestive heart failure, diabetes, dysphagia, or food allergies where access to outside food could result in an adverse event. Perhaps, facilities need to identify at-risk residents and better communicate to residents and their families regarding dietary restrictions on outside food. RN - 0 (Nonprescription Drugs) ES - 1538-9375 IL - 1525-8610 DO - http://dx.doi.org/10.1016/j.jamda.2009.03.003 PT - Journal Article LG - English EP - 20090521 DP - 2009 Jul DC - 20090629 YR - 2009 ED - 20090928 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19560720 <88. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19633600 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wright K FA - Wright, Kerri IN - Wright,Kerri. University of Greenwich, London. TI - Resources to help solve drug calculation problems. [Review] [12 refs] SO - British Journal of Nursing. 18(14):878-80, 882-3, 2009 Jul 23-Aug 12. AS - Br J Nurs. 18(14):878-80, 882-3, 2009 Jul 23-Aug 12. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Algorithms MH - *Drug Dosage Calculations MH - Education, Nursing MH - Humans MH - Learning AB - This article is the third in a series of articles discussing drug calculations and discusses the resources, in terms of knowledge and skills, that are required to support the use of methods for solving calculation problems (Wright, 2009). The main resources discussed are clinical practice, numeracy knowledge (including number patterns), proportions and factors, and clinical tools such as syringes. These resources can be used as part of formal teaching sessions, or can be developed and practised by individual nurses to improve knowledge and confidence in solving drug calculations. The most important resource for developing drug calculation skills is regular exposure to drug calculations in clinical practice. Any drug calculation teaching and assessing, therefore must have clinical practice as the starting point, with numeracy knowledge not extracted and taught separately, but developed as a resource from within practice, for the purpose of supporting practice. [References: 12] IS - 0966-0461 IL - 0966-0461 PT - Journal Article PT - Review LG - English DP - 2009 Jul 23-Aug 12 DC - 20090727 YR - 2009 ED - 20090925 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19633600 <89. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19538699 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kip E AU - Ehlers VJ AU - van der Wal DM FA - Kip, Esther FA - Ehlers, Valerie J FA - van der Wal, Dirk M IN - Kip,Esther. University of South Africa, Pretoria, South Africa. TI - Patients' adherence to anti-retroviral therapy in Botswana. SO - Journal of Nursing Scholarship. 41(2):149-57, 2009. AS - J Nurs Scholarsh. 41(2):149-57, 2009. NJ - Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau PI - Journal available in: Print PI - Citation processed from: Internet JC - dod, 100911591 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Acquired Immunodeficiency Syndrome/dt [Drug Therapy] MH - Acquired Immunodeficiency Syndrome/ep [Epidemiology] MH - Adult MH - Aged MH - *Anti-Retroviral Agents/tu [Therapeutic Use] MH - Botswana/ep [Epidemiology] MH - Female MH - *HIV Infections/dt [Drug Therapy] MH - *HIV Infections/ep [Epidemiology] MH - Humans MH - Male MH - Middle Aged MH - *Patient Compliance/sn [Statistics & Numerical Data] MH - Young Adult AB - PURPOSE: To identify factors influencing patients' anti-retroviral therapy (ART) adherence at four clinics in Botswana. AB - DESIGN: Quantitative descriptive. Structured interviews were conducted with a random sample of 400 patients out of the population of all patients attending the four randomly selected ART clinics in Botswana during April and May 2007. AB - METHODS: Data were analysed using SPSS version 13. Chi-square and p-value calculations were done to test significance of the relationships between categories or variables. AB - FINDINGS: Patient-centred barriers to ART adherence included inadequate knowledge about ART, human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), CD4 cell and viral-load results, stigma, travelling costs, waiting times at clinics, side effects of ART, use of traditional (indigenous or folk) medicines, and abuse of alcohol. Service-centred barriers included nurses' attitudes and knowledge, health workers' inability to conduct home visits and to contact defaulters, limited clinic hours, delays in getting CD4 and viral-load results. AB - CONCLUSIONS: ART adherence requires more than free ART. Adherence levels will improve if both patient-centred and service-centred barriers are addressed. AB - CLINICAL RELEVANCE: Nurses play key roles in educating patients about ART adherence and side effects, but they should also educate patients about CD4 and viral-load test results and about the dangers of using traditional medicines and alcohol with ART. Shorter waiting times at clinics could make ART patients' lives more manageable. RN - 0 (Anti-Retroviral Agents) ES - 1547-5069 IL - 1527-6546 DO - http://dx.doi.org/10.1111/j.1547-5069.2009.01266.x PT - Journal Article LG - English DP - 2009 DC - 20090622 YR - 2009 ED - 20090922 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19538699 <90. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19281543 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allen J AU - Hamilton A AU - Nunn R AU - Crock L AU - Frecker J AU - Burk N FA - Allen, J FA - Hamilton, A FA - Nunn, R FA - Crock, L FA - Frecker, J FA - Burk, N IN - Allen,J. Lecturer in Nursing, Deakin University School of Nursing, Burwood, Victoria, Australia. TI - Evaluation of a community-based mental health drug and alcohol nurse in the care of people living with HIV/AIDS. SO - Journal of Psychiatric & Mental Health Nursing. 16(2):129-36, 2009 Mar. AS - J Psychiatr Ment Health Nurs. 16(2):129-36, 2009 Mar. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9439514, b6e SB - Nursing Journal CP - England MH - Acquired Immunodeficiency Syndrome/co [Complications] MH - *Acquired Immunodeficiency Syndrome/nu [Nursing] MH - Adolescent MH - Adult MH - Alcoholism/co [Complications] MH - Alcoholism/nu [Nursing] MH - *Alcoholism/rh [Rehabilitation] MH - Australia MH - *Community Mental Health Services/st [Standards] MH - Documentation MH - *HIV Infections/nu [Nursing] MH - Health Promotion MH - Humans MH - Nursing Assessment MH - Patient Advocacy MH - *Psychiatric Nursing/st [Standards] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - There is a growing need for advanced practice mental health and drug and alcohol nursing roles in the care of people living with HIV/AIDS; however, limited publications address these domains. This study evaluated a community-based mental health drug and alcohol nurse role caring for people living with HIV/AIDS (Mental Health D&A Nurse) in a large not-for-profit district nursing organization providing care to people living with HIV/AIDS in an Australian city. Outcomes from a client assessment and 6-8-week follow-up by the Mental Health D&A Nurse are presented as captured by the Depression Anxiety Stress Scales (DASS 21), Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), Health of the Nation Outcome Scales (HONOS) and WHOQoL BREF. Mean scores and caseness were analysed, and significant differences were found on the 'impairment' and 'social problems' subscales of the HONOS. Results of semi-structured interviews with clients describe effective and supportive mental health care and health-promoting education following visits by the Mental Health D&A Nurse. These positive findings support continuing implementation of the role within this community setting and indicate that even greater benefits will ensue as the role develops further. Findings are of interest to clinicians and policy makers seeking to implement similar roles in community-based HIV/AIDS care. ES - 1365-2850 IL - 1351-0126 DO - http://dx.doi.org/10.1111/j.1365-2850.2008.01340.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Mar DC - 20090313 YR - 2009 ED - 20090917 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19281543 <91. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19520231 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moquin B AU - Blackman MR AU - Mitty E AU - Flores S FA - Moquin, Barbara FA - Blackman, Marc R FA - Mitty, Ethel FA - Flores, Sandi IN - Moquin,Barbara. National Center for Complementary and Alternative Medicine, National Institutes of Health, Bethesda, MD, USA. TI - Complementary and alternative medicine (CAM). [Review] [14 refs] SO - Geriatric Nursing. 30(3):196-203, 2009 May-Jun. AS - Geriatr Nurs. 30(3):196-203, 2009 May-Jun. NJ - Geriatric nursing (New York, N.Y.) PI - Journal available in: Print PI - Citation processed from: Internet JC - 8309633, FW7 SB - Nursing Journal CP - United States MH - Aged MH - *Complementary Therapies MH - *Geriatric Nursing MH - Humans AB - The use of complementary and alternative medicine (CAM) appears to be on the rise in all adult age groups, including the elderly population. Many herbal and biologic preparations offer promise, but they are largely of unproven benefit. The content(s) are unregulated by government agencies, such as the Food and Drug Administration, making their use problematic to recommend and guide. Use of CAM modalities in assisted living communities (ALCs) is by and large a hidden practice, but it is estimated that 5%-9% of residents ingest some kind of herbal remedy. Belief systems among residents and their families-for example, that a certain kind of tea is a cure for dementia-can be persuasive. Responsible for resident well-being, assisted living nurses are caught in the middle. Nurse licensure considers herbals as medications, yet physicians refuse to prescribe them, and nurses (or certified med techs) cannot administer them. In some states, "alternative practitioners" are not viewed as legal prescribers. Undaunted, residents (or their families) purchase alternative "medicines" that are contraindicated by their traditional medical regimen. Secreted in their room, nurses are unaware of the stash and the self-administrating practice. This article describes the state of the science regarding the efficacy and safety of CAM modalities and actions that ALC nurses might undertake to collaborate with residents to address their CAM interest and use respectfully. [References: 14] ES - 1528-3984 IL - 0197-4572 DO - http://dx.doi.org/10.1016/j.gerinurse.2009.03.002 PT - Journal Article PT - Review LG - English DP - 2009 May-Jun DC - 20090612 YR - 2009 ED - 20090915 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19520231 <92. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19547762 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miceli PC AU - Katz J FA - Miceli, Paula C FA - Katz, Joel IN - Miceli,Paula C. Department of Psychology, Facultyt of Health, York University, Toronto, Ontario. paula_m@yorku.ca TI - The influence of addiction risk on nursing students' expectations of patients' pain reports: a clinical vignette approach. SO - Pain Research & Management. 14(3):223-31, 2009 May-Jun. AS - Pain Res Manag. 14(3):223-31, 2009 May-Jun. NJ - Pain research & management : the journal of the Canadian Pain Society = journal de la societe canadienne pour le traitement de la douleur PI - Journal available in: Print PI - Citation processed from: Print JC - 9612504 OI - Source: NLM. PMC2706553 SB - Index Medicus CP - Canada MH - Adolescent MH - Adult MH - Age Factors MH - Analysis of Variance MH - Female MH - Humans MH - Male MH - Pain Measurement/mt [Methods] MH - Pain, Postoperative/ep [Epidemiology] MH - *Pain, Postoperative/px [Psychology] MH - Perception MH - Randomized Controlled Trials as Topic MH - Retrospective Studies MH - Risk Factors MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/px [Psychology] MH - Young Adult AB - OBJECTIVE: To examine the influence of addiction risk (substance abuse history [SAH]) and pain relief (PR) on nursing and non-nursing students' perceptions of pain in a postoperative vignette patient. AB - METHODS: Using a 2 x 2 design, the independent variables SAH (present/+, absent/-) and PR (adequate, little) were varied systematically to produce four vignettes. Participants were randomly assigned to receive one of the four vignettes that described a 45-year-old man after a total hip replacement. Participants rated the vignette patient's experienced and reported pain intensity (PI) on a 0 mm to 100 mm visual analogue scale and addiction risk on a 0 mm to 100 mm visual analogue scale. A pain congruence (PC) score was calculated (PC = reported PI -- experienced PI), and was interpreted as congruent (+/-2 mm) or incongruent (+2 mm to +100 mm for expected pain over-reporting; -2 mm to -100 mm for expected pain under-reporting). AB - RESULTS: Responses from undergraduate nursing (n=89) and non-nursing (n=88) students were analyzed. The estimated addiction risk was significantly lower in nursing (14% to 45%) versus non-nursing students (50%). Nursing students' mean PC scores were not significantly altered by SAH alone. Expectations of pain over-reporting were observed under conditions of SAH+/adequate PR, but not SAH+/little PR. In non-nursing students, SAH and PR were significant and independent factors influencing mean PC scores in the direction of pain over-reporting. AB - CONCLUSION: Under most conditions, nursing students expected pain under-reporting by the postoperative vignette patient. However, nursing students did expect pain to be over-reported when addiction risk was high and PR was adequate. These data suggest that nursing students' expectations regarding pain over- and under-reporting were sensitive to perceptions of addiction risk, but involved additional factors (eg, level of PR). IS - 1203-6765 IL - 1203-6765 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 May-Jun DC - 20090623 YR - 2009 ED - 20090910 RD - 20150824 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19547762 <93. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19552113 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lacey J FA - Lacey, Joanne IN - Lacey,Joanne. South West Essex Community Services. TI - Alcohol brief interventions: exploring perceptions and training needs. SO - Community Practitioner. 82(6):30-3, 2009 Jun. AS - Community Pract. 82(6):30-3, 2009 Jun. NJ - Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association PI - Journal available in: Print PI - Citation processed from: Print JC - 9809060 SB - Nursing Journal CP - England MH - Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - *Community Health Nursing/ed [Education] MH - England MH - Focus Groups MH - Health Care Surveys MH - Humans MH - *Inservice Training MH - *Needs Assessment MH - *Psychotherapy, Brief/ed [Education] AB - One of the main thrusts of contemporary alcohol misuse policies is that early intervention can make a real difference to patterns of problem drinking, as long as healthcare professionals are given the right skills. However, healthcare professionals themselves suggest that they are often unsure of how to raise issues, and feel that they lack the skills or knowledge to do this effectively. This study investigates the perceptions and training needs of health visitors, school nurses, nursery nurses and practice nurses in relation to alcohol misuse primary prevention and the delivery of brief interventions in their day-to-day work. The findings indicate a variation in the need for training, which is reflected by the level of knowledge, skills and confidence of the different professional groups. This may help to facilitate the provision of needs-led alcohol training, and promote the effective delivery of support and brief interventions to individuals, families, schools and communities. IS - 1462-2815 IL - 1462-2815 PT - Journal Article PT - Multicenter Study LG - English DP - 2009 Jun DC - 20090625 YR - 2009 ED - 20090819 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19552113 <94. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19552044 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mason C FA - Mason, Carolyn IN - Mason,Carolyn. Royal College of Nursing Northern Ireland, Belfast. carolyn.mason@rcn.org.uk TI - Improving services for people with alcohol-related problems. SO - Nursing Standard. 23(38):35-40, 2009 May 27-Jun 2. AS - Nurs Stand. 23(38):35-40, 2009 May 27-Jun 2. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Alcohol-Related Disorders/ec [Economics] MH - Alcohol-Related Disorders/nu [Nursing] MH - *Alcohol-Related Disorders/th [Therapy] MH - Cost of Illness MH - Health Policy MH - Humans MH - *Quality of Health Care AB - From March 2007 to April 2008 the Royal College of Nursing supported a project to improve services for people with alcohol-related problems by demonstrating and publicising the effectiveness of nursing interventions. The project team included representation from England, Northern Ireland, Wales and Scotland. This article presents a framework that can be adapted and used by nurses to promote the development of specialist nursing services by health and social care commissioners and policy makers to improve care for people who misuse alcohol. IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2009 May 27-Jun 2 DC - 20090625 YR - 2009 ED - 20090814 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19552044 <95. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19335529 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ford R AU - Bammer G AU - Becker N FA - Ford, Rosemary FA - Bammer, Gabriele FA - Becker, Niels IN - Ford,Rosemary. School of Nursing and Midwifery, The Australian Catholic University, Fitzroy, Victoria, Australia. rosemary.ford@acu.edu.au TI - Improving nurses' therapeutic attitude to patients who use illicit drugs: workplace drug and alcohol education is not enough. SO - International Journal of Nursing Practice. 15(2):112-8, 2009 Apr. AS - Int J Nurs Pract. 15(2):112-8, 2009 Apr. NJ - International journal of nursing practice PI - Journal available in: Print PI - Citation processed from: Internet JC - CVU, 9613615 SB - Nursing Journal CP - Australia MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - Female MH - *Health Education MH - Humans MH - Male MH - *Nurse-Patient Relations MH - *Nurses MH - *Patient Education as Topic MH - *Street Drugs MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Workplace AB - This study examines the impact of workplace drug and alcohol education on nurses' therapeutic attitude to patients who use illicit drugs. It builds on a study of the generalist nursing workforce in the Australian Capital Territory in 2003, which showed that the interaction of role support with workplace drug and alcohol education facilitated nurses' therapeutic attitude. This paper explores this interaction in detail, showing that workplace education has no independent association with therapeutic attitude and that an effect from education only occurs when nurses have at least a moderate level of role support. Nursing workforce development needs to focus on strategies that provide role support for nurses as they work with this clinically challenging patient group. Without the ready availability of someone in the nurse's clinical field to advise and assist them, efforts to increase nurses' knowledge and skills are wasted. RN - 0 (Street Drugs) ES - 1440-172X IL - 1322-7114 DO - http://dx.doi.org/10.1111/j.1440-172X.2009.01732.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Apr DC - 20090401 YR - 2009 ED - 20090813 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19335529 <96. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19476032 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Monroe T FA - Monroe, Todd IN - Monroe,Todd. University of Tennessee Health Science Center, Memphis, Tennessee, USA. tmonroe@utmem.edu TI - Addressing substance abuse among nursing students: development of a prototype alternative-to-dismissal policy. SO - Journal of Nursing Education. 48(5):272-8, 2009 May. AS - J Nurs Educ. 48(5):272-8, 2009 May. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Education, Nursing/og [Organization & Administration] MH - *Education, Nursing MH - Humans MH - *Organizational Policy MH - Professional Impairment MH - School Admission Criteria MH - *Students, Nursing/px [Psychology] MH - Substance Abuse Detection MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - Substance abuse and dependency are health issues that require effective policies within nursing education. In 2007, the University of Memphis School of Nursing drafted a new substance abuse policy using the American Association of Colleges of Nursing's Policy and Guidelines for Prevention and Management of Substance Abuse in the Nursing Education Community. These guidelines include the assumption that addiction is an illness that can be treated and the philosophy that schools of nursing are committed to assisting students with recovery. The new policy at University of Memphis School of Nursing incorporated prevention, education, identification, evaluation, treatment referral, and reentry guidelines, as well as disciplinary action for students unwilling to undergo rehabilitation. It is hoped this new substance abuse policy will serve as a prototype for other institutions. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2009 May DC - 20090529 YR - 2009 ED - 20090805 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19476032 <97. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19476029 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Butler KM AU - Rayens MK AU - Zhang M AU - Maggio LG AU - Riker C AU - Hahn EJ FA - Butler, Karen M FA - Rayens, Mary Kay FA - Zhang, Mei FA - Maggio, Lisa Greathouse FA - Riker, Carol FA - Hahn, Ellen J IN - Butler,Karen M. University of Kentucky College of Nursing, Lexington, KY 40536, USA. Karen.Butler@uky.edu TI - Tobacco dependence treatment education for baccalaureate nursing students. SO - Journal of Nursing Education. 48(5):249-54, 2009 May. AS - J Nurs Educ. 48(5):249-54, 2009 May. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - Analysis of Variance MH - *Counseling/ed [Education] MH - *Education, Nursing, Baccalaureate MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Smoking Cessation MH - Time Factors MH - *Tobacco Use Disorder/nu [Nursing] MH - United States AB - Tobacco use is the leading cause of preventable disease and death in the United States. Nurses are effective interventionists for tobacco dependence treatment but lack the related education. This quasi-experimental study evaluated the impact of the Rx for Change: Clinician-Assisted Tobacco Cessation curriculum on baccalaureate nursing students' perceived knowledge, confidence, skills, and opinions related to tobacco dependence treatment. Cohort 1 completed a process evaluation to assess acceptability of the pretraining survey and intervention. Cohort 2 completed pretraining and posttraining surveys. A subsample received a 2-hour intervention, whereas other participants received 6 hours of training. Cohort 1 rated the pretraining survey instrument favorably. In cohort 2, the Rx for Change program had a positive impact on perceived knowledge, confidence, skills, and opinions. Outcomes did not differ based on duration of intervention or students' smoking status. Further research related to standardized content for tobacco dependence treatment is indicated. IS - 0148-4834 IL - 0148-4834 PT - Clinical Trial PT - Comparative Study PT - Journal Article LG - English DP - 2009 May DC - 20090529 YR - 2009 ED - 20090805 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19476029 <98. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19067223 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Locca JF AU - Ruggli M AU - Buchmann M AU - Huguenin J AU - Bugnon O FA - Locca, Jean-Francois FA - Ruggli, Martine FA - Buchmann, Michel FA - Huguenin, Jacques FA - Bugnon, Olivier IN - Locca,Jean-Francois. Community Pharmacy Practice Research Unit, Universities of Lausanne and Geneva, Pharmacie de la PMU, Rue du Bugnon 44, 1011 Lausanne, Switzerland. TI - Development of pharmaceutical care services in nursing homes: practice and research in a Swiss canton. SO - Pharmacy World & Science. 31(2):165-73, 2009 Apr. AS - Pharm World Sci. 31(2):165-73, 2009 Apr. NJ - Pharmacy world & science : PWS PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bo7, 9307352 SB - Index Medicus CP - Netherlands MH - Aged MH - Aged, 80 and over MH - *Drug Costs/sn [Statistics & Numerical Data] MH - Education, Pharmacy, Continuing MH - Female MH - Humans MH - Male MH - Nursing Homes/lj [Legislation & Jurisprudence] MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Pharmacy Service, Hospital/ec [Economics] MH - *Pharmacy Service, Hospital/mt [Methods] MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians' MH - Program Evaluation MH - Retrospective Studies MH - Switzerland AB - OBJECTIVE: The aim of this study was to assess the implementation process and economic impact of a new pharmaceutical care service provided since 2002 by pharmacists in Swiss nursing homes. AB - SETTING: The setting was 42 nursing homes located in the canton of Fribourg, Switzerland under the responsibility of 22 pharmacists. AB - METHOD: We developed different facilitators, such as a monitoring system, a coaching program, and a research project, to help pharmacists change their practice and to improve implementation of this new service. We evaluated the implementation rate of the service delivered in nursing homes. We assessed the economic impact of the service since its start in 2002 using statistical evaluation (Chow test) with retrospective analysis of the annual drug costs per resident over an 8-year period (1998-2005). AB - MAIN OUTCOME MEASURES: The description of the facilitators and their implications in implementation of the service; the economic impact of the service since its start in 2002. AB - RESULTS: In 2005, after a 4-year implementation period supported by the introduction of facilitators of practice change, all 42 nursing homes (2,214 residents) had implemented the pharmaceutical care service. The annual drug costs per resident decreased by about 16.4% between 2002 and 2005; this change proved to be highly significant. The performance of the pharmacists continuously improved using a specific coaching program including an annual expert comparative report, working groups, interdisciplinary continuing education symposia, and individual feedback. This research project also determined priorities to develop practice guidelines to prevent drug-related problems in nursing homes, especially in relation to the use of psychotropic drugs. AB - CONCLUSION: The pharmaceutical care service was fully and successfully implemented in Fribourg's nursing homes within a period of 4 years. These findings highlight the importance of facilitators designed to assist pharmacists in the implementation of practice changes. The economic impact was confirmed on a large scale, and priorities for clinical and pharmacoeconomic research were identified in order to continue to improve the quality of integrated care for the elderly. ES - 1573-739X IL - 0928-1231 DO - http://dx.doi.org/10.1007/s11096-008-9273-9 PT - Evaluation Studies PT - Journal Article LG - English EP - 20081206 DP - 2009 Apr DC - 20090324 YR - 2009 ED - 20090803 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19067223 <99. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19379112 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Daly M AU - Kermode S AU - Reilly D FA - Daly, Michelle FA - Kermode, Stephen FA - Reilly, David IN - Daly,Michelle. Riverlands Drug & Alcohol Centre, Lismore NSW, Australia. TI - Evaluation of clinical practice improvement programs for nurses for the management of alcohol withdrawal in hospitals. SO - Contemporary Nurse. 31(2):98-107, 2009 Feb. AS - Contemp Nurse. 31(2):98-107, 2009 Feb. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - *Alcoholism/rh [Rehabilitation] MH - Clinical Competence MH - Guideline Adherence MH - Humans MH - New South Wales MH - *Program Evaluation MH - *Substance Withdrawal Syndrome/nu [Nursing] AB - The most common alcohol-related chronic condition for hospitalisation is alcohol dependence which can lead to an alcohol withdrawal syndrome (AWS). The aim of this paper is to report on a quality improvement program in an Australian rural area health service for the screening and management of alcohol withdrawal and the effect of two types of nursing education and training approaches: a self-directed competency training package and a more traditional in-service program. The measure of improvement was compliance to nine clinical standards or core competencies for the assessment and treatment of the AWS derived from the Clinical Institute Withdrawal Assessment for Alcohol-Revised (CIWA-Ar) scale and the NSW drug and alcohol withdrawal clinical practice guidelines. An audit of medical records using a standardised protocol for the nine standards was conducted at baseline (n=100) and follow-up (n=340) across eleven hospitals in the area. Results indicated that in three hospitals, where 70 nurses completed the self-directed competency training, there was a higher total compliance score across the nine standards compared to eight hospitals where 238 nurses received the in-service program. The self-directed competency program was also rated highly by nurses who participated in the program. The benefits of self-directed competency training are discussed as well as future recommendations for improving nurse education strategies for managing alcohol withdrawal. IS - 1037-6178 IL - 1037-6178 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Feb DC - 20090421 YR - 2009 ED - 20090723 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19379112 <100. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19489512 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Durkin A AU - O'Connor LG FA - Durkin, Anne FA - O'Connor, Lisa G IN - Durkin,Anne. Quinnipiac University, Hamden, CT 06518, USA. anne.durkin@quinnipiac.edu TI - Preventing unsafe alcohol consumption on the 21st birthday: roles for nurses. [Review] [26 refs] SO - Journal of Psychosocial Nursing & Mental Health Services. 47(5):28-33, 2009 May. AS - J Psychosoc Nurs Ment Health Serv. 47(5):28-33, 2009 May. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcoholic Intoxication/nu [Nursing] MH - Alcoholic Intoxication/pc [Prevention & Control] MH - *Anniversaries and Special Events MH - Female MH - Health Education MH - Health Promotion MH - Humans MH - Male MH - Motivation MH - *Nurse's Role/px [Psychology] MH - Self Care/px [Psychology] MH - Self Efficacy MH - Students/px [Psychology] MH - Young Adult AB - Because of its legal significance, the 21st birthday is considered a milestone event. Research reveals that turning 21 is an occasion that is often marked by the ingestion of excessive, perhaps even lethal, amounts of alcohol. Peer pressure and lack of knowledge about the potentially life-threatening effects of alcohol overconsumption can make this birthday a perilous event. Birthday rituals have developed that encourage reckless consumption. Literature addressing the prevalence of excessive drinking among college students is abundant. However, the authors found minimal literature addressing the potential contribution of nurses toward the reduction of unsafe alcohol consumption among young adults celebrating their 21st birthday. This article provides a brief review of the physiological effects of alcohol and practical suggestions for promoting safety among young adults celebrating this milestone birthday. [References: 26] IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Review LG - English DP - 2009 May DC - 20090603 YR - 2009 ED - 20090720 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19489512 <101. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19327552 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cleary M AU - Hunt GE AU - Malins G AU - Matheson S AU - Escott P FA - Cleary, Michelle FA - Hunt, Glenn E FA - Malins, Gillian FA - Matheson, Sandra FA - Escott, Phil IN - Cleary,Michelle. Faculty of Nursing and Midwifery, University of Sydney, New South Wales, Australia. michelle.cleary@email.cs.nsw.gov.au TI - Drug and alcohol education for consumer workers and caregivers: a pilot project assessing attitudes toward persons with mental illness and problematic substance use. SO - Archives of Psychiatric Nursing. 23(2):104-10, 2009 Apr. AS - Arch Psychiatr Nurs. 23(2):104-10, 2009 Apr. NJ - Archives of psychiatric nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Attitude to Health MH - *Caregivers MH - Feedback MH - Female MH - *Health Education MH - *Health Personnel/ed [Education] MH - Humans MH - Male MH - *Mental Disorders/ep [Epidemiology] MH - Pilot Projects MH - Professional Competence MH - Program Development MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - With the development of peer support networks in the mental health system, formal training should be provided regarding the adverse effects of substance use. Four educational workshops were conducted with caregivers and consumer workers to increase their knowledge and confidence to support people with a dual diagnosis. Workshops were evaluated through presurvey and postsurvey. The workshops were well received, and postworkshop, participants reported fewer negative attitudes toward people with a dual diagnosis and increased understanding and knowledge regarding substance misuse. This study highlights the effectiveness of targeted workshops for caregivers and consumer workers and advocates that nurses take a more active role in educational projects involving stakeholders. ES - 1532-8228 IL - 0883-9417 DO - http://dx.doi.org/10.1016/j.apnu.2008.05.004 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20081015 DP - 2009 Apr DC - 20090330 YR - 2009 ED - 20090715 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19327552 <102. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19323713 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Friedman SH AU - Heneghan A AU - Rosenthal M FA - Friedman, Susan Hatters FA - Heneghan, Amy FA - Rosenthal, Miriam IN - Friedman,Susan Hatters. Case Western Reserve University, School of Medicine, 11100 Euclid Avenue, Cleveland, Ohio 44106, USA. susanhfmd@hotmail.com TI - Characteristics of women who do not seek prenatal care and implications for prevention. SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 38(2):174-81, 2009 Mar-Apr. AS - J Obstet Gynecol Neonatal Nurs. 38(2):174-81, 2009 Mar-Apr. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG PI - Journal available in: Print PI - Citation processed from: Internet JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Attitude to Health MH - Female MH - Humans MH - *Maternal Behavior MH - Mothers/px [Psychology] MH - *Mothers/sn [Statistics & Numerical Data] MH - Poverty/sn [Statistics & Numerical Data] MH - Pregnancy MH - *Pregnancy Complications/ep [Epidemiology] MH - Pregnancy Complications/pc [Prevention & Control] MH - Pregnancy, Unwanted MH - *Prenatal Care/sn [Statistics & Numerical Data] MH - Regression Analysis MH - Retrospective Studies MH - Socioeconomic Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - Treatment Refusal/px [Psychology] MH - *Treatment Refusal/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] MH - Urban Population/sn [Statistics & Numerical Data] MH - Young Adult AB - OBJECTIVES: To describe characteristics of women without prenatal care and their reasons for not seeking prenatal care. AB - DESIGN: Retrospective record review. AB - SETTING: Urban, academic medical center. AB - PARTICIPANTS: Women without prenatal care whose pregnancies reached the third trimester, who presented to the hospital for delivery or immediately postpartum for a 7 year period. AB - METHODS: Records were reviewed for factors including socio-demographic factors, history of pregnancy/miscarriage/abortion, social supports, abuse history, history of substance use, toxicology results, history of mental illness or mental retardation, and the reason for lack of prenatal care. AB - RESULTS: Among 211 women with no prenatal care, the primary reasons were noted: 30% had problems with substance use; 29% experienced denial of pregnancy; 18% had financial reasons; 9% concealed pregnancy; and 6% believed they did not need prenatal care due to multiparity. Women with substance use disorders were significantly more likely to be older, unemployed multigravidas. AB - CONCLUSIONS: Nurses should target specific groups of women for education and intervention based on their rationale for not seeking prenatal care. ES - 1552-6909 IL - 0090-0311 DO - http://dx.doi.org/10.1111/j.1552-6909.2009.01004.x PT - Journal Article LG - English DP - 2009 Mar-Apr DC - 20090327 YR - 2009 ED - 20090707 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19323713 <103. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19361074 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paniak A FA - Paniak, Amanda IN - Paniak,Amanda. Grant MacEwan College. TI - You must remember this. SO - Alberta RN. 65(3):21, 2009 Mar. AS - Alta RN. 65(3):21, 2009 Mar. NJ - Alberta RN / Alberta Association of Registered Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100883278, dbj SB - Nursing Journal CP - Canada MH - Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Humans MH - Models, Nursing MH - *Nurse's Role/px [Psychology] MH - *Nurse-Patient Relations MH - *Students, Nursing/px [Psychology] IS - 1481-9988 IL - 1481-9988 PT - Journal Article LG - English DP - 2009 Mar DC - 20090413 YR - 2009 ED - 20090626 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19361074 <104. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19435252 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lightfoot B AU - Panessa C AU - Hayden S AU - Thumath M AU - Goldstone I AU - Pauly B FA - Lightfoot, Beverly FA - Panessa, Ciro FA - Hayden, Sargent FA - Thumath, Meaghan FA - Goldstone, Irene FA - Pauly, Bernadette IN - Lightfoot,Beverly. Insite, Vancouver, British Columbia. TI - Gaining insite: harm reduction in nursing practice. SO - Canadian Nurse. 105(4):16-22, 2009 Apr. AS - Can Nurse. 105(4):16-22, 2009 Apr. NJ - The Canadian nurse PI - Journal available in: Print PI - Citation processed from: Print JC - 0405504, cl9 SB - Nursing Journal CP - Canada MH - British Columbia MH - Crime MH - Ethics, Nursing MH - *Harm Reduction MH - *Health Facilities MH - Health Facility Administration MH - Health Promotion MH - Health Services Accessibility/es [Ethics] MH - Humans MH - Nurse-Patient Relations MH - *Nursing MH - Substance Abuse, Intravenous/co [Complications] MH - Substance Abuse, Intravenous/nu [Nursing] MH - *Substance Abuse, Intravenous AB - Insite, a supervised injection facility in Vancouver, British Columbia, is an evidence-based response to the ongoing health and social crisis in the city's Downtown Eastside. It has been shown that Insite's services increase treatment referrals, mitigate the spread and impact of blood-borne diseases and prevent overdose deaths. One of the goals of this facility is to improve the health of those who use injection drugs. Nurses contribute to this goal by building trusting relationships with clients and delivering health services in a harm reduction setting. The authors describe nursing practice at Insite and its alignment with professional and ethical standards of registered nursing practice. Harm reduction is consistent with accepted standards for nursing practice as set out by the College of Registered Nurses of British Columbia and the Canadian Nurses Association and with World Health Organization guidelines. IS - 0008-4581 IL - 0008-4581 PT - Journal Article LG - English DP - 2009 Apr DC - 20090513 YR - 2009 ED - 20090625 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19435252 <105. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19135012 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Indig D AU - Copeland J AU - Conigrave KM AU - Rotenko I FA - Indig, Devon FA - Copeland, Jan FA - Conigrave, Katherine M FA - Rotenko, Irene IN - Indig,Devon. National Drug and Alcohol Research Centre, 22-32 King Street, Randwick, NSW 2031, Australia. devon.indig@justicehealth.nsw.gov.au TI - Attitudes and beliefs of emergency department staff regarding alcohol-related presentations. SO - International emergency nursing. 17(1):23-30, 2009 Jan. AS - Int Emerg Nurs. 17(1):23-30, 2009 Jan. NJ - International emergency nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101472191 SB - Nursing Journal CP - England MH - Adult MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Benchmarking MH - Clinical Competence MH - Emergency Medicine/ed [Education] MH - Emergency Medicine/og [Organization & Administration] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/og [Organization & Administration] MH - Emergency Service, Hospital/og [Organization & Administration] MH - *Emergency Service, Hospital MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Services Accessibility MH - Humans MH - Male MH - Mass Screening MH - Medical Staff, Hospital/ed [Education] MH - Medical Staff, Hospital/px [Psychology] MH - *Medical Staff, Hospital MH - Middle Aged MH - New South Wales/ep [Epidemiology] MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Prevalence MH - Professional Role/px [Psychology] MH - Self Efficacy MH - Substance Abuse Detection AB - OBJECTIVE: This study examined emergency department (ED) staff attitudes and beliefs about alcohol-related ED presentations in order to recommend improved detection and brief intervention strategies. AB - METHODS: The survey was conducted at two inner-Sydney hospital EDs in 2006 to explore ED clinical staff's attitudes, current practice and barriers for managing alcohol-related ED presentations. The sample included N=78 ED staff (54% nurses, 46% doctors), representing a 30% response rate. AB - RESULTS: Management of alcohol-related problems was not routine among ED staff, with only 5% usually formally screening for alcohol problems, only 16% usually conducting brief interventions, and only 27% usually providing a referral to specialist treatment services. Over 85% of ED staff indicated that lack of patient motivation made providing alcohol interventions very difficult. Significant predictors of good self-reported practice among ED staff for patients with alcohol problems included: being a doctor, being confident and having a sense of responsibility towards managing patients with alcohol-related problems. AB - CONCLUSIONS: This study reported that many staff lack the confidence or sense of clinical responsibility to fully and appropriately manage ED patients with alcohol-related problems. ED staff appear to require additional training, resources and support to enhance their management of patients with alcohol-related problems. ES - 1878-013X IL - 1878-013X DO - http://dx.doi.org/10.1016/j.ienj.2008.08.002 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20081011 DP - 2009 Jan DC - 20090112 YR - 2009 ED - 20090612 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19135012 <106. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19135010 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelleher S AU - Cotter P FA - Kelleher, Sean FA - Cotter, Patrick IN - Kelleher,Sean. School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Ireland. s.kelleher@ucc.ie TI - A descriptive study on emergency department doctors' and nurses' knowledge and attitudes concerning substance use and substance users. SO - International emergency nursing. 17(1):3-14, 2009 Jan. AS - Int Emerg Nurs. 17(1):3-14, 2009 Jan. NJ - International emergency nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101472191 SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence MH - Drug Users/px [Psychology] MH - Emergency Medicine/ed [Education] MH - Emergency Medicine/og [Organization & Administration] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/og [Organization & Administration] MH - Emergency Service, Hospital/og [Organization & Administration] MH - *Emergency Service, Hospital MH - Empathy MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Ireland MH - Male MH - Medical Staff, Hospital/ed [Education] MH - Medical Staff, Hospital/px [Psychology] MH - *Medical Staff, Hospital MH - Middle Aged MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Practice Guidelines as Topic MH - Professional Role MH - Stereotyping MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - AIM: The aim of this study was to determine emergency department doctors' and nurses' knowledge and attitudes regarding problematic substance use and substance users. AB - METHODS: Data were collected using an adapted survey questionnaire and the Substance Abuse Attitude Survey (SAAS). By means of convenience/opportunistic sampling all emergency department doctors and nurses (N=145) working in three university teaching hospitals in Ireland were asked to fill out the knowledge and attitudes questionnaire. AB - RESULTS: A response rate of 46%, N=66 was achieved. Results indicate that participants' current level of knowledge about alcohol and drug misuse in general, is satisfactory. A particular knowledge deficit in relation to intervention strategies, and other substances was identified. The majority of participants have never received any specific training regarding substance use and this suggests that substance using patients are managed inadequately. The SAAS results indicate that participants exhibited near-optimal attitudes for constructive working with substance using patients. AB - CONCLUSION: There is an urgent need for further in-service training programmes and the development of standard protocols/guidelines for the identification and management of substance using patients who present in the emergency department. ES - 1878-013X IL - 1878-013X DO - http://dx.doi.org/10.1016/j.ienj.2008.08.003 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20081011 DP - 2009 Jan DC - 20090112 YR - 2009 ED - 20090612 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19135010 <107. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19244207 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kim-Godwin YS AU - Clements C AU - McCuiston AM AU - Fox JA FA - Kim-Godwin, Yeoun Soo FA - Clements, Carrie FA - McCuiston, Ashley M FA - Fox, Jane A IN - Kim-Godwin,Yeoun Soo. School of Nursing, University of North Carolina at Wilmington, North Carolina, USA. TI - Dating violence among high school students in southeastern North Carolina. SO - Journal of School Nursing. 25(2):141-51, 2009 Apr. AS - J Sch Nurs. 25(2):141-51, 2009 Apr. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - *Courtship MH - Female MH - Humans MH - Male MH - North Carolina MH - Risk Assessment MH - *Risk-Taking MH - School Nursing MH - *Sex Offenses/pc [Prevention & Control] MH - Sex Offenses/sn [Statistics & Numerical Data] MH - Sexual Behavior/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Violence/pc [Prevention & Control] MH - Violence/sn [Statistics & Numerical Data] AB - Adolescents are a high-risk group for dating violence. Using the Youth Risk Behavior Survey data, this study examined the associations among dating violence (including physical dating violence [PDV] and sexual dating violence [SDV]) and selected health risk behaviors among 375 and 372 high school students, in 2005 and 2007, respectively, in southeastern North Carolina. The findings indicate PDV increased slightly from 2005 (11.6%) to 2007 (12.5%), while SDV remained approximately the same (10.4% in 2005 and 10.3% in 2007). PDV was strongly associated with SDV among high school students in 2005 and 2007. Significant associations also exist among dating violence and sexual behavior, substance use, violence, psychological health, and unhealthy weight control. School nurses should be actively involved in promoting healthy lifestyles and healthy choices among high school students through interdisciplinary efforts with parents, teachers, school districts, and communities. IS - 1059-8405 IL - 1059-8405 DO - http://dx.doi.org/10.1177/1059840508330679 PT - Journal Article LG - English EP - 20090224 DP - 2009 Apr DC - 20090325 YR - 2009 ED - 20090610 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19244207 <108. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19222396 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Campbell-Heider N AU - Finnell DS AU - Feigenbaum JC AU - Feeley TH AU - Rejman KS AU - Austin-Ketch T AU - Zulawski C AU - Schmitt A FA - Campbell-Heider, Nancy FA - Finnell, Deborah S FA - Feigenbaum, Janice Cooke FA - Feeley, Thomas H FA - Rejman, Karol Susan FA - Austin-Ketch, Tammy FA - Zulawski, Christopher FA - Schmitt, Andrea IN - Campbell-Heider,Nancy. University at Buffalo, USA. nheider@buffalo.edu TI - Survey on addictions: toward curricular change for family nurse practitioners. [Review] [38 refs] SO - International Journal of Nursing Education Scholarship. 6:Article4, 2009. AS - Int. j nurs. educ. scholarsh.. 6:Article4, 2009. NJ - International journal of nursing education scholarship PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101214977 SB - Index Medicus SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - Curriculum MH - Education, Nursing, Continuing/mt [Methods] MH - *Education, Nursing, Graduate/mt [Methods] MH - *Family Practice MH - Female MH - Health Care Surveys MH - Humans MH - Male MH - Nurse Clinicians/ed [Education] MH - *Nurse Practitioners/ed [Education] MH - *Nurse's Role MH - Nursing Evaluation Research MH - Professional Competence MH - Quality of Health Care MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/th [Therapy] MH - United States AB - The purpose of this paper is to describe the results of a survey of advanced practice nurses (APNs) to determine the activities they perform related to caring for patients with addictions and or co-occurring mental health disorders, the amount of addictions education in their graduate programs, and their perceptions of the value of addictions education for their role. Data were obtained from 233 APNs in New York State using a tool adapted from a previous job analysis survey. APNs reported the greatest amount of experience in history taking for various types of addictions and co-occurring mental health disorders and least amount of experience in performing objective exams, using standardized screening tools, ordering related diagnostic tests, prescribing pharmacological treatments, and making referrals for addiction treatment. Respondents reported a mean of less than three hours addictions education in their graduate programs in contrast to their high perceived importance of this clinical area. [References: 38] ES - 1548-923X IL - 1548-923X DO - http://dx.doi.org/10.2202/1548-923X.1645 PT - Journal Article PT - Review LG - English EP - 20090118 DP - 2009 DC - 20090219 YR - 2009 ED - 20090521 RD - 20120820 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19222396 <109. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19378442 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Indig D AU - Copeland J AU - Conigrave KM AU - Rotenko I FA - Indig, Devon FA - Copeland, Jan FA - Conigrave, K M FA - Rotenko, Irene IN - Indig,Devon. National Drug and Alcohol Research Centre, Sydney, Australia. d.indig@med.unsw.edu.au TI - Why are alcohol-related emergency department presentations under-detected? An exploratory study using nursing triage text. SO - Drug & Alcohol Review. 27(6):584-90, 2008 Nov. AS - Drug Alcohol Rev. 27(6):584-90, 2008 Nov. NJ - Drug and alcohol review PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 SB - Index Medicus CP - England MH - Age Factors MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Australia MH - *Emergency Nursing MH - *Emergency Service, Hospital MH - Female MH - Hospitals, Teaching MH - Humans MH - Male MH - Middle Aged MH - *Patient Admission MH - Time Factors MH - *Triage/mt [Methods] AB - INTRODUCTION AND AIMS: This study examined two methods of detecting alcohol-related emergency department (ED) presentations, provisional medical diagnosis and nursing triage text, and compared patient and service delivery characteristics to determine which patients are being missed from formal diagnosis in order to explore why alcohol-related ED presentations are under-detected. AB - DESIGN AND METHODS: Data were reviewed for all ED presentations from 2004 to 2006 (n = 118,881) for a major teaching hospital in Sydney, Australia. Each record included two nursing triage free-text fields, which were searched for over 60 alcohol-related terms and coded for a range of issues. Adjusted odds ratios were used to compare diagnostically coded alcohol-related presentations to those detected using triage text. AB - RESULTS: Approximately 4.5% of ED presentations were identified as alcohol-related, with 24% of these identified through diagnostic codes and the remainder identified by triage text. Diagnostic coding was more likely if the patient arrived by ambulance [odds ratio (OR) = 2.35] or showed signs of aggression (OR = 1.86). Failure to code alcohol-related issues was more than three times (OR = 3.23) more likely for patients with injuries. AB - DISCUSSION AND CONCLUSIONS: Alcohol-related presentations place a high demand on ED staff and less than one-quarter have an alcohol-related diagnosis recorded by their treating doctor. In order for routine ED data to be more effective for detecting alcohol-related ED presentations, it is recommended that additional resources such as an alcohol health worker be employed in Australian hospitals. These workers can educate and support ED staff to identify more clearly and record the clinical signs of alcohol and directly provide brief interventions. IS - 0959-5236 IL - 0959-5236 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Nov DC - 20090420 YR - 2008 ED - 20090514 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19378442 <110. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19198720 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaki AM AU - Daghistani MF AU - Msabeh AA FA - Kaki, Abdullah M FA - Daghistani, Mohammad F FA - Msabeh, Ahmad A IN - Kaki,Abdullah M. Department of Anesthesia, King Abdulaziz University Hospital, Jeddah 21461, Kingdom of Saudi Arabia. amkaki@yahoo.com TI - Nurses' knowledge of pharmacological measures on acute pain management in Western Saudi Arabia. SO - Saudi Medical Journal. 30(2):279-83, 2009 Feb. AS - Saudi Med J. 30(2):279-83, 2009 Feb. NJ - Saudi medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - dyw, 7909441 SB - Index Medicus CP - Saudi Arabia MH - Female MH - Humans MH - *Knowledge MH - Male MH - Morphine/ad [Administration & Dosage] MH - *Nurses MH - Pain/dt [Drug Therapy] MH - *Pain MH - Pain Measurement MH - Saudi Arabia MH - Surveys and Questionnaires AB - OBJECTIVE: To assess the nursing knowledge of acute pain management in a tertiary hospital. AB - METHODS: Three hundred closed-answer questionnaires were distributed in various hospital departments at King Khalid National Guard Hospital in Jeddah, Saudi Arabia in 2007. Three main topics were tested in the questionnaire; nursing opinion on patient self-report of pain as a main indicator of pain intensity, the need to increase opioids dose when the first dose had been safe but ineffective, and nurses' attitude toward the incidence of addiction, tolerance, and physical dependence. AB - RESULTS: Of the respondents, 45.8% used the patient self-report of pain as an indicator of pain intensity in the smiling patient (A), and 55.1% relied on that in the grimacing patient (B). Fifty percent of respondents in patient A and 30.5% in patient B decided to give no more morphine to both patients despite their pain, while 7.6% and 19.5% of nurses selected the option of giving higher morphine dose to both patients. Only 38.1% of nurses chose the correct answer for risk of addiction (<1%) and 41.6% selected an exaggerated response range from 25-100% as a chance of addiction. Very few nurses recognized the problem of tolerance and physical dependence and picked the right answers. AB - CONCLUSION: Nurses' knowledge of acute pain management is deficient in many aspects. Proper education is needed to improve their knowledge of pain. RN - 76I7G6D29C (Morphine) IS - 0379-5284 IL - 0379-5284 PT - Journal Article LG - English DP - 2009 Feb DC - 20090209 YR - 2009 ED - 20090505 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19198720 <111. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19120588 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelly-Weeder S FA - Kelly-Weeder, Susan IN - Kelly-Weeder,Susan. William F Connell School of Nursing, Boston College, Chestnut Hill, MA 02467, USA. kellywee@bc.edu TI - Binge drinking in college-aged women: framing a gender-specific prevention strategy. [Review] [72 refs] SO - Journal of the American Academy of Nurse Practitioners. 20(12):577-84, 2008 Dec. AS - J Am Acad Nurse Pract. 20(12):577-84, 2008 Dec. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Internet JC - ase, 8916634 SB - Nursing Journal CP - United States MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/ep [Epidemiology] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - Alcohol-Related Disorders/px [Psychology] MH - Attitude to Health MH - *Ethanol/po [Poisoning] MH - Female MH - Humans MH - Life Style MH - Motivation MH - Nurse Practitioners/og [Organization & Administration] MH - *Nurse Practitioners MH - Nurse's Role MH - Nursing Assessment MH - Patient Education as Topic MH - Primary Health Care/mt [Methods] MH - Primary Prevention/mt [Methods] MH - Risk Factors MH - Student Health Services/mt [Methods] MH - Students/px [Psychology] MH - Students/sn [Statistics & Numerical Data] MH - *Students MH - *Universities MH - Women/ed [Education] MH - Women/px [Psychology] MH - *Women MH - Women's Health AB - PURPOSE: To provide an overview of binge drinking in college-aged women and to suggest strategies for nurse practitioners (NPs) to assist women in preventing the negative consequences associated with this behavior. AB - DATA SOURCES: Original research articles and comprehensive review articles identified through Medline, CINAHL, and OVID databases. AB - CONCLUSIONS: Researchers have shown that the rates of binge drinking in college-aged women are increasing, which places these women at increased risk for the long-term complications associated with alcohol use. AB - IMPLICATIONS FOR PRACTICE: NPs must be aware of this phenomenon and carefully screen women for high-risk alcohol use. Prevention strategies are reviewed and include the use of brief motivational interviews delivered during individual client encounters as well as through Web-based programs. [References: 72] RN - 3K9958V90M (Ethanol) ES - 1745-7599 IL - 1041-2972 DO - http://dx.doi.org/10.1111/j.1745-7599.2008.00357.x PT - Journal Article PT - Review LG - English DP - 2008 Dec DC - 20090105 YR - 2008 ED - 20090501 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19120588 <112. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19133494 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cleary M AU - Walter G AU - Hunt GE AU - Clancy R AU - Horsfall J FA - Cleary, Michelle FA - Walter, Garry FA - Hunt, Glenn E FA - Clancy, Richard FA - Horsfall, Jan IN - Cleary,Michelle. Faculty of Nursing and Midwifery, University of Sydney. michelle.cleary@email.cs.nsw.gov.au TI - Promoting dual diagnosis awareness in everyday clinical practice. [Review] [29 refs] SO - Journal of Psychosocial Nursing & Mental Health Services. 46(12):43-9, 2008 Dec. AS - J Psychosoc Nurs Ment Health Serv. 46(12):43-9, 2008 Dec. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Cooperative Behavior MH - Diagnosis, Dual (Psychiatry) MH - Evidence-Based Practice MH - Humans MH - Interview, Psychological MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - Models, Nursing MH - Models, Psychological MH - Nurse Clinicians MH - Nurse's Role/px [Psychology] MH - *Nurse's Role MH - Nurse-Patient Relations MH - Nursing Assessment MH - Patient Care Planning MH - Patient Participation/mt [Methods] MH - Patient Participation/px [Psychology] MH - Practice Guidelines as Topic MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/mt [Methods] MH - Recurrence MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] AB - Working with and treating individuals with co-occurring substance misuse presents unique challenges for mental health nurses. Substance misuse is common in mental health settings, and its clinical challenges with system barriers impede positive treatment outcomes. To work effectively in everyday clinical practice with dual diagnosis clients, nurses need to consider potential guiding principles. These principles pertain to treatment aims, engagement, assessment, symptoms, care plans, cycle of change, motivational interviewing, traps to avoid, active treatment, relapse prevention, agency collaboration, and treatment diversity. Clinical tools are easily accessible resources that can provide a framework for contemporary practice in a range of settings. Such resources are helpful in practice and as a foundation for orientation, education, self-reflection, and peer review. Setting expectations for everyday practice and ensuring that clients with a dual diagnosis receive the best care possible are important goals for the nursing profession. [References: 29] IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2008 Dec DC - 20090112 YR - 2008 ED - 20090226 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19133494 <113. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18981907 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark CM AU - Farnsworth J AU - Springer PJ FA - Clark, Cynthia M FA - Farnsworth, Judy FA - Springer, Pamela J IN - Clark,Cynthia M. Department of Nursing, Boise State University, Boise, ID 83725-1840, USA. cclark@boisestate.edu TI - Policy development for disruptive student behaviors. [Review] [22 refs] SO - Nurse Educator. 33(6):259-62, 2008 Nov-Dec. AS - Nurse Educ. 33(6):259-62, 2008 Nov-Dec. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Internet JC - oau, 7701902 SB - Nursing Journal CP - United States MH - Agonistic Behavior MH - Codes of Ethics MH - *Dangerous Behavior MH - Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Faculty, Nursing/og [Organization & Administration] MH - Humans MH - Mental Disorders/pc [Prevention & Control] MH - Mental Disorders/px [Psychology] MH - Nurse's Role MH - Organizational Policy MH - Policy Making MH - Referral and Consultation MH - Risk-Taking MH - Safety Management/es [Ethics] MH - *Safety Management/og [Organization & Administration] MH - Schools, Nursing/es [Ethics] MH - *Schools, Nursing/og [Organization & Administration] MH - Student Dropouts MH - Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - *Students, Nursing MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Universities/es [Ethics] MH - Universities/og [Organization & Administration] MH - Violence/pc [Prevention & Control] MH - Violence/px [Psychology] AB - Nursing students who demonstrate disruptive and at-risk behaviors in the classroom and clinical arena compromise the learning environment and are unable to provide safe, quality client care. They require early and swift identification, consultation, sanctions, or possible referral into treatment to protect themselves and public safety. The authors describe the evolution of a comprehensive policy for faculty intervention with at-risk students and provide an exemplar of a situation illustrating the use of the policy. [References: 22] ES - 1538-9855 IL - 0363-3624 DO - http://dx.doi.org/10.1097/01.NNE.0000334791.07428.61 PT - Journal Article PT - Review LG - English DP - 2008 Nov-Dec DC - 20081104 YR - 2008 ED - 20090226 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18981907 <114. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19060817 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Role of the school nurse 100 years ago. SO - British Journal of Nursing. 17(21):1345, 2008 Nov 27-Dec 10. AS - Br J Nurs. 17(21):1345, 2008 Nov 27-Dec 10. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Great Britain MH - History, 20th Century MH - Humans MH - *Nurse's Role/hi [History] MH - Periodicals as Topic/hi [History] MH - *School Nursing/hi [History] AB - School nursing is ripe for development and could well be an interesting specialist area to work in for the innovative nurse, given some of the problems nowadays. For example, child abuse, the increasing problem of children with obesity and poor diet, alcohol abuse, smoking and sexual health issues. Although the nature of some of the health problems has changed there are some commonalities with what was happening 100 years ago in Britain at the time. IS - 0966-0461 IL - 0966-0461 PT - Historical Article PT - Journal Article LG - English DP - 2008 Nov 27-Dec 10 DC - 20081208 YR - 2008 ED - 20090213 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19060817 <115. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19010051 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thompson TL AU - Bonnel WB FA - Thompson, Teri L FA - Bonnel, Wanda B IN - Thompson,Teri L. School of Nursing, University of Missouri Kansas City, 64108-2718, USA. thompsonte@umkc.edu TI - Integration of high-fidelity patient simulation in an undergraduate pharmacology course. SO - Journal of Nursing Education. 47(11):518-21, 2008 Nov. AS - J Nurs Educ. 47(11):518-21, 2008 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Drug Overdose MH - *Education, Nursing, Baccalaureate MH - Humans MH - *Manikins MH - Narcotics/ad [Administration & Dosage] MH - Narcotics/ae [Adverse Effects] MH - Nursing Assessment MH - Pain/dt [Drug Therapy] MH - *Pharmacology, Clinical/ed [Education] MH - Urolithiasis/co [Complications] AB - High-fidelity patient simulations provide unique learning opportunities in undergraduate pharmacology. Every year, adverse drug events in the clinical setting affect thousands of patients. Pharmacology content is often taught independently without a clinical application component. Students have difficulty making the connections between learned content and clinical application; high-fidelity patient simulations provide students with the opportunity to make these connections in a safe environment. Implementing a pharmacological simulation with novice nursing students provides an applied learning experience that promotes knowledge retention, improves clinical judgment, and can produce safe practitioners in the clinical setting. This article discusses high-fidelity patient simulations and provides a pharmacology-based case scenario. RN - 0 (Narcotics) IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2008 Nov DC - 20081117 YR - 2008 ED - 20090210 RD - 20121115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19010051 <116. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19012844 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lenz BK FA - Lenz, Brenda K IN - Lenz,Brenda K. Department of Nursing Science, St. Cloud State University, St. Cloud, Minnesota 56301, USA. bklenz@stcloudstate.edu TI - Beliefs, knowledge, and self-efficacy of nursing students regarding tobacco cessation. SO - American Journal of Preventive Medicine. 35(6 Suppl):S494-500, 2008 Dec. AS - Am J Prev Med. 35(6 Suppl):S494-500, 2008 Dec. NJ - American journal of preventive medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - 8704773, apl SB - Index Medicus CP - Netherlands MH - Adolescent MH - Adult MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Minnesota MH - *Self Efficacy MH - *Smoking Cessation MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult AB - INTRODUCTION: Evidence-based clinical interventions for smoking cessation have proven to be effective in reducing smoking rates among patients who use tobacco. Ensuring that registered nurses (RNs) are knowledgeable and have the self-efficacy to provide such clinical interventions can contribute to declines in tobacco use among their patients who smoke. The aim of this study was to determine if baccalaureate nursing (BSN) students in Minnesota received training in the clinical treatment of tobacco dependence and to identify perceived barriers that may limit their ability to intervene with their patients. AB - METHODS: Quantitative descriptive, with data collected in spring of 2007. The sample was 675 senior BSN students enrolled in ten Minnesota private and public institutions. The survey questionnaire included demographics, knowledge about tobacco treatment, personal tobacco-use history, beliefs about smoking, self-efficacy, and behavioral application of cessation intervention. AB - RESULTS: BSN students generally reported that they were comfortable assessing tobacco use among their patients and referring tobacco users to cessation resources. Nursing students who considered themselves smokers (7.9%) and who reported using tobacco in the last 30 days but did not consider themselves smokers (17.5%) indicated more agreement regarding the positive aspects of smoking, and were less likely to view it as their professional responsibility to help smokers quit, than did non-smoking nursing students (74.6%). AB - CONCLUSIONS: Nursing students' personal smoking behaviors affected their beliefs about smoking and their view about the professional role in helping smokers quit. These findings have implications for undergraduate nursing programs regarding professional role socialization and education about clinical smoking cessation interventions. ES - 1873-2607 IL - 0749-3797 DO - http://dx.doi.org/10.1016/j.amepre.2008.09.004 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Dec DC - 20081117 YR - 2008 ED - 20090206 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19012844 <117. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18980936 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miaskowski C FA - Miaskowski, Christine IN - Miaskowski,Christine. Department of Physiological Nursing, The University of California, San Francisco, CA, USA. chris.miaskowski@nursing.ucsf.edu TI - The use of risk-management approaches to protect patients with cancer-related pain and their healthcare providers. [Review] [33 refs] SO - Oncology Nursing Forum. 35 Suppl:20-4, 2008 Nov. AS - Oncol Nurs Forum. 35 Suppl:20-4, 2008 Nov. NJ - Oncology nursing forum PI - Journal available in: Print PI - Citation processed from: Internet JC - 7809033, 7809033 SB - Index Medicus SB - Nursing Journal CP - United States MH - Drug Tolerance MH - *Health Personnel/lj [Legislation & Jurisprudence] MH - Humans MH - Legislation, Drug MH - Narcotics/ad [Administration & Dosage] MH - Narcotics/ae [Adverse Effects] MH - *Narcotics/tu [Therapeutic Use] MH - Neoplasms/nu [Nursing] MH - *Neoplasms/pp [Physiopathology] MH - Nurse's Role MH - *Nursing Assessment/mt [Methods] MH - *Oncology Nursing/mt [Methods] MH - Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/et [Etiology] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain/dt [Drug Therapy] MH - Pain/et [Etiology] MH - Pain/nu [Nursing] MH - Pain/px [Psychology] MH - Patient Compliance MH - Patient Education as Topic MH - Risk Factors MH - *Risk Management/mt [Methods] MH - *Risk-Taking MH - Surveys and Questionnaires AB - PURPOSE/OBJECTIVES: To describe the factors that contribute to the risk for undertreatment of cancer pain, as well as the risk factors associated with misuse or abuse of opioid analgesics, and to describe approaches to identify and manage the risks. AB - DATA SOURCES: Published research, articles from a literature review, and U. S. statistics. AB - DATA SYNTHESIS: Oncology nurses should perform systematic assessments to determine whether patients are at risk for undertreatment of cancer pain or whether they are at risk for abuse or addiction to opioid analgesics. Oncology nurses must develop effective approaches to manage both types of risk. Patient education is a critical component to help patients who are at risk for undertreatment to adhere to analgesic regimens and to experience optimal benefit from medications. For patients who are at risk for abuse or addiction, oncology nurses should perform ongoing screening for behaviors that are predictive of addiction and implement appropriate interventions to reduce risks of abuse. AB - CONCLUSIONS: Oncology clinicians should have a balanced perspective of risk management within the context of cancer pain management. AB - IMPLICATIONS FOR NURSING: Clinicians must be cognizant of the fact that a significant risk exists for undertreatment of cancer pain. In addition, oncology nurses should recognize patients who are at risk for abuse or addiction or who are actively abusing opioid analgesics and establish appropriate safeguards for patients with cancer and oncology clinicians. [References: 33] RN - 0 (Narcotics) ES - 1538-0688 IL - 0190-535X DO - http://dx.doi.org/10.1188/08.ONF.S1.20-24 PT - Journal Article PT - Review LG - English DP - 2008 Nov DC - 20081104 YR - 2008 ED - 20090205 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18980936 <118. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18813092 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Young LJ FA - Young, Linda J IN - Young,Linda J. South Dakota Board of Nursing, Sioux Falls, SD 57106, USA. Linda.Young@state.sd.us TI - Education for worksite monitors of impaired nurses. SO - Nursing Administration Quarterly. 32(4):331-7, 2008 Oct-Dec. AS - Nurs Adm Q. 32(4):331-7, 2008 Oct-Dec. NJ - Nursing administration quarterly PI - Journal available in: Print PI - Citation processed from: Internet JC - oae, 7703976 SB - Nursing Journal CP - United States MH - Adult MH - Female MH - Humans MH - *Inservice Training MH - Male MH - Middle Aged MH - Nursing Staff/px [Psychology] MH - *Nursing Staff MH - *Occupational Health Services MH - *Professional Impairment MH - Program Evaluation MH - South Dakota MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Teaching/mt [Methods] AB - Boards of nursing sponsor programs, including those for alternatives to discipline, for recovering nurses. These programs rely on worksite monitors who are oftentimes other nurses or supervisors of nurses, to work with recovering nurses when they return to practice. The skills of these monitors vary with respect to understanding the monitor role and recognizing traits in chemical dependency and relapse. To determine the degree of content value and the best teaching method for monitors to learn program content, 17 currently active worksite monitors participated in a study to evaluate content value to 2 groups, new and experienced monitors, and to select the best method to teach 4 content topics. Results showed that current content was valued without necessary additions and that group instruction in urban areas was preferred over one-to-one instruction. Implementation of study outcomes yielded that issues of confidentiality made group instruction unsatisfactory. ES - 1550-5103 IL - 0363-9568 DO - http://dx.doi.org/10.1097/01.NAQ.0000336732.02996.f7 PT - Journal Article LG - English DP - 2008 Oct-Dec DC - 20080924 YR - 2008 ED - 20090204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18813092 <119. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18813091 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dittman PW FA - Dittman, Patricia Welch IN - Dittman,Patricia Welch. Nova Southeastern University, Fort Lauderdale, FL 33328, USA. PDittman@Nova.edu TI - Male nurses and chemical dependency: masterminding the nursing environment. SO - Nursing Administration Quarterly. 32(4):324-30, 2008 Oct-Dec. AS - Nurs Adm Q. 32(4):324-30, 2008 Oct-Dec. NJ - Nursing administration quarterly PI - Journal available in: Print PI - Citation processed from: Internet JC - oae, 7703976 SB - Nursing Journal CP - United States MH - Florida MH - Humans MH - Male MH - Models, Psychological MH - *Nurses, Male/px [Psychology] MH - Professional Impairment/px [Psychology] MH - *Professional Impairment MH - Spirituality MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Florida men in nursing who are chemically dependent represent a greater percentage of the total number of male nurses than female nurses who are chemically dependent. This study identifies characteristics of 9 men who completed the Florida Intervention Project for Nurses. All participants were interviewed independently and data were analyzed to determine common themes in their behaviors and relationships and how they successfully manipulated professional nursing systems to remain professionally active for prolonged period of time while impaired. A model of caring for nurses with professional impairment graphically depicted the interaction of 2 overarching themes of person and profession. The person theme had 3 subthemes of predetermined risk, altered values, and sensation-seeking behaviors. The profession theme had 6 subthemes of masterminding, professional heteronomy, getting caught, rehabilitation, spirituality, and the nurse becoming the nursed. Findings imply that chemical dependency among male nurses starts in childhood in an abusive family environment and continues throughout the educational process and into the work environment. Findings supporting diversion success include a lack of awareness of the signs and symptoms of impairment by supervisors, poor compliance to drug control procedures, and a common acceptance by peers that impaired men are clinically competent and clinical leaders. When these 3 situations are present, there is greater success in masterminding daily events to maintain undetected drug access. ES - 1550-5103 IL - 0363-9568 DO - http://dx.doi.org/10.1097/01.NAQ.0000336731.64878.66 PT - Journal Article LG - English DP - 2008 Oct-Dec DC - 20080924 YR - 2008 ED - 20090204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18813091 <120. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18608077 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ettner SL AU - Conover CJ AU - Proescholdbell RJ AU - Weaver MR AU - Ang A AU - Arno PS AU - HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study Group FA - Ettner, Susan L FA - Conover, Christopher J FA - Proescholdbell, Rae Jean FA - Weaver, Marcia R FA - Ang, Alfonso FA - Arno, Peter S FA - HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study Group IN - Ettner,Susan L. Division of General Internal Medicine and Health Services Research, University of California Los Angeles, Los Angeles, CA, USA. settner@mednet.ucla.edu IR - Kalichman S IR - Knipmeyer MC IR - Meyer P IR - Bell J IR - Andersen M IR - Calsyn R IR - Keane T IR - Sacks S IR - Soto T IR - Uldall K IR - Winiarski M IR - Whetten K IR - Green-Morsell P IR - Tinsley M IR - Flanzer J IR - Stoff DM IR - Bryant K IR - Hilton M IR - Knipmeyer MC IR - Thompson D IR - Manwar A IR - Arno P IR - Bonuck K IR - Brief D IR - Conover CJ IR - Flynn P IR - Harris V IR - Helminiak TW IR - Hendricks A IR - Klinkenberg W IR - Miller A IR - Mood D IR - Morse GA IR - Pfoutz S IR - Porto J IR - Roberts R IR - Sherer R IR - Sadowski L IR - Smereck G IR - Swartz M IR - Trezza G IR - Weaver M IR - Weinstein R TI - Triply-diagnosed patients in the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study: patterns of home care use. SO - AIDS Care. 20(10):1177-89, 2008 Nov. AS - AIDS Care. 20(10):1177-89, 2008 Nov. NJ - AIDS care PI - Journal available in: Print PI - Citation processed from: Internet JC - 8915313, a1o SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adolescent MH - Adult MH - Costs and Cost Analysis MH - Diagnosis, Dual (Psychiatry) MH - Female MH - HIV Infections/co [Complications] MH - HIV Infections/ec [Economics] MH - *HIV Infections/nu [Nursing] MH - Health Expenditures MH - Home Care Services/ec [Economics] MH - Home Care Services/sn [Statistics & Numerical Data] MH - *Home Care Services/ut [Utilization] MH - Home Nursing/ec [Economics] MH - Home Nursing/sn [Statistics & Numerical Data] MH - *Home Nursing/ut [Utilization] MH - Humans MH - Insurance/sn [Statistics & Numerical Data] MH - Logistic Models MH - Male MH - Mental Disorders/co [Complications] MH - Mental Disorders/ec [Economics] MH - *Mental Disorders/nu [Nursing] MH - Middle Aged MH - Socioeconomic Factors MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires MH - United States MH - Young Adult AB - Although AIDS is a chronic illness, little is known about the patterns and correlates of long-term care use among triply diagnosed HIV patients. We examined nursing and home care use among 1,045 participants in the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study, a multi-site study of HIV-positive patients with at least one mental health and one substance disorder. Patient interviews and medical record review data were used to examine the average monthly cost of nursing home, formal home and informal home care. Multinomial logit and two-part regression models were used to identify correlates of the use of formal and informal home care and the number of informal home care hours used. During the three months prior to baseline, 2, 7 and 23% of participants used nursing home, formal home and informal home care, respectively. Patients who were better-educated, had higher incomes, had Medicaid insurance (with or without Medicare coverage) and whose transmission mode was homosexual sex had higher regression-adjusted probabilities of receiving any formal home care; Latinos and physically healthier patients had lower probabilities. Women and patients who abused drugs or alcohol (but not both) were more likely to receive informal care only. Overall, patients who were female, better-educated, physically or mentally sicker or single-substance abusers were more likely to receive any home care (either formal or informal), while those contracting HIV through heterosexual sex were less likely. Women received 28 more monthly hours of informal care than men and married patients received 31 more hours than unmarried patients. We conclude that at least one mutable policy factor (Medicaid insurance) is strongly associated with formal home care use among triply diagnosed patients. Further research is needed to explore possible implications for access among this vulnerable subpopulation. ES - 1360-0451 IL - 0954-0121 DO - http://dx.doi.org/10.1080/09540120801918644 PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 2008 Nov DC - 20081117 YR - 2008 ED - 20090129 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18608077 <121. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19092551 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nyamathi A AU - Liu Y AU - Marfisee M AU - Shoptaw S AU - Gregerson P AU - Saab S AU - Leake B AU - Tyler D AU - Gelberg L FA - Nyamathi, Adeline FA - Liu, Yihang FA - Marfisee, Mary FA - Shoptaw, Steven FA - Gregerson, Paul FA - Saab, Sammy FA - Leake, Barbara FA - Tyler, Darlene FA - Gelberg, Lillian IN - Nyamathi,Adeline. School of Nursing, University of California Los Angeles, Los Angeles, CA 90095-1702, USA. anyamath@sonnet.ucla.edu TI - Effects of a nurse-managed program on hepatitis A and B vaccine completion among homeless adults. SO - Nursing Research. 58(1):13-22, 2009 Jan-Feb. AS - Nurs Res. 58(1):13-22, 2009 Jan-Feb. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Internet JC - o9k, 0376404 OI - Source: NLM. NIHMS255733 OI - Source: NLM. PMC3076026 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Case Management/og [Organization & Administration] MH - Contact Tracing MH - Female MH - *Hepatitis A/pc [Prevention & Control] MH - Hepatitis A Vaccines MH - *Hepatitis B/pc [Prevention & Control] MH - Hepatitis B Vaccines MH - Homeless Persons/ed [Education] MH - Homeless Persons/px [Psychology] MH - Homeless Persons/sn [Statistics & Numerical Data] MH - *Homeless Persons MH - Humans MH - Logistic Models MH - Los Angeles MH - Male MH - Middle Aged MH - Motivation MH - Multivariate Analysis MH - Nurse's Role MH - Nursing Evaluation Research MH - Patient Acceptance of Health Care/px [Psychology] MH - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] MH - *Patient Acceptance of Health Care MH - Patient Education as Topic/og [Organization & Administration] MH - Program Evaluation MH - Prospective Studies MH - Risk-Taking MH - Single-Blind Method MH - Socioeconomic Factors MH - Vaccination/nu [Nursing] MH - Vaccination/px [Psychology] MH - Vaccination/sn [Statistics & Numerical Data] MH - *Vaccination MH - Vaccines, Combined AB - BACKGROUND: Hepatitis B virus (HBV) infection constitutes a major health problem for homeless persons. Ability to complete an HBV vaccination series is complicated by the need to prioritize competing needs, such as addiction issues, safe places to sleep, and food, over health concerns. AB - OBJECTIVES: The objectives of this study were to evaluate the effectiveness of a nurse-case-managed intervention compared with that of two standard programs on completion of the combined hepatitis A virus (HAV) and HBV vaccine series among homeless adults and to assess sociodemographic factors and risk behaviors related to the vaccine completion. AB - METHODS: A randomized, three-group, prospective, quasi-experimental design was conducted with 865 homeless adults residing in homeless shelters, drug rehabilitation sites, and outdoor areas in the Skid Row area of Los Angeles. The programs included (a) nurse-case-managed sessions plus targeted hepatitis education, incentives, and tracking (NCMIT); (b) standard targeted hepatitis education plus incentives and tracking (SIT); and (c) standard targeted hepatitis education and incentives only (SI). AB - RESULTS: Sixty-eight percent of the NCMIT participants completed the three-series vaccine at 6 months, compared with 61% of SIT participants and 54% of SI participants. NCMIT participants had almost 2 times greater odds of completing vaccination than those of participants in the SI program. Completers were more likely to be older, to be female, to report fair or poor health, and not to have participated in a self-help drug treatment program. Newly homeless White adults were significantly less likely than were African Americans to complete the vaccine series. AB - DISCUSSION: The use of vaccination programs incorporating nurse case management and tracking is critical in supporting adherence to completion of a 6-month HAV/HBV vaccine. The finding that White homeless persons were the least likely to complete the vaccine series suggests that programs tailored to address their unique cultural issues are needed. RN - 0 (Hepatitis A Vaccines) RN - 0 (Hepatitis B Vaccines) RN - 0 (Vaccines, Combined) RN - 0 (twinrix) ES - 1538-9847 IL - 0029-6562 DO - http://dx.doi.org/10.1097/NNR.0b013e3181902b93 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural NO - DA016147 (United States NIDA NIH HHS) NO - R01 DA016147 (United States NIDA NIH HHS) NO - R01 DA016147-01A1 (United States NIDA NIH HHS) NO - T32 NR007077 (United States NINR NIH HHS) LG - English DP - 2009 Jan-Feb DC - 20081218 YR - 2009 ED - 20090108 RD - 20140913 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19092551 <122. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19061028 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vargas Dd AU - Luis MA FA - Vargas, Divane de FA - Luis, Margarita Antonia Villar IN - Vargas,Divane de. School of Nursing, University of Sao Paulo, Brazil. vargas@usp.br TI - Development and validation of a scale of attitudes towards alcohol, alcoholism and alcoholics. SO - Revista Latino-Americana de Enfermagem. 16(5):895-902, 2008 Sep-Oct. AS - Rev Lat Am Enfermagem. 16(5):895-902, 2008 Sep-Oct. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - *Alcoholism MH - *Attitude MH - *Ethanol MH - Humans MH - Psychometrics MH - Reproducibility of Results MH - *Surveys and Questionnaires AB - The objective of this study was the construction and validation of a scale that would measure the attitudes towards alcohol, alcoholism and the alcoholic, called the Scale of Attitudes Towards Alcohol, Alcoholism and the Alcoholic. The face and content validations, as well as the factor analysis of the data obtained in a preliminary test with 144 nursing students resulted in a scale consisting of 96 items, divided into 5 factors: Attitudes towards the alcoholic person: care and interpersonal relations; Etiology; Disease; Repercussions deriving from alcohol use/abuse; Alcoholic beverages. The general scale presented a consistency level of 0.90. The resulting instrument is concluded to be a reliable tool to evaluate attitudes towards alcohol, alcoholism and alcohol addicts. RN - 3K9958V90M (Ethanol) IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000500016 PT - Journal Article PT - Validation Studies LG - English DP - 2008 Sep-Oct DC - 20081208 YR - 2008 ED - 20090108 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19061028 <123. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18620835 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chang JC AU - Dado D AU - Frankel RM AU - Rodriguez KL AU - Zickmund S AU - Ling BS AU - Arnold RM FA - Chang, Judy C FA - Dado, Diane FA - Frankel, Richard M FA - Rodriguez, Keri L FA - Zickmund, Susan FA - Ling, Bruce S FA - Arnold, Robert M IN - Chang,Judy C. Department of Obstetrics, Gynecology and Reproductive Sciences and Medicine, University of Pittsburgh, Magee-Womens Hospital of UPMC, 300 Halket Street, Pittsburgh, PA 15213, United States. jchang@mail.magee.edu TI - When pregnant patients disclose substance use: missed opportunities for behavioral change counseling. CM - Comment in: Patient Educ Couns. 2009 Feb;74(2):277; PMID: 19108979 SO - Patient Education & Counseling. 72(3):394-401, 2008 Sep. AS - Patient Educ Couns. 72(3):394-401, 2008 Sep. NJ - Patient education and counseling PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pec, 8406280 OI - Source: NLM. NIHMS68089 OI - Source: NLM. PMC2633127 SB - Nursing Journal CP - Ireland MH - Adolescent MH - Adult MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Directive Counseling MH - Female MH - Humans MH - *Mass Screening MH - Pennsylvania MH - Pregnancy MH - *Prenatal Care MH - Professional-Patient Relations MH - *Smoking/pc [Prevention & Control] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - OBJECTIVE: The first obstetric visit is an opportunity to provide counseling to women with substance abuse risks, including smoking, drug use, and alcohol use. Little is known about how obstetric care providers and patients discuss these issues. Our objective was to examine patient-provider communication about substance use behaviors during these visits. AB - METHODS: We audio-taped and transcribed verbatim first prenatal visits in an outpatient hospital clinic, then qualitatively analyzed them for content and process of communication using modified grounded theory methods. AB - RESULTS: Twenty-nine providers (21 residents, 5 midwives, 3 nurse practitioners) and 51 patients participated. Twenty-five patients were smokers, 4 used alcohol, and 11 used drugs. Provider responses to smoking disclosures included discussions of risks, encouragement to quit-cut down, affirmation of attempts to quit-cut down, and referral to smoking cessation programs. Responses to alcohol or drug disclosures included only a general statement regarding risks and referral to genetics. AB - CONCLUSION: Providers were less attentive to alcohol and drugs than smoking where they had pre-established patterns of response. AB - PRACTICE IMPLICATIONS: Providers should discuss behavioral change strategies and motivations with pregnant patients who use drugs and/or alcohol as well as those who smoke. IS - 0738-3991 IL - 0738-3991 DO - http://dx.doi.org/10.1016/j.pec.2008.06.001 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. NO - 5 K12 HD43441-04 (United States NICHD NIH HHS) NO - K12 HD043441 (United States NICHD NIH HHS) NO - K12 HD043441-01 (United States NICHD NIH HHS) NO - K12 HD043441-02 (United States NICHD NIH HHS) NO - K12 HD043441-03 (United States NICHD NIH HHS) NO - L30 RR019716 (United States NCRR NIH HHS) NO - L30 RR019716-01 (United States NCRR NIH HHS) NO - L30 RR019716-02 (United States NCRR NIH HHS) NO - UL1 TR000005 (United States NCATS NIH HHS) LG - English EP - 20080711 DP - 2008 Sep DC - 20080818 YR - 2008 ED - 20081205 RD - 20150414 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18620835 <124. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18728517 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zarling KK AU - Burke MV AU - Gaines KA AU - Gauvin TR FA - Zarling, Kathleen K FA - Burke, Michael V FA - Gaines, Kim A FA - Gauvin, Thomas R IN - Zarling,Kathleen K. Department of Nursing, Mayo Clinic, Rochester, Minnesota, USA. zarling.kathleen@mayo.edu TI - Registered nurse initiation of a tobacco intervention protocol: leading quality care. SO - Journal of Cardiovascular Nursing. 23(5):443-8, 2008 Sep-Oct. AS - J Cardiovasc Nurs. 23(5):443-8, 2008 Sep-Oct. NJ - The Journal of cardiovascular nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - jcn, 8703516 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Clinical Protocols MH - Hospitalization MH - Humans MH - Minnesota MH - Nurse's Role MH - Organizational Case Studies MH - Program Development/mt [Methods] MH - *Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] AB - UNLABELLED: This article summarizes the development and implementation of a registered nurse-initiated protocol to intervene with hospitalized patients who are tobacco-dependent, may be experiencing tobacco withdrawal, and who are hospitalized in a smoke-free environment. AB - RATIONALE: Tobacco use is the leading cause of preventable death in the United States. Hospitalization provides a unique teachable moment to treat tobacco dependence. Nurses can be effective in talking with patients about tobacco use. AB - DEVELOPMENT: The clinical nurse specialist spheres of influence model and the role of the clinical nurse specialist were important for developing a tobacco use intervention protocol. A multi-disciplinary team created key objectives. These included identifying and assessing all patients who use tobacco, providing treatment to manage both withdrawal and address tobacco dependence, providing comfort to patients while hospitalized in a tobacco-free environment, encouraging lifelong cessation. The bedside admitting nurse was chosen as the pivotal professional to trigger tobacco use interventions. AB - IMPLEMENTATION: A protocol was finalized that requires the bedside nurse to assess all patients for past and current tobacco use. The nurse is then prompted to (1) provide information about tobacco dependence and treatment, (2) ask if the patient wants nicotine patch therapy to address withdrawal and, (3) order a consult with a specialist at the patient's request. Extensive and varied educational programs were developed to support the implementation of the protocol. AB - OUTCOMES: The tobacco use intervention protocol has become important for providing assessment and intervention to patients who use tobacco. It has increased the number of specialist consults provided to patients. It has increased compliance with quality reporting data by national quality accrediting bodies. ES - 1550-5049 IL - 0889-4655 DO - http://dx.doi.org/10.1097/01.JCN.0000317451.64778.e9 PT - Journal Article LG - English DP - 2008 Sep-Oct DC - 20080827 YR - 2008 ED - 20081117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18728517 <125. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18547349 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ford R AU - Bammer G AU - Becker N FA - Ford, Rosemary FA - Bammer, Gabriele FA - Becker, Niels IN - Ford,Rosemary. School of Nursing, Australian Catholic University, Fitzroy, Australia. rosemary.ford@acu.edu.au TI - The determinants of nurses' therapeutic attitude to patients who use illicit drugs and implications for workforce development. SO - Journal of Clinical Nursing. 17(18):2452-62, 2008 Sep. AS - J Clin Nurs. 17(18):2452-62, 2008 Sep. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Australia MH - Female MH - Humans MH - Linear Models MH - Male MH - Middle Aged MH - *Nurse's Role/px [Psychology] MH - Nurses/cl [Classification] MH - *Nurses/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - AIM: To examine the determinants of generalist nurses' therapeutic attitude to patients who use illicit drugs, and to model workforce development initiatives. AB - BACKGROUND: Individuals who use illicit drugs rely heavily on healthcare in emergency departments and inpatient hospital wards. Little is known about the determinants of generalist nurses' therapeutic attitude to provide care, therefore limiting our understanding of the important issues for workforce development. AB - DESIGN: The study was a cross-sectional survey of registrants on the Australian Capital Territory Nurses Registration Roll 2002 (N = 3241, 50% response rate). The associations between variables and nurses' therapeutic attitude were examined by multi-variable linear regression analysis. AB - METHOD: Nurses' therapeutic attitude was assessed using a modified version of the Alcohol and Alcohol Problems Perception Questionnaire. Personal characteristics, attitudes to illicit drugs and professional practice variables such as drug and alcohol education, experience with the patient group and role support were examined using a mix of standardised and new questions. AB - RESULTS: Professional practice variables explained 53% of the variation of nurses' therapeutic attitude, the most important being role support. Although a negative attitude to illicit drugs had a statistically significant association with therapeutic attitude, it added less than 1% to the variation explained. Personal characteristics showed no association. AB - CONCLUSIONS: Generalist nurses struggle to provide care to this patient group. Role support was found to be the strongest driver of nurses' therapeutic attitude, and workplace illicit drug education was only useful in combination with high role support. AB - RELEVANCE TO CLINICAL PRACTICE: Nurses' caring role with patients who use illicit drugs is complex and demanding. Nursing workforce development must focus on increasing nurses' role support, in terms of appropriately skilled staff readily available for consultation and advice. Support for nurses, in the form of evidence-based practice standards and appropriate time allocation, is also important. ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2007.02266.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20080628 DP - 2008 Sep DC - 20080818 YR - 2008 ED - 20081106 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18547349 <126. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18763655 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Umatta F FA - Umatta, Festus IN - Umatta,Festus. Thames Valley University. TI - Self-medicating patient taught me always to ask questions. SO - Nursing Standard. 22(37):26, 2008 May 21-27. AS - Nurs Stand. 22(37):26, 2008 May 21-27. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Attitude of Health Personnel MH - Communication MH - *Deception MH - Humans MH - Morphine Dependence/px [Psychology] MH - *Nurse-Patient Relations MH - Nursing Assessment MH - Self Medication/nu [Nursing] MH - *Self Medication/px [Psychology] MH - *Students, Nursing/px [Psychology] IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2008 May 21-27 DC - 20080903 YR - 2008 ED - 20081031 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18763655 <127. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18843829 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shishani K AU - Nawafleh H AU - Sivarajan Froelicher E FA - Shishani, Kawkab FA - Nawafleh, Hani FA - Sivarajan Froelicher, Erika IN - Shishani,Kawkab. Faculty of Nursing, The Hashemite University, PO Box 150459, Zarqa, 13115 Jordan. kawkab.shishani@gmail.com TI - Jordanian nurses' and physicians' learning needs for promoting smoking cessation. SO - Progress in Cardiovascular Nursing. 23(2):79-83, 2008. AS - Prog Cardiovasc Nurs. 23(2):79-83, 2008. NJ - Progress in cardiovascular nursing PI - Journal available in: Print PI - Citation processed from: Print JC - prn, 8704064 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Chi-Square Distribution MH - Clinical Competence MH - Cross-Sectional Studies MH - Female MH - Health Knowledge, Attitudes, Practice MH - *Health Promotion MH - Humans MH - Jordan/ep [Epidemiology] MH - Logistic Models MH - Male MH - Medical Staff, Hospital/ed [Education] MH - Medical Staff, Hospital/px [Psychology] MH - Medical Staff, Hospital/sn [Statistics & Numerical Data] MH - *Medical Staff, Hospital MH - Middle Aged MH - Multivariate Analysis MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - *Nursing Staff, Hospital MH - Prevalence MH - Self Efficacy MH - Sex Distribution MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - *Smoking MH - Smoking Cessation MH - Surveys and Questionnaires AB - Smoking causes many health problems, including myocardial infarction, stroke, and peripheral vascular disease, and has devastating effects on the cardiovascular system. This study was performed to assess: (1) the prevalence of smoking among Jordanian nurses and physicians, (2) the differences in prevalence of smoking by sex, and 3) nurses' and physicians' learning needs for promoting smoking cessation. A descriptive cross-sectional design was used. Five Jordanian hospitals were randomly selected; 164 nurses (65.3%) and 87 physicians (34.7%) participated in the study. Prevalence of smoking among nurses and physicians was 41.5% (n = 66) and 43.6% (n = 38), respectively, and significantly more men than women smoked (odds ratio, 5.45; confidence interval, 2.52-11.74 [P = .00]). Many Jordanian nurses and physicians do not recognize the addictive aspect of smoking, and health professionals receive no formal training in smoking cessation approaches to use with patients. Most nurses and physicians recognize that University curricula must include information about smoking cessation. IS - 0889-7204 IL - 0889-7204 PT - Journal Article LG - English DP - 2008 DC - 20081010 YR - 2008 ED - 20081030 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18843829 <128. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18373952 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Rawaf S FA - Rassool, G Hussein FA - Rawaf, Salman IN - Rassool,G Hussein. Departamento de Enfermagem Psiquiatrica e Ciencias Humanas da Universidade de Sao Paulo - EERP, USP, Ribeirao Preto, Sao Paulo, Brazil. p9800003@sgul.ac.uk TI - The influence of learning styles preference of undergraduate nursing students on educational outcomes in substance use education. SO - Nurse Education in Practice. 8(5):306-14, 2008 Sep. AS - NURSE EDUC PRACT. 8(5):306-14, 2008 Sep. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Consumer Behavior MH - *Education, Nursing, Baccalaureate MH - Female MH - Great Britain MH - Humans MH - *Learning MH - Male MH - Middle Aged MH - Outcome and Process Assessment (Health Care) MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - This paper reports a study identifying the learning styles preference of undergraduate nursing students and examining its influence on educational outcomes. There are limited recent studies in the UK on the learning styles preference of undergraduate and its influence on educational outcomes. A purposive sample of 110 undergraduate nursing students completed a demographic questionnaire and the Honey and Mumford's learning styles inventory. A pre-post-test design was used to evaluate the educational outcomes. Reflector learning styles preference was the dominant learning styles among the majority of undergraduate nursing students. An interesting phenomenon about the distribution of the learning styles preference is the additional "dual" learning style category. The hypothesis that learning styles preference will determine knowledge acquisition, changes in attitude and intervention confidence skills was rejected. However, as this is a multi-layered hypothesis the findings showed that only the dual learning styles preference group was found to have a significant influence in intervention confidence skills. Further research is warranted to replicate this study using the same methodology but with several different population samples specialising in different branch of nursing. As there are limited literature on the dual learning styles preferences, this dual preference phenomenon needs further investigation to establish its acceptability in nursing education. ES - 1873-5223 IL - 1471-5953 DO - http://dx.doi.org/10.1016/j.nepr.2008.02.001 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20080325 DP - 2008 Sep DC - 20080811 YR - 2008 ED - 20081030 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18373952 <129. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18166248 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Rawaf S FA - Rassool, G Hussein FA - Rawaf, Salman IN - Rassool,G Hussein. Departamento de Enfermagem Psiquiatrica e Ciencias Humanas da Universidade de Sao Paulo-EERP, USP, Ribeirao Preto, Sao Paulo, Brazil. p9800003@sgul.ac.uk TI - Predictors of educational outcomes of undergraduate nursing students in alcohol and drug education. SO - Nurse Education Today. 28(6):691-701, 2008 Aug. AS - Nurse Educ Today. 28(6):691-701, 2008 Aug. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - Analysis of Variance MH - *Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - Curriculum/st [Standards] MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Educational Measurement MH - England MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Mass Screening MH - Middle Aged MH - Nurse's Role MH - Nursing Assessment MH - Nursing Education Research MH - Program Evaluation MH - Psychiatric Nursing/ed [Education] MH - Self Efficacy MH - Stereotyping MH - *Students, Nursing/px [Psychology] MH - Substance Abuse Detection MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - This paper reports a study which aimed to evaluate the impact of an educational programme on alcohol and drug on knowledge acquisition, changes in attitude and intervention confidence skills of undergraduate nursing students and identify the influence of selected demographic variables on educational outcomes. Despite the high levels of morbidity and mortality resulting from substance misuse, few nurses have been adequately prepared to respond effectively. There remains a dearth of evidence on the educational interventions in alcohol and drug with undergraduate nursing students and this study intends to add a body of knowledge to this field. A quasi-experimental, pre-post-test design was used using with a purposive sample of four cohorts of undergraduate nursing students (n=110) in England. Pre-tests and post-tests after the educational intervention on alcohol and drug were administered to measure the educational outcomes. The data was collected between March 2002 and September 2003. The results showed the educational intervention on alcohol and drug had a significant impact on educational outcomes. There were significant differences between the pre-test and post-test knowledge mean score (t=-.4.61, d.f.=109, p=0.000), attitude (t=-2.36, d.f.=109, p=0.02) and intervention confidence skills (t=-9.75, d.f.=109, p=0.000). Within the multi-layered hypothesis, the results indicate that only ethnicity was found to have a significant influence on both knowledge acquisition (F(2,106)=6.59, p=0.002) and intervention confidence skills (F(2,106)=15.0, p=0.000). The study provides some evidence that a short intensive educational programme on alcohol and drug can be effective in improving educational outcomes. Further research should be undertaken with undergraduate nurses specialising in different branch of nursing. IS - 0260-6917 IL - 0260-6917 DO - http://dx.doi.org/10.1016/j.nedt.2007.11.005 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20071231 DP - 2008 Aug DC - 20080714 YR - 2008 ED - 20081030 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18166248 <130. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709287 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paredes NP AU - Miasso AI AU - Tirapelli CR FA - Paredes, Nivia Pinos FA - Miasso, Adriana Inocenti FA - Tirapelli, Carlos Renato IN - Paredes,Nivia Pinos. Higher Education Faculty, University of Guayaquil, School of Nursing, Ecuador. TI - Consumption of benzodiazepines without prescription among first-year nursing students at the University of Guayaquil, school of nursing, Ecuador. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:634-9, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:634-9, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Adult MH - *Benzodiazepines MH - Catchment Area (Health) MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Ecuador/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Universities/sn [Statistics & Numerical Data] AB - This study aimed to determine the consumption of benzodiazepines without prescription among first-year students from a nursing school of a public University in Ecuador. This is a descriptive, transversal and explanatory study with a quantitative approach. A questionnaire was used for data collection. The population studied was of 181 students. The results showed that 10.5% of the students had consumed benzodiazepine without prescription once in their lives. Of these, 6.1% consumed benzodiazepine in the last year, and 3.9% are currently consuming it. The diazepam was the most consumed BZD without prescription and pharmacies, were the place of higher access. The main reasons for the benzodiazepine consumption were: insomnia, anxiety, stress, depression, family and economical problems. The use of benzodiazepines with non-medicinal purposes is related to problems such as memory loss, retirement syndrome and sedation. When benzodiazepines are consumed jointly with alcohol or other drugs they can lead to coma or death. This study shows the serious consequences benzodiazepines cause when used by nursing students in Ecuador. RN - 12794-10-4 (Benzodiazepines) IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700021 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709287 <131. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709286 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Delia Rojo M AU - Villela Bueno SM AU - Silva EC FA - Delia Rojo, Maria FA - Villela Bueno, Sonia Maria FA - Silva, Edilaine Cristina da IN - Delia Rojo,Maria. Health Systems and Social Security, Faculty, Cordoba National University, Medical Sciences School, School of Nursing, Argentina. jazni@arnet.com.ar TI - Conceptions of nursing students on health promotion related to psychoactive substances. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:627-33, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:627-33, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - *Attitude of Health Personnel MH - *Health Promotion MH - Humans MH - *Psychotropic Drugs MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] AB - This qualitative study aimed to investigate the perception of undergraduate nursing students on health promotion in view of the use of psychoactive substances. Nine undergraduate students, attending the last disciplines of the first semester, participated in the study and were divided in two focal groups. The theoretical-methodological referential was based on Paulo Freire's theory of conscientization. Data were processed through content analysis, demonstrating that students find difficulties in planning intervention strategies in health promotion in view of the drug phenomenon, because the knowledge provided by the university has a biologist tendency, typical of the medical model, recognizing a gap between theory and practice. Nevertheless, they manage to reconstruct their knowledge and become aware of their role as future health promoters in the face of drug use and abuse. RN - 0 (Psychotropic Drugs) IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700020 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709286 <132. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709285 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Henriquez PC AU - Carvalho AM FA - Henriquez, Patricia Cid FA - Carvalho, Ana Maria Pimenta de IN - Henriquez,Patricia Cid. Ribeirao Preto, College of Nursing, University of Sao Paulo. TI - Perceptions of drugs benefits and barriers to quit by undergraduate health students. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:621-6, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:621-6, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Adult MH - *Attitude MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - Male MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] AB - Several studies have exposed the consumption of drugs by undergraduate students in the health area, who are supposed to be examples of behavior and health educators. This descriptive correlation study aimed to relate the benefits of tobacco consumption and barriers to quit according to the perception of undergraduate students. Eighty third-year students, in three different courses, answered a self-applied questionnaire. The studied variables were: consumption conditions, barriers and benefits regarding drug consumption, family and personal characteristics. One-third of the students reported tobacco use; 5% reported the use of marijuana; 15% alcohol and 6% tranquilizers, more than once a month; 18% reported the consumption of tobacco and 13% reported the use of alcohol even before the age of 15. The perceived benefits were: relaxation, pleasure and social acceptance, whereas barriers for quitting were: habituation and addiction. According to the results, promoting self-responsibility of these future health professionals is recommended in their educational context. IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700019 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709285 <133. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709283 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Abarca AM AU - Pillon SC FA - Abarca, Alfonsyna Montoya de FA - Pillon, Sandra Cristina IN - Abarca,Alfonsyna Montoya de. National Autonomous University of Honduras. TI - Nursing students' perception regarding predicting factors of drugs use. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:607-13, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:607-13, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Adolescent MH - Adult MH - *Attitude MH - Female MH - Honduras MH - Humans MH - Male MH - Risk Factors MH - Street Drugs MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders AB - The study on the perception of 264 (33.2%) nursing students from the Professionalization and Regular groups regarding predicting factors of drugs consumption shows these students consume alcohol and tobacco and view alcohol as a leading factor in the consumption of drugs. The Professionalization group consumes tranquilizers and stimulants at a higher rate than the Regular group. The Professionalization students argue that they have to deal with an excessive personal load: career, job, family and stress. According to them, these factors motivate the consumption of tranquilizers and stimulants. The Professionalization group views the family and religion as protective factors; friends and school, on the other hand, are considered risk factors. Both groups consider drug users as amoral and addicts. The present study provides indicators that can support real actions aimed at improving the education of nursing personnel. RN - 0 (Street Drugs) IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700017 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709283 <134. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709279 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Matute RC AU - Pillon SC FA - Matute, Rosa Camila FA - Pillon, Sandra Cristina IN - Matute,Rosa Camila. National Autonomous University of Honduras. TI - Alcohol consumption by nursing students in Honduras. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:584-9, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:584-9, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Female MH - Honduras/ep [Epidemiology] MH - Humans MH - Male MH - Prevalence MH - *Students, Nursing/sn [Statistics & Numerical Data] AB - The recreational use of alcohol is very frequent in the life of college students. A descriptive study was carried out with nursing students in Honduras, where the use of psychoactive substances represents a considerable health problem, especially the use of alcohol. This study identified that 74.9% were abstinent. Nevertheless, the study focused on drinkers, whose consumption pattern may be changing over time. According to the sample characteristics, most subjects were young working women, students, and Christians. These variables should be considered in the investigation of protective factors against drinking, and in designing preventive actions in the university context. IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700013 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709279 <135. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709277 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hernandez Rodriguez VM AU - Scherer ZA FA - Hernandez Rodriguez, Veronica Margarita FA - Scherer, Zeyne Alves Pires IN - Hernandez Rodriguez,Veronica Margarita. School of Nursing, University Autonoma of Queretaro, Mexico. covetojo@yahoo.com TI - Undergraduate students' motivations for the consumption of legal drugs. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:572-6, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:572-6, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Drug Therapy MH - *Education, Medical, Undergraduate MH - Humans MH - *Motivation MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/ep [Epidemiology] AB - This qualitative research aimed at identifying conceptions held by undergraduate students regarding the term motivation, and motives leading them to the consumption of legal drugs. Data were collected through a questionnaire with four open questions, applied to 15 students of a public university in the central region of Mexico. In order to perform the data analysis, answers were classified in two categories: a) Undergraduate students' conceptions regarding the term motivation and b) Undergraduate students' conceptions regarding the motives for consumption. Such analysis indicated that students identify two types of motivations: external and internal. The external motivation includes family, mass media and friends; whereas internal motivation includes personal characteristics, need of belonging, curiosity, pleasure and idleness. IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700011 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709277 <136. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709276 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oliveira EB AU - Furegato AR FA - Oliveira, Elias Barbosa de FA - Furegato, Antonia Regina Ferreira IN - Oliveira,Elias Barbosa de. Rio de Janeiro State University, Brazil. eliasbo@tutopia.com.br TI - Nursing students' work, a risk factor for the consumption of alcohol and other drugs. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:565-71, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:565-71, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - *Alcohol Drinking/ep [Epidemiology] MH - Anti-Anxiety Agents MH - Humans MH - Prevalence MH - Risk Factors MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Workplace/sn [Statistics & Numerical Data] AB - UNLABELLED: This descriptive, qualitative study aims to describe risk factors, in the work environment, for the consumption of alcohol and other drugs, and also to confirm the importance of protective factors. Interview technique was used with 51 nursing students at the Rio de Janeiro State University, who work in the city's health services. AB - RESULTS: students related work as a risk factor for the consumption of drugs such as alcohol, cigarettes and anxiolytics. We conclude that working with participative methodologies, valuing student's former experiences, family and group life, and individual characteristics are essential in the preventive approach. Attention to protective factors is recommended. RN - 0 (Anti-Anxiety Agents) IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700010 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 RD - 20130520 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709276 <137. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18666908 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Munro I AU - Edward KL FA - Munro, Ian FA - Edward, Karen-Leigh IN - Munro,Ian. School of Nursing, Deakin University, Melbourne Campus, Melbourne, Victoria, Australia. ian.munro@deakin.edu.au TI - Mental illness and substance use: an Australian perspective. [Review] [42 refs] SO - International Journal of Mental Health Nursing. 17(4):255-60, 2008 Aug. AS - Int J Ment Health Nurs. 17(4):255-60, 2008 Aug. NJ - International journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 101140527 SB - Nursing Journal CP - Australia MH - Australia/ep [Epidemiology] MH - Clinical Competence MH - Comorbidity MH - Continuity of Patient Care/og [Organization & Administration] MH - Cooperative Behavior MH - Diagnosis, Dual (Psychiatry) MH - Health Services Needs and Demand MH - Humans MH - Mass Screening MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/th [Therapy] MH - *Mental Health Services/og [Organization & Administration] MH - Nurse's Role MH - Nursing Assessment MH - Prevalence MH - Prognosis MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/og [Organization & Administration] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] MH - Total Quality Management AB - This paper presents a review of the literature of service trends and practice recommendations for management of those with the dual diagnosis of mental illness and substance abuse. The method for the review was to search bibliographical data bases and hand held literature published in English between 1990 and 2007. Using the search terms dual diagnosis, and co-morbidity and mental illness, 93 abstracts were selected and reviewed. The authors concluded that a collaborative approach to care with better integration of drug and alcohol services within mental health would benefit clients with a dual diagnosis. Improved education to enhance the assessment and diagnosis of this client group is also considered essential for clinicians in both mental health and alcohol and drugs services. [References: 42] IS - 1445-8330 IL - 1445-8330 DO - http://dx.doi.org/10.1111/j.1447-0349.2008.00541.x PT - Journal Article PT - Review LG - English DP - 2008 Aug DC - 20080731 YR - 2008 ED - 20081024 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18666908 <138. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17336307 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chan SS AU - Sarna L AU - Danao LL FA - Chan, Sophia Siu-Chee FA - Sarna, Linda FA - Danao, Leda L IN - Chan,Sophia Siu-Chee. Department of Nursing Studies, The University of Hong Kong, Hong Kong SAR, China. nssophia@hkucc.hku.hk TI - Are nurses prepared to curb the tobacco epidemic in China? A questionnaire survey of schools of nursing. SO - International Journal of Nursing Studies. 45(5):706-13, 2008 May. AS - Int J Nurs Stud. 45(5):706-13, 2008 May. NJ - International journal of nursing studies PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - China MH - Clinical Competence MH - Cross-Sectional Studies MH - *Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Faculty, Nursing/sn [Statistics & Numerical Data] MH - Health Knowledge, Attitudes, Practice MH - Health Surveys MH - Hong Kong MH - Humans MH - Needs Assessment MH - Nurse's Role MH - Nursing Education Research MH - Organizational Policy MH - Population Surveillance MH - Prevalence MH - Schools, Nursing/og [Organization & Administration] MH - Smoking/ae [Adverse Effects] MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - *Smoking MH - Smoking Cessation/mt [Methods] MH - Students, Nursing/px [Psychology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - BACKGROUND: Smoking prevalence among Chinese males is the highest in the world and its morbidity and mortality is growing. Previous studies suggested nurses are inadequately prepared to treat tobacco use and dependence. AB - OBJECTIVES: To examine the inclusion and organization of tobacco control content in the undergraduate nursing curriculum of Hong Kong and Mainland China; and the smoking status of faculty and students. AB - DESIGN: Cross-sectional survey. AB - METHODS: Deans of 32 nursing schools in Hong Kong and China with an undergraduate programme (representing over 12000 students) completed a self-administered questionnaire. AB - RESULTS: Most schools included the health hazards of tobacco (56.3-100%), but few covered tobacco cessation theory (31.3-62.5%), or behavioural (9.4-56.3%) and pharmacological (3.1-34.4%) interventions in the curriculum. Most curricula covered less than 1h of tobacco content per year of study. Nearly all schools (93.1%) reported smoking among faculty but only half reported access to smoking cessation programmes. AB - CONCLUSIONS: This is the first known study to examine the extent of tobacco control education in the nursing curriculum in China. Results suggested deficiencies in the coverage and clinical practice in smoking and smoking cessation, and recommendations were made to strengthen the curriculum. IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English EP - 20070302 DP - 2008 May DC - 20080526 YR - 2008 ED - 20081002 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17336307 <139. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18538033 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jorm AF AU - Morgan AJ AU - Wright A FA - Jorm, Anthony F FA - Morgan, Amy J FA - Wright, Annemarie IN - Jorm,Anthony F. ORYGEN Research Centre, Department of Psychiatry, University of Melbourne, Locked Bag 10, Parkville, Victoria, Australia. ajorm@unimelb.edu.au TI - First aid strategies that are helpful to young people developing a mental disorder: beliefs of health professionals compared to young people and parents. SO - BMC Psychiatry. 8:42, 2008. AS - BMC Psychiatry. 8:42, 2008. NJ - BMC psychiatry PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968559 OI - Source: NLM. PMC2438354 SB - Index Medicus CP - England MH - Acute Disease MH - Adolescent MH - Adult MH - Alcoholism/di [Diagnosis] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Australia MH - Child MH - Comorbidity MH - *Crisis Intervention MH - Culture MH - Depressive Disorder/di [Diagnosis] MH - Depressive Disorder/px [Psychology] MH - Depressive Disorder/rh [Rehabilitation] MH - Diagnosis, Differential MH - Female MH - Health Surveys MH - Helping Behavior MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/px [Psychology] MH - *Mental Disorders/rh [Rehabilitation] MH - *Parents/px [Psychology] MH - Patient Acceptance of Health Care/px [Psychology] MH - Patient Care Team MH - Phobic Disorders/di [Diagnosis] MH - Phobic Disorders/px [Psychology] MH - Phobic Disorders/rh [Rehabilitation] MH - Psychotic Disorders/di [Diagnosis] MH - Psychotic Disorders/px [Psychology] MH - Psychotic Disorders/rh [Rehabilitation] MH - Public Opinion MH - Sick Role MH - Suicide/pc [Prevention & Control] MH - Suicide/px [Psychology] AB - BACKGROUND: Little is known about the best ways for a member of the public to respond when someone in their social network develops a mental disorder. Controlled trials are not feasible in this area, so expert consensus may be the best guide. AB - METHODS: To assess expert views, postal surveys were carried out with Australian GPs, psychiatrists and psychologists listed on professional registers and with mental health nurses who were members of a professional college. These professionals were asked to rate the helpfulness of 10 potential first aid strategies for young people with one of four disorders: depression, depression with alcohol misuse, social phobia and psychosis. Data were obtained from 470 GPs, 591 psychiatrists, 736 psychologists and 522 mental health nurses, with respective response rates of 24%, 35%, 40% and 32%. Data on public views were available from an earlier telephone survey of 3746 Australian youth aged 12-25 years and 2005 of their parents, which included questions about the same strategies. AB - RESULTS: A clear majority across the four professions believed in the helpfulness of listening to the person, suggesting professional help-seeking, making an appointment for the person to see a GP and asking about suicidal feelings. There was also a clear majority believing in the harmfulness of ignoring the person, suggesting use of alcohol to cope, and talking to them firmly. Compared to health professionals, young people and their parents were less likely to believe that asking about suicidal feelings would be helpful and more likely to believe it would be harmful. They were also less likely to believe that talking to the person firmly would be harmful. AB - CONCLUSION: Several first aid strategies can be recommended to the public based on agreement of clinicians about their likely helpfulness. In particular, there needs to be greater public awareness of the helpfulness of asking a young person with a mental health problem about suicidal feelings. ES - 1471-244X IL - 1471-244X DO - http://dx.doi.org/10.1186/1471-244X-8-42 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20080608 DP - 2008 DC - 20080625 YR - 2008 ED - 20080829 RD - 20140903 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18538033 <140. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18585647 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Locca JF AU - Bula CJ AU - Zumbach S AU - Bugnon O FA - Locca, Jean-Francois FA - Bula, Christophe J FA - Zumbach, Serge FA - Bugnon, Oliver IN - Locca,Jean-Francois. Universities of Lausanne and Geneva, Community Pharmacy Practice Research Unit, Pharmacie de la PMU, Lausanne, Switzerland. TI - Pharmacological treatment of behavioral and psychological symptoms of dementia (BPSD) in nursing homes: development of practice recommendations in a Swiss canton. [Review] [50 refs][Erratum appears in J Am Med Dir Assoc. 2008 Oct;9(8):611] SO - Journal of the American Medical Directors Association. 9(6):439-48, 2008 Jul. AS - J AM MED DIR ASSOC. 9(6):439-48, 2008 Jul. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print PI - Citation processed from: Internet JC - 100893243 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - *Dementia/px [Psychology] MH - Female MH - *Homes for the Aged MH - Humans MH - Male MH - *Mental Disorders/dt [Drug Therapy] MH - Meta-Analysis as Topic MH - *Nursing Homes MH - *Practice Guidelines as Topic MH - Switzerland AB - OBJECTIVES: In 2002, the canton of Fribourg, Switzerland, implemented a coordinated pharmaceutical care service in nursing homes to promote rational drug use. In the context of this service, a project was conducted to develop recommendations for the pharmacological management of behavioral and psychological symptoms of dementia (BPSD) in nursing home residents. AB - DESIGN AND METHODS: Selected evidence-based guidelines and meta-analysis sources related to the management of depression, insomnia, and agitation in dementia patients were systematically searched and evaluated. Evidence and controversies regarding the pharmacological treatment of the most common BPSD symptoms were reviewed, and treatment algorithms were developed. AB - RESULTS: Ten evidence-based guidelines and meta-analyses for BPSD management were identified, with none specifically addressing issues related to nursing home residents. Based on this literature, recommendations were developed for the practice of pharmacological management of depression, sleep disturbances, and agitation in nursing home residents. For depression, SSRIs are considered the first choice if an antidepressant is required. No clear evidence has been found for sleep disturbances; the underlying conditions need to be investigated closely before the introduction of any drug therapy. Many drugs have been investigated for the treatment of agitation, and if necessary, antipsychotics could be used, although they have significant side effects. Several areas of uncertainty were identified, such as the current controversy about typical and atypical antipsychotic use or the appropriateness of cholinesterase inhibitors for controlling agitation. Treatment algorithms were presented to general practitioners, pharmacists, and medical directors of nursing homes in the canton of Fribourg, and will now be implemented progressively, using educational sessions, pharmaceutical counseling, and monitoring. AB - CONCLUSION: Based on existing evidence-based studies, recommendations were developed for the practice of pharmacological management of depression, sleep disturbances, and agitation in nursing home residents. It should be further studied whether these algorithms implemented through pharmaceutical care services will improve psychotropic drug prescriptions and prevent drug-related problems in nursing home residents. [References: 50] ES - 1538-9375 IL - 1525-8610 DO - http://dx.doi.org/10.1016/j.jamda.2008.04.003 PT - Journal Article PT - Review LG - English DP - 2008 Jul DC - 20080630 YR - 2008 ED - 20080826 RD - 20090326 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18585647 <141. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18042433 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vadlamudi RS AU - Adams S AU - Hogan B AU - Wu T AU - Wahid Z FA - Vadlamudi, Raja S FA - Adams, Susie FA - Hogan, Beth FA - Wu, Tiejian FA - Wahid, Zia IN - Vadlamudi,Raja S. Section of General Internal Medicine, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA. rvadlamu@wfubmc.edu TI - Nurses' attitudes, beliefs and confidence levels regarding care for those who abuse alcohol: impact of educational intervention. SO - Nurse Education in Practice. 8(4):290-8, 2008 Jul. AS - NURSE EDUC PRACT. 8(4):290-8, 2008 Jul. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - *Education, Nursing, Continuing MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nursing Evaluation Research MH - Primary Health Care/mt [Methods] MH - Self Efficacy MH - Surveys and Questionnaires AB - Alcohol abuse is a worldwide public health concern. Nurses, representing the largest body of health care providers, are a potential resource to provide screening and brief intervention for patients with alcohol problems. This study evaluates the effect of an educational intervention on the attitudes, beliefs, and confidence levels of nurses regarding screening and brief intervention for alcohol problems. One hundred eighty-one students at Vanderbilt University School of Nursing participated in a four-hour educational intervention to train providers in brief negotiated intervention (BNI) for screening, early detection and brief treatment of alcohol problems. Participants completed questionnaires before and after this training. Analysis of the data using paired t-test and one-way analysis of variance showed statistically significant positive change in the nurses' attitudes, beliefs, and confidence levels regarding alcohol abuse and its treatment after the educational intervention. For example, the percentage of nurses who reported always having confidence in assessing patients' readiness to change their behavior increased from 8.3% to 23.5% after training. In conclusion, the BNI educational intervention can be effective in promoting positive changes among nurses in attitudes, beliefs, and confidence levels regarding alcohol abuse and its treatment. ES - 1873-5223 IL - 1471-5953 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. LG - English EP - 20071126 DP - 2008 Jul DC - 20080602 YR - 2008 ED - 20080819 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18042433 <142. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18472260 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gustafson DL AU - Goodyear L AU - Keough F FA - Gustafson, Diana L FA - Goodyear, Lesley FA - Keough, Fran IN - Gustafson,Diana L. Division of Community Health and Humanities, Faculty of Medicine HSC 2834, Memorial University, St. John's, NL A1B 3V6, Canada. diana.gustafson@med.mun.ca TI - When the dragon's awake: a needs assessment of people injecting drugs in a small urban centre. SO - International Journal of Drug Policy. 19(3):189-94, 2008 Jun. AS - Int J Drug Policy. 19(3):189-94, 2008 Jun. NJ - The International journal on drug policy PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9014759 SB - Index Medicus CP - Netherlands MH - Data Collection MH - Female MH - Focus Groups MH - Harm Reduction MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Male MH - *Needs Assessment MH - Newfoundland and Labrador MH - Nurse's Role MH - *Substance Abuse, Intravenous/px [Psychology] MH - *Urban Health Services/sd [Supply & Distribution] AB - BACKGROUND: St. John's, Newfoundland and Labrador is one of the smallest Canadian provincial capitals. Like other Canadian coastal communities, St. John's has been affected by dramatic economic and institutional restructuring that negatively impacted community health. Marginalized populations including people who inject drugs are more negatively affected by the gap between health needs and available services. AB - METHODS: A mixed methods needs assessment began with a survey and key informant and focus group interviews to determine attitudes, knowledge, and practices of people with current or previous experience injecting drugs. An environmental scan of programmes and services was conducted followed by a community consultation with key stakeholders, community agencies, study participants, the media, and members of the public to share and validate findings, solicit feedback, and gather data about future knowledge transfer activities. AB - RESULTS: This paper examines two of the five barriers to health and health services for people injecting drugs: First, there was a discrepancy amongst people injecting drugs between awareness and use of safer practices, and second, there was a limited formalized network of health and social programmes and services. AB - CONCLUSION: Accurate and timely information about safer practices, whilst an essential component of a harm reduction approach, is insufficient to reduce the risk of negative health outcomes for people injecting drugs. Funding new programmes and services, although desirable, is not always feasible in small urban centres with limited human and material resources. Recommendations for promoting health, reducing harm, and building local capacity must consider these limitations. Registered nurses are well positioned to provide leadership through collaborative community-based research, education and advocacy. ES - 1873-4758 IL - 0955-3959 DO - http://dx.doi.org/10.1016/j.drugpo.2008.01.005 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20080512 DP - 2008 Jun DC - 20080526 YR - 2008 ED - 20080722 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18472260 <143. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18367389 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wood RA AU - Wood E AU - Lai C AU - Tyndall MW AU - Montaner JS AU - Kerr T FA - Wood, R Alan FA - Wood, Evan FA - Lai, Calvin FA - Tyndall, Mark W FA - Montaner, Julio S G FA - Kerr, Thomas IN - Wood,R Alan. University of British Columbia School of Nursing, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5 Canada. nurse1@interchange.ubc.ca TI - Nurse-delivered safer injection education among a cohort of injection drug users: evidence from the evaluation of Vancouver's supervised injection facility. SO - International Journal of Drug Policy. 19(3):183-8, 2008 Jun. AS - Int J Drug Policy. 19(3):183-8, 2008 Jun. NJ - The International journal on drug policy PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9014759 SB - Index Medicus CP - Netherlands MH - Adult MH - British Columbia MH - Cohort Studies MH - Female MH - *Harm Reduction MH - Humans MH - Male MH - Multivariate Analysis MH - Nurse's Role MH - *Patient Education as Topic/mt [Methods] MH - Prospective Studies MH - Risk Factors MH - Sex Factors MH - Street Drugs/ae [Adverse Effects] MH - *Substance Abuse Treatment Centers/mt [Methods] MH - *Substance Abuse, Intravenous AB - BACKGROUND: Despite growing implementation of harm reduction programs internationally, unsafe injecting practices remain common among injection drug users (IDU). In response, nursing interventions such as safer injection education (SIE) have been called for. In Vancouver, a supervised injection facility (SIF), where IDU inject pre-obtained illicit drugs under nursing supervision, opened in 2003 in an effort to reduce the impacts of unsafe injecting. We sought to characterize the state of nursing SIE practice in Vancouver and prospectively examine SIE among SIF users. AB - METHODS: We examined correlates of receiving SIE among participants in the Scientific Evaluation of Supervised Injecting (SEOSI) cohort. The SEOSI cohort was derived through random recruitment of SIF users. Characteristics of participants who reported receiving SIE from SIF nurses were examined using bivariate and multivariate generalized estimating equations. AB - RESULTS: 1087 SEOSI participants were surveyed between March 2004 and March 2005 and included in this analysis. Approximately one third of participants reported receiving SIE at baseline and an additional 13.3% reported receiving SIE during follow-up. Those receiving SIE from SIF nurses were more likely to be females (AOR=1.55; 95% CI: 1.18-2.04), persons requiring injecting assistance (AOR=1.52; 95% CI: 1.26-1.84), binge users (AOR=1.37; 95% CI: 1.14-1.64), and those using the SIF for most of their injections (AOR=1.47; 95% CI: 1.22-1.77). AB - CONCLUSIONS: These findings provide evidence to support the need for nurse-delivered SIE in reaching IDU most at risk for injection-related harm. SIFs may afford unique opportunities to deliver SIE to high-risk populations. Individuals receiving SIE from Vancouver's SIF nurses were likely to possess characteristics associated with adverse health outcomes, including HIV infection. RN - 0 (Street Drugs) ES - 1873-4758 IL - 0955-3959 DO - http://dx.doi.org/10.1016/j.drugpo.2008.01.003 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20080326 DP - 2008 Jun DC - 20080526 YR - 2008 ED - 20080722 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18367389 <144. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18515922 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Davis PM AU - Carr TL AU - La CB FA - Davis, Penelope M FA - Carr, Tracey L FA - La, Cindy B IN - Davis,Penelope M. Division of Continuing Professional Learning, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan. TI - Needs assessment and current practice of alcohol risk assessment of pregnant women and women of childbearing age by primary health care professionals. SO - Canadian Journal of Clinical Pharmacology. 15(2):e214-22, 2008. AS - Can J Clin Pharmacol. 15(2):e214-22, 2008. NJ - The Canadian journal of clinical pharmacology = Journal canadien de pharmacologie clinique PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dh4, 9804162 SB - Index Medicus CP - Canada MH - *Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/ep [Epidemiology] MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Humans MH - Male MH - Mass Screening/mt [Methods] MH - Mass Screening/sn [Statistics & Numerical Data] MH - *Needs Assessment/sn [Statistics & Numerical Data] MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/sn [Statistics & Numerical Data] MH - Physicians, Family/ed [Education] MH - Physicians, Family/sn [Statistics & Numerical Data] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Preconception Care/mt [Methods] MH - Pregnancy MH - Prenatal Care/mt [Methods] MH - *Primary Health Care/sn [Statistics & Numerical Data] MH - Risk Assessment/sn [Statistics & Numerical Data] MH - Saskatchewan MH - Sex Factors MH - Surveys and Questionnaires AB - BACKGROUND: Assessing the current practices and learning and resource needs of primary health care professionals in regards to their alcohol risk assessment practices is an important step in providing optimal training and educational methods. Needs and current practices in alcohol risk assessment of pregnant women and women of child bearing years may vary according to practitioner demographics. AB - METHODS: To appraise alcohol risk assessment current practices and learning and resource needs among Saskatchewan primary health care professionals, a mail and online survey was distributed in the spring of 2006 to family physicians/general practitioners and nurse practitioners. AB - RESULTS: In total, 876 surveys were distributed and 386 were returned for an overall response rate of 44.1%. The majority of survey respondents reported either rarely or never using a standardized screening tool in assessing alcohol risk in women or reported using a standardized screening tool that is less sensitive. Current practices varied according to gender, length of time in practice and practice location, while learning and resource needs were more likely to be identified by nurse practitioners, female physicians, and physicians from rural areas. Physicians who had practiced for less than 5 years were more likely to want an online course. AB - DISCUSSION: Knowing the needs and practices of health care professionals may assist learning and resource training and could assist in teaching best practices in alcohol risk assessment. Assessing alcohol risk in pregnant women and women of childbearing age is critical for prevention of FASD. IS - 1198-581X IL - 1198-581X PT - Journal Article LG - English EP - 20080601 DP - 2008 DC - 20080602 YR - 2008 ED - 20080708 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18515922 <145. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18453843 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahn C AU - Mulligan P AU - Salcido RS FA - Ahn, Chulhyun FA - Mulligan, Peter FA - Salcido, Richard Sal IN - Ahn,Chulhyun. Department of Physical Medicine and Rehabilitation, University of Pennsylvania School of Medicine, Philadelphia, PA, USA. TI - Smoking-the bane of wound healing: biomedical interventions and social influences. [Review] [71 refs] SO - Advances in Skin & Wound Care. 21(5):227-36; quiz 237-8, 2008 May. AS - Adv Skin Wound Care. 21(5):227-36; quiz 237-8, 2008 May. NJ - Advances in skin & wound care PI - Journal available in: Print PI - Citation processed from: Internet JC - dkd, 100911021 SB - Nursing Journal CP - United States MH - Advertising as Topic MH - Health Promotion MH - Humans MH - Program Development MH - Program Evaluation MH - *Smoking/ae [Adverse Effects] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - Smoking Cessation/mt [Methods] MH - Substance-Related Disorders MH - Wound Healing/de [Drug Effects] MH - *Wound Healing/ph [Physiology] MH - *Wounds and Injuries/th [Therapy] AB - PURPOSE: To provide wound care practitioners with information about the effects of smoking on wound healing. AB - TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in wound care. AB - OBJECTIVES: After reading this article and taking this test, the reader should be able to: 1. Describe the physiologic relationship between smoking and wound healing. 2. Discuss the phenomenon of smoking addiction and both pharmacologic and behavioral approaches to smoking cessation. [References: 71] ES - 1538-8654 IL - 1527-7941 DO - http://dx.doi.org/10.1097/01.ASW.0000305440.62402.43 PT - Journal Article PT - Review LG - English DP - 2008 May DC - 20080505 YR - 2008 ED - 20080620 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18453843 <146. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18407355 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Suwanpimolkul G AU - Pongkumpai M AU - Suankratay C FA - Suwanpimolkul, Gompol FA - Pongkumpai, Montri FA - Suankratay, Chusana IN - Suwanpimolkul,Gompol. Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkorn University, PhraramIV Road, Pathumwan, Bangkok 10330, Thailand. TI - A randomized trial of 2% chlorhexidine tincture compared with 10% aqueous povidone-iodine for venipuncture site disinfection: Effects on blood culture contamination rates. SO - Journal of Infection. 56(5):354-9, 2008 May. AS - J Infect. 56(5):354-9, 2008 May. NJ - The Journal of infection PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ig9, 7908424 SB - Index Medicus CP - England MH - *Anti-Infective Agents, Local/ad [Administration & Dosage] MH - Blood/mi [Microbiology] MH - Blood Specimen Collection MH - *Chlorhexidine/ad [Administration & Dosage] MH - *Disinfectants/ad [Administration & Dosage] MH - Disinfection/mt [Methods] MH - Emergency Service, Hospital MH - *Equipment Contamination MH - Female MH - Gram-Positive Bacteria/cl [Classification] MH - Gram-Positive Bacteria/ip [Isolation & Purification] MH - Hospital Units MH - Humans MH - Male MH - *Phlebotomy MH - *Povidone-Iodine/ad [Administration & Dosage] MH - Skin/mi [Microbiology] MH - Thailand MH - Treatment Outcome AB - BACKGROUND: Contaminated blood cultures have been recognized as a bothersome issue, and continue to cause frustration for clinicians. Skin antiseptics can prevent blood culture contamination. To our knowledge, there have been no randomized studies to compare 2% alcoholic chlorhexidine and 10% aqueous povidone-iodine for venipuncture site disinfection. AB - OBJECTIVE: This study aimed to evaluate the efficacy of venipuncture site disinfection with 2% chlorhexidine in 70% alcohol and 10% aqueous povidone-iodine in preventing blood culture contamination. AB - PATIENTS AND METHODS: A prospectively randomized investigator-blinded trial was conducted in all patients in the medical wards and emergency room (ER) at King Chulalongkorn Memorial Hospital, Bangkok, Thailand, from August to October, 2006. Venipuncture sites were disinfected with 2% chlorhexidine in 70% alcohol or 10% aqueous povidone-iodine, and blood cultures were taken by students, residents, or nurses. AB - RESULTS: Of 2146 blood cultures, 108 (5.03%) were contaminated with skin flora. The blood culture contamination rate with 2% alcoholic chlorhexidine was 3.2% (34 of 1068), compared with a rate of 6.9% (74 of 1078) (P<0.001) with 10% aqueous povidone-iodine. In medical wards, the contamination rates were 2.6% and 3.9% with 2% alcoholic chlorhexidine and 10% aqueous povidone-iodine (P=0.2). In ER, the contamination rates were 4.3% and 12.5% with 2% alcoholic chlorhexidine and 10% aqueous povidone-iodine (P<0.001). The most common contaminant was coagulase-negative Staphylococcus (80.6%), followed by Corynebacterium (7.4%), Micrococcus (6.5%), and Bacillus (5.5%). AB - CONCLUSION: Two percent alcoholic chlorhexidine is superior to 10% aqueous povidone-iodine for venipuncture site disinfection before obtaining blood cultures. RN - 0 (Anti-Infective Agents, Local) RN - 0 (Disinfectants) RN - 25655-41-8 (Povidone-Iodine) RN - R4KO0DY52L (Chlorhexidine) ES - 1532-2742 IL - 0163-4453 DO - http://dx.doi.org/10.1016/j.jinf.2008.03.001 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial LG - English EP - 20080414 DP - 2008 May DC - 20080502 YR - 2008 ED - 20080620 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18407355 <147. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17643558 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Rawaf S FA - Rassool, G Hussein FA - Rawaf, Salman IN - Rassool,G Hussein. Addiction and Mental Health, Departamento de Enfermagem Psiquiatrica e Ciencias Humanas da Universidade de Sao Paulo-EERP, USP, Sao Paulo, Brazil. grassool@sgul.ac.uk TI - Educational intervention of undergraduate nursing students' confidence skills with alcohol and drug misusers. SO - Nurse Education Today. 28(3):284-92, 2008 Apr. AS - Nurse Educ Today. 28(3):284-92, 2008 Apr. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - *Clinical Competence MH - *Education, Nursing MH - Female MH - Great Britain MH - Humans MH - Male MH - Program Evaluation MH - *Self Efficacy MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] AB - There is a paucity literature on the educational interventions and evaluation programmes in alcohol and drug with undergraduate nursing students in the United Kingdom and this study intends to add a body of knowledge to this area. The aim of the study was to assess the intervention confidence skills of undergraduate nursing students before and after an educational intervention on alcohol and drug misuse. The research study is a quasi-experimental, pre- and post-test design. The sample was made of four cohorts of undergraduate nursing students (n=110) enrolled at a course leading to a diploma or BSc in nursing from three educational institutions. A visual analogue scale was used to measure intervention confidence skills before and after the educational programme in alcohol and drug. The findings showed an improvement in the level of intervention confidence skills of undergraduate nursing students. Further research is needed to examine effectiveness of educational interventions in working with substance misusers and whether substance misuse education is the key predictor of changing in changing intervention confidence skills. IS - 0260-6917 IL - 0260-6917 PT - Clinical Trial PT - Journal Article PT - Multicenter Study LG - English EP - 20070723 DP - 2008 Apr DC - 20080310 YR - 2008 ED - 20080603 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17643558 <148. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18257760 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCartan B AU - McCreary C AU - Healy C FA - McCartan, B FA - McCreary, C FA - Healy, C IN - McCartan,B. Anatomy Department, Royal College of Surgeons, Dublin, Ireland. bmccartan@rcsi.ie TI - Attitudes of Irish dental, dental hygiene and dental nursing students and newly qualified practitioners to tobacco use cessation: a national survey. SO - European Journal of Dental Education. 12(1):17-22, 2008 Feb. AS - Eur J Dent Educ. 12(1):17-22, 2008 Feb. NJ - European journal of dental education : official journal of the Association for Dental Education in Europe PI - Journal available in: Print PI - Citation processed from: Print JC - 9712132, c1l SB - Dental Journals CP - Denmark MH - Adult MH - Attitude of Health Personnel/eh [Ethnology] MH - *Dental Assistants/ed [Education] MH - Dental Assistants/px [Psychology] MH - *Dental Hygienists/ed [Education] MH - Dental Hygienists/px [Psychology] MH - Dentists/px [Psychology] MH - *Education, Dental/st [Standards] MH - Ethnic Groups/sn [Statistics & Numerical Data] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion/mt [Methods] MH - Humans MH - Ireland MH - Male MH - Patient Education as Topic/mt [Methods] MH - *Tobacco Use Cessation/mt [Methods] MH - Tobacco Use Disorder/pc [Prevention & Control] AB - BACKGROUND: Ireland has some of the strictest smoking regulations in the world. Little is known of the attitudes of student Irish dental healthcare workers towards tobacco control and tobacco use cessation. This study aimed at determining the knowledge and attitudes of these students towards the deleterious effects of tobacco in the mouth and towards tobacco use cessation in dental practice. AB - METHOD: A questionnaire survey was distributed to 654 students (including newly qualified) on dentistry, dental hygiene and dental nursing programmes in Irish dental schools. Information sought included college, course, year of study, sex, age, nationality, smoking status, knowledge of effects of tobacco in the mouth and attitudes towards tobacco use cessation in dental practice and towards the Irish smoking bans. AB - MAIN FINDINGS: There was a 90% response rate. In all, 12% of dental students, 25% of dental hygiene students and 31% of dental nursing students were current smokers. Newly qualified dental hygienists were as knowledgeable about tobacco effects in the mouth as newly qualified dentists. Overall, the majority in each student category believed that all three groups could be effective tobacco counsellors and should provide tobacco use cessation counselling to patients, although less than half of evening course dental nursing students felt that dental nurses could be effective counsellors or should provide counselling. There was overwhelming support for the Irish smoking ban. Only a minority of dental students and dental nursing students had received instruction in tobacco use cessation counselling. AB - CONCLUSIONS: There are strong positive attitudes to tobacco use cessation counselling in dental practice among these young dental healthcare students. This is true even amongst those who have not received specific instruction in tobacco use cessation counselling. IS - 1396-5883 IL - 1396-5883 DO - http://dx.doi.org/10.1111/j.1600-0579.2007.00466.x PT - Comparative Study PT - Journal Article LG - English DP - 2008 Feb DC - 20080208 YR - 2008 ED - 20080522 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18257760 <149. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18399398 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Littlejohn C AU - Holloway A FA - Littlejohn, Christopher FA - Holloway, Aisha IN - Littlejohn,Christopher. NHS Tayside Alcohol Problems Service, Dundee. TI - Nursing interventions for preventing alcohol-related harm. [Review] [33 refs] SO - British Journal of Nursing. 17(1):53-9, 2008 Jan 10-23. AS - Br J Nurs. 17(1):53-9, 2008 Jan 10-23. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Alcoholism/co [Complications] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - *Directive Counseling/mt [Methods] MH - *Health Promotion/mt [Methods] MH - Humans MH - Mass Screening/mt [Methods] MH - Mass Screening/nu [Nursing] MH - Mass Screening/px [Psychology] MH - Medical History Taking/mt [Methods] MH - Models, Nursing MH - Motivation MH - Negotiating/mt [Methods] MH - Negotiating/px [Psychology] MH - Nurse's Role/px [Psychology] MH - *Nurse's Role MH - *Nursing Assessment/mt [Methods] MH - Nursing Assessment/og [Organization & Administration] MH - Nutrition Policy MH - *Patient Participation/mt [Methods] MH - Patient Participation/px [Psychology] MH - Practice Guidelines as Topic MH - Psychotherapy, Brief MH - Severity of Illness Index AB - Harrington-Dobinson and Blows recently provided a three-part series of articles on alcohol, its consequences for health and wellbeing, and the role of the nurse. Their third article outlined the health education and health promotion role of the nurse. They outlined basic principles for nursing practice in relation to the patient with alcohol dependence in the acute general hospital. The authors of this article believe that much more can, and must, be said in relation to the vital issue of nurses' clinical interventions for alcohol. This article builds on the third article from Harrington-Dobinson and Blows by outlining, in more concrete terms, how nurses in all settings can effectively intervene with patients. It introduces the current evidence-based guidelines in this area and use the 'consensus model' contained within them to describe the process of effective alcohol intervention. Using dialogue examples to illustrate the research, the authors introduce the literature on brief interventions and motivational interviewing to the nursing audience. [References: 33] IS - 0966-0461 IL - 0966-0461 PT - Journal Article PT - Review LG - English DP - 2008 Jan 10-23 DC - 20080410 YR - 2008 ED - 20080502 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18399398 <150. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18349768 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bryant SK FA - Bryant, Saovarot K IN - Bryant,Saovarot K. St. Mary Health Center, Richmond Heights, Missouri, USA. skpom@hotmail.com TI - Smoking cessation strategies by nurses in an acute care setting. SO - Journal for Nurses in Staff Development - JNSD. 24(1):31-5, 2008 Jan-Feb. AS - J Nurses Staff Dev. 24(1):31-5, 2008 Jan-Feb. NJ - Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization PI - Journal available in: Print PI - Citation processed from: Internet JC - 9809908, C30 SB - Nursing Journal CP - United States MH - Acute Disease MH - Attitude of Health Personnel MH - *Critical Care MH - Educational Measurement MH - Educational Status MH - Health Care Surveys MH - Humans MH - Inservice Training MH - North Carolina MH - Pilot Projects MH - Program Development MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - Social Perception MH - Surveys and Questionnaires AB - Smoking Cessation Strategies by Nurses in an Acute Care Setting is a pilot educational project for registered nurses (RNs) at a teaching community hospital in the Southeast. The purpose of this project is to provide an inservice education session using the recommendation of the National Guideline Clearinghouse in Treating Tobacco Use and Dependence and the Guideline from the U.S. Public Health Service. A convenience sample of 49 RNs completed a 10-question pretest and 10-question posttest on perceptions about smoking cessation assessment, strategies, and documentation. After the inservice education, the result showed a significant improvement of RN perception in smoking cessation assessment, strategies, and documentation. ES - 1538-9049 IL - 1098-7886 DO - http://dx.doi.org/10.1097/01.NND.0000300849.35340.60 PT - Journal Article LG - English DP - 2008 Jan-Feb DC - 20080321 YR - 2008 ED - 20080430 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18349768 <151. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18330421 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Durkin A FA - Durkin, Anne IN - Durkin,Anne. Quinnipiac University, Hamden, Connecticut, USA. anne.durkin@quinnipiac.edu TI - Educating nursing students about the dangers of drinking games. [Review] [25 refs] SO - Nursing Education Perspectives. 29(1):38-41, 2008 Jan-Feb. AS - Nurs Educ Perspect. 29(1):38-41, 2008 Jan-Feb. NJ - Nursing education perspectives PI - Journal available in: Print PI - Citation processed from: Print JC - 101140025 SB - Nursing Journal CP - United States MH - *Alcoholism/pc [Prevention & Control] MH - Curriculum MH - Education, Nursing MH - *Health Education/mt [Methods] MH - Humans MH - *Students, Nursing/px [Psychology] AB - Alcohol abuse is a serious problem among college students, and drinking games are a common, yet risky practice in this population. This article provides a description of different types of drinking games along with a discussion of the risks of participation, factors that may lead college students to participate, interventions that may help reduce student participation, and reasons why nurse faculty should consider incorporating information about drinking games into their curricula. [References: 25] IS - 1536-5026 IL - 1536-5026 PT - Journal Article PT - Review LG - English DP - 2008 Jan-Feb DC - 20080311 YR - 2008 ED - 20080429 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18330421 <152. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18005415 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kotz D AU - Wesseling G AU - Huibers MJ AU - van Schayck OC FA - Kotz, Daniel FA - Wesseling, Geertjan FA - Huibers, Marcus J H FA - van Schayck, Onno C P IN - Kotz,Daniel. Department of General Practice, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands. d.kotz@hag.unimaas.nl TI - Efficacy of confrontational counselling for smoking cessation in smokers with previously undiagnosed mild to moderate airflow limitation: study protocol of a randomized controlled trial. SO - BMC Public Health. 7:332, 2007. AS - BMC Public Health. 7:332, 2007. NJ - BMC public health PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 OI - Source: NLM. PMC2234415 SB - Index Medicus CP - England MH - *Adrenergic Uptake Inhibitors/tu [Therapeutic Use] MH - Combined Modality Therapy MH - *Counseling/mt [Methods] MH - Humans MH - *Nortriptyline/tu [Therapeutic Use] MH - *Patient Education as Topic MH - Pulmonary Disease, Chronic Obstructive/di [Diagnosis] MH - *Smoking Cessation/mt [Methods] MH - *Spirometry AB - BACKGROUND: The use of spirometry for early detection of chronic obstructive pulmonary disease (COPD) is still an issue of debate, particularly because of a lack of convincing evidence that spirometry has an added positive effect on smoking cessation. We hypothesise that early detection of COPD and confrontation with spirometry for smoking cessation may be effective when applying an approach we have termed "confrontational counselling"; a patient-centred approach which involves specific communication skills and elements of cognitive therapy. An important aspect is to confront the smoker with his/her airflow limitation during the counselling sessions. The primary objective of this study is to test the efficacy of confrontational counselling in comparison to regular health education and promotion for smoking cessation delivered by specialized respiratory nurses in current smokers with previously undiagnosed mild to moderate airflow limitation. AB - METHODS/DESIGN: The study design is a randomized controlled trial comparing confrontational counselling delivered by a respiratory nurse combined with nortriptyline for smoking cessation (experimental group), health education and promotion delivered by a respiratory nurse combined with nortriptyline for smoking cessation (control group 1), and "care as usual" delivered by the GP (control group 2). Early detection of smokers with mild to moderate airflow limitation is achieved by means of a telephone interview in combination with spirometry. Due to a comparable baseline risk of airflow limitation and motivation to quit smoking, and because of the standardization of number, duration, and scheduling of counselling sessions between the experimental group and control group 1, the study enables to assess the "net" effect of confrontational counselling. The study has been ethically approved and registered. AB - DISCUSSION: Ethical as well as methodological considerations of the study are discussed in this protocol. A significant and relevant effect of confrontational counselling would provide an argument in favour of early detection of current smokers with airflow limitation. Successful treatment of tobacco dependence in respiratory patients requires repeated intensive interventions. The results of this study may also show that respiratory nurses are able to deliver this treatment and that intensive smoking cessation counselling is more feasible. AB - TRIAL REGISTRATION: : Netherlands Trial Register (ISRCTN 64481813). RN - 0 (Adrenergic Uptake Inhibitors) RN - BL03SY4LXB (Nortriptyline) ES - 1471-2458 IL - 1471-2458 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't SI - ISRCTN SA - ISRCTN/ISRCTN64481813 SL - http://www.controlled-trials.com/ISRCTN64481813 LG - English EP - 20071115 DP - 2007 DC - 20080208 YR - 2007 ED - 20080428 RD - 20140904 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18005415 <153. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17364148 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chan KY AU - Stoove MA AU - Sringernyuang L AU - Reidpath DD FA - Chan, Kit Yee FA - Stoove, Mark A FA - Sringernyuang, Luechai FA - Reidpath, Daniel D IN - Chan,Kit Yee. School of Health and Social Development, Deakin University, 221 Burwood Highway, Burwood, Melbourne, 3125, VIC, Australia. kit.chan@deakin.edu.au TI - Stigmatization of AIDS patients: disentangling Thai nursing students' attitudes towards HIV/AIDS, drug use, and commercial sex. SO - AIDS & Behavior. 12(1):146-57, 2008 Jan. AS - AIDS BEHAV. 12(1):146-57, 2008 Jan. NJ - AIDS and behavior PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9712133 SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Female MH - *HIV Infections/px [Psychology] MH - Humans MH - Judgment MH - Male MH - Middle Aged MH - Multivariate Analysis MH - *Prostitution MH - *Stereotyping MH - *Students, Nursing/px [Psychology] MH - *Substance Abuse, Intravenous MH - Surveys and Questionnaires MH - Thailand AB - This paper analyzes the interrelationships between the stigma of HIV/AIDS stigma and the co-stigmas of commercial sex (CS) and injecting drug use (IDU). Students of a Bangkok nursing college (N=144) were presented with vignettes describing a person varying in the disease diagnoses (AIDS, leukemia, no disease) and co-characteristics (IDU, CS, blood transfusion, no co-characteristic). For each vignette, participants completed a social distance measure assessing their attitudes towards the hypothetical person portrayed. Multivariate analyses showed strong interactions between the stigmas of AIDS and IDU but not between AIDS and CS. Although AIDS was shown to be stigmatizing in and of itself, it was significantly less stigmatizing than IDU. The findings highlight the need to consider the non-disease-related stigmas associated with HIV as well as the actual stigma of HIV/AIDS in treatment and care settings. Methodological strengths and limitations were evaluated and implications for future research discussed. IS - 1090-7165 IL - 1090-7165 PT - Journal Article LG - English EP - 20070316 DP - 2008 Jan DC - 20080123 YR - 2008 ED - 20080422 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17364148 <154. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18365356 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Das BP AU - Rauniar GP AU - Bhattacharya SK FA - Das, B P FA - Rauniar, G P FA - Bhattacharya, S K IN - Das,B P. BP Koirala Institute of Health Science, Dharan, Nepal. bpdas2000@yahoo.com TI - Medical errors challenges for the health professionals: need of Pharmacovigilance to prevent. [Review] [29 refs] SO - Jnma, Journal of the Nepal Medical Association. 45(162):273-8, 2006 Apr-Jun. AS - Jnm. 45(162):273-8, 2006 Apr-Jun. NJ - JNMA; journal of the Nepal Medical Association PI - Journal available in: Print PI - Citation processed from: Print JC - 0045233 SB - Index Medicus CP - Nepal MH - Adverse Drug Reaction Reporting Systems MH - Clinical Pharmacy Information Systems MH - *Health Personnel MH - Humans MH - Incidence MH - *Liability, Legal MH - *Malpractice/lj [Legislation & Jurisprudence] MH - *Medication Errors/pc [Prevention & Control] MH - Medication Systems, Hospital MH - *Professional Practice MH - Professional Role MH - Risk Factors AB - The incidence of different aspects of iatrogenic problems due to drugs is Adverse Events (AEs) 3.7%, Adverse Drug Events (ADEs) 2.4-6.5%, Adverse Drug Reactions (ADRs) is 6.7%. Negligence in serious ADEs and death is 34% and 51% respectively, preventable ADEs is 25-50%. Medication Errors (MEs) occur most often in perscribing (29-56%). The most common cause of MEs is lack of knowledge about the drug (29%) and the patient about 18%. MEs result malpractice claims in 13-25% of cases which occur due to mistakes and slips of action & lapses of memory. The MEs can be prevented by establishing effective Pharmacovigilance control center, which frequently gives proper guidance to the prescribers. Use of computerized decision for prescription writing, effective communication with patient, families, pharmacists and nurses and continuing medical education on information of new drugs and new information on current drugs can be effective tolls to prevent the errors. [References: 29] IS - 0028-2715 IL - 0028-2715 PT - Journal Article PT - Review LG - English DP - 2006 Apr-Jun DC - 20080326 YR - 2006 ED - 20080417 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18365356 <155. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18220452 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fritz DJ AU - Wider LC AU - Hardin SB AU - Horrocks M FA - Fritz, Deborah J FA - Wider, Lottchen Crane FA - Hardin, Sally B FA - Horrocks, Michelle IN - Fritz,Deborah J. Maryville University, St. Louis, MO, USA. TI - Program strategies for adolescent smoking cessation. SO - Journal of School Nursing. 24(1):21-7, 2008 Feb. AS - J Sch Nurs. 24(1):21-7, 2008 Feb. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adaptation, Psychological MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - *Attitude to Health MH - Counseling MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Midwestern United States MH - Motivation MH - Needs Assessment MH - Nurse's Role/px [Psychology] MH - Nursing Methodology Research MH - *Patient Education as Topic/og [Organization & Administration] MH - Practice Guidelines as Topic MH - *Psychology, Adolescent MH - Qualitative Research MH - Risk Factors MH - School Nursing/og [Organization & Administration] MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Smoking/px [Psychology] MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation MH - United States/ep [Epidemiology] AB - School nurses who work with adolescents are in an ideal position to promote smoking cessation. This opportunity is important because research suggests teens who smoke are likely to become habitual smokers. This study characterizes adolescents' patterns and levels of smoking, describes adolescents' perceptions toward smoking, and delineates quit strategies that may prove helpful for adolescents who attempt smoking cessation. Results suggest adolescent smokers have highly variable patterns and levels of smoking. They fail to consider their future health and continue to be unaware of the harmful effects of smoking and the addictive nature of tobacco. Among adolescent smokers, there are few gender differences in perception of smoking. Therefore, gender specific cessation programs may not be necessary. The most effective quit strategy was the acquisition of information on contents of cigarettes and the health effects of smoking. Armed with these strategies, school nurses can provide leadership in the design and implementation of school based smoking cessation programs. IS - 1059-8405 IL - 1059-8405 DO - http://dx.doi.org/10.1622/1059-8405(2008)024[0021:PSFASC]2.0.CO;2 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Feb DC - 20080128 YR - 2008 ED - 20080411 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18220452 <156. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18158524 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Percy MS FA - Percy, Melanie S IN - Percy,Melanie S. New York University College of Nursing, New York, NY, USA. msp5@nyu.edu TI - Oral health of adolescents--it's more than dental caries. [Review] [28 refs] SO - MCN, American Journal of Maternal Child Nursing. 33(1):26-31, 2008 Jan-Feb. AS - MCN Am J Matern Child Nurs. 33(1):26-31, 2008 Jan-Feb. NJ - MCN. The American journal of maternal child nursing PI - Journal available in: Print PI - Citation processed from: Print JC - ma3, 7605941 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - Attitude to Health MH - Dental Caries/ep [Epidemiology] MH - Dental Caries/et [Etiology] MH - *Dental Caries/pc [Prevention & Control] MH - *Diabetes Mellitus, Type 2/co [Complications] MH - Diabetes Mellitus, Type 2/ep [Epidemiology] MH - Diabetes Mellitus, Type 2/pc [Prevention & Control] MH - Female MH - Health Education, Dental MH - Health Promotion/og [Organization & Administration] MH - Humans MH - Male MH - Mass Screening MH - *Nurse's Role MH - Nursing Assessment MH - *Oral Health MH - Oral Hygiene MH - Prevalence MH - Psychology, Adolescent MH - Risk Factors MH - Sex Education MH - Sexual Behavior MH - *Sexually Transmitted Diseases/co [Complications] MH - Sexually Transmitted Diseases/ep [Epidemiology] MH - Sexually Transmitted Diseases/pc [Prevention & Control] MH - Tobacco Use Disorder/co [Complications] MH - Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco, Smokeless/ae [Adverse Effects] MH - United States/ep [Epidemiology] AB - Of all the health issues common to adolescents, oral health has not seemed to receive much attention. However, just as "eyes are the windows to the soul," the oral health of an adolescent can be a reliable and expedient indicator of general health. Lesions discovered during an oral exam can indicate systemic problems that may not otherwise be disclosed during the health history. Tobacco use, sexually transmitted infections, and type II diabetes can manifest in the mouth, and many of these lesions mimic other illnesses. It is essential that nurses who work with adolescents be aware of possible differential diagnoses beyond the typical canker sores, herpes simplex type I, and periodontal disease so commonly seen. Adolescents rarely enter the healthcare system, but school and camp nurses and nurse practitioners have access to teens on a regular basis. They can screen adolescents for oral health problems and teach them practices that may prevent health problems with lifetime consequences. Capitalizing on this opportunity to educate adolescents can be critical to their long-term health. [References: 28] IS - 0361-929X IL - 0361-929X PT - Journal Article PT - Review LG - English DP - 2008 Jan-Feb DC - 20071225 YR - 2008 ED - 20080321 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18158524 <157. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18158520 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clemmens DA AU - Kerr AR FA - Clemmens, Donna A FA - Kerr, A Ross IN - Clemmens,Donna A. New York University College of Nursing, New York, NY, USA. dc70@nyu.edu TI - Improving oral health in women: nurses' call to action. [Review] [30 refs] SO - MCN, American Journal of Maternal Child Nursing. 33(1):10-4; quiz 15-6, 2008 Jan-Feb. AS - MCN Am J Matern Child Nurs. 33(1):10-4; quiz 15-6, 2008 Jan-Feb. NJ - MCN. The American journal of maternal child nursing PI - Journal available in: Print PI - Citation processed from: Print JC - ma3, 7605941 SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcoholism/co [Complications] MH - Dental Health Surveys MH - Female MH - Health Education, Dental MH - *Health Promotion/og [Organization & Administration] MH - Health Services Needs and Demand MH - Health Status MH - Humans MH - Life Style MH - Mass Screening MH - *Nurse's Role MH - Nursing Assessment MH - Nutritional Status MH - *Oral Health MH - Oral Hygiene/ed [Education] MH - *Oral Hygiene/nu [Nursing] MH - Patient Care Planning/og [Organization & Administration] MH - Periodontitis/co [Complications] MH - Periodontitis/di [Diagnosis] MH - Periodontitis/pc [Prevention & Control] MH - Referral and Consultation MH - Smoking/ae [Adverse Effects] MH - *Women's Health AB - The purpose of this article is to discuss the most significant oral health and related problems experienced by women, and to provide a Nurse's Plan of Action to respond to these largely preventable diseases. Oral health is integral to women's overall health and well-being, with poor oral health being associated with cancer, heart disease, diabetes, depression, and the birth of preterm, low-birthweight babies. Poor nutrition and lifestyle, principally tobacco and heavy alcohol use, can further increase the risk for oral diseases. Disparities are evident in women's reported poor access of regular dental care related to lack of dental insurance and low income. These facts are disturbing because most oral diseases are preventable. The Surgeon General's report on oral health in America (U.S. Department of Health and Human Services, 2000) and, more recently, the "National Call to Action to Promote Oral Health" (U.S. Department of Health and Human Services, 2003) emphasized the need for partnerships of key stakeholders, including nurses, to get involved in oral disease prevention. Nurses are in an ideal position to provide health promotion education and screening across the multitude of settings in which they work regarding oral health and risk factors for oral disease. Nursing interventions aimed at promoting healthy outcomes and preventing disease should include a focus on oral health. [References: 30] IS - 0361-929X IL - 0361-929X PT - Journal Article PT - Review LG - English DP - 2008 Jan-Feb DC - 20071225 YR - 2008 ED - 20080321 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18158520 <158. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18052521 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dupont RL AU - Bucher RH AU - Wilford BB AU - Coleman JJ FA - Dupont, Robert L FA - Bucher, Richard H FA - Wilford, Bonnie B FA - Coleman, John J IN - Dupont,Robert L. Institute for Behavior and Health, Inc., Rockville, MD, USA. TI - School-based administration of ADHD drugs decline, along with diversion, theft, and misuse. SO - Journal of School Nursing. 23(6):349-52, 2007 Dec. AS - J Sch Nurs. 23(6):349-52, 2007 Dec. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Amphetamine/ad [Administration & Dosage] MH - *Amphetamine-Related Disorders/ep [Epidemiology] MH - Amphetamine-Related Disorders/et [Etiology] MH - Amphetamine-Related Disorders/pc [Prevention & Control] MH - *Attention Deficit Disorder with Hyperactivity/dt [Drug Therapy] MH - Attention Deficit Disorder with Hyperactivity/ep [Epidemiology] MH - Attention Deficit Disorder with Hyperactivity/nu [Nursing] MH - *Attitude of Health Personnel MH - *Central Nervous System Stimulants/ad [Administration & Dosage] MH - Central Nervous System Stimulants/ch [Chemistry] MH - Chemistry, Pharmaceutical MH - Child MH - Confidentiality MH - Delayed-Action Preparations MH - Drug Administration Schedule MH - Drug Utilization/td [Trends] MH - Drug and Narcotic Control MH - Health Services Needs and Demand MH - Humans MH - Methylphenidate/ad [Administration & Dosage] MH - Nursing Methodology Research MH - Nursing Staff/px [Psychology] MH - Nursing Staff/td [Trends] MH - Patient Admission/td [Trends] MH - Patient Selection MH - *School Nursing/td [Trends] MH - Surveys and Questionnaires MH - *Theft/td [Trends] MH - United States/ep [Epidemiology] AB - Since 2000 researchers have reported a decline in the administration of attention-deficit/hyperactivity disorder (ADHD) medications given by school nurses, although no decline has been noted in the incidence of ADHD in school-age populations. Government data for the same period show reduced levels of methylphenidate abuse as measured by its involvement in hospital emergency department (ED) admissions. Offsetting this, however, is an increase in the involvement of amphetamine-dextroamphetamine in hospital ED admissions for the same period. Because ADHD medications are often administered in the school setting, a survey of school nurses was undertaken to identify factors related to the administration as well as to the diversion, theft, and misuse of ADHD medications. Of 311 school nurses responding, 295 (95%) reported a significant or moderate decline between 2002 and 2004 in the need for school-based administration of ADHD medications. Respondents also reported reductions in diversion, theft, and misuse of ADHD drugs. RN - 0 (Central Nervous System Stimulants) RN - 0 (Delayed-Action Preparations) RN - 207ZZ9QZ49 (Methylphenidate) RN - CK833KGX7E (Amphetamine) IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Dec DC - 20071206 YR - 2007 ED - 20080307 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18052521 <159. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17933485 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kotz D AU - van Litsenburg W AU - van Duurling R AU - van Schayck CP AU - Wesseling GJ FA - Kotz, D FA - van Litsenburg, W FA - van Duurling, R FA - van Schayck, C P FA - Wesseling, G J IN - Kotz,D. Department of General Practice, School for Public Health and Primary Care (CAPHRI), Maastricht University, The Netherlands. d.kotz@hag.unimaas.nl TI - Smoking cessation treatment by Dutch respiratory nurses: reported practice, attitudes and perceived effectiveness. SO - Patient Education & Counseling. 70(1):40-9, 2008 Jan. AS - Patient Educ Couns. 70(1):40-9, 2008 Jan. NJ - Patient education and counseling PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pec, 8406280 SB - Nursing Journal CP - Ireland MH - Adult MH - *Clinical Competence MH - Counseling/st [Standards] MH - Cross-Sectional Studies MH - Education, Nursing MH - Female MH - *Guideline Adherence MH - Health Care Surveys MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Netherlands MH - Respiratory Therapy/ed [Education] MH - *Respiratory Therapy/nu [Nursing] MH - Self Efficacy MH - Smoking/dt [Drug Therapy] MH - Smoking/pc [Prevention & Control] MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation MH - Social Support AB - OBJECTIVE: To describe Dutch respiratory nurses' current smoking cessation practices, attitudes and beliefs, and to compare these with a survey from the year 2000, before the national introduction of a protocol for the treatment of nicotine and tobacco addiction (the L-MIS protocol). AB - METHODS: Questionnaire survey among all 413 registered respiratory nurses in the Netherlands in 2006. AB - RESULTS: The response rate was 62%. Seventy-seven percent of the respondents reported to have "fairly good" or "good" knowledge of all steps of the L-MIS protocol. Seven out of 10 behavioural techniques for smoking cessation from the protocol were used by more than 94% of the respondents. Seventy-four percent of the respiratory nurses recommended the use of either nicotine replacement therapy (70%) or bupropion (44%). Almost two-thirds (65% of 254) perceived lack of patient's motivation as the most important barrier for smoking cessation treatment; a four-fold increase compared to the year 2000. AB - CONCLUSION: We conclude that respiratory nurses are compliant with the L-MIS protocol. They offer intensive support and use behavioural techniques for smoking cessation more frequently than evidence-based pharmacological aids for smoking cessation. Perceived lack of patient's motivation forms the most important threat to respiratory nurses' future smoking cessation activities. AB - PRACTICE IMPLICATIONS: International guidelines acknowledge that respiratory patients have a more urgent need to stop smoking but have more difficulty doing so. They should be offered the most intensive smoking cessation counselling in combination with pharmacotherapy. This kind of counselling may be more feasible for respiratory nurses than for physicians who often lack time. Their efforts could be increased by reimbursing pharmacological aids for smoking cessation and by developing simple tools to systematically assess motivation to quit and psychiatric co-morbidity in smoking patients. IS - 0738-3991 IL - 0738-3991 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20071015 DP - 2008 Jan DC - 20071221 YR - 2008 ED - 20080305 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17933485 <160. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18229646 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Maciorkowska E AU - Buraczewska E AU - Sacharewicz A FA - Maciorkowska, E FA - Buraczewska, E FA - Sacharewicz, A IN - Maciorkowska,E. Department of Pediatric Nursing, Medical University of Bialystok, Poland. emaciorkowska@o2.pl TI - Familial and social conditions of alcohol drinking in children and adolescents. SO - Advances in Medical Sciences. 52 Suppl 1:115-8, 2007. AS - Adv Med Sci. 52 Suppl 1:115-8, 2007. NJ - Advances in medical sciences PI - Journal available in: Print PI - Citation processed from: Print JC - 101276222 SB - Index Medicus CP - Poland MH - Adolescent MH - Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking/ge [Genetics] MH - *Alcohol Drinking/px [Psychology] MH - Child MH - *Family MH - Female MH - Hospitals, University MH - Humans MH - Male MH - Poland/ep [Epidemiology] MH - *Social Conditions MH - Surveys and Questionnaires AB - PURPOSE: The aim of the study was to evaluate the frequency of alcoholic beverage use among children and young people of Bialystok city and to assess the influence of familial and environmental factors on this phenomenon. AB - MATERIAL AND METHODS: The study included 894 pupils in the city of Bialystok. An anonymous questionnaire, prepared in the Department of Pediatric Nursery of the Medical University of Bialystok was used in the study. AB - RESULTS: The examinations revealed that alcohol use among adolescents of Bialystok increases with the increasing age of pupils (33.2%--the first grade of middle school, 63.4%--the third grade of middle school, and 79.9%--the second grade of high school). The first experience with alcohol took place in the 5-10 age bracket, but the greatest alcohol initiation (35% of young people) was reported in the 10-15 age bracket; 16% of children were not capable of establishing proper relations with their parents. The examined pupils observed destructive behavior most frequently among their friends (38%) and in people with whom they had no direct contact (36.8%). Adolescents were revealed to use alcohol for company (21.6%), due to lack of safety feeling (18.4%), and the ability of free time organizing (23.4%). AB - CONCLUSION: 1. Alcohol use by children and adolescents from the city of Bialystok increases with the age and the biggest alcohol initiation takes place in the age of 10-15 brackets. 2. Familial and social conditioning/factors influence alcohol use by children and adolescents. IS - 1896-1126 IL - 1896-1126 PT - Journal Article LG - English DP - 2007 DC - 20080130 YR - 2007 ED - 20080304 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18229646 <161. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18237661 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Desy PM AU - Perhats C FA - Desy, Pierre M FA - Perhats, Cydne IN - Desy,Pierre M. ENA Injury Prevention Institute/EN CARE, Emergency Nurses Association, Des Plaines, Ill 60016-6569, USA. pdesy@ena.org TI - Alcohol screening, brief intervention, and referral in the emergency department: an implementation study. SO - Journal of Emergency Nursing. 34(1):11-9, 2008 Feb. AS - J Emerg Nurs. 34(1):11-9, 2008 Feb. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7605913 SB - Nursing Journal CP - United States MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - *Crisis Intervention MH - Emergency Nursing/ed [Education] MH - *Emergency Service, Hospital MH - Health Plan Implementation MH - Humans MH - *Mass Screening/og [Organization & Administration] MH - Prospective Studies MH - *Referral and Consultation MH - United States AB - INTRODUCTION: Alcohol is the single greatest contributor to injury in the United States. Numerous studies have reported that a standardized screening, brief intervention, and referral to treatment (SBIRT) intervention can effectively minimize future alcohol consumption, reduce injury recurrence, and decrease the number of repeat ED visits. To date, SBIRT studies have been conducted in settings in which physicians or research assistants carried out SBIRT. Little is known about ED nurses carrying out SBIRT. The purpose of this study was to examine ED nurse training needs and identify both barriers to, and enablers of, SBIRT implementation in the emergency department. AB - METHODS: Two coordinators from each of the 5 ED sites selected for the study attended a 1-day SBIRT educational session. Site coordinators then trained their staff nurses to conduct SBIRT. Site coordinators were surveyed at the midpoint and end of the 6-month implementation study period. Patient data from each facility was collected. AB - RESULTS: Ten site coordinators were trained and held subsequent training sessions with nursing staff in their respective emergency departments. All sites encountered barriers to implementation, but 2 of 5 sites were able to implement the SBIRT process fully by the end of the evaluation period. A total of 3265 patients were screened for alcohol use problems. Of those screened, 678 (21%) were classified as hazardous drinkers. Overall, 56% of the positive-screened patients received 3 to 5 minutes of a brief intervention. After the brief intervention, between 9% and 82% of patients were referred for further care. AB - DISCUSSION: The SBIRT process can be conducted successfully by emergency nurses. However, substantial operational barriers to widespread routine implementation exist. These barriers need to be addressed before emergency nurses incorporate SBIRT as routine part of ED care. ES - 1527-2966 IL - 0099-1767 DO - http://dx.doi.org/10.1016/j.jen.2007.03.019 PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English EP - 20071203 DP - 2008 Feb DC - 20080201 YR - 2008 ED - 20080221 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18237661 <162. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17433462 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Luleci E AU - Hey W AU - Subasi F FA - Luleci, Emel FA - Hey, William FA - Subasi, Feryal IN - Luleci,Emel. Department of Health Education, Faculty of Health Education, Marmara University, 34865 Kartal, Istanbul, Turkey. TI - Assessing selected quality of life factors of nursing home residents in Turkey. SO - Archives of Gerontology & Geriatrics. 46(1):57-66, 2008 Jan-Feb. AS - Arch Gerontol Geriatr. 46(1):57-66, 2008 Jan-Feb. NJ - Archives of gerontology and geriatrics PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 8214379, 7ax SB - Index Medicus CP - Netherlands MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - Female MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Humans MH - Interviews as Topic MH - *Long-Term Care/sn [Statistics & Numerical Data] MH - Male MH - Middle Aged MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Quality of Life MH - Turkey/ep [Epidemiology] AB - As a result of improved public health and medical advances, not only has life expectancy among older people increased, but the importance of quality of life in terms of health in later life has also increased. The aim of this study was to investigate the relationship between socio-demographic factors, health-related behaviors, residents' satisfaction, and functional disability levels among elderly people living in nursing homes in Turkey using the World Health Organization's Quality of Life-BREF (WHOQOL-BREF). Data regarding socio-demographic characteristics, chronic health problems, health-related behaviors (smoking, alcohol consumption, physical activity, etc.) were collected from the study group (N=107) by a structured questionnaire during face-to-face interviews. Dependencies in activities of daily living (ADL) of the study group were also assessed using Katz's ADL index. The mean WHOQOL-BREF scores were significantly higher in participants who had independence in performing ADL (bathing, dressing, toileting, transfer, continence, feeding) (p<0.0001, p<0.0001, p<0.0001, p<0.001, p<0.0001, and p<0.001, respectively). It was found that WHOQOL-BREF scores were positively associated with having physical exercise habits and residents' satisfaction with nursing homes; being dependent in dressing were significant predictors of in the study (R(2): 0.38, p<0.003, p<0.0001, and p<0.0001, respectively). Residents' satisfaction from living nursing homes and participation in physical exercise were significant predictors of WHOQOL-BREF scores for those that participated in this study. IS - 0167-4943 IL - 0167-4943 PT - Journal Article LG - English EP - 20070412 DP - 2008 Jan-Feb DC - 20071206 YR - 2008 ED - 20080221 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17433462 <163. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18206840 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fontana JS FA - Fontana, Joyce S IN - Fontana,Joyce S. Division of Nursing, Saint Joseph College, West Hartford, CT 06117, USA. jfontana@sjc.edu TI - The social and political forces affecting prescribing practices for chronic pain. SO - Journal of Professional Nursing. 24(1):30-5, 2008 Jan-Feb. AS - J Prof Nurs. 24(1):30-5, 2008 Jan-Feb. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Disease MH - Conflict of Interest MH - Drug Utilization MH - Ethics, Nursing/ed [Education] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - New England MH - Nurse Practitioners/ed [Education] MH - *Nurse Practitioners/es [Ethics] MH - Nurse-Patient Relations MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain/dt [Drug Therapy] MH - Pain/nu [Nursing] MH - Patient Advocacy MH - Politics MH - *Quality of Health Care AB - Very little attention has been given to chronic nonmalignant pain in the nursing literature. Although there has been increasing debate concerning prescribing practices among physicians for patients with chronic nonmalignant pain, little, if any, understanding exists about advanced practice registered nurses (APRNs) in this context. This study critically examined subjective factors that influence the prescribing practices of APRNs for patients with chronic nonmalignant pain. It was grounded in the critical tradition of Habermas as well as the emancipatory theory of Freire and used a critical methodology. Data were collected through semistructured interviews with participating APRNs. Dialectical analysis and critique were used to interpret the interviews. Critical analysis of the data revealed that prescribing decisions for patients with chronic pain were characterized by a conflict of interests in which the patients' best interests were given a low priority. This conflict, which is socially and politically created and maintained, renders these nurses unlikely to fulfill their ethical responsibility to patients. Teaching basic pain management as an ethical responsibility of practice in graduate education is a first step toward ending the conflict and ensuring that the patients' best interests are addressed. RN - 0 (Analgesics, Opioid) ES - 1532-8481 IL - 8755-7223 DO - http://dx.doi.org/10.1016/j.profnurs.2007.06.002 PT - Journal Article PT - Multicenter Study LG - English DP - 2008 Jan-Feb DC - 20080121 YR - 2008 ED - 20080212 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18206840 <164. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18073656 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Watts M FA - Watts, Malcolm IN - Watts,Malcolm. School of Health, Park Campus, University of Northampton, Northampton. TI - High expressed emotion, severe mental illness and substance use disorder. [Review] [31 refs] SO - British Journal of Nursing. 16(20):1259-62, 2007 Nov 8-21. AS - Br J Nurs. 16(20):1259-62, 2007 Nov 8-21. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Adolescent MH - Commitment of Mentally Ill MH - Comorbidity MH - Diagnosis, Dual (Psychiatry) MH - *Expressed Emotion MH - *Family/px [Psychology] MH - Family Therapy/ed [Education] MH - Family Therapy/og [Organization & Administration] MH - Female MH - Hostility MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/px [Psychology] MH - Mental Disorders/th [Therapy] MH - *Mental Disorders MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/og [Organization & Administration] MH - Recurrence MH - Risk Factors MH - Severity of Illness Index MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - This article discusses the behavioural attitudes of high expressed emotion as a major contributor to relapse in patients dually diagnosed with severe mental illness and substance use disorder. There are a number of research studies and authoritative texts on this particular problem and discussions identify the role expressed emotion plays in this condition. However, the majority of literature concentrates on how high expressed emotion affects the person's mental illness causing relapse rather than any effect on their substance misuse. This article outlines severe mental illness and substance use disorder; identifies the components of expressed emotion and how this may contribute to relapse; management and care in this condition; the treatment and avoidance of expressed emotion by the family and the professional; and issues of nurse education, training and support. [References: 31] IS - 0966-0461 IL - 0966-0461 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2007 Nov 8-21 DC - 20071212 YR - 2007 ED - 20080124 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18073656 <165. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17995515 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leung SF AU - French P AU - Chui C AU - Arthur D FA - Leung, Sau Fong FA - French, Peter FA - Chui, Caroline FA - Arthur, David IN - Leung,Sau Fong. School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong. hsfong@inet.polyu.edu.hk TI - Computerized mental health assessment in integrative health clinics: a cross-sectional study using structured interview. SO - International Journal of Mental Health Nursing. 16(6):441-6, 2007 Dec. AS - Int J Ment Health Nurs. 16(6):441-6, 2007 Dec. NJ - International journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 101140527 SB - Nursing Journal CP - Australia MH - Adolescent MH - Adult MH - Aged MH - Child MH - Cross-Sectional Studies MH - *Diagnosis, Computer-Assisted MH - Female MH - Hong Kong MH - Humans MH - Male MH - *Mass Screening/mt [Methods] MH - *Mental Disorders/pc [Prevention & Control] MH - Middle Aged MH - *Patient Satisfaction MH - *Psychiatric Status Rating Scales AB - Computerized mental health assessment is gaining popularity. It enables the standardization of assessment of clinical problems, increases the capacity to collect sensitive or confidential information, facilitates personal assessment at one's own pace, and offers rapid screening of mental health status. The use of computer technology to conduct mental health assessment was an initiative proposed for two nurse-led integrative health clinics affiliated to a University in Hong Kong. It was intended to provide an efficient screening for depression, anxiety, alcohol abuse, and problem gambling common in the primary health-care settings to facilitate early intervention. This study was conducted to assess the effectiveness of using a computerized health assessment kiosk to perform mental health assessment. The assessment items were derived from an abbreviated World Health Organization Mental Disorders Checklist and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Criteria for Pathological Gambling. The study involved an opportunity sample of 31 subjects who volunteered to complete the computerized mental health assessment during their waiting time in the clinics. The results showed that most subjects had positive feelings about using a computer to perform a mental health assessment and had increased understanding of their mental health. Suggestions made to improve computerized mental health assessments included touch screen, voice instructions, and enlarged print font size. IS - 1445-8330 IL - 1445-8330 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Dec DC - 20071112 YR - 2007 ED - 20080124 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17995515 <166. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18044245 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leonard L AU - O'Brien A FA - Leonard, Louise FA - O'Brien, Anthony TI - Building the alcohol and other drug workforce in New Zealand. SO - Australian Nursing Journal. 15(5):40, 2007 Nov. AS - Aust Nurs J. 15(5):40, 2007 Nov. NJ - Australian nursing journal (July 1993) PI - Journal available in: Print PI - Citation processed from: Print JC - bxo, 9317904 SB - Nursing Journal CP - Australia MH - Health Planning/og [Organization & Administration] MH - Humans MH - *National Health Programs/og [Organization & Administration] MH - New Zealand MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/og [Organization & Administration] MH - Nurse's Role MH - Nursing Staff/ed [Education] MH - *Nursing Staff/og [Organization & Administration] MH - Personnel Selection/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 1320-3185 IL - 1320-3185 PT - Journal Article LG - English DP - 2007 Nov DC - 20071129 YR - 2007 ED - 20080118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18044245 <167. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18044242 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Not "just" a drug and alcohol nurse. SO - Australian Nursing Journal. 15(5):34-5, 2007 Nov. AS - Aust Nurs J. 15(5):34-5, 2007 Nov. NJ - Australian nursing journal (July 1993) PI - Journal available in: Print PI - Citation processed from: Print JC - bxo, 9317904 SB - Nursing Journal CP - Australia MH - *Attitude of Health Personnel MH - Career Choice MH - Humans MH - *Job Satisfaction MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/og [Organization & Administration] MH - *Nurse Practitioners/px [Psychology] MH - Nurse's Role/px [Psychology] MH - Specialties, Nursing/ed [Education] MH - Specialties, Nursing/og [Organization & Administration] MH - *Specialties, Nursing MH - *Substance-Related Disorders/nu [Nursing] IS - 1320-3185 IL - 1320-3185 PT - Journal Article LG - English DP - 2007 Nov DC - 20071129 YR - 2007 ED - 20080118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18044242 <168. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17846871 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oakes J AU - Battersby MW AU - Pols RG AU - Cromarty P FA - Oakes, Jane FA - Battersby, Malcolm W FA - Pols, Rene G FA - Cromarty, Paul IN - Oakes,Jane. Flinders Therapy Service for Problem Gamblers, Centre for Anxiety & Related Disorders, Flinders Medical Centre, Flinders University, Bedford Park, 5042, South Australia. jane.oakes@fmc.sa.gov.au TI - Exposure therapy for problem gambling via Videoconferencing: a case report. SO - Journal of Gambling Studies. 24(1):107-18, 2008 Mar. AS - J Gambl Stud. 24(1):107-18, 2008 Mar. NJ - Journal of gambling studies / co-sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9425991 SB - Index Medicus CP - United States MH - Adult MH - Behavior, Addictive/px [Psychology] MH - *Behavior, Addictive/th [Therapy] MH - *Cognitive Therapy/mt [Methods] MH - Counseling/mt [Methods] MH - Follow-Up Studies MH - Gambling/px [Psychology] MH - Humans MH - Male MH - Rural Health Services MH - *Telemedicine/mt [Methods] MH - Treatment Outcome MH - Video Games AB - This case report of a 31 year old woman who described her main problem as an uncontrollable urge to gamble on electronic gaming machines describes the application of exposure therapy (ET) by videoconferencing and the use of a clinical therapy assistant in the treatment of pathological gambling. The case study is used to demonstrate the effectiveness of this treatment with six sessions of therapy and 4 year follow up. The use of videoconferencing is discussed in relation to treatment effectiveness, ongoing follow up for the client and education and support for a community mental health nurse, therapy assistant, in a rural setting in South Australia. The implications of using this modality for the treatment of rural patients with problem gambling is discussed. ES - 1573-3602 IL - 1050-5350 PT - Case Reports PT - Journal Article LG - English EP - 20070905 DP - 2008 Mar DC - 20080104 YR - 2008 ED - 20080115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17846871 <169. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18077305 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bernstein E AU - Bernstein J AU - Feldman J AU - Fernandez W AU - Hagan M AU - Mitchell P AU - Safi C AU - Woolard R AU - Mello M AU - Baird J AU - Lee C AU - Bazargan-Hejazi S AU - Broderick K AU - Laperrier KA AU - Kellermann A AU - Wald MM AU - Taylor RE AU - Walton K AU - Grant-Ervin M AU - Rollinson D AU - Edwards D AU - Chan T AU - Davis D AU - Buchanan Marshall J AU - Aseltine R AU - James A AU - Schilling E AU - Abu-Hasaballah K AU - Baumann BM AU - Boudreaux ED AU - Maio RF AU - Cunningham RM AU - Murrell T AU - Doezema D AU - Anglin D AU - Eliassen A AU - Martin M AU - Pines J AU - Buchanan L AU - Turner J AU - D'Onofrio G AU - Degutis LC AU - Owens P FA - Bernstein, Edward FA - Bernstein, Judith FA - Feldman, James FA - Fernandez, William FA - Hagan, Melissa FA - Mitchell, Patricia FA - Safi, Clara FA - Woolard, Robert FA - Mello, Mike FA - Baird, Janette FA - Lee, Christina FA - Bazargan-Hejazi, Shahrzad FA - Broderick, Kerry FA - Laperrier, Kathryn A FA - Kellermann, Arthur FA - Wald, Marlena M FA - Taylor, Robert E FA - Walton, Kim FA - Grant-Ervin, Michelle FA - Rollinson, Denise FA - Edwards, David FA - Chan, Theodore FA - Davis, Dan FA - Buchanan Marshall, Jean FA - Aseltine, Robert FA - James, Amy FA - Schilling, Elizabeth FA - Abu-Hasaballah, Khamis FA - Baumann, Brigitte M FA - Boudreaux, Edwin D FA - Maio, Ronald F FA - Cunningham, Rebecca M FA - Murrell, Teresa FA - Doezema, David FA - Anglin, Deirdre FA - Eliassen, Adriana FA - Martin, Marcus FA - Pines, Jesse FA - Buchanan, Leslie FA - Turner, James FA - D'Onofrio, Gail FA - Degutis, Linda C FA - Owens, Patricia IN - Bernstein,Edward. Department of Emergency Medicine, Boston University School of Medicine, Dowling 1 South, One Boston Medical Center Place, Boston, MA 02118, USA. ebernste@bu.edu TI - An evidence based alcohol screening, brief intervention and referral to treatment (SBIRT) curriculum for emergency department (ED) providers improves skills and utilization. SO - Substance Abuse. 28(4):79-92, 2007. AS - Subst Abus. 28(4):79-92, 2007. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 OI - Source: NLM. NIHMS193448 OI - Source: NLM. PMC3976968 SB - Index Medicus CP - United States MH - Alcoholism/th [Therapy] MH - *Curriculum MH - Education MH - *Emergency Medicine/ed [Education] MH - *Evidence-Based Medicine/mt [Methods] MH - *Health Personnel/ed [Education] MH - Humans MH - *Mass Screening/mt [Methods] MH - *Mental Health Services/ut [Utilization] MH - *Professional Competence MH - *Psychotherapy, Brief MH - *Referral and Consultation AB - OBJECTIVE: Emergency Departments (EDs) offer an opportunity to improve the care of patients with at-risk and dependent drinking by teaching staff to screen, perform brief intervention and refer to treatment (SBIRT). We describe here the implementation at 14 Academic EDs of a structured SBIRT curriculum to determine if this learning experience improves provider beliefs and practices. AB - METHODS: ED faculty, residents, nurses, physician extenders, social workers, and Emergency Medical Technicians (EMTs) were surveyed prior to participating in either a two hour interactive workshops with case simulations, or a web-based program (www.ed.bmc.org/sbirt). A pre-post repeated measures design assessed changes in provider beliefs and practices at three and 12 months post-exposure. AB - RESULTS: Among 402 ED providers, 74% reported < 10 hours of prior professional alcohol-related education and 78% had < 2 hours exposure in the previous year. At 3-month follow-up, scores for self-reported confidence in ability, responsibility to intervene, and actual utilization of SBIRT skills all improved significantly over baseline. Gains decreased somewhat at 12 months, but remained above baseline. Length of time in practice was positively associated with SBIRT utilization, controlling for gender, race and type of profession. Persistent barriers included time limitations and lack of referral resources. AB - CONCLUSIONS: ED providers respond favorably to SBIRT. Changes in utilization were substantial at three months post-exposure to a standardized curriculum, but less apparent after 12 months. Booster sessions, trained assistants and infrastructure supports may be needed to sustain changes over the longer term. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, N.I.H., Extramural NO - 1R03 AA 01511-14 (United States NIAAA NIH HHS) NO - 1R25 AA 014957 (United States NIAAA NIH HHS) NO - R25 AA014957 (United States NIAAA NIH HHS) NO - R25 AA014957-01 (United States NIAAA NIH HHS) LG - English DP - 2007 DC - 20071213 YR - 2007 ED - 20080110 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18077305 <170. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16996517 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Munro A AU - Watson HE AU - McFadyen A FA - Munro, Alison FA - Watson, H E FA - McFadyen, Angus IN - Munro,Alison. School of Nursing, Midwifery and Community Health, Glasgow Caledonian University, Cowcaddens Rd, Glasgow G4 0BA, UK. alison.munro@gcal.ac.uk TI - Assessing the impact of training on mental health nurses' therapeutic attitudes and knowledge about co-morbidity: a randomised controlled trial. SO - International Journal of Nursing Studies. 44(8):1430-8, 2007 Nov. AS - Int J Nurs Stud. 44(8):1430-8, 2007 Nov. NJ - International journal of nursing studies PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Analysis of Variance MH - Comorbidity MH - Diagnosis, Dual (Psychiatry) MH - *Education, Nursing, Continuing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/nu [Nursing] MH - Scotland MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] AB - BACKGROUND: Substance misuse can trigger or be causally associated with mental health problems. Therapeutic attitude is important in predicting effective engagement with people with alcohol and drug problems but health professionals' attitudes towards this client group are often negative. Education regarding substance misuse has often been neglected and nurses may lack knowledge to provide appropriate care. AB - OBJECTIVES: To test the impact of training for staff who work with people who have co-existing mental health and substance use problems. AB - DESIGN: A randomised controlled trial. AB - SETTING: An NHS Primary Care Division in the West of Scotland. AB - PARTICIPANTS: Forty-nine mental health nurses. AB - METHODS: Intervention. A four-day training programme. AB - MEASUREMENTS: (a) therapeutic attitudes measured by the co-morbidity problems perceptions questionnaire; (b) knowledge of alcohol, drugs and co-morbidity measured by a structured questionnaire. AB - RESULTS: Significant effects for group (F=30.42, p<0.001) were found in therapeutic attitude scores and also over time (F=10.66, p<0.001). A significant interaction was also found (p<0.001). Post-hoc testing revealed that the mean pre-training attitude score was significantly different from post-training (p=0.001; 95% CI 5.53, 25.38) and from six-months follow-up (p<0.001; 95% CI 11.26, 32.49) but that post-training and follow-up mean scores were not significantly different (p=0.358; 95% CI -4.71, 17.55). For knowledge, a significant group effect was found (F=10.32, p=0.002), and also a significant time effect (F=3.35, p=0.039) but no significant interaction effect was present (p=0.169). The post-hoc testing revealed that only a pre-training to six-month follow-up time effect was statistically significant (p=0.005; 95% CI 1.37, 9.29). AB - CONCLUSIONS: The training programme was effective in improving the therapeutic attitudes of participants to working with clients who have co-existing mental health and substance use problems, both immediately after the training was delivered, and at six-months follow-up. It was also effective in improving participants' overall knowledge of alcohol, drugs and co-morbidity. IS - 0020-7489 IL - 0020-7489 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English EP - 20060922 DP - 2007 Nov DC - 20071023 YR - 2007 ED - 20071220 RD - 20140730 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16996517 <171. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17949275 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chan KY AU - Reidpath DD FA - Chan, Kit Yee FA - Reidpath, Daniel D IN - Chan,Kit Yee. School of Health and Social Development, Deakin University, Burwood, Victoria, Australia. kchan16@gmail.com TI - Stigmatization of patients with AIDS: understanding the interrelationships between Thai nurses' attitudes toward HIV/AIDS, drug use, and commercial sex. SO - AIDS Patient Care & Stds. 21(10):763-75, 2007 Oct. AS - AIDS Patient Care STDS. 21(10):763-75, 2007 Oct. NJ - AIDS patient care and STDs PI - Journal available in: Print PI - Citation processed from: Print JC - 9607225, ckd SB - Index Medicus SB - AIDS/HIV Journals CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Female MH - HIV Infections/di [Diagnosis] MH - *HIV Infections/px [Psychology] MH - Humans MH - Male MH - *Nurses/px [Psychology] MH - *Prostitution MH - *Stereotyping MH - *Substance Abuse, Intravenous MH - Thailand AB - There is currently a scarcity of research on the nature of HIV/AIDS stigma within the Thai health context. This is problematic given the negative role of stigma in hindering the provision of patient care and treatment. This study used a mixed-method approach to investigate the interrelationships between the stigma of HIV/AIDS and the stigmas relating to its various modes of disease transmission including injection drug use (IDU). Twenty interviews were conducted with trainees and qualified nurses from a Bangkok college. Participants were presented with vignettes describing a hypothetical person varying in disease diagnoses (AIDS, leukemia, no disease) and co-characteristics (IDU, commercial sex (CS), blood transfusion, no co-characteristic). Using a Q-sort task, participants arranged the vignettes along a bipolar scale according to their willingness to interact with the persons, and were asked to explain their decisions. Univariate and multivariate regression analyses showed that IDU, AIDS, and CS were all individually stigmatizing. Strong interactions were found between the stigmas of HIV/AIDS, IDU, and CS. Interview data also showed clear biases toward patients according to their IDU and CS habits. The findings suggest that addressing these co-stigmas could be vital to the success of efforts aimed at reducing the disease stigma of HIV/AIDS. IS - 1087-2914 IL - 1087-2914 PT - Journal Article LG - English DP - 2007 Oct DC - 20071022 YR - 2007 ED - 20071212 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17949275 <172. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17701518 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Griffiths RD AU - Stone A AU - Tran DT AU - Fernandez RS AU - Ford K FA - Griffiths, R D FA - Stone, A FA - Tran, D T FA - Fernandez, R S FA - Ford, K IN - Griffiths,R D. University of Western Sydney, Sydney, Australia. Rhonda.Griffiths@swsahs.nsw.gov.au TI - Drink a little; take a few drugs: do nurses have knowledge to identify and manage in-patients at risk of drugs and alcohol?. SO - Drug & Alcohol Review. 26(5):545-52, 2007 Sep. AS - Drug Alcohol Rev. 26(5):545-52, 2007 Sep. NJ - Drug and alcohol review PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/nu [Nursing] MH - Data Collection MH - Evidence-Based Medicine MH - Female MH - Guideline Adherence MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Mass Screening/mt [Methods] MH - Medical Audit MH - Medical Records/st [Standards] MH - Middle Aged MH - New South Wales MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/st [Standards] MH - Patient Admission/st [Standards] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/nu [Nursing] AB - INTRODUCTION AND AIMS: The widespread use of alcohol and other drugs poses particular problems during hospitalisation. Although nurses have been identified as an appropriate group to screen patients and provide acute and ongoing management to people with drug and alcohol-related problems, rates of screening are low. The aims of this study were to identify current practices for screening by nurses working in medical and surgical wards, determine their knowledge relating to problems associated with substance use and identify their self-reported skills in managing patients with drug- and alcohol-related problems. AB - DESIGN AND METHODS: A chart audit of medical records was completed and a survey was distributed to nurses working in the study wards. AB - RESULTS: Screening for alcohol and drug use was documented on only 22/79 medical records, and detailed information about quantity and duration of use was recorded in only nine. Overall, the nurses reported that they had little knowledge about substance use problems, and felt that they lacked skills to care adequately for these patients. AB - DISCUSSION AND CONCLUSIONS: The results of this study suggest a need for a comprehensive training and education to ensure that nurses are familiar with policies and protocols for management of patients and to assist nurses to provide evidence-based care and make appropriate referrals to specialist services. IS - 0959-5236 IL - 0959-5236 PT - Journal Article LG - English DP - 2007 Sep DC - 20070816 YR - 2007 ED - 20071129 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17701518 <173. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17723930 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lamb L AU - Pereira JX AU - Shir Y FA - Lamb, Louise FA - Pereira, John Xavier FA - Shir, Yoram IN - Lamb,Louise. Pain Centre, McGill University Health Centre, Montreal General Hospital, Montreal, Quebec, Canada. TI - Nurse case management program of chronic pain patients treated with methadone. SO - Pain Management Nursing. 8(3):130-8, 2007 Sep. AS - Pain Manag Nurs. 8(3):130-8, 2007 Sep. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Aged MH - Ambulatory Care MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Case Management/og [Organization & Administration] MH - Chronic Disease MH - Drug Monitoring/nu [Nursing] MH - Feasibility Studies MH - Female MH - Humans MH - Male MH - *Methadone/tu [Therapeutic Use] MH - Middle Aged MH - *Nurse's Role MH - Nursing Assessment MH - Nursing Evaluation Research MH - Pain/di [Diagnosis] MH - Pain/dt [Drug Therapy] MH - *Pain/nu [Nursing] MH - Pain/px [Psychology] MH - Pain Clinics MH - Pain Measurement MH - Patient Education as Topic MH - Patient Satisfaction MH - Professional Autonomy MH - Program Evaluation MH - Prospective Studies MH - Quebec AB - Methadone treatment in chronic pain patients is still limited owing to misconceptions about addiction, safety, and its unique pharmacokinetic and pharmacodynamic properties. Nevertheless, patients with chronic noncancer pain are frequently treated with methadone at our Pain Centre either as the first opioid of choice, for specific pain conditions, or as a second-line opioid in patients developing tolerance or intractable side effects with other opioids. The aim of this study was to examine whether a nurse case management program of chronic pain patients treated with methadone is feasible and safe in trying to improve patients' care in an ambulatory setting. This program consisted of three phases: initial primary education session, telephone follow-up during methadone titration, and a subsequent maintenance period. The nurse case manager functioned autonomously and when required reported to and consulted the physician. The study included 75 subjects and was done over a nine-month period by completing follow-up questionnaires for every call. Of a total of 194 recorded calls, 41% were unscheduled. Forty-four percent of phone calls resulted in a methadone increase and 11% led to a decrease or cessation of methadone. No patients developed serious morbidity or mortality. Fifty-seven percent of patients were either satisfied or very satisfied with their treatment. A nurse-led case management program of methadone in chronic pain patients can improve patient care in an ambulatory setting. RN - 0 (Analgesics, Opioid) RN - UC6VBE7V1Z (Methadone) IS - 1524-9042 IL - 1524-9042 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Sep DC - 20070828 YR - 2007 ED - 20071109 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17723930 <174. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17908740 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olds DL AU - Kitzman H AU - Hanks C AU - Cole R AU - Anson E AU - Sidora-Arcoleo K AU - Luckey DW AU - Henderson CR Jr AU - Holmberg J AU - Tutt RA AU - Stevenson AJ AU - Bondy J FA - Olds, David L FA - Kitzman, Harriet FA - Hanks, Carole FA - Cole, Robert FA - Anson, Elizabeth FA - Sidora-Arcoleo, Kimberly FA - Luckey, Dennis W FA - Henderson, Charles R Jr FA - Holmberg, John FA - Tutt, Robin A FA - Stevenson, Amanda J FA - Bondy, Jessica IN - Olds,David L. Department of Pediatrics, University of Colorado at Denver and Health Sciences Center, Denver, CO 80218, USA. olds.david@tchden.org TI - Effects of nurse home visiting on maternal and child functioning: age-9 follow-up of a randomized trial. CM - Comment in: Evid Based Nurs. 2008 Apr;11(2):41; PMID: 18364411 SO - Pediatrics. 120(4):e832-45, 2007 Oct. AS - Pediatrics. 120(4):e832-45, 2007 Oct. NJ - Pediatrics PI - Journal available in: Print PI - Citation processed from: Internet JC - oxv, 0376422 OI - Source: NLM. NIHMS180267 OI - Source: NLM. PMC2839449 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Birth Intervals MH - Birth Weight MH - Child MH - Child Mortality MH - Child, Preschool MH - Educational Status MH - Female MH - Follow-Up Studies MH - *Home Care Services MH - Humans MH - Infant MH - Infant Mortality MH - Infant, Newborn MH - Interpersonal Relations MH - Interviews as Topic MH - Program Evaluation MH - Public Assistance/ut [Utilization] MH - Social Welfare/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - Tennessee/ep [Epidemiology] MH - Time Factors AB - OBJECTIVE: Our goal was to test the effect of prenatal and infancy home visits by nurses on mothers' fertility and children's functioning 7 years after the program ended at child age 2. AB - METHODS: We conducted a randomized, controlled trial in a public system of obstetric and pediatric care. A total of 743 primarily black women <29 weeks' gestation, with previous live births and at least 2 sociodemographic risk characteristics (unmarried, <12 years of education, unemployed), were randomly assigned to receive nurse home visits or comparison services. Primary outcomes consisted of intervals between births of first and second children and number of children born per year; mothers' stability of relationships with partners and relationships with the biological father of the child; mothers' use of welfare, food stamps, and Medicaid; mothers' use of substances; mothers' arrests and incarcerations; and children's academic achievement, school conduct, and mental disorders. Secondary outcomes were the sequelae of subsequent pregnancies, women's employment, experience of domestic violence, and children's mortality. AB - RESULTS: Nurse-visited women had longer intervals between births of first and second children, fewer cumulative subsequent births per year, and longer relationships with current partners. From birth through child age 9, nurse-visited women used welfare and food stamps for fewer months. Nurse-visited children born to mothers with low psychological resources, compared with control-group counterparts, had better grade-point averages and achievement test scores in math and reading in grades 1 through 3. Nurse-visited children, as a trend, were less likely to die from birth through age 9, an effect accounted for by deaths that were attributable to potentially preventable causes. AB - CONCLUSIONS: By child age 9, the program reduced women's rates of subsequent births, increased the intervals between the births of first and second children, increased the stability of their relationships with partners, facilitated children's academic adjustment to elementary school, and seems to have reduced childhood mortality from preventable causes. ES - 1098-4275 IL - 0031-4005 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - 1-K05-MH01382-01 (United States NIMH NIH HHS) NO - 1-R01-MH61428-01 (United States NIMH NIH HHS) NO - 8R01 HD43492 (United States NICHD NIH HHS) NO - MCJ 360579 (United States PHS HHS) NO - NR01-01691-05 (United States NINR NIH HHS) NO - R01 DA021624 (United States NIDA NIH HHS) NO - R01 MH061428 (United States NIMH NIH HHS) NO - R01 MH061428-01 (United States NIMH NIH HHS) LG - English DP - 2007 Oct DC - 20071002 YR - 2007 ED - 20071029 RD - 20140919 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17908740 <175. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17624780 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelleher S FA - Kelleher, Sean IN - Kelleher,Sean. Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland. s.kelleher@ucc.ie TI - Health care professionals' knowledge and attitudes regarding substance use and substance users. [Review] [34 refs] SO - Accident & Emergency Nursing. 15(3):161-5, 2007 Jul. AS - Accid Emerg Nurs. 15(3):161-5, 2007 Jul. NJ - Accident and emergency nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9305090 SB - Nursing Journal CP - Scotland MH - *Attitude of Health Personnel MH - Clinical Competence MH - Cost of Illness MH - Emergency Medicine/ed [Education] MH - Emergency Medicine/og [Organization & Administration] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/og [Organization & Administration] MH - *Emergency Nursing MH - Emergency Treatment/mt [Methods] MH - Emergency Treatment/nu [Nursing] MH - *Emergency Treatment MH - Harm Reduction MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Ireland/ep [Epidemiology] MH - Negativism MH - Nursing Education Research MH - Nursing Methodology Research MH - Personnel, Hospital/ed [Education] MH - Personnel, Hospital/px [Psychology] MH - *Personnel, Hospital MH - Prejudice MH - Professional Role MH - Stereotyping MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - In Ireland one in four (28%) of those attending hospital emergency departments have substance abuse-related injury/illness and one in eight (13%) present in a state of clinical intoxication. Health care professionals working in emergency departments are frequently exposed to patients with substance use problems and are in ideal positions to provide early diagnosis and treatment. The success rate in detecting these patients is however disturbingly low (25-50%) and as a result many substance use problems are misdiagnosed or remain undetected. International studies that focus on primary care and addiction within the mental health sector suggest that health care professionals' knowledge and attitudes regarding substance use and substance users may negatively influence the care that these patients receive. There is a dearth of empirical research, internationally, and particularly in Ireland that addresses health care professionals' knowledge and attitudes in relation to substance use and substance users with no empirical evidence to ascertain in particular, emergency department doctors' and nurses' knowledge and attitudes. [References: 34] IS - 0965-2302 IL - 0965-2302 PT - Journal Article PT - Review LG - English EP - 20070710 DP - 2007 Jul DC - 20070827 YR - 2007 ED - 20071025 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17624780 <176. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17628126 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berkman ND AU - Bulik CM AU - Brownley KA AU - Lohr KN AU - Sedway JA AU - Rooks A AU - Gartlehner G FA - Berkman, Nancy D FA - Bulik, Cynthia M FA - Brownley, Kimberly A FA - Lohr, Kathleen N FA - Sedway, Jan A FA - Rooks, Adrienne FA - Gartlehner, Gerald TI - Management of eating disorders. [Review] [401 refs] SO - Evidence Report/Technology Assessment. (135):1-166, 2006 Apr. AS - Evid rep/technol assess. (135):1-166, 2006 Apr. NJ - Evidence report/technology assessment PI - Journal available in: Print PI - Citation processed from: Print JC - 101082681 OI - Source: NLM. PMC4780981 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Anorexia Nervosa/th [Therapy] MH - Antidepressive Agents/tu [Therapeutic Use] MH - Bulimia Nervosa/th [Therapy] MH - Combined Modality Therapy MH - Feeding and Eating Disorders/dt [Drug Therapy] MH - *Feeding and Eating Disorders/th [Therapy] MH - Female MH - Humans MH - Male MH - Psychotherapy MH - Treatment Outcome AB - OBJECTIVES: The RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center (RTI-UNC EPC) systematically reviewed evidence on efficacy of treatment for anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED), harms associated with treatments, factors associated with the treatment efficacy and with outcomes of these conditions, and whether treatment and outcomes for these conditions differ by sociodemographic characteristics. AB - DATA SOURCES: We searched MEDLINE, the Cumulative Index to Nursing and Applied Health (CINAHL), PSYCHINFO, the Educational Resources Information Center (ERIC), the National Agricultural Library (AGRICOLA), and Cochrane Collaboration libraries. AB - REVIEW METHODS: We reviewed each study against a priori inclusion/exclusion criteria. For included articles, a primary reviewer abstracted data directly into evidence tables; a second senior reviewer confirmed accuracy. We included studies published from 1980 to September 2005, in all languages. Studies had to involve populations diagnosed primarily with AN, BN, or BED and report on eating, psychiatric or psychological, or biomarker outcomes. AB - RESULTS: We report on 30 treatment studies for AN, 47 for BN, 25 for BED, and 34 outcome studies for AN, 13 for BN, 7 addressing both AN and BN, and 3 for BED. The AN literature on medications was sparse and inconclusive. Some forms of family therapy are efficacious in treating adolescents. Cognitive behavioral therapy (CBT) may reduce relapse risk for adults after weight restoration. For BN, fluoxetine (60 mg/day) reduces core bulimic symptoms (binge eating and purging) and associated psychological features in the short term. Individual or group CBT decreases core behavioral symptoms and psychological features in both the short and long term. How best to treat individuals who do not respond to CBT or fluoxetine remains unknown. In BED, individual or group CBT reduces binge eating and improves abstinence rates for up to 4 months after treatment; however, CBT is not associated with weight loss. Medications may play a role in treating BED patients. Further research addressing how best to achieve both abstinence from binge eating and weight loss in overweight patients is needed. Higher levels of depression and compulsivity were associated with poorer outcomes in AN; higher mortality was associated with concurrent alcohol and substance use disorders. Only depression was consistently associated with poorer outcomes in BN; BN was not associated with an increased risk of death. Because of sparse data, we could reach no conclusions concerning BED outcomes. No or only weak evidence addresses treatment or outcomes difference for these disorders. AB - CONCLUSIONS: The literature regarding treatment efficacy and outcomes for AN, BN, and BED is of highly variable quality. In future studies, researchers must attend to issues of statistical power, research design, standardized outcome measures, and sophistication and appropriateness of statistical methodology. [References: 401] RN - 0 (Antidepressive Agents) IS - 1530-4396 IL - 1530-4396 PT - Journal Article PT - Review LG - English DP - 2006 Apr DC - 20070713 YR - 2006 ED - 20071012 RD - 20160323 UP - 20160325 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=17628126 <177. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17628126 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berkman ND AU - Bulik CM AU - Brownley KA AU - Lohr KN AU - Sedway JA AU - Rooks A AU - Gartlehner G FA - Berkman, Nancy D FA - Bulik, Cynthia M FA - Brownley, Kimberly A FA - Lohr, Kathleen N FA - Sedway, Jan A FA - Rooks, Adrienne FA - Gartlehner, Gerald TI - Management of eating disorders. [Review] [401 refs] SO - Evidence Report/Technology Assessment. (135):1-166, 2006 Apr. AS - Evid rep/technol assess. (135):1-166, 2006 Apr. NJ - Evidence report/technology assessment PI - Journal available in: Print PI - Citation processed from: Print JC - 101082681 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Anorexia Nervosa/th [Therapy] MH - Antidepressive Agents/tu [Therapeutic Use] MH - Bulimia Nervosa/th [Therapy] MH - Combined Modality Therapy MH - Feeding and Eating Disorders/dt [Drug Therapy] MH - *Feeding and Eating Disorders/th [Therapy] MH - Female MH - Humans MH - Male MH - Psychotherapy MH - Treatment Outcome AB - OBJECTIVES: The RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center (RTI-UNC EPC) systematically reviewed evidence on efficacy of treatment for anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED), harms associated with treatments, factors associated with the treatment efficacy and with outcomes of these conditions, and whether treatment and outcomes for these conditions differ by sociodemographic characteristics. AB - DATA SOURCES: We searched MEDLINE, the Cumulative Index to Nursing and Applied Health (CINAHL), PSYCHINFO, the Educational Resources Information Center (ERIC), the National Agricultural Library (AGRICOLA), and Cochrane Collaboration libraries. AB - REVIEW METHODS: We reviewed each study against a priori inclusion/exclusion criteria. For included articles, a primary reviewer abstracted data directly into evidence tables; a second senior reviewer confirmed accuracy. We included studies published from 1980 to September 2005, in all languages. Studies had to involve populations diagnosed primarily with AN, BN, or BED and report on eating, psychiatric or psychological, or biomarker outcomes. AB - RESULTS: We report on 30 treatment studies for AN, 47 for BN, 25 for BED, and 34 outcome studies for AN, 13 for BN, 7 addressing both AN and BN, and 3 for BED. The AN literature on medications was sparse and inconclusive. Some forms of family therapy are efficacious in treating adolescents. Cognitive behavioral therapy (CBT) may reduce relapse risk for adults after weight restoration. For BN, fluoxetine (60 mg/day) reduces core bulimic symptoms (binge eating and purging) and associated psychological features in the short term. Individual or group CBT decreases core behavioral symptoms and psychological features in both the short and long term. How best to treat individuals who do not respond to CBT or fluoxetine remains unknown. In BED, individual or group CBT reduces binge eating and improves abstinence rates for up to 4 months after treatment; however, CBT is not associated with weight loss. Medications may play a role in treating BED patients. Further research addressing how best to achieve both abstinence from binge eating and weight loss in overweight patients is needed. Higher levels of depression and compulsivity were associated with poorer outcomes in AN; higher mortality was associated with concurrent alcohol and substance use disorders. Only depression was consistently associated with poorer outcomes in BN; BN was not associated with an increased risk of death. Because of sparse data, we could reach no conclusions concerning BED outcomes. No or only weak evidence addresses treatment or outcomes difference for these disorders. AB - CONCLUSIONS: The literature regarding treatment efficacy and outcomes for AN, BN, and BED is of highly variable quality. In future studies, researchers must attend to issues of statistical power, research design, standardized outcome measures, and sophistication and appropriateness of statistical methodology. [References: 401] RN - 0 (Antidepressive Agents) IS - 1530-4396 IL - 1530-4396 PT - Journal Article PT - Review LG - English DP - 2006 Apr DC - 20070713 YR - 2006 ED - 20071012 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17628126 <178. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17113686 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ashmore R AU - Carver N AU - Banks D FA - Ashmore, Russell FA - Carver, Neil FA - Banks, David IN - Ashmore,Russell. Sheffield Hallam University, Faculty of Health and Wellbeing, Mundella House, Collegiate Crescent, S1 1WB, United Kingdom. r.j.ashmore@shu.ac.uk TI - Mental health nursing students' relationships with the pharmaceutical industry. SO - Nurse Education Today. 27(6):551-60, 2007 Aug. AS - Nurse Educ Today. 27(6):551-60, 2007 Aug. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - *Attitude of Health Personnel MH - Bias (Epidemiology) MH - Clinical Competence MH - Codes of Ethics MH - Conflict of Interest MH - Drug Industry/es [Ethics] MH - *Drug Industry/og [Organization & Administration] MH - Drug Information Services MH - Education, Nursing, Graduate/es [Ethics] MH - Education, Nursing, Graduate/og [Organization & Administration] MH - Female MH - Gift Giving/es [Ethics] MH - *Gift Giving MH - Great Britain MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Interprofessional Relations/es [Ethics] MH - *Interprofessional Relations MH - Male MH - Nursing Methodology Research MH - Persuasive Communication MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing MH - Qualitative Research MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires AB - INTRODUCTION: The medical profession's relationship with the pharmaceutical industry (PI) has come under increased scrutiny in recent years, however little is known on the subject in mental health nursing. AB - AIMS: The study sought to investigate: (1) the frequency of contact between mental health nursing students and PI employees; (2) students' attitudes and beliefs about their relationship with the PI; (3) the range of 'gifts', promotional items and hospitality accepted or seen in clinical environments by students in a one year period; and (4) students' attitudes to 'gifts', promotional items and hospitality offered by the industry. AB - METHOD: Employing a survey design, a 35-item questionnaire was distributed to 472 students at two universities in the UK. Data were analysed from 347 respondents by means of descriptive statistics and simple content analysis. AB - RESULTS: The findings suggest that students have significant contact with the industry through one-to-one meetings with pharmaceutical representatives (PRs) and by attending events giving information on specific drugs or general mental health issues. Students also identified a number of benefits (e.g. receiving "up-to-date" information on new drugs) and problems (e.g. the potential influence exerted on practitioners to use their drugs) arising out of this contact. Most students (79.8%) had accepted some form of 'gift' from the industry but few (11.5%) believed it was unacceptable to do so. The presence of promotional items in the clinical environment was seen as advertising (84.4%) but few students (19.3%) believed clinical environment should be free of these items. Over half (57.1%) of the students believed that PRs did not always give unbiased information but thought that they and mental health nurses in general would be able to detect any bias. AB - CONCLUSIONS: In parallel with medicine, the study has shown that the pharmaceutical industry has at least the potential to influence mental health nursing students. Within medicine this realisation has triggered a vigorous debate on how medical schools should respond to the promotional activities of the PI. We suggest this study goes some way to demonstrating there is a need for these issues to be debated in the education of mental health nurses. IS - 0260-6917 IL - 0260-6917 PT - Journal Article LG - English EP - 20061120 DP - 2007 Aug DC - 20070725 YR - 2007 ED - 20071005 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17113686 <179. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17675113 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heath J AU - Crowell NA FA - Heath, Janie FA - Crowell, Nancy A IN - Heath,Janie. Acute Care Nurse Practitioner and Critical Care Clinical Nurse Specialist Program, School of Nursing and Health Studies, Georgetown University, Washington, DC, USA. ejh@georgetown.edu TI - Factors influencing intentions to integrate tobacco education among advanced practice nursing faculty. SO - Journal of Professional Nursing. 23(4):189-200, 2007 Jul-Aug. AS - J Prof Nurs. 23(4):189-200, 2007 Jul-Aug. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Attitude of Health Personnel MH - Curriculum MH - *Education, Nursing, Graduate/og [Organization & Administration] MH - *Faculty, Nursing MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Intention MH - Linear Models MH - Male MH - Models, Psychological MH - Multivariate Analysis MH - Needs Assessment MH - Nurse Anesthetists/ed [Education] MH - Nurse Anesthetists/px [Psychology] MH - Nurse Clinicians/ed [Education] MH - Nurse Clinicians/px [Psychology] MH - Nurse Midwives/ed [Education] MH - Nurse Midwives/px [Psychology] MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/px [Psychology] MH - Nursing Education Research MH - Nursing Methodology Research MH - Professional Competence MH - Self Efficacy MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - We report on the findings of a national survey that examined factors that influence faculty's intentions to integrate tobacco education in their advanced practice nursing curricula. The addiction component of tobacco use is taking its toll on the health of 48 million smokers in the United States. Several national health authorities recommend and/or mandate that tobacco prevention and tobacco cessation be addressed at every point of entry in the health care delivery system. However, there is increasing evidence that health care providers may not be adequately prepared to meet national goals and/or standards. One hundred sixty-one advanced practice nursing faculty in the United States completed an 88-item survey regarding external factors (e.g., personal history of tobacco use, clinical practice, and current tobacco topics taught) and components of the Theory of Reasoned Action model (including perceived self-efficacy, behavioral beliefs, subjective norms, and control beliefs related to tobacco education). Descriptive statistics, chi(2) analysis, Pearson correlation, and linear regression were used to analyze the data. The findings revealed that sex (chi(2) = 7.949, P = .024), level of education (chi(2) = 26.853, P = .0005), years of academic teaching (chi(2) = 19.418, P = .013), and combined clinical and course responsibility (chi(2) = 10.430, P = .0236) were significant external (demographic) factors and that behavioral beliefs (attitude about tobacco education) demonstrated the strongest relationship with intention scores (r = 0.876, P < .0005). Overall, 62.7% of nurse practitioners reported high scores (>or=5, on a scale of 1-7) for intentions to integrate tobacco education, as compared with 37.5% of nurse midwives, 30.3% of clinical nurse specialists, and 8.7% of nurse anesthetists. This study adds to the growing body of evidence that nursing curricular gaps with tobacco education exist and that national efforts are needed to ensure that widespread changes occur to help reduce the morbidity and mortality related to tobacco use. IS - 8755-7223 IL - 8755-7223 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Jul-Aug DC - 20070806 YR - 2007 ED - 20070928 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17675113 <180. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16837408 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sheltonh A AU - Harvin S AU - White J FA - Sheltonh, Andrea FA - Harvin, Sheila FA - White, Janeana IN - Sheltonh,Andrea. Texas Southern University, Houston, USA. TI - Substance abuse prevention program for children and adolescents in a community-based clinic. SO - Substance Abuse. 26(3-4):21-5, 2005 Dec. AS - Subst Abus. 26(3-4):21-5, 2005 Dec. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Adolescent MH - *Alcoholism/pc [Prevention & Control] MH - Child MH - Child of Impaired Parents/ed [Education] MH - Child of Impaired Parents/sn [Statistics & Numerical Data] MH - *Cognitive Therapy MH - *Community Health Services MH - Education, Nursing MH - Fellowships and Scholarships MH - Female MH - *Health Education MH - Humans MH - Male MH - Program Evaluation MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Texas AB - This paper describes a community-based substance abuse prevention program utilizing a cognitive-behavioral curriculum to children and adolescents affected by a substance use disorder in a parent or caretaker. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 2005 Dec DC - 20060713 YR - 2005 ED - 20070926 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16837408 <181. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16150679 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baez A AU - Eckert-Norton M AU - Morrison A FA - Baez, Annecy FA - Eckert-Norton, Margaret FA - Morrison, Ann IN - Baez,Annecy. Lehman College, City University of New York, 250 Bedford Park Blvd West, Bronx, NY 10468, USA. TI - Knowing how and showing how: interdisciplinary collaboration on substance abuse skill OSCEs for medical, nursing and social work students. SO - Substance Abuse. 25(3):33-7, 2004 Sep. AS - Subst Abus. 25(3):33-7, 2004 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - *Clinical Competence MH - Humans MH - *Interdisciplinary Communication MH - *Social Work MH - *Students MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - *Teaching/mt [Methods] MH - Videotape Recording IS - 0889-7077 IL - 0889-7077 PT - Case Reports PT - Journal Article LG - English DP - 2004 Sep DC - 20050909 YR - 2004 ED - 20070925 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16150679 <182. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17696111 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pittman M FA - Pittman, Mark TI - Hedonistic or suicidal?. CM - Comment on: Emerg Nurse. 2007 Jun;15(3):30-5; PMID: 17760238 SO - Emergency Nurse. 15(4):4-5; author reply 5, 2007 Jul. AS - Emerg Nurse. 15(4):4-5; author reply 5, 2007 Jul. NJ - Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association PI - Journal available in: Print PI - Citation processed from: Print JC - bia, 9208913 SB - Nursing Journal CP - England MH - Dangerous Behavior MH - Diagnosis, Differential MH - Emergency Nursing/ed [Education] MH - *Emergency Nursing/mt [Methods] MH - Humans MH - *Nursing Assessment/mt [Methods] MH - Risk-Taking MH - *Self-Injurious Behavior/di [Diagnosis] MH - *Substance-Related Disorders/di [Diagnosis] MH - *Suicide, Attempted/pc [Prevention & Control] IS - 1354-5752 IL - 1354-5752 PT - Comment PT - Letter LG - English DP - 2007 Jul DC - 20070816 YR - 2007 ED - 20070921 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17696111 <183. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17635627 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shattell MM AU - Starr SS AU - Thomas SP FA - Shattell, Mona M FA - Starr, Sharon S FA - Thomas, Sandra P IN - Shattell,Mona M. School of Nursing, University of North Carolina at Greensboro, Greensboro, NC 27402, USA. mona_shattell@uncg.edu TI - 'Take my hand, help me out': mental health service recipients' experience of the therapeutic relationship. SO - International Journal of Mental Health Nursing. 16(4):274-84, 2007 Aug. AS - Int J Ment Health Nurs. 16(4):274-84, 2007 Aug. NJ - International journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 101140527 SB - Nursing Journal CP - Australia MH - Adult MH - Attitude of Health Personnel MH - *Attitude to Health MH - Empathy MH - Female MH - Helping Behavior MH - Humans MH - Male MH - Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - *Mental Disorders MH - Middle Aged MH - Morale MH - *Nurse's Role/px [Psychology] MH - *Nurse-Patient Relations MH - Nursing Methodology Research MH - Nursing Theory MH - Problem Solving MH - *Psychiatric Nursing/mt [Methods] MH - Psychological Theory MH - Qualitative Research MH - Self Disclosure MH - Social Support MH - Stereotyping MH - Surveys and Questionnaires AB - The purpose of this study was to describe mental health service recipients' experience of the therapeutic relationship. The research question was 'what is therapeutic about the therapeutic relationship?' This study was a secondary analysis of qualitative interviews conducted with persons with mental illness as part of a study of the experience of being understood. This secondary analysis used data from 20 interviews with community-dwelling adults with mental illness, who were asked to talk about the experience of being understood by a health-care provider. Data were analysed using an existential phenomenological approach. Individuals experienced therapeutic relationships against a backdrop of challenges, including mental illness, domestic violence, substance abuse, and homelessness. They had therapeutic relationships with nurses (psychiatric/mental health nurses and dialysis nurses), physicians (psychiatrists and general practitioners), psychologists, social workers, and counsellors. Experiences of the therapeutic relationship were expressed in three figural themes, titled using participants' own words: 'relate to me', 'know me as a person', and 'get to the solution'. The ways in which these participants described therapeutic relationships challenge some long-held beliefs, such as the use of touch, self-disclosure, and blunt feedback. A therapeutic relationship for persons with mental illness requires in-depth personal knowledge, which is acquired only with time, understanding, and skill. Knowing the whole person, rather than knowing the person only as a service recipient, is key for practising nurses and nurse educators interested in enhancing the therapeutic potential of relationships. IS - 1445-8330 IL - 1445-8330 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Aug DC - 20070719 YR - 2007 ED - 20070921 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17635627 <184. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17135178 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baldwin JN AU - Scott DM AU - Agrawal S AU - Bartek JK AU - Davis-Hall RE AU - Reardon TP AU - DeSimone EM 2nd FA - Baldwin, Jeffrey N FA - Scott, David M FA - Agrawal, Sangeeta FA - Bartek, Jean K FA - Davis-Hall, R Ellen FA - Reardon, Thomas P FA - DeSimone, Edward M 2nd IN - Baldwin,Jeffrey N. College of Pharmacy, The University of Nebraska Medical Center, Omaha, NE, 68198-2135, USA. jbaldwin@unmc.edu TI - Assessment of alcohol and other drug use behaviors in health professions students. SO - Substance Abuse. 27(3):27-37, 2006 Sep. AS - Subst Abus. 27(3):27-37, 2006 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Adult MH - *Alcohol-Related Disorders/ep [Epidemiology] MH - Alcohol-Related Disorders/ge [Genetics] MH - Alcohol-Related Disorders/px [Psychology] MH - Allied Health Occupations/ed [Education] MH - Cross-Sectional Studies MH - Female MH - Genetic Predisposition to Disease MH - Health Surveys MH - Humans MH - Male MH - Nebraska MH - Students, Dental/px [Psychology] MH - Students, Dental/sn [Statistics & Numerical Data] MH - Students, Health Occupations/px [Psychology] MH - *Students, Health Occupations/sn [Statistics & Numerical Data] MH - Students, Medical/px [Psychology] MH - Students, Medical/sn [Statistics & Numerical Data] MH - Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - Students, Pharmacy/px [Psychology] MH - Students, Pharmacy/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/ge [Genetics] MH - Substance-Related Disorders/px [Psychology] AB - Alcohol and other drug (AOD) use behaviors of health professions students (HPS) were assessed by surveying both university-based HPS and other nursing programs in a Midwestern state in 1999. Response was 2,646 (56.4%) of surveyed students. Family history of alcohol-related and drug-related problems were reported by 39.8% and 13.9%, respectively, with 42.6% of respondents reporting one or both. Among nursing respondents, 48.1%, 19.2% and 51.1%, respectively, reported family problems with alcohol, drugs, or one or both. Past-year alcohol use was comparable to undergraduate college students (UCS) nationally (83%); heavy drinking, tobacco and recreational drug use by HPS were lower. Past year drug use was highest among medical students. Marijuana was the predominant illicit drug; medical students and males most often reported use. Health professions educational systems should proactively address student AOD prevention, education and assistance needs. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Sep DC - 20061130 YR - 2006 ED - 20070917 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17135178 <185. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17558822 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Borrelli B AU - Novak SP FA - Borrelli, Belinda FA - Novak, Scott P IN - Borrelli,Belinda. Brown Medical School and The Miriam Hospital, Providence, RI 02903, USA. belinda_borrelli@brown.edu TI - Nurses' knowledge about the risk of light cigarettes and other tobacco "harm reduction" strategies. SO - Nicotine & Tobacco Research. 9(6):653-61, 2007 Jun. AS - Nicotine Tob Res. 9(6):653-61, 2007 Jun. NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco PI - Journal available in: Print PI - Citation processed from: Print JC - drz, 9815751 SB - Index Medicus CP - England MH - Adult MH - Counseling/mt [Methods] MH - Female MH - *Health Education/mt [Methods] MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion/mt [Methods] MH - Humans MH - Male MH - Middle Aged MH - *Nicotine/ae [Adverse Effects] MH - *Nurse's Role MH - Nurse-Patient Relations MH - Rhode Island MH - Risk Factors MH - *Smoking Cessation/mt [Methods] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/nu [Nursing] MH - Tobacco Use Disorder/pc [Prevention & Control] AB - Light and ultra-light cigarettes are associated with little or no risk reduction versus regular cigarettes, but the majority of smokers believe they are safer. We evaluated whether nurses believe that certain products (light and ultra-light cigarettes, reduced-tar cigarettes, nicotine replacement), cigarette design features (filters, no additives), and smoking behaviors (smoking reduction) reduce health risks among their patients. Nurses (N = 178; 93% female, 10% smokers) completed questionnaires before mandatory training in smoking cessation counseling. Among respondents, 25% believed that light and ultra-light cigarettes are equal in tar to regular cigarettes, 55% believed that two light cigarettes are equal in tar to one regular cigarette, and 51% believed that three or more ultra-light cigarettes are equal to one regular cigarette. Further, 40% believed that light and ultra-light cigarettes are less dangerous; younger nurses (<41 years old) were more likely to believe this than older nurses (p<.05). A total of 14% of nurses would recommend light and ultra-light cigarettes to help patients reduce health risks, 15% said that cigars are less harmful than cigarettes, 41% said that additive-free cigarettes are less dangerous, and 81% said that cutting down to 5 cigarettes/day improves health. Nurses had misperceptions about nicotine replacement: 60% believed that nicotine causes cancer, 72% believed that nicotine patches could cause heart attacks, and 40% and 15% believed that a prescription is needed for the nicotine patch or gum, respectively. Among nurses, smokers were more likely than nonsmokers to believe that smoking risks are exaggerated (p<.05). Nurse misinformation could lead to inaccurate recommendations and failure to capitalize on the teachable moment provided by the medical encounter. RN - 6M3C89ZY6R (Nicotine) IS - 1462-2203 IL - 1462-2203 PT - Journal Article LG - English DP - 2007 Jun DC - 20070611 YR - 2007 ED - 20070913 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17558822 <186. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17679636 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Szanto K AU - Kalmar S AU - Hendin H AU - Rihmer Z AU - Mann JJ FA - Szanto, Katalin FA - Kalmar, Sandor FA - Hendin, Herbert FA - Rihmer, Zoltan FA - Mann, J John IN - Szanto,Katalin. University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, PA, USA. TI - A suicide prevention program in a region with a very high suicide rate. SO - Archives of General Psychiatry. 64(8):914-20, 2007 Aug. AS - Arch Gen Psychiatry. 64(8):914-20, 2007 Aug. NJ - Archives of general psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - 72c, 0372435 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Antidepressive Agents/tu [Therapeutic Use] MH - Comorbidity MH - Curriculum MH - Depressive Disorder/dt [Drug Therapy] MH - Depressive Disorder/ep [Epidemiology] MH - Depressive Disorder/px [Psychology] MH - Drug Prescriptions/sn [Statistics & Numerical Data] MH - Drug Utilization MH - Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Health Education/mt [Methods] MH - Humans MH - Hungary/ep [Epidemiology] MH - Liver Diseases, Alcoholic/ep [Epidemiology] MH - Liver Diseases, Alcoholic/mo [Mortality] MH - Middle Aged MH - Practice Patterns, Physicians' MH - *Program Development/mt [Methods] MH - Program Evaluation MH - Psychiatry/ed [Education] MH - Psychiatry/mt [Methods] MH - Remote Consultation/mt [Methods] MH - Risk Factors MH - Sex Factors MH - *Suicide/pc [Prevention & Control] MH - *Suicide/sn [Statistics & Numerical Data] MH - Suicide/td [Trends] AB - CONTEXT: Suicide is a major cause of mortality worldwide. Rates vary widely within and between countries. A suicide prevention program has never been tested in a region with a very high suicide rate in comparison with control regions without such intervention over the same period. AB - OBJECTIVE: To determine the effectiveness of a depression-management educational program for general practitioners (GPs) on the suicide rate in a region with a high suicide rate in Hungary. AB - DESIGN: Effects were compared with a control region, the larger surrounding county, and Hungary. AB - SETTING: Southwest Hungary. AB - PARTICIPANTS: Twenty-eight GPs servicing 73,000 inhabitants participated in the educational program. AB - INTERVENTION: A 5-year depression-management educational program for GPs and their nurses was implemented together with establishment of a Depression Treatment Clinic and psychiatrist telephone consultation service in the intervention region. AB - MAIN OUTCOME MEASURES: The primary study outcome measure was annual suicide rate. The secondary outcome measure was antidepressant prescription use. AB - RESULTS: The annual suicide rate in the intervention region decreased from the 5-year preintervention average of 59.7 in 100,000 to 49.9 in 100,000. The decrease was comparable with the control region but greater than both the county and Hungary (P < .001 and P < .001, respectively). In rural areas, the female suicide rate in the intervention region decreased by 34% and increased by 90% in the control region (P < .07). The increase in antidepressant treatment was greater in the intervention region compared with the control region, the county, and Hungary and in women compared with men (P < .002). AB - CONCLUSIONS: A GP-based intervention produced a greater decline in suicide rates compared with the surrounding county and national rates. Increases in patients with depression treated and of dosing were modest and may require additional measures such as depression-care managers. The importance of alcoholism in local suicides was unanticipated and not addressed. Optimal suicide prevention plans must consider major local risk factors. RN - 0 (Antidepressive Agents) IS - 0003-990X IL - 0003-990X PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Aug DC - 20070807 YR - 2007 ED - 20070829 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17679636 <187. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17546359 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dessunti EM AU - Advincula Reis AO FA - Dessunti, Elma Mathias FA - Advincula Reis, Alberto Olavo IN - Dessunti,Elma Mathias. State University of Londrina. elma@sercomtel.com.br TI - Psychosocial and behavioral factors associated to STD/AIDS risk among health students. SO - Revista Latino-Americana de Enfermagem. 15(2):267-74, 2007 Mar-Apr. AS - Rev Lat Am Enfermagem. 15(2):267-74, 2007 Mar-Apr. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - *Acquired Immunodeficiency Syndrome/ep [Epidemiology] MH - Humans MH - *Infectious Disease Transmission, Patient-to-Professional/pc [Prevention & Control] MH - *Infectious Disease Transmission, Patient-to-Professional/sn [Statistics & Numerical Data] MH - *Occupational Diseases/pc [Prevention & Control] MH - Psychology MH - Risk Factors MH - *Sexual Behavior MH - *Sexually Transmitted Diseases/pc [Prevention & Control] MH - *Social Behavior MH - *Students, Medical/sn [Statistics & Numerical Data] AB - This study aimed to identify and compare psychosocial and behavioral factors associated to STD/AIDS risk among students enrolled in the first and last years of the Nursing and Medical Undergraduate Programs at State University of Londrina. A convenience sample was selected from 263 enrolled students, and the 183 students who were sexually active (70.4%) had their data assessed. The Aids Risk Reduction Model framework was used to design the questionnaire in which a 5% statistical significance level was considered. Some risk factors were identified such as the perception of invulnerability, multiple sexual partners, consumption of alcoholic beverages before intercourse, and the discontinuous use or no use of condom. The risk factors are common both to the freshman and senior students, with no significant differences related to the passage of time or to the students' higher educational level. Senior students tend to be monogamous which makes them feel safer and decrease the use of condom with their sexual partners. IS - 0104-1169 IL - 0104-1169 PT - Journal Article LG - English DP - 2007 Mar-Apr DC - 20070604 YR - 2007 ED - 20070827 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17546359 <188. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17268937 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - King MA AU - Roberts MS FA - King, Michelle A FA - Roberts, Michael S IN - King,Michelle A. Department of General Practice and Primary Care, University of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen AB25 2AY, United Kingdom. michelle.king@abdn.ac.uk TI - The influence of the Pharmaceutical Benefits Scheme (PBS) on inappropriate prescribing in Australian nursing homes. SO - Pharmacy World & Science. 29(1):39-42, 2007 Feb. AS - Pharm World Sci. 29(1):39-42, 2007 Feb. NJ - Pharmacy world & science : PWS PI - Journal available in: Print PI - Citation processed from: Print JC - bo7, 9307352 SB - Index Medicus CP - Netherlands MH - Adult MH - Aged MH - Aged, 80 and over MH - Australia MH - *Cost Sharing MH - Cross-Sectional Studies MH - Drug Costs MH - Drug Prescriptions/ec [Economics] MH - *Drug Prescriptions/st [Standards] MH - Drug Utilization/ec [Economics] MH - Drug Utilization/st [Standards] MH - *Formularies as Topic MH - Health Policy MH - Humans MH - *Medication Errors/sn [Statistics & Numerical Data] MH - Middle Aged MH - National Health Programs/ec [Economics] MH - National Health Programs/og [Organization & Administration] MH - Nursing Homes MH - Practice Patterns, Physicians'/ec [Economics] MH - *Practice Patterns, Physicians'/st [Standards] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Quality Assurance, Health Care AB - OBJECTIVES: To determine the prevalence of inappropriate prescribing, defined by applying modified Beers' criteria, and to examine the influence of the Pharmaceutical Benefits Scheme (PBS), Australia's national scheme for subsidising medicines, on inappropriate prescribing. AB - METHODS: Cross-sectional survey of nursing home records, including 7-days data from medication charts. AB - SETTING: Fiveteen randomly selected nursing homes (998 residents) in Southeast Queensland and Northern New South Wales, Australia. AB - MAIN OUTCOME MEASURES: The prevalence of inappropriate prescribing as defined by modified Beers' criteria and its correlation with PBS restrictions. AB - RESULTS: 18.5% of residents were ordered one or more inappropriate medications, and 1.5% of residents were ordered two or more. The level of PBS restriction and the percentage of residents ordered a medication were highly correlated (p = -0.87, P < 0.001). Medications in Beers' criteria that were not listed (subsidised) on the PBS were not ordered for any resident. PBS medicines with subsidies restricted to certain populations or indications were ordered for 0% to 0.1% of residents. Dextropropoxyphene, diazepam, amitriptyline and methyldopa were the only medications in Beers' criteria prescribed to more than 0.5% of residents. Dextropropoxyphene was only subsidised for war veterans, with a caution warning of its potential to cause drug dependence, while diazepam, amitriptyline and methyldopa were listed on the PBS without any subsidy restrictions. AB - CONCLUSION: Increases in the level of PBS restriction were associated with decreases in the prevalence of inappropriate prescribing, The targeting of drug subsidies to reduce inappropriate prescribing warrants further investigation. IS - 0928-1231 IL - 0928-1231 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Feb DC - 20070704 YR - 2007 ED - 20070727 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17268937 <189. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17536923 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jannone L AU - O'Connell KA FA - Jannone, Laura FA - O'Connell, Kathleen A IN - Jannone,Laura. Monmouth University, Marjorie K. Unterberg School of Nursing, NJ, USA. TI - Coping strategies used by adolescents during smoking cessation. SO - Journal of School Nursing. 23(3):177-84, 2007 Jun. AS - J Sch Nurs. 23(3):177-84, 2007 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - *Adaptation, Psychological MH - Adolescent MH - Female MH - Humans MH - Male MH - New Jersey MH - School Nursing MH - *Smoking Cessation/px [Psychology] MH - *Substance Withdrawal Syndrome/px [Psychology] AB - The purpose of this study was to examine coping strategies used by teens as they attempted to quit smoking. The teens were attending a school-based cessation program titled Quit 2 Win that was offered in four high schools. This study examined situations in which teens were tempted to smoke. The study compares coping strategies teens reported in resisting smoking with situations where they reported lapsing. Participants were interviewed the week of their quit date and asked about their state of mind, the availability of cigarettes, and coping strategies used to resist smoking. By identifying coping strategies, school nurses can develop new interventions for teen smoking cessation. IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Jun DC - 20070531 YR - 2007 ED - 20070717 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17536923 <190. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17481462 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hagedorn H AU - Dieperink E AU - Dingmann D AU - Durfee J AU - Ho SB AU - Isenhart C AU - Rettmann N AU - Willenbring M FA - Hagedorn, Hildi FA - Dieperink, Eric FA - Dingmann, Debra FA - Durfee, Janet FA - Ho, Samuel B FA - Isenhart, Carl FA - Rettmann, Nancy FA - Willenbring, Mark IN - Hagedorn,Hildi. Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417, USA. hildi.hagedorn@va.gov TI - Integrating hepatitis prevention services into a substance use disorder clinic. SO - Journal of Substance Abuse Treatment. 32(4):391-8, 2007 Jun. AS - J Subst Abuse Treat. 32(4):391-8, 2007 Jun. NJ - Journal of substance abuse treatment PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - kai, 8500909 SB - Index Medicus CP - United States MH - Female MH - Follow-Up Studies MH - Hepatitis A/co [Complications] MH - *Hepatitis A/pc [Prevention & Control] MH - Hepatitis B/co [Complications] MH - *Hepatitis B/pc [Prevention & Control] MH - Hepatitis C/co [Complications] MH - *Hepatitis C/pc [Prevention & Control] MH - Hospitals, Veterans MH - Humans MH - Immunization Programs/og [Organization & Administration] MH - Male MH - Mass Screening/og [Organization & Administration] MH - Medical Audit MH - Middle Aged MH - Minnesota MH - Patient Education as Topic/og [Organization & Administration] MH - Pilot Projects MH - Preventive Health Services/ec [Economics] MH - *Preventive Health Services/og [Organization & Administration] MH - Preventive Health Services/ut [Utilization] MH - Program Development MH - Program Evaluation MH - Referral and Consultation MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance-Related Disorders/th [Therapy] MH - Substance-Related Disorders/vi [Virology] MH - United States MH - United States Department of Veterans Affairs MH - *Veterans AB - The Healthy Liver Program, established at the Minneapolis Veterans Affairs Medical Center Substance Use Disorder Clinic, provides screening for exposure to hepatitis infections, a group education class, and an individual nursing appointment to review screening results, give vaccinations for hepatitis A and hepatitis B, and make referrals to the hepatitis clinic as appropriate. A patient chart audit was completed 11 months after the establishment of the Healthy Liver Program. The attendance rate for the educational group and individual feedback sessions was 66.9%, with 94.1% of attendees accepting recommended hepatitis A and/or hepatitis B vaccinations. All patients with chronic hepatitis C who attended the Healthy Liver Program received a referral for evaluation in the hepatitis clinic, as compared with only 50% of patients with chronic hepatitis C who were identified before the establishment of the program. The importance of providing comprehensive educational sessions and recommendations for how patients with substance use disorders can access hepatitis screening, vaccination, and treatment resources are stressed. IS - 0740-5472 IL - 0740-5472 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English EP - 20061212 DP - 2007 Jun DC - 20070507 YR - 2007 ED - 20070717 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17481462 <191. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17489957 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bairan A AU - Taylor GA AU - Blake BJ AU - Akers T AU - Sowell R AU - Mendiola R Jr FA - Bairan, Annette FA - Taylor, Gloria Ann Jones FA - Blake, Barbara J FA - Akers, Timothy FA - Sowell, Richard FA - Mendiola, Rick Jr IN - Bairan,Annette. Kennesaw State University, Kennesaw, Georgia, USA. abairan@kennesaw.edu TI - A model of HIV disclosure: disclosure and types of social relationships. SO - Journal of the American Academy of Nurse Practitioners. 19(5):242-50, 2007 May. AS - J Am Acad Nurse Pract. 19(5):242-50, 2007 May. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - United States MH - Adult MH - *Attitude to Health MH - Fear MH - Female MH - Focus Groups MH - Georgia MH - HIV Infections/di [Diagnosis] MH - HIV Infections/et [Etiology] MH - *HIV Infections/px [Psychology] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Interpersonal Relations MH - Male MH - Middle Aged MH - *Models, Psychological MH - Nurse Practitioners/og [Organization & Administration] MH - Nurse Practitioners/px [Psychology] MH - Nurse's Role/px [Psychology] MH - Nursing Methodology Research MH - Qualitative Research MH - Risk Assessment MH - *Self Disclosure MH - Sexual Behavior/px [Psychology] MH - Social Behavior MH - Social Support MH - Stereotyping MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/px [Psychology] AB - PURPOSE: The purpose of this study was to assess perceptions of HIV positive (+) persons regarding disclosure of their serostatus to others with the goal of developing a model of HIV disclosure that could be used by healthcare providers (HCPs) in HIV prevention. AB - DATA SOURCES: Data were collected through 13 focus groups from 104 HIV+ participants. The groups were formed based on three HIV risk exposure categories--men who have sex with men, high-risk heterosexuals, and substance users. AB - CONCLUSIONS: Data analysis revealed three themes: disclosure of one's HIV+ serostatus depends on type of social relationships, fear, and stigma, with social relationships being the major theme. A model of HIV disclosure emerged from the data analysis of social relationships. In the model, social relationships were categorized as sexual and nonsexual, with varying degrees of HIV disclosure-depending on the social relationship with the person to whom one did or did not disclose. Results indicated that HIV is still a fearful and stigmatizing disease, and disclosure of HIV status is a complex phenomenon embedded in various types of social relationships. AB - IMPLICATIONS FOR PRACTICE: Results of this study provide a "Model of HIV Disclosure" that can be utilized by nurse practitioners and other HCPs in clinical practice when providing treatment, counseling, and prevention education for HIV+ clients and for prevention education for HIV negative clients--especially for family, friends, sexual partners, and employers of HIV+ clients. IS - 1041-2972 IL - 1041-2972 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 May DC - 20070510 YR - 2007 ED - 20070711 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17489957 <192. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17456127 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pirskanen M AU - Laukkanen E AU - Pietila AM FA - Pirskanen, Marjatta FA - Laukkanen, Eila FA - Pietila, Anna-Maija IN - Pirskanen,Marjatta. Department of Nursing Science, University of Kuopio, Finland, and Kuopio Social and Health Care Centre, Kuopio, Finland. marjatta.pirskanen@kuopio.fi TI - A formative evaluation to develop a school health nursing early intervention model for adolescent substance use. SO - Public Health Nursing. 24(3):256-64, 2007 May-Jun. AS - Public Health Nurs. 24(3):256-64, 2007 May-Jun. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Health Services/og [Organization & Administration] MH - Attitude of Health Personnel MH - Cooperative Behavior MH - Early Diagnosis MH - Finland MH - Focus Groups MH - Humans MH - Mass Screening/og [Organization & Administration] MH - *Models, Nursing MH - Needs Assessment MH - Nurse's Role/px [Psychology] MH - Nurse-Patient Relations MH - *Nursing Assessment/og [Organization & Administration] MH - Nursing Evaluation Research MH - Nursing Methodology Research MH - Nursing Process/og [Organization & Administration] MH - Nursing Staff/og [Organization & Administration] MH - Nursing Staff/px [Psychology] MH - Qualitative Research MH - *School Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - *Surveys and Questionnaires/st [Standards] AB - OBJECTIVE: To improve an early intervention (EI) triggered by the Adolescents' Substance Use Measurement (ADSUME) as a method to prevent substance abuse among adolescents. We assessed how ADSUME and EI work in practice and how EI could be improved. AB - DESIGN AND SAMPLE: School health nurses (n=10) tested ADSUME and EI on 14- to 18-year-old adolescents (n=228). Six months later, these nurses and their professional partners were invited to assess EI in focus group interviews. AB - METHODS: Four focus group interviews involving a total of 24 nurses and partners were implemented. Interview data were analyzed with qualitative content analysis. AB - RESULTS: ADSUME concretized assessment, activated profound dialogue, and proved to be an important part of EI. It was important to assess the adolescent's resources in addition to the ADSUME score. EI worked well in confidential dialogues after the adolescent and the PHN reached a consensus on the level of concern about the adolescent's substance use. The recommended EI enabled individual brief intervention in all four stages of substance use, from abstinence or experimental use to hazardous use. AB - CONCLUSIONS: EI was improved practically, and the contents of the intervention were reformulated. It is important to integrate EI with the preventive efforts of the school. IS - 0737-1209 IL - 0737-1209 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 May-Jun DC - 20070425 YR - 2007 ED - 20070629 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17456127 <193. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17526329 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kudless MW AU - White JH FA - Kudless, Mary W FA - White, Jane H IN - Kudless,Mary W. Fairfax-Falls Church Community Services Board, Fairfax, Virginia 22035, USA. marykudless@comcast.net TI - Competencies and roles of community mental health nurses. SO - Journal of Psychosocial Nursing & Mental Health Services. 45(5):36-44, 2007 May. AS - J Psychosoc Nurs Ment Health Serv. 45(5):36-44, 2007 May. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - Clinical Competence/st [Standards] MH - *Clinical Competence MH - Community Health Nursing/ed [Education] MH - *Community Health Nursing/og [Organization & Administration] MH - Female MH - Health Services Needs and Demand MH - Humans MH - Job Description MH - Male MH - Nurse Administrators/ed [Education] MH - Nurse Administrators/og [Organization & Administration] MH - Nurse Administrators/px [Psychology] MH - Nurse Clinicians/ed [Education] MH - Nurse Clinicians/og [Organization & Administration] MH - Nurse Clinicians/px [Psychology] MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/og [Organization & Administration] MH - Nurse Practitioners/px [Psychology] MH - Nurse's Role/px [Psychology] MH - *Nurse's Role MH - Nursing Administration Research MH - Nursing Evaluation Research MH - Organizational Innovation MH - Patient Care Team/og [Organization & Administration] MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/og [Organization & Administration] MH - Southeastern United States MH - Surveys and Questionnaires MH - Time and Motion Studies AB - Community mental health nurses practice in a range of behavioral health care settings, including community mental health centers, detoxification centers, group homes for individuals with mental retardation or serious mental illnesses, and residential substance abuse treatment programs. As the population for whom they care grows and ages and with an increase in comorbid conditions, different skills may be needed or different roles may require emphasis. This can present challenges related to role competencies and nursing preparation and to the allocation of their time. The overall purposes of this project were to compare the competencies of basic and advanced practice nurses with accepted psychiatric-mental health nursing competencies and to assess the nurses' roles and division of work time among various roles. The findings support the need for changes related to nursing roles and job descriptions. Specific recommendations have been implemented based on the findings. IS - 0279-3695 IL - 0279-3695 PT - Evaluation Studies PT - Journal Article LG - English DP - 2007 May DC - 20070528 YR - 2007 ED - 20070621 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17526329 <194. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17214752 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clancy C AU - Oyefeso A AU - Ghodse H FA - Clancy, Carmel FA - Oyefeso, Adenekan FA - Ghodse, Hamid IN - Clancy,Carmel. School of Health and Social Sciences, Middlesex University, London, UK. c.clancy@mdx.ac.uk TI - Role development and career stages in addiction nursing: an exploratory study. SO - Journal of Advanced Nursing. 57(2):161-71, 2007 Jan. AS - J Adv Nurs. 57(2):161-71, 2007 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Focus Groups MH - Humans MH - Male MH - Nurse's Role/px [Psychology] MH - *Nurse's Role MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/og [Organization & Administration] MH - Personnel Staffing and Scheduling MH - *Staff Development/og [Organization & Administration] MH - Staff Development/st [Standards] MH - *Substance-Related Disorders/nu [Nursing] AB - AIM: This paper reports a study to explore factors influencing recruitment and retention in addiction nursing, and the stages and features of role acquisition and personal qualities important to that role. AB - BACKGROUND: Specialist addiction nurses engage in a number of roles in the care of individuals with problematic use of psychoactive substances. These include assessment, outreach, prescribing, counselling, and harm reduction. In a climate of increasing demand for specialist substance misuse workers, and a trend to identify key occupational competencies, there is a need for a framework in which career progression can be supported. Studies exploring the roles of addiction nurses are minimal, and there is less comment on how these roles are developed in the context of career stages. AB - METHOD: A qualitative study using focus groups was undertaken with specialist addiction nurses between March and June 2004. The data were transcribed verbatim and analysed using Burnard's six content analysis stages. AB - FINDINGS: Positive factors identified as influencing recruitment and retention included: prior knowledge of the working environment (as a nursing student), opportunities for autonomous practice, the client profile, and associated treatment philosophy and care approach. There was consensus that nurses choosing to work in the field of addiction needed, in addition to being non-judgmental, personal qualities including hardiness, patience and tolerance. Five role development stages, with a set of descriptors, were identified: encounter, engagement, stabilization, competency and mastery. AB - CONCLUSION: Identification of these five role development stages for addiction nurses offers employers, nurse managers, educators and addiction nurses a starting point from which specific occupational competencies can be further explored. In addition, continuing professional development needs can be mapped to specific role development stages. Employers and nurse managers may wish to offer increased learning opportunities to student nurses to gain work experience within specialist addiction units. IS - 0309-2402 IL - 0309-2402 PT - Journal Article LG - English DP - 2007 Jan DC - 20070111 YR - 2007 ED - 20070621 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17214752 <195. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17120179 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Colon-Emeric C AU - Lyles KW AU - Levine DA AU - House P AU - Schenck A AU - Gorospe J AU - Fermazin M AU - Oliver K AU - Alison J AU - Weisman N AU - Xie A AU - Curtis JR AU - Saag K FA - Colon-Emeric, C FA - Lyles, K W FA - Levine, D A FA - House, P FA - Schenck, A FA - Gorospe, J FA - Fermazin, M FA - Oliver, K FA - Alison, J FA - Weisman, N FA - Xie, A FA - Curtis, J R FA - Saag, K IN - Colon-Emeric,C. Duke University Center for Aging and Human Development, and the Durham VA GRECC, Erwin Rd, Durham, NC 27710, USA. colon001@mc.duke.edu TI - Prevalence and predictors of osteoporosis treatment in nursing home residents with known osteoporosis or recent fracture. SO - Osteoporosis International. 18(4):553-9, 2007 Apr. AS - Osteoporos Int. 18(4):553-9, 2007 Apr. NJ - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9100105, be0 OI - Source: NLM. NIHMS19340 OI - Source: NLM. PMC1839837 SB - Index Medicus CP - England MH - Aged MH - Aged, 80 and over MH - Arizona/ep [Epidemiology] MH - Bone Density Conservation Agents/tu [Therapeutic Use] MH - Calcitonin/tu [Therapeutic Use] MH - Calcium, Dietary/ad [Administration & Dosage] MH - California/ep [Epidemiology] MH - Diphosphonates/tu [Therapeutic Use] MH - Female MH - *Fractures, Bone/ep [Epidemiology] MH - Fractures, Bone/pc [Prevention & Control] MH - Hip MH - Humans MH - Male MH - Middle Aged MH - *Nursing Homes MH - Osteoporosis/dt [Drug Therapy] MH - Osteoporosis/ep [Epidemiology] MH - *Osteoporosis/th [Therapy] MH - Osteoporosis, Postmenopausal/dt [Drug Therapy] MH - Osteoporosis, Postmenopausal/th [Therapy] MH - Prevalence MH - Protective Devices MH - Quality of Health Care MH - Treatment Outcome MH - Vitamin D/ad [Administration & Dosage] AB - SUMMARY: We studied nursing home residents with osteoporosis or recent fracture to determine the frequency and predictors of osteoporosis treatment. There was wide variation in performance, and both clinical and systems variables predicted use. This study shows that improvement in osteoporosis care is possible and important for many nursing homes. AB - INTRODUCTION: We determined the prevalence and predictors of osteoporosis evaluation and treatment in high-risk nursing home residents. AB - METHODS: We identified 67 nursing facilities in North Carolina and Arizona with > 10 residents with osteoporosis or recent hip fracture. Medical records (n=895) were abstracted for osteoporosis evaluation [dual-energy X-ray absorptiometry (DXA), vitamin D level, serum calcium), treatment (calcium, vitamin D, osteoporosis medication, hip protectors), clinical, and systems covariates. Data were analyzed at the facility level using mixed models to account for the complex nesting of residents within providers and nursing facilities. AB - RESULTS: Calcium and vitamin D was prescribed for 69% of residents, bisphosphonates for 19%, calcitonin for 14%, other pharmacologic therapies for 6%, and hip protectors for 2%. Overall, 36% received any bone protection (medication or hip protectors), with wide variation among facilities (0-85%). Factors significantly associated with any bone protection included female gender [odds ratio (OR) 2.4, (1.5-3.7)] and nonurban/suburban location [1.5, (1.1-2.2)]. Residents with esophagitis, peptic ulcer disease (PUD), or dysphagia [0.6, (0.4-0.9)] and alcohol abuse [0.2, (0.0-0.9)] were less likely to receive treatment. AB - CONCLUSIONS: There is substantial variation in the quality of osteoporosis treatment across nursing homes. Interventions that improve osteoporosis quality of care are needed. RN - 0 (Bone Density Conservation Agents) RN - 0 (Calcium, Dietary) RN - 0 (Diphosphonates) RN - 1406-16-2 (Vitamin D) RN - 9007-12-9 (Calcitonin) IS - 0937-941X IL - 0937-941X PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - 500-02-AZ0020 (United States PHS HHS) NO - K23 AG024787 (United States NIA NIH HHS) NO - K23 AG024787 (United States NIA NIH HHS) LG - English EP - 20061121 DP - 2007 Apr DC - 20070302 YR - 2007 ED - 20070618 RD - 20140908 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17120179 <196. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17430454 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kukulu K AU - Ergun G FA - Kukulu, K FA - Ergun, G IN - Kukulu,K. Akdeniz University, Antalya, Turkey. kkamile@akdeniz.edu.tr TI - Stigmatization by nurses against schizophrenia in Turkey: a questionnaire survey. SO - Journal of Psychiatric & Mental Health Nursing. 14(3):302-9, 2007 May. AS - J Psychiatr Ment Health Nurs. 14(3):302-9, 2007 May. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Attitude to Health MH - Causality MH - Health Knowledge, Attitudes, Practice MH - Hospitals, Psychiatric MH - Hospitals, University MH - Humans MH - Middle Aged MH - Negativism MH - Nurse's Role MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/og [Organization & Administration] MH - *Nursing Staff, Hospital/px [Psychology] MH - Patient Advocacy MH - Prognosis MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/og [Organization & Administration] MH - Schizophrenia/et [Etiology] MH - Schizophrenia/th [Therapy] MH - *Schizophrenia MH - Schizophrenic Psychology MH - Social Distance MH - Social Perception MH - Social Problems MH - *Stereotyping MH - Surveys and Questionnaires MH - Turkey AB - Individuals who have been diagnosed with schizophrenia face discrimination, exclusion and stigmatization by society. Nurses who work on psychiatric wards frequently face individuals diagnosed with schizophrenia throughout their careers. This study was conducted for the purpose of evaluating nurses' opinions about individuals who had been diagnosed with schizophrenia. A total of 543 nurses working on the psychiatric wards of 27 university hospitals (164), six training and research hospitals (21) and six psychiatric hospitals (358) in Turkey completed the questionnaire. The majority of the nurses stated that schizophrenia is caused by social problems, that they would be able to work with someone who has schizophrenia, that they would not be able to marry someone with schizophrenia, that they would not be bothered by having a neighbour with schizophrenia, that schizophrenia cannot be completely cured, that it can be improved with psychotherapy, that schizophrenic patients are aggressive and that medications used to treat schizophrenia have serious side effects and are addictive. It is important for nurses to avoid stigmatizing patients in order to promote a therapeutic environment--particularly on the wards--and also to improve individual awareness and perceptions in society. IS - 1351-0126 IL - 1351-0126 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 May DC - 20070413 YR - 2007 ED - 20070612 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17430454 <197. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16553492 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Tobias DE FA - Tobias, Dianne E IN - Tobias,Dianne E. Tobias Consulting Services, Davis, CA, USA. TI - Medication-related problems in nursing homes. Commentary: Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. SO - Consultant Pharmacist. 19(7):629-30, 2004 Jul. AS - Consult Pharm. 19(7):629-30, 2004 Jul. NJ - The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists PI - Journal available in: Print PI - Citation processed from: Print JC - 9013983 CP - United States IS - 0888-5109 IL - 0888-5109 PT - Journal Article LG - English DP - 2004 Jul DC - 20060323 YR - 2004 ED - 20070612 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=16553492 <198. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16831495 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Oyefeso A FA - Rassool, G Hussein FA - Oyefeso, Adenekan IN - Rassool,G Hussein. Departamento de Enfermagem Psiquiatrica e Ciencias Humanas da, Universidade de Sao Paulo (EERP-USP), Sao Paulo, Brazil. grassool@sgul.ac.uk TI - Predictors of course satisfaction and perceived course impact of addiction nurses undertaking a postgraduate diploma in addictive behaviour. SO - Nurse Education Today. 27(3):256-65, 2007 Apr. AS - Nurse Educ Today. 27(3):256-65, 2007 Apr. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - *Attitude of Health Personnel MH - *Behavior, Addictive/nu [Nursing] MH - Clinical Competence MH - Cross-Sectional Studies MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Linear Models MH - Male MH - Nurse Clinicians/ed [Education] MH - Nurse Clinicians/px [Psychology] MH - *Nurse Clinicians MH - Nursing Education Research MH - Nursing Methodology Research MH - Outcome Assessment (Health Care) MH - Program Evaluation MH - *Psychiatric Nursing/ed [Education] MH - Self-Assessment MH - Surveys and Questionnaires AB - The effectiveness and impact of continuing education for specialist nurses working with drug and alcohol had been poorly documented and the purpose of this study was to enhance our understanding of this process. The aims of the study were to identify predictors of course satisfaction and perceived course impact and to examine students' satisfaction with modules' learning outcomes and their applications to practice. This study was a cross-sectional survey of 46 part-time students enrolled a Postgraduate Diploma in Addictive Behaviour. Three instruments were used to measure modules' satisfaction, post-course satisfaction (PCSQ-18) and on-the-job impact (CIQ-17). The findings provided some support on the effect and impact of an educational programme on the practice development of addiction nurses. Within the multilayered hypothesis, the results indicate that expectations on the Health Education and Prevention Module were the only significant predictor of course satisfaction and Expectation of the Special Population Module was the only significant predictor of course impact on professional practice. Clinical placements have had a significant impact on professional practice of addiction nurses. Further evaluative studies need to be undertaken to examine the impact of educational programmes on its applications to clinical practice and the quality of care provided. IS - 0260-6917 IL - 0260-6917 PT - Evaluation Studies PT - Journal Article LG - English EP - 20060710 DP - 2007 Apr DC - 20070305 YR - 2007 ED - 20070525 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16831495 <199. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17410996 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bartlett R AU - Holditch-Davis D AU - Belyea M FA - Bartlett, Robin FA - Holditch-Davis, Diane FA - Belyea, Michael IN - Bartlett,Robin. School of Nursing, University of North Carolina-Greensboro, Greensboro, NC, USA. TI - Problem behaviors in adolescents. [Review] [38 refs] SO - Pediatric Nursing. 33(1):13-8, 2007 Jan-Feb. AS - Pediatr Nurs. 33(1):13-8, 2007 Jan-Feb. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - United States MH - Absenteeism MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - *Adolescent Behavior MH - Deception MH - Humans MH - *Nurse's Role MH - Nursing Assessment MH - Parents/ed [Education] MH - Parents/px [Psychology] MH - Patient Education as Topic MH - *Pediatric Nursing/og [Organization & Administration] MH - Psychology, Adolescent MH - Risk Factors MH - Risk-Taking MH - Runaway Behavior/pc [Prevention & Control] MH - Runaway Behavior/px [Psychology] MH - Runaway Behavior/sn [Statistics & Numerical Data] MH - School Nursing/og [Organization & Administration] MH - Sexual Behavior/px [Psychology] MH - Sexual Behavior/sn [Statistics & Numerical Data] MH - Social Behavior Disorders/di [Diagnosis] MH - Social Behavior Disorders/ep [Epidemiology] MH - *Social Behavior Disorders/pc [Prevention & Control] MH - Social Behavior Disorders/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - United States/ep [Epidemiology] MH - Violence/pc [Prevention & Control] MH - Violence/px [Psychology] MH - Violence/sn [Statistics & Numerical Data] AB - A fifth or more of a nationally representative sample of school-attending adolescents report engaging in problem behaviors such as skipping school, using alcohol, fighting, shoplifting, and stealing. A smaller but significant number of adolescents report engaging in risky sexual behaviors. All of these behaviors have potentially serious consequences for adolescents, their family and friends, their school, and society. Nurses are in a unique position to help identify these behaviors in adolescents, educate school personnel about the behaviors, educate adolescents about the risks they face when they engage in these behaviors, and assist parents to access the resources they need to help children who may be engaging in these problem behaviors. [References: 38] IS - 0097-9805 IL - 0097-9805 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review NO - T32 NR07091 (United States NINR NIH HHS) LG - English DP - 2007 Jan-Feb DC - 20070406 YR - 2007 ED - 20070517 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17410996 <200. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17302851 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Green JH FA - Green, Jennifer H IN - Green,Jennifer H. Department of Psychology, Miami University, Oxford, OH 45056, USA. greenjh@muohio.edu TI - Fetal Alcohol Spectrum Disorders: understanding the effects of prenatal alcohol exposure and supporting students. [Review] [35 refs] SO - Journal of School Health. 77(3):103-8, 2007 Mar. AS - J Sch Health. 77(3):103-8, 2007 Mar. NJ - The Journal of school health PI - Journal available in: Print PI - Citation processed from: Print JC - k13, 0376370 SB - Index Medicus SB - Nursing Journal CP - United States MH - Abnormalities, Drug-Induced/px [Psychology] MH - Abnormalities, Drug-Induced/rh [Rehabilitation] MH - Child MH - *Child Behavior Disorders/ci [Chemically Induced] MH - Child Behavior Disorders/px [Psychology] MH - Child Behavior Disorders/rh [Rehabilitation] MH - Early Diagnosis MH - Early Intervention (Education) MH - Education, Special MH - Female MH - Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Fetal Alcohol Spectrum Disorders/pp [Physiopathology] MH - Fetal Alcohol Spectrum Disorders/px [Psychology] MH - *Fetal Alcohol Spectrum Disorders MH - Humans MH - *Learning Disorders/ci [Chemically Induced] MH - Learning Disorders/px [Psychology] MH - Learning Disorders/rh [Rehabilitation] MH - Pregnancy MH - *School Health Services AB - BACKGROUND: Fetal Alcohol Spectrum Disorders (FASD) affect a significant number of children in this country. This article addresses diagnostic issues related to fetal alcohol syndrome (FAS) and other alcohol-related disabilities, discusses associated features and behaviors of FASD, and introduces interventions to support children with FASD in school settings. AB - METHODS: A comprehensive review of FAS and FASD literature as it relates to school functioning was conducted. AB - RESULTS: Prenatal alcohol exposure can result in a broad range of negative developmental consequences, including deficits in cognitive and academic functioning, psychological disorders, behavioral problems, and difficulties with independent living. Children with prenatal alcohol exposure are at risk for a spectrum of difficulties at school. AB - CONCLUSIONS: This topic is of considerable relevance to all professionals in a school setting, including teachers, administrators, school psychologists, special education providers, special service providers, and school nurses who interact with children who may be prenatally exposed to alcohol. Successful interventions will need to balance the use of environmental modifications, immediate and meaningful positive and negative consequences for behaviors, and opportunities to teach children skills to monitor and modify their behavior. [References: 35] IS - 0022-4391 IL - 0022-4391 PT - Journal Article PT - Review LG - English DP - 2007 Mar DC - 20070216 YR - 2007 ED - 20070516 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17302851 <201. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15887987 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Barnes M AU - Walsh A AU - Courtney M AU - Dowd T FA - Barnes, M FA - Walsh, A FA - Courtney, M FA - Dowd, T IN - Barnes,M. Queensland University of Technology, Brisbane, Queensland, Australia. m.barnes@qut.edu.au TI - School based youth health nurses' role in assisting young people access health services in provincial, rural and remote areas of Queensland, Australia. SO - Rural & Remote Health. 4(4):279, 2004 Oct-Dec. AS - RURAL REMOTE HEALTH. 4(4):279, 2004 Oct-Dec. NJ - Rural and remote health PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101174860 CP - Australia AB - INTRODUCTION: People living in rural and remote areas have poorer health and more limited access to health services than those in urban areas. Adolescence, generally a period of optimum health, is fraught with risky health behaviours, increasing morbidity and mortality. Increasingly, mental health problems including depression, alcohol and drug use, suicide, self-harm, sexual health, inappropriate nutrition and physical activity are key areas of adolescent health concern in Queensland, Australia. To address the health and well being needs of young people the School Based Youth Health Nurse (SBYHN) Program was introduced into State high schools in Queensland in 1998. SBYHN responsibilities include individual consultations and health promotion within the high school environment. This study was undertaken to explore the referral role of SBYHN in provincial, rural and remote Queensland and to ascertain the availability of referral services. AB - METHOD: A self-report survey was posted to all SBYHN in Queensland. Forty-four (62%) nurses participated; 27 from provincial, 11 from rural and 6 from remote areas. AB - RESULTS: SBYHN consult with young people in provincial, rural and remote State high schools in the areas of psychological concerns, drug and alcohol concerns and/or abuse, family conflict and/or abuse, sexual and reproductive health, social and isolation concerns and nutritional advice. However, the frequency with which SBYHN reported themselves as an appropriate source for young people to seek assistance from varied from over 90% for areas such as sexual and nutritional advice to approximately 30% for areas such as physical abuse and drug and alcohol abuse. When required by the SBYHN, referral services were locally accessible to young people less than 50% of the time. Access to some referral services was reduced because some young people do not want parental involvement in their health and the service requires parental consent. When referral services were unavailable SBYHN used phone counselling, available generalists, supported and monitored the young people until a service was available, or they accepted this as an aspect of residing outside the metropolitan areas and did the best they could. Sometimes, when a young person was reluctant to attend a recommended service or there was a long wait for an appointment, SBYHN provided ongoing support while endeavouring to persuade attendance at the recommended service. Situations like these, experienced by at least half those studied, place SBYHN in the precarious position of practicing beyond their scope of practice. AB - CONCLUSIONS: Health problems during adolescence can be reduced by ensuring assistance and support are available for young people when and if they require it. Thorough confidential individual consultations are provided by SBYHN and young people are availing themselves of this service. SBYHN are practicing at an advanced level and need to be recognised as such. Additionally, the availability of services in rural and remote regions needs consideration. As rural youth are more vulnerable to a number of health concerns, it is imperative that services are available for them. The issue of parental consent remains a barrier to young people seeking health services and it may be timely for community debate on this issue. ES - 1445-6354 IL - 1445-6354 PT - Journal Article LG - English EP - 20041201 DP - 2004 Oct-Dec DC - 20050512 YR - 2004 ED - 20070515 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=15887987 <202. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17352785 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Meadus RJ FA - Meadus, R J IN - Meadus,R J. School of Nursing, Memorial University, St. John's, NL, Canada. meadusr@mun.ca TI - Adolescents coping with mood disorder: a grounded theory study. SO - Journal of Psychiatric & Mental Health Nursing. 14(2):209-17, 2007 Apr. AS - J Psychiatr Ment Health Nurs. 14(2):209-17, 2007 Apr. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal CP - England MH - *Adaptation, Psychological MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - *Attitude to Health MH - Cost of Illness MH - Female MH - Health Services Needs and Demand MH - Humans MH - Interpersonal Relations MH - Life Change Events MH - Male MH - Mood Disorders/pc [Prevention & Control] MH - Mood Disorders/px [Psychology] MH - *Mood Disorders MH - Nursing Methodology Research MH - Psychiatric Nursing MH - Psychological Theory MH - *Psychology, Adolescent MH - Self Care/mt [Methods] MH - Self Care/px [Psychology] MH - Sex Factors MH - Social Support MH - Socialization MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/px [Psychology] MH - Suicide/px [Psychology] MH - Surveys and Questionnaires AB - A grounded theory methodology was used to explore the phenomenon of coping as experienced by adolescents with a mood disorder. Mood disorders among children and adolescents are more persistent than previously thought and have numerous negative associated features, including further episodes of depression, impaired social, academic and vocational relationships, use of alcohol and other drugs, and an increased risk of suicide. Current literature offered little awareness of how adolescents cope with a mood disorder, as well as their perspective of how such an illness impacts their lives. A substantive theory regarding the process of coping for adolescents with a mood disorder was generated from the data collected from one male and eight female adolescents. Using grounded theory coding procedures, a four-phase coping theory identified by the categories feeling different, cutting off connections, facing the challenge/reconnecting, and learning from the experience was developed. The core category identified in this research was An Unplanned Journey: Coping Through Connections. Implications identified for nursing practice, research and education included greater attention on the prevention of adolescent mood disorder, and the education of adolescents about the development and enhancement of healthy coping skills. IS - 1351-0126 IL - 1351-0126 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Apr DC - 20070313 YR - 2007 ED - 20070511 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17352785 <203. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17393971 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eisenhauer LA AU - Hurley AC AU - Dolan N FA - Eisenhauer, Laurel A FA - Hurley, Ann C FA - Dolan, Nancy IN - Eisenhauer,Laurel A. William F. Connell School of Nursing, Boston College, 140 Commonwealth Avenue, Chestnut Hill, MA 02467 , USA. TI - Nurses' reported thinking during medication administration. SO - Journal of Nursing Scholarship. 39(1):82-7, 2007. AS - J Nurs Scholarsh. 39(1):82-7, 2007. NJ - Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau PI - Journal available in: Print PI - Citation processed from: Print JC - dod, 100911591 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence MH - Communication MH - *Drug Therapy/nu [Nursing] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Hospitals, Teaching MH - Humans MH - Male MH - Medication Errors/nu [Nursing] MH - Medication Errors/pc [Prevention & Control] MH - Medication Systems, Hospital/og [Organization & Administration] MH - Middle Aged MH - New England MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Nursing Methodology Research MH - *Nursing Process/og [Organization & Administration] MH - *Nursing Staff, Hospital/px [Psychology] MH - Patient Education as Topic MH - Point-of-Care Systems/og [Organization & Administration] MH - Problem Solving MH - Safety Management MH - Surveys and Questionnaires MH - *Thinking AB - PURPOSE: To document nurses' reported thinking processes during medication administration before and after implementation of point-of-care technology. AB - DESIGN AND METHODS: Semistructured interviews and real-time tape recordings were used to document the thinking processes of 40 nurses practicing in inpatient care units in a large tertiary care teaching hospital in the northeastern US. AB - FINDINGS: Content analysis resulted in identification of 10 descriptive categories of nurses' thinking: communication, dose-time, checking, assessment, evaluation, teaching, side effects, work arounds, anticipating problem solving, and drug administration. Situations requiring judgment in dosage, timing, or selection of specific medications (e.g., pain management, titration of antihypertensives) provided the most explicit data about nurses' use of critical thinking and clinical judgment. A key element was nurses' constant professional vigilance to ensure that patients received their appropriate medications. AB - CONCLUSIONS: Nurses' thinking processes extended beyond rules and procedures and were based on patient data and interdisciplinary professional knowledge to provide safe and effective care. Identification of thinking processes can help nurses to explain the professional expertise inherent in medication administration beyond the technical application of the "5 rights." IS - 1527-6546 IL - 1527-6546 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 DC - 20070330 YR - 2007 ED - 20070504 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17393971 <204. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17313202 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hosia-Randell H AU - Suominen M AU - Muurinen S AU - Pitkala KH FA - Hosia-Randell, Helka FA - Suominen, Merja FA - Muurinen, Seija FA - Pitkala, Kaisu H IN - Hosia-Randell,Helka. Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland. TI - Use of laxatives among older nursing home residents in Helsinki, Finland. SO - Drugs & Aging. 24(2):147-54, 2007. AS - Drugs Aging. 24(2):147-54, 2007. NJ - Drugs & aging PI - Journal available in: Print PI - Citation processed from: Print JC - bek, 9102074 SB - Index Medicus CP - New Zealand MH - Aged MH - Aged, 80 and over MH - *Cathartics/tu [Therapeutic Use] MH - Constipation/ci [Chemically Induced] MH - *Constipation/dt [Drug Therapy] MH - Constipation/et [Etiology] MH - Cross-Sectional Studies MH - Feeding Behavior MH - Female MH - Finland MH - *Frail Elderly MH - Humans MH - Logistic Models MH - Male MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Prevalence MH - Risk Factors AB - BACKGROUND AND OBJECTIVE: Constipation and, as a consequence, the use of laxatives are common among frail older people. The causes of and factors associated with laxative use, however, have undergone surprisingly little study. The objectives of our study were to (i) assess the prevalence of regularly administered laxatives, (ii) identify factors associated with regular use of laxatives, and (iii) determine which drug classes or medications are associated with regular laxative use in an older nursing home population in Helsinki. AB - METHODS: This study was a cross-sectional assessment of all long-term nursing home residents aged >/=65 years in Helsinki, Finland. In February 2003, the health status of these residents was assessed and data on their demographic characteristics, health and medication use were collected from medical charts. AB - RESULTS: Of all nursing home residents in Helsinki, 82% (n = 1987, mean age 83.7 years) participated in the study. Of all residents, 55.3% received laxatives regularly. Factors associated with regular laxative use in univariate analysis included age >80 years, stroke, Parkinson's disease, inability to move independently, poor Mini Nutritional Assessment (MNA) score (<17), fluid intake less than five glasses per day, and chewing problems. Drugs associated with laxative use included opioids, antacids, diuretics, tricyclic antidepressants, lipid-lowering drugs other than HMG-CoA reductase inhibitors (statins), histamine H(2) receptor antagonists, nonselective NSAIDs, anticholinergic drugs for urine incontinence, and calcium channel antagonists other than verapamil and nifedipine. In logistic regression analysis, age >80 years (odds ratio [OR] 1.29; 95% CI 1.03, 1.60), inability to move independently (OR 1.80; 95% CI 1.42, 2.28), poor MNA score (<17) [OR 1.51; 95% CI 1.19, 1.93], chewing problems (OR 1.27; CI 95% 1.00, 1.61), Parkinson's disease (OR 1.63; 95% CI 1.01, 2.64), and concomitant use of a high number (>7) of drugs other than laxatives and constipation-inducing drugs found in univariate analysis (OR 1.06; 95% CI 1.03, 1.09) were associated with use of laxatives. Having snacks between meals (OR 0.74; 95% CI 0.60, 0.90) was associated with lower risk of laxative use. AB - CONCLUSIONS: Regular laxative use in older nursing home residents in Helsinki is very common. Offering snacks between meals and regular evaluation of medication use may influence laxative use. RN - 0 (Cathartics) IS - 1170-229X IL - 1170-229X PT - Journal Article LG - English DP - 2007 DC - 20070222 YR - 2007 ED - 20070501 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17313202 <205. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17198753 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kerrison SA AU - Chapman R FA - Kerrison, Shirilee A FA - Chapman, Rose IN - Kerrison,Shirilee A. Sir Charles Gairdner Hospital, Hospital Ave, Nedlands WA 6009, Australia. shirilee.kerrison@health.wa.gov.au TI - What general emergency nurses want to know about mental health patients presenting to their emergency department. SO - Accident & Emergency Nursing. 15(1):48-55, 2007 Jan. AS - Accid Emerg Nurs. 15(1):48-55, 2007 Jan. NJ - Accident and emergency nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9305090 SB - Nursing Journal CP - Scotland MH - *Attitude of Health Personnel MH - Clinical Competence/st [Standards] MH - Communication Barriers MH - *Emergency Nursing/ed [Education] MH - Emergency Service, Hospital MH - Emergency Services, Psychiatric MH - Focus Groups MH - Hospitals, Teaching MH - Humans MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Assessment MH - Nursing Education Research MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Nursing Theory MH - Occupational Health MH - Patient-Centered Care MH - *Psychiatric Nursing/ed [Education] MH - Qualitative Research MH - Safety Management MH - Self Efficacy MH - Surveys and Questionnaires MH - Triage MH - Western Australia AB - This paper presents the findings of a qualitative project conducted to investigate the education and training requirements that non-mental health trained emergency nurses need to enable them to effectively care for psychiatric patients presenting to a West Australian emergency department. Non-mental health trained nurses are ill-equipped in their psychiatric knowledge, assessment and communication skills to provide best possible care to the one in ten patients presenting to the emergency department with a complex mental health issue. The area of assessment and management of mental health patients in the emergency department is a complex one and staff are required to assess, triage and manage these patients appropriately. Furthermore, with aggression and violence increasing, emergency department nurses are concerned about their safety in the workplace. Focus groups with emergency nurses and semi-structured interviews with subject matter experts were conducted at one West Australian teaching hospital. The findings of the project demonstrated that these nurses considered that customer focus, workplace aggression and violence, psychiatric theory, mental health assessment and chemical dependence as key learning areas. These findings will form a platform for further education and training for ED staff. IS - 0965-2302 IL - 0965-2302 PT - Journal Article LG - English EP - 20070102 DP - 2007 Jan DC - 20070205 YR - 2007 ED - 20070420 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17198753 <206. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17113773 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bendtsen P AU - Holmqvist M AU - Johansson K FA - Bendtsen, Preben FA - Holmqvist, Marika FA - Johansson, Kjell IN - Bendtsen,Preben. Department of Health and Society, Division of Social Medicine and Public Health Science, Linkoping University, S-581 83 Linkoping, Sweden. prebe@ihs.liu.se TI - Implementation of computerized alcohol screening and advice in an emergency department--a nursing staff perspective. SO - Accident & Emergency Nursing. 15(1):3-9, 2007 Jan. AS - Accid Emerg Nurs. 15(1):3-9, 2007 Jan. NJ - Accident and emergency nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9305090 SB - Nursing Journal CP - Scotland MH - Adolescent MH - Adult MH - Aged MH - Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Attitude to Health MH - Clinical Competence/st [Standards] MH - *Computer-Assisted Instruction/mt [Methods] MH - *Diagnosis, Computer-Assisted/mt [Methods] MH - Diagnosis, Computer-Assisted/px [Psychology] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/og [Organization & Administration] MH - Emergency Service, Hospital MH - Female MH - Hospitals, University MH - Humans MH - Male MH - Mass Screening/mt [Methods] MH - Mass Screening/nu [Nursing] MH - Mass Screening/px [Psychology] MH - Middle Aged MH - Nursing Assessment MH - Nursing Evaluation Research MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/og [Organization & Administration] MH - *Nursing Staff, Hospital/px [Psychology] MH - *Patient Education as Topic/mt [Methods] MH - Self Efficacy MH - Surveys and Questionnaires MH - Sweden MH - Workload AB - Changes in attitudes towards alcohol prevention among nursing staff are evaluated after implementing an opportunistic computerized alcohol screening and intervention (e-SBI) at an emergency department. After having assessed the patients in the triage room the nurses asked patients to perform the e-SBI on a touch screen computer. Before the start of the project more than 60% of the nurses expected the patients to react negatively when asked about their alcohol habits. After one year of screening only 10% reported experience of negative reactions from the patients. More than 50% of the nurses found it easy or very easy to ask the patients to perform the e-SBI and more than 75% of the nurses agreed that the e-SBI did not affect their workload. The proportion of nurses who considered alcohol prevention to be part of their duties at the emergency department did not change (40%) after implementing the e-SBI. During the two-year study period, 1982 patients completed the e-SBI which constituted 10-20% of all patients between 16 and 70 years of age attending the department for a sub critical condition. The e-SBI seems to have better potential than ordinary alcohol screening and intervention for implementation into routine emergency departments due to its simplicity and low time consumption. IS - 0965-2302 IL - 0965-2302 PT - Journal Article LG - English EP - 20061120 DP - 2007 Jan DC - 20070205 YR - 2007 ED - 20070420 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17113773 <207. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17214651 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lashley M FA - Lashley, Mary IN - Lashley,Mary. Department of Nursing, Towson University, Towson, Maryland, USA. mlashley@towson.edu TI - A targeted testing program for tuberculosis control and prevention among Baltimore city's homeless population. SO - Public Health Nursing. 24(1):34-9, 2007 Jan-Feb. AS - Public Health Nurs. 24(1):34-9, 2007 Jan-Feb. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - Baltimore MH - Health Services Accessibility MH - *Homeless Persons MH - Humans MH - *Mass Screening/og [Organization & Administration] MH - Program Development MH - Public Health Nursing MH - *Tuberculosis/pc [Prevention & Control] AB - OBJECTIVE: To identify cases of latent tuberculosis infection (LTBI) and improve access to TB treatment among the inner-city homeless. AB - DESIGN: This is an intervention study describing the impact of a public health program on TB prevention and control. AB - SAMPLE: The target population for the project was residents and recent graduates of a residential addictions recovery program in a faith-based, inner-city mission. AB - INTERVENTION: Faculty and student nurses administered purified protein derivative (PPD) tuberculin skin tests and TB symptom assessments on site to homeless Mission residents. Residents testing positive for TB infection were referred to the local city health department for follow-up. Residents placed on prophylactic therapy received intensive tracking and coaching interventions to encourage adherence to the 9-month regimen. AB - RESULTS: Ninety-eight percent of the target population was screened for LTBI. Ninety percent of residents requiring treatment for LTBI successfully accessed treatment services. Thirty-three percent of residents completed at least 6 months of treatment. AB - CONCLUSION: The program demonstrated a modest improvement in treatment completion among the inner-city homeless when compared with local City Health Department treatment completion rates. This program demonstrates how a faith-based organization, an academic institution, and local government can successfully partner together to meet community needs. IS - 0737-1209 IL - 0737-1209 PT - Evaluation Studies PT - Journal Article LG - English DP - 2007 Jan-Feb DC - 20070111 YR - 2007 ED - 20070416 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17214651 <208. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16713030 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Milligan FJ FA - Milligan, Frank J IN - Milligan,Frank J. Faculty of Health Sciences, University of Luton, Britannia Road, Bedford MK42 9DJ, United Kingdom. frank.milligan@luton.ac.uk TI - Establishing a culture for patient safety - the role of education. [Review] [29 refs][Erratum appears in Nurse Educ Today. 2015 May;35(5):727] SO - Nurse Education Today. 27(2):95-102, 2007 Feb. AS - Nurse Educ Today. 27(2):95-102, 2007 Feb. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Attitude of Health Personnel MH - Communication MH - Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Great Britain MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Human Engineering MH - Humans MH - Interprofessional Relations MH - Medical Errors/nu [Nursing] MH - *Medical Errors/pc [Prevention & Control] MH - Medical Errors/px [Psychology] MH - Nursing, Supervisory/og [Organization & Administration] MH - Organizational Culture MH - Outcome and Process Assessment (Health Care) MH - *Patient-Centered Care/og [Organization & Administration] MH - *Safety Management/og [Organization & Administration] MH - State Medicine/og [Organization & Administration] MH - Students, Nursing/px [Psychology] MH - Total Quality Management AB - This paper argues that the process of making significant moves towards a patient safety culture requires changes in healthcare education. Improvements in patient safety are a shared international priority as too many errors and other forms of unnecessary harm are currently occurring in the process of caring for and treating patients. A description of the patient safety agenda is given followed by a brief analysis of human factors theory and its use in other safety critical industries, most notably aviation. The all too common problem of drug administration errors is used to illustrate the relevance of human factors theory to healthcare education with specific mention made of the Human Factors Analysis and Classification System (HFACS). [References: 29] IS - 0260-6917 IL - 0260-6917 PT - Journal Article PT - Review LG - English EP - 20060519 DP - 2007 Feb DC - 20070129 YR - 2007 ED - 20070413 RD - 20150903 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16713030 <209. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17339668 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lear JG FA - Lear, Julia Graham IN - Lear,Julia Graham. Department of Prevention and Community Health, School of Public Health and Health Services, George Washington University, Washington, DC, USA. jgl@gwu.edu TI - Health at school: a hidden health care system emerges from the shadows. [Review] [23 refs] SO - Health Affairs. 26(2):409-19, 2007 Mar-Apr. AS - Health Aff (Millwood). 26(2):409-19, 2007 Mar-Apr. NJ - Health affairs (Project Hope) PI - Journal available in: Print PI - Citation processed from: Internet JC - 8303128, gag SB - Index Medicus CP - United States MH - Adolescent MH - Adolescent Health Services/og [Organization & Administration] MH - Child MH - *Child Welfare MH - Child, Preschool MH - *Community Health Services/og [Organization & Administration] MH - Cost-Benefit Analysis MH - Delivery of Health Care/st [Standards] MH - Delivery of Health Care/td [Trends] MH - Female MH - Forecasting MH - Health Education/og [Organization & Administration] MH - Health Policy MH - Humans MH - Male MH - Needs Assessment MH - Policy Making MH - *School Health Services/st [Standards] MH - School Health Services/td [Trends] MH - United States AB - A vast array of child health professionals-99,000 counselors; 56,000 nurses; 30,000 school psychologists; 15,000 social workers; and smaller numbers of dental hygienists, dentists, physicians, and substance abuse counselors-provide care to children and adolescents at school. However, most thought leaders in child health know little about this "hidden" system of care or are skeptical about its capacity to contribute to children's well-being. Increased interest in prevention and chronic disease management, powered by escalating concern about childhood overweight, might end the isolation of school health programs and link them more effectively to community-based prevention programs and health care services. [References: 23] ES - 1544-5208 IL - 0278-2715 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2007 Mar-Apr DC - 20070306 YR - 2007 ED - 20070330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17339668 <210. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17210496 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jervis LL AU - Shore J AU - Hutt E AU - Manson SM FA - Jervis, Lori L FA - Shore, Jay FA - Hutt, Evelyn FA - Manson, Spero M IN - Jervis,Lori L. American Indian and Alaska Native Programs, Department of Psychiatry, University of Colorado at Denver and Health Sciences Center, Aurora, CO 80045, USA. lori.jervis@uchsc.edu TI - Suboptimal pharmacotherapy in a tribal nursing home. SO - Journal of the American Medical Directors Association. 8(1):1-7, 2007 Jan. AS - J AM MED DIR ASSOC. 8(1):1-7, 2007 Jan. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 100893243 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - Attitude of Health Personnel MH - Drug Interactions MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Drug Utilization Review MH - Female MH - Geriatric Assessment MH - Health Services Needs and Demand MH - Health Services Research MH - Humans MH - *Indians, North American MH - Male MH - Medical Audit MH - Medical History Taking MH - Middle Aged MH - Nursing Homes/sn [Statistics & Numerical Data] MH - *Nursing Homes MH - *Polypharmacy MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Qualitative Research MH - *Quality of Health Care/sn [Statistics & Numerical Data] MH - Rural Health Services MH - Surveys and Questionnaires MH - United States AB - OBJECTIVE: Suboptimal medication use among nursing home (NH) residents is common. NH residents tend to be older, suffer from multiple conditions, and take numerous medications, increasing their risk of serious complications. This article examines pharmacotherapy in a rural, tribally owned NH. AB - DESIGN: Medical records were reviewed and case studies were conducted by a team composed of a medical anthropologist, psychiatrist, and geriatrician. AB - SETTING: A rural, American Indian-owned NH in the US northern plains. AB - PARTICIPANTS: 40 American Indian and 5 EuroAmerican NH residents. AB - MEASUREMENTS: Minimum Data Set assessments, admission records, care plans, social histories, prescription lists, and behavioral consultation reports. AB - RESULTS: Potential underuse affected almost 75% of residents; undertreatment of depressive and psychotic/agitated symptoms was especially common. Potential inappropriate use, especially of analgesics, psychotropics, and antihistamines, affected 30% of residents. A smaller, but still substantial, number of residents (21%) experienced potential overuse, much of which involved anticonvulsants, antibiotics, cardiovascular, and psychotropic agents. The prescription of 10 or more medications was significantly associated with potential drug interactions, as well as underuse, inappropriate medication use, and overuse. AB - CONCLUSIONS: Psychotropic medications were the most potentially problematic medication category, and were strongly implicated in potential underuse, inappropriate use, and overuse. Fewer medications; the discontinuation of drugs known to be potentially problematic for NH residents; modification of psychotropic medication regimens; use of cognitive-enhancing medications where appropriate; implementation of an electronic medical record system; and greater use of nonpharmacological behavioral interventions may have substantially improved residents' treatment regimens. IS - 1525-8610 IL - 1525-8610 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. NO - K01 AG 20232 (United States NIA NIH HHS) LG - English EP - 20060605 DP - 2007 Jan DC - 20070109 YR - 2007 ED - 20070330 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17210496 <211. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17264693 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arora S AU - Geppert CM AU - Kalishman S AU - Dion D AU - Pullara F AU - Bjeletich B AU - Simpson G AU - Alverson DC AU - Moore LB AU - Kuhl D AU - Scaletti JV FA - Arora, Sanjeev FA - Geppert, Cynthia M A FA - Kalishman, Summers FA - Dion, Denise FA - Pullara, Frank FA - Bjeletich, Barbara FA - Simpson, Gary FA - Alverson, Dale C FA - Moore, Lori B FA - Kuhl, Dave FA - Scaletti, Joseph V IN - Arora,Sanjeev. Department of Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131-0001, USA. SArora@salud.unm.edu TI - Academic health center management of chronic diseases through knowledge networks: Project ECHO. SO - Academic Medicine. 82(2):154-60, 2007 Feb. AS - Acad Med. 82(2):154-60, 2007 Feb. NJ - Academic medicine : journal of the Association of American Medical Colleges PI - Journal available in: Print PI - Citation processed from: Print JC - acm, 8904605 OI - Source: NLM. NIHMS461626 OI - Source: NLM. PMC3855463 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Academic Medical Centers MH - *Computer Communication Networks/og [Organization & Administration] MH - *Hepatitis C, Chronic/th [Therapy] MH - Humans MH - New Mexico MH - Program Development MH - *Remote Consultation/og [Organization & Administration] AB - The authors describe an innovative academic health center (AHC)-led program of health care delivery and clinical education for the management of complex, common, and chronic diseases in underserved areas, using hepatitis C virus (HCV) as a model. The program, based at the University of New Mexico School of Medicine, represents a paradigm shift in thinking and funding for the threefold mission of AHCs, moving from traditional fee-for-service models to public health funding of knowledge networks. This program, Project Extension for Community Health care Outcomes (ECHO), involves a partnership of academic medicine, public health offices, corrections departments, and rural community clinics dedicated to providing best practices and protocol-driven health care in rural areas. Telemedicine and Internet connections enable specialists in the program to comanage patients with complex diseases, using case-based knowledge networks and learning loops. Project ECHO partners (nurse practitioners, primary care physicians, physician assistants, and pharmacists) present HCV-positive patients during weekly two-hour telemedicine clinics using a standardized, case-based format that includes discussion of history, physical examination, test results, treatment complications, and psychiatric, medical, and substance abuse issues. In these case-based learning clinics, partners rapidly gain deep domain expertise in HCV as they collaborate with university specialists in hepatology, infectious disease, psychiatry, and substance abuse in comanaging their patients. Systematic monitoring of treatment outcomes is an integral aspect of the project. The authors believe this methodology will be generalizable to other complex and chronic conditions in a wide variety of underserved areas to improve disease outcomes, and it offers an opportunity for AHCs to enhance and expand their traditional mission of teaching, patient care, and research. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 1 UC1 HS015135 (United States AHRQ HHS) NO - M01 RR000997 (United States NCRR NIH HHS) LG - English DP - 2007 Feb DC - 20070131 YR - 2007 ED - 20070316 RD - 20140907 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17264693 <212. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17269846 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - LaFleur J AU - McBeth C AU - Gunning K AU - Oderda L AU - Steinvoort C AU - Oderda GM FA - LaFleur, Joanne FA - McBeth, Carrieann FA - Gunning, Karen FA - Oderda, Lynda FA - Steinvoort, Carin FA - Oderda, Gary M IN - LaFleur,Joanne. Drug Regimen Review Center, Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT, USA. joanne.lafleur@pharm.utah.edu TI - Prevalence of drug-related problems and cost-savings opportunities in medicaid high utilizers identified by a pharmacist-run drug regimen review center. SO - Journal of Managed Care Pharmacy. 12(8):677-85, 2006 Oct. AS - J Manage Care Pharm. 12(8):677-85, 2006 Oct. NJ - Journal of managed care pharmacy : JMCP PI - Journal available in: Print PI - Citation processed from: Print JC - 9605854 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - Cost Savings/sn [Statistics & Numerical Data] MH - *Cost Savings MH - Drug Therapy, Combination MH - *Drug Utilization Review MH - *Drug-Related Side Effects and Adverse Reactions MH - Female MH - Humans MH - Male MH - *Medicaid MH - Middle Aged MH - Pharmaceutical Services MH - *Polypharmacy MH - Utah AB - BACKGROUND: Despite numerous reports of state Medicaid drug utilization review (DUR) programs, little data are available about the prevalence of drugrelated problems (DRPs) in Medicaid patients. A university-based, pharmacist-run DUR program for high utilizers was created as an alternative to imposition of a statutory limit of 7 medications per month in the Utah Medicaid program in 2002. The DUR program was designed to suggest ways that high-utilizing patients could decrease their total number of medications to 7 or fewer prior to imposition of the 7-medication limit at some time in the future. AB - OBJECTIVE: To describe the experience in 1 Medicaid DUR program and to report the prevalence of DRPs and cost-saving opportunities (CSOs) among a population of Medicaid recipients who were high utilizers of prescription drugs. AB - METHODS: DRPs were identified by 5 clinical pharmacists employed by the Drug Regimen Review Center (DRRC) in Salt Lake City. The purpose of the center was to provide drug therapy review services for a select number of Utah Medicaid recipients (200-300 per month) who exceeded a 7-medication limit during the calendar years 2003 and 2004. AB - RESULTS: Out of 391,890 eligible Medicaid recipients, 242,411 (62%) received at least 1 medication, and 16,958 (4.3%) exceeded the 7-medication limit during the review period. Of those exceeding the limit, the DRRC reviewed a total of 3,706 (21.9%) patients, representing the highest utilizers by volume of medication. The prevalence of DRPs considered clinically important in the review cohort was 79.7% of patients, including therapeutic duplications in 54.6% of patients, dose form optimization in 29.7%, and inappropriate uncoordinated care in 25.3%. The average pharmacy cost per month for patients with at least 1 DRP was 1,081 dollars; by contrast, the average pharmacy cost per month for all other patients receiving at least 1 prescription was 91 dollars. AB - CONCLUSIONS: Approximately 4% of Medicaid recipients exceeded the 7-medication monthly limit. Among the 22% highest utilizers in this group, 48% of nursing home residents and 87% of ambulatory recipients had at least 1 DRP, or an overall rate of 80% of high-use Medicaid recipients or as much as 3.2% of the Medicaid population. IS - 1083-4087 IL - 1083-4087 PT - Journal Article LG - English DP - 2006 Oct DC - 20070202 YR - 2006 ED - 20070227 RD - 20141117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17269846 <213. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17145457 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Snow D FA - Snow, Diane IN - Snow,Diane. Department of Community and Mental Health Nursing, College of Nursing, Rush University, Chicago, IL 60612, USA. TI - Substance use and recovery: charting a course toward optimism. Interview by Kathleen R Delaney. SO - Archives of Psychiatric Nursing. 20(6):288-90, 2006 Dec. AS - Arch Psychiatr Nurs. 20(6):288-90, 2006 Dec. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Buprenorphine/tu [Therapeutic Use] MH - Buprenorphine, Naloxone Drug Combination MH - Curriculum MH - Diffusion of Innovation MH - Evidence-Based Medicine MH - Harm Reduction MH - Health Services Needs and Demand MH - Humans MH - Naloxone/tu [Therapeutic Use] MH - Nurse's Role MH - Nursing Assessment MH - Patient Care Planning MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/og [Organization & Administration] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] MH - United States/ep [Epidemiology] RN - 0 (Buprenorphine, Naloxone Drug Combination) RN - 36B82AMQ7N (Naloxone) RN - 40D3SCR4GZ (Buprenorphine) IS - 0883-9417 IL - 0883-9417 PT - Interview LG - English DP - 2006 Dec DC - 20061205 YR - 2006 ED - 20070223 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17145457 <214. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17116153 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pirskanen M AU - Pietila AM AU - Halonen P AU - Laukkanen E FA - Pirskanen, Marjatta FA - Pietila, Anna-Maija FA - Halonen, Pirjo FA - Laukkanen, Eila IN - Pirskanen,Marjatta. Department of Nursing Science, University of Kuopio, Kuopio, Finland. marjatta.pirskanen@uku.fi TI - School health nurses and substance use among adolescents - towards individual identification and early intervention. SO - Scandinavian Journal of Caring Sciences. 20(4):439-47, 2006 Dec. AS - Scand J Caring Sci. 20(4):439-47, 2006 Dec. NJ - Scandinavian journal of caring sciences PI - Journal available in: Print PI - Citation processed from: Print JC - sjo, 8804206 SB - Nursing Journal CP - Sweden MH - Adolescent MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - Counseling MH - Finland MH - Humans MH - Risk Factors MH - *School Nursing MH - Social Environment MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - Adolescents' health is today threatened by the use of alcohol and other psychoactive substances. It is therefore important to develop interventions related to substance use in school health care. The aim of this study was to examine the empowering or risk background factors related to substance use among adolescents, and the ability of school nurses (PHN) to identify these factors and to provide needed individual early intervention. The data were collected by semistructured questionnaires completed by 14- to 18-year-old adolescents (n = 326, response rate 79) and PHNs (n = 10) in 2004. The adolescent questionnaire consisted of items related to the respondents' background and Adolescents' Substance Use Measurement (ADSUME). Following individual consent, adolescents' ADSUME responses were sent to the PHNs for intervention. The PHNs assessed the adolescents' empowering background factors and intervention using the questionnaire, and 70% (n = 228) of their answers matched the adolescents' answers. The data were analysed with the SPSS software using the chi-squared test, Fisher's exact test, kappa coefficient and agreement percentages. Substance use among adolescents was associated with parental support, mother's education and smoking, the adolescents' knowledge about substances, peer support and hobbies. The PHNs' assessments regarding supportive background were not in agreement with the assessments of adolescents who were using hazardous substances. One-fifth of the adolescents received the brief intervention, although many of them might have needed extra support and follow-up on the basis of their ADSUME results. The research findings can be generalized only for alcohol use, because only 3% of the study informants used substances other than alcohol. Further research is warranted concerning PHNs' ability to identify hazardous substance use and to ensure preventive early intervention and requisite support among substance-using adolescents in order to improve evidence-based health promotion. IS - 0283-9318 IL - 0283-9318 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Dec DC - 20061122 YR - 2006 ED - 20070213 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17116153 <215. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16971276 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Braitstein P AU - Li K AU - Kerr T AU - Montaner JS AU - Hogg RS AU - Wood E FA - Braitstein, P FA - Li, K FA - Kerr, T FA - Montaner, J S G FA - Hogg, R S FA - Wood, E IN - Braitstein,P. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, Canada. pbraitstein@ispm.unibe.ch TI - Differences in access to care among injection drug users infected either with HIV and hepatitis C or hepatitis C alone. SO - AIDS Care. 18(7):690-3, 2006 Oct. AS - AIDS Care. 18(7):690-3, 2006 Oct. NJ - AIDS care PI - Journal available in: Print PI - Citation processed from: Print JC - 8915313, a1o SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adult MH - *Body Weight/ph [Physiology] MH - Cross-Sectional Studies MH - *Delivery of Health Care/ut [Utilization] MH - Female MH - HIV Infections/co [Complications] MH - *HIV Infections/th [Therapy] MH - *Health Services Accessibility/st [Standards] MH - Health Status MH - Hepatitis C/co [Complications] MH - *Hepatitis C/th [Therapy] MH - Humans MH - Logistic Models MH - Middle Aged MH - Self-Assessment MH - Socioeconomic Factors MH - Substance Abuse, Intravenous/co [Complications] MH - *Substance Abuse, Intravenous/th [Therapy] AB - Access to HCV (Hepatitis C virus) care for HIV/HCV-co-infected patients is an urgent public health concern. The objective of the present study was to describe the self-reported health status of HIV/HCV-co-infected and HCV-mono-infected injection drug users and to describe their access to HCV-related care. Beginning in May 1996, persons who had injected illicit drugs in the previous month were recruited into the Vancouver Injection Drug User Study (VIDUS). At baseline and then semi-annually, participants complete an interviewer-administered questionnaire. Blood is drawn at each semi-annual interview and tested for HIV and Hepatitis C infection. Data for this descriptive, cross-sectional study were drawn from the most recent of either the July 2003 or December 2003 nurse-administered questionnaire. Statistics used were the chi-square, Wilcoxon Rank Sum and Student's t-test. Logistic regression was used to examine factors independently associated with accessing HCV care. There were 707 individuals eligible for this analysis, including 240 HIV/HCV-co-infected and 467 HCV-mono-infected persons. Co-infected individuals were more likely to be female, younger, of Aboriginal ethnicity and less likely to use heroin daily. The HCV-mono-infected group tended to report higher rates of HCV-related symptoms, including fatigue, liver pain, nausea, night-sweats and stomach pain. However, it was the HIV/HCV-co-infected group who were more likely to report that they believed their hepatitis C was affecting them. The HIV/HCV-co-infected group were also more likely to report having received any hepatitis-related follow-up care, including blood work, liver biopsies and referrals to specialists. In logistic regression analysis, factors independently associated with ever receiving any hepatitis C related follow-up were HIV/HCV-co-infection (AOR 3.1; 95% CI: 2-4.7), being older (AOR 1.04; 95% CI: 1.02-1.06 per year older), using heroin daily (AOR 0.54; 95% CI: 0.36-0.82) and believing that hepatitis C was affecting one's health (AOR 1.4; 95% CI: 1.0-2.1). In conclusion, our data indicate more HCV healthcare utilization among those HIV/HCV-co-infected. IS - 0954-0121 IL - 0954-0121 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Oct DC - 20060914 YR - 2006 ED - 20070208 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16971276 <216. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17108794 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown MS AU - Sebego M AU - Seboni N AU - Ntsayagae E AU - Mogobe KD AU - Sabone M FA - Brown, Marie Scott FA - Sebego, Miriam FA - Seboni, Naomi FA - Ntsayagae, Esther FA - Mogobe, Keitshokile D FA - Sabone, Motshedisi IN - Brown,Marie Scott. Intercollegiate School of Nursing, Washington State University, Vancouver, Washington, USA. brownm10@comcast.net TI - Using qualitative methods for course evaluation: a case study from Botswana. SO - Nurse Educator. 31(6):275-80, 2006 Nov-Dec. AS - Nurse Educ. 31(6):275-80, 2006 Nov-Dec. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - United States MH - Alcoholism/eh [Ethnology] MH - Attitude of Health Personnel MH - Attitude to Health/eh [Ethnology] MH - Botswana/ep [Epidemiology] MH - Clinical Competence MH - Condoms MH - Curriculum MH - Data Collection MH - Data Interpretation, Statistical MH - Faculty, Nursing MH - Focus Groups MH - Global Health MH - HIV Infections/eh [Ethnology] MH - HIV Infections/nu [Nursing] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - International Educational Exchange MH - *Nursing Education Research/og [Organization & Administration] MH - *Nursing Methodology Research/og [Organization & Administration] MH - *Program Evaluation/mt [Methods] MH - *Qualitative Research MH - Research Design MH - Safe Sex/eh [Ethnology] MH - Students, Nursing/px [Psychology] MH - United States AB - This article is a report of a qualitative evaluation of a course on human immunodeficiency virus/acquired immunodeficiency syndrome carried out jointly by faculty from Botswana and the United States at a university in Botswana. It demonstrates the importance of both international nurse educator expertise in impacting a major pandemic and the use of qualitative methods for course evaluation. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 2006 Nov-Dec DC - 20061119 YR - 2006 ED - 20070202 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17108794 <217. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17004023 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Blix HS AU - Viktil KK AU - Moger TA AU - Reikvam A FA - Blix, Hege Salvesen FA - Viktil, Kirsten K FA - Moger, Tron Anders FA - Reikvam, Asmund IN - Blix,Hege Salvesen. Norwegian Institute of Public Health, P.O. Box 4404, Nydalen, NO-0403 Oslo, Norway. Hege.salvesen.blix@fhi.no TI - Characteristics of drug-related problems discussed by hospital pharmacists in multidisciplinary teams. SO - Pharmacy World & Science. 28(3):152-8, 2006 Jun. AS - Pharm World Sci. 28(3):152-8, 2006 Jun. NJ - Pharmacy world & science : PWS PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - bo7, 9307352 SB - Index Medicus CP - Netherlands MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Drug-Related Side Effects and Adverse Reactions MH - Female MH - Humans MH - Interprofessional Relations MH - Male MH - Middle Aged MH - *Patient Care Team MH - Patients MH - *Pharmacists MH - Pharmacy Service, Hospital MH - Prospective Studies MH - Quality Assurance, Health Care MH - Risk Factors AB - OBJECTIVE: To investigate pharmacist contribution in the therapeutic hospital team by studying drug-related problems (DRPs), pharmacist therapy advice and consequences of the advice. AB - METHODS: From May to December 2002, 827 patients in five Norwegian hospitals were included in the study. Demographic data, drugs used, relevant medical history, laboratory data and clinical/pharmacological risk factors were recorded prospectively at the wards. AB - MAIN OUTCOME MEASURE: DRPs, patients characteristics, pharmacist advice to physicians, nurses or patients, response to the pharmacist advice, and reasons (stated by the pharmacist) for not discussing an identified DRP, were reported. An independent quality assessment team retrospectively assessed the DRPs for a randomly selected number of the study population. AB - RESULTS: On average 2.6 DRPs per patient were found. A total of 2128 DRPs were registered and of these 1583 (74%) DRPs were brought up for discussion. Physician immediate acceptance rates varied from 80% (for extremely important clinically significant DRPs) to 50% (for DRPs of minor clinical significance). High age, use of many drugs at admission, existence of many DRPs and many clinical/pharmacological risk factors for DRPs were associated with low immediate acceptance rate. Type of DRP influenced how the DRP was discussed; adverse drug reaction (ADR) and unnecessary drug were discussed with physicians while e.g. medical chart error and need for patient education were discussed with nurses/patients. Reasons for not discussing DRPs in the team were: not given priority (37%), no longer relevant (31%) and others (31%). DRPs of minor clinical significance were most often excluded from discussion (37%) as opposed to 14% and 22% of those of moderate and major clinical significance. AB - CONCLUSIONS: The majority of patients had one or more DRPs. The problems identified as DRPs by the pharmacists were accepted as such by the physicians and to a high degree acted upon. Both clinical significance of the DRP and patient characteristics influenced physician immediate acceptance rate. Some DRPs could be solved by direct contact with nurses or the patients. Awareness of DRPs increases through participation of pharmacists in the multidisciplinary therapeutic hospital team. IS - 0928-1231 IL - 0928-1231 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English EP - 20060927 DP - 2006 Jun DC - 20061018 YR - 2006 ED - 20070126 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17004023 <218. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17145491 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Plaisance L AU - Logan C FA - Plaisance, Louise FA - Logan, Cynthia IN - Plaisance,Louise. Southeastern Louisiana University School of Nursing, Hammond, Louisiana, USA. louisep9983@aol.com TI - Nursing students' knowledge and attitudes regarding pain. SO - Pain Management Nursing. 7(4):167-75, 2006 Dec. AS - Pain Manag Nurs. 7(4):167-75, 2006 Dec. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Accreditation MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence/st [Standards] MH - Cross-Sectional Studies MH - Curriculum/st [Standards] MH - *Education, Nursing, Associate/st [Standards] MH - *Education, Nursing, Baccalaureate/st [Standards] MH - Educational Measurement MH - Evidence-Based Medicine/ed [Education] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Louisiana MH - Male MH - Nursing Education Research MH - Nursing Methodology Research MH - Pain/di [Diagnosis] MH - *Pain MH - Pain Management MH - Practice Guidelines as Topic MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires AB - The presence of pain is one of the main reasons why people seek health care, yet pain is often undertreated. Inadequate treatment has been linked to health care workers' failure to assess pain and to intervene appropriately. It may also result from the limited attention given to pain management in nursing curricula. This descriptive study explored nursing students' knowledge and attitudes about pain management. The Nurses' Knowledge and Attitude Survey Regarding Pain was used to collect data from clinical nursing students. The sample (n = 313) was obtained from approximately one fourth of the baccalaureate of science in nursing and associate degree in nursing programs in Louisiana. Data analysis revealed misconceptions about analgesic administration and duration, along with an exaggerated fear about the incidence of addiction among patients. Knowledge of pharmacology items was lower than that of nonpharmacology items. When faced with a clinical scenario that required an initial assessment of a patient's pain, most students responded appropriately. However, when the situation required reassessment based on the patient's response to the student's chosen intervention, a majority of them responded incorrectly. Overall, students in the baccalaureate degree programs scored significantly higher (65% correct) than students in the associate degree in nursing programs (60.8% correct) (t [311] = -3.321, p = .001). However, the combined mean score for both groups was 64%, indicating inadequate knowledge of pain management. Despite major initiatives by accrediting agencies, statewide Pain Initiatives, and professional organizations, knowledge of pain management is still inadequate. Nursing faculty need to critically review their curricula to determine whether students are being taught in-depth and up-to-date pain management information that incorporates evidence-based research and current standards of care. IS - 1524-9042 IL - 1524-9042 PT - Comparative Study PT - Journal Article LG - English DP - 2006 Dec DC - 20061205 YR - 2006 ED - 20070119 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17145491 <219. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17062328 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Handler SM AU - Wright RM AU - Ruby CM AU - Hanlon JT FA - Handler, Steven M FA - Wright, Rollin M FA - Ruby, Christine M FA - Hanlon, Joseph T IN - Handler,Steven M. Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA. handlersm@upmc.edu TI - Epidemiology of medication-related adverse events in nursing homes. [Review] [68 refs] SO - American Journal of Geriatric Pharmacotherapy. 4(3):264-72, 2006 Sep. AS - Am J Geriatr Pharmacother. 4(3):264-72, 2006 Sep. NJ - The American journal of geriatric pharmacotherapy PI - Journal available in: Print PI - Citation processed from: Print JC - 101190325 SB - Index Medicus CP - United States MH - Aged MH - *Drug-Related Side Effects and Adverse Reactions MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Humans MH - Medication Errors/sn [Statistics & Numerical Data] MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Substance Withdrawal Syndrome/ep [Epidemiology] AB - BACKGROUND: Nursing home residents are prescribed more medications than patients in any other clinical setting. Although pharmacotherapy for older nursing home residents is usually safe and effective, it can lead to medication-related adverse events such as adverse drug reactions (ADRs), adverse drug withdrawal events (ADWEs), and therapeutic failures (TFs). AB - OBJECTIVE: This article reviews the descriptive (incidence) and analytic (risk factor) epidemiology of medication-related adverse events occurring in nursing home residents as reported in the literature during the last 2 decades. AB - METHODS: A search of MEDLINE and International Pharmaceutical Abstracts was conducted for articles published in English between January 1986 and July 2006 using the following terms: adverse drug events, adverse drug reactions, adverse drug withdrawal events, aged, drug therapy, drug-related problems, medication-related problems, nursing homes, therapeutic failures, and treatment failures. The reference lists of identified articles, recent review articles, book chapters, and the authors' reference library were also searched manually. AB - RESULTS: Seven studies met the inclusion and exclusion criteria and were included in this review. Five studies described ADRs, 1 described ADWEs, and 1 described TFs. The studies of ADRs used different methods of detecting ADRs, resulting in incidence rates ranging from 1.19 to 7.26 per 100 resident-months. The single study of ADWEs reported an incidence of 2.60 per 100 resident-months. An incidence rate for the single study describing TFs could not be calculated. AB - CONCLUSIONS: Medication-related adverse events are common in the nursing home setting. Additional studies are needed to enhance the detection and prevention of medication-related adverse events and to reduce their impact on residents' outcomes and health care costs. [References: 68] IS - 1543-5946 IL - 1876-7761 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review NO - AG027017 (United States NIA NIH HHS) NO - K12RR023267 (United States NCRR NIH HHS) NO - P30 AG024827 (United States NIA NIH HHS) NO - P30AG024827 (United States NIA NIH HHS) LG - English DP - 2006 Sep DC - 20061025 YR - 2006 ED - 20070112 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17062328 <220. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17120863 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kerber CS AU - Schlenker E FA - Kerber, Cindy Sullivan FA - Schlenker, Emily IN - Kerber,Cindy Sullivan. Illinois Wesleyan University, Bloomington, IL 61701, USA. ckerber@iwu.edu TI - Use of a breathalyzer in a local bar: A community education project. SO - Journal of Nursing Education. 45(11):455-7, 2006 Nov. AS - J Nurs Educ. 45(11):455-7, 2006 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - Alcoholic Intoxication/di [Diagnosis] MH - *Alcoholic Intoxication/nu [Nursing] MH - Alcoholic Intoxication/pc [Prevention & Control] MH - Breath Tests/mt [Methods] MH - *Breath Tests MH - *Central Nervous System Depressants/bl [Blood] MH - Chicago MH - *Community Health Nursing/ed [Education] MH - Community Health Nursing/mt [Methods] MH - Community-Institutional Relations MH - *Ethanol/bl [Blood] MH - Female MH - Health Education/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Nurse's Role MH - Nursing Methodology Research AB - In completing a faculty-assigned service-learning project, a group of nursing students sought to educate their peers and the public about the effects of alcohol consumption. Breathalyzer readings were obtained from 150 bar patrons and correlated with the number of drinks consumed and number of hours spent drinking. The results were used to educate bar patrons about the difference between how intoxicated they felt and their actual blood alcohol levels. The students also distributed information about substance abuse assistance and safe transportation home. This screening technique served as an application of secondary prevention principles for the nursing students. The project was considered innovative in that no similar study was found in the literature. Selected Healthy People 2010 goals were also addressed in this project. RN - 0 (Central Nervous System Depressants) RN - 3K9958V90M (Ethanol) IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2006 Nov DC - 20061122 YR - 2006 ED - 20070111 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17120863 <221. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16785215 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weaver MF AU - Hoffman HJ AU - Johnson RE AU - Mauck K FA - Weaver, Michael F FA - Hoffman, Heather J FA - Johnson, Robert E FA - Mauck, Kimberly IN - Weaver,Michael F. Department of Internal Medicine and Psychiatry, Virginia Commonwealth University, USA. mfweaver@vcu.edu TI - Alcohol withdrawal pharmacotherapy for inpatients with medical comorbidity. SO - Journal of Addictive Diseases. 25(2):17-24, 2006. AS - J Addict Dis. 25(2):17-24, 2006. NJ - Journal of addictive diseases PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 SB - Index Medicus CP - United States MH - Academic Medical Centers MH - Adult MH - Aged MH - Alcohol Withdrawal Delirium/di [Diagnosis] MH - *Alcohol Withdrawal Delirium/dt [Drug Therapy] MH - Alcohol Withdrawal Delirium/ep [Epidemiology] MH - Alcohol Withdrawal Delirium/nu [Nursing] MH - Cohort Studies MH - Comorbidity MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Female MH - Guideline Adherence/sn [Statistics & Numerical Data] MH - *Hospitalization MH - Humans MH - *Hypnotics and Sedatives/ad [Administration & Dosage] MH - Hypnotics and Sedatives/ae [Adverse Effects] MH - Internal Medicine MH - *Lorazepam/ad [Administration & Dosage] MH - Lorazepam/ae [Adverse Effects] MH - Male MH - Middle Aged MH - Nursing Assessment MH - Prospective Studies AB - Studies show that symptom-triggered dosing is best for treatment of alcohol withdrawal in patients on chemical dependence wards without other illness. On general medical hospital wards, withdrawal may be affected by comorbid medical illness. A clinical trial was undertaken to determine whether there is a difference between symptom-triggered (ST) and fixed-schedule (FS) dosing of lorazepam in patients hospitalized on general medical wards at a university medical center. One hundred eighty-three subjects were assessed by their nurses with the Revised Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale. Subjects in the ST arm received lorazepam doses based on CIWA-Ar score. Subjects in the FS arm received scheduled lorazepam with tapering over 4 days. Symptom-triggered dosing for alcohol withdrawal for general medicine inpatients results in less lorazepam given with similar reduction in CIWA-Ar scores for the first 2 days, but a higher proportion of protocol errors. RN - 0 (Hypnotics and Sedatives) RN - O26FZP769L (Lorazepam) IS - 1055-0887 IL - 1055-0887 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural NO - K23 AA00222 (United States NIAAA NIH HHS) LG - English DP - 2006 DC - 20060620 YR - 2006 ED - 20070109 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16785215 <222. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17107569 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weber MT AU - Snow D FA - Weber, Mary T FA - Snow, Diane IN - Weber,Mary T. Arlington School of Nursing, VA, USA. mweber@uta.edu TI - An introductory clinical core course in psychiatric management: an innovative lifespan course blending all nurse practitioner majors. [Review] [10 refs] SO - Perspectives in Psychiatric Care. 42(4):245-51, 2006 Nov. AS - Perspect Psychiatr Care. 42(4):245-51, 2006 Nov. NJ - Perspectives in psychiatric care PI - Journal available in: Print PI - Citation processed from: Print JC - ozt, 0401133 SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - *Clinical Competence MH - Curriculum MH - Delphi Technique MH - *Education, Nursing, Graduate/og [Organization & Administration] MH - Faculty, Nursing MH - Health Services Needs and Demand MH - Humans MH - Mass Screening MH - Mental Disorders/nu [Nursing] MH - *Nurse Practitioners/ed [Education] MH - Nurse Practitioners/og [Organization & Administration] MH - Nurse Practitioners/px [Psychology] MH - Nurse's Role MH - Nursing Assessment MH - Nursing Process MH - Program Development MH - *Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/og [Organization & Administration] MH - Referral and Consultation MH - Role Playing MH - Teaching/og [Organization & Administration] MH - Texas AB - TOPIC: The prevalence of anxiety, depression, substance abuse, and suicidal ideation is significant in primary care settings across the country. Nonpsychiatric nurse practitioners must be able to recognize symptoms of common psychiatric disorders, know how to treat less complex mental illnesses, and know when to refer to psychiatric mental health nurse practitioners (PMHNPs). AB - PURPOSE: This article describes the course content, assignments, and teaching strategies used in a clinical core course in the nurse practitioner (NP) curriculum that is required for all NP majors at the University of Texas at Arlington. Psychiatric Management for Advanced Practice provides the foundation for later PMHNP major specific clinical courses. AB - SOURCES: Development of the course content was based on NONPF Domains and Competencies for the NP, input from graduate NP faculty using a modified Delphi approach, NP student feedback, review of curriculum from other schools, and review of the literature on depression, suicide, anxiety, and substance abuse disorders in primary care settings. AB - CONCLUSIONS: Since 1999, students from the eight different NP programs at the University of Texas at Arlington have been required to take this course. Student, faculty, and graduate feedback about this course have been consistently positive. Many NP students comment on feeling much more comfortable assessing for depression, suicide, and substance use. [References: 10] IS - 0031-5990 IL - 0031-5990 PT - Journal Article PT - Review LG - English DP - 2006 Nov DC - 20061119 YR - 2006 ED - 20070105 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17107569 <223. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17172197 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Guzys D AU - Kendall S FA - Guzys, Diana FA - Kendall, Sharon IN - Guzys,Diana. School of Nursing and Midwifery, La Trobe University, Bendigo, Victoria, Australia. TI - Advocating for a harm-minimization approach to drug education in Australian schools. [Review] [16 refs] SO - Journal of School Nursing. 22(5):259-63, 2006 Oct. AS - J Sch Nurs. 22(5):259-63, 2006 Oct. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - Attitude to Health MH - Curriculum MH - Evidence-Based Medicine MH - *Harm Reduction MH - *Health Education/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Health Policy MH - Health Promotion/og [Organization & Administration] MH - Health Services Needs and Demand MH - Humans MH - Models, Educational MH - Nurse's Role MH - Organizational Objectives MH - Patient Advocacy MH - Philosophy, Nursing MH - Psychology, Adolescent MH - *School Health Services/og [Organization & Administration] MH - *School Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Victoria AB - The concept of using a harm-minimization approach to drug education in Australian schools has existed in both national and state government policy documents for over two decades. However, this approach appears to be ineffectively and inconsistently incorporated within the curriculum. Harm minimization emphasizes strategies that reduce the harms associated with drug use and prevent related health and social problems. Traditional drug education programs that promote abstinence as the only option may not be realistic and appear to have had limited success. School nurses in the state of Victoria have a significant role in improving both the understanding and adoption of this approach through advocacy, education, and their understanding of evidence-based practice. [References: 16] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2006 Oct DC - 20061218 YR - 2006 ED - 20061229 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17172197 <224. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16831798 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Etter JF FA - Etter, Jean-Francois IN - Etter,Jean-Francois. Institute of Social and Preventive Medicine, University of Geneva, CMU, Switzerland. jean-francois.etter@imsp.ch TI - Impact of educational outreach visits on smoking cessation activities performed by specialist physicians: a randomized trial. SO - Education for Health. 19(2):155-65, 2006 Jul. AS - EDUC HEALTH. 19(2):155-65, 2006 Jul. NJ - Education for health (Abingdon, England) PI - Journal available in: Print PI - Citation processed from: Print JC - 9607101 SB - Index Medicus CP - England MH - *Attitude of Health Personnel MH - Clinical Competence MH - *Community Health Nursing MH - Counseling MH - *Education, Medical, Continuing MH - Humans MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Primary Prevention MH - Private Practice MH - Program Evaluation MH - *Smoking Cessation/mt [Methods] MH - *Specialization MH - Statistics, Nonparametric MH - Surveys and Questionnaires MH - Switzerland MH - *Therapy, Computer-Assisted/mt [Methods] MH - Treatment Outcome AB - OBJECTIVES: To find out whether educational visits by a nurse to specialist physicians improved their self-reporting of smoking cessation activities; whether these visits increased the percentage of physicians who were aware of and recommended a computer-tailored smoking cessation program and who participated in a training workshop on tobacco dependency treatment. AB - METHODS: Specialist private practice physicians (n = 523) working in Geneva, Switzerland were randomly assigned to either receiving (n = 261) or not receiving (n = 262) a single 40-minute visit by a trained nurse in 2003. The physicians answered a postal questionnaire 5 months after the visits indicating the percentage of their patients they counselled or treated for tobacco dependency and we recorded whether physicians took part in the workshop. AB - FINDINGS: Only half (53%) of the physicians agreed to receive a visit. At follow-up more physicians in the intervention group than in the control group were aware of the computer-tailored program (73% vs. 39%, p < 0.001) and more physicians in the intervention group said they recommended the use of this program to more patients (20% vs. 10%, p = 0.009). Among non-smoking physicians only, the proportion of patients who were advised to quit smoking was higher in the intervention than in the control group (69% vs. 54%, p = 0.019, as reported by physicians). The intervention had no impact on physicians' participation in the workshop. AB - CONCLUSIONS: Visits by a nurse increased the proportion of physicians who recommended to their patients the use of a computer-tailored smoking cessation program. Among non-smoking physicians only, the intervention increased the proportion of patients who received the advice to quit smoking, as reported by physicians. IS - 1357-6283 IL - 1357-6283 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Jul DC - 20060711 YR - 2006 ED - 20061207 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16831798 <225. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16922291 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gallagher J AU - O'Gara C AU - Sessay M AU - Luty J FA - Gallagher, John FA - O'Gara, Colin FA - Sessay, Mohammed FA - Luty, Jason IN - Gallagher,John. Anglia Ruskin University, Chelmsford, Essex. TI - Nurse prescribing in addiction services: client benefits. [Review] [14 refs] SO - Nursing Standard. 20(48):42-4, 2006 Aug 9-15. AS - Nurs Stand. 20(48):42-4, 2006 Aug 9-15. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Community Health Nursing/ed [Education] MH - Community Health Nursing/og [Organization & Administration] MH - *Drug Prescriptions MH - Education, Nursing, Continuing MH - Humans MH - *Nurse's Role MH - Nursing Evaluation Research MH - Nursing Staff/ed [Education] MH - *Nursing Staff/og [Organization & Administration] MH - Nursing, Supervisory MH - *Professional Autonomy MH - *Substance-Related Disorders/dt [Drug Therapy] MH - Substance-Related Disorders/nu [Nursing] MH - Total Quality Management/og [Organization & Administration] MH - Workload AB - Recent changes to prescribing regulations mean that nurse independent prescribers and supplementary prescribers are now able to prescribe any licensed medicine for conditions within their competence, including some controlled drugs. This article discusses the anticipated benefits of these prescribing changes for patients receiving treatment for substance misuse. [References: 14] IS - 0029-6570 IL - 0029-6570 PT - Journal Article PT - Review LG - English DP - 2006 Aug 9-15 DC - 20060822 YR - 2006 ED - 20060929 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16922291 <226. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16915993 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Durmaz A AU - Ustun B FA - Durmaz, Aylin FA - Ustun, Besti IN - Durmaz,Aylin. Psychiatric and Mental Health Nursing Department, Dokuz Eylul University, School of Nursing, Izmir, Turkey. aylin_durmaz@yahoo.com TI - Determination of smoking habits and personality traits among nursing students. SO - Journal of Nursing Education. 45(8):328-33, 2006 Aug. AS - J Nurs Educ. 45(8):328-33, 2006 Aug. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Attitude of Health Personnel MH - Curriculum MH - Education, Nursing, Baccalaureate MH - Female MH - Habits MH - Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Internal-External Control MH - Male MH - Models, Psychological MH - Nursing Methodology Research MH - Peer Group MH - *Personality MH - Personality Inventory MH - Prevalence MH - Severity of Illness Index MH - Sex Distribution MH - Sex Factors MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - *Smoking/px [Psychology] MH - Stress, Psychological/pc [Prevention & Control] MH - Stress, Psychological/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Turkey/ep [Epidemiology] AB - The purpose of this research was to determine the smoking habits of students who receive nursing education in universities and their personality traits. We found that 29.2% of the students were habitual smokers, and the average score on the Fagerstrom Nicotine Dependence Test was 3.4 +/- 2.3. A significant difference in statistical terms was marked between the participants' smoking habits and the self-control factor. Because we found that the level of smoking among individuals with high self-control is rather low, providing information to students on quitting smoking and periodically assessing smoking status are recommended. In addition, individual improvement programs focused on the development of self-control can be added to nursing curricula. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2006 Aug DC - 20060818 YR - 2006 ED - 20060929 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16915993 <227. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16910130 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Peltzer K AU - Seoka P AU - Babor T AU - Obot I FA - Peltzer, K FA - Seoka, P FA - Babor, T FA - Obot, I IN - Peltzer,K. Human Sciences Research Council & University Limpopo, Cape Town, South Africa. KPeltzer@hsrc.ac.za TI - Training primary care nurses to conduct alcohol screening and brief interventions in South Africa. SO - Curationis. 29(2):16-21, 2006 May. AS - Curationis. 29(2):16-21, 2006 May. NJ - Curationis PI - Journal available in: Print PI - Citation processed from: Print JC - c1a, 7901092 SB - Nursing Journal CP - South Africa MH - Adult MH - Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - *Counseling MH - *Education, Nursing MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Inservice Training MH - Male MH - *Mass Screening/nu [Nursing] MH - Middle Aged MH - Primary Health Care MH - South Africa AB - Although progress has been made in developing a scientific basis for alcohol screening and brief intervention (SBI), training packages are necessary for its widespread dissemination in primary care settings in developing societies. Using a training package developed by the World Health Organisation 121 nurses from one rural site (29 clinics in Vhembe District) and one urban site (3 clinics and 6 mobile clinics in Polokwane/ Seshego) in South Africa were compared before and after SBI training regarding knowledge and attitudes, and the subsequent practice of SBI in routine clinical practice. Although the training effects were at times moderate, all changes were in a direction more conducive to implementing SBI. Health care providers significantly increased in knowledge, confidence in SBI and higher self-efficacy in implementing SBI at follow-up after 9 months after receiving the training. When delivered in the context of a comprehensive SBI implementation programme, this training is effective in changing providers' knowledge, attitudes, and practice of SBI for at-risk drinking. IS - 0379-8577 IL - 0379-8577 PT - Clinical Trial PT - Journal Article PT - Multicenter Study LG - English DP - 2006 May DC - 20060816 YR - 2006 ED - 20060927 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16910130 <228. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16809110 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Visnegarwala F AU - Rodriguez-Barradass MC AU - Graviss EA AU - Caprio M AU - Nykyforchyn M AU - Laufman L FA - Visnegarwala, F FA - Rodriguez-Barradass, M C FA - Graviss, E A FA - Caprio, M FA - Nykyforchyn, M FA - Laufman, L IN - Visnegarwala,F. Department of Medicine, Section of Infectious Diseases, Baylor College Of Medicine, One Baylor Plaza, Room #465 EC, Houston, TX 77030, USA. fehmidav@bcm.tmc.edu TI - Community outreach with weekly delivery of anti-retroviral drugs compared to cognitive-behavioural health care team-based approach to improve adherence among indigent women newly starting HAART. SO - AIDS Care. 18(4):332-8, 2006 May. AS - AIDS Care. 18(4):332-8, 2006 May. NJ - AIDS care PI - Journal available in: Print PI - Citation processed from: Print JC - 8915313, a1o SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adult MH - *Antiretroviral Therapy, Highly Active MH - *Cognitive Therapy/mt [Methods] MH - Community Health Services MH - Female MH - *HIV Infections/th [Therapy] MH - Humans MH - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] MH - Patient Compliance MH - Pilot Projects MH - Texas MH - Treatment Outcome AB - Sustained virological suppression requires adherence to >95% of doses of therapy. Overall there is paucity of data on adherence interventions among women and post-intervention outcomes. In this pilot study, we evaluated a novel strategy of weekly delivery of medications (Directly Delivered Therapy: DDT) for six months using an outreach worker (ORW), among ARV naive indigent women starting HAART and compared the 'during intervention' and 'post-intervention' outcomes to the health care team (a nurse educator, a case worker, a pharmacist and social worker/drug addictions counsellor) based approach termed Adherence Coordination Services (ACS) and the Standard of Care (SoC) historical referent group. The baseline characteristics of the three groups were comparable. The proportion of women who achieved sustained virologic suppression in 4-8 month period for DDT; ACS and SoC groups were 86% (18/21); 54% (6/11); and 36% (8/22) (P<0.004); and in the 10-14 month period were 80% (12/15); 54% (6/11) and 45%(10/22) (P=0.036 for DDT vs. SoC). Retention rate in the DDT was 87%, and 92% of 307 ORW visits were kept, and post-intervention satisfaction was high. Short-term weekly delivery of medications using a community based liaison is a feasible, acceptable and a cost-effective strategy for improving both short-term and perhaps long-term adherence among women initiating their first HAART regimen. IS - 0954-0121 IL - 0954-0121 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't NO - AI36211 (United States NIAID NIH HHS) LG - English DP - 2006 May DC - 20060630 YR - 2006 ED - 20060926 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16809110 <229. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16862029 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hoyt CA FA - Hoyt, Constance A IN - Hoyt,Constance A. University of California, Riverside, USA. cahoyt01@adelphia.net TI - Integrating forensic science into nursing processes in the ICU. [Review] [16 refs] SO - Critical Care Nursing Quarterly. 29(3):259-70, 2006 Jul-Sep. AS - Crit Care Nurs Q. 29(3):259-70, 2006 Jul-Sep. NJ - Critical care nursing quarterly PI - Journal available in: Print PI - Citation processed from: Print JC - ccn, 8704517 SB - Nursing Journal CP - United States MH - Adult MH - Aged, 80 and over MH - Child MH - *Critical Care/og [Organization & Administration] MH - Data Collection/mt [Methods] MH - Documentation MH - Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Forensic Sciences/ed [Education] MH - *Forensic Sciences/og [Organization & Administration] MH - Health Services Needs and Demand MH - Humans MH - Intuition MH - Joint Commission on Accreditation of Healthcare Organizations MH - Mass Screening/og [Organization & Administration] MH - Medical History Taking/mt [Methods] MH - *Nurse's Role MH - Nursing Assessment/og [Organization & Administration] MH - *Nursing Process/og [Organization & Administration] MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/og [Organization & Administration] MH - Physical Examination/mt [Methods] MH - Physical Examination/nu [Nursing] MH - Referral and Consultation/og [Organization & Administration] MH - United States AB - The critical care nurse is in an ideal position to assume responsibilities related to the identification of forensic cases and the preservation of associated evidence. Victims of child and elder abuse and neglect, individuals involved in vehicular or industrial accidents, substance abusers, and incarcerated populations are among the several types of patients that are likely to managed in the intensive care unit (ICU). Hospitals and their personnel assume considerable liability in such cases for detecting, collecting, and preserving evidence, as well as for reporting and referring the cases to appropriate law enforcement or judicial authorities. The Joint Commission for the Accreditation of Healthcare Organizations has published specific regulatory guidance to ensure that all healthcare personnel are properly educated to assume certain forensic responsibilities. The orientation and in-service programs of the ICU nurse should include specific guidance regarding forensic principles, practices, and procedures. [References: 16] IS - 0887-9303 IL - 0887-9303 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2006 Jul-Sep DC - 20060724 YR - 2006 ED - 20060921 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16862029 <230. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16849931 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Phillips S AU - Haycock C AU - Boyle D FA - Phillips, Susan FA - Haycock, Camille FA - Boyle, Deborah IN - Phillips,Susan. Banner Good Samaritan Medical Center, Phoenix, Ariz. 85338, USA. susan.phillips@bannerhealth.com TI - Development of an alcohol withdrawal protocol: CNS collaborative exemplar. [Review] [29 refs] SO - Clinical Nurse Specialist. 20(4):190-8; quiz 199-200, 2006 Jul-Aug. AS - Clin Nurse Spec. 20(4):190-8; quiz 199-200, 2006 Jul-Aug. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Print JC - cll, 8709115 SB - Nursing Journal CP - United States MH - Acute Disease MH - *Alcohol-Induced Disorders/th [Therapy] MH - Algorithms MH - *Clinical Protocols/st [Standards] MH - *Cooperative Behavior MH - Critical Care/og [Organization & Administration] MH - Decision Trees MH - Evidence-Based Medicine/og [Organization & Administration] MH - Humans MH - Interprofessional Relations MH - Leadership MH - *Nurse Clinicians/og [Organization & Administration] MH - Nurse Clinicians/px [Psychology] MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Nursing Records MH - Organizational Innovation MH - Outcome and Process Assessment (Health Care)/og [Organization & Administration] MH - Patient Advocacy MH - Patient Care Team/og [Organization & Administration] MH - Problem Solving MH - Program Development MH - Severity of Illness Index MH - *Substance Withdrawal Syndrome/th [Therapy] MH - Total Quality Management/og [Organization & Administration] AB - PURPOSE: The purpose of this process improvement project was to develop an Alcohol Withdrawal Syndrome (AWS) management protocol for acute care. AB - SIGNIFICANCE: The prevalence of alcohol abuse in our society presents challenges for health professionals, and few nurses have received formal education on the identification and treatment of AWS, which has frequently resulted in ineffective, nonstandardized care. However, nurses practicing in medical-surgical, emergency, trauma, and critical care settings must be astute in the assessment and management of AWS. DESIGN/BACKGROUND/RATIONALE: Following an analysis of existing management protocols, a behavioral health clinical nurse specialist was asked to lead a work team composed of physicians, pharmacists, and nurses to develop a new evidence-based alcohol withdrawal protocol for acute care. AB - METHODS/DESCRIPTION: By implementing a standardized assessment tool and treatment protocol, clinical nurse specialists empowered nursing staff with strategies to prevent the serious medical complications associated with AWS. FINDINGS/OUTCOMES: The development and integration of a safe and effective treatment protocol to manage AWS was facilitated by collaborative, evidence-based decision making. AB - CONCLUSION: Clinical experience and specialty expertise were integrated by clinical nurse specialists skilled in group dynamics, problem-solving, and the implementation of change. Improving care of patients in AWS is an exemplar for clinical nurse specialist roles as change agent and patient advocate. [References: 29] IS - 0887-6274 IL - 0887-6274 PT - Journal Article PT - Review LG - English DP - 2006 Jul-Aug DC - 20060719 YR - 2006 ED - 20060921 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16849931 <231. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16929875 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tsao JC AU - Dobalian A AU - Wiens BA AU - Gylys JA AU - Clawson A AU - Brooks R FA - Tsao, Jennie C I FA - Dobalian, Aram FA - Wiens, Brenda A FA - Gylys, Julius A FA - Clawson, Art FA - Brooks, Robert IN - Tsao,Jennie C I. Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA 90024, USA. jtsao@mednet.ucla.edu TI - PTSD and substance use: unrecognized sequelae of bioterrorism in primary care providers. SO - Southern Medical Journal. 99(8):817-22, 2006 Aug. AS - South Med J. 99(8):817-22, 2006 Aug. NJ - Southern medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - uvh, 0404522 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Bioterrorism MH - Female MH - Florida/ep [Epidemiology] MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/st [Standards] MH - Humans MH - Incidence MH - Male MH - Mental Health MH - Middle Aged MH - *Primary Health Care MH - Rural Population MH - Stress Disorders, Post-Traumatic/ep [Epidemiology] MH - *Stress Disorders, Post-Traumatic/et [Etiology] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/et [Etiology] AB - BACKGROUND: Psychological casualties following public health emergencies are likely to significantly outnumber physical casualties. However, postevent psychological disorders may be underrecognized by primary care providers (PCPs). AB - METHODS: Rural PCPs in northern and central Florida were interviewed using a series of open-ended questions to assess knowledge of likely mental disorders, their risk factors, and preferred treatment options following such events (n=21). AB - RESULTS: PTSD was identified by 14% and substance abuse by 10% of the sample. Physicians were significantly more likely to identify posttraumatic stress disorder (PTSD) as an expected postevent psychological disorder than nonphysician providers. PCPs were significantly more likely to endorse counseling (86%) than medications (43%) as a preferred treatment option. AB - CONCLUSIONS: Our findings support the need for increased education and training regarding the mental health consequences of bioterrorism in rural PCPs, particularly for nursing-level and other nonphysician providers. Improvements in knowledge may enhance preparedness for such emergencies. IS - 0038-4348 IL - 0038-4348 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - 7 R04 RH01310 (United States PHS HHS) LG - English DP - 2006 Aug DC - 20060825 YR - 2006 ED - 20060915 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16929875 <232. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16808752 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Upshur CC AU - Luckmann RS AU - Savageau JA FA - Upshur, Carole C FA - Luckmann, Roger S FA - Savageau, Judith A IN - Upshur,Carole C. Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA. Carole.upshur@umassmed.edu TI - Primary care provider concerns about management of chronic pain in community clinic populations. SO - Journal of General Internal Medicine. 21(6):652-5, 2006 Jun. AS - J Gen Intern Med. 21(6):652-5, 2006 Jun. NJ - Journal of general internal medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - 8605834 OI - Source: NLM. PMC1924617 SB - Index Medicus CP - United States MH - Adult MH - *Attitude to Health MH - Chronic Disease MH - *Community Health Services MH - Health Surveys MH - Humans MH - Narcotics/ae [Adverse Effects] MH - Narcotics/tu [Therapeutic Use] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - Pain/dt [Drug Therapy] MH - Pain/pc [Prevention & Control] MH - *Pain Management MH - *Patient Satisfaction MH - *Primary Health Care AB - BACKGROUND: Chronic pain is a common patient complaint in primary care, yet providers and patients are often dissatisfied with treatment processes and outcomes. AB - OBJECTIVE: To assess provider satisfaction with their training for and current management of chronic pain in community clinic settings. To identify perceived problems with delivering chronic pain treatment and issues with opioid prescribing for chronic pain. AB - DESIGN: Mailed survey to primary care providers (PCPs) at 8 community clinics. AB - RESULTS: Respondents (N=111) included attendings, residents, and nurse practioners (NPs)/physician assistants (PAs). They reported 37.5% of adult appointments in a typical week involved patients with chronic pain complaints. They attributed problems with pain care and opioid prescribing more often to patient-related factors such as lack of self-management, and potential for abuse of medication than to provider or practice system factors. Nevertheless, respondents reported inadequate training for, and low satisfaction with, delivering chronic pain treatment. AB - CONCLUSIONS: A substantial proportion of adult primary care appointments involve patients with chronic pain complains. Dissatisfaction with training and substantial concerns about patient self-management and about opioid prescribing suggest areas for improving medical education and postgraduate training. Emphasis on patient-centered approaches to chronic pain management, including skills for assessing risk of opioid abuse and addiction, is required. RN - 0 (Narcotics) ES - 1525-1497 IL - 0884-8734 PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, P.H.S. NO - 1 R03 HS013455-01A1. (United States AHRQ HHS) LG - English DP - 2006 Jun DC - 20060630 YR - 2006 ED - 20060911 RD - 20140909 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16808752 <233. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16835672 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reid RD AU - Pipe AL AU - Quinlan B FA - Reid, Robert D FA - Pipe, Andrew L FA - Quinlan, Bonnie IN - Reid,Robert D. Preventive and Rehabilitation Centre, University of Ottawa Heart Institute, Ottawa, Canada. breid@ottawaheart.ca TI - Promoting smoking cessation during hospitalization for coronary artery disease. SO - Canadian Journal of Cardiology. 22(9):775-80, 2006 Jul. AS - Can J Cardiol. 22(9):775-80, 2006 Jul. NJ - The Canadian journal of cardiology PI - Journal available in: Print PI - Citation processed from: Print JC - chp, 8510280 OI - Source: NLM. PMC2560518 SB - Index Medicus CP - Canada MH - *Coronary Disease/pc [Prevention & Control] MH - Female MH - Follow-Up Studies MH - *Hospitalization MH - Humans MH - Male MH - Middle Aged MH - *Program Evaluation MH - Retrospective Studies MH - *Smoking Cessation/mt [Methods] MH - Surveys and Questionnaires MH - Treatment Outcome AB - BACKGROUND: Quitting smoking is the most effective intervention to reduce mortality in patients with coronary artery disease who smoke. Guidelines for the treatment of tobacco dependency recommend that health care institutions develop plans to support the consistent and effective identification and treatment of tobacco users. The University of Ottawa Heart Institute (Ottawa, Ontario) has implemented an institutional program to identify and treat all smokers admitted to the Institute. AB - OBJECTIVES: The objectives of the present paper are to describe core elements of this program and present data concerning its reach and effectiveness. AB - PROGRAM DESCRIPTION: The goal of the program is to increase the number of smokers who are abstinent from smoking six months after a coronary artery disease-related hospitalization. Core elements of the program include: documentation of smoking status at hospital admission; inclusion of cessation intervention on patient care maps; individualized, bedside counselling by a nurse counsellor; the appropriate and timely use of nicotine replacement therapy; automated telephone follow-up; referral to outpatient cessation resources; and training of medical residents and nursing staff. Program reach and effectiveness were measured over a one-year period. AB - RESULTS: Between April 2003 and March 2004, almost 1300 smokers were identified at admission, and 91% received intervention to help them quit smoking. At six-month follow-up, 44% were smoke-free. AB - CONCLUSIONS: Hospitalization for coronary artery disease provides an important opportunity to intervene with smokers when their motivation to quit is high. An institutional approach reinforces the importance of smoking cessation in this patient population and increases the rate of smoking cessation. Posthospitalization quit rates should be a benchmark of cardiac program performance. IS - 0828-282X IL - 0828-282X PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Jul DC - 20060712 YR - 2006 ED - 20060829 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16835672 <234. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16797268 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Piccoli GB AU - Soragna G AU - Putaggio S AU - Consiglio V AU - Mezza E AU - Bonetto A AU - Geuna S FA - Piccoli, G B FA - Soragna, G FA - Putaggio, S FA - Consiglio, V FA - Mezza, E FA - Bonetto, A FA - Geuna, S IN - Piccoli,G B. Nephrology, University of Torino, Torino, Italy. gbpiccoli@yahoo.it TI - Drug use and kidney donation: what are high-risk behaviors today?. SO - Transplantation Proceedings. 38(5):1221-3, 2006 Jun. AS - Transplant Proc. 38(5):1221-3, 2006 Jun. NJ - Transplantation proceedings PI - Journal available in: Print PI - Citation processed from: Print JC - we9, 0243532 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Attitude to Health MH - Education, Medical, Continuing MH - Humans MH - Italy/ep [Epidemiology] MH - Middle Aged MH - *Patient Selection MH - Risk-Taking MH - Students MH - Students, Medical MH - Students, Nursing MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires MH - *Tissue Donors/sn [Statistics & Numerical Data] MH - Tissue Donors/sd [Supply & Distribution] AB - BACKGROUND: "Social risk behaviors" are usually considered as contraindications for organ donation. The organ shortage, however, necessitates expansion of the donor pool. Reconsideration of the policy toward substance abusers may be important. Opinions of the overall population may be of use to define this cultural-sensitive issue. AB - METHODS: A semistructured questionnaire on organ donation, including opinions on drug use (cannabis and cocaine), was administered to various groups of the general public and caregivers: high school students (liceo classico: 59 students, median age 18 years; istituto tecnico: 108, age 17); first- and fourth-year medical school (77, age 19; 46, age 22); continuing medical education (44, age 32); third-year nursing school (31, age 23); "senior citizen university" (51, age 63). AB - RESULTS: Cannabis use was mainly accepted for kidney donation (48.6% yes, 26.6% no, 29.8% uncertain/blank), but cocaine use was not (22.1% yes, 44.2% no, 33.7% uncertain/blank). In the univariate analysis, opinions differed according to age, sex, and belonging to the health care teams upon multivariate analysis being a member of the health care team was the strongest predictor of responses (P<.01). AB - CONCLUSION: It is difficult to define social risk behaviors. Since opinions are important for organ donation, further studies and discussion are needed to periodically analyze our policies. IS - 0041-1345 IL - 0041-1345 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Jun DC - 20060626 YR - 2006 ED - 20060822 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16797268 <235. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16829777 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Malone RE FA - Malone, Ruth E IN - Malone,Ruth E. Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco 94118, USA. ruth.malone@ucsf.edu TI - Nursing's involvement in tobacco control: historical perspective and vision for the future. [Review] [72 refs] SO - Nursing Research. 55(4 Suppl):S51-7, 2006 Jul-Aug. AS - Nurs Res. 55(4 Suppl):S51-7, 2006 Jul-Aug. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Health Education/og [Organization & Administration] MH - History MH - Humans MH - Leadership MH - *Nurse's Role MH - *Nursing Research/og [Organization & Administration] MH - Nursing Research/td [Trends] MH - Primary Prevention/og [Organization & Administration] MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - Societies, Nursing/og [Organization & Administration] MH - Tobacco Industry MH - *Tobacco Use Cessation/mt [Methods] MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/nu [Nursing] MH - United States/ep [Epidemiology] AB - There is little evidence that nursing organizations have played a major leadership role in addressing tobacco control at the political level, and none have addressed collectively, in any sustained way, the role of the tobacco industry, the primary vector of the tobacco disease epidemic. The aims of this article are (a) to explore what accounts for organized nursing's relative quiescence about tobacco industry and (b) to elucidate why a nursing voice would be especially effective in addressing the industry as a vector of the tobacco disease epidemic. Drawing on the internal tobacco industry documents research, and incorporating a critical theoretical perspective on education, research, and practice, it is argued that tobacco cessation cannot be viewed solely as an individual problem but must be understood in a sociopolitical context and promoting a nursing agendum on cessation research and practice requires educating (and energizing) nurses on the sociopolitics of tobacco. Because of nurses' numbers, class status, political capital, and moral authority in society, they are the group of health professionals whose voices are needed urgently at this historical moment to help avert the global tobacco epidemic. The Nightingales is an example of a nursing group involved in activism against the tobacco industry, applying findings from research on the industry to engage nurses in tobacco control activism, research, and education. The cessation research agenda should include research on the tobacco industry and how its activities influence cessation, how political activism influences cessation, and how critical education may advance cessation research, policies, and practices. [References: 72] IS - 0029-6562 IL - 0029-6562 PT - Journal Article PT - Review LG - English DP - 2006 Jul-Aug DC - 20060710 YR - 2006 ED - 20060816 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16829777 <236. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16829776 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heath J AU - Andrews J FA - Heath, Janie FA - Andrews, Jeannette IN - Heath,Janie. Critical Care Clinical Nurse Specialist Program, School of Nursing and Health Studies, Georgetown University, Washington, DC 20007-1107, USA. ejh@georgetown.edu TI - Using evidence-based educational strategies to increase knowledge and skills in tobacco cessation. [Review] [36 refs] SO - Nursing Research. 55(4 Suppl):S44-50, 2006 Jul-Aug. AS - Nurs Res. 55(4 Suppl):S44-50, 2006 Jul-Aug. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Counseling/og [Organization & Administration] MH - *Evidence-Based Medicine/og [Organization & Administration] MH - Health Education/og [Organization & Administration] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Joint Commission on Accreditation of Healthcare Organizations MH - *Nurse's Role MH - *Nursing Research/og [Organization & Administration] MH - Primary Prevention/og [Organization & Administration] MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Tobacco Use Cessation/mt [Methods] MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/nu [Nursing] MH - United States/ep [Epidemiology] AB - To meet the demand for improved patient outcomes and accountability for healthcare delivery, nurses must embrace a culture of evidence-based practice (EBP). Integrating EBP for tobacco cessation in nursing practice is particularly important for the 44.5 million smokers in the United States who contribute to 157 billion dollars of healthcare costs annually. Unfortunately, studies reveal that healthcare providers are not aware of what is considered the best evidence, the United States Public Health Service Clinical Practice Guideline: Treating Tobacco Use and Dependence, resulting in missed opportunities to promote optimal health outcomes for individuals wanting to quit smoking. Fortunately, leading healthcare authorities such as the Joint Commission of Accreditation for Healthcare Organizations and Centers for Medicare and Medicaid Services now require providers to offer tobacco cessation services. The challenges and opportunities to do this effectively are many and with limited resources it will be increasingly important to ensure that nurses have the necessary knowledge and skills to improve tobacco cessation outcomes. For tobacco cessation interventions to become a standard of nursing practice, strategic efforts must be directed at advancing nursing research that evaluates best educational strategies for promoting tobacco cessation interventions within nursing curricula. In this article, a framework to help address nursing strategies to bridge the gap between EBP and tobacco cessation will be described. [References: 36] IS - 0029-6562 IL - 0029-6562 PT - Journal Article PT - Review LG - English DP - 2006 Jul-Aug DC - 20060710 YR - 2006 ED - 20060816 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16829776 <237. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16829770 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA FA - Sarna, Linda FA - Bialous, Stella Aguinaga IN - Sarna,Linda. School of Nursing, University of California, Los Angeles 90095, USA. lsarna@ucla.edu TI - Strategic directions for nursing research in tobacco dependence. SO - Nursing Research. 55(4 Suppl):S1-9, 2006 Jul-Aug. AS - Nurs Res. 55(4 Suppl):S1-9, 2006 Jul-Aug. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Information Dissemination MH - *Nurse's Role MH - Nursing Informatics/og [Organization & Administration] MH - *Nursing Research/og [Organization & Administration] MH - Practice Guidelines as Topic MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Tobacco Use Cessation MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - Tobacco use continues to be the leading cause of preventable death in the United States, causing approximately 440,000 deaths a year. Even with significant progress in the last decades, there are over 45 million smokers in the United States. Despite the efficacy of nurses in providing tobacco cessation interventions, nursing research in this area has been minimal. The purpose of this presentation is to summarize the recommendations for focusing and fostering nursing research in tobacco cessation from 42 researchers, clinicians, educators, and representatives from the Agency for Healthcare Research and Quality (AHRQ), the National Cancer Institute (NCI), the Joint Commission on Accreditation of Healthcare Organizations, and from nursing organizations who attended a 1-day invitational conference. This conference evolved from the work of the Tobacco Free Nurses Initiative in promoting the role of nursing in tobacco control and in response to the recognition of potential contributions to the field from nursing research. Sponsored by AHRQ and the NCI, the conference included formal presentations, and small and large group discussions around tobacco cessation research, resulting in consensus statements about a research agenda. Participants recommended strategies for new approaches in nursing research on tobacco dependence and cessation; strategies for seizing opportunities and confronting challenges in building nursing research in the field; and enhancing utilization of research findings into clinical practice. This agenda provides direction for growing nursing research in tobacco cessation, breaking down barriers to research, and supporting efforts for increasing utilization of evidence-based findings in clinical practice. IS - 0029-6562 IL - 0029-6562 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R13 HS015503 (United States AHRQ HHS) LG - English DP - 2006 Jul-Aug DC - 20060710 YR - 2006 ED - 20060816 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16829770 <238. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16752255 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Goransson M AU - Magnusson A AU - Heilig M FA - Goransson, Mona FA - Magnusson, Asa FA - Heilig, Markus IN - Goransson,Mona. Division of Psychiatry, NEUROTEC, Karolinska Institute, Stockholm, Sweden. mona.goransson@slpo.sll.se TI - Identifying hazardous alcohol consumption during pregnancy: implementing a research-based model in real life. SO - Acta Obstetricia et Gynecologica Scandinavica. 85(6):657-62, 2006. AS - Acta Obstet Gynecol Scand. 85(6):657-62, 2006. NJ - Acta obstetricia et gynecologica Scandinavica PI - Journal available in: Print PI - Citation processed from: Print JC - 0370343 SB - Index Medicus CP - Denmark MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Humans MH - *Mass Screening/mt [Methods] MH - Middle Aged MH - *Midwifery/ed [Education] MH - Pregnancy MH - *Prenatal Care/mt [Methods] MH - Prevalence MH - Surveys and Questionnaires MH - Sweden/ep [Epidemiology] AB - AIMS: It has been repeatedly demonstrated that hazardous alcohol use during pregnancy is rarely detected in regular antenatal care, and that detection can be markedly improved using systematic screening. A major challenge is to translate research-based strategies into regular antenatal care. Here, we examined whether a screening strategy using the Alcohol Use Disorder Test (AUDIT) and time-line follow-back (TLFB) could be implemented under naturalistic conditions and within available resources; and whether it would improve detection to the extent previously shown in a research context. AB - METHODS: Regular midwives at a large antenatal care clinic were randomized to receive brief training and then implement AUDIT and TLFB ("intervention"); or to a waiting-list control group continuing to deliver regular care ("control"). In the intervention-condition, AUDIT was used to collect data about alcohol use during the year preceding pregnancy, and TLFB to assess actual consumption during the first trimester. Data were collected from new admissions over 6 months. AB - RESULTS: Drop out was higher among patients of the intervention group than control midwives, 14% (23/162) versus 0% (0/153), and p<0.0001. A one-day training session combined with continuous expert support was sufficient to implement systematic screening with AUDIT and TLFB largely within resources of regular antenatal care. The use of these instruments identified patients with hazardous consumption during the year preceding pregnancy i.e. AUDIT score 6 or higher (17%, 23/139), and patients with ongoing consumption exceeding 70 g/week and/or binge consumption according to TLFB (17%, 24/139), to a significantly higher degree than regular antenatal screening (0/162). The AUDIT- and TLFB-positive populations overlapped partially, with 36/139 subjects screening positive with either of the instrument and 11/139 were positive for both. AB - CONCLUSIONS: We confirm previous findings that alcohol use during pregnancy is more extensive in Sweden than has generally been realized. Systematic screening using AUDIT and TLFB detects hazardous use in a manner which regular antenatal care does not. This remains true under naturalistic conditions, following minimal training of regular antenatal care staff, and can be achieved with minimal resources. The proposed strategy appears attractive for broad implementation. IS - 0001-6349 IL - 0001-6349 PT - Journal Article PT - Randomized Controlled Trial LG - English DP - 2006 DC - 20060605 YR - 2006 ED - 20060725 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16752255 <239. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16802685 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edwards K FA - Edwards, Karen TI - A new role for pediatric nurses: teaching teen drug users how to sterilize their equipment for prevention of infectious disease; a course outline. SO - Pediatric Nursing. 32(3):257-62, 2006 May-Jun. AS - Pediatr Nurs. 32(3):257-62, 2006 May-Jun. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - *Attitude to Health MH - California MH - Curriculum MH - Female MH - Focus Groups MH - HIV Infections/et [Etiology] MH - HIV Infections/pc [Prevention & Control] MH - HIV Infections/tm [Transmission] MH - Hepatitis C/et [Etiology] MH - Hepatitis C/pc [Prevention & Control] MH - Hepatitis C/tm [Transmission] MH - Humans MH - Information Services MH - Internet MH - Male MH - Needle Sharing MH - *Nurse's Role MH - Nursing Methodology Research MH - Patient Care Planning MH - *Patient Education as Topic/og [Organization & Administration] MH - *Pediatric Nursing/og [Organization & Administration] MH - Psychology, Adolescent MH - Sterilization/mt [Methods] MH - *Sterilization MH - Substance Abuse, Intravenous/co [Complications] MH - *Substance Abuse, Intravenous/nu [Nursing] MH - Substance Abuse, Intravenous/px [Psychology] MH - Teaching Materials AB - This article discusses a sensitive issue that is complex and provocative, and will undoubtedly stimulate a variety of opinions. What do you think? Post your comments about this topic on the Pediatric Nursing Web site and read what others have to say as well. Visit our homepage at www.pediatricnursing.net and click on "Discussion". The opinions and assertions contained herein are the private views of the contributors and do not necessarily reflect the views of Pediatric Nursing Journal or the publisher. IS - 0097-9805 IL - 0097-9805 PT - Case Reports PT - Journal Article LG - English DP - 2006 May-Jun DC - 20060628 YR - 2006 ED - 20060720 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16802685 <240. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16462405 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dakin CL AU - O'Connor CA AU - Patsdaughter CA FA - Dakin, Cynthia L FA - O'Connor, Catherine A FA - Patsdaughter, Carol A IN - Dakin,Cynthia L. School of Nursing, Bouve College of Health Sciences, Northeastern University, Boston, MA 02115, USA. c.dakin@neu.edu TI - HAART to heart: HIV-related cardiomyopathy and other cardiovascular complications. [Review] [53 refs] SO - AACN Clinical Issues. 17(1):18-29; quiz 88-90, 2006 Jan-Mar. AS - AACN Clin Issues. 17(1):18-29; quiz 88-90, 2006 Jan-Mar. NJ - AACN clinical issues PI - Journal available in: Print PI - Citation processed from: Print JC - 9508191, cdm SB - Nursing Journal CP - United States MH - African Americans/sn [Statistics & Numerical Data] MH - Antiretroviral Therapy, Highly Active MH - CD4 Lymphocyte Count MH - Cardiomyopathy, Dilated/di [Diagnosis] MH - Cardiomyopathy, Dilated/ep [Epidemiology] MH - Cardiomyopathy, Dilated/th [Therapy] MH - *Cardiomyopathy, Dilated/vi [Virology] MH - Cardiovascular Diseases/di [Diagnosis] MH - Cardiovascular Diseases/ep [Epidemiology] MH - Cardiovascular Diseases/th [Therapy] MH - *Cardiovascular Diseases/vi [Virology] MH - Community Health Nursing MH - Comprehensive Health Care MH - Electrocardiography MH - Global Health MH - *HIV Infections/co [Complications] MH - HIV Infections/di [Diagnosis] MH - HIV Infections/px [Psychology] MH - Health Services Needs and Demand MH - Home Care Services MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Nurse's Role MH - Nursing Assessment MH - Referral and Consultation MH - Risk Factors MH - Substance Abuse, Intravenous/co [Complications] MH - Treatment Refusal MH - United States/ep [Epidemiology] AB - More than one million Americans have been diagnosed with human immunodeficiency virus (HIV). Advances in prevention and treatment of HIV have led to an increased life expectancy for patients with HIV infection. Due to their increased life span, HIV+ patients are now presenting to hospitals with an increased number of diverse late-stage complications, such as cardiomyopathy and other cardiovascular conditions. These complications are as a direct or indirect result of HIV disease, HIV treatment modalities, comorbid conditions, dietary and lifestyle factors, and unknown etiologies. Cardiac complications, particularly HIV-related dilated cardiomyopathy, are potentially life-threatening diagnoses, with symptoms that may be minimized with appropriate cardiac-specific assessments and treatments, patient teaching, and collaboration among nurses caring for the HIV-positive client with cardiac disease. [References: 53] IS - 1079-0713 IL - 1079-0713 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2006 Jan-Mar DC - 20060207 YR - 2006 ED - 20060720 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16462405 <241. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16646888 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ott CH AU - Doyle LH AU - Tarantino SL FA - Ott, Carol H FA - Doyle, Lynn H FA - Tarantino, Sharyl-Lynn IN - Ott,Carol H. University of Wisconsin-Milwaukee, USA. carolott@uwm.edu TI - The impact of an urban outreach teaching project: developing cultural competence. SO - International Journal of Nursing Education Scholarship. 1:Article22, 2004. AS - Int. j nurs. educ. scholarsh.. 1:Article22, 2004. NJ - International journal of nursing education scholarship PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101214977 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - *Community-Institutional Relations MH - *Cultural Diversity MH - Data Collection MH - *Education, Nursing MH - Female MH - *Health Promotion MH - Humans MH - Male MH - School Health Services MH - Students, Nursing MH - Substance-Related Disorders/pc [Prevention & Control] MH - Urban Health Services MH - Urban Population AB - The purpose of this study was to explore the development of cultural competence in a group of university nursing students in the context of an interactive substance abuse prevention project attached to a health promotion course with 414 racially diverse high school students. The project provided opportunities for contact, interaction, and reflection. A descriptive approach was utilized to elicit the meaning attached to the experience. Data included written content from an exit survey, field notes from onsite debriefings, transcriptions of a focus group interview, and an analysis of theoretical papers. Findings indicate that when university students participate in an urban teaching project under conditions of diminishing anxiety and are given opportunities for reflection, they not only increase cultural competence but they also develop a sense of advocacy. Recommendations are made for building community partnerships to enhance cultural competence. ES - 1548-923X IL - 1548-923X PT - Evaluation Studies PT - Journal Article LG - English EP - 20041101 DP - 2004 DC - 20060501 YR - 2004 ED - 20060717 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16646888 <242. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16499531 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gunn J AU - Hegarty K AU - Nagle C AU - Forster D AU - Brown S AU - Lumley J FA - Gunn, Jane FA - Hegarty, Kelsey FA - Nagle, Cate FA - Forster, Della FA - Brown, Stephanie FA - Lumley, Judith IN - Gunn,Jane. Department of General Practice, University of Melbourne, Australia. TI - Putting woman-centered care into practice: a new (ANEW) approach to psychosocial risk assessment during pregnancy. SO - Birth. 33(1):46-55, 2006 Mar. AS - Birth. 33(1):46-55, 2006 Mar. NJ - Birth (Berkeley, Calif.) PI - Journal available in: Print PI - Citation processed from: Print JC - abd, 8302042 SB - Index Medicus CP - United States MH - Adult MH - Child Abuse/di [Diagnosis] MH - *Clinical Competence MH - *Communication MH - Depression/di [Diagnosis] MH - Domestic Violence MH - *Education, Medical MH - Female MH - Humans MH - Infant MH - Infant Care MH - Infant, Newborn MH - *Midwifery/ed [Education] MH - Mothers/px [Psychology] MH - Practice Patterns, Physicians' MH - Pregnancy MH - *Prenatal Care/st [Standards] MH - *Prenatal Diagnosis MH - Psychometrics MH - *Risk Assessment MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] AB - BACKGROUND: When antenatal care is provided, identification and management of challenging problems, such as depression, domestic violence, child abuse, and substance abuse, are absent from traditional midwifery and medical training. The main objective of this project was to provide an alternative to psychosocial risk screening in pregnancy by offering a training program (ANEW) in advanced communication skills and common psychosocial issues to midwives and doctors, with the aim of improving identification and support of women with psychosocial issues in pregnancy. AB - METHODS: ANEW used a before-and-after survey design to evaluate the effects of a 6-month educational intervention for health professionals. The setting for the project was the Mercy Hospital for Women in Melbourne, Australia. Surveys covered issues, such as perceived competency and comfort in dealing with specific psychosocial issues, self-rated communication skills, and open-ended questions about participants' experience of the educational program. AB - RESULTS: Educational program participants (n = 22/27) completed both surveys. After the educational intervention, participants were more likely to ask directly about domestic violence (p = 0.05), past sexual abuse (p = 0.05), and concerns about caring for the baby (p = 0.03). They were less likely to report that psychosocial issues made them feel overwhelmed (p = 0.01), and they reported significant gains in knowledge of psychosocial issues, and competence in dealing with them. Participants were highly positive about the experience of participating in the program. AB - CONCLUSIONS: The program increased the self-reported comfort and competency of health professionals to identify and care for women with psychosocial issues. IS - 0730-7659 IL - 0730-7659 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Mar DC - 20060227 YR - 2006 ED - 20060703 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16499531 <243. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16722113 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sadler C FA - Sadler, Catharine TI - Snowed under. SO - Nursing Standard. 20(35):22-4, 2006 May 10-16. AS - Nurs Stand. 20(35):22-4, 2006 May 10-16. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Clinical Competence MH - Cocaine-Related Disorders/ep [Epidemiology] MH - *Cocaine-Related Disorders/th [Therapy] MH - Education, Nursing, Continuing MH - Emergency Nursing/ed [Education] MH - *Emergency Nursing/og [Organization & Administration] MH - Great Britain/ep [Epidemiology] MH - Health Services Needs and Demand MH - Humans MH - Inservice Training MH - Urban Health/sn [Statistics & Numerical Data] AB - The escalating use of cocaine is having a major impact on many A&E departments, especially in urban areas. Nurses can feel out of their depth when managing patients who present with a mix of social, physical and mental health problems. Debate centres on whether this patient group should be managed by general A&E nurses, specialists or a combination of the two. IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2006 May 10-16 DC - 20060525 YR - 2006 ED - 20060623 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16722113 <244. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16723902 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee S AU - Knight D FA - Lee, Soo FA - Knight, Denise IN - Lee,Soo. University of Hertfordshire. s.n.lee@herts.ac.uk TI - District nurses' involvement in mental health: an exploratory survey. SO - British Journal of Community Nursing. 11(4):138-42, 2006 Apr. AS - Br J Community Nurs. 11(4):138-42, 2006 Apr. NJ - British journal of community nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9815827 SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence MH - Curriculum MH - Education, Nursing, Continuing MH - England/ep [Epidemiology] MH - Female MH - Health Services Accessibility/og [Organization & Administration] MH - Health Services Needs and Demand MH - Humans MH - Interprofessional Relations MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/nu [Nursing] MH - Mental Health MH - Middle Aged MH - Models, Nursing MH - Nurse's Role MH - Nursing Methodology Research MH - Nursing Staff/ed [Education] MH - Nursing Staff/og [Organization & Administration] MH - *Nursing Staff/px [Psychology] MH - Primary Health Care/og [Organization & Administration] MH - Public Health Nursing/ed [Education] MH - *Public Health Nursing/og [Organization & Administration] MH - Referral and Consultation/og [Organization & Administration] MH - Self-Assessment MH - Surveys and Questionnaires AB - This article reports on a survey of district nurses' involvement in mental health interventions in one county. Seventy-nine questionnaires were sent and 46 were returned. Descriptive analysis was carried out using statistical software. The DNs reported encountering a wide range of mental health issues and interventions in practice: dementia, anxiety and depression featured highly. Over half (55%) of the respondents reported involvement in bereavement counselling, and 28% and 23% of respondents reported encountering anxiety management, and problem solving and alcohol advice respectively. A large proportion, however, reported no involvement in mental health interventions. Among the psychiatric professionals, district nurses tended to have most frequent contacts with social workers. GPs were the most likely person to whom DNs made referrals, followed by community psychiatric nurses. Despite the apparent awareness of the values of psychosocial interventions, DNs were equally influenced by the medical model of treatment. In order to realize the potential contribution of district nurses in mental health interventions, there is a need for primary care teams to foster a closer working relationship with mental health specialist services. IS - 1462-4753 IL - 1462-4753 PT - Journal Article LG - English DP - 2006 Apr DC - 20060525 YR - 2006 ED - 20060620 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16723902 <245. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16280091 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Voyer P AU - Verreault R AU - Azizah GM AU - Desrosiers J AU - Champoux N AU - Bedard A FA - Voyer, Philippe FA - Verreault, Rene FA - Azizah, Ginette M FA - Desrosiers, Johanne FA - Champoux, Nathalie FA - Bedard, Annick IN - Voyer,Philippe. Faculty of Nursing, Laval University, Quebec City, Canada. philippe.voyer@fsi.ulaval.ca TI - Prevalence of physical and verbal aggressive behaviours and associated factors among older adults in long-term care facilities. SO - BMC Geriatrics. 5:13, 2005. AS - BMC geriatr.. 5:13, 2005. NJ - BMC geriatrics PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968548 OI - Source: NLM. PMC1310539 SB - Index Medicus CP - England MH - Aged MH - Aged, 80 and over MH - *Aggression MH - Female MH - *Homes for the Aged MH - Humans MH - *Long-Term Care MH - Male MH - Prevalence MH - Risk Factors MH - *Violence/sn [Statistics & Numerical Data] AB - BACKGROUND: Verbal and physical aggressive behaviours are among the most disturbing and distressing behaviours displayed by older patients in long-term care facilities. Aggressive behaviour (AB) is often the reason for using physical or chemical restraints with nursing home residents and is a major concern for caregivers. AB is associated with increased health care costs due to staff turnover and absenteeism. AB - METHODS: The goals of this secondary analysis of a cross-sectional study are to determine the prevalence of verbal and physical aggressive behaviours and to identify associated factors among older adults in long-term care facilities in the Quebec City area (n = 2,332). AB - RESULTS: The same percentage of older adults displayed physical aggressive behaviour (21.2%) or verbal aggressive behaviour (21.5%), whereas 11.2% displayed both types of aggressive behaviour. Factors associated with aggressive behaviour (both verbal and physical) were male gender, neuroleptic drug use, mild and severe cognitive impairment, insomnia, psychological distress, and physical restraints. Factors associated with physical aggressive behaviour were older age, male gender, neuroleptic drug use, mild or severe cognitive impairment, insomnia and psychological distress. Finally, factors associated with verbal aggressive behaviour were benzodiazepine and neuroleptic drug use, functional dependency, mild or severe cognitive impairment and insomnia. AB - CONCLUSION: Cognitive impairment severity is the most significant predisposing factor for aggressive behaviour among older adults in long-term care facilities in the Quebec City area. Physical and chemical restraints were also significantly associated with AB. Based on these results, we suggest that caregivers should provide care to older adults with AB using approaches such as the progressively lowered stress threshold model and reactance theory which stress the importance of paying attention to the severity of cognitive impairment and avoiding the use of chemical or physical restraints. ES - 1471-2318 IL - 1471-2318 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20051110 DP - 2005 DC - 20051212 YR - 2005 ED - 20060614 RD - 20140910 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16280091 <246. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15761757 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holmquist IB AU - Svensson B AU - Hoglund P FA - Holmquist, Ing-Britt FA - Svensson, Bengt FA - Hoglund, Peter IN - Holmquist,Ing-Britt. Department of Nursing, Lund University, Sweden. TI - Perceived anxiety, depression, and sleeping problems in relation to psychotropic drug use among elderly in assisted-living facilities. SO - European Journal of Clinical Pharmacology. 61(3):215-24, 2005 May. AS - Eur J Clin Pharmacol. 61(3):215-24, 2005 May. NJ - European journal of clinical pharmacology PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - en4, 1256165 SB - Index Medicus CP - Germany MH - Aged MH - *Anxiety/di [Diagnosis] MH - Anxiety/dt [Drug Therapy] MH - *Assisted Living Facilities MH - Cross-Sectional Studies MH - Data Collection/mt [Methods] MH - *Depression/di [Diagnosis] MH - Depression/dt [Drug Therapy] MH - Homes for the Aged MH - Humans MH - Professional-Patient Relations MH - Psychotropic Drugs/ad [Administration & Dosage] MH - *Psychotropic Drugs/tu [Therapeutic Use] MH - Sleep Initiation and Maintenance Disorders/di [Diagnosis] MH - Sleep Initiation and Maintenance Disorders/dt [Drug Therapy] MH - *Sleep Wake Disorders/di [Diagnosis] MH - Sleep Wake Disorders/dt [Drug Therapy] MH - Social Support MH - Surveys and Questionnaires MH - Sweden AB - OBJECTIVE: The aim of the present study was to investigate the perceived anxiety, depression, sleeping habits, and participation in social activities in relation to psychotropic drug use among elderly in assisted-living facilities and to identify factors of importance for the use of these drugs. AB - METHOD: The study had a cross-sectional design and included 93 residents living in old-age homes or in nursing homes in a municipality in southern Sweden. Data regarding medication was obtained from medical records and included all psychoactive drugs. The perceived anxiety, depression and sleeping habits of the residents were assessed using a structured interview questionnaire. AB - RESULTS: Many of the residents had sleeping problems and also reported problems concerning anxiety and depression. Of the study population, 65 (70%) used one or more psychoactive drug; 9 were prescribed neuroleptics (10%), 29 anxiolytics (31%), 43 hypnotics (43%) and 31 were prescribed anti-depressants (33%). The most commonly used psychotropic drugs as it related to the residents' problems were: benzodiazepines (oxazepam) against anxiety, benzodiazepine-related agents (zoldipem and zopiclon) against insomnia and serotonin reuptake inhibitors (SSRI; citalopram) against depression. The residents who had been treated with psychotropic drugs at home continued this treatment after moving to assisted-living facilities and approximately 30% of the residents were prescribed new psychotropic drugs. Of those that perceived anxiety, insomnia or felt depressed, between 58% and 69%, respectively, had spoken to neither a nurse nor a physician about these problems. Of those that had talked to a nurse/physician about these problems, a majority had been prescribed psychotropic drugs. Factors of importance for treatment with psychotropic drugs against anxiety, insomnia and depression were: prior treatment with these drugs at home and discussing their problems with a physician. AB - CONCLUSION: The communication between the residents and the nurses/physicians appears to be insufficient as the residents state that they have not discussed their problems with a nurse or a physician and that the prescription of psychotropic drugs does not seem to be in proportion to the residents' perceived problems. RN - 0 (Psychotropic Drugs) IS - 0031-6970 IL - 0031-6970 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20050311 DP - 2005 May DC - 20050520 YR - 2005 ED - 20060530 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15761757 <247. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16389415 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pillon SC AU - Laranjeira RR FA - Pillon, Sandra Cristina FA - Laranjeira, Ronaldo Ramos IN - Pillon,Sandra Cristina. Universidade Federal de Sao Paulo--Escola Paulista de Medicina, Brazil. pillon@eerp.usp.br TI - Formal education and nurses' attitudes towards alcohol and alcoholism in a Brazilian sample. SO - Sao Paulo Medical Journal = Revista Paulista de Medicina. 123(4):175-80, 2005 Jul 7. AS - Sao Paulo Med J. 123(4):175-80, 2005 Jul 7. NJ - Sao Paulo medical journal = Revista paulista de medicina PI - Journal available in: Print PI - Citation processed from: Print JC - 100897261, dio SB - Index Medicus CP - Brazil MH - Adult MH - *Alcoholism/px [Psychology] MH - *Attitude of Health Personnel MH - Brazil MH - *Education, Nursing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - Nursing Staff, Hospital MH - Surveys and Questionnaires AB - CONTEXT AND OBJECTIVE: Nurses are one of the largest groups of healthcare professionals sharing in patient care responsibilities, including caring for those who use and abuse psychoactive substances. The objective was to evaluate the theoretical-practical knowledge acquired by nurses in undergraduate and postgraduate studies and their perceptions about alcohol users. AB - DESIGN AND SETTING: Quantitative, descriptive survey at Universidade Federal de Sao Paulo--Escola Paulista de Medicina and Hospital Sao Paulo. AB - METHODS: The sample included nurses, students and nursing teachers. The survey included questions about sociodemographic characteristics; a nurses' attitudes and beliefs scale; and a questionnaire to identify formal nursing education on the use of alcohol and its consequences. AB - RESULTS: 59.7% out of 319 volunteers were nurses, 22.7% were nursing teachers and 17.6% were nursing students. 70% of the participants had received little or no information on physical, family and social problems related to alcohol use; 87% had received little or no information on high risk related to specific segments of the population; 95% had received little or no information on nursing procedures for alcohol-abuse patients. AB - CONCLUSION: Formal education regarding the use of alcohol and its consequences is limited, especially with regard to offering adequate care management for patients who have problems with or are addicted to alcohol. IS - 1516-3180 IL - 1516-3180 PT - Journal Article LG - English DP - 2005 Jul 7 DC - 20060104 YR - 2005 ED - 20060510 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16389415 <248. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16546016 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelley FJ AU - Heath J AU - Crowell N FA - Kelley, Frances J FA - Heath, Janie FA - Crowell, Nancy IN - Kelley,Frances J. Family Nurse Practitioner Program, Georgetown University School of Nursing and Health Studies, 3700 Reservoir Road NW, Washington, DC 20057, USA. kelleyj@georgetown.edu TI - Using the Rx for Change tobacco curriculum in advanced practice nursing education. SO - Critical Care Nursing Clinics of North America. 18(1):131-8, xiv, 2006 Mar. AS - Crit Care Nurs Clin North Am. 18(1):131-8, xiv, 2006 Mar. NJ - Critical care nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - aju, 8912620 SB - Nursing Journal CP - United States MH - Adult MH - Clinical Competence MH - Counseling MH - Critical Care MH - *Curriculum/st [Standards] MH - District of Columbia MH - *Education, Nursing, Graduate/st [Standards] MH - Educational Measurement MH - Family Nursing MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurse Clinicians/ed [Education] MH - Nurse Clinicians/px [Psychology] MH - Nurse Midwives/ed [Education] MH - Nurse Midwives/px [Psychology] MH - *Nurse Practitioners/ed [Education] MH - Nurse Practitioners/px [Psychology] MH - Nursing Education Research MH - Pilot Projects MH - Program Evaluation MH - Self Efficacy MH - Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Cessation MH - Tobacco Use Disorder/pc [Prevention & Control] AB - In today's health care system driven by quality outcome indicators and performance care measures, it is essential for nurses to know how to intervene with tobacco-dependent patients. This article discusses pilot results from the "Rx for Change: Clinician Assisted Tobacco Cessation Curriculum" intervention conducted at Georgetown University School of Nursing and Health Studies using advanced practice students. The results reveal that 6 hours of tobacco-cessation training can increase knowledge and self-efficiency scores. IS - 0899-5885 IL - 0899-5885 PT - Evaluation Studies PT - Journal Article LG - English DP - 2006 Mar DC - 20060320 YR - 2006 ED - 20060504 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16546016 <249. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16546014 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous S AU - Barbeau E AU - McLellan D FA - Sarna, Linda FA - Bialous, Stella FA - Barbeau, Elizabeth FA - McLellan, Deborah IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, 700 Tiverton Avenue, Box 95918, Los Angeles, CA 90095, USA. lsarna@ucla.edu TI - Strategies to implement tobacco control policy and advocacy initiatives. [Review] [58 refs] SO - Critical Care Nursing Clinics of North America. 18(1):113-22, xiii, 2006 Mar. AS - Crit Care Nurs Clin North Am. 18(1):113-22, xiii, 2006 Mar. NJ - Critical care nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - aju, 8912620 SB - Nursing Journal CP - United States MH - *Critical Care/og [Organization & Administration] MH - Education, Nursing/og [Organization & Administration] MH - *Health Plan Implementation/og [Organization & Administration] MH - *Health Policy MH - Helping Behavior MH - Humans MH - Interinstitutional Relations MH - Leadership MH - Nurse's Role MH - Nursing Research/og [Organization & Administration] MH - Patient Advocacy MH - Professional Competence MH - *Societies, Nursing/og [Organization & Administration] MH - *Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States AB - Critical care nursing organizations and individual critical care nurses can have an important impact on tobacco-related health policies. This article reviews the importance of critical care nursing involvement in policy efforts to achieve tobacco control goals, barriers to such involvement, and strategies to implement successful tobacco control policy initiatives. The involvement of the Association of Critical-Care Nurses and other nursing organizations in the Nursing Leadership in Tobacco Control Task Force is described. [References: 58] IS - 0899-5885 IL - 0899-5885 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2006 Mar DC - 20060320 YR - 2006 ED - 20060504 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16546014 <250. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16464809 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nilsen P AU - Aalto M AU - Bendtsen P AU - Seppa K FA - Nilsen, Per FA - Aalto, Mauri FA - Bendtsen, Preben FA - Seppa, Kaija IN - Nilsen,Per. Department of Health and Society, Division of Social Medicine and Public Health Science, Linkoping University, Sweden. TI - Effectiveness of strategies to implement brief alcohol intervention in primary healthcare. A systematic review. [Review] [47 refs] SO - Scandinavian Journal of Primary Health Care. 24(1):5-15, 2006 Mar. AS - Scand J Prim Health Care. 24(1):5-15, 2006 Mar. NJ - Scandinavian journal of primary health care PI - Journal available in: Print PI - Citation processed from: Print JC - 8510679, sif SB - Index Medicus CP - Norway MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - Communication MH - Counseling MH - Follow-Up Studies MH - *Health Promotion MH - Humans MH - Nurse-Patient Relations MH - Outcome Assessment (Health Care) MH - Patient Participation MH - Physician-Patient Relations MH - *Primary Health Care MH - Risk Factors AB - OBJECTIVE: To review systematically the available literature on implementation of brief alcohol interventions in primary healthcare in order to determine the effectiveness of the implementation efforts by the health are providers. KEY QUESTION: To what extent have the efforts to implement brief alcohol interventions in primary healthcare environments been successful? AB - METHOD: Literature search from Medline, Cinahl, PsychLIT, Cochrane. AB - SETTING: Primary healthcare. AB - MATERIAL: A total of 11 studies encompassing 921 GPs, 266 nurses, 88 medical students, and 44 "non-physicians" from Europe, the USA, and Australia. AB - MAIN OUTCOME MEASURES: Material utilization, screening, and brief intervention rates. AB - ANSWER: Intervention effectiveness (material utilization, screening, and brief intervention rates) generally increased with the intensity of the intervention effort, i.e. the amount of training and/or support provided. Nevertheless, the overall effectiveness was rather modest. However, the studies examined were too heterogeneous, not scientifically rigorous enough, and applied too brief follow-up times to provide conclusive answers. [References: 47] IS - 0281-3432 IL - 0281-3432 PT - Journal Article PT - Review LG - English DP - 2006 Mar DC - 20060208 YR - 2006 ED - 20060419 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16464809 <251. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16490734 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Morgan BD FA - Morgan, Betty D IN - Morgan,Betty D. University of Massachusetts Lowell School of Health and Environment, Department of Nursing, Lowell, Massachusetts 01854, USA. Betty_Morgan@uml.edu TI - Knowing how to play the game: hospitalized substance abusers' strategies for obtaining pain relief. SO - Pain Management Nursing. 7(1):31-41, 2006 Mar. AS - Pain Manag Nurs. 7(1):31-41, 2006 Mar. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adaptation, Psychological MH - Adult MH - Agonistic Behavior MH - Attitude of Health Personnel MH - Attitude to Health MH - Focus Groups MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - *Inpatients/px [Psychology] MH - Machiavellianism MH - Middle Aged MH - Models, Nursing MH - *Models, Psychological MH - Negativism MH - Nurse's Role/px [Psychology] MH - *Nurse-Patient Relations MH - Nursing Methodology Research MH - *Nursing Staff, Hospital/px [Psychology] MH - Pain/co [Complications] MH - *Pain/pc [Prevention & Control] MH - Pain/px [Psychology] MH - Patient Advocacy MH - Prejudice MH - Stereotyping MH - *Substance-Related Disorders/co [Complications] AB - This study explored hospitalized substance abusers' perspectives about getting their pain adequately addressed in the hospital setting and their interactions with nurses about pain-management issues. The aim of the study was to generate theory that can contribute to a greater understanding of the problem of pain management with this population. A grounded theory approach was used to interview participants with a substance abuse problem who were hospitalized with a medical/surgical problem. Interviews were conducted using an interview guide; interviews were audiotaped and transcribed. In addition, a focus group of nurses who worked with this population met twice, once midway through the study, and before the final participant interview. The nurses commented on the fit of the developing model according to their experiences of working with the population described. Eighteen participants were interviewed for a total of 20 interviews (two participants were interviewed twice). All participants were polysubstance abusers and had a painful medical/surgical problem for which they were hospitalized. The Model of "Knowing How to Play the Game" was developed on the basis of participants' descriptions of their experiences and consisted of two core action categories "Feeling Respected/Not Respected" and " Strategizing to Get Pain Relief." Participants had many suggestions about nursing actions that were helpful or not helpful in assisting them to obtain pain relief. Nursing practice, education, research, and policy implications were discussed. IS - 1524-9042 IL - 1524-9042 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Mar DC - 20060221 YR - 2006 ED - 20060413 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16490734 <252. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16490733 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arnaert A AU - Ciccotosto G FA - Arnaert, Antonia FA - Ciccotosto, Gina IN - Arnaert,Antonia. McGill University, School of Nursing, Montreal, Quebec, Canada. Antonia.arnaert@mcgill.ca TI - Response phases in methadone treatment for chronic nonmalignant pain. SO - Pain Management Nursing. 7(1):23-30, 2006 Mar. AS - Pain Manag Nurs. 7(1):23-30, 2006 Mar. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adaptation, Psychological MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Causality MH - Chronic Disease MH - Family/px [Psychology] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Methadone/tu [Therapeutic Use] MH - Middle Aged MH - Models, Psychological MH - Negativism MH - Nurse's Role MH - Nursing Methodology Research MH - *Pain/dt [Drug Therapy] MH - Pain/et [Etiology] MH - *Pain/px [Psychology] MH - *Patient Acceptance of Health Care/px [Psychology] MH - Patient Education as Topic MH - Qualitative Research MH - Quebec MH - Self Disclosure MH - Self Efficacy MH - Social Support MH - Stereotyping MH - Surveys and Questionnaires MH - Trust AB - Although studies on the beliefs of persons with chronic nonmalignant pain (CNMP) are still scarce, methadone is increasingly prescribed for the treatment of CNMP. This qualitative case study uses semistructured interviews to explore the beliefs of 11 patients with CNMP and the challenges they faced coming to terms with and integrating methadone treatment into their lives. The study identifies a two-phase process of acceptance and integration. In the first phase, during acceptance of the prescribed methadone treatment, initial beliefs were mostly determined by the societal stigma that "methadone is for junkies." Different influencing factors such as knowledge about methadone for pain management, family support, and trust in physicians changed behavior in a positive way. In the second phase, patients dealt with the degree of disclosure about their treatment. Full disclosers have no problem in telling others that they were being treated with methadone, whereas partial disclosers were more selective. They were confronted with various barriers: negative encounters with family, friends, and the public; past addict experiences; safety issues; and obstacles within the health care system. As a result of these challenges, their beliefs were summarized as: "others think I'm an addict," and "methadone can harm me and/or my family."This study highlights the important role nurses have in the education of patients on the use of methadone in pain management, and in assisting patients with CNMP to gain confidence and a greater sense of control to cope with the challenging issues related to disclosing information. RN - 0 (Analgesics, Opioid) RN - UC6VBE7V1Z (Methadone) IS - 1524-9042 IL - 1524-9042 PT - Journal Article LG - English DP - 2006 Mar DC - 20060221 YR - 2006 ED - 20060413 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16490733 <253. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16393188 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Samet JH AU - Galanter M AU - Bridden C AU - Lewis DC FA - Samet, Jeffrey H FA - Galanter, Marc FA - Bridden, Carly FA - Lewis, David C IN - Samet,Jeffrey H. Clinical Addiction Research and Education Unit (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston Medical Center, MA 02118, USA. jsamet@bu.edu TI - Association for medical education and research in substance abuse. SO - Addiction. 101(1):10-5, 2006 Jan. AS - Addiction. 101(1):10-5, 2006 Jan. NJ - Addiction (Abingdon, England) PI - Journal available in: Print PI - Citation processed from: Print JC - bm3, 9304118 SB - Index Medicus CP - England MH - Awards and Prizes MH - Curriculum MH - *Education, Medical/mt [Methods] MH - Financing, Organized/mt [Methods] MH - Health Education/mt [Methods] MH - Health Personnel/ed [Education] MH - Humans MH - Leadership MH - Mental Health Associations/ec [Economics] MH - *Mental Health Associations MH - Periodicals as Topic MH - *Research MH - *Staff Development/mt [Methods] MH - *Substance-Related Disorders MH - *Teaching/og [Organization & Administration] MH - United States AB - The Association for Medical Education and Research in Substance Abuse (AMERSA) is a multi-disciplinary organization committed to health professional faculty development in substance abuse. In 1976, members of the Career Teachers Training Program in Alcohol and Drug Abuse, a US federally funded multi-disciplinary faculty development program, formed AMERSA. The organization grew from 59 founding members, who were primarily medical school faculty, to over 300 health professionals from a spectrum of disciplines including physicians, nurses, social workers, dentists, allied health professionals, psychologists and other clinical educators who are responsible for advancing substance abuse education. AMERSA members promote substance abuse education among health professionals by developing curricula, promulgating relevant policy and training health professional faculty to become excellent teachers in this field. AMERSA influences public policy by offering standards for improving substance abuse education. The organization publishes a peer-reviewed, quarterly journal, Substance Abuse, which emphasizes research on the education and training of health professions and also includes original clinical and prevention research. Each year, the AMERSA National Conference brings together researchers and health professional educators to learn about scientific advances and exemplary teaching approaches. In the future, AMERSA will continue to pursue this mission of advancing and supporting health professional faculty who educate students and trainees to address substance abuse in patients and clients. IS - 0965-2140 IL - 0965-2140 PT - Journal Article LG - English DP - 2006 Jan DC - 20060105 YR - 2006 ED - 20060413 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16393188 <254. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16501780 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wright Mda G AU - Caufield C AU - Gray G AU - Olson J AU - Luduena Adel C AU - Musayon Oblitas FY AU - Huaiquian Silva J AU - David HM AU - Piedra Chavez KA AU - Bernal Roldan MC AU - Cartana Mdo H AU - Allonso Castillo MM AU - Pillon S AU - Galera SA AU - Randuz V FA - Wright, Maria da Gloria Miotto FA - Caufield, Catherine FA - Gray, Genevieve FA - Olson, Joanne FA - Luduena, Alicia del Carmen FA - Musayon Oblitas, Flor Yesenia FA - Huaiquian Silva, Julia FA - David, Helena Maria Scherlowski FA - Piedra Chavez, Ketty Aracely FA - Bernal Roldan, Maria Carmen FA - Cartana, Maria do Horto Fontoura FA - Allonso Castillo, Maria Magdalena FA - Pillon, Sandra FA - Galera, Sueli Aparecida Frari FA - Randuz, Vera IN - Wright,Maria da Gloria Miotto. Inter-American Drug Abuse Control Commission, Organization of American States. TI - International nursing leadership related to the drugs phenomenon: a case study of the partnership experience between the Inter-American Drug Abuse Control Commission (CICAD) and the University of Alberta--Faculty of Nursing. SO - Revista Latino-Americana de Enfermagem. 13 Spec No:1102-17, 2005 Nov-Dec. AS - Rev Lat Am Enfermagem. 13 Spec No:1102-17, 2005 Nov-Dec. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Alberta MH - Argentina MH - Brazil MH - Chile MH - Colombia MH - Curriculum MH - Ecuador MH - *Education, Nursing MH - Humans MH - International Agencies MH - *International Cooperation MH - Leadership MH - Mexico MH - *Nursing Research MH - Peru MH - Program Development MH - *Schools, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] AB - In this article, the authors discuss the value of international health in advancing the nursing profession through the development of strong leadership in the area of drug demand reduction. Paradigms for nursing leadership are briefly reviewed and linked to the development of the "International Nursing Leadership Institutes" organized by the Inter-American Commission for the Control of Drug Abuse (CICAD). The "International Nursing Leadership Institutes" have facilitated the implementation of Phase III of the CICAD Schools of Nursing Project: a) planning and implementing the first "International Research Capacity-Building Program for Nurses to Study the Drug Phenomenon in Latin America", b) development of Regional and National Strategic Plans for Nursing Professionals in the Area of Demand Reduction in Latin America, and c) preparation of a document that provides guidelines on how to include drug content into undergraduate and graduate nursing curricula. The article also brings reflections directly from several of the participants in the first International Research Capacity-Building Program for Nurses to Study the Drug Phenomenon in the Americas, offered in collaboration with the Faculty of Nursing at the University of Alberta in Edmonton, Canada. These reflections demonstrate the multiplicity of ways in which this capacity-building program has made it easier for these members of Latin American Schools of Nursing to show leadership in the area of drug demand reduction. IS - 0104-1169 IL - 0104-1169 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20060223 DP - 2005 Nov-Dec DC - 20060227 YR - 2005 ED - 20060410 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16501780 <255. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16501779 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wright Mda G AU - Caufield C AU - Gray G AU - Olson J FA - Wright, Maria da Gloria Miotto FA - Caufield, Catherine FA - Gray, Genevieve FA - Olson, Joanne IN - Wright,Maria da Gloria Miotto. Inter-American Drug Abuse Control Commission/CICAD-Organization of American States. TI - International Research Capacity-Building Programs for Nurses to Study the Drug Phenomenon in Latin America: challenges and perspectives. SO - Revista Latino-Americana de Enfermagem. 13 Spec No:1095-101, 2005 Nov-Dec. AS - Rev Lat Am Enfermagem. 13 Spec No:1095-101, 2005 Nov-Dec. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Alberta MH - Humans MH - International Agencies MH - International Cooperation MH - *International Educational Exchange MH - Latin America MH - *Nursing Research MH - Program Development MH - *Schools, Nursing MH - Street Drugs MH - *Substance-Related Disorders/pc [Prevention & Control] AB - The First International Research Capacity-Building Program for Nurses to Study the Drug Phenomenon in the Americas is a result of a partnership between the Inter-American Drug Abuse Control Commission (CICAD) of the Organization of American States (OAS) and the Faculty of Nursing in the University of Alberta, with financial support from the Government of Canada. The program was divided into two parts. The first part of the program was held at the University of Alberta in Edmonton, Alberta, Canada. It involved capacity-building in research methodologies at the Faculty of Nursing, which lead to the preparation of four multi-centric research proposals for drug demand reduction in the home countries of the eleven participants in the program. The second part of the program was related to the implementation of multi-centric research proposals in seven countries in Latin America and in Canada. This program presented expertise in research methodology to members of Latin American Schools of Nursing and introduced Latin American expertise to members of a Canadian Faculty of Nursing. The International Research Capacity-Building Program for Nurses to Study the Drug Phenomenon in the Americas has fostered the kind of inter-cultural respect and mutual appreciation necessary to confront the global health problem of the abuse of both licit and illicit drugs. RN - 0 (Street Drugs) IS - 0104-1169 IL - 0104-1169 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20060223 DP - 2005 Nov-Dec DC - 20060227 YR - 2005 ED - 20060410 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16501779 <256. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16536398 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cooper P AU - Doolin N AU - Hemming I AU - Rowlands E FA - Cooper, Phil FA - Doolin, Neil FA - Hemming, Ian FA - Rowlands, Elizabeth IN - Cooper,Phil. philip.cooper@5boroughspartnership.nhs.uk TI - Participants' evaluation of a training programme in dual diagnosis. SO - Nursing Standard. 20(25):48-56, 2006 Mar 1-7. AS - Nurs Stand. 20(25):48-56, 2006 Mar 1-7. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - *Attitude of Health Personnel MH - Benchmarking MH - Clinical Competence/st [Standards] MH - Community Health Nursing/ed [Education] MH - Community Mental Health Services/og [Organization & Administration] MH - Community-Institutional Relations MH - Curriculum/st [Standards] MH - Diagnosis, Dual (Psychiatry) MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - England MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Inservice Training/og [Organization & Administration] MH - Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/th [Therapy] MH - Nursing Education Research MH - *Nursing Staff/ed [Education] MH - Nursing Staff/px [Psychology] MH - Program Development MH - Program Evaluation MH - Psychiatric Nursing/ed [Education] MH - Self-Assessment MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires AB - A training programme in dual diagnosis (mental health and substance misuse) began in 2003 across three NHS trusts and was funded by Cheshire and Merseyside Strategic Health Authority. This article examines the background to the training programme in dual diagnosis and reports the progress during the first year. It examines what was provided across the three training programmes and participants' evaluation of the programmes. IS - 0029-6570 IL - 0029-6570 PT - Evaluation Studies PT - Journal Article LG - English DP - 2006 Mar 1-7 DC - 20060315 YR - 2006 ED - 20060331 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16536398 <257. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16441402 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Young A FA - Young, A IN - Young,A. Faculty of Health and Wellbeing, Sheffield Hallam University, UK. a.young@shu.ac.uk TI - Dual diagnosis and forensic care. Are the needs of service users being met?. [Review] [35 refs] SO - Journal of Psychiatric & Mental Health Nursing. 13(1):117-24, 2006 Feb. AS - J Psychiatr Ment Health Nurs. 13(1):117-24, 2006 Feb. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal CP - England MH - Benchmarking MH - *Diagnosis, Dual (Psychiatry) MH - Forensic Psychiatry/ed [Education] MH - *Forensic Psychiatry/st [Standards] MH - Great Britain/ep [Epidemiology] MH - *Health Services Needs and Demand MH - Humans MH - Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/th [Therapy] MH - Nurse's Role MH - Practice Guidelines as Topic MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/st [Standards] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] IS - 1351-0126 IL - 1351-0126 PT - Journal Article PT - Review LG - English DP - 2006 Feb DC - 20060130 YR - 2006 ED - 20060317 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16441402 <258. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16441398 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Villar-Luis M AU - Carraro TE AU - Lopes G FA - Rassool, G H FA - Villar-Luis, M FA - Carraro, T E FA - Lopes, G IN - Rassool,G H. University of Sao Paulo (EERP-USP), Sao Paulo, Brazil. grasscool@sgul.ac.uk TI - Undergraduate nursing students' perceptions of substance use and misuse: a Brazilian position. SO - Journal of Psychiatric & Mental Health Nursing. 13(1):85-9, 2006 Feb. AS - J Psychiatr Ment Health Nurs. 13(1):85-9, 2006 Feb. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Brazil/ep [Epidemiology] MH - Causality MH - Clinical Competence/st [Standards] MH - Curriculum/st [Standards] MH - Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Education, Nursing, Baccalaureate MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Male MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Nursing Education Research MH - Nursing Methodology Research MH - Organizational Innovation MH - Philosophy, Nursing MH - Social Values MH - Stereotyping MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - Alcohol, cocaine and cannabis are the substances most commonly abused in Brazil. There is limited evidence on the perceptions of undergraduate nursing students towards substance misuse. Negative attitudes, in combination with the lack of appropriate knowledge and skills, may result in minimal care provided to substance misusers. The aims of the study are to examine the knowledge and attitudes of undergraduate nursing students towards substance misusers and consider the implications of these attitudes for nursing education. The Nurse Education in Alcohol and Drug Educational Faculty Survey (NEADA) questionnaire on knowledge and education, nursing interventions, attitudes and values was distributed to undergraduate nurses (n = 227) in the south and south-eastern part of Brazil. The findings showed that there is a lack of adequate education in drug and alcohol use and misuse, including competency skills, but the participants were positive about treatment interventions. A paradigm shift in nurse education curricula and further research studies on attitudes and values towards substance misuse should be on the educational agenda. These are challenges faced by nurses to meet the healthcare needs of substance misusers. IS - 1351-0126 IL - 1351-0126 PT - Journal Article LG - English DP - 2006 Feb DC - 20060130 YR - 2006 ED - 20060317 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16441398 <259. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16330188 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galimberti CA AU - Magri F AU - Magnani B AU - Arbasino C AU - Cravello L AU - Marchioni E AU - Tartara A FA - Galimberti, Carlo Andrea FA - Magri, Flavia FA - Magnani, Barbara FA - Arbasino, Carla FA - Cravello, Luca FA - Marchioni, Enrico FA - Tartara, Amelia IN - Galimberti,Carlo Andrea. I.R.C.C.S. C. Mondino Institute of Neurology Foundation, via Mondino 2, 27100 Pavia, Italy. carloandrea.galimberti@mondino.it TI - Antiepileptic drug use and epileptic seizures in elderly nursing home residents: a survey in the province of Pavia, Northern Italy. SO - Epilepsy Research. 68(1):1-8, 2006 Jan. AS - Epilepsy Res. 68(1):1-8, 2006 Jan. NJ - Epilepsy research PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ema, 8703089 SB - Index Medicus CP - Netherlands MH - Age Factors MH - Aged MH - Aged, 80 and over MH - *Anticonvulsants/tu [Therapeutic Use] MH - Epilepsy/di [Diagnosis] MH - *Epilepsy/dt [Drug Therapy] MH - Epilepsy/ep [Epidemiology] MH - Female MH - Health Care Surveys MH - *Homes for the Aged MH - Humans MH - Italy MH - Logistic Models MH - Male MH - Middle Aged MH - *Nursing Homes MH - Prevalence AB - Some surveys indicate that elderly nursing home residents are extensively prescribed antiepileptic drugs (AEDs). Few studies have evaluated the prevalence of seizure-related diagnoses as a risk factor for AED administration in nursing homes. To assess the prevalence of AED use and of epileptic seizures in the elderly nursing home residents in our country, we considered age and gender data, functional status (measured by the Barthel's Index), drugs currently administered on a scheduled basis, clinical diagnoses from the patient's chart including possible history of epileptic seizures, of all subjects aged 60 years and over living in 21 federated nursing homes in the province of Pavia, Northern Italy. Data relating to 2.001 subjects (77.5 % females) were collected over a 4-month period (September-December 2000). Eighty-seven of the 2.001 residents (4.3%; 5.3% of all the males and 4.0% of all the females) were taking AEDs and 58 (3.5% of all the males and 2.7% of all the females), all of them under treatment with at least one AED, had epileptic seizures in their history. Both these subgroups had a mean modified Barthel's Index score significantly lower than that of the population as a whole. Phenobarbitone was the most frequently prescribed AED, and the penetration of newer AEDs was minimal. Subjects in early old age (60-74 years) were more likely than older subjects to take an AED. Logistic regression indicated a significant association between seizures reports, a younger age and a history of cerebrovascular events, alcohol abuse and meningiomas. The prevalence of AED use in this study was lower than that found by previous U.S. studies: nevertheless, our data confirm male gender and early old age as factors associated with AED taking in elderly nursing home residents. In our series AED users showed a lower level of autonomy. Taken together, our data suggest that an earlier institutionalization of seizure subjects could be facilitated by the clustering of various conditions, such as seizures, cerebrovascular events, other clinical disorders and a possibly inappropriate anticonvulsant treatment. RN - 0 (Anticonvulsants) IS - 0920-1211 IL - 0920-1211 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20051205 DP - 2006 Jan DC - 20060109 YR - 2006 ED - 20060316 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16330188 <260. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16340695 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Valente S AU - Nemec C FA - Valente, Sharon FA - Nemec, Constance IN - Valente,Sharon. Department of Veterans Affairs, Los Angeles, CA 90049, USA. sharon.valente@med.va.gov TI - An evidence-based project to improve depression and alcohol use screening. SO - Journal of Nursing Care Quality. 21(1):93-8, 2006 Jan-Mar. AS - J Nurs Care Qual. 21(1):93-8, 2006 Jan-Mar. NJ - Journal of nursing care quality PI - Journal available in: Print PI - Citation processed from: Print JC - a82, 9200672 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Attitude of Health Personnel MH - Benchmarking MH - Curriculum MH - *Depressive Disorder/di [Diagnosis] MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Evidence-Based Medicine/ed [Education] MH - *Evidence-Based Medicine/og [Organization & Administration] MH - Health Services Accessibility/st [Standards] MH - Home Care Services/st [Standards] MH - Humans MH - Mass Screening/px [Psychology] MH - *Mass Screening/st [Standards] MH - Nurse's Role MH - Nursing Education Research MH - Nursing Methodology Research MH - Outcome Assessment (Health Care) MH - Primary Health Care/st [Standards] MH - Program Development MH - Program Evaluation MH - *Total Quality Management/og [Organization & Administration] AB - Using research to improve practice is a high priority. Research shows that routine screening helps identify adults who are at risk for various disorders. Depression and alcohol use screening tools can improve evaluation and treatment. Nurses aimed to improve the screening rates for depression and alcohol use from the existing 50%-80% to 100% with a 1-hour educational program on depression screening and alcohol use disorders screening for 2 clinic areas: primary care and home-based care. Post program evaluation revealed that depression screening and alcohol use disorders screening rates increased to 100%. IS - 1057-3631 IL - 1057-3631 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Jan-Mar DC - 20051212 YR - 2006 ED - 20060314 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16340695 <261. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16079435 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bernstein E AU - Bernstein J FA - Bernstein, Edward FA - Bernstein, Judith TI - SBIRT: qualified trained assistants are necessary but not sufficient. CM - Comment on: Acad Emerg Med. 2005 Mar;12(3):245-6; PMID: 15741588 SO - Academic Emergency Medicine. 12(8):786; author reply 786-7, 2005 Aug. AS - Acad Emerg Med. 12(8):786; author reply 786-7, 2005 Aug. NJ - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - ce1, 9418450 SB - Index Medicus CP - United States MH - *Behavior Therapy/mt [Methods] MH - Emergency Medicine/ed [Education] MH - *Emergency Medicine/mt [Methods] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/mt [Methods] MH - *Emergency Service, Hospital/og [Organization & Administration] MH - Humans MH - Outcome and Process Assessment (Health Care) MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States ES - 1553-2712 IL - 1069-6563 PT - Comment PT - Letter LG - English DP - 2005 Aug DC - 20050804 YR - 2005 ED - 20060310 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16079435 <262. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16443956 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy N AU - Canales MK AU - Norton SA AU - DeFilippis J FA - Murphy, Nancy FA - Canales, Mary K FA - Norton, Sally A FA - DeFilippis, Jeannette IN - Murphy,Nancy. Center for Comprehensive Care, St. Luke's Roosevelt Hospital Center, USA. TI - Striving for congruence: the interconnection between values, practice, and political action. SO - Policy, Politics, & Nursing Practice. 6(1):20-9, 2005 Feb. AS - POLICY POLIT NURS PRACT. 6(1):20-9, 2005 Feb. NJ - Policy, politics & nursing practice PI - Journal available in: Print PI - Citation processed from: Print JC - 100901316 SB - Index Medicus SB - Nursing Journal CP - United States MH - Education, Nursing MH - Harm Reduction MH - *Health Policy MH - Humans MH - *Lobbying MH - *Nursing MH - *Patient Advocacy MH - Social Justice MH - *Social Values MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - In the current U.S. health care system, both good health and a higher quality of health care are more likely to be experienced by those who have access to money, power, and privilege. Consequently, serious health disparities exist between the rich and poor, White people and people of color, and men and women. The American Association of Colleges of Nursing (AACN) has made explicit the values that form the cornerstone of professional nursing: altruism, autonomy, human dignity, integrity, and social justice. In this article, the authors explore the interconnections between values explicated by the AACN and nursing practices and policies. The authors draw on work in the field of pain management, cultural competency, and harm reduction as exemplars of this interconnection. The authors propose that through political action, nurses can strive for congruence between their professional values, practice, and policies and subsequently effect change and improve health outcomes. IS - 1527-1544 IL - 1527-1544 PT - Journal Article LG - English DP - 2005 Feb DC - 20060130 YR - 2005 ED - 20060216 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16443956 <263. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16295995 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - West MM FA - West, Margaret Mary IN - West,Margaret Mary. Thomas Jefferson University, Department of Nursing, Nursing Education Center at Geisinger Medical Center, USA. TI - Early risk patterns in substance abuse impaired nurses. SO - Pennsylvania Nurse. 60(4):20-1, 2005 Sep. AS - Pa Nurse. 60(4):20-1, 2005 Sep. NJ - The Pennsylvania nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ooj, 19540010r SB - Nursing Journal CP - United States MH - Adult MH - Attitude of Health Personnel MH - Case-Control Studies MH - Discriminant Analysis MH - Education, Nursing, Continuing MH - Exploratory Behavior MH - Female MH - Humans MH - Male MH - Middle Aged MH - Models, Psychological MH - Nursing Staff/ed [Education] MH - Nursing Staff/og [Organization & Administration] MH - *Nursing Staff/px [Psychology] MH - Occupational Health MH - *Professional Impairment/px [Psychology] MH - Professional Impairment/sn [Statistics & Numerical Data] MH - Risk Factors MH - *Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] IS - 0031-4617 IL - 0031-4617 PT - Journal Article LG - English DP - 2005 Sep DC - 20051118 YR - 2005 ED - 20060209 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16295995 <264. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16350761 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stevenson JS AU - Sommers MS FA - Stevenson, Joanne Sabol FA - Sommers, Marilyn Sawyer IN - Stevenson,Joanne Sabol. Graduate Program, Mount Carmel College of Nursing, Columbus, OH, USA. TI - The case for alcohol research as a focus of study by nurse researchers. SO - Annual Review of Nursing Research. 23:3-26, 2005. AS - Annu Rev Nurs Res. 23:3-26, 2005. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcohol Drinking MH - *Alcohol-Related Disorders/nu [Nursing] MH - Curriculum MH - Education, Nursing MH - Humans MH - *Nursing Research MH - Research Support as Topic MH - United States AB - Sixty percent of the U.S. population drinks alcohol. Although numerous investigators have shown that low-volume alcohol intake has positive influences on cardiovascular health, bone density, and cognition, there is a fine line between positive, neutral, and negative ramifications of alcohol consumption on health. Alcohol accounts for 7% of the global burden of disease and injury from all causes and for 10% to 11% of all illnesses and death each year worldwide. So alcohol use is a two-edged sword. Psychiatric nurses have a long history of involvement with alcoholic patients, and alcohol users, misusers, and abusers comprise a significant percentage of the patient load in every specialty and subspecialty of nursing. Yet nursing education has neglected this important area of content in general nursing curricula, staff development has not trained mainstream nurses to routinely assess for alcohol problems among hospital patients, and primary care providers have failed to do case finding. During the past 25 years, the federal government has funded curricular and faculty development programs to bring alcohol information into the core of health provider training. The process has been halting and minimally successful at best. One ramification of the inattention to alcohol-related education is the dearth of nurse-scientists engaged in programs of research in the field of alcohol abuse. A federally funded faculty development program in the 1990s focused attention on this issue, and a small cadre of nurses were trained to do related research. Several of the authors in this volume are members of that group. A brief overview of the focus of each of the remaining chapters in this volume is presented. A rationale is provided for the importance of this area of research for nursing knowledge and quality patient care in essentially all areas of nursing practice. Finally, several burning research questions are posed that would most appropriately be answered through nursing research. IS - 0739-6686 IL - 0739-6686 PT - Journal Article LG - English DP - 2005 DC - 20051214 YR - 2005 ED - 20060112 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16350761 <265. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16043435 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Geirsson M AU - Bendtsen P AU - Spak F FA - Geirsson, Magnus FA - Bendtsen, Preben FA - Spak, Fredrik IN - Geirsson,Magnus. Ekangsvagen 15, 541 40 Skovde, Sweden. magnus.geirsson@vgregion.se TI - Attitudes of Swedish general practitioners and nurses to working with lifestyle change, with special reference to alcohol consumption. SO - Alcohol & Alcoholism. 40(5):388-93, 2005 Sep-Oct. AS - Alcohol Alcohol. 40(5):388-93, 2005 Sep-Oct. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - aal, 8310684 SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Education, Medical, Graduate MH - Female MH - Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Life Style MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - Patient Compliance/px [Psychology] MH - *Physicians, Family/px [Psychology] MH - Secondary Prevention MH - Sweden AB - AIMS: To explore the attitudes of Swedish general practitioners (GPs) and nurses to secondary alcohol prevention (early identification of, and intervention for, alcohol-related problems) and compare it to their attitudes to other important lifestyle behaviours such as smoking, stress, exercise, and overweight. AB - METHODS: An adjusted version of The WHO Collaborative Study Questionnaire for General Practitioners was posted to all GPs and nurses in the County of Skaraborg, Sweden; 68 GPs and 193 nurses responded. AB - RESULTS: The importance of drinking alcohol moderately, counselling skills on reducing alcohol consumption and perceived current effectiveness in helping patients change lifestyle behaviours ranked lower than working with all the other lifestyle behaviours. The nurses rated their potential effectiveness in helping patients change lifestyle higher than that of GPs for all the lifestyle behaviours. Nurses receiving more alcohol-related education had more positive attitudes than nurses with less education. For alcohol, the GPs assessed their role adequacy, role legitimacy and motivation higher than that of the nurses. The main obstacles for the GPs to carry out alcohol intervention were lack of training in counselling for reducing alcohol consumption, time constraints, and the fact that the doctors did not know how to identify problem drinkers who have no obvious symptoms of excess consumption. AB - CONCLUSION: GPs and the nurses estimated their alcohol-related competence as lower than working with many other health-related lifestyles. These results can be explained by lack of practical skills, lack of training in suitable intervention techniques, and unsupportive working environments. All these elements must be considered when planning secondary alcohol prevention programs in primary health care. IS - 0735-0414 IL - 0735-0414 PT - Journal Article LG - English EP - 20050725 DP - 2005 Sep-Oct DC - 20050818 YR - 2005 ED - 20060111 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16043435 <266. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15956267 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brennan PL FA - Brennan, Penny L IN - Brennan,Penny L. Center for Health Care Evaluation (152- VA Palo Alto Health Care System, Menlo Park Division, 795 Willow Road, Menlo Park, CA 94025, USA. penny.brennan@med.va.gov TI - Functioning and health service use among elderly nursing home residents with alcohol use disorders: findings from the National Nursing Home Survey. SO - American Journal of Geriatric Psychiatry. 13(6):475-83, 2005 Jun. AS - Am J Geriatr Psychiatry. 13(6):475-83, 2005 Jun. NJ - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - cm3, 9309609 SB - Index Medicus CP - United States MH - Activities of Daily Living MH - Aged MH - *Alcoholism/ep [Epidemiology] MH - Demography MH - Female MH - *Health Services/ut [Utilization] MH - Humans MH - Male MH - Mental Health Services/ut [Utilization] MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Patient Admission/sn [Statistics & Numerical Data] MH - Social Work/sn [Statistics & Numerical Data] MH - *Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - OBJECTIVE: The author asked whether older nursing home residents with alcohol use disorders differ from demographically-matched residents without alcohol use disorders on functioning, admission characteristics, and health services use. AB - METHOD: National Nursing Home Survey data were used to compare nursing home residents with alcohol use disorders (N=216) with demographically-matched residents without alcohol use disorders (N=216) on functioning, admission characteristics, and health services use. AB - RESULTS: Residents with alcohol use disorders functioned somewhat better than did residents in the demographically-matched sample group, as indicated by performance of basic activities of daily living. However, they were significantly more likely to have lived alone before admission and to have obtained mental health and social services. There was a significant group x gender interaction on length of stay: men with alcohol use disorders had shorter lengths of stay than did men without alcohol use disorders; women with alcohol use disorders had longer lengths of stay than did women without such disorders. AB - CONCLUSIONS: Having fewer social resources may contribute to elevated admission risk and need for mental health and social services among older nursing home residents who have alcohol use disorders. Duration and severity of alcohol problems may help explain gender differences in length of stay among these residents. IS - 1064-7481 IL - 1064-7481 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - AA 06699 (United States NIAAA NIH HHS) NO - AA 12718 (United States NIAAA NIH HHS) LG - English DP - 2005 Jun DC - 20050615 YR - 2005 ED - 20060110 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15956267 <267. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15890286 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tarzian AJ AU - Hoffmann DE FA - Tarzian, Anita J FA - Hoffmann, Diane E IN - Tarzian,Anita J. Law and Health Care Program, University of Maryland School of Law, Baltimore, MD 21201-1786, USA. atarzian@law.umaryland.edu TI - Barriers to managing pain in the nursing home: findings from a statewide survey. SO - Journal of the American Medical Directors Association. 6(3 Suppl):S13-9, 2005 May-Jun. AS - J AM MED DIR ASSOC. 6(3 Suppl):S13-9, 2005 May-Jun. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print PI - Citation processed from: Print JC - 100893243 SB - Index Medicus CP - United States MH - Aged MH - *Clinical Competence MH - Connecticut MH - *Guideline Adherence MH - Health Care Surveys MH - *Health Services Accessibility MH - *Homes for the Aged/st [Standards] MH - Humans MH - Long-Term Care/st [Standards] MH - *Nursing Homes/st [Standards] MH - Nursing Staff/ed [Education] MH - Organizational Policy MH - Pain/dt [Drug Therapy] MH - Pain/nu [Nursing] MH - *Pain/pc [Prevention & Control] MH - Practice Guidelines as Topic AB - OBJECTIVES: The objective of this study was to identify pain management demographics, perceived resources, and perceived barriers to adequately manage pain in the nursing home setting. AB - DESIGN: Mailed survey. AB - SETTING: All licensed Connecticut nursing homes. AB - PARTICIPANTS: Directors of Nursing (DONs). AB - MEASUREMENTS: Survey eliciting pain management demographics, perceived resources, and perceived barriers to adequately manage pain in respondents' nursing home. AB - RESULTS: A total of 113 of 260 DONs (43%) responded to the survey. Respondents believed pain was suboptimally managed, particularly for residents with malignant and nonmalignant chronic pain. Perceived barriers to providing adequate pain management included lack of knowledge about pain management among nurses and physicians, lack of a standardized approach to treating pain, physicians' personal attitudes toward treating pain (eg, fear of addiction or overdose), lack of diagnostic precision in treating pain, and difficulty in choosing the right analgesic. Other barriers are also discussed, including low hospice enrollment of nursing home residents. AB - CONCLUSION: Improving pain management in nursing homes requires improving provider knowledge and attitudes, enhancing diagnostic precision, standardizing pain treatment, and achieving an institutional commitment. Although responding DONs seemed aware of the need for improved pain management outcomes at their facilities, the required institutional commitment to accomplish this was not evidenced by these findings. IS - 1525-8610 IL - 1525-8610 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2005 May-Jun DC - 20050513 YR - 2005 ED - 20051227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15890286 <268. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16177579 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crumpler J AU - Ross A FA - Crumpler, Janet FA - Ross, Amelia IN - Crumpler,Janet. Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157, USA. jcrumple@wfubmc.edu TI - Development of an alcohol withdrawal protocol: a quality of care initiative. SO - Journal of Nursing Care Quality. 20(4):297-301, 2005 Oct-Dec. AS - J Nurs Care Qual. 20(4):297-301, 2005 Oct-Dec. NJ - Journal of nursing care quality PI - Journal available in: Print PI - Citation processed from: Print JC - a82, 9200672 SB - Index Medicus SB - Nursing Journal CP - United States MH - Aged MH - *Alcohol Withdrawal Delirium/pc [Prevention & Control] MH - *Alcohol Withdrawal Seizures/pc [Prevention & Control] MH - Algorithms MH - Anti-Anxiety Agents/tu [Therapeutic Use] MH - Benchmarking MH - Benzodiazepines/tu [Therapeutic Use] MH - *Clinical Protocols/st [Standards] MH - Decision Trees MH - Drug Monitoring/mt [Methods] MH - Drug Monitoring/nu [Nursing] MH - Evidence-Based Medicine MH - Humans MH - Male MH - North Carolina MH - Nurse Clinicians/ed [Education] MH - Nurse Clinicians/og [Organization & Administration] MH - Nursing Assessment MH - Nursing Evaluation Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/og [Organization & Administration] MH - Pilot Projects MH - Practice Guidelines as Topic MH - *Quality Assurance, Health Care/og [Organization & Administration] MH - Severity of Illness Index MH - *Total Quality Management/og [Organization & Administration] MH - Trauma Centers RN - 0 (Anti-Anxiety Agents) RN - 12794-10-4 (Benzodiazepines) IS - 1057-3631 IL - 1057-3631 PT - Case Reports PT - Evaluation Studies PT - Journal Article LG - English DP - 2005 Oct-Dec DC - 20050922 YR - 2005 ED - 20051223 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16177579 <269. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16114584 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Van Duijl M AU - Cardena E AU - De Jong JT FA - Van Duijl, Marjolein FA - Cardena, Etzel FA - De Jong, Joop T V M IN - Van Duijl,Marjolein. Center for Mental Health, Winschoten, The Netherlands. marjolein.vanduijl@planet.nl TI - The validity of DSM-IV dissociative disorders categories in south-west Uganda. SO - Transcultural Psychiatry. 42(2):219-41, 2005 Jun. AS - TRANSCULT PSYCHIATRY. 42(2):219-41, 2005 Jun. NJ - Transcultural psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - 9708119 SB - Index Medicus CP - England MH - Adult MH - Clergy/px [Psychology] MH - *Cross-Cultural Comparison MH - Diagnosis, Differential MH - *Diagnostic and Statistical Manual of Mental Disorders MH - Dissociative Disorders/di [Diagnosis] MH - *Dissociative Disorders/eh [Ethnology] MH - Female MH - Humans MH - Male MH - Medicine, Traditional MH - Middle Aged MH - Psychometrics MH - Religion and Psychology MH - Reproducibility of Results MH - Spiritualism MH - Statistics as Topic MH - Students, Medical/px [Psychology] MH - Students, Nursing/px [Psychology] MH - Uganda AB - There is little systematic research on the cross-cultural validity of the dissociative disorders, especially in non-western countries. This study evaluates the fit of the DSM-IV classification and concepts of these disorders with local concepts, experiences and local presentations in south-west Uganda. We conducted focus group discussions with medical students, traditional healers, religious leaders, counselors, community members and other health workers (n=48). They were supplemented by key informant interviews with religious people, traditional healers and leaders (n=11). The responses were subjected to thematic analysis. Dissociative amnesia and depersonalization were generally recognized and seen as the result of traumatic experiences and were useful categories in Uganda. However, dissociative fugue did not match local concepts and was confused with spirit possession and other conditions such as alcoholic fugues and dementia. The description of dissociative identity disorder was always interpreted as a possession trance disorder by the local healers. We found only partial support for the validity of the DSM-IV classification of dissociative disorders in Uganda. IS - 1363-4615 IL - 1363-4615 PT - Comparative Study PT - Journal Article LG - English DP - 2005 Jun DC - 20050823 YR - 2005 ED - 20051201 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16114584 <270. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15991149 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy-Parker D AU - Martinez RJ FA - Murphy-Parker, Dana FA - Martinez, Ruby J IN - Murphy-Parker,Dana. Division of Nursing, The Steinhardt School of Education, New York University, New York, NY 10009, USA. dmp334@nyu.edu TI - Nursing students' personal experiences involving alcohol problems. SO - Archives of Psychiatric Nursing. 19(3):150-8, 2005 Jun. AS - Arch Psychiatr Nurs. 19(3):150-8, 2005 Jun. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Alcoholism/co [Complications] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Culture MH - Curriculum MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Motivation MH - Prognosis MH - *Psychiatric Nursing/ed [Education] MH - Social Distance MH - *Students, Nursing/px [Psychology] MH - United States AB - This article discusses the views and beliefs of nursing students toward people who abuse alcohol. An original study published in a separate article [Archives of Psychiatric Nursing , (2003); (4) 17 : 156-164.] examined this relationship with both a quantitative and a qualitative design. Three open-ended questions allowed for further qualitative exploration about relationships with others who have alcohol problems and beliefs about recovery. The chronic nature of alcoholism was clearly identified by students who described it as a lifelong process. Most students (79%) expressed belief that recovery was possible whether they had personal experience with people who have alcohol problems or not. The level of optimism was surprisingly high in this sample of nursing students, especially because many had had a personal experience with someone who abused alcohol. Students come to the educational setting with a clear and accurate view of the lifelong commitment that may be needed to recover from alcohol addiction, but they also come with an overly optimistic view of recovery. How this optimism impacts future care is unknown. If nursing students hold an unrealistically positive view of recovery, they may be ill prepared to handle the disappointments associated with treatment such as relapse, interpersonal conflict, health deterioration, or other related sequelae. IS - 0883-9417 IL - 0883-9417 PT - Journal Article LG - English DP - 2005 Jun DC - 20050701 YR - 2005 ED - 20051130 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15991149 <271. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16170266 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCaffrey R AU - Zerwekh J AU - Keller K FA - McCaffrey, Ruth FA - Zerwekh, Joyce FA - Keller, Kathryn IN - McCaffrey,Ruth. College of Nursing, Florida Atlantic University, Boca Raton, FL 33431, USA. rmccaffr@fau.edu TI - Pain management: cognitive restructuring as a model for teaching nursing students. [Review] [26 refs] SO - Nurse Educator. 30(5):226-30, 2005 Sep-Oct. AS - Nurse Educ. 30(5):226-30, 2005 Sep-Oct. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - United States MH - *Cognitive Therapy MH - *Education, Nursing MH - Humans MH - Models, Educational MH - *Pain/nu [Nursing] MH - *Students, Nursing/px [Psychology] MH - *Teaching/mt [Methods] AB - Nursing students often have fear and anxiety about managing pain. The most common misconceptions include fear that patients in acute pain are easily addicted to pain medication, persons who are alert experience side effects from medication such as respiratory depression, and pain is inevitable and cannot completely be relieved. Cognitive restructuring is a method of changing behavior that focuses on identifying misconceptions, influencing distorted thinking, and thereby diminishing anxiety and promoting reasoned practice. [References: 26] IS - 0363-3624 IL - 0363-3624 PT - Journal Article PT - Review LG - English DP - 2005 Sep-Oct DC - 20050919 YR - 2005 ED - 20051129 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16170266 <272. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16048368 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee Ridner S AU - Staten RR AU - Danner FW FA - Lee Ridner, S FA - Staten, Ruth R FA - Danner, Fred W IN - Lee Ridner,S. School of Nursing, University of Louisville, Louisville, KY, USA. TI - Smoking and depressive symptoms in a college population. SO - Journal of School Nursing. 21(4):229-35, 2005 Aug. AS - J Sch Nurs. 21(4):229-35, 2005 Aug. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adult MH - Attitude to Health MH - Cross-Sectional Studies MH - *Depression/ep [Epidemiology] MH - Female MH - *Health Status MH - Humans MH - Male MH - Peer Group MH - Regression Analysis MH - Risk Factors MH - *Smoking/ep [Epidemiology] MH - *Smoking/px [Psychology] MH - Southeastern United States/ep [Epidemiology] MH - *Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/nu [Nursing] AB - A number of studies have documented the relationship between smoking and depression in adolescent and adult populations. The purpose of this study was to examine the level of depressive symptoms among college-age smokers and to determine whether or not increases in cigarette use were associated with increases in the number of depressive symptoms. A non-experimental cross-sectional design was used. Of the random sample (N = 895), 28% were current smokers, and more than 26% of the total sample reported high levels of depressive symptoms. Current smokers were more likely to report an increased level of depressive symptoms than nonsmokers were. Correlates of depressive symptoms included grade point average, marijuana use, and increased work hours. When controlling for these variables, the number of days smoked was predictive of depressive symptoms. School nurses have an important role in preventing smoking and treating smokers, as well as in preparing adolescents for the transition to college where many begin smoking. IS - 1059-8405 IL - 1059-8405 PT - Journal Article LG - English DP - 2005 Aug DC - 20050728 YR - 2005 ED - 20051115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16048368 <273. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16047529 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brennan PL AU - Greenbaum MA FA - Brennan, Penny L FA - Greenbaum, Mark A IN - Brennan,Penny L. Center for Health Care Evaluation, Department of Veterans Affairs Palo Alto Health Care System, Menlo Park Division, Menlo Park, California, USA. penny.brennan@med.va.gov TI - Functioning, problem behavior and health services use among nursing home residents with alcohol-use disorders: nationwide data from the VA minimum data set. SO - Journal of Studies on Alcohol. 66(3):395-400, 2005 May. AS - J. stud. alcohol. 66(3):395-400, 2005 May. NJ - Journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - *Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking/th [Therapy] MH - Female MH - Health Status MH - Humans MH - Male MH - *Mental Health Services/ut [Utilization] MH - Middle Aged MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Patient Acceptance of Health Care MH - Residential Treatment MH - United States/ep [Epidemiology] MH - United States Department of Veterans Affairs AB - OBJECTIVE: We examined (1) whether nursing home residents with alcohol-use disorders (AUDs) function more poorly, have more behavioral problems and use more health services than do demographically matched controls without such disorders, and (2) whether AUDs interact with alcohol consumption to predict poorer behavioral and health services outcomes among nursing home residents. AB - METHOD: We used Department of Veterans Affairs (VA) Patient Treatment File data to identify a nationwide sample of older VA nursing home residents with recent AUD diagnoses (n = 3,336) and a demographically matched sample without such diagnoses (n = 3,336). The groups were compared on the Resident Assessment Instrument Minimum Data Set indices of health-related functioning, substance use, problem behavior and health services use. We conducted two-way analyses of variance to determine interactions between presence of an AUD and alcohol consumption on problem behavior and health services use. AB - RESULTS: Residents with AUD diagnoses functioned somewhat better than demographically matched controls. However, they were more likely to have falls and fractures, difficulties in social functioning and to use more health services. AUD diagnoses interacted with alcohol consumption to predict an elevated risk of falls and fractures and more mental health services use. AB - CONCLUSIONS: Older residents with an AUD form a distinct nursing home population that functions somewhat better than residents without such disorders but they may pose more challenges to staff and use more health care services. Residents' drinking histories should be considered in formulating nursing home policies about alcohol consumption. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - AA06699 (United States NIAAA NIH HHS) NO - AA12718 (United States NIAAA NIH HHS) LG - English DP - 2005 May DC - 20050728 YR - 2005 ED - 20051108 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16047529 <274. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16006380 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mulvihill D FA - Mulvihill, Deanna IN - Mulvihill,Deanna. University of Western Ontario, London, Canada. dmulvih@uwo.ca TI - The health impact of childhood trauma: an interdisciplinary review, 1997-2003. [Review] [80 refs] SO - Issues in Comprehensive Pediatric Nursing. 28(2):115-36, 2005 Apr-Jun. AS - Issues Compr Pediatr Nurs. 28(2):115-36, 2005 Apr-Jun. NJ - Issues in comprehensive pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - g94, 7702326 SB - Nursing Journal CP - United States MH - Child MH - Child Abuse/di [Diagnosis] MH - Child Abuse/pc [Prevention & Control] MH - *Child Abuse/px [Psychology] MH - *Child Welfare MH - Health Services Needs and Demand MH - Humans MH - Mass Screening MH - Models, Psychological MH - *Patient Care Team/og [Organization & Administration] MH - Research Design MH - Risk Factors MH - Social Support MH - Stress Disorders, Post-Traumatic/di [Diagnosis] MH - *Stress Disorders, Post-Traumatic/et [Etiology] MH - Stress Disorders, Post-Traumatic/px [Psychology] MH - Stress Disorders, Post-Traumatic/th [Therapy] MH - Surveys and Questionnaires MH - Time Factors AB - Research has shown a strong relationship between childhood trauma and psychological difficulties in later life; more recent research has indicated that the long-term effects are even greater for physical illness. These long-term effects have highlighted Posttraumatic Stress Disorder (PTSD) as a possible mediator variable. The illnesses identified include, but are not limited to, eating disorders, substance abuse, phobias, multiple personality disorders, irritable bowel syndrome, rheumatoid arthritis, and autoimmune disorders. Childhood trauma is an area of interdisciplinary interest; therefore, a variety of disciplines have been carrying out research in this area. This article is an integrative review of the literature over the last five years across disciplines, including nursing, medicine, psychology, education, social services, and government agencies. The review searched for themes, common constructs, and definitions, plus gaps in the present literature that need to be addressed. Particular attention was paid to measurement tools, and the importance of post traumatic stress disorder. Databases included were Medline, Proquest, Canadian Health Network (CHN), Canadian Business and Current Affairs (CBCA) Education, Educational Resources Information Center (ERIC) Plus, Cumulative Index to Nursing & Allied Health Literature (CINAHL), American Psychological Association Database Information (PsychINFO), and Cochrance. [References: 80] IS - 0146-0862 IL - 0146-0862 PT - Journal Article PT - Review LG - English DP - 2005 Apr-Jun DC - 20050711 YR - 2005 ED - 20051014 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16006380 <275. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15893097 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lappalainen-Lehto R AU - Seppa K AU - Nordback I FA - Lappalainen-Lehto, Riitta FA - Seppa, Kaija FA - Nordback, Isto IN - Lappalainen-Lehto,Riitta. Department of Surgery, Tampere University Hospital, Finland. ritta.lappalainen-lehto@pshp.fi TI - Cutting down substance abuse--present state and visions among surgeons and nurses. SO - Addictive Behaviors. 30(5):1013-8, 2005 Jun. AS - Addict Behav. 30(5):1013-8, 2005 Jun. NJ - Addictive behaviors PI - Journal available in: Print PI - Citation processed from: Print JC - 2gw, 7603486 SB - Index Medicus CP - England MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Clinical Competence MH - Female MH - *General Surgery MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Nurses/px [Psychology] MH - *Nurses MH - Self-Assessment MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] AB - BACKGROUND: Although substance abuse is variably common among surgical patients, detection of the problem and brief interventions are seldom undertaken. The aim of the present study was to assess surgeons' and nurses' activity in screening substance abuse among their patients and obstacles concerning intervention of patients with substance abuse. AB - METHODS: Surgeons and nurses of The Department of Surgery, Tampere University Hospital were asked to predict if the surgical patients treated during a 24-h period (n=211) had a substance abuse disorder. This was compared to the patients' self-reports based on the Alcohol Use Disorders Identification Test (AUDIT) and questions about use of other substances. The surgeons and the nurses were also asked to complete a questionnaire related to interventions of patients with substance abuse; perceived knowledge, skills, attitudes and obstacles. AB - RESULTS: Of the surgical patients, 47 (22%) proved to be substance abusers. Out of them, 23% were detected by surgeons and nurses. Of the surgeons (n=44) 83% and of the nurses (n=332) 84% perceived responsibility for intervention but claimed many obstacles. Nurses reported the lack of knowledge as the main obstacle. Of the nurses 18% reported enough knowledge to conduct the whole brief intervention compared to 34% of surgeons (p=0.021). The main obstacle reported by surgeons was the lack of time. AB - CONCLUSIONS: Surgeons and nurses detect only minority of the substance abusing surgical patients. Lack of knowledge and time prevent intervening in patients' substance abuse. These results may be utilized when developing a program to better involve surgeons and nurses in detection and intervention of surgical patients' substance abuse. IS - 0306-4603 IL - 0306-4603 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2005 Jun DC - 20050516 YR - 2005 ED - 20051013 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15893097 <276. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16097200 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knott G FA - Knott, Gill IN - Knott,Gill. Gateshead NHS. TI - Nightlife and health. CM - Comment on: Nurs Stand. 2005 Apr 6-12;19(30):63-71; quiz 73; PMID: 15835440 SO - Nursing Standard. 19(46):67, 2005 Jul 27-Aug 2. AS - Nurs Stand. 19(46):67, 2005 Jul 27-Aug 2. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/mt [Methods] MH - *Health Promotion/mt [Methods] MH - Humans MH - *Leisure Activities MH - Nurse's Role MH - Nursing Staff, Hospital/ed [Education] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Time Factors IS - 0029-6570 IL - 0029-6570 PT - Comment PT - Journal Article LG - English DP - 2005 Jul 27-Aug 2 DC - 20050815 YR - 2005 ED - 20050929 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16097200 <277. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16146063 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kalinowski P AU - Karwat ID FA - Kalinowski, Pawel FA - Karwat, Irena Dorota IN - Kalinowski,Pawel. Chair and Department of Epidemiology, Skubiszewski Medical University of Lublin. TI - The influence of environmental factors and education on tobacco smoking among students of the Faculty of Nursing, Medical University of Lublin. SO - Annales Universitatis Mariae Curie-Sklodowska - Sectio d - Medicina. 59(2):124-8, 2004. AS - Ann Univ Mariae Curie Sklodowska [Med]. 59(2):124-8, 2004. NJ - Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina PI - Journal available in: Print PI - Citation processed from: Print JC - 69m, 0414101 SB - Index Medicus CP - Poland MH - Adult MH - *Education, Nursing MH - Environment MH - Female MH - Health Behavior MH - Humans MH - Prevalence MH - *Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - *Students, Nursing AB - Tobacco smoking among medical personnel is a problem concerning not only our country. Nurses and midwives in their work have a close contact with patients allowing influence on their health behaviours. Positive own example is indispensable in this field. Formation of proper attitudes and healthy behaviours should be one of the main goals of academic education of nurses and midwives. The aim of the study was an attempt at analysing the problem of tobacco smoking among the students of the Faculty of Nursing, Medical University of Lublin. The material consisted of 152 anonymous questionnaires filled in by the students in the academic year 2001/2002. There was applied the method of standardized interview using an interview questionnaire. The material was analysed by means of descriptive statistics methods. Women were more prevalent among the respondents (143 persons out of 152), the mean age equalled 29.4 years. The majority were students of nursing (109 persons) and 43 represented midwifery. Twenty-seven percent of all students declared tobacco smoking, 13% quitted the habit and 60% never smoked. The studies proved that medical education and knowledge of harmfulness of tobacco smoking are the main reasons of non-smoking habits of the analysed group of students. The decision about taking up smoking is mostly influenced by smoking peers. This testifies to the need of further educational actions during nursing studies that would promote proper health behaviours in this field. IS - 0066-2240 IL - 0066-2240 PT - Journal Article LG - English DP - 2004 DC - 20050908 YR - 2004 ED - 20050922 RD - 20090605 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16146063 <278. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16146043 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zolnierczuk-Kieliszek D AU - Wachowska-Gil K FA - Zolnierczuk-Kieliszek, Dorota FA - Wachowska-Gil, Karolina IN - Zolnierczuk-Kieliszek,Dorota. Interfaculty Chair and Department of Public Health, Skubiszewski Medical University of Lublin. TI - Attitudes of patients and staff towards tobacco smoking in hospital. SO - Annales Universitatis Mariae Curie-Sklodowska - Sectio d - Medicina. 59(2):19-25, 2004. AS - Ann Univ Mariae Curie Sklodowska [Med]. 59(2):19-25, 2004. NJ - Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina PI - Journal available in: Print PI - Citation processed from: Print JC - 69m, 0414101 SB - Index Medicus CP - Poland MH - *Attitude MH - *Attitude of Health Personnel MH - Hospitals MH - Humans MH - Organizational Policy MH - *Personnel, Hospital MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Tobacco Smoke Pollution/pc [Prevention & Control] AB - The aim of this paper was to establish the frequency and intensity of smoking by the patients and hospital staff and to define the attitudes of the polled persons towards smoking tobacco on the premises of the hospital and their opinions about the limitations in force. The examination in the form of a distributed questionnaire, comprised 101 patients and 127 staff members of Henryk Klimontowicz Specialist Hospital in Gorlice (province of Malopolska /Little Poland/). Both mobile and bed-ridden patients participated in the study. The personnel was represented by physicians, nurses, ward attendants, psychologists, secretaries, Medical University students doing their apprenticeships on the premises of the hospital, employees of technical and administrative departments. The study was carried out by means of a diagnostic sounding with the use of a distributed questionnaire technique in the period from September 2002 to July 2003. The questionnaire contained 38 questions, including closed, open, half-open and multiple-choice questions. In our poll we used the Fagerstrom test, which determined the type of addiction to smoking tobacco (physical or psychological), and which was completed by tobacco-smokers. The statistical analysis was carried out by means of the Chi2 test for independence, assuming the significance level of 0.05. The obtained results were analyzed according to the sex of the polled persons and their functions in the premises of the hospital (patient, staff member). The results of the obtained analysis show that 13.9% of the polled patients of the Specialist Hospital in Gorlice smoked cigarettes every day. The percentage of everyday smokers among the staff of this hospital was significantly higher and equalled 18.1%. Half of the polled persons were exposed to passive smoking on the premises of the hospital, the staff more than the patients. The patients supported the restrictions concerning smoking on the premises of the hospital to a greater extent than the personnel. Most of the smokers claimed that they were trying to cut down on smoking on the premises of the hospital. Despite these declarations, tobacco-smokers smoked cigarettes in the area of the hospital anyway, and one fifth of the smokers smoked also outside the places designed for that purpose. RN - 0 (Tobacco Smoke Pollution) IS - 0066-2240 IL - 0066-2240 PT - Journal Article LG - English DP - 2004 DC - 20050908 YR - 2004 ED - 20050922 RD - 20090605 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16146043 <279. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15942144 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sekijima K AU - Seki N AU - Suzuki H FA - Sekijima, Kayoko FA - Seki, Nao FA - Suzuki, Hiroshi IN - Sekijima,Kayoko. Department of Public Health, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan. sekijima@clg.niigata-u.ac.jp TI - Smoking prevalence and attitudes toward tobacco among student and staff nurses in Niigata, Japan. SO - Tohoku Journal of Experimental Medicine. 206(3):187-94, 2005 Jul. AS - Tohoku J Exp Med. 206(3):187-94, 2005 Jul. NJ - The Tohoku journal of experimental medicine PI - Journal available in: Print PI - Citation processed from: Print JC - vtf, 0417355 SB - Index Medicus CP - Japan MH - *Attitude to Health MH - Education, Nursing MH - Female MH - Health Behavior MH - Health Education MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - Japan MH - Nurses MH - Personnel, Hospital MH - Prevalence MH - *Smoking MH - Smoking Cessation MH - Students, Nursing MH - Time Factors MH - Tobacco MH - Tobacco Use Disorder AB - The present study investigated smoking prevalence and attitudes toward smoking in student and staff nurses, and activities to promote tobacco intervention by staff nurses. A total of 743 student nurses in 2 colleges and one university and 490 staff nurses in the university hospital in Niigata, Japan participated in the study and filled in self-administered anonymous questionnaires focused on smoking habits, attitudes toward smoking, and activities to promote tobacco intervention. The smoking prevalence among student nurses was 6% and increased with the year of study, whereas that of among staff nurses was 16% and increased by employment up to 3-5 years. Almost half of the student nurse smokers started the habit before admission to higher education facilities, and more than half of staff smokers also started smoking in their school years, in high school or college. Nicotine dependence, as defined by over 11 cigarettes per day and the first cigarette within 30 min after getting up, was high in smokers who started smoking before admission to college or university, but not in those who took up the habit thereafter. Thirty-six percent of student nurses and 25% of staff nurses agreed with the statement that "nurses should not smoke." Only 12% of staff nurses were involved in anti-tobacco interventions routinely, partly due to lack of broad knowledge and the necessary skills. Greater efforts are needed as a high priority to educate student and staff nurses systematically and comprehensively about the range of tobacco interventions available in Japan. IS - 0040-8727 IL - 0040-8727 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2005 Jul DC - 20050608 YR - 2005 ED - 20050916 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15942144 <280. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15850892 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Corelli RL AU - Kroon LA AU - Chung EP AU - Sakamoto LM AU - Gundersen B AU - Fenlon CM AU - Hudmon KS FA - Corelli, Robin L FA - Kroon, Lisa A FA - Chung, Eunice P FA - Sakamoto, Leanne M FA - Gundersen, Berit FA - Fenlon, Christine M FA - Hudmon, Karen Suchanek IN - Corelli,Robin L. Department of Clinical Pharmacy, School of Pharmacy, University of California, San Francisco, USA. TI - Statewide evaluation of a tobacco cessation curriculum for pharmacy students. SO - Preventive Medicine. 40(6):888-95, 2005 Jun. AS - Prev Med. 40(6):888-95, 2005 Jun. NJ - Preventive medicine PI - Journal available in: Print PI - Citation processed from: Print JC - pm4, 0322116 SB - Index Medicus CP - United States MH - Adult MH - Cohort Studies MH - *Curriculum MH - Education, Pharmacy MH - *Educational Measurement MH - Female MH - Humans MH - Male MH - Sensitivity and Specificity MH - *Smoking/pc [Prevention & Control] MH - Students, Pharmacy MH - *Tobacco Use Cessation MH - United States AB - BACKGROUND: Previous studies suggest that healthcare professionals are inadequately trained to treat tobacco use and dependence. Because even brief interventions from clinicians improve patient quit rates, widespread implementation of effective tobacco cessation training programs for health professional students is needed. AB - METHODS: Pharmacy students received 7-8 h of comprehensive tobacco cessation training. Participants completed pre- and post-program surveys assessing perceived overall abilities for cessation counseling, skills for key facets of cessation counseling (Ask, Advise, Assess, Assist, Arrange), and self-efficacy for counseling. AB - RESULTS: A total of 493 students (82.3%) completed linkable pre- and post-training evaluations. Self-reported abilities, measured on a five-point scale, increased significantly from 1.89 +/- 0.89 to 3.53 +/- 0.72 (P < 0.001). Twenty-two percent of students rated their overall counseling abilities as good, very good, or excellent before the training versus 94% of students after the training. Eighty-seven percent of students indicated the training will increase the number of patients that they counsel; 97% believed it will increase the quality of their cessation counseling. AB - CONCLUSIONS: Comprehensive training significantly improved pharmacy students' perceived confidence and ability to provide tobacco cessation counseling. The curriculum is applicable to other health professional training programs and currently is being used to train pharmacy, medical, nursing, and dental students. IS - 0091-7435 IL - 0091-7435 PT - Comparative Study PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R25 90720 (United States PHS HHS) LG - English DP - 2005 Jun DC - 20050426 YR - 2005 ED - 20050906 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15850892 <281. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16082798 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hoge MA AU - Paris M Jr AU - Adger H Jr AU - Collins FL Jr AU - Finn CV AU - Fricks L AU - Gill KJ AU - Haber J AU - Hansen M AU - Ida DJ AU - Kaplan L AU - Northey WF Jr AU - O'Connell MJ AU - Rosen AL AU - Taintor Z AU - Tondora J AU - Young AS FA - Hoge, Michael A FA - Paris, Manuel Jr FA - Adger, Hoover Jr FA - Collins, Frank L Jr FA - Finn, Cherry V FA - Fricks, Larry FA - Gill, Kenneth J FA - Haber, Judith FA - Hansen, Marsali FA - Ida, D J FA - Kaplan, Linda FA - Northey, William F Jr FA - O'Connell, Maria J FA - Rosen, Anita L FA - Taintor, Zebulon FA - Tondora, Janis FA - Young, Alexander S IN - Hoge,Michael A. Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA. michael.hoge@yale.edu TI - Workforce competencies in behavioral health: an overview. SO - Administration & Policy in Mental Health. 32(5-6):593-631, 2005 May-Jul. AS - Adm Policy Ment Health. 32(5-6):593-631, 2005 May-Jul. NJ - Administration and policy in mental health PI - Journal available in: Print PI - Citation processed from: Print JC - 8914574 SB - Index Medicus CP - United States MH - *Behavioral Medicine/ed [Education] MH - Behavioral Medicine/st [Standards] MH - *Clinical Competence MH - Competency-Based Education MH - Employee Performance Appraisal MH - Family Therapy/st [Standards] MH - Humans MH - Mental Disorders/rh [Rehabilitation] MH - Mental Disorders/th [Therapy] MH - Mental Health Services/ma [Manpower] MH - *Mental Health Services/st [Standards] MH - Patient Care Team/st [Standards] MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/st [Standards] MH - Psychiatry/ed [Education] MH - Psychiatry/st [Standards] MH - Psychology, Clinical/ed [Education] MH - Psychology, Clinical/st [Standards] MH - Social Work, Psychiatric/ed [Education] MH - Social Work, Psychiatric/st [Standards] MH - Staff Development/mt [Methods] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Substance-Related Disorders/th [Therapy] MH - United States AB - Competency-based training approaches are being used more in healthcare to guide curriculum content and ensure accountability and outcomes in the educational process. This article provides an overview of the state of competency development in the field of behavioral health. Specifically, it identifies the groups and organizations that have conducted and supported this work, summarizes their progress in defining and assessing competencies, and discusses both the obstacles and future directions for such initiatives. A major purpose of this article is to provide a compendium of current competency efforts so that these might inform and enhance ongoing competency development in the varied behavioral health disciplines and specialties. These varied resources may also be useful in identifying the core competencies that are common to the multiple disciplines and specialties. IS - 0894-587X IL - 0894-587X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 03M00013801D (United States PHS HHS) LG - English DP - 2005 May-Jul DC - 20050808 YR - 2005 ED - 20050826 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16082798 <282. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15152275 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Giarelli E AU - Ledbetter N AU - Mahon S AU - McElwain D FA - Giarelli, Ellen FA - Ledbetter, Nancy FA - Mahon, Suzanne FA - McElwain, Diane IN - Giarelli,Ellen. School of Nursing, University of Pennsylvania, Philadelphia, PA, USA. giarelli@nursing.upenn.edu TI - "Not lighting up": a case study of a woman who quit smoking. [Review] [58 refs] SO - Oncology Nursing Forum. 31(3):E54-63, 2004 May. AS - Oncol Nurs Forum. 31(3):E54-63, 2004 May. NJ - Oncology nursing forum PI - Journal available in: Electronic-Print PI - Citation processed from: Internet JC - 7809033, 7809033 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - *Behavior, Addictive/nu [Nursing] MH - *Cause of Death MH - Child MH - Female MH - Humans MH - Incidence MH - Lung Neoplasms/et [Etiology] MH - Lung Neoplasms/mo [Mortality] MH - Male MH - Mass Media/td [Trends] MH - Middle Aged MH - Nicotine/ad [Administration & Dosage] MH - *Oncology Nursing/mt [Methods] MH - Patient Advocacy MH - Peer Group MH - Periodontal Diseases/et [Etiology] MH - Prevalence MH - Reinforcement, Social MH - Risk Assessment MH - Self Concept MH - Smoking/ae [Adverse Effects] MH - *Smoking/mo [Mortality] MH - *Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - Smoking Cessation/lj [Legislation & Jurisprudence] MH - *Smoking Cessation/mt [Methods] MH - Survival Rate MH - United States/ep [Epidemiology] MH - *Women's Health AB - PURPOSE/OBJECTIVES: To review the prevalence, incidence, and risks of smoking by American women; to outline services, treatments, and educational options for smoking prevention and cessation; and to present the conceptual link between the epidemiologic and research literature and experiences of one individual in the target population--an adult female former smoker with a 30-year habit who began smoking during her teenage years. AB - DATA SOURCES: Published literature, expert opinion, and an interview with a former smoker--a female healthcare professional who had a 30-year habit. AB - DATA SYNTHESIS: Literature was reviewed and the content was evaluated for relevance, accuracy, and timeliness. The relevant content was augmented with the author's practical experience and applied to the case study to make recommendations. AB - CONCLUSIONS: Oncology nurses may use a number of strategies to assist people to never start or to stop using tobacco products. The most effective strategy begins with collaboration between healthcare professionals and patients and a combination of instruction, counseling, and emotional support. Oncology nurses can participate in grassroots efforts to educate the public about addiction related to tobacco use, provide counseling for patients who smoke, and become actively involved in legislative solutions to the problem of tobacco use. AB - IMPLICATIONS FOR NURSING: Oncology nurses may intervene to affect positive behavioral change and participate in grassroots efforts to educate the public. Substantial resources are available to professionals and patients who wish to quit smoking or prevent tobacco use by friends and relatives. Nurses should take every opportunity to support smoking cessation and tobacco use prevention. [References: 58] RN - 6M3C89ZY6R (Nicotine) ES - 1538-0688 IL - 0190-535X PT - Case Reports PT - Journal Article PT - Review LG - English EP - 20040512 DP - 2004 May DC - 20040520 YR - 2004 ED - 20050824 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15152275 <283. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16018128 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klesmit N FA - Klesmit, Nicole TI - Importance of alcohol education. CM - Comment on: J Psychosoc Nurs Ment Health Serv. 2004 Nov;42(11):46-55; PMID: 15566165 SO - Journal of Psychosocial Nursing & Mental Health Services. 43(6):12-3; author reply 13, 2005 Jun. AS - J Psychosoc Nurs Ment Health Serv. 43(6):12-3; author reply 13, 2005 Jun. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/pc [Prevention & Control] MH - *Clinical Competence/st [Standards] MH - *Curriculum/st [Standards] MH - Education, Nursing/st [Standards] MH - Health Services Needs and Demand MH - Humans MH - *Nursing Staff/ed [Education] MH - United States/ep [Epidemiology] IS - 0279-3695 IL - 0279-3695 PT - Comment PT - Letter LG - English DP - 2005 Jun DC - 20050715 YR - 2005 ED - 20050809 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16018128 <284. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15904880 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gonzalez B AU - Lupon J AU - Herreros J AU - Urrutia A AU - Altimir S AU - Coll R AU - Prats M AU - Valle V FA - Gonzalez, Beatriz FA - Lupon, Josep FA - Herreros, Joan FA - Urrutia, Agustin FA - Altimir, Salvador FA - Coll, Ramon FA - Prats, Montserrat FA - Valle, Vicente IN - Gonzalez,Beatriz. Unitat d'Insuficiencia Cardiaca, Servei de Cardiologia, Hospital Universitari Germans Trias i Pujol, Carretera del Canyet s/n. 08916 Badalona, Spain. TI - Patient's education by nurse: what we really do achieve?. SO - European Journal of Cardiovascular Nursing. 4(2):107-11, 2005 Jun. AS - EUR J CARDIOVASC NURS. 4(2):107-11, 2005 Jun. NJ - European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology PI - Journal available in: Print PI - Citation processed from: Print JC - 101128793 SB - Index Medicus SB - Nursing Journal CP - Netherlands MH - Adult MH - Aged MH - Aged, 80 and over MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/pc [Prevention & Control] MH - Body Weight MH - Diet, Sodium-Restricted/px [Psychology] MH - Educational Measurement MH - Exercise MH - Female MH - Follow-Up Studies MH - Health Knowledge, Attitudes, Practice MH - Heart Failure/et [Etiology] MH - *Heart Failure/nu [Nursing] MH - Heart Failure/pc [Prevention & Control] MH - Heart Failure/px [Psychology] MH - Humans MH - Male MH - Middle Aged MH - *Nurse's Role MH - Nursing Evaluation Research MH - Patient Compliance/px [Psychology] MH - *Patient Education as Topic/st [Standards] MH - Self Care/mt [Methods] MH - Self Care/px [Psychology] MH - Self Care/st [Standards] MH - Smoking/ae [Adverse Effects] MH - Smoking/pc [Prevention & Control] MH - Surveys and Questionnaires AB - AIM: To evaluate what is really achieved with nurse education in an outpatient heart failure population. AB - METHOD: The answers obtained in a nurse questionnaire performed at the first visit to the Unit and at 1 year of follow-up were compared. The questionnaire was addressed to know how compliant patients were and how much they knew about their disease and their treatment. AB - RESULTS: Two hundred and ninety eight patients (219 men and 79 women) were evaluated. Baseline mean age was 65 years (35-86). At first visit only 30% knew and understood the performance of the heart; 56% at 1 year (p<0.001). Only 28% initially understood the disease; 55% at follow-up (p<0.001). Awareness of more than 3 worsening signs increased from 66.5% to 86.5% (p<0.001). Knowledge of the names of all the pills they were receiving increased from 33% to 44% (p<0.001), of the action of these pills from 24% to 44% (p<0.001), and of how to use nitroglycerine among patients with ischemic heart disease from 87% to 96% (p<0.001). Initially 63% monitored their weight only at the medical visit and 21% monitored it at least once a week; at 1 year these percentages were 16% and 39% respectively (p<0.001). At baseline 45% checked blood pressure only at the medical visit and 28.5% checked it at least once a week; at 1 year these percentages were 12% and 43% (p<0.001). Whereas no significant differences were found in sodium restricted diet compliance, exercise performance increased slightly although statistically significantly (p=0.01). The great majority of patients never or only very rarely smoked or drunk alcoholic beverages, both at first visit and at 1 year, although both habits increased slightly during follow-up. No significant differences in treatment compliance (92% vs. 88% were taking all the medications prescribed) were found. AB - CONCLUSION: Nurse-guided education has changed self-care behaviour of patients with heart failure in several important aspects, as weight and blood monitoring, and has increased their knowledge and understanding of the disease and treatment. However, these improvements have not been reflected in a better compliance of treatment and sodium restricted diet. Such aspects need more and more work to obtain better results. IS - 1474-5151 IL - 1474-5151 PT - Evaluation Studies PT - Journal Article LG - English DP - 2005 Jun DC - 20050520 YR - 2005 ED - 20050722 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15904880 <285. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15898855 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hudlow R FA - Hudlow, Rebecca IN - Hudlow,Rebecca. Eden Prairie Schools, Eden Prairie, MN, USA. TI - What are the odds? Random drug testing of students: a practice perspective. [Review] [5 refs] SO - Journal of School Nursing. 21(3):179-81, 2005 Jun. AS - J Sch Nurs. 21(3):179-81, 2005 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - Child MH - Child Behavior/px [Psychology] MH - Diagnostic Tests, Routine MH - Humans MH - *Mandatory Testing/st [Standards] MH - *Nurse's Role MH - *School Health Services/og [Organization & Administration] MH - *School Nursing/st [Standards] MH - Schools/og [Organization & Administration] MH - Students/px [Psychology] MH - *Substance Abuse Detection/nu [Nursing] MH - Substance Abuse Detection/ut [Utilization] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - Companion articles explore random drug testing programs in schools. The first article addresses random drug testing of students from a legal perspective. It describes legal issues and current case law regarding drug testing programs in schools and commonly asked questions regarding these programs. The second article addresses random drug testing of students from a practice perspective. It explores arguments for and against random drug testing programs and the role of the school nurse in policy and procedure development. [References: 5] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2005 Jun DC - 20050518 YR - 2005 ED - 20050715 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15898855 <286. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15898854 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roach CA FA - Roach, Charles A IN - Roach,Charles A. Rider Bennett, LLP, Minneapolis, MN, USA. TI - What are the odds? Random drug testing of students: a legal perspective. [Review] [7 refs] SO - Journal of School Nursing. 21(3):176-9, 2005 Jun. AS - J Sch Nurs. 21(3):176-9, 2005 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - Child MH - Child Behavior/px [Psychology] MH - Diagnostic Tests, Routine MH - Humans MH - *Mandatory Testing/lj [Legislation & Jurisprudence] MH - *School Health Services/lj [Legislation & Jurisprudence] MH - School Health Services/og [Organization & Administration] MH - *School Nursing/lj [Legislation & Jurisprudence] MH - School Nursing/st [Standards] MH - Schools/lj [Legislation & Jurisprudence] MH - Students/px [Psychology] MH - *Substance Abuse Detection/lj [Legislation & Jurisprudence] MH - *Substance Abuse Detection/nu [Nursing] MH - Substance Abuse Detection/ut [Utilization] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - Companion articles explore random drug testing programs in schools. The first article addresses random drug testing of students from a legal perspective. It describes legal issues and current case law regarding drug testing programs in schools and commonly asked questions regarding these programs. The second article addresses random drug testing of students from a practice perspective. It explores arguments for and against random drug testing programs and the role of the school nurse in policy and procedure development. [References: 7] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2005 Jun DC - 20050518 YR - 2005 ED - 20050715 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15898854 <287. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15898850 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olson PM AU - Pacheco MR FA - Olson, Patricia M FA - Pacheco, Mary Rae IN - Olson,Patricia M. Nova Southeastern University, Ft. Lauderdale, FL, USA. TI - Bipolar disorder in school-age children. [Review] [26 refs] SO - Journal of School Nursing. 21(3):152-7, 2005 Jun. AS - J Sch Nurs. 21(3):152-7, 2005 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - *Antipsychotic Agents/tu [Therapeutic Use] MH - Bipolar Disorder/di [Diagnosis] MH - *Bipolar Disorder/dt [Drug Therapy] MH - Bipolar Disorder/ep [Epidemiology] MH - *Bipolar Disorder/nu [Nursing] MH - Bipolar Disorder/pp [Physiopathology] MH - Child MH - Child Behavior/px [Psychology] MH - *Child Welfare MH - Humans MH - Nursing Assessment/mt [Methods] MH - Prevalence MH - Psychology, Child MH - *School Health Services/st [Standards] MH - School Nursing/mt [Methods] MH - *School Nursing/st [Standards] MH - United States/ep [Epidemiology] AB - This article examines the individual components of bipolar disorder in children and the behaviors that can escalate as a result of misdiagnosis and treatment. The brain/behavior relationship in bipolar disorders can be affected by genetics, developmental failure, or environmental influences, which can cause an onset of dramatic mood swings and dysfunctional behavior. School is often the site where mental health disorders are observed when comparing behaviors with other children. Assessing the emotional, academic, and health needs of a student with a bipolar disorder is a critical step in designing effective interventions and school accommodations. Without appropriate medical, psychological, pharmaceutical, and academic interventions, a child is at risk for uncontrolled mania, depression, substance abuse, or suicide. The school nurse is part of the multidisciplinary team and plays a key role in facilitating case management to potentially reverse this possible negative trajectory. Successful case management provides children with bipolar disorder the opportunity to reach their academic potential. [References: 26] RN - 0 (Antipsychotic Agents) IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2005 Jun DC - 20050518 YR - 2005 ED - 20050715 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15898850 <288. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15898848 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Caley LM AU - Kramer C AU - Robinson LK FA - Caley, Linda M FA - Kramer, Charlotte FA - Robinson, Luther K IN - Caley,Linda M. School of Nursing, State University of New York at Buffalo, Buffalo, NY, USA. TI - Fetal alcohol spectrum disorder. [Review] [24 refs] SO - Journal of School Nursing. 21(3):139-46, 2005 Jun. AS - J Sch Nurs. 21(3):139-46, 2005 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Abnormalities, Drug-Induced/nu [Nursing] MH - Adult MH - Child MH - *Child Welfare MH - Developmental Disabilities/ci [Chemically Induced] MH - Developmental Disabilities/di [Diagnosis] MH - *Developmental Disabilities/nu [Nursing] MH - Developmental Disabilities/pc [Prevention & Control] MH - Female MH - *Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Health Education/st [Standards] MH - Humans MH - Intellectual Disability/nu [Nursing] MH - *Nurse's Role MH - Pregnancy MH - Primary Prevention/st [Standards] MH - *School Health Services/st [Standards] MH - School Nursing/ed [Education] MH - *School Nursing/st [Standards] MH - United States AB - Fetal alcohol spectrum disorder (FASD) is a serious and widespread problem in this country. Positioned within the community with links to children, families, and healthcare systems, school nurses are a critical element in the prevention and treatment of those affected by fetal alcohol spectrum disorder. Although most school nurses are familiar with fetal alcohol syndrome (FAS) and the problems it poses, they may not be familiar with the newer term, fetal alcohol spectrum disorder. This article summarizes the most recent information about FASD and recently published guidelines on diagnostic criteria for FAS. Also outlined are primary, secondary, and tertiary prevention activities school nurses can take to help assure that children, families, and communities work to prevent the problem and to treat the children affected by it. [References: 24] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2005 Jun DC - 20050518 YR - 2005 ED - 20050715 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15898848 <289. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15966359 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Griffith R FA - Griffith, Richard IN - Griffith,Richard. Centre for Philosophy, Law and Healthcare, University of Wales, Swansea. richard.griffith@swan.ac.uk TI - Health protection and age-related legislation. [Review] [13 refs] SO - British Journal of Community Nursing. 10(4):187-91, 2005 Apr. AS - Br J Community Nurs. 10(4):187-91, 2005 Apr. NJ - British journal of community nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9815827 SB - Nursing Journal CP - England MH - Adolescent MH - Child MH - *Child Welfare/lj [Legislation & Jurisprudence] MH - Child, Preschool MH - Civil Rights/lj [Legislation & Jurisprudence] MH - Community Health Nursing MH - Employment/lj [Legislation & Jurisprudence] MH - Great Britain MH - Humans MH - Infant MH - Infant, Newborn MH - Legal Guardians/lj [Legislation & Jurisprudence] MH - Sex Education/lj [Legislation & Jurisprudence] AB - Community children's nurse Debbie James has developed an innovative scheme to allow secondary school children to obtain health advice by texting her service using mobile phones. As well as general advice about spots and rubella immunization, Sister James is also receiving inquiries about children's legal rights that also have a health protection purpose, such how old a child has to be before owning a pet or have an alcoholic drink. This article looks at how the law seeks to protect children by incrementally giving them legal rights as they develop to mature adults and how legal awareness can help inform community health practitioners' advice to their child clients. [References: 13] IS - 1462-4753 IL - 1462-4753 PT - Journal Article PT - Review LG - English DP - 2005 Apr DC - 20050621 YR - 2005 ED - 20050712 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15966359 <290. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15855290 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Riley JB AU - Durbin PT AU - D'Ariano M FA - Riley, Joan Burggraf FA - Durbin, Patrick T FA - D'Ariano, Mary IN - Riley,Joan Burggraf. Georgetown University School of Nursing and Health Studies, Washington, DC, USA. TI - Under the influence: taking alcohol issues into the college classroom. SO - Health Promotion Practice. 6(2):202-6, 2005 Apr. AS - HEALTH PROMOT PRACT. 6(2):202-6, 2005 Apr. NJ - Health promotion practice PI - Journal available in: Print PI - Citation processed from: Print JC - 100890609 SB - Index Medicus CP - United States MH - *Alcoholism/pc [Prevention & Control] MH - *Curriculum MH - District of Columbia MH - *Education, Nursing MH - Harm Reduction MH - *Health Education/mt [Methods] MH - Humans MH - Student Health Services AB - Alcohol use and abuse among college students pose an enormous and unique public health problem that is associated with significant harm to students. Colleges nationwide are seeking to address student alcohol use through a variety of programs and policies. An effort at Georgetown University in Washington, D.C., combines a campus-wide dialogue on the subject with the infusion of alcohol issues into the curriculum of an undergraduate course in the School of Nursing and Health Studies. Course evaluations indicate that participants benefited from the curriculum infusion approach. Participants became aware of the health education resources available to students and the campus culture contributing to alcohol. In addition, student participants evaluated their own alcohol use, with significant modifications of alcohol consumption behaviors. IS - 1524-8399 IL - 1524-8399 PT - Journal Article LG - English DP - 2005 Apr DC - 20050427 YR - 2005 ED - 20050712 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15855290 <291. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15882365 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Savenstedt S AU - Haggstrom T FA - Savenstedt, Stefan FA - Haggstrom, Terttu IN - Savenstedt,Stefan. Department of Nursing, Umea University, Vardvetarhuset, Umea S-90187, Sweden. stefan.savenstedt@ltu.se TI - Working with girls living on the streets in East Africa: professionals' experiences. SO - Journal of Advanced Nursing. 50(5):489-97, 2005 Jun. AS - J Adv Nurs. 50(5):489-97, 2005 Jun. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adaptation, Psychological MH - Adult MH - Africa, Eastern MH - Attitude of Health Personnel MH - Attitude to Health MH - *Community Health Services/mt [Methods] MH - Counseling/mt [Methods] MH - Culture MH - Female MH - Gender Identity MH - Homeless Persons/px [Psychology] MH - *Homeless Persons MH - Humans MH - Professional-Patient Relations MH - Substance-Related Disorders/px [Psychology] MH - Trust/px [Psychology] AB - AIM: This paper reports a study elucidating the meaning of caring for girls of the street, as experienced by female staff members working with street children in Eastern Africa. AB - BACKGROUND: The phenomenon of children living on the streets is a global and escalating problem, and girls are presumed to be especially vulnerable. In East Africa, the traditional extended family system is rapidly breaking down and traditional gender values seem to remain. This was the context for investigating female carers' experience of caring for girls. AB - METHOD: Interviews were conducted with 37 project staff members working with children living on the streets in the framework of non-governmental organizations in Kenya, Uganda and Tanzania between 1997 and 1998. Transcribed text from female interviewees (n = 13) working with girls of the street was analysed using a phenomenological-hermeneutic approach. AB - FINDINGS: The meaning of caring for girls of the street for female professional carers in East Africa was comprehensively understood as counselling the girls to integrate the past of their adverse life stories with their present identity. Counselling meant conveying visions for a possible re-direction of the life stories, from being a girl of the street into being an accepted family girl. Caring in this context meant being squeezed between ethical demands and gender values. Experiencing frustration and powerlessness was related to gender structures in society, having to fight the grip of street culture, and a lack of professional tools. Hope and satisfaction were related to success in changing the course of life stories of girls and to seeing possibilities for contributing to empowerment of girls and community members. AB - CONCLUSIONS: Gender issues are critical to care provided to girls of the street. Carers felt that they lacked relevant knowledge and support. Ethical aspects and gender issues in relation to professional care for vulnerable girls ought to be addressed in nursing education and practice, not only for developing countries, but also as a matter of global interest. IS - 0309-2402 IL - 0309-2402 PT - Journal Article LG - English DP - 2005 Jun DC - 20050510 YR - 2005 ED - 20050705 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15882365 <292. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15790012 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pearlstein I FA - Pearlstein, Ivy IN - Pearlstein,Ivy. HiTOPS, Inc. TI - Evidence-based practice: A theory-based tobacco dependence treatment at an adolescent health clinic. SO - New Jersey Nurse. 35(1):15, 2005 Jan-Feb. AS - N J Nurse. 35(1):15, 2005 Jan-Feb. NJ - New Jersey nurse PI - Journal available in: Print PI - Citation processed from: Print JC - o3u, 7907163 SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Health Services/og [Organization & Administration] MH - Attitude to Health MH - Evidence-Based Medicine/og [Organization & Administration] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Psychological MH - New Jersey MH - Nurse Practitioners/og [Organization & Administration] MH - Nursing Assessment MH - Nursing Evaluation Research MH - *Patient Education as Topic/og [Organization & Administration] MH - Program Evaluation MH - Psychology, Adolescent MH - Psychology, Educational MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation MH - *Tobacco Use Disorder/nu [Nursing] MH - Tobacco Use Disorder/px [Psychology] AB - Tobacco is the leading cause of preventable death in the US. Most smokers report initiating smoking in adolescence when smoking is not perceived as a health risk. Assessment and education about the harm of tobacco use is critical to stemming the destructive behavior of smoking and avoiding lifelong addiction. This article describes a theory-based, nurse-run, adolescent-focused smoking assessment, education and intervention program. Results of the first 6 months of the program are described. IS - 0196-4895 IL - 0196-4895 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2005 Jan-Feb DC - 20050325 YR - 2005 ED - 20050512 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15790012 <293. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15708021 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Millward LJ AU - Bryan K AU - Everatt J AU - Collins R FA - Millward, Lynne J FA - Bryan, Karen FA - Everatt, John FA - Collins, Rachel IN - Millward,Lynne J. Department of Psychology, University of Surrey, Guildford, Surrey GU2 5HX, UK. l.purvis@surrey.ac.uk TI - Clinicians and dyslexia--a computer-based assessment of one of the key cognitive skills involved in drug administration. SO - International Journal of Nursing Studies. 42(3):341-53, 2005 Mar. AS - Int J Nurs Stud. 42(3):341-53, 2005 Mar. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adaptation, Psychological MH - Adolescent MH - Adult MH - Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - Cognition MH - *Diagnosis, Computer-Assisted/mt [Methods] MH - *Drug Therapy/nu [Nursing] MH - *Dyslexia/di [Diagnosis] MH - Dyslexia/pc [Prevention & Control] MH - Dyslexia/px [Psychology] MH - *Employee Performance Appraisal/mt [Methods] MH - Female MH - Humans MH - Male MH - Medication Errors/mt [Methods] MH - Medication Errors/nu [Nursing] MH - Medication Errors/px [Psychology] MH - Middle Aged MH - Models, Nursing MH - Models, Psychological MH - Needs Assessment MH - Nurses/px [Psychology] MH - Nursing Evaluation Research MH - Occupational Health MH - Paired-Associate Learning MH - Self Efficacy MH - *Self-Evaluation Programs/mt [Methods] MH - Social Support MH - Surveys and Questionnaires AB - AIMS: This research investigates the relationship between dyslexia traits and nurse performance on a laboratory task designed to assess one of the key cognitive skills involved in drug administration. The potential moderating role of perceived performance control was also assessed, based on previous work demonstrating the importance of self-belief as a facilitator of vocational success. AB - BACKGROUND: Dyslexia within the health care professions has been the subject of wide and emotionally charged debate but has not yet been scientifically examined. Those who fear clinicians with dyslexia do so because of a presumed or potential risk to patient health and safety posed by dyslexia-induced performance error (e.g. problems with drug administration). DESIGN, SAMPLE AND METHODS: 46 nurses (40 student nurses and 6 qualified nurses) volunteered to complete a battery of computerised tasks assessing for dyslexia traits (using four accuracy tasks measuring different types of literacy skill), a paired association task designed to measure one of the key cognitive skills involved in drug administration) and a self-report questionnaire (Learning Styles Questionnaire, self-reported reading difficulty and a history of educational support, perceived control over performance). The performance criterion measure was constructed after detailed job analysis (involving analysis of official documentation, in-depth interviews and field observation across a variety of clinical settings) and involved matching drug names to patient names and vice versa. AB - RESULTS: The results showed that the dyslexia indicators (objective and self-report) were significantly correlated with performance on the paired association task. Contrary to expectation however, the perceived control variable was not associated with performance. AB - CONCLUSION: The findings provide tentative support for the idea that some tasks might be problematic for the clinician with dyslexia. Taken in isolation however, it would be inappropriate to conclude that this will necessarily translate into true performance errors without taking into consideration the entire performance context. Suggestions are made for replicating and extending the study to provide a more solid and constructive basis for intervention (e.g. support measures, a built-in checking process). IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English DP - 2005 Mar DC - 20050214 YR - 2005 ED - 20050510 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15708021 <294. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15708019 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beckstead JW FA - Beckstead, Jason W IN - Beckstead,Jason W. College of Nursing, University of South Florida, 12901 Bruce B. Downs Boulervard, Tampa, FL 33612-4766, USA. jbeckste@hsc.usf.edu TI - Reporting peer wrongdoing in the healthcare profession: the role of incompetence and substance abuse information. SO - International Journal of Nursing Studies. 42(3):325-31, 2005 Mar. AS - Int J Nurs Stud. 42(3):325-31, 2005 Mar. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 OI - Source: KIE. 128775 OI - Source: NRCBL. VF 7.3 SB - Bioethics Journals SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Algorithms MH - *Attitude of Health Personnel MH - Clinical Competence/st [Standards] MH - Cues MH - Decision Trees MH - Female MH - Florida MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Likelihood Functions MH - Male MH - Models, Psychological MH - *Nurses/px [Psychology] MH - Nursing Methodology Research MH - *Peer Group MH - *Professional Impairment MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires MH - *Thinking MH - *Whistleblowing/px [Psychology] MH - Workplace/px [Psychology] KW - Bioethics and Professional Ethics; Empirical Approach AB - This article reports an analysis of the thinking processes nurses use when making decisions to report peer wrongdoing. Nurses (N=120) were asked to provide subjective probability estimates of the likelihood that they would report a hypothetical coworker for substance abuse and/or incompetence related to practice. Data were analyzed using formal inference-based recursive modeling (FIRM). Findings confirm that when considering workplace wrongdoing, nurses view working under the influence of any type of substance to be a very serious offense. More interesting, nurses combined incompetence and substance-abuse cues in complex ways, possibly due to the critical-thinking skills acquired during their education and practice. NT - 20 refs. NT - KIE Bib: fraud and misconduct; nursing ethics IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English DP - 2005 Mar DC - 20050214 YR - 2005 ED - 20050510 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15708019 <295. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15599873 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith DR AU - Wei N AU - Kang L AU - Wang RS FA - Smith, Derek R FA - Wei, Ning FA - Kang, Lin FA - Wang, Rui-Sheng IN - Smith,Derek R. Department of Hazard Assessment, National Institute of Industrial Health, 6-21-1 Nagao, Tama-Ku, Kawasaki 214-8585, Japan. smith@niih.go.jp TI - Musculoskeletal disorders among professional nurses in mainland China. SO - Journal of Professional Nursing. 20(6):390-5, 2004 Nov-Dec. AS - J Prof Nurs. 20(6):390-5, 2004 Nov-Dec. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Attitude of Health Personnel MH - China/ep [Epidemiology] MH - Female MH - Health Surveys MH - Hospitals, Teaching MH - Human Engineering MH - Humans MH - Logistic Models MH - *Musculoskeletal Diseases/ep [Epidemiology] MH - Musculoskeletal Diseases/et [Etiology] MH - Musculoskeletal Diseases/pc [Prevention & Control] MH - *Nursing Staff, Hospital/og [Organization & Administration] MH - Nursing Staff, Hospital/px [Psychology] MH - *Occupational Diseases/ep [Epidemiology] MH - Occupational Diseases/et [Etiology] MH - Occupational Diseases/pc [Prevention & Control] MH - Occupational Health MH - Prevalence MH - Risk Factors MH - Sick Leave MH - Surveys and Questionnaires MH - Work Schedule Tolerance MH - Workload AB - Although musculoskeletal disorders represent a significant occupational issue for professional nurses worldwide, few epidemiological studies have been conducted in mainland China. Therefore, we investigated 180 nurses (84.1 percent response rate) from a teaching hospital in Shijiazhuang, Hebei Province, using a previously validated, self-reporting musculoskeletal disorder survey. The overall prevalence of musculoskeletal disorders was 70.0 percent, with individual categories reported as follows: lower back (56.7 percent), neck (42.8 percent), shoulders (38.9 percent) and upper back (38.9 percent). Period pain was shown to increase the risk of musculoskeletal disorders 23.8 times (odds ratio [OR] 23.8; 95 percent confidence interval [CI], 4.3-189.1; P = .0008). Excessive mental pressure incurred a 10.5-fold risk increase (OR 10.5; 95 percent CI, 2.2-67.5; P = .0058). Interestingly, occasional consumption of alcoholic drinks reduced the risk of musculoskeletal disorders 10-fold (OR 0.1; 95 percent CI, 0.01-0.4; P = .0046), as did working in the gynecology department (OR 0.1; 95 percent CI, 0.01-0.7, P = .0240). Overall, our study showed that musculoskeletal disorders are common among nursing professionals in mainland China and represent an important occupational issue for this Asian demographic. IS - 8755-7223 IL - 8755-7223 PT - Journal Article LG - English DP - 2004 Nov-Dec DC - 20041215 YR - 2004 ED - 20050222 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15599873 <296. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15597004 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vallerand AH AU - Hasenau SM AU - Templin T FA - Vallerand, April Hazard FA - Hasenau, Susan M FA - Templin, Thomas IN - Vallerand,April Hazard. Wayne State University College of Nursing, Detroit, MI 48202, USA. April.Vallerand@wayne.edu TI - Barriers to pain management by home care nurses. SO - Home Healthcare Nurse. 22(12):831-8; quiz 839-40, 2004 Dec. AS - Home Healthc Nurse. 22(12):831-8; quiz 839-40, 2004 Dec. NJ - Home healthcare nurse PI - Journal available in: Print PI - Citation processed from: Print JC - g3c, 8403379, 8403379 SB - Nursing Journal CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - *Clinical Competence MH - *Community Health Nursing/st [Standards] MH - Female MH - Health Care Surveys MH - Health Services Needs and Demand MH - *Home Care Services/st [Standards] MH - Home Care Services/td [Trends] MH - Humans MH - Male MH - Nursing Assessment MH - Opioid-Related Disorders/di [Diagnosis] MH - Opioid-Related Disorders/nu [Nursing] MH - Pain/di [Diagnosis] MH - *Pain/dt [Drug Therapy] MH - Pain/nu [Nursing] MH - Pain Measurement/nu [Nursing] MH - *Practice Guidelines as Topic MH - Quality of Health Care MH - Risk Assessment MH - Severity of Illness Index MH - Surveys and Questionnaires AB - This study examined home care nurses' perceived barriers to pain management. Major barriers included lack of knowledge, inadequate pain assessment, and difficulty managing opioid-related side effects. Home care nurses with more knowledge about pain management had significantly lower scores on the Barriers Questionnaire. The study documented the need for continued pain management education for home care nurses. Practice implications are provided. RN - 0 (Analgesics, Opioid) IS - 0884-741X IL - 0884-741X PT - Comparative Study PT - Journal Article LG - English DP - 2004 Dec DC - 20041214 YR - 2004 ED - 20050211 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15597004 <297. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15530160 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Villar-Luis M FA - Rassool, G H FA - Villar-Luis, M IN - Rassool,G H. Department of Psychiatric Nursing & Human Sciences, University of Sao Paulo, Ribeirao Preto EERP.USP. Campus Universitao Preto, SP, Brazil. hussein@eerp.usp.br TI - Tackling drug and alcohol misuse in Brazil: priorities and challenges for nurses. [Review] [38 refs] SO - International Nursing Review. 51(4):201-7, 2004 Dec. AS - Int Nurs Rev. 51(4):201-7, 2004 Dec. NJ - International nursing review PI - Journal available in: Print PI - Citation processed from: Print JC - gtp, 7808754 SB - Index Medicus SB - Nursing Journal CP - England MH - Brazil/ep [Epidemiology] MH - Cost of Illness MH - Curriculum MH - Education, Nursing, Baccalaureate/st [Standards] MH - Health Policy MH - *Health Priorities MH - Humans MH - Needs Assessment MH - *Nurse's Role MH - Nursing Research/og [Organization & Administration] MH - Nursing Staff/ed [Education] MH - Professional Competence/st [Standards] MH - Public Health MH - Regional Medical Programs/og [Organization & Administration] MH - Research Support as Topic/og [Organization & Administration] MH - Social Support MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/rh [Rehabilitation] AB - AIMS: To provide an overview of the extent of drug and alcohol misuse in Brazil and the policies and approaches in tackling substance misuse. An examination of the challenges facing the nursing profession in working with substance misusers is presented. AB - BACKGROUND: Alcohol, cocaine, and cannabis are the most commonly misused psychoactive substances in Brazil. One of the biggest public health problems is the interface between the misuse of psychoactive substances and HIV prevalence and other sexually transmitted diseases. Findings from a recent study suggest that undergraduate nurses in Brazil are not adequately prepared in the care and management of substance misuse problems. The nursing profession in Brazil faces numerous challenges in the development of professional competence of nurses in this field. AB - CONCLUSION: A strategy proposed is the creation of regional centres in Brazil to study the integration of substance use and misuse in the nursing undergraduate curriculum and the giving of specific support in teaching and research to nurse teachers. Nurses have a key role to play in the early recognition, assessment, prevention, and treatment of substance misuse. [References: 38] IS - 0020-8132 IL - 0020-8132 PT - Journal Article PT - Review LG - English DP - 2004 Dec DC - 20041108 YR - 2004 ED - 20050110 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15530160 <298. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15263054 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Greenberg DB FA - Greenberg, Donna B IN - Greenberg,Donna B. Department of Psychiatry, Massachusetts General Hospital, Boston, 02114, USA. dgreenberg@partners.org TI - Barriers to the treatment of depression in cancer patients. [Review] [81 refs] SO - Journal of the National Cancer Institute. Monographs. (32):127-35, 2004. AS - J Natl Cancer Inst Monogr. (32):127-35, 2004. NJ - Journal of the National Cancer Institute. Monographs PI - Journal available in: Print PI - Citation processed from: Print JC - atr, 9011255 SB - Index Medicus CP - United States MH - Delivery of Health Care/og [Organization & Administration] MH - *Depressive Disorder/et [Etiology] MH - *Depressive Disorder/th [Therapy] MH - Health Services Accessibility MH - Humans MH - Leadership MH - *Neoplasms/co [Complications] MH - *Neoplasms/px [Psychology] MH - *Practice Guidelines as Topic MH - Prognosis MH - Quality of Health Care MH - Referral and Consultation MH - *Survivors/px [Psychology] AB - Major depressive disorder is a relapsing syndrome with grave morbidity and mortality. Much like asthma, it has a genetic predisposition and environmental triggers. Specific antidepressant medications alone, tested in randomized, placebo-controlled studies, show that this is a treatable condition with 65%-70% clinical response. Treatment guidelines written for psychiatric patients and patients in primary care clarify the role of medications and psychotherapy. Physicians are compelled to treat syndromes that are serious and treatable, but barriers to diagnosis and treatment of major depressive disorder in cancer patients include two major barriers to quality medical care generally: uncertainty and cost. Given uncertainty about diagnosis and treatment, cancer physicians with limited time avoid questions about emotions. Cases of depression are often missed. Mental health specialists often work in systems that are separated from oncologists by location, organization, and insurance. Most successful interventions to improve treatment of depressive disorders require multiple strategies: clinical education, enhanced role of nurses, and integrated oncology and specialist care. Recent strategies in oncology settings are reviewed. Research concepts to improve outcomes in treatment of depression include staging of depressive disorder in cancer to reveal prognosis, evaluation of depression outcomes in the context of one tumor type, new organizational models in the acute cancer setting, use of the cancer protocol, and assessment of access to care of depression in cancer survivors. Major depressive disorder in cancer is staged by positive past history, comorbid anxiety disorder or substance abuse, use of specific cancer medications that destabilize mood, and active cancer or no evidence of disease. [References: 81] IS - 1052-6773 IL - 1052-6773 PT - Journal Article PT - Review LG - English DP - 2004 DC - 20040720 YR - 2004 ED - 20050104 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15263054 <299. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15566165 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hyman Z FA - Hyman, Zena IN - Hyman,Zena. Department of Nursing, Daemen College, 4380 Main Street, Amherst, N Y 14226, USA. zhyman@daemen.edu TI - Historical interpretations of alcohol use and misuse. implications for nursing curricula. [Review] [49 refs] CM - Comment in: J Psychosoc Nurs Ment Health Serv. 2005 Jun;43(6):12-3; author reply 13; PMID: 16018128 SO - Journal of Psychosocial Nursing & Mental Health Services. 42(11):46-55, 2004 Nov. AS - J Psychosoc Nurs Ment Health Serv. 42(11):46-55, 2004 Nov. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcohol Drinking/bl [Blood] MH - Alcohol Drinking/hi [History] MH - *Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/rh [Rehabilitation] MH - Automobile Driving MH - *Curriculum MH - *Education, Nursing MH - Female MH - History, 18th Century MH - History, 19th Century MH - History, 20th Century MH - History, Ancient MH - Humans MH - Male MH - Terminology as Topic MH - United States AB - Since the 1950's, nursing schools have been encouraged to include some formal content on alcoholism in their curricula. Yet there remains on immerse disparity between the prevalence of drug and alcohol problems in our society and the required number of hour on these topics in our nursing curricula. The International Nurses Society on Addictions calls on the nursing profession to promote healthy lifestyles for "at-risk" individuals. In a historical context, this article critiques the ambivalence related to alcohol use and misuse in the United States. Within that background, pedagogy to help nursing faculty and students meet current societal and professional demands and standards regarding intervention for alcohol-related problems will be explored. The constructivist educational and caring-educative models are highlighted. [References: 49] IS - 0279-3695 IL - 0279-3695 PT - Historical Article PT - Journal Article PT - Review LG - English DP - 2004 Nov DC - 20041129 YR - 2004 ED - 20041230 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15566165 <300. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15371136 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nance DC FA - Nance, Douglas C IN - Nance,Douglas C. School of Nursing, Universidad Panamericana, Mexico City, Mexico. big_gato@hotmail.com TI - Depression, alcohol abuse, and generational differences in Mazahua women in a rural Mexican village. SO - Issues in Mental Health Nursing. 25(7):673-92, 2004 Oct-Nov. AS - Issues Ment Health Nurs. 25(7):673-92, 2004 Oct-Nov. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - Age Factors MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/eh [Ethnology] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - Clinical Nursing Research MH - Comorbidity MH - Cross-Sectional Studies MH - Depressive Disorder/ep [Epidemiology] MH - Depressive Disorder/eh [Ethnology] MH - *Depressive Disorder/nu [Nursing] MH - Depressive Disorder/px [Psychology] MH - Female MH - Humans MH - Incidence MH - Mexico MH - Middle Aged MH - *Population Groups/px [Psychology] MH - Population Groups/sn [Statistics & Numerical Data] MH - Psychiatric Nursing/ed [Education] MH - *Rural Population/sn [Statistics & Numerical Data] MH - Social Work AB - This first study of depression and alcohol abuse in indigenous women in Mexico focuses on Mazahua women in a rural village. Women between the ages of 15 and 55 were interviewed using the Beck Depression Inventory, an Alcohol and Other Drug Abuse survey, and a socioeconomic survey. Unexpected results showed that although alcohol abuse was absent, these women experience depression a generation earlier than the international and national averages for women, with an overall incidence about twice as great. Depression was associated with spouse's emigration, infidelity, or alcoholism. Sharp intergenerational differences were found in identity and socioeconomic status. IS - 0161-2840 IL - 0161-2840 PT - Journal Article LG - English DP - 2004 Oct-Nov DC - 20040916 YR - 2004 ED - 20041230 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15371136 <301. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15555485 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fillenbaum GG AU - Hanlon JT AU - Landerman LR AU - Artz MB AU - O'Connor H AU - Dowd B AU - Gross CR AU - Boult C AU - Garrard J AU - Schmader KE FA - Fillenbaum, Gerda G FA - Hanlon, Joseph T FA - Landerman, Lawrence R FA - Artz, Margaret B FA - O'Connor, Heidi FA - Dowd, Bryan FA - Gross, Cynthia R FA - Boult, Chad FA - Garrard, Judith FA - Schmader, Kenneth E IN - Fillenbaum,Gerda G. Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC 27710, USA. ggf@geri.duke.edu TI - Impact of inappropriate drug use on health services utilization among representative older community-dwelling residents. SO - American Journal of Geriatric Pharmacotherapy. 2(2):92-101, 2004 Jun. AS - Am J Geriatr Pharmacother. 2(2):92-101, 2004 Jun. NJ - The American journal of geriatric pharmacotherapy PI - Journal available in: Print PI - Citation processed from: Print JC - 101190325 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - Cohort Studies MH - Drug Interactions MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Drug Therapy/ct [Contraindications] MH - *Drug Utilization Review/mt [Methods] MH - Drug-Related Side Effects and Adverse Reactions MH - Female MH - *Health Services/sn [Statistics & Numerical Data] MH - Hospitalization MH - Humans MH - Male MH - *Medication Errors/sn [Statistics & Numerical Data] MH - Nursing Homes MH - Prospective Studies MH - Risk Factors MH - Surveys and Questionnaires AB - BACKGROUND: There is limited objective information regarding the impact of drugs identified as inappropriate by drug utilization review (DUR) or the Beers drugs-to-avoid criteria on health service use. AB - OBJECTIVE: The goal of this study was to examine the predictive validity of DUR and the Beers criteria employed to define inappropriate drug use in representative community residents, aged >or=68 years, as determined by the relationship of these criteria to health service use in older community residents. AB - METHODS: Data came from participants in the Duke University Established Populations for Epidemiologic Studies of the Elderly seen in 1989/1990 and for whom information was also available 3 years later. Two sets of inappropriate drug use criteria were examined: (1) DUR regarding dosage, duration, duplication, and drug-drug and drug-disease interactions; and (2) the Beers criteria, applied to drug use reported in an in-home interview. Outpatient visits and nursing-home entry were determined by personal report; hospitalization information came from Medicare Part A files from the Centers for Medicare and Medicaid Services. AB - RESULTS: A total of 3165 participants were available at the fourth interview in 1989/1990. The majority were aged >74 years (51.1%), white (64.8%), women (64.7%), had fair or poor health (77.0%), consistently saw the same physician (86.9%), and possessed supplemental health insurance (62.8%). Use of inappropriate drugs meeting DUR criteria, especially for drug-drug or drug-disease interaction problems, was associated with increased outpatient visits (P<0.05) but not with time to hospitalization or time to nursing home entry. The use of inappropriate drugs according to the Beers criteria was associated with reduced time to hospitalization (adjusted hazard ratio, 1.20; 95% CI, 1.04-1.39) but not to outpatient visits or nursing home entry. AB - CONCLUSIONS: Our data suggest that in representative community residents aged >or=68 years, current criteria for inappropriate drug use should be used with caution in evaluating quality of care because they have minimal impact on use of health services. We found increases only in the use of outpatient services (with DUR) and more rapid use of hospitalization (with the Beers criteria). IS - 1543-5946 IL - 1876-7761 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - K24 AI51324 (United States NIAID NIH HHS) NO - N01-AG-12102 (United States NIA NIH HHS) NO - R01-AG-14158 (United States NIA NIH HHS) NO - R01-AG-15432 (United States NIA NIH HHS) NO - R01-AG-17559 (United States NIA NIH HHS) LG - English DP - 2004 Jun DC - 20041123 YR - 2004 ED - 20041229 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15555485 <302. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15472880 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Luck S AU - Hedrick J FA - Luck, Stephanie FA - Hedrick, Jane IN - Luck,Stephanie. St. Luke's Medical Center, Milwaukee, WI 53215, USA. sluck77@yahoo.com TI - The alarming trend of substance abuse in anesthesia providers. [Review] [12 refs] SO - Journal of PeriAnesthesia Nursing. 19(5):308-11, 2004 Oct. AS - J Perianesth Nurs. 19(5):308-11, 2004 Oct. NJ - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 9610507, CKX SB - Nursing Journal CP - United States MH - Anesthesiology/ed [Education] MH - *Anesthesiology/og [Organization & Administration] MH - Attitude of Health Personnel MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Nurse Anesthetists/ed [Education] MH - *Nurse Anesthetists/og [Organization & Administration] MH - Nurse's Role MH - Occupational Health MH - Population Surveillance MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - The role of the anesthesia provider requires a high level of awareness and constant vigilance. Literature indicates, however, that the substance abuse rate in certified registered nurse anesthetists (CRNAs) and anesthesiologists has reached staggering levels. The literature also shows that there has been a change in which controlled drugs are being misused. It is imperative that perianesthesia nurses be aware of the current problem and take steps when indicated to protect both providers and patients. This article discusses the current trends of addiction in anesthesia providers, treatment, and reentry, as well as the role of the perianesthesia nurse in recognizing, reporting, and preventing substance abuse. [References: 12] IS - 1089-9472 IL - 1089-9472 PT - Journal Article PT - Review LG - English DP - 2004 Oct DC - 20041008 YR - 2004 ED - 20041119 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15472880 <303. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15253846 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Snow LA AU - Hovanec L AU - Brandt J FA - Snow, Lynn A FA - Hovanec, Linda FA - Brandt, Jason IN - Snow,Lynn A. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E.Debakey Veterans Affairs Medical Center, Houston, TX 77030, USA. asnow@bcm.tmc.edu TI - A controlled trial of aromatherapy for agitation in nursing home patients with dementia. SO - Journal of Alternative & Complementary Medicine. 10(3):431-7, 2004 Jun. AS - J Altern Complement Med. 10(3):431-7, 2004 Jun. NJ - Journal of alternative and complementary medicine (New York, N.Y.) PI - Journal available in: Print PI - Citation processed from: Print JC - 9508124, cy7 SB - Index Medicus CP - United States MH - Aged MH - *Aromatherapy/mt [Methods] MH - Dementia/co [Complications] MH - *Dementia/th [Therapy] MH - Humans MH - Nursing Homes MH - *Oils, Volatile/tu [Therapeutic Use] MH - Olfaction Disorders/et [Etiology] MH - *Plant Oils/tu [Therapeutic Use] MH - Psychomotor Agitation/pc [Prevention & Control] MH - *Psychomotor Agitation/th [Therapy] MH - Seeds MH - Smell MH - Thymus Plant MH - Time Factors MH - Treatment Outcome MH - Vitis AB - OBJECTIVES: Two controlled trials of aromatherapy to decrease agitation in persons with dementia have recently produced promising results. However, both studies combined the use of essential oils with massage. Thus, it is unclear if the effect of the aromatherapy intervention was the result of smelling or the cutaneous absorption of the oils. The purpose of this study was to determine whether smelling lavender oil decreases the frequency of agitated behaviors in patients with dementia. AB - DESIGN: The study design was within-subjects ABCBA (A = lavender oil, B = thyme oil, C = unscented grapeseed oil): 4 weeks of baseline measurement, 2 weeks for each of the five treatment conditions (10-week total intervention time), and 2 weeks of postintervention measurement. Oil was placed every 3 hours on an absorbent fabric sachet pinned near the collarbone of each participant's shirt. AB - SETTING: A long-term care facility specifically for persons with dementia. AB - PARTICIPANTS: Seven agitated nursing home residents with advanced dementia. AB - MEASUREMENTS: Agitation was assessed every 2 days using a modified Cohen-Mansfield Agitation Inventory. Olfactory functioning was assessed with structured olfactory identification and discrimination tasks, and with qualitative behavioral observation during those tasks. AB - RESULTS: Split-middle analyses conducted separately for each patient revealed no treatment effects specific to lavender, no treatment effects nonspecific to pleasant smelling substances, and no treatment effects dependent on order of treatment administration. There were no differences between participants with more and less intact olfactory abilities. AB - CONCLUSION: There is significant evidence in the neurologic and neuropsychologic literature that persons with dementia have impaired olfactory abilities. Concordant with this literature, this study found no support for the use of a purely olfactory form of aromatherapy to decrease agitation in severely demented patients. Cutaneous application of the essential oil may be necessary to achieve the effects reported in previous controlled studies.Copyright Mary Ann Liebert, Inc. RN - 0 (Oils, Volatile) RN - 0 (Plant Oils) RN - 8000-28-0 (lavender oil) IS - 1075-5535 IL - 1075-5535 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2004 Jun DC - 20040715 YR - 2004 ED - 20041119 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15253846 <304. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15450054 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruths S AU - Straand J AU - Nygaard HA AU - Bjorvatn B AU - Pallesen S FA - Ruths, Sabine FA - Straand, Jorund FA - Nygaard, Harald A FA - Bjorvatn, Bjorn FA - Pallesen, Stale IN - Ruths,Sabine. Section for Geriatric Medicine, Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway. sabine.ruths@isf.uib.no TI - Effect of antipsychotic withdrawal on behavior and sleep/wake activity in nursing home residents with dementia: a randomized, placebo-controlled, double-blinded study. The Bergen District Nursing Home Study. SO - Journal of the American Geriatrics Society. 52(10):1737-43, 2004 Oct. AS - J Am Geriatr Soc. 52(10):1737-43, 2004 Oct. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - United States MH - Aged MH - *Antipsychotic Agents/ae [Adverse Effects] MH - *Dementia/dt [Drug Therapy] MH - Double-Blind Method MH - Female MH - Humans MH - Leisure Activities MH - Male MH - Mental Disorders/ci [Chemically Induced] MH - Norway MH - Nursing Homes MH - *Sleep Wake Disorders/ci [Chemically Induced] MH - *Substance Withdrawal Syndrome AB - OBJECTIVES: To explore the effect on sleep/wake activity and on behavioral and psychological symptoms of the withdrawal of antipsychotic medications from nursing home (NH) patients with dementia. AB - DESIGN: Randomized, placebo-controlled, double-blind trial. AB - SETTING: NHs in Bergen, Norway. AB - PARTICIPANTS: Thirty patients (mean age 83.5) taking haloperidol, risperidone, or olanzapine for nonpsychotic symptoms. AB - INTERVENTION: Study participants were randomly assigned to withdrawal (intervention group) or continued treatment with antipsychotic medications (reference group) for 4 consecutive weeks. AB - MEASUREMENTS: Behavioral rating using the Neuropsychiatric Inventory Questionnaire (NPI-Q) and actigraphy. AB - RESULTS: After antipsychotic withdrawal, behavioral scores remained stable or improved in 11 of 15 patients, whereas four had worsening scores. Actigraphy revealed decreased sleep efficiency after drug discontinuation and increased 24-hour and night activity in both groups. Actigraphy records of nighttime and daytime activity indicated sleep problems and restlessness, in terms of the NPI-Q. One patient was restarted on antipsychotics. AB - CONCLUSION: Antipsychotic drug withdrawal affected activity and sleep efficiency over the short term. Increases in total activity and impaired sleep quality after drug discontinuation should be monitored, because the long-term effect of these changes is not known. The NPI-Q and actigraphy are feasible tools that disclose relevant changes occurring during antipsychotic withdrawal in NH patients with dementia. Their use in clinical practice should be substantiated by larger studies. RN - 0 (Antipsychotic Agents) IS - 0002-8614 IL - 0002-8614 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial LG - English DP - 2004 Oct DC - 20040928 YR - 2004 ED - 20041102 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15450054 <305. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15331804 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jones KR AU - Fink R AU - Pepper G AU - Hutt E AU - Vojir CP AU - Scott J AU - Clark L AU - Mellis K FA - Jones, Katherine R FA - Fink, Regina FA - Pepper, Ginny FA - Hutt, Evelyn FA - Vojir, Carol P FA - Scott, Jill FA - Clark, Lauren FA - Mellis, Karen IN - Jones,Katherine R. School of Nursing, Yale University, 100 Church St. S., Box 9740, New Haven, CT 06536-0740, USA. katherine.jones@yale.edu TI - Improving nursing home staff knowledge and attitudes about pain. SO - Gerontologist. 44(4):469-78, 2004 Aug. AS - Gerontologist. 44(4):469-78, 2004 Aug. NJ - The Gerontologist PI - Journal available in: Print PI - Citation processed from: Print JC - fp5, 0375327 SB - Index Medicus CP - United States MH - Adult MH - Analysis of Variance MH - Female MH - *Geriatrics/ed [Education] MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Health Personnel/px [Psychology] MH - Humans MH - Inservice Training MH - Linear Models MH - Male MH - Middle Aged MH - *Nursing Homes MH - *Pain/nu [Nursing] MH - *Professional Competence AB - PURPOSE: Effective pain management remains a serious problem in the nursing home setting. Barriers to achieving optimal pain practices include staff knowledge deficits, biases, and attitudes that influence assessment and management of the residents' pain. AB - DESIGN AND METHODS: Twelve nursing homes participated in this intervention study: six treatment homes and six control homes, divided evenly between urban and rural locations. Three hundred licensed and unlicensed nursing home staff members completed written knowledge and attitude surveys at baseline, and 378 staff members completed the surveys after intervention implementation. AB - RESULTS: Baseline results revealed notable knowledge deficits in the areas of pharmacology, drug addiction and dependence, side effect management, and nonpharmacologic management-strategy effectiveness. Significant differences were noted by job title (registered nurse/licensed practical nurse/certified nursing assistant). Case studies displayed a knowledge application problem, with nurses often filtering resident pain reports through observed resident behaviors. The intervention led to significant improvement in knowledge scores in some, but not all, the treatment homes. Perceived barriers to effective pain management showed a significant decline across all study nursing homes. AB - IMPLICATIONS: Knowledge deficits related to pain management persist in nursing homes. An interactive multifaceted educational program was only partially successful in improving knowledge across settings and job categories. Attitudes and beliefs appear more difficult to change, whereas environmental and contextual factors appeared to be reducing perceived barriers to effective pain management across all participating nursing homes. IS - 0016-9013 IL - 0016-9013 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - U18-HS11093 (United States AHRQ HHS) LG - English DP - 2004 Aug DC - 20040827 YR - 2004 ED - 20041021 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15331804 <306. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15323195 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kulik TB AU - Kobylecka E AU - Modzelewska T AU - Kachaniuk H AU - Stefanowicz A FA - Kulik, Teresa Bernadetta FA - Kobylecka, Elzbieta FA - Modzelewska, Teresa FA - Kachaniuk, Hanna FA - Stefanowicz, Agata IN - Kulik,Teresa Bernadetta. Interfaculty Chair and Department of Public Health, Medical University of Lublin. TI - Primary health care physicians' knowledge of prophylactics of drug abuse. SO - Annales Universitatis Mariae Curie-Sklodowska - Sectio d - Medicina. 58(2):220-6, 2003. AS - Ann Univ Mariae Curie Sklodowska [Med]. 58(2):220-6, 2003. NJ - Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina PI - Journal available in: Print PI - Citation processed from: Print JC - 69m, 0414101 SB - Index Medicus CP - Poland MH - Education, Medical, Continuing MH - Humans MH - *Physicians, Family/ed [Education] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - The purpose of the study was the evaluation of the assumptions of drug addiction prophylactics and its realization in the practice of primary health care physicians as well as determination of the possibilities of introducing changes in the training of physicians which would favour the increase and extension of knowledge in this field. The method applied in the study was a survey based on the questionnaire distributed among 410 primary health care physicians who attended up-dating courses on family medicine organized by the Institute of Rural Medicine in Lublin. The results were statistically analyzed with application of Excel Statistica Stargraf 6.0 software and the authors' own programmes. The results indicate that primary health care physician's basic and limited knowledge on drug abuse originates from university studies and it is limited to information concerning the reasons, mechanisms, medical effects and some methods of treatment. In the procedures created for the practice of primary health care physicians direct activities related to the drug abuse prophylactics are not considered but only a general health care in the region. However, indirectly the primary health care physicians and family physicians realize so called educational care in the region by cooperating with the nurses and midwives employed in the region or in so called practice of a family physician where educational packages are created, ie. prophylactics of addiction. IS - 0066-2240 IL - 0066-2240 PT - Evaluation Studies PT - Journal Article LG - English DP - 2003 DC - 20040824 YR - 2003 ED - 20041020 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=15323195 <307. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15283609 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schwab NC AU - Pohlman KJ FA - Schwab, Nadine C FA - Pohlman, Katherine J TI - Records--the Achilles' heel of school nursing: answers to bothersome questions. SO - Journal of School Nursing. 20(4):236-41, 2004 Aug. AS - J Sch Nurs. 20(4):236-41, 2004 Aug. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - *Confidentiality/lj [Legislation & Jurisprudence] MH - Government Regulation MH - Health Insurance Portability and Accountability Act MH - Humans MH - *Nursing Records/lj [Legislation & Jurisprudence] MH - School Nursing/lj [Legislation & Jurisprudence] MH - *School Nursing/og [Organization & Administration] MH - Schools/lj [Legislation & Jurisprudence] MH - *Schools/og [Organization & Administration] MH - United States AB - This article addresses practice issues related to school health records and school nursing documentation. Because the issues have been posed by practicing school nurses, the article is in Question and Answer (Q and A) format. Specifically, the questions addressed concern the following: ownership and storage location of student health records when the school nurse is contracted from a community health agency rather than employed by the school district; documentation of sensitive health information on students' health records including pregnancy, drug and alcohol abuse, mental illness, history of suicide attempt, and HIV status; inclusion of medical diagnoses and current medications on a student's Individual Educational Program (IEP); and Health Insurance Portability and Accountability Act (HIPAA)-permitted communications between school nurses and health care providers related to students' immunization status, regarding a student's treatment needs in school, and via facsimile (e.g., records of immunizations, completed physical examination forms, and medical orders). HIPAA, the Family Educational Records and Privacy Act (FERPA), and other laws are addressed as appropriate, and resources for obtaining further information are included. IS - 1059-8405 IL - 1059-8405 PT - Journal Article LG - English DP - 2004 Aug DC - 20040730 YR - 2004 ED - 20041012 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15283609 <308. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15039693 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rupp T AU - Delaney KA FA - Rupp, Timothy FA - Delaney, Kathleen A IN - Rupp,Timothy. Department of Surgery, Division of Emergency Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA. timothy.rupp@utsouthwestern.edu TI - Inadequate analgesia in emergency medicine. [Review] [102 refs] CM - Comment in: Ann Emerg Med. 2004 Apr;43(4):504-6; PMID: 15039694 SO - Annals of Emergency Medicine. 43(4):494-503, 2004 Apr. AS - Ann Emerg Med. 43(4):494-503, 2004 Apr. NJ - Annals of emergency medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - 8002646 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Abdominal Pain/di [Diagnosis] MH - Abdominal Pain/dt [Drug Therapy] MH - Acute Disease MH - Adult MH - Aged MH - Analgesia/px [Psychology] MH - Analgesics/ae [Adverse Effects] MH - *Analgesics/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - Child MH - Child, Preschool MH - Chronic Disease MH - Drug and Narcotic Control MH - Emergency Medicine/ed [Education] MH - *Emergency Medicine MH - Female MH - Humans MH - Informed Consent MH - Male MH - Mental Competency MH - *Pain/dt [Drug Therapy] MH - Pain/eh [Ethnology] MH - *Practice Patterns, Physicians' MH - Substance-Related Disorders/px [Psychology] MH - United States AB - Review of emergency department pain management practices demonstrates pain treatment inconsistency and inadequacy that extends across all demographic groups. This inconsistency and inadequacy appears to stem from a multitude of potentially remediable practical and attitudinal barriers that include (1) a lack of educational emphasis on pain management practices in nursing and medical school curricula and postgraduate training programs; (2) inadequate or nonexistent clinical quality management programs that evaluate pain management; (3) a paucity of rigorous studies of populations with special needs that improve pain management in the emergency department, particularly in geriatric and pediatric patients; (4) clinicians' attitudes toward opioid analgesics that result in inappropriate diagnosis of drug-seeking behavior and inappropriate concern about addiction, even in patients who have obvious acutely painful conditions and request pain relief; (5) inappropriate concerns about the safety of opioids compared with nonsteroidal anti-inflammatory drugs that result in their underuse (opiophobia); (6) unappreciated cultural and sex differences in pain reporting by patients and interpretation of pain reporting by providers; and (7) bias and disbelief of pain reporting according to racial and ethnic stereotyping. This article reviews the literature that describes the prevalence and roots of oligoanalgesia in emergency medicine. It also discusses the regulatory efforts to address the problem and their effect on attitudes within the legal community. [References: 102] RN - 0 (Analgesics) ES - 1097-6760 IL - 0196-0644 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2004 Apr DC - 20040324 YR - 2004 ED - 20040922 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15039693 <309. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15326817 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sharma RR FA - Sharma, R R IN - Sharma,R R. DTC (H&FW) Bhilwara, Rajasthan. TI - Knowledge of psycho active substance use; disorders among college students. SO - Nursing Journal of India. 92(2):29-30, 2001 Feb. AS - Nurs J India. 92(2):29-30, 2001 Feb. NJ - The Nursing journal of India PI - Journal available in: Print PI - Citation processed from: Print JC - o97, 0376403 SB - Nursing Journal CP - India MH - Adult MH - *Attitude to Health MH - Education, Nursing/st [Standards] MH - Educational Measurement MH - Female MH - Health Education/st [Standards] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - India/ep [Epidemiology] MH - Male MH - Mass Media MH - Needs Assessment MH - *Psychotropic Drugs/ae [Adverse Effects] MH - Socioeconomic Factors MH - *Students/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - *Universities RN - 0 (Psychotropic Drugs) IS - 0029-6503 IL - 0029-6503 PT - Comparative Study PT - Journal Article LG - English DP - 2001 Feb DC - 20040825 YR - 2001 ED - 20040916 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=15326817 <310. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15295916 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lennihan B FA - Lennihan, Begabati IN - Lennihan,Begabati. Teleosis School of Homeopathy, Cambridge, MA 02140, USA. begabati@theworld.com TI - Homeopathy: natural mind-body healing. [Review] [25 refs] SO - Journal of Psychosocial Nursing & Mental Health Services. 42(7):30-40, 2004 Jul. AS - J Psychosoc Nurs Ment Health Serv. 42(7):30-40, 2004 Jul. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Evidence-Based Medicine MH - Homeopathy/mt [Methods] MH - Homeopathy/st [Standards] MH - *Homeopathy MH - Humans MH - *Mental Disorders/dt [Drug Therapy] MH - Mental Disorders/nu [Nursing] MH - *Mind-Body Relations, Metaphysical MH - *Nonprescription Drugs/tu [Therapeutic Use] MH - Nurse's Role MH - Plants, Medicinal MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/st [Standards] MH - *Psychiatric Nursing MH - Self Medication AB - 1. Homeopathy is an accepted form of health care in many countries worldwide. 2. Homeopathy is deeply healing, yet does so without causing side effects, tolerance, or addiction problems. 3. Homeopathic remedies are available over the counter in health food stores and some pharmacies. 4. Homeopathy is distinct from herbal medicine and does not interact with conventional treatments. [References: 25] RN - 0 (Nonprescription Drugs) IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Review LG - English DP - 2004 Jul DC - 20040805 YR - 2004 ED - 20040826 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15295916 <311. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15237789 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cook LJ FA - Cook, Linda J IN - Cook,Linda J. Department of Nursing, Bloomsburg University, Pennsylvania 17815, USA. lcook@bloomu.edu TI - Educating women about the hidden dangers of alcohol. [Review] [20 refs] SO - Journal of Psychosocial Nursing & Mental Health Services. 42(6):24-31, 2004 Jun. AS - J Psychosoc Nurs Ment Health Serv. 42(6):24-31, 2004 Jun. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol Drinking MH - Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism MH - Attitude to Health MH - Behavior, Addictive/nu [Nursing] MH - Body Composition MH - Female MH - Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Health Education/st [Standards] MH - *Health Education MH - Humans MH - Infant, Newborn MH - Male MH - Nurse's Role MH - *Nurse-Patient Relations MH - Pregnancy MH - Psychiatric Nursing/mt [Methods] MH - *Psychiatric Nursing/st [Standards] MH - Risk Factors MH - Sex Factors MH - United States MH - *Women's Health AB - 1. There is mounting research evidence that alcohol use and abuse affects women much differently than men. 2. Research indicates that women absorb and metabolize alcohol differently than men, partly due to body composition differences and the production of less gastric alcohol dehydrogenase by women. 3. Women of child-bearing age who engage in binge drinking are at increased risk of bearing children with fetal alcohol syndrome or alcohol-related neurological deficits. 4. Psychiatric nurses are often in the position to provide education and counseling to women regarding the hidden dangers of alcohol use and abuse. [References: 20] IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Review LG - English DP - 2004 Jun DC - 20040707 YR - 2004 ED - 20040812 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15237789 <312. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15156968 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kenna GA AU - Wood MD FA - Kenna, George A FA - Wood, Mark D IN - Kenna,George A. Department of Psychiatry and Human Behavior, Brown University Medical School, Providence, RI, USA. george_kenna@brown.edu TI - Substance use by pharmacy and nursing practitioners and students in a northeastern state. SO - American Journal of Health-System Pharmacy. 61(9):921-30, 2004 May 1. AS - Am J Health-Syst Pharm. 61(9):921-30, 2004 May 1. NJ - American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists PI - Journal available in: Print PI - Citation processed from: Print JC - 9503023, cbh SB - Index Medicus CP - United States MH - Humans MH - New England/ep [Epidemiology] MH - *Nurses MH - *Pharmacists MH - *Professional Impairment MH - *Students MH - *Substance-Related Disorders/ep [Epidemiology] AB - PURPOSE: The prevalence and predictors of substance use among pharmacists and nurses and pharmacy and nursing students were studied. AB - METHODS: During summer 2002, pharmacists and nurses in a northeastern state were mailed an anonymous survey to determine their use of alcohol, tobacco, and commonly abused drugs; to determine their ease of access to controlled substances; and to measure their family history of alcohol and drug problems. A similar but not identical survey was distributed to pharmacy and nursing students during spring 2000. AB - RESULTS: A total of 262 usable questionnaires were received from pharmacists and nurses (response rate, 72.8%), and 138 usable questionnaires were received from students (35.3%). Large majorities of nursing students, pharmacy students, and nurses were women. A higher percentage of pharmacists reported having used an opioid or an anxiolytic at least once in their lives (24.8% and 14.3%, respectively) than nurses (14.5% and 7.8%). Higher percentages of nursing students and nurses reported having ever used an unprescribed drug (74.5% of nursing students and 63.6% of nurses). AB - CONCLUSION: A survey of pharmacy and nursing practitioners and students in a northeastern state provided important information on alcohol, tobacco, and illicit drug use among these groups and highlighted the need for prevention and intervention. IS - 1079-2082 IL - 1079-2082 PT - Journal Article LG - English DP - 2004 May 1 DC - 20040525 YR - 2004 ED - 20040812 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15156968 <313. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15149457 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nkowane AM AU - Saxena S FA - Nkowane, Annette M FA - Saxena, Shekhar IN - Nkowane,Annette M. Department of Mental Health and Substance Dependence, World Health Organization, Geneva, Switzerland. nkowanemwansa@who.int TI - Opportunities for an improved role for nurses in psychoactive substance use: review of the literature. [Review] [77 refs] SO - International Journal of Nursing Practice. 10(3):102-10, 2004 Jun. AS - Int J Nurs Pract. 10(3):102-10, 2004 Jun. NJ - International journal of nursing practice PI - Journal available in: Print PI - Citation processed from: Print JC - CVU, 9613615 SB - Nursing Journal CP - Australia MH - Clinical Competence/st [Standards] MH - Community Health Nursing/ed [Education] MH - Community Health Nursing/og [Organization & Administration] MH - Diagnosis, Dual (Psychiatry) MH - Humans MH - *Nurse's Role MH - Nursing Evaluation Research MH - Primary Prevention MH - Professional Autonomy MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/og [Organization & Administration] MH - *Psychotropic Drugs/ae [Adverse Effects] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - Nurses form a core component of many health care systems so their role in responding to problems related to psychoactive substance use is crucial. They are often under-utilized, mainly because of anxieties concerning role adequacy, legitimacy, lack of support and failure to implement interventions in a variety of settings. Nurses have unique opportunities through interactions they have with young people, families and significant others. Training and career preparation should encompass development of innovative strategies, taking a leading role in management of substance use patients, involvement in the treatment of the homeless mentally ill, HIV-infected individuals and persons with dual disorders of mental health and substance use. Future directions should focus on developing skills for critical thinking, preventive and therapeutic interventions, clinical judgement, effective organizational capacity and team work. Barriers such as scope of practice, authority, ethical and legal issues surrounding health care for substance use need to be addressed. [References: 77] RN - 0 (Psychotropic Drugs) IS - 1322-7114 IL - 1322-7114 PT - Journal Article PT - Review LG - English DP - 2004 Jun DC - 20040519 YR - 2004 ED - 20040810 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15149457 <314. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15140463 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yates P AU - Edwards H AU - Nash R AU - Aranda S AU - Purdie D AU - Najman J AU - Skerman H AU - Walsh A FA - Yates, Patsy FA - Edwards, Helen FA - Nash, Robyn FA - Aranda, Sanchia FA - Purdie, David FA - Najman, Jake FA - Skerman, Helen FA - Walsh, Anne IN - Yates,Patsy. Center for Health Research, Queensland University of Technology, Kelvin Grove Campus, Victoria Park Road, Kelvin Grove, Brisbane 4059, Australia. p.yates@qut.edu.au TI - A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. CM - Comment in: Evid Based Nurs. 2005 Jan;8(1):17; PMID: 15688491 SO - Patient Education & Counseling. 53(2):227-37, 2004 May. AS - Patient Educ Couns. 53(2):227-37, 2004 May. NJ - Patient education and counseling PI - Journal available in: Print PI - Citation processed from: Print JC - pec, 8406280 SB - Nursing Journal CP - Ireland MH - Adult MH - Aged MH - Aged, 80 and over MH - *Ambulatory Care/mt [Methods] MH - Attitude to Health MH - Causality MH - Educational Status MH - Female MH - Follow-Up Studies MH - Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Models, Psychological MH - *Neoplasms/co [Complications] MH - *Nurse's Role MH - Nursing Evaluation Research MH - Pain/di [Diagnosis] MH - Pain/et [Etiology] MH - *Pain/pc [Prevention & Control] MH - Pain/px [Psychology] MH - Pain Measurement MH - *Patient Education as Topic/mt [Methods] MH - Program Evaluation MH - *Self Care/mt [Methods] MH - Self Care/px [Psychology] AB - The persistence of negative attitudes towards cancer pain and its treatment suggests there is scope for identifying more effective pain education strategies. This randomized controlled trial involving 189 ambulatory cancer patients evaluated an educational intervention that aimed to optimize patients' ability to manage pain. One week post-intervention, patients receiving the pain management intervention (PMI) had a significantly greater increase in self-reported pain knowledge, perceived control over pain, and number of pain treatments recommended. Intervention group patients also demonstrated a greater reduction in willingness to tolerate pain, concerns about addiction and side effects, being a "good" patient, and tolerance to pain relieving medication. The results suggest that targeted educational interventions that utilize individualized instructional techniques may alter cancer patient attitudes, which can potentially act as barriers to effective pain management. IS - 0738-3991 IL - 0738-3991 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2004 May DC - 20040513 YR - 2004 ED - 20040810 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15140463 <315. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15202314 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Licanin I AU - Laslo E AU - Kelly KB AU - Lagerkvist B AU - Fisekovic S FA - Licanin, Ifeta FA - Laslo, Erdes FA - Kelly, Kristina-Berg FA - Lagerkvist, Bengt FA - Fisekovic, Saida IN - Licanin,Ifeta. Clinic for Psychiatry, Clinical Centre of Sarajevo. TI - Comparing youth health in Sweden and Bosnia. SO - Medicinski Arhiv. 58(2):91-2, 2004. AS - Med Arh. 58(2):91-2, 2004. NJ - Medicinski arhiv PI - Journal available in: Print PI - Citation processed from: Print JC - lny, 0400722, 101635337 SB - Index Medicus CP - Bosnia and Herzegovina MH - Adolescent MH - *Adolescent Behavior MH - Alcohol Drinking/ep [Epidemiology] MH - Bosnia and Herzegovina/ep [Epidemiology] MH - Child MH - Female MH - *Health Behavior MH - *Health Status MH - Humans MH - Male MH - *Psychology, Adolescent MH - Smoking/ep [Epidemiology] MH - Socioeconomic Factors MH - Stress, Psychological/ep [Epidemiology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - Sweden/ep [Epidemiology] AB - The Adolescence Medical Group in Sweden has performed a questionnaire every second year since 1990. The questionnaire is performed during school hours in seventh and ninth grade and also in the second grade in the upper secondary school (gymnasium). The questionnaire is completed anonymously. The schools are not chosen by statistical methods, but more depending on youth-health-iterested school doctors and nurses who have interest in these studies. The result of these studies has been used locally in each community, but also been reported for example i Acta Pediatrica. After the war in Bosnia there has been different projects to help to build up the countries health system, for example in psychiatry. The question was laso raised how the youth health was in Bosnia. Representatives from the Adolescence section in Sweden were invited to Bosnia to introduce the questionnaire and also to help in analysing the results. We were also in Bosnia to present results to local authorities and those who performed the study locally. IL - 0350-199X PT - Comparative Study PT - Journal Article LG - English DP - 2004 DC - 20040618 YR - 2004 ED - 20040729 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15202314 <316. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15187616 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA AU - Richardson H AU - Morton K FA - Naegle, Madeline A FA - Richardson, Hila FA - Morton, Kathy IN - Naegle,Madeline A. New York University, New York City, USA. TI - Rehab instead of prison: drug courts provide opportunities for nurse practitioners. SO - American Journal of Nursing. 104(6):58-61, 2004 Jun. AS - Am. j. nurs.. 104(6):58-61, 2004 Jun. NJ - The American journal of nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 3mw, 0372646 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Case Management MH - Criminal Law MH - Education, Nursing MH - Female MH - Humans MH - Infant MH - Male MH - Middle Aged MH - New York City MH - Nurse Practitioners/og [Organization & Administration] MH - *Nurse Practitioners MH - *Nurse's Role MH - Pregnancy MH - Prisons/ut [Utilization] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance Abuse Treatment Centers/ut [Utilization] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0002-936X IL - 0002-936X PT - Case Reports PT - Journal Article LG - English DP - 2004 Jun DC - 20040609 YR - 2004 ED - 20040701 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15187616 <317. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15152718 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruff JM AU - Gerding G AU - Hong O FA - Ruff, Jill M FA - Gerding, Gail FA - Hong, OiSaeng IN - Ruff,Jill M. University of Michigan, Ann Arbor, MI, USA. TI - Workplace violence against K-12 teachers: implementation of preventive programs. SO - AAOHN Journal. 52(5):204-9, 2004 May. AS - AAOHN J. 52(5):204-9, 2004 May. NJ - AAOHN journal : official journal of the American Association of Occupational Health Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 8608669, aa0 SB - Nursing Journal CP - United States MH - Adolescent MH - Child MH - Community-Institutional Relations MH - *Faculty MH - Family/px [Psychology] MH - Humans MH - Nurse's Role MH - *Occupational Health MH - *Occupational Health Nursing/og [Organization & Administration] MH - *Program Development MH - *School Health Services/og [Organization & Administration] MH - *Schools MH - United States MH - *Violence/pc [Prevention & Control] MH - Workplace/px [Psychology] MH - Workplace/st [Standards] AB - Decreasing both workplace and school violence needs to be a priority of individuals, families, communities, and workplaces for the effort to be successful. Key factors associated with school and workplace violence such as parental influences, school staff and police involvement, peer pressure, student influences such as drug and alcohol abuse and a preoccupation with weapons, and the mass media have all been identified as possible factors associated with violence against teachers. In addition, individual student characteristics such as gender, socioeconomic status, and a history of prior violence may play a role. However, none of these factors can be identified or singled out as the reason for violence. Violence against teachers occurs as a result of a combination of these factors. Understanding how these factors interact should be a goal of every community and school. Occupational health nurses have the unique opportunity to partner with communities, school nurses, and the school system to develop effective violence prevention programs. Working in schools is an area of expansion for occupational health nurses. They have the expertise to perform worksite assessments and to identify key areas of weakness throughout the facility. Their expertise in reviewing and analyzing workplace injury data and developing cost effectiveness analysis for proposed interventions is unique. Occupational health nurses also have the skills to network with school officials and other key stakeholders to develop interventions to impact the substantial implications of violence in the schools. IS - 0891-0162 IL - 0891-0162 PT - Journal Article LG - English DP - 2004 May DC - 20040521 YR - 2004 ED - 20040618 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15152718 <318. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15095545 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yu W AU - Wagner TH AU - Chen S AU - Barnett PG FA - Yu, Wei FA - Wagner, Todd H FA - Chen, Shuo FA - Barnett, Paul G IN - Yu,Wei. VA HSR&D Health Economics Resource Center, Stanford University, USA. TI - Average cost of VA rehabilitation, mental health, and long-term hospital stays. SO - Medical Care Research & Review. 60(3 Suppl):40S-53S, 2003 Sep. AS - Med Care Res Rev. 60(3 Suppl):40S-53S, 2003 Sep. NJ - Medical care research and review : MCRR PI - Journal available in: Print PI - Citation processed from: Print JC - 9506850 SB - Index Medicus CP - United States MH - Blindness/ec [Economics] MH - Blindness/rh [Rehabilitation] MH - Budgets MH - Data Interpretation, Statistical MH - Databases, Factual MH - Episode of Care MH - Health Services Research MH - Home Care Services/ec [Economics] MH - Home Care Services/ut [Utilization] MH - *Hospital Costs/sn [Statistics & Numerical Data] MH - Hospital Costs/ut [Utilization] MH - *Hospitals, Veterans/ec [Economics] MH - Hospitals, Veterans/ut [Utilization] MH - Humans MH - Intermediate Care Facilities/ec [Economics] MH - Intermediate Care Facilities/ut [Utilization] MH - Length of Stay/ec [Economics] MH - *Long-Term Care/ec [Economics] MH - Long-Term Care/ut [Utilization] MH - Mental Disorders/ec [Economics] MH - Mental Disorders/rh [Rehabilitation] MH - *Mental Health Services/ec [Economics] MH - Mental Health Services/ut [Utilization] MH - Nursing Homes/ec [Economics] MH - Nursing Homes/ut [Utilization] MH - Regression Analysis MH - *Rehabilitation/ec [Economics] MH - Residential Treatment/ec [Economics] MH - Spinal Cord Injuries/ec [Economics] MH - Spinal Cord Injuries/rh [Rehabilitation] MH - Substance-Related Disorders/ec [Economics] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States MH - *United States Department of Veterans Affairs/ec [Economics] MH - United States Department of Veterans Affairs/ut [Utilization] AB - This article describes the development of a database for the cost of inpatient rehabilitation, mental health, and long-term care stays in the Department of Veterans Affairs from fiscal year 1998 forward. Using "bedsection," which is analogous to a hospital ward, the authors categorize inpatient services into nine categories: rehabilitation, blind rehabilitation, spinal cord injury, psychiatry, substance abuse, intermediate medicine, domiciliary, psychosocial residential rehabilitation, and nursing home. For each of the nine categories, they estimated a national and a local (i.e., medical center) average per diem cost. The nursing home average per diem costs were adjusted for case mix using patient assessment information. Encounter-level costs were then calculated by multiplying the average per diem cost by the number of days of stay in the fiscal year. The national cost estimates are more reliable than the local cost estimates. IS - 1077-5587 IL - 1077-5587 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 2003 Sep DC - 20040420 YR - 2003 ED - 20040526 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=15095545 <319. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15073590 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wewers ME AU - Kidd K AU - Armbruster D AU - Sarna L FA - Wewers, Mary Ellen FA - Kidd, Kellie FA - Armbruster, Debra FA - Sarna, Linda IN - Wewers,Mary Ellen. Ohio State University College of Nursing, Columbus, USA. wewers.1@osu.edu TI - Tobacco dependence curricula in U.S. baccalaureate and graduate nursing education. SO - Nursing Outlook. 52(2):95-101, 2004 Mar-Apr. AS - Nurs Outlook. 52(2):95-101, 2004 Mar-Apr. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Print JC - o9h, 0401075 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Cross-Sectional Studies MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - Humans MH - Smoking MH - Smoking Cessation MH - Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder MH - United States IS - 0029-6554 IL - 0029-6554 PT - Journal Article LG - English DP - 2004 Mar-Apr DC - 20040409 YR - 2004 ED - 20040525 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15073590 <320. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15029927 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McKay A AU - Koranda A AU - Axen D FA - McKay, Ann FA - Koranda, Ann FA - Axen, Dianne IN - McKay,Ann. Mayo Medical Center, Rochester, MN, USA. TI - Using a symptom-triggered approach to manage patients in acute alcohol withdrawal. [Review] [23 refs] SO - MEDSURG Nursing. 13(1):15-20, 31; quiz 21, 2004 Feb. AS - Medsurg Nurs. 13(1):15-20, 31; quiz 21, 2004 Feb. NJ - Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - btm, 9300545 SB - Nursing Journal CP - United States MH - Alcohol Withdrawal Delirium/et [Etiology] MH - Alcohol-Induced Disorders/et [Etiology] MH - *Alcohol-Induced Disorders/pp [Physiopathology] MH - *Ethanol/ae [Adverse Effects] MH - Humans MH - *Substance Withdrawal Syndrome/et [Etiology] MH - Substance Withdrawal Syndrome/pp [Physiopathology] AB - Nurses working in the medical-surgical setting routinely care for patients experiencing acute alcohol withdrawal. Symptom-triggered therapy using the revised Clinical Institute Withdrawal Assessment (CIWA-Ar) (Sullivan, Sykora, Schneiderman, Naranjo, & Sellers, 1989) is currently recommended. Scoring patient symptoms using the CIWA-Ar and educating staff nurses are keys to providing consistent management of a patient in acute alcohol withdrawal. [References: 23] RN - 3K9958V90M (Ethanol) IS - 1092-0811 IL - 1092-0811 PT - Journal Article PT - Review LG - English DP - 2004 Feb DC - 20040319 YR - 2004 ED - 20040511 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15029927 <321. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14984618 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tarzian AJ AU - Hoffmann DE FA - Tarzian, Anita J FA - Hoffmann, Diane E IN - Tarzian,Anita J. University of Maryland School of Law, Baltimore, Maryland, USA. atarzian@law.umaryland.edu TI - Barriers to managing pain in the nursing home: findings from a statewide survey. CM - Comment in: J Am Med Dir Assoc. 2004 Mar-Apr;5(2):133-4; PMID: 14984625 SO - Journal of the American Medical Directors Association. 5(2):82-8, 2004 Mar-Apr. AS - J AM MED DIR ASSOC. 5(2):82-8, 2004 Mar-Apr. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print PI - Citation processed from: Print JC - 100893243 SB - Index Medicus CP - United States MH - Analgesia/mt [Methods] MH - Analgesia/sn [Statistics & Numerical Data] MH - Attitude of Health Personnel MH - Connecticut MH - Health Care Surveys MH - Humans MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Pain Management MH - Physician Executives/sn [Statistics & Numerical Data] MH - Practice Guidelines as Topic MH - *Quality of Health Care/sn [Statistics & Numerical Data] MH - Staff Development/sn [Statistics & Numerical Data] AB - OBJECTIVES: The objective of this study was to identify pain management demographics, perceived resources, and perceived barriers to adequately manage pain in the nursing home setting. AB - DESIGN: Mailed survey. AB - SETTING: All licensed Connecticut nursing homes. AB - PARTICIPANTS: Directors of Nursing (DONs). AB - MEASUREMENTS: Survey eliciting pain management demographics, perceived resources, and perceived barriers to adequately manage pain in respondents' nursing home. AB - RESULTS: A total of 113 of 260 DONs (43%) responded to the survey. Respondents believed pain was suboptimally managed, particularly for residents with malignant and nonmalignant chronic pain. Perceived barriers to providing adequate pain management included lack of knowledge about pain management among nurses and physicians, lack of a standardized approach to treating pain, physicians' personal attitudes toward treating pain (eg, fear of addiction or overdose), lack of diagnostic precision in treating pain, and difficulty in choosing the right analgesic. Other barriers are also discussed, including low hospice enrollment of nursing home residents. AB - CONCLUSION: Improving pain management in nursing homes requires improving provider knowledge and attitudes, enhancing diagnostic precision, standardizing pain treatment, and achieving an institutional commitment. Although responding DONs seemed aware of the need for improved pain management outcomes at their facilities, the required institutional commitment to accomplish this was not evidenced by these findings. IS - 1525-8610 IL - 1525-8610 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2004 Mar-Apr DC - 20040226 YR - 2004 ED - 20040511 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14984618 <322. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14986289 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Earlywine A FA - Earlywine, Andrea TI - Examining the relationships of addiction and beliefs of nursing students towards persons with alcohol problems. CM - Comment on: Arch Psychiatr Nurs. 2003 Aug;17(4):156-64; PMID: 14508771 SO - Archives of Psychiatric Nursing. 18(1):35, 2004 Feb. AS - Arch Psychiatr Nurs. 18(1):35, 2004 Feb. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcoholism MH - *Attitude of Health Personnel MH - *Attitude to Health MH - *Behavior, Addictive MH - *Culture MH - Humans MH - *Students, Nursing IS - 0883-9417 IL - 0883-9417 PT - Comment PT - Letter LG - English DP - 2004 Feb DC - 20040226 YR - 2004 ED - 20040430 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14986289 <323. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15061445 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heath J AU - Andrews J AU - Balkstra CR FA - Heath, Janie FA - Andrews, Jeannette FA - Balkstra, Cindy R IN - Heath,Janie. School of Nursing and Health Studies, Georgetown University, Washington, DC, USA. ejh@georgetown.edu TI - Potential reduction exposure products and FDA tobacco and regulation: a CNS call to action. [Review] [47 refs] SO - Clinical Nurse Specialist. 18(1):40-8; quiz 49-50, 2004 Jan-Feb. AS - Clin Nurse Spec. 18(1):40-8; quiz 49-50, 2004 Jan-Feb. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Print JC - cll, 8709115 SB - Nursing Journal CP - United States MH - Candy MH - Drug Delivery Systems MH - Ganglionic Stimulants/ad [Administration & Dosage] MH - *Government Regulation MH - *Harm Reduction MH - Humans MH - Lobbying MH - Nicotine/ad [Administration & Dosage] MH - Nurse Clinicians/ed [Education] MH - *Nurse Clinicians/og [Organization & Administration] MH - Nurse's Role MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Industry/og [Organization & Administration] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - Tobacco, Smokeless MH - United States MH - *United States Food and Drug Administration/og [Organization & Administration] AB - A new generation of tobacco harm reduction products is stirring controversy and confusion among healthcare providers. These products, known as "potential reduction exposure products" (PREPs), can be described in terms of reported scientific evidence, as "the good, the bad, and the ugly." On the good side, there is sufficient scientific evidence to support the use of Commit, a new over-the-counter nicotine lozenge PREP, approved for smoking cessation. On the bad side, there is no scientific evidence to support the use of Ariva, another over-the-counter nicotine lozenge PREP, marketed as an alternative to cigarettes when smoking is restricted. On the ugly side, both of these PREPs are nicotine delivery systems with "candy-like" appearances; however, one (Commit) has the Food and Drug Administration (FDA) approval and the other (Ariva) does not. This article provides an overview of PREPs and strategies to help clinical nurse specialists (CNSs) address tobacco harm reduction issues. [References: 47] RN - 0 (Ganglionic Stimulants) RN - 6M3C89ZY6R (Nicotine) IS - 0887-6274 IL - 0887-6274 PT - Journal Article PT - Review LG - English DP - 2004 Jan-Feb DC - 20040405 YR - 2004 ED - 20040428 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15061445 <324. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14769459 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baron-Epel O AU - Josephsohn K AU - Ehrenfeld M FA - Baron-Epel, Orna FA - Josephsohn, Karen FA - Ehrenfeld, Mali IN - Baron-Epel,Orna. The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Studies, University of Haifa, Mount Carmel 31095, Israel. ornaepel@research.haifa.ac.il TI - Nursing students' perceptions of smoking prevention. SO - Nurse Education Today. 24(2):145-51, 2004 Feb. AS - Nurse Educ Today. 24(2):145-51, 2004 Feb. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - Attitude of Health Personnel MH - Ethics, Nursing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Israel/ep [Epidemiology] MH - Male MH - Nurse's Role MH - Nursing Education Research MH - Prevalence MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Social Perception MH - *Students, Nursing/sn [Statistics & Numerical Data] AB - Smoking behaviors of student nurses may have a profound effect on the implementation of smoking-prevention activities in the future, as they are the future nurses. The aim of the study was to evaluate the prevalence of smoking among student nurses in Israel and to identify factors associated with the students' attitude to their role in smoking prevention and to nurses as role models regarding smoking. Student nurses from three large academic schools (782 respondents) answered a self-administered questionnaire. About 22% reported being current smokers. The latter more frequently reported positive attitudes to nurses' smoking and saw no ethical problems in their smoking. Smokers also reported less frequently that nurses should be active in smoking prevention. In a logistic regression model, attitudes to nurses' role in smoking prevention, smoking status, and having friends who smoked were associated with the attitude to nurses as role models. Attitude to nurses as role models was the main variable explaining variance in attitudes to nurses' role in prevention. Smoking status and students' social environment exerted a marked influence on students' attitudes to smoking role modeling. A more holistic approach to student nurses' education about smoking prevention is called for. IS - 0260-6917 IL - 0260-6917 PT - Journal Article LG - English DP - 2004 Feb DC - 20040210 YR - 2004 ED - 20040422 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14769459 <325. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14765087 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson CE FA - Wilson, Claudia E IN - Wilson,Claudia E. sweetbayqi@yahoo.com TI - Raising college students' alcohol awareness: a successful program at the University of Virginia. SO - Journal of Emergency Nursing. 30(1):64-7, 2004 Feb. AS - J Emerg Nurs. 30(1):64-7, 2004 Feb. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 7605913 SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - *Alcoholic Intoxication/pc [Prevention & Control] MH - Curriculum MH - Education, Nursing/og [Organization & Administration] MH - *Health Education/og [Organization & Administration] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Peer Group MH - *Program Development/mt [Methods] MH - *Student Health Services/og [Organization & Administration] MH - *Students MH - Virginia IS - 0099-1767 IL - 0099-1767 PT - Journal Article LG - English DP - 2004 Feb DC - 20040206 YR - 2004 ED - 20040422 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14765087 <326. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14734961 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schiffman RF FA - Schiffman, Rachel F IN - Schiffman,Rachel F. University of Wisconsin-Milwaukee, College of Nursing, University of Wisconsin-MIlwaukee, Milwaukee, WI 53201, USA. schiffma@uwm.edu TI - Drug and substance use in adolescents. [Review] [28 refs] SO - MCN, American Journal of Maternal Child Nursing. 29(1):21-7; quiz 28-9, 2004 Jan-Feb. AS - MCN Am J Matern Child Nurs. 29(1):21-7; quiz 28-9, 2004 Jan-Feb. NJ - MCN. The American journal of maternal child nursing PI - Journal available in: Print PI - Citation processed from: Print JC - ma3, 7605941 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - Humans MH - *Maternal-Child Nursing/mt [Methods] MH - Nursing Assessment/mt [Methods] MH - Prevalence MH - Risk Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - This article provides an overview of adolescent drug and substance use, and includes prevalence and trends, commonly occurring comorbid conditions, clinical manifestations of drug and substance use, and evidence-based prevention and treatment principles. Risk and protective factors in five domains are also discussed in this article to provide guidance for assessment and care planning. A detailed table of the most prevalent drugs used by adolescents, including the drug's street names and the clinical manifestations of each drug's use, is offered to assist nurses in understanding their adolescent patients' language and to aid in teaching. Nurses are in varied and ideal positions to begin early screening (and to include families, peers, and other important influences in the adolescent's life), to provide continuity of care, and to advocate in the policy arena for development and funding of comprehensive and efficacious programs to help prevent or treat substance use in adolescents. [References: 28] IS - 0361-929X IL - 0361-929X PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review LG - English DP - 2004 Jan-Feb DC - 20040121 YR - 2004 ED - 20040422 RD - 20071029 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14734961 <327. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15008686 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Watt CA AU - Carosella AM AU - Podgorski C AU - Ossip-Klein DJ FA - Watt, Celia A FA - Carosella, Ann Marie FA - Podgorski, Carol FA - Ossip-Klein, Deborah J IN - Watt,Celia A. Department of Health Science, State University of New York-Brockport, Brockport, NY 14420-2914, USA. cwatt@brockport.edu TI - Attitudes toward giving smoking cessation advice among nursing staff at a long-term residential care facility. SO - Psychology of Addictive Behaviors. 18(1):56-63, 2004 Mar. AS - Psychol Addict Behav. 18(1):56-63, 2004 Mar. NJ - Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors PI - Journal available in: Print PI - Citation processed from: Print JC - dlk, 8802734 SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Female MH - Humans MH - Long-Term Care MH - Male MH - Multivariate Analysis MH - *Nursing Staff MH - Organizational Policy MH - *Residential Facilities MH - *Smoking Cessation MH - United States AB - The objective of this study was to provide a first assessment of (a) long-term care staffs' prevalence of and attitudes toward giving smoking cessation advice to residents and (b) predictors of advice giving. Results of a survey (N = 115) found that 54.8% of licensed nurses and 34.6% of nursing assistants reported ever advising. Advising was associated with job classification and believing that residents' problem lists should include smoking. Not advising was associated with believing advice is the physicians' responsibility. Staff somewhat endorsed risks of smoking and benefits of cessation for residents, smoking as a right and pleasure, and that some residents cannot make decisions about smoking. Staff moderately endorsed safety concerns: 36% wanted policy changes. Lack of institutional support and perceived residents' cessation disinterest were key barriers. The findings suggest that staff may be missing intervention opportunities and that institutional support of advising cessation may facilitate maintenance and improvement of nursing home residents' health. IS - 0893-164X IL - 0893-164X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 1-R01-CA67594 (United States NCI NIH HHS) NO - 5 T32 DA07232 (United States NIDA NIH HHS) LG - English DP - 2004 Mar DC - 20040310 YR - 2004 ED - 20040421 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15008686 <328. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14998101 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lemke DM FA - Lemke, Denise M IN - Lemke,Denise M. Medical College of Wisconsin, Milwaukee, WI, USA. dmlemke@mcw.edu TI - Riding out the storm: sympathetic storming after traumatic brain injury. [Review] [22 refs] SO - Journal of Neuroscience Nursing. 36(1):4-9, 2004 Feb. AS - J Neurosci Nurs. 36(1):4-9, 2004 Feb. NJ - The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - ij6, 8603596 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adrenergic beta-Antagonists/ae [Adverse Effects] MH - *Adrenergic beta-Antagonists/pd [Pharmacology] MH - *Adrenergic beta-Antagonists/tu [Therapeutic Use] MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/pd [Pharmacology] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Brain Injuries/dt [Drug Therapy] MH - Brain Injuries/me [Metabolism] MH - *Brain Injuries/pp [Physiopathology] MH - Humans MH - *Hypothalamus/de [Drug Effects] MH - Hypothalamus/me [Metabolism] MH - *Hypothalamus/pp [Physiopathology] MH - Risk Factors MH - Substance Withdrawal Syndrome/et [Etiology] MH - Substance Withdrawal Syndrome/pc [Prevention & Control] MH - *Sympathetic Nervous System/de [Drug Effects] AB - Following acute multiple trauma, hypothalamic stimulation of the sympathetic nervous system and adrenal glands causes an increase in circulating corticoids and catecholamines, or a stress response. In individuals with severe traumatic brain injury or a Glasgow Coma Scale score of 3-8, this response can be exaggerated and episodic. A term commonly used by nurses caring for these individuals to describe this phenomenon is storming. Symptoms can include alterations in level of consciousness, increased posturing, dystonia, hypertension, hyperthermia, tachycardia, tachypnea, diaphoresis, and agitation. These individuals generally are at a low level of neurological activity with minimal alertness, minimal awareness, and reflexive motor response to stimulation, and the storming can take a seemingly peaceful individual into a state of chaos. Diagnosis is commonly made solely on clinical assessment, and treatment is aimed at controlling the duration and severity of the symptoms and preventing additional brain injury. Storming can pose a challenge for the nurse, from providing daily care for the individual in the height of the storming episode and treating the symptoms, to educating the family. Careful assessment of the individual leads the nurse to the diagnosis and places the nurse in the role of moderator of the storming episode, including providing treatment and evaluating outcomes. [References: 22] RN - 0 (Adrenergic beta-Antagonists) RN - 0 (Analgesics, Opioid) IS - 0888-0395 IL - 0888-0395 PT - Journal Article PT - Review LG - English DP - 2004 Feb DC - 20040304 YR - 2004 ED - 20040414 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14998101 <329. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15038638 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fried JL AU - Reid BC AU - DeVore LE FA - Fried, Jacquelyn L FA - Reid, Britt C FA - DeVore, Linda E IN - Fried,Jacquelyn L. Dental Hygiene Program, Department of Health Promotion and Policy, School of Dentistry, University of Maryland, Baltimore 21201, USA. jlf001@dental.umaryland.edu TI - A comparison of health professions student attitudes regarding tobacco curricula and interventionist roles. SO - Journal of Dental Education. 68(3):370-7, 2004 Mar. AS - J Dent Educ. 68(3):370-7, 2004 Mar. NJ - Journal of dental education PI - Journal available in: Print PI - Citation processed from: Print JC - hy7, 8000150 SB - Dental Journals SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - *Curriculum MH - Dental Hygienists/ed [Education] MH - Dental Hygienists/sn [Statistics & Numerical Data] MH - *Education, Professional/sn [Statistics & Numerical Data] MH - Ethics, Professional MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Patient Education as Topic MH - Physical Therapy Specialty/ed [Education] MH - *Professional Role MH - Smoking/ep [Epidemiology] MH - Students, Dental/sn [Statistics & Numerical Data] MH - Students, Medical/sn [Statistics & Numerical Data] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - Students, Pharmacy/sn [Statistics & Numerical Data] MH - *Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - Health care providers who feel prepared are more apt to assume tobacco interventionist roles; therefore, educational preparation is critical. A nonprobability sample of health professions students at an urban academic health center were asked to respond to a twenty-two-item survey eliciting demographic, behavioral, and tobacco-related attitudinal information. Frequency distributions were assessed with Pearson chi-square statistics. The overall response rate was 76.7 percent, and final sample size was 319. Current use of spit tobacco (ST) was 2.5 percent and current smoking 5.6 percent. In comparing current smokers to nonsmokers and current ST users to nonusers, we found that no differences in proportion agreeing with any of the five questions about attitudes and opinions were statistically significant at p-value 0.05. At least 70 percent of students from each of six health professions programs agreed it was their professional responsibility to help smokers quit, and at least 65 percent agreed to the same responsibility for helping ST users quit. The proportion agreeing that their programs had course content describing their role in helping patients quit tobacco use varied widely by program from 100 percent agreement among dental hygiene and pharmacy students to 14.6 percent of physical therapy students (p-value <0.001). When asked whether their program adequately prepared them to help smokers quit, agreement ranged from 100 percent among dental hygiene students to only 5.5 percent among physical therapy students (p-value <0.001). Almost 90 percent of dental hygiene students agreed that they were adequately trained to help ST users quit, but no other program had a percentage of agreement above 34 percent (p-value <0.001). Consistent and comprehensive multidisciplinary tobacco-related curricula could offer desirable standardization. IS - 0022-0337 IL - 0022-0337 PT - Comparative Study PT - Journal Article LG - English DP - 2004 Mar DC - 20040324 YR - 2004 ED - 20040408 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15038638 <330. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14711470 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ger LP AU - Chang CY AU - Ho ST AU - Lee MC AU - Chiang HH AU - Chao CS AU - Lai KH AU - Huang JM AU - Wang SC FA - Ger, Luo-Ping FA - Chang, Ching-Ying FA - Ho, Shung-Tai FA - Lee, Ming-Chien FA - Chiang, Hsien-Hsien FA - Chao, Co-Shi FA - Lai, Kwok-Hung FA - Huang, Jui-Mei FA - Wang, Shih-Chun IN - Ger,Luo-Ping. Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. TI - Effects of a continuing education program on nurses' practices of cancer pain assessment and their acceptance of patients' pain reports. SO - Journal of Pain & Symptom Management. 27(1):61-71, 2004 Jan. AS - J Pain Symptom Manage. 27(1):61-71, 2004 Jan. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Index Medicus CP - United States MH - Adult MH - *Education, Nursing, Continuing MH - Humans MH - *Neoplasms/co [Complications] MH - *Pain/di [Diagnosis] MH - *Pain/et [Etiology] MH - *Pain Measurement/nu [Nursing] MH - Program Evaluation MH - *Self-Assessment AB - A hospital-based quasi-experimental (pretest and post-test) study was conducted in Kaohsiung Veteran General Hospital, Taiwan. This study was to evaluate a continuing education program (CEP) on nurses' practices of cancer pain assessment and their acceptance of patients' pain reports with respect to four types of misconceptions. A questionnaire was sent to on-duty nurses or head nurses with patient care responsibilities before the implementation of CEP (n=645) and six months after the program (n=630). The response rates were 92.6% and 91.3% for pretest and post-test surveys, respectively. The CEP was implemented in 8 weeks with four-repeated sessions of 4-hour lectures. A one-day workshop focused on cancer pain assessment and treatment was held 3 months after the four-repeated sessions. Several educational strategies and teaching materials were used in the CEP. The results showed that CEP made statistically significant yet moderate improvement in nurses' practices of pain assessment using pain rating scales (pretest 3.29+/-0.76 vs. post-test 3.48+/-0.75, P<0.001) and acceptance of patient's pain reports without misconceptions on addiction (3.12+/-0.80 vs. 3.39+/-0.90, P<0.001), phantom pain (3.91+/-0.96 vs. 4.07+/-0.92, P=0.005), and placebo testing (3.63+/-0.72 vs. 3.81+/-0.73, P<0.001), except on patient gender-age-related doubts (3.60+/-0.72 vs. 3.67+/-0.77, P=0.109). In order to achieve further improvement, additional follow-up CEP combined with a hospital-wide institutionalization of pain assessment should be promoted and implemented in the future. IS - 0885-3924 IL - 0885-3924 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2004 Jan DC - 20040108 YR - 2004 ED - 20040402 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14711470 <331. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14725782 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Broekmans S AU - Vanderschueren S AU - Morlion B AU - Kumar A AU - Evers G FA - Broekmans, S FA - Vanderschueren, S FA - Morlion, B FA - Kumar, A FA - Evers, G IN - Broekmans,S. Multidisciplinary Pain Centre, University Hospital, Leuven, Belgium. susan.broekmans@med.kuleuven.ac.be TI - Nurses' attitudes toward pain treatment with opioids: a survey in a Belgian university hospital. SO - International Journal of Nursing Studies. 41(2):183-9, 2004 Feb. AS - Int J Nurs Stud. 41(2):183-9, 2004 Feb. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - Belgium MH - Cross-Sectional Studies MH - Female MH - Health Knowledge, Attitudes, Practice MH - Hospitals, University MH - Humans MH - Male MH - Middle Aged MH - Needs Assessment MH - Negativism MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Pain/di [Diagnosis] MH - *Pain/dt [Drug Therapy] MH - Prejudice MH - Risk Factors MH - Self-Assessment MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - AIM: To investigate nurses' attitudes toward pain treatment with opioids in a Belgian university hospital. AB - METHOD: A cross-sectional, descriptive study design was used. The randomised sample included 350 nurses working in the University Hospital Leuven, Belgium. Non-response was 10.9%. Nurses' attitudes were explored by a structured questionnaire. The score on the opioid attitude scale (OAS) varied between 9 and 45. AB - RESULTS: Despite a neutral to positive score on the OAS (mean=69.4%), nurses had clearly negative attitudes towards the use of opioids during a diagnostic phase and the risk of possible addiction. These negative attitudes can hinder adequate pain treatment. RN - 0 (Analgesics, Opioid) IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English DP - 2004 Feb DC - 20040116 YR - 2004 ED - 20040312 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14725782 <332. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14687294 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahmadi J AU - Maharlooy N AU - Alishahi M FA - Ahmadi, Jamshid FA - Maharlooy, Najmeh FA - Alishahi, Mohammadjavad IN - Ahmadi,Jamshid. Shiraz University Of Medical Sciences, Shiraz, Iran. jamshid_ahmadi@yahoo.com TI - Substance abuse: prevalence in a sample of nursing students. SO - Journal of Clinical Nursing. 13(1):60-4, 2004 Jan. AS - J Clin Nurs. 13(1):60-4, 2004 Jan. NJ - Journal of clinical nursing PI - Journal available in: Print PI - Citation processed from: Print JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adult MH - Attitude of Health Personnel/eh [Ethnology] MH - Attitude to Health/eh [Ethnology] MH - Chi-Square Distribution MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Iran/ep [Epidemiology] MH - Male MH - Motivation MH - Needs Assessment MH - Occupational Health MH - Population Surveillance MH - Prevalence MH - Professional Impairment/px [Psychology] MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Risk Factors MH - Sex Distribution MH - Students, Nursing/px [Psychology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - AIMS: The aim of this research was to evaluate the prevalence of substance abuse in a sample of Iranian nursing students. AB - DESIGN AND MEASUREMENTS: Four hundred nursing students (85.25% were females and 14.25% were male) were assessed by a confidential questionnaire based on DSM-IV, which was distributed, completed by the students and collected in the same session. AB - FINDINGS: Mean age of the females was 20.3 and of males was 22.8. Of the subjects, 27.3% (21.4% of females and 61% of males) reported usage of substance(s) once or more sometime during their lives: cigarette (25.3%), alcohol (5.8%), opium (8.5%), cocaine (1.5%), hashish (1.5%), marijuana (0.8%) and morphine (0.5%). Only 3.8% of the participants (1.8% of females and 15.3% of males) reported still using substances: cigarettes (3.3%), alcohol (1.7%), opium (0.8%), cocaine (0.5%) and marijuana (0.3%). About 11.8% of the subjects (10% of females and 22% of males) reported using of substances occasionally (at least once a month): cigarette (10.8%), alcohol (3.5%), opium (4.3%), cocaine (0.5%) and hashish (0.3%). Some used or were using more than one substance. AB - CONCLUSIONS: Substance use was significantly related to sex: higher among males than females. Tobacco and opium were found to be the most prevalent form of substance use among students. Pleasurable purposes, habit, need (to avoid withdrawal symptoms) and tension were the major reasons for substance use. There was no report of psychedelics use. These results are, however, different from those studies carried out in the west, although there is some overlap. Cultural attitudes toward substance use quite likely affect the types and patterns of use. These findings can be considered when planning preventive and therapeutic programmes. AB - RELEVANCE TO CLINICAL PRACTICE: Substance use can reduce scientific progress and academic achievement of nursing students; therefore, authorities of the university must be able to assess the extent of the problem, understand the contributing factors, recognize signs and symptoms, and use educational interventions in identifying and preventing substance dependency. IS - 0962-1067 IL - 0962-1067 PT - Journal Article LG - English DP - 2004 Jan DC - 20031222 YR - 2004 ED - 20040305 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14687294 <333. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14753122 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Percival J FA - Percival, Jennifer IN - Percival,Jennifer. Royal College of Nursing, London. TI - Want to give up smoking? Self-help tips for professionals. SO - Journal of Family Health Care. 13(6):165-7, 2003. AS - J Fam Health Care. 13(6):165-7, 2003. NJ - The journal of family health care PI - Journal available in: Print PI - Citation processed from: Print JC - 101142028 SB - Nursing Journal CP - England MH - Health Behavior MH - Health Personnel/ed [Education] MH - *Health Personnel/px [Psychology] MH - Humans MH - *Self Care/mt [Methods] MH - Self Care/px [Psychology] MH - *Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] AB - Health professionals are well aware of the health risks of nicotine but find it as hard as lay people to give up smoking. How people prepare themselves for quitting is important in determining success. Jennifer Percival, Tobacco Education Project Manager at the Royal College of Nursing, explains how to assess motivation and measure one's level of addiction. She also gives practical steps for getting off to a successful start. IS - 1474-9114 IL - 1474-9114 PT - Journal Article LG - English DP - 2003 DC - 20040202 YR - 2003 ED - 20040305 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14753122 <334. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14753088 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ilardi D FA - Ilardi, Deb TI - Internet information that's free, accurate and helpful. SO - School Nurse News. 21(1):30-2, 2004 Jan. AS - School Nurse News. 21(1):30-2, 2004 Jan. NJ - School nurse news PI - Journal available in: Print PI - Citation processed from: Print JC - 100956395 SB - Nursing Journal CP - United States MH - Adolescent MH - Child MH - *Health Education/og [Organization & Administration] MH - Humans MH - *Information Services/og [Organization & Administration] MH - *Internet/og [Organization & Administration] MH - Nurse's Role MH - School Nursing/ed [Education] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] IS - 1080-7543 IL - 1080-7543 PT - Journal Article LG - English DP - 2004 Jan DC - 20040202 YR - 2004 ED - 20040227 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14753088 <335. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14702865 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Percival J AU - Bialous SA AU - Chan S AU - Sarna L FA - Percival, Jennifer FA - Bialous, Stella Aguinaga FA - Chan, Sophia FA - Sarna, Linda IN - Percival,Jennifer. Royal College of Nursing, Hertfordshire, UK. TI - International efforts in tobacco control. [Review] [70 refs] SO - Seminars in Oncology Nursing. 19(4):301-8, 2003 Nov. AS - Semin Oncol Nurs. 19(4):301-8, 2003 Nov. NJ - Seminars in oncology nursing PI - Journal available in: Print PI - Citation processed from: Print JC - sem, 8504688 SB - Index Medicus SB - Nursing Journal CP - United States MH - Africa MH - Asia MH - Europe MH - Global Health MH - Humans MH - *International Cooperation MH - Latin America MH - Lung Neoplasms/et [Etiology] MH - Nursing Methodology Research MH - *Oncology Nursing/st [Standards] MH - *Public Health/lj [Legislation & Jurisprudence] MH - Quality Assurance, Health Care MH - Risk Factors MH - Smoking/ae [Adverse Effects] MH - Smoking/pc [Prevention & Control] MH - *Smoking MH - Social Control, Formal MH - *Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - World Health Organization AB - OBJECTIVES: To review international nursing involvement in tobacco control and discuss opportunities and challenges to enhance nurses' participation in decreasing tobacco-related morbidity and mortality. AB - DATA SOURCES: Published literature and published and unpublished material developed by nurses in their tobacco control initiatives. AB - CONCLUSION: Worldwide, nurses have been involved in tobacco control. However, many opportunities remain for involvement in the areas of education, research, and practice. AB - IMPLICATIONS FOR NURSING PRACTICE: There are numerous opportunities for nurses throughout the world to enhance their involvement in tobacco control. [References: 70] IS - 0749-2081 IL - 0749-2081 PT - Journal Article PT - Review LG - English DP - 2003 Nov DC - 20040101 YR - 2003 ED - 20040213 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14702865 <336. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14702860 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - DiFranza JR AU - Wellman RJ FA - DiFranza, Joseph R FA - Wellman, Robert J IN - DiFranza,Joseph R. Department of Family and Community Medicine, University of Massachusetts Medical Center, 55 Lake Ave, Worcester, MA 01655, USA. TI - Preventing cancer by controlling youth tobacco use. [Review] [35 refs] SO - Seminars in Oncology Nursing. 19(4):261-7, 2003 Nov. AS - Semin Oncol Nurs. 19(4):261-7, 2003 Nov. NJ - Seminars in oncology nursing PI - Journal available in: Print PI - Citation processed from: Print JC - sem, 8504688 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior MH - Advertising as Topic/lj [Legislation & Jurisprudence] MH - Attitude to Health MH - Child MH - Child Behavior MH - Commerce/lj [Legislation & Jurisprudence] MH - Health Education/mt [Methods] MH - *Health Education MH - Humans MH - Lung Neoplasms/et [Etiology] MH - Lung Neoplasms/pc [Prevention & Control] MH - *Nurse's Role MH - Nursing Methodology Research MH - Risk Factors MH - Smoking/ae [Adverse Effects] MH - Smoking/lj [Legislation & Jurisprudence] MH - Smoking/pc [Prevention & Control] MH - *Smoking MH - Tobacco Use Disorder/nu [Nursing] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder MH - United States AB - OBJECTIVES: To review the epidemiology and prevention of teen smoking and the risks of smoking among survivors of childhood cancer. AB - DATA SOURCES: Research articles, government reports, and surveys. AB - CONCLUSION: Nicotine dependence often begins with the first few cigarettes smoked during adolescence. Teen tobacco use is fueled by the attractive social images that tobacco companies create for their products. Curtailing the sale of tobacco to minors and increasing their price decreases availability. Banning smoking in schools and public places reduces smoking opportunities. AB - IMPLICATIONS FOR NURSING PRACTICE: Nurses have an important role to play in the battle against tobacco-induced malignancies through collaboration with community efforts or state initiatives. [References: 35] IS - 0749-2081 IL - 0749-2081 PT - Journal Article PT - Review LG - English DP - 2003 Nov DC - 20040101 YR - 2003 ED - 20040213 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14702860 <337. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14630384 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaner E AU - Lock C AU - Heather N AU - McNamee P AU - Bond S FA - Kaner, Eileen FA - Lock, Catherine FA - Heather, Nick FA - McNamee, Paul FA - Bond, Senga IN - Kaner,Eileen. Centre for Health Services Research, 21 Claremont Place, University of Newcastle upon Tyne, NE2 4AA, UK. e.f.s.kaner@newcastle.ac.uk TI - Promoting brief alcohol intervention by nurses in primary care: a cluster randomised controlled trial. SO - Patient Education & Counseling. 51(3):277-84, 2003 Nov. AS - Patient Educ Couns. 51(3):277-84, 2003 Nov. NJ - Patient education and counseling PI - Journal available in: Print PI - Citation processed from: Print JC - pec, 8406280 SB - Nursing Journal CP - Ireland MH - Adult MH - Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - Cluster Analysis MH - Cost-Benefit Analysis MH - *Counseling/og [Organization & Administration] MH - Education, Nursing, Continuing MH - England MH - Family Practice/og [Organization & Administration] MH - Female MH - Humans MH - Inservice Training MH - Male MH - Mass Screening/nu [Nursing] MH - *Mass Screening/og [Organization & Administration] MH - Middle Aged MH - Nursing Evaluation Research MH - Nursing Staff/ed [Education] MH - Practice Guidelines as Topic MH - *Primary Health Care/og [Organization & Administration] MH - Program Evaluation MH - *Psychotherapy, Brief/og [Organization & Administration] AB - This trial evaluated the clinical impact and cost-effectiveness of strategies promoting screening and brief alcohol intervention (SBI) by nurses in primary care. Randomisation was at the level of the practice and the interventions were: written guidelines (controls, n=76); outreach training (n=68); and training plus telephone-based support (n=68). After 3 months, just 39% of controls implemented the SBI programme compared to 74% of nurses in trained practices and 71% in trained and supported practices. Controls also screened fewer patients and delivered fewer brief interventions to risk drinkers than other colleagues. However, there was a trade-off between the extent and the appropriateness of brief intervention delivery with controls displaying the least errors in overall patient management. Thus cost-effectiveness ratios (cost per patient appropriately treated) were similar between the three strategies. Given the potential for anxiety due to misdirected advice about alcohol-related risk, the balance of evidence favoured the use of written guidelines to promote SBI by nurses in primary care. IS - 0738-3991 IL - 0738-3991 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Nov DC - 20031121 YR - 2003 ED - 20040206 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14630384 <338. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12845366 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pillon SC AU - Luis MA AU - Laranjeira R FA - Pillon, Sandra Cristina FA - Luis, Margarita Antonia Villar FA - Laranjeira, Ronaldo IN - Pillon,Sandra Cristina. Department os Psychiatric Nursing, School of Nursing, University of Sao Paulo, Ribeirao Preto, SP, Brazil. TI - Nurses' training on dealing with alcohol and drug abuse: a question of necessity. [Review] [23 refs] SO - Revista do Hospital das Clinicas; Faculdade de Medicina Da Universidade de Sao Paulo. 58(2):119-24, 2003 Mar-Apr. AS - Rev Hosp Clin Fac Med Sao Paulo. 58(2):119-24, 2003 Mar-Apr. NJ - Revista do Hospital das Clinicas PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - s3l, 0415246 SB - Index Medicus CP - Brazil MH - *Alcoholism/nu [Nursing] MH - *Education, Nursing MH - Humans MH - Nurse's Role MH - *Patient Care MH - *Substance-Related Disorders/nu [Nursing] AB - The purpose of this article is to present a brief review on the need for changes in nurses' undergraduate education concerning alcohol and drugs. Specialized literature makes it clear that nurses have difficulties giving care to psychoactive substance users as part of their functions in the various health care sites. This may be associated with a deficiency in formal education. In the face of the social importance concerning these related questions in the scope of research, care, and education, we made an attempt at deepening the study on this theme, which could contribute to changes in practice, care, and undergraduate nursing education. [References: 23] IS - 0041-8781 IL - 0041-8781 PT - Journal Article PT - Review LG - English EP - 20030625 DP - 2003 Mar-Apr DC - 20030707 YR - 2003 ED - 20040130 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12845366 <339. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12834923 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schultz AS FA - Schultz, Annette S H IN - Schultz,Annette S H. School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, Canada V6T 2B5. annettes@interchange.ubc.ca TI - Nursing and tobacco reduction: a review of the literature. [Review] [84 refs] SO - International Journal of Nursing Studies. 40(6):571-86, 2003 Aug. AS - Int J Nurs Stud. 40(6):571-86, 2003 Aug. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Clinical Trials as Topic MH - Guidelines as Topic MH - Humans MH - International Council of Nurses MH - Nurses MH - *Nursing MH - Nursing Research MH - Professional Practice MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - *Smoking Cessation MH - *Tobacco Use Disorder/th [Therapy] MH - World Health Organization AB - Nurses have an instrumental role to play in tobacco reduction, which is one strategy used to address tobacco use; a primary source of preventable morbidity and mortality globally. The following review addresses activities by two groups of nurses: nursing governance bodies and nurse scientists, whom together provide vision and knowledge to support and shape nursing practice. While nursing governance bodies and scientists have contributed a great deal to tobacco reduction, there are also gaps. Areas that require strengthening are: support for tobacco dependent nurses, basic nursing education concerning tobacco dependency treatment, and integration of tobacco dependence treatment into nursing practice. [References: 84] IS - 0020-7489 IL - 0020-7489 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2003 Aug DC - 20030701 YR - 2003 ED - 20040130 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12834923 <340. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14685959 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cowan L AU - Deering D AU - Crowe M AU - Sellman D AU - Futterman-Collier A AU - Adamson S FA - Cowan, Lois FA - Deering, Daryle FA - Crowe, Marie FA - Sellman, Doug FA - Futterman-Collier, Ann FA - Adamson, Simon IN - Cowan,Lois. School of Nursing, Christchurch Polytechnic Institute of Technology, PO Box 540, Christchurch, New Zealand. cowanl@cpit.ac.nz TI - Alcohol and drug treatment for women: clinicians' beliefs and practice. SO - International Journal of Mental Health Nursing. 12(1):48-55, 2003 Mar. AS - Int J Ment Health Nurs. 12(1):48-55, 2003 Mar. NJ - International journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 101140527 SB - Nursing Journal CP - Australia MH - *Attitude of Health Personnel MH - Counseling/ed [Education] MH - Counseling/og [Organization & Administration] MH - Curriculum MH - Female MH - Health Facility Administrators/ed [Education] MH - Health Facility Administrators/px [Psychology] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Needs Assessment MH - New Zealand MH - Nurse Administrators/ed [Education] MH - Nurse Administrators/px [Psychology] MH - Nurse's Role MH - Parenting MH - *Practice Patterns, Physicians'/og [Organization & Administration] MH - Psychiatric Nursing MH - Referral and Consultation MH - Social Work/ed [Education] MH - Social Work/og [Organization & Administration] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires MH - *Women's Health AB - The present paper reports on the results of a telephone survey of 217 alcohol and drug treatment clinicians on their beliefs and practice, in relation to service provision for women. Nurses comprised the second largest professional group surveyed. Seventy-eight percent of clinicians believed that women's treatment needs differed from men's and 74% reported a range of approaches and interventions, such as assisting with parenting issues and referral to women-only programmes. Several differences emerged in relation to approaches and interventions used, depending on clinician gender, work setting and proportion of women on clinicians' caseload. Implications for mental health nursing include the need to more systematically incorporate gender-based treatment needs into practice and undergraduate and postgraduate education and training programmes. IS - 1445-8330 IL - 1445-8330 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Mar DC - 20031222 YR - 2003 ED - 20040116 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14685959 <341. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12406206 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Happell B AU - Carta B AU - Pinikahana J FA - Happell, Brenda FA - Carta, Bill FA - Pinikahana, Jaya IN - Happell,Brenda. Center for Psychiatric Nursing Research and Practice, School of Postgraduate Nursing, University of Melbourne, Carlton, Victoria, Australia. TI - Nurses' knowledge, attitudes and beliefs regarding substance use: a questionnaire survey. SO - Nursing & Health Sciences. 4(4):193-200, 2002 Dec. AS - Nurs Health Sci. 4(4):193-200, 2002 Dec. NJ - Nursing & health sciences PI - Journal available in: Print PI - Citation processed from: Print JC - dov, 100891857 SB - Nursing Journal CP - Australia MH - Adult MH - Alcoholism MH - Attitude of Health Personnel MH - *Clinical Competence MH - Education, Nursing MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Nurses/px [Psychology] MH - *Nurses/st [Standards] MH - *Substance-Related Disorders MH - *Surveys and Questionnaires MH - Victoria AB - A questionnaire on nurses' knowledge, attitudes, beliefs and practises regarding substance use was distributed to 302 nurses in Victoria. One hundred and thirty-four returned the questionnaire, giving an overall response rate of 44.3%. The survey results showed that although knowledge and skill gaps exist in assessment and management of alcohol and drug problems, overall knowledge levels were adequate. Although positive attitudes towards substance use were expressed, specific educational programs to enhance nurses' skills in assessment and management of substance-related disorders may be beneficial. IS - 1441-0745 IL - 1441-0745 PT - Journal Article LG - English DP - 2002 Dec DC - 20021030 YR - 2002 ED - 20040106 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12406206 <342. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14514165 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kyasova M FA - Kyasova, M IN - Kyasova,M. Department of Geriatrics, Nursing and General Practice, Faculty of Medicine, Masaryk University, Brno, Jostova 10, 662 43, Czech Republic. mkyasova@med.muni.cz TI - Imagery and associations of adolescents reflected in their behaviour. SO - Central European Journal of Public Health. 11(3):132-7, 2003 Sep. AS - Cent Eur J Public Health. 11(3):132-7, 2003 Sep. NJ - Central European journal of public health PI - Journal available in: Print PI - Citation processed from: Print JC - bo6, 9417324 SB - Index Medicus CP - Czech Republic MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Adult MH - Alcohol Drinking/px [Psychology] MH - Cocaine-Related Disorders/px [Psychology] MH - Czech Republic MH - Exercise/px [Psychology] MH - Female MH - *Health Behavior MH - Health Education MH - Humans MH - *Imagination MH - Marijuana Smoking/px [Psychology] MH - *Risk Reduction Behavior MH - *Risk-Taking MH - Seat Belts/ut [Utilization] MH - Sexual Behavior/px [Psychology] MH - Smoking/px [Psychology] MH - Surveys and Questionnaires MH - Word Association Tests AB - In adolescent girls, by means of imagery and associations it was studied, which images and associations produce concepts expressing activities which, on the one hand, protect and promote health (exercises, use of seat belts, and condoms) and, on the other hand, represent a health risk (drinking beer and liquor, cigarette smoking, marijuana smoking and cocain use, and sexual intercourse) and how they influence the respondents' behaviour. Nursing school students were interviewed by means of a questionnaire published by the Oregon Research Institute, USA. The respondents gave a total number of 15,760 images for nine concepts. The associations for smoking cigarettes and cocain were evaluated only negatively although 35% respondents had smoked in the past six months. The associations for exercising were given mainly positive ratings and, in some cases, neutral ratings although the respondents mentioned low regular physical activities. Drinking liquor and the using of seat belts were evaluated positively, negatively and neutrally. Nearly three quarters of the respondents had consumed alcoholic drinks occasionally or frequently during the past six months. Drinking beer and smoking marijuana were associated with negative or neutral images. Sexual intercourse and condom use were prevailingly associated with positive images. Our results have shown that images and associations tend to contradict the adolescents' behaviour. However, the results can form a basis for a particular application in primary preventive programmes which should make use of and promote the development of desirable attitudes and behaviour. IS - 1210-7778 IL - 1210-7778 PT - Comparative Study PT - Journal Article LG - English DP - 2003 Sep DC - 20030929 YR - 2003 ED - 20031229 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14514165 <343. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14498773 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Benton J FA - Benton, Jeremy IN - Benton,Jeremy. Waunakee Community Schools, Waunakee, WI, USA. TI - Making schools safer and healthier for lesbian, gay, bisexual, and questioning students. [Review] [25 refs] SO - Journal of School Nursing. 19(5):251-9, 2003 Oct. AS - J Sch Nurs. 19(5):251-9, 2003 Oct. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Attitude of Health Personnel MH - Confidentiality MH - Female MH - Humans MH - Male MH - Nurse's Role MH - Nurse-Patient Relations MH - Patient Advocacy MH - *School Nursing/mt [Methods] MH - School Nursing/og [Organization & Administration] MH - Self Disclosure MH - Sex Education/mt [Methods] MH - *Sexuality MH - Societies, Nursing MH - *Students MH - United States AB - This article describes some of the special health and safety concerns that many lesbian, gay, bisexual, and questioning youth face in schools. Among these problems are increased drug and alcohol use, sexually transmitted infections and pregnancy risks, depression and suicidality, and increased likelihood of being a victim of harassment or assault. School nurses can play a unique role in the lives of these students. A needs assessment is reviewed that describes school nurses' perceived professional responsibility and their actual practice with regard to lesbian, gay, bisexual, and questioning youth. Five barriers to optimal health care for these students are discussed. Methods that encourage students to view the school nurse as an ally, as well as issues surrounding disclosure or "coming out," are discussed. Special considerations of confidentiality, community agency referral, and family disclosure are discussed. Appropriate interventions at school and ways to begin to change the school climate are also presented. [References: 25] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2003 Oct DC - 20030922 YR - 2003 ED - 20031211 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14498773 <344. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12970145 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Skipper C AU - Guy JM AU - Parkes J AU - Roderick P AU - Rosenberg WM FA - Skipper, C FA - Guy, J M FA - Parkes, J FA - Roderick, P FA - Rosenberg, W M IN - Skipper,C. HMP Parkhurst, Isle of Wight, UK. TI - Evaluation of a prison outreach clinic for the diagnosis and prevention of hepatitis C: implications for the national strategy. CM - Comment in: Gut. 2004 May;53(5):771-2; PMID: 15082602 SO - Gut. 52(10):1500-4, 2003 Oct. AS - Gut. 52(10):1500-4, 2003 Oct. NJ - Gut PI - Journal available in: Print PI - Citation processed from: Print JC - fvt, 2985108r OI - Source: NLM. PMC1773842 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Adult MH - Community-Institutional Relations MH - England MH - *Health Policy MH - *Hepatitis C/di [Diagnosis] MH - *Hepatitis C/pc [Prevention & Control] MH - Humans MH - Male MH - Nurse Clinicians MH - *Outpatient Clinics, Hospital/og [Organization & Administration] MH - Patient Education as Topic MH - Prevalence MH - *Prisoners MH - *Prisons/og [Organization & Administration] MH - Risk Factors MH - Substance Abuse, Intravenous AB - BACKGROUND: Hepatitis C virus (HCV) infection is a major public health problem recognised by the UK National Strategy that proposes that a care pathway for assessment, diagnosis, and treatment be established in all prisons, integrated within managed clinical networks. A prison sentence provides the opportunity to focus on traditionally hard to reach patients. AB - AIMS: To evaluate the prevalence of HCV infection in a UK prison cluster and to assess the effectiveness of a prison outreach service for hepatitis C. AB - SUBJECTS: Male prisoners. AB - METHODS: A nurse specialist led clinic within a cluster of adult prisons was established, offering health education on hepatitis C, advice on harm minimisation, and HCV testing. Infected prisoners were offered access to a care pathway leading to treatment. Outcome measures were uptake of the service, and diagnosis and treatment of hepatitis C. AB - RESULTS: A total of 8.5% of 1618 prisoners accepted testing: 30% had active infection with HCV. Most were ineligible for treatment due to psychiatric illness or did not receive treatment for logistic reasons. Injecting drug use was the major risk factor in all cases. Only 7% of HCV polymerase chain amplification positive inmates received treatment in prison. AB - CONCLUSION: There is a large pool of HCV infected prisoners at risk of complications, constituting a source of infection during their sentence and after discharge. A prison outreach clinic and care pathway was perceived as effective in delivering health education, reducing the burden on prison and hospital services. It provided an opportunity for intervention but had a limited effect in eradicating HCV in prisoners and it remains unclear how this might be achieved. IS - 0017-5749 IL - 0017-5749 PT - Evaluation Studies PT - Journal Article LG - English DP - 2003 Oct DC - 20030912 YR - 2003 ED - 20031209 RD - 20140611 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12970145 <345. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14596217 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hammond A FA - Hammond, Andrea IN - Hammond,Andrea. Substance Misuse Service, West Kent NHS, Social Care Trust, Dartford, Kent. andrea.hammond@tgt.sthames.nhs.uk TI - Substance misuse and serious mental illness: spiritual care. [Review] [22 refs] SO - Nursing Standard. 18(2):33-8, 2003 Sep 24-30. AS - Nurs Stand. 18(2):33-8, 2003 Sep 24-30. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Community Health Nursing MH - Humans MH - Mental Disorders/co [Complications] MH - *Mental Disorders/nu [Nursing] MH - *Mental Disorders/px [Psychology] MH - Models, Nursing MH - Patient Care Planning MH - Psychiatric Nursing MH - Religion MH - *Spiritual Therapies/nu [Nursing] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/px [Psychology] AB - BACKGROUND: People with a dual diagnosis of serious mental illness and substance misuse may be difficult to treat. This article explores how spirituality can be integrated into community care plans of these patients. It highlights the importance of including spirituality in pre- and post-basic-education programmes. AB - CONCLUSION: Nursing models that integrate the positivist, existential and spiritual approach to understanding and caring for those with a dual diagnosis should be developed. Nurses could develop support groups along the lines of Alcoholics Anonymous to provide support to this group of clients. The use of complementary therapies by those with a dual diagnosis is an area of possibilities. The challenge is now to integrate spirituality into the already established biopsychosocial approach to caring for those with a dual diagnosis. [References: 22] IS - 0029-6570 IL - 0029-6570 PT - Journal Article PT - Review LG - English DP - 2003 Sep 24-30 DC - 20031104 YR - 2003 ED - 20031204 RD - 20130520 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14596217 <346. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12956545 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moody KA AU - Childs JC AU - Sepples SB FA - Moody, Kimberly A FA - Childs, Janis C FA - Sepples, Susan B IN - Moody,Kimberly A. University of Basel, Basel, Switzerland. TI - Intervening with at-risk youth: evaluation of the youth empowerment and support program. SO - Pediatric Nursing. 29(4):263-70, 2003 Jul-Aug. AS - Pediatr Nurs. 29(4):263-70, 2003 Jul-Aug. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - United States MH - Child MH - Female MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Leadership MH - Male MH - Mentors MH - Peer Group MH - Program Evaluation MH - Risk Factors MH - Risk-Taking MH - Self Concept MH - Social Behavior MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Urban Population AB - This study evaluated a community-based intervention, the Youth Empowerment and Support Program (YES-P), a theoretically-based program designed to decrease drug use and strengthen connections to school in at-risk youth living in high-risk environments. The YES-P included several interventions, such as providing mentor support and social skills training; growing a positive peer culture; and developing youth in leadership roles for community service. These interventions were delivered by 10 nursing students in a weekly, after school, 2-hour, group activity for 20 weeks for 13 inner-city youth ages 10-12 years (7 girls, 6 boys). One girl identified herself as Hispanic and the others as Caucasian. Using a pre/post one-group design, data were collected in 1999 from program participants to evaluate the YES-P. Results of a 1-year pilot study suggest that the multilevel interventions were associated with positive effects on at-risk youth. In particular, respondents at the posttest reported higher levels of self-esteem, mentor support, positive peer bonding, social skills attainment, and school attachment. Attitudes against underage drug use decreased from pre-test scores revealing areas for strengthening the program. These results lend empirical support to the positive evaluation of the YES-P with at-risk youth living in high-risk environments. IS - 0097-9805 IL - 0097-9805 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Jul-Aug DC - 20030905 YR - 2003 ED - 20031204 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12956545 <347. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14555574 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Patkar AA AU - Hill K AU - Batra V AU - Vergare MJ AU - Leone FT FA - Patkar, Ashwin A FA - Hill, Kevin FA - Batra, Vikas FA - Vergare, Michael J FA - Leone, Frank T IN - Patkar,Ashwin A. Department of Psychiatry and Human Behavior, Jefferson Medical College and Thomas Jefferson University, Philadelphia, PA 19107, USA. ashwin.patkar@mail.tju.edu TI - A comparison of smoking habits among medical and nursing students. SO - Chest. 124(4):1415-20, 2003 Oct. AS - Chest. 124(4):1415-20, 2003 Oct. NJ - Chest PI - Journal available in: Print PI - Citation processed from: Print JC - 0231335, d1c SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - OBJECTIVE: The approach and credibility of future physicians and nurses as treatment providers for smoking- and tobacco-related diseases may be influenced by their smoking habits. We compared smoking habits among medical and nursing students, and examined whether these habits changed during the course of education for each cohort. AB - METHOD: Over 1,100 medical and nursing students from a university were surveyed in year 2000 using a questionnaire that included the Fagerstrom test for nicotine dependence (FTND). AB - RESULTS: A total of 397 medical students and 126 nursing students completed the survey. Significantly fewer medical students (3.3%) smoked compared to nursing students (13.5%). Also, significantly more nursing students were former smokers (17.8%) than medical students (9.8%). The severity of nicotine dependence, as indicated by the total FTND score as well as scores on five of the six items on the FTND, was significantly lower among medical students compared to nursing students. Smoking or quit rates did not differ across class years in both groups; however, unlike nursing students, time since quitting significantly differed across class years for medical students. Although smoking habits appear to change little during the course of education for both medical and nursing students, many smokers may have quit just prior to entering medical school but not nursing school. AB - CONCLUSIONS: The findings confirm the continuing decline in smoking among medical students in the United States; however, increased efforts to promote tobacco education and intervention among nursing students seem necessary. Nevertheless, both groups appear to have the potential to be credible advisors to patients and public regarding smoking cessation. IS - 0012-3692 IL - 0012-3692 PT - Comparative Study PT - Journal Article LG - English DP - 2003 Oct DC - 20031013 YR - 2003 ED - 20031201 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14555574 <348. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14508771 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martinez RJ AU - Murphy-Parker D FA - Martinez, Ruby J FA - Murphy-Parker, Dana IN - Martinez,Ruby J. University of Colorado Health Sciences Center-School of Nursing in Denver, CO 80262, USA. ruby.martineez@uchsc.edu TI - Examining the relationship of addiction education and beliefs of nursing students toward persons with alcohol problems. CM - Comment in: Arch Psychiatr Nurs. 2004 Feb;18(1):35; PMID: 14986289 SO - Archives of Psychiatric Nursing. 17(4):156-64, 2003 Aug. AS - Arch Psychiatr Nurs. 17(4):156-64, 2003 Aug. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - *Attitude to Health MH - *Culture MH - Female MH - *Health Education MH - Humans MH - Male MH - Middle Aged MH - *Social Perception MH - *Students, Nursing AB - This study examined the effectiveness of two methods of teaching nursing students about alcohol addiction. Each student who agreed to participate was given pretests, posttests, and 3-month follow-up tests that measured knowledge about and beliefs held toward people who abuse alcohol. Group 1 received lecture only, whereas group 2 received lecture and discussion with a person who had been sober for many years. Both groups showed improved scores in knowledge and certain aspects of beliefs, however, group 2 showed greater knowledge and more accurate beliefs overall toward this population than group 1. The introduction of a person successfully remaining sober was shown to be an even more effective teaching strategy than lecture alone. IS - 0883-9417 IL - 0883-9417 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Aug DC - 20030925 YR - 2003 ED - 20031201 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14508771 <349. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12913364 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gassman RA FA - Gassman, Ruth A IN - Gassman,Ruth A. Department of Sociology, Karl Schuessler Institute of Social Research, Indiana University, Bloomington, Indiana 47405, USA. rgassman@indiana.edu TI - Medical specialization, profession, and mediating beliefs that predict stated likelihood of alcohol screening and brief intervention: targeting educational interventions. SO - Substance Abuse. 24(3):141-56, 2003 Sep. AS - Subst Abus. 24(3):141-56, 2003 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 OI - Source: NLM. NIHMS433496 OI - Source: NLM. PMC3567772 SB - Index Medicus CP - Netherlands MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Clinical Competence MH - Data Collection MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - *Physicians/px [Psychology] MH - *Psychotherapy, Brief/mt [Methods] MH - Surveys and Questionnaires AB - Practitioner-level educational approaches that promote screening and brief intervention (SBI) seldom consider providers' profession and medical specialization. Strategies that consider these variables may be better equipped to affect change in beliefs and behavior. The aim of this study was to identify beliefs that predict stated likelihood of practicing SBI by specialty and health profession in order to guide the direction of educational strategies. Physicians and nurse practitioners were studied that specialized in family, internal, obstetric gynecology (ObGyn), and pediatric medicine. The results indicated that independent of amount of previous postgraduate alcohol education and knowledge, self-rated competence mediated between specialty and likelihood of practicing SBI. For instance, low self-rated competence for ObGyn was a barrier that suppressed likelihood of practicing SBI. Other findings were that role legitimacy mediated the association between profession and likelihood of SBI, so that lack of role legitimacy was a barrier for physicians but not for nurse practitioners. We suggest that targeted educational strategies for ObGyn and pediatric clinicians may prove more effective than the prevalent one-size-fits all approaches aimed at general adult populations. IS - 0889-7077 IL - 0889-7077 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - R01 AA011713 (United States NIAAA NIH HHS) NO - R01 AA11713 (United States NIAAA NIH HHS) NO - R29 AA011713 (United States NIAAA NIH HHS) LG - English DP - 2003 Sep DC - 20030812 YR - 2003 ED - 20031107 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12913364 <350. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13677728 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson A FA - Wilson, Ann IN - Wilson,Ann. School of Health and Social Sciences (Nursing), Coventry University, Coventry. a.wilson@coventry.ac.uk TI - Nurses' maths: researching a practical approach. SO - Nursing Standard. 17(47):33-6, 2003 Aug 6-12. AS - Nurs Stand. 17(47):33-6, 2003 Aug 6-12. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - *Education, Nursing MH - *Educational Measurement MH - Humans MH - *Mathematics AB - AIM: To compare a new practical maths test with a written maths test. The tests were undertaken by qualified nurses training for intravenous drug administration, a skill dependent on maths accuracy. The literature showed that the higher education institutes (HEIs) that provide nurse training use traditional maths tests, a practical way of testing maths had not been described. AB - METHOD: Fifty five nurses undertook two maths tests based on intravenous drug calculations. One was a traditional written test. The second was a new type of test using a simulated clinical environment. All participants were also interviewed one week later to ascertain their thoughts and feelings about the tests. AB - RESULTS: There was a significant improvement in maths test scores for those nurses who took the practical maths test first. It is suggested that this is because it improved their conceptualisation skills and thus helped them to achieve accuracy in their calculations. AB - CONCLUSION: Written maths tests are not the best way to help and support nurses in acquiring and improving their maths skills and should be replaced by a more practical approach. IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2003 Aug 6-12 DC - 20030918 YR - 2003 ED - 20031030 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=13677728 <351. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12930035 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Litton KA FA - Litton, Kimberley A IN - Litton,Kimberley A. Coronary Care Unit, Allegheny General Hospital, Pittsburgh, Pa., USA. klitton@wpahs.org TI - Delirium in the critical care patient: what the professional staff needs to know. [Review] [9 refs] SO - Critical Care Nursing Quarterly. 26(3):208-13, 2003 Jul-Sep. AS - Crit Care Nurs Q. 26(3):208-13, 2003 Jul-Sep. NJ - Critical care nursing quarterly PI - Journal available in: Print PI - Citation processed from: Print JC - ccn, 8704517 SB - Nursing Journal CP - United States MH - Aged MH - Alcohol Withdrawal Delirium/et [Etiology] MH - Anxiety/et [Etiology] MH - Comorbidity MH - Confusion/et [Etiology] MH - *Critical Care MH - Delirium/di [Diagnosis] MH - Delirium/ep [Epidemiology] MH - *Delirium/nu [Nursing] MH - Delirium/pp [Physiopathology] MH - Education, Continuing MH - Humans MH - Nurse's Role MH - Nursing Assessment MH - Psychotic Disorders/et [Etiology] MH - Risk Factors AB - Delirium has been recognized in the literature as a significant problem in the care and treatment of the critical care patient. Delirium, a medical disorder that results in the morbidity and mortality of the patients, especially in the elderly, is often misdiagnosed and inappropriately treated. Nurses and other health care professionals need in-depth education about delirium, validated and understandable assessment tools, and astute clinical observational skills. A comprehensive and aggressive clinical management plan that incorporates appropriate pharmacological agents will result in less morbidity and improved long-term outcomes. [References: 9] IS - 0887-9303 IL - 0887-9303 PT - Journal Article PT - Review LG - English DP - 2003 Jul-Sep DC - 20030821 YR - 2003 ED - 20031009 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12930035 <352. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12829961 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Castledine G FA - Castledine, George TI - Nurses should know how to tackle alcohol withdrawal. SO - British Journal of Nursing. 12(11):644, 2003 Jun 12-25. AS - Br J Nurs. 12(11):644, 2003 Jun 12-25. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Alcohol Withdrawal Delirium/di [Diagnosis] MH - *Alcohol Withdrawal Delirium/nu [Nursing] MH - Clinical Competence MH - Education, Nursing, Continuing MH - Ethanol/ae [Adverse Effects] MH - Humans MH - Nurse's Role RN - 3K9958V90M (Ethanol) IS - 0966-0461 IL - 0966-0461 PT - Editorial LG - English DP - 2003 Jun 12-25 DC - 20030627 YR - 2003 ED - 20031002 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12829961 <353. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12874710 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Smardon M FA - Smardon, M TI - An integrative review of substance abuse among nurses from 1981-1997. SO - Online Journal of Knowledge Synthesis for Nursing. 5:1, 1998 Jan 26. AS - Online J Knowl Synth Nurs. 5:1, 1998 Jan 26. NJ - The online journal of knowledge synthesis for nursing PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 9432589 CP - United States AB - The body of literature suggests that the prevalence of substance abuse among nurses and nursing students is less than or similar to the general population, but that younger nurses may be more at risk. Male nurses may be at increased risk for substance abuse. Prevalence of substance abuse by clinical specialty remains unclear. Several risk factors for impairment including depression and lack of social support were identified in the descriptive and qualitative studies. Perceptions and attitudes toward impaired nurses and colleagues reveal a lack of optimism about treatment by nursing management. Acceptance of the illness concept varied by ethnicity. Impaired nurses did not feel supported by nursing management. Peer assistance groups may be an effective means of addressing substance abuse among nurses. ES - 1072-7639 IL - 1072-7639 PT - Journal Article LG - English EP - 19980126 DP - 1998 Jan 26 DC - 20030722 YR - 1998 ED - 20030930 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=12874710 <354. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12477593 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nishiyama T AU - Hanaoka K FA - Nishiyama, Tomoki FA - Hanaoka, Kazuo IN - Nishiyama,Tomoki. Surgical Center, Institute of Medical Science, and Department of Anesthesiology, The University of Tokyo, Tokyo, Japan. nishi-tky@umim.ac.jp TI - Accidental overdose of midazolam as intramuscular premedication. SO - Journal of Clinical Anesthesia. 14(7):543-5, 2002 Nov. AS - J Clin Anesth. 14(7):543-5, 2002 Nov. NJ - Journal of clinical anesthesia PI - Journal available in: Print PI - Citation processed from: Print JC - an9, 8812166 SB - Index Medicus CP - United States MH - *Adjuvants, Anesthesia/ae [Adverse Effects] MH - Aged MH - Drug Overdose MH - Humans MH - Injections, Intramuscular MH - Male MH - *Medication Errors/ae [Adverse Effects] MH - *Midazolam/ae [Adverse Effects] MH - Middle Aged MH - *Preanesthetic Medication/ae [Adverse Effects] AB - We report two cases of overdoses of intramuscular midazolam used as a premedication. Both cases had no resedation or complications, but the accidents happened as a result of a resident and nurse's lack of experience with midazolam. The intramuscular doses, given at four times the normal quantity, fortunately caused no harm in our cases. However, the situations suggest that we should carefully check the dosage and review the correct procedures, even when using a drug that is considered to be familiar with most practitioners.Copyright 2002 by Elsevier Science Inc. RN - 0 (Adjuvants, Anesthesia) RN - R60L0SM5BC (Midazolam) IS - 0952-8180 IL - 0952-8180 PT - Case Reports PT - Journal Article LG - English DP - 2002 Nov DC - 20021212 YR - 2002 ED - 20030912 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12477593 <355. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12882052 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saunder L FA - Saunder, Lorna IN - Saunder,Lorna. City University, London. TI - An audit of interventions for dual diagnosis in a psychiatric unit. SO - Nursing Times. 99(27):34-6, 2003 Jul 8-14. AS - Nurs Times. 99(27):34-6, 2003 Jul 8-14. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - England MH - Curriculum MH - *Diagnosis, Dual (Psychiatry) MH - *Education, Nursing, Continuing/st [Standards] MH - Humans MH - *Inservice Training/st [Standards] MH - Models, Nursing MH - Needs Assessment MH - Nursing Audit MH - Nursing Education Research MH - Nursing Evaluation Research MH - Nursing Records MH - Practice Guidelines as Topic MH - Program Evaluation MH - *Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/st [Standards] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/nu [Nursing] AB - A programme of training on dual diagnosis was implemented for mental health nurses working in an acute psychiatric unit following recommendations at both a national and local level. An audit of the key standards was carried out to examine the interventions offered to patients with a dual diagnosis. An improvement was observed in the standards of care, but the sample size was small and without further statistical analysis it would be difficult to determine whether the improvement is statistically significant. IS - 0954-7762 IL - 0954-7762 PT - Evaluation Studies PT - Journal Article LG - English DP - 2003 Jul 8-14 DC - 20030728 YR - 2003 ED - 20030911 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12882052 <356. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12789872 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Calabrese AT AU - Cholka K AU - Lenhart SE AU - McCarty B AU - Zewe G AU - Sunseri D AU - Roberts M AU - Kapoor W FA - Calabrese, Amy T FA - Cholka, Kerry FA - Lenhart, Susan E FA - McCarty, Beth FA - Zewe, Gretchen FA - Sunseri, Diane FA - Roberts, Mark FA - Kapoor, Wishwa IN - Calabrese,Amy T. University of Pittsburgh (UP), University of Pittsburgh Medical Center-Presbyterian (UPMC-Presbyterian), Pittsburgh, PA, USA. TI - Pharmacist involvement in a multidisciplinary inpatient medication education program. SO - American Journal of Health-System Pharmacy. 60(10):1012-8, 2003 May 15. AS - Am J Health-Syst Pharm. 60(10):1012-8, 2003 May 15. NJ - American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists PI - Journal available in: Print PI - Citation processed from: Print JC - 9503023, cbh SB - Index Medicus CP - United States MH - Administration, Oral MH - Humans MH - *Inpatients/ed [Education] MH - *Patient Care Team MH - Patient Compliance MH - *Patient Education as Topic/og [Organization & Administration] MH - *Pharmacists MH - *Pharmacy Service, Hospital/og [Organization & Administration] MH - Program Evaluation MH - *Self Administration MH - United States AB - The development of a multidisciplinary inpatient medication education program is described. A multidisciplinary group designed and implemented a medication education program with defined roles for both nurses and pharmacists. Nurses provided medication education to patients during each medication administration using specially designed assessment and teaching tools. The nursing staff submitted requests for pharmacist consultations for patients with complex medication regimens, who were admitted because of a drug-related problem or who required additional teaching as determined through the medication education assessment form. A complex medication regimen was defined as the administration of oral medication more than five different times per day, the start of at least 5 new medications that would be continued at discharge, or the prescribing of at least 10 medications to be taken daily that would be continued at discharge. Pharmacists provided education for 19% of admitted patients during a six-month period. As a result of pharmacists' interactions with prescribers and nurses, the number of medications was reduced in 12% of these patients, and the number of medication administrations each day was reduced in 19% of patients. In addition, for 33% of patients, pharmacists contacted the prescriber to make recommendations beyond the scope of the medication education program that optimized and simplified the patient's drug regimen. The development of a structured medication education program allowed patients to receive medication education throughout their hospitalization from both nurses and pharmacists. Pharmacists provided education for patients at highest risk for noncompliance or poor outcomes. Full implementation of a medication education program involving staff pharmacists is planned. IS - 1079-2082 IL - 1079-2082 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 May 15 DC - 20030606 YR - 2003 ED - 20030829 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12789872 <357. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12703667 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Buchanan RJ AU - Gorman DM AU - Wang S AU - Huang C FA - Buchanan, Robert J FA - Gorman, D M FA - Wang, Suojin FA - Huang, Chunfeng IN - Buchanan,Robert J. Department of Health Policy and Management, School of Rural Public Health, The Texas A&M University System Health Science Center, College Station 77843-1266, USA. buchanan@srph.tamu.edu TI - Co-morbidity and treatment needs among nursing home residents receiving alcohol and drug treatment. SO - Journal of Addictive Diseases. 22(2):31-47, 2003. AS - J Addict Dis. 22(2):31-47, 2003. NJ - Journal of addictive diseases PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 SB - Index Medicus CP - United States MH - Activities of Daily Living MH - Adult MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/rh [Rehabilitation] MH - Cognition Disorders/di [Diagnosis] MH - *Cognition Disorders/ep [Epidemiology] MH - Comorbidity MH - Female MH - *HIV Seropositivity/ep [Epidemiology] MH - *Health Services Needs and Demand/sn [Statistics & Numerical Data] MH - Health Status MH - Humans MH - Male MH - *Mental Health Services/sd [Supply & Distribution] MH - Middle Aged MH - Neuropsychological Tests MH - *Nursing Homes MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - This study profiles nursing home residents receiving alcohol and drug treatment, describing their sociodemographic, health, and treatment characteristics. We analyzed 3,662 admission assessments in the Minimum Data Set for people receiving alcohol/drug treatment from June, 1998 through September, 2000. These residents were likely to be male and under age 50. More than half were White and 29 percent were African American. Typically, these residents were not physically or cognitively impaired. However, more than 39 percent had unstable health patterns and almost 21 percent had HIV disease. Thirty-eight percent had a history of mental health conditions, with 24 percent having depression and almost 18 percent having schizophrenia. At least 75 percent received no psychological therapy in the previous 7 days and a majority did not receive antipsychotic, antianxiety, or antidepressant medications. These analyses indicate that most recently admitted residents receiving alcohol/drug treatment did not receive mental health therapy in nursing homes. IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - CA-57030 (United States NCI NIH HHS) LG - English DP - 2003 DC - 20030421 YR - 2003 ED - 20030819 RD - 20080512 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12703667 <358. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12861894 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brotherson JD AU - Marshall ES AU - Measom G AU - Clark JR FA - Brotherson, Jason D FA - Marshall, Elaine S FA - Measom, Gary FA - Clark, John R IN - Brotherson,Jason D. Utah Vasular Center, Provo, Utah, USA. TI - Tobacco use and degenerative joint disease of the spine. SO - Journal of the American Academy of Nurse Practitioners. 15(6):277-81, 2003 Jun. AS - J Am Acad Nurse Pract. 15(6):277-81, 2003 Jun. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - Analysis of Variance MH - Chi-Square Distribution MH - Female MH - Health Status MH - Humans MH - *Joint Diseases/et [Etiology] MH - Joint Diseases/pp [Physiopathology] MH - Joint Diseases/su [Surgery] MH - Male MH - Middle Aged MH - Risk Factors MH - *Smoking/ae [Adverse Effects] MH - *Spinal Diseases/et [Etiology] MH - Spinal Diseases/pp [Physiopathology] MH - Spinal Diseases/su [Surgery] MH - *Tobacco Use Disorder/co [Complications] MH - Tobacco Use Disorder/pp [Physiopathology] MH - *Tobacco, Smokeless/ae [Adverse Effects] AB - PURPOSE: To examine differences between tobacco users and nonusers who required surgical treatment for degenerative joint disease (DJD) of the spine. AB - DATA SOURCES: Two hundred randomly selected medical records of patients who had undergone surgery for DJD of the spine. AB - CONCLUSIONS: The number of tobacco users in the sample was significantly higher than the number of tobacco users in the general population, indicating greater incidence of DJD among tobacco users. The study demonstrated significant differences between tobacco users and nonusers regarding age, gender, type of occupation, number of imaging studies to diagnosis, and needs for pain management. AB - IMPLICATIONS FOR PRACTICE: Nurse practitioners who deal with education and treatment of patients at risk for spinal degenerative joint disease must consider tobacco use as a significant factor, especially regarding diagnostic studies and pain management. IS - 1041-2972 IL - 1041-2972 PT - Comparative Study PT - Journal Article LG - English DP - 2003 Jun DC - 20030716 YR - 2003 ED - 20030808 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12861894 <359. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12854238 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dongier M AU - Brown TG FA - Dongier, Maurice FA - Brown, Thomas G IN - Dongier,Maurice. McGill University, Montreal, Quebec, Canada. donmau@douglas.mcgill.ca TI - Nursing research and alcohol problems: learning from recent history?. [Review] [28 refs] SO - Canadian Journal of Nursing Research. 35(1):13-22, 2003 Mar. AS - Can J Nurs Res. 35(1):13-22, 2003 Mar. NJ - The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres PI - Journal available in: Print PI - Citation processed from: Print JC - cjn, 8910581 SB - Nursing Journal CP - Canada MH - Alcohol Deterrents/tu [Therapeutic Use] MH - Alcoholism/et [Etiology] MH - Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - *Alcoholism MH - Disease Progression MH - Genetic Predisposition to Disease/ge [Genetics] MH - Humans MH - Motivation MH - Needs Assessment MH - Nurse's Role MH - *Nursing Research/td [Trends] MH - Patient Care Team MH - Psychotherapy, Brief MH - Remission, Spontaneous MH - Risk Factors RN - 0 (Alcohol Deterrents) IS - 0844-5621 IL - 0844-5621 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2003 Mar DC - 20030711 YR - 2003 ED - 20030805 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12854238 <360. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12807582 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Goldberg RJ AU - Grabowski R FA - Goldberg, Roy J FA - Grabowski, Robert IN - Goldberg,Roy J. New York Medical College, Valhalla, New York, NY 10801, USA. TI - Methadone maintenance: its future in skilled nursing facilities. SO - Journal of the American Medical Directors Association. 4(2):98-100, 2003 Mar-Apr. AS - J AM MED DIR ASSOC. 4(2):98-100, 2003 Mar-Apr. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print PI - Citation processed from: Print JC - 100893243 SB - Index Medicus CP - United States MH - Aged MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Humans MH - Male MH - *Methadone/tu [Therapeutic Use] MH - Pain/dt [Drug Therapy] MH - Patient Acceptance of Health Care MH - Skilled Nursing Facilities/st [Standards] MH - *Skilled Nursing Facilities MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Time Factors MH - United States AB - The number of geriatric residents in skilled nursing facilities (SNF) receiving methadone maintenance is likely to increase as the drug abusing population ages. Currently, facilities specializing in the care of human immunodeficiency virus (HIV) diseases are predominantly affected, but over the next decade this will change. Residents on methadone have unique needs based on their drug history and current treatment demands and will present new challenges for the affected institutions. There are no current publications or data in the literature exploring the use of methadone for the aging nursing home patient. Further investigation is necessary so that these residents are appropriately cared for. RN - 0 (Analgesics, Opioid) RN - UC6VBE7V1Z (Methadone) IS - 1525-8610 IL - 1525-8610 PT - Case Reports PT - Journal Article LG - English DP - 2003 Mar-Apr DC - 20030616 YR - 2003 ED - 20030731 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12807582 <361. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12792006 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruths S AU - Straand J AU - Nygaard HA FA - Ruths, S FA - Straand, J FA - Nygaard, H A IN - Ruths,S. Section for Geriatric Medicine, Department of Public Health and Primary Health Care, University of Bergen, Norway. sabine.ruths@isf.uib.no TI - Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. SO - Quality & Safety in Health Care. 12(3):176-80, 2003 Jun. AS - Qual Saf Health Care. 12(3):176-80, 2003 Jun. NJ - Quality & safety in health care PI - Journal available in: Print PI - Citation processed from: Print JC - 101136980 OI - Source: NLM. PMC1743717 SB - Health Administration Journals CP - England MH - Aged MH - Cross-Sectional Studies MH - *Drug Therapy/ut [Utilization] MH - *Drug Utilization Review MH - *Drug-Related Side Effects and Adverse Reactions MH - Female MH - Health Services Misuse MH - Health Services Research MH - Humans MH - Male MH - Medication Errors MH - Norway MH - *Nursing Homes/og [Organization & Administration] MH - Psychotropic Drugs/tu [Therapeutic Use] AB - AIM: Based on a multidisciplinary review of drug use in nursing home residents, this study aimed to identify the most frequent clinically relevant medication problems and to analyse them according to the drugs involved and types of problems. AB - METHODS: Cross sectional study auditing drug use by 1354 residents in 23 nursing homes in Bergen, Norway. Data were collected in 1997. A physician/pharmacist panel performed a comprehensive medication review with regard to indications for drug use and active medical conditions. The drug related problems were subsequently classified according to the drugs involved and types of problems (indication, effectiveness, and safety issues). AB - RESULTS: 2445 potential medication problems were identified in 1036 (76%) residents. Psychoactive drugs accounted for 38% of all problems; antipsychotics were the class most often involved. Multiple psychoactive drug use was considered particularly problematic. Potential medication problems were most frequently classified as risk of adverse drug reactions (26%), inappropriate drug choice for indication (20%), and underuse of beneficial treatment (13%). AB - CONCLUSIONS: Three of four nursing home residents had clinically relevant medication problems, most of which were accounted for by psychoactive drugs. The most frequent concerns were related to adverse drug reactions, drug choice, and probable undertreatment. RN - 0 (Psychotropic Drugs) IS - 1475-3898 IL - 1475-3898 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Jun DC - 20030606 YR - 2003 ED - 20030730 RD - 20140611 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12792006 <362. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12858927 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ocitti EF AU - Adwok JA FA - Ocitti, E F FA - Adwok, J A IN - Ocitti,E F. Department of Surgery, College of Health Sciences, University of Nairobi, P.O. Box 19676, Nairobi, Kenya. TI - Post-operative management of pain following major abdominal and thoracic operations. SO - East African Medical Journal. 77(6):299-302, 2000 Jun. AS - East Afr Med J. 77(6):299-302, 2000 Jun. NJ - East African medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - edg, 0372766 SB - Index Medicus CP - Kenya MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Female MH - Humans MH - *Laparotomy MH - Male MH - Middle Aged MH - *Pain, Postoperative/dt [Drug Therapy] MH - Prospective Studies MH - *Thoracotomy AB - OBJECTIVE: To study the common methods of analgesia and their effectiveness in post-operative patients and to assess the occurrence of common post-operative complications related to pain. AB - DESIGN: A prospective descriptive study. AB - SETTINGS: Three general surgical wards and one cardiothoracic ward at the Kenyatta National Hospital, Nairobi, between 1st September 1996 and 30th November 1996. AB - PATIENTS: One hundred and six adult patients admitted in the hospital for thoracotomy and/or laparotomy over a period of three months. AB - RESULTS: Overall, 60% of the patients did not achieve adequate pain relief during the first 72 hours after surgery. Age, sex, weight, drug and type of operation did not influence pain score significantly. All but two patients were not prepared psychologically about expectations after surgery. Over ninety seven per cent received pethidine while 2.8% had morphine. The drugs were prescribed and administered with too little attention to the patient' s response and too much concern about adverse effects and narcotic addiction. AB - CONCLUSION: The results suggest that the standard of post-operative pain relief is poor. Patients need to be told more about what to expect (and demand). The medical and nursing staff need further education in how to prescribe and administer analgesia with reference to individual drug response. Other more effective methods of pain control should be introduced. RN - 0 (Analgesics, Opioid) IS - 0012-835X IL - 0012-835X PT - Journal Article LG - English DP - 2000 Jun DC - 20030715 YR - 2000 ED - 20030730 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12858927 <363. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12870447 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Henry K FA - Henry, K TI - HAART and medical management: the realities of clinical care. Interview with Keith Henry, M.D. Interview by John S. James. SO - AIDS Treatment News. (338):2-8, 2000 Mar 3. AS - AIDS Treat News. (338):2-8, 2000 Mar 3. NJ - AIDS treatment news PI - Journal available in: Print PI - Citation processed from: Print JC - 8809835, b6v SB - AIDS/HIV Journals CP - United States MH - *Antiretroviral Therapy, Highly Active MH - *HIV Infections/dt [Drug Therapy] MH - Humans AB - In many outpatient HIV clinics the medical staff is so poorly funded that over 95% of the cost of patient care goes to drugs and laboratory tests--and less than 5% to physicians, nurses, other staff, clinic overhead, medical records, patient education, adherence monitoring, and other costs of care. This misdirection of resources results in patients not receiving the professional time and attention they need, and drug being taken incorrectly, leading to unnecessary drug failure and other medical problems. Keith Henry, M.D., who recently called for more cautious use of antiretroviral therapy, describes the realities of inadequate funding for medical care, and some needed steps for improvement. Also, we asked him to explain how his clinic has consistently performed leading-edge research without the major funding usually available at research institutions. IS - 1052-4207 IL - 1052-4207 PT - Interview PT - Newspaper Article LG - English DP - 2000 Mar 3 DC - 20030701 YR - 2000 ED - 20030728 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12870447 <364. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12811890 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anderson JJ AU - Flanigan CC AU - Jauhar PJ FA - Anderson, J J FA - Flanigan, C C FA - Jauhar, P J IN - Anderson,J J. Parkhead Hospital, 81 Salamanca Street, Glasgow G31 5BA. TI - Knowledge of alcohol-related problems in clinical staff in psychiatric community resource centres in Glasgow. SO - Health Bulletin. 57(3):162-4, 1999 May. AS - Health Bull (Edinb). 57(3):162-4, 1999 May. NJ - Health bulletin PI - Journal available in: Print PI - Citation processed from: Print JC - g1y, 0012330, 19030070r SB - Index Medicus CP - Scotland MH - Adult MH - Alcoholism/co [Complications] MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/pp [Physiopathology] MH - *Community Mental Health Centers/ma [Manpower] MH - Community Mental Health Centers/st [Standards] MH - Health Personnel/ed [Education] MH - *Health Personnel/st [Standards] MH - Humans MH - Knowledge MH - Professional Competence MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/st [Standards] MH - Scotland MH - Surveys and Questionnaires AB - We report on a survey of knowledge of alcohol-related problems in the multi-disciplinary staff in 12 general adult psychiatry community resource centres. In total we obtained data from 111 staff, the majority of whom (63%) were community psychiatric nurses (CPNs). Seventy-three per cent of staff routinely ask clients about their alcohol consumption and 66% felt that they could identify those clients with an alcohol problem. We identified gaps in knowledge that could be seen as significant, for example, the legal driving limit and the number of units of alcohol in bottles of wine and spirits. Less than a third of staff knew the criteria for alcohol dependence. The majority of staff were able to recognise clinical complications of alcohol abuse and to identify alcohol withdrawal symptoms. We consider that it would be useful to provide a simple concise data-sheet, containing basic information about alcohol, for clinical staff. IS - 0374-8014 IL - 0374-8014 PT - Journal Article LG - English DP - 1999 May DC - 20030618 YR - 1999 ED - 20030725 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12811890 <365. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12800693 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berardinelli C AU - Kupecz D FA - Berardinelli, Candace FA - Kupecz, Deborah TI - Annual update: drugs, diagnostics and devices. [Review] [7 refs] SO - Nurse Practitioner. 28(3):30, 33-7; quiz 37-9, 2003 Mar. AS - Nurse Pract. 28(3):30, 33-7; quiz 37-9, 2003 Mar. NJ - The Nurse practitioner PI - Journal available in: Print PI - Citation processed from: Print JC - oa1, 7603663 SB - Index Medicus SB - Nursing Journal CP - United States MH - Anti-Inflammatory Agents/tu [Therapeutic Use] MH - Dermatitis, Atopic/dt [Drug Therapy] MH - Drug Approval MH - *Drug Therapy/td [Trends] MH - Education, Nursing, Continuing MH - *Equipment and Supplies MH - HIV Infections/di [Diagnosis] MH - Humans MH - Migraine Disorders/dt [Drug Therapy] MH - Nurse Practitioners MH - Opioid-Related Disorders/dt [Drug Therapy] MH - Sterilization, Reproductive AB - As NPs continue to play an important role in health care as administers of prescriptions, the value of reviewing the latest Food and Drug Administration (FDA) approvals for new drugs and devices is immeasurable. In 2002, the FDA approved several new drugs and devices, as well as monitored previously approved drugs for adverse reactions and untoward events. This article provides a brief review of relevant primary care topics. [References: 7] RN - 0 (Anti-Inflammatory Agents) IS - 0361-1817 IL - 0361-1817 PT - Journal Article PT - Review LG - English DP - 2003 Mar DC - 20030612 YR - 2003 ED - 20030717 RD - 20051117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12800693 <366. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12789672 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lindesay J AU - Matthews R AU - Jagger C FA - Lindesay, James FA - Matthews, Ruth FA - Jagger, Carol IN - Lindesay,James. Division of Psychiatry for the Elderly, Department of Psychiatry, University of Leicester, Leicester, UK. jeb11@le.ac.uk TI - Factors associated with antipsychotic drug use in residential care: changes between 1990 and 1997. SO - International Journal of Geriatric Psychiatry. 18(6):511-9, 2003 Jun. AS - Int J Geriatr Psychiatry. 18(6):511-9, 2003 Jun. NJ - International journal of geriatric psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - co0, 8710629 SB - Index Medicus CP - England MH - Activities of Daily Living MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Antidepressive Agents/tu [Therapeutic Use] MH - *Antipsychotic Agents/tu [Therapeutic Use] MH - Cognition Disorders/co [Complications] MH - Cognition Disorders/dt [Drug Therapy] MH - *Cognition Disorders/ep [Epidemiology] MH - England/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Prevalence MH - *Residential Facilities MH - Social Behavior Disorders/co [Complications] MH - *Social Behavior Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - Urinary Incontinence/co [Complications] AB - BACKGROUND: There is limited information from population-based studies about the rates of antipsychotic drug use in residential and nursing homes in the UK, and associated adverse effects. AB - OBJECTIVES: To examine the relationship between antipsychotic drug prescription, cognitive impairment and disturbed behaviour in this population over time, and to identify possible adverse consequences of their use. AB - METHODS: Two censuses of the residential and nursing home population aged 65 years and older in Leicestershire, carried out in 1990 and 1997. A questionnaire was completed by care staff for each resident, including information on demographic details, physical functioning, cognitive impairment, behaviour disturbance, urinary incontinence, falls, mobility, daytime alertness (1997 only), and prescribed medication. AB - RESULTS: The prevalence of staff-rated moderate or severe cognitive impairment increased from 38.0% in 1990 to 44.3% in 1997. The prevalence of staff-rated disturbed behaviour decreased from 11.8% in 1990 to 10.4% in 1997. Cognitive impairment was strongly associated with disturbed behaviour in both years. The prescription rate of antipsychotic drugs increased from 17.8% in 1990 to 21.9% in 1997. There was no significant change in the prescription rates to cognitively impaired residents between 1990 and 1997 (29.1% vs 30.7%). In residents without cognitive impairment, the prescription rate rose from 10.7% to 15.0%. Antipsychotic drug use was independently associated with: younger age, type of home (1990 only), cognitive impairment, offensive behaviour, lower ADL dependency (1990 only), antidepressant drug use, reported urinary incontinence and greater mobility. There was no association with increased liability to falls or drowsiness. In the cognitively unimpaired residents, antipsychotic drug use was not associated with urinary incontinence in 1997, and there was an association with increased drowsiness in that year. AB - CONCLUSIONS: The only significant change in antipsychotic drug prescribing practice in this population over the period covered by this study was an increase in the prescription rate in cognitively unimpaired residents in 1997, possibly related to mental hospital closures. Urinary incontinence was the principal adverse effect of antipsychotic drug use observed in the group as a whole. Changes in the adverse effects associated with antipsychotic drug use may be a function of the increasing frailty.Copyright 2003 John Wiley & Sons, Ltd. RN - 0 (Antidepressive Agents) RN - 0 (Antipsychotic Agents) IS - 0885-6230 IL - 0885-6230 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Jun DC - 20030605 YR - 2003 ED - 20030715 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12789672 <367. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12776652 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kirsner KM FA - Kirsner, Kenneth M IN - Kirsner,Kenneth M. University of Texas M.D. Anderson Cancer Center, Houston, Tex., USA. TI - Cancer: new therapies and new approaches to recurring problems. [Review] [12 refs] SO - AANA Journal. 71(1):55-62, 2003 Feb. AS - AANA J. 71(1):55-62, 2003 Feb. NJ - AANA journal PI - Journal available in: Print PI - Citation processed from: Print JC - 0431420 SB - Nursing Journal CP - United States MH - *Anesthetics/tu [Therapeutic Use] MH - *Antineoplastic Agents/tu [Therapeutic Use] MH - Education, Nursing, Continuing MH - Humans MH - *Nurse Anesthetists MH - *Spinal Neoplasms/dt [Drug Therapy] MH - Spinal Neoplasms/nu [Nursing] MH - *Spinal Neoplasms/su [Surgery] AB - Caring for patients with cancer presents unique challenges to anesthetists. Chemotherapeutic regimens can cause cardiac, pulmonary, and other complications that will influence the anesthesia provider's care. New surgical techniques, including vertebroplasty, vertebrectomy, radiofrequency ablation of the liver, and sentinel node biopsy, present issues related to the surgical techniques and drugs administered. Recurring problems, including tumors of the airway and cardiac tamponade, continue to present challenges for anesthesia providers. Many patients with cancer who undergo surgery not only have acute pain related to the surgical procedure but also have chronic pain that will influence anesthetic and postoperative pain management. This Journal course discusses new therapies and procedures and approaches to recurring problems in cancer care. [References: 12] RN - 0 (Anesthetics) RN - 0 (Antineoplastic Agents) IS - 0094-6354 IL - 0094-6354 PT - Journal Article PT - Review LG - English DP - 2003 Feb DC - 20030602 YR - 2003 ED - 20030625 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12776652 <368. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12682598 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Raeside L FA - Raeside, Lavinia IN - Raeside,Lavinia. Neonatal Intensive Care Unit, King Edward VII Memorial Hospital, Bermuda. TI - Attitudes of staff towards mothers affected by substance abuse. SO - British Journal of Nursing. 12(5):302-10, 2003 Mar 13-26. AS - Br J Nurs. 12(5):302-10, 2003 Mar 13-26. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Adult MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Infant, Newborn MH - Middle Aged MH - *Mothers MH - *Neonatal Nursing MH - Pregnancy MH - *Pregnancy Complications/nu [Nursing] MH - Pregnancy Complications/px [Psychology] MH - Scotland MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - The purpose of this study was to explore the influence of education and experience on the attitudes of neonatal nurses/midwives when caring for mothers and infants affected by substance abuse. A self-report questionnaire was completed by 50 nurses/midwives. The attitude of nurses/midwives towards mothers affected by substance abuse was generally negative/judgemental, and their knowledge base was low. The most experienced nursing staff generally had a more negative attitude than those nurses/midwives with less neonatal experience. Formal neonatal education did not appear to have a positive effect on knowledge base or attitudes; however, results implied that in-service education on substance abuse might have a mildly positive effect on attitudes. Results indicate a need for formal education on substance abuse and its effect on the neonate and mother, and that specialist education on substance abuse may influence attitudes. IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2003 Mar 13-26 DC - 20030408 YR - 2003 ED - 20030520 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12682598 <369. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13209511 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - STEELE R FA - STEELE, R TI - Report on Nurses' Institute on Alcoholism held at Yale University, July 29, 30, 31, 1954. SO - Canadian Services Medical Journal. 10(5):376-84, 1954 Dec. AS - Can Serv Med J. 10(5):376-84, 1954 Dec. NJ - Canadian services medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - 16020700r OI - Source: CLML. 5527:21288:19:325 SB - OLDMEDLINE Citations CP - Not Available MH - *Academies and Institutes MH - *Alcoholism/pc [Prevention & Control] MH - *Education, Nursing MH - Humans MH - *Nurses MH - *Universities KW - *ALCOHOLISM/prevention and control; *NURSING PROFESSION/education PT - Journal Article LG - English DP - 1954 Dec DC - 19551201 YR - 1954 ED - 20030501 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13209511 <370. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12559136 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allcock N AU - Toft C FA - Allcock, Nick FA - Toft, Cheryl IN - Allcock,Nick. School of Nursing, Faculty of Medicine and Health Sciences, The University of Nottingham, Queen's Medical Centre, Room B50, NG7 2UH, Nottingham, UK. nick.allcock@nottingham.ac.uk TI - Student nurses' attitudes to pain relieving drugs. SO - International Journal of Nursing Studies. 40(2):125-31, 2003 Feb. AS - Int J Nurs Stud. 40(2):125-31, 2003 Feb. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - *Analgesics MH - *Attitude of Health Personnel MH - Longitudinal Studies MH - Narcotics MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders AB - This paper reports the results of a longitudinal survey of 217 student nurses undertaken during their common foundation programme (CFP), which comprises the first 18 months of the course. The study explored changes during the CFP in students' perceptions of the risk of addiction and their attitudes towards analgesics. The results revealed that although the students had a more accurate view of the risk of addiction by the end of the CFP there was still an exaggerated fear of the risk of addiction in over half the students. Follow-up interviews with 14 students also indicated that students displayed a more general wariness in relation to the use of analgesics. RN - 0 (Analgesics) RN - 0 (Narcotics) IS - 0020-7489 IL - 0020-7489 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Feb DC - 20030131 YR - 2003 ED - 20030401 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12559136 <371. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12407474 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kitajima T AU - Ohida T AU - Harano S AU - Kamal AM AU - Takemura S AU - Nozaki N AU - Kawahara K AU - Minaowa M FA - Kitajima, T FA - Ohida, T FA - Harano, S FA - Kamal, A M M FA - Takemura, S FA - Nozaki, N FA - Kawahara, K FA - Minaowa, M IN - Kitajima,T. Department of Public Health, School of Medicine, Nihon University, Tokyo, Japan. TI - Smoking behavior, initiating and cessation factors among Japanese nurses: a cohort study. SO - Public Health. 116(6):347-52, 2002 Nov. AS - Public Health. 116(6):347-52, 2002 Nov. NJ - Public health PI - Journal available in: Print PI - Citation processed from: Print JC - qi7, 0376507 SB - Index Medicus CP - England MH - Adult MH - Cohort Studies MH - Female MH - *Health Behavior MH - Humans MH - *Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - Prevalence MH - Regression Analysis MH - Risk Factors MH - *Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Tokyo/ep [Epidemiology] MH - Women's Health MH - Women, Working/px [Psychology] AB - The prevalence of smoking among Japanese nurses, specially in their twenties, is higher than that among the general female population. To examine smoking behavior, smoking initiating and cessation factors, we conducted a cohort study through questionnaire survey, targeting nurses (n=1572) working at 11 hospitals located in Tokyo metropolitan area. The first survey was conducted using a confidential questionnaire on smoking, followed by a second survey conducted in the same manner on the same subjects two years later. As to smoking status after two years, 8% (95%CI=1.5%) started smoking and 6% (95%CI=1.4%) quitted resulting in a 2% increase in the prevalence of current smoking. The average nicotine dependence for nurses who were smokers in the two surveys rose from 3.9 to 4.3 (P<0.05). Smoking behavior of mother, friends, or superiors at work had a significant influence on smoking behavior of nurses. As to smoking cessation factors, the idea that women and medical workers should not smoke, and living with family each had a significant influence. Considering the fact that 6% of nurses in this study succeeded in quitting smoking within two years, it is required that anti-smoking education be conducted at medical institutions to decrease the prevalence of current smoking among the nurses in Japan. IS - 0033-3506 IL - 0033-3506 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 Nov DC - 20021030 YR - 2002 ED - 20030220 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12407474 <372. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12529084 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - de Crespigny C AU - Emden C AU - Drage B AU - Hobby C AU - Smith S FA - de Crespigny, Charlotte FA - Emden, Carolyn FA - Drage, Beverly FA - Hobby, Christine FA - Smith, Sara IN - de Crespigny,Charlotte. School of Nursing & Midwifery, The Flinders University of South Australia. charlotte.decresoigny@flinders.edu.au TI - Missed opportunities in the field: caring for clients with co-morbidity problems. SO - Collegian: Journal of the Royal College of Nursing, Australia. 9(3):29-34, 2002 Jul. AS - Collegian. 9(3):29-34, 2002 Jul. NJ - Collegian (Royal College of Nursing, Australia) PI - Journal available in: Print PI - Citation processed from: Print JC - 9612493 SB - Nursing Journal CP - Australia MH - Attitude of Health Personnel MH - Community Mental Health Services MH - Family/px [Psychology] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/nu [Nursing] MH - Needs Assessment MH - Psychiatric Nursing/mt [Methods] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] AB - This discussion paper presents key issues associated with caring for people with concurrent alcohol or drug and mental health problems. By way of anecdotal stories and personal experiences, it draws attention to 'missed opportunities' for effective care of clients within a general hospital and community mental health service. As educators, inicians and students, we are concerned our own attempts to improve the care of these clients may have been less than successful due to various factors, and believe such information is important to share with the wider nursing profession. We hope the paper will stimulate interest amongst general, mental health and drug and alcohol nurses, and researchers and educators to better address the issue of alcohol, drug and mental health co-morbidity in our community. IS - 1322-7696 IL - 1322-7696 PT - Journal Article LG - English DP - 2002 Jul DC - 20030116 YR - 2002 ED - 20030211 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12529084 <373. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12443701 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Green AJ AU - Holloway DG FA - Green, Anita J FA - Holloway, David G IN - Green,Anita J. Lecturer (Clinical) in Mental Health, Duke of Kent Building European Institute of Health and Medical Sciences, University of Surrey, Guildford, UK. a.green@surrey.ac.uk TI - An education programme for professionals who specialize in substance misuse in St. Petersburg, Russia: part 2. SO - Nurse Education Today. 22(8):648-53, 2002 Nov. AS - Nurse Educ Today. 22(8):648-53, 2002 Nov. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Cross-Cultural Comparison MH - *Education, Medical MH - *Education, Nursing MH - Great Britain MH - Humans MH - *International Cooperation MH - Program Evaluation/mt [Methods] MH - Russia MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - This paper extends the account of a joint project of education and training of doctors and nurses in St. Petersburg, Russia funded by the Know How Fund Health Sector Small Partnership Scheme (Russia) (). It reports the findings of two evaluations of the project. The first, an external evaluation was carried on behalf of the sponsors, the KHF. The second was an 'insider' evaluation utilising a framework developed for the English National Board by Cranfield and Stoneman. The paper concludes with a discussion of issues arising from the cross-cultural evaluations. IS - 0260-6917 IL - 0260-6917 PT - Comparative Study PT - Evaluation Studies PT - Journal Article LG - English DP - 2002 Nov DC - 20021121 YR - 2002 ED - 20030204 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12443701 <374. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12444361 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hayes PD FA - Hayes, Patricia D IN - Hayes,Patricia D. Northwest Area Health Education Center, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1060, USA. phayes@wfubmc.edu TI - Substance abuse integration in nursing education: an innovative collaborative model. SO - Substance Abuse. 23(1):67-79, 2002 Mar. AS - Subst Abus. 23(1):67-79, 2002 Mar. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - Netherlands MH - Adult MH - Curriculum/st [Standards] MH - *Education, Nursing/og [Organization & Administration] MH - Faculty MH - Female MH - *Health Planning/og [Organization & Administration] MH - Humans MH - Male MH - *Substance-Related Disorders AB - This paper reports the outcomes of a 3-year faculty development project, the Nursing School Education Collaborative (NSEC), implemented in four baccalaureate schools of nursing. The focus of the NSEC was to strengthen educational programs through faculty development and curriculum integration in the area of substance abuse and addictions education. A comprehensive needs assessment process is outlined, and faculty development and curriculum integration activities are detailed. Faculty development has resulted in significant improvements in each school's substance abuse curriculum. Outcomes at each participating school have included continuing education activities, acquisition of additional teaching resources, the development of an integration model, and increased curriculum and clinical contact hours. With the increasing recognition of substance abuse as a number one public health problem and nursing as a major health workforce, this project serves as a model for replication. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 Mar DC - 20021121 YR - 2002 ED - 20030123 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12444361 <375. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12473018 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weiner DK AU - Rudy TE FA - Weiner, Debra K FA - Rudy, Thomas E IN - Weiner,Debra K. Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh, Pennsylvania, USA. dweiner@pitt.edu TI - Attitudinal barriers to effective treatment of persistent pain in nursing home residents. SO - Journal of the American Geriatrics Society. 50(12):2035-40, 2002 Dec. AS - J Am Geriatr Soc. 50(12):2035-40, 2002 Dec. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Analysis of Variance MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Female MH - Humans MH - Male MH - *Nurses/px [Psychology] MH - *Nurses' Aides/px [Psychology] MH - *Pain Management MH - Substance-Related Disorders MH - Surveys and Questionnaires AB - OBJECTIVES: To systematically explore nursing home (NH) resident and staff attitudes that serve as barriers to detection and management of persistent pain. AB - DESIGN: Survey. AB - SETTING: Six community-based and one Veterans Affairs long-term care facility AB - PARTICIPANTS: Seventy-five NH nurses, 75 certified nursing assistants (CNAs), and 75 communicative NH residents who reported some pain or discomfort "every day or almost every day." AB - MEASUREMENTS: Three structured pain attitudes questionnaires (one each for NH residents, CNAs, and nurses) that incorporated constructs gleaned from a comprehensive literature review were designed. One-week test-retest reliability was calculated on a subsample of 25 residents, 19 CNAs, and 26 nurses. Attitudinal differences between the three groups were evaluated using multivariate analysis of variance (MANOVA). AB - RESULTS: Of 12 constructs evaluated, 10 had fair to excellent reliability indices (residents 0.46-0.80; CNAs 0.57-0.76; nurses 0.62-0.94). Of these 10 reliable constructs, MANOVA indicated significant overall attitude differences between the three groups. Follow-up analyses indicated that attitudes endorsed most strongly by residents were that chronic pain does not change, belief in external pathology over pain reports, fear of addiction, and fear of dependence. CNAs attitudes endorsed most strongly were lack of time and complaints unheard. The nurse attitude endorsed most strongly was complaints unheard. AB - CONCLUSIONS: These findings suggest that, if residents' fears regarding addiction, worsening dependence, and the immutable nature of persistent pain were quelled, and if CNAs could feel that adequate time is available for pain assessment, perhaps improved pain management in the NH would result. IS - 0002-8614 IL - 0002-8614 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - K08 AG00643 (United States NIA NIH HHS) NO - P01 HD33989 (United States NICHD NIH HHS) NO - R01 AG18299 (United States NIA NIH HHS) LG - English DP - 2002 Dec DC - 20021210 YR - 2002 ED - 20030116 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12473018 <376. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12230044 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klein WC AU - Jess C FA - Klein, Waldo C FA - Jess, Carol IN - Klein,Waldo C. School of Social Work, University of Connecticut, West Hartford 06117-2698, USA. wklein@uconnvm.uconn.edu TI - One last pleasure? Alcohol use among elderly people in nursing homes. SO - Health & Social Work. 27(3):193-203, 2002 Aug. AS - Health Soc Work. 27(3):193-203, 2002 Aug. NJ - Health & social work PI - Journal available in: Print PI - Citation processed from: Print JC - 7611528, fz6 SB - Index Medicus CP - United States MH - Aged MH - *Alcoholism/ep [Epidemiology] MH - Attitude of Health Personnel MH - Female MH - Geriatric Assessment MH - Health Personnel/px [Psychology] MH - Humans MH - *Inpatients/px [Psychology] MH - Inpatients/sn [Statistics & Numerical Data] MH - Inservice Training MH - Interviews as Topic MH - Male MH - *Nursing Homes/og [Organization & Administration] MH - *Organizational Policy MH - Social Work/ed [Education] MH - United States/ep [Epidemiology] AB - The study discussed in this article describes the alcohol-related policies, practices, and problems experienced by a sample of 111 intermediate care facilities and homes for elderly people. Data were collected using a semi-structured telephone interview and indicate that alcohol use and associated problems among nursing home residents are common. Despite the problems reported, screening for alcohol problems among residents, treatment of identified problems, and training of staff were not found to be widespread. Ambiguity about the role of alcohol as a social beverage or as a psychoactive substance to be managed was identified. Challenges to social workers and social work education are identified. IS - 0360-7283 IL - 0360-7283 PT - Comparative Study PT - Journal Article LG - English DP - 2002 Aug DC - 20020916 YR - 2002 ED - 20030116 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12230044 <377. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12102431 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Parker J FA - Parker, Jill TI - Tobacco dependence curricula in acute care nurse practitioner education. CM - Comment on: Am J Crit Care. 2002 Jan;11(1):27-33; PMID: 11785554 SO - American Journal of Critical Care. 11(4):317, 401; author reply 401, 2002 Jul. AS - Am J Crit Care. 11(4):317, 401; author reply 401, 2002 Jul. NJ - American journal of critical care : an official publication, American Association of Critical-Care Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bum, 9211547 SB - Index Medicus SB - Nursing Journal CP - United States MH - Competency-Based Education MH - *Curriculum MH - Education, Nursing, Continuing MH - Guidelines as Topic MH - Humans MH - *Nurse Practitioners/ed [Education] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] MH - United States IS - 1062-3264 IL - 1062-3264 PT - Comment PT - Letter LG - English DP - 2002 Jul DC - 20020709 YR - 2002 ED - 20021227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12102431 <378. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12102429 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wheeler E FA - Wheeler, Erin TI - Tobacco dependence curricula in acute care nurse practitioner education. CM - Comment on: Am J Crit Care. 2002 Jan;11(1):27-33; PMID: 11785554 SO - American Journal of Critical Care. 11(4):316-7; author reply 401, 2002 Jul. AS - Am J Crit Care. 11(4):316-7; author reply 401, 2002 Jul. NJ - American journal of critical care : an official publication, American Association of Critical-Care Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bum, 9211547 SB - Index Medicus SB - Nursing Journal CP - United States MH - Competency-Based Education MH - *Curriculum MH - Education, Nursing, Continuing MH - Guidelines as Topic MH - Humans MH - *Nurse Practitioners/ed [Education] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] MH - United States IS - 1062-3264 IL - 1062-3264 PT - Comment PT - Letter LG - English DP - 2002 Jul DC - 20020709 YR - 2002 ED - 20021227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12102429 <379. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12102430 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Robinette A FA - Robinette, Anne TI - Tobacco dependence curricula in acute care nurse practitioner education. CM - Comment on: Am J Crit Care. 2002 Jan;11(1):27-33; PMID: 11785554 SO - American Journal of Critical Care. 11(4):316; author reply 401, 2002 Jul. AS - Am J Crit Care. 11(4):316; author reply 401, 2002 Jul. NJ - American journal of critical care : an official publication, American Association of Critical-Care Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bum, 9211547 SB - Index Medicus SB - Nursing Journal CP - United States MH - Competency-Based Education MH - *Curriculum MH - Education, Nursing, Continuing MH - Guidelines as Topic MH - Humans MH - *Nurse Practitioners/ed [Education] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] MH - United States IS - 1062-3264 IL - 1062-3264 PT - Comment PT - Letter LG - English DP - 2002 Jul DC - 20020709 YR - 2002 ED - 20021227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12102430 <380. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12473914 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hardie TL FA - Hardie, Thomas L IN - Hardie,Thomas L. Department of Nursing, University of Delaware, Newark, DE 19716, USA. Thardie@udel.edu TI - The genetics of substance abuse. [Review] [32 refs] SO - AACN Clinical Issues. 13(4):511-22, 2002 Nov. AS - AACN Clin Issues. 13(4):511-22, 2002 Nov. NJ - AACN clinical issues PI - Journal available in: Print PI - Citation processed from: Print JC - 9508191, cdm SB - Nursing Journal CP - United States MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/ge [Genetics] MH - Counseling MH - Female MH - Humans MH - Male MH - Prevalence MH - Risk Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/ge [Genetics] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders MH - United States/ep [Epidemiology] AB - Substance abuse is among the most prevalent psychiatric disorders in males and contributes significantly to the morbidity and mortality nurses see in practice. Substance use and abuse disorders were the cause of a half million drug-related visits to emergency rooms in 1995, with more than 50% related to drug overdoses. Substance abuse and dependency result from a complex interaction of genetics and the environment. Various polymorphisms of genes have been demonstrated to have either protective effects or increased risk associated with their presence. Substance abuse is a chronic disease state that has effective treatments that reduce drug use, crime, and psychosocial problems. Nurses can provide targeted education and interventions to positively impact substance abuse treatment and by applying basic principles of genetic counseling may prevent transmission to future generations. [References: 32] IS - 1079-0713 IL - 1079-0713 PT - Journal Article PT - Review LG - English DP - 2002 Nov DC - 20021210 YR - 2002 ED - 20021224 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12473914 <381. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12449007 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pharris MD AU - Nafstad SS FA - Pharris, Magaret Dexheimer FA - Nafstad, Sarah Stoddard IN - Pharris,Magaret Dexheimer. Nursing Department, F-22, College of St. Catherine, 2004 Randolph Avenue, St. Paul, MN 55105, USA. mdpharris@stkate.edu TI - Nursing care of adolescents who have been sexually assaulted. SO - Nursing Clinics of North America. 37(3):475-97, 2002 Sep. AS - Nurs Clin North Am. 37(3):475-97, 2002 Sep. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - *Adaptation, Psychological MH - Adolescent MH - Female MH - Humans MH - Male MH - Nursing Assessment MH - *Nursing Care MH - Parenting MH - Rape/px [Psychology] MH - Rape/rh [Rehabilitation] MH - *Rape MH - Sexually Transmitted Diseases/pc [Prevention & Control] MH - Stress Disorders, Post-Traumatic/et [Etiology] MH - Stress Disorders, Post-Traumatic/pc [Prevention & Control] MH - Substance-Related Disorders AB - Healing responses for adolescents who have been sexually assaulted involve nursing care centered on establishing safety, helping adolescents reconstruct the story of the assault, and restoring connection with the community and themselves [42]. Nurses partner with parents, school personnel, and other meaningful people in the lives of adolescents who have been sexually assaulted to create a physically and emotionally safe environment for the adolescent in the days, weeks, and months after an assault. Recovery involves being able to tell the story over and over again in a safe environment until it is clear that the assailant holds the blame for the assault, which was not sex but rather a crime of domination, and that the adolescent did what she or he needed to do to survive. In discerning ways to cope with the trauma of the assault, strengths are identified, appreciated, and nurtured. Nursing advocacy involves educating the adolescent and those around her or him on common reactions to sexual assault and what is needed in the recovery process. Nurses advocate for accommodations so that healing can occur and so that the well-being of the adolescent is not sacrificed for the prosecution of the offender. The major emphasis of nursing care is weaving together an understanding and caring community to surround the adolescent with nurturance and love. It is in the context of meaningful relationships that healing is maximized. Crisis brings with it the opportunity for immense growth. A caring nursing relationship creates the space in which adolescents can discover sources of spiritual and emotional strength that they can draw upon throughout their lives. IS - 0029-6465 IL - 0029-6465 PT - Journal Article LG - English DP - 2002 Sep DC - 20021125 YR - 2002 ED - 20021211 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12449007 <382. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12418148 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Helmstadter C FA - Helmstadter, Carol IN - Helmstadter,Carol. Faculty of Nursing, University of Toronto, 50 St. George Street, Toronto, M5S 3H4, Ontario, Canda. TI - "A real tone": professionalizing nursing in nineteenth-century London. SO - Nursing History Review. 11:3-30, 2003. AS - Nurs Hist Rev. 11:3-30, 2003. NJ - Nursing history review : official journal of the American Association for the History of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - bqa, 9303945 SB - Index Medicus SB - Nursing Journal SB - History of Medicine Journals CP - United States MH - Alcoholism MH - Education, Nursing MH - Great Britain MH - *History of Nursing MH - History, 19th Century MH - Humans MH - Morals MH - Nursing Staff, Hospital MH - Professional Competence MH - Sexual Behavior MH - Warfare IS - 1062-8061 IL - 1062-8061 PT - Historical Article PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 DC - 20021106 YR - 2003 ED - 20021209 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12418148 <383. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12395304 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fallon MA AU - Eifler K AU - Niffenegger JP FA - Fallon, Moira A FA - Eifler, Karen FA - Niffenegger, Joann Plutis IN - Fallon,Moira A. School of Education, University of Portland, Portland, OR, USA. mfallon@brockport.edu TI - Preventing and treating sexual abuse in children with disabilities: use of a team model of intervention. SO - Journal of Pediatric Nursing. 17(5):363-7, 2002 Oct. AS - J Pediatr Nurs. 17(5):363-7, 2002 Oct. NJ - Journal of pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - jns, 8607529 SB - Index Medicus SB - Nursing Journal CP - United States MH - Child MH - *Child Abuse, Sexual/pc [Prevention & Control] MH - *Child Abuse, Sexual/th [Therapy] MH - *Child Advocacy MH - Child, Preschool MH - *Disabled Children MH - Female MH - Humans MH - Male MH - Needs Assessment MH - Nurse's Role MH - Patient Care Team MH - *Pediatric Nursing/mt [Methods] MH - United States AB - The general effects of poverty, unemployment, alcohol and drug abuse, or other social problems are likely to be entangled with the specific effects of sexual abuse. The team is the most appropriate model for the prevention and treatment of the complex issue of sexual abuse in children with disabilities. Advanced practice pediatric nurses can play a key role as team leaders, providing much-needed expertise on this issue of sexual abuse. The purposes of this article are to address the needs of children with disabilities who are in the public school system and to describe how a team model, with an advanced practice pediatric nurse as team leader, could be used to identify and treat children with disabilities who have been sexually abused.Copyright 2002, Elsevier Science (USA). All rights reserved. IS - 0882-5963 IL - 0882-5963 PT - Journal Article LG - English DP - 2002 Oct DC - 20021023 YR - 2002 ED - 20021129 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12395304 <384. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12270080 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Deehan A AU - McCambridge J AU - Ball DM AU - Strang J FA - Deehan, Ann FA - McCambridge, Jim FA - Ball, David M FA - Strang, John IN - Deehan,Ann. National Addiction Centre, Institute of Psychiatry, London, UK. TI - Increasing practice nurse access to alcohol training. SO - Drug & Alcohol Review. 21(3):281-6, 2002 Sep. AS - Drug Alcohol Rev. 21(3):281-6, 2002 Sep. NJ - Drug and alcohol review PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - *Education, Nursing, Continuing/mt [Methods] MH - Female MH - Great Britain MH - Humans MH - Middle Aged MH - *Nurse's Role AB - Policy makers have repeatedly placed emphasis on the role of primary care in screening for at-risk alcohol consumption and delivering public health messages to the general population. Research has pointed to primary care staff holding negative attitudes towards alcohol misusing patients. Training has traditionally been seen as the key to increasing the capacity of the medical field to engage with alcohol misusing patients but little work has been undertaken to examine the potential barriers to training take up. Consequently, the aim of this study was to explore the willingness of practice nurses to be trained in alcohol screening and brief intervention, and whether identifiable barriers to training exist and how they may be overcome. All practice nurses (n = 82) in an outer London (UK) Health Authority Area were twice mailed an invitation to an alcohol training seminar and a telephone invitation was made to all of those who did not reply to the mailings. Those who did not attend (n = 66) were contacted to take part in a short structured telephone interview - 89% (59/66) were contacted successfully and interviewed. Respondents were experienced in primary care and viewed health promotional activity as a valid part of their role. Few had undertaken previous alcohol training and as a group they were highly active in attending training events with training undertaken tending to be related directly to perceived practice needs and priorities: thus this group could not be characterized as unwilling to be trained. Barriers to training at alcohol events were found to be either personal or work-related, with most nurses interested in receiving further training or information. These data imply that the ways in which training is organized and delivered require sensitivity to identifiable barriers if it is to reach and effect changing practice among practice nurses successfully. A range of possibilities are identified as alternative approaches to the provision of elective training events which may be more acceptable to the target population of health-care staff. IS - 0959-5236 IL - 0959-5236 PT - Journal Article LG - English DP - 2002 Sep DC - 20020924 YR - 2002 ED - 20021126 RD - 20091103 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12270080 <385. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12046973 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baker SD AU - Borys DJ FA - Baker, S David FA - Borys, Douglas J IN - Baker,S David. Texas Poison Center Network, Scott & White Clinic and Memorial Hospital, Scott, Sherwood and Brindley Foundation, Texas A&M University System Health Science Center College of Medicine, Temple 76508, USA. TI - A possible trend suggesting increased abuse from Coricidin exposures reported to the Texas Poison Network: comparing 1998 to 1999. SO - Veterinary & Human Toxicology. 44(3):169-71, 2002 Jun. AS - Vet Hum Toxicol. 44(3):169-71, 2002 Jun. NJ - Veterinary and human toxicology PI - Journal available in: Print PI - Citation processed from: Print JC - xbv, 7704194 SB - Index Medicus CP - United States MH - *Acetaminophen/po [Poisoning] MH - Adolescent MH - Adolescent Behavior MH - Age Factors MH - *Antitussive Agents/po [Poisoning] MH - Child MH - *Chlorpheniramine/po [Poisoning] MH - Databases, Factual MH - *Dextromethorphan/po [Poisoning] MH - Drug Combinations MH - Drug Overdose/ep [Epidemiology] MH - Female MH - Humans MH - Incidence MH - Male MH - Medical Records MH - *Nonprescription Drugs/po [Poisoning] MH - *Phenylpropanolamine/po [Poisoning] MH - Population Surveillance MH - Retrospective Studies MH - Texas/ep [Epidemiology] AB - Coricidin products seemed to be one of the over-the-counter medications being reportedly abused by adolescents, as observed from the Texas Poison Center Network data. This retrospective chart review investigated the occurrence of abuse, developed a patient profile, and defined the clinical effects resulting from the abuse of Coricidin products. Data collected from the Texas Poison Center Network Toxic Exposure Surveillance System database included human exposures between 1998 and 1999, patients > or = 10y old, intentional use or abuse, and single substance ingestion of I of the tablet formulations of Coricidin. Thirty-three cases from 1998 and 59 cases from 1999 were reviewed. Of these cases, 85% met the inclusion criteria. Of the 7 medications searched, only 4 substances were coded for: Coricidin D, Coricidin D (long acting), Coricidin D (cold, flu & sinus) and Coriciding HBP. These contain a combination of dextromethorphan hydrobromide, chlorpheniramine maleate, phenylpropanolamine hydrochloride, and acetaminophen. Of the 78 cases, 63% were male and 38% were female. The mean age was 14.67 years, 77% being between 13 to 17 years old. Eighteen different symptoms were reported: tachycardia 50%, somnolence 24.4%, mydriasis and hypertension 16.7%, agitation 12.8%, disorientation 10.3%, slurred speech 9%, ataxia 6.4%, vomiting 5.1%, dry mouth and hallucinations 3.9%, tremor 2.6%, and headache, dizziness, syncope, seizure, chest pain, and nystagmus each 1.3%; 12.8% of the calls originated from the school nurse. The incidence of abuse reported increased 60% from 1998 to 1999. This worrisome trend suggests increased abuse of these products. RN - 0 (Antitussive Agents) RN - 0 (Drug Combinations) RN - 0 (Nonprescription Drugs) RN - 0 (acetaminophen, chlorpheniramine, dextromethorphan, phenylpropanolamine drug combination) RN - 33RU150WUN (Phenylpropanolamine) RN - 362O9ITL9D (Acetaminophen) RN - 3U6IO1965U (Chlorpheniramine) RN - 7355X3ROTS (Dextromethorphan) IS - 0145-6296 IL - 0145-6296 PT - Journal Article LG - English DP - 2002 Jun DC - 20020605 YR - 2002 ED - 20021114 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12046973 <386. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12389275 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ott CH AU - Haertlein C FA - Ott, Carol H FA - Haertlein, Carol IN - Ott,Carol H. School of Nursing, University of Wisconsin-Milwaukee, 1921 E. Hartford Avenue, Milwaukee, WI 53211, USA. carolott@uwm.edu TI - Social norms marketing: a prevention strategy to decrease high-risk drinking among college students. SO - Nursing Clinics of North America. 37(2):351-64, ix, 2002 Jun. AS - Nurs Clin North Am. 37(2):351-64, ix, 2002 Jun. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcoholism/pc [Prevention & Control] MH - Health Plan Implementation MH - Humans MH - Peer Group MH - *Social Control, Informal MH - *Social Marketing MH - *Student Health Services MH - Wisconsin AB - We describe a social-norms marketing approach to moderating college student drinking behaviors and correcting student misperceptions about campus drinking. The intervention has the potential to be applied to other health behaviors where misperceptions abound, such as those related to cigarette smoking, eating disorders, sexual health, and sexual assault. Even though nurses are actively working on alcohol and other drug (AOD) prevention efforts on college campuses, little data based research have been published. Collaborative efforts between faculty from different disciplines, including nursing and nurse health educators, can be an effective combination for preventing alcohol abuse and for initiating sound research-based campus prevention programs. IS - 0029-6465 IL - 0029-6465 PT - Journal Article LG - English DP - 2002 Jun DC - 20021022 YR - 2002 ED - 20021106 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12389275 <387. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12389273 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scheibmeir MS AU - O'Connell KA FA - Scheibmeir, Monica S FA - O'Connell, Kathleen A IN - Scheibmeir,Monica S. School of Nursing, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160-7502, USA. mscheibm@kumc.edu TI - Promoting smoking cessation in adults. [Review] [28 refs] SO - Nursing Clinics of North America. 37(2):331-40, 2002 Jun. AS - Nurs Clin North Am. 37(2):331-40, 2002 Jun. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Humans MH - Insurance, Health, Reimbursement MH - Models, Psychological MH - Nurse Practitioners MH - Practice Guidelines as Topic MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - *Smoking Cessation MH - Tobacco Use Disorder/nu [Nursing] MH - Tobacco Use Disorder/pp [Physiopathology] MH - United States/ep [Epidemiology] AB - There is a wealth of opportunities for nurses to facilitate smoking cessation with their patients. Nurses have shown to have a modest but positive effect on cessation rates when they deliver brief or intensive counseling. Because nurses work in a multitude of clinical settings, they can impact both prevention and treatment of nicotine addiction associated with cigarette use. More nurses need to be educated about their role in reducing the morbidity and mortality of tobacco-related diseases. [References: 28] IS - 0029-6465 IL - 0029-6465 PT - Journal Article PT - Review LG - English DP - 2002 Jun DC - 20021022 YR - 2002 ED - 20021106 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12389273 <388. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12230524 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chalmers K AU - Seguire M AU - Brown J FA - Chalmers, Karen FA - Seguire, Marilyn FA - Brown, Judy IN - Chalmers,Karen. Faculty of Nursing, Helen Glass Centre for Nursing, University of Manitoba, Winnipeg, Canada. karen_chalmers@umanitoba.ca TI - Tobacco use and baccalaureate nursing students: a study of their attitudes, beliefs and personal behaviours. SO - Journal of Advanced Nursing. 40(1):17-24, 2002 Oct. AS - J Adv Nurs. 40(1):17-24, 2002 Oct. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Canada/ep [Epidemiology] MH - Cross-Sectional Studies MH - *Education, Nursing, Baccalaureate MH - Female MH - *Health Behavior MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - Life Style MH - Male MH - Needs Assessment MH - *Smoking/ep [Epidemiology] MH - *Smoking/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires AB - AIM: To report findings about student nurses' attitudes, beliefs and personal behaviour in relation to tobacco issues. AB - RATIONALE: Nurses have the potential to influence clients' behaviours and public policy concerning tobacco use. However, a review of the literature suggests that this is not happening. Further understanding of nursing students' attitudes, beliefs and behaviours regarding tobacco use is needed in order to develop strategies which can positively impact on their future health promotion role. AB - METHODS: A cross-sectional survey of the total population of baccalaureate nursing students in one Canadian province was employed. Students were asked to complete a self-administered questionnaire, which included questions related to their smoking history; stage of behavioural change, and beliefs and attitudes towards tobacco. Students also completed the Health Promotion Lifestyle Profile (HPLP) and the Fagerstrom Nicotine Tolerance Scale. AB - FINDINGS: Two hundred and seventy-two students (61.9%) responded. Sixty (22.1%) indicated that they smoked daily or in social situations. These smokers were found to have a fairly low level of nicotine dependence and although 91.4% said they wanted to quit, few were actively engaged in the quitting process (16.9%). When comparing the beliefs and attitudes of smoking and non-smoking students, proportionally more of the non-smokers agreed that smokers will need close family/friends to help them quit; that the health of society should be protected by laws against smoking; and that nurses should set a non-smoking example. Non-smokers indicated more health promoting behaviours on items in the HPLP especially on the variables of physical activity, nutrition and stress management. AB - CONCLUSIONS: Nurses have the potential to influence clients' behaviours and public policy concerning tobacco use. Developing future nurses with the knowledge and skill to do so needs to be an important emphasis of nursing curricula. IS - 0309-2402 IL - 0309-2402 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 Oct DC - 20020916 YR - 2002 ED - 20021028 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12230524 <389. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12353727 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gaffney KF AU - Wichaikhum OA AU - Dawson EM FA - Gaffney, Kathleen F FA - Wichaikhum, Orn-Anong FA - Dawson, Ellen M IN - Gaffney,Kathleen F. College of Nursing and Health Science, George Mason University, Fairfax, VA 22030-4444, USA. kgaffney@gmu.edu TI - Smoking among female college students: a time for change. [Review] [34 refs] SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 31(5):502-7, 2002 Sep-Oct. AS - J Obstet Gynecol Neonatal Nurs. 31(5):502-7, 2002 Sep-Oct. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adaptation, Psychological MH - Adolescent MH - Adult MH - Attitude to Health MH - Female MH - Human Development MH - Humans MH - *Nurse's Role MH - Peer Group MH - Preconception Care MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - *Smoking MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - Stress, Psychological/co [Complications] MH - Stress, Psychological/pc [Prevention & Control] MH - Stress, Psychological/px [Psychology] MH - Student Health Services/og [Organization & Administration] MH - *Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] MH - *Women/px [Psychology] MH - Women's Health AB - The transition from high school to college begins a time of personal growth accompanied by normal developmental stressors. Some young women use smoking as a coping mechanism. The immediate danger for these students is nicotine dependence, with subsequent maternal and child morbidities. College provides an optimal time to break this devastating trajectory. With an understanding of psychosocial development, nurses who care for college-age women can effect changes in smoking behavior. [References: 34] IS - 0884-2175 IL - 0090-0311 PT - Journal Article PT - Review LG - English DP - 2002 Sep-Oct DC - 20020930 YR - 2002 ED - 20021022 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12353727 <390. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12239870 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sadler C FA - Sadler, Catharine TI - Sobering thoughts. SO - Nursing Standard. 16(50):15-7, 2002 Aug 28-Sep 3. AS - Nurs Stand. 16(50):15-7, 2002 Aug 28-Sep 3. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Aged MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - Education, Nursing MH - Female MH - Great Britain/ep [Epidemiology] MH - Humans MH - Male MH - Nursing Assessment MH - Risk Factors IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2002 Aug 28-Sep 3 DC - 20020920 YR - 2002 ED - 20021016 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12239870 <391. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12238562 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Connell MJ AU - Gill D AU - Artar A AU - Jones A AU - Vargas T FA - O'Connell, Maria J FA - Gill, Duncan FA - Artar, Ali FA - Jones, Amanda FA - Vargas, Terry IN - O'Connell,Maria J. Yale University School of Medicine, New Haven, CT 06519, USA. mjoconn@msn.com TI - Student voices: perspectives on behavioral health education. SO - Administration & Policy in Mental Health. 29(4-5):421-34, 2002 May. AS - Adm Policy Ment Health. 29(4-5):421-34, 2002 May. NJ - Administration and policy in mental health PI - Journal available in: Print PI - Citation processed from: Print JC - 8914574 SB - Index Medicus CP - United States MH - *Behavioral Sciences/ed [Education] MH - *Education, Graduate MH - Humans MH - Interprofessional Relations MH - Teaching/mt [Methods] MH - United States AB - The Annapolis Conference on Behavioral Health Workforce Education and Training was convened in September 2001 to address the relevance and quality of efforts to educate those who provide mental health and addiction services. It was essential that students, as the consumers of educational programs, be represented in the dialogue. Four students and one recent graduate joined a diverse group in Annapolis, which included professionals, administrators, educators, consumers of behavioral health services, and family members. The students who attended were drawn from the professions of psychiatry, psychology, social work, and nursing. In a series of personal narratives, these individuals present their views on the conference, on education and training, and on the behavioral health field in general. IS - 0894-587X IL - 0894-587X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - R13 HS10965 (United States AHRQ HHS) LG - English DP - 2002 May DC - 20020919 YR - 2002 ED - 20021016 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12238562 <392. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12204144 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mundy LM AU - Kalluri P AU - Meredith K AU - Marshall L AU - Fraser VJ AU - Thompson P FA - Mundy, L M FA - Kalluri, P FA - Meredith, K FA - Marshall, L FA - Fraser, V J FA - Thompson, P IN - Mundy,L M. Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO 63110, USA. lmundy@imgate.wustl.edu TI - Women with HIV infection: a model of university-based care, training and research. SO - AIDS Care. 14 Suppl 1:S95-107, 2002 Aug. AS - AIDS Care. 14 Suppl 1:S95-107, 2002 Aug. NJ - AIDS care PI - Journal available in: Print PI - Citation processed from: Print JC - 8915313, a1o SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adolescent MH - Adult MH - Aged MH - Case Management/og [Organization & Administration] MH - *Comprehensive Health Care/og [Organization & Administration] MH - Female MH - *HIV Infections/th [Therapy] MH - HIV Infections/tm [Transmission] MH - Humans MH - Infectious Disease Transmission, Vertical MH - Middle Aged MH - Missouri MH - Needs Assessment MH - Organizational Case Studies MH - Patient Compliance MH - Pilot Projects MH - Pregnancy MH - Pregnancy Complications, Infectious/th [Therapy] MH - Prenatal Care/og [Organization & Administration] MH - Retrospective Studies MH - *Social Support MH - Universities MH - *Women's Health Services/og [Organization & Administration] AB - The growth of human immunodeficiency virus type-1 (HIV) infection among women in the USA has been coincident with an international momentum to better address the specific health care needs of women. This paper provides an overview of a demonstration model for comprehensive HIV care of adolescent and adult women in an academic setting. The paper contains a descriptive summary of a university-based demonstration model of comprehensive care for women with HIV infection. During 1997-1998, there were 279 urban and rural Midwest adolescent and adult women with HIV infection in care at this model programme. Medical care encompassed subspecialty HIV care, obstetrical and gynaecological care, primary care of non-HIV comorbidities, mental health assessments and family planning in a safe, university-based environment. For 279 women during the two-year period, health services included the detection and treatment of sexually transmitted diseases (56%) and cervical dysplasia (35%), perinatal care (12%) and screening and referral for substance abuse treatment (30%). There was no mother-to-child HIV transmission among 33 pregnant women enrolled in the Center prior to delivery, and transmission by three of nine women enrolled after delivery. Only 167 (60%) women were compliant with biannual medical visits during 1997-1998. Integral to the health services delivery was the provision of ancillary support services intended to enhance optimal medical care for this cohort of women. This university-based model of care also incorporated HIV provider training and formative HIV research. Structured medical and public health experiential learning opportunities occurred for medical and social work students, medicine residents, infectious diseases fellows, nurses and other professional health care workers. Clinical investigations of adolescent and adult women have complemented care and training, with funded research in HIV medication adherence and health services research. In follow-up, 71% of these women remained active in care in 1999. Retention of vulnerable populations in care may be a big challenge over the next decade, despite the availability of potent antiretroviral therapies. IS - 0954-0121 IL - 0954-0121 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 98-0705 (P) (United States PHS HHS) LG - English DP - 2002 Aug DC - 20020902 YR - 2002 ED - 20020927 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12204144 <393. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11936711 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Midlov P AU - Bondesson A AU - Eriksson T AU - Petersson J AU - Minthon L AU - Hoglund P FA - Midlov, Patrik FA - Bondesson, Asa FA - Eriksson, Tommy FA - Petersson, Jesper FA - Minthon, Lennart FA - Hoglund, Peter IN - Midlov,Patrik. Department of Clinical Pharmacology, Lund University Hospital, Sweden. TI - Descriptive study and pharmacotherapeutic intervention in patients with epilepsy or Parkinson's disease at nursing homes in southern Sweden. SO - European Journal of Clinical Pharmacology. 57(12):903-10, 2002 Feb. AS - Eur J Clin Pharmacol. 57(12):903-10, 2002 Feb. NJ - European journal of clinical pharmacology PI - Journal available in: Print PI - Citation processed from: Print JC - en4, 1256165 SB - Index Medicus CP - Germany MH - Activities of Daily Living MH - Adult MH - Aged MH - Aged, 80 and over MH - *Epilepsy/dt [Drug Therapy] MH - Epilepsy/px [Psychology] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nursing Homes MH - *Parkinson Disease/dt [Drug Therapy] MH - Parkinson Disease/px [Psychology] MH - Quality of Life MH - Sweden AB - OBJECTIVES: To describe the drug use in epilepsy and Parkinson's patients living in nursing homes and to evaluate the impact of multi-speciality team intervention on health-related quality of life, activities of daily living (ADL) and confusion state. AB - METHODS: Nursing home residents with epilepsy or Parkinson's disease in the county of Skane in Sweden were identified. From 119 nursing homes, 262 patients were identified. After obtaining informed consent, 157 patients from 48 nursing homes were included. Of these patients 74 were diagnosed with epilepsy and 84 with Parkinson's disease (one patient had both diagnoses). The average age of the epilepsy patients was 79 years and of the Parkinson's patients 81 years. Pharmacists documented the patients' drug use and any drug-related problems after communication with nursing-home residents, their contact persons at the nursing home and the residents' physicians. A multi-speciality group consisting of pharmacists, a primary care physician, a neurologist, a neuro-psychiatrist and a clinical pharmacologist evaluated the patients' medication and, when appropriate, suggested changes. Lists of each resident's medications were collected together with information about drug-related problems. The use of drugs deemed inappropriate for geriatric nursing-home residents according to Beer's criteria was documented. Health-related quality of life was evaluated using a generic health-related quality of life instrument, SF-36. Confusion state was measured using the Behaviour Pathology in Alzheimer's Disease Rating Scale (Behave-AD), and ability to perform ADL was assessed using the Schwab and England capacity for daily living scale. All measurements were repeated after approximately 6 months. During that period, for the group randomised to active intervention, the physicians involved in the care of the patients had received the recommendations for changes in drug treatment from the multi-speciality group. AB - RESULTS: Epilepsy patients at nursing homes used on average 8.0 drugs for continuous use whereas Parkinson's patients used 8.6 drugs. According to Beer's criteria about 40% of both patient groups used drugs that are classified as inappropriate to geriatric nursing-home patients. Dopamine receptor-blocking psychotropic drugs were used by 29% of the Parkinson's patients. Indication for a patient's total drug treatment was not documented for 50% of epilepsy and 40% of Parkinson's patients. There were no significant differences between the active and control groups in changes in SF-36, Behave-AD or ADL for epilepsy patients. For Parkinson's patients there was a significant decrease in ADL for the active group, whereas there were no differences in SF-36 or Behave-AD. AB - CONCLUSION: Nursing-home residents with epilepsy or Parkinson's disease use many drugs and often drugs that are classified as inappropriate. A simple problem-oriented questionnaire may be helpful in identifying specific drug-related problems in geriatric patients with common neurological diseases. Methods on how to improve the pharmacotherapy of these patients still have to be developed. IS - 0031-6970 IL - 0031-6970 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 Feb DC - 20020408 YR - 2002 ED - 20020926 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11936711 <394. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12170485 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Child D FA - Child, D IN - Child,D. Clinical Services, South Manchester University Hospitals NHS Trust, School of Pharmacy and Pharmaceutical Sciences, University of Manchester. TI - Hospital nurses' perceptions of pharmacist prescribing. SO - British Journal of Nursing. 10(1):48-54, 2001 Jan 11-24. AS - Br J Nurs. 10(1):48-54, 2001 Jan 11-24. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - *Attitude of Health Personnel MH - *Drug Prescriptions/st [Standards] MH - England MH - Hospitals, Teaching MH - Humans MH - Nurse's Role MH - *Nursing Staff, Hospital/px [Psychology] MH - Patient Care Team/og [Organization & Administration] MH - Pharmacists/lj [Legislation & Jurisprudence] MH - *Pharmacists/st [Standards] MH - Pharmacy Service, Hospital MH - Professional Autonomy MH - Professional Competence/st [Standards] MH - *Professional Role MH - State Medicine MH - Surveys and Questionnaires AB - The final report from the Crown review team was published in March 1999. It proposed that new groups of healthcare professionals should be permitted to prescribe medicines. Most of the recent progress has centred on the extension of community nurse prescribing. However, changes have also been proposed to prescribing practices within the hospital setting to include nurses, pharmacists, and other healthcare professionals. This study is an initial piece of work examining hospital nurses' perceptions of pharmacist prescribing to identify if there are issues that warrant further investigation. Postal questionnaires, seeking responses to statements describing pharmacists writing prescriptions for drug treatment, were sent to 200 nurses at five NHS teaching hospitals in Birmingham. Completed questionnaires were received from 115 nurses (a response rate of 57.5%). Fifty-four respondents added comments to the questionnaire, giving some insight into their responses to the statements on pharmacist prescription-writing and prescribing. These comments indicated five key issues that may warrant further investigation: (1) pharmacists' knowledge of the patient (2) doctors losing the opportunity to review drug treatment (3) potential communication problems (4) pharmacists' workload, and (5) legal and professional accountability. IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2001 Jan 11-24 DC - 20020812 YR - 2001 ED - 20020905 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12170485 <395. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11884179 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Green AJ AU - Holloway DG AU - Fleming PM FA - Green, A J FA - Holloway, D G FA - Fleming, P M IN - Green,A J. European Institute of Health and Medical Sciences, University of Surrey, Guildford, Surrey, GU2 5TE, UK. a.green@surrey.ac.uk TI - An education programme for professionals who specialize in substance misuse in St Petersburg, Russia: part 1. SO - Nurse Education Today. 21(8):656-62, 2001 Nov. AS - Nurse Educ Today. 21(8):656-62, 2001 Nov. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Alcoholism/nu [Nursing] MH - Great Britain MH - Humans MH - *International Cooperation MH - Mental Health Services/og [Organization & Administration] MH - Russia MH - *Specialties, Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] AB - This paper provides an account of a joint project of education and training of doctors and nurses in St Petersburg, funded by the Know How Fund Health Sector Small Partnership Scheme (Russia). Contextual material on drug and alcohol misuse in Russia is introduced prior to a focus on the drug and alcohol misuse issues in St Petersburg. Reference is made to historical and contemporary material on alcohol and drug misuse, and attention is drawn to the reliability of statistical data. The main aims of the project and the work carried out are outlined. Firstly, to bring together medical and nursing colleagues, enabling a recognition of the overlap in training and educational needs of both professional groups, and the learning that can occur from understanding each others roles and responsibilities. Secondly, that the theory and practice of different approaches to care and treatment can be incorporated into already established curricula used to educate both nurses and doctors. Colleagues in St Petersburg have requested the support and guidance of UK practitioners and nurse educationalists to facilitate these changes in perspectives. The paper concludes with a brief discussion of the influence of the project in anticipation of a forthcoming paper that will detail evaluation processes that the provision has undergone and examine the findings in more detail.Copyright 2001 Harcourt Publishers Ltd. IS - 0260-6917 IL - 0260-6917 PT - Journal Article LG - English DP - 2001 Nov DC - 20020308 YR - 2001 ED - 20020828 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11884179 <396. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12096707 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith PM AU - Reilly KR AU - Houston Miller N AU - DeBusk RF AU - Taylor CB FA - Smith, Patricia M FA - Reilly, Kelly R FA - Houston Miller, Nancy FA - DeBusk, Robert F FA - Taylor, C Barr IN - Smith,Patricia M. Cardiac Rehabilitation Program, Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, CA, USA. pmsmith@healthy.uwaterloo.ca TI - Application of a nurse-managed inpatient smoking cessation program. SO - Nicotine & Tobacco Research. 4(2):211-22, 2002 May. AS - Nicotine Tob Res. 4(2):211-22, 2002 May. NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco PI - Journal available in: Print PI - Citation processed from: Print JC - drz, 9815751 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Case Management MH - Counseling MH - Female MH - Ganglionic Stimulants/tu [Therapeutic Use] MH - Humans MH - Inpatients MH - Male MH - Middle Aged MH - Nicotine/tu [Therapeutic Use] MH - *Nurse's Role MH - Patient Education as Topic MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] MH - Treatment Outcome AB - This study reports on the effectiveness of a nurse case-managed smoking cessation program for general hospitalized patients that was continued for 3 years after clinical trials were completed. Patients admitted to the hospital who smoked were offered a smoking cessation program during their hospitalization. The program included physician advice, bedside education and counseling with a nurse specially trained in smoking cessation techniques, take-home materials (videotape, workbook, and relaxation audiotape), nicotine replacement therapy if requested or indicated, and four nurse-initiated post-discharge telephone counseling calls. Of the 2091 patients identified as smokers, 52% enrolled in the program, 18% wanted to quit on their own, 20% did not want to quit, and 10% were ineligible. The 12-month self-reported cessation rate (7-day point prevalence) was 35% if patients lost to follow-up were considered smokers, 49% if not. Patients hospitalized for cancer, cardiovascular, or pulmonary reasons were most likely to participate and had the highest self-reported cessation rates (63%, 57%, and 46%, respectively). This nurse-managed smoking cessation intervention was effective when it was put into standard hospital practice outside of its originating randomized clinical trial structure. The program, relatively inexpensive to deliver, appears to be acceptable to the majority of smokers who are hospitalized, resulted in high 1-year cessation rates, and can be extended to hospital employees and their families, work-sites, and communities on a cost-recovery basis. RN - 0 (Ganglionic Stimulants) RN - 6M3C89ZY6R (Nicotine) IS - 1462-2203 IL - 1462-2203 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 May DC - 20020703 YR - 2002 ED - 20020813 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12096707 <397. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11998578 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cheung WW AU - Heeney L AU - Pound JL FA - Cheung, W W H FA - Heeney, L FA - Pound, J L IN - Cheung,W W H. Emergency Department, Centenary Health Centre, Toronto, Canada. TI - An advance triage system. SO - Accident & Emergency Nursing. 10(1):10-6, 2002 Jan. AS - Accid Emerg Nurs. 10(1):10-6, 2002 Jan. NJ - Accident and emergency nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9305090 SB - Nursing Journal CP - Scotland MH - Algorithms MH - Canada MH - Clinical Protocols MH - Emergency Nursing/ed [Education] MH - *Emergency Nursing/mt [Methods] MH - Humans MH - Program Development/mt [Methods] MH - Program Evaluation MH - Staff Development/mt [Methods] MH - *Triage/mt [Methods] AB - This paper describes the redesign of the triage process in an Emergency Department with the purpose of improving the patient flow and thus increasing patient satisfaction through the reduction of the overall length of stay. The process, Advance Triage, allows the triage nurse to initiate diagnostic protocols for frequently occurring medical problems based on physician-approved algorithms. With staff and physician involvement and medical specialist approval, nine Advance Triage algorithms were developed-abdominal pain, eye trauma, chest pain, gynaecological symptoms, substance abuse, orthopaedic trauma, minor trauma, paediatric fever and paediatric emergent. A comprehensive educational program was provided to the triage nurses and Advance Triage was initiated. A process was established at one year to evaluate the effectiveness of the Advance Triage System. The average length of stay was found to be 46 min less for all patients who were advance triaged with the greatest time-saving of 76 min for patients in the 'Urgent' category. The most significant saving was realized in the patient's length of stay (LOS) after the Emergency Physician assessed them because diagnostic results, available during the initial patient assessment, allowed treatment decisions to be made at that time. Advance Triage utilizes patient waiting time efficiently and increases the nurses' and physicians' job satisfaction. IS - 0965-2302 IL - 0965-2302 PT - Journal Article LG - English DP - 2002 Jan DC - 20020509 YR - 2002 ED - 20020802 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11998578 <398. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11811335 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Iocolano CF FA - Iocolano, C F IN - Iocolano,C F. Patient Care Services, Beth Israel Medical Center, New York, NY 10003, USA. TI - Perioperative pain management in the chemically dependent patient. [Review] [56 refs] SO - Journal of PeriAnesthesia Nursing. 15(5):329-44; quiz 344-7, 2000 Oct. AS - J Perianesth Nurs. 15(5):329-44; quiz 344-7, 2000 Oct. NJ - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 9610507, CKX SB - Nursing Journal CP - United States MH - *Analgesics/ad [Administration & Dosage] MH - Education, Nursing, Continuing MH - Humans MH - Pain, Postoperative/co [Complications] MH - *Pain, Postoperative/dt [Drug Therapy] MH - *Pain, Postoperative/nu [Nursing] MH - *Perioperative Nursing/mt [Methods] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/dt [Drug Therapy] MH - *Substance-Related Disorders/nu [Nursing] AB - Chemical dependence constitutes a significant public health problem with immeasurable physical and psychological sequelae. Pain management is generally undertreated in this population because of the associated stigma and misconceptions about both pain and chemical dependence. The plan of care in the perioperative period is complicated by the increased incidence of related trauma, medical and psychiatric problems, and the risk for withdrawal. An overview of assessment, anesthetic considerations, pain management, postoperative care, and treatment modalities for chemical dependence is presented in this article. Perianesthesia nurses need to become competent and confident when caringfor this population by increasing their knowledge base and confronting long-held myths and biases. Adherence to established standards of care will help to promote clinician accountability and quality patient care. [References: 56] RN - 0 (Analgesics) IS - 1089-9472 IL - 1089-9472 PT - Journal Article PT - Review LG - English DP - 2000 Oct DC - 20020128 YR - 2000 ED - 20020717 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11811335 <399. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11933798 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Akid M FA - Akid, Matthew TI - Alcohol misuse. The demon drink. SO - Nursing Times. 98(11):13, 2002 Mar 14-20. AS - Nurs Times. 98(11):13, 2002 Mar 14-20. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - England MH - Alcoholism/ec [Economics] MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/pc [Prevention & Control] MH - Community Health Nursing/ed [Education] MH - Great Britain/ep [Epidemiology] MH - Humans MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/px [Psychology] MH - *Nurse's Role MH - Primary Health Care/st [Standards] IS - 0954-7762 IL - 0954-7762 PT - News LG - English DP - 2002 Mar 14-20 DC - 20020405 YR - 2002 ED - 20020716 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11933798 <400. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12009824 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Colombo C AU - Giger H AU - Grote J AU - Deplazes C AU - Pletscher W AU - Luthi R AU - Ruef C FA - Colombo, C FA - Giger, H FA - Grote, J FA - Deplazes, C FA - Pletscher, W FA - Luthi, R FA - Ruef, C IN - Colombo,C. Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Zurich, Raemistrasse 100, 8091 Zurich, Switzerland. infcco@usz.unizh.ch TI - Impact of teaching interventions on nurse compliance with hand disinfection. SO - Journal of Hospital Infection. 51(1):69-72, 2002 May. AS - J Hosp Infect. 51(1):69-72, 2002 May. NJ - The Journal of hospital infection PI - Journal available in: Print PI - Citation processed from: Print JC - id6, 8007166 SB - Index Medicus CP - England MH - *Guideline Adherence MH - *Hand Disinfection/mt [Methods] MH - Humans MH - Infection Control/mt [Methods] MH - Intensive Care Units MH - *Nursing Care MH - *Teaching AB - The impact of teaching interventions and the availability of additional dispensers for alcoholic hand disinfection was measured during three study periods. A nursing care system of relevant nursing interventions was found to be a useful tool for the assessment of compliance with hand hygiene requirements if combined with an analysis of hand disinfectant use. This study shows that compliance with hand disinfection can be improved through targeted teaching and supportive structural improvements, and that this positive impact may persist even after targeted teaching activities have ended.Copyright 2002 The Hospital Infection Society. IS - 0195-6701 IL - 0195-6701 PT - Journal Article LG - English DP - 2002 May DC - 20020515 YR - 2002 ED - 20020712 RD - 20121115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12009824 <401. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11929324 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Szanto K AU - Gildengers A AU - Mulsant BH AU - Brown G AU - Alexopoulos GS AU - Reynolds CF 3rd FA - Szanto, Katalin FA - Gildengers, Ariel FA - Mulsant, Benoit H FA - Brown, Greg FA - Alexopoulos, George S FA - Reynolds, Charles F 3rd IN - Szanto,Katalin. Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA. szantok@msx.upmc.edu TI - Identification of suicidal ideation and prevention of suicidal behaviour in the elderly. [Review] [114 refs] SO - Drugs & Aging. 19(1):11-24, 2002. AS - Drugs Aging. 19(1):11-24, 2002. NJ - Drugs & aging PI - Journal available in: Print PI - Citation processed from: Print JC - bek, 9102074 SB - Index Medicus CP - New Zealand MH - Aged MH - Alcoholism/px [Psychology] MH - Antidepressive Agents/tu [Therapeutic Use] MH - Bereavement MH - Depression/dt [Drug Therapy] MH - Depression/ep [Epidemiology] MH - Depression/px [Psychology] MH - Electroconvulsive Therapy/mt [Methods] MH - Humans MH - Mood Disorders/dt [Drug Therapy] MH - *Mood Disorders/px [Psychology] MH - Psychotherapy/mt [Methods] MH - Risk Factors MH - Self-Injurious Behavior/dt [Drug Therapy] MH - Self-Injurious Behavior/pc [Prevention & Control] MH - *Self-Injurious Behavior/px [Psychology] MH - Social Isolation/px [Psychology] MH - Suicide/pc [Prevention & Control] MH - *Suicide/px [Psychology] MH - Suicide, Attempted/pc [Prevention & Control] MH - Suicide, Attempted/px [Psychology] AB - In almost all industrialised countries, men aged 75 years and older have the highest suicide rate among all age groups. Although in younger age groups suicide attempts are often impulsive and communicative acts, suicide attempts in older people (defined as aged 65 years and older) are often long planned and involve high-lethality methods. These characteristics, in addition to the fact that elderly are more fragile and frequently live alone, more often lead to fatal outcome. In later life, in both sexes, the most common diagnosis in those who attempt or complete suicide is major depression. In contrast to other age groups, comorbidity with substance abuse and personality disorders is less frequent. Physical illness plays an important role in the suicidal behaviour of the elderly: most frequently, depression and illness co-occur; less often, the physical illness or the treating medications are causally related to the depressive symptoms. However, only 2 to 4% of terminally ill elderly commit suicide. In addition to physical illness, complicated or traumatic grief, anxiety, unremitting hopelessness after recovery from a depressive episode and history of previous suicide attempts are risk factors for suicide attempts and completed suicide. During a depressive episode, elderly patients with suicidal ideation have higher levels of anxiety and, during treatment, anxiety decreases the probability of remission and recovery. As well as overt suicide attempts, indirect self-destructive behaviours, which often lead to premature death, are common, especially in residents of nursing homes, where more immediate means to commit suicide are restricted. Although we do not have randomised trials of treatment, studies suggest that antidepressant treatment may decrease suicide risk. Prevention and treatment trials are underway to detect the effectiveness of improved treatment of depression by primary care physicians as a means of reducing the prevalence of depressive symptoms, hopelessness and suicidal ideation. [References: 114] RN - 0 (Antidepressive Agents) IS - 1170-229X IL - 1170-229X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - MH01613 (United States NIMH NIH HHS) NO - MH37896 (United States NIMH NIH HHS) NO - MH4279 (United States NIMH NIH HHS) NO - MH43832 (United States NIMH NIH HHS) NO - MH5219 (United States NIMH NIH HHS) NO - MH52247 (United States NIMH NIH HHS) NO - MH59381 (United States NIMH NIH HHS) LG - English DP - 2002 DC - 20020403 YR - 2002 ED - 20020712 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11929324 <402. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12054398 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moran S FA - Moran, Sandy TI - Re: National drug policy: implications of the 'tough on drugs' ideology by Rosemary Norman. SO - Collegian: Journal of the Royal College of Nursing, Australia. 9(2):8-9, 2002 Apr. AS - Collegian. 9(2):8-9, 2002 Apr. NJ - Collegian (Royal College of Nursing, Australia) PI - Journal available in: Print PI - Citation processed from: Print JC - 9612493 SB - Nursing Journal CP - Australia MH - Australia MH - *Education, Nursing MH - *Health Policy MH - Humans MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 1322-7696 IL - 1322-7696 PT - Letter LG - English DP - 2002 Apr DC - 20020610 YR - 2002 ED - 20020625 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12054398 <403. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11995573 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Touger G FA - Touger, G TI - Thoughts on chemical dependency. SO - Tar Heel Nurse. 60(1):23, 1998 Jan-Feb. AS - Tar Heel Nurse. 60(1):23, 1998 Jan-Feb. NJ - Tar heel nurse PI - Journal available in: Print PI - Citation processed from: Print JC - vjv, 21110560r SB - Nursing Journal CP - United States MH - Credentialing MH - Education, Nursing MH - *Substance-Related Disorders/th [Therapy] MH - United States IS - 0039-9620 IL - 0039-9620 PT - Journal Article LG - English DP - 1998 Jan-Feb DC - 20020508 YR - 1998 ED - 20020621 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11995573 <404. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12012510 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ball K FA - Ball, K TI - Drinks tonight at 7 pm: nursing students and alcohol use. SO - Nursing New Zealand (Wellington). 6(4):18-9, 2000 May. AS - Nurs N Z. 6(4):18-9, 2000 May. NJ - Nursing New Zealand (Wellington, N.Z. : 1995) PI - Journal available in: Print PI - Citation processed from: Print JC - 9507374, cdl SB - Nursing Journal CP - New Zealand MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/pc [Prevention & Control] MH - Guidelines as Topic MH - Health Promotion MH - Humans MH - Risk Management MH - Schools, Nursing MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires IS - 1173-2032 IL - 1173-2032 PT - Journal Article LG - English DP - 2000 May DC - 20020515 YR - 2000 ED - 20020617 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12012510 <405. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11974301 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Griffin K FA - Griffin, K IN - Griffin,K. University of Wolverhampton. TI - Leading the way. SO - Nursing Standard. 14(38):53, 2000 Jun 7-13. AS - Nurs Stand. 14(38):53, 2000 Jun 7-13. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Education, Nursing, Baccalaureate MH - *HIV Infections/th [Therapy] MH - Hospitals, Urban MH - Humans MH - *International Educational Exchange MH - *National Health Programs/og [Organization & Administration] MH - Netherlands MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2000 Jun 7-13 DC - 20020426 YR - 2000 ED - 20020613 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11974301 <406. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12001130 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anderson KO AU - Richman SP AU - Hurley J AU - Palos G AU - Valero V AU - Mendoza TR AU - Gning I AU - Cleeland CS FA - Anderson, Karen O FA - Richman, Stephen P FA - Hurley, Judith FA - Palos, Guadalupe FA - Valero, Vicente FA - Mendoza, Tito R FA - Gning, Ibrahima FA - Cleeland, Charles S IN - Anderson,Karen O. Department of Symptom Research, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA. koanderso@mdanderson.org TI - Cancer pain management among underserved minority outpatients: perceived needs and barriers to optimal control. SO - Cancer. 94(8):2295-304, 2002 Apr 15. AS - Cancer. 94(8):2295-304, 2002 Apr 15. NJ - Cancer PI - Journal available in: Print PI - Citation processed from: Print JC - 0374236, clz SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *African Americans MH - Attitude of Health Personnel MH - Female MH - *Health Services Accessibility/sn [Statistics & Numerical Data] MH - *Health Services Needs and Demand/sn [Statistics & Numerical Data] MH - *Hispanic Americans MH - Humans MH - Male MH - Neoplasms/co [Complications] MH - *Neoplasms/pp [Physiopathology] MH - Pain Measurement MH - *Pain, Intractable/eh [Ethnology] MH - Pain, Intractable/et [Etiology] MH - *Pain, Intractable/th [Therapy] AB - BACKGROUND: Minority patients with cancer are at risk for undertreatment of cancer-related pain. Most studies of patient-related barriers to pain control have surveyed primarily non-Hispanic Caucasian patients. The purpose of the current study was to explore barriers to optimal pain management among African-American and Hispanic patients with cancer through the use of structured patient interviews. Structured interviews allowed the authors to probe for previously unidentified barriers to pain management in these populations. AB - METHODS: Thirty-one socioeconomically disadvantaged minority patients with cancer (14 African-American patients and 17 Hispanic patients) who had cancer-related pain completed structured interviews that assessed three main content areas: information and communication regarding cancer pain, treatment of cancer pain, and the meaning of cancer pain. AB - RESULTS: The African-American and Hispanic patients reported severe pain and many concerns about pain management. The majority of patients in both ethnic groups expressed a belief in stoicism and concerns about possible addiction to opioid medications and the development of tolerance. The patients described their physicians as the most frequent and trusted source of information about cancer pain. However, patients also reported difficulties with communication and a reluctance to complain of pain. AB - CONCLUSIONS: The reported barriers to pain management indicate that socioeconomically disadvantaged African-American and Hispanic patients can benefit from educational interventions on cancer pain that dispel myths about opioids and teach patients to communicate assertively about their pain with their physicians and nurses.Copyright 2002 American Cancer Society. IS - 0008-543X IL - 0008-543X PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - CA64766 (United States NCI NIH HHS) LG - English DP - 2002 Apr 15 DC - 20020523 YR - 2002 ED - 20020612 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12001130 <407. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11921824 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cooke CL FA - Cooke, Cheryl L IN - Cooke,Cheryl L. University of Washington School of Nursing, Seattle, USA. TI - Understanding incarcerated populations. [Review] [39 refs] SO - AORN Journal. 75(3):568-70, 573-6, 578 passim, 2002 Mar. AS - AORN J. 75(3):568-70, 573-6, 578 passim, 2002 Mar. NJ - AORN journal PI - Journal available in: Print PI - Citation processed from: Print JC - 6jr, 0372403 SB - Index Medicus SB - Nursing Journal CP - United States MH - Communication MH - Elective Surgical Procedures/nu [Nursing] MH - Elective Surgical Procedures/px [Psychology] MH - Emergencies/nu [Nursing] MH - Emergencies/px [Psychology] MH - Family/px [Psychology] MH - Female MH - Humans MH - Male MH - Minority Groups/px [Psychology] MH - Needs Assessment MH - Nurse-Patient Relations MH - *Operating Room Nursing/mt [Methods] MH - Perioperative Care/mt [Methods] MH - Perioperative Care/nu [Nursing] MH - *Prisoners/px [Psychology] MH - Prisoners/sn [Statistics & Numerical Data] MH - Restraint, Physical/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] AB - Approximately 1.3 to 1.8 million people are incarcerated in the United States at any given time. When providing emergency or elective surgical intervention, perioperative nurses may encounter incarcerated individuals, including many who require treatment for traumatic injury. Nurses, therefore, need to educate themselves about this patient population and understand the specific clinical and educational needs of this group. This article explores key concepts involved in caring for incarcerated individuals, including their characteristics and assumptions others make about them. The article concludes with a discussion of educational and policy implications. [References: 39] IS - 0001-2092 IL - 0001-2092 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - 1F31 NR07529-02 (United States NINR NIH HHS) LG - English DP - 2002 Mar DC - 20020329 YR - 2002 ED - 20020604 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11921824 <408. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11930604 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark BS AU - Rapkin K AU - Busen NH AU - Vasquez E FA - Clark, B S FA - Rapkin, K FA - Busen, N H FA - Vasquez, E IN - Clark,B S. Baylor College of Medicine, Texas Children's Liver Center, USA. bsclark@texaschildrenshospital.org TI - Nurse practitioners and parent education: a partnership for health. SO - Journal of the American Academy of Nurse Practitioners. 13(7):310-6, 2001 Jul. AS - J Am Acad Nurse Pract. 13(7):310-6, 2001 Jul. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - United States MH - Child MH - *Child Care MH - Female MH - *Health Education/mt [Methods] MH - Humans MH - Middle Aged MH - *Mothers/ed [Education] MH - Nurse Practitioners MH - Parenting MH - *Program Development MH - Substance-Related Disorders/pc [Prevention & Control] AB - PURPOSE: To present the findings from a pilot-test of an innovative curriculum for parent education classes that included information about well child care and the care of sick children presented to substance abusing women at a residential drug treatment facility. AB - DATA SOURCES: Selected literature and the results of a comparison of pre- and post-tests from the 37 women who received the classes over a 6 week period. AB - CONCLUSIONS: The Healthy Children, Happy Children parent education program was successful overall in increasing the knowledge of the mothers about common skin disorders, care of infants, toddlers, and preschoolers, and basic first aid. AB - IMPLICATIONS FOR PRACTICE: Nurse practitioners (NPs) are well suited to teach parent education classes that contain information on growth and development, well child care and diagnosis and management of acute minor conditions. The Healthy Children, Happy Children curriculum can be adapted to a variety of settings and populations. IS - 1041-2972 IL - 1041-2972 PT - Journal Article LG - English DP - 2001 Jul DC - 20020404 YR - 2001 ED - 20020517 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11930604 <409. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11855025 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Norman R FA - Norman, R IN - Norman,R. School of Nursing, University of Canberra. TI - Have you got an attitude problem? Caring for illicit drug-using patients. [Review] [30 refs] SO - Contemporary Nurse. 10(1-2):83-90, 2001 Mar. AS - Contemp Nurse. 10(1-2):83-90, 2001 Mar. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - *Attitude of Health Personnel MH - *Education, Nursing/og [Organization & Administration] MH - Humans MH - *Substance-Related Disorders/nu [Nursing] AB - The use of illicit drugs in an environment of prohibition results in major health risks to the drug-using population. Substantial morbidity and mortality in this group is identified as a priority area for public health action. Undergraduate nursing programs prepare students to manage clinical emergencies resulting from drug use, to undertake health promotion activities in a harm minimization policy environment, and to provide appropriate community referral. It is a cause for concern, therefore, that a group of senior undergraduate nursing students express negative perceptions of a drug-using individual's personality and behaviour. It is imperative that undergraduate nurse educators find ways to challenge student attitudes from the first semester of their program. Nurses in the clinical setting must display professional values that emphasize the dignity and worth of all individuals. They have an opportunity to make a difference to the health outcomes of this marginalized group of health consumers. [References: 30] IS - 1037-6178 IL - 1037-6178 PT - Journal Article PT - Review LG - English DP - 2001 Mar DC - 20020221 YR - 2001 ED - 20020510 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11855025 <410. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11832839 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schofield I AU - Tolson D FA - Schofield, I FA - Tolson, D IN - Schofield,I. Caledonian Nursing and Midwifery Research Centre, Glasgow Caledonian University. TI - The nurse's role in assessing alcohol use by older people. SO - British Journal of Nursing. 10(19):1260-8, 2001 Oct 25-Nov 7. AS - Br J Nurs. 10(19):1260-8, 2001 Oct 25-Nov 7. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Aged MH - *Alcohol Drinking MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/nu [Nursing] MH - *Drug Interactions MH - Ethanol/pk [Pharmacokinetics] MH - *Geriatric Nursing MH - Humans MH - Surveys and Questionnaires AB - Nurses have the potential to carry out health promotion activity related to alcohol use in a range of settings where older people receive care. The majority of the literature on alcohol use in later life has focused on abuse, especially on the more common risk of drug-alcohol interactions. In order to work effectively with older people in health prevention and education, nurses need to be knowledgeable about older people's patterns of drinking, the effects of alcohol on medication and the current evidence on the harm and benefits of alcohol to health. In carrying out assessments, a skillful approach needs to be adopted in questioning older clients on what some might regard as a sensitive issue. Screening tools for the detection of alcohol abuse in the general adult population may not be valid for use with older clients. Tools specific to the detection of alcohol abuse by older people will be considered. RN - 3K9958V90M (Ethanol) IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2001 Oct 25-Nov 7 DC - 20020208 YR - 2001 ED - 20020509 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11832839 <411. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11769955 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pierce CS FA - Pierce, C S IN - Pierce,C S. Binghamton University, Decker School Nursing, New York 13902-6000, USA. TI - Implications of chemically impaired students in clinical settings. SO - Journal of Nursing Education. 40(9):422-5, 2001 Dec. AS - J Nurs Educ. 40(9):422-5, 2001 Dec. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Clinical Competence MH - Curriculum MH - *Education, Nursing, Baccalaureate MH - Faculty, Nursing MH - Female MH - Humans MH - Male MH - Policy Making MH - *Professional Impairment/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2001 Dec DC - 20011224 YR - 2001 ED - 20020509 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11769955 <412. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11842683 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arber A FA - Arber, A IN - Arber,A. Kingston University and St George's Hospital Medical School, London, UK. TI - Student nurses' knowledge of palliative care: evaluating an education module. SO - International Journal of Palliative Nursing. 7(12):597-603, 2001 Dec. AS - Int J Palliat Nurs. 7(12):597-603, 2001 Dec. NJ - International journal of palliative nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9506762, ds7 SB - Nursing Journal CP - England MH - *Education, Nursing MH - Educational Status MH - Great Britain MH - Humans MH - *Palliative Care MH - Surveys and Questionnaires AB - There is evidence that education in palliative care in the UK is somewhat patchy and that this important area of health care should be given a greater emphasis in the nursing curriculum. This article describes an evaluation of a palliative care module taken by a group of third year student nurses. The effect of the module was evaluated using the palliative care quiz for nursing (PCQN), administered at the beginning and at the end of the module. The results demonstrate that the students significantly increased their understanding of aspects of pain and symptom control. In particular, they became knowledgeable about adjuvant therapies and opioid use. In contrast to previous studies, the students rejected the 'fear of addiction' associated with opioid use. Deficits in knowledge included side-effects of codeine, use of sedation and the use of placebos. The results support the need to develop a compulsory module in palliative care that is formally assessed and includes a palliative care placement. This would enable comprehensive and systematic coverage of palliative care in the undergraduate nursing curriculum. IS - 1357-6321 IL - 1357-6321 PT - Evaluation Studies PT - Journal Article LG - English DP - 2001 Dec DC - 20020214 YR - 2001 ED - 20020423 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11842683 <413. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11842680 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCormack PJ AU - Cooper R AU - Sutherland S AU - Stewart H FA - McCormack, P J FA - Cooper, R FA - Sutherland, S FA - Stewart, H IN - McCormack,P J. Marie Curie Cancer Care/Department of Palliative Medicine, Roxburghe House, Aberdeen, UK. TI - The safe use of syringe drivers for palliative care: an action research project. SO - International Journal of Palliative Nursing. 7(12):574-80, 2001 Dec. AS - Int J Palliat Nurs. 7(12):574-80, 2001 Dec. NJ - International journal of palliative nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9506762, ds7 SB - Nursing Journal CP - England MH - Equipment Design MH - Humans MH - *Medication Errors MH - *Nursing Staff, Hospital/ed [Education] MH - *Palliative Care MH - Research MH - Scotland MH - *Syringes AB - A palliative care team in north Scotland identified serious drug errors occurring in the local health-care trust. These were connected with the use of variable rate syringe drivers (IVAC P100) to deliver pain and symptom management rather than the more suitable Graseby MS26. An action research approach was taken to effecting change. An educational workshop was set up which 23 nurses attended. Clinical support was provided and 3 months later an evaluation was carried out. Of the 13 nurses who had used an MS26, most were able to correctly follow the process of setting up the driver and had made appropriate observations, but drug calculations were a problem. Change was stated to have taken place in seven clinical areas but the degree of change was variable. Facilitators and obstacles to the change process are identified and recommendations made for the next round in the action research cycle. IS - 1357-6321 IL - 1357-6321 PT - Journal Article LG - English DP - 2001 Dec DC - 20020214 YR - 2001 ED - 20020423 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11842680 <414. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11785554 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heath J AU - Andrews J AU - Thomas SA AU - Kelley FJ AU - Friedman E FA - Heath, Janie FA - Andrews, Jeaninette FA - Thomas, Sue Ann FA - Kelley, Frances J FA - Friedman, Erika IN - Heath,Janie. Georgetown University, School of Nursing and Health Studies, Washington, DC, USA. TI - Tobacco dependence curricula in acute care nurse practitioner education. CM - Comment in: Am J Crit Care. 2002 Jul;11(4):316; author reply 401; PMID: 12102430 CM - Comment in: Am J Crit Care. 2002 Jul;11(4):316-7; author reply 401; PMID: 12102429 CM - Comment in: Am J Crit Care. 2002 Jul;11(4):317, 401; author reply 401; PMID: 12102431 SO - American Journal of Critical Care. 11(1):27-33, 2002 Jan. AS - Am J Crit Care. 11(1):27-33, 2002 Jan. NJ - American journal of critical care : an official publication, American Association of Critical-Care Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bum, 9211547 SB - Index Medicus SB - Nursing Journal CP - United States MH - Critical Care MH - *Curriculum MH - Education, Nursing, Graduate MH - Humans MH - *Nurse Practitioners/ed [Education] MH - Smoking Cessation MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States AB - BACKGROUND: Tobacco dependence is the leading preventable cause of death in the United States, yet healthcare professionals are not adequately educated on how to help patients break the deadly cycle of tobacco dependence. AB - OBJECTIVE: To assess the content and extent of tobacco education in the curricula of acute care nurse practitioner programs in the United States. AB - METHODS: A survey with 13 multiple-choice items was distributed to the coordinators of 72 acute care nurse practitioner programs. The survey was replicated and modifiedfrom previous research on tobacco dependence curricula in undergraduate medical education. AB - RESULTS: Fifty programs (83%) responded to the survey. Overall, during an entire course of study, 70% of the respondents reported that only between 1 and 3 hours of content on tobacco dependence was covered. Seventy-eight percent reported that students were not required to teach smoking-cessation techniques to patients, and 94% did not provide opportunities for students to be certified as smoking-cessation counselors. Sixty percent reported that the national guidelines for smoking cessation were not used as a curriculum reference for tobacco content. AB - CONCLUSIONS: The majority of acute care nurse practitioner programs include brief tobacco education. More in-depth coverage is required to reduce tobacco dependence. Acute care nurse practitioners are in a prime position to intervene with tobacco dependence, especially when patients are recovering from life-threatening events. National recommendations for core tobacco curricula and inclusion of tobacco questions on board examinations should be developed and implemented. IS - 1062-3264 IL - 1062-3264 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 Jan DC - 20020110 YR - 2002 ED - 20020417 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11785554 <415. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11869927 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson JG AU - Harris ES AU - Spitzer RL AU - Williams JB FA - Johnson, Jeffrey G FA - Harris, Emily S FA - Spitzer, Robert L FA - Williams, Janet B W IN - Johnson,Jeffrey G. Department of Psychiatry, Columbia University and the New York State Psychiatric Institute, New York, New York 10032, USA. jjohnso@pi.cpmc.columbia.edu TI - The patient health questionnaire for adolescents: validation of an instrument for the assessment of mental disorders among adolescent primary care patients. SO - Journal of Adolescent Health. 30(3):196-204, 2002 Mar. AS - J Adolesc Health. 30(3):196-204, 2002 Mar. NJ - The Journal of adolescent health : official publication of the Society for Adolescent Medicine PI - Journal available in: Print PI - Citation processed from: Print JC - a0j, 9102136 SB - Index Medicus CP - United States MH - Adolescent MH - Female MH - *Health Surveys MH - Humans MH - Male MH - *Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - Prevalence MH - *Primary Health Care MH - Surveys and Questionnaires AB - PURPOSE: To investigate the validity of the Patient Health Questionnaire for Adolescents (PHQ-A), a self-administered instrument that assesses anxiety, eating, mood, and substance use disorders among adolescent primary care patients. AB - METHODS: A total of 403 adolescents from California, New Jersey, New York, and Ohio completed the PHQ-A and the Medical Outcomes Study Short-Form General Health Survey (SF-20) during or shortly after a visit to a primary care clinic or a school nurse's office. A few days later, clinical psychologists who were blind to the results of the PHQ-A administered a semi-structured clinical interview to assess the same psychiatric disorders and to conduct a global assessment of functioning (GAF) among 403 patients. Diagnostic agreement coefficients were computed and analyses of covariance were conducted. AB - RESULTS: Findings support the diagnostic validity of the PHQ-A. The PHQ-A and the clinical interview produced similar estimates of the prevalence rates of anxiety, eating, mood, and substance use disorders. The PHQ-A demonstrated satisfactory sensitivity, specificity, diagnostic agreement, and overall diagnostic accuracy, compared with the clinical interview. Adolescents with PHQ-A diagnoses experienced significantly poorer mental and overall functioning, more physical pain, and poorer overall health compared with those without psychiatric disorders. These differences remained significant after patients' age, gender, ethnicity, and site were controlled statistically. AB - CONCLUSION: The PHQ-A may be used to assist primary care practitioners in identifying psychiatric disorders among their adolescent patients. The PHQ-A is the first such tool to be tested for use in adolescents and offers an acceptable and efficient tool for early detection and recognition of mental disorders in this high-risk group. IS - 1054-139X IL - 1054-139X PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Studies LG - English DP - 2002 Mar DC - 20020228 YR - 2002 ED - 20020411 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11869927 <416. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11842493 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zack E FA - Zack, Eric IN - Zack,Eric. Eric_S_Zack@rush.edu TI - Smoking withdrawal and prolonged hospitalization. [Review] [27 refs] CM - Comment in: Clin J Oncol Nurs. 2002 Mar-Apr;6(2):71; PMID: 11889679 SO - Clinical Journal of Oncology Nursing. 6(1):7-11, 2002 Jan-Feb. AS - Clin J Oncol Nurs. 6(1):7-11, 2002 Jan-Feb. NJ - Clinical journal of oncology nursing PI - Journal available in: Print PI - Citation processed from: Print JC - czm, 9705336 SB - Nursing Journal CP - United States MH - Adult MH - Behavior Therapy MH - Combined Modality Therapy MH - Humans MH - Inpatients/px [Psychology] MH - *Length of Stay MH - Long-Term Care MH - *Lymphoma, Non-Hodgkin/co [Complications] MH - Male MH - Risk Assessment MH - Sensitivity and Specificity MH - *Smoking/pc [Prevention & Control] MH - Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/co [Complications] MH - *Tobacco Use Disorder/nu [Nursing] AB - Many individuals who smoke are hospitalized for extended periods of time for treatment of their diseases. These patients are at increased risk for developing withdrawal symptoms and maladaptive behavior because hospitals have adopted smoke-free policies in accordance with federal law and consumer pressures. Tobacco addiction often is overlooked by healthcare providers or receives low priority on admission. Oncology nurses care for a chronic population of people who often require lengthy treatments and frequent complications resulting in admissions to the hospital. Nurses need to identify high-risk patients; continually educate themselves, their patients, and their patients' families about smoking withdrawal and cessation therapies; anticipate coping difficulties; and be prepared to manage inappropriate behavior when necessary. A multidisciplinary team approach using consistent reinforcement and support offers the best patient outcomes while maximizing safety. [References: 27] IS - 1092-1095 IL - 1092-1095 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2002 Jan-Feb DC - 20020214 YR - 2002 ED - 20020409 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11842493 <417. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11725997 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Norman R FA - Norman, R IN - Norman,R. School of Nursing, University of Canberra, Australian Capital Territory. TI - Experiential learning in drug and alcohol education. SO - Journal of Nursing Education. 40(8):371-4, 2001 Nov. AS - J Nurs Educ. 40(8):371-4, 2001 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - Curriculum MH - *Education, Nursing, Baccalaureate/mt [Methods] MH - Empathy MH - *Games, Experimental MH - Humans MH - Models, Educational MH - Needs Assessment MH - Nurse-Patient Relations MH - Nursing Education Research MH - Patient Education as Topic/mt [Methods] MH - *Patient Simulation MH - *Problem-Based Learning/mt [Methods] MH - Program Evaluation MH - *Role Playing MH - Stereotyping MH - Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Teaching/mt [Methods] IS - 0148-4834 IL - 0148-4834 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2001 Nov DC - 20011129 YR - 2001 ED - 20020409 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11725997 <418. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11878503 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hooke E AU - Bennett L AU - Dwyer R AU - van Beek I AU - Martin C FA - Hooke, E FA - Bennett, L FA - Dwyer, R FA - van Beek, I FA - Martin, C IN - Hooke,E. Clinical Academic Nursing Unit, Faculty of Nursing, The University of Sydney and Sydney Hospital, Australia. TI - Nurse practitioners: an evaluation of the extended role of nurses at the Kirketon Road Centre in Sydney, Australia. SO - Australian Journal of Advanced Nursing. 18(3):20-8, 2001 Mar-May. AS - Aust J Adv Nurs. 18(3):20-8, 2001 Mar-May. NJ - The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation PI - Journal available in: Print PI - Citation processed from: Print JC - aja, 8409358 SB - Nursing Journal CP - Australia MH - Adolescent MH - Adult MH - *Clinical Competence/st [Standards] MH - Community Health Centers MH - Female MH - Homeless Youth MH - Humans MH - *Job Description MH - Male MH - Needs Assessment MH - New South Wales MH - Nurse Practitioners/ed [Education] MH - *Nurse Practitioners/og [Organization & Administration] MH - *Nurse's Role MH - Nursing Assessment/st [Standards] MH - Nursing Evaluation Research MH - Patient Care Planning/st [Standards] MH - Primary Health Care/ma [Manpower] MH - *Primary Health Care/og [Organization & Administration] MH - *Professional Autonomy MH - Prostitution MH - Sexually Transmitted Diseases/di [Diagnosis] MH - Sexually Transmitted Diseases/et [Etiology] MH - Sexually Transmitted Diseases/th [Therapy] MH - Substance Abuse, Intravenous/co [Complications] AB - The aim of the present study was to formally evaluate the effectiveness, professional appropriateness and acceptability of the extended role of the nurse practitioner at the Kirketon Road Centre (KRC) in Sydney, Australia. Data collection consisted of client and staff surveys and case file review by two assessors (one medical and one nursing). This paper will report on one section of this research, namely the case file review section of the study. Total study subjects were 1046 'at risk' youth, sex workers and injecting drug users attending KRC for their primary health care needs between September 1994 and April 1995. Nurse practitioners (NP) saw 613 of the clients who presented over this period. The majority of these clients were women (77.3%). The majority of NP consults were related to STD (51%), gynaecological (17%) and hepatitis (16%) issues. The results demonstrated that nurse practitioners were professionally appropriate in all aspects of expected 'best practice' in over 95% of consultations. IS - 0813-0531 IL - 0813-0531 PT - Evaluation Studies PT - Journal Article LG - English DP - 2001 Mar-May DC - 20020306 YR - 2001 ED - 20020404 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11878503 <419. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11868959 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leino-Kilpi H AU - Solante S AU - Katajisto J FA - Leino-Kilpi, H FA - Solante, S FA - Katajisto, J IN - Leino-Kilpi,H. Department of Nursing, University of Turku, Finland. TI - Problems in the outcomes of nursing education create challenges for continuing education. SO - Journal of Continuing Education in Nursing. 32(4):183-9, 2001 Jul-Aug. AS - J Contin Educ Nurs. 32(4):183-9, 2001 Jul-Aug. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Adult MH - *Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - Cooperative Behavior MH - Counseling/st [Standards] MH - *Education, Nursing, Baccalaureate/st [Standards] MH - *Education, Nursing, Continuing/st [Standards] MH - Finland MH - Humans MH - Interpersonal Relations MH - Middle Aged MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Education Research MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Nursing, Supervisory/st [Standards] MH - Self Efficacy MH - Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - BACKGROUND: The purpose of this study was to identify the challenges for continuing education by evaluating nurses' perceptions of quality of learning outcomes among graduates of nursing programs in Finland. The evaluation occurred 5 years after graduation from a bachelor's program, which means that learning outcomes can be weighed against the practice of nursing. AB - METHOD: The data were collected in 1996 by postal questionnaires, which were divided into four main domains--basic nursing skills, interactive skills, counseling skills, and collaborative skills. The sample consisted of 522 graduating nursing students. The response rate was 68% (n = 354). AB - RESULTS: The respondents felt most confident with their basic nursing, collaborative, and counseling skills. They felt least confident with their interactive skills, particularly with patients with alcohol or drug addiction problems. AB - CONCLUSION: The results highlight some of the strengths and weaknesses of the nurse education system and provide insights for continuing education. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 2001 Jul-Aug DC - 20020228 YR - 2001 ED - 20020404 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11868959 <420. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11868711 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Silverman BE AU - Goodine WM AU - Ladouceur MG AU - Quinn J FA - Silverman, B E FA - Goodine, W M FA - Ladouceur, M G FA - Quinn, J IN - Silverman,B E. Office of Research and Intstitutional Effectiveness, Mt. San Antonio College, Walnut, California 91789, USA. TI - Learning needs of nurses working in Canada's First Nations communities and hospitals. SO - Journal of Continuing Education in Nursing. 32(1):38-45, 2001 Jan-Feb. AS - J Contin Educ Nurs. 32(1):38-45, 2001 Jan-Feb. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Adult MH - Curriculum/st [Standards] MH - *Education, Nursing, Continuing/st [Standards] MH - Female MH - Health Priorities MH - Humans MH - *Indians, North American MH - *Inservice Training/st [Standards] MH - Male MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Education Research MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Surveys and Questionnaires MH - Teaching/mt [Methods] MH - Teaching/st [Standards] AB - BACKGROUND: What are the learning needs of nurses providing services to Canada's First Nations Communities and Hospitals? First Nations (or Indian Band) are similar to communities except some comprise more than one geographic Native community. Aboriginal (or Native) individuals are members of the North American Indian, Inuit, or Metis peoples of Canada; those who reported being a Treaty or Registered Indian (with the Federal Government); or those who are members of an Indian Band/First Nation. AB - METHOD: A Canada-wide survey was completed to determine the learning needs of nurses working with Canada's Aboriginal persons. AB - RESULTS: Nurses indicated both broad and specific aspects of their clinical practice, which were important to their continuing education (CE) needs. Broad thematic areas for continuing education included the following: emergency/acute care and obstetrics/gynecology clinical skills, health and physical assessment, mental health, and prenatal and postnatal care. Specific areas nurses cited for CE included issues related to: victims of violence; non-compliant clients; substance abuse; and fetal alcohol syndrome. AB - CONCLUSION: This study examined the learning needs of nurses working with Canada's Native people and provided a basis for comparing and contrasting CE issues of these nurses to other nurses working in remote locations around the world. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 2001 Jan-Feb DC - 20020228 YR - 2001 ED - 20020404 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11868711 <421. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11858452 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelley FJ AU - Thomas SA AU - Friedmann E FA - Kelley, F J FA - Thomas, S A FA - Friedmann, E IN - Kelley,F J. Georgetown University School of Nursing, Washington, DC 20057-1107, USA. kelleyj@gunet.georgetown.edu TI - Smoking patterns, health behaviors, and health-risk behaviors of college women. SO - Clinical Excellence for Nurse Practitioners. 4(5):302-8, 2000 Sep. AS - Clin Excell Nurse Pract. 4(5):302-8, 2000 Sep. NJ - Clinical excellence for nurse practitioners : the international journal of NPACE PI - Journal available in: Print PI - Citation processed from: Print JC - 9816180, DGC SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - Female MH - *Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Health Surveys MH - Humans MH - Leisure Activities MH - Nurse Practitioners MH - Patient Education as Topic MH - *Risk-Taking MH - Self Efficacy MH - *Smoking/ep [Epidemiology] MH - *Smoking/px [Psychology] MH - Smoking Cessation MH - *Students/px [Psychology] MH - Surveys and Questionnaires MH - *Universities MH - Women/ed [Education] MH - *Women/px [Psychology] AB - In 1993, 22% of college women smoked; in 1997, the rate increased to 29%. College-age women (<24 years) showed the greatest increase in smoking. The purpose of this study is to describe smoking behaviors of college women. The sample included 21 college-age female smokers. Each woman was interviewed about smoking habits and completed a health survey, the Fagerstrom Test for Nicotine Dependence, a Self-Efficacy Scale for predicting smoking relapse, a Decisional Balance Scale for smoking, a readiness for change tool, and the Derogatis Stress Profile. The majority of the students began smoking at the age of 14 years or younger and smoked fewer than 10 cigarettes per day. The biggest obstacles to quitting were being around other smokers and social activities involving alcohol. These students did not smoke when ill and were interested in quitting smoking. Smoking frequency correlated significantly with dependency and stage of change. Advanced practice nurses have a unique opportunity to identify these young smokers, educate them about smoking-cessation options, and offer specific strategies to help these women stop smoking. IS - 1085-2360 IL - 1085-2360 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Sep DC - 20020222 YR - 2000 ED - 20020402 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11858452 <422. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11885212 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stafford LL FA - Stafford, L L IN - Stafford,L L. University of Texas, Houston Health Science Center, School of Nursing, 1100 Holcombe Blvd., Houston, TX 77030, USA. lstaffor@sonl.nur.uth.tmc.edu TI - Is codependency a meaningful concept?. SO - Issues in Mental Health Nursing. 22(3):273-86, 2001 Apr-May. AS - Issues Ment Health Nurs. 22(3):273-86, 2001 Apr-May. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - United States MH - Adult MH - Alcoholism/nu [Nursing] MH - *Alcoholism/px [Psychology] MH - *Codependency (Psychology) MH - Female MH - Humans MH - *Interpersonal Relations MH - Male MH - Mental Disorders/nu [Nursing] MH - *Mental Disorders/px [Psychology] MH - Personality Inventory MH - Psychiatric Nursing AB - The concept of condependency has achieved a prominent place in the psychiatric, psychological, and addiction literature in a remarkably short period of time. Although the term was first developed in the substance abuse treatment arena, specifically referring to the wives of men who abuse alcohol, codependency has more recently been used almost generically to describe a dysfunctional style of relating to others (Irwin, 1995). The manner in which definitions of codependency have become increasingly inclusive are probably related to continuing input from the both the fashionable self-help movement and from some psychiatric perspectives. The purpose of this article is to review proposed definitions of codependency, discuss issues related to the validity of the codependency construct, and summarize efforts aimed at producing instruments to measure codependency. Additionally, I will address implications of this concept as related to psychiatric nursing education, practice, and research. IS - 0161-2840 IL - 0161-2840 PT - Journal Article LG - English DP - 2001 Apr-May DC - 20020311 YR - 2001 ED - 20020401 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11885212 <423. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11865861 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beatty RM FA - Beatty, R M IN - Beatty,R M. The Pennsylvania State University, School of Nursing, University Park 16802, USA. TI - Health professionals' knowledge of women's health care. SO - Journal of Continuing Education in Nursing. 31(6):275-9, 2000 Nov-Dec. AS - J Contin Educ Nurs. 31(6):275-9, 2000 Nov-Dec. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - Curriculum MH - Educational Measurement MH - Female MH - Focus Groups MH - Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Health Personnel/px [Psychology] MH - Humans MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Education Research MH - *Patient Care Team MH - Pennsylvania MH - Rural Health MH - Surveys and Questionnaires MH - *Women's Health AB - Until 1986, the only issues in women's health which received direct attention were those related to childbearing. At that time the National Institutes of Health made inclusion of women in research a criteria for funding. Since then, the knowledge base to guide disease prevention and treatment of women has grown dramatically. Unfortunately, the incorporation of these data into clinical practice has been much slower. The purpose of this needs assessment was to establish a comprehensive data base on which future programming decisions could be based. Areas of interest identified by health care providers included stress reduction, breast health, prevention of heart disease, and osteoporosis. Other topics that emerged were menopause and reproduction issues, cancer prevention, domestic violence, substance abuse, nutrition, and weight control. These data suggest topics for future programming. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 2000 Nov-Dec DC - 20020227 YR - 2000 ED - 20020327 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11865861 <424. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11847834 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kingon YS AU - O'Sullivan AL FA - Kingon, Y S FA - O'Sullivan, A L IN - Kingon,Y S. University of Pennsylvania, School of Nursing, USA. TI - The family as a protective asset in adolescent development. [Review] [41 refs] SO - Journal of Holistic Nursing. 19(2):102-21; quiz 122-6, 2001 Jun. AS - J Holist Nurs. 19(2):102-21; quiz 122-6, 2001 Jun. NJ - Journal of holistic nursing : official journal of the American Holistic Nurses' Association PI - Journal available in: Print PI - Citation processed from: Print JC - 8506709, ib4 SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - *Family Relations MH - Humans MH - *Personality Development MH - *Psychology, Adolescent MH - Risk Factors MH - Social Environment MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States MH - Violence/pc [Prevention & Control] AB - Adolescents are considered at high risk for engaging in such negative health behaviors as drug and alcohol use, unprotected sexual intercourse, and violence. Conventional wisdom has long upheld the belief that the peer group exerts the strongest influence on adolescent behavior. However, recent research has shown that in fact the family remains a strong factor in moderating teen risk behavior. Holistic nursing acknowledges the crucial relationship between environment and health; the environment is composed of everything that surrounds the individual, which by definition includes the family. The purpose of this article is to examine the evidence supporting the concept of the family as a protective external asset in adolescent development, to explore the way the family helps defend young people from risk, and to review briefly the implications for nursing research, practice, advocacy, and education. [References: 41] IS - 0898-0101 IL - 0898-0101 PT - Journal Article PT - Review LG - English DP - 2001 Jun DC - 20020218 YR - 2001 ED - 20020307 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11847834 <425. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11697072 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gagner-Tjellesen D AU - Yurkovich EE AU - Gragert M FA - Gagner-Tjellesen, D FA - Yurkovich, E E FA - Gragert, M IN - Gagner-Tjellesen,D. College of Nursing, University of North Dakota, Grand Forks, North Dakota, Box 9025, University Station, Grand Forks, ND 58202-9025, USA. TI - Use of music therapy and other ITNIs in acute care. SO - Journal of Psychosocial Nursing & Mental Health Services. 39(10):26-37, 2001 Oct. AS - J Psychosoc Nurs Ment Health Serv. 39(10):26-37, 2001 Oct. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Acute Disease MH - Adult MH - Cross-Sectional Studies MH - Humans MH - Mental Disorders/px [Psychology] MH - *Mental Disorders/th [Therapy] MH - *Mental Health Services/ut [Utilization] MH - Middle Aged MH - *Music Therapy/mt [Methods] MH - Psychiatric Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - The purpose of this descriptive study was to examine the clinical use of music therapy as an independent therapeutic nursing intervention (ITNI) in acute inpatient settings. This study identified the frequency, rationale, and perceived effectiveness of its use as an ITNI. In addition, barriers and facilitators to nurses' use of music therapy were identified. Frequency of use of other ITNIs also were investigated. An author-designed questionnaire, based on the literature and reviewed by a panel of experts, was used to survey a convenience sample (N = 321) of RNs at an acute inpatient facility with more than 50 beds, located in the midwestern United States. One hundred thirty-five RNs (42%) participated in the study. Findings indicated that 85.2% (n = 115) of respondents knew of music therapy, with 69.6% (n = 94) of them reporting using it in practice. Of the other listed ITNIs, deep breathing was used most frequently, followed by therapeutic touch and massage. Music therapy was used most commonly to reduce anxiety and was ranked as the ITNI used most often to enhance sleep and decrease distraction, agitation, aggression, and depression. Psychiatry/chemical dependency and intensive care units had the highest incidence of use of music therapy. The ranking of barriers and facilitators identified the strongest barrier as not having time to help patients with music therapy, whereas the strongest facilitator was nurses' comfort with the idea of using music therapy. This research begins to fill an information gap about the frequency, purpose, and perceived effectiveness of use of ITNIs. The use of ITNIs can increase patient comfort and facilitate conservation of energy, which aids healing processes, as described in Levine's Conservation Model. Use of ITNIs also can empower nurses and facilitate their control over nursing practice. This study indicates that nurses need further education on the use of music therapy and other ITNIs. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 2001 Oct DC - 20011107 YR - 2001 ED - 20020228 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11697072 <426. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11572526 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Faucher MA AU - Carter S FA - Faucher, M A FA - Carter, S IN - Faucher,M A. University of Texas Southwestern Medical Center at Dallas, USA. TI - Why girls smoke: a proposed community-based prevention program. SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 30(5):463-71, 2001 Sep-Oct. AS - J Obstet Gynecol Neonatal Nurs. 30(5):463-71, 2001 Sep-Oct. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - Adolescent Health Services MH - Community Health Nursing MH - Female MH - Humans MH - *Smoking/pc [Prevention & Control] MH - *Smoking/px [Psychology] MH - *Smoking Cessation AB - OBJECTIVES: To review the literature on reasons teenage girls start smoking and to identify the role and opportunities for nurses to have an impact on this public health problem. In addition, a proposed smoking prevention program targeted to teenage girls is presented. AB - DATA SOURCES: Information was gathered from professional journals and texts and from MEDLINE and PROQUEST. Keywords used in the searches were smoking prevention, tobacco use, smoking and adolescents, teenage girls and smoking, health education and smoking, and smoking prevention programs. AB - DATA SYNTHESIS AND CONCLUSIONS: Smoking initiation in teenage girls is a problem with ramifications for individual health as well as for public health. Although the literature demonstrates the rising incidence of smoking in teenage girls and evidence suggests the reasons girls start smoking differ from those of their male counterparts, a dearth of information on smoking prevention programs exists for this population. It is reasonable to assume that the best practices for adolescent smoking prevention can be applied to programs specifically for girls, along with efforts to address social influences, self-image, and self-esteem, which may be particularly important to teenage girls. The theory of reasoned action provides a framework for prevention strategies that target the behavioral beliefs and attitudes that influence teenage girls to smoke. Nurses can educate themselves about contributing factors that lead teenage girls to start smoking. Implementing this knowledge into nursing practice in a variety of settings could help meet the Healthy People 2010 goals of reducing teenage smoking to 16%. IS - 0884-2175 IL - 0090-0311 PT - Journal Article LG - English DP - 2001 Sep-Oct DC - 20010926 YR - 2001 ED - 20020117 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11572526 <427. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11421976 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Happell B AU - Taylor C FA - Happell, B FA - Taylor, C IN - Happell,B. Centre for Psychiatric Nursing Research and Practice, School of Postgraduate Nursing, University of Melbourne, Carlton, Victoria, Australia. b.happell@nursing.unimelb.edu.au TI - Negative attitudes towards clients with drug and alcohol related problems: finding the elusive solution. SO - Australian New Zealand Journal of Mental Health Nursing. 10(2):87-96, 2001 Jun. AS - Aust N Z J Ment Health Nurs. 10(2):87-96, 2001 Jun. NJ - The Australian and New Zealand journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9442872 SB - Nursing Journal CP - Australia MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - Clinical Competence/st [Standards] MH - Education, Nursing, Continuing MH - Educational Status MH - *Health Knowledge, Attitudes, Practice MH - Hospital Units MH - Hospitals, Private MH - Hospitals, Urban MH - Humans MH - Inservice Training MH - *Negativism MH - *Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - *Prejudice MH - Psychiatric Nursing/ed [Education] MH - Referral and Consultation/ut [Utilization] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires MH - Victoria AB - The difficulties experienced by nurses in providing care to clients with drug and alcohol related problems within general hospital settings have been clearly identified in the literature. Despite this, the problem continues with little or no evidence of improvement. This paper reports the results of a research project undertaken in a large private hospital in metropolitan Melbourne, Victoria, Australia. The study sought to ascertain whether a difference in attitudes, confidence and perceived knowledge related to the care of clients with drug and alcohol problems would be evident between those nurses who used consultation and liaison services from a specialist drug and alcohol unit and those who did not. A questionnaire was administered to 200 nurses, with a 53% completion rate (n = 106). The results showed very little difference between the groups with the exception of the perceived knowledge category which indicated a statistically significant difference. IS - 1324-3780 IL - 1324-3780 PT - Journal Article LG - English DP - 2001 Jun DC - 20010625 YR - 2001 ED - 20020114 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11421976 <428. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11699021 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pack-Mabien A AU - Labbe E AU - Herbert D AU - Haynes J Jr FA - Pack-Mabien, A FA - Labbe, E FA - Herbert, D FA - Haynes, J Jr IN - Pack-Mabien,A. University of South Alabama Comprehensive Sickle Cell Center, Mobile, AL, USA. TI - Nurses' attitudes and practices in sickle cell pain management. SO - Applied Nursing Research. 14(4):187-92, 2001 Nov. AS - Appl Nurs Res. 14(4):187-92, 2001 Nov. NJ - Applied nursing research : ANR PI - Journal available in: Print PI - Citation processed from: Print JC - 6lv, 8901557 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Anemia, Sickle Cell/dt [Drug Therapy] MH - *Anemia, Sickle Cell/nu [Nursing] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Humans MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/st [Standards] MH - *Opioid-Related Disorders MH - Statistics, Nonparametric MH - United States AB - Professional objectivity should be the primary focus of patient care. Health care professionals are at times reluctant to give opioids out of fear that patients may become addicted, which would result in the undertreatment of pain. The influence of nurses' attitudes on the management of sickle cell pain was studied. The variables of age, education, area of practice, and years of active experience were considered. Of the respondents, 63% believed addiction was prevalent, and 30% were hesitant to administer high-dose opioids. Study findings suggest that nurses would benefit from additional education on sickle cell disease, pain assessment and management, and addiction. Educational recommendations are discussed.Copyright 2001 by W.B. Saunders Company RN - 0 (Analgesics, Opioid) IS - 0897-1897 IL - 0897-1897 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - P60HL-3839 (United States NHLBI NIH HHS) LG - English DP - 2001 Nov DC - 20011107 YR - 2001 ED - 20011228 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11699021 <429. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11695491 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brush BL AU - Powers EM FA - Brush, B L FA - Powers, E M IN - Brush,B L. Boston College School of Nursing Chestnut Hill, MA 02167, USA. TI - Health and service utilization patterns among homeless men in transition: exploring the need for on-site, shelter-based nursing care. SO - Scholarly Inquiry for Nursing Practice. 15(2):143-54; discussion 155-9, 2001. AS - Sch Inq Nurs Pract. 15(2):143-54; discussion 155-9, 2001. NJ - Scholarly inquiry for nursing practice PI - Journal available in: Print PI - Citation processed from: Print JC - sin, 8709011 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - Ambulatory Care Facilities/ut [Utilization] MH - Boston/ep [Epidemiology] MH - *Community Health Nursing MH - Community Health Planning MH - Cost-Benefit Analysis MH - Efficiency, Organizational MH - *Halfway Houses MH - *Health Services/ut [Utilization] MH - Health Services Research MH - *Homeless Persons/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Medically Uninsured/sn [Statistics & Numerical Data] MH - Middle Aged MH - Morbidity MH - *Needs Assessment MH - Nurse Practitioners/ed [Education] MH - *Nurse Practitioners/og [Organization & Administration] MH - Nursing Evaluation Research MH - Program Evaluation AB - Between September 1999 and May 2000, as part of a larger faculty/student teaching project, data describing the demographic, health problem and service utilization patterns of 183 newly sheltered homeless men (mean age = 42) seeking on-site nursing clinic services were collected and analyzed. Upon arrival to the transitional shelter, 46% of the study participants were medically uninsured or received state subsidized health benefits (49%). Almost all (99%) were in recovery from substance addiction. Despite numerous self-reported health problems, 44% had no primary care provider and 35% were seen only sporadically in local hospital clinics or in emergency departments. During the study period, nurse practitioner students and faculty managed most of the residents' episodic illnesses on-site, while assisting them to secure insurance coverage and medical appointments as a prelude to independent living. This was an attempt to curtail residents' previous pattern of waiting until medical problems became serious before seeking treatment. These findings mirrored those in studies of similar populations equating on-site delivery of health care to cost reduction. Unfortunately, many nurse-managed clinics, like our study site, fail to generate data supporting nurses' clinical efficiency and cost effectiveness in caring for homeless individuals. As such, nurses' work remains invisible and underappreciated. This article argues that future studies examining nurses' work and worth in caring for homeless individuals are necessary in determining future health care service planning with this vulnerable population. IS - 0889-7182 IL - 0889-7182 PT - Evaluation Studies PT - Journal Article LG - English DP - 2001 DC - 20011106 YR - 2001 ED - 20011221 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11695491 <430. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11529805 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Butz AM AU - Pulsifer M AU - Marano N AU - Belcher H AU - Lears MK AU - Royall R FA - Butz, A M FA - Pulsifer, M FA - Marano, N FA - Belcher, H FA - Lears, M K FA - Royall, R IN - Butz,A M. Department of Pediatrics, The Johns Hopkins University School of Medicine, 600 N Wolfe St, Room CMSC-144, Baltimore, MD 21287-3144, USA. abutz@jhmi.edu TI - Effectiveness of a home intervention for perceived child behavioral problems and parenting stress in children with in utero drug exposure. SO - Archives of Pediatrics & Adolescent Medicine. 155(9):1029-37, 2001 Sep. AS - Arch Pediatr Adolesc Med. 155(9):1029-37, 2001 Sep. NJ - Archives of pediatrics & adolescent medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 9422751, bwf SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Affective Symptoms/ci [Chemically Induced] MH - Affective Symptoms/nu [Nursing] MH - Baltimore MH - *Child Behavior Disorders/ci [Chemically Induced] MH - Child Behavior Disorders/di [Diagnosis] MH - Child Behavior Disorders/nu [Nursing] MH - Child, Preschool MH - *Cocaine/ae [Adverse Effects] MH - *Community Health Nursing MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - *Mothers/ed [Education] MH - *Narcotics/ae [Adverse Effects] MH - *Parenting MH - Personality Assessment MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Treatment Outcome MH - *Urban Population AB - OBJECTIVE: To determine if a home-based nurse intervention (INT), focusing on parenting education/skills and caregiver emotional support, reduces child behavioral problems and parenting stress in caregivers of in utero drug-exposed children. AB - DESIGN: Randomized clinical trial of a home-based INT. AB - SETTINGS: Two urban hospital newborn nurseries; homes of infants (the term infant is used interchangeably in this study with the term child to denote those from birth to the age of 36 months); and a research clinic in Baltimore, Md. AB - PARTICIPANTS: In utero drug-exposed children and their caregivers (N = 100) were examined when the child was between the ages of 2 and 3 years. Two groups were studied: standard care (SC) (n = 51) and INT (n = 49). AB - INTERVENTION: A home nurse INT consisting of 16 home visits from birth to the age of 18 months to provide caregivers with emotional support and parenting education and to provide health monitoring for the infant. AB - MAIN OUTCOME MEASURES: Scores on the Child Behavior Checklist and the Parenting Stress Index. AB - RESULTS: Significantly more drug-exposed children in the SC group earned t scores indicative of significant emotional or behavioral problems than did children in the INT group on the Child Behavior Checklist Total (16 [31%] vs 7 [14%]; P =.04), Externalizing (19 [37%] vs 8 [16%]; P =.02), and Internalizing (14 [27%] vs. 6 [12%]; P =.05) scales and on the anxiety-depression subscale (16 [31%] vs. 5 [10%]; P =.009). There was a trend (P =.06) in more caregivers of children in the SC group reporting higher parenting distress than caregivers of children in the INT group. AB - CONCLUSIONS: In utero drug-exposed children receiving a home-based nurse INT had significantly fewer behavioral problems than did in utero drug-exposed children receiving SC (P =.04). Furthermore, those caregivers receiving the home-based INT reported a trend toward lower total parenting distress compared with caregivers of children who received SC with no home visits. RN - 0 (Narcotics) RN - I5Y540LHVR (Cocaine) IS - 1072-4710 IL - 1072-4710 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - NR03442 (United States NINR NIH HHS) LG - English DP - 2001 Sep DC - 20010831 YR - 2001 ED - 20010927 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11529805 <431. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11324173 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ameling A AU - Povilonis M FA - Ameling, A FA - Povilonis, M IN - Ameling,A. Yale University School of Nursing, 100 Church Street South, P. O. Box 9740, New Haven, CT 06536-0740 TI - Spirituality, meaning, mental health, and nursing. [Review] [17 refs] CM - Comment in: J Psychosoc Nurs Ment Health Serv. 2001 Aug;39(8):10; PMID: 11503424 SO - Journal of Psychosocial Nursing & Mental Health Services. 39(4):14-20, 2001 Apr. AS - J Psychosoc Nurs Ment Health Serv. 39(4):14-20, 2001 Apr. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Humans MH - *Mental Disorders/nu [Nursing] MH - Nursing Assessment/mt [Methods] MH - Psychiatric Nursing/ed [Education] MH - *Religion and Psychology MH - Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - 1. Spirituality, defined as meaning making, is a primary motivation in life. 2. The medical literature increasingly demonstrates an important positive relationship between spirituality and health. 3. Nurses often feel uncomfortable or unprepared to discuss spiritual issues with patients. 4. Through a few simple questions, nurses can easily make spiritual assessment a routine part of taking a patient's psychosocial history. [References: 17] IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Review LG - English DP - 2001 Apr DC - 20010427 YR - 2001 ED - 20010830 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11324173 <432. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11214850 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arthur D FA - Arthur, D IN - Arthur,D. Department of Nursing and Health Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon. TI - The effects of the problem-based Alcohol Early-Intervention Education Package on the knowledge and attitudes of students of nursing. SO - Journal of Nursing Education. 40(2):63-72, 2001 Feb. AS - J Nurs Educ. 40(2):63-72, 2001 Feb. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - *Education, Nursing, Baccalaureate/mt [Methods] MH - *Education, Professional, Retraining/mt [Methods] MH - Educational Status MH - Factor Analysis, Statistical MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Nursing Education Research MH - *Problem-Based Learning/mt [Methods] MH - Program Evaluation MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - Time Factors AB - The profession of nursing is seeking to establish its unique professional identity by developing discipline-focused research and clinical practice supported by university education. However, according to refereed literature, educating undergraduate nurses in alcohol-related problems is lacking. The literature reveals that nurses in general lack the necessary knowledge, attitudes, and skills to work with problem drinkers. Alcohol early intervention is advocated as a strategy compatible with contemporary nursing practice. This paper reports a study that commenced with the development of a problem-based, five-week Alcohol Early Intervention Education Package (AEIEP). This package became an intervention around which the knowledge and attitudes of a sample of 212 students of nursing were evaluated. A comprehensive instrument was developed to measure the respondent's knowledge and attitude regarding alcohol-related problems in general and specifically in early intervention. The effects of the education intervention on the different strata of students, were examined in a quasi-experimental, pre-post test design. The findings demonstrated it had a significant effect on the knowledge and attitudes of students enrolled in an integrated bachelor of nursing curriculum. IS - 0148-4834 IL - 0148-4834 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article LG - English DP - 2001 Feb DC - 20010214 YR - 2001 ED - 20010802 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11214850 <433. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11247060 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zozula R AU - Bodow M AU - Yatcilla D AU - Cody R AU - Rosen RC FA - Zozula, R FA - Bodow, M FA - Yatcilla, D FA - Cody, R FA - Rosen, R C IN - Zozula,R. The Comprehensive Sleep Disorders Center, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA. zozularo@umdnj.edu TI - Development of a brief, self-administered instrument for assessing sleep knowledge in medical education: "the ASKME Survey". SO - Sleep. 24(2):227-33, 2001 Mar 15. AS - Sleep. 24(2):227-33, 2001 Mar 15. NJ - Sleep PI - Journal available in: Print PI - Citation processed from: Print JC - sws, 7809084 SB - Index Medicus CP - United States MH - *Attitude to Health MH - *Cognition MH - *Education, Medical MH - *Health Behavior MH - Humans MH - Reproducibility of Results MH - *Sleep/ph [Physiology] MH - *Surveys and Questionnaires AB - STUDY OBJECTIVES: This report describes the construction and validation of a brief self-administered scale to assess sleep knowledge in medical education ("ASKME Survey"). Few measures of this type have been developed previously; none have been validated or widely adopted. The current instrument was designed as a standardized assessment measure for use in medical education in sleep. AB - DESIGN: Instrument was developed in four phases: initial item selection, expert panel review, reliability and construct validity assessment, and final item selection. Content validity was assessed in six general domains: basic sleep principles; circadian sleep/wake regulation; normal sleep architecture; sleep disorders; effects of drugs and alcohol on sleep; and sleep in medical disorders. AB - SETTING: N/A. AB - PARTICIPANTS: Medical students at Robert Wood Johnson Medical School (RWJMS) and University of Kentucky College of Medicine; students in clinical psychology, nursing and other health-related professions at Rutgers University; school nurses at Texas Christian University; practicing physicians; accredited sleep specialists. AB - INTERVENTIONS: N/A. AB - MEASUREMENTS AND RESULTS: Individual item analysis of 30-item survey demonstrated a high degree of discriminant validity. Internal consistency for test items was relatively high (KR-20=0.89). Overall mean percentage correct was highest for accredited sleep specialists (85.3%+/-10.8%) and lowest for school nurses (53.1%+/-13.7%). Significant group differences were observed across all question categories (p < 0.0001). Medical students scored significantly higher than the nurses on questions related to sleep architecture (59.5% vs. 42.5%) and narcolepsy (36.4% vs. 21.3%). AB - CONCLUSIONS: "ASKME" demonstrates a high degree of internal consistency and reliability among survey items. It discriminates between samples with varied levels of education, experience, and specialty training. The survey is currently available via the American Academy of Sleep Medicine website (http://www.aasmnet.org). IS - 0161-8105 IL - 0161-8105 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - K07 HL 03635 (United States NHLBI NIH HHS) LG - English DP - 2001 Mar 15 DC - 20010314 YR - 2001 ED - 20010726 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11247060 <434. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11380752 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bedford S AU - Melzer D AU - Guralnik J FA - Bedford, S FA - Melzer, D FA - Guralnik, J IN - Bedford,S. Addenbrooke's NHS Trust, Cambridge, United Kingdom. TI - Problem behavior in the last year of life: prevalence, risks, and care receipt in older Americans. SO - Journal of the American Geriatrics Society. 49(5):590-5, 2001 May. AS - J Am Geriatr Soc. 49(5):590-5, 2001 May. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - United States MH - Age Distribution MH - Aged MH - Aged, 80 and over MH - Alcoholism/co [Complications] MH - Dementia/co [Complications] MH - Female MH - Health Care Surveys MH - *Health Services Accessibility/sn [Statistics & Numerical Data] MH - *Health Services for the Aged/ut [Utilization] MH - Humans MH - Lung Diseases, Obstructive/co [Complications] MH - Male MH - Mental Disorders/co [Complications] MH - *Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/et [Etiology] MH - Mental Disorders/th [Therapy] MH - Population Surveillance MH - Prevalence MH - Retrospective Studies MH - Risk Factors MH - Sensitivity and Specificity MH - Sex Distribution MH - Socioeconomic Factors MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - OBJECTIVES: To estimate the prevalence of problem behavior in the last year of life in older people and to explore risk factors and assess the effect of behaviors on access to care. AB - DESIGN: Retrospective analysis of data from the 1993 National Mortality Followback Survey, conducted by the National Center for Health Statistics (NCHS). AB - SETTING: Persons who resided and died in the United States (except South Dakota) in 1993. AB - PARTICIPANTS: Seven thousand six hundred and eighty-four deaths in people age 65 and older were included, from which full informant interview data were available for 6,748 decedents (88%). AB - MEASUREMENTS: Informant data were collected on frequency of complaints about behavior from family members, complaints from others in the community, bizarre behavior, destroying property, violent threats or attempts, and temper tantrums. AB - RESULTS: Overall, 20% of decedents were reported as having any of the problem behaviors sometimes or often in the last year of life. Rates differed little by age at death or gender. Risks of having problem behaviors were higher for those with clinically diagnosed dementia, mental illness, alcohol abuse, and bronchitis or emphysema. A diagnosis of dementia had been made in 27% of those with behavior problems. Nursing homes or healthcare facilities were the usual residence of 32% of people with any behavior problems sometimes or often during their last year of life. Informants for decedents who had destroyed property or made violent threats were 2.3 times (95% confidence interval (CI) = 1.2-4.4) more likely to report that the subject had not received the care they had needed during the last year of life. AB - CONCLUSION: Problem behavior is relatively common in older people in the last year of life and is not confined to nursing home residents or people suffering from dementia. IS - 0002-8614 IL - 0002-8614 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2001 May DC - 20010530 YR - 2001 ED - 20010705 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11380752 <435. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11304095 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ohida T AU - Kamal AA AU - Takemura S AU - Sone T AU - Minowa M AU - Nozaki S FA - Ohida, T FA - Kamal, A A FA - Takemura, S FA - Sone, T FA - Minowa, M FA - Nozaki, S IN - Ohida,T. Department of Public Health Administration, National Institute of Public Health, Tokyo, Japan. tohida@iph.go.jp TI - Smoking behavior and related factors among Japanese nursing students: a cohort study. SO - Preventive Medicine. 32(4):341-7, 2001 Apr. AS - Prev Med. 32(4):341-7, 2001 Apr. NJ - Preventive medicine PI - Journal available in: Print PI - Citation processed from: Print JC - pm4, 0322116 SB - Index Medicus CP - United States MH - Adult MH - Chi-Square Distribution MH - Cohort Studies MH - Female MH - *Health Behavior MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Japan/ep [Epidemiology] MH - Logistic Models MH - Multivariate Analysis MH - Odds Ratio MH - Prevalence MH - Risk-Taking MH - Smoking/ep [Epidemiology] MH - *Smoking/td [Trends] MH - Students, Nursing/px [Psychology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - BACKGROUND: Although there have been several surveys on smoking behavior among Japanese nursing students, most have been cross-sectional studies. No longitudinal studies, such as a prospective cohort study, have ever been carried out. We therefore conducted a cohort study on, and analyzed smoking behavior and related factors among, Japanese nursing students. AB - METHODS: A survey on smoking behavior using a confidential questionnaire was conducted on nursing students at two vocational schools of nursing and two nursing colleges/universities located in the Tokyo metropolitan area. Another survey was subsequently conducted in the same manner among the same subjects 1 year later. The surveys were conducted between 1997 and 1999. AB - RESULTS: Over the 1-year period, the prevalence of smoking among nursing students increased by 10% for students at the vocational schools of nursing (n = 224) and by 3% for students at the nursing colleges/universities (n = 222). The average score for nicotine dependence for students who were daily smokers at both time points rose from 3.6 to 4.4 (P < 0.05). Two factors found to significantly predict smoking behavior were having friends who smoke and living alone. AB - CONCLUSION: Smoking prevalence is increasing among Japanese nursing students. Smoking prevention and cessation interventions should be instituted in all nursing training programs.Copyright 2001 American Health Foundation and Academic Press. IS - 0091-7435 IL - 0091-7435 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2001 Apr DC - 20010417 YR - 2001 ED - 20010705 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11304095 <436. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11261083 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Montagna RA AU - Hupcey JE FA - Montagna, R A FA - Hupcey, J E IN - Montagna,R A. Lebanon Valley Family Medicine, Palmyra. TI - Increasing smoking cessation counseling by advanced practice nurses. [Review] [43 refs] SO - Clinical Excellence for Nurse Practitioners. 4(4):224-30, 2000 Jul. AS - Clin Excell Nurse Pract. 4(4):224-30, 2000 Jul. NJ - Clinical excellence for nurse practitioners : the international journal of NPACE PI - Journal available in: Print PI - Citation processed from: Print JC - 9816180, DGC SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - *Counseling/mt [Methods] MH - Education, Nursing, Continuing MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Inservice Training MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/px [Psychology] MH - *Nurse Practitioners MH - Office Visits MH - *Patient Education as Topic/mt [Methods] MH - *Primary Health Care/mt [Methods] MH - Psychological Theory MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] AB - The magnitude of individual and societal problems caused by tobacco use mandates that all primary care providers identify and advise smokers to quit. However, this topic has received little attention in the nurse practitioner literature. The purpose of this project is to identify effective methods by which advanced practice nurses can increase the identification and counseling of smokers by reviewing research on this topic. The articles for review were obtained through a computerized literature search and a review of related reference lists. The articles were analyzed and categorized into three groups: office-wide interventions to increase provider identification and counseling of smokers, smoking cessation training programs for providers, and studies using the stages of change theory. Provider smoking cessation programs and office-wide reminders increased the identification and counseling of patients who smoke. The stages of change theory helped explain the steps smokers must progress through to cease smoking. Interventions appropriate for various stages in the cessation process are suggested. [References: 43] IS - 1085-2360 IL - 1085-2360 PT - Journal Article PT - Review LG - English DP - 2000 Jul DC - 20010322 YR - 2000 ED - 20010705 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11261083 <437. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11229623 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Riedel-Heller SG AU - Matschinger H AU - Schork A AU - Angermeyer MC FA - Riedel-Heller, S G FA - Matschinger, H FA - Schork, A FA - Angermeyer, M C IN - Riedel-Heller,S G. Department of Psychiatry, University of Leipzig, Germany. ries@server3.medizin.uni-leipzig.de TI - The utilization of antidepressants in community-dwelling and institutionalized elderly--results form a representative survey in Germany. SO - Pharmacopsychiatry. 34(1):6-12, 2001 Jan. AS - Pharmacopsychiatry. 34(1):6-12, 2001 Jan. NJ - Pharmacopsychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - p49, 8402938 SB - Index Medicus CP - Germany MH - Aged MH - Aged, 80 and over MH - *Antidepressive Agents/tu [Therapeutic Use] MH - Data Collection MH - *Depressive Disorder/dt [Drug Therapy] MH - Depressive Disorder/px [Psychology] MH - Drug Utilization MH - Female MH - Germany MH - Humans MH - Institutionalization MH - Logistic Models MH - Male MH - Nursing Homes AB - Given its widespread occurrence and consequences, old-age depression has to be regarded as a major public health problem. Drug treatment has been proven effective in the majority of elderly individuals suffering from depression. This study presents pharmacoepidemiological data regarding the use of prescribed antidepressants and those purchased over the counter in the elderly. Furthermore, it links the data to simultaneously assessed depressive symptomatology. A representative survey on the utilization of prescription and over-the-counter antidepressant drugs and depressive symptomatology in community-dwelling (n = 1193) and institutionalized elderly individuals (n = 470) aged 75 and over was conducted in an urban region of Germany. Antidepressant use was found to be remarkably low (synthetic antidepressants: 2.2% of community dwelling individuals, 3.6% of institutionalized individuals; phytopharmaca containing hypericum perforatum: 4.2% of community dwelling individuals, 2.8% of institutionalized individuals). Two-thirds of the individuals treated with synthetic antidepressants received tri- and tetracyclic drugs, which were given at lower dosages than recommended for depression treatment. Selective serotonin reuptake inhibitors (SSRIs) were introduced in community-dwelling individuals only; none of the individuals cared for in residential and nursing homes received SSRIs. Only a minority of individuals with depressive symptoms were treated with antidepressants. The data suggests underutilization of antidepressants in the elderly, in which institutionalized elderly seem especially disadvantaged. The results call for increased efforts to discuss mental health issues in the public and to share scientific knowledge about symptoms, course and treatment options for depression. Furthermore, geronto-psychiatric competence of medical professionals, especially GPs, has to be systematically developed. RN - 0 (Antidepressive Agents) IS - 0176-3679 IL - 0176-3679 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2001 Jan DC - 20010302 YR - 2001 ED - 20010614 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11229623 <438. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11285101 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller MP AU - Gillespie J AU - Billian A AU - Davel S FA - Miller, M P FA - Gillespie, J FA - Billian, A FA - Davel, S IN - Miller,M P. Clemson University, Clemson, South Carolina 29634, USA. marilyn@clemson.edu TI - Prevention of smoking behaviors in middle school students: student nurse interventions. SO - Public Health Nursing. 18(2):77-81, 2001 Mar-Apr. AS - Public Health Nurs. 18(2):77-81, 2001 Mar-Apr. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - Curriculum MH - *Health Behavior MH - Humans MH - Male MH - Program Evaluation MH - *School Nursing MH - *Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - South Carolina MH - Students, Nursing AB - This article examines the use of the Tar Wars curriculum with the public health problem of preteen smoking and outlines interventions with a middle school population by community health student nurses from a state university. Smoking is the single most preventable cause of death and disability. Three million people die worldwide each year as a result of smoking. Cigarette smoking has now been labeled a pediatric disease. Estimates are that 3,000 children will begin a lifelong addiction to cigarettes every day. They will face a life of poor quality based on the medical consequences of smoking cigarettes. Mortality from tobacco use is annually greater than that from drug abuse, AIDS, suicide, homicide, and motor vehicle accidents combined. Preteen and teenage smoking is now a public health problem, therefore implications for service learning, nursing advocacy, and interventions with this health problem are discussed. IS - 0737-1209 IL - 0737-1209 PT - Journal Article LG - English DP - 2001 Mar-Apr DC - 20010404 YR - 2001 ED - 20010531 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11285101 <439. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11223055 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Van Niekerk LM AU - Martin F FA - Van Niekerk, L M FA - Martin, F IN - Van Niekerk,L M. School of Psychology, University of Tasmania, Hobart, Tasmania 7001, Australia. lm_van@postoffice.utas.edu.au TI - Tasmanian nurses' knowledge of pain management. SO - International Journal of Nursing Studies. 38(2):141-52, 2001 Apr. AS - Int J Nurs Stud. 38(2):141-52, 2001 Apr. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Analgesics/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - Education, Nursing/st [Standards] MH - Female MH - Humans MH - Inservice Training/st [Standards] MH - Male MH - Middle Aged MH - Needs Assessment MH - Nursing Assessment MH - Nursing Evaluation Research MH - *Nursing Staff/ed [Education] MH - Nursing Staff/px [Psychology] MH - Pain/di [Diagnosis] MH - Pain/dt [Drug Therapy] MH - Pain/nu [Nursing] MH - *Pain/pc [Prevention & Control] MH - Pain Measurement MH - Surveys and Questionnaires MH - Tasmania AB - The aim of this research was to obtain information concerning knowledge of the pain management practices of Tasmanian nurses. We examined the knowledge of Tasmanian Registered Nurses in relation to pain management issues such as addiction, use of analgesics and the assessment of pain. In addition, we queried them about their satisfaction with information they had received about how to manage pain in both workplace programs and in their initial education. A total of 2768 registered nurses were mailed a 29-item survey examining knowledge of pain management practices. One thousand and fifteen valid surveys were returned. Mean scores on the knowledge questions (72% correct) of the survey revealed deficits in knowledge. Nurses specifically lacked up-to-date knowledge concerning the pharmacological management of pain, but displayed a more up-to-date knowledge concerning the effect of patient variables on pain perception. Nurses also rated the information they received about pain management during workplace programs as poor, feeling that they acquired significantly more in-depth information during their initial education. The results of this study have implications for institutions involved in both patient pain management and pain management education. RN - 0 (Analgesics) IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English DP - 2001 Apr DC - 20010306 YR - 2001 ED - 20010521 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11223055 <440. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11301385 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Plesnicar S AU - Plesnicar A FA - Plesnicar, S FA - Plesnicar, A IN - Plesnicar,S. Dr J. Cholewa Foundation for Cancer Research, Ljubljana, Slovenia. TI - Cancer: a reality in the emerging world. SO - Seminars in Oncology. 28(2):210-6, 2001 Apr. AS - Semin Oncol. 28(2):210-6, 2001 Apr. NJ - Seminars in oncology PI - Journal available in: Print PI - Citation processed from: Print JC - un5, 0420432 SB - Index Medicus CP - United States MH - *Cost of Illness MH - *Developing Countries MH - *Global Health MH - Humans MH - International Cooperation MH - *Neoplasms/ep [Epidemiology] MH - *Neoplasms/pc [Prevention & Control] MH - World Health Organization AB - World societies have changed significantly in the last decades. The main characteristics of these changes are reciprocal connections and interdependencies. It has been thus realized that a major part of the world population still lives in poverty. Due to specific health care interventions and consequent demographic changes, it is expected that the population in general, and of the older people in particular, will increase significantly in the future. The annual number of new cases of cancer is expected to double from 10 million at present to 20 million in the next 20 years. Considering the increases in life expectancy and in tobacco abuse worldwide, and the existence of viral diseases leading to cancer in less developed countries besides other factors, the majority of new cases will probably occur in the emerging world. The number of new cases of cancer could in the future be reduced with the enhancement of education on vertical and horizontal levels in less developed countries. On the vertical arm, the education would concentrate on physicians, nurses, and other health care workers, while on the horizontal arm, it would be provided to government officials, politicians, and other decision-makers. It should be accepted that the world is one and that the problems associated with cancer in less developed countries are global problems. Semin Oncol 28:210-216.Copyright 2001 by W.B. Saunders Company. IS - 0093-7754 IL - 0093-7754 PT - Journal Article LG - English DP - 2001 Apr DC - 20010413 YR - 2001 ED - 20010426 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11301385 <441. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11276643 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Castledine G FA - Castledine, G IN - Castledine,G. University of Central England, Birmingham, and Dudley Group of Hospitals NHS Trust. TI - Students whose application to the nursing register is not supported. SO - British Journal of Nursing. 9(15):965, 2000 Aug 10-Sep 13. AS - Br J Nurs. 9(15):965, 2000 Aug 10-Sep 13. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Great Britain MH - Humans MH - *Licensure, Nursing/lj [Legislation & Jurisprudence] MH - *Professional Impairment/lj [Legislation & Jurisprudence] MH - *Students, Nursing/lj [Legislation & Jurisprudence] MH - *Substance-Related Disorders IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2000 Aug 10-Sep 13 DC - 20010329 YR - 2000 ED - 20010426 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11276643 <442. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11249424 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sloan A AU - Vernarec E FA - Sloan, A FA - Vernarec, E TI - Impaired nurses: reclaiming careers. [Review] [6 refs] SO - RN. 64(2):58-63; quiz 64, 2001 Feb. AS - RN. 64(2):58-63; quiz 64, 2001 Feb. NJ - RN PI - Journal available in: Print PI - Citation processed from: Print JC - twp, 20010080r SB - Nursing Journal CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - *Depression/rh [Rehabilitation] MH - Education, Nursing, Continuing MH - Employment MH - Female MH - Humans MH - *Intervertebral Disc Displacement/rh [Rehabilitation] MH - Male MH - *Nursing Staff, Hospital MH - *Professional Impairment IS - 0033-7021 IL - 0033-7021 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2001 Feb DC - 20010315 YR - 2001 ED - 20010412 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11249424 <443. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11271125 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ravetti LM FA - Ravetti, L M TI - Assessment and treatment of addictions in primary care. [Review] [20 refs] SO - Lippincott's Primary Care Practice. 4(3):273-86; quiz 287-9, 2000 May-Jun. AS - Lippincotts Prim Care Pract. 4(3):273-86; quiz 287-9, 2000 May-Jun. NJ - Lippincott's primary care practice PI - Journal available in: Print PI - Citation processed from: Print JC - CU6, 9706704, 9706704 SB - Nursing Journal CP - United States MH - Education, Nursing, Continuing MH - Humans MH - *Primary Health Care/mt [Methods] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/th [Therapy] AB - Most clinicians are faced with the challenge of providing care and treatment for patients who experience the chronic relapsing brain disease known as addiction. The purpose of this article is to increase awareness of techniques and tools available to primary care clinicians (PCCs) for assessing and treating addictions in the office or clinic setting. A review of the history, physical examination, laboratory tests, and diagnostics relevant to addictive illness will help PCCs to hone their skills in addiction management. Addiction screening instruments and brief interventions used in primary care are presented. Adjunct therapies designed to promote the biopsychosocial and spiritual well-being of patients who are addicted have shown promise. [References: 20] IS - 1088-5471 IL - 1088-5471 PT - Journal Article PT - Review LG - English DP - 2000 May-Jun DC - 20010222 YR - 2000 ED - 20010329 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11271125 <444. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11108419 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Khunti K AU - Kinsella B FA - Khunti, K FA - Kinsella, B IN - Khunti,K. Department of General Practice and Primary Health Care, University of Leicester, Leicester General Hospital, UK. kk22@le.ac.uk TI - Effect of systematic review of medication by general practitioner on drug consumption among nursing-home residents. SO - Age & Ageing. 29(5):451-3, 2000 Sep. AS - Age Ageing. 29(5):451-3, 2000 Sep. NJ - Age and ageing PI - Journal available in: Print PI - Citation processed from: Print JC - 0375655, 2xr SB - Index Medicus CP - ENGLAND MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Drug Costs MH - Drug Interactions MH - Drug Prescriptions/ec [Economics] MH - *Drug Prescriptions/st [Standards] MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Drug Therapy, Combination MH - *Drug Utilization Review/st [Standards] MH - England MH - *Family Practice/st [Standards] MH - Female MH - Humans MH - Male MH - Medical Audit MH - Middle Aged MH - *Nursing Homes MH - Patient Selection MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians'/ec [Economics] MH - *Practice Patterns, Physicians'/st [Standards] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Program Evaluation AB - BACKGROUND: nursing-home patients usually have many medical problems and often take many drugs. They are therefore at risk from drug side effects and interactions. AB - AIMS: to evaluate the impact of a visit by a general practitioner and a comprehensive repeat prescribing review on the consumption of inappropriate drugs in nursing homes. AB - METHOD: two general practitioners made one comprehensive visit to four randomly selected nursing homes. In each home we discussed all patients in detail with a senior member of staff. We reviewed the prescribing record of each patient and stopped items if we considered them inappropriately prescribed or unnecessary. AB - RESULTS: repeat prescriptions were altered in 65% of patients: 51% had an item stopped and 26% had an item changed to a cheaper alternative or the dose reduced. There was a reduction in the mean number of repeat prescriptions prescribed. AB - CONCLUSIONS: a single visit by a general practitioner to a nursing home and a comprehensive repeat prescribing review can lead to a reduction in the number of items prescribed and to substantial savings for the health service. Further rigorous, cost-effectiveness studies are needed. IS - 0002-0729 IL - 0002-0729 PT - Evaluation Studies PT - Journal Article LG - English DP - 2000 Sep DC - 20010301 YR - 2000 ED - 20010329 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11108419 <445. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11198710 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pepino MY AU - Spear NE AU - Molina JC FA - Pepino, M Y FA - Spear, N E FA - Molina, J C IN - Pepino,M Y. Instituto de Investigacion Medica Mercedes y Martin Ferreyra, Argentina. TI - Nursing experiences with an alcohol-intoxicated rat dam counteract appetitive conditioned responses toward alcohol. SO - Alcoholism: Clinical & Experimental Research. 25(1):18-24, 2001 Jan. AS - Alcohol Clin Exp Res. 25(1):18-24, 2001 Jan. NJ - Alcoholism, clinical and experimental research PI - Journal available in: Print PI - Citation processed from: Print JC - 35x, 7707242 SB - Index Medicus CP - United States MH - *Alcoholic Intoxication MH - Animals MH - Animals, Suckling MH - *Appetitive Behavior/de [Drug Effects] MH - Appetitive Behavior/ph [Physiology] MH - *Central Nervous System Depressants/pd [Pharmacology] MH - *Conditioning (Psychology)/de [Drug Effects] MH - Conditioning (Psychology)/ph [Physiology] MH - *Ethanol/pd [Pharmacology] MH - Female MH - Mothers MH - Rats MH - Rats, Wistar MH - Sucrose/pd [Pharmacology] MH - Weight Gain/de [Drug Effects] MH - Weight Gain/ph [Physiology] AB - BACKGROUND: Infant rats detect small amounts of alcohol (175 mg%) that are present in maternal milk whenever the dam is moderately intoxicated with alcohol. Interaction with an alcohol-intoxicated mother during the first 2 weeks of life facilitates the preweanling's subsequent discrimination of alcohol's orosensory attributes and produces conditioned aversion to alcohol. The present study further analyzed the hedonic content of infantile alcohol memories established in the nursing context by testing the interaction between experiences with an alcohol-intoxicated dam and learning procedures aimed at establishing an appetitive conditioned response toward alcohol. AB - METHODS: Experiment 1 was to determine appropriate parameters to establish a reliable conditioned preference for alcohol in 16-day-old infants. For conditioning, intraorally infused sucrose solution (appetitive reinforcer) was paired with alcohol's orosensory cues derived from an acute state of alcohol intoxication (3 g/kg). Two control groups included an unpaired condition and a group given sucrose after water intubation. Infants then were evaluated in an alcohol intake test. Relative to control animals, a reliable conditioned preference for alcohol was registered in paired pups. In experiment 2, these conditioning procedures were applied to infant rats which, before conditioning, suckled from dams subjected to a 2.5 g/kg alcohol dose (intragastric) or from water-treated females during postpartum days 3, 5, 7, 9, 11, and 13. AB - RESULTS: Experiment 2 showed that maternal treatment significantly affected the establishment of conditioned preferences for alcohol. Whereas pups reared by control dams exhibited reliable appetitive conditioning to alcohol, infants raised by alcohol dams completely failed to develop appetitive conditioning. AB - CONCLUSIONS: The present results suggest that alcohol-related memories generated via infantile interactions with an intoxicated dam counteract subsequent conditioning of alcohol ingestion. In conjunction with prior studies, it is concluded that alcohol-related nursing experiences are capable of promoting alcohol memories with a negative hedonic content. RN - 0 (Central Nervous System Depressants) RN - 3K9958V90M (Ethanol) RN - 57-50-1 (Sucrose) IS - 0145-6008 IL - 0145-6008 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R01AA10223 (United States NIAAA NIH HHS) NO - R01AA11960 (United States NIAAA NIH HHS) LG - English DP - 2001 Jan DC - 20010124 YR - 2001 ED - 20010322 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11198710 <446. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11188456 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Swenson-Britt E AU - Carrougher G AU - Martin BW AU - Brackley M FA - Swenson-Britt, E FA - Carrougher, G FA - Martin, B W FA - Brackley, M IN - Swenson-Britt,E. University Hospital, San Antonio, Texas, USA. TI - Project Hope: changing care delivery for the substance abuse patient. SO - Clinical Nurse Specialist. 14(2):92-100, 2000 Mar. AS - Clin Nurse Spec. 14(2):92-100, 2000 Mar. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Print JC - cll, 8709115 SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Nursing Evaluation Research MH - Nursing Staff, Hospital/ed [Education] MH - *Specialties, Nursing/ed [Education] MH - *Staff Development/og [Organization & Administration] MH - *Substance-Related Disorders/nu [Nursing] AB - Project Hope is a program designed to assist healthcare providers in the assessment, care, referral, and follow-up of the hospitalized substance abuse patient. First implemented in 1990 at what is now called University Hospital in San Antonio, Texas, the program has influenced care in a positive way through change in the attitude and knowledge of personnel, administrators, and community. In this paper, the authors provide an overview of the approaches utilized, improvement process, and outcomes obtained from this project. To formally evaluate the effectiveness of Project Hope, a quasi-experimental, Solomon-Four design study was conducted. Eighty nurses from various educational backgrounds and experience with alcohol were divided into groups by nursing unit. A normative-reeducative intervention was applied as described by Chin and Benne. Test of cognition showed significant change (p < .01) in the experimental group; no significance was found for attitudes change. Reasons for these findings and lessons learned from the process are described. IS - 0887-6274 IL - 0887-6274 PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Mar DC - 20010112 YR - 2000 ED - 20010315 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11188456 <447. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11216116 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reutzel TJ AU - Patel R AU - Myers MA FA - Reutzel, T J FA - Patel, R FA - Myers, M A IN - Reutzel,T J. Department of Pharmaceutical Sciences, Chicago College of Pharmacy, Midwestern University, 555 31st Street, Downers Grove, IL 60515, USA. treutz@midwestern.edu TI - Medication management in primary and secondary schools. [Review] [66 refs] SO - Journal of the American Pharmaceutical Association. 41(1):67-77, 2001 Jan-Feb. AS - J Am Pharm Assoc (Wash). 41(1):67-77, 2001 Jan-Feb. NJ - Journal of the American Pharmaceutical Association (Washington,D.C. : 1996) PI - Journal available in: Print PI - Citation processed from: Print JC - 9601004, cil SB - Index Medicus CP - United States MH - Child MH - *Community Pharmacy Services MH - *Health Policy MH - Humans MH - Pharmaceutical Preparations/ad [Administration & Dosage] MH - *Pharmaceutical Preparations MH - *School Health Services MH - *School Nursing MH - United States AB - OBJECTIVE: To summarize present knowledge about medication management in primary and secondary schools; to place this knowledge in its drug use and organizational contexts; and to provide a foundation for studying the problem and developing policy- and practice-level interventions aimed at alleviating it. To offer recommendations for practitioners, policy makers, and health professions educators aimed at improving the situation. AB - DATA SOURCES: MEDLINE database (1966-1998); International Pharmaceutical Abstracts database (1977-1998); complete Medscape full-text search; contents of the Journal of School Nursing and the Journal of School Health (1966-present). AB - STUDY SELECTION: We reviewed 95% of all articles, books, and reports identified using the search terms elementary school, middle school, junior high school, high school, primary school, secondary school, school nurse, school health, and schoolchildren. AB - DATA EXTRACTION: The literature on this topic includes background material describing the nature of the problem and its political and organizational context and implying its significance; summaries of regulations, guidelines, and recommendations regarding medication management in the schools; and empirical studies. Few articles address pharmacist involvement in medication management in schools. AB - DATA SYNTHESIS: Although approaches to this important problem vary widely, a set of core medication management guidelines is identifiable. Formal research is sparse, but it shows that medication use is widespread in schools and carries significant therapeutic and safety consequences. AB - CONCLUSION: Pharmacists and school nurses must cross professional borders if they wish to play a role in solving this important drug therapy problem. Pharmacists can provide therapeutic and contextual perspectives on the problem, while school nurses can implement solutions within the schools. [References: 66] RN - 0 (Pharmaceutical Preparations) IS - 1086-5802 IL - 1086-5802 PT - Journal Article PT - Review LG - English DP - 2001 Jan-Feb DC - 20010216 YR - 2001 ED - 20010308 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11216116 <448. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11138748 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Blazer LK FA - Blazer, L K IN - Blazer,L K. Lancaster Institute for Health Education, School of Nursing, Pennsylvania, USA. TI - Discovering a role for nurses in an addictions treatment facility for women and their children. SO - Journal of Nursing Education. 39(9):415-7, 2000 Dec. AS - J Nurs Educ. 39(9):415-7, 2000 Dec. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Child MH - *Community Health Nursing/ed [Education] MH - *Education, Nursing, Baccalaureate/mt [Methods] MH - Empathy MH - Female MH - Humans MH - Interpersonal Relations MH - *Maternal-Child Health Centers MH - Parenting MH - Pennsylvania MH - Self Care MH - *Substance Abuse Treatment Centers MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2000 Dec DC - 20010102 YR - 2000 ED - 20010308 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11138748 <449. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11137727 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galvin K AU - Webb C AU - Hillier V FA - Galvin, K FA - Webb, C FA - Hillier, V IN - Galvin,K. Institute of Health & Community Studies, Bournemouth University, Royal London House, Christchurch Road, BH1 3ER, UK. kgalvin@bournemouth.ac.uk TI - Assessing the impact of a nurse-led health education intervention for people with peripheral vascular disease who smoke: the use of physiological markers, nicotine dependence and withdrawal. SO - International Journal of Nursing Studies. 38(1):91-105, 2001 Feb. AS - Int J Nurs Stud. 38(1):91-105, 2001 Feb. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Aged MH - Biomarkers/an [Analysis] MH - Biomarkers/ur [Urine] MH - Breath Tests MH - Carbon Monoxide/an [Analysis] MH - Cotinine/ur [Urine] MH - Female MH - Follow-Up Studies MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - *Nurse Clinicians/st [Standards] MH - Nursing Evaluation Research MH - *Patient Education as Topic/mt [Methods] MH - *Peripheral Vascular Diseases/et [Etiology] MH - Program Evaluation MH - Smoking/ae [Adverse Effects] MH - *Smoking/pc [Prevention & Control] MH - *Smoking Cessation/mt [Methods] MH - Substance Withdrawal Syndrome/di [Diagnosis] MH - Substance Withdrawal Syndrome/me [Metabolism] MH - *Substance Withdrawal Syndrome/nu [Nursing] MH - *Substance Withdrawal Syndrome/pc [Prevention & Control] MH - Surveys and Questionnaires MH - Tobacco Use Disorder/co [Complications] MH - Tobacco Use Disorder/di [Diagnosis] MH - *Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - Treatment Outcome AB - This study evaluated the impact of a nurse-led health education programme on the behaviour, nicotine dependence and nicotine withdrawal in patients who smoke and suffer from peripheral vascular disease, based in a large teaching hospital in the north of England. Smoking behaviour was measured by self report, end-expired carbon monoxide and urinary cotinine. Nicotine dependence and withdrawal were measured using a nicotine dependence scale and a nicotine withdrawal scale. The findings demonstrated that the programme did have some impact on behaviour. The study raised issues concerning the measurement of physiological markers for smoking as nursing outcomes. Issues about the measurement of nicotine dependence and withdrawal are highlighted. RN - 0 (Biomarkers) RN - 7U1EE4V452 (Carbon Monoxide) RN - K5161X06LL (Cotinine) IS - 0020-7489 IL - 0020-7489 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial LG - English DP - 2001 Feb DC - 20010126 YR - 2001 ED - 20010222 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11137727 <450. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11141899 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Spier BE AU - Matthews JT AU - Jack L AU - Lever J AU - McHaffie EJ AU - Tate J FA - Spier, B E FA - Matthews, J T FA - Jack, L FA - Lever, J FA - McHaffie, E J FA - Tate, J IN - Spier,B E. University of Pittsburgh School of Nursing, Pennsylvania, USA. bsp 100+@pitt.edu TI - Impaired student performance in the clinical setting. A constructive approach. SO - Nurse Educator. 25(1):38-42, 2000 Jan-Feb. AS - Nurse Educ. 25(1):38-42, 2000 Jan-Feb. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - United States MH - *Absenteeism MH - *Clinical Competence/st [Standards] MH - Counseling MH - Documentation MH - *Faculty, Nursing MH - Humans MH - Professional Impairment/px [Psychology] MH - *Professional Impairment MH - Students, Nursing/px [Psychology] MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] AB - A challenge for even the most seasoned faculty member is dealing with a student who arrives for clinical experience in an impaired state. Little guidance is available for faculty regarding protocol for the immediate removal of an unfit student from the clinical setting or for subsequent actions aimed at helping the student constructively address the problem. The authors provide guidance to faculty for the development of a policy to address issues pertaining to the impaired student. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 2000 Jan-Feb DC - 20010104 YR - 2000 ED - 20010215 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11141899 <451. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11078116 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Melani AS AU - Verponziani W AU - Boccoli E AU - Trianni GL AU - Federici A AU - Amerini R AU - Vichi MG AU - Sestini P FA - Melani, A S FA - Verponziani, W FA - Boccoli, E FA - Trianni, G L FA - Federici, A FA - Amerini, R FA - Vichi, M G FA - Sestini, P IN - Melani,A S. Fisiopatologia Respiratoria, Azienda Ospedaliera Senese, Universita di Siena. a.melani@ao-siena.toscana.it TI - Tobacco smoking habits, attitudes and beliefs among nurse and medical students in Tuscany. SO - European Journal of Epidemiology. 16(7):607-11, 2000. AS - Eur J Epidemiol. 16(7):607-11, 2000. NJ - European journal of epidemiology PI - Journal available in: Print PI - Citation processed from: Print JC - ere, 8508062 SB - Index Medicus CP - NETHERLANDS MH - Adolescent MH - Adult MH - Age Factors MH - Attitude of Health Personnel MH - Cross-Sectional Studies MH - Female MH - Humans MH - Italy/ep [Epidemiology] MH - Male MH - Mothers MH - Smoking/ae [Adverse Effects] MH - *Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking Cessation MH - *Students, Medical MH - *Students, Nursing MH - Surveys and Questionnaires MH - Tobacco Use Disorder/ep [Epidemiology] AB - In this study we evaluated the smoking habits, beliefs and attitudes of nurse and medical students at the University of Siena and Florence, Italy. Students who entered the 1st year of school in 1998 were asked to complete a self-administered anonymous questionnaire. Two hundred medical students completed the questionnaire; they had a mean age (+/-SD) of 19.8+/-1.7 years and 68% were females. A total of 205 nurse respondents answered to the questionnaire; they had a mean age of 21.8+/-4.1 years and females were 83% of the total. The overall response rate among students always remained higher than 85%. Thirty per cent of medical students were current smokers, and 5% former-smokers. A total of 43% of nurse students were current smokers and 11.5% former-smokers. Nurse students were more likely to smoke than medical students (p = 0.001). Among current smokers, the number of daily cigarettes smoked and the degree of nicotine addiction did not differ between groups. The prevalence of maternal smoking were higher among nurse students. In spite of students' beliefs the knowledge about smoking remained generic in both groups. Nurse students were less aware than medical students of their special responsibility towards people about tobacco smoking. Such a difference remained significant also after adjustment for smoking status (p < 0.01). Students overestimated the prevalence of current smokers among health caregivers of the local hospitals, and Italian people and adolescents. Targeted and continuous training about smoking prevention should be mandatory in Italian medical and nurse schools. IS - 0393-2990 IL - 0393-2990 PT - Comparative Study PT - Journal Article LG - English DP - 2000 DC - 20010215 YR - 2000 ED - 20010215 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11078116 <452. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11190975 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scott CM AU - Popovich DJ FA - Scott, C M FA - Popovich, D J IN - Scott,C M. Resurrection Home Health Services, Skokie, Illinois, USA. cscott1922@aol.com TI - Undiagnosed alcoholism & prescription drug misuse among the elderly. Special considerations for home assessment. SO - Caring. 20(1):20-3; quiz 24-5, 2001 Jan. AS - Caring. 20(1):20-3; quiz 24-5, 2001 Jan. NJ - Caring : National Association for Home Care magazine PI - Journal available in: Print PI - Citation processed from: Print JC - 8301759, c9v SB - Health Administration Journals CP - United States MH - Aged MH - Aged, 80 and over MH - *Aging/px [Psychology] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/nu [Nursing] MH - *Alcoholism/px [Psychology] MH - Anti-Anxiety Agents/ad [Administration & Dosage] MH - Benzodiazepines MH - *Community Health Nursing/mt [Methods] MH - Drug Prescriptions MH - Education, Nursing, Continuing MH - Female MH - Geriatric Assessment MH - Humans MH - Longevity/ph [Physiology] MH - Male MH - Risk Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/px [Psychology] MH - United States/ep [Epidemiology] AB - Elderly patients are living longer than ever. Often, health care providers perceive this longevity as a measure of professional success. These patients don't always share this cheerful perspective. Living to a "ripe old age" can impose tremendous stress. An alarming number of these patients turn to alcohol and prescription drugs to escape the physical, emotional, spiritual, social and financial losses associated with aging. RN - 0 (Anti-Anxiety Agents) RN - 12794-10-4 (Benzodiazepines) IS - 0738-467X IL - 0738-467X PT - Case Reports PT - Journal Article LG - English DP - 2001 Jan DC - 20010117 YR - 2001 ED - 20010125 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11190975 <453. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10926393 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boyce JM AU - Kelliher S AU - Vallande N FA - Boyce, J M FA - Kelliher, S FA - Vallande, N IN - Boyce,J M. Miriam Hospital, Brown University, Providence, Rhode Island, USA. TI - Skin irritation and dryness associated with two hand-hygiene regimens: soap-and-water hand washing versus hand antisepsis with an alcoholic hand gel. CM - Comment in: Infect Control Hosp Epidemiol. 2000 Jul;21(7):438-41; PMID: 10926392 SO - Infection Control & Hospital Epidemiology. 21(7):442-8, 2000 Jul. AS - Infect Control Hosp Epidemiol. 21(7):442-8, 2000 Jul. NJ - Infection control and hospital epidemiology PI - Journal available in: Print PI - Citation processed from: Print JC - ich, 8804099 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Antisepsis MH - *Ethanol/ae [Adverse Effects] MH - *Exanthema/ci [Chemically Induced] MH - Gels MH - Hand MH - *Hand Disinfection MH - Humans MH - Nursing Staff, Hospital MH - Skin Irritancy Tests MH - *Soaps/ae [Adverse Effects] AB - OBJECTIVE: To compare the frequency of skin irritation and dryness associated with using an alcoholic-hand-gel regimen for hand antisepsis versus using soap and water for hand washing. AB - DESIGN: Prospective randomized trial with crossover design. Irritation and dryness of nurses' hands were evaluated by self-assessment and by visual assessment by a study nurse. Epidermal water content of the dorsal surface of nurses' hands was estimated by measuring electrical capacitance of the skin. AB - SETTING: Miriam Hospital, a 200-bed university-affiliated teaching hospital. AB - PARTICIPANTS: Thirty-two nurses working on three hospital wards participated in the trial, which lasted 6 weeks. AB - RESULTS: Self-assessment scores of skin irritation and dryness decreased slightly during the 2 weeks when nurses used the alcoholic-hand-gel regimen (mean baseline score, 2.72; mean final score, 2.0; P=.08) but increased substantially during the 2 weeks when nurses used soap and water (mean baseline score, 2.0; mean final score, 4.8; P<.0001). Visual assessment scores by the study nurse of skin irritation and dryness did not change significantly when the alcoholic-hand-gel regimen was used (mean baseline and final scores were both 0.55), but scores increased substantially when nurses used soap and water (baseline score, 0.59; mean final score, 1.21; P=.05). Epidermal water content of the dorsal surface of nurses' hands changed little when the alcoholic-hand-gel regimen was used (mean+/-standard deviation baseline electrical capacitance reading, 24.8+/-6.8; mean final reading, 25.7+/-7.3), but decreased significantly (skin became dryer) with soap-and-water hand washing (mean baseline, 25.9+/-7.5; mean final reading, 20.5+/-5.4; P=.0003). AB - CONCLUSIONS: Hand antisepsis with an alcoholic-hand-gel regimen was well tolerated and did not result in skin irritation and dryness of nurses' hands. In contrast, skin irritation and dryness increased significantly when nurses washed their hands with the unmedicated soap product available in the hospital. Newer alcoholic hand gels that are tolerated better than soap may be more acceptable to staff and may lead to improved hand-hygiene practices. RN - 0 (Gels) RN - 0 (Soaps) RN - 3K9958V90M (Ethanol) IS - 0899-823X IL - 0899-823X PT - Clinical Trial PT - Comparative Study PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Jul DC - 20001205 YR - 2000 ED - 20001205 RD - 20150127 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10926393 <454. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11012790 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH FA - Rassool, G H TI - Addiction: global problem and global response. Complacency or commitment. [Review] [21 refs] SO - Journal of Advanced Nursing. 32(3):505-7, 2000 Sep. AS - J Adv Nurs. 32(3):505-7, 2000 Sep. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Education, Nursing MH - *Global Health MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Job Description MH - Needs Assessment MH - *Nurses/px [Psychology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0309-2402 IL - 0309-2402 PT - Editorial PT - Review LG - English DP - 2000 Sep DC - 20001101 YR - 2000 ED - 20001101 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11012790 <455. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11022435 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scott HK FA - Scott, H K IN - Scott,H K. Lanarkshire Primary Care NHS Trust, Motherwell. TI - Screening for hazardous drinking in a population of well women. SO - British Journal of Nursing. 9(2):107-14, 2000 Jan 27-Feb 9. AS - Br J Nurs. 9(2):107-14, 2000 Jan 27-Feb 9. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - ENGLAND MH - Adolescent MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/et [Etiology] MH - *Alcoholism/nu [Nursing] MH - Community Health Nursing/ed [Education] MH - *Community Health Nursing/mt [Methods] MH - Female MH - Health Status MH - Humans MH - *Mass Screening/mt [Methods] MH - Middle Aged MH - Nursing Evaluation Research MH - Program Evaluation MH - Risk Factors AB - Previous research suggests that only about 15% of people who experience alcohol problems come to the notice of healthcare providers. Research has also shown that there is often a failure among healthcare providers to identify alcohol problems in patients whose primary presentation is not overtly alcohol related. It has been implied that this failure is contributed to by a lack of training and support on the part of the organization. This article reports on a project in which a group of health visitors were trained in a brief method of screening for and intervention with alcohol problems and then supported in identifying and intervening with women among their caseload who were drinking at unsafe levels. The sample comprised 430 'well women' between the ages of 18 and 45 years, with no known previous or current alcohol-related problem. All the women were on the caseloads of health visitors in one health board area and all women had children under the age of 16 years. It was found at screening that 13% of the sample consumed more than 14 units of alcohol per week. Consumption was measured 6 months after one session of minimal intervention, and it was found that 92% of the intervention group reduced their alcohol consumption. Mean consumption had decreased by 55%, from 21.11 units to 9.24 units per week. Among those women whose drinking had been at levels which were potentially problematic (capable of sustaining physical, psychological or social problems due to alcohol consumption), the mean weekly amount consumed decreased by 59% from 30.7 units weekly to 12.43 units. IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2000 Jan 27-Feb 9 DC - 20001019 YR - 2000 ED - 20001019 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11022435 <456. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10846644 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Segatore M AU - Adams D AU - Lange S FA - Segatore, M FA - Adams, D FA - Lange, S IN - Segatore,M. St. Joseph's Hospital, Milwaukee, WI 53210-1688, USA. TI - Managing alcohol withdrawal in the acutely ill hospitalized adult. SO - Journal of Neuroscience Nursing. 31(3):129-41, 1999 Jun. AS - J Neurosci Nurs. 31(3):129-41, 1999 Jun. NJ - The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - ij6, 8603596 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Acute Disease MH - Adult MH - Aged MH - Alcohol Withdrawal Delirium/nu [Nursing] MH - Alcohol Withdrawal Delirium/pc [Prevention & Control] MH - Comorbidity MH - Confounding Factors (Epidemiology) MH - *Ethanol/ae [Adverse Effects] MH - Female MH - Humans MH - *Inpatients MH - Male MH - Medical Records MH - Middle Aged MH - Outcome Assessment (Health Care) MH - Retrospective Studies MH - Severity of Illness Index MH - Substance Withdrawal Syndrome/di [Diagnosis] MH - Substance Withdrawal Syndrome/dt [Drug Therapy] MH - *Substance Withdrawal Syndrome/nu [Nursing] MH - Surveys and Questionnaires AB - Managing individuals with acute illness who are at high risk for alcohol withdrawal presents multiple challenges to the treatment teams caring for them. Following realization that management of this group was often characterized by severe withdrawal symptoms (delirium tremens, seizures and the need for leather restraints), a Task Force developed protocols to guide care. Its principal goal was to avoid cardiorespiratory and neurologic morbidities associated with severe withdrawal. The first 441 episodes of care treated after protocol implementation are described in this report. There were no instances of oversedation requiring pharmacological reversal or intubation, few individuals suffered seizures outside of the emergency department and the use of leather restraints declined dramatically. Outstanding issues arising from analysis include the necessity of subjecting the symptom severity instrument to rigorous psychometric study and reconsideration of the appropriateness of a symptom-triggered approach in treating this population. Our experience suggests that use of a nonprescriptive approach by educated and motivated nursing and medical staffs can reduce serious morbidity in this at-risk population. RN - 3K9958V90M (Ethanol) IS - 0888-0395 IL - 0888-0395 PT - Journal Article LG - English DP - 1999 Jun DC - 20000906 YR - 1999 ED - 20000906 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10846644 <457. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10869245 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Owens L AU - Gilmore IT AU - Pirmohamed M FA - Owens, L FA - Gilmore, I T FA - Pirmohamed, M IN - Owens,L. Department of Pharmacology and Therapeutics, The University of Liverpool, UK. TI - General practice nurses' knowledge of alcohol use and misuse: a questionnaire survey. SO - Alcohol & Alcoholism. 35(3):259-62, 2000 May-Jun. AS - Alcohol Alcohol. 35(3):259-62, 2000 May-Jun. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 SB - Index Medicus CP - ENGLAND MH - *Alcoholism/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - *Clinical Competence/sn [Statistics & Numerical Data] MH - Education, Nursing, Continuing MH - Family Practice MH - Female MH - Great Britain/ep [Epidemiology] MH - Humans MH - Male MH - *Nurse Practitioners/st [Standards] MH - Nurse Practitioners/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - Nurses in general practice (termed practice nurses) are an under-utilized resource for the detection and management of patients with alcohol misuse. However, little is known about their knowledge and attitudes towards alcohol use and misuse. We therefore conducted a postal questionnaire survey of 132 practice nurses in Liverpool (UK). The results of our survey (response rate 77%) show that a knowledge and skills gap exists in the delivery of effective advice on alcohol-related issues. Indeed, our results suggest that only one in two women and one in three men are receiving correct advice on sensible limits of alcohol consumption, this despite the fact that alcohol histories are taken. Further training was requested by most nurses to develop their screening and health promotion roles, and to become involved in the management of patients with alcohol-related problems in primary care. We suggest practice nurses should be encouraged to become involved in screening for, and management of, alcohol-related problems. However, it is important to ensure that the nurses receive appropriate training and have adequate back-up facilities from doctors and other workers involved in the care of patients with alcohol-related problems. IS - 0735-0414 IL - 0735-0414 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 May-Jun DC - 20000829 YR - 2000 ED - 20000829 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10869245 <458. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10889686 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cook KR FA - Cook, K R IN - Cook,K R. D'Youville College, Buffalo, New York, USA. TI - Assessment of potential inhalant use by students. [Review] [16 refs] SO - Journal of School Nursing. 15(5):20-3, 1999 Dec. AS - J Sch Nurs. 15(5):20-3, 1999 Dec. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Adhesives/ae [Adverse Effects] MH - Aerosols/ae [Adverse Effects] MH - Child MH - Humans MH - Inhalation Exposure/ae [Adverse Effects] MH - *Inhalation Exposure MH - *Nursing Assessment/mt [Methods] MH - *School Nursing/mt [Methods] MH - Solvents/ae [Adverse Effects] MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] AB - Inhalant use is a significant health risk for today's youth, so school nurses need to be aware of its prevalence and life-threatening consequences. Numerous, readily available, inexpensive substances are being inhaled by a growing number of students. The effects of inhaling such substances can be devastating. [References: 16] RN - 0 (Adhesives) RN - 0 (Aerosols) RN - 0 (Solvents) IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 1999 Dec DC - 20000810 YR - 1999 ED - 20000810 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10889686 <459. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10818875 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jeffries PR FA - Jeffries, P R IN - Jeffries,P R. Indiana University School of Nursing, Indianapolis, USA. TI - Developing a drug awareness program in an international school. Cross-cultural issues. SO - Journal of School Nursing. 15(4):6-11, 1999 Oct. AS - J Sch Nurs. 15(4):6-11, 1999 Oct. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Child MH - Cross-Cultural Comparison MH - *Cultural Diversity MH - Curriculum MH - *Health Education/og [Organization & Administration] MH - Humans MH - Indonesia MH - International Cooperation MH - *Program Development/mt [Methods] MH - *School Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Transcultural Nursing/og [Organization & Administration] MH - United States AB - In 1996, as an overseas school nurse/health educator, the author designed a health and personal development curriculum for an international school in Bandung, Indonesia, where 220 children from 26 different countries were enrolled. Part of the health curriculum included a drug awareness program for students from kindergarten through high school. Many parents, students, administrators, and faculty had never been involved in such a program before; therefore, obtaining acceptance from these groups was a first step in designing the drug awareness program. Because there have been no school or government anti-drug groups to promote drug prevention, this program was the first of its kind in the international community of Bandung. A review of the literature guided the choice of intervention strategies built into the program. Information also was collected about the major risk and protective factors that are known to be associated with an increased risk of drug use in the international community. Existing models of drug use prevention were used in designing the program. As in most prevention programs, drug use was viewed as a deficit in coping or self-regulation skills. The drug awareness program was developed with emphasis on peer, school, and community factors potentially influencing the tobacco, alcohol, and other drug use of the adolescent students. IS - 1059-8405 IL - 1059-8405 PT - Comparative Study PT - Journal Article LG - English DP - 1999 Oct DC - 20000803 YR - 1999 ED - 20000803 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10818875 <460. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10808761 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCracken LM FA - McCracken, L M IN - McCracken,L M. Emergency Department, Foothills Medical Centre, Calgary Regional Health Authority, Canada. TI - Living forensics: a natural evolution in emergency care. SO - Accident & Emergency Nursing. 7(4):211-6, 1999 Oct. AS - Accid Emerg Nurs. 7(4):211-6, 1999 Oct. NJ - Accident and emergency nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9305090 SB - Nursing Journal CP - SCOTLAND MH - Data Collection MH - Emergency Nursing/ed [Education] MH - *Emergency Nursing/og [Organization & Administration] MH - *Emergency Treatment/mt [Methods] MH - *Emergency Treatment/nu [Nursing] MH - *Forensic Medicine/og [Organization & Administration] MH - Humans MH - Information Services MH - Internet MH - *Job Description MH - Male MH - Nurse Clinicians/ed [Education] MH - *Nurse Clinicians/og [Organization & Administration] MH - Practice Guidelines as Topic AB - 'Throughout history, health care professionals have been called upon to assist the legal system in the prosecution of cases where patient care overlaps with the law and physiological realities collide' (Lynch 1995). Working for the last 21 years in the Accident & Emergency setting, the author is dedicated to increasing the awareness and assisting in the establishment of basic forensic evidence collection guidelines for the emergency care provider. Due to the nature of the clientele and setting, emergency personnel will inevitably care for 'victims of violence'. Domestic violence injuries, abuse and neglect in the elderly and young, the addictive client seeking emergency care, the sexual assault victim, and sufferers of occupational injuries, are but a few of the cases that would be classified in the forensic arena. Holistic care dictates looking after the patient as a whole. The nurse must meet the patient's physical and psychosocial needs. The forensic nurse ensures that the patient's civil and constitutional rights are also met. This forensic health care role can be achieved and strengthened by recognizing potential evidence and maintaining a 'chain of custody' of this evidence. IS - 0965-2302 IL - 0965-2302 PT - Case Reports PT - Journal Article LG - English DP - 1999 Oct DC - 20000803 YR - 1999 ED - 20000803 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10808761 <461. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10745800 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hall-Long BA AU - Dishop ML FA - Hall-Long, B A FA - Dishop, M L IN - Hall-Long,B A. University of Delaware, College of Health and Nursing Sciences, Newark, USA. TI - Never too soon: a pilot first and third grade drug education program. SO - Journal of School Nursing. 15(3):34-9, 1999 Aug. AS - J Sch Nurs. 15(3):34-9, 1999 Aug. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Age Factors MH - Child MH - Curriculum MH - *Health Education/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Educational MH - Parents/ed [Education] MH - Parents/px [Psychology] MH - Pilot Projects MH - Program Evaluation MH - *School Health Services/og [Organization & Administration] MH - *School Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - Substance use is a leading national health problem, and school nurses are in pivotal positions to assist with prevention activities to reduce this growing epidemic. In response to increasing rates of parental and youth substance use and abuse, a collaborative research-service-education partnership was established between a college of nursing and an elementary school in a low-income, urban community. A two-part pilot study of parental knowledge and behaviors of drug use, and the evaluation of a first- and third-grade drug education model, are described in this paper. Although the findings cannot be generalized, they yield useful information for parental, youth, and neighborhood teaching and future research. Over half of parents consumed alcohol, and 60% smoked cigarettes. Forty-seven percent of parents reported discussing drugs with their child. However, only 22% of the parents who used substances reported talking about drugs with their children. The pilot drug education sessions, two, 30-45 minute sessions a week for 8 weeks, resulted in an average of 30% higher posttest knowledge scores in the first and third graders. Drug education classes should be offered every year for patients and youth, kindergarten through twelfth grade. IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1999 Aug DC - 20000727 YR - 1999 ED - 20000727 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10745800 <462. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10882317 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Koniak-Griffin D AU - Anderson NL AU - Verzemnieks I AU - Brecht ML FA - Koniak-Griffin, D FA - Anderson, N L FA - Verzemnieks, I FA - Brecht, M L IN - Koniak-Griffin,D. School of Nursing, University of California, Los Angeles 90095-6919, USA. TI - A public health nursing early intervention program for adolescent mothers: outcomes from pregnancy through 6 weeks postpartum. SO - Nursing Research. 49(3):130-8, 2000 May-Jun. AS - Nurs Res. 49(3):130-8, 2000 May-Jun. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Birth Weight MH - Female MH - Hospitalization MH - Humans MH - Models, Nursing MH - Obstetric Labor, Premature/pc [Prevention & Control] MH - Outcome and Process Assessment (Health Care) MH - *Postpartum Period MH - Poverty MH - Pregnancy MH - Pregnancy Outcome MH - *Pregnancy in Adolescence MH - Prenatal Care MH - *Public Health Nursing MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - BACKGROUND: Adolescent pregnancy and parenting remain a major public concern because of their impact on maternal-child health and on the social and economic well-being of the nation. Federal welfare reform legislation has created an urgent need for community-based nursing intervention programs to improve health and social outcomes for disadvantaged adolescent mothers and to promote their self-sufficiency. AB - OBJECTIVE: To evaluate the effects of an early intervention program (EIP) that uses a public health nursing model on health and social outcomes of adolescent mothers and their children and on the quality of mother-child interaction. AB - METHODS: Pregnant adolescents referred to a county health department were randomly assigned to an experimental (EIP) or control (traditional public health nursing [TPHN]) group. The sample included 121 adolescents from predominantly minority and impoverished backgrounds who were followed from pregnancy through 6 weeks postpartum. Intense and comprehensive home visitation by public health nurses and preparation-for-motherhood classes were provided to adolescents in the EIP. Health outcomes were determined on the basis of medical record data. Other measures included maternal self-report on selected behaviors, nurse interviews, and the Nursing Child Assessment Teaching Scale (NCATS). AB - RESULTS: Early findings indicate reduced premature birth and low-birth-weight (LBW) rates for young mothers receiving both forms of public health nursing care. No significant differences between groups were found for infant birth weight or type of delivery. Infants in the EIP had significantly fewer total days of birth-related hospitalization and rehospitalization than those in the TPHN group during the first 6 weeks of life (chi2(1) = 6.41; p = 0.01). Adolescents in the EIP demonstrated significantly more positive educational outcomes (e.g., lower school dropout rates) than those in the TPHN group (chi2(1) = 6.76; p < 0.009). AB - CONCLUSIONS: The early findings of this study demonstrate that pregnant adolescents benefit from both traditional and more intense public health nursing care in terms of prenatal and perinatal outcomes. The EIP was associated with decreased infant morbidity during the first 6 weeks of life and decreased maternal school dropout. Long-term outcomes for the EIP are being evaluated. IS - 0029-6562 IL - 0029-6562 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - NR02325-S1 (United States NINR NIH HHS) NO - NR02325-S2 (United States NINR NIH HHS) NO - R0-1 NR02325 (United States NINR NIH HHS) LG - English DP - 2000 May-Jun DC - 20000724 YR - 2000 ED - 20000724 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10882317 <463. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10889655 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cramer C AU - Davidhizar R FA - Cramer, C FA - Davidhizar, R IN - Cramer,C. Bethel College, Mishawaka, Indiana 46545-5591, USA. TI - FAS/FAE: impact on children. [Review] [9 refs] SO - Journal of Child Health Care. 3(3):31-4, 1999. AS - J Child Health Care. 3(3):31-4, 1999. NJ - Journal of child health care : for professionals working with children in the hospital and community PI - Journal available in: Print PI - Citation processed from: Print JC - 9806360, dcl SB - Nursing Journal CP - ENGLAND MH - Child MH - Female MH - Fetal Alcohol Spectrum Disorders/co [Complications] MH - *Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Fetal Alcohol Spectrum Disorders/ep [Epidemiology] MH - *Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - Humans MH - Job Description MH - Male MH - Parents/ed [Education] MH - Parents/px [Psychology] MH - Patient Advocacy MH - *Pediatric Nursing/mt [Methods] MH - Practice Guidelines as Topic MH - Pregnancy MH - *School Nursing/mt [Methods] AB - Alcohol is a teratogen and it can cause lasting birth defects called Fetal Alcohol Syndrome (FAS)/Fetal Alcohol Effects (FAE). FAS is one of the leading causes of mental retardation. FAS/FAE can result in a myriad of behavioral, learning and developmental problems. There are estimates of 12,000 new cases of FAS yearly. The school nurse plays an important advocacy and educational role in helping the child with FAS. Family involvement is important for the child with FAS. [References: 9] IS - 1367-4935 IL - 1367-4935 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 1999 DC - 20000720 YR - 1999 ED - 20000720 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10889655 <464. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10808839 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcus MT AU - Rickman KA AU - Sobhan T FA - Marcus, M T FA - Rickman, K A FA - Sobhan, T IN - Marcus,M T. Department of Nursing Systems and Technology, University of Texas-Houston Health Science Center School of Nursing 77030, USA. TI - Substance abuse education liaisons: a collaborative continuing education program for nurses in acute care settings. SO - Journal of Continuing Education in Nursing. 30(5):229-34, 1999 Sep-Oct. AS - J Contin Educ Nurs. 30(5):229-34, 1999 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - UNITED STATES MH - *Acute Disease/nu [Nursing] MH - Attitude of Health Personnel MH - *Cooperative Behavior MH - Curriculum MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - *Faculty, Nursing/og [Organization & Administration] MH - Humans MH - *Interprofessional Relations MH - Needs Assessment MH - Nursing Education Research MH - *Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Program Evaluation MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Texas AB - BACKGROUND: Alcohol, tobacco, and other drug abuse undermine physical and psychological well-being, contributing to the array of illnesses that necessitate admission to acute care settings. Addictive disorders often are undetected, underreported, or overshadowed by the primary illness. Nurses need continuing education to enhance competence in meeting this challenging problem. AB - METHOD: Through a unique collaboration between university faculty and acute care nurses from seven hospitals, the nurses attended 18 monthly workshops designed to meet their learning needs related to substance abuse. AB - RESULTS: The nurses acquired essential knowledge and skills regarding substance abusing clients. The publication of a substance abuse resource manual and the establishment of a continuing network of professionals committed to improving practice are additional positive outcomes of this endeavor. AB - CONCLUSION: Project SAEL (Substance Abuse Education Liaisons) is a model that can be emulated by others. IS - 0022-0124 IL - 0022-0124 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - 1 TO1 AA 7509 (United States NIAAA NIH HHS) LG - English DP - 1999 Sep-Oct DC - 20000720 YR - 1999 ED - 20000720 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10808839 <465. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10808838 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Glass JC Jr AU - Todd-Atkinson S FA - Glass, J C Jr FA - Todd-Atkinson, S IN - Glass,J C Jr. Department of Adult and Community College Education, North Carolina State University, Raleigh 27695-7801, USA. TI - Continuing education needs of nurses employed in nursing facilities. SO - Journal of Continuing Education in Nursing. 30(5):219-28, 1999 Sep-Oct. AS - J Contin Educ Nurs. 30(5):219-28, 1999 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Curriculum MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - *Geriatric Nursing/ed [Education] MH - Humans MH - Middle Aged MH - *Needs Assessment/og [Organization & Administration] MH - North Carolina MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Nursing, Practical/ed [Education] MH - *Skilled Nursing Facilities MH - Surveys and Questionnaires AB - The purpose of this investigation was to determine the self-perceived learning needs of nurses, both RNs and licensed practical nurses (LPNs), employed in nursing facilities. Questionnaires were used to gather data from 319 nurses employed in 14 nursing facilities, representing 10% of all nursing facilities in North Carolina. A total of 164 nurses returned usable questionnaires. The nurses indicated a large number of continuing education needs, with Management Skills, Drug Therapy/Interactions, and Behavioral Problems being particularly important. Night shift nurses and nurse educators had different leaning needs when compared to other subsets of nurses. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 1999 Sep-Oct DC - 20000720 YR - 1999 ED - 20000720 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10808838 <466. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10860314 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcus MT FA - Marcus, M T IN - Marcus,M T. Department of Nursing Systems and Technology, University of Texas-Houston Health Science Center 77030, USA. TI - An interdisciplinary team model for substance abuse prevention in communities. [Review] [52 refs] SO - Journal of Professional Nursing. 16(3):158-68, 2000 May-Jun. AS - J Prof Nurs. 16(3):158-68, 2000 May-Jun. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Community Health Nursing MH - *Education, Nursing, Continuing MH - *Faculty, Nursing MH - Humans MH - *Models, Educational MH - *Patient Care Team MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Recognizing the continuing threat of alcohol, tobacco, and other drug abuse and the mandate for health care reform with emphasis on community-based care and prevention, the University of Texas-Houston Health Science Center School of Nursing developed a model to link faculty to communities to provide culturally competent, scientifically based, preventive interventions. Faculty and community associates engaged in individual and group training activities such as seminars, courses, and off-site meetings. The Preventive Intervention Research Cycle was used to structure prevention activities and assure scientific rigor. In addition to the specific outcomes of five preventive interventions, the project resulted in increased faculty scholarship in the field, increased community awareness and sustained interventions related to substance abuse, enhanced curriculum for students, and expanded collaborations with other community-based organizations. Collaborative interdisciplinary partnerships between academic institutions and community organizations are critical to the development of the science of substance abuse prevention. [References: 52] IS - 8755-7223 IL - 8755-7223 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - 1T15P07775 (United States PHS HHS) LG - English DP - 2000 May-Jun DC - 20000719 YR - 2000 ED - 20000719 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10860314 <467. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10772279 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edgardh K AU - Ormstad K FA - Edgardh, K FA - Ormstad, K IN - Edgardh,K. Department of Venhalsan, Soder Hospital, Stockholm, Sweden. TI - Prevalence and characteristics of sexual abuse in a national sample of Swedish seventeen-year-old boys and girls. CM - Comment in: Acta Paediatr. 2000 Mar;89(3):268-71; PMID: 10772272 SO - Acta Paediatrica. 89(3):310-9, 2000 Mar. AS - Acta Paediatr. 89(3):310-9, 2000 Mar. NJ - Acta paediatrica (Oslo, Norway : 1992) PI - Journal available in: Print PI - Citation processed from: Print JC - bgc, 9205968 SB - Index Medicus CP - NORWAY MH - Adolescent MH - Child Abuse, Sexual/px [Psychology] MH - *Child Abuse, Sexual/sn [Statistics & Numerical Data] MH - Data Collection MH - Female MH - Humans MH - Male MH - Pilot Projects MH - Prevalence MH - Sexual Behavior/px [Psychology] MH - Surveys and Questionnaires MH - Sweden/ep [Epidemiology] AB - The aims of this study, which was part of a survey on adolescent sexual behaviour, were to investigate adolescents' experience of child sexual abuse and to present possible abuse-related problems. Representative samples of 2% of Sweden's 17-y-old male and female students and school non-attenders were selected in a two-step procedure. In all, 1943 students and 210 school non-attenders answered a self-administered anonymous questionnaire, distributed by school nurses. Six out of 170 questions dealt with personal experiences of child sexual abuse, i.e. age at onset, frequency of abuse and relationship to the offender. Peer abuse was excluded by the definitions used. The overall response rate was 92.2% for students and 44.2% for school dropouts. Among male and female students, 3.1% and 11.2%, respectively, acknowledged sexual abuse, 2.3% and 7.1%, respectively, when exhibitionism was excluded. Mean age at onset was 9.1 y (SD 4.3) for boys and 9.0 y (SD 3.9) for girls; 1.2% of the boys and 3.1% of the girls reported abusive oral, vaginal and/or anal intercourse. Suicide attempts or other acts of self-harm were reported by 33.3% of the male students reporting abuse and by 5.1% (p < 0.001) of those who had not been abused, and by 30.4% of the abused student girls compared to 9.1% of the non-abused (p < 0.001). Sleep and eating disorders, use of alcohol at an early age and/or experimentation with illicit drugs and consensual coitarche before age 15 y was reported significantly more often by abused than non-abused girls (p < 0.001, differences not found among the student boys). Of school non-attenders, 4% of the boys and 28% of the girls reported sexual abuse. Of the abused girls, 49% reported abusive vaginal intercourse and 64% reported self-destructive behaviour or suicide attempts. No abused boys and few abused girls had confided in a teacher, health professional or social worker. Results from the student sample should be interpreted as markers of "minimum prevalence", as female school non-attenders report significantly higher prevalence of sexual abuse. Potential high-risk groups are better included in prevalence investigations of child sexual abuse. The fact that so few adolescents confided in "professionals" about the abuse, despite having severe symptoms and signs of distress, underlines the need to address sexual abuse when recording the social, medical and psychiatric histories of adolescents. IS - 0803-5253 IL - 0803-5253 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Mar DC - 20000713 YR - 2000 ED - 20000713 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10772279 <468. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10812312 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carroll JF AU - McGovern JJ AU - McGinley JJ AU - Torres JC AU - Walker JR AU - Pagan ES AU - Biafora FA FA - Carroll, J F FA - McGovern, J J FA - McGinley, J J FA - Torres, J C FA - Walker, J R FA - Pagan, E S FA - Biafora, F A IN - Carroll,J F. Project Return Foundation, Inc., 10 Astor Place, New York, NY 10003-6935, USA. jfxc4318@aol.com TI - A program evaluation study of a nursing home operated as a modified therapeutic community for chemically dependent persons with AIDS. Project Samaritan AIDS Services, Inc.'s Residential Health Care Facility, Highbridge Section, Bronx, NY. SO - Journal of Substance Abuse Treatment. 18(4):373-86, 2000 Jun. AS - J Subst Abuse Treat. 18(4):373-86, 2000 Jun. NJ - Journal of substance abuse treatment PI - Journal available in: Print PI - Citation processed from: Print JC - kai, 8500909 SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/nu [Nursing] MH - Acquired Immunodeficiency Syndrome/px [Psychology] MH - Adaptation, Psychological MH - Adult MH - Aged MH - Combined Modality Therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nursing Homes MH - Outcome and Process Assessment (Health Care) MH - Personality Inventory MH - Program Evaluation MH - Sick Role MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Therapeutic Community AB - An interagency evaluation of the treatment effectiveness of a speciality nursing home (NH) run as a therapeutic community (TC) for residents diagnosed with acquired immunodeficiency syndrome (AIDS) and substance abuse/dependence (SA/D) was conducted. A total of 79 chemically dependent men and women with AIDS were: (a) administered the Tennessee Self-Concept Scale (TSCS; Roid & Fitts, 1991) at initial testing (T(1)) and 8 months after their initial testing (T(2)); and (b) assessed on specific physical health indicators (i.e. , weight, CD-4 count, and viral load) and other treatment outcomes (e.g., abstinence) over the same two time periods. The TSCS results identified a valid and invalid TSCS test group and further distinguished among three subgroups of invalid responders. Significant improvements were observed from T(1) testing to T(2) testing on the TSCS, on the physical health indicators, and on other treatment outcomes. The need for additional and continued mental health services for this population was noted. IS - 0740-5472 IL - 0740-5472 PT - Journal Article LG - English DP - 2000 Jun DC - 20000710 YR - 2000 ED - 20000710 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10812312 <469. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10382471 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mitchell KT AU - Donaldson T FA - Mitchell, K T FA - Donaldson, T TI - Preventing fetal alcohol syndrome. SO - Journal of Pediatric Health Care. 13(2):87-9, 1999 Mar-Apr. AS - J Pediatr Health Care. 13(2):87-9, 1999 Mar-Apr. NJ - Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - jml, 8709735 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Female MH - Fetal Alcohol Spectrum Disorders/ep [Epidemiology] MH - Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Health Policy/lj [Legislation & Jurisprudence] MH - Humans MH - Infant MH - Mass Screening MH - Nurse Practitioners/ed [Education] MH - Pediatric Nursing/ed [Education] MH - Pregnancy MH - *Primary Prevention/lj [Legislation & Jurisprudence] MH - *Primary Prevention/mt [Methods] MH - United States/ep [Epidemiology] IS - 0891-5245 IL - 0891-5245 PT - News LG - English DP - 1999 Mar-Apr DC - 20000706 YR - 1999 ED - 20000706 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10382471 <470. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10789826 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - van den Bemt PM AU - Egberts TC AU - de Jong-van den Berg LT AU - Brouwers JR FA - van den Bemt, P M FA - Egberts, T C FA - de Jong-van den Berg, L T FA - Brouwers, J R IN - van den Bemt,P M. Hospital Pharmacy Medisch Centrum Leeuwarden, De Tjongerschans Hospital, Heerenveen, The Netherlands. bemtp@mcz-nw.znb.nl TI - Drug-related problems in hospitalised patients. [Review] [89 refs] SO - Drug Safety. 22(4):321-33, 2000 Apr. AS - Drug Saf. 22(4):321-33, 2000 Apr. NJ - Drug safety PI - Journal available in: Print PI - Citation processed from: Print JC - ahq, 9002928 SB - Index Medicus CP - NEW ZEALAND MH - *Drug Hypersensitivity MH - *Drug-Related Side Effects and Adverse Reactions MH - *Hospitalization MH - Humans MH - *Medication Errors AB - Drug-related problems include medication errors (involving an error in the process of prescribing, dispensing, or administering a drug, whether there are adverse consequences or not) and adverse drug reactions (any response to a drug which is noxious and unintended, and which occurs at doses normally used in humans for prophylaxis, diagnosis or therapy of disease, or for the modification of physiological function). Furthermore, adverse drug events can be defined as an injury--whether or not causally-related to the use of a drug. Drug-related problems are relatively common in hospitalised patients and can result in patient morbidity and mortality, and increased costs. In order to get an overview of studies on drug-related problems in hospitalised patients, with specific attention to the incidence of drug-related problems and their costs, to the possibilities of prevention and to the effect of these interventions, we performed a literature search. Incidences of medication errors reported in studies vary widely. The range of reported incidences of adverse drug reactions is even wider. These wide ranges can be largely explained by the different study methods and definitions used. Problems related to drug therapy may be averted by preventive interventions. Several possibilities for prevention exist, especially for the prevention of medication errors. Prescribing, transcription and interpretation errors can be reduced by using computerised physician order entry. Together with the use of automated dispensing systems and bar-code technology, this will aid in the reduction of both dispensing and administration errors. Education of nursing staff involved in the process of drug distribution is another important measure for preventing medication errors. Finally, the introduction of systems for the early detection of adverse drug reactions may help to reduce problems related to drug therapy. Identifying risk factors that contribute to the development of adverse drug reactions, may aid in the prevention of these reactions. [References: 89] IS - 0114-5916 IL - 0114-5916 PT - Journal Article PT - Review LG - English DP - 2000 Apr DC - 20000621 YR - 2000 ED - 20000621 RD - 20141117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10789826 <471. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10690114 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reiskin H AU - Gendrop S AU - Bowen A AU - Wright P AU - Walsh E FA - Reiskin, H FA - Gendrop, S FA - Bowen, A FA - Wright, P FA - Walsh, E IN - Reiskin,H. College of Nursing, University of Massachusetts at Boston, USA. TI - Collaboration between community nurses and nursing faculty using substance abuse prevention focus groups. SO - Nursingconnections. 12(2):31-6, 1999. AS - Nursingconnections. 12(2):31-6, 1999. NJ - NursingConnections PI - Journal available in: Print PI - Citation processed from: Print JC - nuc, 8809326, 8809326 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Attitude to Health/eh [Ethnology] MH - *Community Health Nursing/og [Organization & Administration] MH - *Cooperative Behavior MH - European Continental Ancestry Group/px [Psychology] MH - *Faculty, Nursing MH - Female MH - *Focus Groups MH - Humans MH - *Interprofessional Relations MH - *Nursing Faculty Practice/og [Organization & Administration] MH - *Nursing Staff/px [Psychology] MH - Poverty/px [Psychology] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Urban Population AB - Collaboration between community nurses and nurses from a university who conducted focus groups is discussed. The focus groups explored why low-income, inner-city, white women of childbearing age did not abuse drugs. This partnership effort resulted in positive, successful outcomes for both groups of nurses and yielded culturally sensitive information that may be useful in preventing substance abuse. Methods of facilitating this collaboration and results of our joint endeavors are explored. IS - 0895-2809 IL - 0895-2809 PT - Journal Article LG - English DP - 1999 DC - 20000615 YR - 1999 ED - 20000615 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10690114 <472. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10808747 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kohn R AU - Sharma D AU - Camilleri CP AU - Levav I FA - Kohn, R FA - Sharma, D FA - Camilleri, C P FA - Levav, I IN - Kohn,R. Butler Hospital, Providence, Rhode Island 02906, USA. Robert_Kohn@brown.edu TI - Attitudes towards mental illness in the Commonwealth of Dominica. SO - Pan American Journal of Public Health. 7(3):148-54, 2000 Mar. AS - Rev Panam Salud Publica. 7(3):148-54, 2000 Mar. NJ - Revista panamericana de salud publica = Pan American journal of public health PI - Journal available in: Print PI - Citation processed from: Print JC - csl, 9705400 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Data Interpretation, Statistical MH - Depression/di [Diagnosis] MH - Dominica MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders MH - Middle Aged MH - Psychotic Disorders/di [Diagnosis] MH - Sampling Studies MH - Socioeconomic Factors MH - Surveys and Questionnaires AB - Little is known about the perception of mental illness in the English-speaking Caribbean. This study was conducted in 1995 to determine the attitudes, knowledge, and help-seeking practices for emotional disorders in the Commonwealth of Dominica. Two groups in Dominica were surveyed: 67 community leaders, consisting of nurses, teachers, and police officers; and 135 community members grouped into five socioeconomic strata that were collapsed to three for the analysis. All the respondents were asked to identify and suggest management of individuals with psychosis, alcoholism, depression, and childhood hyperactivity, as depicted in case vignettes. The person in the psychosis vignette was diagnosed as suffering from mental illness by 84.0% of the leaders and by 71.2% of the community members. However, in each of the three other vignettes, fewer than 30% of the respondents thought that mental illness was present. The person with alcoholism was viewed as having a serious problem by only slightly more than half of the respondents. Fewer than half of the respondents thought that the individuals with depression or hyperactivity had serious problems. The community leaders did somewhat worse in recognizing mental illness than did the community members. Respondents were most likely to refer a family member with emotional problems to a medical practitioner. In conclusion, education about mental health problems is needed in Dominica. Especially disconcerting was the lack of knowledge on mental illness among nurses, teachers, and police officers, that is, professionals directly involved in the pathway to care. IS - 1020-4989 IL - 1020-4989 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Mar DC - 20000525 YR - 2000 ED - 20000525 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10808747 <473. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10752048 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gorman EM AU - Carroll RT FA - Gorman, E M FA - Carroll, R T IN - Gorman,E M. University of Washington Alcohol and Drug Abuse Institute, University of Washington School of Nursing, Seattle, USA. TI - Substance abuse and HIV: considerations with regard to methamphetamines and other recreational drugs for nursing practice and research. SO - Journal of the Association of Nurses in AIDS Care. 11(2):51-62, 2000 Mar-Apr. AS - J Assoc Nurses AIDS Care. 11(2):51-62, 2000 Mar-Apr. NJ - The Journal of the Association of Nurses in AIDS Care : JANAC PI - Journal available in: Print PI - Citation processed from: Print JC - a7p, 9111870 SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - Adult MH - Focus Groups MH - *HIV Infections/co [Complications] MH - HIV Infections/nu [Nursing] MH - HIV Infections/px [Psychology] MH - *Homosexuality, Male MH - Humans MH - Los Angeles MH - Male MH - Middle Aged MH - Nursing Research MH - Patient Care Planning MH - San Francisco MH - Specialties, Nursing/ed [Education] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/vi [Virology] MH - Washington AB - Substance use continues to be closely associated with both HIV infection and treatment considerations in all at-risk populations. Among those groups heretofore not well characterized epidemiologically or clinically are those dual-risk men who have sex with other men (MSM) and use and/or inject drugs. Of particular current concern with regard to drug-using MSM is the growth in popularity of a group of recreational or so-called party drugs associated with specific social and sexual environments and networks. Chief among these drugs are hallucinogens, such as MDMA, ketamine, and GHB, and stimulants, such as cocaine, amphetamines, and methamphetamine. Increased methamphetamine use by MSM is particularly alarming because of its reported associations with high-risk injecting and sexual behaviors. Preliminary data are reported from an ethnographic exploration of MSM methamphetamine users in the Pacific Northwest of the United States. Case studies drawn from the data illustrate the complex and variable patterns of methamphetamine use among MSM. Finally, implications for nursing are discussed, and "upstream nursing" is suggested as a means of patient advocacy for HIV nurses working with substance-using populations. IS - 1055-3290 IL - 1055-3290 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Mar-Apr DC - 20000524 YR - 2000 ED - 20000524 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10752048 <474. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10741539 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Howard MO AU - Chung SS FA - Howard, M O FA - Chung, S S IN - Howard,M O. George Warren Brown School of Social Work, Washington University, St. Louis, Missouri 63130, USA. howard@gwbmail.wustl.edu TI - Nurses' attitudes toward substance misusers. II. Experiments and studies comparing nurses to other groups. [Review] [28 refs] SO - Substance Use & Misuse. 35(4):503-32, 2000 Mar. AS - Subst Use Misuse. 35(4):503-32, 2000 Mar. NJ - Substance use & misuse PI - Journal available in: Print PI - Citation processed from: Print JC - cgg, 9602153 SB - Index Medicus CP - UNITED STATES MH - Age Factors MH - Alcohol Drinking MH - *Attitude of Health Personnel MH - Educational Status MH - Female MH - Humans MH - Male MH - Nurse-Patient Relations MH - *Nurses/px [Psychology] MH - Nurses/sn [Statistics & Numerical Data] MH - Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - Sex Factors MH - Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] AB - Experimental investigations of nurses consistently indicate that a patent labeled as a substance misuser is perceived far more negatively across a range of personal attributes than an identical patient who is not so labeled. Comparative evaluations suggest that nurses are less tolerant of social drinking and drug use and are more morally condemnatory of the chemically dependent than are other health-care professionals. [References: 28] IS - 1082-6084 IL - 1082-6084 PT - Comparative Study PT - Journal Article PT - Review LG - English DP - 2000 Mar DC - 20000404 YR - 2000 ED - 20000404 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10741539 <475. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10529962 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edmands MS AU - Hoff LA AU - Kaylor L AU - Mower L AU - Sorrell S FA - Edmands, M S FA - Hoff, L A FA - Kaylor, L FA - Mower, L FA - Sorrell, S IN - Edmands,M S. College of Health Professions, Department of Nursing, University of Massachusetts, USA. TI - Bridging gaps between mind, body, & spirit. Healing the whole person. SO - Journal of Psychosocial Nursing & Mental Health Services. 37(10):35-42, 1999 Oct. AS - J Psychosoc Nurs Ment Health Serv. 37(10):35-42, 1999 Oct. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal SB - History of Medicine Journals CP - UNITED STATES MH - Adult MH - Diagnosis, Dual (Psychiatry) MH - Female MH - Fibromyalgia/th [Therapy] MH - History, 17th Century MH - History, 18th Century MH - History, 19th Century MH - History, 20th Century MH - History, Ancient MH - Holistic Nursing/hi [History] MH - *Holistic Nursing/td [Trends] MH - Humans MH - Mental Disorders/hi [History] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/pp [Physiopathology] MH - Mental Health Services/ma [Manpower] MH - Mental Health Services/td [Trends] MH - Mind-Body Relations, Metaphysical/ph [Physiology] MH - *Mind-Body Relations, Metaphysical MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/td [Trends] MH - Psychiatric Nursing/mt [Methods] MH - Psychiatric Nursing/td [Trends] MH - Psychophysiology MH - Somatoform Disorders/th [Therapy] MH - Stress Disorders, Post-Traumatic/th [Therapy] AB - Fifty percent of visits of primary care providers are for psychiatric problems making it desirable to screen for mental, addictive, or behavioral disorders at the level of primary care. Psychiatric/mental health nurses prepared at the master's level to practice in the blended clinical specialist/nurse practitioner role are well placed to treat or collaborate in the treatment of people who present with symptoms of physical or psychological problems. The role of the clinical specialist/nurse practitioner is evolving in response to changes in health demographics, epidemiology, scientific and technological advances, and changes in managed care. Advanced practice nursing education must continue to anticipate and meet on-going changes and challenges. IS - 0279-3695 IL - 0279-3695 PT - Case Reports PT - Historical Article PT - Journal Article LG - English DP - 1999 Oct DC - 20000313 YR - 1999 ED - 20000313 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10529962 <476. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10675051 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nacion KW AU - Norr KF AU - Burnett GM AU - Boyd CB FA - Nacion, K W FA - Norr, K F FA - Burnett, G M FA - Boyd, C B IN - Nacion,K W. University of Illinois at Chicago, College of Nursing, USA. Knacion@uic.edu TI - Validating the safety of nurse-health advocate services. SO - Public Health Nursing. 17(1):32-42, 2000 Jan-Feb. AS - Public Health Nurs. 17(1):32-42, 2000 Jan-Feb. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Clinical Competence/st [Standards] MH - *Community Health Nursing/ed [Education] MH - *Home Health Aides/ed [Education] MH - Humans MH - *Mass Screening/st [Standards] MH - *Maternal-Child Nursing/ed [Education] MH - *Nursing Assessment/st [Standards] MH - Nursing Evaluation Research MH - Nursing Staff/ed [Education] MH - *Patient Advocacy MH - Referral and Consultation/st [Standards] AB - Prior to promoting the use of community health care advocates for home visits, it is necessary to evaluate their ability to safely screen for health problems. This study examined trained maternal-child health advocates (MCHAs) who, supervised by professional nurses, conducted maternal-child home visits consisting of health promotion and problem identification. Problems identified by MCHAs were compared to problems identified by professional, validating nurses, who were not part of the service project, on hypothetical home visit situations and during 213 duplicate home visits. There were no significant differences between MCHAs and professional nurses in their identifications of infant health problems, infant health care deficits, other family members' health problems, prenatal care deficits, emotional problems, and substance abuse on either the hypothetical home visits or the duplicate home visits. The validating nurses identified significantly more women's health problems (p = 0.01) and women's health care deficits (p = 0.02) than the MCHAs on the duplicate home visits. These findings validate the safety of using the model of trained community health advocates teamed with registered nurses to screen for infant health problems during home visits. IS - 0737-1209 IL - 0737-1209 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 1 R15 NR02776-01A1 (United States NINR NIH HHS) LG - English DP - 2000 Jan-Feb DC - 20000225 YR - 2000 ED - 20000225 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10675051 <477. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10678337 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vinson DC AU - Elder N AU - Werner JJ AU - Vorel LA AU - Nutting PA FA - Vinson, D C FA - Elder, N FA - Werner, J J FA - Vorel, L A FA - Nutting, P A IN - Vinson,D C. University of Missouri-Columbia, Family Medicine, 65212, USA. VinsonD@health.missouri.edu TI - Alcohol-related discussions in primary care: a report from ASPN. Ambulatory Sentinel Practice Network. SO - Journal of Family Practice. 49(1):28-33, 2000 Jan. AS - J. FAM. PRACT.. 49(1):28-33, 2000 Jan. NJ - The Journal of family practice PI - Journal available in: Print PI - Citation processed from: Print JC - 7502590 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Adult MH - *Alcohol Drinking/pc [Prevention & Control] MH - Canada MH - *Family Practice/ed [Education] MH - Family Practice/mt [Methods] MH - *Family Practice/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - Mass Screening/mt [Methods] MH - Mass Screening/sn [Statistics & Numerical Data] MH - *Nurse Practitioners/ed [Education] MH - *Nurse Practitioners/sn [Statistics & Numerical Data] MH - Patient Education as Topic/mt [Methods] MH - Patient Education as Topic/sn [Statistics & Numerical Data] MH - *Physician Assistants/ed [Education] MH - *Physician Assistants/sn [Statistics & Numerical Data] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Primary Health Care/mt [Methods] MH - *Primary Health Care/sn [Statistics & Numerical Data] MH - United States AB - BACKGROUND: Problem drinking is common, and a 15-minute intervention can help some patients reduce drinking to safe levels. Little is known, however, about the frequency and duration of alcohol-related discussions in primary care. AB - METHODS: Nineteen clinicians in the Ambulatory Sentinel Practice Network (ASPN) collected data about alcohol-related discussions for 1 week following their usual office routine (Phase 1) and for 1 week with the addition of routine screening for problem drinking (Phase 2). Of those, 15 clinicians collected data for a third week after receiving training in brief interventions with problem drinkers (Phase 3). Clinicians collected data on standard ASPN reporting cards. AB - RESULTS: In Phase 1 the clinicians discussed alcohol during 9.6% of all visits. Seventy-three percent of those discussions were shorter than 2 minutes long, and only 10% lasted longer than 4 minutes. When routine screening was added (Phase 2), clinicians were more likely to discuss alcohol at acute-illness visits, but the frequency, duration, and intensity of such discussions did not change. Only 32% of Phase 2 discussions prompted by a positive screening result lasted longer than 2 minutes. After training, the duration increased (P <.004). In Phase 3, 58% of discussions prompted by a positive screening result lasted longer than 2 minutes, but only 26% lasted longer than 4 minutes. AB - CONCLUSION: Routine screening changed the kinds of visits during which clinicians discussed alcohol use. Training in brief-intervention techniques significantly increased the duration of alcohol-related discussions, but most discussions prompted by a positive screening result were still shorter than effective interventions reported in the literature. IS - 0094-3509 IL - 0094-3509 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Jan DC - 20000224 YR - 2000 ED - 20000224 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10678337 <478. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10619208 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weyerer S AU - Schaufele M AU - Zimber A FA - Weyerer, S FA - Schaufele, M FA - Zimber, A IN - Weyerer,S. Central Institute of Mental Health, Mannheim, Germany. weyerer@as200.ze-mannheim.de TI - Alcohol problems among residents in old age homes in the city of Mannheim, Germany. SO - Australian & New Zealand Journal of Psychiatry. 33(6):825-30, 1999 Dec. AS - Aust N Z J Psychiatry. 33(6):825-30, 1999 Dec. NJ - The Australian and New Zealand journal of psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - 9i6, 0111052 SB - Index Medicus CP - AUSTRALIA MH - Accidental Falls/pc [Prevention & Control] MH - Accidental Falls/sn [Statistics & Numerical Data] MH - Aged MH - Alcohol-Related Disorders/di [Diagnosis] MH - *Alcohol-Related Disorders/ep [Epidemiology] MH - Alcohol-Related Disorders/px [Psychology] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - Cross-Sectional Studies MH - Female MH - Germany/ep [Epidemiology] MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Humans MH - Incidence MH - Male MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Odds Ratio MH - Risk MH - *Urban Population/sn [Statistics & Numerical Data] AB - OBJECTIVE: This study aims to determine the prevalence of alcohol problems among residents in old age homes, its demographic and clinical features, and its association with the risk of falling. AB - METHOD: All residents (n = 1922) living in 20 randomly selected residential and nursing homes in the city of Mannheim, Germany, were included. Based on routine documentation, details of their sociodemographic features, medical diagnoses made upon admission, and current medication were compiled. The home staff filled out for each resident a standardised assessment sheet on activities of daily living-impairment (Barthel Index), behaviour problems, alcohol consumption, and frequency of falls. AB - RESULTS: According to the diagnoses of the primary care physicians, 7.4% of the residents had mental and behavioural disorders due to alcohol (ICD-10: F10). Rates were particularly high among men, and younger and single or divorced residents. A high percentage of those with a diagnosis of alcohol abuse/dependence (41.1%) were transferred from mental hospitals. Home staff reported current alcohol abuse/dependence among 3.4% of all residents. The risk of falling was significantly elevated (Odds ratio: 2.65; p<0.01) among those with current alcohol problems. AB - CONCLUSION: The results corroborate the findings from other studies wherein residents of old age homes constitute a group at risk of alcohol abuse and dependence. Alcohol problems were more the cause for, rather than the consequence of, home admission. IS - 0004-8674 IL - 0004-8674 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1999 Dec DC - 20000202 YR - 1999 ED - 20000202 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10619208 <479. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10603687 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wills BS AU - Wootton YS FA - Wills, B S FA - Wootton, Y S IN - Wills,B S. Chinese University of Hong Kong. TI - Concerns and misconceptions about pain among Hong Kong Chinese patients with cancer. SO - Cancer Nursing. 22(6):408-13, 1999 Dec. AS - Cancer Nurs. 22(6):408-13, 1999 Dec. NJ - Cancer nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7805358, cnc SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - China/eh [Ethnology] MH - Female MH - Hong Kong MH - Humans MH - Male MH - Middle Aged MH - Neoplasms/eh [Ethnology] MH - *Neoplasms/nu [Nursing] MH - Neoplasms/px [Psychology] MH - Pain, Intractable/eh [Ethnology] MH - *Pain, Intractable/nu [Nursing] MH - *Pain, Intractable/px [Psychology] MH - *Sick Role MH - Surveys and Questionnaires AB - It is estimated that approximately 50% of patients with cancer experience pain, and this percentage increases to 80% in patients with terminal cancer. Misconceptions and concerns of patients with cancer regarding the use of opioid analgesics have been identified as one of the major barriers to achieving optimal pain control. Misconceptions and concerns regarding addiction and tolerance to opioid analgesics and patients' desire to be "good" have been reported in the United States. The aim of this survey was to determine if similar misconceptions and concerns exist in Hong Kong Chinese patients with cancer. The results indicate that Hong Kong Chinese patients have the same concerns regarding the use of opioid analgesics. The respondents' fatalistic beliefs are a major hindrance to optimizing pain control, with 79% indicating that pain is an inevitable aspect of hospitalization because they believe that cancer pain cannot be relieved by medications. Fear of addiction was a major concern for 52% of the respondents, and about the same number of respondents believed that opioid analgesics should be administered only as a last resort. Regarding a desire to be "good," more patients reported that they would prefer to disturb nurses rather than physicians. It is desirable that culturally specific education programs be provided to dispel patient misconceptions and concerns regarding the use of opioid analgesics. IS - 0162-220X IL - 0162-220X PT - Journal Article LG - English DP - 1999 Dec DC - 20000114 YR - 1999 ED - 20000114 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10603687 <480. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10614319 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allen K FA - Allen, K TI - Developing awareness of elderly alcoholism. SO - Florida Nurse. 46(7):15, 1998 Sep. AS - Fla Nurse. 46(7):15, 1998 Sep. NJ - The Florida nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ex8, 16930510r SB - Nursing Journal CP - UNITED STATES MH - Aged MH - *Alcoholism/nu [Nursing] MH - Curriculum MH - Education, Nursing, Baccalaureate MH - *Geriatric Nursing/ed [Education] MH - Humans IS - 0015-4199 IL - 0015-4199 PT - Journal Article LG - English DP - 1998 Sep DC - 20000113 YR - 1998 ED - 20000113 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10614319 <481. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10565056 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boutain DM AU - Olivares SA FA - Boutain, D M FA - Olivares, S A IN - Boutain,D M. University of Washington School of Nursing, Seattle, WA 98105, USA. TI - Nurturing educational multiculturalism in psychosocial nursing: creating new possibilities through inclusive conversations. SO - Archives of Psychiatric Nursing. 13(5):234-9, 1999 Oct. AS - Arch Psychiatr Nurs. 13(5):234-9, 1999 Oct. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Cultural Diversity MH - Curriculum MH - Education, Nursing, Graduate MH - Humans MH - *Nurse Practitioners/ed [Education] MH - *Psychiatric Nursing/ed [Education] MH - Washington AB - The increasingly diverse populations served by nurse practitioners require the preparation of graduate students with special emphasis on diversity issues that affect the mental and physical health of the underserved and populations of color. Although initiatives to recruit and retain a multicultural student group in nursing are not new, the current need to establish a diverse work force in nursing remains urgent given the changing demography within the United States. One challenge in nursing graduate education lies in the development of innovative ways to educate students committed to working with people of color and underserved populations in the area of psychosocial health. This article presents the theoretical underpinnings of, and practical strategies for, recruitment and retention developed by the Psychosocial Nurse Practitioner training grant team, in collaboration with others at the University of Washington School of Nursing. This program, partially funded by the Division of Nursing, Bureau of Health Professions, is designed to educate future nurse practitioners to work with clients and families who have comorbid psychiatric, substance abuse, and physical conditions. IS - 0883-9417 IL - 0883-9417 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 5 D23NUO1209 (United States BHP HRSA HHS) LG - English DP - 1999 Oct DC - 20000103 YR - 1999 ED - 20000103 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10565056 <482. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10382401 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wells SA FA - Wells, S A IN - Wells,S A. Buckell University, Lewisburg, Pennsylvania. TI - The health beliefs, values, and practices of gay adolescents. [Review] [23 refs] SO - Clinical Nurse Specialist. 13(2):69-73, 1999 Mar. AS - Clin Nurse Spec. 13(2):69-73, 1999 Mar. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Print JC - cll, 8709115 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Adolescent Health Services MH - *Attitude to Health MH - Female MH - *Health Behavior MH - *Health Knowledge, Attitudes, Practice MH - *Homosexuality, Male/px [Psychology] MH - Humans MH - Male MH - Needs Assessment MH - Nurse Clinicians MH - Pediatric Nursing MH - *Psychology, Adolescent MH - School Nursing MH - Self Concept AB - Barriers to optimal health in the gay adolescent population include a lack of recognition or acceptance by healthcare providers, homophobic attitudes, and an absence of awareness regarding the healthcare needs of this vulnerable population. The literature suggests that gay youths experience such problems as lack of self-esteem, school truancy and dropout, runaway behavior and subsequent homelessness, drug and alcohol abuse, prostitution and sexually transmitted diseases, depression, and suicide. Advanced practice nurses have the opportunity to improve the health of gay youths through recognition, education, outreach, and advocacy. [References: 23] IS - 0887-6274 IL - 0887-6274 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 1999 Mar DC - 19991223 YR - 1999 ED - 19991223 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10382401 <483. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10410019 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark CM FA - Clark, C M IN - Clark,C M. Boise State University, Idaho, USA. cclark@bsu.idbsu.edu TI - Substance abuse among nursing students. Establishing a comprehensive policy and procedure for faculty intervention. SO - Nurse Educator. 24(2):16-9, 1999 Mar-Apr. AS - Nurse Educ. 24(2):16-9, 1999 Mar-Apr. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - *Faculty, Nursing/og [Organization & Administration] MH - Humans MH - Interprofessional Relations MH - Organizational Policy MH - Program Development MH - Program Evaluation MH - Social Support MH - *Student Health Services/og [Organization & Administration] MH - *Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] AB - Substance abuse among nursing students is a significant problem requiring careful and prudent consideration. Studies reveal that many impaired professional nurses were addicted as students. This article provides a step-by-step guideline for developing comprehensive procedures for faculty who must deal with chemically-impaired. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1999 Mar-Apr DC - 19991222 YR - 1999 ED - 19991222 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10410019 <484. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10543856 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hoptman MJ AU - Yates KF AU - Patalinjug MB AU - Wack RC AU - Convit A FA - Hoptman, M J FA - Yates, K F FA - Patalinjug, M B FA - Wack, R C FA - Convit, A IN - Hoptman,M J. Nathan Kline Institute for Psychiatric Research in Orangeburg, New York, USA. TI - Clinical prediction of assaultive behavior among male psychiatric patients at a maximum-security forensic facility. SO - Psychiatric Services. 50(11):1461-6, 1999 Nov. AS - Psychiatr Serv. 50(11):1461-6, 1999 Nov. NJ - Psychiatric services (Washington, D.C.) PI - Journal available in: Print PI - Citation processed from: Print JC - 9502838, b8t SB - Index Medicus CP - UNITED STATES MH - Adult MH - *Aggression/px [Psychology] MH - Child MH - Child Abuse/di [Diagnosis] MH - Child Abuse/px [Psychology] MH - *Commitment of Mentally Ill MH - Dangerous Behavior MH - Hospitals, Psychiatric MH - Humans MH - Male MH - Middle Aged MH - New York City MH - *Prisoners/px [Psychology] MH - Risk Assessment MH - Schizophrenia/di [Diagnosis] MH - Schizophrenic Psychology MH - *Security Measures MH - Violence/pc [Prevention & Control] MH - *Violence/px [Psychology] AB - OBJECTIVE: Patient characteristics associated with the clinical prediction of assaultive behavior in a forensic psychiatric hospital were compared with characteristics associated with actual assaultive behavior. AB - METHODS: Treating psychiatrists at a New York forensic psychiatric hospital were asked to predict which of a sample of 183 recently admitted male patients were likely to show assaultive behavior during a three-month period. The predictions were compared with incident reports of actual assaultive behavior. Several patient characteristics, including race, legal status, age, education, criminal history, psychiatric symptoms rated independently by raters other than the treating psychiatrists, and ward behavior, were examined for their association with predicted and actual assaultive behavior. AB - RESULTS: Clinicians' rate of correct prediction of assaultive behavior was 71 percent, with a diagnostic sensitivity of 54 percent and a diagnostic specificity of 79 percent. Characteristics associated with the prediction of assaultive behavior were race, transfer from a civil facility because of violence or dangerousness, age, education, arrests for violent offenses, childhood physical abuse, hostility, temper (or nurses' assessment of the patient's irritability), and inability to follow ward routine. Characteristics associated with actual assaultive behavior were transfer from a civil hospital, dual diagnosis of schizophrenia and substance abuse or dependence, childhood physical abuse, age, thought disorder, and temper. AB - CONCLUSIONS: Clinicians were significantly more accurate than chance in prospectively predicting which male forensic patients would show assaultive behavior. However, some of the factors associated with clinical prediction, such as race, ability to follow ward routine, and arrest history, were not associated with actual assaultive behavior. In addition, clinicians failed to use dual diagnosis of schizophrenia and substance use disorder as a predictor. IS - 1075-2730 IL - 1075-2730 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - MH-45060 (United States NIMH NIH HHS) LG - English DP - 1999 Nov DC - 19991201 YR - 1999 ED - 19991201 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10543856 <485. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10558480 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Minority fellowship program. CMHS, CSAP, and CSAT, SAMHSA, DHHS. Notice of planned awards for renewal of clinical training grants under the Minority Fellowship Program (MFP) to the American Nurses Association, the American Psychiatric Association (APA) and the Council on Social Work Education (CSWE). SO - Federal Register. 64(78):20009-10, 1999 Apr 23. AS - Fed Regist. 64(78):20009-10, 1999 Apr 23. NJ - Federal register PI - Journal available in: Print PI - Citation processed from: Print JC - 7808722, b58 SB - Health Technology Assessment Journals CP - UNITED STATES MH - Career Mobility MH - *Education, Medical/ec [Economics] MH - *Education, Nursing/ec [Economics] MH - *Fellowships and Scholarships MH - *Financing, Government MH - Government Agencies MH - Humans MH - *Mental Health Services/ec [Economics] MH - *Minority Groups MH - Organizations MH - Social Work/ed [Education] MH - United States AB - SAMHSA plans to award renewal MFP grants to the ANA, APA, and CSWE to help facilitate the entry of ethnic minority students into mental health and/or substance abuse careers and increase the number of nurses, psychiatrists, and social workers trained to teach, administer, and provide direct mental health and substance abuse services to ethnic minority groups. The project period is anticipated to be 3 years. The first year will be funded for up to $400,000 for each award. This is not a general request for applications. The renewal clinical training grants will only be made to the ANA, APA, and the CSWE based on the receipt of satisfactory applications that are considered to have sufficient merit by an Initial Review Group and the National Advisory Council. IS - 0097-6326 IL - 0097-6326 PT - Journal Article LG - English DP - 1999 Apr 23 DC - 19991109 YR - 1999 ED - 19991109 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10558480 <486. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10483608 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eriksson T AU - Henricson K AU - Arrhenius K AU - Hoglund P AU - Hedner K AU - Stenberg P FA - Eriksson, T FA - Henricson, K FA - Arrhenius, K FA - Hoglund, P FA - Hedner, K FA - Stenberg, P IN - Eriksson,T. Hospital Pharmacy, Malmo University Hospital, Sweden. TI - Perceived problems of pharmacotherapy: a problem detection study among physicians and nurses at a Swedish university hospital. SO - Pharmacy World & Science. 21(4):190-3, 1999 Aug. AS - Pharm World Sci. 21(4):190-3, 1999 Aug. NJ - Pharmacy world & science : PWS PI - Journal available in: Print PI - Citation processed from: Print JC - bo7, 9307352 SB - Index Medicus CP - NETHERLANDS MH - *Drug Monitoring/st [Standards] MH - *Drug Prescriptions/st [Standards] MH - *Drug Therapy/st [Standards] MH - *Medication Systems, Hospital/st [Standards] MH - Patient Compliance/sn [Statistics & Numerical Data] MH - *Pharmacy Service, Hospital/st [Standards] MH - Surveys and Questionnaires MH - Sweden AB - As a first step toward obtaining quality assurance regarding use and handling of drugs at Malmo University Hospital, a problem detection study (PDS) was performed, drug related problems being collected from nurses, physicians and pharmacists. Problem questionnaires relevant for physicians (67 items) and nurses (82 items) were prepared and sent to chief physicians and head nurses for distribution to colleagues. The problems identified covered all aspects of drug use and handling such as availability, prescription, dispensing, information and monitoring. Fifty-six per cent (79/141) of the physicians and 68 per cent (88/130) of the nurses responded. The main problems were related to information, chart order sheets and follow up. The item 'Uncertain whether patients take their medicine correctly after discharge' scored highest among physicians. The two main problems for the nurses were that 'newly licensed drugs and drugs used on a named-patient basis are not included in FASS' (the Swedish national formulary). The problem detection technique proved useful for the identification of drug-related problems, and the results will provide a basis for further improvement in quality assurance in pharmacotherapy at the hospital. IS - 0928-1231 IL - 0928-1231 PT - Journal Article LG - English DP - 1999 Aug DC - 19991029 YR - 1999 ED - 19991029 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10483608 <487. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10484857 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sloan PA AU - Vanderveer BL AU - Snapp JS AU - Johnson M AU - Sloan DA FA - Sloan, P A FA - Vanderveer, B L FA - Snapp, J S FA - Johnson, M FA - Sloan, D A IN - Sloan,P A. Department of Anesthesiology, University of Kentucky, Lexington, USA. TI - Cancer pain assessment and management recommendations by hospice nurses. University of Kentucky, Lexington, Kentucky. SO - Journal of Pain & Symptom Management. 18(2):103-10, 1999 Aug. AS - J Pain Symptom Manage. 18(2):103-10, 1999 Aug. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Index Medicus CP - UNITED STATES MH - *Hospice Care/mt [Methods] MH - Humans MH - Neoplasms/co [Complications] MH - *Neoplasms/nu [Nursing] MH - *Nursing Assessment MH - *Pain Measurement AB - Pain is often the most prevalent symptom among cancer patients referred to hospice or palliative care programs. This study was designed to use performance-based testing to evaluate the skills of hospice nurses in assessing the severe pain of a cancer patient and the pain management recommendations they would present to the patient's primary care physician. Twenty-seven hospice nurses (ranging in experience from 1 month to 10 years) were presented with the same standardized patient with cancer pain. In Part A (7 minutes), one of the investigators checked for predetermined behaviors as the nurses performed the clinical pain assessment. In Part B (7 minutes), the nurses answered questions regarding their recommendations for pain management for the patient seen in Part A. In the admission pain assessment, hospice nurses did well in assessing pain intensity (85%), pain location (70%), and pain-relieving factors (59%). However, only 48% of the nurses adequately assessed the pain onset, and only 44% adequately assessed other symptoms the patient might be experiencing. In Part B, 96% of the nurses recommended opioids, 96% recommended the oral route of administration, and 82% recommended regular dosing of the opioids. Fifty-six percent of nurses included a breakthrough medication in their analgesic recommendations. All of the hospice nurses treated the patient's fear of addiction in an appropriate manner, and 93% of the nurses recommended increasing the patient's opioid dosage to treat the persisting pain problem. There were no significant differences among nurses with regard to length of time as a hospice nurse or hospice certification on any of the items in either Part A or Part B. Most practicing hospice nurses were judged to be competent in the assessment and management of the severe pain of the standardized cancer patient, although some deficits were noted. Regular oral opioids were the analgesics of choice. Co-analgesics were rarely recommended. IS - 0885-3924 IL - 0885-3924 PT - Guideline PT - Journal Article PT - Practice Guideline LG - English DP - 1999 Aug DC - 19991019 YR - 1999 ED - 19991019 RD - 20060815 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10484857 <488. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10557892 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mason MJ AU - Wood TA FA - Mason, M J FA - Wood, T A IN - Mason,M J. Department of Counseling & Human Development, Warner School, University of Rochester, NY 14627, USA. mjmn@troi.cc.rochester.edu TI - Clinical mental health training within a multidisciplinary school-based health clinic. SO - Journal of Health & Social Policy. 11(3):45-65, 2000. AS - J Health Soc Policy. 11(3):45-65, 2000. NJ - Journal of health & social policy PI - Journal available in: Print PI - Citation processed from: Print JC - 9000937, a4h SB - Health Administration Journals CP - UNITED STATES MH - Adolescent MH - Child MH - *Clinical Clerkship MH - *Community Mental Health Services/og [Organization & Administration] MH - Data Collection MH - Health Policy MH - Humans MH - Models, Educational MH - Outcome Assessment (Health Care) MH - Program Evaluation MH - *School Health Services/og [Organization & Administration] MH - United States AB - A model is presented to illustrate a clinical mental health training program within a multidisciplinary School-Based Health Clinic (SBHC). In collaboration with schools of education, medicine, nursing, and social work, a multidisciplinary training and treatment program was established that provided unique opportunities for clinical training. An ecological/public health model was utilized as the conceptual framework for clinical mental health training, treatment, and research. Preliminary clinical outcome data suggest that out of a sample of 381 patients, 15% of those utilizing the SBHC's mental health services were being treated for substance abuse disorders. This finding supports current research that has demonstrated that the SBHCs are providing access to students who are in the most serious need to mental health services. Process data suggest that the SBHC is an effective site for multidisciplinary clinical mental health training. IS - 0897-7186 IL - 0897-7186 PT - Journal Article LG - English DP - 2000 DC - 19991014 YR - 2000 ED - 19991014 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10557892 <489. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10430368 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stefanini GF AU - Caputo F AU - Lizzani L AU - Castelli E AU - Dall'Aglio C AU - Baudanza P AU - Marsigli L AU - Foschi FG AU - Patussi V AU - Addolorato G AU - Bernardi M AU - Gasbarrini G FA - Stefanini, G F FA - Caputo, F FA - Lizzani, L FA - Castelli, E FA - Dall'Aglio, C FA - Baudanza, P FA - Marsigli, L FA - Foschi, F G FA - Patussi, V FA - Addolorato, G FA - Bernardi, M FA - Gasbarrini, G IN - Stefanini,G F. Ospedale degli Infermi, Faenza, Italy. TI - Different efficacy of alcohol education tools among trainee nurses. SO - Hepato-Gastroenterology. 46(27):1910-6, 1999 May-Jun. AS - Hepatogastroenterology. 46(27):1910-6, 1999 May-Jun. NJ - Hepato-gastroenterology PI - Journal available in: Print PI - Citation processed from: Print JC - 8007849, ga7 SB - Index Medicus CP - GREECE MH - Adolescent MH - Adult MH - Alcoholism/nu [Nursing] MH - *Alcoholism MH - Curriculum MH - *Education, Nursing MH - Educational Measurement MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Italy MH - Male AB - BACKGROUND/AIMS: The evaluation of the efficacy of two different forms of scientific information concerning alcohol-related problems (ARP), among Italian trainee nurses. AB - METHODOLOGY: A specific questionnaire, investigating the awareness of ARP, was distributed to 193 trainee nurses, 158 enrolled in the Italian Red Cross School for Professional Nurses at S. Orsola-Malpighi Hospital in Bologna and 35 enrolled in the Professional Nursing School at the Social Security Institute in the Republic of San Marino, who had attended a scientific meeting on ARP in the last year. Eighty-one nurses (62 belonging to the Red Cross School of Bologna and 19 to the Professional Nursing School of San Marino), had previously been given an information package on ARP (Group A). One hundred twelve subjects (96 belonging to the Red Cross School of Bologna and 16 to the Professional Nursing School of San Marino) did not read the specialized material (Group B). AB - RESULTS: The results showed a statistically significant difference in the percentage of correct answers between Group A (25.98%) and Group B (21.80%). The percentage of correct answers among the Bologna trainee nurses were always significantly lower than that of the San Marino nurses. AB - CONCLUSIONS: These results suggest a scant awareness and interest in ARP among trainee nurses and show that courses and lectures are more effective than scientific printed material. IS - 0172-6390 IL - 0172-6390 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1999 May-Jun DC - 19990922 YR - 1999 ED - 19990922 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10430368 <490. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10335247 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mahony DL AU - Murphy JM FA - Mahony, D L FA - Murphy, J M IN - Mahony,D L. Boston College School of Nursing, Chestnut Hill, MA, USA. TI - Neonatal drug exposure: assessing a specific population and services provided by visiting nurses. SO - Pediatric Nursing. 25(1):27-34, 108, 1999 Jan-Feb. AS - Pediatr Nurs. 25(1):27-34, 108, 1999 Jan-Feb. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Boston/ep [Epidemiology] MH - *Community Health Nursing/mt [Methods] MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - *Needs Assessment/og [Organization & Administration] MH - *Neonatal Abstinence Syndrome/co [Complications] MH - Neonatal Abstinence Syndrome/ep [Epidemiology] MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - *Nursing Assessment/mt [Methods] MH - Nursing Evaluation Research MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Prevalence MH - Referral and Consultation/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - Risk Factors AB - Historically, community health nurses have provided nursing services to infants who were exposed to licit and illicit drugs in utero and their mothers. The charts of 145 infants whose mothers had a history of drug and alcohol abuse and who were referred to a visiting nurse agency between 1988 and 1994 were reviewed for this study. Of the infants who were reported to have been exposed to drugs in utero, 69% were exposed to cocaine, 11% to heroin, and 6% to marijuana. The average age of the mothers was 26 years; 83.4% were single; 82.1% received Aid for Families of Dependent Children (AFDC); 92.4% were on Medicaid; and 95.9% were involved with child protective services. The most frequent nursing problems identified were (a) maternal-child attachment, (b) sleep patterns, (c) infant feeding, and (d) infant development. Nursing interventions included nutritional management, physical assessment, monitoring growth and development, and education in parenting skills. Fifty percent of the infants increased their weight by at least one percentile and 31% increased two percentiles. Resolution of nursing problems occurred in 50% of the cases. IS - 0097-9805 IL - 0097-9805 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1999 Jan-Feb DC - 19990917 YR - 1999 ED - 19990917 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10335247 <491. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10335145 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller CE FA - Miller, C E IN - Miller,C E. University of British Columbia, Vancouver, Canada. TI - Stages of change theory and the nicotine-dependent client: direction for decision making in nursing practice. SO - Clinical Nurse Specialist. 13(1):18-22, 1999 Jan. AS - Clin Nurse Spec. 13(1):18-22, 1999 Jan. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Print JC - cll, 8709115 SB - Nursing Journal CP - UNITED STATES MH - *Adaptation, Psychological MH - *Decision Making MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Nurse-Patient Relations MH - *Patient Education as Topic/mt [Methods] MH - *Psychological Theory MH - *Smoking Cessation/mt [Methods] MH - *Smoking Cessation/px [Psychology] AB - Clinical practice is the basic purpose of nursing. Nursing's evolving professional development calls for the application of theory to direct decision making in nursing practice. Therefore, in an attempt to bridge what has been described as the "theory-practice gap," the author demonstrates how Prochaska and DiClemente's stages of change theory is relevant to nursing practice. According to Prochaska and DiClemente, behavioral change, such as smoking cessation, involves a process of five identified stages: precontemplation, contemplation, preparation, action, and maintenance. The author discusses each stage of change and the framework it provides for decision making in nursing practice. The concept of relapse is described and highlighted as a valuable learning experience. Finally, using the criteria set by Chinn and Kramer, systematic evaluation of the stages of change theory pinpoints strengths and discusses integration of the theory into nursing practice. IS - 0887-6274 IL - 0887-6274 PT - Journal Article LG - English DP - 1999 Jan DC - 19990917 YR - 1999 ED - 19990917 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10335145 <492. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10448776 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cohen-Mansfield J AU - Lipson S AU - Werner P AU - Billig N AU - Taylor L AU - Woosley R FA - Cohen-Mansfield, J FA - Lipson, S FA - Werner, P FA - Billig, N FA - Taylor, L FA - Woosley, R IN - Cohen-Mansfield,J. Research Institute of the Hebrew Home of Greater Washington, Rockville, MD 20852, USA. cohen-mansfield@hebrew-home.org TI - Withdrawal of haloperidol, thioridazine, and lorazepam in the nursing home: a controlled, double-blind study. SO - Archives of Internal Medicine. 159(15):1733-40, 1999 Aug 9-23. AS - Arch Intern Med. 159(15):1733-40, 1999 Aug 9-23. NJ - Archives of internal medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0372440, 7fs SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Affect/de [Drug Effects] MH - Aged MH - Aged, 80 and over MH - *Anti-Anxiety Agents/ad [Administration & Dosage] MH - Anti-Anxiety Agents/ae [Adverse Effects] MH - *Antipsychotic Agents/ad [Administration & Dosage] MH - Antipsychotic Agents/ae [Adverse Effects] MH - Cognition/de [Drug Effects] MH - Cross-Over Studies MH - Double-Blind Method MH - Female MH - *Haloperidol/ad [Administration & Dosage] MH - Haloperidol/ae [Adverse Effects] MH - Homes for the Aged MH - Humans MH - *Lorazepam/ad [Administration & Dosage] MH - Lorazepam/ae [Adverse Effects] MH - Male MH - Nursing Homes MH - Sleep/de [Drug Effects] MH - *Substance Withdrawal Syndrome MH - Suburban Population MH - *Thioridazine/ad [Administration & Dosage] MH - Thioridazine/ae [Adverse Effects] AB - BACKGROUND: Ongoing regimens of haloperidol, thioridazine, and lorazepam are commonly administered to manage behavior problems in nursing home residents. Nevertheless, there is controversy over whether periodic drug withdrawal should be attempted when those medications are prescribed. This study addressed that issue by examining the effects of discontinuing treatment with haloperidol, thioridazine, and lorazepam among residents of a large suburban nursing home. AB - METHODS: In a double-blind, crossover study, half of 58 nursing home residents (43 women and 15 men with a mean age of 86 years) continued to take the psychotropic medication they had been prescribed, whereas the other half were tapered to placebo. After 6 weeks of taking placebo or original drug, patients were tapered to the reverse schedule and remained on it for 6 weeks. Assessments included informant ratings by the nursing staff who completed the Brief Psychiatric Rating Scale and the Cohen-Mansfield Agitation Inventory. AB - RESULTS: Analyses comparing residents taking placebo to those taking medication after completion of the first phase showed no impact of drug therapy discontinuation on their behavior. Similarly, using the crossover design to compare residents' behaviors while taking placebo vs. taking drugs, withdrawal of medication had no impact on Cohen-Mansfield Agitation Inventory or Brief Psychiatric Rating Scale scores. AB - CONCLUSIONS: Results of this work suggest that longterm use of haloperidol, thioridazine, and lorazepam in nursing homes to manage agitation should be closely monitored for their efficacy. Furthermore, routine attempts at drug withdrawal should be considered for most residents taking psychotropic medication. RN - 0 (Anti-Anxiety Agents) RN - 0 (Antipsychotic Agents) RN - J6292F8L3D (Haloperidol) RN - N3D6TG58NI (Thioridazine) RN - O26FZP769L (Lorazepam) IS - 0003-9926 IL - 0003-9926 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - AG00547 (United States NIA NIH HHS) NO - AG10172 (United States NIA NIH HHS) LG - English DP - 1999 Aug 9-23 DC - 19990826 YR - 1999 ED - 19990826 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10448776 <493. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10442052 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weissman DE AU - Matson S FA - Weissman, D E FA - Matson, S IN - Weissman,D E. Department of Medicine, Medical College of Wisconsin, Milwaukee 53226-0509, USA. TI - Pain assessment and management in the long-term care setting. [Review] [53 refs] SO - Theoretical Medicine & Bioethics. 20(1):31-43, 1999 Jan. AS - Theor Med Bioeth. 20(1):31-43, 1999 Jan. NJ - Theoretical medicine and bioethics PI - Journal available in: Print PI - Citation processed from: Print JC - cw1, 9805378 OI - Source: KIE. 62122 SB - Bioethics Journals SB - Index Medicus CP - NETHERLANDS MH - Aged MH - Dementia/co [Complications] MH - *Homes for the Aged MH - Humans MH - Long-Term Care MH - *Nursing Homes MH - Pain/co [Complications] MH - *Pain Management MH - *Pain Measurement MH - Risk Assessment MH - United States KW - Mental Health Therapies; Professional Patient Relationship AB - The assessment and management of pain is a significant public health problem in the United States. Long-term care facilities face unique barriers and challenges to pain management due to the large population of cognitively impaired residents, little physician contact and poor pain education for nurses and nurse assistants. In addition, common misconceptions about pain and pain treatment in the elderly along with health professional and resident fears of addiction and drug toxicity, add to the problem of pain management. The basic principles of pain treatment in long-term care are identical to all other health care settings--utilizing a combination of drug and non-drug treatments. Recent efforts to institutionalize improved pain management practices, through assessment procedures and defined pain management policies, standards and education programming, is a promising venue for systemically improving pain treatment in long-term care settings. [References: 53] NT - KIE BoB Subject Heading: patient care/aged NT - KIE BoB Subject Heading: patient care/drugs NT - KIE BoB Subject Heading: patient care/mentally disabled NT - Full author name: Weissman, David E NT - Full author name: Matson, Sandra IS - 1386-7415 IL - 1386-7415 PT - Journal Article PT - Review LG - English DP - 1999 Jan DC - 19990825 YR - 1999 ED - 19990825 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10442052 <494. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10210463 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arthur D FA - Arthur, D IN - Arthur,D. Department of Nursing and Health Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon. TI - Assessing nursing students' basic communication and interviewing skills: the development and testing of a rating scale. SO - Journal of Advanced Nursing. 29(3):658-65, 1999 Mar. AS - J Adv Nurs. 29(3):658-65, 1999 Mar. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - Analysis of Variance MH - *Communication MH - Cross-Over Studies MH - *Education, Nursing, Baccalaureate MH - *Educational Measurement/mt [Methods] MH - Humans MH - New South Wales MH - *Nurse-Patient Relations MH - *Psychotherapy, Brief AB - This study explores the communication skills of a group of nursing students who were required to interview a simulated client as part of their studies. In order to assess the students and to improve the process of learning discrete skills, an instrument was developed and tested as part of this process. The subjects were 212 nurses enrolled in a bachelor of nursing programme, in New South Wales, Australia, who were studying a problem-based learning package the focus of which was 'alcohol early intervention'. The sub-groups within the sample included registered nurses, a significant percentage of whom had completed their basic nursing education in overseas countries. The Simulated Client Interview Rating Scale (SCIRS) was developed to assess basic humanistic communication skills as well as beginning motivational interviewing skills. The students were required to interview a simulated client and demonstrate competence in interviewing. This was assessed by the SCIRS which was completed by the students and the simulated clients. The instrument proved to be a reliable and valid means of assessing student interview technique as well as a flexible educational tool, while valuable insights into students' interviewing techniques were gained. IS - 0309-2402 IL - 0309-2402 PT - Clinical Trial PT - Journal Article LG - English DP - 1999 Mar DC - 19990611 YR - 1999 ED - 19990611 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10210463 <495. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10351855 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Werch CE AU - Pappas DM AU - Carlson JM AU - DiClemente CC FA - Werch, C E FA - Pappas, D M FA - Carlson, J M FA - DiClemente, C C IN - Werch,C E. Department of Health Science, University of North Florida, Jacksonville 32224-2645, USA. TI - Six-month outcomes of an alcohol prevention program for inner-city youth. SO - American Journal of Health Promotion. 13(4):237-40, iii, 1999 Mar-Apr. AS - Am J Health Promot. 13(4):237-40, iii, 1999 Mar-Apr. NJ - American journal of health promotion : AJHP PI - Journal available in: Print PI - Citation processed from: Print JC - amj, 8701680 SB - Health Technology Assessment Journals CP - UNITED STATES MH - *Alcoholism/pc [Prevention & Control] MH - Child MH - Female MH - Florida MH - Follow-Up Studies MH - Health Promotion/mt [Methods] MH - *Health Promotion MH - Humans MH - Male MH - *Students MH - Surveys and Questionnaires MH - *Urban Health AB - Six-hundred and fifty 6th grade students were randomly assigned with the intervention group receiving the STARS for Families Program, an alcohol reduction program consisting of standardized health consultations provided by nurses and mailed follow-up information. The control group received minimum information. Students in the study attended either a neighborhood or a bused inner-city middle school. Students receiving the intervention had significantly less intentions to use alcohol in the future and less alcohol quantity. The study suggests that brief, provider-involved interventions may be a viable school based approach to prevention. IS - 0890-1171 IL - 0890-1171 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - AA9283 (United States NIAAA NIH HHS) LG - English DP - 1999 Mar-Apr DC - 19990527 YR - 1999 ED - 19990527 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10351855 <496. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10196922 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Happell B AU - Taylor C FA - Happell, B FA - Taylor, C IN - Happell,B. School of Nursing, University of Melbourne, Victoria, Australia. b.happell@nursing.unimelb.edu.au TI - "We may be different, but we are still nurses": an exploratory study of drug and alcohol nurses in Australia. SO - Issues in Mental Health Nursing. 20(1):19-32, 1999 Jan-Feb. AS - Issues Ment Health Nurs. 20(1):19-32, 1999 Jan-Feb. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - UNITED STATES MH - *Attitude of Health Personnel MH - Humans MH - *Job Description MH - *Nurse Clinicians/og [Organization & Administration] MH - Nurse Clinicians/px [Psychology] MH - Nursing Methodology Research MH - Substance Abuse Treatment Centers MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires MH - Victoria AB - The problems experienced by generalist nurses in providing care to patients who abuse alcohol and other drugs have been acknowledged in the literature. Despite the demonstrated success of educational programs in improving attitudes and enhancing the confidence of nurses in dealing with this clientele, the problem remains. Although large numbers of nurses specialize in the care of patients with drug- and alcohol-related problems, their specific skills have not been well researched. This article reports on a qualitative research project undertaken with 6 nurses currently practicing in a drug and alcohol unit in metropolitan Victoria, Australia. The findings suggest that these nurses are very skilled in their area of practice, and they can potentially provide information and support to nurses from other areas. This liaison role can help minimize the negative experiences frequently encountered by nonspecialist nurses caring for patients with drug- and alcohol-related problems. IS - 0161-2840 IL - 0161-2840 PT - Journal Article LG - English DP - 1999 Jan-Feb DC - 19990415 YR - 1999 ED - 19990415 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10196922 <497. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11362065 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Connor CA AU - Patsdaughter CA AU - Grindel CG AU - Taveira PF AU - Steinberg JL FA - O'Connor, C A FA - Patsdaughter, C A FA - Grindel, C G FA - Taveira, P F FA - Steinberg, J L IN - O'Connor,C A. East Boston Neighborhood Health Center, East Boston, Massachusetts, USA. TI - A mobile HIV education and testing program: bringing services to hard-to-reach populations. SO - AIDS Patient Care & Stds. 12(12):931-7, 1998 Dec. AS - AIDS Patient Care STDS. 12(12):931-7, 1998 Dec. NJ - AIDS patient care and STDs PI - Journal available in: Print PI - Citation processed from: Print JC - 9607225, ckd SB - AIDS/HIV Journals CP - UNITED STATES MH - Boston MH - *Counseling MH - *HIV Infections/di [Diagnosis] MH - *HIV Infections/pc [Prevention & Control] MH - *Health Services Accessibility MH - Humans MH - *Mobile Health Units MH - *Patient Education as Topic MH - Pilot Projects AB - Few programs exist that offer a range of human immunodeficiency virus (HIV) services to multiple populations (i.e., substance abusers, individuals on probation, sex workers and their clients, court-mandated perpetrators of domestic violence) in multiple settings (i.e., courts, methadone maintenance clinics, residential and outpatient substance abuse treatment programs). The purpose of this article is to describe a model mobile HIV program, highlighting its flexibility in providing services to clients who infrequently present to traditional clinic-based testing sites. This mobile HIV program was developed to provide on-site HIV testing and counseling, education, and linkages to primary care services. The implementation of the program begins with training of agency staff, who then provide preliminary orientation with clients regarding HIV testing. Approximately 3 weeks later, the mobile program staff (HIV nurse specialist and HIV counselors) provide standardized group pretest counseling and education. Clients who decide to be tested meet with mobile program staff for individualized risk assessment and specimen collection. Two weeks later, clients meet with mobile program staff to obtain results and receive posttest counseling; risk reduction strategies are reemphasized at that time. Unique to this program is the provision of referrals for a wide range of primary care services for both seropositive and seronegative clients. Since 1994, the mobile program has been implemented at six sites, and over 1100 clients have been served. Two major outcomes from the program have been observed: 1. With adequate preparation and psychological support, 40% of hard-to-reach populations will elect to be HIV tested. 2. Through social networks of program participants, HIV-positive individuals not previously engaged in care have been referred to a comprehensive HIV primary care program. IS - 1087-2914 IL - 1087-2914 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 1998 Dec DC - 19990401 YR - 1998 ED - 19990401 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11362065 <498. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9847741 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arthur D FA - Arthur, D IN - Arthur,D. Department of Health Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong. TI - Alcohol-related problems: a critical review of the literature and directions in nurse education. [Review] [47 refs] SO - Nurse Education Today. 18(6):477-87, 1998 Aug. AS - Nurse Educ Today. 18(6):477-87, 1998 Aug. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - SCOTLAND MH - Adult MH - *Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - *Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Humans MH - Models, Nursing MH - Professional Autonomy AB - It is generally accepted the around 2-5% of the adult population show major signs of alcohol dependence, that alcohol-related harm is experienced by up to 20% of the population, and that approximately 60% drink at risk-free levels. Further prevalence studies show that there are high numbers of problem drinkers who attend general hospital services for reasons other than their alcohol consumption. Nurses are in constant contact with patients who may have an early problem with alcohol but who are admitted for other reasons, and they are in a prime position to comprehensively assess patients (including alcohol screening), develop rapport and provide 'counselling'. Also, university nursing education is propelling nurses toward adoption of independent discipline focused models of care which are increasingly becoming independent of the medical model. Recent trends in the management of problem drinkers suggest that controlled drinking approaches may well offer treatment options to nurses that the traditional abstinence approaches did not. This paper presents a brief overview of the notion of controlled drinking, then critically reviews the nursing research studies and the descriptive literature providing direction for nursing education. Some recent clinical initiatives are discussed which highlight the flaws existing in nursing education, including lack of sufficient curriculum hours and the need for better designed education models and strategies. [References: 47] IS - 0260-6917 IL - 0260-6917 PT - Journal Article PT - Review LG - English DP - 1998 Aug DC - 19990318 YR - 1998 ED - 19990318 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9847741 <499. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9677906 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McNaughton S AU - Sauve L AU - Ashmore J AU - Robson E FA - McNaughton, S FA - Sauve, L FA - Ashmore, J FA - Robson, E IN - McNaughton,S. Capital Health, Community Care and Public Health, Edmonton. TI - Drinking decisions. An innovative approach to problem drinking. SO - Canadian Nurse. 94(6):26-9, 1998 Jun. AS - Can Nurse. 94(6):26-9, 1998 Jun. NJ - The Canadian nurse PI - Journal available in: Print PI - Citation processed from: Print JC - 0405504, cl9 SB - Nursing Journal CP - CANADA MH - *Alcoholism/pc [Prevention & Control] MH - Canada MH - Consumer Participation MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Patient Selection MH - Program Evaluation MH - Public Health Nursing/ed [Education] MH - *Public Health Nursing/og [Organization & Administration] IS - 0008-4581 IL - 0008-4581 PT - Journal Article LG - English DP - 1998 Jun DC - 19990318 YR - 1998 ED - 19990318 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9677906 <500. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10025278 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy GT AU - Brennan M FA - Murphy, G T FA - Brennan, M IN - Murphy,G T. Dalhousie University School of Nursing, Halifax, N.S. TI - Nursing students with disabilities. [Review] [13 refs] SO - Canadian Nurse. 94(10):31-4, 1998 Nov. AS - Can Nurse. 94(10):31-4, 1998 Nov. NJ - The Canadian nurse PI - Journal available in: Print PI - Citation processed from: Print JC - 0405504, cl9 SB - Nursing Journal CP - CANADA MH - Crime MH - *Disabled Persons MH - Education, Nursing, Baccalaureate MH - Ethics, Nursing MH - Humans MH - Nova Scotia MH - Organizational Policy MH - *School Admission Criteria MH - Schools, Nursing/og [Organization & Administration] MH - *Schools, Nursing MH - *Students, Nursing MH - Substance-Related Disorders AB - Nursing is a self-licensing profession with an ever-increasing responsibility to develop and sustain public trust. Thus, there is a need for nurses not only to be accountable and trustworthy but to be perceived by the public as accountable and trustworthy. Recognizing the special need for trust in caregivers, the Faculty of Health Professions at Dalhousie University has recently instituted a policy enabling its schools to suspend or terminate a student from a program based on the student's professional unsuitability. Unsuitability could include a type of conduct (criminal behavior, substance abuse or unethical behavior) or a health impairment that affects the student's ability to meet performance requirements. The challenge for the health profession schools, including Nursing, is to develop specific guidelines for implementing the policy. Guidelines on performance requirements for students with disabilities will be particularly difficult to define. [References: 13] IS - 0008-4581 IL - 0008-4581 PT - Journal Article PT - Review LG - English DP - 1998 Nov DC - 19990305 YR - 1998 ED - 19990305 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10025278 <501. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9934161 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Rourke AM FA - O'Rourke, A M TI - Bruised but not beaten. Interview by Adrian O'Dowd. SO - Nursing Times. 94(48):14-5, 1998 Dec 2-8. AS - Nurs Times. 94(48):14-5, 1998 Dec 2-8. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Female MH - Humans MH - *Job Application MH - *Professional Impairment MH - *Students, Nursing MH - *Substance-Related Disorders/px [Psychology] IS - 0954-7762 IL - 0954-7762 PT - Interview LG - English DP - 1998 Dec 2-8 DC - 19990211 YR - 1998 ED - 19990211 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9934161 <502. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9778885 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pillon S AU - Laranjeira R AU - Dunn J FA - Pillon, S FA - Laranjeira, R FA - Dunn, J IN - Pillon,S. Department of Gastroenterology, Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Brazil. pillon@psiquiatria.epm.br TI - Nurses' attitudes towards alcoholism: factor analysis of three commonly used scales. SO - Sao Paulo Medical Journal = Revista Paulista de Medicina. 116(2):1661-6, 1998 Mar-Apr. AS - Sao Paulo Med J. 116(2):1661-6, 1998 Mar-Apr. NJ - Sao Paulo medical journal = Revista paulista de medicina PI - Journal available in: Print PI - Citation processed from: Print JC - 100897261, dio SB - Index Medicus CP - BRAZIL MH - *Alcoholism/di [Diagnosis] MH - *Attitude of Health Personnel MH - Factor Analysis, Statistical MH - Humans MH - *Nurses MH - Psychometrics MH - Surveys and Questionnaires AB - OBJECTIVE: To investigate the psychometric properties of three scales commonly used to measure attitudes and beliefs about alcoholism. AB - DESIGN: Cross-sectional study using a systematic sample. AB - SETTING: Hospital Sao Paulo (a public general tertiary hospital) and the adjoining Federal University of Sao Paulo, Brazil. AB - PARTICIPANTS: 310 nurses and nursing teachers. AB - INSTRUMENTS: The Marcus Alcoholism Questionnaire, The Seaman Mannello Nurses' Attitudes Towards Alcohol and Alcoholism Scale and The Tolor-Tamarin Attitudes Towards Alcoholism Scale, which were combined into one self-administered questionnaire. AB - ANALYSIS: The scales were re-grouped into their original formats and each underwent a principal components analysis with orthogonal rotation of factors. AB - RESULTS: Each scale was found to consist of three main factors. There was some degree of overlap in the nature of the factors that the scales measured but each scale also measured something unique. AB - CONCLUSION: The results of this comparative analysis could be used as a basis for developing a new scale covering all the important attitudinal groups identified by this study. IS - 1516-3180 IL - 1516-3180 PT - Comparative Study PT - Journal Article LG - English DP - 1998 Mar-Apr DC - 19990122 YR - 1998 ED - 19990122 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9778885 <503. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9865241 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee DC AU - Lee GY FA - Lee, D C FA - Lee, G Y IN - Lee,D C. Department of Emergency Medicine, North Shore University Hospital, Manhasset, NY 11030, USA. dlee@nshs.edu TI - The use of pamidronate for hypercalcemia secondary to acute vitamin D intoxication. SO - Journal of Toxicology - Clinical Toxicology. 36(7):719-21, 1998. AS - J Toxicol Clin Toxicol. 36(7):719-21, 1998. NJ - Journal of toxicology. Clinical toxicology PI - Journal available in: Print PI - Citation processed from: Print JC - kan, 8213460 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Aged MH - *Diphosphonates/tu [Therapeutic Use] MH - Drug Overdose MH - Female MH - Humans MH - Hypercalcemia/ci [Chemically Induced] MH - *Hypercalcemia/dt [Drug Therapy] MH - Iatrogenic Disease MH - *Vitamin D/po [Poisoning] AB - INTRODUCTION: Pamidronate disodium, a bone resorption inhibitor through osteoclast mediation, has been used to treat chronic hypercalcemia secondary to malignancy and chronic renal failure. We report the use of pamidronate for acute, severe hypercalcemia secondary to iatrogenic vitamin D poisoning. AB - CASE REPORT: A 77-year-old female nursing home resident was inadvertently administered 50,000 units of oral vitamin D daily for 6 days. The patient presented with lethargy, abdominal pain, and vomiting. The patient's initial serum calcium concentration was 5.25 mmol/L (21 mg/dL). The patient was initially treated with hydration and furosemide but developed congestive heart failure. Pamidronate was used and calcium concentrations normalized by 24 hours after treatment. AB - CONCLUSION: We report a case of the use of pamidronate for significant hypercalcemia secondary to acute vitamin D poisoning. Although evidence of congestive heart failure was evident, dialysis was avoided without significant sequelae. Pamidronate therapy should be considered in patients with hypercalcemia secondary to acute vitamin D poisoning. RN - 0 (Diphosphonates) RN - 1406-16-2 (Vitamin D) RN - OYY3447OMC (pamidronate) IS - 0731-3810 IL - 0731-3810 PT - Case Reports PT - Journal Article LG - English DP - 1998 DC - 19990107 YR - 1998 ED - 19990107 RD - 20121115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9865241 <504. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9866555 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Freed PE AU - York LN FA - Freed, P E FA - York, L N IN - Freed,P E. Barnes College of Nursing, University of Missouri, USA. TI - A chemical dependence clinical experience. SO - Nurse Educator. 23(5):13-5, 1998 Sep-Oct. AS - Nurse Educ. 23(5):13-5, 1998 Sep-Oct. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing, Baccalaureate MH - Humans MH - Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] AB - Chemical dependence treatment clinical experiences in undergraduate nursing programs can provide appropriate entry-level experiences for students in community settings when supervised adequately and arranged carefully. They increase students' awareness of the pervasiveness of alcohol and substance-related problems and its impact on individuals, families, and societies. With careful attention to entry barriers and orientation issues, faculty can develop clinical sites that provide a wealth of experience and opportunity for students to develop themselves both personally and professionally. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1998 Sep-Oct DC - 19981231 YR - 1998 ED - 19981231 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9866555 <505. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9814244 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith K AU - Holmseth J AU - Macgregor M AU - Letourneau M FA - Smith, K FA - Holmseth, J FA - Macgregor, M FA - Letourneau, M IN - Smith,K. Sexual Assault Response Team, Mankato, Minn., USA. TI - Sexual Assault Response Team: overcoming obstacles to program development. SO - Journal of Emergency Nursing. 24(4):365-7, 1998 Aug. AS - J Emerg Nurs. 24(4):365-7, 1998 Aug. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 7605913 SB - Nursing Journal CP - UNITED STATES MH - *Emergency Nursing/ed [Education] MH - *Emergency Service, Hospital/og [Organization & Administration] MH - Female MH - *Forensic Medicine/ed [Education] MH - Humans MH - Minnesota MH - *Nursing Staff, Hospital/ed [Education] MH - Program Development MH - *Psychiatric Nursing/ed [Education] MH - *Quality Assurance, Health Care/og [Organization & Administration] MH - *Rape/di [Diagnosis] MH - Rape/px [Psychology] AB - After several years of planning, The SART at Immanuel St. Joseph's--Mayo Health Systems became a reality in August 1997. The nurses who were trained for this program were already providing 24-hour coverage in the emergency department for psychiatric emergencies and patients with chemical dependency. The SANE responsibilities were added to their on-call duties. Five nurses participated in a 40-hour training program by SANE specialists and experts in the local community. As expected, nurses were apprehensive as they conducted their first examinations; however, all has gone well. Over time, the providers' and clients' satisfaction with the program has improved. The examination is completed in less time, and the person assaulted does not have to wait as long for the SANE to arrive. Members of law enforcement and the prosecutor's office are especially pleased with the quality of evidence collected and the procedures followed to maintain chain of evidence so the evidence obtained can be used in prosecution. The program has resulted in kind and compassionate care for persons who have been sexually assaulted. The providers are continuing to meet monthly as an interdisciplinary, interagency team and are addressing concerns as they arise. Members of the SART are developing a good working relationship. Everyone involved agrees that developing this program has been a worthwhile effort and that the hospital is providing a valued service for the community. IS - 0099-1767 IL - 0099-1767 PT - Journal Article LG - English DP - 1998 Aug DC - 19981120 YR - 1998 ED - 19981120 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9814244 <506. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9752178 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fellowes K FA - Fellowes, K IN - Fellowes,K. David Morgan Neonatal Unit, Airedale General Hospital, Steeton. TI - Born in the USA. SO - Nursing Times. 94(32):38-9, 1998 Aug 12-18. AS - Nurs Times. 94(32):38-9, 1998 Aug 12-18. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Adult MH - Female MH - Great Britain/eh [Ethnology] MH - Humans MH - Infant, Newborn MH - *International Educational Exchange MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - Neonatal Nursing/ed [Education] MH - *Neonatal Nursing/mt [Methods] MH - Pregnancy MH - United States AB - How are newborn babies affected by their mothers' use of drugs nursed in specialist units the USA? A Nursing Times/Birmingham Hospitals Saturday Fund travel award allowed Karena Fellowes to find out. IS - 0954-7762 IL - 0954-7762 PT - Journal Article LG - English DP - 1998 Aug 12-18 DC - 19981119 YR - 1998 ED - 19981119 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9752178 <507. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9730295 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jensenius M AU - Ringertz SH AU - Berild D AU - Bell H AU - Espinoza R AU - Grinde B FA - Jensenius, M FA - Ringertz, S H FA - Berild, D FA - Bell, H FA - Espinoza, R FA - Grinde, B IN - Jensenius,M. Department of Internal Medicine, Aker University Hospital, Oslo, Norway. TI - Prolonged nosocomial outbreak of hepatitis A arising from an alcoholic with pneumonia. SO - Scandinavian Journal of Infectious Diseases. 30(2):119-23, 1998. AS - Scand J Infect Dis. 30(2):119-23, 1998. NJ - Scandinavian journal of infectious diseases PI - Journal available in: Print PI - Citation processed from: Print JC - ucx, 0215333 SB - Index Medicus CP - SWEDEN MH - Adult MH - Aged MH - Aged, 80 and over MH - Alcoholism/co [Complications] MH - Cross Infection/di [Diagnosis] MH - *Cross Infection/ep [Epidemiology] MH - Cross Infection/vi [Virology] MH - Disease Outbreaks/pc [Prevention & Control] MH - *Disease Outbreaks MH - Female MH - Hepatitis A/di [Diagnosis] MH - *Hepatitis A/ep [Epidemiology] MH - Hepatitis A/et [Etiology] MH - *Hepatitis A/tm [Transmission] MH - Hepatitis A Vaccines MH - Hepatitis A Virus, Human/ip [Isolation & Purification] MH - Humans MH - Incidence MH - *Infectious Disease Transmission, Patient-to-Professional/sn [Statistics & Numerical Data] MH - Injections, Subcutaneous MH - Lung Diseases, Obstructive/co [Complications] MH - Male MH - Middle Aged MH - Norway/ep [Epidemiology] MH - Pneumonia/co [Complications] MH - Risk Factors MH - Serologic Tests MH - Viral Hepatitis Vaccines/ad [Administration & Dosage] AB - From April to June 1996, an outbreak of hepatitis A virus (HAV) infection affecting 15 nurses, patients and household contacts occurred in the Department of Internal Medicine at Aker University Hospital, Oslo. The index case was a homeless alcoholic who was hospitalized in March 1996 with pneumonia while simultaneously incubating HAV infection. Four secondary cases were infected by the index case, while another 10 cases were caused by a continuous spread of infection within the department during the following months. Sequence of the VP1/P2A junction of HAV was obtained from 9 patients, including the index case, and all sequences were identical to each other. Mass vaccination of hospital employees with a formalin-inactivated HAV-vaccine took place in late May, and following this the outbreak stopped. Several factors probably combined to account for this unusual outbreak, e.g. an index case unsuspected of incubating with HAV infection, and a low prevalence rate of protective antibodies to HAV among the hospital staff. RN - 0 (Hepatitis A Vaccines) RN - 0 (Viral Hepatitis Vaccines) IS - 0036-5548 IL - 0036-5548 PT - Case Reports PT - Journal Article LG - English DP - 1998 DC - 19981119 YR - 1998 ED - 19981119 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9730295 <508. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14450500 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - IBER FL FA - IBER, F L TI - Instruction in alcoholism in nursing education. SO - Maryland State Medical Journal. 10:653-4, 1961 Nov. AS - Md State Med J. 10:653-4, 1961 Nov. NJ - Maryland state medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - lmg, 2985229r SB - OLDMEDLINE Citations CP - Not Available MH - *Alcoholism MH - *Breast Feeding MH - *Education, Nursing MH - Humans KW - *ALCOHOLISM; *EDUCATION, NURSING IS - 0025-4363 IL - 0025-4363 PT - Journal Article LG - English DP - 1961 Nov DC - 19621201 YR - 1961 ED - 19981101 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=14450500 <509. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9764005 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ward C FA - Ward, C IN - Ward,C. School of Nursing, Curtin University of Technology, Perth. TI - Caring by degrees. SO - Contemporary Nurse. 7(1):24-8, 1998 Mar. AS - Contemp Nurse. 7(1):24-8, 1998 Mar. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal SB - AIDS/HIV Journals CP - AUSTRALIA MH - *Acquired Immunodeficiency Syndrome/nu [Nursing] MH - Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Adult MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Education, Nursing, Baccalaureate MH - *Empathy MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Hemophilia A/co [Complications] MH - Homosexuality, Male MH - Humans MH - Male MH - Prejudice MH - *Students, Nursing/px [Psychology] MH - Substance Abuse, Intravenous/co [Complications] AB - Caring is synonymous with nursing and, regardless of the culture, race, lifestyle or sexuality of clients, nurses should care for all clients. However, the emergence of HIV/AIDS brought a new and quite different challenge to nurses with regard to willingness to care. Some nurses expressed a negative attitude toward, and reluctance to care for, those clients with HIV/AIDS, mainly due to fear of contagion based on ignorance about the disease. The purpose of this cross-sectional study was firstly to determine if there were differences in attitudes toward caring for clients with HIV/AIDS in the three different at-risk groups (homosexuals, intravenous drug users and haemophiliacs), as expressed by nursing students at the beginning (Semester 1) and at the end (Semester 7) of a three-and-a-half-year nursing degree programme. The second determination was whether or not there were differences between the two groups of students regarding their knowledge of HIV/AIDS. Data results indicated no significant difference between the two groups of students in regard to caring attitude towards members of the at-risk groups and knowledge of AIDS. This paper discusses the implications of the research findings for nursing and further research. IS - 1037-6178 IL - 1037-6178 PT - Journal Article LG - English DP - 1998 Mar DC - 19981009 YR - 1998 ED - 19981009 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9764005 <510. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9738181 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Emans SJ AU - Bravender T AU - Knight J AU - Frazer C AU - Luoni M AU - Berkowitz C AU - Armstrong E AU - Goodman E FA - Emans, S J FA - Bravender, T FA - Knight, J FA - Frazer, C FA - Luoni, M FA - Berkowitz, C FA - Armstrong, E FA - Goodman, E IN - Emans,S J. Division of Adolescent/Young Adult Medicine, Children's Hospital, Boston, MA 02115, USA. TI - Adolescent medicine training in pediatric residency programs: are we doing a good job?. SO - Pediatrics. 102(3 Pt 1):588-95, 1998 Sep. AS - Pediatrics. 102(3 Pt 1):588-95, 1998 Sep. NJ - Pediatrics PI - Journal available in: Print PI - Citation processed from: Print JC - oxv, 0376422 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Adolescent Medicine/ed [Education] MH - Adolescent Medicine/sn [Statistics & Numerical Data] MH - Data Collection MH - Internship and Residency/mt [Methods] MH - Internship and Residency/og [Organization & Administration] MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - *Pediatrics/ed [Education] MH - Pediatrics/sn [Statistics & Numerical Data] MH - Preventive Medicine/ed [Education] MH - United States AB - OBJECTIVES: To determine how pediatric residency programs are responding to the new challenges of teaching adolescent medicine (AM) to residents by assessing whether manpower is adequate for training, whether AM curricula and skills are adequately covered by training programs, what types of teaching methodologies are used to train residents in AM, and the needs for new curricular materials to teach AM. AB - DESIGN: A 3-part 92-item survey mailed to all US pediatric residency training programs. AB - SETTING: Pediatric residency programs. AB - PARTICIPANTS: Residency program directors and directors of AM training. AB - MAIN OUTCOME MEASURES: AM divisional structure, clinical sites of training, presence of a block rotation, and faculty of pediatric training programs; training materials used and desired in AM; perceived adequacy of coverage of various AM topics; competency of residents in performing pelvic examinations in sexually active teens; and manpower needs. AB - RESULTS: A total of 155/211 (73.5%) of programs completed the program director and the AM parts of the survey. Ninety-six percent of programs (size range, 5-120 residents) had an AM block rotation and 90% required the AM block; those without a block rotation were more likely to be larger programs. Only 39% of programs felt that the number of AM faculty was adequate for teaching residents. Almost half of the programs reported lack of time, faculty, and curricula to teach content in substance abuse. Besides physicians, AM teachers included nurse practitioners (28%), psychologists (25%), and social workers (19%). Topics most often cited as adequately covered included sexually transmitted diseases (81.9%), confidentiality (79.4%), puberty (77.0%), contraception (76.1%), and menstrual problems (73.5%). Topics least often cited as adequately covered included psychological testing (16.1%), violence in relationships (20.0%), violence and weapon-carrying (29.7%), and sports medicine (29.7%). Fifty-eight percent of 137 respondents thought that all or nearly all of their residents were competent in performing pelvic examinations by the end of training; there was no difference between perceived competence and the residents' use of procedure books. Seventy-four percent used a specific curriculum for teaching AM; materials included chapters/articles (85%), lecture outlines (76.1%), slides (41.9%), videos (35.5%), written case studies (24.5%), computerized cases (6.5%), and CD-ROMs (3.2%). Fifty-two percent used Bright Futures, 48% used the Guidelines for Adolescent Preventive Services, and 14% used the Guide to Clinical Preventive Services for teaching clinical preventive services. Programs that used Bright Futures were more likely to feel that preventive services were adequately covered in their programs than those who did not (78% vs 57%). A majority of programs desired more learner-centered materials. AB - CONCLUSIONS: Although almost all pediatric programs are now providing AM rotations, there is significant variability in adequacy of training across multiple topics important for resident education. Programs desire more learner-centered materials and more faculty to provide comprehensive resident education in AM. IS - 0031-4005 IL - 0031-4005 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - MCJ 259368 (United States PHS HHS) LG - English DP - 1998 Sep DC - 19980924 YR - 1998 ED - 19980924 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9738181 <511. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9670120 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reilly CE FA - Reilly, C E IN - Reilly,C E. College of Health and Nursing Sciences, University of Delaware, Newark, USA. TI - A satisfaction survey on distance education: a model for educating nurses in the cognitive treatment of patients with addictive disorders. SO - Journal of Psychosocial Nursing & Mental Health Services. 36(7):38-41, 1998 Jul. AS - J Psychosoc Nurs Ment Health Serv. 36(7):38-41, 1998 Jul. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Attitude of Health Personnel MH - *Cognitive Therapy/ed [Education] MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Education, Professional, Retraining/og [Organization & Administration] MH - Humans MH - Models, Educational MH - Models, Psychological MH - Program Evaluation MH - *Psychiatric Nursing/ed [Education] MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires MH - *Telecommunications/og [Organization & Administration] AB - Nurses need to be educated and trained in the assessment and treatment of substance abuse, because 25% to 50% of their patients struggle with this problem. Cognitive therapy takes a problem-solving approach and can be used independently, or in conjunction with, psychopharmacological or 12-step programs. Course participants who made use of the distant education format found the information they learned helpful in their current practice. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1998 Jul DC - 19980918 YR - 1998 ED - 19980918 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9670120 <512. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9164805 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Taylor JA AU - Davis RL AU - Kemper KJ FA - Taylor, J A FA - Davis, R L FA - Kemper, K J IN - Taylor,J A. Department of Pediatrics, University of Washington, Seattle 98195, USA. TI - A randomized controlled trial of group versus individual well child care for high-risk children: maternal-child interaction and developmental outcomes. SO - Pediatrics. 99(6):E9, 1997 Jun. AS - Pediatrics. 99(6):E9, 1997 Jun. NJ - Pediatrics PI - Journal available in: Print PI - Citation processed from: Internet JC - oxv, 0376422 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Child Care/sn [Statistics & Numerical Data] MH - *Child Health Services/og [Organization & Administration] MH - Child Health Services/sn [Statistics & Numerical Data] MH - Confidence Intervals MH - Female MH - *Group Structure MH - Humans MH - Infant MH - Infant, Newborn MH - *Mother-Child Relations MH - Odds Ratio MH - *Outcome and Process Assessment (Health Care)/sn [Statistics & Numerical Data] MH - *Parenting MH - Risk Assessment MH - Socioeconomic Factors MH - Universities MH - Washington AB - OBJECTIVE: To determine if group well child care (GWCC) for high-risk children affects maternal-child interaction and development as compared to these outcomes in children receiving traditional individual well child care (IWCC). AB - STUDY DESIGN: Randomized controlled trial. AB - PARTICIPANTS: Infants less than 4 months old at the initiation of the study who came from high-risk families. Families were classified as high risk, and eligible for study participation, if the mother had one or more of the following characteristics: poverty, single marital status, less than a high school education, age less than 20 years at delivery, previous substance abuse, or a history of abuse as a child. AB - SETTING: Two urban, university pediatric clinics in Seattle, Washington. AB - INTERVENTIONS: Study children were randomized to receive GWCC or IWCC prior to the first study visit at the age of 4 months. Study health supervision visits were scheduled at 4, 5, 6, 8, 10, 12, and 15 months of age. For children randomized to receive GWCC, study visits consisted of an age-matched group discussion of child rearing issues, either preceding or following a brief physical examination. After the 15-month visit, development of study patients was assessed by the use of Bayley Scales of Infant Development (Bayley). Maternal-child interaction and the home environment were evaluated by the use of the Nursing Child Assessment Teaching Scale (NCATS) and the Home Observation for Measurement of the Environment (HOME), respectively. AB - RESULTS: At least one outcome measure was obtained on 114 children; 86 patients completed all three outcome measures. Bayley psychomotor mean scores were 103.6 +/- 11.5 for GWCC patients versus 100.0 +/- 12.4 for those receiving IWCC (P = .14); mean scores for the mental section were 99.3 +/- 14.8 and 100.4 +/- 14.3, respectively (P = .71). The prevalence of high-risk maternal-child interactions was 10% in both the GWCC and IWCC groups. A high-risk home environment was found in 16% of IWCC patients versus 4% of those randomized to GWCC (odds ratio comparing IWCC to GWCC 4.6, 95% confidence interval 0.78, 26.0, after controlling for confounding variables). Provider time was similar among groups (mean number of minutes/patient/study visit: 19.8 +/- 5.6 and 20.4 +/- 6.7 for GWCC and IWCC, respectively, P = .66). AB - CONCLUSION: GWCC is a viable alternative to IWCC for high-risk children. Developmental outcomes and maternal-child interaction are at least as good for children who received GWCC as compared to traditional IWCC, without any increase in provider time required. ES - 1098-4275 IL - 0031-4005 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 1997 Jun DC - 19980914 YR - 1997 ED - 19980914 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9164805 <513. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9346995 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - MacMahon JR FA - MacMahon, J R IN - MacMahon,J R. Department of Pediatrics, Division of General Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USA. TI - Perinatal substance abuse: the impact of reporting infants to child protective services. SO - Pediatrics. 100(5):E1, 1997 Nov. AS - Pediatrics. 100(5):E1, 1997 Nov. NJ - Pediatrics PI - Journal available in: Print PI - Citation processed from: Internet JC - oxv, 0376422 SB - Index Medicus CP - UNITED STATES MH - *Child Custody/sn [Statistics & Numerical Data] MH - Female MH - Follow-Up Studies MH - *Foster Home Care/sn [Statistics & Numerical Data] MH - Humans MH - Infant, Newborn MH - Pregnancy MH - Pregnancy Complications/di [Diagnosis] MH - Retrospective Studies MH - Substance Abuse Detection MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - OBJECTIVE: The purposes of this study were to follow the judicial placement of newborns with positive toxicology screening results and to determine how long such infants remained in foster care, separated from their mothers or other relatives, and the length of court dependency. We also determined the mothers' compliance with court orders, the availability and use of rehabilitative services, factors used by the court to determine the final disposition, and the eventual placement of the infants. AB - METHODS: The cohort sample consisted of all infants from San Mateo County (CA) born at Stanford University Hospital during a 2-year period whose urine tests in the well-baby nursery were positive for illicit substances. Fifty-three newborns were identified, and their medical records and court documents were matched and reviewed from birth until termination of judicial review (or 5 years). Data were summarized and analyzed by logistic regressions to identify predictors of specific outcomes. AB - RESULTS: All 53 infants had normal physical examinations and uneventful hospital courses. Their ethnic distribution, with 68% being African-American and 7% being Hispanic, differed from the rest of the nursery population, which was predominantly Hispanic. Twenty-six (46%) of the 53 infants were returned to their mothers within 1 week of birth; 39 (76%) of the infants were reunited with some relative within the first month of life. At 12 months of age, 10 infants (19%) remained in foster care; however, none remained in foster care beyond 18 months. The length of time infants were dependents of the court ranged from 1 month to >5 years; 70% of the cases were "closed" between 6 and 30 months of life. Nine (17%) were dependents of the court for >36 months. Final placement of the infants was 35 (66%) reunited with at least one parent, 9 (17%) in long-term guardianship relationships with other relatives, and 9 (17%) adopted. All of the mothers were ordered to complete a drug rehabilitation program; 24 mothers (44%) fully complied and had repeatedly drug-free urine tests; 2 others (4%) had drug-free urine tests after incomplete participation in drug rehabilitation. Twenty-two (42%) of the mothers never complied with drug rehabilitation. Subsequent drug use was evident in less than half of the mothers during the period of study. Only one mother was reported for child abuse. Characteristics that most strongly predicted failure in family reunification were a history of failed drug rehabilitation, previous involvement of Child Protective Services, or previous removal of a child because of substance abuse. AB - CONCLUSION: Identifying and reporting newborns exposed to maternal substance abuse during pregnancy can be associated with beneficial changes in the environment of the infants and successful rehabilitation of many mothers. The use of judicial supervision, rehabilitative and supportive services, and long-term involvement of social services without criminal prosecution are key to successful outcome. This study supports the policy and recommendation of the American Academy of Pediatrics and should lessen health professionals' concerns about negative effects of reporting these patients to Child Protective Services. ES - 1098-4275 IL - 0031-4005 PT - Journal Article LG - English DP - 1997 Nov DC - 19980911 YR - 1997 ED - 19980911 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9346995 <514. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9628046 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kutlenios RM FA - Kutlenios, R M IN - Kutlenios,R M. Department of Nursing, Wheeling Jesuit University, WV 26003, USA. TI - Genetics and alcoholism: implications for advanced practice psychiatric/mental health nursing. [Review] [27 refs] SO - Archives of Psychiatric Nursing. 12(3):154-61, 1998 Jun. AS - Arch Psychiatr Nurs. 12(3):154-61, 1998 Jun. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/ge [Genetics] MH - *Alcoholism/nu [Nursing] MH - Genetic Markers MH - Genetics, Population MH - Humans MH - Molecular Biology MH - Nursing Assessment MH - *Psychiatric Nursing MH - Risk Factors AB - This article uses the research findings on genetics and alcoholism as a basis for nursing practice. Alcoholism is a complex genetic disorder in which multiple genes and the environment interact and contribute to the disease process. Family, twin, and adoption studies have consistently shown the genetic influence on alcoholism. Animal and human studies are identifying biological and genetic markers for alcoholism. The results of these studies should direct nurses in assessing patients at risk, educating patients about the disease and the rationale for selected treatments, referring at-risk individuals to support groups, and using supportive therapy. [References: 27] RN - 0 (Genetic Markers) IS - 0883-9417 IL - 0883-9417 PT - Journal Article PT - Review LG - English DP - 1998 Jun DC - 19980706 YR - 1998 ED - 19980706 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9628046 <515. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9543034 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gafoor M AU - Rassool GH FA - Gafoor, M FA - Rassool, G H IN - Gafoor,M. Addiction Counselling Trust, Aylesbury, England. TI - The co-existence of psychiatric disorders and substance misuse: working with dual diagnosis patients. [Review] [30 refs] SO - Journal of Advanced Nursing. 27(3):497-502, 1998 Mar. AS - J Adv Nurs. 27(3):497-502, 1998 Mar. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Community Mental Health Services MH - Diagnosis, Differential MH - Education, Nursing, Continuing MH - Great Britain MH - Humans MH - *Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/th [Therapy] MH - *Psychiatric Nursing MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/th [Therapy] AB - The co-existence of substance misuse and psychiatric disorders is often referred to by the term 'dual diagnosis'. The health-related problems associated with dual diagnosis has received growing attention by clinicians and researchers alike. Severely mentally ill patients who misuse drugs (prescribed and illicit) or alcohol have complex health and social needs. Mental health nurses have a key role to play in the early recognition and management of this group of patients. This paper examines the nature and extent of dual diagnosis and its implications for mental health nurses. It also addresses treatment strategies that are required to meet the needs of this cohort of patients. [References: 30] IS - 0309-2402 IL - 0309-2402 PT - Journal Article PT - Review LG - English DP - 1998 Mar DC - 19980526 YR - 1998 ED - 19980526 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9543034 <516. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9555435 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rudy SF AU - Wilkinson MA AU - Dropkin MJ AU - Stevens G FA - Rudy, S F FA - Wilkinson, M A FA - Dropkin, M J FA - Stevens, G IN - Rudy,S F. Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA. TI - Otorhinolaryngology nursing research priorities: results of the 1996/1997 SOHN Delphi survey. SO - ORL - Head & Neck Nursing. 16(1):14-20, 1998. AS - ORL Head Neck Nurs. 16(1):14-20, 1998. NJ - ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 9206573, cfr SB - Nursing Journal CP - UNITED STATES MH - Delphi Technique MH - Female MH - Health Priorities MH - Humans MH - *Nursing Research MH - *Otolaryngology MH - *Specialties, Nursing AB - This study was initiated by the Society of Otorhinolaryngology and Head-Neck Nurses, Inc. (SOHN) to establish research priorities for the specialty. Otorhinolaryngology (ORL) Nurses were asked to identify, rate, and rank priorities for ORL nursing research. The survey sample was gleaned from attendees at the 20th Annual SOHN Congress and Nursing Symposium plus a follow-up mailing to active SOHN members who did not attend. A decision-making method, the reactive delphi technique, was employed. Four rounds of soliciting opinions by questionnaires were completed. Data from each round were reviewed and analyzed by three ORL nurse investigators. The respondents were largely actively employed, female SOHN members who were seasoned nurses, experienced in ORL nursing. The majority were Registered Nurses (RN) or held Bachelor of Science (BSN) degrees. They were primarily employed as staff nurses in outpatient settings and working with a general otorhinolaryngology patient population of all ages. The fourteen priorities identified fall in the areas of patient outcomes (three), patient education (three), symptom management (two), patient self-care (two), psychosocial issues (two), and nursing care delivery (two), spanning the practice spectra of all ORL nurse generalists and subspecialists. The top five research priorities identified are; care of neck stomas and related equipment, quality of life in head and neck cancer patients, impact of managed care on ORL nursing care delivery, value of ORL specialty nurses/nursing units, and effective techniques to promote cessation of substance abuse in adolescents. This priority identification provides a baseline for the newly forming SOHN Foundation. IS - 1064-3842 IL - 1064-3842 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1998 DC - 19980501 YR - 1998 ED - 19980501 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9555435 <517. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9476819 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boccoli E AU - Federici A AU - Trianni GL AU - Melani AS FA - Boccoli, E FA - Federici, A FA - Trianni, G L FA - Melani, A S IN - Boccoli,E. Centro per lo Studio e la Prevenzione Oncologica, Firenze, Italy. TI - Changes of smoking habits and beliefs during nurse training: a longitudinal study. SO - European Journal of Epidemiology. 13(8):899-902, 1997 Dec. AS - Eur J Epidemiol. 13(8):899-902, 1997 Dec. NJ - European journal of epidemiology PI - Journal available in: Print PI - Citation processed from: Print JC - ere, 8508062 SB - Index Medicus CP - NETHERLANDS MH - Adolescent MH - Adult MH - Asthma/ep [Epidemiology] MH - *Attitude to Health MH - Bronchitis/ep [Epidemiology] MH - Cohort Studies MH - Coronary Artery Disease/ep [Epidemiology] MH - Education, Nursing MH - Female MH - Health Behavior MH - Health Education MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - Italy/ep [Epidemiology] MH - Longitudinal Studies MH - Lung Neoplasms/ep [Epidemiology] MH - Male MH - Middle Aged MH - Nicotine MH - Nurses/sn [Statistics & Numerical Data] MH - Personnel, Hospital/sn [Statistics & Numerical Data] MH - Prevalence MH - Prospective Studies MH - Recurrence MH - Smoking/ae [Adverse Effects] MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - This prospective cohort study has been performed to evaluate the changes in student nurses smoking habits and beliefs during their training. The source of information was an anonymous questionnaire about tobacco smoking, administered to students who entered the first year of School of Nursing in Florence in 1991-1992, 1992-1993 and 1993-1994. Five hundred and thirty-six (95%) of these student nurses completed the questionnaire. Five hundred and one (93%) of these 536 respondents completed the questionnaire again at the end of the third (final) year of training. Student nurses who smoked increased the average number of cigarettes smoked per day (p < 0.01) and the degree of dependence to nicotine (p < 0.01). Tobacco smoking remained widespread and the percentage of ex-smokers who started smoking again increased (p < 0.05). The knowledge about the health hazards due to tobacco smoking remained generic and the prevalence of current smokers among student nurses and health care workers was overestimated. We conclude that Nursing School does not succeed in reducing the smoking habits of students. Effective antitobacco strategies and smoking cessation services still need be organized in Italy. RN - 6M3C89ZY6R (Nicotine) IS - 0393-2990 IL - 0393-2990 PT - Journal Article LG - English DP - 1997 Dec DC - 19980327 YR - 1997 ED - 19980327 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9476819 <518. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9475121 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olson M FA - Olson, M TI - Understanding addiction. CM - Comment on: J Obstet Gynecol Neonatal Nurs. 1997 Jul-Aug;26(4):441-8; PMID: 9252892 SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 27(1):12, 1998 Jan-Feb. AS - J Obstet Gynecol Neonatal Nurs. 27(1):12, 1998 Jan-Feb. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Education, Nursing MH - Humans MH - Professional-Patient Relations MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/px [Psychology] IS - 0884-2175 IL - 0090-0311 PT - Comment PT - Letter LG - English DP - 1998 Jan-Feb DC - 19980326 YR - 1998 ED - 19980326 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9475121 <519. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9475816 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schmidt IK AU - Claesson CB AU - Westerholm B AU - Nilsson LG FA - Schmidt, I K FA - Claesson, C B FA - Westerholm, B FA - Nilsson, L G IN - Schmidt,I K. National Board of Health and Welfare, Stockholm. TI - Physician and staff assessments of drug interventions and outcomes in Swedish nursing homes. SO - Annals of Pharmacotherapy. 32(1):27-32, 1998 Jan. AS - Ann Pharmacother. 32(1):27-32, 1998 Jan. NJ - The Annals of pharmacotherapy PI - Journal available in: Print PI - Citation processed from: Print JC - bbx, 9203131 SB - Index Medicus CP - UNITED STATES MH - Aged MH - Aged, 80 and over MH - *Drug Utilization MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - *Nurses MH - Nurses' Aides MH - *Nursing Homes MH - Nursing, Practical MH - Patient Care Team MH - *Pharmacists MH - *Physicians MH - *Psychotropic Drugs/tu [Therapeutic Use] MH - Sweden AB - OBJECTIVE: To describe the type and frequency of drug-related problems discussed in regular team meetings conducted in 15 Swedish nursing homes and report physician and staff assessments of these interventions and residents' outcomes. AB - DATA SOURCES AND METHODS: The data were collected within the context of a controlled trial with the primary aim of exploring the effects of regular team interventions on drug prescribing practices in Swedish nursing homes. In 15 experimental nursing homes, the residents' drug therapy was discussed regularly by a team consisting of a pharmacist, a physician, nurses, undernurses (similar to licensed practical nurses), and nurse's aides. The pharmacist documented problems, made changes, and observed outcomes. Following the intervention period, a questionnaire was sent to the medical staff that contained items regarding perceived outcomes, the intervention's impact on knowledge of drug therapy in the elderly, and attitudes toward the pharmacist's role. AB - RESULTS: Unclear indication and problematic choice of drugs were the most common drug-related problems discussed. In 19% of the situations, therapy changes were reported to have had a beneficial effect on the residents' clinical status; in 47% of the situations, staff reported no observable outcome from changes, suggesting that the changes had been appropriate. Finally, medical staff claimed in the follow-up survey that their knowledge about drug therapy had increased; they expressed an overall positive attitude toward this interactive collaboration. AB - CONCLUSIONS: Regular intervention conducted by a multidisciplinary team incorporating a pharmacist can effectively improve prescribing practices, increase staff knowledge about appropriate drug therapy in the elderly, and result in improved quality of care for nursing home residents. RN - 0 (Psychotropic Drugs) IS - 1060-0280 IL - 1060-0280 PT - Case Reports PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 1998 Jan DC - 19980311 YR - 1998 ED - 19980311 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9475816 <520. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9456542 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fraser AD FA - Fraser, A D IN - Fraser,A D. Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada. adfraser@is.dal.ca TI - Urine drug testing for social service agencies in Nova Scotia, Canada. SO - Journal of Forensic Sciences. 43(1):194-6, 1998 Jan. AS - J Forensic Sci. 43(1):194-6, 1998 Jan. NJ - Journal of forensic sciences PI - Journal available in: Print PI - Citation processed from: Print JC - i5z, 0375370 SB - Index Medicus CP - UNITED STATES MH - Benzodiazepines/ur [Urine] MH - Cannabinoids/ur [Urine] MH - Cocaine/ur [Urine] MH - Codeine/ur [Urine] MH - Ethanol/ur [Urine] MH - Gas Chromatography-Mass Spectrometry MH - Humans MH - Immunoassay MH - Morphine/ur [Urine] MH - Nova Scotia/ep [Epidemiology] MH - Prevalence MH - *Social Work MH - *Street Drugs/ur [Urine] MH - *Substance Abuse Detection/mt [Methods] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/ur [Urine] MH - *Urinalysis/mt [Methods] AB - In Nova Scotia Canada, governmental authorities expressed concern in the late 1980s about the adverse effects of drug use by parents on the welfare of their children. Since 1991, parents with a history of drug abuse may be required to submit to urine drug and alcohol testing when ordered by the Family Courts of this province. The objective of this paper is to present this drug testing program and the results of drug testing on 125 clients from 1994-1996. Urine specimens were collected in the parents' residence by a nurse and transferred directly to the laboratory by the collector or a courier. Specimens were screened by immunoassay and TLC followed by GC-MS confirmation. Results were sent directly to the social worker. In the 3,613 urine specimens analyzed, 50.2% of specimens were negative, 45.6% were positive for one or more drug/metabolite and 4.2% of specimens were dilute (creatinine < 25 mg/dL). The distribution of positive results were: cannabinoids (11.5%), cocaine metabolite (5.0%), benzodiazepines (14.5%), codeine/morphine (7.1%), codeine (6.6%), diphenhydramine (2.2%) and ethyl alcohol (1.6%). Drug testing has been considered a success by these agencies since testing provides an objective indication of recent drug use and the overall prevalence of drug use in this drug abusing population has reduced from 100% to < 50%. RN - 0 (Cannabinoids) RN - 0 (Street Drugs) RN - 12794-10-4 (Benzodiazepines) RN - 3K9958V90M (Ethanol) RN - 76I7G6D29C (Morphine) RN - I5Y540LHVR (Cocaine) RN - Q830PW7520 (Codeine) IS - 0022-1198 IL - 0022-1198 PT - Journal Article LG - English DP - 1998 Jan DC - 19980309 YR - 1998 ED - 19980309 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9456542 <521. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9444217 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harvey T AU - Taplin S FA - Harvey, T FA - Taplin, S IN - Harvey,T. Western Sydney Drug and Alcohol Services. TI - Alcohol and other drug issues. SO - Lamp. 54(10):28, 1997 Nov. AS - LAMP. 54(10):28, 1997 Nov. NJ - The Lamp PI - Journal available in: Print PI - Citation processed from: Print JC - 0015376 SB - Nursing Journal CP - AUSTRALIA MH - Clinical Competence MH - *Education, Nursing/og [Organization & Administration] MH - *Health Planning MH - Humans MH - New South Wales MH - *Rural Health MH - *Substance-Related Disorders/nu [Nursing] IS - 0047-3936 PT - Journal Article LG - English DP - 1997 Nov DC - 19980129 YR - 1997 ED - 19980129 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9444217 <522. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9399275 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Riddell A AU - Fitch MI FA - Riddell, A FA - Fitch, M I IN - Riddell,A. Princess Margaret Hospital, Toronto, Ontario, Canada. TI - Patients' knowledge of and attitudes toward the management of cancer pain. SO - Oncology Nursing Forum. 24(10):1775-84, 1997 Nov-Dec. AS - Oncol Nurs Forum. 24(10):1775-84, 1997 Nov-Dec. NJ - Oncology nursing forum PI - Journal available in: Print PI - Citation processed from: Print JC - 7809033, pad SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - Canada MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - *Neoplasms/co [Complications] MH - Neoplasms/nu [Nursing] MH - *Pain/et [Etiology] MH - Pain/nu [Nursing] MH - *Pain/pc [Prevention & Control] MH - Patient Satisfaction MH - Severity of Illness Index AB - PURPOSE/OBJECTIVES: To examine patients' knowledge of and attitudes toward the management of cancer pain and to identify, from the patients' perspectives, factors contributing to effective and ineffective pain relief. AB - DESIGN: Descriptive, correlational. AB - SETTING: Ambulatory care oncology facility in Canada. AB - SAMPLE: Convenience sample of 42 patients receiving oral pain medication for chronic cancer-related pain. AB - METHODS: Participants completed a modified version of the Patient Pain Questionnaire and a demographic questionnaire and responded to two open-ended questions. AB - MAIN RESEARCH VARIABLES: Patients' knowledge of and attitudes toward cancer pain management and their perceptions of factors contributing to effective and ineffective pain relief. AB - FINDINGS: Many patients locked knowledge of the principles involved in effective cancer pain management and had unrealistic concerns about taking pain medications. Significant negative relationships were found between pain intensity ratings and factors such as patients' knowledge of pain management, their level of satisfaction with pain relief, and their perception of the goal of pain management. Patients identified a number of impediments to effective pain relief, including concerns about addiction and various side effects to pain medications. AB - CONCLUSIONS: Many patients have inadequate knowledge about the management of cancers pain and have unrealistic concerns about taking pain medications, both of which have been identified in the literature as barriers to effective cancer pain management. AB - IMPLICATIONS FOR NURSING PRACTICE: A need exists for patient education that addresses patients' misconceptions and concerns about using pain medications and the principles involved in effective cancer pain management. IS - 0190-535X IL - 0190-535X PT - Journal Article LG - English DP - 1997 Nov-Dec DC - 19980123 YR - 1997 ED - 19980123 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9399275 <523. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9395984 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Calleri PP FA - Calleri, P P IN - Calleri,P P. Chemical Dependency Unit, Columbus Community Health Center, Division of Buffalo General Hospital, NY, USA. TI - Use of analogy to educate clients about the roles of neurotransmitters in addictions. SO - Journal of Psychosocial Nursing & Mental Health Services. 35(11):14-7, 1997 Nov. AS - J Psychosoc Nurs Ment Health Serv. 35(11):14-7, 1997 Nov. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Brain/pp [Physiopathology] MH - Humans MH - *Neurotransmitter Agents/ph [Physiology] MH - Nurse-Patient Relations MH - *Patient Education as Topic MH - Receptors, Neurotransmitter/ph [Physiology] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pp [Physiopathology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - 1 The professional nurse who practices within the field of addictions is in an ideal position to serve as an educational conduit and catalyst for promoting understanding of the addictive process. 2 Historically, the use of analogy as a teaching device can be seen in the readings of the Bible to as far back as Plato. 3 The client's level of functioning must be assessed by the professional nurse so that any educational approach or intervention will be designed to meet the appropriate level of the client. RN - 0 (Neurotransmitter Agents) RN - 0 (Receptors, Neurotransmitter) IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1997 Nov DC - 19980112 YR - 1997 ED - 19980112 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9395984 <524. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9399374 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wancata J AU - Benda N AU - Meise U AU - Muller C FA - Wancata, J FA - Benda, N FA - Meise, U FA - Muller, C IN - Wancata,J. Department of Psychiatry, University of Vienna, Austria. TI - Psychotropic drug intake in residents newly admitted to nursing homes. SO - Psychopharmacology. 134(2):115-20, 1997 Nov. AS - Psychopharmacology (Berl). 134(2):115-20, 1997 Nov. NJ - Psychopharmacology PI - Journal available in: Print PI - Citation processed from: Print JC - qgi, 7608025 SB - Index Medicus CP - GERMANY MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Austria MH - Drug Utilization MH - Female MH - Humans MH - Male MH - Mental Disorders/dt [Drug Therapy] MH - Middle Aged MH - *Nursing Homes MH - *Psychotropic Drugs MH - Rural Population MH - Sex Factors MH - Sleep Wake Disorders/dt [Drug Therapy] MH - Urban Population AB - While several surveys have shown that psychotropic drugs are frequently used by nursing home residents, no studies have been performed to investigate whether the rates of drug use increase during the stay in nursing homes or whether residents have taken these drugs already before admission. Therefore, we investigated 262 residents admitted to rural and urban nursing homes in Austria for prevalence of psychotropic drug intake before admission, shortly after admission, and 6 months later. Two weeks after admission, 72.1% of the residents were being treated with psychotropics, while 6 months later 79.0% were receiving these drugs. The significantly higher rates of psychotropic drug use among the psychiatrically ill and in those suffering from sleeping problems suggest that these drugs were prescribed aptly, but residents without appropriate criteria for drug intake were often also treated with psychotropics. During 3 months before admission to nursing homes, 45.5% of the sample reported having taken psychotropics. In more than half of residents without drug intake before admission, psychotropic treatment was initiated within the first 2 weeks after admission, while during the first 6 months after admission the rate of drug use increased only slightly. This suggests that a large percentage of psychotropic intake is due to nursing home orders. RN - 0 (Psychotropic Drugs) IS - 0033-3158 IL - 0033-3158 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1997 Nov DC - 19980109 YR - 1997 ED - 19980109 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9399374 <525. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9407897 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown C AU - Pirmohamed M AU - Park BK FA - Brown, C FA - Pirmohamed, M FA - Park, B K IN - Brown,C. Department of Pharmacology, University of Liverpool. TI - Nurses' confidence in caring for patients with alcohol-related problems. SO - Professional Nurse. 13(2):83-6, 1997 Nov. AS - Prof Nurse. 13(2):83-6, 1997 Nov. NJ - Professional nurse (London, England) PI - Journal available in: Print PI - Citation processed from: Print JC - 8612884, pzx SB - Nursing Journal CP - ENGLAND MH - *Alcohol-Related Disorders/nu [Nursing] MH - Attitude of Health Personnel MH - Clinical Competence MH - Great Britain MH - Hospitals, General MH - Humans MH - *Nursing Staff, Hospital/px [Psychology] MH - Surveys and Questionnaires AB - General nurses lack confidence and experience in caring for patients with alcohol-related problems. There is a need for better basic training and continuing education for nurses on alcohol issues. A specialist alcohol nurse could help support patients and staff. IS - 0266-8130 IL - 0266-8130 PT - Journal Article LG - English DP - 1997 Nov DC - 19971231 YR - 1997 ED - 19971231 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9407897 <526. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9393023 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bunce C FA - Bunce, C TI - Addiction. The vice of fame. [Review] [5 refs] SO - Nursing Times. 93(44):30-2, 1997 Oct 29-Nov 4. AS - Nurs Times. 93(44):30-2, 1997 Oct 29-Nov 4. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Crime MH - Education, Nursing MH - Humans MH - *Mass Media MH - Models, Psychological MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - *Truth Disclosure IS - 0954-7762 IL - 0954-7762 PT - Journal Article PT - Review LG - English DP - 1997 Oct 29-Nov 4 DC - 19971218 YR - 1997 ED - 19971218 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9393023 <527. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9365794 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Markey BT AU - Stone JB FA - Markey, B T FA - Stone, J B IN - Markey,B T. Department of Nursing, Bloomsburg University, PA, USA. TI - An alcohol and drug education program for nurses. SO - AORN Journal. 66(5):845-53, 1997 Nov. AS - AORN J. 66(5):845-53, 1997 Nov. NJ - AORN journal PI - Journal available in: Print PI - Citation processed from: Print JC - 6jr, 0372403 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - *Curriculum MH - *Education, Nursing, Continuing MH - Humans MH - Pennsylvania MH - Staff Development MH - *Substance-Related Disorders MH - Teaching/mt [Methods] AB - Alcohol and drug use and abuse present serious problems for health care professionals, both as clinicians and abusers. These topics, however, have not been addressed adequately in nursing curricula. Nurses need to know the effects that alcohol and drug use and abuse have on individuals, families, and society. In this article, the authors outline the framework for a course or presentation that reviews the problems and applies the nursing process to the issues. The course can be adapted to meet the needs of nurses in any discipline, including the perioperative area, as well as for other health care providers and community groups. Course content and teaching strategies are included. IS - 0001-2092 IL - 0001-2092 PT - Journal Article LG - English DP - 1997 Nov DC - 19971216 YR - 1997 ED - 19971216 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9365794 <528. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9355268 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sander W FA - Sander, W TI - Protocol for intervention and treatment of alcohol withdrawal. SO - AXON. 19(1):10-3, 1997 Sep. AS - AXON. 19(1):10-3, 1997 Sep. NJ - Axone (Dartmouth, N.S.) PI - Journal available in: Print PI - Citation processed from: Print JC - 8804393 SB - Nursing Journal CP - CANADA MH - Aged MH - Clinical Protocols MH - *Ethanol/ae [Adverse Effects] MH - Hospital Units MH - Humans MH - Length of Stay MH - Male MH - Nursing Assessment MH - Orthopedic Nursing MH - Quality of Health Care MH - Substance Withdrawal Syndrome/di [Diagnosis] MH - *Substance Withdrawal Syndrome/nu [Nursing] MH - *Total Quality Management AB - The incidence of alcohol dependence/abuse in patients of a general health care facility is 35-50%. The diagnosis and treatment of patients experiencing or at risk of alcohol withdrawal is problematic. The admitting diagnosis is usually another medical condition, illness or injury. Signs and symptoms of alcohol withdrawal is complicated by pre-existing conditions. In an attempt to improve the quality of care, decrease the length of stay of these patients, and decrease demands on nursing staff, a protocol for intervention and treatment of alcohol withdrawal was developed on the orthopedic ward of Royal University Hospital. The protocol enables each nurse to assess. Intervene and initiate the proper referrals. The recognized tool of assessment used to identify at risk patients is the CAGE questionnaire. The Clinical Institute WithDrawal Assessment for Alcohol scale is used to determine when it is appropriate to use Benzodiazepines. General nursing considerations are addressed through a pre-printed care plan. Nurses refer to social work, Alcoholics Anonymous and make use of available resource material. The protocol enables nurses to provide safe and effective care with few associated costs. Except for mass immunization, there is no other single intervention in health care that has the same far reaching consequences (Sullivan, 1995). RN - 3K9958V90M (Ethanol) IS - 0834-7824 IL - 0834-7824 PT - Case Reports PT - Journal Article LG - English DP - 1997 Sep DC - 19971211 YR - 1997 ED - 19971211 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9355268 <529. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9348834 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Graham AV AU - Christy K AU - Emmitt-Myers S AU - Zyzanski S FA - Graham, A V FA - Christy, K FA - Emmitt-Myers, S FA - Zyzanski, S IN - Graham,A V. Department of Family Medicine, Case Western Reserve University, Cleveland, OH 44106-5036, USA. TI - Substance abuse education for clinical nurses: a controlled study. SO - Journal of Continuing Education in Nursing. 28(5):217-22, 1997 Sep-Oct. AS - J Contin Educ Nurs. 28(5):217-22, 1997 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Clinical Competence/st [Standards] MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurse Clinicians/ed [Education] MH - *Nursing Staff, Hospital/ed [Education] MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] AB - BACKGROUND: A study was conducted to evaluate a substance abuse component of a workshop for nurses being promoted to the position of Advanced Clinical Nurse. AB - METHODS: We compared whether the 88 nurses who received the educational intervention increased their knowledge and enhanced their feelings of competence regarding the care of chemically dependent patients more than a control group of nurses who received the promotion workshop without the substance abuse component. AB - RESULTS: The nurses in the intervention group had greater increases in knowledge and competence. AB - CONCLUSIONS: This study points out the importance of providing hospital nurses with continuing education on substance abuse to compensate for their educational deficiencies, to provide the information they need and desire, and to help them meet the ANA's practice standards. IS - 0022-0124 IL - 0022-0124 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - AA07520 (United States NIAAA NIH HHS) LG - English DP - 1997 Sep-Oct DC - 19971211 YR - 1997 ED - 19971211 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9348834 <530. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9348833 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pullen LM AU - Green LA FA - Pullen, L M FA - Green, L A IN - Pullen,L M. University of Tennessee, Knoxville 37922, USA. TI - Identification, intervention and education: essential curriculum components for chemical dependency in nurses. [Review] [30 refs] SO - Journal of Continuing Education in Nursing. 28(5):211-6, 1997 Sep-Oct. AS - J Contin Educ Nurs. 28(5):211-6, 1997 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Continuing/mt [Methods] MH - Humans MH - *Nursing Staff/ed [Education] MH - Nursing Staff/px [Psychology] MH - *Peer Group MH - Professional Impairment/px [Psychology] MH - *Professional Impairment MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] AB - BACKGROUND: A documented need exists for continuing education in the area of chemical dependency as it relates not only to patient care, but also to nurses who are susceptible to addiction. This is significant due to the fact that nurses are at risk for chemical dependency and many nurse peers are unable to recognize the signs of chemical dependency and therefore unable to actively intervene. AB - CONCLUSION: According to the literature, which includes current research, nurses lack knowledge regarding specific risk factors, symptoms of chemical dependency in peers, and steps for intervention. In addition, the literature revealed that nursing curricula allot little time to chemical dependency issues. The results of a small-scale learning needs assessment support this literature finding. Continuing education courses can effectively educate nurses to be able to identify their own susceptibility and those of chemically dependent peers, intervene appropriately, and begin the healing process for the impaired nurse. This article outlines a curriculum and additional resources to address the learning needs of nurses related to chemical dependency. [References: 30] IS - 0022-0124 IL - 0022-0124 PT - Journal Article PT - Review LG - English DP - 1997 Sep-Oct DC - 19971211 YR - 1997 ED - 19971211 RD - 20130520 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9348833 <531. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9350453 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vanelli M AU - Chiari G AU - Adinolfi B AU - Street ME AU - Capuano C AU - Nizzia P AU - Terzi C FA - Vanelli, M FA - Chiari, G FA - Adinolfi, B FA - Street, M E FA - Capuano, C FA - Nizzia, P FA - Terzi, C IN - Vanelli,M. Department of Paediatrics, University of Parma, Italy. vanelli@IPRUNIV.CCE.UNIPR.IT TI - Management of insulin-dependent diabetes mellitus in adolescents. [Review] [12 refs] SO - Hormone Research. 48 Suppl 4:71-5, 1997. AS - Horm Res. 48 Suppl 4:71-5, 1997. NJ - Hormone research PI - Journal available in: Print PI - Citation processed from: Print JC - gbi, 0366126 SB - Index Medicus CP - SWITZERLAND MH - Adolescent MH - Adult MH - Alcohol Drinking MH - Blood Glucose/me [Metabolism] MH - Diabetes Mellitus, Type 1/pp [Physiopathology] MH - Diabetes Mellitus, Type 1/rh [Rehabilitation] MH - *Diabetes Mellitus, Type 1/th [Therapy] MH - Female MH - Humans MH - *Insulin/tu [Therapeutic Use] MH - Male MH - Patient Care Team MH - Patient Compliance MH - Puberty MH - Sex Factors MH - Smoking MH - Substance-Related Disorders AB - There are many reasons for a specific management plan for adolescents with insulin-dependent diabetes mellitus (IDDM). Although most new patients can be managed initially on an outpatient basis, as they reach their teenage years, blood glucose control deteriorates and insulin requirements increase. Eating disorders, missing insulin injections, excess of alcohol all contribute to poor glycaemic control. Teenagers who have had diabetes for a number of years may have developed microvascular complications and disturbances of growth can occur, more often in girls than in boys. The transition to adult care continues to be a significant problem both for paediatricians and patients. Diabetes management during adolescence requires a team effort involving nurse educator, dietitian, paediatric diabetologist and, possibly, a social worker, with referral to specialists if necessary. Organizing this type of care requires a Regional Paediatric Diabetes Centre. [References: 12] RN - 0 (Blood Glucose) RN - 0 (Insulin) IS - 0301-0163 IL - 0301-0163 PT - Journal Article PT - Review LG - English DP - 1997 DC - 19971209 YR - 1997 ED - 19971209 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9350453 <532. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9384008 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arthur D FA - Arthur, D IN - Arthur,D. Department of Health Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong. HSARTHUR@POLYU.EDU.HK TI - Alcohol early intervention: a nursing model for screening and intervention strategies. SO - Australian New Zealand Journal of Mental Health Nursing. 6(3):93-101, 1997 Sep. AS - Aust N Z J Ment Health Nurs. 6(3):93-101, 1997 Sep. NJ - The Australian and New Zealand journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9442872 SB - Nursing Journal CP - AUSTRALIA MH - *Alcoholism/pc [Prevention & Control] MH - Australia MH - Curriculum MH - Education, Nursing MH - Humans MH - *Mass Screening/mt [Methods] MH - *Models, Nursing MH - *Nursing Assessment/mt [Methods] MH - Practice Guidelines as Topic MH - *Psychotherapy, Brief/mt [Methods] AB - This paper presents the background policy directions in Australia that are encouraging nurses to initiate alcohol early intervention strategies. The current clinical initiatives that are supporting screening and early intervention strategies are critically reviewed and presented in the form of an Alcohol Early Intervention Model to guide nursing practice. The model is compatible with current directions in nursing which encourage more independent, empowering and educationally focused strategies. This model also provides direction for undergraduate and graduate nursing curricula and offers opportunities for future research. IS - 1324-3780 IL - 1324-3780 PT - Journal Article LG - English DP - 1997 Sep DC - 19971204 YR - 1997 ED - 19971204 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9384008 <533. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9361574 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ockene JK AU - Wheeler EV AU - Adams A AU - Hurley TG AU - Hebert J FA - Ockene, J K FA - Wheeler, E V FA - Adams, A FA - Hurley, T G FA - Hebert, J IN - Ockene,J K. Division of Preventive and Behavioral Medicine, University of Massachusetts Medical Center, Worcester, USA. TI - Provider training for patient-centered alcohol counseling in a primary care setting. SO - Archives of Internal Medicine. 157(20):2334-41, 1997 Nov 10. AS - Arch Intern Med. 157(20):2334-41, 1997 Nov 10. NJ - Archives of internal medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0372440, 7fs SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Alcohol Drinking MH - Ambulatory Care MH - *Counseling MH - *Education, Medical, Continuing MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Nurse Practitioners/ed [Education] MH - *Patient Education as Topic MH - *Patient-Centered Care AB - OBJECTIVE: To assess the impact of a brief training program on primary care providers' skills, attitudes, and knowledge regarding high-risk and problem drinking. AB - DESIGN: Training plus pretesting and posttesting for program efficacy. AB - SETTING: Ambulatory primary care clinic; academic medical center. AB - PARTICIPANTS: Fourteen attending physicians, 12 residents, and 5 nurse practitioners were randomized by clinical team affiliation to a Special Intervention or usual care condition of a larger study. We report the results of the training program for the Special Intervention providers. AB - INTERVENTION: Providers received a 2-hour group training session plus a 10- to 20-minute individual tutorial session 2 to 6 weeks after the group session. The training focused on teaching providers how to perform patient-centered counseling for high-risk and problem drinkers. AB - MAIN OUTCOME MEASURES: Alcohol counseling skills; attitudes regarding preparedness to intervene and perceived importance and usefulness of intervening with high-risk and problem drinkers; and knowledge of the nature, prevalence, and appropriate treatment of alcohol abuse in primary care populations. AB - RESULTS: After training, providers scored significantly higher on measures of counseling skills, preparedness to intervene, perceived usefulness and importance of intervening, and knowledge. AB - CONCLUSION: A group training program plus brief individual feedback can significantly improve primary care providers' counseling skills, attitudes, and knowledge regarding high-risk and problem drinkers. IS - 0003-9926 IL - 0003-9926 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - R01-AA09153-01A1 (United States NIAAA NIH HHS) LG - English DP - 1997 Nov 10 DC - 19971125 YR - 1997 ED - 19971125 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9361574 <534. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9342920 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Littman PS AU - Ritterbusch J FA - Littman, P S FA - Ritterbusch, J IN - Littman,P S. Center for Health Policy and Program Evaluation, University of Wisconsin, Madison, USA. TI - Tried, true, and new: public health nursing in a county substance abuse treatment system. SO - Public Health Nursing. 14(5):286-92, 1997 Oct. AS - Public Health Nurs. 14(5):286-92, 1997 Oct. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Child, Preschool MH - Female MH - Health Plan Implementation MH - Humans MH - Infant MH - Interprofessional Relations MH - Models, Nursing MH - Pregnancy MH - Program Evaluation MH - *Public Health Nursing MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Wisconsin AB - The Milwaukee Target Cities (MTC) project was the only site within 19 federally funded Target Cities programs to feature a public health nursing model as its sole means of providing comprehensive health-related services to indigent substance abuse clients. We first describe MTC's implementation process, focusing on the public health nursing component, and then present a program evaluation section with selected findings from the ongoing qualitative evaluation. Initially, misunderstandings about the nurses' community-based, family-centered strategy of assuring access to health care through cross-system service linkage dogged the nurses' efforts to explain their roles and mission to federal funders, project management, coworkers, and treatment providers. In the end, after federal funding ended, public health nursing left an enduring legacy of partnerships in the county substance abuse treatment system: education about public health nursing, networking, referral processes, and resources to meet the complex health-related needs of indigent substance abusers. Despite the project's many changes, the nurses (a) became specialists in substance abuse, gaining expertise and recognition in a new community, particularly with isolated subpopulations; (b) assured substance abuse clients and their families access to health-related resources through core public health nursing skills; and (c) educated project staff, administrators, providers, and clients about public health nursing. IS - 0737-1209 IL - 0737-1209 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - TI00019 (United States CSAT SAMHSA HHS) LG - English DP - 1997 Oct DC - 19971125 YR - 1997 ED - 19971125 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9342920 <535. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9382665 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bootman JL AU - Harrison DL AU - Cox E FA - Bootman, J L FA - Harrison, D L FA - Cox, E IN - Bootman,J L. Department of Pharmacy Practice and Science, College of Pharmacy, University of Arizona, Tucson, USA. TI - The health care cost of drug-related morbidity and mortality in nursing facilities. SO - Archives of Internal Medicine. 157(18):2089-96, 1997 Oct 13. AS - Arch Intern Med. 157(18):2089-96, 1997 Oct 13. NJ - Archives of internal medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0372440, 7fs SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Cost of Illness MH - *Drug-Related Side Effects and Adverse Reactions MH - Humans MH - *Iatrogenic Disease/ep [Epidemiology] MH - Models, Statistical MH - *Nursing Homes/ec [Economics] MH - Pharmacists MH - Referral and Consultation/ec [Economics] MH - United States/ep [Epidemiology] AB - BACKGROUND: Preventable drug-related morbidity and mortality within nursing facilities represent a serious problem urgently requiring expert medical attention. The health care costs of drug-related problems can be both immense and avoidable. However, the research to date has been narrow in scope, focusing on the drug costs avoided and failing to consider the wider range of possible negative outcomes and potential drug-related problems. AB - OBJECTIVES: To develop a model of therapeutic outcomes resulting from drug therapy within nursing facilities, to estimate the magnitude of the cost of drug-related morbidity and mortality within nursing facilities in the United States, and to assess the impact of pharmacist-conducted, federally mandated, monthly, retrospective review of nursing facility residents' drug regimens in reducing the cost of drug-related morbidity and mortality. AB - METHODS: Using decision analysis techniques, a probability pathway model was developed to estimate the cost of drug-related problems within nursing facilities. An expert panel consisting of consultant pharmacists and physicians with practice experience in nursing facilities and geriatric care was surveyed to determine conditional probabilities of therapeutic outcomes attributable to drug therapy. Health care utilization and associated costs derived from negative therapeutic outcomes were estimated. AB - RESULTS: Baseline estimates indicate that the cost of drug-related morbidity and mortality with the services of consultant pharmacists was $4 billion compared with $7.6 billion without the services of consultant pharmacists. AB - CONCLUSIONS: Drug-related morbidity and mortality in nursing facilities represent a serious economic problem. For every dollar spent on drugs in nursing facilities, $1.33 in health care resources are consumed in the treatment of drug-related problems. With the current federally mandated drug regimen review, it is estimated that consultant pharmacists help to reduce health care resources attributed to drug-related problems in nursing facilities by $3.6 million. IS - 0003-9926 IL - 0003-9926 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1997 Oct 13 DC - 19971110 YR - 1997 ED - 19971110 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9382665 <536. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9378872 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olsen DP FA - Olsen, D P IN - Olsen,D P. Yale University School of Nursing, New Haven, CT 06536-0740, USA. TI - When the patient causes the problem: the effect of patient responsibility on the nurse-patient relationship. SO - Journal of Advanced Nursing. 26(3):515-22, 1997 Sep. AS - J Adv Nurs. 26(3):515-22, 1997 Sep. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l OI - Source: KIE. 113045 OI - Source: NRCBL. VF 8.1 SB - Bioethics Journals SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Adult MH - Alcoholism MH - *Attitude of Health Personnel MH - Cocaine-Related Disorders MH - Empathy MH - *Ethics, Nursing MH - Female MH - Homosexuality, Male MH - Humans MH - Male MH - Middle Aged MH - *Nurse-Patient Relations MH - United States KW - Empirical Approach; Professional Patient Relationship AB - A positive connection to the patient as a person within a nurse-patient relationship provides the context for ethical treatment. The relationship characterized by caring concern for the patient is also a clinically effective resource. Ethical analysis shows that a nurse's caring and other health care resources should not be allocated based on the degree to which the patient is responsible for the clinical condition. Interviews were conducted with 51 nursing students and nurses about their feelings toward hypothetical patients. The theme of 'patient responsibility for causing the clinical problem affecting the nurse-patient relationship' was identified and responses were categorized according to how the theme was illustrated. The categorization of the responses was validated by two nurse experts. When asked to briefly compare reactions to the vignettes 25 (49%) of the participants connected their feelings towards the patient with their perception of the patient's responsibility. NT - 55 refs. NT - KIE Bib: professional patient relationship IS - 0309-2402 IL - 0309-2402 PT - Journal Article LG - English DP - 1997 Sep DC - 19971110 YR - 1997 ED - 19971110 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9378872 <537. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9303256 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lebovits AH AU - Florence I AU - Bathina R AU - Hunko V AU - Fox MT AU - Bramble CY FA - Lebovits, A H FA - Florence, I FA - Bathina, R FA - Hunko, V FA - Fox, M T FA - Bramble, C Y IN - Lebovits,A H. Department of Anesthesiology, New York University Medical Center, New York 10016, USA. TI - Pain knowledge and attitudes of healthcare providers: practice characteristic differences. SO - Clinical Journal of Pain. 13(3):237-43, 1997 Sep. AS - Clin J Pain. 13(3):237-43, 1997 Sep. NJ - The Clinical journal of pain PI - Journal available in: Print PI - Citation processed from: Print JC - beg, 8507389 SB - Index Medicus CP - UNITED STATES MH - *Attitude of Health Personnel MH - Hospitals MH - Humans MH - Nurses MH - *Pain/px [Psychology] MH - *Pain Management MH - Pharmacists MH - Physicians MH - Professional Practice MH - Students, Medical MH - Students, Nursing MH - Surveys and Questionnaires AB - OBJECTIVE: To evaluate the knowledge and attitudes of different healthcare professionals regarding pain issues such as addiction, the assessment of pain, scheduling, use of analgesics, and pediatric pain. Additionally, to determine whether differences exist based on hospital setting, years of service, clinical practice area, and country of origin. AB - DESIGN: A total of 686 nurses, physicians, pharmacists, and medical/nursing students from three hospitals completed a 17-item survey evaluating knowledge and beliefs about pain. AB - SETTING: The three hospital settings were a large city hospital, a private community hospital, and a state medical school-based hospital. AB - RESULTS: The overall percentage "correct" score was only 56%. Physicians scored significantly higher, and pharmacists scored significantly lower than other groups. Nurses scored significantly less concordantly than physicians on 11 of the 17 items. Those identifying anesthesiology as their clinical practice area scored significantly higher than all other areas, whereas those practicing within medicine demonstrated significantly more "correct" scores than those in surgery. City hospital respondents scored significantly lower than professionals practicing in the other two hospitals; non-U.S. country of origin professionals scored significantly lower than U.S. country of origin healthcare professionals. There were no significant differences based on postgraduate years of practice. AB - CONCLUSIONS: Significant knowledge deficits regarding currently accepted principles of pain management practice as well as beliefs that could interfere with optimal care, mandate a need for educational interventions. Significant differences by profession, clinical practice area, and hospital setting reflect populations to be targeted for interventions. Unwarranted fear of addiction is a misunderstood and important concept that needs to be addressed. IS - 0749-8047 IL - 0749-8047 PT - Journal Article LG - English DP - 1997 Sep DC - 19971106 YR - 1997 ED - 19971106 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9303256 <538. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9329477 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Borson S AU - Loebel JP AU - Kitchell M AU - Domoto S AU - Hyde T FA - Borson, S FA - Loebel, J P FA - Kitchell, M FA - Domoto, S FA - Hyde, T IN - Borson,S. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA. TI - Psychiatric assessments of nursing home residents under OBRA-87: should PASARR be reformed? Pre-Admission Screening and Annual Review. SO - Journal of the American Geriatrics Society. 45(10):1173-81, 1997 Oct. AS - J Am Geriatr Soc. 45(10):1173-81, 1997 Oct. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - UNITED STATES MH - Adult MH - Aged MH - Cross-Sectional Studies MH - Female MH - *Geriatric Assessment MH - Health Care Reform/lj [Legislation & Jurisprudence] MH - Health Services Needs and Demand MH - Humans MH - Male MH - Medicare/lj [Legislation & Jurisprudence] MH - *Mental Disorders/pc [Prevention & Control] MH - Mental Status Schedule MH - Middle Aged MH - *Nursing Homes/lj [Legislation & Jurisprudence] MH - *Patient Admission/st [Standards] MH - Psychiatric Status Rating Scales MH - *Referral and Consultation/lj [Legislation & Jurisprudence] MH - Reproducibility of Results MH - United States MH - Washington AB - OBJECTIVE: As part of nursing home practice reforms, OBRA-87 mandates formal psychiatric assessments (PASARR) of nursing home residents suspected of having mental disorders, a responsibility it delegates individually to states. We describe the initial year of implementation of the PASARR process in King County, Washington, and characterize the mental disorders and mental health services needs of nursing home residents referred for psychiatric screening. AB - DESIGN: Cross-sectional study. AB - SETTING: The 54 Medicare-certified King County nursing homes (total beds = 7013). AB - PARTICIPANTS: All patients referred for psychiatric evaluation under PASARR (n = 510). AB - MEASUREMENTS: A systematic, multidimensional evaluation including a semistructured psychiatric diagnostic examination, validated measures of cognitive dysfunction, depression, and global psychopathology, functional variables relevant to need for nursing home care, and selected mental health services indicators. AB - RESULTS: Fewer than 10% of all nursing home residents were referred for psychiatric evaluation. A primary mental illness, evenly divided between psychoses and mood disorders, was found in 60% of the sample, and a psychiatric disorder associated with dementia or mental retardation was found in 25%. Six percent had complex neuropsychiatric features defying classification, and 4% had no mental disorder. Other disorders, such as substance abuse, were rare. Cognitive impairment and global psychopathology were prevalent in all diagnostic groups, and depressive symptoms were common even in patients without affective diagnoses. Eighty-eight percent of the sample were appropriately placed, based on their needs for daily care. Fifty-five percent had unmet mental health services needs. AB - CONCLUSIONS: The PASARR referral process detected a group of seriously mentally ill, functionally disabled patients, most of whom required the level of care that nursing homes provide. Depressed and psychiatrically impaired dementia patients were underrepresented in the referral pool as measured against widely accepted prevalence figures for mental disorders in nursing home populations. The PASARR process as currently configured appears to be most efficient in identifying schizophrenic patients, who represent a small minority of nursing home residents, and the skewed sample it generates fails to provide an adequate basis for estimating overall mental health services needed in nursing homes. The PASARR process should be altered to improve referral rates for depressed and behaviorally disturbed dementia patients. IS - 0002-8614 IL - 0002-8614 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - P50 AG 05136 (United States NIA NIH HHS) LG - English DP - 1997 Oct DC - 19971031 YR - 1997 ED - 19971031 RD - 20080310 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9329477 <539. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9283927 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oslin DW AU - Streim JE AU - Parmelee P AU - Boyce AA AU - Katz IR FA - Oslin, D W FA - Streim, J E FA - Parmelee, P FA - Boyce, A A FA - Katz, I R IN - Oslin,D W. University of Pennsylvania, Philadelphia, USA. TI - Alcohol abuse: a source of reversible functional disability among residents of a VA nursing home. SO - International Journal of Geriatric Psychiatry. 12(8):825-32, 1997 Aug. AS - Int J Geriatr Psychiatry. 12(8):825-32, 1997 Aug. NJ - International journal of geriatric psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - co0, 8710629 SB - Index Medicus CP - ENGLAND MH - Activities of Daily Living MH - Aged MH - Alcoholism/co [Complications] MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - *Cognition Disorders/ep [Epidemiology] MH - *Depressive Disorder/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nursing Homes MH - Prevalence MH - *Veterans AB - The prevalence of psychiatric disorders was determined in a sample of 196 VA nursing home residents who were interviewed using the modified Schedule for Affective Disorders and Schizophrenia (mSADS). Of the 160 subjects for whom data were available, 86% had a diagnosis of at least one psychiatric disorder. The prevalence of clinically significant cognitive impairment was 60.6% and of major depression 13.8%. Of 110 residents for whom alcohol histories were obtained, 32 (29%) had a lifetime diagnosis of alcohol abuse. The degree of impairment in activities of daily living improved significantly from the time of admission to the time of the evaluation (average 1.4 years) among those who were recently abusing alcohol compared to those who formerly abused alcohol and those who never abused alcohol. The effect is clinically as well as statistically significant and has the potential benefit of reducing caregiver burden and health care costs for the elderly. IS - 0885-6230 IL - 0885-6230 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - MH52129 (United States NIMH NIH HHS) LG - English DP - 1997 Aug DC - 19971023 YR - 1997 ED - 19971023 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9283927 <540. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9260150 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crespo-Fierro M FA - Crespo-Fierro, M IN - Crespo-Fierro,M. Visiting Nurse Service of New York, USA. TI - Compliance/adherence and care management in HIV disease. [Review] [80 refs] SO - Journal of the Association of Nurses in AIDS Care. 8(4):43-54, 1997 Jul-Aug. AS - J Assoc Nurses AIDS Care. 8(4):43-54, 1997 Jul-Aug. NJ - The Journal of the Association of Nurses in AIDS Care : JANAC PI - Journal available in: Print PI - Citation processed from: Print JC - a7p, 9111870 SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - *Case Management MH - Cultural Diversity MH - HIV Infections/co [Complications] MH - HIV Infections/dt [Drug Therapy] MH - *HIV Infections/nu [Nursing] MH - *HIV Infections/px [Psychology] MH - Humans MH - Nurse-Patient Relations MH - Patient Compliance/px [Psychology] MH - *Patient Compliance MH - Patient Education as Topic MH - Substance-Related Disorders/co [Complications] MH - United States AB - With the changing perspectives of the HIV epidemic and the introduction of protease inhibitors to treat human immunodeficiency virus (HIV) disease, the issue of compliance has gained considerable interest among health care providers. The idea that clients with HIV disease should succumb to a patriarchal system of medical care has been challenged by AIDS activists since the beginning of the epidemic. The concept that there is only one explanation for "noncompliance" is outdated. The reasons for noncompliance are multifaceted in nature and include psychosocial factors, complex medication and treatment regimens, ethnocultural concerns, and in many instances substance use. Therefore, the notion that there is one intervention to resolve noncompliance is at best archaic. Interventions to enhance compliance include supervised therapy, improving the nurse-client relationship, and patient education, all of which should be combined with ethnocultural interventions. Plans to enhance compliance must incorporate person-specific variables and should be tailored to individualized needs. [References: 80] IS - 1055-3290 IL - 1055-3290 PT - Journal Article PT - Review LG - English DP - 1997 Jul-Aug DC - 19971021 YR - 1997 ED - 19971021 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9260150 <541. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9291704 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCaffery M AU - Ferrell BR FA - McCaffery, M FA - Ferrell, B R IN - McCaffery,M. City of Hope National Medical Center, Duarte, California, USA. TI - Nurses' knowledge of pain assessment and management: how much progress have we made?. [Review] [39 refs] SO - Journal of Pain & Symptom Management. 14(3):175-88, 1997 Sep. AS - J Pain Symptom Manage. 14(3):175-88, 1997 Sep. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Index Medicus CP - UNITED STATES MH - Evaluation Studies as Topic MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Pain/nu [Nursing] MH - *Pain Measurement/mt [Methods] AB - Undertreatment of pain and lack of knowledge about pain management have been evident for approximately two decades. Because nurses are often the cornerstone of pain management, nurses' knowledge in this area is especially important. This paper explores indications of progress in the level of nursing knowledge about basic aspects of pain management. The literature is reviewed and findings from recent (1995) surveys of nurses' knowledge are compared with results of similar surveys conducted beginning in 1988. Improvements in nurses' knowledge of pain assessment, opioid dosing, and likelihood of addiction seem to have occurred. However, knowledge deficits continue. Fewer than one-half of the nurses surveyed understand that the patient's self report of pain is the single most reliable indicator of pain and that the nurse should increase a previously safe but ineffective dose of opioid. Findings from surveys on addiction reveal that the longer the patient receives opioids the more concerned nurses become about causing addiction. Nevertheless, results of current knowledge surveys of nurses suggest that educational efforts probably have been beneficial and should continue. To maximize the impact of educational efforts, content in basic and continuing education courses should be prioritized and critically evaluated for relevance and accuracy, especially content related to addiction. Early in the education of nurses, responsibility for pain assessment and use of analgesics must be instilled. [References: 39] IS - 0885-3924 IL - 0885-3924 PT - Journal Article PT - Review LG - English DP - 1997 Sep DC - 19971002 YR - 1997 ED - 19971002 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9291704 <542. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9305048 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wright S FA - Wright, S IN - Wright,S. Georgetown University, School of Nursing, Washington, D.C., USA. TI - Alcohol abuse among college students: implications for nurse practitioners. [Review] [31 refs] SO - Journal of the American Academy of Nurse Practitioners. 8(10):483-8, 1996 Oct. AS - J Am Acad Nurse Pract. 8(10):483-8, 1996 Oct. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Alcoholism/nu [Nursing] MH - Female MH - Humans MH - Male MH - *Nurse Practitioners MH - Student Health Services MH - *Students MH - *Universities IS - 1041-2972 IL - 1041-2972 PT - Journal Article PT - Review LG - English DP - 1996 Oct DC - 19971002 YR - 1996 ED - 19971002 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9305048 <543. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9251942 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Joseph CL AU - Rasmussen J AU - Ganzini L AU - Atkinson RM FA - Joseph, C L FA - Rasmussen, J FA - Ganzini, L FA - Atkinson, R M IN - Joseph,C L. Veterans Affairs Medical and Regional Office Center, Honolulu, HI 96813, USA. TI - Outcome of nursing home care for residents with alcohol use disorders. SO - International Journal of Geriatric Psychiatry. 12(7):767-72, 1997 Jul. AS - Int J Geriatr Psychiatry. 12(7):767-72, 1997 Jul. NJ - International journal of geriatric psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - co0, 8710629 SB - Index Medicus CP - ENGLAND MH - Age Factors MH - Aged MH - *Alcohol Drinking MH - Alcoholism/mo [Mortality] MH - Alcoholism/px [Psychology] MH - *Alcoholism/th [Therapy] MH - Cohort Studies MH - Female MH - Follow-Up Studies MH - *Health Services Needs and Demand MH - Hospitalization/sn [Statistics & Numerical Data] MH - Humans MH - Long-Term Care/sn [Statistics & Numerical Data] MH - Male MH - Middle Aged MH - *Nursing Homes MH - Treatment Outcome AB - OBJECTIVES: To describe the outcome of nursing home (NH) care for a previously established cohort of residents with active, inactive or no alcohol use disorder (AUD), and to examine demographic variables, health services utilization, mortality and drinking behaviors in this group. AB - DESIGN: Retrospective cohort study with participant interviews at NH admission and 3 years later. AB - SETTING: Urban Veterans Affairs (VA) Medical Center and Nursing Home Care Unit (NHCU). AB - PARTICIPANTS: Patients older than age 50 admitted consecutively to a VA NHCU between July 1991 and February 1993 who completed a structured interview, N = 117. AB - MAIN OUTCOME MEASURES: AUD as determined by DSM-III-R criteria. Demographics, health services utilization and mortality as abstracted from the VA medical record. AB - RESULTS: Health service utilization as measured by care episodes was not significantly different in the three groups (active, inactive and no AUD), but subjects with AUD had documented health services use related to alcoholism, including hospitalizations for alcohol-related illness, placements in long-term care facilities to control drinking and death from alcohol-related causes. The mean age at death was significantly younger for study participants with active or inactive AUD compared to those with no AUD: 67.7, 70.4 and 77.9 years, respectively (p < 0.004). Of the 21 participants with active AUD at NHCU entry, 11 resumed drinking after discharge and six still met criteria for active AUD 3 years later. AB - CONCLUSIONS: The subset of NHCU patients with active AUD continued to incur alcohol-related hospitalizations and institutionalizations following NHCU discharge and suffered early mortality relative to their peers. Effective models of care for this subset of patients should be sought. IS - 0885-6230 IL - 0885-6230 PT - Journal Article LG - English DP - 1997 Jul DC - 19970926 YR - 1997 ED - 19970926 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9251942 <544. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9281978 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Quick S FA - Quick, S TI - Fetal alcohol syndrome: the nurse practitioner perspective. [Review] [22 refs] SO - Journal of the American Academy of Nurse Practitioners. 8(7):343-9; quiz 350-2, 1996 Jul. AS - J Am Acad Nurse Pract. 8(7):343-9; quiz 350-2, 1996 Jul. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Female MH - Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Fetal Alcohol Spectrum Disorders/ep [Epidemiology] MH - Fetal Alcohol Spectrum Disorders/th [Therapy] MH - *Fetal Alcohol Spectrum Disorders MH - Humans MH - Infant, Newborn MH - Nurse Practitioners MH - Pregnancy MH - Primary Prevention MH - Risk Factors MH - United States/ep [Epidemiology] AB - Fetal alcohol syndrome is the leading cause of mental retardation in the United States. The tragedy is that while FAS is irreversible, it is 100% preventable. FAS is caused by maternal consumption of alcohol during pregnancy. Alcohol is a teratogen and acts in different ways to produce physical and central nervous system malformations and defects in the developing embryo and fetus. FAS is characterized by a history of maternal alcohol ingestion, central nervous system dysfunction, growth deficiencies, and specific physical anomalies. Adolescents and adults with FAS have behavioral problems that differentiate them from other mentally disabled individuals. Nurse practitioners can have an impact on the prevalence of FAS by educating clients about FAS and its relationship to alcohol consumption. NPs need to carefully identify high-risk women and their partners before a pregnancy occurs and assist with interventions to stop active alcoholism or alcohol use during pregnancy. NPs have the capability to decrease the severity of alcohol's effects during pregnancy through education, counseling, and intervention. NPs have the skills to work with case-finding and early identification of infants and children who display signs and symptoms of FAS. With such case-finding, early identification, and prompt referral to the appropriate diagnostic and/or supportive community agencies, individuals with FAS can receive timely intervention to minimize the effects of FAS. Adults with behavioral problems can be assessed for FAS and referred for appropriate assistance as well. Finally, NPs can facilitate public awareness of FAS through educational efforts with individuals, families, and communities. [References: 22] IS - 1041-2972 IL - 1041-2972 PT - Journal Article PT - Review LG - English DP - 1996 Jul DC - 19970911 YR - 1996 ED - 19970911 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9281978 <545. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9069880 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Toot J FA - Toot, J IN - Toot,J. Lawrence Memorial Hospital, Lawrence, USA. TI - The effects of tobacco on the surgical patient ... (continuing education credit). SO - Kansas Nurse. 72(1):4-5, 1997 Jan. AS - Kans Nurse. 72(1):4-5, 1997 Jan. NJ - The Kansas nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ku3, 18110790r SB - Nursing Journal CP - UNITED STATES MH - Education, Nursing, Continuing MH - Humans MH - Patient Education as Topic MH - Perioperative Nursing MH - *Smoking/ae [Adverse Effects] MH - Smoking Cessation MH - *Surgical Procedures, Operative MH - Wound Healing/de [Drug Effects] AB - Smoking is proven to have an adverse effect on an individual's health. Long term use of tobacco products has a cumulative effect leading to compromised physiology of several body systems. Clinical research studies support the premise that tobacco users are at an increased risk for surgical complications. Individuals with a history of tobacco abuse present a challenge to the nurse. Throughout the perioperative phase the nurse initiates interventions to prevent or minimize complications. This article presents a general overview of the adverse effects of tobacco on the surgical patient and nursing interventions when caring for a patient with a history of tobacco abuse. IS - 0022-8710 IL - 0022-8710 PT - Journal Article LG - English DP - 1997 Jan DC - 19970828 YR - 1997 ED - 19970828 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9069880 <546. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9203125 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Engs RC AU - Van Teijlingen E FA - Engs, R C FA - Van Teijlingen, E IN - Engs,R C. Department of Applied Health Science, Indiana University, Bloomington 47405, USA. TI - Correlates of alcohol, tobacco and marijuana use among Scottish postsecondary helping-profession students. SO - Journal of Studies on Alcohol. 58(4):435-44, 1997 Jul. AS - J. stud. alcohol. 58(4):435-44, 1997 Jul. NJ - Journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - Alcoholism/ep [Epidemiology] MH - Career Choice MH - Cross-Sectional Studies MH - Female MH - Health Surveys MH - Humans MH - Incidence MH - Male MH - Marijuana Abuse/ep [Epidemiology] MH - Marijuana Abuse/px [Psychology] MH - *Marijuana Smoking/ep [Epidemiology] MH - Marijuana Smoking/px [Psychology] MH - Scotland/ep [Epidemiology] MH - *Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - Students, Health Occupations/px [Psychology] MH - *Students, Health Occupations/sn [Statistics & Numerical Data] AB - OBJECTIVE: There is limited information about the prevalence of recreational drug use over the postsecondary experience in Scotland. The purpose of this study was to investigate the patterns of alcohol, tobacco and marijuana use in postsecondary helping-profession students (medical, nursing, education and psychology) in Scotland in regards to gender, age and course of study. AB - METHOD: The Queensland Alcohol and Drug Study Questionnaire was completed by students enrolled in helping-profession courses from 22 departments at universities and colleges in five Scottish cities. The sample consisted of 717 male and 2,537 female students. AB - RESULTS: A slightly (p < .05) higher percent of women (92.7%) consumed alcohol compared to men (90%), but men consumed significantly (p < .001) more drinks per week (26.7) compared to women (17.3). There was no difference between the two groups when U.K. recommendations of maximum limits for each gender were considered. About 50% of men and women consumed over 21 drinks and 14 drinks per week, respectively. A higher (p < .05) percent of men (42.5%) smoked compared to women (36.9%) and a higher (p < .001) percent of men (40.1%) consumed marijuana compared to women (24.1%). There was no difference in the quantity of tobacco consumed. For both men and women, the prevalence of alcohol and marijuana was highest 2 or 3 years before the maximum use of tobacco (students over 24 years of age). Male and female psychology students consumed the most marijuana. Psychology students, together with nursing students, also consumed the most tobacco. AB - CONCLUSIONS: In view of the increasing prevalence of tobacco over the university experience, especially among nursing and psychology students, and heavier alcohol consumption among younger students, health education programs for Scottish postsecondary helping-profession students should expand from the recently introduced school programs. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1997 Jul DC - 19970812 YR - 1997 ED - 19970812 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9203125 <547. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9201739 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carter BJ FA - Carter, B J IN - Carter,B J. Corry College, Milton, MA, USA. TI - Women's experiences of lymphedema. SO - Oncology Nursing Forum. 24(5):875-82, 1997 Jun. AS - Oncol Nurs Forum. 24(5):875-82, 1997 Jun. NJ - Oncology nursing forum PI - Journal available in: Print PI - Citation processed from: Print JC - 7809033, pad SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Activities of Daily Living MH - *Adaptation, Psychological MH - Adult MH - Aged MH - *Breast Neoplasms/su [Surgery] MH - Female MH - Humans MH - Lymphedema/et [Etiology] MH - *Lymphedema/px [Psychology] MH - *Mastectomy/ae [Adverse Effects] MH - Middle Aged MH - Nursing Methodology Research MH - *Quality of Life MH - Self Care MH - Surveys and Questionnaires MH - Survival Analysis AB - PURPOSE/OBJECTIVES: To explore women's experiences of lymphedema. AB - DESIGN: Qualitative descriptive. AB - SETTING: An urban community in the midwestern United States. AB - SAMPLE: Ten women who experienced lymphedema after breast cancer treatment and who had (a) completed their treatment for stage I or stage II breast cancer at least one year before the study, (b) experienced an onset of lymphedema at least two months after surgery, (c) no current evidence of cancer disease or cancer recurrence, (d) lymphedema not caused by cancer in the brachial plexus, and (e) no history of hospitalization for alcoholism, substance abuse, or psychiatric conditions. The women ranged in age from 36-75 years. Mean survival time was seven years, and the mean time since onset of lymphedema was four years. AB - METHODS: Two in-depth interviews per participant. AB - PATIENTS: Most women were able to continue living their normal lives. Some women experienced depression, anxiety, and impairments related to their intimate, work, and social relationships. Physicians' limited knowledge about lymphedema, conflicting treatment information, and the limited number of available treatment centers caused distress for the participants. Their experiences can be categorized into three predominant themes: Abandonment by Medicine, Concealing the imperfect image, and Living the Interrupted Life. AB - CONCLUSIONS: Research efforts to expand the knowledge base regarding the epidemiology, prevention, and treatment of lymphedema are needed. Also needed is research that explores the impact of lymphedema on quality of life and functional ability as well as the psychosocial impact of lymphedema on body image, self esteem, and social support. AB - IMPLICATIONS FOR NURSING PRACTICE: Care providers and breast cancer survivors should be educated about the prevention and treatment of lympedema. Nurses should refer patients to advocacy hot lines and support groups for information and support when appropriate. Women with lymphedema should be assessed periodically for psychosocial distress and referred for care as needed. IS - 0190-535X IL - 0190-535X PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1997 Jun DC - 19970807 YR - 1997 ED - 19970807 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9201739 <548. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9224004 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gournay K AU - Sandford T AU - Johnson S AU - Thornicroft G FA - Gournay, K FA - Sandford, T FA - Johnson, S FA - Thornicroft, G IN - Gournay,K. Institute of Psychiatry, London. TI - Dual diagnosis of severe mental health problems and substance abuse/dependence: a major priority for mental health nursing. [Review] [42 refs] SO - Journal of Psychiatric & Mental Health Nursing. 4(2):89-95, 1997 Apr. AS - J Psychiatr Ment Health Nurs. 4(2):89-95, 1997 Apr. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal SB - AIDS/HIV Journals CP - ENGLAND MH - Great Britain MH - Humans MH - *Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/nu [Nursing] MH - Models, Nursing MH - Prevalence MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/og [Organization & Administration] MH - *Psychiatric Nursing MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/nu [Nursing] AB - It is now established that very significant numbers of people with severe mental illness abuse or depend on drugs and/or alcohol. This combination (Dual Diagnosis) leads to increased rates of violence and service use, a reduction in adherence to treatment regimes, an increase in susceptibility to human immunodeficiency virus (HIV) infection and is now found in in-patient populations. Because of their vulnerability to accidents and physical illnesses, dual diagnosis patients are found increasingly in accident and emergency departments, general medical wards and primary care settings. For this reason nurses and other health professionals working in general hospitals should be as aware as their mental health colleagues of the specific needs of this population. There are some excellent models of service organization and training for dealing with dual diagnoses populations in some parts of the USA. However, there is little such development in the UK. There are clear pathways to be followed, but the need for action is urgent. [References: 42] IS - 1351-0126 IL - 1351-0126 PT - Journal Article PT - Review LG - English DP - 1997 Apr DC - 19970801 YR - 1997 ED - 19970801 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9224004 <549. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9265493 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - de Crespigny C FA - de Crespigny, C IN - de Crespigny,C. Flinders University of SA School of Nursing, South Australia. TI - Alcohol and other drug problems in Australia: the urgent need for nurse education. [Review] [25 refs] SO - Collegian: Journal of the Royal College of Nursing, Australia. 3(3):23-9, 1996 Jul. AS - Collegian. 3(3):23-9, 1996 Jul. NJ - Collegian (Royal College of Nursing, Australia) PI - Journal available in: Print PI - Citation processed from: Print JC - 9612493 SB - Nursing Journal CP - AUSTRALIA MH - *Alcoholism/pc [Prevention & Control] MH - Australia MH - Clinical Competence MH - Cost of Illness MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Continuing MH - *Education, Nursing, Graduate MH - Humans MH - *Substance-Related Disorders/pc [Prevention & Control] AB - The economic, social and health costs associated with alcohol and other drug use, including medicines, impact on the Australian community profoundly. Many Australians use alcohol and other drugs (AODs) on a regular basis and a significant number experience problems at some time. There are about 25,000 drug-related deaths annually, the majority of which are related to alcohol and tobacco use. Many young people die or are injured as a direct result of alcohol intoxication, accidental overdose and related problems, and significant numbers of elderly people are hospitalised, permanently incapacitated or suffer avoidable trauma through adverse drug reactions and side-effects of medications. It is estimated that at least 25 per cent of acute hospital beds hold patients with alcohol-related problems directly associated with the medical diagnosis, and there are comparable numbers of people needing social and other forms of assistance at some time. Despite the preventative nature of many AOD problems and the call for harm reduction, timely intervention and support for the thousands of Australians attending hospitals, community health and mental health services, nurses are yet to effectively assist the community in preventing and responding to the range of AOD problems. Nursing policy, guidelines and clinical expertise are required to assist the community in addressing this issue. Undergraduate, postgraduate and continuing education have a vital role to play in providing the profession with the knowledge, skills and research base to meet this challenge. [References: 25] IS - 1322-7696 IL - 1322-7696 PT - Journal Article PT - Review LG - English DP - 1996 Jul DC - 19970801 YR - 1996 ED - 19970801 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9265493 <550. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9183110 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coleman EA AU - Honeycutt G AU - Ogden B AU - McMillan DE AU - O'Sullivan PS AU - Light K AU - Wingfield W FA - Coleman, E A FA - Honeycutt, G FA - Ogden, B FA - McMillan, D E FA - O'Sullivan, P S FA - Light, K FA - Wingfield, W IN - Coleman,E A. College of Nursing, University of Arkansas for Medical Sciences, Little Rock 77205, USA. TI - Assessing substance abuse among health care students and the efficacy of educational interventions. SO - Journal of Professional Nursing. 13(1):28-37, 1997 Jan-Feb. AS - J Prof Nurs. 13(1):28-37, 1997 Jan-Feb. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking/pc [Prevention & Control] MH - Arkansas/ep [Epidemiology] MH - Curriculum MH - Databases, Factual MH - *Health Education/mt [Methods] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Nursing Education Research/mt [Methods] MH - Program Evaluation/mt [Methods] MH - Research Design MH - *Students, Nursing MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Approximately 10 per cent of nurses are chemically dependent, and, for many, substance abuse begins while attending nursing school. Faculty must be able to assess the extent of the problem, understand the contributing factors, recognize signs and symptoms, and use educational interventions in identifying and preventing chemical dependency in nurses. Beginning in 1989, the authors sampled all entering students in four colleges on a health science campus using the Standardized Substance Abuse Attitude Survey and obtained resurvey data from two of the colleges' 1989 entering classes in fall 1991. Each college developed educational interventions. Some clear differences between nursing and pharmacy students emerged and indicated that a greater emphasis on drug and alcohol education can pay dividends. Establishing a data base over a period of more than 2 years provides a foundation to evaluate further interventions. IS - 8755-7223 IL - 8755-7223 PT - Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 1997 Jan-Feb DC - 19970710 YR - 1997 ED - 19970710 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9183110 <551. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9197612 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shewey HM FA - Shewey, H M IN - Shewey,H M. Kansas Department of Health and Environment, Topeka, USA. TI - Identification and assistance for chemically dependent nurses working in long-term care. [Review] [10 refs] SO - Geriatric Nursing. 18(3):115-8, 1997 May-Jun. AS - Geriatr Nurs. 18(3):115-8, 1997 May-Jun. NJ - Geriatric nursing (New York, N.Y.) PI - Journal available in: Print PI - Citation processed from: Print JC - 8309633, FW7 SB - Nursing Journal CP - UNITED STATES MH - Humans MH - Nurse Administrators MH - *Nursing Homes MH - *Nursing Staff/px [Psychology] MH - *Professional Impairment/px [Psychology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] AB - The purpose of this manuscript is to examine impaired nurses' practice, to identify causes, signs, and symptoms of problems, and to identify interventions for chemically dependent nurses employed in long-term care. The long-term care nurse manager has a moral, ethical, and legal responsibility to assist the chemically dependent nurse and to protect the resident and the facility. Education of nurse managers is essential to provide for intervention and treatment for the chemically dependent nurse. Assisting the nurse to accept treatment and return to practice benefits the individuals, the facility, and the profession. This manuscript describes step-by-step interventions for identification, treatment, and return to work for chemically dependent nurses. [References: 10] IS - 0197-4572 IL - 0197-4572 PT - Journal Article PT - Review LG - English DP - 1997 May-Jun DC - 19970707 YR - 1997 ED - 19970707 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9197612 <552. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9167406 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcus MT FA - Marcus, M T IN - Marcus,M T. Department of Nursing Systems and Technology, School of Nursing, University of Texas-Houston Health Science Center 77030, USA. TI - Faculty development and curricular change: a process and outcomes model for substance abuse education. SO - Journal of Professional Nursing. 13(3):168-77, 1997 May-Jun. AS - J Prof Nurs. 13(3):168-77, 1997 May-Jun. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Consultants MH - *Curriculum MH - *Education, Nursing MH - Health Knowledge, Attitudes, Practice MH - Health Planning Organizations MH - Humans MH - *Outcome and Process Assessment (Health Care) MH - Program Development MH - Program Evaluation MH - *Staff Development/mt [Methods] MH - Students, Nursing MH - *Substance-Related Disorders/nu [Nursing] AB - Health care reform carries with it an imperative to change nursing education to address emphases on primary care, community-based practice, managed care, and cost-containment. comprehensive curricular revision must be accompanied by faculty development if those changes are to be supported. This article traces the process of faculty development and curriculum change and defines outcomes that resulted from a 5-year Faculty Development Project grant to increase nursing expertise in alcohol, tobacco, and other drug use and abuse issues. The model has broad applicability to faculty development and to curricular revision in general. Strategies outlined include independent learning experiences, consultations, workshops, seminars, and retreats. A comprehensive evaluation plan that measured the impact of the project on faculty, students, institution, and community is discussed. IS - 8755-7223 IL - 8755-7223 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 1 T01 AA07509 (United States NIAAA NIH HHS) LG - English DP - 1997 May-Jun DC - 19970626 YR - 1997 ED - 19970626 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9167406 <553. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9134070 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lifrak P AU - Gariti P AU - Alterman AI AU - McKay J AU - Volpicelli J AU - Sparkman T AU - O'Brien C FA - Lifrak, P FA - Gariti, P FA - Alterman, A I FA - McKay, J FA - Volpicelli, J FA - Sparkman, T FA - O'Brien, C IN - Lifrak,P. University of Pennsylvania School of Medicine, Philadelphia 19104, USA. TI - Results of two levels of adjunctive treatment used with the nicotine patch. SO - American Journal on Addictions. 6(2):93-8, 1997. AS - Am J Addict. 6(2):93-8, 1997. NJ - The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions PI - Journal available in: Print PI - Citation processed from: Print JC - 9208821 SB - Index Medicus CP - UNITED STATES MH - Administration, Cutaneous MH - Adult MH - Aged MH - *Cognitive Therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nicotine/ad [Administration & Dosage] MH - *Nicotinic Agonists/ad [Administration & Dosage] MH - Patient Education as Topic MH - Prospective Studies MH - Recurrence MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/th [Therapy] MH - Treatment Outcome AB - The authors compared 9-, 16-, 26-, and 52-week outcomes for two randomly assigned groups of nicotine-dependent subjects: 1) nicotine patch plus four smoking cessation sessions with a nurse-practitioner giving advice and instruction (n = 36; moderate-intensity condition, MI); or 2) the foregoing treatments plus 16 weekly individual cognitive/ behavioral relapse-prevention therapy sessions (n = 33; high-intensity condition, HI). Patch completion rates were 69.7% in the HI group and 55.6% in the MI group (NS). Self-reported abstinence rates at the four follow-up points were comparable for the two treatment groups; HI: 39%, 36%, 36%, and 36%; MI: 44%, 28%, 25%, and 28%, respectively. There was some indication that MI patients with high nicotine dependence had lower abstinence rates than highly dependent HI patients. RN - 0 (Nicotinic Agonists) RN - 6M3C89ZY6R (Nicotine) IS - 1055-0496 IL - 1055-0496 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial LG - English DP - 1997 DC - 19970625 YR - 1997 ED - 19970625 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9134070 <554. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9097345 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vega Torres RA AU - Conde JG AU - Diaz M FA - Vega Torres, R A FA - Conde, J G FA - Diaz, M IN - Vega Torres,R A. Department of Family Medicine, University of Puerto Rico, San Juan, USA. TI - Prevalence of tuberculin reactivity and risk factors for the development of active tuberculosis upon admission to a nursing home. SO - Puerto Rico Health Sciences Journal. 15(4):275-7, 1996 Dec. AS - P R Health Sci J. 15(4):275-7, 1996 Dec. NJ - Puerto Rico health sciences journal PI - Journal available in: Print PI - Citation processed from: Print JC - 8303541, qjf SB - Index Medicus CP - PUERTO RICO MH - Age Factors MH - Aged MH - Alcoholism/co [Complications] MH - Body Weight MH - Diabetes Complications MH - Humans MH - Logistic Models MH - *Nursing Homes MH - Nutritional Status MH - Prevalence MH - Puerto Rico MH - Risk Factors MH - *Tuberculin Test MH - *Tuberculosis/ep [Epidemiology] AB - A total of 118 nursing home admissions were studied to determine the prevalence of M. tuberculosis infection and the prevalence of risk factors for the development of active tuberculosis. The overall prevalence of positive tests was 22.5%. The most prevalent risk factors for development of active tuberculosis were diabetes mellitus (42.4%), being more than 10% below ideal body weight (41.5%), and alcohol abuse (12.7%). Thirty-four percent of admissions had albumin levels below 3.5 g/dl. No associations were found when logistic regression was used to determine the impact of age and poor nutritional status on the prevalence of positive PPD tests on admission. These results show a substantial difference between the prevalence of positive PPD tests found upon nursing home admissions (22.5%) and the prevalence found previously among residents in the same in nursing home (42.9%). IS - 0738-0658 IL - 0738-0658 PT - Journal Article LG - English DP - 1996 Dec DC - 19970613 YR - 1996 ED - 19970613 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9097345 <555. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9155279 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ryan T AU - Rothwell V FA - Ryan, T FA - Rothwell, V TI - Residential alcohol detoxification: new role for mental health nurses. SO - British Journal of Nursing. 6(5):280-4, 1997 Mar 13-26. AS - Br J Nurs. 6(5):280-4, 1997 Mar 13-26. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - ENGLAND MH - Adult MH - *Alcoholism/rh [Rehabilitation] MH - *Community Health Nursing MH - Female MH - Halfway Houses MH - Humans MH - Male MH - *Psychiatric Nursing MH - *Residential Treatment/og [Organization & Administration] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] AB - This article discusses the philosophy and practice of a community-based residential detoxification service for people with alcohol problems. The service is provided on a direct-access basis and has a team of 19 nurses who are supported by a GP practice. The article highlights issues relevant to nursing in this community facility by referring to three case studies. The case studies demonstrate that this client group finds it difficult to access other forms of health and social care. The case examples emphasize both the qualitative aspects of nursing care and the decision-making involved in this type of service. The authors suggest that large populations with complex needs can be served by nursing-led services adopting a 'direct access' approach. IS - 0966-0461 IL - 0966-0461 PT - Case Reports PT - Journal Article LG - English DP - 1997 Mar 13-26 DC - 19970529 YR - 1997 ED - 19970529 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9155279 <556. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9137027 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Espeland KE FA - Espeland, K E IN - Espeland,K E. Medcenter One College of Nursing, Bismarck, ND, USA. TI - Inhalants: the instant, but deadly high. [Review] [25 refs] SO - Pediatric Nursing. 23(1):82-6, 1997 Jan-Feb. AS - Pediatr Nurs. 23(1):82-6, 1997 Jan-Feb. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Child MH - Gases MH - Humans MH - Nursing Assessment MH - Patient Education as Topic MH - Pediatric Nursing MH - Risk Factors MH - Solvents MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - There is an alarming increase in the number of children and adolescents inhaling chemicals for euphoric purposes. This trend merits serious concern, as abuse of inhalants can cause cardiac arrest, asphyxiation, and accidents. Substances such as gas, butane, and lighter fluid are highly toxic and destroy organs, and in some cases, inhalants have caused death on the first use. Pediatric nurses are in a key position to identify abusers and educate parents and children about these potentially fatal chemicals. [References: 25] RN - 0 (Gases) RN - 0 (Solvents) IS - 0097-9805 IL - 0097-9805 PT - Journal Article PT - Review LG - English DP - 1997 Jan-Feb DC - 19970515 YR - 1997 ED - 19970515 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9137027 <557. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9128695 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stanislas N AU - Radcliffe J FA - Stanislas, N FA - Radcliffe, J TI - The physiological effects of alcohol misuse. CM - Comment on: Prof Nurse. 1996 Jul;11(10):646-8; PMID: 8718369 SO - Professional Nurse. 12(5):387, 1997 Feb. AS - Prof Nurse. 12(5):387, 1997 Feb. NJ - Professional nurse (London, England) PI - Journal available in: Print PI - Citation processed from: Print JC - 8612884, pzx SB - Nursing Journal CP - ENGLAND MH - *Alcoholism/nu [Nursing] MH - Attitude of Health Personnel MH - Curriculum MH - *Education, Nursing/st [Standards] MH - Humans MH - *Nursing Assessment IS - 0266-8130 IL - 0266-8130 PT - Comment PT - Letter LG - English DP - 1997 Feb DC - 19970515 YR - 1997 ED - 19970515 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9128695 <558. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9035357 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saeed AA AU - Khoja TA AU - Khan SB FA - Saeed, A A FA - Khoja, T A FA - Khan, S B IN - Saeed,A A. Department of Community Health Sciences, College Of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia. TI - Smoking behaviour and attitudes among adult Saudi nationals in Riyadh City, Saudi Arabia. SO - Tobacco Control. 5(3):215-9, 1996. AS - Tob Control. 5(3):215-9, 1996. NJ - Tobacco control PI - Journal available in: Print PI - Citation processed from: Print JC - clu, 9209612 OI - Source: NLM. PMC1759520 SB - Index Medicus CP - ENGLAND MH - Adolescent MH - Adult MH - Age of Onset MH - *Attitude to Health MH - Female MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Random Allocation MH - Saudi Arabia/ep [Epidemiology] MH - *Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] AB - OBJECTIVE: To measure the smoking behaviour and attitudes among Saudi adults residing in Riyadh City, the capital of the Kingdom of Saudi Arabia. AB - DESIGN: Cross-sectional survey. AB - SETTING AND SUBJECTS: Primary health care centres (PHCCs) in Riyadh City were selected by stratified random sampling. Subjects resident in each PHCC catchment area were selected by systematic sampling from their records in the PHCCs; 1534 adults aged 15 years and older were interviewed during January to April 1994. AB - MAIN OUTCOME MEASURES: Self-reported smoking prevalence; age of smoking initiation; daily cigarette consumption; duration of smoking; reasons for smoking, not smoking, and quitting smoking; intentions to smoke in the future; and attitudes toward various tobacco control measures. AB - RESULTS: 25.3% of respondents were current smokers, 10.2% were ex-smokers, and 64.5% had never smoked. About 79% of all smokers started smoking between the ages of 15 and 30 years, and 19.5% before age 15. Significantly higher smoking prevalence and daily cigarette consumption were associated with being male, single, and being more highly educated. Relief of psychological tension, boredom, and imitating others were the most important reasons for smoking, whereas health and religious considerations were the most important reasons for not smoking among never-smokers, for quitting among ex-smokers, and for attempting to quit or thinking about quitting among current smokers. About 90% of all subjects thought that they would not smoke in the future. Physicians and religious men were identified as the most effective anti-smoking advocates by a much higher proportion of respondents (44%) than nurses, health educators, and teachers (each less than 5%). Health and religious education were generally cited as more effective in deterring smoking than tobacco control laws and policies. AB - CONCLUSIONS: Cigarette smoking is prevalent among Saudi adults in Riyadh, particularly males, most of whom begin to smoke rather early in life and continue for many years. Health and religious education should be the cornerstone for any organised tobacco control activities, which are urgently needed to combat the expected future epidemic of smoking-related health problems. IS - 0964-4563 IL - 0964-4563 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1996 DC - 19970507 YR - 1996 ED - 19970507 RD - 20081120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9035357 <559. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9069678 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller JB FA - Miller, J B IN - Miller,J B. Student Health Service at Bowling Green State University. TI - Clinic nurses: confronting campus alcohol use on the frontline. SO - Journal of American College Health. 45(5):205-8, 1997 Mar. AS - J Am Coll Health. 45(5):205-8, 1997 Mar. NJ - Journal of American college health : J of ACH PI - Journal available in: Print PI - Citation processed from: Print JC - h5e, 8214119, 7503059 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcoholism/nu [Nursing] MH - Female MH - Humans MH - Male MH - *Nursing Assessment MH - *Student Health Services MH - Students MH - Universities AB - Alcohol use is common on college campuses. Nurses in the student health clinic, in collaboration with other health professionals, have a responsibility and an opportunity to assess, intervene, and prevent problems related to the use of alcohol and other drugs. In this article, the author suggests how college health nurses, in everyday practice, can seize opportunities for helping students face their alcohol-related problems. IS - 0744-8481 IL - 0744-8481 PT - Journal Article LG - English DP - 1997 Mar DC - 19970430 YR - 1997 ED - 19970430 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9069678 <560. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9033521 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Meador KG AU - Taylor JA AU - Thapa PB AU - Fought RL AU - Ray WA FA - Meador, K G FA - Taylor, J A FA - Thapa, P B FA - Fought, R L FA - Ray, W A IN - Meador,K G. Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA. TI - Predictors of antipsychotic withdrawal or dose reduction in a randomized controlled trial of provider education. SO - Journal of the American Geriatrics Society. 45(2):207-10, 1997 Feb. AS - J Am Geriatr Soc. 45(2):207-10, 1997 Feb. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - UNITED STATES MH - Aged MH - Aged, 80 and over MH - *Antipsychotic Agents/ad [Administration & Dosage] MH - Antipsychotic Agents/ae [Adverse Effects] MH - Female MH - Forecasting MH - Health Personnel/ed [Education] MH - Humans MH - *Inservice Training MH - Male MH - Nursing Homes/lj [Legislation & Jurisprudence] MH - *Nursing Homes/st [Standards] MH - Substance Withdrawal Syndrome MH - Tennessee MH - United States AB - OBJECTIVES: To evaluate the effects of an educational program to reduce antipsychotic use in nursing homes that had high use rates post-OBRA-87 and to identify factors that predicted antipsychotic withdrawal or 50% or greater dose reduction. AB - DESIGN/SETTING: A randomized controlled trial (RCT) of the educational program (nursing home the unit of randomization and analysis) was conducted in 12 Tennessee nursing homes (6 education/6 control). Cohort analysis in baseline antipsychotic users identified factors predicting withdrawal or dose reduction. AB - SUBJECTS: The RCT analysis included 1152 patients in the homes at baseline and 6 months. The cohort analysis included 133 baseline antipsychotic users in the five education homes able to implement the recommendations of the educational program. AB - OUTCOME MEASURES: Change in days of antipsychotic use per 100 days of nursing home residence, withdrawal from antipsychotics, reduction in antipsychotic dose by 50% or more. AB - RESULTS: Following the educational intervention, use of antipsychotics in the six education homes decreased from 25.3 days per 100 at baseline to 19.7 days per 100 by month 6, a 23% reduction relative to control homes (P = .014). In the withdrawal analysis, 44 (33%) of 133 baseline antipsychotic users were withdrawn. Factors at baseline predicting successful withdrawal were low antipsychotic dose, no use of benzodiazepines or antidepressants, and behavioral symptoms score below the median. However, although an additional 22 patients had dose reductions > or = 50%, none of the predictors of withdrawal were associated with dose reductions. AB - CONCLUSIONS: Focused provider education programs may facilitate antipsychotic reduction above and beyond that attributable to regulatory changes. Patients who are poor candidates for total antipsychotic withdrawal may tolerate substantial dose reductions, which should reduce their risk of adverse antipsychotic effects. RN - 0 (Antipsychotic Agents) IS - 0002-8614 IL - 0002-8614 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - ED-U-000073-08 (United States PHS HHS) LG - English DP - 1997 Feb DC - 19970319 YR - 1997 ED - 19970319 RD - 20080310 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9033521 <561. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8923312 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcus MT AU - Gerace LM AU - Sullivan EJ FA - Marcus, M T FA - Gerace, L M FA - Sullivan, E J IN - Marcus,M T. Department of Nursing Systems and Technology, School of Nursing, University of Texas Houston, Houston Health Science Center 77030, USA. TI - Enhancing nursing competence with substance abusing clients. SO - Journal of Nursing Education. 35(8):361-6, 1996 Nov. AS - J Nurs Educ. 35(8):361-6, 1996 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Alcoholics Anonymous MH - *Alcoholism/nu [Nursing] MH - Clinical Competence MH - *Curriculum MH - *Education, Nursing MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Educational MH - Nurse Practitioners/ed [Education] MH - Nursing Faculty Practice MH - *Staff Development/mt [Methods] MH - Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Substance-Related Disorders/nu [Nursing] AB - Alcohol and other drug abuse, major threats to health, pose challenges for nurses in virtually every practice setting. Progress toward increasing nursing competence in the addictions field is being made through the development of practice standards and model curricula and through federal initiatives to increase faculty expertise in this field. The next critical step is to forge creative collaborative links with practice settings, links that assure that requisite learning is reality-based and in step with the future of health care. This article outlines progress toward improving nursing competence in substance abuse and suggests reality-based learning strategies as a future direction for this important goal for nursing education. Two successful models of collaboration between education and practice, designed to augment basic curriculum and improve nursing knowledge, skills and attitudes related to substance abuse, are described. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1996 Nov DC - 19970306 YR - 1996 ED - 19970306 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8923312 <562. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8923311 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SA AU - Scott CS AU - Mandel LP FA - Murphy, S A FA - Scott, C S FA - Mandel, L P IN - Murphy,S A. Department of Psychosocial Nursing, University of Washington, Seattle 98195, USA. TI - Clinical knowledge and skill priorities in substance abuse education: a nursing faculty longitudinal survey. SO - Journal of Nursing Education. 35(8):356-60, 1996 Nov. AS - J Nurs Educ. 35(8):356-60, 1996 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing MH - *Faculty, Nursing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Longitudinal Studies MH - Male MH - Specialties, Nursing/ed [Education] MH - Staff Development MH - *Substance-Related Disorders/nu [Nursing] AB - The aims of this study were to: 1) determine which of 16 substance abuse content areas nursing faculty fellows considered important for their professional growth; 2) determine content areas in which faculty fellows planned to obtain knowledge and skill development during the coming year; and 3) to identify content areas faculty fellows thought undergraduate and/or graduate students should be taught. Questionnaires were mailed to the 43 nursing faculty fellows who were recipients of substance abuse federal training during the 1989-1994 academic years. The response rate was 81%. One and a half years later, 66% responded to the same items on a follow-up survey. The results showed that faculty ratings of knowledge and skill development needs for themselves and their students in nursing were stable over time. Findings can be used to guide faculty and curriculum development in alcohol and other substance abuse. IS - 0148-4834 IL - 0148-4834 PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, P.H.S. NO - 1 T01 AA07496 (United States NIAAA NIH HHS) LG - English DP - 1996 Nov DC - 19970306 YR - 1996 ED - 19970306 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8923311 <563. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11660234 RO - KIE ST - MEDLINE AU - Richter DL AU - Stoskopf CH AU - Samuels ME AU - Baker SL AU - Shi L AU - Sy F FA - Richter, Donna L FA - Stoskopf, Carleen H FA - Samuels, Michael E FA - Baker, Samuel L FA - Shi, Leiyu FA - Sy, Francisco TI - Nurses' perceptions of barriers to care of HIV/AIDS patients: implications for continuing education. SO - AIDS Patient Care. 9(3):121-6, 1995 Jun. AS - AIDS Patient Care. 9(3):121-6, 1995 Jun. NJ - AIDS patient care PI - Journal available in: Print PI - Citation processed from: Print JC - 8710781 OI - Source: KIE. 52373 OI - Source: NRCBL. 9.5.6 SB - Bioethics Journals CP - United States MH - *Acquired Immunodeficiency Syndrome MH - Age Factors MH - *Attitude MH - Confidentiality MH - Data Collection MH - Disclosure MH - Education, Continuing MH - Education, Nursing MH - *HIV Seropositivity MH - *Health Knowledge, Attitudes, Practice MH - Homosexuality MH - Humans MH - *Nurses MH - Occupational Exposure MH - *Patient Care MH - Professional Competence MH - Refusal to Treat MH - Risk MH - South Carolina MH - Substance-Related Disorders MH - Surveys and Questionnaires KW - Empirical Approach; Health Care and Public Health; Professional Patient Relationship NT - KIE BoB Subject Heading: AIDS/health personnel NT - 17 refs. IS - 0893-5068 IL - 0893-5068 PT - Journal Article LG - English DP - 1995 Jun DC - 19970228 YR - 1995 ED - 19970228 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=11660234 <564. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9025464 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ackeret JA FA - Ackeret, J A IN - Ackeret,J A. Baker University School of Nursing, Stormont-Vail Campus, USA. TI - Smoking cessation: educating for the nursing role. SO - Kansas Nurse. 71(10):4-5, 1996 Nov-Dec. AS - Kans Nurse. 71(10):4-5, 1996 Nov-Dec. NJ - The Kansas nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ku3, 18110790r SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing, Continuing MH - Humans MH - *Smoking Cessation MH - *Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder/rh [Rehabilitation] IS - 0022-8710 IL - 0022-8710 PT - Journal Article LG - English DP - 1996 Nov-Dec DC - 19970227 YR - 1996 ED - 19970227 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9025464 <565. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9025463 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boncella C FA - Boncella, C IN - Boncella,C. Lawrence Memorial Hospital, Kansas, USA. TI - The powerful punch of nicotine: a smoking cessation facilitator's account. SO - Kansas Nurse. 71(10):1-2, 1996 Nov-Dec. AS - Kans Nurse. 71(10):1-2, 1996 Nov-Dec. NJ - The Kansas nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ku3, 18110790r SB - Nursing Journal CP - UNITED STATES MH - Counseling MH - Education, Nursing, Continuing MH - Humans MH - *Patient Education as Topic MH - *Smoking Cessation MH - Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder/rh [Rehabilitation] IS - 0022-8710 IL - 0022-8710 PT - Journal Article LG - English DP - 1996 Nov-Dec DC - 19970227 YR - 1996 ED - 19970227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9025463 <566. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8998044 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moore K FA - Moore, K TI - Myths on the rocks: uses and abuses of alcohol (continuing education credit). SO - Nursing Standard. 11(6 Suppl Nu):5-17; quiz 20-4, 1996 Oct 30. AS - Nurs Stand. 11(6 Suppl Nu):5-17; quiz 20-4, 1996 Oct 30. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - ENGLAND MH - Alcohol Drinking/pp [Physiopathology] MH - Alcohol Drinking/px [Psychology] MH - *Alcohol Drinking MH - Alcoholism/nu [Nursing] MH - Alcoholism/pp [Physiopathology] MH - Alcoholism/px [Psychology] MH - *Alcoholism MH - Education, Nursing, Continuing MH - Humans MH - Social Behavior IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 1996 Oct 30 DC - 19970130 YR - 1996 ED - 19970130 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8998044 <567. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8876400 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH FA - Rassool, G H TI - Addiction nursing and substance misuse: a slow response to partial accommodation. SO - Journal of Advanced Nursing. 24(3):425-7, 1996 Sep. AS - J Adv Nurs. 24(3):425-7, 1996 Sep. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Curriculum MH - *Education, Nursing, Graduate MH - Great Britain MH - Health Policy MH - Humans MH - Nurse Clinicians/ed [Education] MH - Specialties, Nursing MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] IS - 0309-2402 IL - 0309-2402 PT - Editorial LG - English DP - 1996 Sep DC - 19970123 YR - 1996 ED - 19970123 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8876400 <568. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8842849 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCrady BS AU - Richter SS AU - Morgan TJ AU - Slade J AU - Pfeifer C FA - McCrady, B S FA - Richter, S S FA - Morgan, T J FA - Slade, J FA - Pfeifer, C IN - McCrady,B S. Rutgers, State University of New Jersey, USA. TI - Involving health care workers in screening for alcohol problems. SO - Journal of Addictive Diseases. 15(3):45-58, 1996. AS - J Addict Dis. 15(3):45-58, 1996. NJ - Journal of addictive diseases PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 SB - Index Medicus CP - UNITED STATES MH - Admitting Department, Hospital/st [Standards] MH - Adult MH - Alcohol Drinking/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - Diagnostic Tests, Routine/mt [Methods] MH - *Diagnostic Tests, Routine/ut [Utilization] MH - Female MH - Humans MH - Inservice Training MH - Internship and Residency MH - Interviews as Topic/mt [Methods] MH - *Interviews as Topic/ut [Utilization] MH - Male MH - Medical History Taking/mt [Methods] MH - *Medical History Taking/st [Standards] MH - Medical Records/st [Standards] MH - Middle Aged MH - Nurses/px [Psychology] MH - Students, Medical/px [Psychology] MH - Substance Abuse Detection/mt [Methods] MH - *Substance Abuse Detection/ut [Utilization] AB - OBJECTIVES: (1) Examine physician and nursing staff compliance with conducting an alcohol screening interview; (2) Compare compliance with the interview with usual physician and nurse assessment of drinking; (3) Examine reasons why drinking information might not be collected. AB - DESIGN: Residents and nurses were taught how to use an alcohol screening interview and were told by the director of residency training or by the Vice-President for Nursing to administer it to all admitted patients. Data on interviewed patients were compared with medical record data on a randomly selected series of 80 patients who were not interviewed. AB - SETTING: Teaching hospital in an urban/suburban community. AB - PATIENTS/PARTICIPANTS: Residents on internal medicine and family practice services; surgical nurses. AB - MEASUREMENTS AND MAIN RESULTS: Compliance with conducting the interview was low (14.7% of residents' admissions; 13.53% of nurses' admissions). Review of the medical records indicated that some alcohol-related information was recorded in most patients' medical records (physicians recorded information on 94% of patients on the teaching services, nurses on the surgical unit recorded alcohol-related information on 71% of patients). Surgeons and surgical residents recorded alcohol-related information on 30% of their patients. Residents were more likely to interview male than female patients, and residents and nurses tended to interview patients with higher GGTP values. AB - CONCLUSIONS: (1) Compliance with administering a standardized alcohol screening interview was low. (2) Nurses, and residents in family practice and internal medicine made some assessment of drinking for most patients. Surgeons assessed drinking in a minority of patients. (3) Expressed reasons for not administering the standardized interview included discomfort with the interview, viewing the interview as too time-consuming, or not part of the usual responsibilities of the nurses or residents. Other possible reasons for the low levels of compliance are discussed. IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - P50 08747 (United States PHS HHS) LG - English DP - 1996 DC - 19970121 YR - 1996 ED - 19970121 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8842849 <569. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8832509 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mynatt S FA - Mynatt, S IN - Mynatt,S. University of Memphis Loewenberg School of Nursing, Tennessee 38152, USA. TI - A model of contributing risk factors to chemical dependency in nurses. SO - Journal of Psychosocial Nursing & Mental Health Services. 34(7):13-22, 1996 Jul. AS - J Psychosoc Nurs Ment Health Serv. 34(7):13-22, 1996 Jul. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Female MH - Holistic Health MH - Humans MH - Male MH - *Models, Psychological MH - *Nurses/px [Psychology] MH - *Professional Impairment/px [Psychology] MH - Retrospective Studies MH - Risk Factors MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - 1. The risk of chemical dependency in women includes a chaotic family of origin, victimization, and low self-esteem. 2. Women with substance abuse disorders often suffer from a co-morbid depression, which is a threat to relapse. 3. Nursing and nursing education must develop strategies to minimize the risks associated with substance abuse disorders. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1996 Jul DC - 19961213 YR - 1996 ED - 19961213 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8832509 <570. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8854551 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sigsby LM AU - Bullock L FA - Sigsby, L M FA - Bullock, L IN - Sigsby,L M. College of Nursing, University of Florida, Gainesville 32610-0187, USA. TI - Nursing education and research in New Zealand. SO - Image - the Journal of Nursing Scholarship. 28(3):269-72, 1996. AS - Image J Nurs Sch. 28(3):269-72, 1996. NJ - Image--the journal of nursing scholarship PI - Journal available in: Print PI - Citation processed from: Print JC - gg1, 8400753 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Education, Nursing, Graduate/og [Organization & Administration] MH - Faculty MH - Health Care Reform MH - Humans MH - New Zealand MH - Nursing Research/ed [Education] MH - *Nursing Research/og [Organization & Administration] MH - Organizational Innovation MH - Research Support as Topic MH - Surveys and Questionnaires AB - Changes in nursing education and health care reform in New Zealand have significantly affected nurses engaged in research. Movement in both undergraduate and graduate educational qualifications has stimulated interest in research about health-care problems including cardiovascular disease, cancer, and substance abuse. Our small descriptive survey indicated that most research is qualitative and focuses on clinical care. Lack of funding, isolation from educational settings, and nurses' lack of confidence in their research abilities are major hindrances to the development of nursing knowledge. Limited publication opportunities further complicate dissemination of research. IS - 0743-5150 IL - 0743-5150 PT - Journal Article LG - English DP - 1996 DC - 19961113 YR - 1996 ED - 19961113 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8854551 <571. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8751325 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Joseph CL FA - Joseph, C L IN - Joseph,C L. Extended Care Services, Portland Veterans Affairs Medical Center, Oregon. TI - Alcohol and drug misuse in the nursing home. [Review] [100 refs] SO - International Journal of the Addictions. 30(13-14):1953-84, 1995 Nov-Dec. AS - Int J Addict. 30(13-14):1953-84, 1995 Nov-Dec. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - Aged MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/th [Therapy] MH - Female MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Nicotine MH - *Nursing Homes MH - Street Drugs MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States/ep [Epidemiology] AB - The misuse of alcohol or drugs is a common and frequently neglected problem among nursing home residents. The misuse of prescription medications is particularly prevalent, but tobacco, alcohol, and illicit drugs are all subject of misuse by nursing home residents. This article reviews the epidemiologic and clinical aspects of substance misuse in nursing homes, including alcohol, illicit drugs, tobacco, and pyscho-active medications. Regulations regarding the prescription of psycho-active drugs in nursing homes is also discussed. [References: 100] RN - 0 (Street Drugs) RN - 6M3C89ZY6R (Nicotine) IS - 0020-773X IL - 0020-773X PT - Case Reports PT - Journal Article PT - Review LG - English DP - 1995 Nov-Dec DC - 19961028 YR - 1995 ED - 19961028 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8751325 <572. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8718781 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wennerstrom PA AU - Rooda LA FA - Wennerstrom, P A FA - Rooda, L A IN - Wennerstrom,P A. Indiana University Northwest Campus, Gary 46408, USA. TI - Attitudes and perceptions of nursing students toward chemically impaired nurses: implications for nursing education. SO - Journal of Nursing Education. 35(5):237-9, 1996 May. AS - J Nurs Educ. 35(5):237-9, 1996 May. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence MH - Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male MH - *Nurses MH - *Professional Impairment MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1996 May DC - 19961001 YR - 1996 ED - 19961001 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8718781 <573. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8718773 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marion LN AU - Fuller SG AU - Johnson NP AU - Michels PJ AU - Diniz C FA - Marion, L N FA - Fuller, S G FA - Johnson, N P FA - Michels, P J FA - Diniz, C IN - Marion,L N. Department of Public Health Nursing, College of Nursing, University of Illinois at Chicago 60612-7350, USA. TI - Drinking problems of nursing students. SO - Journal of Nursing Education. 35(5):196-203, 1996 May. AS - J Nurs Educ. 35(5):196-203, 1996 May. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - Cohort Studies MH - Education, Nursing, Baccalaureate MH - Faculty, Nursing MH - Female MH - Humans MH - Incidence MH - Male MH - Mass Screening MH - Middle Aged MH - Risk Factors MH - *Students, Nursing MH - Surveys and Questionnaires AB - A sample of 315 nursing students in yearly cohorts (1988-1992) completed the Michigan Alcoholism Screening Test (MAST). A simple and quick instrument with established reliability and validity, the MAST had a reliability coefficient of .78 with this sample. The MAST scores of the nursing students indicated that 21.5% had probable alcoholism or were alcoholic. Drinking problems among these nursing students were similar to those of other nursing students and college students in general. Implications for nurse educators include recognition that nursing students need continuing self-assessment and monitoring to avoid drinking problems as a student and future practitioner. Alcoholism self-screening is an excellent introduction to client assessment for drinking problems. Implications for future research include identifying correlates and determinants of problem drinking behaviors and ultimately developing and testing educational interventions to eliminate the problem. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1996 May DC - 19961001 YR - 1996 ED - 19961001 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8718773 <574. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8749794 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SA AU - Scott CS AU - Mandel LS FA - Murphy, S A FA - Scott, C S FA - Mandel, L S IN - Murphy,S A. Department of Psychosocial and Community Health, University of Washington, Seattle 98195-7263, USA. TI - Evaluating students' substance abuse assessment skills. SO - Journal of Substance Abuse. 7(3):357-64, 1995. AS - J Subst Abuse. 7(3):357-64, 1995. NJ - Journal of substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - bjp, 9001404 SB - Index Medicus CP - UNITED STATES MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ge [Genetics] MH - Alcoholism/px [Psychology] MH - Cohort Studies MH - Cross-Sectional Studies MH - *Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male MH - Medical History Taking MH - *Nursing Assessment/sn [Statistics & Numerical Data] MH - *Personality Assessment/sn [Statistics & Numerical Data] MH - *Psychotropic Drugs MH - *Street Drugs MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ge [Genetics] MH - Substance-Related Disorders/px [Psychology] AB - Graduating nursing students' abilities to assess clients for substance use were evaluated using two standardized patient (SP) cases. In the comprehensive health history case (unprompted), 55% of the study participants assessed alcohol use and 20% assessed drug use. When prompted to conduct a substance use history, at least 90% of the subjects asked about the quantity and frequency of alcohol use and 80% asked about drug use. However, in the prompted case, fewer than 10% of the subjects linked current alcohol and drug (AOD) use with risks and consequences, nor did they ask the SP if he had considered decreasing substance use. The mean score for communication skills used in the two assessment interviews were 3.65 and 3.56 on a 1 to 6 Likert scale. These data point out the need for additional emphasis on instructing students to include AOD questions as part of routine assessments, what questions to ask in a substance use assessment, and how to act on the information received. The use of SPs is one way to obtain valid information about students' assessment competencies. RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) IS - 0899-3289 IL - 0899-3289 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - T01 AA07496 (United States NIAAA NIH HHS) LG - English DP - 1995 DC - 19960927 YR - 1995 ED - 19960927 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8749794 <575. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8755141 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Policy and guidelines for prevention and management of substance abuse in the nursing education community. American Association of Colleges of Nursing. SO - Journal of Professional Nursing. 12(4):253-7, 1996 Jul-Aug. AS - J Prof Nurs. 12(4):253-7, 1996 Jul-Aug. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Faculty, Nursing MH - *Health Policy MH - Humans MH - Organizational Policy MH - *Professional Impairment MH - *School Nursing/og [Organization & Administration] MH - Societies, Nursing MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States IS - 8755-7223 IL - 8755-7223 PT - Guideline PT - Journal Article LG - English DP - 1996 Jul-Aug DC - 19960920 YR - 1996 ED - 19960920 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8755141 <576. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8700410 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Espeland K FA - Espeland, K TI - Helping students understand substance abuse. SO - Nurse Educator. 21(1):31, 1996 Jan-Feb. AS - Nurse Educ. 21(1):31, 1996 Jan-Feb. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - Humans MH - *Psychiatric Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] IS - 0363-3624 IL - 0363-3624 PT - News LG - English DP - 1996 Jan-Feb DC - 19960905 YR - 1996 ED - 19960905 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8700410 <577. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8699370 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ludwig MA AU - Marecki M AU - Wooldridge PJ AU - Sherman LM FA - Ludwig, M A FA - Marecki, M FA - Wooldridge, P J FA - Sherman, L M TI - Neonatal nurses' knowledge of and attitudes toward caring for cocaine-exposed infants and their mothers. SO - Journal of Perinatal & Neonatal Nursing. 9(4):81-95, 1996 Mar. AS - J Perinat Neonatal Nurs. 9(4):81-95, 1996 Mar. NJ - The Journal of perinatal & neonatal nursing PI - Journal available in: Print PI - Citation processed from: Print JC - jpn, 8801387 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Cocaine/ae [Adverse Effects] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Infant, Newborn MH - Male MH - Middle Aged MH - Models, Psychological MH - *Mothers MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - Neonatal Nursing/ed [Education] MH - Neonatal Nursing/mt [Methods] MH - *Neonatal Nursing MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Surveys and Questionnaires AB - The knowledge, attitudes, and backgrounds of 215 nurses employed in the nurseries of six hospitals were studied by means of a questionnaire survey. The nurses' attitudes toward the mothers of cocaine-addicted infants were found to be generally negative and/or judgmental and their knowledge to be low. More experience with nursing cocaine-addicted infants and greater acuity of the neonatal unit in which the nurse worked correlated with more positive attitudes toward the infants but not toward their mothers. Knowledge and attitude correlated positively with formal education, inservice education, and self-education, but the correlations were weak. RN - I5Y540LHVR (Cocaine) IS - 0893-2190 IL - 0893-2190 PT - Journal Article LG - English DP - 1996 Mar DC - 19960905 YR - 1996 ED - 19960905 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8699370 <578. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8696786 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kinsella C AU - Chaloner C FA - Kinsella, C FA - Chaloner, C TI - Attitude to treatment and direction of interest of forensic mental health nurses: a comparison with nurses working in other specialties. SO - Journal of Psychiatric & Mental Health Nursing. 2(6):351-7, 1995. AS - J Psychiatr Ment Health Nurs. 2(6):351-7, 1995. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal CP - ENGLAND MH - *Attitude of Health Personnel MH - *Forensic Psychiatry MH - Humans MH - Nurse-Patient Relations MH - *Nursing Staff, Hospital/px [Psychology] MH - *Psychiatric Nursing MH - Specialties, Nursing MH - Surveys and Questionnaires AB - The attitudes of nurses working within forensic psychiatry are often perceived as being custodially oriented. Working on this commonly held assumption the authors hypothesized that nurses working within a physically controlled environment such as a Regional Secure Unit would hold more conservative/biological attitudes toward treatment, and would be more 'object'-oriented (as opposed to 'psychologically' oriented) than those working in less physically controlled clinical areas. [For the purpose of this paper the term 'Regional Secure Unit' is used to describe the medium secure facilities that were included in this study, although one of the units did not serve a wholly regional function.] This paper outlines a study that attempted to examine this hypothesis. A total of 84 nurses from three clinical specialties (Regional Secure Units, Acute Admission Wards and Drug Dependence Units) completed the Attitude to Treatment Questionnaire (ATQ) and the Direction of Interest Questionnaire (DIQ) (Caine et al. 1981). Each nurse also completed a demographic information questionnaire, supplying details of age, professional experience and educational attainment. The results indicate no significant differences on measures used between specialty groups. Significant positive correlations were found between age and conservatism on the ATQ, and between ATQ conservatism and DIQ object centredness. Implications of these results are discussed and suggestions for future research are made. IS - 1351-0126 IL - 1351-0126 PT - Comparative Study PT - Journal Article LG - English DP - 1995 DC - 19960904 YR - 1995 ED - 19960904 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8696786 <579. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8684408 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Davies HD AU - McGeer A AU - Schwartz B AU - Green K AU - Cann D AU - Simor AE AU - Low DE FA - Davies, H D FA - McGeer, A FA - Schwartz, B FA - Green, K FA - Cann, D FA - Simor, A E FA - Low, D E IN - Davies,H D. Division of Infectious Diseases, Hospital for Sick Children, Toronto, Canada. TI - Invasive group A streptococcal infections in Ontario, Canada. Ontario Group A Streptococcal Study Group. CM - Comment in: N Engl J Med. 1996 Aug 22;335(8):590-1; PMID: 8678939 CM - Comment in: N Engl J Med. 1997 Feb 13;336(7):513; author reply 514; PMID: 9019655 CM - Comment in: N Engl J Med. 1997 Feb 13;336(7):513; author reply 514; PMID: 9019654 SO - New England Journal of Medicine. 335(8):547-54, 1996 Aug 22. AS - N Engl J Med. 335(8):547-54, 1996 Aug 22. NJ - The New England journal of medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0255562, now SB - Core Clinical Journals (AIM) SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Child MH - Child, Preschool MH - Cross Infection/ep [Epidemiology] MH - Cross Infection/mi [Microbiology] MH - Fasciitis, Necrotizing/ep [Epidemiology] MH - Fasciitis, Necrotizing/mi [Microbiology] MH - Female MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Ontario/ep [Epidemiology] MH - Population Surveillance MH - Prospective Studies MH - Risk Factors MH - Shock, Septic/ep [Epidemiology] MH - Shock, Septic/mi [Microbiology] MH - *Streptococcal Infections/ep [Epidemiology] MH - Streptococcal Infections/mi [Microbiology] MH - Streptococcal Infections/tm [Transmission] MH - Streptococcus pyogenes/cl [Classification] MH - Streptococcus pyogenes/ip [Isolation & Purification] MH - *Streptococcus pyogenes MH - Time Factors AB - BACKGROUND: Several reports suggest that the incidence of invasive group A streptococcal infections, including streptococcal toxic shock syndrome and necrotizing fasciitis, is increasing. AB - METHODS: During 1992 and 1993 we conducted prospective, population-based surveillance of invasive group A streptococcal disease in Ontario, Canada. We reviewed clinical and laboratory records, searched for secondary cases of invasive disease, and cultured specimens from household contacts. AB - RESULTS: We identified 323 patients with invasive group A streptococcal infections, for an annual incidence of 1.5 cases per 100,000 population. The rates were highest in young children and the elderly. Fifty-six percent of the patients had underlying chronic illness. Risk factors for disease included infection with the human immunodeficiency virus, cancer, diabetes, alcohol abuse, and chickenpox. The most common clinical presentations were soft-tissue infection (48 percent), bacteremia with no septic focus (14 percent), and pneumonia (11 percent). Necrotizing fasciitis occurred in 6 percent of patients, and toxic shock in 13 percent. The mortality rate was 15 percent overall, but it was 29 percent among those over 64 years of age (P<0.001) and 81 percent among those with toxic shock (P<0.001). Fourteen percent of the cases were nosocomial, and 4 percent occurred in nursing home residents, often in association with disease outbreaks. Invasive disease occurred in 2 household contacts of patients with infection, for an estimated risk of 3.2 per 1000 household contacts (95 percent confidence interval, 0.39 to 12 per 1000). AB - CONCLUSIONS: The elderly and those with underlying medical conditions are at greatest risk for invasive group A streptococcal disease, toxic shock, and necrotizing fasciitis. Invasive steptococcal infection is associated with a substantial risk of transmission in households and health care institutions. IS - 0028-4793 IL - 0028-4793 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 1996 Aug 22 DC - 19960822 YR - 1996 ED - 19960822 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8684408 <580. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8679482 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lehane M FA - Lehane, M TI - Courses conflict and control. SO - Nursing Standard. 10(10):50-1, 1995 Nov 29-Dec 5. AS - Nurs Stand. 10(10):50-1, 1995 Nov 29-Dec 5. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - ENGLAND MH - *Education, Nursing, Continuing MH - Humans MH - Inservice Training MH - Male MH - Nurse-Patient Relations MH - *Nursing Staff, Hospital/ed [Education] MH - *Psychiatric Nursing/ed [Education] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Violence IS - 0029-6570 IL - 0029-6570 PT - Case Reports PT - Journal Article LG - English DP - 1995 Nov 29-Dec 5 DC - 19960822 YR - 1995 ED - 19960822 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8679482 <581. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8642150 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Capezuti E AU - Evans L AU - Strumpf N AU - Maislin G FA - Capezuti, E FA - Evans, L FA - Strumpf, N FA - Maislin, G IN - Capezuti,E. School of Nursing, University of Pennsylvania, Philadelphia 19104, USA. TI - Physical restraint use and falls in nursing home residents. CM - Comment in: J Am Geriatr Soc. 1996 Jun;44(6):727-8; PMID: 8642169 SO - Journal of the American Geriatrics Society. 44(6):627-33, 1996 Jun. AS - J Am Geriatr Soc. 44(6):627-33, 1996 Jun. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v OI - Source: KIE. 51579 SB - Bioethics Journals SB - Index Medicus CP - UNITED STATES MH - Accidental Falls/pc [Prevention & Control] MH - *Accidental Falls/sn [Statistics & Numerical Data] MH - Aged MH - Aged, 80 and over MH - *Behavior Control MH - Chi-Square Distribution MH - Control Groups MH - Female MH - Geriatric Assessment MH - Humans MH - Logistic Models MH - Longitudinal Studies MH - Male MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Odds Ratio MH - Psychotropic Drugs/tu [Therapeutic Use] MH - *Restraint, Physical MH - *Risk Assessment MH - Risk Factors MH - Risk Management KW - Empirical Approach; Professional Patient Relationship AB - OBJECTIVE: To examine the relationship between restraint use and falls while controlling for the effect of psychoactive drug use among nursing home residents, including subgroups of nursing home residents with high rates of restraint use and/or falls. AB - DESIGN: Secondary analysis of data from a longitudinal clinical trial designed to reduce restraint use. AB - SETTING: Three nursing homes. AB - PARTICIPANTS: Subjects (n = 322) were either restrained (n = 119) or never restrained (n = 203) at each observation point during a 9.5-month data collection period that preceded the intervention phase of the clinical trial. AB - MEASUREMENTS: We evaluated restraint status (independent variable) three times during the data collection period by direct observation over a 72-hour period. Incident reports documenting falls and fall-related injuries (dependent variables) were reviewed. Cognitive status was measured using the Folstein Mini-Mental State Exam and functional status (including ambulation status) by the Psychogeriatric Dependency Rating Scale. Psychoactive drug use profile was obtained through record review. AB - MAIN RESULTS: Using multiple logistic regression, we compared the effect of restraint use on fall risk between a confused ambulatory subgroup and the remaining sample and found a significant difference in the odds ratio for falls and recurrent falls (P = .02; chi-square = 5.24, df = 1; P = .003, chi-square = 9.12, df = 1). In the confused ambulatory subgroup, restraint use was associated with increased falls (odds ratio: 1.65, 95% CI: 0.69, 3.98) as well as recurrent fall risk (odds ratio: 2.46, 95% CI: 1.03, 5.88). Increased falls and recurrent fall risk was not observed in the remaining sample (falls odds ratio: 0.49, 95% CI: 0.28, 0.87; recurrent falls odds ratio: 0.42, 95% CI: 0.20, 0.91). One subgroup, the nonconfused ambulatory residents, were never restrained; after removing this subgroup, the confused ambulatory continued to be associated, though not significantly, with a higher risk of falls and injuries. Only nonconfused nonambulatory restraints were associated with a lower risk of all three outcomes: falls (odds ratio: 0.28, 95% CI: 0.05, 1.58), recurrent falls (odds ratio: 0.48, 95% CI: 0.05, 4.72), and injurious falls (odds ratio:0.42, 95% CI: 0.04, 4.01); these results, however, were not statistically significant. There was no evidence that the effect of restraint use on fall risk depended upon the use of psychoactive drugs (chi square = 4.43; df = 2, P = .11). AB - CONCLUSION: Restraints were not associated with a significantly lower risk of falls or injuries in subgroups of residents likely to be restrained. These findings support individualized assessment of fall risk rather than routine use of physical restraints for fall prevention. Researchers and clinicians should continue to focus efforts on developing a variety of approaches that reduce risk of falls and injuries and promote mobility rather than immobility. NT - KIE BoB Subject Heading: behavior control NT - KIE BoB Subject Heading: patient care/aged NT - Full author name: Capezuti, Elizabeth NT - Full author name: Evans, Lois NT - Full author name: Strumpf, Neville NT - Full author name: Maislin, Greg RN - 0 (Psychotropic Drugs) IS - 0002-8614 IL - 0002-8614 PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R01 5-24670 (United States PHS HHS) LG - English DP - 1996 Jun DC - 19960712 YR - 1996 ED - 19960712 RD - 20080310 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8642150 <582. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10172600 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jones H AU - Lindsay AU - Ballard T FA - Jones, H FA - Lindsay FA - Ballard, T IN - Jones,H. Children's Medical Center of Dallas, TX, USA. TI - Improving outcomes in therapeutic drug monitoring--a case history. SO - Clinical Laboratory Management Review. 10(2):160-6, 1996 Mar-Apr. AS - Clin Lab Manage Rev. 10(2):160-6, 1996 Mar-Apr. NJ - Clinical laboratory management review : official publication of the Clinical Laboratory Management Association / CLMA PI - Journal available in: Print PI - Citation processed from: Print JC - abv, 8805785, 8805785 SB - Health Administration Journals CP - UNITED STATES MH - *Clinical Laboratory Techniques/st [Standards] MH - *Drug Monitoring MH - Guidelines as Topic MH - Hospital Bed Capacity, 100 to 299 MH - *Hospitals, Pediatric/st [Standards] MH - Hospitals, Teaching/st [Standards] MH - Retrospective Studies MH - Texas MH - Total Quality Management MH - *Treatment Outcome AB - A case history describes quality improvement initiatives undertaken by the Laboratory, the Pharmacy, and the Department of Nursing at Children's Medical Center in Dallas, Texas, a 266-bed pediatric teaching hospital affiliated with the University of Texas Southwestern Medical School. The initial purpose of the study was to correct problems identified by a retrospective review of randomly selected patient charts. The problems included laboratory schedules for drug assays, the timing and documenting of blood collections, the reporting of toxic results to physicians, and the interpreting of serum drug concentrations. The major changes in the program included increased frequency of testing in the laboratory, educating nurses as to sample collection guidelines, introducing a clinical pharmacy consultation service, daily reporting of all drug levels to the pharmacy from the laboratory computer, and reporting toxic levels to the clinical pharmacist who then notified the physician and offered a consult. The study then began to focus on attempting to monitor the service related to outcome indicators. Outcome data included a comparison of test volumes (15.7% decrease), tests per adjusted patient day (15.4% decrease), and tests per patient day of therapy for aminoglycosides (gentamicin decreased 6.8%) before and after the changes were implemented. Data also included aminoglycoside tests reported as therapeutic and as toxic. Plans for further improvement have been identified and include differentiating peak and trough serum drug concentrations for aminoglycosides, possibly developing protocols for vancomycin and cyclosporine monitoring, continuing to educate laboratory technologists and nurses, and continuing to monitor usage and outcome indicators. IS - 0888-7950 IL - 0888-7950 PT - Journal Article LG - English DP - 1996 Mar-Apr DC - 19960703 YR - 1996 ED - 19960703 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10172600 <583. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8610194 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kochersberger G AU - Clipp EC FA - Kochersberger, G FA - Clipp, E C IN - Kochersberger,G. Department of Veteran Affairs Medical Center, Canandaigua NY, USA. TI - Resident smoking in long-term care facilities--policies and ethics. SO - Public Health Reports. 111(1):66-70, 1996 Jan-Feb. AS - Public Health Rep. 111(1):66-70, 1996 Jan-Feb. NJ - Public health reports (Washington, D.C. : 1974) PI - Journal available in: Print PI - Citation processed from: Print JC - 9716844, qja OI - Source: KIE. 63997 OI - Source: NLM. PMC1381745 OI - Source: NRCBL. 9.5.9 SB - Core Clinical Journals (AIM) SB - Bioethics Journals SB - Index Medicus CP - UNITED STATES MH - Aged MH - *Behavior Control MH - Ethics, Professional MH - Humans MH - *Nursing Homes MH - Organizational Policy MH - Paternalism MH - Patient Advocacy MH - *Patient Rights MH - Personal Autonomy MH - Smoking/ep [Epidemiology] MH - United States MH - United States Department of Veterans Affairs KW - Empirical Approach; Health Care and Public Health; Professional Patient Relationship AB - OBJECTIVE: To characterize smoking behavior, facility policies related smoking, and administrators' views of smoking-related problems in Veterans Affairs nursing home care units nationwide. AB - METHODS: An anonymous mail survey of long-term care facilities was administered to 106 nursing home supervisors at VA Medical Centers with nursing home care units. The response rate was 82%. AB - RESULTS: Administrators from 106 VA nursing home units reported smoking rates ranging from 5% to 80% of long-term care residents, with an average of 22%. Half of the nursing homes had indoor smoking areas. Frequent complaints from nonsmokers about passive smoke exposure were reported in 23% of the nursing homes. The nursing administrators reported that patient safety was their greatest concern. Seventy- eight percent ranked health effects to the smokers themselves a "major concern," while 70% put health effects to exposed nonsmokers in that category. Smoking in the nursing home was described as a "right" by 59% of respondents and a "privilege" by 67%. Some individuals reported that smoking was both a right and a privilege. AB - CONCLUSION: Smoking is relatively common among VA long-term care patients. The promotion of personal autonomy and individual resident rights stressed in the Omnibus Budget Reconciliation Act of 1987 may conflict with administrative concerns about the safety of nursing home smokers and those around them. NT - KIE BoB Subject Heading: behavior control NT - KIE BoB Subject Heading: health NT - KIE BoB Subject Heading: patients' rights NT - Full author name: Kochersberger, Gary NT - Full author name: Clipp, Elizabeth C IS - 0033-3549 IL - 0033-3549 PT - Journal Article LG - English DP - 1996 Jan-Feb DC - 19960529 YR - 1996 ED - 19960529 RD - 20130919 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8610194 <584. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8583274 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Christian A FA - Christian, A IN - Christian,A. Harris Home Health Services, Fort Worth, TX, USA. TI - Home care of the battered pregnant woman: one battered woman's pregnancy. SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 24(9):836-42, 1995 Nov-Dec. AS - J Obstet Gynecol Neonatal Nurs. 24(9):836-42, 1995 Nov-Dec. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Female MH - *Home Care Services MH - Humans MH - Male MH - Nursing Assessment MH - Patient Education as Topic MH - Pregnancy MH - *Pregnancy Complications/nu [Nursing] MH - *Prenatal Care MH - Professional-Patient Relations MH - Social Support MH - *Spouse Abuse MH - Substance-Related Disorders/px [Psychology] MH - Treatment Refusal AB - Perinatal nurses in the home care setting should screen all women for battering. Pregnant women who are battered need nursing education and intervention to help break the cycle of abuse and promote optimal maternal and fetal outcomes. This case report describes nursing care in the home for a battered pregnant patient at high risk. IS - 0884-2175 IL - 0090-0311 PT - Case Reports PT - Journal Article LG - English DP - 1995 Nov-Dec DC - 19960318 YR - 1995 ED - 19960318 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8583274 <585. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8577618 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coleman EA AU - Coon SK AU - Thompson PJ AU - Lemon SJ AU - Depuy RS FA - Coleman, E A FA - Coon, S K FA - Thompson, P J FA - Lemon, S J FA - Depuy, R S IN - Coleman,E A. College of Nursing, University of Arkansas for Medical Sciences (UAMS), Little Rock, USA. TI - Impact of silicone implants on the lives of women with breast cancer. SO - Oncology Nursing Forum. 22(10):1493-500, 1995 Nov-Dec. AS - Oncol Nurs Forum. 22(10):1493-500, 1995 Nov-Dec. NJ - Oncology nursing forum PI - Journal available in: Print PI - Citation processed from: Print JC - 7809033, pad SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - Anger MH - Attitude to Health MH - *Breast Implants/ae [Adverse Effects] MH - *Breast Neoplasms/su [Surgery] MH - Decision Making MH - Female MH - Humans MH - Mammaplasty/nu [Nursing] MH - *Mammaplasty MH - *Mastectomy/rh [Rehabilitation] MH - Middle Aged MH - Patient Education as Topic MH - *Patient Satisfaction MH - Physician-Patient Relations MH - *Silicones MH - Truth Disclosure MH - United States AB - PURPOSE/OBJECTIVES: To describe the impact of silicone implants on the lives of women with breast cancer. AB - DESIGN: Qualitative analysis of telephone interview data. AB - SAMPLE: 120 women from across the United States who have reported to the Food and Drug Administration problems with breast implants following mastectomies. AB - METHODS: Telephone interviews were used to gather responses to 110 questions. Qualitative analysis of narrative data was linked with quantitative data. AB - MAIN RESEARCH VARIABLES: Concerns and feelings about breast implants; potential problems with silicone implants; source of information about problems; how they coped with the silicone implant controversy; problems related to their breast implants; the effect of health problems on day-to-day activities, relationships with significant others, work, and any other important aspects of their lives; and advice they would give other women regarding breast implant surgery. By linking the qualitative analysis of narrative data with quantitative data, the investigators sought to answer the following research question: Do the patterns of responses differ based on specific systemic physical problems, reported localized breast problems, or implant problems? AB - FINDINGS: The women reported poorer quality of life and feelings of worry and anger because of health problems. They perceived they had received incomplete information and often had complaints dismissed by their healthcare providers. Most of them would not recommend silicone implants for patients undergoing mastectomy. The women's levels of satisfaction were directly associated with their feelings of being informed and the type of health problems they experienced. AB - CONCLUSIONS: Women need reconstruction options following mastectomy, however, use of silicone implants can result in additional health problems and decreased quality of life as a result of those problems. AB - IMPLICATIONS FOR NURSING PRACTICE: Nurses can assume the role of breast health educator, which includes counseling women with breast cancer about breast implants and other reconstructive options. Study results will help health providers care both for those patients considering treatment options and those coping with the problems and concerns related to their breast implants. Women should be told the inherent risks and complications associated with breast implants and also told when "we don't know." RN - 0 (Silicones) IS - 0190-535X IL - 0190-535X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 1995 Nov-Dec DC - 19960314 YR - 1995 ED - 19960314 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8577618 <586. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8558286 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelley BR FA - Kelley, B R IN - Kelley,B R. Northeastern University College of Nursing, Boston, Massachusetts, USA. TI - Community-based research: a tool for community empowerment and student learning. SO - Journal of Nursing Education. 34(8):384-6, 1995 Nov. AS - J Nurs Educ. 34(8):384-6, 1995 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Boston MH - Child MH - *Community Health Nursing/ed [Education] MH - *Consumer Participation MH - Humans MH - Manuals as Topic MH - Models, Nursing MH - *Nursing Research/ed [Education] MH - Substance-Related Disorders/pc [Prevention & Control] AB - Teaching Nursing Research is most often done close to the end of the student's educational experience. This article describes Northeastern University College of Nursing's experience using community-based research projects as a method of teaching nursing concepts and skills to beginning nursing students. By using Paulo Freire's model of Community Empowerment, a group of inner-city teens developed a drug awareness manual that is used to teach elementary school students about drugs and drug use. Through this model, students also learn that healthcare is a partnership among individuals, communities and professionals. IS - 0148-4834 IL - 0148-4834 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 Nov DC - 19960227 YR - 1995 ED - 19960227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8558286 <587. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8537832 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Porter LA AU - Dunbar SB FA - Porter, L A FA - Dunbar, S B IN - Porter,L A. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA. TI - Drug profiles: maximizing therapeutic effectiveness. [Review] [29 refs] SO - Journal of Cardiovascular Nursing. 10(1):64-72, 1995 Oct. AS - J Cardiovasc Nurs. 10(1):64-72, 1995 Oct. NJ - The Journal of cardiovascular nursing PI - Journal available in: Print PI - Citation processed from: Print JC - jcn, 8703516 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Cardiovascular Agents/ad [Administration & Dosage] MH - Cardiovascular Agents/ae [Adverse Effects] MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Drug Monitoring/nu [Nursing] MH - Humans MH - *Myocardial Infarction/nu [Nursing] MH - *Nursing Assessment MH - Patient Compliance MH - Patient Education as Topic MH - Treatment Outcome AB - Major cardiac events are inevitably followed with a pharmacologic plan of therapy for cardiac patients. Careful assessment of the patient's drug regimen is an important aspect of cardiovascular nursing practice. Such assessment will reveal implications for education, compliance counseling, and side effect evaluation. A thorough drug history should include information about both prescription and nonprescription drug use. Assessment for adherence is improved by using supportive, open-ended questions. Assessment for side effects that affect quality of life is important, particularly in the area of sexual dysfunction. Sexual function should be assessed before beginning cardiovascular drug therapy and monitored for changes during treatment. Using principles of chronopharmacology, or therapy based on the time-dependent effects of drugs, nurses can schedule cardiovascular medications and evaluate patient responses in relation to circadian variability in vulnerability and symptoms. Assessment for ease of self-management of the drug regimen should be a particular focus with non-English-speaking patients and those with complex or costly drug regimens. [References: 29] RN - 0 (Cardiovascular Agents) IS - 0889-4655 IL - 0889-4655 PT - Journal Article PT - Review LG - English DP - 1995 Oct DC - 19960206 YR - 1995 ED - 19960206 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8537832 <588. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8520034 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sagliocca L AU - Mele A AU - Ferrigno L AU - Palumbo F AU - Converti F AU - Tosti ME AU - Amoroso P AU - Manzillo G FA - Sagliocca, L FA - Mele, A FA - Ferrigno, L FA - Palumbo, F FA - Converti, F FA - Tosti, M E FA - Amoroso, P FA - Manzillo, G IN - Sagliocca,L. Regione Campania, Osservatorio Epidemiologico, Napoli, Italy. TI - Case control study of risk factors for hepatitis A: Naples 1990-1991. Hepatitis Collaborating Group. SO - Italian Journal of Gastroenterology. 27(4):181-4, 1995 May. AS - Ital J Gastroenterol. 27(4):181-4, 1995 May. NJ - The Italian journal of gastroenterology PI - Journal available in: Print PI - Citation processed from: Print JC - a9i, 8000544 SB - Index Medicus CP - ITALY MH - Acute Disease MH - Adult MH - Case-Control Studies MH - Child MH - Child Day Care Centers MH - Child, Preschool MH - Hepatitis A/ep [Epidemiology] MH - *Hepatitis A/tm [Transmission] MH - Humans MH - Incidence MH - Infant MH - Italy/ep [Epidemiology] MH - Jaundice/co [Complications] MH - Risk Factors MH - Shellfish MH - Substance Abuse, Intravenous MH - Time Factors MH - Travel AB - An increased incidence of hepatitis A was observed in Naples from 1990-1991. A hospital-based case-control study was carried out to evaluate the relative importance of various risk factors. A hundred and ninety-eight cases and 238 hospital controls were recruited during the study period. The strongest association was contact with a jaundiced person among children. A correlation was also shown for children and adults with raw shellfish consumption and pre-school nursery attendance or presence in the household of children attending pre-school nurseries. History of travel and intravenous drug use were risk factors for adult subjects. Considering the relative importance of the specific risk factors we found that 38% of the acute hepatitis A cases were attributable to contact with a jaundiced person, 15% to presence in the household of children attending pre-school nurseries and 28% to raw shellfish consumption. IS - 0392-0623 IL - 0392-0623 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 May DC - 19960124 YR - 1995 ED - 19960124 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8520034 <589. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7501509 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Day M FA - Day, M TI - Agony and ecstasy. SO - Nursing Times. 91(44):14-5, 1995 Nov 1-7. AS - Nurs Times. 91(44):14-5, 1995 Nov 1-7. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Clinical Competence/st [Standards] MH - *Education, Nursing/st [Standards] MH - Great Britain/ep [Epidemiology] MH - Humans MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] IS - 0954-7762 IL - 0954-7762 PT - News LG - English DP - 1995 Nov 1-7 DC - 19960118 YR - 1995 ED - 19960118 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7501509 <590. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7499053 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gournay K FA - Gournay, K IN - Gournay,K. Middlesex University, Enfield, UK. TI - Mental health nurses working purposefully with people with serious and enduring mental illness--an international perspective. [Review] [68 refs] SO - International Journal of Nursing Studies. 32(4):341-52, 1995 Aug. AS - Int J Nurs Stud. 32(4):341-52, 1995 Aug. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Behavior Therapy MH - Case Management MH - Community Health Services/og [Organization & Administration] MH - *Community Health Services/td [Trends] MH - Family Therapy MH - Great Britain MH - Humans MH - Mental Disorders/dt [Drug Therapy] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/rh [Rehabilitation] MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/td [Trends] MH - United States AB - There has been a world-wide refocus on people with serious and enduring mental health problems. This has provided major challenges for all those involved in mental health care, as the last two decades have produced radical changes in service delivery and a range of new interventions. Mental health nurses are playing a central role as community based clinical case managers and are beginning to use a range of psychosocial interventions. They are also revitalizing skills in the more traditional areas of medication management and residential care. In addition, there are growing problems of substance abuse and violence which needs to be addressed. Mental health nursing is responding in this new era by various training initiatives. However, these programmes need rapid expansion as mental health nurses will continue to play a key role in the services of the future and therefore need these new skills. [References: 68] IS - 0020-7489 IL - 0020-7489 PT - Journal Article PT - Review LG - English DP - 1995 Aug DC - 19960117 YR - 1995 ED - 19960117 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7499053 <591. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7472640 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Church OM AU - Babor TF FA - Church, O M FA - Babor, T F IN - Church,O M. University of Connecticut School of Nursing, Storrs, USA. TI - Barriers and breakthroughs: substance abuse curricula in nursing education. SO - Journal of Nursing Education. 34(6):278-81, 1995 Sep. AS - J Nurs Educ. 34(6):278-81, 1995 Sep. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Faculty, Nursing MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Educational MH - *Nursing Education Research/og [Organization & Administration] MH - Program Development MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] MH - Training Support IS - 0148-4834 IL - 0148-4834 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - ADM 281-88-0007 (United States ADAMHA HHS) NO - P50-AA3510 (United States NIAAA NIH HHS) LG - English DP - 1995 Sep DC - 19951215 YR - 1995 ED - 19951215 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7472640 <592. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7487170 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gerace LM AU - Hughes TL AU - Spunt J FA - Gerace, L M FA - Hughes, T L FA - Spunt, J IN - Gerace,L M. University of Illinois, Chicago College of Nursing, Rockford Regional Program 61107, USA. TI - Improving nurses' responses toward substance-misusing patients: a clinical evaluation project. SO - Archives of Psychiatric Nursing. 9(5):286-94, 1995 Oct. AS - Arch Psychiatr Nurs. 9(5):286-94, 1995 Oct. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Clinical Competence MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Longitudinal Studies MH - Male MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Program Development MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] AB - Practitioners in acute and primary care settings often fail to identify and intervene with chemically dependent patients. Counterproductive attitudes, lack of knowledge, and poor clinical skills impede early identification, treatment, and referral. In response to these problems, an educational intervention was designed to improve practicing nurses' recognition of and responses to substance-misusing patients. Results of the pretest posttest comparison group evaluation suggest that educational interventions were influential in improving nurses' confidence in caring for substance misusing patients. Although data reflecting changes in attitudes were less compelling, the improvement in treatment optimism is a positive change that has important clinical implications. IS - 0883-9417 IL - 0883-9417 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - HHS 75-08-3885 (United States AHRQ HHS) LG - English DP - 1995 Oct DC - 19951208 YR - 1995 ED - 19951208 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7487170 <593. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7580073 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McLaughlin C FA - McLaughlin, C TI - Counselling the overdose patient in casualty. SO - British Journal of Nursing. 4(12):688-90, 707-8, 1995 Jun 22-Jul 12. AS - Br J Nurs. 4(12):688-90, 707-8, 1995 Jun 22-Jul 12. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - ENGLAND MH - Adult MH - Attitude of Health Personnel MH - Clinical Competence MH - *Counseling/mt [Methods] MH - *Drug Overdose/nu [Nursing] MH - Emergency Nursing/ed [Education] MH - *Emergency Nursing/st [Standards] MH - Humans MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Self-Evaluation Programs MH - *Suicide, Attempted/pc [Prevention & Control] MH - Surveys and Questionnaires AB - This article investigates the competency of casualty nurses in counselling overdose patients. Significant differences exist between nurses' competence in counselling an overdose patient as opposed to other patients. Examination of a study raises doubts concerning the casualty nurse's competence in counselling overdose patients. Its implications for theory and practice are outlined. IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 1995 Jun 22-Jul 12 DC - 19951207 YR - 1995 ED - 19951207 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7580073 <594. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7552444 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dimond B FA - Dimond, B TI - Dilemmas in practice: the pregnant drug user. SO - Modern Midwife. 5(9):34, 1995 Sep. AS - Mod. Midwife. 5(9):34, 1995 Sep. NJ - Modern midwife PI - Journal available in: Print PI - Citation processed from: Print JC - 9443126 SB - Nursing Journal CP - ENGLAND MH - Child Welfare/lj [Legislation & Jurisprudence] MH - Female MH - Great Britain MH - Humans MH - Infant, Newborn MH - *Nurse Midwives/lj [Legislation & Jurisprudence] MH - Pregnancy MH - *Pregnancy Complications/nu [Nursing] MH - *Students, Nursing/lj [Legislation & Jurisprudence] MH - *Substance-Related Disorders/nu [Nursing] IS - 0963-276X IL - 0963-276X PT - Journal Article LG - English DP - 1995 Sep DC - 19951109 YR - 1995 ED - 19951109 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7552444 <595. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7574224 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferrell BA FA - Ferrell, B A IN - Ferrell,B A. University of California, Los Angeles, School of Medicine, USA. TI - Pain evaluation and management in the nursing home. [Review] [75 refs] SO - Annals of Internal Medicine. 123(9):681-7, 1995 Nov 1. AS - Ann Intern Med. 123(9):681-7, 1995 Nov 1. NJ - Annals of internal medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0372351, 5a6 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Analgesics/tu [Therapeutic Use] MH - Drug Prescriptions MH - *Homes for the Aged MH - Humans MH - *Nursing Homes MH - Pain/ep [Epidemiology] MH - *Pain/pc [Prevention & Control] MH - Pain Management MH - Prevalence MH - United States/ep [Epidemiology] AB - As many as 45% to 80% of nursing home residents have pain that contributes materially to functional impairment and decreased quality of life. Substantial barriers, including a high frequency of dementia, multiple pain problems, and increased sensitivity to drug side effects often make pain assessment and management more difficult in the nursing home setting. Logistic problems in carrying out diagnostic procedures and management interventions are also common. Pain can be alleviated in nursing homes through the careful use of analgesic drugs combined with nonpharmacologic strategies, including exercise programs and other physical therapies. Elderly nursing home residents are more sensitive to the side effects associated with many analgesic drugs, but this does not justify the failure to treat pain, especially in those who are terminally ill or near the end of life. Structured programs for routine pain assessment and treatment are needed. Physician involvement in pain assessment and management is necessary if pain control is to be improved for nursing home patients. [References: 75] RN - 0 (Analgesics) IS - 0003-4819 IL - 0003-4819 PT - Journal Article PT - Review LG - English DP - 1995 Nov 1 DC - 19951107 YR - 1995 ED - 19951107 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7574224 <596. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7672074 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bergamaschi A AU - Zanetti F AU - Stampi S AU - De Luca G FA - Bergamaschi, A FA - Zanetti, F FA - Stampi, S FA - De Luca, G IN - Bergamaschi,A. Institute of Hygiene, University of Bologna, Italy. TI - Consumption, behaviour and knowledge with respect to alcoholic drinks in student nurses in the province of Bologna, Italy. SO - European Journal of Epidemiology. 11(2):185-91, 1995 Apr. AS - Eur J Epidemiol. 11(2):185-91, 1995 Apr. NJ - European journal of epidemiology PI - Journal available in: Print PI - Citation processed from: Print JC - ere, 8508062 SB - Index Medicus CP - NETHERLANDS MH - Adolescent MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/px [Psychology] MH - *Alcohol Drinking MH - Alcoholic Beverages/ae [Adverse Effects] MH - *Alcoholic Beverages MH - Alcoholic Intoxication/et [Etiology] MH - Attitude to Health MH - Beer/ae [Adverse Effects] MH - Ethanol/ad [Administration & Dosage] MH - Ethanol/ae [Adverse Effects] MH - Family MH - Female MH - Health Behavior MH - Health Education MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Italy MH - Male MH - Mass Media MH - Risk Factors MH - Sex Factors MH - Smoking MH - *Students, Nursing MH - Wine/ae [Adverse Effects] AB - A study was carried out on alcohol intake among the students of the Schools for Trained Nurses in the province of Bologna by means of an anonymous especially prepared questionnaire. The series consisted of 1077 subjects: 753 females and 324 males aged between 16 and 40. 68.2% of males and 56.8% of females drank wine, l'81.3% of males and 61.8% of females drank beer and 65.3% of males and 46.2% of females drank spirits. While beer was the most popular drink, wine was on average drank in greater quantity. Alcohol intake was significantly related to sex (higher among males), area of origin (South) and cigarette smoking. The risk attributable to alcohol abuse are well known to almost all of the sample, above all those in the 2nd and 3rd years of their course. Nevertheless their alcohol consumption was not particularly different from that of students attending other High Schools. Regarding the sources, of their information about the risks, the 'mass media' was more quoted by the oldest students while 'family' was given by the younger students; the Nursing School was more often mentioned by both sexes in the 2nd and 3rd year of course. No relation however was found between the students knowledge of risks and actual consumption. RN - 3K9958V90M (Ethanol) IS - 0393-2990 IL - 0393-2990 PT - Journal Article LG - English DP - 1995 Apr DC - 19951019 YR - 1995 ED - 19951019 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7672074 <597. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7662056 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Waldrop RD AU - Mandry C FA - Waldrop, R D FA - Mandry, C IN - Waldrop,R D. Department of Emergency Medicine, Earl K. Long Medical Center, Baton Rouge, LA 70805, USA. TI - Health professional perceptions of opioid dependence among patients with pain. SO - American Journal of Emergency Medicine. 13(5):529-31, 1995 Sep. AS - Am J Emerg Med. 13(5):529-31, 1995 Sep. NJ - The American journal of emergency medicine PI - Journal available in: Print PI - Citation processed from: Print JC - aa2, 8309942 SB - Index Medicus CP - UNITED STATES MH - Analysis of Variance MH - *Anemia, Sickle Cell/pp [Physiopathology] MH - *Attitude of Health Personnel MH - Emergency Service, Hospital MH - Humans MH - *Narcotics MH - *Pain/dt [Drug Therapy] MH - *Personnel, Hospital/px [Psychology] MH - *Substance-Related Disorders AB - The purpose of this study was to determine the percentage of patients perceived by health professionals to be opioid dependent among all patients presenting with pain and specifically among sickle cell patients with pain. Surveys were completed by all staff, residents, and nurses at an urban teaching hospital with an emergency department population consisting primarily of lower socioeconomic patients of African-American origin. The surveys requested a percentage estimate of all pain patients and sickle cell patients with pain presenting to this hospital who they perceived to be opioid dependent. The estimated percentage of opioid dependent patients presenting to the emergency department with pain was 4% for staff (P < .05, n = 14), 9% for residents (n = 31), and 7% for nurses (n = 41), and the estimates for sickle cell patients presenting with pain only were 8%, 17%, and 13% respectively (P < .05). All health professional groups surveyed estimated opioid dependence in patients with pain far in excess of that shown in previous studies. It is unknown whether pain medication are withheld inappropriately by physicians who perceived patients with pain to be opioid dependent, and that this deserved further study especially among sickle cell patients. RN - 0 (Narcotics) IS - 0735-6757 IL - 0735-6757 PT - Comparative Study PT - Journal Article LG - English DP - 1995 Sep DC - 19951006 YR - 1995 ED - 19951006 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7662056 <598. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7633338 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wasson D AU - Anderson MA FA - Wasson, D FA - Anderson, M A TI - Chemical dependency and adolescent self-esteem. SO - Clinical Nursing Research. 4(3):274-89, 1995 Aug. AS - Clin Nurs Res. 4(3):274-89, 1995 Aug. NJ - Clinical nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - 9208508, bnz SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Case-Control Studies MH - Female MH - Humans MH - Male MH - *Psychology, Adolescent MH - *Self Concept MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires AB - The purpose of this descriptive study is to determine whether self-esteem differs between chemically dependent adolescents and adolescents from the general high school population. The Self-Esteem Inventory (Coopersmith, 1987) was completed by 119 adolescents (31 inpatient, 31 aftercare, and 57 general high school students) aged 13 to 18. Findings suggest that inpatient, chemically dependent adolescents have lower self-esteem than the other two groups. For the chemically dependent adolescent, nursing case management with communication among and between health care providers, school professionals, and family may facilitate successful, long-term recovery. For adolescents at risk for development of chemical dependence, nursing health promotion behaviors, such as early assessment and implementation of self-esteem-building activities, may assist in prevention of chemical dependency. IS - 1054-7738 IL - 1054-7738 PT - Journal Article LG - English DP - 1995 Aug DC - 19950914 YR - 1995 ED - 19950914 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7633338 <599. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7623297 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bennett JB AU - Scholler-Jaquish A FA - Bennett, J B FA - Scholler-Jaquish, A IN - Bennett,J B. New Outlook, Glass Substance Abuse Program, Baltimore, MD, USA. TI - The winner's group: a self-help group for homeless chemically dependent persons. SO - Journal of Psychosocial Nursing & Mental Health Services. 33(4):14-9, 1995 Apr. AS - J Psychosoc Nurs Ment Health Serv. 33(4):14-9, 1995 Apr. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - Adult MH - Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - *Alcoholism/rh [Rehabilitation] MH - Baltimore MH - Education, Nursing MH - Female MH - HIV Seropositivity/nu [Nursing] MH - HIV Seropositivity/px [Psychology] MH - HIV Seropositivity/rh [Rehabilitation] MH - *Homeless Persons/px [Psychology] MH - Humans MH - Male MH - Motivation MH - Nurse-Patient Relations MH - Psychiatric Nursing/ed [Education] MH - *Self-Help Groups MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - The homeless chemically addicted person presents many unique problems that cannot be addressed in standard treatment programs. Homeless clients are difficult to track and are not consistent in follow-up care. The health and mental health conditions found in this population are straining the resources of drug treatment programs, hospitals, the criminal justice system, and social agencies that serve the homeless (Bassuck, 1991). The Winner's Group located in an inner city soup kitchen demonstrates the adaptability and flexibility of nursing practice. The nurses exhibited creativity in developing methods to meet the diverse needs of homeless chemically addicted persons. The goals and objective that were achieved were neither successes nor failures, they were reflections of efforts to make lifestyle changes. Some of those persons responded in a very positive manner, while others continued to deteriorate. An overall desire was to instill a seed of hope and knowledge that there is always a potential for change and that recovery from chemical dependency is possible. Nurses who work with the homeless must be knowledgeable and realistic about the impact and importance of substance abuse. Nontraditional programs that meet the unique needs of a particular setting and a particular population can provide an opportunity to gain access to health care providers. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1995 Apr DC - 19950831 YR - 1995 ED - 19950831 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7623297 <600. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7606036 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Foley KM FA - Foley, K M IN - Foley,K M. Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA. TI - Misconceptions and controversies regarding the use of opioids in cancer pain. [Review] [97 refs] SO - Anti-Cancer Drugs. 6 Suppl 3:4-13, 1995 Apr. AS - Anticancer Drugs. 6 Suppl 3:4-13, 1995 Apr. NJ - Anti-cancer drugs PI - Journal available in: Print PI - Citation processed from: Print JC - a9f, 9100823 SB - Index Medicus CP - ENGLAND MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/pd [Pharmacology] MH - Humans MH - *Neoplasms/pp [Physiopathology] MH - *Pain/dt [Drug Therapy] AB - The WHO has created a Cancer Pain Relief Programme and developed guidelines for the treatment of cancer pain. Implementation of the analgesic guidelines, assurance of drug availability (specifically opioids), education of healthcare professionals, and designating cancer pain as a priority for all national cancer control programmes are the major goals. Recent studies of medical students, physicians, nurses and state medical boards demonstrate a significant lack of knowledge with regard to the theoretical and practical understanding of the use of analgesic drugs, particularly opioids, in the management of cancer pain. Communication between physicians and patients about pain symptoms has also been shown to be problematic. Limited availability of opioids, their excessive regulation, and the lack of use of alternatives to systemic analgesics also prevent adequate management. Although analgesic drug therapy is the mainstay of treatment, opioid use remains a controversial issue. Some of the controversies include their role in the management of neuropathic pain, which has been suggested to be 'opioid-resistant', as well as the choice of opioid drug. A third controversy is the route of administration. The impetus for the development of novel routes has come from the goals of maximising analgesia, minimising side effects, and providing convenient dosing schedules for patients who require parenteral administration. Other important controversial issues are the development of tolerance and the relationship of pain management to patient requests for physician-assisted suicide and euthanasia. [References: 97] RN - 0 (Analgesics, Opioid) IS - 0959-4973 IL - 0959-4973 PT - Journal Article PT - Review LG - English DP - 1995 Apr DC - 19950817 YR - 1995 ED - 19950817 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7606036 <601. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7794463 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Korotkov Y AU - Potechina M AU - Tcherniavski V FA - Korotkov, Y FA - Potechina, M FA - Tcherniavski, V IN - Korotkov,Y. Unit of Primary Health Care, Research Public Health Institute MedSocEconInform, Ministry of Health, Moscow, Russia. TI - General practitioners for primary health care in Russia. SO - World Health Forum. 16(2):187-9, 1995. AS - World Health Forum. 16(2):187-9, 1995. NJ - World health forum PI - Journal available in: Print PI - Citation processed from: Print JC - 8010746, ad2 OI - Source: PIP. 105777 OI - Source: POP. 00244040 SB - Index Medicus SB - Population Information Citations CP - SWITZERLAND MH - Curriculum MH - Family Practice/ec [Economics] MH - Family Practice/ed [Education] MH - *Family Practice MH - *Health Care Reform MH - *Primary Health Care/og [Organization & Administration] MH - Russia MH - Salaries and Fringe Benefits KW - *Advisory Services; Delivery Of Health Care; Developed Countries; Eastern Europe; Education; Europe; Health; Health Personnel; Health Services; Medicine; *Organization And Administration; *Physicians; *Preventive Medicine; *Primary Health Care; Russia; *Training Programs AB - General practice is being introduced into the Russian health system to bolster primary care. The main features of this undertaking are outlined below. OA - PIP: In Russia general practitioners are expected to be involved in the treatment and the prevention of the commonest diseases, and the coordination of the activities of nurses, midwives, and social workers. Primary health care will receive special dispensation in the restructuring of Russia's health care system. In 1992 the Ministry of Health issued an order dealing with the organization of primary health care on the basis of general practice. Regulations govern the work of both general practitioners and nurses, their qualifications, curricula, training, equipment, and facilities. Regional programs were designed so that each general practitioner would serve between 1200 and 1500 people. Among the duties were provision of primary health care, preventive medicine, community work, and certification. The curriculum for general practice consists of 1400 hours of training of in each of two successive years in internal medicine, surgery, obstetrics and gynecology, pediatrics, communicable diseases, urology, psychiatry, emergency care, and other fields. Staff development will also receive priority attention. The vocational preparation may take place over a period of 2-3 years in a degree course, or postgraduate training and requalification may be required. The best results have been obtained with a mixture of distance learning for 1.5 years and full-time training for up to 6 months. A practice may include one or more doctors, who may have contracts with insurance companies or local authorities, carrying out their work in polyclinics and health centers. Their income consists of basic salary, fees, payment for student training, and allowances from the social welfare system. Particularly important functions of general practitioners are the care of the elderly, the disabled, pregnant women, and large families; promotion; monitoring of alcohol and drug abuse patients; treating psychosocial disorders; and health promotion with lifestyle change. Advisory services, record keeping, and community councils should adequately support this work.; Language: English NT - TJ: WORLD HEALTH FORUM. IS - 0251-2432 IL - 0251-2432 PT - Journal Article LG - English DP - 1995 DC - 19950802 YR - 1995 ED - 19950802 RD - 20021004 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7794463 <602. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7596239 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McDuff DR AU - Tommasello AC AU - Hoffman KJ AU - Johnson JL FA - McDuff, D R FA - Tommasello, A C FA - Hoffman, K J FA - Johnson, J L IN - McDuff,D R. Division of alcohol and drug abuse, University of Maryland School of Medicine, USA. TI - Addictions training for physicians and other licensed health care professionals in Maryland. SO - Maryland Medical Journal. 44(6):453-9, 1995 Jun. AS - Md Med J. 44(6):453-9, 1995 Jun. NJ - Maryland medical journal (Baltimore, Md. : 1985) PI - Journal available in: Print PI - Citation processed from: Print JC - man, 8506985 SB - Index Medicus CP - UNITED STATES MH - *Alcoholism/th [Therapy] MH - *Education, Medical MH - *Health Occupations/ed [Education] MH - Humans MH - Maryland MH - *Substance-Related Disorders/th [Therapy] AB - Physicians and other health care providers have multiple opportunities in the course of a typical practice year to identify and treat individuals who abuse alcohol and other drugs. Although substance abuse is very common in clinical practice, providers routinely fail to intervene in a timely fashion due to negative attitudes, incomplete knowledge, and poorly developed practice skills. Over the past ten years, addictions training of licensed health care providers nationally and in Maryland has improved significantly. This article describes recent national training trends and current educational programs statewide for medical students, physicians in residency and fellowship programs, and licensed providers in dentistry, nursing, pharmacy, psychology, and social work. Several strategies for improving professional training in addictions in the future are discussed and the importance of shifting to an interprofessional training model is emphasized. IS - 0886-0572 IL - 0886-0572 PT - Journal Article LG - English DP - 1995 Jun DC - 19950728 YR - 1995 ED - 19950728 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7596239 <603. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7790126 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller P AU - Plant M AU - Plant M AU - Duffy J FA - Miller, P FA - Plant, M FA - Plant, M FA - Duffy, J IN - Miller,P. Department of Psychiatry, University of Edinburgh, Scotland, United Kingdom. TI - Alcohol, tobacco, illicit drugs, and sex: an analysis of risky behaviors among young adults. SO - International Journal of the Addictions. 30(3):239-58, 1995 Feb. AS - Int J Addict. 30(3):239-58, 1995 Feb. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism MH - Great Britain/ep [Epidemiology] MH - Humans MH - Male MH - Middle Aged MH - Nurses MH - *Risk-Taking MH - *Sexual Behavior MH - *Street Drugs MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder AB - This paper reexamines data from two previous surveys. It looks at self-reported alcohol, tobacco, and illicit drug use and sexual risk-taking among three subgroups of young adults. All subjects (N = 1,387) were aged 20-30. The samples consisted of nurses in the Lothian Region, and residents in Muirhouse (Edinburgh) and Easterhouse (Glasgow). Factor analysis revealed that risk-taking behavior was neither entirely general nor entirely specific. Although there was some tendency for a risk-taker in one area to be a risk-taker in others, five fairly distinct types of risk-taking could be distinguished. These included sexual risk-taking, illicit use of drugs, and excessive alcohol consumption. The samples differed in the extent to which they indulged in the different types of risk-taking, and various other predictors of these behaviors were found. Different patterns of association emerged in relation to specific subgroups of respondents. RN - 0 (Street Drugs) IS - 0020-773X IL - 0020-773X PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 Feb DC - 19950727 YR - 1995 ED - 19950727 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7790126 <604. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7773842 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Flanders KL AU - Pfeiffer J AU - Ryan VH FA - Flanders, K L FA - Pfeiffer, J FA - Ryan, V H TI - Survey of addiction education of Iowa nursing students. SO - Perspectives on Addictions Nursing. 5(3):5-6, 1994. AS - Perspect Addict Nurs. 5(3):5-6, 1994. NJ - Perspectives on addictions nursing : a publication of the National Nurses Society on Addictions PI - Journal available in: Print PI - Citation processed from: Print JC - cdn, 9302030 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing MH - Humans MH - Iowa MH - Schools, Nursing MH - Students, Nursing MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires IS - 1057-1639 IL - 1057-1639 PT - Journal Article LG - English DP - 1994 DC - 19950713 YR - 1994 ED - 19950713 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7773842 <605. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7770158 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Asteriadis M AU - Davis V AU - Masoodi J AU - Miller M FA - Asteriadis, M FA - Davis, V FA - Masoodi, J FA - Miller, M TI - Chemical impairment of nursing students: a comprehensive policy and procedure. SO - Nurse Educator. 20(2):19-22, 1995 Mar-Apr. AS - Nurse Educ. 20(2):19-22, 1995 Mar-Apr. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - Humans MH - Organizational Policy MH - Program Development MH - *Schools, Nursing/og [Organization & Administration] MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Faculty and students in nursing education programs need to have a clear understanding of what constitutes chemical impairment and the academic consequences that will result when nursing students are identified as impaired due to substance abuse. The authors present the process used to develop a comprehensive policy, procedures, and contractual agreement for addressing the problem of chemical impairment of nursing students. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1995 Mar-Apr DC - 19950706 YR - 1995 ED - 19950706 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7770158 <606. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7767424 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hofkosh D AU - Pringle JL AU - Wald HP AU - Switala J AU - Hinderliter SA AU - Hamel SC FA - Hofkosh, D FA - Pringle, J L FA - Wald, H P FA - Switala, J FA - Hinderliter, S A FA - Hamel, S C IN - Hofkosh,D. Department of Pediatrics, University of Pittsburgh, School of Medicine, Pa, USA. TI - Early interactions between drug-involved mothers and infants. Within-group differences. SO - Archives of Pediatrics & Adolescent Medicine. 149(6):665-72, 1995 Jun. AS - Arch Pediatr Adolesc Med. 149(6):665-72, 1995 Jun. NJ - Archives of pediatrics & adolescent medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 9422751, bwf SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Child Development MH - *Cocaine MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - *Maternal Behavior MH - Maternal Welfare MH - *Mother-Child Relations MH - *Mothers MH - Neonatal Screening MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Prospective Studies MH - *Substance-Related Disorders/co [Complications] AB - OBJECTIVE: To explore differences in maternal characteristics, mother-infant interaction, and infant development within a group of women who used cocaine, alcohol, and tobacco during pregnancy and their infants. AB - DESIGN: Prospective survey. AB - SETTING: Countywide, voluntary, home-based clinical intervention program. AB - PARTICIPANTS: Thirty-two mother-infant pairs identified through a risk-assessment screen who participated in the program for 1 year. AB - VARIABLES: Maternal characteristics, neonatal characteristics, interactional measures (Nursing Child Assessment Feeding Scale and Home Observation for Measurement of the Environment scale), and developmental assessment (Bayley Scales of Infant Development at 1 year). AB - RESULTS: The majority of women were black, single, and unemployed. Fifteen (47%) of the infants were born prematurely; four (13%) were small for gestational age. Mean Bayley Scales of Infant Development scores were as follows: the mental development index was 99.8, and the psychomotor development index was 102.4. Older mothers (r = .41, P = .04), mothers of higher parity (r = .42, P = .02), and mothers who were more actively involved in the program (r = .41, P = .04) had higher scores on the Nursing Child Assessment Satellite Training Feeding Scale. Mothers who were better educated (r = .49, P = .009) and mothers who were more active in the program (r = .44, P = .02) had higher scores on the Home Observation for Measurement of the Environment scale. Several of the subscales of the Home Observation for Measurement of the Environment scale were significantly associated with scores on the Bayley Scales of Infant Development. AB - CONCLUSIONS: For this group of substance-exposed infants whose mothers were receiving support services, developmental skills at 1 year were age appropriate. Despite drug abuse and poverty, there was some variability in the ability of mothers to provide a developmentally supportive environment for their infants. Those who were better organized to support infant development had infants who performed better on global developmental assessments. RN - I5Y540LHVR (Cocaine) IS - 1072-4710 IL - 1072-4710 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 Jun DC - 19950630 YR - 1995 ED - 19950630 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7767424 <607. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7756035 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Talashek ML AU - Gerace LM AU - Miller AG AU - Lindsey M FA - Talashek, M L FA - Gerace, L M FA - Miller, A G FA - Lindsey, M TI - Family nurse practitioner clinical competencies in alcohol and substance use. SO - Journal of the American Academy of Nurse Practitioners. 7(2):57-63, 1995 Feb. AS - J Am Acad Nurse Pract. 7(2):57-63, 1995 Feb. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - *Clinical Competence/st [Standards] MH - Curriculum MH - Education, Nursing, Graduate MH - *Family Practice/ed [Education] MH - Humans MH - *Nurse Practitioners/ed [Education] MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] AB - The prevalence of substance use among patients presenting to primary health care settings mandates clinical competency in the area for nurse practitioners (NPs). An educational intervention with an evaluation component is described. The effect of incorporating substance use content into a Family Nurse Practitioner (FNP) curriculum was tested with a convenience sample of 16 FNP students and 8 practicing NPs. Students' knowledge increased significantly; however, differences in students' and practicing NPs' knowledge did not reach significance. Students' clinical competency increased significantly, as demonstrated by standardized patient clinical evaluations, and was significantly better than the practicing NPs in the skill domains of evaluation and record keeping. Educational intervention can improve NP identification of substance-abusing patients in primary health care settings. IS - 1041-2972 IL - 1041-2972 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - AA07487-0251 (United States NIAAA NIH HHS) NO - SRD(33)3-TO1 (United States PHS HHS) LG - English DP - 1995 Feb DC - 19950629 YR - 1995 ED - 19950629 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7756035 <608. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7749482 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, M A TI - Prescription drugs and nursing education: knowledge gaps and implications for role performance. SO - Journal of Law, Medicine & Ethics. 22(3):257-61, 1994. AS - J Law Med Ethics. 22(3):257-61, 1994. NJ - The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics PI - Journal available in: Print PI - Citation processed from: Print JC - bv9, 9315583 SB - Nursing Journal CP - UNITED STATES MH - American Nurses' Association MH - Curriculum MH - *Drug Prescriptions MH - *Education, Nursing MH - Humans MH - *Nurse Practitioners/ed [Education] MH - Psychiatric Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] MH - United States IS - 1073-1105 IL - 1073-1105 PT - Journal Article LG - English DP - 1994 DC - 19950622 YR - 1994 ED - 19950622 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7749482 <609. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7752295 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Corse SJ AU - McHugh MK AU - Gordon SM FA - Corse, S J FA - McHugh, M K FA - Gordon, S M IN - Corse,S J. Department of Psychiatry, University of Pennsylvania, Philadelphia 19104, USA. TI - Enhancing provider effectiveness in treating pregnant women with addictions. SO - Journal of Substance Abuse Treatment. 12(1):3-12, 1995 Jan-Feb. AS - J Subst Abuse Treat. 12(1):3-12, 1995 Jan-Feb. NJ - Journal of substance abuse treatment PI - Journal available in: Print PI - Citation processed from: Print JC - kai, 8500909 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - Attitude of Health Personnel MH - Female MH - Humans MH - Infant, Newborn MH - Inservice Training MH - Medical Assistance MH - Midwifery/ed [Education] MH - Neonatal Abstinence Syndrome/pc [Prevention & Control] MH - *Patient Care Team MH - Pregnancy MH - Pregnancy Complications/pc [Prevention & Control] MH - *Pregnancy Complications/rh [Rehabilitation] MH - *Prenatal Care MH - *Psychotropic Drugs MH - *Street Drugs MH - Substance Abuse Detection MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Suburban Population MH - Treatment Outcome AB - Prenatal care providers can play an important role in identifying, intervening in, and making referrals for substance abuse problems among pregnant women. Although studies suggest that most addicted persons who need treatment do not receive it, innovative methods such as the one described here can help increase the number of pregnant women who engage in treatment, with likely benefits to the client, her unborn baby, and other children whom she may parent. A qualitative study of the implementation of an innovative model to prevent and treat substance abuse among pregnant women is presented. The study took place in a prenatal clinic staffed by nurse-midwives in a dense suburb serving a population largely covered by Medical Assistance. Results indicate that education, training, and structural changes in care delivery led to changes in the attitudes and behaviors of nurse-midwives toward pregnant addicted women and increased their effectiveness. RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) IS - 0740-5472 IL - 0740-5472 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 Jan-Feb DC - 19950621 YR - 1995 ED - 19950621 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7752295 <610. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7748378 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schmoke KL FA - Schmoke, K L TI - Medicalizing the war on drugs. CM - Comment in: Acad Med. 1995 Dec;70(12):1059; PMID: 7495444 SO - Academic Medicine. 70(5):355-8, 1995 May. AS - Acad Med. 70(5):355-8, 1995 May. NJ - Academic medicine : journal of the Association of American Medical Colleges PI - Journal available in: Print PI - Citation processed from: Print JC - acm, 8904605 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Drug and Narcotic Control MH - Humans MH - Public Policy MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/th [Therapy] MH - United States AB - Most medical colleges, teaching hospitals, and other health education and treatment institutions are already expanding their horizons to include attention to the public health needs of their communities. But one pressing public health problem--substance abuse--that should be treated as a disease and handled by doctors and nurses is at present entrusted primarily to law enforcement. The author believes that this is the wrong approach: the War on Drugs is not working, and drug laws are inconsistent and illogical. Changes in national drug policies must be changed. The author has called for a national commission to study how all drugs--legal and illegal--should be regulated. He advocates a health-regulatory strategy, sometimes called "medicalization," whereby the government would set up a regime to pull addicts into the public health system and would control the price, distribution, purity, and access to addictive substances, just as it now does with prescription drugs. This would take the profit out of drug trafficking. Addicts would be treated and if necessary maintained under medical auspices. Baltimore began its own version of medicalization in the summer of 1994 with a needle-exchange program, an approach that has elsewhere led to dramatic drops in AIDS infection and drug-related crime. Baltimore also has a mobile van for methadone treatment and is getting help from public and private sources for increased drug treatment and prevention programs. In the medicalization of the War on Drugs, the nation's medical colleges, schools of public health, teaching hospitals, and nursing schools all have roles to play.(ABSTRACT TRUNCATED AT 250 WORDS) IS - 1040-2446 IL - 1040-2446 PT - Journal Article LG - English DP - 1995 May DC - 19950620 YR - 1995 ED - 19950620 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7748378 <611. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7736304 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Church OM FA - Church, O M TI - When do we say when? Reflections and reexamination of nursing's response to addictive behaviors. SO - AACN Clinical Issues. 6(1):47-52, 1995 Feb. AS - AACN Clin Issues. 6(1):47-52, 1995 Feb. NJ - AACN clinical issues PI - Journal available in: Print PI - Citation processed from: Print JC - 9508191, cdm SB - Nursing Journal CP - UNITED STATES MH - *Attitude of Health Personnel MH - Education, Nursing MH - *Health Priorities MH - Humans MH - *Nursing MH - Politics MH - *Substance-Related Disorders/nu [Nursing] IS - 1079-0713 IL - 1079-0713 PT - Journal Article LG - English DP - 1995 Feb DC - 19950608 YR - 1995 ED - 19950608 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7736304 <612. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7731853 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Waters J AU - Thomas V FA - Waters, J FA - Thomas, V TI - Pain from sickle-cell crisis. SO - Nursing Times. 91(16):29-31, 1995 Apr 19-25. AS - Nurs Times. 91(16):29-31, 1995 Apr 19-25. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Adolescent MH - Adult MH - Anemia, Sickle Cell/ep [Epidemiology] MH - Anemia, Sickle Cell/nu [Nursing] MH - *Anemia, Sickle Cell/pp [Physiopathology] MH - Clinical Nursing Research MH - Female MH - Humans MH - Male MH - Pain/nu [Nursing] MH - *Pain/pp [Physiopathology] MH - Prevalence MH - Students, Nursing AB - A qualitative questionnaire survey was carried out to identify the perceptions and expectations of pain management of patients with sickle-cell disease, and of nurses. The study illustrates that the present sample of nurses contributed to the poor pain control of sickle-cell patients because of their misconceptions about narcotic addiction, inadequate formal pain assessment and their neglect of attention to the psychosocial implications of this chronic disease. IS - 0954-7762 IL - 0954-7762 PT - Journal Article LG - English DP - 1995 Apr 19-25 DC - 19950601 YR - 1995 ED - 19950601 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7731853 <613. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7730003 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Munodawafa D AU - Marty PJ AU - Gwede C FA - Munodawafa, D FA - Marty, P J FA - Gwede, C IN - Munodawafa,D. University of Akron, Department of Physical and Health Education, OH 44325-5103, USA. TI - Effectiveness of health instruction provided by student nurses in rural secondary schools of Zimbabwe: a feasibility study. SO - International Journal of Nursing Studies. 32(1):27-38, 1995 Feb. AS - Int J Nurs Stud. 32(1):27-38, 1995 Feb. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 OI - Source: PIP. 106053 OI - Source: POP. 00241695 SB - Index Medicus SB - Population Information Citations SB - Nursing Journal SB - AIDS/HIV Journals CP - ENGLAND MH - Adolescent MH - Adult MH - Analysis of Variance MH - Attitude to Health MH - Chi-Square Distribution MH - Condoms MH - Curriculum MH - Feasibility Studies MH - Female MH - HIV Infections/pc [Prevention & Control] MH - *Health Education/mt [Methods] MH - Humans MH - Male MH - Psychometrics MH - *Rural Health MH - *School Nursing/mt [Methods] MH - Sexually Transmitted Diseases/pc [Prevention & Control] MH - *Students, Nursing MH - Substance-Related Disorders/pc [Prevention & Control] MH - Zimbabwe KW - *Acquired Immunodeficiency Syndrome--prevention and control; *Action Research; *Adolescents; Africa; Africa South Of The Sahara; Age Factors; Delivery Of Health Care; Demographic Factors; Developing Countries; Diseases; *Drug Addiction--prevention and control; Eastern Africa; Education; English Speaking Africa; Health; *Health Education; Health Personnel; Hiv Infections; Infections; *Nurses; Organization And Administration; *Pilot Projects; Population; Population Characteristics; *Program Effectiveness; Program Evaluation; Programs; Reproductive Tract Infections; Research Methodology; *Research Report; *Rural Population; Schools; *Secondary Schools; *Sexually Transmitted Diseases--prevention and control; Social Problems; *Students; Studies; Substance Addiction; Viral Diseases; Youth; Zimbabwe AB - This demonstration project used student nurses (n = 12) on community deployment to provide health instruction among rural school-age populations in Zimbabwe. A quasi-experimental (pre- and post-test), non-equivalent control group design was used and consisted of 141 school pupils in the intervention group and 144 pupils in the comparison group (N = 285). The curriculum focused on prevention of STDs, HIV/AIDS and drugs (alcohol, tobacco and marijuana). A gain in health knowledge scores among the intervention group was reported at post-test. More than 70% of the pupils who received health instruction from student nurses gave a high approval rating of student nurses' performance. Further, student nurses, teachers and tutors all support school health instruction by student nurses although tutors and teachers differ on teaching about condoms. OA - PIP: In Zimbabwe, as part of a demonstration project, nursing schools sent 12 student nurses to five rural secondary schools in Masvingo Province to provide health education over a seven-week period to 141 students (9.33 hours/student). Community deployment of student nurses to rural areas, aiming to provide them with primary health care experience, is required for graduation in Zimbabwe. 144 students comprised the control group. Curriculum topics included AIDS, other sexually transmitted diseases (STDs), and drugs (alcohol, tobacco, and marijuana). AIDS/STD educational materials concentrated on modes of transmission, prevention methods, control of transmission, psychosocial issues, responsible sexual behavior, and problem-solving and decision-making strategies. Drug use and abuse materials focused on short- and long-term effects; social influences of acquisition, maintenance, and cessation; and social pressure resistance training through problem-solving and decision-making strategies. Students in the intervention group increased their post-test scores in 24 of 27 health knowledge items (for 14 of 24 items, p 0.01). More than 70% of students rated the student nurses' performance in health education high. Both the student nurses' tutors and the school teachers supported the concept of using student nurses to provide health education in schools while on community deployment. Tutors were more likely than teachers to support student nurses' teaching about condom use.; Language: English NT - TJ: INTERNATIONAL JOURNAL OF NURSING STUDIES. IS - 0020-7489 IL - 0020-7489 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 Feb DC - 19950601 YR - 1995 ED - 19950601 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7730003 <614. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7719224 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Talamini R AU - Barzan L AU - Franceschi S AU - Caruso G AU - Gasparin A AU - Comoretto R FA - Talamini, R FA - Barzan, L FA - Franceschi, S FA - Caruso, G FA - Gasparin, A FA - Comoretto, R IN - Talamini,R. Epidemiology Unit, Aviano Cancer Center, Italy. TI - Determinants of compliance with an early detection programme for cancer of the head and neck in north-eastern Italy. SO - European Journal of Cancer. Part B, Oral Oncology. 30B(6):415-8, 1994 Nov. AS - Eur J Cancer B Oral Oncol. 30B(6):415-8, 1994 Nov. NJ - European journal of cancer. Part B, Oral oncology PI - Journal available in: Print PI - Citation processed from: Print JC - bmv, 9214373 SB - Dental Journals SB - Index Medicus CP - ENGLAND MH - Adult MH - Aged MH - Aged, 80 and over MH - Alcoholism/co [Complications] MH - Female MH - *Head and Neck Neoplasms/pc [Prevention & Control] MH - Humans MH - Italy MH - Male MH - Middle Aged MH - *Patient Compliance MH - Patient Education as Topic MH - Sex Factors MH - Smoking/ae [Adverse Effects] MH - Treatment Refusal AB - An early detection programme for cancer of the head and neck (H&N) has been conducted from January 1991 to January 1993 in Pordenone province, north-eastern Italy, an area with very high mortality rates for cancers in those sites. 627 high-risk individuals (491 males, median age 57 years and 136 females, median age 47 years) (i.e. smokers and/or drinkers of more than a half litre of wine or equivalent per day) were referred to a research nurse by 21 general practitioners. An educational message on the health hazards of tobacco and alcohol abuse was delivered together with an invitation to undergo a free ear, nose and throat (ENT) examination at a nearby hospital. 212 individuals (34%) underwent the ENT visit. The influence of various individuals' characteristics on the lack of compliance was assessed. Female sex and absence of ENT symptoms were associated with a more than two-fold higher lack of compliance. Current smokers were more than three-fold less likely to accept the invitation to undergo the examination. Conversely, alcohol intake and, within smokers, the amount smoked seemed unimportant. This study shows that the correct identification of high-risk individuals is expensive and the compliance with a H&N cancer early detection programme relatively low, especially among smokers. IS - 0964-1955 IL - 0964-1955 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1994 Nov DC - 19950524 YR - 1994 ED - 19950524 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7719224 <615. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7714288 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Blazer LK AU - Mansfield PK FA - Blazer, L K FA - Mansfield, P K IN - Blazer,L K. Lancaster General Hospital, School of Nursing, Pennsylvania, USA. TI - A comparison of substance use rates among female nurses, clerical workers and blue-collar workers. SO - Journal of Advanced Nursing. 21(2):305-13, 1995 Feb. AS - J Adv Nurs. 21(2):305-13, 1995 Feb. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Adult MH - Age Distribution MH - Female MH - Humans MH - Middle Aged MH - *Nurses/sn [Statistics & Numerical Data] MH - *Occupations/sn [Statistics & Numerical Data] MH - Pennsylvania/ep [Epidemiology] MH - Professional Impairment/sn [Statistics & Numerical Data] MH - Random Allocation MH - Socioeconomic Factors MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - The issue of impairment of practising professional nurses by alcohol and other drugs has become a critical concern since the 1980s. The literature abounds with conjectures about the large numbers of nurses who are impaired, often without valid data to support the claims that the problem in nursing is greater than it is in the general population. This study reflects an effort to compare the reported substance use of employed female nurses with that of two other groups of working females. Survey data from 920 nurses, 405 clerical workers and 200 females employed in non-traditional trades jobs in two large eastern states in the US revealed that there was little evidence of 'abuse' of any of 15 substances; nurses did not report higher rates of substance use than the other two groups; and most reported substance use occurred in the younger age groups, reflecting the national trend. The need for continuing research efforts and confirmation of valid data, and primary prevention efforts with young female workers, including at-risk student nurses, is made evident. IS - 0309-2402 IL - 0309-2402 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R01 NRP1461-02 (United States NINR NIH HHS) NO - R01 OHO2162-01A1 (United States NIOSH CDC HHS) LG - English DP - 1995 Feb DC - 19950517 YR - 1995 ED - 19950517 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7714288 <616. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7536228 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McLeod GA AU - Davies HT AU - Colvin JR FA - McLeod, G A FA - Davies, H T FA - Colvin, J R IN - McLeod,G A. Department of Anesthetics, Ninewells Hospital and Medical School, Dundee, Scotland. TI - Shaping attitudes to postoperative pain relief: the role of the acute pain team. SO - Journal of Pain & Symptom Management. 10(1):30-4, 1995 Jan. AS - J Pain Symptom Manage. 10(1):30-4, 1995 Jan. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Index Medicus CP - UNITED STATES MH - *Attitude of Health Personnel MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Pain, Postoperative MH - Palliative Care MH - *Patient Care Team MH - Physician's Role AB - Postoperative pain relief is often inadequate. Ignorance and misconceptions about opioids by ward staff contribute to this poor management. The introduction of acute pain teams has done much to improve pain relief for patients. It may also have contributed to changes in attitudes and knowledge of medical and nursing staff. We questioned 48 doctors and nurses on their knowledge and beliefs about postoperative pain relief. Staff members were questioned on two units, one with access to an acute pain team and one without. Over half those on the unit using traditional postoperative care thought patients did not receive adequate pain relief (58%). In comparison, only one respondent from the unit with the pain team thought this was the case (P < 0.001). More staff members that had experience of patient-controlled analgesia (PCA) were optimistic about its benefits than those in the unit with no experience; they were also less concerned about possible side effects. Only one respondent on the unit using PCA thought it carried a risk of drug dependence, compared to over half (55%) of those on the unit with no experience in this technique (P < 0.001). Over two-thirds of staff familiar with PCA thought nursing workload had decreased. Acute pain teams have an important role in educating ward staff. The impact of establishing such teams on staff knowledge and attitudes needs further study to ensure that they can carry out this role most effectively. IS - 0885-3924 IL - 0885-3924 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 Jan DC - 19950516 YR - 1995 ED - 19950516 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7536228 <617. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7706625 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Joseph CL AU - Ganzini L AU - Atkinson RM FA - Joseph, C L FA - Ganzini, L FA - Atkinson, R M IN - Joseph,C L. Veterans Affairs Medical Center, Portland, Oregon 97207, USA. TI - Screening for alcohol use disorders in the nursing home. SO - Journal of the American Geriatrics Society. 43(4):368-73, 1995 Apr. AS - J Am Geriatr Soc. 43(4):368-73, 1995 Apr. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - UNITED STATES MH - Aged MH - Aged, 80 and over MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Analysis of Variance MH - Cross-Sectional Studies MH - Female MH - Homes for the Aged MH - Hospitals, Veterans MH - Humans MH - *Interview, Psychological/mt [Methods] MH - Male MH - *Mass Screening/mt [Methods] MH - Middle Aged MH - Nursing Homes MH - Prevalence MH - Risk Factors MH - Sensitivity and Specificity AB - OBJECTIVES: To determine the prevalence of Alcohol Use Disorders (AUDs) among residents of a Veterans Affairs (VA) nursing home (NH) using DSM-III-R criteria for alcohol abuse and dependence, and to examine the demographic variables associated with AUDs among NH residents. A third objective was to assess the sensitivity, compared with DSM-III-R criteria, of three screening tests for AUDs in the NH: the CAGE, the MAST-G, and the two-question instrument developed by Cyr and Wartman. AB - DESIGN: A cross-sectional design, with DSM-III-R criteria determined by the alcohol module of the Diagnostic Interview Schedule (DIS) as the criterion standard. AB - PATIENTS: Patients older than age 50 admitted consecutively to a VA NH, n = 117. AB - MAIN OUTCOME MEASURES: Sensitivities, specificities, positive predictive values for the CAGE, MAST-G, and Cyr and Wartman Screening questionnaires; receiver operating characteristic (ROC) curves for the CAGE and MAST-G. AB - MAIN RESULTS: Forty-nine percent of study participants met DSM-III-R criteria for lifetime alcohol abuse or dependence (18% active, 31% inactive). The sensitivities and specificities of the three screening questionnaires were as follows: CAGE-82% and 90%; MAST-G-93% and 65%; Cyr and Wartman-70% and 92% respectively. The area under the ROC curve was 0.94 for the CAGE and 0.90 for the MAST-G. AB - CONCLUSIONS: The prevalence of lifetime alcohol abuse and dependence was high in this VA NH population. Both the CAGE and MAST-G are sensitive to AUDs in this setting. The areas under the ROC curves were not significantly different and indicate both tests discriminated well between NH residents with and without AUDs. IS - 0002-8614 IL - 0002-8614 PT - Comparative Study PT - Journal Article LG - English DP - 1995 Apr DC - 19950511 YR - 1995 ED - 19950511 RD - 20080310 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7706625 <618. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7697082 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Renneker M AU - Lim N AU - Wheatley B AU - Collins S AU - Pirkle R AU - Beers L AU - Rambo M AU - Schleper J AU - Jones T AU - Butler B AU - et al FA - Renneker, M FA - Lim, N FA - Wheatley, B FA - Collins, S FA - Pirkle, R FA - Beers, L FA - Rambo, M FA - Schleper, J FA - Jones, T FA - Butler, B TI - An inner-city cancer prevention clinic in West Oakland, California. SO - Cancer Practice. 2(6):427-37, 1994 Nov-Dec. AS - Cancer Pract. 2(6):427-37, 1994 Nov-Dec. NJ - Cancer practice PI - Journal available in: Print PI - Citation processed from: Print JC - bsl, 9312355 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - California MH - *Community Health Centers/og [Organization & Administration] MH - Feasibility Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Neoplasms/pc [Prevention & Control] MH - Poverty MH - *Primary Prevention/mt [Methods] MH - *Urban Health AB - This article reports on a 3-year (1989-1992) American Cancer Society demonstration project in which a multidisciplinary, continuity-of-care-based comprehensive cancer prevention, education, and early detection clinic was established within an already existing inner-city health center in West Oakland, California. A total of 2058 patients (79% African-American, 78% female, 50% medically uninsured) received 7349 services (3.6 services per patient; averaging 2.5 hours over multiple visits, with 75%-85% appointment-keeping compliance), ranging from risk assessment and education to physical examinations, smoking counseling, mammography, and flexible sigmoidoscopy. In addition to 22 precancers and 15 cancers being diagnosed, statistically significant gains were demonstrated in patient knowledge, attitudes, and behavior. There was high patient satisfaction, particularly with nurse practitioners as service providers. Cancer prevention education was provided to an additional 14,945 community members, targeting students, teen parents, and recovering substance abusers. An in-depth qualitative analysis of recovering substance abusers examined their cancer beliefs and attitudes and showed significant knowledge gains from a subsequent cancer education program. The overall project demonstrated the feasibility of providing comprehensive and effective cancer prevention, education, and early detection services to the poor. IS - 1065-4704 IL - 1065-4704 PT - Journal Article LG - English DP - 1994 Nov-Dec DC - 19950504 YR - 1994 ED - 19950504 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7697082 <619. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7883598 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Neal KJ FA - O'Neal, K J TI - Anticipatory guidance: alcohol, adolescents, and recognizing abuse and dependence. SO - Issues in Comprehensive Pediatric Nursing. 16(4):207-18, 1993 Oct-Dec. AS - Issues Compr Pediatr Nurs. 16(4):207-18, 1993 Oct-Dec. NJ - Issues in comprehensive pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - g94, 7702326 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - *Counseling/mt [Methods] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Parents/ed [Education] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Alcohol is the most used and abused addictive drug used by adolescents, making adolescent alcohol abuse a major social problem. Alcohol-related traffic fatalities continue to be the leading cause of death for 15-19-year-old youths. Factors that influence adolescents' decision to drink and drive include lack of reliable knowledge about alcohol and its effects, and lack of decision-making skills. Literature shows that promoting public awareness and education is a major method of prevention of alcohol abuse in its early stages. Nursing's goal is to help families to have a greater degree of intrafamily control and coping. Anticipatory guidance is an excellent method of empowering and educating families about alcohol facts, including risk factors, phases and consequences of usage, problem identification via information probes, and interventions that can be instituted early in a child's life to prevent adolescent alcohol-related problems. IS - 0146-0862 IL - 0146-0862 PT - Journal Article LG - English DP - 1993 Oct-Dec DC - 19950413 YR - 1993 ED - 19950413 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7883598 <620. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7884192 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moss ST AU - Clark RF AU - Guss DA AU - Rosen P FA - Moss, S T FA - Clark, R F FA - Guss, D A FA - Rosen, P IN - Moss,S T. Department of Emergency Medicine, University of California, San Diego. TI - The management of sharps in the emergency department: is it safe?. SO - Journal of Emergency Medicine. 12(6):745-52, 1994 Nov-Dec. AS - J Emerg Med. 12(6):745-52, 1994 Nov-Dec. NJ - The Journal of emergency medicine PI - Journal available in: Print PI - Citation processed from: Print JC - ibo, 8412174 SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - California MH - Emergency Service, Hospital/ma [Manpower] MH - *Emergency Service, Hospital/sn [Statistics & Numerical Data] MH - Hospitals, University MH - Humans MH - *Medical Waste Disposal/sn [Statistics & Numerical Data] MH - *Needles/st [Standards] MH - Needlestick Injuries/pc [Prevention & Control] MH - *Personnel, Hospital/sn [Statistics & Numerical Data] MH - Prospective Studies MH - Safety Management MH - Universal Precautions AB - In this study, we observed the management of sharps by health care workers including physicians, nurses, technicians, and students in the Emergency Department of the University of California-San Diego Medical Center. Twenty-eight percent of 418 observed sharp utilizations were managed in such a way that excess risk was conferred to the user, another person, or both. Twenty-seven percent conferred excess risk to the user and 12% to another person. Twenty percent of 322 recappable needles were recapped using a two-handed technique; 64% were disposed of uncapped. Four sharps (1%) were inadvertently thrown in the trash. Of the 418 observed sharp utilizations, none resulted in a puncture wound, although the four that were thrown in the trash represent a very high risk of injury to others. Physicians were observed handling the highest percentage of sharps in manners associated with excess risk while technicians and students managed sharps with the least risk. Among sharps used on patients who were IV drug abusers with unknown HIV status, 29% (n = 28) were handled with excess risk to the user, another person, or both. Of 24 sharps used on known HIV-infected patients, there were no practices observed that subjected either the user or another person to excess risk. RN - 0 (Medical Waste Disposal) IS - 0736-4679 IL - 0736-4679 PT - Journal Article LG - English DP - 1994 Nov-Dec DC - 19950412 YR - 1994 ED - 19950412 RD - 20060406 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7884192 <621. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7873903 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jack L AU - Haines V AU - Weinstein N FA - Jack, L FA - Haines, V FA - Weinstein, N TI - Children from alcoholic families--a population at risk. SO - Journal of School Nursing. 10(3):27-34; quiz 36, 1994 Oct. AS - J Sch Nurs. 10(3):27-34; quiz 36, 1994 Oct. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - *Alcoholism MH - Child MH - Child of Impaired Parents/px [Psychology] MH - *Child of Impaired Parents MH - Female MH - Humans MH - Male MH - Nursing Assessment MH - Risk Factors MH - *School Nursing AB - This article focuses on children of alcoholics as a population at risk, and discusses strategies for assessment and intervention by school nurses. Information about alcohol abuse and the effects of problem drinking on children is provided. Case history examples will offer additional illustration, with resiliency being highlighted. IS - 1059-8405 IL - 1059-8405 PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1994 Oct DC - 19950406 YR - 1994 ED - 19950406 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7873903 <622. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7865805 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ungvarski PJ FA - Ungvarski, P J IN - Ungvarski,P J. Visiting Nurse Service of New York, NY. TI - Comorbidities of HIV-1/AIDS in adults. [Review] [88 refs] SO - Journal of the Association of Nurses in AIDS Care. 5(6):35-44, 1994 Nov-Dec. AS - J Assoc Nurses AIDS Care. 5(6):35-44, 1994 Nov-Dec. NJ - The Journal of the Association of Nurses in AIDS Care : JANAC PI - Journal available in: Print PI - Citation processed from: Print JC - a7p, 9111870 SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - AIDS-Related Opportunistic Infections/co [Complications] MH - *Acquired Immunodeficiency Syndrome/co [Complications] MH - Adult MH - *Comorbidity MH - Educational Status MH - Female MH - Humans MH - Insurance, Health MH - Life Style MH - Male MH - Sexual Behavior MH - Sexually Transmitted Diseases MH - Socioeconomic Factors MH - Substance Abuse, Intravenous/co [Complications] AB - The comorbid diagnoses associated with illness due to human immunodeficiency virus type 1 (HIV-1) are cumulative, multiple, and varied. These diagnoses start with primary infection, then progress to symptomatic illness and finally to AIDS-indicator diseases. The author reviews this progression and additional variables such as preexisting health problems, socioeconomic status, health insurance coverage, and educational level. Based on an understanding of the preexisting problems, as well as the HIV-1 trajectory, the author outlines the implications for future nursing education, practice, and research. [References: 88] IS - 1055-3290 IL - 1055-3290 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 1994 Nov-Dec DC - 19950330 YR - 1994 ED - 19950330 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7865805 <623. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7870660 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hawkins JW AU - Hayes ER AU - Corliss CP FA - Hawkins, J W FA - Hayes, E R FA - Corliss, C P IN - Hawkins,J W. School of Nursing, Boston College, MA. TI - School nursing in America--1902-1994: a return to public health nursing. SO - Public Health Nursing. 11(6):416-25, 1994 Dec. AS - Public Health Nurs. 11(6):416-25, 1994 Dec. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal SB - History of Medicine Journals CP - UNITED STATES MH - Health Services Needs and Demand/hi [History] MH - Historiography MH - History, 20th Century MH - Humans MH - Models, Nursing MH - New York City MH - *Public Health Nursing/hi [History] MH - *School Nursing/hi [History] MH - United States AB - In October 1902, Lina Lavanche Rogers began her work in the New York City schools as the first school nurse in the United States. The purpose of this research was to examine the evolution of school nursing as it exemplifies development of a public health nursing specialty. Historiographic methodology was used. Primary sources included materials written by pioneers in school nursing. Secondary sources included journals, books, newspapers, biographical materials, and unpublished materials from the archives of health care and educational institutions and agencies. Public health nurses in 1902 had a model for practice that was considerably more independent and interdependent than that characterizing the practice of hospital nurses. From its origins in public health nursing, the role of the school nurse shrunk in many school systems to that of dispenser of bandages and aspirins, only to return once more to an advanced practice model. HIV, tuberculosis, sexually transmitted diseases, addiction, and violence have returned and/or replaced the contagious diseases of 1902 and the early years of school nursing. New immigrants, poverty, homelessness, and lack of primary care offer challenges to school nurses to meet the needs of schoolchildren and their families in the 1900s. IS - 0737-1209 IL - 0737-1209 PT - Historical Article PT - Journal Article PT - Portraits LG - English DP - 1994 Dec DC - 19950327 YR - 1994 ED - 19950327 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7870660 <624. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7850509 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dimmitt JH AU - Artnak KE FA - Dimmitt, J H FA - Artnak, K E TI - Cases of conscience: casuistic analysis of ethical dilemmas in expanded role settings. SO - Nursing Ethics. 1(4):200-7, 1994 Dec. AS - Nurs Ethics. 1(4):200-7, 1994 Dec. NJ - Nursing ethics PI - Journal available in: Print PI - Citation processed from: Print JC - b6m, 9433357 OI - Source: KIE. 54403 SB - Bioethics Journals SB - Nursing Journal CP - ENGLAND MH - Adolescent MH - *Casuistry MH - Complementary Therapies MH - Conflict (Psychology) MH - *Cultural Diversity MH - *Ethical Analysis MH - *Ethics, Nursing MH - Female MH - Humans MH - Law Enforcement MH - *Logic MH - *Models, Nursing MH - Nurse Clinicians MH - *Nurse's Role MH - *Problem Solving MH - Psychiatric Nursing MH - *Role MH - Substance-Related Disorders/nu [Nursing] MH - Trust MH - *Vulnerable Populations KW - Bioethics and Professional Ethics; Professional Patient Relationship AB - In the absence of a well articulated conceptual framework for nursing ethics, this article argues for a theory of applied ethics--casuistics--used within a clinical reasoning model, to analyse the complicated issues presented in three cases involving adolescents receiving treatment for abuse through a rural alternative learning centre. The clinical nurse specialist, as an independent practitioner within the community, is presented with many ethical challenges arising from cultural diversity. The inherent independent nature of such practice environments combined with the pluralism which exists in today's multicultural society demands that professional nurses working in these circumstances develop and utilize an ethical framework for the analysis of patient care in situations that involve moral conflict. NT - KIE BoB Subject Heading: nursing ethics NT - KIE BoB Subject Heading: patient care/minors NT - Full author name: Dimmitt, Jane H NT - Full author name: Artnak, Kathryn E IS - 0969-7330 IL - 0969-7330 PT - Case Reports PT - Journal Article LG - English DP - 1994 Dec DC - 19950316 YR - 1994 ED - 19950316 RD - 20041118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7850509 <625. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7855146 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carroll J FA - Carroll, J TI - Gear future training to practitioners' needs. Attitudes towards intravenous drug users. SO - Professional Nurse. 10(4):215-9, 1995 Jan. AS - Prof Nurse. 10(4):215-9, 1995 Jan. NJ - Professional nurse (London, England) PI - Journal available in: Print PI - Citation processed from: Print JC - 8612884, pzx SB - Nursing Journal SB - AIDS/HIV Journals CP - ENGLAND MH - *Acquired Immunodeficiency Syndrome/nu [Nursing] MH - *Education, Nursing, Continuing/mt [Methods] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Nursing Staff/ed [Education] MH - Nursing Staff/px [Psychology] MH - *Nursing Staff MH - *Substance Abuse, Intravenous/nu [Nursing] AB - 1. There is no clear-cut relationship between staff knowledge and their attitudes to HIV and Aids. 2. Perceptions of service delivery to drug users are likely to be affected by respondents' occupational backgrounds. 3. The effectiveness of service delivery is likely to be affected by situational constraints. 4. There is a need for improved training and support, particularly for non-specialist staff. IS - 0266-8130 IL - 0266-8130 PT - Journal Article LG - English DP - 1995 Jan DC - 19950310 YR - 1995 ED - 19950310 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7855146 <626. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7834427 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - August DA AU - Rea T AU - Sondak VK FA - August, D A FA - Rea, T FA - Sondak, V K IN - August,D A. Department of Surgery, University of Michigan, Ann Arbor 48109-0331. TI - Age-related differences in breast cancer treatment. SO - Annals of Surgical Oncology. 1(1):45-52, 1994 Jan. AS - Ann Surg Oncol. 1(1):45-52, 1994 Jan. NJ - Annals of surgical oncology PI - Journal available in: Print PI - Citation processed from: Print JC - b9r, 9420840 SB - Index Medicus CP - UNITED STATES MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Breast Neoplasms/mo [Mortality] MH - *Breast Neoplasms/th [Therapy] MH - Female MH - Humans MH - Middle Aged MH - Postoperative Complications MH - Radiotherapy/ae [Adverse Effects] MH - Retrospective Studies MH - Survival Rate AB - BACKGROUND: More than half of the cases of breast cancer treated in the United States occur in women over age 65. This study investigates age-related differences in breast cancer therapy. AB - METHODS: A retrospective review of all women with primary operable invasive breast cancer treated at the University of Michigan Breast Care Center over a 30-month period showed a total of 77 older patients aged > or = 65 years (median, 71; oldest patient, 92) for whom full information was available regarding comorbidity, tumor stage and histology, and details of surgery, radiation, and chemohormonal therapy and complications. Fifty-one similar younger patients aged 55-64 years (median, 59) were identified for comparison. Patients were classified as either having received standard treatment or non-standard treatment. Standard therapy was prospectively defined as follows: local/regional--lumpectomy and axillary lymph node dissection plus radiation therapy or modified radical mastectomy; systemic--chemotherapy and/or tamoxifen for stage II disease. A comorbidity score calculated for each patient assigned one point each for nursing home residence, nonambulatory status, recent surgery, and each medical problem requiring drug therapy. AB - RESULTS: When overall treatment (local/regional plus systemic) was assessed, proportionately fewer older patients (55 of 77 versus 47 of 51; p < 0.01) received standard treatment. Fewer older than younger patients (62 of 77 versus 50 of 51; p < 0.01) received surgical therapy that included an axillary dissection. A smaller proportion of older patients received radiation therapy following lumpectomy and axillary lymph node dissection (26 of 29 versus 19 of 19; N.S.). Overall, only 59 of 77 older patients versus 50 of 51 younger patients (p < 0.001) received standard local/regional care. Similar proportions of younger and older patients (19 of 22 and 24 of 30, respectively) received standard systemic therapy for stage II breast cancer, but older patients were less likely to receive chemotherapy than younger patients (7% versus 50%; p < 0.001). Treatment-related complications were not age-related but were more frequent in patients receiving standard treatment than in patients receiving nonstandard treatment (45 of 102 versus two of 26; p < 0.001). Comorbidity score correlated with the use of nonstandard therapy but not with age. The scores for both older and younger patients receiving overall standard treatment were 0.8 versus 1.5 and 1.4, respectively, in patients receiving nonstandard treatment. Interestingly, explanations for decisions to deviate from standard treatment guidelines were often not identified. Comorbidity was explicitly noted in only one of four younger patients who received nonstandard treatment therapy. In 22 older patients who received nonstandard treatment, comorbidity was cited in eight cases, patient age was cited in six cases, and patient choice was cited in four cases. Follow-up (median, 34 months) did not show that disease-free or overall survival differences were related to age or to treatment (standard versus nonstandard). AB - CONCLUSIONS: These data demonstrate age-related variations in breast cancer treatment in a multidisciplinary breast care unit. Lower complication rates and equivalent short-term outcomes in women who received nonstandard therapy suggest good clinical judgment may have played a role in these differences. Although age-related patient preferences and comorbidity are relevant, the age-related attitudes of caregivers must also be taken into account to fully explain these variations. IS - 1068-9265 IL - 1068-9265 PT - Journal Article LG - English DP - 1994 Jan DC - 19950302 YR - 1994 ED - 19950302 RD - 20070718 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7834427 <627. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7529812 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weissman DE AU - Griffie J FA - Weissman, D E FA - Griffie, J IN - Weissman,D E. Medical College of Wisconsin, Milwaukee. TI - The Palliative Care Consultation Service of the Medical College of Wisconsin. SO - Journal of Pain & Symptom Management. 9(7):474-9, 1994 Oct. AS - J Pain Symptom Manage. 9(7):474-9, 1994 Oct. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Index Medicus CP - UNITED STATES MH - Humans MH - *Palliative Care MH - *Referral and Consultation MH - *Schools, Medical MH - Wisconsin AB - Palliative care has not become a routine aspect of US academic medicine due to lack of reimbursement for clinical services, little research funding, and the perception that care for the terminally ill is not important in academic medical centers. This article describes the clinical activities of a new Palliative Care Consultation Service (PCS) for inpatients and outpatients, which was started at the Medical College of Wisconsin in April 1993. The goals of the PCS are to provide symptom control, assist with end-of-life decision making, and serve as a resource for appropriate discharge planning for all dying patients, not only those with cancer. Since its inception, an average of five consultations per week have been seen. Pain and end-of-life decisions were the most frequent reasons for consultation. Thirteen different clinical services consulted the PCS, most commonly internal medicine and oncology. Cancer and acquired immunodeficiency syndrome (AIDS) were the most frequent diagnoses. The PCS has also been used as a resource for assessment of inpatients with chronic nonmalignant pain who were believed to be drug addicts. The PCS has received widespread acceptance by the medical, nursing, and support staffs. The clinical and educational role of a dedicated palliative care service in academic medicine is discussed. IS - 0885-3924 IL - 0885-3924 PT - Journal Article LG - English DP - 1994 Oct DC - 19950214 YR - 1994 ED - 19950214 RD - 20060815 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7529812 <628. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7986651 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nyamathi AM AU - Flaskerud J AU - Bennett C AU - Leake B AU - Lewis C FA - Nyamathi, A M FA - Flaskerud, J FA - Bennett, C FA - Leake, B FA - Lewis, C IN - Nyamathi,A M. School of Nursing, University of California, Los Angeles 90024-6918. TI - Evaluation of two AIDS education programs for impoverished Latina women. SO - AIDS Education & Prevention. 6(4):296-309, 1994 Aug. AS - AIDS Educ Prev. 6(4):296-309, 1994 Aug. NJ - AIDS education and prevention : official publication of the International Society for AIDS Education PI - Journal available in: Print PI - Citation processed from: Print JC - auy, 9002873 SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/pc [Prevention & Control] MH - Acquired Immunodeficiency Syndrome/px [Psychology] MH - Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Adolescent MH - Adult MH - Aged MH - Female MH - Follow-Up Studies MH - *Health Education MH - Health Knowledge, Attitudes, Practice MH - *Hispanic Americans/ed [Education] MH - Hispanic Americans/px [Psychology] MH - *Homeless Persons/ed [Education] MH - Homeless Persons/px [Psychology] MH - Humans MH - Los Angeles MH - Middle Aged MH - *Poverty MH - *Program Evaluation MH - Social Support MH - *Urban Population AB - This paper evaluates and contrasts the effectiveness of two culturally sensitive AIDS education programs developed by the UCLA AIDS Nursing Network and delivered to 213 impoverished Latina homeless or drug-addicted women in Los Angeles. The Comprehensive Health Seeking and Coping Paradigm guided the program, which was implemented by specially trained Latina nurses and outreach workers. A quasi-experimental design was employed where women were randomized by site into Specialized (N = 82) and Traditional (N = 131) programs. Repeated measures ANOVAS and log-linear models were used to evaluate improvement over a two-week period for women in both groups and to identify interactions with program type. Two-week posttest analyses were also conducted to assess program effectiveness, controlling for baseline values of the measure in question, nonequivalency between groups at baseline, and selected demographic characteristics, including acculturation. Results indicated that women in both AIDS education programs improved significantly in cognitive, behavioral, and psychologic outcomes. IS - 0899-9546 IL - 0899-9546 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - DA05565 (United States NIDA NIH HHS) LG - English DP - 1994 Aug DC - 19950109 YR - 1994 ED - 19950109 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7986651 <629. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7963065 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Taylor I AU - Robertson A FA - Taylor, I FA - Robertson, A IN - Taylor,I. Community Drug Problem Service, Edinburgh, Scotland. TI - The health needs of gay men: a discussion of the literature and implications for nursing. [Review] [69 refs] SO - Journal of Advanced Nursing. 20(3):560-6, 1994 Sep. AS - J Adv Nurs. 20(3):560-6, 1994 Sep. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Adolescent MH - Adult MH - Attitude of Health Personnel MH - Bereavement MH - Counseling MH - Education, Nursing MH - *Health Services Needs and Demand MH - Homosexuality, Male/px [Psychology] MH - *Homosexuality, Male MH - Humans MH - Male MH - Mental Health MH - Middle Aged MH - Nursing Assessment MH - Nursing Care MH - Sexual Behavior/ph [Physiology] MH - Sexually Transmitted Diseases/pc [Prevention & Control] MH - Stress, Psychological AB - Although there is a general dearth of nursing literature on health issues specific to gay (homosexual) men, the literature reviewed shows that gay men have particular concerns related to anti-homosexual feelings anticipated and experienced from health professionals. The effects of homophobia in wider society may cause high levels of emotional distress in some gay men, which is associated with a higher incidence of substance misuse, parasuicide, bipolar psychiatric disorders and depression. Gay men also have specific needs with regard to general medical problems, including hepatitis, HIV infection and some other sexually transmitted diseases. Gay men may also present to health services for a wide range of general medical, surgical and mental health problems. Some specific health needs are discussed: general health, sexual health and bereavement counselling. These issues may affect individuals differently through various stages in the lifespan, and nurses should be cognizant of them during their assessment of client needs. Minimum counselling skills, together with appropriate training about gay issues, are required if nurses are to deal effectively with clients' needs. [References: 69] IS - 0309-2402 IL - 0309-2402 PT - Journal Article PT - Review LG - English DP - 1994 Sep DC - 19941223 YR - 1994 ED - 19941223 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7963065 <630. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7950570 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Williams EC AU - Kirkman RJ AU - Elstein M FA - Williams, E C FA - Kirkman, R J FA - Elstein, M IN - Williams,E C. Mancunian Community Health NHS Trust, Manchester. TI - Profile of young people's advice clinic in reproductive health, 1988-93. CM - Comment in: BMJ. 1994 Dec 3;309(6967):1516; PMID: 7804079 SO - BMJ. 309(6957):786-8, 1994 Sep 24. AS - BMJ. 309(6957):786-8, 1994 Sep 24. NJ - BMJ (Clinical research ed.) PI - Journal available in: Print PI - Citation processed from: Print JC - 8900488, bmj, 101090866 OI - Source: NLM. PMC2541028 OI - Source: PIP. 099049 OI - Source: POP. 00232843 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Population Information Citations CP - ENGLAND MH - Adolescent MH - *Adolescent Health Services MH - *Community Health Centers MH - England MH - Family Planning Services MH - Female MH - Health Promotion MH - Humans MH - Male MH - Patient Acceptance of Health Care MH - Referral and Consultation MH - Sex Education MH - Substance-Related Disorders/pc [Prevention & Control] KW - *Adolescents; Age Factors; Clinic Activities; Communication; *Counseling; *Delivery Of Health Care; Demographic Factors; Developed Countries; Education; England; Europe; *Family Planning Centers; *Family Planning Education; *Family Planning Information Centers; Health; *Health Education; Health Facilities; Information Centers; Northern Europe; Population; Population Characteristics; Program Activities; Programs; *Sex Education; *Summary Report; United Kingdom; *Urban Population; Youth AB - For an unprepared sexually active teenager the 1990s present a minefield of potential problems in addition to the most obvious problems of unplanned pregnancy and sexually transmitted disease. Promoting the importance of a healthy sexual and reproductive life to young people requires openness, better sex education, realistic discussion of related issues, and provision of contraception, as well as support if things go wrong. The Woodhouse Park Clinic in south Manchester opened in October 1988 with the aim of providing weekly advice sessions to young people up to the age of 18. Advice is given on topics such as substance misuse and smoking as well as on family planning. Attendance has steadily increased over the years; from April to June 1993 the average number of attenders per session was 39, one third of whom were young men. OA - PIP: Opened in October 1988, Woodhouse Park Clinic serves Wythenshawe, a large council housing estate in south Manchester. The district has a total population of 48,072, with an average conception rate over the period 1989-91 of 17.1/1000 among girls aged 11-15. The clinic was opened with the goal of providing weekly advice sessions to young people up to the age of 18 years, along with advice on topics such as substance misuse, smoking, and family planning. The authors describe how in 1986 family planning managers, school nurses, and the local midwife and parentcraft tutor planned the weekly clinic intended to lower the rates of teenage pregnancy in the area. One two-hour clinic session was held from 3:30 P.M. to 5:30 P.M. each Thursday in a multipurpose community health center, staffed by two female school nurses, the female midwife and parentcraft tutor, and one female family planning doctor. Program launching, facilities, consultation, pregnancy tests, clinic management, and attendances are described. Attendance increased steadily over the years, with an average of 39 attendees per session over the period April-June 1993; young men comprised one-third of those who attended.; Language: English NT - TJ: BMJ : BRITISH MEDICAL ASSOCIATION. IS - 0959-8138 IL - 0959-535X PT - Journal Article LG - English DP - 1994 Sep 24 DC - 19941205 YR - 1994 ED - 19941205 RD - 20130922 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7950570 <631. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7938069 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Janes J FA - Janes, J TI - Their own worst enemy? Management and prevention of self-harm. SO - Professional Nurse. 9(12):838-41, 1994 Sep. AS - Prof Nurse. 9(12):838-41, 1994 Sep. NJ - Professional nurse (London, England) PI - Journal available in: Print PI - Citation processed from: Print JC - 8612884, pzx SB - Nursing Journal CP - ENGLAND MH - Health Promotion MH - Humans MH - Self Concept MH - *Self-Injurious Behavior/pc [Prevention & Control] AB - 1. Self-harm is both cause and effect in the wider context of abuse in the family. 2. There are four main areas of self-harm: self-inflicted injury, eating disorders, legal and illegal drug abuse. 3. Community nurses have a central role in caring for clients with conditions arising from self-harm. 4. The health education and promotion role of the community nurse is targeted at individuals, groups, families and society itself. IS - 0266-8130 IL - 0266-8130 PT - Journal Article LG - English DP - 1994 Sep DC - 19941110 YR - 1994 ED - 19941110 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7938069 <632. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7934083 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Short JD AU - Slusher IL FA - Short, J D FA - Slusher, I L TI - Adolescent pregnancy. SO - Kentucky Nurse. 42(3):36-7, 1994 Jul-Sep. AS - Ky Nurse. 42(3):36-7, 1994 Jul-Sep. NJ - Kentucky nurse PI - Journal available in: Print PI - Citation processed from: Print JC - k8s, 8309653 OI - Source: PIP. 101832 OI - Source: POP. 00236220 SB - Population Information Citations SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Female MH - Humans MH - Infant, Newborn MH - Kentucky MH - Pregnancy MH - Pregnancy in Adolescence/sn [Statistics & Numerical Data] MH - *Pregnancy in Adolescence MH - Risk Factors MH - *Sex Education MH - Social Support MH - United States KW - *Adolescent Pregnancy; Adolescents; *Adolescents, Female; Age Factors; Americas; Biology; Clinic Activities; *Counseling; *Critique; Delivery Of Health Care; Demographic Factors; Developed Countries; Economic Factors; *Education--women; Fertility; Health; Health Personnel; Health Services; Kentucky; *Literature Review; Maternal Health Services; Maternal-child Health Services; *Needs--women; North America; Northern America; *Nurses; Population; Population Characteristics; Population Dynamics; *Pregnancy, Unwanted; *Prenatal Care; Primary Health Care; Program Activities; Programs; Reproductive Behavior; *Risk Factors; United States; Youth OA - PIP: Kentucky has the fourth highest percentage of infants born to teenage mothers in the US. Risk factors for adolescent pregnancy are poor academic performance, family history of adolescent pregnancy, absence of one or both biological parents in the home, troubled family relationships, family violence, history of substance abuse, and poor self-concept. Pregnancy adds new developmental requirements to the continual developmental crisis of adolescence. Some of these developmental requirements are dealing with pregnancy and birth of a child and peer and family reactions and relationships. Pregnant teens are at high risk for anemia, preeclampsia, preterm delivery, and low birth weight infants. The health care team must assess the abilities, needs, practices, and priorities of teens. Nurses should promote health and positive health practices in teens. They should focus on prevention of adolescent pregnancy and on meeting the needs of pregnant teens. Adolescent pregnancy interventions include education and adolescent-centered special programs. Peer groups, role playing, videos, and computer games are individualized and effective education techniques for teens. Formal adolescent pregnancy prevention programs are abstinence education, knowledge-based programs, and clinic-focused or school-based programs. A combination of approaches is more effective than using just one approach. Adolescent pregnancy prevention interventions should promote the value of education, discourage substance abuse, and provide counseling for victims of child abuse. Pregnant teens should receive prenatal care as soon as possible. One health care agency should combine physical care, psychosocial support, and education for teens. Kentucky schools help pregnant teens continue their education and help them obtain information and support for care for themselves and their babies. Nurses can be effective at reducing the number of unwanted teen pregnancies.; Language: English NT - TJ: KENTUCKY NURSE. IS - 0742-8367 IL - 0742-8367 PT - Journal Article LG - English DP - 1994 Jul-Sep DC - 19941103 YR - 1994 ED - 19941103 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7934083 <633. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7932302 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richardson M FA - Richardson, M IN - Richardson,M. McLean Hospital, Belmont, Massachusetts 02178-9106. TI - Nursing implementation of smoking bans on psychiatric wards. SO - Journal of Psychosocial Nursing & Mental Health Services. 32(6):17-9, 1994 Jun. AS - J Psychosoc Nurs Ment Health Serv. 32(6):17-9, 1994 Jun. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Hospital Units/og [Organization & Administration] MH - *Hospitals, Psychiatric MH - Humans MH - *Nursing Staff, Hospital MH - Organizational Policy MH - Patient Education as Topic MH - Planning Techniques MH - *Smoking/pc [Prevention & Control] MH - *Smoking Cessation/mt [Methods] AB - Although the prevalence of tobacco dependence among psychiatric inpatients far exceeds that of the general population, psychiatric inpatients are concerned about the health risks and financial impact of their addiction. Financial resources heretofore invested in supporting psychiatric patients' smoking and treatment of cigarette related illnesses can be reallocated to underwrite patient education. Comprehensive nursing care of tobacco dependent patients addresses knowledge deficits through individual and group treatment modalities. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1994 Jun DC - 19941101 YR - 1994 ED - 19941101 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7932302 <634. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8072056 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Milling RN AU - Faulkner LR AU - Craig JM FA - Milling, R N FA - Faulkner, L R FA - Craig, J M IN - Milling,R N. Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine. TI - Problems in the recognition and treatment of patients with dual diagnoses. SO - Journal of Substance Abuse Treatment. 11(3):267-71, 1994 May-Jun. AS - J Subst Abuse Treat. 11(3):267-71, 1994 May-Jun. NJ - Journal of substance abuse treatment PI - Journal available in: Print PI - Citation processed from: Print JC - kai, 8500909 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Depressive Disorder/co [Complications] MH - Depressive Disorder/ep [Epidemiology] MH - Diagnosis, Differential MH - *Diagnosis, Dual (Psychiatry)/st [Standards] MH - Humans MH - *Mental Disorders/co [Complications] MH - Mental Health Services/og [Organization & Administration] MH - Prevalence MH - Retrospective Studies MH - Schizophrenia/co [Complications] MH - Schizophrenia/ep [Epidemiology] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] AB - BACKGROUND: This study was to find if the dually diagnosed in a teaching psychiatric hospital were being adequately identified and treated. AB - METHOD: The records of 200 adult inpatients were reviewed for psychiatric diagnoses, the presence of a history of substance abuse, and the kinds of treatment rendered those patients. AB - RESULTS: Forty-three percent of the patients admitted were found to have a history of substance abuse, but 31.4% of these had a history of substance abuse in the record without a formal diagnosis. Major depression (26.6%) and schizophrenia (18.7%) were the most frequent diagnoses. Half of the patients received no documented treatment for substance abuse. The most common intervention was education by the nursing staff. AB - CONCLUSIONS: There is a clear need for better recognition and treatment of the dually diagnosed patient. IS - 0740-5472 IL - 0740-5472 PT - Journal Article LG - English DP - 1994 May-Jun DC - 19940929 YR - 1994 ED - 19940929 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8072056 <635. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8065627 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moseley CA AU - Beard MT FA - Moseley, C A FA - Beard, M T TI - Norplant: nursing's responsibility in procreative rights. SO - Nursing & Health Care. 15(6):294-7, 1994 Jun. AS - Nurs Health Care. 15(6):294-7, 1994 Jun. NJ - Nursing & health care : official publication of the National League for Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - n77, 8107256 OI - Source: KIE. 50781 OI - Source: NRCBL. 11.2 OI - Source: PIP. 097683 OI - Source: POP. 00234805 SB - Bioethics Journals SB - Population Information Citations SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Drug Implants MH - *Ethics, Nursing MH - Female MH - Health Policy MH - Humans MH - Internationality MH - Law Enforcement MH - *Levonorgestrel/tu [Therapeutic Use] MH - Patient Advocacy/lj [Legislation & Jurisprudence] MH - *Patient Advocacy MH - Poverty MH - United States MH - Women's Rights/lj [Legislation & Jurisprudence] MH - *Women's Rights KW - Genetics and Reproduction; *Norplant; People v. Johnson; Americas; Contraception; *Contraceptive Implants--legal aspects; Contraceptive Methods--legal aspects; Delivery Of Health Care; Developed Countries; Economic Factors; *Ethics; Family Planning; Family Planning Policy; Health; Health Personnel; *Human Rights--women; *Involuntary Fertility Control; *Low Income Population--women; North America; Northern America; *Nurses; *Philosophical Overview; *Policy; Population Policy; Social Class; Social Policy; Socioeconomic Factors; Socioeconomic Status; United States OA - PIP: Trained nurse practitioners can insert the contraceptive implant system Norplant. Courts may call on nurse practitioners to insert Norplant in poor women. Legislative and prosecutorial initiatives to coerce low-income women and female parolees to use contraceptives should not become law. Offering incentives to poor women is another form of involuntary fertility control. Eugenics and the sterilization campaign of the past form the basis for judicial and legislative initiatives to coerce women to accept Norplant. Providers have inserted Norplant in women from other countries without the women knowing the side effects. Often medical personnel do not remove Norplant when women request its removal. Nurses have historically played a public policy role in reproductive rights. They have promoted procreative rights through their roles as educators/counselors, advocators, empowerers, and practitioners. Nursing's power and expertise help protect against punitive government intrusion in reproductive rights and make sure that contraceptive breakthroughs (e.g., Norplant) strengthen procreative choices. They can guide the development of sound public policy. Norplant is not the answer to poverty, child abuse, or drug abuse. Nursing research can help policymakers become more responsive to the contraceptive and reproductive rights of everyone.; Language: English NT - KIE BoB Subject Heading: contraception NT - KIE BoB Subject Heading: reproduction NT - Full author name: Moseley, Carol Ann NT - Full author name: Beard, Margaret T NT - TJ: NURSING & HEALTH CARE RN - 0 (Drug Implants) RN - 5W7SIA7YZW (Levonorgestrel) IS - 0276-5284 IL - 0276-5284 PT - Case Reports PT - Journal Article LG - English DP - 1994 Jun DC - 19940922 YR - 1994 ED - 19940922 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8065627 <636. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8050257 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nair P AU - Rothblum S AU - Hebel R FA - Nair, P FA - Rothblum, S FA - Hebel, R IN - Nair,P. Department of Pediatrics, University of Maryland School of Medicine, Baltimore 21201. TI - Neonatal outcome in infants with evidence of fetal exposure to opiates, cocaine, and cannabinoids. SO - Clinical Pediatrics. 33(5):280-5, 1994 May. AS - Clin Pediatr (Phila). 33(5):280-5, 1994 May. NJ - Clinical pediatrics PI - Journal available in: Print PI - Citation processed from: Print JC - dhe, 0372606, 8407647 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Cannabinoids MH - *Cocaine MH - Female MH - Humans MH - Infant, Newborn MH - Meconium/ch [Chemistry] MH - *Narcotics MH - Pregnancy MH - *Pregnancy Complications MH - *Pregnancy Outcome MH - *Prenatal Exposure Delayed Effects MH - *Substance-Related Disorders AB - This study evaluated the neonatal outcome of infants with evidence of fetal exposure to cocaine, opiates, and cannabinoids. Subjects were from the newborn nursery of an inner-city university teaching hospital. Meconium from 141 infants admitted to the full-term nursery was analyzed for metabolites of opiates, cocaine, and cannabinoids. The population was 72% African-American; 82% had medical assistance; history of drug use was reported in the medical records in 18%; mean maternal age was 24.2 years; mean birth weight was 3,234 +/- 502 g; and neonatal abstinence syndrome was reported in 7%. Meconium analysis data showed the following: 52.5% were drug-free; cocaine was present in 31%, opiates in 18% (cocaine and/or opiates 39%), and cannabinoids in 17%. In 38 infants in whom urine toxicology was obtained for clinical indications, meconium was more sensitive than urine in detecting drug exposure (55.3% vs 31.5%). There was no significant difference between cocaine/opiate-exposed and drug-free infants in race, socioeconomic status, maternal age, birth weight, head circumference, length, and Apgar scores. Cocaine/opiate-exposed infants had greater length of stay and increased frequency of maternal sexually transmitted diseases during pregnancy, with a trend toward a higher percent with fetal distress. RN - 0 (Cannabinoids) RN - 0 (Narcotics) RN - I5Y540LHVR (Cocaine) IS - 0009-9228 IL - 0009-9228 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1994 May DC - 19940908 YR - 1994 ED - 19940908 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8050257 <637. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8048347 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cowan PF FA - Cowan, P F IN - Cowan,P F. Family Practice Department, University of Illinois at Chicago 60612. TI - An intervention to improve the assessment of alcoholism by practicing physicians. SO - Family Practice Research Journal. 14(1):41-9, 1994 Mar. AS - Fam Pract Res J. 14(1):41-9, 1994 Mar. NJ - Family practice research journal PI - Journal available in: Print PI - Citation processed from: Print JC - 8208228, 8208228 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - Aged MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/rh [Rehabilitation] MH - Curriculum MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Female MH - Group Practice MH - Humans MH - Male MH - *Medical Audit MH - Medical History Taking MH - Middle Aged MH - Nurse Practitioners/ed [Education] MH - Outcome and Process Assessment (Health Care) MH - Patient Care Team AB - OBJECTIVE: Alcoholism is estimated to affect at least 10% of American adults. Despite the fact that early diagnosis is possible and early treatment can prevent great suffering, American physicians typically diagnose and treat alcoholism less than half the time. Several authors have suggested additional physician education as a possible way to improve alcoholism assessment skills and increase the diagnosis rate. AB - METHODS: A baseline audit, an educational intervention, and a post-intervention audit were done with physicians and nurse practitioners in an urban family practice group, using information recorded during everyday patient care. AB - RESULTS: A significant increase in specific alcohol intake histories and a significant decrease in recorded abstention were found. The proportion of patients with a recorded diagnosis of alcoholism was 2.5% before and 4.1% after the intervention. AB - CONCLUSIONS: After this intervention, physicians' and FNP's skills in alcohol history-taking and assessment increased, and were incorporated into their daily patient care. Education alone was not enough to remedy a low diagnosis rate; many other factors are involved. IS - 0270-2304 IL - 0270-2304 PT - Journal Article LG - English DP - 1994 Mar DC - 19940901 YR - 1994 ED - 19940901 RD - 20120215 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8048347 <638. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8034416 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH FA - Rassool, G H IN - Rassool,G H. St George's Hospital Medical School, Division of Psychiatry of Addictive Behaviour, London, England. TI - A multi-professional course in substance misuse. SO - International Nursing Review. 41(2):53-6, 1994 Mar-Apr. AS - Int Nurs Rev. 41(2):53-6, 1994 Mar-Apr. NJ - International nursing review PI - Journal available in: Print PI - Citation processed from: Print JC - gtp, 7808754 SB - Index Medicus SB - Nursing Journal CP - SWITZERLAND MH - Clinical Competence MH - Curriculum MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Nursing MH - Nurses/px [Psychology] MH - *Patient Care Team MH - *Substance-Related Disorders/nu [Nursing] AB - A major health problem worldwide, substance abuse is preventable and manageable with minimal interventions. Thus there is an urgent need to prepare nurses and other healthcare professionals to effectively respond and adapt their existing generic skills in working with substance misusers. IS - 0020-8132 IL - 0020-8132 PT - Journal Article LG - English DP - 1994 Mar-Apr DC - 19940816 YR - 1994 ED - 19940816 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8034416 <639. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8195889 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holz KA FA - Holz, K A IN - Holz,K A. Fairfax Hospital, Virginia. TI - A practical approach to clients who are survivors of childhood sexual abuse. [Review] [25 refs] SO - Journal of Nurse-Midwifery. 39(1):13-8, 1994 Jan-Feb. AS - J Nurse Midwifery. 39(1):13-8, 1994 Jan-Feb. NJ - Journal of nurse-midwifery PI - Journal available in: Print PI - Citation processed from: Print JC - jer, 0365647, 0365647 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - Child MH - Child Abuse, Sexual/ep [Epidemiology] MH - *Child Abuse, Sexual/nu [Nursing] MH - *Child Abuse, Sexual/px [Psychology] MH - Counseling MH - Cues MH - Female MH - Humans MH - *Nurse Midwives MH - Nursing Assessment MH - *Patient Care Planning MH - Patient Education as Topic MH - Prevalence MH - *Survivors/px [Psychology] AB - Approximately 30% of all women have experienced some form of sexual abuse in childhood or adolescence. This abuse may result in serious long-term sequelae for the survivor, such as depression, low self-esteem, post-traumatic stress disorder, and addictive behaviors. Nurse-midwives are uniquely equipped to provide health care to survivors of childhood sexual abuse because of their commitment to thorough, sensitive health education. This article draws on current literature and the clinical experience of a nurse-midwife who has cared for many survivors of sexual abuse. It offers suggestions for incorporating identification of survivors into the initial health assessment. Interventions are reviewed including how to approach the physical examination of a survivor and how to provide appropriate care in the intrapartum and postpartum period. Emphasis is given to the development of a referral network. [References: 25] IS - 0091-2182 IL - 0091-2182 PT - Journal Article PT - Review LG - English DP - 1994 Jan-Feb DC - 19940624 YR - 1994 ED - 19940624 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8195889 <640. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8177305 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Community health research by PHC nurses in Kwazulu. SO - Nursing RSA Verpleging. 9(3):24-8, 1994 Mar. AS - Nurs RSA Verpleging. 9(3):24-8, 1994 Mar. NJ - Nursing RSA = Verpleging RSA PI - Journal available in: Print PI - Citation processed from: Print JC - 8703817 SB - Nursing Journal CP - SOUTH AFRICA MH - Alcoholism/pc [Prevention & Control] MH - Epidemiologic Methods MH - *Health Services Research MH - Nematode Infections/pc [Prevention & Control] MH - *Nursing Research MH - Rural Population MH - Sanitation MH - Sexually Transmitted Diseases/pc [Prevention & Control] MH - South Africa AB - Epidemiological research in community health has been practised by Primary Health Care nursing students in KwaZulu for the past fifteen years. This consists of a descriptive community survey to determine the priority needs, followed by an investigation into one of these needs, usually by means of an interview survey of 50 households. The process is largely self-directed, with expert guidance and assistance readily available. The status and support of the PHC nurses in KwaZulu needs to be enhanced in order to make them more effective. IS - 0258-1647 IL - 0258-1647 PT - Journal Article LG - English DP - 1994 Mar DC - 19940609 YR - 1994 ED - 19940609 RD - 20001218 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8177305 <641. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8168676 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gabel LL AU - Pearsol JA FA - Gabel, L L FA - Pearsol, J A IN - Gabel,L L. Department of Family Medicine, Ohio State University, Columbus. TI - The twin epidemics of substance use and HIV: a state-level response using a train-the-trainer model. SO - Family Practice. 10(4):400-5, 1993 Dec. AS - Fam Pract. 10(4):400-5, 1993 Dec. NJ - Family practice PI - Journal available in: Print PI - Citation processed from: Print JC - 8500875, fam SB - Index Medicus SB - AIDS/HIV Journals CP - ENGLAND MH - Adolescent MH - Adult MH - Disease Outbreaks MH - *Education, Continuing/mt [Methods] MH - Female MH - HIV Infections/co [Complications] MH - *HIV Infections MH - *Health Personnel/ed [Education] MH - Humans MH - Male MH - Models, Educational MH - Ohio/ep [Epidemiology] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] AB - Use of alcohol and drugs is highly correlated with acquiring the human immunodeficiency virus (HIV), the precursor to developing an AIDS-related condition. Today the USA faces not one but two epidemics, the twin epidemics of substance use and HIV infection. A needs assessment in the state of Ohio of the 300 state-supported drug treatment facilities confirmed a need for HIV-related education and training of the 120 health care personnel, physicians and nurses. Unique train-the-trainer programming was planned and undertaken, including in the same training programme physician and nurse participants dealing both with substance use and HIV/AIDS issues. Significant differences were found in perceived levels of knowledge, and/or attitudes, before and after programme sessions, regarding substance use, HIV/AIDS, and related training issues. To reach all of Ohio's 120 drug treatment facility physicians and nurses required a 2.75 person-hour per trainee expenditure of professional resources. IS - 0263-2136 IL - 0263-2136 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1993 Dec DC - 19940602 YR - 1993 ED - 19940602 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8168676 <642. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8169493 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ellis MS FA - Ellis, M S IN - Ellis,M S. LSU School of Medicine. TI - Analysis of the Louisiana Medicaid program: a microcosm of the U.S. health cost crisis. SO - Journal of the Louisiana State Medical Society. 146(1):25-31, 1994 Jan. AS - J La State Med Soc. 146(1):25-31, 1994 Jan. NJ - The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society PI - Journal available in: Print PI - Citation processed from: Print JC - ivk, 7505618 SB - Index Medicus CP - UNITED STATES MH - Cost Control/lj [Legislation & Jurisprudence] MH - *Health Care Costs/lj [Legislation & Jurisprudence] MH - *Health Care Reform/ec [Economics] MH - Health Care Reform/lj [Legislation & Jurisprudence] MH - Humans MH - Louisiana MH - *Medicaid/ec [Economics] MH - Medicaid/lj [Legislation & Jurisprudence] MH - *State Health Plans/ec [Economics] MH - State Health Plans/lj [Legislation & Jurisprudence] MH - United States AB - While the "health care crisis" is a major topic of discussion, it is apparent that to properly evaluate and manage the "ailment," we must first establish a proper diagnosis. To that end, we have provided actual statistics for the Medicaid program in Louisiana. As is the case in many states today, Medicaid has become a major component of the overall governmental health cost figures, involving over one-half of actual government expenditures, and consuming $140 billion of the total $800 billion national figure. In the debate over the cost of health care, we face an issue of trying to compare apples to oranges. Health care costs in the United States are not being portrayed accurately, especially in comparisons to other nations. In the United States, in part because of programs such as Medicaid, categories such as transportation, substance abuse, care of the mentally retarded, insurance administrative costs, long term institutional or custodial care of the elderly, capital equipment costs, and medical education and research are all counted as "health care" costs. In 1991, nursing home care alone cost over $60 billion with $32.3 billion being paid by Medicaid. In other nations, however, many of these categories are classified as social, educational, or welfare programs. If health care spending decisions are to be made on the basis of statistical comparisons to other countries, then it is critical that we develop a standardized international classification system, and similarly effective methods for the collection of data. In lieu of this approach, at the very least, we should be factoring in these tremendous differences in classification of costs into the comparisons.(ABSTRACT TRUNCATED AT 250 WORDS) IS - 0024-6921 IL - 0024-6921 PT - Journal Article LG - English DP - 1994 Jan DC - 19940527 YR - 1994 ED - 19940527 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8169493 <643. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8161878 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fredericksen P FA - Fredericksen, P TI - A tool for empowerment: live for life school nurse fellowship. SO - Journal of School Nursing. 10(1):6-9, 1994 Feb. AS - J Sch Nurs. 10(1):6-9, 1994 Feb. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - *Fellowships and Scholarships/og [Organization & Administration] MH - Humans MH - Power (Psychology) MH - Program Evaluation MH - *School Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] AB - This report describes a school nurse fellowship program, Live for Life School Nurse Fellowship, designed and supported by Johnson & Johnson and held in conjunction with the New Jersey Summer School of Alcohol and Drug Studies on the campus of Rutgers University in New Brunswick, New Jersey. The program has been in effect for five years and has involved 135 school nurses and their administrators from 13 states. Results of an independent evaluation are included. IS - 1059-8405 IL - 1059-8405 PT - Journal Article LG - English DP - 1994 Feb DC - 19940520 YR - 1994 ED - 19940520 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8161878 <644. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8150642 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Piano MR AU - Schwertz DW FA - Piano, M R FA - Schwertz, D W IN - Piano,M R. University of Illinois at Chicago, College of Nursing (M/C 802), Department of Medical-Surgical Nursing 60312. TI - Alcoholic heart disease: a review. [Review] [98 refs] SO - Heart & Lung. 23(1):3-17; quiz 18-20, 1994 Jan-Feb. AS - Heart Lung. 23(1):3-17; quiz 18-20, 1994 Jan-Feb. NJ - Heart & lung : the journal of critical care PI - Journal available in: Print PI - Citation processed from: Print JC - g2v, 0330057 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Animals MH - Calcium/me [Metabolism] MH - Cardiomyopathy, Alcoholic/di [Diagnosis] MH - *Cardiomyopathy, Alcoholic/pp [Physiopathology] MH - Cardiomyopathy, Alcoholic/th [Therapy] MH - Ethanol/pd [Pharmacology] MH - Homeostasis/de [Drug Effects] MH - Humans MH - Muscle Proteins MH - Myocardial Contraction/de [Drug Effects] MH - *Myocardial Contraction MH - Sarcolemma/de [Drug Effects] AB - The association between chronic alcohol consumption and alcoholic heart disease in human beings is well recognized. Chronic alcohol consumption is the leading cause of secondary cardiomyopathy, a heart muscle disease associated with long-term alcohol consumption. Both acute and chronic alcohol consumption have a negative inotropic effect on the myocardium, precipitate arrhythmias, and may provoke angina pectoris. There are numerous reports that alcohol changes many subcellular processes that are involved in excitation-contraction coupling. However, the exact mechanism(s) underlying these changes in the heart are still poorly understood. Despite the recent presumptive protective reports that moderate alcohol consumption protects against the risk of coronary artery disease, nurses and physicians must educate all patients about the many other adverse effects of alcohol on the cardiovascular system. The purpose of this article is to review and discuss the mechanism(s) that may underlie changes in contractile function after long-term alcohol consumption and identify current trends in identification and treatment of alcoholic heart disease. [References: 98] RN - 0 (Muscle Proteins) RN - 3K9958V90M (Ethanol) RN - SY7Q814VUP (Calcium) IS - 0147-9563 IL - 0147-9563 PT - Journal Article PT - Review LG - English DP - 1994 Jan-Feb DC - 19940512 YR - 1994 ED - 19940512 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8150642 <645. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8145196 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Buchanan CR AU - Huffman C AU - Barbour VM FA - Buchanan, C R FA - Huffman, C FA - Barbour, V M IN - Buchanan,C R. Mental Health Clinic, Department of Veterans Affairs Domiciliary, White City, Oregon. TI - Smoking health risk. Counseling of psychiatric patients. SO - Journal of Psychosocial Nursing & Mental Health Services. 32(1):27-32, 1994 Jan. AS - J Psychosoc Nurs Ment Health Serv. 32(1):27-32, 1994 Jan. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - Aged MH - *Counseling MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Hospitals, Psychiatric MH - Humans MH - Male MH - Middle Aged MH - Nursing Evaluation Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Patient Compliance MH - *Practice Patterns, Physicians' MH - *Psychiatric Nursing MH - Sampling Studies MH - *Smoking Cessation AB - 1. Cigarette smoking has been identified as the single most important source of preventable morbidity and premature mortality in the United States for each of the past 25 years. Despite a smoking rate of 50% to 84%, persons with psychiatric illness have not been the target of any documented smoking health risk education in current literature. 2. Most nurses view smoking health risk education as a nursing function, but few actually provide this care for patients due to perceived ineffectiveness of health risk education, belief that smoking is not a health risk, and lack of knowledge base to provide the care. 3. Data from the study reported on in the article reflected that nurses were providing smoking health risk information to less than 50% of patients. Nurses were not identifying nicotine dependence as a nursing problem and therefore were making no plans to provide nursing interventions to resolve it. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1994 Jan DC - 19940503 YR - 1994 ED - 19940503 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8145196 <646. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8134882 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Corrao G AU - Busellu G AU - Valenti M AU - Lepore AR AU - Sconci V AU - Casacchia M AU - di Orio F FA - Corrao, G FA - Busellu, G FA - Valenti, M FA - Lepore, A R FA - Sconci, V FA - Casacchia, M FA - di Orio, F IN - Corrao,G. Epidemiologic Research Centre, School of Medicine, University of L'Aquila, Italy. TI - Alcohol-related problems within the family and global functioning of the children: a population-based study. SO - Social Psychiatry & Psychiatric Epidemiology. 28(6):304-8, 1993 Nov. AS - Soc Psychiatry Psychiatr Epidemiol. 28(6):304-8, 1993 Nov. NJ - Social psychiatry and psychiatric epidemiology PI - Journal available in: Print PI - Citation processed from: Print JC - uvp, 8804358 SB - Index Medicus CP - GERMANY MH - Adolescent MH - Adolescent Behavior MH - Age Factors MH - *Alcoholism MH - Child MH - *Child Behavior Disorders/di [Diagnosis] MH - Child Behavior Disorders/et [Etiology] MH - Conflict (Psychology) MH - *Family MH - Fathers MH - Female MH - Humans MH - Italy MH - Male AB - We carried out a population-based prevalence study to assess the association between the presence of alcohol-related problems within the family and the risk of disorders in the children's global functioning level. We enrolled 394 children attending nursery, primary and secondary schools and their parents living in two municipalities in Central Italy. Alcohol-related problems within the family were reported by registered records obtained from general practitioners and teachers, who were considered as preference raters. The children's level of functioning was assessed by teachers, who attributed to each school child a score according to the Children Global Assessment Scale (CGAS). The number of reports of alcohol-related problems within the family and the CGAS scores were considered, respectively, as independent and dependent variables in a multiple logistic regression model for ordinal outcome variables. The children's sex and age, and the age of their parents, the duration of the parents' education and family size were considered as covariates. We found a strong association between a poor level of functioning in the children in the social environment and alcohol-related problems within the family. The prevalence odds ratio (and 95% confidence interval) decreased from 0.5 (range 0.2-1.3) for children whose families were reported by one rater to 0.4 (range 0.2-0.8) for children whose families were reported by two raters, the non-reported families being the reference category, suggesting that the level of functioning of the child decreased as reports of alcohol-related problems in the family increased. IS - 0933-7954 IL - 0933-7954 PT - Journal Article LG - English DP - 1993 Nov DC - 19940418 YR - 1993 ED - 19940418 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8134882 <647. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8121344 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hagemaster J AU - Handley S AU - Plumlee A AU - Sullivan E AU - Stanley S FA - Hagemaster, J FA - Handley, S FA - Plumlee, A FA - Sullivan, E FA - Stanley, S TI - Developing educational programmes for nurses that meet today's addiction challenges. SO - Nurse Education Today. 13(6):421-5, 1993 Dec. AS - Nurse Educ Today. 13(6):421-5, 1993 Dec. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - SCOTLAND MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - Humans MH - *Program Development MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] AB - Since undergraduate curricula have in the past offered little substance abuse content, bold and innovative educational programmes are necessary to prepare nurses for the addiction challenges of the 1990s. The University of Kansas and the American Nurses' Foundation (ANF) recently addressed the problem when they were jointly funded by the John W. and Effie E. Speas Memorial Trust to present an alcohol and other drug education project targeted to nurses practicing in the local community. 60 nurses in key clinical settings were given an opportunity to receive general information about substance abuse through two, 2-day workshops. The purposes of the project were; (1) to plan and develop materials for an alcohol and other drug abuse (AODA) curriculum for practicing nurses in a variety of clinical areas; (2) to assess the effectiveness of the programme through on-site and post-workshop participant evaluations; (3) and to refine the curriculum and materials according to evaluation data. Results indicated that participants' knowledge of AODA was significantly increased by the workshop. Attitudes also changed in two areas, permissiveness and belief in treatment interventions. Decreased permissiveness toward substance abuse persisted 3 months after the workshop indicating this may be a lasting change. The conclusion is that education can lead to a change in knowledge and attitudes toward substance abuse. IS - 0260-6917 IL - 0260-6917 PT - Journal Article LG - English DP - 1993 Dec DC - 19940406 YR - 1993 ED - 19940406 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8121344 <648. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8113913 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Adams CG FA - Adams, C G TI - An evaluation of four student placements in psychiatric nursing. SO - Journal of the New York State Nurses Association. 24(4):19-22, 1993 Dec. AS - J N Y State Nurses Assoc. 24(4):19-22, 1993 Dec. NJ - The Journal of the New York State Nurses' Association PI - Journal available in: Print PI - Citation processed from: Print JC - jfh, 7507218 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Attitude MH - *Education, Nursing, Baccalaureate MH - Humans MH - New York MH - *Psychiatric Nursing/ed [Education] MH - *Students, Nursing MH - Surveys and Questionnaires AB - A sample of senior baccalaureate students enrolled in a psychiatric nursing course was tested before and after four alternative clinical placements to measure student satisfaction. While overall satisfaction with clinical placements was relatively high for this sample and not significantly different among groups, differences were noted when satisfaction was examined for different aspects of clinical learning. In general, traditional inpatient placement settings for psychiatric nursing may be deficient in providing students with substantive learning about substance abuse and rehabilitation models. Both substance abuse based settings and combining a range of settings through which students rotate appear deficient in providing adequate learning about mental illness. Perhaps most important was the improvement in Group 3's preference scores, suggesting the importance to students of the clinical nurse specialist as a role model. IS - 0028-7644 IL - 0028-7644 PT - Comparative Study PT - Journal Article LG - English DP - 1993 Dec DC - 19940331 YR - 1993 ED - 19940331 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8113913 <649. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8303172 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson S FA - Wilson, S TI - Can you spot an alcoholic patient?. SO - RN. 57(1):46-50; quiz 51, 1994 Jan. AS - RN. 57(1):46-50; quiz 51, 1994 Jan. NJ - RN PI - Journal available in: Print PI - Citation processed from: Print JC - twp, 20010080r SB - Nursing Journal CP - UNITED STATES MH - Aged MH - *Alcoholism/nu [Nursing] MH - Education, Nursing, Continuing MH - Female MH - Humans MH - *Nursing Assessment MH - Psychoses, Alcoholic/nu [Nursing] MH - Substance Withdrawal Syndrome/nu [Nursing] IS - 0033-7021 IL - 0033-7021 PT - Case Reports PT - Journal Article LG - English DP - 1994 Jan DC - 19940310 YR - 1994 ED - 19940310 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8303172 <650. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8286906 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sadler LS FA - Sadler, L S TI - A review for school nursing professionals: adolescent depression. [Review] [70 refs] SO - Journal of School Nursing. 9(1):12-9, 1993 Feb. AS - J Sch Nurs. 9(1):12-9, 1993 Feb. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Depressive Disorder/ep [Epidemiology] MH - *Depressive Disorder/nu [Nursing] MH - Depressive Disorder/px [Psychology] MH - Depressive Disorder/th [Therapy] MH - Female MH - Humans MH - Male MH - *Psychology, Adolescent MH - Risk Factors MH - School Nursing/mt [Methods] MH - *School Nursing AB - Adolescent depression occurs within various developmental, social, and biologic contexts, and is manifested by traditional depressive symptoms such as fatigue, loss of interest in daily activities, weight changes, sleep disturbances, sad moods, difficulty with concentration, behavioral agitation or lethargy, feelings of worthlessness, and recurrent thoughts of death. Depressed adolescents may combine these symptoms with certain additional behaviors such as academic deterioration, substance abuse, sexual activity, somatic complaints, eating disorders, conduct disorders, and other risk-taking behaviors. School nurses can play a central role in the prevention, assessment, referral, and follow-up care of this significant adolescent health problem. [References: 70] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 1993 Feb DC - 19940224 YR - 1993 ED - 19940224 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8286906 <651. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8260423 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moore K AU - Behr G FA - Moore, K FA - Behr, G TI - Myths on the rocks: using and abusing alcohol (continuing education credit). SO - Nursing Standard. 8(8 Suppl NU):3-8; quiz 11-3, 1993 Nov 10-16. AS - Nurs Stand. 8(8 Suppl NU):3-8; quiz 11-3, 1993 Nov 10-16. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - ENGLAND MH - *Alcohol Drinking MH - Alcoholism/di [Diagnosis] MH - *Alcoholism MH - Education, Nursing, Continuing MH - Humans IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 1993 Nov 10-16 DC - 19940127 YR - 1993 ED - 19940127 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8260423 <652. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8260409 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naish J FA - Naish, J TI - Students: the soft drug approaches. SO - Nursing Standard. 8(8):18-21, 1993 Nov 10-16. AS - Nurs Stand. 8(8):18-21, 1993 Nov 10-16. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - ENGLAND MH - Female MH - Humans MH - Male MH - *Street Drugs MH - *Students, Nursing MH - *Substance-Related Disorders/ep [Epidemiology] RN - 0 (Street Drugs) IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 1993 Nov 10-16 DC - 19940127 YR - 1993 ED - 19940127 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8260409 <653. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8258598 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH FA - Rassool, G H IN - Rassool,G H. St George's Hospital Medical School, Division of Psychiatry of Addictive Behaviour, London, England. TI - Nursing and substance misuse: responding to the challenge. [Review] [55 refs] SO - Journal of Advanced Nursing. 18(9):1401-7, 1993 Sep. AS - J Adv Nurs. 18(9):1401-7, 1993 Sep. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Attitude to Health MH - Clinical Competence/st [Standards] MH - Curriculum MH - Education, Nursing MH - Great Britain/ep [Epidemiology] MH - Health Priorities MH - Humans MH - Job Description MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/st [Standards] MH - Prejudice MH - Primary Health Care MH - Role MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] AB - The widespread use and misuse of alcohol, drug and other psychoactive substances are major health and social concerns that affect the lives of many. The social and health sequelae of psychoactive drugs and alcohol are preventable and manageable with minimal interventions. Nurses and other health workers can effectively respond to substance misuse problems and their existing generic skills can be easily adapted in working with substance misusers. This paper considers some of the issues such as the extent of the problem, attitudinal considerations, response to substance misusers and a brief outline of the role of the nurse. The urgent need for education and training in substance misuse and addictive behaviour for nurse practitioners is also addressed. [References: 55] IS - 0309-2402 IL - 0309-2402 PT - Journal Article PT - Review LG - English DP - 1993 Sep DC - 19940114 YR - 1993 ED - 19940114 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8258598 <654. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8245398 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brockopp DY AU - Warden S AU - Colclough G AU - Brockopp GW FA - Brockopp, D Y FA - Warden, S FA - Colclough, G FA - Brockopp, G W TI - Nursing knowledge: acute postoperative pain management in the elderly. SO - Journal of Gerontological Nursing. 19(11):31-7, 1993 Nov. AS - J Gerontol Nurs. 19(11):31-7, 1993 Nov. NJ - Journal of gerontological nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7510258, iax SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - *Education, Nursing, Baccalaureate/st [Standards] MH - Educational Measurement MH - Humans MH - Middle Aged MH - *Nursing Staff, Hospital/ed [Education] MH - *Pain, Postoperative/nu [Nursing] MH - *Students, Nursing AB - 1. The inadequate management of acute postoperative pain among adults is well documented. Studies have shown that 75% or more of hospitalized adult patients following surgery suffer moderate or intense pain even with the use of analgesics. Also, physicians under-prescribe narcotic analgesics and nurses administer less than the patient could receive. 2. Nurses' ineffective approaches to the management of pain have been attributed to inappropriate fears of addiction and respiratory depression, rigid attitudes regarding what constitutes adequate pain relief, and misunderstandings about the physiologic and psychologic components of pain. 3. The results of this study support McCaffery's (1989) finding that nurses do not understand the effective use of narcotics in relation to pain management. IS - 0098-9134 IL - 0098-9134 PT - Journal Article LG - English DP - 1993 Nov DC - 19940106 YR - 1993 ED - 19940106 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8245398 <655. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8244690 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Outlaw FH FA - Outlaw, F H TI - Stress and coping: the influence of racism on the cognitive appraisal processing of African Americans. SO - Issues in Mental Health Nursing. 14(4):399-409, 1993 Oct-Dec. AS - Issues Ment Health Nurs. 14(4):399-409, 1993 Oct-Dec. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - UNITED STATES MH - *Adaptation, Psychological MH - *African Americans/px [Psychology] MH - *Cognition MH - Health Status MH - Humans MH - *Mental Processes MH - Models, Psychological MH - Nursing Methodology Research MH - *Prejudice MH - Risk Factors MH - *Stress, Psychological/eh [Ethnology] MH - Stress, Psychological/nu [Nursing] AB - Individuals who experience repeated stressful events are at risk for developing physical and psychological illnesses. African Americans are an ethnic group that is exposed to a range of stressors over time, including racism which leads to discrimination. African Americans also suffer disproportionately from hypertension, cardiac disease, obesity, and drug and alcohol abuse--all illnesses that have been linked to stress. This paper describes a model to guide nursing practice, research, and education about the influence of racism on the cognitive appraisal, stress, and coping of African Americans. Lazarus and Folkman's (1984) phenomenological approach to cognitive appraisal, stress, and coping is the theoretical framework on which the model is based. IS - 0161-2840 IL - 0161-2840 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - T32-NR07036 (United States NINR NIH HHS) LG - English DP - 1993 Oct-Dec DC - 19940106 YR - 1993 ED - 19940106 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8244690 <656. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8241685 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tuttle J FA - Tuttle, J TI - Adolescent substance abuse: psychosocial factors. [Review] [53 refs] SO - Journal of School Nursing. 9(3):18, 20, 22-5, 1993 Oct. AS - J Sch Nurs. 9(3):18, 20, 22-5, 1993 Oct. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Female MH - Humans MH - Male MH - Prevalence MH - Risk Factors MH - School Nursing MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] AB - The prevention and management of adolescent substance abuse requires an understanding of the psychosocial context in which such a problem develops. This article reviews literature from the health and behavioral sciences and provides information about the prevalence of substance abuse, family and other psychosocial factors associated with substance abuse, and signs and symptoms of various kinds of substance abuse. Implications for school nursing practice are discussed and suggestions for implementation made. [References: 53] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 1993 Oct DC - 19940106 YR - 1993 ED - 19940106 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8241685 <657. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8227915 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gerety MB AU - Cornell JE AU - Plichta DT AU - Eimer M FA - Gerety, M B FA - Cornell, J E FA - Plichta, D T FA - Eimer, M IN - Gerety,M B. Division of Geriatrics and Gerontology, University of Texas Health Science Center at San Antonio. TI - Adverse events related to drugs and drug withdrawal in nursing home residents. CM - Comment in: J Am Geriatr Soc. 1994 Oct;42(10):1131-3; PMID: 7930344 SO - Journal of the American Geriatrics Society. 41(12):1326-32, 1993 Dec. AS - J Am Geriatr Soc. 41(12):1326-32, 1993 Dec. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - UNITED STATES MH - Aged MH - Aged, 80 and over MH - Algorithms MH - *Drug-Related Side Effects and Adverse Reactions MH - Female MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Middle Aged MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Regression Analysis MH - Retrospective Studies MH - *Substance Withdrawal Syndrome/ep [Epidemiology] MH - Texas AB - OBJECTIVE: To (1) develop and standardize explicit criteria to link clinical adverse events to drug withdrawal, (2) determine the incidence and severity of Adverse Drug Events (ADEs) and Adverse Drug Withdrawal Events (ADWEs) in a nursing home population, and (3) establish the contribution of demographic, clinical, and functional characteristics to ADEs and ADWEs. AB - DESIGN: Retrospective record review of an admission cohort. AB - SETTING AND SUBJECTS: Consecutive admissions of residents of an academic Veterans Affairs nursing home with available records and lengths of stay > 30 days (n = 175). Subjects were 96% men, aged 70 +/- 12 years, and took 7.0 +/- 3.4 medications. AB - METHODS: We applied standardized algorithms to determine incidence, probability, and severity of ADEs and ADWEs. Multiple regression techniques were used to identify factors associated with frequency and risk of events. AB - RESULTS: Ninety five residents experienced 201 ADEs. Twelve required hospitalization or prolonged hospitalization, and one resident died. Sixty two persons had 94 ADWEs. None were associated with death and one with hospitalization. The four most commonly prescribed drug classes accounted for 72% of ADEs and 80% of ADWEs. Results of multivariate analyses showed common risk factors for both ADEs and ADWEs: number of diagnoses, number of medications, and hospitalization during the nursing home stay. AB - CONCLUSIONS: ADEs and ADWEs were common in nursing home residents in this Veteran's Affairs setting. Explicit criteria developed and applied in this study should be applied prospectively in other settings, both to further define risk of drug discontinuation and to assist in development of specific drug discontinuation guidelines. IS - 0002-8614 IL - 0002-8614 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1993 Dec DC - 19931222 YR - 1993 ED - 19931222 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8227915 <658. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8217717 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Willson M AU - Kohnstam T FA - Willson, M FA - Kohnstam, T TI - Don't give up on it: smoking cessation (continuing education credit). SO - Nursing Standard. 8(4 Suppl RN):3-8; quiz 9-11, 1993 Oct 13-19. AS - Nurs Stand. 8(4 Suppl RN):3-8; quiz 9-11, 1993 Oct 13-19. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - ENGLAND MH - Adolescent MH - Adult MH - Aged MH - Child MH - Education, Nursing, Continuing MH - Female MH - Great Britain/ep [Epidemiology] MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - *Nursing Care MH - Risk Factors MH - Smoking/ep [Epidemiology] MH - *Smoking Cessation MH - Substance Withdrawal Syndrome IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 1993 Oct 13-19 DC - 19931210 YR - 1993 ED - 19931210 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8217717 <659. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8213695 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Andersen MD AU - Smereck GA AU - Braunstein MS FA - Andersen, M D FA - Smereck, G A FA - Braunstein, M S IN - Andersen,M D. Personalized Nursing Corporation, Plymouth, Michigan 48170. TI - LIGHT model: an effective intervention model to change high-risk AIDS behaviors among hard-to-reach urban drug users. SO - American Journal of Drug & Alcohol Abuse. 19(3):309-25, 1993. AS - Am J Drug Alcohol Abuse. 19(3):309-25, 1993. NJ - The American journal of drug and alcohol abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 3gw, 7502510 SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/pc [Prevention & Control] MH - Acquired Immunodeficiency Syndrome/px [Psychology] MH - Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Adolescent MH - Adult MH - Amphetamines MH - Cocaine MH - Counseling MH - Female MH - *Health Education MH - Health Knowledge, Attitudes, Practice MH - Heroin Dependence/co [Complications] MH - Heroin Dependence/px [Psychology] MH - Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Male MH - Middle Aged MH - Models, Nursing MH - Needle Sharing/ae [Adverse Effects] MH - Needle Sharing/px [Psychology] MH - Substance Abuse, Intravenous/co [Complications] MH - Substance Abuse, Intravenous/px [Psychology] MH - *Substance Abuse, Intravenous/rh [Rehabilitation] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Treatment Outcome MH - *Urban Population AB - Two thousand thirty-three hospital emergency room (ER) patients who were current, active injecting drug users (IDUs) were voluntary participants in a pretest, posttest research project which utilized a nursing model, the Personalized Nursing LIGHT Model, as a counseling approach to decrease high-risk AIDS behaviors. The LIGHT Model works by directly improving well-being and thereby indirectly decreasing high-risk behaviors associated with AIDS. Addicts from an urban ER in each of three cities (Detroit, Michigan; Brooklyn, New York; and Baltimore, Maryland) were treated with teams consisting of nurses and indigenous outreach workers. Posttest data were gathered on 995 of the clients who received the Personalized Nursing LIGHT Model teaching and counseling intervention. In a posttest at least 3 months after the initial interview, these IDUs reported a significant increase in well-being, t(530) = -11.77; p < .001, and significant reductions in frequency of IV heroin use, z = -18.4; p < .001, IV cocaine use, z = -16.0; p < .001, and IV speedball use, z = -14.3; p < .001, as well as significant decreases in sharing of cookers (a type of drug-using equipment), z = -13.8; p < .001, and other high-risk behaviors associated with AIDS acquisition and transmission. At a second posttest, at least 6 months after the initial interview, these results were unchanged. RN - 0 (Amphetamines) RN - I5Y540LHVR (Cocaine) IS - 0095-2990 IL - 0095-2990 PT - Journal Article LG - English DP - 1993 DC - 19931117 YR - 1993 ED - 19931117 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8213695 <660. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10129199 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hey M FA - Hey, M TI - Nursing's renaissance. An innovative continuum of care takes nurses back to their roots. SO - Health Progress. 74(8):26-32, 1993 Oct. AS - Health Prog. 74(8):26-32, 1993 Oct. NJ - Health progress (Saint Louis, Mo.) PI - Journal available in: Print PI - Citation processed from: Print JC - hpr, 8500263 SB - Health Administration Journals CP - UNITED STATES MH - Adult MH - Aged MH - Arizona MH - Community Health Centers MH - *Community Health Nursing/og [Organization & Administration] MH - *Continuity of Patient Care/og [Organization & Administration] MH - Holistic Health MH - Home Care Services MH - Hospital Restructuring MH - Humans MH - Middle Aged MH - Nurse Practitioners MH - Patient Care Planning MH - Self Care AB - Nurses in the Tucson area are not only serving persons in hospitals but also caring for them in their homes and neighborhoods and teaching them how to maintain their health. Three nursing programs--community nursing centers, home health services, and nurse case management--are part of the nursing continuum of care within Carondelet Health Care. Promoting clients' optimal wellness level, helping them maintain their highest level of functioning, preserving their dignity and independence, and enhancing their self-care are the goals of the Carondelet Community Nursing Centers. Nurse practitioners monitor clients' blood pressure and cholesterol and blood sugar levels and can test for episodic problems. Carondelet Home Health nurses teach clients about disease processes, symptom management, and medications; assess or monitor a patient's condition; care for wounds, and coordinate services such as physical therapy, occupational therapy, and home-delivered meals. Persons are usually referred to home health as they are discharged from the hospital. In addition to helping clients with psychosocial problems, nurse case managers perform traditional nursing functions like monitoring and teaching about medications. Nurse case management clients include the frail elderly or persons who have at least one of the following: a chronic disease that is causing steadily declining health; a terminal illness; an acute episode that requires monitoring and support; care-giver stress; or an inability to cope, as evidenced by anxiety, depression or substance abuse. Services for such clients will gain prominence in a reformed healthcare system. IS - 0882-1577 IL - 0882-1577 PT - Journal Article LG - English DP - 1993 Oct DC - 19931115 YR - 1993 ED - 19931115 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10129199 <661. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8404008 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Neafsey PJ AU - Fisk NB AU - Williams CA FA - Neafsey, P J FA - Fisk, N B FA - Williams, C A TI - Updating the critical care nurse on alcohol and other drug abuse. SO - Critical Care Nurse. 13(5):98-107, 1993 Oct. AS - Crit Care Nurse. 13(5):98-107, 1993 Oct. NJ - Critical care nurse PI - Journal available in: Print PI - Citation processed from: Print JC - dt8, 8207799 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - *Alcoholism/nu [Nursing] MH - *Critical Care MH - Curriculum MH - *Education, Nursing, Continuing MH - Female MH - Humans MH - Male MH - Middle Aged MH - Specialties, Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] IS - 0279-5442 IL - 0279-5442 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - ADM-281-88-007 (United States ADAMHA HHS) LG - English DP - 1993 Oct DC - 19931104 YR - 1993 ED - 19931104 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8404008 <662. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8404003 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reishtein J FA - Reishtein, J TI - Liver failure: case study of a complex problem. SO - Critical Care Nurse. 13(5):36-44; quiz 45-7, 1993 Oct. AS - Crit Care Nurse. 13(5):36-44; quiz 45-7, 1993 Oct. NJ - Critical care nurse PI - Journal available in: Print PI - Citation processed from: Print JC - dt8, 8207799 SB - Nursing Journal CP - UNITED STATES MH - Cardiomyopathy, Alcoholic/pp [Physiopathology] MH - Critical Care MH - Education, Nursing, Continuing MH - Female MH - Hepatic Encephalopathy/pp [Physiopathology] MH - Humans MH - Liver Diseases, Alcoholic/pp [Physiopathology] MH - Liver Failure, Acute/nu [Nursing] MH - *Liver Failure, Acute/pp [Physiopathology] MH - Liver Failure, Acute/th [Therapy] MH - Middle Aged MH - Multiple Organ Failure MH - Nursing Assessment MH - Nursing Process IS - 0279-5442 IL - 0279-5442 PT - Case Reports PT - Journal Article LG - English DP - 1993 Oct DC - 19931104 YR - 1993 ED - 19931104 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8404003 <663. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8404766 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Omoto M AU - Seki K AU - Imai T AU - Nomura R FA - Omoto, M FA - Seki, K FA - Imai, T FA - Nomura, R IN - Omoto,M. Department of Environmental and Occupational Health, Toho University School of Medicine, Tokyo, Japan. TI - The effects of ethanol exposure on radial arm maze learning and behavior of offspring rats. SO - Environmental Research. 63(1):109-21, 1993 Oct. AS - Environ Res. 63(1):109-21, 1993 Oct. NJ - Environmental research PI - Journal available in: Print PI - Citation processed from: Print JC - ei2, 0147621 SB - Index Medicus CP - UNITED STATES MH - Animals MH - *Behavior, Animal/de [Drug Effects] MH - Body Weight/de [Drug Effects] MH - Brain/de [Drug Effects] MH - Brain/pa [Pathology] MH - *Ethanol/to [Toxicity] MH - Feeding Behavior/de [Drug Effects] MH - Female MH - *Learning/de [Drug Effects] MH - Male MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Rats MH - Rats, Inbred F344 AB - The effects of maternal drinking on offspring have been studied epidemiologically, in human beings, and experimentally, in rats. The physical growth of offspring of female alcoholic rats, including histological growth of brain, lung, thymus gland, liver, and kidney, was previously reported by us. In the present study, we observed the effect of ethanol intake by the mother rat on learning ability and behavior of offspring rats using an eight radical arm maze. At the same time histological observations of the cerebrum were carried out. The mother rat was exposed to ethanol from a young age to delivery (P-DEL) or to weaning (P-NURS). After weaning, the offspring was exposed to ethanol until the tests began (P-WEAN). Experimental groups, classified by length of ethanol exposure, as mentioned above, disclosed the following: (1) Number of trials required for fulfilling learning criterion was significantly large in P-DEL and P-NURS rat groups relative to the controls; that is, P-DEL and P-NURS rats were slow in learning. (2) Numbers of rats which did not fulfill the learning criterion were: Group P-DEL, one male of eight; Group P-NURS, three males of seven. The behavior of the rats in Group P-WEAN differed from those in other groups; while they were receiving acclimation training, they were, unlike ordinary rats, not watchful of the device, slow to find the feed, and indifferent. They seemed to lack carefulness and sometimes failed to eat the feed even though they succeeded in selecting correct arms. Their motion was abrupt and they ran at extraordinarily high speeds. (3) In the observations of correct choices in the first eight choices, groups P-DEL and P-NURS showed significantly low values. This suggested the lowering of their learning ability. (4) In the observations of continuous correct choices, Group P-DEL showed a significantly low value. This suggested the rats did not learn thoroughly enough to retain their acquisition long. (5) Body weight, learning ability, and hippocampal neurons were affected by ethanol exposure more severely in Group P-NURS than in Group P-DEL. An even more severe effect was observed in Group P-WEAN. RN - 3K9958V90M (Ethanol) IS - 0013-9351 IL - 0013-9351 PT - Journal Article LG - English DP - 1993 Oct DC - 19931102 YR - 1993 ED - 19931102 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8404766 <664. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8415029 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Polk D AU - Glendon K AU - DeVore C FA - Polk, D FA - Glendon, K FA - DeVore, C IN - Polk,D. Miami University-Hamilton, Ohio. TI - The chemically dependent student nurse: guidelines for policy development. SO - Nursing Outlook. 41(4):166-70, 1993 Jul-Aug. AS - Nurs Outlook. 41(4):166-70, 1993 Jul-Aug. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Print JC - o9h, 0401075 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Female MH - Humans MH - Male MH - Organizational Policy MH - Policy Making MH - Schools, Nursing MH - *Students, Nursing MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] IS - 0029-6554 IL - 0029-6554 PT - Journal Article LG - English DP - 1993 Jul-Aug DC - 19931027 YR - 1993 ED - 19931027 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8415029 <665. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8374863 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arras J FA - Arras, J IN - Arras,J. Albert Einstein College of Medicine, Bronx, NY. TI - Ethical issues in emergency care. [Review] [17 refs] SO - Clinics in Geriatric Medicine. 9(3):655-64, 1993 Aug. AS - Clin Geriatr Med. 9(3):655-64, 1993 Aug. NJ - Clinics in geriatric medicine PI - Journal available in: Print PI - Citation processed from: Print JC - cln, 8603766 OI - Source: KIE. 50117 OI - Source: NRCBL. 9.5.2 SB - Bioethics Journals SB - Index Medicus CP - UNITED STATES MH - *Advance Directives MH - Aged MH - *Emergency Service, Hospital/st [Standards] MH - *Ethics, Medical MH - Humans MH - Living Wills MH - *Resuscitation Orders MH - Stress, Psychological MH - United States KW - Death and Euthanasia; Professional Patient Relationship AB - The ethical framework established for most health care decision making should apply to elderly patients in the ED, i.e., the authority to decide should rest either with the competent patient or, in case of incapacity, with the patient's surrogate. Whenever possible, ethical dilemmas in the ED should be prevented from occurring through the judicious use of advance directives crafted in the doctor's office. DNR orders should be based upon the wishes of a competent patient or upon a surrogate's estimation of the patient's values and best interests. Because advanced age is a predictor of poor outcome for most hospitalized elderly patients, physicians should educate themselves about the actual benefits and burdens of CPR in this population and share this information with patients and surrogates. In case physicians determine that CPR would be futile in a strict sense, they have no ethical or legal obligation to administer it, even if requested to do so; however, they have an ethical obligation to inform the patient or family of the reasons for the decision and should offer the family the option of dispute mediation in case of disagreement. If the patient arrives in the ED capable of making decisions but lacking an advance directive, it is the responsibility of physicians and nurses to educate the patient concerning the respective merits and drawbacks of the living will and health care proxy. Except for those elderly patients who lack family or friends or who do not wish to burden others with such decisions, the health care proxy, supplemented perhaps to some extent by oral or written specific directives, appears to be the best approach. Attention to these important problems bearing on the substance and procedures for life and death decision making in the ED should not obscure the manifest injustice of the context in which these decisions are often made. At many inner-city hospitals serving a largely poor and elderly clientele, the ED has become nothing short of a torture chamber for many critically ill elderly persons. An ethical framework for decision making, no matter how urgently needed, will not address the unnecessary pain and confusion of frail elderly patients subjected to an impersonal, overcrowded, and depersonalizing environment. [References: 17] NT - KIE BoB Subject Heading: advance directives NT - KIE BoB Subject Heading: patient care/aged NT - KIE BoB Subject Heading: resuscitation orders NT - Full author name: Arras, John IS - 0749-0690 IL - 0749-0690 PT - Journal Article PT - Review LG - English DP - 1993 Aug DC - 19931021 YR - 1993 ED - 19931021 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8374863 <666. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8103609 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kane FJ Jr AU - Remmel R AU - Moody S FA - Kane, F J Jr FA - Remmel, R FA - Moody, S IN - Kane,F J Jr. Department of Psychiatry, University of Arkansas Medical Sciences, Little Rock. TI - Recognizing and treating delirium in patients admitted to general hospitals. CM - Comment in: South Med J. 1994 Jun;87(6):675; PMID: 8202786 SO - Southern Medical Journal. 86(9):985-8, 1993 Sep. AS - South Med J. 86(9):985-8, 1993 Sep. NJ - Southern medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - uvh, 0404522 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Adult MH - Aged MH - Allied Health Personnel MH - Anti-Anxiety Agents/ad [Administration & Dosage] MH - Arkansas MH - Benzodiazepines MH - *Delirium/di [Diagnosis] MH - Delirium/et [Etiology] MH - *Delirium/th [Therapy] MH - Female MH - Folic Acid Deficiency/co [Complications] MH - Hospitals, General MH - Humans MH - Male MH - Medication Errors MH - Quality of Health Care MH - Referral and Consultation MH - Retrospective Studies MH - Thyroid Hormones/df [Deficiency] MH - Vitamin B 12 Deficiency/co [Complications] AB - We report a retrospective study of 59 patients for whom our university hospital nursing service had required the use of lay sitters because of the need for constant observation. Of 54 charts examined, 28 noted a need for psychiatric consultation, mostly because of delirious states. Quality of care deficits discerned included (1) inadequate pharmacotherapy of alcoholic and nonalcoholic delirium, (2) inadequate search for treatable causes of delirium (thyroid, B12, and folate deficiencies), (3) insufficient awareness of persistent cognitive deficits, which influence the patient's ability to care for himself or give informed consent. The knowledge and skills deficits we found are not unique to this hospital and reflect the failure of most graduate programs to reinforce basic psychiatric teaching. The quality of care issues indicate that more serious consideration should be given to providing necessary psychiatric training. RN - 0 (Anti-Anxiety Agents) RN - 0 (Thyroid Hormones) RN - 12794-10-4 (Benzodiazepines) IS - 0038-4348 IL - 0038-4348 PT - Journal Article LG - English DP - 1993 Sep DC - 19931007 YR - 1993 ED - 19931007 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8103609 <667. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8359948 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allen K FA - Allen, K IN - Allen,K. Community Addictions Nursing Program, University of Maryland School of Nursing, Baltimore 21201. TI - Attitudes of registered nurses toward alcoholic patients in a general hospital population. SO - International Journal of the Addictions. 28(9):923-30, 1993 Jul. AS - Int J Addict. 28(9):923-30, 1993 Jul. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - *Alcoholism MH - *Attitude of Health Personnel MH - Hospitals, Community MH - *Hospitals, General MH - Humans MH - *Nursing Staff, Hospital/px [Psychology] MH - Surveys and Questionnaires AB - The Marcus Alcoholism Questionnaire was administered to 66 registered nurses at a community hospital to ascertain their attitudes regarding alcoholic patients in a general hospital population. This was done to provide documentation on what nurses attitudes actually are as opposed to making an assumption about what they should be because of the high visibility of the problem of alcoholism. The author reports the results of the study and then contrasts them with information about registered nurses attitudes toward alcoholic patients at a university hospital. The article concludes with insight into contributing factors for the differences. IS - 0020-773X IL - 0020-773X PT - Journal Article LG - English DP - 1993 Jul DC - 19930930 YR - 1993 ED - 19930930 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8359948 <668. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8346062 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cooper D FA - Cooper, D TI - Health promotion. Education on the rocks. SO - Nursing Times. 89(29):32-3, 1993 Jul 21-27. AS - Nurs Times. 89(29):32-3, 1993 Jul 21-27. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - *Alcoholism/nu [Nursing] MH - *Education, Nursing/st [Standards] MH - *Health Promotion MH - Humans MH - Specialties, Nursing IS - 0954-7762 IL - 0954-7762 PT - Journal Article LG - English DP - 1993 Jul 21-27 DC - 19930903 YR - 1993 ED - 19930903 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8346062 <669. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8340118 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sisney KF FA - Sisney, K F IN - Sisney,K F. Alternatives: Psychotherapy & Consultation Services, San Antonio, Texas. TI - The relationship between social support and depression in recovering chemically dependent nurses. SO - Image - the Journal of Nursing Scholarship. 25(2):107-12, 1993. AS - Image J Nurs Sch. 25(2):107-12, 1993. NJ - Image--the journal of nursing scholarship PI - Journal available in: Print PI - Citation processed from: Print JC - gg1, 8400753 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - Depression/ep [Epidemiology] MH - *Depression/px [Psychology] MH - Depression/rh [Rehabilitation] MH - Educational Status MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - Nurses/sn [Statistics & Numerical Data] MH - Nurses, Male/px [Psychology] MH - Nurses, Male/sn [Statistics & Numerical Data] MH - *Professional Impairment/px [Psychology] MH - Professional Impairment/sn [Statistics & Numerical Data] MH - *Social Support MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires AB - The incidence of chemical dependence within nursing challenges the profession to explore the phenomena of chemical dependence and its recovery. Nurses (N = 58) who were peer assistance participants were studied to examine relationships between social support and depression. Social support was found to be significantly related to depression in this sample (r = -.642, p < .001). Over half of the sample initiated chemical use prior to completing nursing education. The findings of this study imply the need for researchers to target both practicing nurses and student nurses in future research intended to further explore chemical dependency in nursing. IS - 0743-5150 IL - 0743-5150 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1993 DC - 19930902 YR - 1993 ED - 19930902 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8340118 <670. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8314704 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wolfgang AP AU - Jankel CA AU - McMillan JA FA - Wolfgang, A P FA - Jankel, C A FA - McMillan, J A TI - Drug information and educational needs. A survey of rural home health care nurses. SO - Home Healthcare Nurse. 11(3):20-3, 1993 May-Jun. AS - Home Healthc Nurse. 11(3):20-3, 1993 May-Jun. NJ - Home healthcare nurse PI - Journal available in: Print PI - Citation processed from: Print JC - g3c, 8403379, 8403379 SB - Nursing Journal CP - UNITED STATES MH - *Community Health Nursing MH - *Drug Information Services MH - Humans MH - Medication Errors MH - Patient Compliance MH - Patient Education as Topic MH - Self Administration MH - Self Medication AB - In a study of rural home healthcare nurses' drug information and educational needs, data were collected from 40 nurses employed by a community-based public home health agency. The most serious drug-related problem identified by the nurses was patients' failure to receive prescribed drugs. The ten types of drug-related information included in the survey were viewed as very useful. The most frequently used sources of drug-related information were reference books, other nurses, and pharmacists. IS - 0884-741X IL - 0884-741X PT - Journal Article LG - English DP - 1993 May-Jun DC - 19930729 YR - 1993 ED - 19930729 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8314704 <671. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8512436 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ippolito G AU - Puro V AU - De Carli G FA - Ippolito, G FA - Puro, V FA - De Carli, G IN - Ippolito,G. AIDS Unit RM10, L. Spallanzani Hospital, Rome, Italy. TI - The risk of occupational human immunodeficiency virus infection in health care workers. Italian Multicenter Study. The Italian Study Group on Occupational Risk of HIV infection. SO - Archives of Internal Medicine. 153(12):1451-8, 1993 Jun 28. AS - Arch Intern Med. 153(12):1451-8, 1993 Jun 28. NJ - Archives of internal medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0372440, 7fs SB - Core Clinical Journals (AIM) SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - Adolescent MH - Adult MH - Aged MH - Female MH - HIV Infections/ep [Epidemiology] MH - *HIV Infections/tm [Transmission] MH - HIV Seropositivity/tm [Transmission] MH - *Health Personnel/sn [Statistics & Numerical Data] MH - Humans MH - Italy/ep [Epidemiology] MH - Male MH - Middle Aged MH - *Occupational Diseases/ep [Epidemiology] MH - Risk AB - BACKGROUND: More than 50 cases of occupationally acquired human immunodeficiency virus (HIV) infection in health care workers (HCWs) have been reported worldwide. Determinants of injuries and of infection are important to investigate to design effective prevention programs. AB - METHODS: In Italy, 29 acute-care public hospitals were enrolled in a multicenter study between 1986 and 1990. At each facility, all HCWs were enrolled who reported percutaneous, mucous-membrane, or nonintact-skin exposure to the body fluids and tissues to which universal precautions apply from an HIV-infected patient. Data were collected at the time of the incident on clinical status of the HIV-infected source, circumstance and type of exposure, and use of infection control precautions. The HCWs were followed up clinically and serologically for HIV infection at 1, 3, 6, and 12 months. AB - RESULTS: A total of 1592 HIV exposures were reported in 1534 HCWs; most exposures (67%) occurred in nurses, followed by physicians and surgeons (17.5%). Needlesticks were the most common source of exposure (58.4%), followed by nonintact-skin and mucous-membrane contamination (22.7% and 11.2%, respectively) and cuts (7.7%). At the time of exposure, 77.5% of the HCWs knew or suspected that the source patient was HIV infected. Two seroconversions were observed among a total of 1488 HCWs followed up for at least 6 months: one occurred in a student nurse who had been stuck with a needle used for an HIV antibody-negative, p24 HIV antigen-positive drug addict; the other was in a nurse who experienced mucous-membrane contamination with a large quantity of blood from an HIV-positive hemophilic patient. The seroconversion rate was 0.10% after percutaneous exposure (1/1003; 95% confidence interval, 0.006% to 0.55%) and 0.63% after mucous-membrane contamination (1/158; 95% confidence interval, 0.018% to 3.47%). AB - CONCLUSIONS: The study demonstrates a small but real risk of HIV infection after percutaneous and mucous-membrane exposure to blood of HIV-infected patients and that transmission can occur during the "window period" of infection. Furthermore, exposures to HIV are not infrequent, and many exposures could be prevented with the use of barrier precautions, appropriate behaviors, and safer devices and techniques. IS - 0003-9926 IL - 0003-9926 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English DP - 1993 Jun 28 DC - 19930714 YR - 1993 ED - 19930714 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8512436 <672. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1304593 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beers MH AU - Fingold SF AU - Ouslander JG FA - Beers, M H FA - Fingold, S F FA - Ouslander, J G IN - Beers,M H. Merck and Co., Inc., West Point, PA 19486. TI - A computerized system for identifying and informing physicians about problematic drug use in nursing homes. SO - Journal of Medical Systems. 16(6):237-45, 1992 Dec. AS - J Med Syst. 16(6):237-45, 1992 Dec. NJ - Journal of medical systems PI - Journal available in: Print PI - Citation processed from: Print JC - izm, 7806056 SB - Index Medicus CP - UNITED STATES MH - *Clinical Pharmacy Information Systems MH - Data Display MH - Drug Information Services MH - *Drug Utilization MH - Health Services Misuse MH - Homes for the Aged/st [Standards] MH - Medication Systems MH - *Nursing Homes/st [Standards] MH - Software MH - United States MH - User-Computer Interface MH - *Utilization Review AB - With growing concern over the quality of medication use in nursing homes, physicians, administrators, pharmacists, and regulators are looking for effective and efficient methods to improve it. Pharmacy consultation alone appears to be ineffective in controlling the use of inappropriate drugs. We describe here a computerized drug utilization review system designed for use in nursing homes. The system evaluates the appropriateness of medication use by criteria developed through the consensus of experts in geriatrics and specifically designed to address the pharmacological needs of elderly, nursing home residents. The program not only determines the frequency of inappropriate prescriptions, but produces written, educational statements to be given to prescribing physicians. These statements can also be given to nurses to educate them about issues in geriatrics pharmacology. Additionally, the system produces medication order forms that may help focus physicians' attention on the need to evaluate drugs individually. IS - 0148-5598 IL - 0148-5598 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 1992 Dec DC - 19930708 YR - 1992 ED - 19930708 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1304593 <673. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8502201 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Oyefeso AO FA - Rassool, G H FA - Oyefeso, A O TI - The need for substance misuse education in health studies curriculum: a case for nursing education. SO - Nurse Education Today. 13(2):107-10, 1993 Apr. AS - Nurse Educ Today. 13(2):107-10, 1993 Apr. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - SCOTLAND MH - *Curriculum MH - Education, Nursing/og [Organization & Administration] MH - *Education, Nursing/st [Standards] MH - Great Britain MH - Humans MH - Organizational Innovation MH - *Substance-Related Disorders/nu [Nursing] AB - The sharp increase, in recent years, in the use and misuse of psychoactive substances necessitates greater involvement of non-specialist health care workers in the management of problems associated with substance misuse. The need to expand the health studies curriculum in line with current trends in substance use and misuse is recommended. IS - 0260-6917 IL - 0260-6917 PT - Journal Article LG - English DP - 1993 Apr DC - 19930625 YR - 1993 ED - 19930625 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8502201 <674. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8487224 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mynatt SL AU - O'Brien J FA - Mynatt, S L FA - O'Brien, J IN - Mynatt,S L. Memphis State University, Loewenberg School of Nursing, TN 38152. TI - Partnership to prevent chemical dependency in nursing using Neuman's systems model. SO - Journal of Psychosocial Nursing & Mental Health Services. 31(4):27-32, 1993 Apr. AS - J Psychosoc Nurs Ment Health Serv. 31(4):27-32, 1993 Apr. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/pc [Prevention & Control] MH - Cross-Sectional Studies MH - Female MH - Humans MH - Incidence MH - Male MH - *Nurses MH - *Professional Impairment/px [Psychology] MH - Risk Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - 1. Neuman's theory of optimal client system, which has the goal to maintain or to bring about the system's stability by the process of reconstitution, is used as the basis for the prevention efforts of the West Tennessee Nurses' Peer Assistance Program. Efforts are directed at bringing the client system to a state of stability or wellness that is higher than the previous state of chemical dependency. 2. The program has grown in both number of clients and in comprehensiveness of its prevention activities. Prevention in three specific areas--primary, secondary, and tertiary--is needed to combat the chemical dependency problem in nursing. 3. A continued partnership between the university, the school of nursing, the TNF, the TBN, and the various health care providers and nurse practitioners is needed to address the problem of chemical dependency in nursing. IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1993 Apr DC - 19930610 YR - 1993 ED - 19930610 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8487224 <675. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8483013 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Emerling JM AU - Paluzzi P AU - Leiva J AU - Cullins VE FA - Emerling, J M FA - Paluzzi, P FA - Leiva, J FA - Cullins, V E IN - Emerling,J M. Center for Addiction and Pregnancy (CAP), Francis Scott Key Medical Center, Baltimore, Maryland. TI - Subdermal contraceptive implants in nurse-midwifery practice. [Review] [24 refs] SO - Journal of Nurse-Midwifery. 38(2 Suppl):80S-87S, 1993 Mar-Apr. AS - J Nurse Midwifery. 38(2 Suppl):80S-87S, 1993 Mar-Apr. NJ - Journal of nurse-midwifery PI - Journal available in: Print PI - Citation processed from: Print JC - jer, 0365647, 0365647 OI - Source: PIP. 082739 OI - Source: POP. 00223679 SB - Index Medicus SB - Population Information Citations SB - Nursing Journal CP - UNITED STATES MH - Drug Implants MH - *Family Planning Services/mt [Methods] MH - Female MH - Humans MH - Levonorgestrel/ad [Administration & Dosage] MH - Levonorgestrel/ae [Adverse Effects] MH - *Levonorgestrel/tu [Therapeutic Use] MH - Nurse Midwives/ed [Education] MH - *Nurse Midwives MH - Patient Care Planning/st [Standards] MH - Patient Education as Topic/mt [Methods] KW - Americas; Clinic Activities; Contraception; *Contraception Termination--indications; Contraceptive Agents, Female--contraindications; Contraceptive Agents, Female--side effects; Contraceptive Agents, Progestin--contraindications; Contraceptive Agents, Progestin--side effects; Contraceptive Agents--contraindications; Contraceptive Agents--side effects; *Contraceptive Implants--contraindications; *Contraceptive Implants--indications; Contraceptive Methods--contraindications; Contraceptive Methods--indications; *Counseling; Delivery Of Health Care; Developed Countries; Economic Factors; Education; *Equipment And Supplies; Family Planning; *Family Planning Training; Health; Health Personnel; *Insertion; *Levonorgestrel--contraindications; *Levonorgestrel--side effects; Maryland; North America; Northern America; *Nurse-midwives; Organization And Administration; Program Activities; Programs; *Research And Development; Technology; Training Programs; Treatment; United States AB - Subdermal contraceptive implants have only recently been approved for use in the United States. At present, only one subdermal contraceptive implant, Norplant, is approved in the United States. This article describes the development of Norplant, its efficacy and safety, a description of the system, education for clients, side effects, indications and contraindications, insertion and removal, incorporation into midwifery practice, and education for health professionals regarding its use. [References: 24] OA - PIP: The US Food and Drug Administration approved the contraceptive implant system, Norplant, in February 1990. It has been used in other countries for more than 15 years before the US approved it. The 6 subdermally placed capsules in the upper inner arm release 50-80 mcg levonorgestrel/day into the bloodstream, resulting in a 99.8% efficacy rate. Patient education and counseling, especially about changes in the bleeding pattern and Norplant's inability to protect against sexually transmitted diseases, are important to maintain client satisfaction and continued use of Norplant. Side effects, from most to least common, are changes in menstrual bleeding, constant bleeding, missed periods, weight gain/increased appetite, headache, oily skin or acne, weight loss/nausea, breast tenderness, nervousness or loss of appetite, and hair loss. It is rare when complications are so severe that they require removal of the implants. Contraindications to Norplant include active liver disease, active thromboembolic disease, breast cancer, pregnancy, and undiagnosed dysfunctional uterine bleeding. Antiepileptic medications, barbiturates, treatment for tuberculosis, and Butazolidin/phenylbutazone reduce Norplant's efficacy. A trained person should insert Norplant within the first 5-7 days of the menstrual cycle when it is evident there is no pregnancy. Some reports recommend that, after childbirth, it should be inserted 6 weeks postpartum to avoid hemorrhage. Yet, nurse-midwives at the Center for Addiction and Pregnancy at the Francis Scott Key Medical Center in Baltimore, Maryland, insert Norplant 24-48 hours postpartum in non-breast-feeding mothers with no increase in hemorrhage. Norplant must be removed no longer than 5 years after insertion. Certified nurse-midwives wanting to incorporate Norplant into their practices should follow the Guidelines for the Incorporation of New Procedures into Nurse-Midwifery Practice and have available a consulting physician who is familiar with and skilled in inserting Norplant. The manufacturer conducts training sessions for health professionals.; Language: English [References: 24] NT - TJ: JOURNAL OF NURSE-MIDWIFERY. RN - 0 (Drug Implants) RN - 5W7SIA7YZW (Levonorgestrel) IS - 0091-2182 IL - 0091-2182 PT - Journal Article PT - Review LG - English DP - 1993 Mar-Apr DC - 19930528 YR - 1993 ED - 19930528 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8483013 <676. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8480814 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Silverman DC FA - Silverman, D C IN - Silverman,D C. Department of Psychiatry, Beth Israel Hospital, Boston, MA 02215. TI - Psychosocial impact of HIV-related caregiving on health providers: a review and recommendations for the role of psychiatry. [Review] [77 refs] SO - American Journal of Psychiatry. 150(5):705-12, 1993 May. AS - Am J Psychiatry. 150(5):705-12, 1993 May. NJ - The American journal of psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg SB - Core Clinical Journals (AIM) SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - Acquired Immunodeficiency Syndrome/th [Therapy] MH - Adaptation, Psychological MH - Anxiety Disorders/ep [Epidemiology] MH - Anxiety Disorders/px [Psychology] MH - Attitude to Health MH - *Caregivers/px [Psychology] MH - Delivery of Health Care/st [Standards] MH - Depressive Disorder/ep [Epidemiology] MH - Depressive Disorder/px [Psychology] MH - Ethics, Medical MH - *HIV Infections/th [Therapy] MH - Health Policy MH - Humans MH - Physician's Role MH - Psychiatry MH - Social Adjustment MH - Stress, Psychological/ep [Epidemiology] MH - Stress, Psychological/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] AB - OBJECTIVE: The author considers current knowledge about the stresses of HIV-related care and assesses available evidence for the presence of major occupational, physical, and psychiatric morbidity in health care providers involved in intensive HIV-related caregiving. AB - METHOD: The review is based on anecdotal reports of AIDS-care-related psychosocial distress and the literature concerning caregivers' attitudes toward people with HIV illness and HIV-related caregiving, the psychosocial impact of HIV work, and stress related to the ethical and philosophical challenges facing HIV caregivers. AB - RESULTS: Few of the current publications concerning HIV caregiver stress come from the psychiatric literature. Psychiatry appears to lack a strong clinical, educational, research, or policy presence regarding psychosocial stress in HIV care providers. The numerous studies in the nursing, medical, public health, and health education literature do not include any controlled investigations documenting the incidence and prevalence of physical, psychological, occupational, or interpersonal symptoms or disorders in health care professionals who devote a substantial amount of their clinical activities to patients with HIV illness. AB - CONCLUSIONS: Major HIV-related stress in conjunction with other psychiatric morbidity, such as mood disorders, anxiety disorders, substance abuse, and relationship and occupational problems, seems likely in susceptible caregivers. Decisions about the structure and form of delivery of HIV-related care and programs for caregivers must be based on more carefully controlled psychiatric observations of occupational, physical, psychological, and social adaptation to HIV-related work. The author suggests several areas in which psychiatric clinicians, educators, researchers, and policy experts can make major contributions. [References: 77] IS - 0002-953X IL - 0002-953X PT - Journal Article PT - Review LG - English DP - 1993 May DC - 19930525 YR - 1993 ED - 19930525 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8480814 <677. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1298914 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Substance abuse: the nurse's role in prevention education and caring. SO - Nursing Journal of India. 83(5):130-4, 1992 May. AS - Nurs J India. 83(5):130-4, 1992 May. NJ - The Nursing journal of India PI - Journal available in: Print PI - Citation processed from: Print JC - o97, 0376403 SB - Nursing Journal SB - AIDS/HIV Journals CP - INDIA MH - Acquired Immunodeficiency Syndrome/pc [Prevention & Control] MH - Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - Humans MH - *Patient Education as Topic MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] IS - 0029-6503 IL - 0029-6503 PT - Journal Article LG - English DP - 1992 May DC - 19930513 YR - 1992 ED - 19930513 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1298914 <678. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8459358 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wagner J AU - Melragon B AU - Menke EM FA - Wagner, J FA - Melragon, B FA - Menke, E M TI - Homeless children: interdisciplinary drug prevention intervention. SO - Journal of Child & Adolescent Psychiatric & Mental Health Nursing. 6(1):22-30, 1993 Jan-Mar. AS - J Child Adolesc Psychiatr Ment Health Nurs. 6(1):22-30, 1993 Jan-Mar. NJ - Journal of child and adolescent psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - jom, 8812165 SB - Nursing Journal CP - UNITED STATES MH - Child, Preschool MH - Curriculum MH - *Health Education/og [Organization & Administration] MH - *Homeless Persons MH - Humans MH - *Patient Care Team/og [Organization & Administration] MH - *Primary Prevention/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Homelessness among children has been called a national tragedy. Homeless children, by virtue of their unique situation, are particularly vulnerable for early initiation of and sustained participation in substance abuse behaviors. The authors describe homeless children in relation to drug abuse etiology research, discuss current prevention strategies, suggest necessary components of an interdisciplinary prevention curriculum for homeless preschool children, and delineate methods for delivering the curriculum to the children. Nurses, given their unique role in the healthcare delivery system as well as a holistic world view, are in an unparalleled position to facilitate the design and implementation of such curricula. IS - 0897-9685 IL - 0897-9685 PT - Journal Article LG - English DP - 1993 Jan-Mar DC - 19930429 YR - 1993 ED - 19930429 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8459358 <679. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8384523 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cameron JC FA - Cameron, J C IN - Cameron,J C. Yale University School of Nursing. TI - Ifosfamide neurotoxicity. A challenge for nurses, a potential nightmare for patients. SO - Cancer Nursing. 16(1):40-6, 1993 Feb. AS - Cancer Nurs. 16(1):40-6, 1993 Feb. NJ - Cancer nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7805358, cnc SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Brain Diseases/ci [Chemically Induced] MH - Carcinoma, Small Cell/dt [Drug Therapy] MH - *Central Nervous System/de [Drug Effects] MH - Female MH - Humans MH - *Ifosfamide/tu [Therapeutic Use] MH - *Ifosfamide/to [Toxicity] MH - Lung Neoplasms/dt [Drug Therapy] MH - Middle Aged MH - *Neoplasms/dt [Drug Therapy] MH - Substance-Related Disorders/et [Etiology] AB - The alkylator-like agent ifosfamide, which has been found to be useful in the treatment of a number of solid tumors, can have severe central nervous system (CNS) side effects in addition to causing myelosuppression, nephrotoxicity, nausea and vomiting, pulmonary edema, and interstitial pneumonitis. This article, including a case study and a protocol, prepares nurses to do patient education and to observe, assess, and provide care for patients who may experience the CNS toxicity that ranges from mild changes to severe disturbances of mental state. RN - UM20QQM95Y (Ifosfamide) IS - 0162-220X IL - 0162-220X PT - Case Reports PT - Journal Article LG - English DP - 1993 Feb DC - 19930429 YR - 1993 ED - 19930429 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8384523 <680. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8450481 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Espeland K FA - Espeland, K IN - Espeland,K. Medcenter One College of Nursing, Bismarck, North Dakota 58501. TI - Inhalant abuse: assessment guidelines. SO - Journal of Psychosocial Nursing & Mental Health Services. 31(3):11-4, 1993 Mar. AS - J Psychosoc Nurs Ment Health Serv. 31(3):11-4, 1993 Mar. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - Child MH - Female MH - Humans MH - Life Change Events MH - Male MH - *Nursing Assessment MH - Personality Assessment MH - Social Environment MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] AB - It is important that nurses have full access to information that would help them identify inhalant abuse. Nurses need to take the leadership in assessing clients, in educating health care professionals and the public, and in promoting legislation to prevent minors from obtaining inhalants. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1993 Mar DC - 19930412 YR - 1993 ED - 19930412 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8450481 <681. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1293559 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Giuffra MJ FA - Giuffra, M J TI - Nursing strategies with alcohol and drug problems in the family. SO - NLN Publications. (15-2464):87-137, 1992 Dec. AS - NLN Publ. (15-2464):87-137, 1992 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/px [Psychology] MH - Curriculum MH - *Education, Nursing MH - *Family MH - Humans MH - *Professional-Family Relations MH - *Psychiatric Nursing/mt [Methods] MH - *Substance-Related Disorders/px [Psychology] MH - Teaching/mt [Methods] PT - Journal Article LG - English DP - 1992 Dec DC - 19930408 YR - 1992 ED - 19930408 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1293559 <682. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1293558 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Louie K FA - Louie, K TI - Patterns of addiction in the family. SO - NLN Publications. (15-2464):45-86, 1992 Dec. AS - NLN Publ. (15-2464):45-86, 1992 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Child MH - Curriculum MH - *Education, Nursing MH - *Family MH - Humans MH - Parent-Child Relations MH - *Psychiatric Nursing/ed [Education] MH - *Substance-Related Disorders/px [Psychology] MH - Teaching/mt [Methods] MH - Violence PT - Journal Article LG - English DP - 1992 Dec DC - 19930408 YR - 1992 ED - 19930408 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1293558 <683. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1293557 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, M A TI - Nursing strategies with the client with alcohol and drug problems. SO - NLN Publications. (15-2464):355-402, 1992 Dec. AS - NLN Publ. (15-2464):355-402, 1992 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - Curriculum MH - *Education, Nursing MH - Humans MH - Psychiatric Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Teaching/mt [Methods] PT - Journal Article LG - English DP - 1992 Dec DC - 19930408 YR - 1992 ED - 19930408 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1293557 <684. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1293556 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, M A TI - Perspectives on drug and alcohol problems. SO - NLN Publications. (15-2464):297-354, 1992 Dec. AS - NLN Publ. (15-2464):297-354, 1992 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - Alcoholism/nu [Nursing] MH - *Alcoholism/rh [Rehabilitation] MH - Curriculum MH - *Education, Nursing MH - Humans MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Teaching/mt [Methods] PT - Journal Article LG - English DP - 1992 Dec DC - 19930408 YR - 1992 ED - 19930408 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1293556 <685. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1293554 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McGivern DO FA - McGivern, D O TI - The role of the nurse on the interdisciplinary treatment team. SO - NLN Publications. (15-2464):183-210, 1992 Dec. AS - NLN Publ. (15-2464):183-210, 1992 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - Alcoholism/nu [Nursing] MH - *Alcoholism/rh [Rehabilitation] MH - Curriculum MH - *Education, Nursing MH - Humans MH - *Patient Care Team MH - *Psychiatric Nursing/ed [Education] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Teaching/mt [Methods] PT - Journal Article LG - English DP - 1992 Dec DC - 19930408 YR - 1992 ED - 19930408 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1293554 <686. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1293553 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Compton M FA - Compton, M TI - Research perspectives on alcohol and drug problems. SO - NLN Publications. (15-2464):139-81, 1992 Dec. AS - NLN Publ. (15-2464):139-81, 1992 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - *Clinical Nursing Research MH - Curriculum MH - *Education, Nursing MH - Humans MH - *Substance-Related Disorders MH - Teaching/mt [Methods] PT - Journal Article LG - English DP - 1992 Dec DC - 19930408 YR - 1992 ED - 19930408 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1293553 <687. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1293552 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wolf MS FA - Wolf, M S TI - Group modalities in the care of clients with drug and alcohol problems. SO - NLN Publications. (15-2464):1-44, 1992 Dec. AS - NLN Publ. (15-2464):1-44, 1992 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - Curriculum MH - *Education, Nursing MH - Humans MH - *Psychiatric Nursing/ed [Education] MH - Psychotherapy, Group MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Teaching/mt [Methods] PT - Journal Article LG - English DP - 1992 Dec DC - 19930408 YR - 1992 ED - 19930408 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1293552 <688. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8439433 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Quirk ME AU - Godkin MA AU - Schwenzfeier E FA - Quirk, M E FA - Godkin, M A FA - Schwenzfeier, E IN - Quirk,M E. University of Massachusetts Medical School, Worcester 01655. TI - Evaluation of two AIDS prevention interventions for inner-city adolescent and young adult women. SO - American Journal of Preventive Medicine. 9(1):21-6, 1993 Jan-Feb. AS - Am J Prev Med. 9(1):21-6, 1993 Jan-Feb. NJ - American journal of preventive medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 8704773, apl OI - Source: PIP. 092797 OI - Source: POP. 00228584 SB - Index Medicus SB - Population Information Citations SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/pc [Prevention & Control] MH - Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Adolescent MH - Adult MH - Community Health Centers MH - Counseling MH - Evaluation Studies as Topic MH - Female MH - Follow-Up Studies MH - *Health Education/mt [Methods] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infant, Newborn MH - Minority Groups MH - Peer Group MH - Risk Factors MH - Surveys and Questionnaires MH - *Urban Health KW - *Acquired Immunodeficiency Syndrome--prevention and control; Adolescents; *Adolescents, Female; *Adult--women; Age Factors; Americas; *Attitude; Behavior; *Central City; Cultural Background; Demographic Factors; Developed Countries; Diseases; *Drug Usage--women; Education; *Ethnic Groups--women; Geographic Factors; *Health Education; *Hiv Infections--prevention and control; *Kap Surveys; *Knowledge; Massachusetts; North America; Northern America; Population; Population Characteristics; Psychological Factors; Research Methodology; *Research Report; *Risk Reduction Behavior--women; Sampling Studies; *Sex Behavior--women; Spatial Distribution; Studies; Surveys; United States; *Urban Population--women; Urban Spatial Distribution; Urbanization; Viral Diseases; Youth AB - Two hundred and fourteen young women received acquired immunodeficiency syndrome (AIDS) prevention interventions at an inner-city family health center serving minority patients predominantly. The community in which the health center is located has a high incidence of intravenous (IV) drug abuse. Either a peer or a health care provider delivered the intervention. In the peer-delivered intervention, a trained peer educator reviewed with patients an AIDS "Rap" videotape and several AIDS brochures, which imparted information about human immunodeficiency virus (HIV), its transmission, and prevention. In the provider-delivered intervention, family practice residents, attending physicians, and nurse practitioners used a patient-centered counseling approach to convey the same information. Questionnaires administered immediately before and after the intervention and at one month follow-up evaluated changes in knowledge, attitudes, and behavior. Analyses of data from both combined intervention groups revealed significant improvements in several areas of knowledge, including the effectiveness of using a condom and cleaning IV drug implements with bleach to prevent transmission of HIV. Many improvements were retained at the one-month follow-up. In addition, subjects in both groups who were sexually active stated immediately after the intervention that asking a sexual partner about past sexual experience would now be less difficult, and at one-month follow-up they reported a significant decrease in the frequency of vaginal sex. Our findings suggest that counseling by physicians can achieve more changes in knowledge of sexual risks, whereas peer education can achieve greater changes in knowledge about IV drug use. Results show that both approaches to AIDS prevention used in this study can significantly affect knowledge, attitudes, and sexual behavior. OA - PIP: 214 women of average age 20.3 years were subject to an AIDS prevention intervention at a family health center in a high IV drug use community in Worcester, Massachusetts. 116 of the women learned about HIV, its transmission, and prevention with trained peer educators in a review of an AIDS "Rap" video and several AIDS brochures. The remaining 98 women were exposed to the same information, but in a patient-centered counseling approach with family practice residents, attending physicians, and nurse practitioners. 25 women were African-American, 105 Caucasian, 76 Hispanic, and 8 of other ethnic backgrounds. They answered questionnaires regarding their AIDS-related knowledge, attitudes, and practices immediately before, immediately after, and 1 month after exposure to either the peer educator or provider-based education sessions; only 97 completed the follow-up survey. The authors found knowledge on the effectiveness of using condoms and cleaning IV drug implements with bleach to prevent HIV transmission to have significantly improved following the interventions. Many improvements remained at the 1-month follow-up. Moreover, sexually active subjects in both groups noted immediately after the interventions that they would find it easier to ask sex partners about past sexual experiences. A significant decrease was also reported in the amount of vaginal sex at the 1-month follow-up. The authors conclude that while physician counseling may effect more change in the knowledge of sexual risks, peer education may better effect change in knowledge about IV drug use.; Language: English NT - TJ: AMERICAN JOURNAL OF PREVENTIVE MEDICINE. IS - 0749-3797 IL - 0749-3797 PT - Journal Article LG - English DP - 1993 Jan-Feb DC - 19930331 YR - 1993 ED - 19930331 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8439433 <689. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8437391 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Duffy N FA - Duffy, N TI - A 33-year-old woman with a propranolol and chlorpromazine overdose, with applied nursing diagnoses. SO - Journal of Emergency Nursing. 19(1):13-7, 1993 Feb. AS - J Emerg Nurs. 19(1):13-7, 1993 Feb. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 7605913 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Chlorpromazine/po [Poisoning] MH - Critical Care MH - Drug Overdose MH - Education, Nursing, Continuing MH - Female MH - Glucagon/tu [Therapeutic Use] MH - Hemodynamics/de [Drug Effects] MH - Humans MH - *Nursing Diagnosis MH - Patient Care Planning MH - Poisoning/nu [Nursing] MH - Poisoning/th [Therapy] MH - Propranolol/pd [Pharmacology] MH - *Propranolol/po [Poisoning] AB - The challenge of emergency nursing comes from opportunities to increase knowledge and integrate it into our clinical practice. We face the challenge of identifying pertinent nursing diagnoses for our patients and linking them with the interventions used in our patients' care. From this information we can verify effectiveness of care and increase nursing's scientific body of knowledge. RN - 9007-92-5 (Glucagon) RN - 9Y8NXQ24VQ (Propranolol) RN - U42B7VYA4P (Chlorpromazine) IS - 0099-1767 IL - 0099-1767 PT - Case Reports PT - Journal Article LG - English DP - 1993 Feb DC - 19930325 YR - 1993 ED - 19930325 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8437391 <690. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8437390 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weinman SA AU - D'Agostino JL FA - Weinman, S A FA - D'Agostino, J L TI - Pyrogenic reaction after intravenous injection of pentazocine and methylphenidate. SO - Journal of Emergency Nursing. 19(1):10-2, 16-7, 1993 Feb. AS - J Emerg Nurs. 19(1):10-2, 16-7, 1993 Feb. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 7605913 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Education, Nursing, Continuing MH - *Fever/ci [Chemically Induced] MH - Humans MH - Male MH - *Methylphenidate MH - *Pentazocine MH - *Substance Abuse, Intravenous/co [Complications] RN - 207ZZ9QZ49 (Methylphenidate) RN - RP4A60D26L (Pentazocine) IS - 0099-1767 IL - 0099-1767 PT - Case Reports PT - Journal Article LG - English DP - 1993 Feb DC - 19930325 YR - 1993 ED - 19930325 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8437390 <691. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1287104 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coyle N AU - Adelhardt J FA - Coyle, N FA - Adelhardt, J TI - Pain and addiction: an urgent need for change in nursing education. CM - Comment on: J Pain Symptom Manage. 1992 Feb;7(2):117-24; PMID: 1573285 SO - Journal of Pain & Symptom Management. 7(8):439-40, 1992 Nov. AS - J Pain Symptom Manage. 7(8):439-40, 1992 Nov. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing, Continuing MH - *Education, Nursing, Graduate MH - Humans MH - *Neoplasms/pp [Physiopathology] MH - *Oncology Nursing/ed [Education] MH - *Pain/nu [Nursing] IS - 0885-3924 IL - 0885-3924 PT - Comment PT - Letter LG - English DP - 1992 Nov DC - 19930318 YR - 1992 ED - 19930318 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1287104 <692. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1286445 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Santi SM AU - Best JA AU - Payne ME AU - Brown KS AU - Cameron R FA - Santi, S M FA - Best, J A FA - Payne, M E FA - Brown, K S FA - Cameron, R IN - Santi,S M. Waterloo Smoking Projects, University of Waterloo, Ontario. TI - A comparison between instructional experience and performance of teachers and nurses delivering a smoking prevention program. SO - Canadian Journal of Public Health. Revue Canadienne de Sante Publique. 83(6):433-6, 1992 Nov-Dec. AS - Can J Public Health. 83(6):433-6, 1992 Nov-Dec. NJ - Canadian journal of public health = Revue canadienne de sante publique PI - Journal available in: Print PI - Citation processed from: Print JC - ck6, 0372714 SB - Index Medicus CP - CANADA MH - Adult MH - Curriculum MH - Employee Performance Appraisal MH - *Health Education/ma [Manpower] MH - Health Education/st [Standards] MH - Humans MH - Observer Variation MH - Ontario MH - Outcome and Process Assessment (Health Care) MH - Public Health Nursing/ed [Education] MH - *Public Health Nursing/st [Standards] MH - *School Health Services/ma [Manpower] MH - School Health Services/st [Standards] MH - *Smoking Cessation MH - Teaching/mt [Methods] MH - *Teaching/st [Standards] AB - This paper focuses on the implementation evaluation strategy of a smoking prevention program and examines differences in instructional experience and implementation of the grade six curriculum in relation to provider type. Arbaseline, nurses (n = 40), compared with teachers (n = 39), reported (a) less previous classroom teaching experience, (b) greater reliance on lecturing and audio/visual materials, (c) less use of small group classroom activities, and (d) less confidence using small group and role playing methods in the classroom. More nurses than teachers believed smoking to be a significant problem in the schools. Nurses had less confidence than teachers in their ability to teach the smoking prevention curriculum. Nonetheless, behavioural observation indicated that nurses implemented the curriculum more completely. However, teachers, at least those who received workshop training, showed some evidence of greater utilization of teaching styles thought to be desirable. IS - 0008-4263 IL - 0008-4263 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R01 HL 36171 (United States NHLBI NIH HHS) LG - English DP - 1992 Nov-Dec DC - 19930315 YR - 1992 ED - 19930315 RD - 20130605 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1286445 <693. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1472829 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cromwell P AU - LeMoine A FA - Cromwell, P FA - LeMoine, A TI - Identifying substance use: an assessment tool for the school nurse. SO - Journal of School Nursing. 8(3):6-10, 12, 14-5, 1992 Oct. AS - J Sch Nurs. 8(3):6-10, 12, 14-5, 1992 Oct. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Humans MH - *Nursing Assessment MH - Prevalence MH - *School Nursing/mt [Methods] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] AB - A nursing assessment tool was developed to identify students who may be using drugs or alcohol. The three-part tool enables the school nurse to identify those students who require immediate medical care, as well as those who are impaired by substance use but medically stable. The use of the tool and implications for school nurses are discussed. IS - 1059-8405 IL - 1059-8405 PT - Journal Article LG - English DP - 1992 Oct DC - 19930204 YR - 1992 ED - 19930204 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1472829 <694. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1452827 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beebe GC FA - Beebe, G C TI - Efficacy of a substance abuse primary prevention skills conference for nurses. SO - Journal of Continuing Education in Nursing. 23(5):231-4, 1992 Sep-Oct. AS - J Contin Educ Nurs. 23(5):231-4, 1992 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - UNITED STATES MH - *Congresses as Topic/st [Standards] MH - *Education, Nursing, Continuing/st [Standards] MH - Humans MH - New York MH - Nursing Education Research MH - *Primary Prevention/ed [Education] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - A conference on substance abuse prevention skills was presented by the New York State Nurses Association (NYSNA) to provide nurses with skills to help patients in various practice settings. Information covered assessment, intervention, and tools for interviewing and identifying resources. A six-month follow-up evaluation showed that the majority of the participants incorporated the skills in their nursing practice primarily in interviewing and use of assessment questions. Directions for future conferences were identified. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 1992 Sep-Oct DC - 19921231 YR - 1992 ED - 19921231 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1452827 <695. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1448370 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gizis FC FA - Gizis, F C IN - Gizis,F C. Department of Health Sciences, C. W. Post Campus, Long Island University, Brookville, NY 11548. TI - Nutrition in women across the life span. [Review] [18 refs] SO - Nursing Clinics of North America. 27(4):971-82, 1992 Dec. AS - Nurs Clin North Am. 27(4):971-82, 1992 Dec. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - Age Factors MH - Calcium, Dietary/ad [Administration & Dosage] MH - Child MH - Female MH - Ferrous Compounds/tu [Therapeutic Use] MH - Humans MH - Lactation MH - Menu Planning MH - Nutritional Requirements MH - Nutritional Sciences/ed [Education] MH - *Nutritional Sciences MH - Pregnancy MH - *Women's Health AB - Recent recommendations on nutrition, such as the Surgeon General's Report on Nutrition and Health, have emphasized the relationship between diet and disease. In the Surgeon General's report, Americans have been advised to limit their consumption of fat, cholesterol, sodium, and alcoholic beverages, and to increase their consumption of complex carbohydrates and fiber. Two of the recommendations in this report related to the consumption of iron and calcium are particularly important to women's health. Women are advised to increase their consumption of food high in calcium and to include foods containing iron, such as lean meats, fish, certain beans, iron-enriched cereals, and whole grain products. Iron is essential as a constituent of hemoglobin, myoglobin, and certain enzymes. Iron losses during menstruation and the increased need for iron during pregnancy place women at risk for iron deficiency. Bone mass continues to increase until the late twenties, and one method to prevent osteoporosis may be adequate calcium intake during these years of early adulthood. Food guides that list amounts and types of foods to be eaten are helpful for the individual or as an educational tool for the nurse or educator. A Daily Food Guide was recently designed to meet the nutritional needs of women throughout the life cycle, and the government has very recently released a Food Guide Pyramid. Although it is important for women to learn how to control certain dietary components, they should also be aware of the protective nature of certain nutrients, such as iron and calcium. [References: 18] RN - 0 (Calcium, Dietary) RN - 0 (Ferrous Compounds) IS - 0029-6465 IL - 0029-6465 PT - Journal Article PT - Review LG - English DP - 1992 Dec DC - 19921224 YR - 1992 ED - 19921224 RD - 20091119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1448370 <696. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1448364 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dumas L FA - Dumas, L IN - Dumas,L. College of Nursing, University of Massachusetts, Boston. TI - Addicted women. Profiles from the inner city. [Review] [16 refs] SO - Nursing Clinics of North America. 27(4):901-15, 1992 Dec. AS - Nurs Clin North Am. 27(4):901-15, 1992 Dec. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Cocaine MH - Community Health Services/st [Standards] MH - Delivery of Health Care/st [Standards] MH - Family MH - Female MH - Humans MH - Risk Factors MH - Social Support MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Urban Health MH - *Women's Health AB - This article has focused on addicted women and the contexts in which they present to the community nurse. An effort has been made to broaden the clinical applications to include the societal problems underlying addiction and the policy issues that must be addressed to solve them. Addicted women can be described from a societal dimension, in which the health care system reflects disarray and fiscal chaos, and from a community dimension. The two dimensions link the public and the private spheres. To evaluate addicted women and the options for their recovery more effectively, it is helpful to integrate the societal and personal milieu--public issues and the private lives that illustrate them. This is how policy is best formulated. The numbers of addicted women in the health care system reflect only the tip of the iceberg. Health care providers must strive to reach women who are outside of the health care system who have not been connected to a hospital, shelter, or home care agency. Researchers need to differentiate sample patient populations, and the patient selection bias needs to be addressed early on. A model of a community support for recovery located within a housing project was a viable option for reaching addicted women. The role of nurses is becoming increasingly unique. Nurses are skilled as caregivers and clinicians. They can open doors of opportunity for inner-city women and children by developing health-promotive programs in hospital settings for substance abusing women and by continuing to work with their colleagues in the community context. On both dimensions, nurses have front-line accessibility to women and children who are vulnerable. Often, commonality of gender strengthens the nurse/patient relationship and facilitates trust as well as empathy between female addicts and their nurse advocate counterparts. Never has the call to inner-city nurses been more compelling. The problems related to drug abuse and parenting are multidimensional. They resist easy definition and solution. Nurses have the education and the clinical expertise to provide front-line interventions for inner-city women who are addicted to drugs. Nurses are educated holistically as caregivers and teachers. Ideally, nurses can exert their strongest impact on health promotion in the neighborhoods of communities. In reality, this has not worked, and nurses remain part of a health care system that has failed inner-city poor women and their children. Nurses in hospitals and in community setting spend most of their time applying "bandages" to the psychologic and physical wounds that emerge from the addiction to drugs.(ABSTRACT TRUNCATED AT 400 WORDS) [References: 16] RN - I5Y540LHVR (Cocaine) IS - 0029-6465 IL - 0029-6465 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 1992 Dec DC - 19921224 YR - 1992 ED - 19921224 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1448364 <697. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1448363 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kline EN AU - Saperstein AB FA - Kline, E N FA - Saperstein, A B IN - Kline,E N. Long Island Shelter for the Homeless, Scituate, MA 02066. TI - Homeless women. The context of an urban shelter. [Review] [20 refs] SO - Nursing Clinics of North America. 27(4):885-99, 1992 Dec. AS - Nurs Clin North Am. 27(4):885-99, 1992 Dec. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Community Health Services/og [Organization & Administration] MH - Female MH - *Homeless Persons MH - Humans MH - Mental Disorders/co [Complications] MH - Poverty MH - Role MH - Spouse Abuse/co [Complications] MH - Substance-Related Disorders/co [Complications] MH - *Urban Health MH - *Women's Health AB - The role of the nurse in a shelter has just begun to emerge. The prevalence of homeless women is escalating, and nurses are playing primary roles in teaching, health care, social support, and case finding for women in shelters. This article describes some of the health, social, and psychologic issues facing women in a large urban shelter from the perspective of a senior nurse psychologist at Boston's Long Island Shelter. [References: 20] IS - 0029-6465 IL - 0029-6465 PT - Journal Article PT - Review LG - English DP - 1992 Dec DC - 19921224 YR - 1992 ED - 19921224 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1448363 <698. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1448223 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Von Burg L AU - Forman MA FA - Von Burg, L FA - Forman, M A TI - Substance abuse among nurses at teaching hospitals. SO - Nursing Management. 23(11):68-70, 1992 Nov. AS - Nurs Manage. 23(11):68-70, 1992 Nov. NJ - Nursing management PI - Journal available in: Print PI - Citation processed from: Print JC - 8219243, obv SB - Nursing Journal CP - UNITED STATES MH - *Hospitals, Teaching/ma [Manpower] MH - Hospitals, Teaching/sn [Statistics & Numerical Data] MH - Humans MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - *Nursing Staff, Hospital MH - Policy Making MH - Professional Impairment/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] IS - 0744-6314 IL - 0744-6314 PT - Journal Article LG - English DP - 1992 Nov DC - 19921224 YR - 1992 ED - 19921224 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1448223 <699. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1432189 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCaffery M AU - Ferrell BR FA - McCaffery, M FA - Ferrell, B R TI - Opioid analgesics: nurses' knowledge of doses and psychological dependence. SO - Journal of Nursing Staff Development. 8(2):77-84, 1992 Mar-Apr. AS - J Nurs Staff Dev. 8(2):77-84, 1992 Mar-Apr. NJ - Journal of nursing staff development : JNSD PI - Journal available in: Print PI - Citation processed from: Print JC - jei, 8601288 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Education, Nursing/st [Standards] MH - *Educational Status MH - Humans MH - Middle Aged MH - *Narcotics/ad [Administration & Dosage] MH - Narcotics/ae [Adverse Effects] MH - Nursing Education Research MH - *Substance-Related Disorders/et [Etiology] AB - Lack of education of health professionals, including nurses, is frequently cited as a major reason for undertreatment of pain. Very recent surveys have revealed an urgent need for basic and continuing nursing education to address this problem. For example, little time is spent on the topic of pain in many baccalaureate nursing programs, nursing textbooks lack correct information about opioid addiction, and most practicing nurses currently do not possess knowledge about opioid analgesics that would enable them to administer opioids effectively. The authors report on a survey of 1,781 practicing nurses' specific knowledge deficits regarding opioid analgesics and propose some solutions. RN - 0 (Narcotics) IS - 0882-0627 IL - 0882-0627 PT - Journal Article LG - English DP - 1992 Mar-Apr DC - 19921204 YR - 1992 ED - 19921204 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1432189 <700. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1428657 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sheehan A FA - Sheehan, A IN - Sheehan,A. Shropshire College of Nursing and Midwifery, UK. TI - Nurses respond to substance abuse. SO - International Nursing Review. 39(5):141-4, 1992 Sep-Oct. AS - Int Nurs Rev. 39(5):141-4, 1992 Sep-Oct. NJ - International nursing review PI - Journal available in: Print PI - Citation processed from: Print JC - gtp, 7808754 SB - Index Medicus SB - Nursing Journal CP - SWITZERLAND MH - Community Health Nursing MH - Education, Nursing, Continuing MH - Great Britain MH - *Health Promotion MH - Humans MH - International Council of Nurses MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - World Health Organization AB - Because of their close contact with the community, nurses are vital in caring for substance abusers and in preventing addiction. And their roles in community and national programmes in this area are increasing. Below, an overview of the problems associated with substance abuse and how nurses are needed to provide effective care, prevention and education. IS - 0020-8132 IL - 0020-8132 PT - Journal Article LG - English DP - 1992 Sep-Oct DC - 19921203 YR - 1992 ED - 19921203 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1428657 <701. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1401548 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Melby V AU - Boore JR AU - Murray M FA - Melby, V FA - Boore, J R FA - Murray, M IN - Melby,V. Department of Nursing and Health Visiting, University of Ulster, Coleraine, Northern Ireland. TI - Acquired immunodeficiency syndrome: knowledge and attitudes of nurses in Northern Ireland. SO - Journal of Advanced Nursing. 17(9):1068-77, 1992 Sep. AS - J Adv Nurs. 17(9):1068-77, 1992 Sep. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l OI - Source: KIE. 112511 OI - Source: NRCBL. Special Issue SB - Bioethics Journals SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - ENGLAND MH - Acquired Immunodeficiency Syndrome/ep [Epidemiology] MH - Acquired Immunodeficiency Syndrome/nu [Nursing] MH - Acquired Immunodeficiency Syndrome/tm [Transmission] MH - *Acquired Immunodeficiency Syndrome MH - Adult MH - *Attitude of Health Personnel MH - *Education, Nursing/st [Standards] MH - Female MH - Homosexuality MH - Humans MH - Life Style MH - Male MH - Northern Ireland/ep [Epidemiology] MH - Nursing Evaluation Research MH - Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Prostitution MH - Risk Factors MH - Substance Abuse, Intravenous/co [Complications] KW - Empirical Approach; Professional Patient Relationship AB - The number of people suffering from conditions associated with HIV infection is growing steadily. These people require care from nurses who should be well trained to undertake all the various aspects of nursing care. Surveys have indicated that health professionals associate AIDS with minority groups such as homosexuals, drug-abusers and prostitutes. Incidents of sub-optimal nursing care of AIDS patients, or suspected AIDS patients belonging to these minority groups, have been well documented. Surveys have revealed much ignorance and confusion among the general public as well as among health professionals with regard to this controversial syndrome. This study aimed to measure nurses' knowledge and attitudes towards homosexuals, drug-abusers and prostitutes, who through their lifestyle are at increased risk for HIV infection. Questionnaires were distributed to a random sample of 800 nurses in Northern Ireland. The sample was stratified by several demographic variables. A response rate of almost 60% was achieved. Nurses appeared to have a moderate knowledge of issues related to HIV infection, but there were large gaps in their knowledge of the terminology used in HIV infection. Nurses were not extremely worried about AIDS itself. However, homosexuals, prostitutes and drug-abusers were seen to be at least partly responsible for their own illness. Implications for nursing care and for nurse education are discussed. NT - 41 refs. NT - KIE Bib: AIDS/health personnel IS - 0309-2402 IL - 0309-2402 PT - Journal Article LG - English DP - 1992 Sep DC - 19921120 YR - 1992 ED - 19921120 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1401548 <702. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1389459 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sullivan EJ AU - Handley SM FA - Sullivan, E J FA - Handley, S M IN - Sullivan,E J. School of Nursing, University of Kansas Medical Center. TI - Alcohol and drug abuse in nurses. [Review] [34 refs] SO - Annual Review of Nursing Research. 10:113-25, 1992. AS - Annu Rev Nurs Res. 10:113-25, 1992. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - *Alcoholism MH - Attitude of Health Personnel MH - Humans MH - *Nurses/sn [Statistics & Numerical Data] MH - *Nursing Research MH - Peer Group MH - Prevalence MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - *Students, Nursing MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders IS - 0739-6686 IL - 0739-6686 PT - Journal Article PT - Review LG - English DP - 1992 DC - 19921028 YR - 1992 ED - 19921028 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1389459 <703. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1525500 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tanner M FA - Tanner, M TI - Fetal alcohol syndrome: a nursing concern. SO - MNA Accent. 64(5):7-8, 1992 Jun. AS - Mna Accent. 64(5):7-8, 1992 Jun. NJ - MNA accent / Minnesota Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - biz, 9210216 SB - Nursing Journal CP - UNITED STATES MH - Curriculum MH - *Education, Nursing MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Humans MH - Minnesota MH - Pregnancy MH - Societies, Nursing IS - 0026-5586 IL - 0026-5586 PT - Journal Article LG - English DP - 1992 Jun DC - 19921016 YR - 1992 ED - 19921016 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1525500 <704. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1824301 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Adams C FA - Adams, C TI - An analysis of school nurse leadership styles. SO - Journal of School Nursing. 7(2):22-5, 1991 Apr. AS - J Sch Nurs. 7(2):22-5, 1991 Apr. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Female MH - Humans MH - Interpersonal Relations MH - *Leadership MH - Models, Nursing MH - *School Nursing/st [Standards] AB - New programs, such as care of pregnant teens and substance abuse education, are more commonplace in the school setting today. The school nurse is increasingly involved with professionals and others inside and outside the school system. Thus, the nurse's effectiveness may greatly depend upon the ability to lead others. IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1991 Apr DC - 19921016 YR - 1991 ED - 19921016 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1824301 <705. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1509026 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Landrum BJ FA - Landrum, B J TI - Impaired student nurses. SO - Pulse of the Montana State Nurses Association. 28(4):8, 1992 Jul-Aug. AS - Pulse. 28(4):8, 1992 Jul-Aug. NJ - The Pulse of the Montana State Nurses' Association PI - Journal available in: Print PI - Citation processed from: Print JC - qje, 18820110r SB - Nursing Journal CP - UNITED STATES MH - Alcoholism/rh [Rehabilitation] MH - *Alcoholism MH - Counseling MH - Faculty, Nursing MH - Humans MH - *Professional Impairment MH - *Students, Nursing MH - Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders IS - 0033-4189 PT - Journal Article LG - English DP - 1992 Jul-Aug DC - 19920923 YR - 1992 ED - 19920923 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1509026 <706. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1508660 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Brien PA FA - O'Brien, P A TI - Development of substance abuse policies in health care settings. SO - New Jersey Nurse. 22(4):12, 1992 Jul-Aug. AS - N J Nurse. 22(4):12, 1992 Jul-Aug. NJ - New Jersey nurse PI - Journal available in: Print PI - Citation processed from: Print JC - o3u, 7907163 SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing, Continuing MH - Humans MH - Inservice Training MH - New Jersey MH - *Nursing Staff, Hospital/ed [Education] MH - Societies, Hospital MH - Societies, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/rh [Rehabilitation] IS - 0196-4895 IL - 0196-4895 PT - Journal Article LG - English DP - 1992 Jul-Aug DC - 19920923 YR - 1992 ED - 19920923 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1508660 <707. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1509676 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Perry PA AU - Dean BS AU - Krenzelok EP FA - Perry, P A FA - Dean, B S FA - Krenzelok, E P IN - Perry,P A. Pittsburgh Poison Center, Children's Hospital of Pittsburgh, PA. TI - A regional poison center's experience with poisoning exposures occurring in schools. SO - Veterinary & Human Toxicology. 34(2):148-51, 1992 Apr. AS - Vet Hum Toxicol. 34(2):148-51, 1992 Apr. NJ - Veterinary and human toxicology PI - Journal available in: Print PI - Citation processed from: Print JC - xbv, 7704194 SB - Index Medicus CP - UNITED STATES MH - Accidents/sn [Statistics & Numerical Data] MH - Adolescent MH - Adult MH - Age Factors MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Male MH - Pennsylvania/ep [Epidemiology] MH - *Poison Control Centers/sn [Statistics & Numerical Data] MH - *Poisoning/ep [Epidemiology] MH - Retrospective Studies MH - School Nursing MH - *Schools MH - Sex Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Suicide, Attempted/sn [Statistics & Numerical Data] MH - Treatment Outcome AB - The nature of and response to poisonings in the school setting has not been characterized. To define these problems a retrospective review of calls to a Regional Poison Information Center (RPIC) involving school exposures was done for the 1988-89 academic year. 362 cases were reported; 74% were reported by school nurses, 10% by other school employees, 10% by parents, 5% by health care facilities, and 1% by students themselves. Ingestions accounted for 45% of exposures, dermal 24%, ocular 19%, inhalation 7%, with the remainder being combinations of routes. Correct treatment prior to RPIC consultation occurred in only 40% of the cases. None developed major symptoms, 23% had minor and 10% had moderate symptoms. High school students accounted for the greatest number (20) of suicide gestures, while middle schools reported more cases of substance abuse. School nurses often were unaware of situations until several hours later. 61% of suicide gestures were referred to an HCF; 7 of these developed moderate symptoms. Exposures to chemicals in science or vo-tech classes accounted for 102 cases; 28% were referred to a HCF and 15% had moderate symptoms. There was often a delay in evaluation by the school nurse and initial decontamination was inadequate or absent. Parents were often instructed by school personnel to contact the RPIC for information and then relay it to the school. These delays could have resulted in greater toxicity. School nurses should be targeted for educational programs by poison centers, but teachers and other school employees must also be included since often they are the first at the scene. Students should be instructed to report exposures to a teacher immediately. IS - 0145-6296 IL - 0145-6296 PT - Journal Article LG - English DP - 1992 Apr DC - 19920918 YR - 1992 ED - 19920918 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1509676 <708. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1496153 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jemmott JB 3rd AU - Freleicher J AU - Jemmott LS FA - Jemmott, J B 3rd FA - Freleicher, J FA - Jemmott, L S IN - Jemmott,J B 3rd. Department of Psychology, Princeton University, NJ 08544-1010. TI - Perceived risk of infection and attitudes toward risk groups: determinants of nurses' behavioral intentions regarding AIDS patients. SO - Research in Nursing & Health. 15(4):295-301, 1992 Aug. AS - Res Nurs Health. 15(4):295-301, 1992 Aug. NJ - Research in nursing & health PI - Journal available in: Print PI - Citation processed from: Print JC - 7806136, raq SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - Acquired Immunodeficiency Syndrome/et [Etiology] MH - *Acquired Immunodeficiency Syndrome/nu [Nursing] MH - Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Adult MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Homosexuality MH - Humans MH - Male MH - New Jersey MH - Nursing Evaluation Research MH - Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - *Occupational Exposure MH - Risk Factors MH - Substance Abuse, Intravenous/co [Complications] MH - Surveys and Questionnaires AB - The relationship of perceived occupational risk of AIDS and attitudes toward AIDS risk groups to behavioral intentions regarding the care of AIDS patients was examined among nurses (N = 496) residing in a selected area of New Jersey, a state with a relatively high number of reported AIDS cases. Hierarchical multiple regression analyses on anonymous mail survey responses revealed that, controlling for AIDS knowledge and years of education, nurses who perceived that caring for AIDS patients increased their risk of HIV infection scored higher on an index of intentions to avoid AIDS patient care. In addition, nurses who expressed more negative attitudes toward intravenous drug users or homosexuals were more likely to report similar intentions to avoid AIDS patient care. The implications of these findings for efforts to increase nurses' ability and willingness to provide quality care to persons with AIDS are discussed. IS - 0160-6891 IL - 0160-6891 PT - Journal Article LG - English DP - 1992 Aug DC - 19920908 YR - 1992 ED - 19920908 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1496153 <709. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12159269 RO - PIP ST - MEDLINE AU - Steinberg J FA - Steinberg, J TI - AIDS prevention is thicker than blood. Zimbabwe. SO - Links (New York, N.Y.). 9(2):3, 1992. AS - Links. 9(2):3, 1992. NJ - Links (New York, N.Y.) PI - Journal available in: Print PI - Citation processed from: Print JC - 9426127 OI - Source: PIP. 072731 OI - Source: POP. 00210102 SB - Population Information Citations CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome MH - Africa MH - Africa South of the Sahara MH - Africa, Eastern MH - Ambulatory Care Facilities MH - *Antibodies MH - Biology MH - *Clinical Laboratory Techniques MH - *Counseling MH - Delivery of Health Care MH - Developing Countries MH - Diagnosis MH - Disease MH - Equipment and Supplies MH - HIV Infections MH - Health MH - Health Planning MH - *Health Services MH - Immunity MH - Immunologic Factors MH - *Incidence MH - *Mass Screening MH - *Organization and Administration MH - Physiology MH - Research MH - Research Design MH - Virus Diseases MH - Zimbabwe KW - *Acquired Immunodeficiency Syndrome--prevention and control; Africa; Africa South Of The Sahara; *Antibodies; Biology; *Blood Supply--complications; Clinic Activities; *Counseling; Delivery Of Health Care; Developing Countries; Diseases; Eastern Africa; English Speaking Africa; Equipment And Supplies; Examinations And Diagnoses; Health; *Health Services; Hiv Infections; Immunity; Immunologic Factors; *Incidence; Laboratory Examinations And Diagnoses; *Laboratory Procedures; Measurement; *Organization And Administration; Physiology; Program Activities; Programs; Research Methodology; *Screening; Viral Diseases; Zimbabwe AB - Usually, giving blood is generous. Sometimes, however, it is lethal. In countries such as the US, India and Brazil, where blood donors can get paid by the pint, drug addicts, street dwellers and others who have little to sell except their bodies flock to for-profit blood centers. Many of these people carry the AIDS virus. A survey in the Indian state of Maharashtra revealed that 27% of blood donors tested positive for AIDS antibodies--a slightly higher rate than the same survey found among prostitutes. If 1 private blood bank tests for AIDS antibodies and turns HIV-positive volunteers away--forget about treating them--those poor and desperate enough can often find another, less scrupulous clinic. Or a clinic that doesn't do the testing properly. Although the 1988 Brazilian constitution banned the sale of blood, private clinics continue to flourish and nobody knows whose veins the blood is flowing from. The inevitable result is a frightening rate of contamination. An estimated 85% of Brazilian hemophiliacs have become infected with the HIV virus by contaminated blood or blood products. Even in countries that eschew blood sales and rely on donated supplies, the danger of HIV contamination is still present. HIV infection often does not generate antibodies for weeks; sometimes months or even years. In many 3rd World communities without adequate equipment, blood storage is impossible. The cost of testing emergency donations is so high that the choice may be narrowed--either go without testing or do without blood. Despite all these obstacles, Zimbabwe has shown that a 3rd World country where public health care takes precedence over private profit can make the blood supply network a force for reducing the spread of AIDS rather than increasing it. All blood donations in Zimbabwe were voluntary even before AIDS became an issue. When AIDS was accorded recognition as a serious issue, the country had no clinic for HIV testing. Concerned with the rapid spread of AIDS among the general population, the National Blood Transfusion Service (NBTS) began testing in 1985. Zimbabwe was the 3rd country in the world to begin routine testing. The NBTS is a nonprofit organization headed by representatives from the ministry of health, the Red Cross, and private donors. Because the NBTS was the only group in the country testing blood, many people who suspected they might be infected volunteered to donate blood just so they could have the test. Unfortunately, their suspicions were often justified. The service has found that regular donors now have a far lower incidence of HIV-positive since 1989, when alternative testing services were opened. Analysts believe much of the credit goes to the AIDS counseling given before each blood donation. Each individual is interviewed by a nurse who takes a comprehensive medical history. The education session also includes how AIDS might be contracted. The NBTS quickly discovered that the incidence of HIV antibodies was far lower among students aged 17-19. Since then, the service has thrown much of its resources into school blood campaigns. The service has also opened 5 new collection branches, 1 in each province. Samples from each donation are sent to 1 of the 2 national centers for testing. AIDS is still spreading in Zimbabwe, but thanks to the efforts of NBTS, hospital patients can feel secure.Copyright full text NT - TJ: LINKS. HEALTH AND DEVELOPMENT REPORT RN - 0 (Antibodies) RN - 0 (Immunologic Factors) IS - 0894-3036 IL - 0894-3036 PT - Journal Article LG - English DP - 1992 DC - 19920902 YR - 1992 ED - 19920902 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=12159269 <710. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1821247 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tollefson GD AU - Montague-Clouse J AU - Lancaster SP FA - Tollefson, G D FA - Montague-Clouse, J FA - Lancaster, S P IN - Tollefson,G D. Department of Psychiatry, St. Paul-Ramsey Medical Center, Minnesota 55101. TI - The relationship of serum anticholinergic activity to mental status performance in an elderly nursing home population. SO - Journal of Neuropsychiatry & Clinical Neurosciences. 3(3):314-9, 1991. AS - J Neuropsychiatry Clin Neurosci. 3(3):314-9, 1991. NJ - The Journal of neuropsychiatry and clinical neurosciences PI - Journal available in: Print PI - Citation processed from: Print JC - 8911344, bjo SB - Index Medicus CP - UNITED STATES MH - Aged MH - Aged, 80 and over MH - Dose-Response Relationship, Drug MH - Female MH - *Homes for the Aged MH - Humans MH - Male MH - *Mental Status Schedule/sn [Statistics & Numerical Data] MH - *Nursing Homes MH - Parasympatholytics/ad [Administration & Dosage] MH - *Parasympatholytics/ae [Adverse Effects] MH - Parasympatholytics/pk [Pharmacokinetics] MH - Psychometrics MH - Receptors, Muscarinic/de [Drug Effects] MH - Receptors, Muscarinic/ph [Physiology] MH - Substance-Related Disorders/bl [Blood] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] AB - Adverse drug reactions among elderly patients pose a significant clinical problem. The authors used a serum radioreceptor assay [RRA] to quantify drug-induced muscarinic blockade in 34 randomly selected nursing home residents. A random intervention group and the nonintervention control subjects were then retested 4 weeks later. The reduction of serum antimuscarinic activity (as determined by RRA) did relate to changes on several measures of cognitive function. A calculated "antimuscarinic index" lost significance with the RRA following intervention and may have overestimated the impact of a dosage reduction. RN - 0 (Parasympatholytics) RN - 0 (Receptors, Muscarinic) IS - 0895-0172 IL - 0895-0172 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 1991 DC - 19920818 YR - 1991 ED - 19920818 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1821247 <711. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1625466 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carr K AU - Jones S AU - Williams D FA - Carr, K FA - Jones, S FA - Williams, D TI - Chemical dependency: in the curriculum. SO - Kentucky Nurse. 40(3):9-10, 1992 May-Jun. AS - Ky Nurse. 40(3):9-10, 1992 May-Jun. NJ - Kentucky nurse PI - Journal available in: Print PI - Citation processed from: Print JC - k8s, 8309653 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing MH - Humans MH - Kentucky MH - *Nurses MH - Schools, Nursing MH - *Substance-Related Disorders MH - Surveys and Questionnaires IS - 0742-8367 IL - 0742-8367 PT - Journal Article LG - English DP - 1992 May-Jun DC - 19920813 YR - 1992 ED - 19920813 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1625466 <712. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1614847 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clucas AH AU - Clarke VP FA - Clucas, A H FA - Clarke, V P TI - Module II.8. Nursing care of drug and alcohol problems in special populations. SO - NLN Publications. (15-2463):603-63, 1992 May. AS - NLN Publ. (15-2463):603-63, 1992 May. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - *Ethnic Groups MH - Humans MH - *Minority Groups PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 88-008 (United States PHS HHS) LG - English DP - 1992 May DC - 19920729 YR - 1992 ED - 19920729 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1614847 <713. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1614846 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clucas AH AU - Clarke VP FA - Clucas, A H FA - Clarke, V P TI - Module II.7. Drug and alcohol problems in special populations. SO - NLN Publications. (15-2463):531-601, 1992 May. AS - NLN Publ. (15-2463):531-601, 1992 May. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - *Ethnic Groups MH - Humans MH - *Minority Groups MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/eh [Ethnology] PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 88-008 (United States PHS HHS) LG - English DP - 1992 May DC - 19920729 YR - 1992 ED - 19920729 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1614846 <714. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1614845 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mathwig G AU - D'Arcangelo JS FA - Mathwig, G FA - D'Arcangelo, J S TI - Module II.6. Drug misuse and dependence in the elderly. SO - NLN Publications. (15-2463):463-530, 1992 May. AS - NLN Publ. (15-2463):463-530, 1992 May. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - Aged MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - *Geriatric Nursing/ed [Education] MH - Humans MH - *Substance-Related Disorders/nu [Nursing] PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 88-008 (United States PHS HHS) LG - English DP - 1992 May DC - 19920729 YR - 1992 ED - 19920729 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1614845 <715. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1614844 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Compton M FA - Compton, M TI - Module II.5. Nursing care in withdrawal. SO - NLN Publications. (15-2463):409-62, 1992 May. AS - NLN Publ. (15-2463):409-62, 1992 May. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - Humans MH - *Substance Withdrawal Syndrome/nu [Nursing] PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 88-008 (United States PHS HHS) LG - English DP - 1992 May DC - 19920729 YR - 1992 ED - 19920729 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1614844 <716. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1614843 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Compton M FA - Compton, M TI - Module II.4. Nursing care in acute intoxication. SO - NLN Publications. (15-2463):347-408, 1992 May. AS - NLN Publ. (15-2463):347-408, 1992 May. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - Acute Disease MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - Humans MH - *Poisoning/nu [Nursing] MH - *Substance-Related Disorders/nu [Nursing] PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 88-008 (United States PHS HHS) LG - English DP - 1992 May DC - 19920729 YR - 1992 ED - 19920729 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1614843 <717. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1614842 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - D'Arcangelo JS AU - Adamski T FA - D'Arcangelo, J S FA - Adamski, T TI - Module II.3. Addictions: nursing diagnosis and treatment. SO - NLN Publications. (15-2463):221-346, 1992 May. AS - NLN Publ. (15-2463):221-346, 1992 May. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - Humans MH - *Nursing Diagnosis MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/th [Therapy] PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 88-008 (United States PHS HHS) LG - English DP - 1992 May DC - 19920729 YR - 1992 ED - 19920729 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1614842 <718. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1614841 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, M A TI - Module II.2. Impaired practice by health professionals. SO - NLN Publications. (15-2463):117-219, 1992 May. AS - NLN Publ. (15-2463):117-219, 1992 May. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - Humans MH - *Professional Impairment MH - *Substance-Related Disorders/nu [Nursing] PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 88-008 (United States PHS HHS) LG - English DP - 1992 May DC - 19920729 YR - 1992 ED - 19920729 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1614841 <719. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1614840 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gigliotti E FA - Gigliotti, E TI - Module II.1. Fetal effects of maternal alcohol and drug use. SO - NLN Publications. (15-2463):1-116, 1992 May. AS - NLN Publ. (15-2463):1-116, 1992 May. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - Female MH - *Fetus/de [Drug Effects] MH - Humans MH - Pregnancy MH - *Pregnancy Complications/nu [Nursing] MH - *Substance-Related Disorders/nu [Nursing] PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 88-008 (United States PHS HHS) LG - English DP - 1992 May DC - 19920729 YR - 1992 ED - 19920729 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1614840 <720. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1602082 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Padula CA FA - Padula, C A IN - Padula,C A. College of Nursing, University of Rhode Island, Kingston 02881. TI - Nurses and smoking: review and implications. [Review] [124 refs] SO - Journal of Professional Nursing. 8(2):120-32, 1992 Mar-Apr. AS - J Prof Nurs. 8(2):120-32, 1992 Mar-Apr. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Humans MH - Nurses/px [Psychology] MH - *Nurses MH - Professional Practice MH - Recurrence MH - Smoking/px [Psychology] MH - *Smoking MH - Smoking Cessation MH - Stress, Psychological MH - Students, Nursing/px [Psychology] MH - Tobacco Use Disorder/px [Psychology] MH - *Tobacco Use Disorder MH - United States AB - An analysis of smoking behavior among nurses shows unacceptably high levels of smoking, despite some evidence of a downward trend. In this article, the nature of tobacco dependence is examined, and an extensive review of demographic and causative factors associated with the smoking behavior of nurses is presented. The impact of smoking on the practice of nurses, particularly related to their ability to serve as health educators and role models, is critically examined. Areas for potential research and inquiry, along with some overall strategies for intervention, are identified. [References: 124] IS - 8755-7223 IL - 8755-7223 PT - Journal Article PT - Review LG - English DP - 1992 Mar-Apr DC - 19920715 YR - 1992 ED - 19920715 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1602082 <721. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1601537 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rigby K AU - Virgo I AU - Russell G AU - Cormack S FA - Rigby, K FA - Virgo, I FA - Russell, G FA - Cormack, S IN - Rigby,K. University of South Australia, Adelaide. TI - Occupational role and perceptions of substance misuse in Australia. SO - International Journal of the Addictions. 27(5):515-31, 1992 May. AS - Int J Addict. 27(5):515-31, 1992 May. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - *Attitude to Health MH - Australia/ep [Epidemiology] MH - Female MH - Health Personnel MH - Humans MH - Male MH - *Occupations MH - Self Concept MH - Sex Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - This study examined ways in which people from different occupational backgrounds in South Australia perceived issues relevant to the misuse of substances. Questionnaires were completed by representatives from eight occupational groups, namely, Doctors, Nurses, Ambulance Officers, Social Workers, Youth Workers, Teachers, the Police, and Probation and Parole Officers (in total, N = 276). Significant differences were found between occupational groups in their judgments of the relative incidence of substance misuse in the community, the comparative harmfulness of alcohol and marijuana, the attribution of alcohol misuse to personal inadequacy, and the efficacy of treatment of alcohol misuse. IS - 0020-773X IL - 0020-773X PT - Comparative Study PT - Journal Article LG - English DP - 1992 May DC - 19920714 YR - 1992 ED - 19920714 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1601537 <722. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1593288 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Louie KB AU - Nkongho N AU - Wille R FA - Louie, K B FA - Nkongho, N FA - Wille, R TI - Implementing career development in a drug prevention program. SO - Journal of the New York State Nurses Association. 23(1):16-8, 1992 Mar. AS - J N Y State Nurses Assoc. 23(1):16-8, 1992 Mar. NJ - The Journal of the New York State Nurses' Association PI - Journal available in: Print PI - Citation processed from: Print JC - jfh, 7507218 SB - Nursing Journal CP - UNITED STATES MH - Child MH - Curriculum MH - Faculty, Nursing MH - *Health Education MH - Humans MH - Jurisprudence MH - *Maternal-Child Nursing MH - New York City MH - *Psychiatric Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] AB - This article describes an innovative school and community based drug prevention program aimed at high risk urban youths. It is the result of the collaborative efforts of the nursing faculty of Lehman College-CUNY and the assistant district attorneys of the Office of the District Attorney of Bronx County. In the program, children learn first hand about career opportunities in nursing and law, and gain incentives to remain drug free. IS - 0028-7644 IL - 0028-7644 PT - Journal Article LG - English DP - 1992 Mar DC - 19920626 YR - 1992 ED - 19920626 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1593288 <723. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1574367 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Virden J FA - Virden, J TI - Impaired nursing: the role of the nurse manager. SO - Pediatric Nursing. 18(2):137-8, 1992 Mar-Apr. AS - Pediatr Nurs. 18(2):137-8, 1992 Mar-Apr. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - UNITED STATES MH - Humans MH - *Nursing Staff MH - *Nursing, Supervisory/mt [Methods] MH - *Professional Impairment MH - *Role MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Impaired nursing practice is a professional and personal problem. As a result of increasing substance abuse and in response to changing theories and attitudes, nurse managers must be better educated on this topic. IS - 0097-9805 IL - 0097-9805 PT - Journal Article LG - English DP - 1992 Mar-Apr DC - 19920604 YR - 1992 ED - 19920604 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1574367 <724. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1573285 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferrell BR AU - McCaffery M AU - Rhiner M FA - Ferrell, B R FA - McCaffery, M FA - Rhiner, M TI - Pain and addiction: an urgent need for change in nursing education. [Review] [37 refs] CM - Comment in: J Pain Symptom Manage. 1992 Nov;7(8):439-40; PMID: 1287104 SO - Journal of Pain & Symptom Management. 7(2):117-24, 1992 Feb. AS - J Pain Symptom Manage. 7(2):117-24, 1992 Feb. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Nursing Journal CP - UNITED STATES MH - *Attitude of Health Personnel MH - *Education, Nursing/st [Standards] MH - Humans MH - *Narcotics/ae [Adverse Effects] MH - Nursing Education Research MH - *Pain/dt [Drug Therapy] MH - Pain/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Textbooks as Topic/st [Standards] AB - Lack of education of health care professionals, including nurses, is frequently cited as a major reason for undertreatment of patients with pain. A reason for undertreatment of pain with opioid analgesics is the irrational fear of creating opioid addiction. To characterize the information nurses receive in their basic education that could contribute to misinformation about this issue, the authors reviewed 14 nursing textbooks, published since 1985, including 8 pharmacology texts and 6 medical surgical texts. An analysis of content revealed that only one textbook correctly stated the definition of opioid addiction and its likelihood following use of opioid analgesics for pain control. Almost all of the texts used confusing terminology, and some erroneously promoted the fear of addiction when opioids are used for pain relief. A simple solution to this problem is to encourage nursing educators to use the American Pain Society publication "Guidelines for Analgesic Use" until textbooks have the opportunity to incorporate correct information. [References: 37] RN - 0 (Narcotics) IS - 0885-3924 IL - 0885-3924 PT - Journal Article PT - Review LG - English DP - 1992 Feb DC - 19920604 YR - 1992 ED - 19920604 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1573285 <725. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1568075 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jack LW FA - Jack, L W TI - Primary prevention of alcohol and other drug use. SO - Journal of School Nursing. 8(2):25-33, 1992 Apr. AS - J Sch Nurs. 8(2):25-33, 1992 Apr. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Child MH - Education, Nursing, Continuing MH - Humans MH - Mass Screening MH - *Primary Prevention/mt [Methods] MH - Risk Factors MH - *School Nursing/mt [Methods] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - School nurses are uniquely positioned to identify and, thus, intervene in alcohol and other drug (AOD) use by students. There is sure to be resistance to the intervention, and it will come from the student, his or her parents, and--possibly--even from a nurse not thoroughly conversant with the biopsychosocial model of AOD use, and thus unwilling to tackle a very difficult problem. This article deals with application of the biopsychosocial model, and suggests methods of screening for students' AOD use. IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 1992 Apr DC - 19920528 YR - 1992 ED - 19920528 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1568075 <726. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1565495 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCaffery M AU - Vourakis C FA - McCaffery, M FA - Vourakis, C TI - Assessment and relief of pain in chemically dependent patients. SO - Orthopaedic Nursing. 11(2):13-27, 1992 Mar-Apr. AS - Orthop Nurs. 11(2):13-27, 1992 Mar-Apr. NJ - Orthopedic nursing PI - Journal available in: Print PI - Citation processed from: Print JC - orn, 8409486 SB - Nursing Journal CP - UNITED STATES MH - Education, Nursing, Continuing MH - Humans MH - *Nursing Assessment/mt [Methods] MH - Pain/co [Complications] MH - *Pain/nu [Nursing] MH - *Patient Care Planning MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/nu [Nursing] AB - The growing number of patients admitted to acute care settings with the dual problem of pain and chemical dependency is bringing this major dilemma to the forefront of clinical nursing practice. Orthopaedics is one of the clinical areas likely to encounter an increased proportion of such patients. The care of chemically dependent patients with pain is not only often enormously challenging but also potentially frustrating. Planning care for these patients is best accomplished with a team approach that includes the expertise of several specialties, particularly pain and addiction. Although considerably more research is needed to identify the most effective approaches to the care of chemically dependent patients with pain, sufficient information now exists to support suggestions for guidelines. This article addresses definitions of pain and chemical dependency, methods of identifying the chemically dependent patient, the prevalence of pain and addiction, clinical conflicts and dilemmas related to relieving pain in addicted patients, a framework for planning care, and specific guidelines for individualizing the plan of care. Orthopaedic nurses are challenged to accept a leadership role in improving the care of chemically dependent patients with pain by evaluating these guidelines and developing additional approaches. IS - 0744-6020 IL - 0744-6020 PT - Journal Article LG - English DP - 1992 Mar-Apr DC - 19920521 YR - 1992 ED - 19920521 RD - 20141009 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1565495 <727. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1560662 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Long P AU - Gelfand G FA - Long, P FA - Gelfand, G IN - Long,P. Department of Family & Community Health Nursing, School of Nursing, State University of New York, Stony Brook 11794. TI - Alcohol education as primary prevention in health care. SO - Journal of Studies on Alcohol. 53(2):101-5, 1992 Mar. AS - J. stud. alcohol. 53(2):101-5, 1992 Mar. NJ - Journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Alcoholism/co [Complications] MH - Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - Attitude of Health Personnel MH - Awareness MH - Curriculum MH - *Education, Nursing MH - Female MH - Humans MH - Male MH - Nursing Assessment MH - *Patient Education as Topic AB - The purpose of this survey research was to identify practicing nurses' knowledge about the biophysiological and psychosocial components of alcohol and its pharmacological effects. Additionally, data were gathered with the intent of assisting nurses in the early identification of and intervention with individuals at risk for the disease of alcoholism. The study consisted of a convenience sample of 298 practicing nurses employed by community hospitals that had been identified as having no specific treatment program for chemical dependency. The investigation obtained self-reported information by means of a questionnaire. The instrument elicited both demographics and the answers to 25 fixed alternative questions designed to obtain information in nine topic areas. Findings indicated that 66% of the nurses incorrectly answered questions aimed at correlating population statistics to the disease of alcoholism and its physiological effects. Questions about knowledge of the pharmacological properties of alcohol were answered incorrectly by 93% of the participants. One-way analysis of variance was computed to compare the total score for each of the variables listed. Conclusions document a critical need for increased alcohol education in basic nursing programs. Content related to the pharmacological properties, the disease concept and the biophysiological and psychosocial effects of alcohol should be included in curriculum design. IS - 0096-882X IL - 0096-882X PT - Journal Article LG - English DP - 1992 Mar DC - 19920511 YR - 1992 ED - 19920511 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1560662 <728. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1547416 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Brien T AU - Kelly M AU - Saunders C FA - O'Brien, T FA - Kelly, M FA - Saunders, C IN - O'Brien,T. St Christopher's Hospice, London. TI - Motor neurone disease: a hospice perspective. CM - Comment in: BMJ. 1992 Feb 22;304(6825):459-60; PMID: 1547412 SO - BMJ. 304(6825):471-3, 1992 Feb 22. AS - BMJ. 304(6825):471-3, 1992 Feb 22. NJ - BMJ (Clinical research ed.) PI - Journal available in: Print PI - Citation processed from: Print JC - 8900488, bmj, 101090866 OI - Source: NLM. PMC1881117 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - ENGLAND MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - *Hospice Care MH - Humans MH - Length of Stay MH - Male MH - Middle Aged MH - Morphine/tu [Therapeutic Use] MH - Motor Neuron Disease/mo [Mortality] MH - *Motor Neuron Disease/th [Therapy] MH - Pain/dt [Drug Therapy] MH - Respiratory Insufficiency/mo [Mortality] MH - Retrospective Studies MH - Terminal Care AB - OBJECTIVE: To describe and evaluate the management of patients with motor neurone disease from the perspective of a hospice. AB - DESIGN: Retrospective analysis of hospice medical and nursing notes. AB - SETTING: Established 62 bed teaching and research hospice. AB - SUBJECTS: 124 patients with motor neurone disease cared for by the hospice between January 1980 and November 1990. AB - MAIN OUTCOME MEASURES: Patient profile; functional status; symptom control and use of opioids; insight; mode and management of death. AB - RESULTS: 124 patients (67 women, 57 men) had a mean age 63.9 years. The median length of admission was 61.5 days (range 1 to 2147). 84 patients (68%) were aware of their diagnosis and its implications when first seen by a hospice doctor. Functionally, the patients were very dependent. Symptoms such as pain, dyspnoea, and insomnia were major problems that responded well to opioids. Many patients were noted to deteriorate "suddenly," and in 58% of cases death occurred within 24 hours of this deterioration. When dying, 106 patients (94%) were peaceful and settled. 101 patients (89%) received opioids during this dying period. No patient chocked to death. AB - CONCLUSIONS: Although motor neurone disease is an uncommon disorder, many of its symptoms occur commonly in medical practice and must be actively treated. Opioids are both safe and effective for such treatment. The term chocking is both inaccurate and inappropriate in describing the cause of death in motor neurone disease and its use should be abandoned. RN - 76I7G6D29C (Morphine) IS - 0959-8138 IL - 0959-535X PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1992 Feb 22 DC - 19920423 YR - 1992 ED - 19920423 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1547416 <729. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1796006 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Santomier JP AU - Hogan PI FA - Santomier, J P FA - Hogan, P I TI - Health implications of alcohol and other drug use. SO - NLN Publications. (15-2407):57-149, 1991 Dec. AS - NLN Publ. (15-2407):57-149, 1991 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Alcohol Drinking MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism MH - Curriculum MH - *Education, Nursing MH - *Health Promotion MH - Humans MH - Risk Factors MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] PT - Journal Article LG - English DP - 1991 Dec DC - 19920409 YR - 1991 ED - 19920409 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1796006 <730. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1796005 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leeds J AU - D'Arcangelo JS FA - Leeds, J FA - D'Arcangelo, J S TI - Prevention of drug and alcohol problems in the school-age child. SO - NLN Publications. (15-2407):535-602, 1991 Dec. AS - NLN Publ. (15-2407):535-602, 1991 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/pc [Prevention & Control] MH - *Child MH - Curriculum MH - *Education, Nursing MH - Humans MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Teaching/mt [Methods] PT - Journal Article LG - English DP - 1991 Dec DC - 19920409 YR - 1991 ED - 19920409 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1796005 <731. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1796004 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, M A TI - The adolescent who uses drugs and alcohol. SO - NLN Publications. (15-2407):425-534, 1991 Dec. AS - NLN Publ. (15-2407):425-534, 1991 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - *Alcoholism MH - Curriculum MH - *Education, Nursing MH - Humans MH - *Psychology, Adolescent MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] PT - Journal Article LG - English DP - 1991 Dec DC - 19920409 YR - 1991 ED - 19920409 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1796004 <732. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1796003 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Louie K FA - Louie, K TI - Dysfunctional patterns in families with drug and alcohol problems. SO - NLN Publications. (15-2407):383-423, 1991 Dec. AS - NLN Publ. (15-2407):383-423, 1991 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/px [Psychology] MH - Curriculum MH - *Education, Nursing MH - *Family MH - Humans MH - *Substance-Related Disorders/px [Psychology] MH - *Teaching/mt [Methods] PT - Journal Article LG - English DP - 1991 Dec DC - 19920409 YR - 1991 ED - 19920409 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1796003 <733. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1796002 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Duthie EA AU - D'Arcangelo JS FA - Duthie, E A FA - D'Arcangelo, J S TI - Pharmacology. SO - NLN Publications. (15-2407):249-382, 1991 Dec. AS - NLN Publ. (15-2407):249-382, 1991 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - *Curriculum MH - *Education, Nursing MH - Humans MH - *Pharmaceutical Preparations MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] RN - 0 (Pharmaceutical Preparations) PT - Journal Article LG - English DP - 1991 Dec DC - 19920409 YR - 1991 ED - 19920409 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1796002 <734. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1796001 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lisanti P FA - Lisanti, P TI - Assessment of the adult client for drug and alcohol use. SO - NLN Publications. (15-2407):151-247, 1991 Dec. AS - NLN Publ. (15-2407):151-247, 1991 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Curriculum MH - *Education, Nursing MH - Humans MH - Nurse-Patient Relations MH - *Nursing Assessment MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - *Teaching/mt [Methods] PT - Journal Article LG - English DP - 1991 Dec DC - 19920409 YR - 1991 ED - 19920409 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1796001 <735. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1796000 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zahourek RP FA - Zahourek, R P TI - Attitudes and values about drug and alcohol use. SO - NLN Publications. (15-2407):1-55, 1991 Dec. AS - NLN Publ. (15-2407):1-55, 1991 Dec. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - *Attitude to Health MH - *Curriculum MH - *Education, Nursing MH - Humans MH - Learning MH - Professional Impairment MH - *Social Values MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] PT - Journal Article LG - English DP - 1991 Dec DC - 19920409 YR - 1991 ED - 19920409 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1796000 <736. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1538176 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hamilton J AU - Edgar L FA - Hamilton, J FA - Edgar, L TI - A survey examining nurses' knowledge of pain control. SO - Journal of Pain & Symptom Management. 7(1):18-26, 1992 Jan. AS - J Pain Symptom Manage. 7(1):18-26, 1992 Jan. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Cross-Sectional Studies MH - *Educational Status MH - Hospitals, University MH - Humans MH - Middle Aged MH - Nursing Education Research MH - *Nursing Staff, Hospital/ed [Education] MH - Pain/dt [Drug Therapy] MH - *Pain/nu [Nursing] MH - Pain/pc [Prevention & Control] MH - Quebec AB - Three hundred and eighteen (318) nursing staff members at an acute care teaching hospital in Montreal, Canada, were surveyed to identify their knowledge of pain assessment and management. Two pain instruments were combined and adapted for use. The final instrument consisted primarily of true/false responses and took about 10 min to complete. The mean score was 63.9%. Overall results indicated that nurses lacked knowledge and understanding of opioid addiction, equivalent dosing, properties of opioids, and differences in acute and chronic pain. No statistically significant differences were found in the scores by level of educational preparation or by years of experience. Presentation of the results unit by unit demonstrated that the instrument is suitable as an educational tool as well as an effective strategy to introduce nursing staff to nursing research. IS - 0885-3924 IL - 0885-3924 PT - Journal Article LG - English DP - 1992 Jan DC - 19920402 YR - 1992 ED - 19920402 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1538176 <737. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1791871 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Louie KB FA - Louie, K B TI - RNs and DAs collaborate to prevent drug abuse. SO - Nursingconnections. 4(4):5-11, 1991. AS - Nursingconnections. 4(4):5-11, 1991. NJ - NursingConnections PI - Journal available in: Print PI - Citation processed from: Print JC - nuc, 8809326, 8809326 SB - Nursing Journal CP - UNITED STATES MH - Career Choice MH - *Community Health Services/og [Organization & Administration] MH - *Criminal Law/og [Organization & Administration] MH - Humans MH - *Interinstitutional Relations MH - New York City MH - *Schools, Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Two unique disciplines have come together in a large urban community to provide a community-based drug prevention program for children--Pupils, Lawyers, and Nurses (P.L.A.N.) Against Drugs. This unique relationship brings two sets of expertise to better respond to the complex problem of drug abuse. The program approaches drug abuse prevention by focusing on law enforcement and nursing as career options for inner city children. Cooperation was emphasized from the initial planning stages through project implementation. Other contributors to this program include school district leaders, teachers, community leaders, representatives from the state division of substance abuse, nursing faculty, and district attorneys. The program has received international and national recognition for its efforts. This paper describes the advantages of the collaborative approach to a complex problem. IS - 0895-2809 IL - 0895-2809 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1991 DC - 19920402 YR - 1991 ED - 19920402 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1791871 <738. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2133632 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Spencer-Strachan FL FA - Spencer-Strachan, F L TI - Attitudes of registered nurses toward perceived substance abusing peers and education specific to substance abuse. SO - ABNF Journal. 1(2):27-32, 1990. AS - ABNF J. 1(2):27-32, 1990. NJ - The ABNF journal : official journal of the Association of Black Nursing Faculty in Higher Education, Inc PI - Journal available in: Print PI - Citation processed from: Print JC - a88, 9112807 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Attitude MH - Education, Nursing, Baccalaureate/st [Standards] MH - Humans MH - Middle Aged MH - New Jersey MH - New York MH - *Peer Group MH - *Professional Impairment MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - A randomized study of 86 senior registered nurse BSN student nurses was conducted to: 1) examine registered nurses' awareness of the effects of substance abuse on their profession; 2) determine their attitudes toward education specific to substance abuse; 3) determine attitudes toward peers perceived as substance abusers; and 4) elicit responses to viewing education as a possible deterrent to drug addiction. Factor analysis for the subscales yielded Cronbach alpha coefficient reliabilities of 0.78 to 0.39. Selected cross tabulations for the independent variables showed no significant influence on the attitudes of respondents. A significant percentage of respondents believed that there was a drug problem in the profession, supported the idea of an educational program on substance abuse, and felt that a specific course could be a deterrent to drug addiction. A significant number also wanted to support the chemically impaired nurse but were less positive about the return of this person to the work place before complete rehabilitation. IS - 1046-7041 IL - 1046-7041 PT - Journal Article LG - English DP - 1990 DC - 19920402 YR - 1990 ED - 19920402 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2133632 <739. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10116032 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hanson CM FA - Hanson, C M IN - Hanson,C M. Graduate Program in Nursing, Georgia Southern University, Statesboro 30460. TI - The 1990s and beyond: determining the need for community health and primary care nurses for rural populations. [Review] [29 refs] SO - Journal of Rural Health. 7(4 Suppl):413-26, 1991. AS - J Rural Health. 7(4 Suppl):413-26, 1991. NJ - The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association PI - Journal available in: Print PI - Citation processed from: Print JC - jx4, 8508122 SB - Health Administration Journals CP - UNITED STATES MH - Community Health Nursing/ma [Manpower] MH - Community Health Nursing/td [Trends] MH - *Health Manpower/td [Trends] MH - *Health Services Needs and Demand/td [Trends] MH - Nurse Anesthetists/sd [Supply & Distribution] MH - Nurse Clinicians/sd [Supply & Distribution] MH - Nurse Clinicians/td [Trends] MH - Nurse Practitioners/sd [Supply & Distribution] MH - Nurse Practitioners/td [Trends] MH - *Primary Nursing/ma [Manpower] MH - Primary Nursing/td [Trends] MH - Professional Practice Location MH - Psychiatric Nursing/ma [Manpower] MH - Psychiatric Nursing/td [Trends] MH - *Rural Health/td [Trends] MH - United States AB - Increased numbers of primary care and advanced practice nurses with unique generalist skills will be required to meet the accelerating physiologic and sociocultural health care needs of rural populations. Several factors have been identified that will influence the demands and position of community-based nurses in rural practice settings during the next decade. A back-to-basics type of health care offered out of a growing elderly population; technological breakthroughs that make it possible for more chronically ill patients to live at home; serious substance abuse and other adolescent problems; AIDS; and high infant morbidity and mortality statistics are only some of the concerns that will demand nursing intervention. These changes speak to the need for improved nursing coordination, stronger collegial relationships, and better communication between physicians and nurses. Health care is moving in new directions to offer more efficient and technologically sophisticated care. These changes enhance the need for clinically expert educators who teach and jointly practice in programs with a rural focus. Telecommunications, and heightened computer literacy, will play a major role both in nursing education and clinical practice. The goals of kindergarten through 12th grade health promotion and disease prevention strategies in school health will be the norm and will require better prepared, and positions for, school nurses. More midwives and public health nurses will be needed to care for the growing population of sexually active adolescents who are in need of family planning and prenatal care. Underinsured and indigent populations will continue to fall within the purview of midlevel practitioners, as will providing anesthesia services in small rural hospitals. The transition of some rural hospitals into expanded primary care units (e.g., EACHs and RPCHs), and new models of case management will greatly influence nursing demands. This paper will further identify critical areas of advanced practice nursing within community settings, including new relationships with other health care providers, and will introduce strategies upon which rural health policy recommendations for the 1990s can be addressed. [References: 29] IS - 0890-765X IL - 0890-765X PT - Journal Article PT - Review LG - English DP - 1991 DC - 19920311 YR - 1991 ED - 19920311 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10116032 <740. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1732867 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brooke PS FA - Brooke, P S TI - Liability issue related to advising and counseling on health issues. SO - Nurse Educator. 17(1):3-4, 1992 Jan-Feb. AS - Nurse Educ. 17(1):3-4, 1992 Jan-Feb. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/pc [Prevention & Control] MH - Human Rights MH - Humans MH - *Liability, Legal MH - Schools, Nursing MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States MH - Universities IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1992 Jan-Feb DC - 19920227 YR - 1992 ED - 19920227 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1732867 <741. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1732865 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sisney KF FA - Sisney, K F TI - Intervention: a strategy to help chemically dependent students. SO - Nurse Educator. 17(1):28-9, 1992 Jan-Feb. AS - Nurse Educ. 17(1):28-9, 1992 Jan-Feb. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - Alcoholism/rh [Rehabilitation] MH - Female MH - Humans MH - *Peer Group MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Chemical dependence in nursing students is not a pleasant reality to face. However, facing rather than denying this disease in our students may help to save a valuable professional resource. The author describes how one nurse educator used the chemical dependence tool of intervention as a strategy to help a student eventually enter the nursing profession. IS - 0363-3624 IL - 0363-3624 PT - Case Reports PT - Journal Article LG - English DP - 1992 Jan-Feb DC - 19920227 YR - 1992 ED - 19920227 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1732865 <742. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1732863 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gerace LM AU - Sullivan E AU - Murphy SA AU - Cotter F FA - Gerace, L M FA - Sullivan, E FA - Murphy, S A FA - Cotter, F TI - Faculty development and curriculum change in substance abuse. SO - Nurse Educator. 17(1):25-7, 1992 Jan-Feb. AS - Nurse Educ. 17(1):25-7, 1992 Jan-Feb. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Continuing MH - *Faculty, Nursing MH - Humans MH - Program Evaluation MH - *Substance-Related Disorders AB - What approaches can be used to upgrade nursing education and clinical skills in alcohol and drug abuse? The authors discuss the development of faculty and curricula in three schools of nursing. The programs described are part of a national initiative to ensure that health care professionals have basic knowledge and clinical skills in screening, assessment, intervention, and the appropriate use of referral systems for clients with substance abuse problems. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1992 Jan-Feb DC - 19920227 YR - 1992 ED - 19920227 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1732863 <743. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1770388 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wiley K AU - Gibbs B AU - Kahn S AU - Karlman R AU - Tse A AU - Perez-Woods R FA - Wiley, K FA - Gibbs, B FA - Kahn, S FA - Karlman, R FA - Tse, A FA - Perez-Woods, R IN - Wiley,K. Loyola University, Chicago, Illinois. TI - Prevalence of illicit drug use among prenatal patients and predictive validity of nurses' judgments. SO - Journal of Perinatology. 11(4):330-5, 1991 Dec. AS - J Perinatol. 11(4):330-5, 1991 Dec. NJ - Journal of perinatology : official journal of the California Perinatal Association PI - Journal available in: Print PI - Citation processed from: Print JC - jfp, 8501884 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Ambulatory Care Facilities MH - Analysis of Variance MH - Chi-Square Distribution MH - Female MH - Humans MH - Internship and Residency MH - Judgment MH - Medical Staff, Hospital MH - Midwestern United States MH - *Nurses/px [Psychology] MH - Pregnancy MH - *Pregnancy Complications/ep [Epidemiology] MH - Pregnancy Complications/ur [Urine] MH - Prevalence MH - Street Drugs/ur [Urine] MH - *Street Drugs MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/ur [Urine] AB - The purposes of this investigation were to: (1) estimate the prevalence of illicit drug use within the prenatal population of a midwestern suburban ambulatory care center; (2) explore the relationship between nurses' judgments of patient illicit drug use and urine toxicology results; and (3) determine if a difference exists between nurses' judgments of illicit drug use by private physicians' patients (PPP) and nurses' judgments of illicit drug use by resident physicians' patients (RPP). For a 16-week period, all new prenatal patients (N = 189) were included in this study; 78 (41%) were in the RPP group and 111 (59%) were in the PPP group. Urine remaining from routine urinalysis was assayed for seven drugs or drug classes. Fourteen (7.5%) subjects tested positive for illicit drugs, 8 (10.3%) in the RPP group, and 6 (5.4%) in the PPP group (chi 2, P greater than .33). Using a Likert-type scale, nurses rated the likelihood of a positive result of each patient's urine test. Nurses' judgments of patient illicit drug use and positive results were related, r = .28. Nurses were more likely (P less than .0001) to suspect residents' patients of illicit drug use than private physicians' patients. RN - 0 (Street Drugs) IS - 0743-8346 IL - 0743-8346 PT - Comparative Study PT - Journal Article LG - English DP - 1991 Dec DC - 19920227 YR - 1991 ED - 19920227 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1770388 <744. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1761996 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hyman Z AU - Haughey BP AU - Dittmar SS AU - Cookman CL AU - McKaig C AU - Crosby F FA - Hyman, Z FA - Haughey, B P FA - Dittmar, S S FA - Cookman, C L FA - McKaig, C FA - Crosby, F TI - Chemical impairment in colleagues: perceptions of Western New York nurses. SO - Journal of the New York State Nurses Association. 22(4):6-10, 1991 Dec. AS - J N Y State Nurses Assoc. 22(4):6-10, 1991 Dec. NJ - The Journal of the New York State Nurses' Association PI - Journal available in: Print PI - Citation processed from: Print JC - jfh, 7507218 SB - Nursing Journal CP - UNITED STATES MH - Humans MH - Interprofessional Relations MH - New York MH - *Nursing Staff MH - *Professional Impairment MH - Social Responsibility MH - Social Support MH - Societies, Nursing MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - The purpose of this study was to determine nurses' perceptions about substance abuse in professional colleagues, opinions about strategies for dealing with substance abuse, and knowledge about resources available for dealing with the problem of chemical impairment. Subjects included a convenience sample of 161 nurses from Western New York. Data were gathered by a questionnaire that included "The Perceptions of Nursing Impairment Inventory" and items regarding respondents' background characteristics, suspicions about alcohol and drug abuse in nurse colleagues, and knowledge about and use of peer assistance services available through District I of the New York State Nurses Association. The major outcome of the study was identification of a knowledge deficit on the extent of the substance abuse problem in nursing, ability to recognize an impaired colleague, and awareness of services available. These data substantiate the need for implementing educational programs to increase nurses' basic knowledge of, and sensitivity to, the problem of chemical dependency. IS - 0028-7644 IL - 0028-7644 PT - Journal Article LG - English DP - 1991 Dec DC - 19920207 YR - 1991 ED - 19920207 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1761996 <745. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1758820 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Doyle D FA - Doyle, D IN - Doyle,D. St Columba's Hospice, Edinburgh. TI - Morphine: myths, morality and economics. SO - Postgraduate Medical Journal. 67 Suppl 2:S70-3, 1991. AS - Postgrad Med J. 67 Suppl 2:S70-3, 1991. NJ - Postgraduate medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - pfx, 0234135 SB - Index Medicus CP - ENGLAND MH - Humans MH - *Morphine/ad [Administration & Dosage] MH - Morphine/ae [Adverse Effects] MH - Morphine/tu [Therapeutic Use] MH - *Pain/dt [Drug Therapy] AB - It is a tragedy that morphine is scarcely available for between 1.3 and 2.5 billion people whilst 3.5 million cancer patients suffer needlessly. In only 10 countries is its consumption rising, in many more only codeine consumption shows an increase, and in many areas even in the Western world prescribing is grossly limited, fears of psychological addiction persist, professional education of doctors and nurses in analgesia remains minimal and too much importance is attached to expensive sophisticated methods of administration. Doctors have a professional and a moral responsibility to press for improved morphine availability in the most useful and economical forms worldwide. RN - 76I7G6D29C (Morphine) IS - 0032-5473 IL - 0032-5473 PT - Journal Article LG - English DP - 1991 DC - 19920131 YR - 1991 ED - 19920131 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1758820 <746. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1748461 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klick GA FA - Klick, G A TI - Collegial support for the addicted nurse. SO - Imprint. 38(4):76, 79, 81, 1991 Nov-Dec. AS - Imprint. 38(4):76, 79, 81, 1991 Nov-Dec. NJ - Imprint PI - Journal available in: Print PI - Citation processed from: Print JC - ghc, 0163356, 0163356 SB - Nursing Journal CP - UNITED STATES MH - Curriculum MH - Education, Nursing, Baccalaureate/st [Standards] MH - *Faculty, Nursing MH - Humans MH - *Professional Impairment MH - Social Support MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] IS - 0019-3062 IL - 0019-3062 PT - Journal Article LG - English DP - 1991 Nov-Dec DC - 19920123 YR - 1991 ED - 19920123 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1748461 <747. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1748460 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sisney KF AU - Taylor PA FA - Sisney, K F FA - Taylor, P A TI - Conquering the challenge of student chemical dependence. SO - Imprint. 38(4):71, 73, 75, 1991 Nov-Dec. AS - Imprint. 38(4):71, 73, 75, 1991 Nov-Dec. NJ - Imprint PI - Journal available in: Print PI - Citation processed from: Print JC - ghc, 0163356, 0163356 SB - Nursing Journal CP - UNITED STATES MH - Female MH - Hospitalization MH - Humans MH - *Professional Impairment/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] IS - 0019-3062 IL - 0019-3062 PT - Case Reports PT - Journal Article LG - English DP - 1991 Nov-Dec DC - 19920123 YR - 1991 ED - 19920123 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1748460 <748. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1748458 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, M A TI - Impaired nursing practice: evolution of a professional issue. SO - Imprint. 38(4):69-70, 1991 Nov-Dec. AS - Imprint. 38(4):69-70, 1991 Nov-Dec. NJ - Imprint PI - Journal available in: Print PI - Citation processed from: Print JC - ghc, 0163356, 0163356 SB - Nursing Journal CP - UNITED STATES MH - Curriculum MH - Education, Nursing/st [Standards] MH - Humans MH - *Nurses MH - *Professional Impairment MH - Societies, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0019-3062 IL - 0019-3062 PT - Journal Article LG - English DP - 1991 Nov-Dec DC - 19920123 YR - 1991 ED - 19920123 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1748458 <749. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1658275 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Greenhill ED AU - Skinner K FA - Greenhill, E D FA - Skinner, K IN - Greenhill,E D. University of Tennessee, College of Nursing, Memphis 38163. TI - Impaired nursing students: an intervention program. SO - Journal of Nursing Education. 30(8):379-81, 1991 Oct. AS - J Nurs Educ. 30(8):379-81, 1991 Oct. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Confidentiality MH - Education, Nursing, Baccalaureate MH - Humans MH - Organizational Objectives MH - *Preventive Health Services/og [Organization & Administration] MH - *Professional Impairment/px [Psychology] MH - Professional Impairment/sn [Statistics & Numerical Data] MH - *Student Health Services/og [Organization & Administration] MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Tennessee IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1991 Oct DC - 19911226 YR - 1991 ED - 19911226 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1658275 <750. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1930604 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Messner RL AU - Banonis BC AU - Van Horn FE FA - Messner, R L FA - Banonis, B C FA - Van Horn, F E TI - Chemical abuse in nurses. We must no longer enable, ignore, deny, or excuse this growing public and professional epidemic. SO - Advancing Clinical Care. 6(6):6-7, 1991 Nov-Dec. AS - Adv Clin Care. 6(6):6-7, 1991 Nov-Dec. NJ - Advancing clinical care : official journal of NOAADN PI - Journal available in: Print PI - Citation processed from: Print JC - ac8, 8912856, 8912856 SB - Nursing Journal CP - UNITED STATES MH - Education, Nursing MH - Humans MH - *Nurses/px [Psychology] MH - Nursing Assessment MH - Professional Impairment/px [Psychology] MH - *Professional Impairment MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders AB - Chemical abuse is a symptom of a deep and complex physical, psychosocial, and spiritual problem which, in the nurse, can have particularly disastrous results. Clearly there is no "quick fix," nor one solution. Education is a crucial element in the prevention, early identification, and timely treatment of chemical abuse. When awareness is increased, nurses will be better prepared to recognize, prevent, and confront the growing problem of chemical abuse in the profession and in society at large. IS - 1042-9565 IL - 1042-9565 PT - Journal Article LG - English DP - 1991 Nov-Dec DC - 19911223 YR - 1991 ED - 19911223 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1930604 <751. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1930378 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hagemaster JN FA - Hagemaster, J N TI - Alcohol and other drug abuse. Current perspectives for occupational health nurses. SO - AAOHN Journal. 39(10):456-60, 1991 Oct. AS - AAOHN J. 39(10):456-60, 1991 Oct. NJ - AAOHN journal : official journal of the American Association of Occupational Health Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 8608669, aa0 SB - Nursing Journal CP - UNITED STATES MH - Humans MH - Occupational Diseases/et [Etiology] MH - *Occupational Diseases/nu [Nursing] MH - Occupational Diseases/th [Therapy] MH - *Occupational Health Nursing/mt [Methods] MH - Patient Education as Topic/mt [Methods] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/th [Therapy] AB - 1. Trends in alcohol, drug, and tobacco use indicate that the upward surge of the 1960s and 1970s has subsided, but the amount of drug use in this country is still higher than in any other industrial nation. Risk factors associated with age, gender, culture, and family point to a significant increase in the number of individuals in the work force with a substance abuse problem. 2. The etiology of alcohol and other drug addictions is a subject of controversy. One position adheres to biological determinants of disease, another adheres to psychological disorders. 3. Implications for nurses involve effective teaching/learning strategies that range from didactic content emphasizing long term consequences of the disease to specific methods of employee instruction. IS - 0891-0162 IL - 0891-0162 PT - Journal Article LG - English DP - 1991 Oct DC - 19911220 YR - 1991 ED - 19911220 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1930378 <752. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1941272 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Long P AU - Gelfand G AU - McGill D FA - Long, P FA - Gelfand, G FA - McGill, D TI - Inclusion of alcoholism and drug abuse content in curricula of varied health care professions. SO - Journal of the New York State Nurses Association. 22(1):9-12, 1991 Mar. AS - J N Y State Nurses Assoc. 22(1):9-12, 1991 Mar. NJ - The Journal of the New York State Nurses' Association PI - Journal available in: Print PI - Citation processed from: Print JC - jfh, 7507218 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - *Curriculum MH - *Education, Dental MH - *Education, Medical MH - *Education, Nursing MH - Humans MH - New York MH - Schools, Dental MH - Schools, Medical MH - Schools, Nursing MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - Alcoholism and drug abuse are prevalent health problems in the United States. Practitioners in nursing, medicine, and dentistry need to be cognizant of the insidious signs of chemical dependency. A descriptive survey using a researcher-designed questionnaire yielded a sample which consisted of 11 medical schools, 2 dental schools, 25 baccalaureate and higher degree nursing programs, and 38 associate degree nursing programs. The survey findings indicated that the curricula for nursing, medicine, and dentistry were inadequate in chemical dependency content. This survey evidenced the need for a stronger educational effort addressing both knowledge of alcoholism/drug abuse and impaired professional practice in the curricula of the health professional programs examined. IS - 0028-7644 IL - 0028-7644 PT - Journal Article LG - English DP - 1991 Mar DC - 19911218 YR - 1991 ED - 19911218 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1941272 <753. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1937517 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Williams AB FA - Williams, A B TI - Women at risk: an AIDS educational needs assessment. SO - Image - the Journal of Nursing Scholarship. 23(4):208-13, 1991. AS - Image J Nurs Sch. 23(4):208-13, 1991. NJ - Image--the journal of nursing scholarship PI - Journal available in: Print PI - Citation processed from: Print JC - gg1, 8400753 SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - Acquired Immunodeficiency Syndrome/px [Psychology] MH - *Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Adult MH - Contraceptive Devices, Male MH - Female MH - *Health Education MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Interviews as Topic MH - Needle Sharing/ae [Adverse Effects] MH - Risk Factors MH - Sexual Behavior MH - Sexual Partners MH - Substance Abuse, Intravenous AB - In order to acquire the information nurses need to develop education and support programs for women at risk for Acquired Immunodeficiency Syndrome (AIDS), a qualitative needs assessment of women at risk was conducted. Interviews were conducted with 21 women who were at risk for AIDS through their own injection drug use or as the heterosexual partners of injection drug users. Results were analyzed using the variables of the Health Belief Model, including the concept of self-efficacy. The perception of AIDS as a serious and a personal health threat motivated these women to practice both "safe sex" and "safe drug use." However, they did not always believe that recommended health behaviors would be effective; and they noted significant costs associated with these behaviors. In addition, the impact of AIDS was seen to be a heightening of the isolation and mistrust which were characteristic of the injection drug using community before the epidemic. AIDS programs for women at risk should facilitate discussion of social and community issues and should emphasize hope rather than fear. IS - 0743-5150 IL - 0743-5150 PT - Journal Article LG - English DP - 1991 DC - 19911217 YR - 1991 ED - 19911217 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1937517 <754. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1658261 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Swenson I AU - Foster BH AU - Champagne M FA - Swenson, I FA - Foster, B H FA - Champagne, M IN - Swenson,I. School of Nursing, University of North Carolina, Chapel Hill 27599. TI - Responses of schools of nursing to physically, mentally, and substance-impaired students. SO - Journal of Nursing Education. 30(7):320-5, 1991 Sep. AS - J Nurs Educ. 30(7):320-5, 1991 Sep. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Disabled Persons MH - Education, Nursing, Associate MH - Education, Nursing, Baccalaureate MH - Education, Nursing, Graduate MH - Humans MH - *School Admission Criteria/sn [Statistics & Numerical Data] MH - *Schools, Nursing MH - Students, Nursing MH - *Substance-Related Disorders MH - United States AB - Responses of schools of nursing to physically, mentally, and substance-impaired applicants and matriculating students were assessed in a 12% simple random sample (n = 132) of the 383 baccalaureate and 715 associate degree nursing schools and programs accredited by the National League for Nursing. A self-administered questionnaire concerning experiences, policies, procedures, and factors influencing decision-making was sent to the 132 deans and directors of the nursing schools and programs. Criteria for defining impairments, resources for developing criteria, methods of identifying impairments, actions taken, and individuals involved in the decision were also assessed. While the schools used external resources to guide decision-making, the majority of the responsibility was with the school of nursing faculty and administration. Schools offered a range of options for impaired individuals continuing in the program while under treatment; nevertheless, seeking treatment was a frequent requirement for continuation in the program. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1991 Sep DC - 19911129 YR - 1991 ED - 19911129 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1658261 <755. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1919820 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hulman S AU - Edwards R AU - Chen YQ AU - Polansky M AU - Falkner B FA - Hulman, S FA - Edwards, R FA - Chen, Y Q FA - Polansky, M FA - Falkner, B IN - Hulman,S. Medical College of Pennsylvania, Department of Pediatrics, Philadelphia 19129. TI - Blood pressure patterns in the first three days of life. SO - Journal of Perinatology. 11(3):231-4, 1991 Sep. AS - J Perinatol. 11(3):231-4, 1991 Sep. NJ - Journal of perinatology : official journal of the California Perinatal Association PI - Journal available in: Print PI - Citation processed from: Print JC - jfp, 8501884 SB - Index Medicus CP - UNITED STATES MH - Analysis of Variance MH - Birth Weight MH - *Blood Pressure/ph [Physiology] MH - Diastole MH - Gestational Age MH - Humans MH - *Infant, Newborn/ph [Physiology] MH - Systole MH - Time Factors AB - Current blood pressure data for healthy newborn infants consist primarily of single measurements of systolic and diastolic pressure in the first 48 hours of life. The purpose of this study was to determine if blood pressure levels are stable or are changing during the first few days of life. To determine blood pressure level and trend, indirect blood pressure was measured on day 1 through day 3 of life in all infants admitted to the well newborn nursery at Hahnemann University Hospital in Philadelphia. Systolic pressure correlated significantly with birthweight on day 1 of life (P less than .03). Repeated measures analysis of variance demonstrated a significant increase in both systolic and diastolic pressures over the first 72 hours of life (P less than .001). There was no difference in blood pressure among racial groups (black, Hispanic, white, Asian). In healthy newborns, there was no correlation of blood pressure with maternal conditions: toxemia, diabetes, substance abuse. These data demonstrate that blood pressure correlates with birthweight in well newborns. There is, however, a significant progressive increase in both systolic and diastolic blood pressure over the first 3 days of life, regardless of birthweight or maternal conditions. IS - 0743-8346 IL - 0743-8346 PT - Comparative Study PT - Journal Article LG - English DP - 1991 Sep DC - 19911121 YR - 1991 ED - 19911121 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1919820 <756. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1923012 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McConnell E AU - Lewis LW FA - McConnell, E FA - Lewis, L W TI - Self-test. Managing the patient with cirrhosis. SO - Nursing. 21(10):106-8, 1991 Oct. AS - Nursing. 21(10):106-8, 1991 Oct. NJ - Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oa3, 7600137 SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing, Continuing/st [Standards] MH - *Educational Measurement MH - Humans MH - *Liver Cirrhosis, Alcoholic/nu [Nursing] MH - Liver Cirrhosis, Alcoholic/pp [Physiopathology] MH - Liver Cirrhosis, Alcoholic/th [Therapy] MH - Male MH - Middle Aged IS - 0360-4039 IL - 0360-4039 PT - Case Reports PT - Journal Article LG - English DP - 1991 Oct DC - 19911107 YR - 1991 ED - 19911107 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1923012 <757. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1920515 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Skinner A AU - Walls L AU - Brown LS Jr FA - Skinner, A FA - Walls, L FA - Brown, L S Jr IN - Skinner,A. Division of Medical Services, Evaluation and Research, Addiction Research and Medical Affairs, Brooklyn, New York. TI - AIDS-related behavioral research and nursing. [Review] [57 refs] SO - Journal of the National Medical Association. 83(7):585-9, 1991 Jul. AS - J Natl Med Assoc. 83(7):585-9, 1991 Jul. NJ - Journal of the National Medical Association PI - Journal available in: Print PI - Citation processed from: Print JC - j9z, 7503090 OI - Source: NLM. PMC2627133 SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Humans MH - Nursing Research MH - Risk Factors MH - *Sexual Behavior MH - *Substance Abuse, Intravenous AB - As efforts targeted at producing an effective vaccine or a definitive cure are still in early stages of development, health education and prevention continue to be this country's major line of defense against acquired immunodeficiency syndrome (AIDS). This defense is dependent on knowledge of behaviors that place individuals at risk of human immunodeficiency virus (HIV) exposure and disease progression. This article reviews the critical points in our state of knowledge and offers additional areas of need. Research is needed to determine a database of persons who use psychoactive substances and to understand the HIV-associated behaviors linked to drug use. Epidemiologic studies are necessary to appreciate the sexual, contraceptive, and childbearing practices of users of any psychoactive substance. Greater emphasis also is needed to investigate the inherent effects of various psychoactive substances on the immune, neurologic, and endocrine systems. While biomedical research continues, it is apparent that research from behavioral studies are crucial to education and prevention efforts. Nurse investigators are well-positioned to play an important role in accumulating this information. Given the critical role of drug abuse in the HIV epidemic, the public health significance cannot be overestimated. [References: 57] IS - 1943-4693 IL - 0027-9684 PT - Journal Article PT - Review LG - English DP - 1991 Jul DC - 19911029 YR - 1991 ED - 19911029 RD - 20151225 UP - 20151228 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=1920515 <758. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1920515 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Skinner A AU - Walls L AU - Brown LS Jr FA - Skinner, A FA - Walls, L FA - Brown, L S Jr IN - Skinner,A. Division of Medical Services, Evaluation and Research, Addiction Research and Medical Affairs, Brooklyn, New York. TI - AIDS-related behavioral research and nursing. [Review] [57 refs] SO - Journal of the National Medical Association. 83(7):585-9, 1991 Jul. AS - J Natl Med Assoc. 83(7):585-9, 1991 Jul. NJ - Journal of the National Medical Association PI - Journal available in: Print PI - Citation processed from: Print JC - j9z, 7503090 OI - Source: NLM. PMC2627133 SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Humans MH - Nursing Research MH - Risk Factors MH - *Sexual Behavior MH - *Substance Abuse, Intravenous AB - As efforts targeted at producing an effective vaccine or a definitive cure are still in early stages of development, health education and prevention continue to be this country's major line of defense against acquired immunodeficiency syndrome (AIDS). This defense is dependent on knowledge of behaviors that place individuals at risk of human immunodeficiency virus (HIV) exposure and disease progression. This article reviews the critical points in our state of knowledge and offers additional areas of need. Research is needed to determine a database of persons who use psychoactive substances and to understand the HIV-associated behaviors linked to drug use. Epidemiologic studies are necessary to appreciate the sexual, contraceptive, and childbearing practices of users of any psychoactive substance. Greater emphasis also is needed to investigate the inherent effects of various psychoactive substances on the immune, neurologic, and endocrine systems. While biomedical research continues, it is apparent that research from behavioral studies are crucial to education and prevention efforts. Nurse investigators are well-positioned to play an important role in accumulating this information. Given the critical role of drug abuse in the HIV epidemic, the public health significance cannot be overestimated. [References: 57] IS - 0027-9684 IL - 0027-9684 PT - Journal Article PT - Review LG - English DP - 1991 Jul DC - 19911029 YR - 1991 ED - 19911029 RD - 20131002 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1920515 <759. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1891407 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kneisl CR FA - Kneisl, C R IN - Kneisl,C R. Nursing Transitions, Inc., Williamsville, New York. TI - Healing the wounded, neglected inner child of the past. SO - Nursing Clinics of North America. 26(3):745-55, 1991 Sep. AS - Nurs Clin North Am. 26(3):745-55, 1991 Sep. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Child MH - *Child Abuse/px [Psychology] MH - Family/px [Psychology] MH - Feeding and Eating Disorders/et [Etiology] MH - Feeding and Eating Disorders/px [Psychology] MH - Feeding and Eating Disorders/th [Therapy] MH - Humans MH - Interpersonal Relations MH - *Psychology, Child MH - Surveys and Questionnaires AB - Childhood experiences of the past can have a destructive effect on the present. The inner child in each person is the core of the personality that has been molded by the directions on how to act to be loved that the person receives in childhood. Painful experiences and lack of nurturing in dysfunctional families wound the inner child and contaminate adult experiences. Many persons with eating disorders have a wounded or neglected inner child that affects their adult lives. Characteristically, they demonstrate problems with trust, intimacy, addictive and compulsive behaviors, and codependence among others. Healing the inner child by grieving neglected childhood developmental needs is a long process, but one that improves the quality of one's life. Nurses, depending on their educational background and clinical skills, can help clients move toward understanding and healing the wounded, neglected inner child of the past. IS - 0029-6465 IL - 0029-6465 PT - Journal Article LG - English DP - 1991 Sep DC - 19911016 YR - 1991 ED - 19911016 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1891407 <760. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1889917 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Walfish S AU - Stenmark DE AU - Shealy SE AU - Krone AM FA - Walfish, S FA - Stenmark, D E FA - Shealy, S E FA - Krone, A M IN - Walfish,S. University of South Florida. TI - MMPI profiles of impaired nurses. SO - International Journal of the Addictions. 26(2):189-94, 1991 Feb. AS - Int J Addict. 26(2):189-94, 1991 Feb. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Alcoholics Anonymous MH - Alcoholism/px [Psychology] MH - *Alcoholism/rh [Rehabilitation] MH - Female MH - Humans MH - *MMPI/sn [Statistics & Numerical Data] MH - Male MH - *Nurses/px [Psychology] MH - Opioid-Related Disorders/px [Psychology] MH - Opioid-Related Disorders/rh [Rehabilitation] MH - Psychometrics MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - The MMPI profiles of 42 nurses presenting themselves for treatment of alcoholism or opiate addiction in a residential setting were examined. When comparisons were made, no significant differences in this sample emerged based on sex, level of professional training, or drug of choice. Results suggested that a significant elevation emerged on the Pd scale, and the D scale approached clinical significance. The clinical implications of these data as they impact the treatment of impaired nurses are discussed. IS - 0020-773X IL - 0020-773X PT - Journal Article LG - English DP - 1991 Feb DC - 19911015 YR - 1991 ED - 19911015 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1889917 <761. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1885955 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Powell DL FA - Powell, D L TI - Health care crisis in the black community: challenges prospects, and the black nurse. SO - Journal of National Black Nurses Association. 5(1):3-10, 1991 Fall-Winter. AS - J Natl Black Nurses Assoc. 5(1):3-10, 1991 Fall-Winter. NJ - Journal of National Black Nurses' Association : JNBNA PI - Journal available in: Print PI - Citation processed from: Print JC - jas, 8703519, 8703519 SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - *African Americans MH - *Delivery of Health Care/st [Standards] MH - *Health Status MH - Humans MH - *Nurses MH - United States AB - The Black community, particularly in major urban settings, is faced with escalating social, economic, and life-style problems, which threaten the life and well-being of current and future generations of Black people in crisis proportion. The rising number of deaths due to heart disease and stroke, homicide and accidents related to substance abuse, AIDS, cancer, and infant mortality are among the leading culprits. They interfere with prospects of longevity, joblessness, poverty, and homelessness and further complicate the crisis. These problems have implications for the practice of nursing. The magnitude of the problems dictate the need for modifications in the health care delivery system and how future practitioners of nursing are educated. The inextricable role of the community, although often underaddressed, in solving its own problems is among the promising strategies for resolving the crisis. Black nurses, in particular, must accept the challenge and the opportunity to test innovative and sensitive interventive strategies which will enable the Black community to emerge from the complex and haunting problems which threaten well-being. IS - 0885-6028 IL - 0885-6028 PT - Journal Article LG - English DP - 1991 Fall-Winter DC - 19911010 YR - 1991 ED - 19911010 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1885955 <762. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1880347 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stolley JM AU - Buckwalter KC AU - Fjordbak B AU - Bush S FA - Stolley, J M FA - Buckwalter, K C FA - Fjordbak, B FA - Bush, S TI - Iatrogenesis in the elderly. Drug-related problems. SO - Journal of Gerontological Nursing. 17(9):12-7, 1991 Sep. AS - J Gerontol Nurs. 17(9):12-7, 1991 Sep. NJ - Journal of gerontological nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7510258, iax SB - Nursing Journal CP - UNITED STATES MH - Aged MH - *Drug Hypersensitivity/et [Etiology] MH - Drug Hypersensitivity/nu [Nursing] MH - Drug Incompatibility MH - Drug Interactions MH - *Drug-Related Side Effects and Adverse Reactions MH - Geriatric Nursing MH - Humans MH - *Iatrogenic Disease AB - Drug reactions are generally related to the influence of age, toxicity, side effects, immunologic reactions, idiosyncratic reactions, drug-drug interactions, and drug-disease interactions. In addition to age-related changes, the elderly are susceptible to the incidence of adverse drug reactions because of polypharmacy, incorrect self-administration of drugs, omission of drugs, taking another's prescriptions, use of over-the-counter drugs, and medication errors by health-care personnel. To prevent or predict adverse drug reactions, the gerontologic nurse can obtain thorough drug histories, educate clients and health-care providers, use nursing measures to alleviate symptoms, and be astute for the potential for problems through drug review. IS - 0098-9134 IL - 0098-9134 PT - Journal Article LG - English DP - 1991 Sep DC - 19911003 YR - 1991 ED - 19911003 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1880347 <763. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1873135 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mason J AU - Preisinger J AU - Sperling R AU - Walther V AU - Berrier J AU - Evans V FA - Mason, J FA - Preisinger, J FA - Sperling, R FA - Walther, V FA - Berrier, J FA - Evans, V IN - Mason,J. Mount Sinai Medical Center, Department of Social Work Services New York, NY 10029. TI - Incorporating HIV education and counseling into routine prenatal care: a program model. SO - AIDS Education & Prevention. 3(2):118-23, 1991. AS - AIDS Educ Prev. 3(2):118-23, 1991. NJ - AIDS education and prevention : official publication of the International Society for AIDS Education PI - Journal available in: Print PI - Citation processed from: Print JC - auy, 9002873 OI - Source: PIP. 067709 OI - Source: POP. 00204355 SB - Index Medicus SB - Population Information Citations SB - AIDS/HIV Journals CP - UNITED STATES MH - Ambulatory Care MH - Counseling MH - Female MH - HIV Infections/ep [Epidemiology] MH - *HIV Infections/pc [Prevention & Control] MH - HIV Infections/tm [Transmission] MH - *Health Education MH - Humans MH - Maternal-Fetal Exchange MH - New York City/ep [Epidemiology] MH - Pregnancy MH - *Prenatal Care MH - *Program Evaluation MH - Social Support MH - Social Work MH - Substance Abuse, Intravenous/co [Complications] MH - Substance Abuse, Intravenous/ep [Epidemiology] MH - Women's Health KW - *Acquired Immunodeficiency Syndrome--prevention and control; Americas; Clinic Activities; *Counseling; Delivery Of Health Care; Developed Countries; Diseases; Education; Health; *Health Education; Health Facilities; *Health Services; *Hiv Infections--prevention and control; *Hospitals; Maternal Health Services; Maternal-child Health Services; New York; North America; Northern America; Organization And Administration; *Prenatal Care; Primary Health Care; Program Activities; *Program Evaluation; Programs; United States; Viral Diseases AB - This article reports how a prenatal clinic in a major urban teaching hospital has developed and integrated an HIV education and counseling program into routine prenatal care. The patient population served are predominantly minority women living in an inner-city community that has been disproportionately affected by the AIDS epidemic. Implementation of the patient program has required training and support for all professional staff. Staff training served as a foundation for this comprehensive patient program, which has reached all prenatal patients regardless of risk behavior. The program has succeeded in involving a large population of women in an educational program, has identified HIV-1 seropositive pregnant women through voluntary testing, and has provided them with the necessary medical and social work services. Principles of program development are identified for use in other settings. OA - PIP: The process of incorporating HIV education and counseling into the Mount Sinai Medical Center's prenatal clinic in New York City is provided in terms of background, the patient program, evaluation, and conclusions. There have been endorsements for inclusion of HIV testing and education in the practice of prenatal care and reported effectiveness in delaying the onset of AID's associated infections. The prenatal clinic provides health care to predominantly minority women (36% African American and 55% Hispanic) of whom 10-12% report intravenous or nonintravenous drug use; clinic births are about 1600 a year. Early attempts in 1986-7 to provide anonymous testing and counseling demonstrated the need to reach a large audience. Observations were that considerable staff training and support was needed for an effective patient program. Encouragement and support was also needed by patients. 8 one hour training sessions were provided to the nurses, as well as a 21 hour state certification program for the social workers, both groups of whom worked directly with patients. Intense reactions to caring for HIV infected persons occurs and emotional support must be included in the training. Additional staff support was provided through an AIDs prevention grant for a year. Continuous staff training is required. Another grant provided a clinical social worker and program coordinator who worked closely with the clinic director. The target was to integrate the HIV/AIDs information into routine clinic services; specifically, a 45 minute orientation session during patient's first medical visit. The groups discussion session is lead by the nurse's introduction to the clinic, patient care, and screening, and followed by the social worker's comments on voluntary HIV screening. Nonambiguous language which is understood by various educational levels was used. Patients needed more time to discuss the concerns for dealing with their partners about STD's and contraception. Testing was available throughout the prenatal clinic period. Posttest counseling is also provided as a review, and for those seropositive or high risk patients as initial crisis intervention and case management. There was nonjudgemental discussion about termination of pregnancy. 1453 patients out of 1600 were involved in the orientation, with 20% (297) rather than the preceding years 40 screened. Success is attributed to strong collaborative working relationships with medical, nursing, social work, and clerical staffs, and extensive prior education. Those identified as seropositive were followed up in a separate clinic.; Language: English NT - TJ: AIDS EDUCATION AND PREVENTION IS - 0899-9546 IL - 0899-9546 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - BRH PO2027-02 (United States PHS HHS) LG - English DP - 1991 DC - 19910925 YR - 1991 ED - 19910925 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1873135 <764. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1649278 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SA FA - Murphy, S A IN - Murphy,S A. Psychosocial Nursing Department, University of Washington, Seattle 98195. TI - An empirically based substance abuse course for graduate students in nursing. SO - Journal of Nursing Education. 30(6):274-7, 1991 Jun. AS - J Nurs Educ. 30(6):274-7, 1991 Jun. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Curriculum MH - Education, Nursing, Graduate/mt [Methods] MH - *Education, Nursing, Graduate/og [Organization & Administration] MH - Education, Nursing, Graduate/st [Standards] MH - Humans MH - Models, Psychological MH - Nurse Clinicians/ed [Education] MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - Teaching/mt [Methods] AB - Currently, no texts or compilations of readings offer a comprehensive graduate-level nursing foundation in addictive behaviors. This article describes the development of a theory- and research-based collection of readings and a course designed to meet this need. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1991 Jun DC - 19910822 YR - 1991 ED - 19910822 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1649278 <765. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2070623 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coniglio K FA - Coniglio, K TI - Cocaine-induced acute myocardial infarction. SO - Critical Care Nurse. 11(2):16-7, 20-2, 24-5, 1991 Feb. AS - Crit Care Nurse. 11(2):16-7, 20-2, 24-5, 1991 Feb. NJ - Critical care nurse PI - Journal available in: Print PI - Citation processed from: Print JC - dt8, 8207799 SB - Nursing Journal CP - UNITED STATES MH - *Cocaine MH - Education, Nursing, Continuing MH - Humans MH - Myocardial Infarction/ci [Chemically Induced] MH - Myocardial Infarction/di [Diagnosis] MH - *Myocardial Infarction/th [Therapy] MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/rh [Rehabilitation] AB - The use of cocaine as a recreational drug is rapidly escalating in this country. Because of this, an increase in cocaine-related morbidity and mortality is occurring. Cocaine toxicity has been recognized for several years and was thought to be related to high doses or repeated use. Now several researchers have reported that even recreational use of cocaine may cause serious injury and even death by precipitating an acute myocardial infarction (MI). This paper explores the relationship between cocaine abuse and acute MI as well as the care of the patient with a cocaine-induced MI. RN - I5Y540LHVR (Cocaine) IS - 0279-5442 IL - 0279-5442 PT - Journal Article LG - English DP - 1991 Feb DC - 19910822 YR - 1991 ED - 19910822 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2070623 <766. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1852497 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Washburn P FA - Washburn, P TI - Identification, assessment, and referral of adolescent drug abusers. SO - Pediatric Nursing. 17(2):137-40, 1991 Mar-Apr. AS - Pediatr Nurs. 17(2):137-40, 1991 Mar-Apr. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Education, Nursing, Continuing MH - Humans MH - *Models, Nursing MH - *Nursing Assessment/mt [Methods] MH - *Pediatric Nursing/mt [Methods] MH - *Referral and Consultation MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] AB - Earlier age of onset and widespread prevalence of substance abuse have increased the potential for contact with drug-involved patients in pediatric care. Means of recognition, a model for assessment, and strategies for referral that may have general applications in the field are offered. IS - 0097-9805 IL - 0097-9805 PT - Journal Article LG - English DP - 1991 Mar-Apr DC - 19910816 YR - 1991 ED - 19910816 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1852497 <767. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1712934 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelley SJ AU - Walsh JH AU - Thompson K FA - Kelley, S J FA - Walsh, J H FA - Thompson, K TI - Birth outcomes, health problems, and neglect with prenatal exposure to cocaine. SO - Pediatric Nursing. 17(2):130-6, 1991 Mar-Apr. AS - Pediatr Nurs. 17(2):130-6, 1991 Mar-Apr. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Child Abuse/ep [Epidemiology] MH - *Child Abuse/et [Etiology] MH - Child, Preschool MH - *Cocaine MH - Developmental Disabilities/ep [Epidemiology] MH - *Developmental Disabilities/et [Etiology] MH - Developmental Disabilities/px [Psychology] MH - Education, Nursing, Continuing MH - Female MH - *Health Status MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Pregnancy MH - *Pregnancy Complications MH - *Pregnancy Outcome MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/nu [Nursing] AB - Thirty children exposed prenatally to maternal use of cocaine were compared to 30 nonexposed subjects on maternal variables, birth outcomes, health problems in early childhood, and issues related to child maltreatment. Cocaine-exposed infants were more likely to have mothers who received inadequate prenatal care, have adverse birth outcomes including prematurity and retarded intrauterine growth, and have health problems beyond the newborn period including small stature and hypertonia. More cocaine-exposed children were placed in foster homes due to maternal neglect. RN - I5Y540LHVR (Cocaine) IS - 0097-9805 IL - 0097-9805 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1991 Mar-Apr DC - 19910816 YR - 1991 ED - 19910816 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1712934 <768. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1712933 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bresnahan K AU - Brooks C AU - Zuckerman B FA - Bresnahan, K FA - Brooks, C FA - Zuckerman, B TI - Prenatal cocaine use: impact on infants and mothers. [Review] [55 refs] SO - Pediatric Nursing. 17(2):123-9, 1991 Mar-Apr. AS - Pediatr Nurs. 17(2):123-9, 1991 Mar-Apr. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Child MH - *Cocaine MH - *Developmental Disabilities/et [Etiology] MH - Education, Nursing, Continuing MH - Female MH - Humans MH - Infant, Newborn MH - Models, Psychological MH - Neonatal Abstinence Syndrome/nu [Nursing] MH - *Neonatal Abstinence Syndrome/pp [Physiopathology] MH - *Pediatric Nursing/mt [Methods] MH - Pregnancy MH - *Pregnancy Complications/px [Psychology] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] AB - Prenatal cocaine use does not allow a mother to provide an environment that promotes her infant's normal development. Pediatric nurses and other health care professionals need to support and assist the mother in the recovery process for the benefit of the child's health and development. [References: 55] RN - I5Y540LHVR (Cocaine) IS - 0097-9805 IL - 0097-9805 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - MCJ-009094 (United States PHS HHS) LG - English DP - 1991 Mar-Apr DC - 19910816 YR - 1991 ED - 19910816 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1712933 <769. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2069691 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harrison MB FA - Harrison, M B TI - Assessment of the smoking prevention and cessation needs of Canadian student nurses & registered nurses. SO - Canadian Journal of Cardiovascular Nursing. 2(1):22, 1991 Apr. AS - Can J Cardiovasc Nurs. 2(1):22, 1991 Apr. NJ - Canadian journal of cardiovascular nursing = Journal canadien en soins infirmiers cardio-vasculaires PI - Journal available in: Print PI - Citation processed from: Print JC - afb, 8913645 SB - Nursing Journal CP - CANADA MH - Canada MH - *Health Services Needs and Demand MH - Humans MH - *Nurses/sn [Statistics & Numerical Data] MH - *Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - *Students, Nursing MH - Surveys and Questionnaires AB - Smoking is still a problem, particularly among diploma student nurses. Strategies aimed at prevention and cessation need to be developed with emphasis on the motivation to quit rather than new cessation techniques. School curricula should address not only knowledge, but also attitudes and skills required to assist in the tobacco reduction effort. IS - 0843-6096 IL - 0843-6096 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1991 Apr DC - 19910816 YR - 1991 ED - 19910816 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2069691 <770. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1905735 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Felton G FA - Felton, G IN - Felton,G. College of Nursing, University of Iowa, Iowa City 52242. TI - An opinion piece: the consensus conference. SO - Journal of Professional Nursing. 7(3):184-7, 1991 May-Jun. AS - J Prof Nurs. 7(3):184-7, 1991 May-Jun. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Consensus Development Conferences, NIH as Topic MH - *Education, Nursing, Baccalaureate/st [Standards] MH - Humans MH - *National Institute of Mental Health (U.S.) MH - Organizational Policy MH - *Societies, Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/nu [Nursing] MH - United States IS - 8755-7223 IL - 8755-7223 PT - Journal Article LG - English DP - 1991 May-Jun DC - 19910808 YR - 1991 ED - 19910808 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1905735 <771. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2059069 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dodge VH FA - Dodge, V H IN - Dodge,V H. School of Nursing, University of California, Los Angeles Center for the Health Sciences. TI - Relaxation training: a nursing intervention for substance abusers. [Review] [26 refs] SO - Archives of Psychiatric Nursing. 5(2):99-104, 1991 Apr. AS - Arch Psychiatr Nurs. 5(2):99-104, 1991 Apr. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adaptation, Psychological MH - Adult MH - Female MH - Humans MH - Nurse Clinicians/ed [Education] MH - *Nurse Clinicians MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing MH - Relaxation Therapy/ed [Education] MH - *Relaxation Therapy MH - *Substance-Related Disorders/th [Therapy] AB - Relaxation training is reviewed as a nursing intervention for substance abusers, using current research findings for rationale. A case study of a polysubstance abuser is used to demonstrate the clinical status of drug dependence, and how relaxation techniques can be used in treatment. Psychological and pathophysiological theories of addiction are reviewed briefly and linked to relaxation therapies through recently discovered psychophysiological mechanisms, with implications for substance abuse treatment. The history and modern variations of relaxation techniques are discussed, focusing on the literature of applications in substance abuse treatment. Final recommendation are drawn from the literature and case study, with implications for clinical nurse specialists. [References: 26] IS - 0883-9417 IL - 0883-9417 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 1991 Apr DC - 19910801 YR - 1991 ED - 19910801 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2059069 <772. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2059061 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Friedrich RM AU - Kus RJ FA - Friedrich, R M FA - Kus, R J IN - Friedrich,R M. College of Nursing, University of Iowa, Iowa City 52242. TI - Cognitive impairments in early sobriety: nursing interventions. SO - Archives of Psychiatric Nursing. 5(2):105-12, 1991 Apr. AS - Arch Psychiatr Nurs. 5(2):105-12, 1991 Apr. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Alcoholism/co [Complications] MH - Alcoholism/nu [Nursing] MH - *Alcoholism/px [Psychology] MH - Bibliotherapy MH - Cognition Disorders/et [Etiology] MH - *Cognition Disorders/nu [Nursing] MH - Cognition Disorders/px [Psychology] MH - Depressive Disorder/et [Etiology] MH - Depressive Disorder/px [Psychology] MH - Humans MH - *Patient Education as Topic MH - Psychiatric Nursing MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Temperance AB - In the United States, more than 100,000 people are treated in inpatient treatment centers for alcoholism and other forms of mind-altering drug addictions. One of the most important elements of this treatment is education about the disease process, recovery, and the effects of the drugs on the body, mind, and spirit. Unfortunately, many alcoholics experience cognitive impairment that may impede their learning in the early weeks of recovery. After briefly describing how cognitive impairment may manifest itself in many alcoholic patients in early recovery, and listing some of the possible causes of this impairment, the authors provide several nursing interventions designed to enhance the learning process in early alcoholic recovery. IS - 0883-9417 IL - 0883-9417 PT - Journal Article LG - English DP - 1991 Apr DC - 19910801 YR - 1991 ED - 19910801 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2059061 <773. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2047294 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Solari-Twadell PA FA - Solari-Twadell, P A IN - Solari-Twadell,P A. Lutheran General Health Care System, Park Ridge, Illinois. TI - Recreational drugs. Societal and professional issues. [Review] [13 refs] SO - Nursing Clinics of North America. 26(2):499-509, 1991 Jun. AS - Nurs Clin North Am. 26(2):499-509, 1991 Jun. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - Alcohol Drinking/ep [Epidemiology] MH - Curriculum MH - Decision Making MH - Designer Drugs/ae [Adverse Effects] MH - Education, Nursing/st [Standards] MH - Humans MH - Leisure Activities MH - Life Style MH - Nursing Research/st [Standards] MH - *Recreation MH - Risk Factors MH - Social Values MH - Street Drugs/ae [Adverse Effects] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] AB - Recreational drug use presents a challenge to society and, in particular, the profession of nursing. Recreational drug use must be appreciated for the implications it presents for the episodes of abuse and development of chronic health problems. The effects and recreational use of volatile substances, cannabis, opioids, barbiturates, benzodiazepines, amphetamines, cocaine, psychedelics, and designer drugs as well as alcohol, caffeine, and nicotine must be acknowledged and understood if options for change are to be considered. The resultant cost of recreational drug use as well as health care implications, public safety, and prevention are significant issues society is faced with today. These issues will continue to be significant unless the current posture toward recreational drug use and abuse is addressed. The profession of nursing continues to be faced with the problems associated with recreational drug use not only through caring for clients, but immediately by the effects of recreational drug use on individual professional nurses. To respond effectively, nursing education and nursing research must be challenged to create an emphasis on this focus. Only through this type of multifocal approach will long-term substantial change be affected for the betterment of future generations. [References: 13] RN - 0 (Designer Drugs) RN - 0 (Street Drugs) IS - 0029-6465 IL - 0029-6465 PT - Journal Article PT - Review LG - English DP - 1991 Jun DC - 19910712 YR - 1991 ED - 19910712 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2047294 <774. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2047285 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - LeSage J FA - LeSage, J IN - LeSage,J. Geriatric/Gerontological Nursing Department, Rush University, College of Nursing, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois. TI - Polypharmacy in geriatric patients. [Review] [69 refs] SO - Nursing Clinics of North America. 26(2):273-90, 1991 Jun. AS - Nurs Clin North Am. 26(2):273-90, 1991 Jun. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Aged MH - Aged, 80 and over MH - Drug Interactions MH - *Drug Therapy/nu [Nursing] MH - Drug Therapy/sn [Statistics & Numerical Data] MH - *Drug Therapy, Combination MH - Drug-Related Side Effects and Adverse Reactions MH - Female MH - *Health Promotion/mt [Methods] MH - Humans MH - Inpatients/sn [Statistics & Numerical Data] MH - Medication Errors MH - Nursing Homes/sn [Statistics & Numerical Data] MH - Self Medication MH - United States AB - Although research-based information concerning geriatric polypharmacy is lacking, available data suggest possible causes, health risks, and areas for intervention. Nursing home residents are more likely to be recipients of unnecessary and excessive drugs than community-dwelling elderly. Polypharmacy can lead to increased adverse drug reactions, drug interactions, and medication errors. In the future, there will be single drug therapy for conditions now requiring multiple drugs, but improved diagnosis of disease could lead to persons receiving additional, appropriate drugs for these health problems. Informed patients collaborating with knowledgeable prescribers and those dispensing and administering their medications may be able to reduce the number of drugs they are taking. More research is needed to identify methods that promote safe self-medication behavior and better drug use in nursing homes. Health risks associated with polypharmacy and the escalating costs of medications require that nurse participation in ensuring that the elderly receive only necessary and effective drug treatment. [References: 69] IS - 0029-6465 IL - 0029-6465 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 1991 Jun DC - 19910712 YR - 1991 ED - 19910712 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2047285 <775. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2039281 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Floyd JA FA - Floyd, J A IN - Floyd,J A. College of Nursing, Wayne State University, Detroit, MI. TI - Nursing students' stress levels, attitude toward drugs, and drug use. SO - Archives of Psychiatric Nursing. 5(1):46-53, 1991 Feb. AS - Arch Psychiatr Nurs. 5(1):46-53, 1991 Feb. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Attitude to Health MH - Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male MH - Predictive Value of Tests MH - Stress, Psychological/ep [Epidemiology] MH - *Stress, Psychological/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - This study investigated relationships among nursing students' drug use and two variables usually assumed to contribute to the development of chemical dependency in nurses, i.e., stress and positive attitudes about drugs. Drug use was defined as the use of any psychoactive substance including prescription drugs, over-the-counter drugs, recreational drugs, nicotine, and alcohol. Questionnaires, were distributed to senior-year nursing students and a comparison group of seniors in liberal arts. The only significant difference in reported drug use was nursing students' more frequent use of over-the-counter analgesics. There were no significant differences between nursing and liberal arts majors with regard to three symptoms of stress. Nursing students reported more positive attitudes toward the use of some drugs than peers. IS - 0883-9417 IL - 0883-9417 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1991 Feb DC - 19910703 YR - 1991 ED - 19910703 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2039281 <776. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2030997 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Trinkoff AM AU - Eaton WW AU - Anthony JC FA - Trinkoff, A M FA - Eaton, W W FA - Anthony, J C IN - Trinkoff,A M. Center for Nursing and Health Services Research, University of Maryland, School of Nursing, Baltimore. TI - The prevalence of substance abuse among registered nurses. SO - Nursing Research. 40(3):172-5, 1991 May-Jun. AS - Nurs Res. 40(3):172-5, 1991 May-Jun. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Alcoholism/ep [Epidemiology] MH - Depression/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurses/sn [Statistics & Numerical Data] MH - Prevalence MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] AB - The purpose of this research was to estimate the prevalence of substance abuse and depression among a population-based sample of registered nurses. In addition, to estimate the degree to which substance abuse and depression were associated with nurses, a comparison was made between nurses and other employed individuals. Respondents were obtained from a probability sample of households that were part of the National Institute of Mental Health Epidemiologic Catchment Area Program (ECA). Of the adults interviewed as part of the ECA, 143 were under age 65 and currently working as registered nurses. These nurses were matched by neighborhood of residence (census tract) and gender to a comparison group of non-nurses from the ECA who were also employed at the time of interview. Estimates of the odds of substance use and depression among the nurses (n = 143) and non-nurses (n = 1410) were calculated. Nurses were no more likely to have engaged in illicit drug use or to have experienced depression than non-nurses. Nurses were also less likely to have experienced problems with alcohol abuse than non-nurses. IS - 0029-6562 IL - 0029-6562 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - DA03992 (United States NIDA NIH HHS) NO - DA04392 (United States NIDA NIH HHS) NO - DA04823 (United States NIDA NIH HHS) etc. LG - English DP - 1991 May-Jun DC - 19910620 YR - 1991 ED - 19910620 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2030997 <777. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2031138 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jacques JT AU - Snyder N FA - Jacques, J T FA - Snyder, N TI - Newborn victims of addiction. SO - RN. 54(4):47-8, 51-3, 1991 Apr. AS - RN. 54(4):47-8, 51-3, 1991 Apr. NJ - RN PI - Journal available in: Print PI - Citation processed from: Print JC - twp, 20010080r SB - Nursing Journal CP - UNITED STATES MH - *Cocaine/ae [Adverse Effects] MH - Education, Nursing, Continuing MH - Humans MH - Infant, Newborn MH - Neonatal Abstinence Syndrome/di [Diagnosis] MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - Neonatal Abstinence Syndrome/pc [Prevention & Control] MH - Nursing Assessment MH - Postnatal Care MH - Prenatal Care RN - I5Y540LHVR (Cocaine) IS - 0033-7021 IL - 0033-7021 PT - Journal Article LG - English DP - 1991 Apr DC - 19910614 YR - 1991 ED - 19910614 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2031138 <778. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2009395 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Williams E AU - Bissell L AU - Sullivan E FA - Williams, E FA - Bissell, L FA - Sullivan, E IN - Williams,E. Professional Advisory Services, Inc., Mission, KS. TI - The effects of co-dependence on physicians and nurses. CM - Comment in: Br J Addict. 1992 May;87(5):785-6; PMID: 1591530 SO - British Journal of Addiction. 86(1):37-42, 1991 Jan. AS - Br J Addict. 86(1):37-42, 1991 Jan. NJ - British journal of addiction PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 SB - Index Medicus CP - ENGLAND MH - Adult MH - Burnout, Professional/px [Psychology] MH - *Dependency (Psychology) MH - *Family MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - *Physician Impairment/px [Psychology] MH - *Professional Impairment/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] AB - To evaluate the effect on physicians and nurses of being closely involved with one or more chemical dependent persons, a sample of 67 physicians and 133 nurses with chemical dependent significant others was surveyed. The majority reported that the quality of their work was adversely affected by this association. Reduced ability to concentrate, absenteeism, errors, poor judgment, and patient neglect were reported. Most reported their professional education had not prepared them to recognize and assist people with chemical dependence and half thought their professional education negatively influenced their ability to help. About half had attempted to treat the chemical dependent person(s) themselves, sometimes giving medication and occasionally diverting drugs for this purpose. Most said their self-esteem and self-confidence were damaged by these relationships. Over one-third reported being diagnosed as depressed and 12% had attempted suicide. There were few differences between physicians and nurses on the effects of being in a co-dependent relationship(s), although nurses and women were more likely to have chemically dependent parents. Implications for professional education are identified. IS - 0952-0481 IL - 0952-0481 PT - Journal Article LG - English DP - 1991 Jan DC - 19910508 YR - 1991 ED - 19910508 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2009395 <779. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2008327 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Davidhizar R AU - Boonstra C AU - Lutz K AU - Poston P FA - Davidhizar, R FA - Boonstra, C FA - Lutz, K FA - Poston, P TI - Teaching safer sex in a long-term psychiatric setting. SO - Perspectives in Psychiatric Care. 27(1):25-9, 1991. AS - Perspect Psychiatr Care. 27(1):25-9, 1991. NJ - Perspectives in psychiatric care PI - Journal available in: Print PI - Citation processed from: Print JC - ozt, 0401133 SB - Nursing Journal CP - UNITED STATES MH - *Hospitals, Psychiatric MH - Humans MH - Nursing Assessment MH - Organizational Objectives MH - Patient Education as Topic/og [Organization & Administration] MH - *Psychiatric Nursing/mt [Methods] MH - *Sex Counseling/mt [Methods] MH - *Sex Education/mt [Methods] AB - The trend toward normalizing life in mental health institutions poses a challenge to the facility's staff in the area of sexual relations among clients. In addition to their other duties, nurses now are being asked to discuss sexual feelings with the clients as well as teach sex education, AIDS information, and safer-sex practices. Such programs need to begin with retraining of staff and institution-wide classes to determine the clients' knowledge base. One model program experienced initial resistance among staff and patients, but worked well after an adjustment period. Different methods were used successfully on the female admission unit, the addiction unit, and the rehabilitation and release unit. IS - 0031-5990 IL - 0031-5990 PT - Journal Article LG - English DP - 1991 DC - 19910502 YR - 1991 ED - 19910502 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2008327 <780. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2006040 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson JS AU - Leasure R FA - Wilson, J S FA - Leasure, R IN - Wilson,J S. College of Nursing, University of Oklahoma. TI - Cruel and unusual punishment: the health care of women in prison. [Review] [41 refs] SO - Nurse Practitioner. 16(2):32, 34, 36-9, 1991 Feb. AS - Nurse Pract. 16(2):32, 34, 36-9, 1991 Feb. NJ - The Nurse practitioner PI - Journal available in: Print PI - Citation processed from: Print JC - oa1, 7603663 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Child MH - Family MH - Female MH - Humans MH - Infant, Newborn MH - Nurse Practitioners MH - Pregnancy MH - *Prisoners MH - United States MH - *Women's Health Services/st [Standards] AB - Nationally, the number of female prison inmates--although small compared with the number of male inmates--is on the upswing. Since correctional facilities are legally mandated under the eighth amendment to provide inmates with their constitutional right to health care, innovative methods of delivering that care will have to be devised within a current system that is neither funded nor prepared to design and dispense such programs. The most frequent medical problems among incarcerated women are drug/alcohol addiction, gynecological diseases, and exacerbation of chronic health problems, particularly hypertension, diabetes and epilepsy. The prison health care system is also being faced with management of an increasing number of pregnant and postpartal inmates. Health needs of this group include basic health care, teaching, counseling and supportive care--services that can be appropriately provided by nurse practitioners and other health care providers. [References: 41] IS - 0361-1817 IL - 0361-1817 PT - Journal Article PT - Review LG - English DP - 1991 Feb DC - 19910422 YR - 1991 ED - 19910422 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2006040 <781. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2286877 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mayton DM 2nd AU - Nagel EA AU - Parker R FA - Mayton, D M 2nd FA - Nagel, E A FA - Parker, R IN - Mayton,D M 2nd. Lewis-Clark State College, Lewiston, ID 83501-2698. TI - The perceived effects of drug messages on use patterns in adolescents. SO - Journal of Drug Education. 20(4):305-18, 1990. AS - J Drug Educ. 20(4):305-18, 1990. NJ - Journal of drug education PI - Journal available in: Print PI - Citation processed from: Print JC - jl7, 1300031 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - *Communication MH - *Health Education/mt [Methods] MH - Humans MH - *Perception MH - *Psychology, Adolescent MH - *Substance-Related Disorders/px [Psychology] AB - Following a survey of over 5,000 students in north central Idaho and southeast Washington, an interviewing strategy was implemented with 223 adolescents randomly selected by their principals. The strategy was designed to learn: 1) which sources have utility and credibility with youth in providing drug information; 2) whether different message content and delivery style have differential effects upon that group; and 3) whether widely held perceptions voiced by parents and teachers about their ineffectiveness as information sources were accurate. Double-blind interviews, arranged to protect respondent anonymity, were conducted by trained interviewers from a research methods class. No interview was held when either an interviewer or respondent knew the other. Among the important findings of the study were that: 1) parents and teachers are trusted, credible sources of drug information; 2) doctors, nurses, law officers, and clergy are also credible but not visible to youth; 3) the evil media and celebrity fears of parents and teachers are largely ungrounded in adolescent perception; and 4) factual information from credible sources emphasizing the range of types of negative consequences associated with drug use can exert powerful effects upon adolescents' reported personal use of drugs. IS - 0047-2379 IL - 0047-2379 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 1990 DC - 19910328 YR - 1990 ED - 19910328 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2286877 <782. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2286937 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yoder SD AU - Rode MW FA - Yoder, S D FA - Rode, M W IN - Yoder,S D. Evansville State Hospital, IN 47715. TI - How are you doing? Patient evaluations of nursing actions. SO - Journal of Psychosocial Nursing & Mental Health Services. 28(10):26-30, 1990 Oct. AS - J Psychosoc Nurs Ment Health Serv. 28(10):26-30, 1990 Oct. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - Aged, 80 and over MH - Attitude of Health Personnel MH - *Consumer Behavior MH - Female MH - Humans MH - Inpatients/px [Psychology] MH - Male MH - Middle Aged MH - Nurse-Patient Relations MH - Nursing Care MH - *Psychiatric Nursing/st [Standards] MH - Surveys and Questionnaires MH - United States AB - 1. Quality of patient care can be enhanced if we know what nursing actions psychiatric patients perceive as helpful. Previous research has focused on perceptions of patients on medical-surgical units. 2. Patients diagnosed with bipolar disorder tended to see nursing actions as more helpful and performed more frequently than patients diagnosed with substance abuse. 3. Although positive feedback was identified as one of the most helpful nursing actions, it was rated only average in frequency of performance. 4. Even patients who had histories of long hospitalization did not want nursing staff to do things for them that they could do for themselves. Nurses need to focus on teaching self-care skills rather than "doing for" the patient. IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1990 Oct DC - 19910327 YR - 1990 ED - 19910327 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2286937 <783. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2148762 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tucker C FA - Tucker, C IN - Tucker,C. Harbor UCLA Medical Center, Department of Nursing, Torrance 90509. TI - Acute pain and substance abuse in surgical patients. [Review] [32 refs] SO - Journal of Neuroscience Nursing. 22(6):339-49, 1990 Dec. AS - J Neurosci Nurs. 22(6):339-49, 1990 Dec. NJ - The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - ij6, 8603596 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Analgesics/pk [Pharmacokinetics] MH - Analgesics/pd [Pharmacology] MH - *Analgesics/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - Drug Interactions MH - Education, Nursing, Continuing MH - Humans MH - Male MH - Middle Aged MH - Pain, Postoperative/co [Complications] MH - *Pain, Postoperative/dt [Drug Therapy] MH - Pain, Postoperative/nu [Nursing] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/dt [Drug Therapy] MH - Substance-Related Disorders/nu [Nursing] MH - Therapeutic Equivalency AB - Studies have determined that nurses and physicians undermedicate patients for postoperative pain as a result of inadequate knowledge and erroneous attitudes. Fear of addiction seems to be the major reason for this undertreatment. A patient who abuses drugs requires larger than usual doses of narcotics postoperatively; however, larger doses are rarely given. This article emphasizes factors influencing the postoperative pain experience and presents 3 case studies to illustrate pain management in patients who abuse substances. [References: 32] RN - 0 (Analgesics) IS - 0888-0395 IL - 0888-0395 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 1990 Dec DC - 19910228 YR - 1990 ED - 19910228 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2148762 <784. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1986905 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haire-Joshu D FA - Haire-Joshu, D TI - Smoking, cessation, and the diabetes health care team. SO - Diabetes Educator. 17(1):54-64, 1991 Jan-Feb. AS - Diabetes Educ. 17(1):54-64, 1991 Jan-Feb. NJ - The Diabetes educator PI - Journal available in: Print PI - Citation processed from: Print JC - ebg, 7701401 SB - Nursing Journal CP - UNITED STATES MH - *Diabetes Complications MH - Education, Nursing, Continuing MH - Humans MH - *Patient Care Team MH - *Patient Education as Topic/mt [Methods] MH - Prevalence MH - Self Care MH - Smoking/ae [Adverse Effects] MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] AB - Cigarette smoking is a major risk factor in diabetes and contributes to the development of microvascular and macrovascular complications. Despite this, approximately one third of patients with diabetes smoke. Nicotine is physically and psychologically addictive, with multiple factors contributing to the initiation and continuation of the habit. Cessation is a process in which the smoker progresses through several stages of change, including precontemplation, contemplation, action, maintenance, and relapse. Knowledge of this process is needed for the diabetes health care team to effectively individualize smoking prevention and cessation strategies. This stepped care approach includes preventive, behavioral, and pharmacologic strategies as a component of routine diabetes education. IS - 0145-7217 IL - 0145-7217 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 5P-60-DK20579-11 (United States NIDDK NIH HHS) LG - English DP - 1991 Jan-Feb DC - 19910221 YR - 1991 ED - 19910221 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1986905 <785. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2176681 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Story DK AU - Smola BK AU - Liu KH FA - Story, D K FA - Smola, B K FA - Liu, K H IN - Story,D K. Luther College, Decorah, Iowa. TI - Comparison of results of Chinese and American forecasting of nursing curriculum needs. SO - Journal of Nursing Education. 29(9):400-5, 1990 Nov. AS - J Nurs Educ. 29(9):400-5, 1990 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Cross-Cultural Comparison MH - *Curriculum MH - Education, Nursing, Baccalaureate/st [Standards] MH - *Education, Nursing, Baccalaureate/td [Trends] MH - Faculty, Nursing MH - *Forecasting MH - Surveys and Questionnaires MH - Taiwan MH - United States AB - This study used Mengel's (1987) Round Three Questionnaire results from the Fellows of the American Academy of Nursing and baccalaureate nurse educators of Taiwan to compare perceived importance of nursing curriculum needs. The t-test was used as a test of difference between the two groups. Ninety-nine of 129 items were significantly different (p less than .05). This result showed that the forecasting of nursing curriculum needs between R.O.C. and the U.S. generic baccalaureate nursing faculty are different in many ways; specific content areas, sites for clinical experience, and perceived baccalaureate nursing curriculum needs by the year 1995. R.O.C. nurse educators value more highly than the American group six specific content areas: midwifery, nuclear medicine/nursing, space medicine/nursing, geropsychiatry, critical care nursing, and cardiac rehabilitation. American nurse educators pay more attention to 16 specific content areas: palliative care, family and social support systems for the adult, human responses to actual and potential health problems, alcohol, substance abuse and toxicology, life cycle effects on family dynamics, gerentology, health needs of the adolescent, and increasing patient compliance. The emergency care units are placed higher by the R.O.C. nurse educators than by the American group for clinical experiences. R.O.C. nurse educators rated as more important than the American group the ability to speak a second language, the management of contracted nursing services, entrepreneurial activities, and occupational nursing.(ABSTRACT TRUNCATED AT 250 WORDS) IS - 0148-4834 IL - 0148-4834 PT - Comparative Study PT - Journal Article LG - English DP - 1990 Nov DC - 19910219 YR - 1990 ED - 19910219 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2176681 <786. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2267548 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown L FA - Brown, L TI - Smoking program focuses on smoking awareness. SO - RNABC News; Registered Nurses Association of British Columbia. 22(6):19, 1990 Nov-Dec. AS - RNABC News. 22(6):19, 1990 Nov-Dec. NJ - RNABC news PI - Journal available in: Print PI - Citation processed from: Print JC - twt, 0371232 SB - Nursing Journal CP - CANADA MH - British Columbia MH - Humans MH - Nicotine MH - *Smoking/pc [Prevention & Control] MH - *Students, Nursing MH - Tobacco Use Disorder/pc [Prevention & Control] RN - 6M3C89ZY6R (Nicotine) IS - 0048-7104 IL - 0048-7104 PT - Journal Article LG - English DP - 1990 Nov-Dec DC - 19910214 YR - 1990 ED - 19910214 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2267548 <787. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2254528 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Swanson JM AU - Chenitz C AU - Zalar M AU - Stoll P FA - Swanson, J M FA - Chenitz, C FA - Zalar, M FA - Stoll, P IN - Swanson,J M. Samuel Merritt College, Oakland, CA. TI - A critical review of human immunodeficiency virus infection--and acquired immunodeficiency syndrome-related research: the knowledge, attitudes, and practice of nurses. [Review] [48 refs] SO - Journal of Professional Nursing. 6(6):341-55, 1990 Nov-Dec. AS - J Prof Nurs. 6(6):341-55, 1990 Nov-Dec. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 OI - Source: KIE. 34996 SB - Bioethics Journals SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/px [Psychology] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Internationality MH - *Nurses/px [Psychology] MH - Research/st [Standards] KW - Empirical Approach; Health Care and Public Health; Professional Patient Relationship AB - This article reviews the research literature related to nurses' knowledge, attitudes, and practices (KAP) concerning acquired immunodeficiency syndrome (AIDS) and human immunodeficiency virus (HIV) infection, and care of people with AIDs (PWAs). Areas reviewed included the following: (1) KAP studies of health professionals that include nurses; (2) KAP studies of nurses; (3) KAP studies of nursing students and faculty; (4) studies of stress and coping related to care of PWAs; and (5) studies of outcomes of AIDS education programs. Gaps in knowledge and negative, fearful attitudes toward HIV transmission and PWAs were identified. Negative fears and behaviors decreased in nurses with the gain in accurate information. The studies were largely atheoretical descriptive surveys of health professionals in acute care settings. Studies of nurses specifically, including more studies of obstetric and pediatric nurses, and nurses in a range of settings in the community would be beneficial both in the United States and in other countries. A wider variety of research designs including qualitative studies are needed as are valid and reliable instruments to allow for cross-comparisons between studies. An assessment of non-AIDS-related content, such as spiritual needs of patients and substances abuse is needed by nurses who care for PWAs for use in development of relevant educational programs. [References: 48] NT - KIE BoB Subject Heading: AIDS/health personnel NT - Full author name: Swanson, Janice M NT - Full author name: Chenitz, Carole NT - Full author name: Zalar, Marianne NT - Full author name: Stoll, Patricia IS - 8755-7223 IL - 8755-7223 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review LG - English DP - 1990 Nov-Dec DC - 19910124 YR - 1990 ED - 19910124 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2254528 <788. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2242205 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ficarrotto TJ AU - Grade M AU - Bliwise N AU - Irish T FA - Ficarrotto, T J FA - Grade, M FA - Bliwise, N FA - Irish, T IN - Ficarrotto,T J. Department of Psychiatry, University of California, San Francisco, School of Medicine. TI - Predictors of medical and nursing students' levels of HIV-AIDS knowledge and their resistance to working with AIDS patients. SO - Academic Medicine. 65(7):470-1, 1990 Jul. AS - Acad Med. 65(7):470-1, 1990 Jul. NJ - Academic medicine : journal of the Association of American Medical Colleges PI - Journal available in: Print PI - Citation processed from: Print JC - acm, 8904605 OI - Source: KIE. 34021 SB - Core Clinical Journals (AIM) SB - Bioethics Journals SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/px [Psychology] MH - Attitude of Health Personnel MH - *Health Knowledge, Attitudes, Practice MH - Homosexuality MH - Humans MH - Occupational Diseases/px [Psychology] MH - *Refusal to Treat MH - San Francisco MH - *Students, Medical/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Substance Abuse, Intravenous KW - Empirical Approach; Health Care and Public Health; Professional Patient Relationship; University of California, San Francisco AB - Among health professionals, knowledge about the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) is often limited, inaccurate, or both. Many health professionals also resist working with AIDS patients. This 1988 survey examined exaggerated risk estimates for HIV contagion in relationship to HIV-AIDS knowledge and resistance to working with AIDS patients among medical and nursing students at a large Northwestern teaching hospital. The results indicate that among the respondents, exaggerated risk estimates were associated both with a lack of HIV-AIDS knowledge and with greater resistance to working with AIDS patients. Results from multiple regression analyses revealed that (1) a lack of clinical experience with AIDS patients and (2) antihomosexual attitudes were significantly associated with the students' lack of HIV-AIDS knowledge, even after controlling for the effects of exaggerated risk estimates. The first two variables also were shown to be significantly predictive of the students' resistance to working with AIDS patients, as was an intolerance of drug use and drug users, beyond the influence of exaggerated risk estimates. Specific approaches of developing effective HIV-AIDS educational programs for health professionals are proposed. NT - KIE BoB Subject Heading: AIDS/health personnel NT - Full author name: Ficarroto, Thomas J NT - Full author name: Grade, Margaret NT - Full author name: Bliwise, Nancy NT - Full author name: Irish, Thomas IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - 278-86-0010 ES (United States NIEHS NIH HHS) LG - English DP - 1990 Jul DC - 19910103 YR - 1990 ED - 19910103 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2242205 <789. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2228570 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Byers PH AU - Raven LM AU - Hill JD AU - Robyak JE FA - Byers, P H FA - Raven, L M FA - Hill, J D FA - Robyak, J E TI - Enhancing the self-esteem of inpatient alcoholics. SO - Issues in Mental Health Nursing. 11(4):337-46, 1990. AS - Issues Ment Health Nurs. 11(4):337-46, 1990. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - Altruism MH - Female MH - Homes for the Aged MH - Humans MH - Male MH - Nursing Homes MH - *Patient Education as Topic/og [Organization & Administration] MH - Patient Education as Topic/st [Standards] MH - *Peer Group MH - Program Evaluation MH - *Self Concept AB - This study examined the effect of pairing inpatient alcoholics with nursing home residents (NHRs) on the alcoholics' self-esteem. In this PALS program, the alcoholic inpatients assumed a helping-companion relationship with the NHRs for 2 hr per day during their last 2 weeks of treatment. Fifty alcoholic inpatients were randomly assigned to the PALS program (n = 25) or to the library for free reading time (n = 25). The Tennessee Self-Concept Scale (TSCS) was administered to all subjects in both groups before and after the interventions. Of the nine TSCS scales, the improvement on the Moral-Ethical scale was significantly greater in the PALS group. Because the alcoholic inpatients in the PALS group engaged in altruistic (moral) behavior, this study provides a logical link between the intervention and the outcome, which has been a prevalent weakness in previous studies of self-esteem in alcoholics. IS - 0161-2840 IL - 0161-2840 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 1990 DC - 19901205 YR - 1990 ED - 19901205 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2228570 <790. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2214685 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hebra A AU - Adams DB AU - Holley HP Jr FA - Hebra, A FA - Adams, D B FA - Holley, H P Jr IN - Hebra,A. Department of Surgery, Medical University of South Carolina, Charleston 29425. TI - Human immunodeficiency virus and the surgeon. [Review] [17 refs] SO - Journal - South Carolina Medical Association. 86(9):479-83, 1990 Sep. AS - J S C Med Assoc. 86(9):479-83, 1990 Sep. NJ - Journal of the South Carolina Medical Association (1975) PI - Journal available in: Print PI - Citation processed from: Print JC - k0n, 7503045 SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - Adolescent MH - Adult MH - Aged MH - Child MH - Child, Preschool MH - Female MH - *HIV Seropositivity/co [Complications] MH - HIV Seropositivity/ep [Epidemiology] MH - HIV Seropositivity/im [Immunology] MH - HIV Seropositivity/mo [Mortality] MH - Humans MH - Infant MH - Male MH - Middle Aged MH - Retrospective Studies MH - Risk Factors MH - South Carolina/ep [Epidemiology] MH - *Surgical Procedures, Operative MH - Wounds and Injuries/co [Complications] MH - Wounds and Injuries/im [Immunology] MH - Wounds and Injuries/mo [Mortality] MH - Wounds and Injuries/su [Surgery] AB - To assess the exposure risks for surgeons and nurses treating HIV infected patients at the Medical University Hospital and the Charleston Memorial Hospital, a retrospective review of HIV positive patients who underwent surgical procedures from 1985-1988 was undertaken. During that period, 150 patients tested positive for HIV of which 30 (20%) underwent 19 surgical procedures. The prevalence of HIV infected patients at our institution has been increasing over the last two years. 5.3% of the patients tested were positive for the virus. Evidence of drug abuse was not a predictive factor of HIV infection but homosexuality was present in 57% of our patients. The mean age of the surgical group was 34 years. Seventy-three percent of the patients underwent minor operations and 27% had major surgical procedures. Almost half of the operations were performed to treat an AIDS-related complication or as a diagnostic aid in the workup of the AIDS patient. Major operations performed were for treatment of a co-morbid condition not related to the HIV infection. Only two patients had operations for trauma. Operative mortality was 10% but no death was directly related to surgical intervention. In addition to universal precautions in the pre and postoperative period, operating room personnel must follow established protocols in the conduct of the operation to ensure the safety of all staff. [References: 17] IS - 0038-3139 IL - 0038-3139 PT - Journal Article PT - Review LG - English DP - 1990 Sep DC - 19901121 YR - 1990 ED - 19901121 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2214685 <791. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2214681 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Still CN AU - Jackson KL AU - Brandes DA AU - Abramson RK AU - Macera CA FA - Still, C N FA - Jackson, K L FA - Brandes, D A FA - Abramson, R K FA - Macera, C A IN - Still,C N. Department of Neuropsychiatry and Behavioral Science, School of Medicine, University of South Carolina, Columbia. TI - Distribution of major dementias by race and sex in South Carolina. SO - Journal - South Carolina Medical Association. 86(8):453-6, 1990 Aug. AS - J S C Med Assoc. 86(8):453-6, 1990 Aug. NJ - Journal of the South Carolina Medical Association (1975) PI - Journal available in: Print PI - Citation processed from: Print JC - k0n, 7503045 SB - Index Medicus CP - UNITED STATES MH - *African Continental Ancestry Group MH - Aged MH - Alcoholism/co [Complications] MH - Alzheimer Disease/ep [Epidemiology] MH - *Dementia/ep [Epidemiology] MH - Dementia, Multi-Infarct/ep [Epidemiology] MH - Education MH - *European Continental Ancestry Group MH - Female MH - Humans MH - Male MH - Prevalence MH - Sex Factors MH - South Carolina/ep [Epidemiology] AB - Preliminary data from the newly implemented Registry for dementing illnesses was used to examine the distribution of four types of dementia in black and white residents of South Carolina. The data for 1464 subjects were abstracted by field research nurses in state mental health facilities. Overall, 649 patients (44.3%) were black and 765 (52.3%) were white. Women comprised 53.8% of all cases of dementia in this study. The overall distribution included 66% Alzheimer's disease (AD), 12% multi-infarct dementia (MID), 10% alcoholic dementia (ALC), nine percent other-medical and three percent other-unspecified. Though the proportion of blacks does not exceed one-third of the total population of S.C., blacks comprised 44.3% of all cases of dementia. AD accounted for 79% of all cases of dementia in women, but only 51% of such cases in demented men, who showed an apparent preoponderance of MID and alcoholic dementia. The frequency distribution of MID was equal in blacks and whites. Educational level had no discernible effects. Though not directly comparable, these preliminary findings are similar to those of the Copiah County Study, including a higher frequency of AD with advancing age. IS - 0038-3139 IL - 0038-3139 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1990 Aug DC - 19901102 YR - 1990 ED - 19901102 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2214681 <792. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2392116 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nora JG FA - Nora, J G TI - Perinatal cocaine use: maternal, fetal, and neonatal effects. SO - Neonatal Network - Journal of Neonatal Nursing. 9(2):45-52, 1990 Sep. AS - Neonat Netw. 9(2):45-52, 1990 Sep. NJ - Neonatal network : NN PI - Journal available in: Print PI - Citation processed from: Print JC - 8503921 SB - Nursing Journal CP - UNITED STATES MH - *Cocaine MH - Female MH - Humans MH - Patient Care Planning MH - Pregnancy MH - *Pregnancy Complications/nu [Nursing] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pp [Physiopathology] AB - The implications of cocaine use during pregnancy include an increased incidence of stillbirths, abruptio placentae, and an increased risk of other delivery complications. The neonate born to a woman using cocaine may show a lack of definite physical stigmata, absence of consistent withdrawal patterns, and high incidence of irritability during the neonatal period. Nursing implications for promoting optimal pregnancy and neonatal outcome primarily involve early pregnancy intervention, consistent care, education, and delivery management. During the neonatal period, the nurse should work to reduce stimulation, position to promote optimal interaction, educate the parents, and initiate follow-up care for continued developmental assessments. At this time, available data merely suggest associations between cocaine use and negative perinatal outcomes; they do not imply causal relationships. Because the adverse effects to the fetus and newborn are not conclusively documented in the literature, it can be difficult to educate the preconceptual or pregnant woman about the risks of cocaine use during pregnancy. Despite this obstacle, the nurse must use the information available to present as clear a picture as possible of the risks of exposing the fetus to cocaine. RN - I5Y540LHVR (Cocaine) IS - 0730-0832 IL - 0730-0832 PT - Journal Article LG - English DP - 1990 Sep DC - 19901004 YR - 1990 ED - 19901004 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2392116 <793. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2392711 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edelstein S AU - Kropenske V AU - Howard J FA - Edelstein, S FA - Kropenske, V FA - Howard, J IN - Edelstein,S. Department of Pediatrics, University of California, Los Angeles 90024-1797. TI - Project T.E.A.M.S. SO - Social Work. 35(4):313-8, 1990 Jul. AS - Soc Work. 35(4):313-8, 1990 Jul. NJ - Social work PI - Journal available in: Print PI - Citation processed from: Print JC - 2984852r, uud SB - Index Medicus CP - UNITED STATES MH - Community Health Services MH - Female MH - *Foster Home Care MH - Humans MH - Infant MH - Infant, Newborn MH - Los Angeles MH - *Neonatal Abstinence Syndrome/th [Therapy] MH - *Patient Care Team/og [Organization & Administration] MH - Pregnancy MH - Public Health Nursing/ed [Education] MH - Referral and Consultation MH - Social Work/ed [Education] MH - *Social Work MH - United States AB - Project T.E.A.M.S. (Training, Education, and Management Skills: Meeting the Needs of Infants Prenatally Exposed to Drugs), funded by a training grant from the National Center on Child Abuse and Neglect, developed skilled interdisciplinary teams to support caregivers and optimize the health and environmental care of infants exposed prenatally to drugs and placed in out-of-home care. Using both didactic and clinical approaches, the 6-month program addressed the medical, developmental, environmental, and physical care needs of drug-exposed infants and toddlers; the special needs of their caregivers; and family dynamics and parenting issues. By enhancing the knowledge and skills of staff from community-based child welfare and health care agencies, this project demonstrated a training approach for enhancing the skills of professionals who serve the growing population of prenatally drug-exposed infants. IS - 0037-8046 IL - 0037-8046 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1990 Jul DC - 19901003 YR - 1990 ED - 19901003 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2392711 <794. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2390548 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kuhn S AU - Cooke K AU - Collins M AU - Jones JM AU - Mucklow JC FA - Kuhn, S FA - Cooke, K FA - Collins, M FA - Jones, J M FA - Mucklow, J C IN - Kuhn,S. Department of Clinical Pharmacology, North Staffordshire Health Authority, Stoke on Trent. TI - Perceptions of pain relief after surgery. CM - Comment in: BMJ. 1990 Aug 11;301(6747):338-9; PMID: 2264862 SO - BMJ. 300(6741):1687-90, 1990 Jun 30. AS - BMJ. 300(6741):1687-90, 1990 Jun 30. NJ - BMJ (Clinical research ed.) PI - Journal available in: Print PI - Citation processed from: Print JC - 8900488, bmj, 101090866 OI - Source: NLM. PMC1663299 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - ENGLAND MH - Analgesics/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - Attitude to Health MH - Cholecystectomy MH - Consumer Behavior MH - Female MH - Humans MH - Hysterectomy MH - Male MH - Pain Measurement MH - *Pain, Postoperative/dt [Drug Therapy] MH - Pain, Postoperative/px [Psychology] MH - Perception MH - Quality of Health Care AB - OBJECTIVE: To assess patients' satisfaction with postoperative pain relief. AB - DESIGN: A descriptive and questionnaire study of patients' experience. AB - SETTING: Two surgical and two gynaecological wards. AB - PATIENTS: 50 Patients admitted to hospital for cholecystectomy and 51 admitted for hysterectomy. AB - MAIN OUTCOME MEASURES: Visual analogue scales with no divisions were completed by the patients immediately after each dose of postoperative analgesia was administered throughout their stay in hospital. A questionnaire completed on the fifth postoperative day recorded patients' recollections of their experience. Opinions were also sought from medical and nursing staff. AB - RESULTS: During the first 24 hours after surgery recorded pain levels were 60% of the maximum and were not influenced by age, sex, or the type of operation performed. The median interval between the return of pain and a further injection of analgesic was 2 hours (interquartile range 1 to 3.5 hours). Expectations of pain relief were low, and for 70% of the patients the pain was at least as bad as they had expected. Only half of the medical and nursing staff questioned thought that postoperative analgesia should relieve pain completely; drugs were prescribed and administered with too little attention to the patient's response and too much concern about adverse effects and opioid dependence. AB - CONCLUSIONS: The results suggest that the standard of postoperative pain relief is poor because of inadequate education of patients in what to expect (and demand), and of medical and nursing staff in how to prescribe and administer analgesia with reference to individual drug response. RN - 0 (Analgesics) IS - 0959-8138 IL - 0959-535X PT - Journal Article LG - English DP - 1990 Jun 30 DC - 19900928 YR - 1990 ED - 19900928 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2390548 <795. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6401020 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Parcell J FA - Parcell, J TI - Drug awareness: a school nurse role. SO - Texas Nursing. 57(2):12, 1983 Feb. AS - Tex Nurs. 57(2):12, 1983 Feb. NJ - Texas nursing PI - Journal available in: Print PI - Citation processed from: Print JC - vng, 0436240 SB - Nursing Journal CP - UNITED STATES MH - Child MH - Health Education MH - Humans MH - *School Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0095-036X IL - 0095-036X PT - Journal Article LG - English DP - 1983 Feb DC - 19900927 YR - 1983 ED - 19900927 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6401020 <796. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2378235 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McDonough JP FA - McDonough, J P TI - Personality, addiction and anesthesia. SO - AANA Journal. 58(3):193-200, 1990 Jun. AS - AANA J. 58(3):193-200, 1990 Jun. NJ - AANA journal PI - Journal available in: Print PI - Citation processed from: Print JC - 0431420 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Anesthesia/px [Psychology] MH - Female MH - Humans MH - MMPI MH - Male MH - Multivariate Analysis MH - Nurse Anesthetists/px [Psychology] MH - *Personality/de [Drug Effects] MH - Personality Inventory MH - Professional Impairment/px [Psychology] MH - Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] AB - While substance abuse problems in the health care profession are not new, little documentation exists as to their prevalence among nurse anesthetists. There already exists considerable evidence that physician specialists in anesthesia are overrepresented in the population of physicians seeking treatment for drug and alcohol use. The purpose of this research was to explore factors related to personality and addictive tendencies that might predispose nurse anesthetists to substance abuse as well. Of the 150 graduate nursing students in the study, those specializing in anesthesia (n = 81) formed the study group while those pursuing general nursing graduate degrees (n = 69) comprised the control group. Differences in the personality facets of impulsiveness, assertiveness and excitement seeking were measured using the NEO Personality Inventory. The addictive tendencies of the subjects were measured using the MacAndrew Scale taken from the Minnesota Multiphasic Personality Inventory. In comparative analyses of the two groups, the anesthesia subjects exhibited a higher mean score for excitement seeking and a greater number of positive MacAndrew (addictive tendency) scores (22.2% versus 5.9%). The findings also showed that subjects with positive MacAndrew scores generally had higher excitement seeking scores. It may be possible that this higher level of excitement seeking predisposes future nurse anesthetists to the development of addictive disorders. IS - 0094-6354 IL - 0094-6354 PT - Comparative Study PT - Journal Article LG - English DP - 1990 Jun DC - 19900906 YR - 1990 ED - 19900906 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2378235 <797. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2376134 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kerstein MB AU - Hasler M FA - Kerstein, M B FA - Hasler, M TI - Introducing student nurses to critical care: shadow a critical care nurse. SO - Critical Care Nurse. 10(7):16-8, 1990 Jul-Aug. AS - Crit Care Nurse. 10(7):16-8, 1990 Jul-Aug. NJ - Critical care nurse PI - Journal available in: Print PI - Citation processed from: Print JC - dt8, 8207799 SB - Nursing Journal CP - UNITED STATES MH - Career Choice MH - *Critical Care MH - *Education, Nursing, Baccalaureate MH - Humans MH - *Personnel Management/mt [Methods] MH - *Personnel Selection/mt [Methods] MH - *Teaching/mt [Methods] AB - The lack of student experience in critical care makes it difficult for graduate nurses to anticipate what expectations and demands might confront them in intensive care. Consequently, some new graduates discounted critical care as an opportunity available to them. Our institution believed that critical care had special qualities and if those qualities could be demonstrated to nurses, recruitment would improve. An unexpected benefit from the program was the positive staff nurse response to showcasing their skills and expertise. The success of the program was evidenced by the student evaluations and the hiring of students. To date, seven nursing students out of 20 who attended the program have been hired by the hospital. The long-term impact of the program on retention and recruitment is difficult to predict. The department will track these students, as they do all new hires; however, the initial success warranted continuation of the program. Student response to the program has resulted in plans to expand the "shadow a nurse" concept housewide to showcase the nursing specialities such as rehabilitation, maternal/child health, oncology, orthopedics, chemical dependency, and critical care. Current planning involves designing a program aimed toward high school students, with the goal of encouraging young people to consider nursing as a career. IS - 0279-5442 IL - 0279-5442 PT - Journal Article LG - English DP - 1990 Jul-Aug DC - 19900906 YR - 1990 ED - 19900906 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2376134 <798. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10105451 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Myszor M AU - Hosker H AU - Foster H AU - Record C FA - Myszor, M FA - Hosker, H FA - Foster, H FA - Record, C IN - Myszor,M. Royal Victoria Infirmary, Newcastle-upon-Tyne, NE1 4LP. TI - Alcohol and health: do we know enough?. SO - Health Trends. 22(1):23-7, 1990. AS - Health Trends. 22(1):23-7, 1990. NJ - Health trends PI - Journal available in: Print PI - Citation processed from: Print JC - ejn, 0233525 SB - Health Administration Journals CP - ENGLAND MH - Adult MH - Age Factors MH - Alcoholism/co [Complications] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism/px [Psychology] MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Awareness MH - England MH - Evaluation Studies as Topic MH - Female MH - *Health Education/st [Standards] MH - Humans MH - Male MH - *Nurses/sn [Statistics & Numerical Data] MH - *Physicians/sn [Statistics & Numerical Data] MH - Risk Factors MH - Statistics as Topic MH - Surveys and Questionnaires AB - This North East of England survey aimed to evaluate the level of knowledge about alcohol of groups, which included doctors, nurses and the police, who have a role to play in promoting health education. A comparison was made with sectors of the general public, known to be at risk from alcohol-related diseases, particularly young people and those in middle management in industry and commerce. The survey found that a proportion of doctors are unaware of the safe limits of alcohol consumption, and more than a third of the nurses were unaware that these limits were lower for women. Although campaigns did not appear to be reaching middle aged, and other at-risk groups 16-18-year-olds were well informed. IS - 0017-9132 IL - 0017-9132 PT - Journal Article LG - English DP - 1990 DC - 19900827 YR - 1990 ED - 19900827 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10105451 <799. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2367038 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gelfand G AU - Long P AU - McGill D AU - Sheerin C FA - Gelfand, G FA - Long, P FA - McGill, D FA - Sheerin, C TI - Prevention of chemically impaired nursing practice. SO - Nursing Management. 21(7):76-8, 1990 Jul. AS - Nurs Manage. 21(7):76-8, 1990 Jul. NJ - Nursing management PI - Journal available in: Print PI - Citation processed from: Print JC - 8219243, obv SB - Nursing Journal CP - UNITED STATES MH - Education, Nursing, Continuing MH - Humans MH - New York MH - Nurse Administrators/ed [Education] MH - *Nurses MH - *Professional Impairment MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0744-6314 IL - 0744-6314 PT - Journal Article LG - English DP - 1990 Jul DC - 19900816 YR - 1990 ED - 19900816 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2367038 <800. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2364040 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Castro OC FA - Castro, O C TI - Adolescents and AIDS: a special population. SO - NAACOGS Clinical Issues in Perinatal & Womens Health Nursing. 1(1):99-106, 1990. AS - NAACOGS Clin Issu Perinat Womens Health Nurs. 1(1):99-106, 1990. NJ - NAACOG's clinical issues in perinatal and women's health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - aul, 9010476 SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/ep [Epidemiology] MH - Acquired Immunodeficiency Syndrome/et [Etiology] MH - Adolescent MH - Female MH - Humans MH - Male MH - *Psychology, Adolescent MH - Risk Factors MH - *Risk-Taking MH - Sexual Behavior MH - Substance Abuse, Intravenous/co [Complications] AB - The next wave of the AIDS epidemic will be among adolescents because of their risk-taking behaviors. Certain adolescents, because of predisposing biological, psychological and environmental factors, are at especially high risk. An overview of the risk-taking behaviors and levels of knowledge regarding AIDS is presented. Risk assessment strategies and risk-appropriate nursing interventions are summarized. Approaches to group education that effectively reduce risk-taking behaviors are explored. IS - 1046-7475 IL - 1046-7475 PT - Journal Article LG - English DP - 1990 DC - 19900816 YR - 1990 ED - 19900816 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2364040 <801. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2356035 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schaffer SD AU - Zimmerman ML FA - Schaffer, S D FA - Zimmerman, M L IN - Schaffer,S D. Old Dominion University, Norfolk, Va. TI - The sexual addict: a challenge for the primary care provider. CM - Comment in: Nurse Pract. 1991 Aug;16(8):13; PMID: 1923006 SO - Nurse Practitioner. 15(6):25-6, 28, 33, 1990 Jun. AS - Nurse Pract. 15(6):25-6, 28, 33, 1990 Jun. NJ - The Nurse practitioner PI - Journal available in: Print PI - Citation processed from: Print JC - oa1, 7603663 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adaptation, Psychological MH - Compulsive Personality Disorder/et [Etiology] MH - *Compulsive Personality Disorder/nu [Nursing] MH - Compulsive Personality Disorder/px [Psychology] MH - Cues MH - Denial (Psychology) MH - Dependency (Psychology) MH - Female MH - Humans MH - Male MH - *Nurse Practitioners MH - Nursing Assessment MH - *Personality Disorders/nu [Nursing] MH - Risk Factors MH - Self Concept MH - Sexual Dysfunctions, Psychological/et [Etiology] MH - *Sexual Dysfunctions, Psychological/nu [Nursing] MH - Sexual Dysfunctions, Psychological/px [Psychology] AB - Sexual compulsion is now recognized as a true addictive process that may manifest itself through a wide range of behaviors. Recognition of this disorder in primary care settings may be difficult because of the ego defenses of denial and rationalization that characterize this disorder. Cues in the medical and sexual history as well as behavioral cues may suggest the presence of sexual addiction. The alert primary care provider should play a significant role in the recognition of sexual addiction. IS - 0361-1817 IL - 0361-1817 PT - Journal Article LG - English DP - 1990 Jun DC - 19900726 YR - 1990 ED - 19900726 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2356035 <802. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10170542 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Combs JA AU - Rusch SC FA - Combs, J A FA - Rusch, S C IN - Combs,J A. Carondelet St. Mary's Health Center, Tuscon, AZ. TI - Creating a healing environment. SO - Health Progress. 71(4):38-41, 1990 May. AS - Health Prog. 71(4):38-41, 1990 May. NJ - Health progress (Saint Louis, Mo.) PI - Journal available in: Print PI - Citation processed from: Print JC - hpr, 8500263 SB - Health Administration Journals CP - UNITED STATES MH - Adolescent MH - Adult MH - Arizona MH - Counseling MH - Female MH - Holistic Health MH - Hospital Bed Capacity, 300 to 499 MH - Humans MH - *Nursing Service, Hospital/og [Organization & Administration] MH - *Patient Care Planning MH - Pregnancy MH - *Pregnancy in Adolescence MH - Substance-Related Disorders/px [Psychology] MH - Unemployment AB - To regain some of the principles of personalized care that were part of the foundation of nursing, Carondelet St. Mary's Health Center in Tucson, AZ, instituted a nurse case manager program in 1985. The program assigns a nurse case manager to coordinate patient and family care from an array of nursing services. Its special characteristic is a focus on home care after discharge. The basis for the program is a belief in holistic care, beginning during the hospital stay and continuing after discharge. Because the psychosocial and spiritual impact of the illness might not be felt until the client returns home, the nurse case manager concentrates on preventing or alleviating distress through a program of care, education, and service. In 1988 the center was asked to apply its program to a high-risk adolescent obstetrical group enrolled in a local health maintenance organization. The challenges for the nurses included poor nutritional status, substance abuse, unemployment, low self-esteem, and other factors precipitated by the group's socioeconomic status. By direct intervention the nurses were able to set patterns for positive adult behavior, and by the end of the program most of the clients had made considerable changes toward more successful life-styles. IS - 0882-1577 IL - 0882-1577 PT - Journal Article LG - English DP - 1990 May DC - 19900618 YR - 1990 ED - 19900618 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10170542 <803. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2327068 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Perry PA AU - Dean BS AU - Krenzelok EP FA - Perry, P A FA - Dean, B S FA - Krenzelok, E P IN - Perry,P A. Pittsburgh Poison Center, Children's Hospital of Pittsburgh, PA. TI - Cinnamon oil abuse by adolescents. SO - Veterinary & Human Toxicology. 32(2):162-4, 1990 Apr. AS - Vet Hum Toxicol. 32(2):162-4, 1990 Apr. NJ - Veterinary and human toxicology PI - Journal available in: Print PI - Citation processed from: Print JC - xbv, 7704194 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Child MH - *Cinnamomum zeylanicum MH - *Condiments MH - Humans MH - Male MH - Pennsylvania MH - *Plant Oils MH - *Substance-Related Disorders MH - Time Factors AB - Reports in the literature about cinnamon oil toxicity are limited to allergic reactions and local irritant effects from dermatologic exposure. Cinnamon oil is easily obtained from pharmacies in 5-10 ml amounts for use as a flavoring agent and in craft items. Within a 5-mo period the Pittsburgh Poison Center (PPC) documented 32 cases of cinnamon oil abuse; all cases involved males aged 11-16 y and were reported to the PPC by school nurses. Sucking on toothpicks or fingers which had been dipped in cinnamon oil was the primary method of abuse. A rush or sensation of warmth, facial flushing, and oral burning were the experiences reported by the users. Some children complained of nausea or abdominal pain but no systemic effects were reported. Eight patients with dermal exposure had irritation ranging from erythema to welts, which resolved after thorough soap and water decontamination. Two ocular exposures resulted in mild irritation and were successfully treated with irrigation or dilution. The recent popularity of cinnamon oil abuse appears to be related to the ease with which it can be carried, engendering little fear of discovery or chastisement. Despite the relatively low toxicity of cinnamon oil, medical professionals should be aware of its potential for misuse. RN - 0 (Plant Oils) IS - 0145-6296 IL - 0145-6296 PT - Comparative Study PT - Journal Article LG - English DP - 1990 Apr DC - 19900515 YR - 1990 ED - 19900515 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2327068 <804. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2315328 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shuttleworth A FA - Shuttleworth, A TI - Let nurses be an effective weapon against drug abuse. SO - Professional Nurse. 5(5):226, 1990 Feb. AS - Prof Nurse. 5(5):226, 1990 Feb. NJ - Professional nurse (London, England) PI - Journal available in: Print PI - Citation processed from: Print JC - 8612884, pzx SB - Nursing Journal CP - ENGLAND MH - *Curriculum MH - *Education, Nursing MH - Great Britain MH - *Health Education MH - Humans MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0266-8130 IL - 0266-8130 PT - Editorial LG - English DP - 1990 Feb DC - 19900416 YR - 1990 ED - 19900416 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2315328 <805. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2306717 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCaffery M AU - Ferrell B AU - O'Neil-Page E AU - Lester M AU - Ferrell B FA - McCaffery, M FA - Ferrell, B FA - O'Neil-Page, E FA - Lester, M FA - Ferrell, B IN - McCaffery,M. City of Hope Medical Center, Duarte, CA 91010-0269. TI - Nurses' knowledge of opioid analgesic drugs and psychological dependence. SO - Cancer Nursing. 13(1):21-7, 1990 Feb. AS - Cancer Nurs. 13(1):21-7, 1990 Feb. NJ - Cancer nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7805358, cnc SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Attitude of Health Personnel MH - Humans MH - *Nurses/px [Psychology] MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/et [Etiology] MH - *Pain/dt [Drug Therapy] MH - Surveys and Questionnaires AB - Inadequate knowledge of opioid analgesic drugs and the incidence of psychological dependence are major barriers to nursing management of patients in pain. This study analyzed data obtained from 27 workshops on pain across 14 states (2,459 nurses) to determine current nursing knowledge of pharmacological management of pain. Results indicate that nurses lack knowledge in classification of opioids ranging from 23 to 98% correct response across seven analgesic drugs. Less than 25% of nurses correctly identified the frequency of psychological dependence. Further analysis revealed significant differences in basic versus advanced learners and geographical differences in knowledge. Implications are made for nursing education and practice. IS - 0162-220X IL - 0162-220X PT - Journal Article LG - English DP - 1990 Feb DC - 19900410 YR - 1990 ED - 19900410 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2306717 <806. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2516596 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson FY FA - Johnson, F Y TI - Prevention and management of problems related to alcohol abuse in Papua New Guinea through primary health care. SO - Medicine & Law. 8(2):175-89, 1989. AS - Med Law. 8(2):175-89, 1989. NJ - Medicine and law PI - Journal available in: Print PI - Citation processed from: Print JC - mal, 8218185 SB - Index Medicus CP - GERMANY, WEST MH - Alcoholic Beverages/ut [Utilization] MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/pc [Prevention & Control] MH - Cross-Sectional Studies MH - *Developing Countries MH - Humans MH - Incidence MH - Papua New Guinea/ep [Epidemiology] MH - Primary Health Care MH - *Referral and Consultation AB - This study is designed to answer three questions: 1) What is the situation in Papua New Guinea today with respect of the use and abuse of alcohol? 2) What are the existing programmes for the prevention and management of problems related to alcohol abuse in PNG? 3) Are the existing programmes of prevention and management integrated into the primary health care system or do they operate separately? The instrument for the study is a questionnaire which was adapted and modified from a World Health Organization sponsored workshop on prevention and management of alcohol and drug abuse problems in Africa held in September 1985 in Lagos. The questionnaires were administered to two groups of Papua New Guineans. The first group comprised community and religious leaders attending a workshop on alcohol education held in Lae in February 1988. The second group consisted of mental health nurses and general nurses working in the capitals of the nineteen provinces and the National Capital District of PNG. The questionnaires were administered to the second group personally or by post. The completed questionnaires were statistically analyzed and form the basis of this article. Legal drinking of alcohol for all mature Papua New Guineans started in 1962 when the law on prohibition was repealed. 'In the twenty years since drinking of alcoholic beverages by everyone of legal majority was allowed in Papua New Guinea, a rather clear-cut national style of alcohol use has developed. This style, if continued, points in a disturbing direction. It will lead to a number of serious problems that can be predicted with assurance because they have occurred in many other parts of the world where similar drinking styles exist.' IS - 0723-1393 IL - 0723-1393 PT - Journal Article LG - English DP - 1989 DC - 19900410 YR - 1989 ED - 19900410 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2516596 <807. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2406656 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heins HC Jr AU - Nance NW AU - McCarthy BJ AU - Efird CM FA - Heins, H C Jr FA - Nance, N W FA - McCarthy, B J FA - Efird, C M IN - Heins,H C Jr. Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston. TI - A randomized trial of nurse-midwifery prenatal care to reduce low birth weight. SO - Obstetrics & Gynecology. 75(3 Pt 1):341-5, 1990 Mar. AS - Obstet Gynecol. 75(3 Pt 1):341-5, 1990 Mar. NJ - Obstetrics and gynecology PI - Journal available in: Print PI - Citation processed from: Print JC - oc2, 0401101 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Birth Weight MH - Female MH - Gestational Age MH - Humans MH - *Infant, Low Birth Weight MH - Infant, Newborn MH - *Nurse Midwives MH - Pregnancy MH - *Prenatal Care MH - Randomized Controlled Trials as Topic MH - Risk Factors AB - In a randomized, controlled trial in five regional centers with state health department clinics, 1458 women at high risk for low birth weight (LBW) outcome received either prenatal interventions provided by nurse-midwives and nurses under their supervision or the standard high-risk prenatal care provided by obstetricians. The intervention administered by the nurse-midwives included patient education to identify the signs and symptoms of preterm labor, activity counseling in response to monitoring of the cervix by frequent examinations, stress reduction by enhancing social support, nutrition counseling with emphasis on weight gain, and substance-abuse counseling. For women in the control group, care was provided by obstetricians according to local standards for the management of high-risk pregnancies. We hypothesized that the LBW rate among live births to women who had received care from nurse-midwives would be lower than that in the control group. Although the LBW rate was lower in the intervention group than in the control group, the observed difference was not statistically significant. Race was not prespecified as a possible effect modifier, but examination of the data post hoc suggested that black women at high statistical risk of giving birth to an LBW infant may have derived benefit from the program. Although the results do not suggest any striking advantage of the nurse-midwifery intervention over standard obstetric care for women at high statistical risk of having an LBW infant, neither do they suggest any disadvantage. Nurse-midwives could provide care to certain populations of high-risk women and facilitate future coverage of these presently underserved populations. IS - 0029-7844 IL - 0029-7844 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 1990 Mar DC - 19900320 YR - 1990 ED - 19900320 RD - 20091026 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2406656 <808. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2300755 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schmitz D FA - Schmitz, D TI - When i.v. drug abuse complicates AIDS. SO - RN. 53(1):60-7, 1990 Jan. AS - RN. 53(1):60-7, 1990 Jan. NJ - RN PI - Journal available in: Print PI - Citation processed from: Print JC - twp, 20010080r SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/et [Etiology] MH - Communication MH - Education, Nursing, Continuing MH - Humans MH - Nursing Assessment MH - Patient Education as Topic MH - Substance Abuse, Intravenous/co [Complications] MH - *Substance Abuse, Intravenous/nu [Nursing] MH - Substance Abuse, Intravenous/px [Psychology] IS - 0033-7021 IL - 0033-7021 PT - Journal Article LG - English DP - 1990 Jan DC - 19900313 YR - 1990 ED - 19900313 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2300755 <809. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10103519 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edelstein SB AU - Kropenske VL AU - Faber-Brook SE AU - Strunin M FA - Edelstein, S B FA - Kropenske, V L FA - Faber-Brook, S E FA - Strunin, M TI - A model program for enhancing services to chemically dependent infants: an interdisciplinary approach to serving infants in out-of-home placement. SO - Family & Community Health. 12(4):82-6, 1990 Feb. AS - Fam Community Health. 12(4):82-6, 1990 Feb. NJ - Family & community health PI - Journal available in: Print PI - Citation processed from: Print JC - ese, 7809641 SB - Health Administration Journals CP - UNITED STATES MH - *Community Health Services/og [Organization & Administration] MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - *Foster Home Care MH - Humans MH - Infant, Newborn MH - Models, Theoretical MH - *Neonatal Abstinence Syndrome/pc [Prevention & Control] MH - Pregnancy MH - *Public Health Nursing/ed [Education] MH - United States IS - 0160-6379 IL - 0160-6379 PT - Journal Article LG - English DP - 1990 Feb DC - 19900312 YR - 1990 ED - 19900312 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10103519 <810. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2299130 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Parette HP Jr AU - Hourcade JJ AU - Parette PC FA - Parette, H P Jr FA - Hourcade, J J FA - Parette, P C TI - Nursing attitudes toward geriatric alcoholism. SO - Journal of Gerontological Nursing. 16(1):26-31, 1990 Jan. AS - J Gerontol Nurs. 16(1):26-31, 1990 Jan. NJ - Journal of gerontological nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7510258, iax SB - Nursing Journal CP - UNITED STATES MH - Aged MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - Education, Nursing MH - Health Education MH - Humans MH - Male MH - *Nurses/px [Psychology] MH - Nursing Assessment AB - Nurses play a critical role in public education regarding the assessment of medical problems related to alcoholism or alcohol abuse. Nurses must assess their personal attitudes toward the disease concept of alcoholism before they can effectively provide services to geriatric patients who are alcoholics or who abuse alcohol. Among the geriatric population, there is a constellation of medical problems related to alcoholism and alcohol abuse. Potentially dysfunctional attitudes exist among nurses and other health-care professionals who are involved in the provision of medical care to geriatric patients who have alcoholism or who abuse alcohol. IS - 0098-9134 IL - 0098-9134 PT - Case Reports PT - Journal Article LG - English DP - 1990 Jan DC - 19900228 YR - 1990 ED - 19900228 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2299130 <811. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2298330 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rehak J FA - Rehak, J TI - Developing workable policies: the treasures of a small hospital. SO - Florida Nurse. 38(1):13, 1990 Jan. AS - Fla Nurse. 38(1):13, 1990 Jan. NJ - The Florida nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ex8, 16930510r SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing, Continuing MH - Florida MH - Hospital Bed Capacity, under 100 MH - Hospitals, Special MH - Humans MH - Inservice Training MH - *Nursing Staff, Hospital/ed [Education] MH - Psychiatric Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] IS - 0015-4199 IL - 0015-4199 PT - Journal Article LG - English DP - 1990 Jan DC - 19900228 YR - 1990 ED - 19900228 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2298330 <812. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2616231 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - van Breda A FA - van Breda, A TI - Health issues facing Native American children. SO - Pediatric Nursing. 15(6):575-7, 1989 Nov-Dec. AS - Pediatr Nurs. 15(6):575-7, 1989 Nov-Dec. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - UNITED STATES MH - Child MH - Cultural Characteristics MH - Education, Nursing, Continuing MH - *Health Status MH - Humans MH - *Indians, North American MH - Patient Advocacy MH - Patient Discharge MH - *Pediatric Nursing MH - Poverty AB - The current health status of Native American children is inseparable from the problems of the American Indian society. The dominant issues for these children and their health care providers are poverty and alcoholism, with the associated problems of diabetes, gastroenteritis, accidents, and fetal alcohol syndrome. The implications for pediatric nurses include cultural sensitivity and discharge planning as a way to prevention as well as advocacy of Native American children. IS - 0097-9805 IL - 0097-9805 PT - Journal Article LG - English DP - 1989 Nov-Dec DC - 19900228 YR - 1989 ED - 19900228 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2616231 <813. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2615862 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dewis M AU - Tenn L FA - Dewis, M FA - Tenn, L TI - Spinal cord injury prevention in North America. SO - Nursing Practice. 3(1):15-7, 1989. AS - Nurs Pract. 3(1):15-7, 1989. NJ - Nursing practice (Edinburgh, Scotland) PI - Journal available in: Print PI - Citation processed from: Print JC - nup, 8508166 SB - Nursing Journal CP - SCOTLAND MH - Accidents, Traffic/pc [Prevention & Control] MH - Adolescent MH - Adult MH - Athletic Injuries/pc [Prevention & Control] MH - Canada MH - Health Education MH - Humans MH - *Spinal Cord Injuries/pc [Prevention & Control] MH - United States AB - Traumatic spinal cord injury is accompanied by enormous physical, psychosocial and financial losses for the individual and society. The age group most affected by spinal cord injury are adolescents and young adults and the incidence appears to be rising in North America. In the past, efforts have been directed towards minimising the effects of the injury, optimising rehabilitation and searching for a cure. Only recently has it been acknowledged that spinal cord injuries are preventable disabilities. Spinal cord injury prevention programmes have begun to be developed in several regions of the United States and Canada. The authors contend that effective prevention programmes should be based on understanding and application of the developmental characteristics of the target population and should incorporate behavioural as well as cognitive components. A prototype programme that would integrate these aspects is described. The purpose of this article is to describe the application of one educational approach to the issue of spinal cord injury prevention in adolescents. The approach may be useful for nurses involved in health education programmes dealing with other high incidence health problems of this age group, such as pregnancy and substance abuse. IS - 0266-6146 IL - 0266-6146 PT - Journal Article LG - English DP - 1989 DC - 19900228 YR - 1989 ED - 19900228 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2615862 <814. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2609009 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Del Rio C AU - Alvarez FJ AU - Queipo D FA - Del Rio, C FA - Alvarez, F J FA - Queipo, D IN - Del Rio,C. Department of Pharmacology and Therapeutics, Faculty of Medicine, University of Valladolid, Spain. TI - Knowledge about and attitudes towards drinking among university students in Spain. SO - Revue d Epidemiologie et de Sante Publique. 37(4):345-52, 1989. AS - Rev Epidemiol Sante Publique. 37(4):345-52, 1989. NJ - Revue d'epidemiologie et de sante publique PI - Journal available in: Print PI - Citation processed from: Print JC - rst, 7608039 SB - Index Medicus CP - FRANCE MH - Adult MH - *Alcohol Drinking MH - *Alcoholism/px [Psychology] MH - *Attitude to Health MH - Female MH - *Health Education MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Spain MH - *Students/px [Psychology] MH - Surveys and Questionnaires AB - A total of 545 Spanish university students from the University of Valladolid, were surveyed in 1985 about their alcohol use, knowledge of the effects of alcohol, and attitudes towards social drinking and towards alcoholism and alcoholics. The knowledge regarding alcohol (mean scores 7.7 +/- 0.1, ranging 1-15) was associated with academic aspects: it was higher among medicine and nursing students and increased according to the length of stay at university. The attitudes both towards social drinking (mean scores 0.6 +/- 0.1, ranging -9 to 9) and towards alcoholism and the alcoholics (mean scores 3.0 +/- 0.1, ranging -6 to 9), were related to alcohol consumption: those students self-reported as "heavy" and "moderate" drinkers, and those with alcohol intake over 40 g/day, had a more favourable attitude. The results suggest a need for education on alcohol. IS - 0398-7620 IL - 0398-7620 PT - Journal Article LG - English DP - 1989 DC - 19900216 YR - 1989 ED - 19900216 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2609009 <815. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2607756 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nishioka E FA - Nishioka, E IN - Nishioka,E. Rowan-Cabarrus Community College, Salisbury, NC 28146. TI - Helping children of alcoholics. SO - Journal of School Health. 59(9):404-5, 1989 Nov. AS - J Sch Health. 59(9):404-5, 1989 Nov. NJ - The Journal of school health PI - Journal available in: Print PI - Citation processed from: Print JC - k13, 0376370 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adaptation, Psychological MH - Adolescent MH - *Alcoholism/px [Psychology] MH - Child MH - Counseling MH - *Family MH - Humans MH - Nursing Assessment MH - School Nursing/ed [Education] MH - *School Nursing/mt [Methods] MH - Self-Help Groups IS - 0022-4391 IL - 0022-4391 PT - Journal Article LG - English DP - 1989 Nov DC - 19900212 YR - 1989 ED - 19900212 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2607756 <816. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2600725 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crowe M FA - Crowe, M TI - The i.v. nurse and the i.v. drug abuser: medical and psychosocial implications. SO - Journal of Intravenous Nursing. 12(6):405-8, 1989 Nov-Dec. AS - J Intraven Nurs. 12(6):405-8, 1989 Nov-Dec. NJ - Journal of intravenous nursing : the official publication of the Intravenous Nurses Society PI - Journal available in: Print PI - Citation processed from: Print JC - jiu, 8804311 SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - Acquired Immunodeficiency Syndrome/et [Etiology] MH - *Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Humans MH - Infusions, Intravenous/nu [Nursing] MH - *Nursing Staff, Hospital/ed [Education] MH - Substance Abuse, Intravenous/co [Complications] MH - *Substance Abuse, Intravenous/nu [Nursing] MH - Substance Abuse, Intravenous/px [Psychology] AB - When I.V. nurses treat I.V. drug abusers, they must be aware of the medical and psychosocial issues relevant to this group. Medical issues include the I.V. drug abuser's depleted venous access and this group's high rate of infection with HIV and other blood pathogens. Psychosocial issues relate to the various social and psychological problems associated with drug abuse. Further, when caring for these patients who are at high risk for HIV and other serious blood infections, the I.V. nurse may experience a conflict between her desire to care for the patient and her fear of contracting HIV or another infection through patient contact. Education is recommended so that I.V. nurses can reduce their risk of infection with blood-borne diseases and can better understand these patients. Also suggested are a multidisciplinary approach to treatment and referral to drug rehabilitation programs. IS - 0896-5846 IL - 0896-5846 PT - Journal Article LG - English DP - 1989 Nov-Dec DC - 19900129 YR - 1989 ED - 19900129 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2600725 <817. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2807328 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chenitz WC FA - Chenitz, W C TI - Managing vulnerability: nursing treatment for heroin addicts. SO - Image - the Journal of Nursing Scholarship. 21(4):210-4, 1989. AS - Image J Nurs Sch. 21(4):210-4, 1989. NJ - Image--the journal of nursing scholarship PI - Journal available in: Print PI - Citation processed from: Print JC - gg1, 8400753 SB - Nursing Journal CP - UNITED STATES MH - Heroin Dependence/dt [Drug Therapy] MH - *Heroin Dependence/nu [Nursing] MH - Humans MH - Methadone/tu [Therapeutic Use] MH - Nurse-Patient Relations MH - *Nursing Theory MH - Patient Care Planning MH - *Psychiatric Nursing/mt [Methods] AB - Grounded theory methodology was used to study nursing interventions in a methadone maintenance clinic. Participant-observation as a clinic staff nurse over four months was the principal method of data collection. A substantive theory called "managing vulnerability" was developed to describe nursing treatment of heroin addicts during methadone maintenance. Managing vulnerability has three parallel stages for the client and nurse. These stages are (a) learning to be vulnerable, (b) living with vulnerability and (c) beyond vulnerability. Basic conditions for this process are dispensing (giving) medication; therapeutic neutrality, which is the attitude assumed by the nurse; effective staff communication and clear clinic policy. Managing vulnerability illustrates the complexity of a therapeutic psychological nursing process. RN - UC6VBE7V1Z (Methadone) IS - 0743-5150 IL - 0743-5150 PT - Journal Article LG - English DP - 1989 DC - 19891221 YR - 1989 ED - 19891221 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2807328 <818. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2810219 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cary A FA - Cary, A IN - Cary,A. Home Care Administration, Community Health Nursing, Catholic University of America. TI - Nursing's perspective. SO - Journal of Public Health Dentistry. 49(4):231-3, 1989. AS - J Public Health Dent. 49(4):231-3, 1989. NJ - Journal of public health dentistry PI - Journal available in: Print PI - Citation processed from: Print JC - jv3, 0014207 SB - Dental Journals SB - Index Medicus CP - UNITED STATES MH - Clinical Competence/st [Standards] MH - Education, Nursing MH - Education, Nursing, Graduate MH - Employee Discipline MH - Humans MH - *Licensure, Nursing MH - Specialties, Nursing MH - Substance-Related Disorders MH - United States IS - 0022-4006 IL - 0022-4006 PT - Journal Article LG - English DP - 1989 DC - 19891212 YR - 1989 ED - 19891212 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2810219 <819. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2812954 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allen C AU - Pearce L AU - Planchock N FA - Allen, C FA - Pearce, L FA - Planchock, N TI - Nursing students using drugs and alcohol. SO - Pelican News. 45(5):6, 1989 Oct. AS - Pelican News. 45(5):6, 1989 Oct. NJ - Pelican news PI - Journal available in: Print PI - Citation processed from: Print JC - oyo, 19530550r, 19530550r SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Alcohol Drinking MH - Female MH - Humans MH - Louisiana/ep [Epidemiology] MH - Male MH - *Marijuana Smoking/ep [Epidemiology] MH - Middle Aged MH - *Students, Nursing MH - *Substance-Related Disorders/ep [Epidemiology] IS - 0031-4161 IL - 0031-4161 PT - Journal Article LG - English DP - 1989 Oct DC - 19891207 YR - 1989 ED - 19891207 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2812954 <820. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2815816 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Toole A FA - O'Toole, A TI - The student nurse and change. SO - World of Irish Nursing. 18(4):12-4, 1989 Jul-Aug. AS - World Ir Nurs. 18(4):12-4, 1989 Jul-Aug. NJ - World of Irish nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 0323527, xqb SB - Nursing Journal CP - IRELAND MH - Alcoholism/nu [Nursing] MH - Holistic Health MH - Humans MH - *Nursing/td [Trends] MH - *Nursing Care/td [Trends] MH - Poisoning/nu [Nursing] MH - Social Change MH - *Students, Nursing IS - 0332-3056 IL - 0332-3056 PT - Journal Article LG - English DP - 1989 Jul-Aug DC - 19891130 YR - 1989 ED - 19891130 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2815816 <821. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2505124 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Benton D FA - Benton, D TI - Caffeine: use and abuse. SO - Nursing Standard. 44(3):34-6, 1989 Jul 29. AS - Nurs Stand. 44(3):34-6, 1989 Jul 29. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - ENGLAND MH - *Caffeine MH - Female MH - *Health Education MH - Humans MH - Male MH - Nursing Staff MH - Students, Nursing MH - Substance Withdrawal Syndrome MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires RN - 3G6A5W338E (Caffeine) IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 1989 Jul 29 DC - 19891005 YR - 1989 ED - 19891005 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2505124 <822. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2773961 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tamai IY AU - Strome LS AU - Marshall CE AU - Mooradian AD FA - Tamai, I Y FA - Strome, L S FA - Marshall, C E FA - Mooradian, A D IN - Tamai,I Y. Sepulveda Veterans Administration Medical Center, California. TI - Analysis of drug-drug interactions among nursing home residents. SO - American Journal of Hospital Pharmacy. 46(8):1567-9, 1989 Aug. AS - Am J Hosp Pharm. 46(8):1567-9, 1989 Aug. NJ - American journal of hospital pharmacy PI - Journal available in: Print PI - Citation processed from: Print JC - 3i0, 0370474 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Aged MH - Aged, 80 and over MH - California MH - *Drug Interactions MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nursing Homes/st [Standards] MH - Pharmacokinetics AB - The extent of clinically important drug-drug interactions in the patient population of a nursing home was studied. The administration of medications to all 138 residents of two wards of the hospital-affiliated facility was monitored for 15 days through a review of nurses' medication-administration records and patients' charts. Information on the nature and timing of administered drug combinations was compared with published information to identify potential drug interactions. If a serious drug interaction was suspected, the recorded information was verified through the nurse in charge of that patient. Few of the drug interactions commonly reported to occur in nursing homes were observed at the facility, where drug therapy is monitored by a team of geriatric practitioners that includes two pharmacists. Of the 24 suspected interactions that were identified, 11 had potential clinical importance, and all 11 involved drug combinations that could alter the metabolism or action of one of the drugs. However, only two patients were exposed to any substantial degree of risk, and dosages of the drugs involved were adjusted. An additional 13 patients were taking a combination of drugs that could have altered the intestinal absorption of one of the drugs. Careful timing of drug administration avoided this potential problem. With proper education of the nursing staff, immediate clarification of medication orders, and optimal timing of drug administration, many clinically important drug-drug and drug-food interactions can be avoided in nursing home patients. IS - 0002-9289 IL - 0002-9289 PT - Journal Article LG - English DP - 1989 Aug DC - 19891003 YR - 1989 ED - 19891003 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2773961 <823. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2763219 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thompson HA FA - Thompson, H A TI - Consent requirements for treatment of minors. SO - Texas Medicine. 85(8):56-9, 1989 Aug. AS - Tex Med. 85(8):56-9, 1989 Aug. NJ - Texas medicine PI - Journal available in: Print PI - Citation processed from: Print JC - vna, 0051012 OI - Source: PIP. 058656 OI - Source: POP. 00192777 SB - Index Medicus SB - Population Information Citations CP - UNITED STATES MH - Abortion, Spontaneous MH - Adolescent MH - Child MH - *Child Advocacy MH - Child, Preschool MH - Contraceptive Agents MH - Contraceptive Devices MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - *Informed Consent MH - Legislation, Medical MH - *Parents MH - Pregnancy MH - United States KW - Abortion, Induced; *Abortion, Legal; Adolescents; *Adolescents, Female; Age Factors; Americas; *Contraceptive Distribution; Demographic Factors; Developed Countries; Distributional Activities; Family And Household; Family Characteristics; Family Planning; Family Relationships; Fertility Control, Postconception; *Informed Consent; *Jurisprudence; North America; Northern America; Organization And Administration; *Parents; Population; Population Characteristics; *Prescriptions; Program Activities; Programs; Texas; *Treatment; United States; Youth AB - The American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the Nurses Association of the American College of Obstetricians and Gynecologists, and the National Medical Association recently released guidelines aimed at protecting the privacy of adolescent patients. The organizations stated that, in many cases, young people will not confide in health professionals if the young people feel that these discussions will be reported to their parents. Ultimately, the organizations said, health risks to adolescents are so impelling that legal barriers and deference to parental involvement should not stand in the way of needed health care. In Texas there is a statute regarding consent for medical treatment of minors, which responds to the above organizations' concerns about confidentially treating children for substance abuse, sexually transmitted diseases, and suicide prevention. However, the statute is silent in regard to medical treatment involving prescription contraceptives. By negative inference, the statute would preclude a minor on her own from making a decision about abortion. This article examines Texas statutes dealing with consent for medical treatment for minors and discusses US Supreme Court decisions on a minor's rights to abortions and contraceptives. OA - PIP: Texas State law concerning consent requirements for medical treatment of minors is reviewed, both explicit statutes and inferred situations, specifically prescription contraception and abortion. Parental consent is defined as consent of only 1 parent or the parent with custody during the week (sole managing conservator), or the possessory conservator in emergencies. When the parent cannot be contacted, a grandparent, adult sibling, aunt or uncle, education institution, adult with written authorization to consent, court, or the Texas Youth Commission, may consent. Minors may give consent if they are in the military, at least 16 years old and emancipated, or if the consent is for diagnosis and treatment of a reportable disease, sexually transmitted disease, for treatment (other than abortion) of pregnancy, suicide prevention or chemical addiction. The consequences of the Roe v Wade decision are summarized. This decision implies that in Texas a physician who performs and abortion on an unemancipated minor who is mature and informed will probably not be held liable for civil damages to the minor's parents, unless the court decides that she is not mature and well informed. In Carey v Population Services International, the Supreme Court struck down a New York statute that made sale of nonprescription contraceptives to a minor criminal. By extension, since a minor can probably consent to abortion, Texas physicians should be able to prescribe contraceptives to a mature and well informed minor. The privacy and physician-patient relationship of the minor should be protected in such situation.; Language: English NT - TJ: TEXAS MEDICINE. RN - 0 (Contraceptive Agents) IS - 0040-4470 IL - 0040-4470 PT - Journal Article LG - English DP - 1989 Aug DC - 19890921 YR - 1989 ED - 19890921 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2763219 <824. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2668596 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Higgins R FA - Higgins, R TI - Cocaine abuse: what every emergency nurse should know. [Review] [13 refs] SO - Journal of Emergency Nursing. 15(4):318-23, 1989 Jul-Aug. AS - J Emerg Nurs. 15(4):318-23, 1989 Jul-Aug. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 7605913 SB - Nursing Journal CP - UNITED STATES MH - *Cocaine MH - Education, Nursing, Continuing MH - *Emergency Medical Services MH - Humans MH - Nursing Assessment MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pp [Physiopathology] RN - I5Y540LHVR (Cocaine) IS - 0099-1767 IL - 0099-1767 PT - Journal Article PT - Review LG - English DP - 1989 Jul-Aug DC - 19890921 YR - 1989 ED - 19890921 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2668596 <825. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2751360 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pickwell S FA - Pickwell, S TI - The incorporation of family primary care for southeast Asian refugees in a community-based mental health facility. SO - Archives of Psychiatric Nursing. 3(3):173-7, 1989 Jun. AS - Arch Psychiatr Nurs. 3(3):173-7, 1989 Jun. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Asia, Southeastern/eh [Ethnology] MH - California MH - *Community Mental Health Centers/og [Organization & Administration] MH - Cultural Characteristics MH - *Emigration and Immigration MH - Humans MH - Mental Disorders/ep [Epidemiology] MH - Mental Disorders/nu [Nursing] MH - Mental Disorders/th [Therapy] MH - Nurse Practitioners MH - *Primary Health Care/og [Organization & Administration] AB - Immigration is a complex circumstance that exacts a serious toll from the migrant in terms of mental, physical, and socioeconomic status. Among migrating peoples, it is the refugee who encounters the greatest number of personal and social obstacles to resettlement and adaptation. The degree of effective acculturation among Southeast Asian refugees is largely unknown, but it appears that adjustment difficulties are manifest more and more in psychotic episodes, substance abuse, and other antisocial behaviors. This report reviews the literature that documents the incidence of mental health disturbance among this population and describes some of the treatment approaches being tried at various health care centers across the country. Nurses are confronted with the dilemma of integrating the techniques of modern clinical psychiatry with cultural reality into a model system for providing effective mental health services to ethnically diverse people. Described here is a Family Nurse Practitioner-faculty-student clinical experience designed to provide home health services to Southeast Asian refugees with psychiatric diagnoses. IS - 0883-9417 IL - 0883-9417 PT - Journal Article LG - English DP - 1989 Jun DC - 19890825 YR - 1989 ED - 19890825 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2751360 <826. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2544702 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SA FA - Murphy, S A IN - Murphy,S A. University of Washington School of Nursing, Seattle. TI - The urgency of substance abuse education in schools of nursing. [Review] [33 refs] SO - Journal of Nursing Education. 28(6):247-51, 1989 Jun. AS - J Nurs Educ. 28(6):247-51, 1989 Jun. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Curriculum MH - *Education, Nursing MH - Humans MH - Nursing Research MH - Nursing Theory MH - Program Evaluation MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] AB - The abuse of alcohol and drugs has become a major health and social problem in the United States. Nurses comprise the largest segment of health-care professionals, yet report their educational experiences offer little to prepare them to develop substance abuse prevention and intervention programs. This article identifies factors that contribute to this educational gap, discusses challenges in planning and implementing substance abuse curricula, and offers specific guidelines for improving educational experiences. [References: 33] IS - 0148-4834 IL - 0148-4834 PT - Journal Article PT - Review LG - English DP - 1989 Jun DC - 19890801 YR - 1989 ED - 19890801 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2544702 <827. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2725456 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rowland N AU - Maynard AK FA - Rowland, N FA - Maynard, A K TI - Alcohol education for patients: some nurses need persuading. SO - Nurse Education Today. 9(2):100-4, 1989 Apr. AS - Nurse Educ Today. 9(2):100-4, 1989 Apr. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - SCOTLAND MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - Humans MH - Nursing Assessment MH - *Patient Education as Topic MH - Prospective Studies MH - Risk Factors AB - Nurses form the largest group of health care workers and given their repeated contact with patients are in a good position to develop their health education role. Alcohol is the third major cause of morbidity and mortality and alcohol education is an important part of patient care. As part of a prospective study to assess the effects of early identification and education for those patients drinking to excess, we assessed nurses' attitudes towards screening patients for alcohol related problems, their knowledge of what constituted harmful drinking and their views on alcohol education for those at risk of harming their health. While nurses themselves were receptive to alcohol education a sizeable proportion remained unconvinced of the long term benefits of education for those who drink to excess. Alcohol researchers and health education still have some way to go in persuading health professionals of the benefits of incorporating health education into their everyday practices. IS - 0260-6917 IL - 0260-6917 PT - Journal Article LG - English DP - 1989 Apr DC - 19890711 YR - 1989 ED - 19890711 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2725456 <828. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2715097 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lear JG AU - Foster HW Jr AU - Baratz JA FA - Lear, J G FA - Foster, H W Jr FA - Baratz, J A IN - Lear,J G. School-Based Adolescent Health Care Program, Children's Hospital National Medical Center, Washington, DC 20010. TI - The High-Risk Young People's Program. A summing up. SO - Journal of Adolescent Health Care. 10(3):224-30, 1989 May. AS - J Adolesc Health Care. 10(3):224-30, 1989 May. NJ - Journal of adolescent health care : official publication of the Society for Adolescent Medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 8100395, ham, 8100395 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adolescent Medicine/ed [Education] MH - Child Health Services/ec [Economics] MH - Child Health Services/ma [Manpower] MH - *Child Health Services/og [Organization & Administration] MH - Community Health Services/og [Organization & Administration] MH - Fellowships and Scholarships MH - Hospitals, Teaching MH - Humans MH - Interinstitutional Relations MH - Internship and Residency AB - For over five years, 21 teaching hospitals and 54 community cosponsors provided health services to young people at risk for sociomedical problems, i.e., to young people living in communities characterized by high rates of teen pregnancy, sexually transmitted disease, drug abuse, alcohol abuse, accidents, homicide, suicide, and mental illness. With support from The Robert Wood Johnson Foundation, the 20 grantees of the High-Risk Young People's Program developed projects whose collective goal was to expand services to high-risk youth and improve their health. This goal was to be achieved by a direct provision of medical services, training health providers in the care of high-risk youth, consolidating categorical youth services into single, comprehensive care sites, and securing long-term support for these new services and training activities. During the grant period, 114 fellows, 974 residents, 453 medical students, and 126 graduate nurses trained at project sites. Patient visits, which totaled 47,203 the first year, reached 84,754 the second year, and were reported at 89,024 in the fourth year. Sixteen of the 20 projects secured 117 grants worth nearly $7 million. We conclude that the projects were successful in training health care providers and in securing additional support for Program purposes, but were less successful in expanding services beyond the initial pilot for clinical care. IS - 0197-0070 IL - 0197-0070 PT - Journal Article LG - English DP - 1989 May DC - 19890615 YR - 1989 ED - 19890615 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2715097 <829. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2707833 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, M A TI - Patterns and implications of drug use by students of nursing. SO - Imprint. 36(2):85-8, 1989 Apr-May. AS - Imprint. 36(2):85-8, 1989 Apr-May. NJ - Imprint PI - Journal available in: Print PI - Citation processed from: Print JC - ghc, 0163356, 0163356 SB - Nursing Journal CP - UNITED STATES MH - Depression MH - Female MH - Humans MH - *Nurses MH - *Students, Nursing MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders IS - 0019-3062 IL - 0019-3062 PT - Journal Article LG - English DP - 1989 Apr-May DC - 19890602 YR - 1989 ED - 19890602 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2707833 <830. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2704445 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Quinn-Larson J AU - Pickard MR FA - O'Quinn-Larson, J FA - Pickard, M R TI - The impaired nursing student. SO - Nurse Educator. 14(2):36-9, 1989 Mar-Apr. AS - Nurse Educ. 14(2):36-9, 1989 Mar-Apr. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - Faculty, Nursing MH - Humans MH - *Professional Impairment MH - Social Responsibility MH - Social Support MH - Students, Nursing/px [Psychology] MH - *Students, Nursing MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] AB - Nursing students are at risk for abusing chemical substances during the nursing education experience. To assist faculty and administrators address this issue, characteristics of the chemically dependent nursing student are described. The authors also discuss teaching strategies and preventive approaches that might impact on the student's current or potential substance abuse. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1989 Mar-Apr DC - 19890523 YR - 1989 ED - 19890523 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2704445 <831. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2928271 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dalton JA FA - Dalton, J A TI - Nurses' perceptions of their pain assessment skills, pain management practices, and attitudes toward pain. SO - Oncology Nursing Forum. 16(2):225-31, 1989 Mar-Apr. AS - Oncol Nurs Forum. 16(2):225-31, 1989 Mar-Apr. NJ - Oncology nursing forum PI - Journal available in: Print PI - Citation processed from: Print JC - 7809033, pad SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - Analgesia/mt [Methods] MH - *Attitude of Health Personnel MH - *Clinical Competence MH - Humans MH - Middle Aged MH - Nurses/px [Psychology] MH - *Nursing Assessment MH - Nursing Staff, Hospital/px [Psychology] MH - Oncology Nursing MH - Pain/dt [Drug Therapy] MH - *Pain/nu [Nursing] MH - Perception AB - Nursing pain assessments are influenced by the length of available tools, patient characteristics, patient pathology, concern about addictive behavior, and characteristics of the nurse. The relationship among these variables was explored in a sample of community hospital nurses (N = 59) and ONS members (N = 19). Although a number of interesting similarities were found in the two groups, age, professional and continuing education, and care setting appear to be related to differences in pain assessment practices. Implications for practice, research, and education include teaching nurses to: assess factors related to quality of life in the pain experience, assess and validate data from families, assess coping skills, and teach patients to use behavioral pain management strategies. The findings also suggest that further study is needed concerning the relationship between personal beliefs and experiences and the assessment and management of pain. Membership in professional organizations appears to be associated with comprehensive approaches to the assessment and management of cancer pain and should be addressed in further research. IS - 0190-535X IL - 0190-535X PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1989 Mar-Apr DC - 19890509 YR - 1989 ED - 19890509 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2928271 <832. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2538591 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jack LW FA - Jack, L W IN - Jack,L W. Undergraduate Program, School of Nursing, University of Pittsburgh, PA. TI - The educational impact of a course about addiction. SO - Journal of Nursing Education. 28(1):22-8, 1989 Jan. AS - J Nurs Educ. 28(1):22-8, 1989 Jan. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - *Attitude of Health Personnel MH - Behavior MH - *Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Life Style MH - Narcotics MH - Smoking/pc [Prevention & Control] MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - The purpose of this study was to evaluate the impact of a nursing course about addiction on baccalaureate nursing students' attitudes toward addictive substances and on their personal lifestyle behaviors. The course was a three-credit, 15-week offering, focusing on: 1) learning to care for addictive clients, and 2) learning to value responsible attitudes and healthy lifestyle behaviors, as a strategy for primary prevention of addiction in the nursing profession. A non-random treatment group of 46 students enrolled in the course was compared with a control group of 36 students. Data were collected at the beginning and end of the term using Goodstadt's Drug Attitudes Scale and the Healthstyle Self-Test, and analyzed using a two-way analysis of variance with repeated measures over time. The treatment group made significantly greater changes than did the control group when measured by the tobacco subscale and the opiates subscale. Both groups showed a significantly decreased ability to manage stress at the end of the term. In addition, a subgroup of students who indicated a family background of drug or alcohol abuse reported significantly different lifestyle behaviors when compared with a subgroup of students whose families did not use drugs or alcohol. RN - 0 (Narcotics) IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1989 Jan DC - 19890508 YR - 1989 ED - 19890508 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2538591 <833. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2538608 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eller RA AU - Irwin BL FA - Eller, R A FA - Irwin, B L IN - Eller,R A. Loma Linda University School of Nursing, California. TI - Responding to the chemically dependent nursing student. SO - Journal of Nursing Education. 28(2):87-8, 1989 Feb. AS - J Nurs Educ. 28(2):87-8, 1989 Feb. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Alcoholism/rh [Rehabilitation] MH - Humans MH - Schools, Nursing/og [Organization & Administration] MH - *Schools, Nursing MH - Student Health Services/og [Organization & Administration] MH - *Student Health Services MH - *Students, Nursing MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1989 Feb DC - 19890502 YR - 1989 ED - 19890502 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2538608 <834. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3236265 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dudley M AU - Langeluddecke P AU - Tennant C FA - Dudley, M FA - Langeluddecke, P FA - Tennant, C IN - Dudley,M. Avoca Clinic, Prince of Wales Hospital, Randwick NSW, Australia. TI - Psychological dysfunction in psychiatric and general nurse trainees. SO - Journal of Psychosomatic Research. 32(4-5):373-81, 1988. AS - J Psychosom Res. 32(4-5):373-81, 1988. NJ - Journal of psychosomatic research PI - Journal available in: Print PI - Citation processed from: Print JC - 0376333, juv SB - Index Medicus CP - ENGLAND MH - *Adaptation, Psychological MH - Adult MH - *Education, Nursing MH - Female MH - Humans MH - Male MH - *Personality Tests MH - *Psychiatric Nursing/ed [Education] MH - Psychometrics MH - Psychopathology MH - Substance-Related Disorders/px [Psychology] AB - The often held belief that psychiatric professionals are more psychologically disturbed than similar non-psychiatric professionals was not supported by the present study. Indeed in a comparison of two groups of nurse trainees, general nurse trainees showed a small but significantly greater degree of psychopathology than psychiatric nurses. When confounding variables and social desirability response set was taken into account, general nurse trainees had significantly higher scores on neuroticism, trait and state anxiety and depression. The groups did not differ on psychoticism (antisocial traits), extraversion, hypochondriasis or, work or social impairment. In terms of use of illicit drugs, the psychiatric nurses used only more cannabis than general nurses which was accounted for by females alone. IS - 0022-3999 IL - 0022-3999 PT - Journal Article LG - English DP - 1988 DC - 19890428 YR - 1988 ED - 19890428 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3236265 <835. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10292142 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dittmar SS AU - Haughey BP AU - O'Shea RM AU - Brasure J FA - Dittmar, S S FA - Haughey, B P FA - O'Shea, R M FA - Brasure, J TI - Health practices of nursing students: a survey. SO - Health Values. 13(2):24-31, 1989 Mar-Apr. AS - Health Values. 13(2):24-31, 1989 Mar-Apr. NJ - Health values PI - Journal available in: Print PI - Citation processed from: Print JC - 7801228, fx6, 7801228 SB - Health Administration Journals CP - UNITED STATES MH - Adolescent MH - Adult MH - Aged MH - Data Collection MH - Female MH - *Health Behavior MH - *Health Promotion MH - Humans MH - Middle Aged MH - New York MH - Statistics as Topic MH - *Students, Nursing MH - Surveys and Questionnaires AB - This study describes the health practices of nursing students from several nursing programs in western New York. Findings from a sample of 1,081 female students who responded to a questionnaire showed considerable variability in the extent to which students engage in health-related practices. While the majority obtain six to eight hours of sleep per night, exercise regularly, and have annual dental and physical examinations, less than half those surveyed eat breakfast everyday, over three-quarters eat between meals, and less than one-half limit fat, salt, and sugar in their diets. Most do not wear seat belts consistently; less than one-third perform breast self-examination monthly; and 90% consume alcoholic beverages and one-quarter have five or more drinks per occasion. Analyses demonstrated a statistically significant relationship between preventive-health orientation scores and age and type of basic nursing education. These data suggest that nurse faculty and health educators need to influence students' health-promoting and disease-preventing behaviors. This need is particularly salient since these students are expected to act as exemplars when they complete their education and assume positions in the health-care system. IS - 0147-0353 IL - 0147-0353 PT - Journal Article LG - English DP - 1989 Mar-Apr DC - 19890425 YR - 1989 ED - 19890425 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10292142 <836. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2646617 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Green P FA - Green, P TI - The chemically dependent nurse. [Review] [24 refs] SO - Nursing Clinics of North America. 24(1):81-94, 1989 Mar. AS - Nurs Clin North Am. 24(1):81-94, 1989 Mar. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Humans MH - *Nursing Staff, Hospital/px [Psychology] MH - *Professional Impairment MH - Risk Factors MH - Social Support MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders AB - Although exact numbers are not known, it is recognized that addiction to alcohol and other drugs occurs in nurses as it does in other occupations. There is some indication that nurses may be at greater risk for the development of addictive disease because of factors present in the profession. The nursing profession is recognizing the problem impaired practice presents and is working to develop programs to ensure that the issue of the impaired nurse is no longer denied by institutions, administrators, and individual nurses. There is a need for education of the profession in regard to the nature of addictive disease and the identification of the nurse whose practice has become impaired because of the use of alcohol or other drugs. Nurses also need to know more about intervention, treatment, and monitoring of recovery. It is the responsibility of the entire profession to see that programs designed to accomplish these tasks are in place in all states. The goals of programs for the impaired nurse are to protect the safety of individual patients, to safeguard the integrity of the profession, and to facilitate treatment and rehabilitation for the chemically dependent nurse. [References: 24] IS - 0029-6465 IL - 0029-6465 PT - Journal Article PT - Review LG - English DP - 1989 Mar DC - 19890413 YR - 1989 ED - 19890413 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2646617 <837. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2922349 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Finley B FA - Finley, B IN - Finley,B. Montana State University, Missoula. TI - The role of the psychiatric nurse in a community substance abuse prevention program. SO - Nursing Clinics of North America. 24(1):121-36, 1989 Mar. AS - Nurs Clin North Am. 24(1):121-36, 1989 Mar. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - Alcoholic Intoxication/pc [Prevention & Control] MH - *Community Health Nursing MH - Evaluation Studies as Topic MH - Female MH - *Health Education MH - Humans MH - Male MH - Montana MH - Pilot Projects MH - *Psychiatric Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] AB - There is an increasing awareness of the need for prevention of substance abuse related problems. The psychiatric nurse is especially equipped to strengthen the bonds among citizens and parents, health agencies and schools, law enforcement and hospitals to assist the community in the design and implementation of its own prevention program. The nurse is able to facilitate the community's own vested interests in a manner congruent with its needs. The nature and scope of nursing practice have traditionally included responses to health-conducive behavior. The nurse emphasizes self-determination and choice in health matters; therefore, substance abuse prevention efforts are likely to be incorporated by the community. The nurse provides the knowledge of addiction and abuse and assists the community in its health enhancement by using addiction and nursing theory, interpersonal process, research competencies, and teaching skills. IS - 0029-6465 IL - 0029-6465 PT - Journal Article LG - English DP - 1989 Mar DC - 19890413 YR - 1989 ED - 19890413 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2922349 <838. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3230227 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Giovinco G FA - Giovinco, G TI - Legal and ethical issues. Resources for dealing with chemically dependent students. SO - Journal of Professional Nursing. 4(6):401, 459, 1988 Nov-Dec. AS - J Prof Nurs. 4(6):401, 459, 1988 Nov-Dec. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Clinical Competence/lj [Legislation & Jurisprudence] MH - Humans MH - Licensure, Nursing MH - *Students, Nursing MH - *Substance-Related Disorders IS - 8755-7223 IL - 8755-7223 PT - Journal Article LG - English DP - 1988 Nov-Dec DC - 19890413 YR - 1988 ED - 19890413 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3230227 <839. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3148272 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gibbins FJ AU - Sen I AU - Vaz FS AU - Bose S FA - Gibbins, F J FA - Sen, I FA - Vaz, F S FA - Bose, S IN - Gibbins,F J. Department of Elderly Care, North Tees General Hospital, Cleveland. TI - Clinical budgeting and drug management on long-stay geriatric wards. SO - Age & Ageing. 17(5):328-32, 1988 Sep. AS - Age Ageing. 17(5):328-32, 1988 Sep. NJ - Age and ageing PI - Journal available in: Print PI - Citation processed from: Print JC - 0375655, 2xr SB - Index Medicus CP - ENGLAND MH - Aged MH - Budgets MH - Cost-Benefit Analysis MH - *Drug Utilization/ec [Economics] MH - Female MH - *Financial Management/ec [Economics] MH - *Financial Management, Hospital/ec [Economics] MH - *Geriatrics MH - *Hospital Units/ec [Economics] MH - Humans MH - Male MH - Substance-Related Disorders AB - Over-prescribing on long-stay wards for the elderly is a common problem. A scheme of senior doctor surveillance of prescribing on long-stay wards in a district general hospital is described, which involved stopping all drugs except those considered essential. A reduction of over 50% in the number of drugs taken per patient, and a saving of 34% in drug costs was achieved, without detriment to patients' well-being. Increased drug utilization on some wards is considered to occur because of the ward sister's demand for patients to be given drugs such as sedatives and tranquilizers. Regular re-education of nursing and junior medical staff to reduce over-prescribing is recommended. IS - 0002-0729 IL - 0002-0729 PT - Journal Article LG - English DP - 1988 Sep DC - 19890412 YR - 1988 ED - 19890412 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3148272 <840. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3216298 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Watkins JD AU - Conway-Welch C AU - Creedon JJ AU - Crenshaw TL AU - DeVos RM AU - Gebbie KM AU - Lee BJ 3rd AU - Lilly F AU - O'Connor JC AU - Primm BJ AU - et al FA - Watkins, J D FA - Conway-Welch, C FA - Creedon, J J FA - Crenshaw, T L FA - DeVos, R M FA - Gebbie, K M FA - Lee, B J 3rd FA - Lilly, F FA - O'Connor, J C FA - Primm, B J TI - Interim report of the Presidential Commission on the Human Immunodeficiency Virus Epidemic: Chairman's recommendations--Part I. SO - Journal of Acquired Immune Deficiency Syndromes. 1(1):69-103, 1988. AS - J Acquir Immune Defic Syndr. 1(1):69-103, 1988. NJ - Journal of acquired immune deficiency syndromes PI - Journal available in: Print PI - Citation processed from: Print JC - jof, 8812597 OI - Source: KIE. 29885 OI - Source: PIP. 051087 OI - Source: POP. 00186942 SB - Bioethics Journals SB - Index Medicus SB - Population Information Citations SB - AIDS/HIV Journals CP - UNITED STATES MH - Acquired Immunodeficiency Syndrome/ep [Epidemiology] MH - Acquired Immunodeficiency Syndrome/pc [Prevention & Control] MH - Acquired Immunodeficiency Syndrome/th [Therapy] MH - *Acquired Immunodeficiency Syndrome MH - *Advisory Committees MH - Biomedical Research MH - *Disease Outbreaks MH - Federal Government MH - Health Policy MH - Humans MH - Research MH - United States KW - Health Care and Public Health; *Presidential Commission on Human Immunodeficiency Virus Epidemic; *Acquired Immunodeficiency Syndrome; Americas; *Delivery Of Health Care; Developed Countries; Diseases; *Drugs; Economic Factors; Education; *Foundations; Government Agencies; *Government Sponsored Programs; Health; *Health Education; *Health Personnel; *Hiv Infections; North America; Northern America; Organization And Administration; Organizations; *Policy; Programs; *Recommendations; *Research And Development; Social Problems; *Substance Addiction; Technology; *Treatment; United States; *Usphs; Viral Diseases OA - PIP: The Presidential Commission was created in September 1987 with the mandate to advise the White House "on the public health dangers including the medical, legal, ethical, social, and economic impact, from the spread of the HIV and resulting illnesses including AIDS, AIDS related complex, and other related conditions." This paper covers the Commission's interim policy recommendations as of March 15, 1988, in the areas of intravenous drug abuse, patient care, and basic research and drug development. The scope of recommendations in the area of intravenous drug abuse includes provision of treatment services, treatment research, drug abuse prevention, and outreach education. There must be a national policy of "treatment on demand" for drug users. An expanded program of drug treatment research must include research on cocaine as well as heroin addiction treatment. Drug abuse prevention should coordinate efforts at all levels of government as well as community and religious organizations and schools. Outreach education, which is especially difficult with drug users because drug use is illegal, will cost roughly $126.5 million a year over current funding. Outreach programs should train and utilize street outreach workers, including former addicts, and should have special focuses on adolescents, minorities, and women of childbearing age. The scope of recommendations in the area of patient care includes health care provider education, health care systems, psychosocial needs, nursing care, minorities and underserved populations, and information coordination and exchange. AIDS needs to be integrated into the educational curricula of medical and all other health professional schools. In the area of health care systems, the recommendations emphasize the need for integrated community-based services for people with HIV infection. 22 AIDS Service Delivery Demonstration projects are currently being conducted in the US, 13 funded by the US Public Health Service and 9 funded by the Robert Wood Johnson Foundation.; Language: English NT - Presented for consideration by the full Commission on 15 Mar 1988. NT - KIE BoB Subject Heading: AIDS NT - TJ: JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES IS - 0894-9255 IL - 0894-9255 PT - Journal Article LG - English DP - 1988 DC - 19890309 YR - 1988 ED - 19890309 RD - 20041118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3216298 <841. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3216318 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bulkin W AU - Brown L AU - Fraioli D AU - Giannattasio E AU - McGuire G AU - Tyler P AU - Friedland G FA - Bulkin, W FA - Brown, L FA - Fraioli, D FA - Giannattasio, E FA - McGuire, G FA - Tyler, P FA - Friedland, G IN - Bulkin,W. Ritter Scheuer Hospice, Beth Abraham Hospital, Bronx, NY 10467. TI - Hospice care of the intravenous drug user AIDS patient in a skilled nurse facility. SO - Journal of Acquired Immune Deficiency Syndromes. 1(4):375-80, 1988. AS - J Acquir Immune Defic Syndr. 1(4):375-80, 1988. NJ - Journal of acquired immune deficiency syndromes PI - Journal available in: Print PI - Citation processed from: Print JC - jof, 8812597 SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - Acquired Immunodeficiency Syndrome/ec [Economics] MH - *Acquired Immunodeficiency Syndrome MH - Adult MH - Aged MH - Burnout, Professional MH - Confidentiality MH - Female MH - Hospices/ec [Economics] MH - Hospices/ut [Utilization] MH - *Hospices MH - Housing/st [Standards] MH - Humans MH - Injections, Intravenous MH - Male MH - Medical Indigency MH - Medicare Assignment MH - Middle Aged MH - Minority Groups MH - New York City MH - Pilot Projects MH - Prejudice MH - Self Care MH - *Substance-Related Disorders MH - Terminal Care/ec [Economics] MH - *Terminal Care MH - United States AB - We report on the initial experience in hospice care for a predominantly poor, black and Hispanic intravenous drug user AIDS population in New York City. Hospice care was provided in a skilled nursing facility with a certified hospice program delivering home care and inpatient care. A formal education program preceded patient admission to familiarize the staff and institution with AIDS issues. Between February 1986 and January 1988, 62 of 175 referred patients were accepted for hospice admission. The patients' mean age was 39 years and all had AIDS dementia complex. The mean length of stay was 35 days (range 1-280 days) and a total of 2011 days of hospice care was provided. Ninety-one percent of hospice days were spent on the inpatient unit; only 9% of hospice days were provided at home. Despite the requirement of expensive inpatient hospice care for most patient days, the estimated savings in decreased costs compared to acute hospital inpatient care was $751,488 for these 62 patients. Continuing fear of transmission among hospice staff was not a major problem; however, several unanticipated problems arose including (a) inability to provide home services, (b) continued drug abuse, (c) increased staff stress, (d) difficulty maintaining confidentiality, (e) difficult interactions with funeral directors, and (f) unsupportive and inappropriate funding requirements. Hospice care of AIDS patients is feasible, humane, and cost effective but problems of the intravenous drug using population require special attention and program modifications if hospice care is to be provided for this substantial and growing AIDS population. IS - 0894-9255 IL - 0894-9255 PT - Journal Article LG - English DP - 1988 DC - 19890224 YR - 1988 ED - 19890224 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3216318 <842. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3210175 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tennant FS Jr FA - Tennant, F S Jr TI - Your CE topic (No. 36). Clinical manifestations: post-drug impairment syndrome. SO - Journal of Practical Nursing. 38(4):46-53, 1988 Dec. AS - J Pract Nurs. 38(4):46-53, 1988 Dec. NJ - The Journal of practical nursing PI - Journal available in: Print PI - Citation processed from: Print JC - jsf, 0376610 SB - Nursing Journal CP - UNITED STATES MH - Brain/pp [Physiopathology] MH - *Central Nervous System Diseases/et [Etiology] MH - Central Nervous System Diseases/pp [Physiopathology] MH - Education, Nursing, Continuing MH - Humans MH - *Mental Disorders/et [Etiology] MH - Mental Disorders/pp [Physiopathology] MH - Nursing, Practical/ed [Education] MH - *Substance-Related Disorders/co [Complications] IS - 0022-3867 IL - 0022-3867 PT - Journal Article LG - English DP - 1988 Dec DC - 19890223 YR - 1988 ED - 19890223 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3210175 <843. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2911047 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark MD FA - Clark, M D IN - Clark,M D. Nursing Department, University of Chicago Hospitals, Illinois. TI - Preventing drug dependency: Part 2, Educating and supporting staff. SO - Journal of Nursing Administration. 19(1):21-6, 1989 Jan. AS - J Nurs Adm. 19(1):21-6, 1989 Jan. NJ - The Journal of nursing administration PI - Journal available in: Print PI - Citation processed from: Print JC - jel, 1263116 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Career Mobility MH - Drug and Narcotic Control MH - *Health Education MH - Humans MH - *Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Occupational Health Services MH - Policy Making MH - *Professional Impairment/pc [Prevention & Control] MH - Self Concept MH - Social Behavior MH - Social Support MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - Nurse administrators can respond to the chemical abuse problem in one of two ways. They can deny it, ignore it, avoid confrontation, and terminate the employee. Such action jeopardizes both the nurse and patients. Alternatively, nurse administrators can deal with the problem by recognizing its prevalence in society, educating their personnel, providing support systems for staff, and establishing controls. By choosing this latter course of action, nurse managers evidence humanity and concern for patients, the profession, and individual practitioners. IS - 0002-0443 IL - 0002-0443 PT - Journal Article LG - English DP - 1989 Jan DC - 19890217 YR - 1989 ED - 19890217 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2911047 <844. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3211395 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kudzma EC FA - Kudzma, E C TI - Encouraging non-smoking behaviors: a necessary component of nursing education. SO - Nurse Educator. 13(6):25-9, 1988 Nov-Dec. AS - Nurse Educ. 13(6):25-9, 1988 Nov-Dec. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - Curriculum MH - *Education, Nursing MH - Humans MH - *Smoking/pc [Prevention & Control] MH - *Students, Nursing MH - *Tobacco Use Disorder/px [Psychology] IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1988 Nov-Dec DC - 19890216 YR - 1988 ED - 19890216 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3211395 <845. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3211394 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark MD FA - Clark, M D TI - Drug use and nursing students: Part II. A program for prevention. SO - Nurse Educator. 13(6):22-4, 1988 Nov-Dec. AS - Nurse Educ. 13(6):22-4, 1988 Nov-Dec. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - Humans MH - Interpersonal Relations MH - Risk Factors MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1988 Nov-Dec DC - 19890216 YR - 1988 ED - 19890216 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3211394 <846. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3211377 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark MD FA - Clark, M D TI - Drug use and nursing students. Part 1, A program for prevention. SO - Nurse Educator. 13(5):25-7, 1988 Sep-Oct. AS - Nurse Educ. 13(5):25-7, 1988 Sep-Oct. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - Faculty, Nursing MH - Humans MH - Risk Factors MH - Social Adjustment MH - Stress, Psychological MH - Students, Nursing/px [Psychology] MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1988 Sep-Oct DC - 19890216 YR - 1988 ED - 19890216 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3211377 <847. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3200330 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steffen VB AU - Meacham-Zielasko J FA - Steffen, V B FA - Meacham-Zielasko, J TI - Staff resource nurses: extending the influence of the nurse specialist. SO - Nursingconnections. 1(3):23-31, 1988. AS - Nursingconnections. 1(3):23-31, 1988. NJ - NursingConnections PI - Journal available in: Print PI - Citation processed from: Print JC - nuc, 8809326, 8809326 SB - Nursing Journal CP - UNITED STATES MH - Diabetes Mellitus/nu [Nursing] MH - *Education, Nursing, Continuing MH - Humans MH - Inservice Training MH - *Nurse Clinicians MH - *Nursing Staff, Hospital/ed [Education] MH - Substance-Related Disorders/nu [Nursing] IS - 0895-2809 IL - 0895-2809 PT - Journal Article LG - English DP - 1988 DC - 19890119 YR - 1988 ED - 19890119 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3200330 <848. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3193226 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark MD FA - Clark, M D IN - Clark,M D. Department of Nursing, University of Chicago Hospitals, Illinois. TI - Preventing drug dependency: Part I, Recognizing risk factors. SO - Journal of Nursing Administration. 18(12):12-5, 1988 Dec. AS - J Nurs Adm. 18(12):12-5, 1988 Dec. NJ - The Journal of nursing administration PI - Journal available in: Print PI - Citation processed from: Print JC - jel, 1263116 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Attitude of Health Personnel MH - Humans MH - Interprofessional Relations MH - Nurse Administrators MH - *Nursing Staff/px [Psychology] MH - *Professional Impairment MH - Risk Factors MH - Role MH - Stress, Psychological MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] AB - Nurse administrators are in a key position to develop strategies to deter drug abuse by their staff. This two-part series of articles discusses the development of a prevention program. This first article describes risk factors associated with initial and continuing drug use by nurses. The second article (January 1989) will present an educational program based on these risk factors and suggest ways to provide staff with support. IS - 0002-0443 IL - 0002-0443 PT - Journal Article LG - English DP - 1988 Dec DC - 19890111 YR - 1988 ED - 19890111 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3193226 <849. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3177851 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Standards of addictions nursing practice with selected diagnoses and criteria. SO - American Nurses Association Publications. (PMH-10):i-iv, 1-58, 1988 Jan. AS - ANA Publ. (PMH-10):i-iv, 1-58, 1988 Jan. NJ - American Nurses Association Publications PI - Journal available in: Print PI - Citation processed from: Print JC - 4lw, 9870008 SB - Nursing Journal CP - UNITED STATES MH - American Nurses' Association MH - Education, Nursing, Continuing MH - Ethics, Nursing MH - Humans MH - Nursing Process MH - Patient Education as Topic MH - *Psychiatric Nursing/st [Standards] MH - Self-Help Groups MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States PT - Journal Article LG - English DP - 1988 Jan DC - 19881121 YR - 1988 ED - 19881121 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3177851 <850. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3415908 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Erickson AM FA - Erickson, A M TI - Co-dependence and nursing. SO - AD Nurse. 3(5):20-1, 1988 Sep-Oct. AS - AD Nurse. 3(5):20-1, 1988 Sep-Oct. NJ - AD nurse PI - Journal available in: Print PI - Citation processed from: Print JC - aur, 8704179, 8704179 SB - Nursing Journal CP - UNITED STATES MH - *Dependency (Psychology) MH - Humans MH - *Nurses/px [Psychology] MH - *Personality MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] IS - 0887-2198 IL - 0887-2198 PT - Journal Article LG - English DP - 1988 Sep-Oct DC - 19881021 YR - 1988 ED - 19881021 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3415908 <851. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3403244 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gerace L FA - Gerace, L TI - Patterns of alcohol use among nurse educators. SO - Issues in Mental Health Nursing. 9(2):189-200, 1988. AS - Issues Ment Health Nurs. 9(2):189-200, 1988. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Alcohol Drinking MH - Alcoholism/et [Etiology] MH - *Faculty, Nursing MH - Female MH - Humans MH - Male MH - Middle Aged MH - Risk Factors MH - Socioeconomic Factors MH - Surveys and Questionnaires IS - 0161-2840 IL - 0161-2840 PT - Journal Article LG - English DP - 1988 DC - 19880922 YR - 1988 ED - 19880922 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3403244 <852. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3403243 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haack MR AU - Harford TC FA - Haack, M R FA - Harford, T C TI - Nursing students with alcoholic fathers: alcohol consumption and depressive symptoms. SO - Issues in Mental Health Nursing. 9(2):181-8, 1988. AS - Issues Ment Health Nurs. 9(2):181-8, 1988. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Alcohol Drinking MH - *Alcoholism/ge [Genetics] MH - Alcoholism/px [Psychology] MH - *Depression MH - *Father-Child Relations MH - Female MH - Humans MH - Male MH - *Students, Nursing/px [Psychology] IS - 0161-2840 IL - 0161-2840 PT - Journal Article LG - English DP - 1988 DC - 19880922 YR - 1988 ED - 19880922 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3403243 <853. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3403238 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SA FA - Murphy, S A TI - Addiction nursing: an agenda for the 1990s. SO - Issues in Mental Health Nursing. 9(2):115-26, 1988. AS - Issues Ment Health Nurs. 9(2):115-26, 1988. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - UNITED STATES MH - Education, Nursing, Continuing MH - Humans MH - Mood Disorders/nu [Nursing] MH - Psychiatric Nursing/ed [Education] MH - *Specialties, Nursing MH - *Substance-Related Disorders/nu [Nursing] IS - 0161-2840 IL - 0161-2840 PT - Journal Article LG - English DP - 1988 DC - 19880922 YR - 1988 ED - 19880922 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3403238 <854. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3393920 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hammarstrom A AU - Janlert U AU - Theorell T FA - Hammarstrom, A FA - Janlert, U FA - Theorell, T IN - Hammarstrom,A. Department of Social Medicine, Karolinska Institute, Lulea, Sweden. TI - Youth unemployment and ill health: results from a 2-year follow-up study. SO - Social Science & Medicine. 26(10):1025-33, 1988. AS - Soc Sci Med. 26(10):1025-33, 1988. NJ - Social science & medicine (1982) PI - Journal available in: Print PI - Citation processed from: Print JC - ut9, 8303205 SB - Index Medicus CP - ENGLAND MH - Adolescent MH - Alcohol Drinking/px [Psychology] MH - Female MH - Follow-Up Studies MH - Health Status MH - Humans MH - Male MH - Motivation MH - Prospective Studies MH - *Psychology, Adolescent MH - Psychophysiologic Disorders/ep [Epidemiology] MH - Sex Factors MH - *Stress, Psychological/et [Etiology] MH - Sweden MH - *Unemployment AB - A prospective study was started in 1981, including all 1083 pupils in the last year of compulsory school in a municipality in the northern part of Sweden. All pupils were followed up after 2 years. They were investigated with a comprehensive self-administered questionnaire as well as studies of records and interviews with teachers and school nurses. The total non-participation rate in the study was less than 1%. The main results of the study are the following: unemployment leads to increased psychosomatic and psychological symptoms, decreased social activities in clubs, increased abuse of alcohol and narcotics and increased utilization of health care services. The effects of unemployment are somewhat different among girls and among boys. Girls are more exposed to unemployment and unemployment also leads to more negative effects among them. Hidden unemployment has the same effects as unemployment but the effects are less pronounced. IS - 0277-9536 IL - 0277-9536 PT - Journal Article LG - English DP - 1988 DC - 19880822 YR - 1988 ED - 19880822 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3393920 <855. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2454740 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stjernsward J FA - Stjernsward, J IN - Stjernsward,J. World Health Organization, Geneva, Switzerland. TI - WHO cancer pain relief programme. [Review] [34 refs] SO - Cancer Surveys. 7(1):195-208, 1988. AS - Cancer Surv. 7(1):195-208, 1988. NJ - Cancer surveys PI - Journal available in: Print PI - Citation processed from: Print JC - cng, 8218015 SB - Index Medicus CP - ENGLAND MH - Humans MH - International Cooperation MH - *Neoplasms/th [Therapy] MH - *Palliative Care MH - *World Health Organization AB - Cancer pain relief is a ubiquitous but neglected public health problem. Every day more than three and a half million people suffer from cancer pain, but only a fraction receive treatment for it. Relatively simple and inexpensive methods of pain relief are available. Adequate pain relief is not reaching a great number of cancer patients in developed countries. In the developing countries, where more than half the world's cancer patients are and where most are incurable at the time of diagnosis, pain relief (often the only relevant human alternative) by and large is not offered. Obstacles to effective cancer pain relief worldwide include poor drug availability, misguided national drug legislation, lack of education of doctors and nurses, underprescribing and underdosing by the professionals, wrong timing of drugs given, fear of addiction and lack of public awareness that pain can be controlled. A World Health Organization (WHO) method has been developed which provides for drugs to be administered immediately if there is pain, to be given 'by the clock' rather than 'on demand' and to be increased from non-opioids (aspirin or paracetamol) to weak opioids (codeine) and then to strong opioids (morphine) until the patient is free from pain--hence the concept of a three-step ladder for cancer pain relief. Field tests have shown that the right drug in the right dose at the right time relieves 80 to 90% of pain. Thus a scientifically valid, relatively inexpensive method suitable for reaching patients at community level does exist. [References: 34] IS - 0261-2429 IL - 0261-2429 PT - Journal Article PT - Review LG - English DP - 1988 DC - 19880729 YR - 1988 ED - 19880729 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2454740 <856. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3372886 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Elkind AK FA - Elkind, A K IN - Elkind,A K. Department of Epidemiology and Social Oncology, Christie Hospital and Holt Radium Institute, Manchester. TI - The effect of training on knowledge and opinion about smoking amongst nurses and student teachers. SO - Journal of Advanced Nursing. 13(1):57-69, 1988 Jan. AS - J Adv Nurs. 13(1):57-69, 1988 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Adult MH - *Attitude MH - Attitude to Health MH - Cognition MH - England MH - Female MH - Humans MH - Smoking/ae [Adverse Effects] MH - *Smoking MH - *Students/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - *Teaching AB - At their entry to training, student teachers and nurses (pupils, general students and paediatric students) completed a questionnaire and were interviewed about their knowledge and opinion of smoking as a health hazard. This was repeated a year later. The nurses and student teachers did not differ in their knowledge of eight smoking-related diseases at their entry to training, but the nurses were less willing to acknowledge the importance of smoking as a health problem. This was in part related to differences in their smoking behaviour, smokers being less likely to perceive smoking as a hazard than non-smokers. Smokers were also more likely to express doubts about the role of smoking in illness. In general at entry the pupil nurses were the least likely to accept that smoking is harmful to health. After a year of training little change was evident among the student teachers. Among the nurses knowledge had improved for some conditions and decreased for others. Improved knowledge was most evident among the general students but scores declined consistently among the pupils. The uptake of knowledge was also related to the nurses' smoking behaviour, non-smokers tending to become better informed and smokers less certain. In general, the nurses had also become less likely to acknowledge the importance of smoking as a health issue, and again, this was most marked among the pupils. Smoking behaviour did not account for these changes. The nurses applied their training experience to their views, the effect usually being to confirm existing ideas. Not all experience had a positive impact and training had not enhanced understanding of the causal relationship between smoking and illness. One explanation could lie in the way the subject of smoking is dealt with during teaching. IS - 0309-2402 IL - 0309-2402 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1988 Jan DC - 19880624 YR - 1988 ED - 19880624 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3372886 <857. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3130599 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stammer ME FA - Stammer, M E IN - Stammer,M E. Nurse Corps, Naval Hospital, Portsmouth, Virginia. TI - Understanding alcoholism and drug dependency in nurses. SO - Qrb. Quality Review Bulletin. 14(3):75-80, 1988 Mar. AS - QRB Qual Rev Bull. 14(3):75-80, 1988 Mar. NJ - QRB. Quality review bulletin PI - Journal available in: Print PI - Citation processed from: Print JC - okp, 7504127 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/et [Etiology] MH - Behavior MH - Female MH - Humans MH - Middle Aged MH - *Nurses/px [Psychology] MH - *Professional Impairment MH - Role Playing MH - Social Environment MH - Social Support MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/et [Etiology] AB - Despite the acknowledged prevalence of substance abuse among nurses, supervisors and co-workers of impaired nurses have little understanding of impairment or of how to constructively address the problem. A study of 34 nurses in Virginia explored factors underlying alcoholism in nurses. The study revealed that most of these nurses were influenced by family alcoholism and societal pressures associated with the female role. The need for acceptance and the inability to cope with stress were also important factors underlying nurses' use of alcohol. A general list of indicators of alcoholism and drug dependency were compiled based on the study results. Integrating the results of studies such as this one into educational programs for nurses may facilitate the identification of impaired nurses and their reentry into the workplace upon recovery. IS - 0097-5990 IL - 0097-5990 PT - Journal Article LG - English DP - 1988 Mar DC - 19880617 YR - 1988 ED - 19880617 RD - 20080220 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3130599 <858. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10287177 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Henricson B FA - Henricson, B TI - The Arjeplog project: comprehensive health promotion in a community. SO - Health Promotion. 2(2):205-12, 1987. AS - Health Promot. 2(2):205-12, 1987. NJ - Health promotion (Oxford, England) PI - Journal available in: Print PI - Citation processed from: Print JC - hpm, 8700098 SB - Health Administration Journals CP - ENGLAND MH - Adolescent MH - Aged MH - *Community Health Services/og [Organization & Administration] MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Sweden AB - The municipality of Arjeplog, Sweden, is an example of extensive and successful community participation in the aims of health promotion. At the health care centre, personnel from diverse departments meet on a regular basis to discuss patient needs and exchange knowledge on medical and social matters. Care groups exist in order to enable specialists to discuss and meet community needs: a psychiatric group, a rehabilitation group, a home care group, a child and family care group, etc. The municipality's resources include an old person's home which runs a day centre, A nursery, adult evening colleges, sports clubs, and services such as Alcoholics Anonymous, all serve as centres for the health promotion movement. Preventing ill health among the elderly and encouraging short-term visits to the centre has resulted in the need for hospital beds remaining steady despite an increase in the number of elderly people in the municipality. Preventive work in the form of health education has taken place in schools and through study circles specially formed by health education leaders. Public lectures have been successful and met with requests for further talks. Visits to the outpatient clinic have dropped by about a quarter. Arjeplog has one of the lowest number of people on the sick list in Sweden and the duration of diseases is lower than average. People are generally aware of what a healthy lifestyle involves and often take measures to prevent ill health. A Health Council has been formed and is to initiate future health work through work groups set up to meet health problems identified collectively.(ABSTRACT TRUNCATED AT 250 WORDS) IS - 0268-1099 IL - 0268-1099 PT - Journal Article LG - English DP - 1987 DC - 19880616 YR - 1987 ED - 19880616 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=10287177 <859. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3347077 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bartek JK AU - Lindeman M AU - Newton M AU - Fitzgerald AP AU - Hawks JH FA - Bartek, J K FA - Lindeman, M FA - Newton, M FA - Fitzgerald, A P FA - Hawks, J H IN - Bartek,J K. University of Nebraska Medical Center, College of Nursing, Omaha 68105. TI - Nurse-identified problems in the management of alcoholic patients. SO - Journal of Studies on Alcohol. 49(1):62-70, 1988 Jan. AS - J. stud. alcohol. 49(1):62-70, 1988 Jan. NJ - Journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Aged MH - *Alcoholism/nu [Nursing] MH - Education, Nursing MH - Family MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nursing Diagnosis MH - Nutritional Physiological Phenomena MH - Patient Care Planning AB - The purpose of this exploratory study was (1) to identify and rank the patient problems of hospitalized alcoholics that medical-surgical nurses view as difficult to manage, (2) to identify the factors that contribute to the difficulty in care, (3) to identify interventions used by nurses in an attempt to resolve patient problems and (4) to describe relationships between nurses and the identified patient problems. Subjects (N = 83) completed and returned an open-ended questionnaire by listing the physiological and psychosocial patient problems, factors and interventions. Selected demographic and biographic data were also collected. A nursing diagnosis classification described by others served as a basis and was adapted for the nursing diagnosis categories. Nominal data were analyzed using frequency distributions and percentages. The most difficult physiological problems in caring for alcoholic persons were categorized from subjects' responses using the nursing diagnoses of "potential for injury," "alterations in nutrition-elimination" and "fluid volume deficit." The nursing diagnosis categories of "ineffective individual coping," "ineffective family coping" and "noncompliance" comprised the most difficult psychosocial patient problems. A majority of subjects reported having limited classroom and clinical experience with alcoholism; 80% expressed a need for additional inservice education. It is recommended that nursing educational programs include didatic and clinical content about alcoholism, focusing on problem areas identified and on family dynamics, communication, coping strategies and time-management strategies. IS - 0096-882X IL - 0096-882X PT - Journal Article LG - English DP - 1988 Jan DC - 19880421 YR - 1988 ED - 19880421 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3347077 <860. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10315745 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rimer B AU - Levy MH AU - Keintz MK AU - Fox L AU - Engstrom PF AU - MacElwee N FA - Rimer, B FA - Levy, M H FA - Keintz, M K FA - Fox, L FA - Engstrom, P F FA - MacElwee, N TI - Enhancing cancer pain control regimens through patient education. SO - Patient Education & Counseling. 10(3):267-77, 1987 Dec. AS - Patient Educ Couns. 10(3):267-77, 1987 Dec. NJ - Patient education and counseling PI - Journal available in: Print PI - Citation processed from: Print JC - pec, 8406280 SB - Health Administration Journals CP - IRELAND MH - Aged MH - Clinical Trials as Topic MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Neoplasms/dt [Drug Therapy] MH - Outpatients MH - *Pain, Intractable/dt [Drug Therapy] MH - *Palliative Care MH - Patient Compliance MH - *Patient Education as Topic MH - Pennsylvania MH - Random Allocation AB - The problem of cancer-related pain afflicts millions of people annually. The study described here was aimed at improving cancer patients' pain control through a planned patient education program. A randomized clinical trial with a Solomon Four-Group design was used to assess the effectiveness of a patient education intervention consisting of nurse counseling and printed materials. The sample included 230 cancer patients. One month later, patients in the experimental group were more likely to have taken their pain medicine on the correct schedule and to have taken the correct dosage. The experimental group also was significantly less likely to report stopping the medicine when they felt better. In addition, they were significantly less worried about tolerance and addiction to pain medicines. Forty-four percent of the experimental group compared to 24% of the control group reported no or mild pain at the posttest. IS - 0738-3991 IL - 0738-3991 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - P50 CA 34856 (United States NCI NIH HHS) LG - English DP - 1987 Dec DC - 19880202 YR - 1987 ED - 19880202 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=10315745 <861. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3682830 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sullivan EJ FA - Sullivan, E J IN - Sullivan,E J. School of Nursing, University of Minnesota, Minneapolis 55455. TI - Comparison of chemically dependent and nondependent nurses on familial, personal and professional characteristics. SO - Journal of Studies on Alcohol. 48(6):563-8, 1987 Nov. AS - J. stud. alcohol. 48(6):563-8, 1987 Nov. NJ - Journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 SB - Index Medicus CP - UNITED STATES MH - Alcoholism/ge [Genetics] MH - *Alcoholism/px [Psychology] MH - *Family MH - Gender Identity MH - Humans MH - *Nurses/px [Psychology] MH - *Professional Impairment MH - Risk Factors MH - *Social Adjustment MH - Social Environment AB - The characteristics associated with professional impairment due to chemical dependency in nurses are examined. A sample of 139 recovering chemically dependent nurses was compared with a random sample of 384 registered nurses not identified as chemically dependent on familial, personal and professional characteristics. Respondents completed an extensive mailed questionnaire requesting information on demographic variables, family history (past and present), education, employment, medical history, lifestyle characteristics and alcohol- and drug-related behaviors. Significant differences between the two groups were found in gender, familial alcoholism and depression, sexual trauma and functioning, sexual preference, parenthood status, marital history, physical health, depressive illness and alcoholism in spouse. No differences were found in sibling rank, basic nursing education, nursing school class rank, highest educational degree held, academic achievement and length of nursing experience. Recommendations for future study include improved methodology, study of recovery variables and longitudinal follow-up of recovering nurses. IS - 0096-882X IL - 0096-882X PT - Journal Article LG - English DP - 1987 Nov DC - 19880114 YR - 1987 ED - 19880114 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3682830 <862. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2822874 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scavnicky-Mylant M FA - Scavnicky-Mylant, M IN - Scavnicky-Mylant,M. School of Nursing, University of Wyoming, Laramie. TI - Alcoholism nursing: toward a policy perspective. SO - Journal of Nursing Education. 26(7):294-6, 1987 Sep. AS - J Nurs Educ. 26(7):294-6, 1987 Sep. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Accreditation MH - *Alcoholism/nu [Nursing] MH - Education, Nursing, Baccalaureate/st [Standards] MH - *Education, Nursing, Baccalaureate MH - Education, Nursing, Graduate/st [Standards] MH - *Education, Nursing, Graduate MH - Humans MH - United States AB - Nurses remain relatively uninvolved with the number-one health problem of alcoholism due to ambivalence and/or ignorance. Efforts to change this dilemma have been primarily in the form of passive recommendations. A more direct and powerful action of mandating alcoholism education is suggested. This recommendation successfully meets the major criteria of policy. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1987 Sep DC - 19871208 YR - 1987 ED - 19871208 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=2822874 <863. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2822872 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hoffman AL AU - Heinemann ME FA - Hoffman, A L FA - Heinemann, M E IN - Hoffman,A L. School of Nursing, Department of Psychosocial Nursing, University of Washington, Seattle. TI - Substance abuse education in schools of nursing: a national survey. SO - Journal of Nursing Education. 26(7):282-7, 1987 Sep. AS - J Nurs Educ. 26(7):282-7, 1987 Sep. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing MH - Education, Nursing, Associate MH - Education, Nursing, Baccalaureate MH - Education, Nursing, Diploma Programs MH - Humans MH - Schools, Nursing MH - *Substance-Related Disorders MH - United States AB - A concern whether the expansion of knowledge in substance abuse nursing and the contemporary prevalence of substance use disorders had influenced current educational offerings in schools of nursing provided an impetus for this national survey. The purpose of the study was to obtain information about current curricular offerings in substance abuse by schools of nursing. A total of 1,035 questionnaires were mailed to schools of nursing. Respondents included 336 schools representing a 36% return rate. The sample included 154 baccalaureate (46%), 126 associate degree (38%), and 56 diploma (17%) programs. All but one state (Alaska) of the U.S. were part of the sample. The questionnaire used for this study was adapted from one developed for a survey of alcohol and drug abuse content taught in medical schools (Pokorney & Solomon, 1983). Modifications were limited to placing questions in a nursing context. All responding schools included substance abuse in curricular offerings with the largest number (N = 192; 57%) reporting the teaching of alcohol and drug content in a combined manner. The number of required hours of instruction reported most frequently was one to five (N = 242; 72%), which did not differ significantly for the three types of programs. The relatively small number of required hours of instruction would seem disproportionate to the scope and prevalence of substance abuse problems present in patient populations. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1987 Sep DC - 19871208 YR - 1987 ED - 19871208 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=2822872 <864. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3669673 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sullivan EJ AU - Hale RE FA - Sullivan, E J FA - Hale, R E IN - Sullivan,E J. School of Nursing, University of Minnesota, Minneapolis 55455. TI - Nurses' beliefs about the etiology and treatment of alcohol abuse: a national study. SO - Journal of Studies on Alcohol. 48(5):456-60, 1987 Sep. AS - J. stud. alcohol. 48(5):456-60, 1987 Sep. NJ - Journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 SB - Index Medicus CP - UNITED STATES MH - *Alcoholism MH - American Nurses' Association MH - *Attitude of Health Personnel MH - Education, Nursing MH - Humans MH - *Nurses/px [Psychology] MH - United States AB - The purpose of this study was to determine registered nurses' beliefs about alcoholism and alcoholics and to compare those beliefs with subjects' biographic and professional variables. A randomly selected national sample of 1026 registered nurses who are members of the American Nurses Association responded to a mailed survey that was designed to determine beliefs about the etiology and preferred treatment of alcohol abusers. Results showed that subjects had more positive beliefs toward alcohol abusers than was found in previous studies. In comparing nurses' beliefs with biographic and professional characteristics, it was found that those who had received their nursing education in hospital diploma programs and those with master's degrees had more positive beliefs about alcoholism than either baccalaureate prepared nurses or nurses with doctoral degrees. Female nurses more often expressed positive beliefs than did male nurses, and nurses working in rural hospitals were more positive than those in urban institutions. Age, length of time in nursing, clinical specialty, type of position, and size and type of institution, were unrelated to beliefs. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1987 Sep DC - 19871127 YR - 1987 ED - 19871127 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3669673 <865. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3630808 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kirscht JP AU - Janz NK AU - Becker MH AU - Eraker SA AU - Billi JE AU - Woolliscroft JO FA - Kirscht, J P FA - Janz, N K FA - Becker, M H FA - Eraker, S A FA - Billi, J E FA - Woolliscroft, J O TI - Beliefs about control of smoking and smoking behavior: a comparison of different measures in different groups. SO - Addictive Behaviors. 12(2):205-8, 1987. AS - Addict Behav. 12(2):205-8, 1987. NJ - Addictive behaviors PI - Journal available in: Print PI - Citation processed from: Print JC - 2gw, 7603486 SB - Index Medicus CP - ENGLAND MH - Attitude MH - Female MH - Humans MH - Internal-External Control MH - Male MH - *Tobacco Use Disorder/px [Psychology] MH - Tobacco Use Disorder/th [Therapy] AB - This study investigated several measures of beliefs about controlling smoking as predictors of cessation and reduction at one and six months after a medically-based control program. Smokers (n = 250 total) attending general medicine clinics at University and Veterans Administration facilities received advice to quit from both physicians and nurses. Beliefs about difficulty resisting urges to smoke in 15 situations, their frequency of occurrence, and general level of difficulty were assessed at baseline. For the University group of patients, significant relationships were found between both general and specific indexes and both cessation and reduction at one month. Although a greater change in smoking was seen at six months, few belief measures remained predictive. At one month, global measures were as useful as specific ones, although difficulty in situations of negative emotion was a consistent and strong predictor. Marked differences between the two sites were found; virtually no measure of difficulty proved predictive for the VA group. IS - 0306-4603 IL - 0306-4603 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - HL 30566 (United States NHLBI NIH HHS) LG - English DP - 1987 DC - 19870925 YR - 1987 ED - 19870925 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3630808 <866. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3650059 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arneson SW AU - Schultz M AU - Triplett JL FA - Arneson, S W FA - Schultz, M FA - Triplett, J L TI - Nurses' knowledge of the impact of parental alcoholism on children. SO - Archives of Psychiatric Nursing. 1(4):251-7, 1987 Aug. AS - Arch Psychiatr Nurs. 1(4):251-7, 1987 Aug. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - *Alcoholism MH - Child MH - Child Abuse MH - *Child Development MH - Education, Nursing MH - Female MH - Humans MH - Male MH - Parents MH - *Psychology, Child IS - 0883-9417 IL - 0883-9417 PT - Journal Article LG - English DP - 1987 Aug DC - 19870904 YR - 1987 ED - 19870904 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3650059 <867. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2886114 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chapman PJ AU - Ganendran A AU - Scott RJ AU - Basford KE FA - Chapman, P J FA - Ganendran, A FA - Scott, R J FA - Basford, K E TI - Attitudes and knowledge of nursing staff in relation to management of postoperative pain. SO - Australian & New Zealand Journal of Surgery. 57(7):447-50, 1987 Jul. AS - Aust N Z J Surg. 57(7):447-50, 1987 Jul. NJ - The Australian and New Zealand journal of surgery PI - Journal available in: Print PI - Citation processed from: Print JC - 0373115, 9ic SB - Index Medicus CP - AUSTRALIA MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Attitude of Health Personnel MH - Australia MH - Drug Prescriptions MH - Humans MH - *Nursing Staff, Hospital MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain, Postoperative/nu [Nursing] MH - Personnel Staffing and Scheduling MH - Surveys and Questionnaires AB - The effectiveness of pain control following surgery is notoriously difficult to assess, but objective assessment by nursing staff has been found to correlate reasonably well with subjective patient assessment. A study was designed to investigate the attitudes and knowledge of 86 qualified nursing staff in relation to postoperative pain management. Overall knowledge was sound to a point, but there were some obvious deficiencies in practical application; for example, 25% of staff would wait until a patient was in severe pain before using a prescribed (charted) analgesic. Additionally, almost three-quarters of staff felt that, in general, postoperative patients received adequate pain relief, while the great majority felt that prescription writing could be improved, mainly by improved legibility and clarity of actual instructions. The results suggest that the aim of postoperative pain management--that is, the provision of adequate analgesia--may need to be more strongly defined in nursing education. RN - 0 (Analgesics, Opioid) IS - 0004-8682 IL - 0004-8682 PT - Journal Article LG - English DP - 1987 Jul DC - 19870805 YR - 1987 ED - 19870805 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=2886114 <868. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3493880 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ricci JA FA - Ricci, J A TI - Alcohol-induced upper GI hemorrhage: case studies and management (continuing education credit). SO - Critical Care Nurse. 7(1):56-63, 1987 Jan-Feb. AS - Crit Care Nurse. 7(1):56-63, 1987 Jan-Feb. NJ - Critical care nurse PI - Journal available in: Print PI - Citation processed from: Print JC - dt8, 8207799 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Alcoholic Intoxication/co [Complications] MH - Education, Nursing, Continuing MH - Emergencies MH - Esophageal and Gastric Varices/et [Etiology] MH - Esophageal and Gastric Varices/nu [Nursing] MH - *Gastrointestinal Hemorrhage/et [Etiology] MH - Gastrointestinal Hemorrhage/nu [Nursing] MH - Humans MH - Male IS - 0279-5442 IL - 0279-5442 PT - Case Reports PT - Journal Article LG - English DP - 1987 Jan-Feb DC - 19870520 YR - 1987 ED - 19870520 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3493880 <869. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3645518 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steffen VB FA - Steffen, V B TI - Clinical nurse specialist for substance abuse. SO - Ohio Nurses Review. 62(3):13-4, 1987 Mar. AS - Ohio Nurses Rev. 62(3):13-4, 1987 Mar. NJ - Ohio nurses review PI - Journal available in: Print PI - Citation processed from: Print JC - ogm, 19330290r SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing MH - Humans MH - *Nurse Clinicians MH - *Substance-Related Disorders/nu [Nursing] IS - 0030-0993 IL - 0030-0993 PT - Journal Article LG - English DP - 1987 Mar DC - 19870508 YR - 1987 ED - 19870508 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3645518 <870. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3643183 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Howe B AU - Willis M AU - Williams EM FA - Howe, B FA - Willis, M FA - Williams, E M TI - Drinking choices: alcohol education and training for health professionals. SO - Health Visitor. 60(1):13-4, 1987 Jan. AS - Health Visit. 60(1):13-4, 1987 Jan. NJ - Health visitor PI - Journal available in: Print PI - Citation processed from: Print JC - g2p, 17320470r SB - Nursing Journal CP - ENGLAND MH - *Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - *Community Health Nursing/ed [Education] MH - Curriculum MH - Humans MH - Manuals as Topic IS - 0017-9140 IL - 0017-9140 PT - Journal Article LG - English DP - 1987 Jan DC - 19870320 YR - 1987 ED - 19870320 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3643183 <871. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3643268 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chaney EA FA - Chaney, E A TI - Nurses and chemical dependency: policy considerations. SO - Journal of Pediatric Nursing. 2(1):61-3, 1987 Feb. AS - J Pediatr Nurs. 2(1):61-3, 1987 Feb. NJ - Journal of pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - jns, 8607529 SB - Nursing Journal CP - UNITED STATES MH - Humans MH - Licensure, Nursing MH - *Nurses MH - Students, Nursing MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0882-5963 IL - 0882-5963 PT - Journal Article LG - English DP - 1987 Feb DC - 19870319 YR - 1987 ED - 19870319 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3643268 <872. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3643455 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark MD AU - Kachoyeanos M AU - Twadell AS FA - Clark, M D FA - Kachoyeanos, M FA - Twadell, A S TI - Educating the educators on alcoholism. SO - Nursing Success Today. 3(12):21-3, 1986 Dec. AS - Nurs Success Today. 3(12):21-3, 1986 Dec. NJ - Nursing success today PI - Journal available in: Print PI - Citation processed from: Print JC - nur, 8410115 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - *Education, Nursing MH - Humans IS - 0743-6726 IL - 0743-6726 PT - Journal Article LG - English DP - 1986 Dec DC - 19870310 YR - 1986 ED - 19870310 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3643455 <873. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3771014 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schlesinger SE AU - Barg MD FA - Schlesinger, S E FA - Barg, M D TI - Substance misuse training in nursing, psychiatry, and social work. SO - International Journal of the Addictions. 21(4-5):595-604, 1986 Apr-May. AS - Int J Addict. 21(4-5):595-604, 1986 Apr-May. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - *Education, Nursing MH - Humans MH - *Psychiatry/ed [Education] MH - *Social Work/ed [Education] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States AB - This is a survey study of American schools of nursing, psychiatry residency programs, and schools of social work to develop information on the extent to which nurses, psychiatrists, and social workers are prepared in their professional education to identify and treat substance misusers. Results describing nature, format, and extent of training experiences are presented for didactic and patient contact components of programs. Results are discussed in light of the finding that not much time is devoted to substance misuse in the professional preparation of these health care providers. IS - 0020-773X IL - 0020-773X PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 1986 Apr-May DC - 19861215 YR - 1986 ED - 19861215 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3771014 <874. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3636356 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kennedy J FA - Kennedy, J TI - The previous training and present training needs of nurses in charge of alcohol treatment units and community alcohol teams. SO - Journal of Advanced Nursing. 11(3):283-8, 1986 May. AS - J Adv Nurs. 11(3):283-8, 1986 May. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Adult MH - Aged MH - *Alcoholism/th [Therapy] MH - *Community Mental Health Services MH - Education, Nursing, Continuing MH - England MH - Female MH - *Hospital Units MH - Humans MH - Inservice Training MH - Male MH - Middle Aged MH - *Nursing, Supervisory MH - *Psychiatric Nursing/ed [Education] MH - Psychotherapy/ed [Education] MH - Wales AB - The aim of the study was to collect information on the educational needs of nurses in charge of alcohol treatment units and community alcohol teams. The sample of all such nurses in England and Wales was asked to complete a postal questionnaire and give information on the training and education they had already received, what further training they needed and brief details about their background and future plans. It was expected that a small proportion of the respondents would have had specialized training and this expectation was borne out. The results do provide evidence of considerable dissatisfaction amongst the group as to the training they receive. It is shown that these nurses wish to develop behavioural and psychotherapeutic skills and that training provided so far has not met these needs. Suggestions are made as to the content of future training events for nurses. IS - 0309-2402 IL - 0309-2402 PT - Journal Article LG - English DP - 1986 May DC - 19860815 YR - 1986 ED - 19860815 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3636356 <875. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2940278 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith JP FA - Smith, J P TI - Nursing and health care in the twentieth century: myth, reality and dichotomy. SO - Journal of Advanced Nursing. 11(2):127-32, 1986 Mar. AS - J Adv Nurs. 11(2):127-32, 1986 Mar. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - ENGLAND MH - Acquired Immunodeficiency Syndrome/nu [Nursing] MH - Adult MH - Aged MH - Alzheimer Disease/nu [Nursing] MH - Child MH - Disabled Persons MH - Great Britain MH - *Health MH - Health Resources MH - *Health Status MH - Humans MH - Intellectual Disability/nu [Nursing] MH - Life Style MH - Mental Disorders/nu [Nursing] MH - Middle Aged MH - *Nursing/td [Trends] MH - Role MH - Technology AB - In this Fourth Ruth Langton Memorial Lecture, the author highlights some of the major health problems in children, mentally and physically handicapped people, and in the growing numbers of elderly people in society. Nurses' roles are discussed. He identifies many major areas of concern and points out that many of the afflictions affecting people throughout the world, such as infectious diseases, blindness and malnutrition, could so easily be prevented. The author also focuses on the diseases caused by unhealthy lifestyles, in particular heart disease, cancers, drug addiction and obesity. He argues that a redirection of resources spent on arms and defense could do much to alleviate disease and suffering throughout the world. He also questions the present effectiveness of nursing education programmes and community care programmes. The paper concludes with a challenge to all nurses to explode the myth that society is becoming healthier, to face the reality of the urgent need for more primary health care and health education programmes, and to heal the dichotomy between present nursing and health care provision and the actual health needs of society. IS - 0309-2402 IL - 0309-2402 PT - Journal Article LG - English DP - 1986 Mar DC - 19860723 YR - 1986 ED - 19860723 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=2940278 <876. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3714136 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Blair KA FA - Blair, K A TI - The battered woman: is she a silent victim?. SO - Nurse Practitioner. 11(6):38, 40-4, 47, 1986 Jun. AS - Nurse Pract. 11(6):38, 40-4, 47, 1986 Jun. NJ - The Nurse practitioner PI - Journal available in: Print PI - Citation processed from: Print JC - oa1, 7603663 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Fear MH - Female MH - Helplessness, Learned MH - Humans MH - Male MH - Nurse Practitioners/px [Psychology] MH - Spouse Abuse/lj [Legislation & Jurisprudence] MH - *Spouse Abuse MH - United States MH - Violence MH - Women/px [Psychology] AB - Although hardly a recent phenomenon, the battered woman has still not been a clearly recognizable presence to primary caregivers. Unawareness of actual victims stems from an incomplete understanding of the reality of the "battered wife syndrome," lack of knowledge about the various forms of abuse and the silence of the victims themselves. The victim rarely reports abuse to the primary care provider without being asked. She does, however, present with common psychosomatic complaints, such as choking, gastrointestinal disorders or nervousness. Her injuries may range from bruises to fractures, and the explanation of these injuries is usually inappropriate. Characteristically, the victim of abuse has low self-esteem and anger that has been internalized. These lead to self-destructive behaviors such as alcohol or drug abuse. Many of the victim's behaviors are predictable and best understood in the contexts of learned helplessness, a cycle of violence or anticipatory fear. Recognizing that child abuse and spouse abuse often occur within the same family, the nurse practitioner can play a vital role in halting the cycle of family violence. Early recognition, knowledge of the forms of legal recourse in the community and intervention by the nurse practitioner will have an impact on the morbidity and mortality of this social problem. IS - 0361-1817 IL - 0361-1817 PT - Journal Article LG - English DP - 1986 Jun DC - 19860715 YR - 1986 ED - 19860715 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3714136 <877. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3943331 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaye W AU - Mancini ME FA - Kaye, W FA - Mancini, M E TI - Use of the Mega Code to evaluate team leader performance during advanced cardiac life support. SO - Critical Care Medicine. 14(2):99-104, 1986 Feb. AS - Crit Care Med. 14(2):99-104, 1986 Feb. NJ - Critical care medicine PI - Journal available in: Print PI - Citation processed from: Print JC - dtf, 0355501 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Cardiology/st [Standards] MH - *Employee Performance Appraisal/st [Standards] MH - Humans MH - *Life Support Care/st [Standards] MH - Patient Care Team MH - *Personnel Management/st [Standards] AB - The Mega Code is a simulated cardiac arrest during which students practice as members of a team and learn to integrate the knowledge and skills of advanced cardiac life support (ACLS). This study used the Mega Code and American Heart Association (AHA) standards to evaluate 32 medical residents (MDs) and nine critical care nurses (RNs) in the role of ACLS team leader. All had been previously trained in ACLS. The testing sequence included ventricular fibrillation (VF) refractory to initial countershock (defib), asystole after second defib, recurrent VF after drug therapy, and finally sinus rhythm after third defib. A blood gas report indicated respiratory acidosis and hypoxemia. Assessment of patient status was poor in both groups, although MDs did significantly (p = .001) better than RNs. Other problem areas were drug therapy and trouble-shooting are not adequately stressed in the AHA ACLS curriculum; moreover, there is no lecture that specifically addresses the team approach to resuscitation and the role of team leader. We found that the Mega Code effectively evaluated individual and group performance. Results of objective-based Mega Code testing can be used both to improve ACLS curriculum and to indicate areas to be stressed during refresher training. IS - 0090-3493 IL - 0090-3493 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1986 Feb DC - 19860314 YR - 1986 ED - 19860314 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3943331 <878. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3633165 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - DiCicco-Bloom B AU - Space S AU - Zahourek RP FA - DiCicco-Bloom, B FA - Space, S FA - Zahourek, R P TI - The homebound alcoholic. SO - American Journal of Nursing. 86(2):167-9, 1986 Feb. AS - Am. j. nurs.. 86(2):167-9, 1986 Feb. NJ - The American journal of nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 3mw, 0372646 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Aged MH - *Alcoholism/nu [Nursing] MH - Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - *Education, Nursing, Continuing MH - Female MH - *Home Care Services MH - Humans MH - Male MH - Middle Aged MH - *Nursing Staff/ed [Education] MH - Nursing Staff/px [Psychology] IS - 0002-936X IL - 0002-936X PT - Case Reports PT - Journal Article LG - English DP - 1986 Feb DC - 19860311 YR - 1986 ED - 19860311 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3633165 <879. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3852208 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, M A TI - Educational and clinical perspectives in alcoholism. SO - NLN Publications. (41-1985):124-9, 1985 Sep. AS - NLN Publ. (41-1985):124-9, 1985 Sep. NJ - NLN publications PI - Journal available in: Print PI - Citation processed from: Print JC - o3z, 9870012 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - Curriculum MH - *Education, Nursing MH - Humans PT - Journal Article LG - English DP - 1985 Sep DC - 19860109 YR - 1985 ED - 19860109 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3852208 <880. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3852304 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Norris J AU - Kunes-Connell M FA - Norris, J FA - Kunes-Connell, M TI - Self-esteem disturbance. SO - Nursing Clinics of North America. 20(4):745-61, 1985 Dec. AS - Nurs Clin North Am. 20(4):745-61, 1985 Dec. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - Affective Symptoms/nu [Nursing] MH - *Affective Symptoms/px [Psychology] MH - Aged MH - Chronic Disease/px [Psychology] MH - Education, Nursing MH - Female MH - Humans MH - Male MH - Mental Disorders/px [Psychology] MH - Middle Aged MH - Models, Psychological MH - *Nursing Assessment MH - *Nursing Process MH - Psychological Tests MH - Research MH - *Self Concept MH - Spouse Abuse MH - Substance-Related Disorders/px [Psychology] AB - Defining characteristics for self-esteem disturbance are examined for inter-rater reliability based on clinical observations and interviews by two clinical specialists. A tentative conceptual model and three distinct types of self-esteem disturbance are proposed for further research based on review of the literature and the clinical data. IS - 0029-6465 IL - 0029-6465 PT - Journal Article LG - English DP - 1985 Dec DC - 19860106 YR - 1985 ED - 19860106 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3852304 <881. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4046093 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Williams A FA - Williams, A TI - When the client is pregnant: information for counselors. SO - Journal of Substance Abuse Treatment. 2(1):27-34, 1985. AS - J Subst Abuse Treat. 2(1):27-34, 1985. NJ - Journal of substance abuse treatment PI - Journal available in: Print PI - Citation processed from: Print JC - kai, 8500909 OI - Source: PIP. 038913 OI - Source: POP. 00164932 SB - Index Medicus SB - Population Information Citations CP - UNITED STATES MH - Adult MH - Attitude of Health Personnel MH - Breast Feeding MH - Family Planning Services MH - Female MH - Guilt MH - Heroin Dependence/px [Psychology] MH - *Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Intensive Care Units, Neonatal MH - Methadone/ae [Adverse Effects] MH - *Methadone/tu [Therapeutic Use] MH - Patient Acceptance of Health Care MH - Patient Education as Topic MH - Pregnancy MH - *Pregnancy Complications MH - Prenatal Care MH - Risk MH - Substance Withdrawal Syndrome/et [Etiology] KW - *Behavior; *Breast Feeding; *Clinic Activities; *Contraception; *Counseling; *Counselors; *Delivery Of Health Care; *Drugs--administraction and dosage; *Education; *Educational Activities; Family Planning; *Group Processes; Health; *Health Personnel; *Health Services; *Health Services Administration; *Iec; *Infant Nutrition; Management; *Maternal Health Services; Maternal-child Health Services; *Medicine; *Nutrition; *Organization And Administration; *Pregnancy; *Prenatal Care; Primary Health Care; *Program Activities; Programs; *Psychological Factors; *Reproduction; Social Behavior; Treatment AB - This article explores the issues raised by methadone maintenance during pregnancy with a focus on intervention techniques for the drug counselor. Establishing and maintaining the appropriate dose of methadone is discussed. Prenatal care issues are reviewed and the counselor is suggested as a liaison with traditional sources of prenatal care and education. Postpartum experiences in the intensive care nursery are presented and recommendations about breast feeding offered. Specific activities are suggested for the drug program. NT - TJ: JOURNAL OF SUBSTANCE ABUSE TREATMENT. RN - UC6VBE7V1Z (Methadone) IS - 0740-5472 IL - 0740-5472 PT - Case Reports PT - Journal Article LG - English DP - 1985 DC - 19851119 YR - 1985 ED - 19851119 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=4046093 <882. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6536763 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Patrick PK FA - Patrick, P K TI - Self-preservation: treatment intervention for nurse impairment. SO - Journal of Substance Abuse Treatment. 1(3):169-77, 1984. AS - J Subst Abuse Treat. 1(3):169-77, 1984. NJ - Journal of substance abuse treatment PI - Journal available in: Print PI - Citation processed from: Print JC - kai, 8500909 SB - Index Medicus CP - UNITED STATES MH - Burnout, Professional MH - Confidentiality MH - Education, Nursing MH - Health Services Accessibility MH - Humans MH - Nurses/px [Psychology] MH - *Nurses MH - Peer Group MH - Referral and Consultation MH - Risk MH - Stress, Psychological/co [Complications] MH - Substance-Related Disorders/rh [Rehabilitation] AB - The nursing profession has initiated major intervention programs designed to address the issues and problems generated by impaired professional behavior. In Part I of this two-part series, the parameters of this key aspect of self-preservation were outlined. Part II will describe several existing and evolving intervention strategies tailored to the unique needs of the impaired nurse. Legal, social, and professional concerns are discussed as each relates to the challenges posed to peer and/or therapist efforts to treat the impaired nurse. A sampling of intervention programs is presented for both informational purposes as well as to serve as illustrations of methods that can be adapted by clinicians who have or can anticipate treating the impaired nurse. IS - 0740-5472 IL - 0740-5472 PT - Journal Article LG - English DP - 1984 DC - 19850829 YR - 1984 ED - 19850829 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6536763 <883. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3846001 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sheverbush J AU - Kerle D FA - Sheverbush, J FA - Kerle, D TI - Pre-professional and substance abuse: how are nursing educators handling the problem?. SO - Kansas Nurse. 60(4):16, 1985 Apr. AS - Kans Nurse. 60(4):16, 1985 Apr. NJ - The Kansas nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ku3, 18110790r SB - Nursing Journal CP - UNITED STATES MH - *Faculty, Nursing MH - Humans MH - Referral and Consultation MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0022-8710 IL - 0022-8710 PT - Journal Article LG - English DP - 1985 Apr DC - 19850618 YR - 1985 ED - 19850618 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3846001 <884. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3845851 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Griffin J FA - Griffin, J TI - Chemical dependency: nursing faculty and students are not immune. SO - Deans Notes. 6(5):1-3, 1985 May. AS - Deans Notes. 6(5):1-3, 1985 May. NJ - Deans Notes PI - Journal available in: Print PI - Citation processed from: Print JC - den, 9880408, 9880408 SB - Nursing Journal CP - UNITED STATES MH - *Faculty, Nursing MH - Humans MH - Licensure, Nursing MH - Social Responsibility MH - *Students, Nursing MH - Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders PT - Journal Article LG - English DP - 1985 May DC - 19850614 YR - 1985 ED - 19850614 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3845851 <885. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3845050 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haack MR FA - Haack, M R TI - Impairment and the student of nursing. SO - Imprint. 32(3):61-2, 1985 Apr-May. AS - Imprint. 32(3):61-2, 1985 Apr-May. NJ - Imprint PI - Journal available in: Print PI - Citation processed from: Print JC - ghc, 0163356, 0163356 SB - Nursing Journal CP - UNITED STATES MH - Alcohol Drinking MH - Alcoholism MH - Humans MH - *Stress, Psychological MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders IS - 0019-3062 IL - 0019-3062 PT - Journal Article LG - English DP - 1985 Apr-May DC - 19850523 YR - 1985 ED - 19850523 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3845050 <886. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3844106 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferrara ER FA - Ferrara, E R TI - On the scene: the University of Cincinnati Hospital. The law enforcement perspective: drug dependent nurses. SO - Nursing Administration Quarterly. 9(2):36-8, 1985. AS - Nurs Adm Q. 9(2):36-8, 1985. NJ - Nursing administration quarterly PI - Journal available in: Print PI - Citation processed from: Print JC - oae, 7703976 SB - Nursing Journal CP - UNITED STATES MH - Humans MH - *Nursing Service, Hospital/og [Organization & Administration] MH - Nursing Staff, Hospital/lj [Legislation & Jurisprudence] MH - Ohio MH - *Social Control, Formal MH - *Substance-Related Disorders IS - 0363-9568 IL - 0363-9568 PT - Journal Article LG - English DP - 1985 DC - 19850321 YR - 1985 ED - 19850321 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3844106 <887. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6569998 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ellis S FA - Ellis, S TI - RCN calls for specialist nurses in each DHA. College evidence to inquiry on misuse of drugs. SO - Nursing Standard. (382):3, 1984 Jan 31. AS - Nurs Stand. (382):3, 1984 Jan 31. NJ - Nursing standard : official newspaper of the Royal College of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - ENGLAND MH - *Community Health Nursing MH - Great Britain MH - Humans MH - *Nursing Services/og [Organization & Administration] MH - *Substance-Related Disorders/nu [Nursing] PT - Journal Article LG - English DP - 1984 Jan 31 DC - 19850318 YR - 1984 ED - 19850318 RD - 20140729 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6569998 <888. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2981988 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahijevych K AU - Boyle KK AU - Burger K FA - Ahijevych, K FA - Boyle, K K FA - Burger, K TI - Microcomputers enhance student health fairs. SO - Journal of Nursing Education. 24(1):16-20, 1985 Jan. AS - J Nurs Educ. 24(1):16-20, 1985 Jan. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Computers MH - Consumer Participation MH - *Education, Nursing, Baccalaureate MH - *Health Education/og [Organization & Administration] MH - *Health Fairs/og [Organization & Administration] MH - Humans MH - Learning MH - *Microcomputers MH - Nutritional Sciences/ed [Education] MH - Software MH - Stress, Physiological/pc [Prevention & Control] MH - Substance-Related Disorders/pc [Prevention & Control] AB - To stimulate student interest in learning about health, faculty assigned students the task of planning and implementing a university health fair. Two questions were posed: (1) Could sophomore students effectively plan and implement a health fair as a learning opportunity? (2) Could microcomputers be used appropriately to influence client participation and to enhance the nurse-client interactions? Literature regarding the efficacy of the health fair as a mode of health care delivery and as a student learning opportunity and literature addressing the advantages of microcomputer use were reviewed. Two health fairs were piloted. Microcomputers were employed in three areas: nutrition, stress, and substance abuse. Students, with faculty guidance, developed educational materials using principles of teaching, learning, and health promotion. Clients rated the health fair as congruent with their health needs. Students identified learning gained from the experience. Students and clients were receptive to computer use. Future directions are discussed. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1985 Jan DC - 19850311 YR - 1985 ED - 19850311 RD - 20091119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=2981988 <889. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6569486 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McIntegart J FA - McIntegart, J TI - Mental health nursing. Nursing our destiny. SO - Nursing Times. 80(47):62, 1984 Nov 21-27. AS - Nurs Times. 80(47):62, 1984 Nov 21-27. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Great Britain MH - Humans MH - *Psychiatric Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] IS - 0954-7762 IL - 0954-7762 PT - Journal Article LG - English DP - 1984 Nov 21-27 DC - 19850131 YR - 1984 ED - 19850131 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6569486 <890. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6094767 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Werlin EL AU - O'Brien E FA - Werlin, E L FA - O'Brien, E TI - Attitude change and a prison health care experience. SO - Journal of Nursing Education. 23(9):393-7, 1984 Nov. AS - J Nurs Educ. 23(9):393-7, 1984 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Attitude MH - Humans MH - Juvenile Delinquency MH - Mental Disorders MH - Primary Health Care MH - *Prisoners MH - Psychological Tests MH - Sampling Studies MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders AB - Nursing in a prison setting has recently emerged as a field of concern. One of the issues in staff working with prisoners is attitudes and attitude change. Since the most favorable site for attitude formation and/or change is a student's educational experience, the present study was undertaken to explore if nursing students who have a clinical experience with prisoners will demonstrate a change toward more favorable attitudes toward prisoners. The research design was a pre-test, post-test control group design. The instrument was a Likert scale, adapted from previously developed scales dealing with attitudes toward prisoners, the mentally ill, and drug addicts. An important control was contained in the instrument, in that not only were there statements dealing with prisoners, but also dealing with the mentally ill and addicts, with whom none of the students would have student clinical experience. The results revealed that there was no significant difference in attitudes toward prisoners, drug addicts, and the mentally ill on the pre-test for either experimental or control group. However, on the post-test, there was a significantly lower (more positive) score on the scale for prisoners for the experimental group, who had a prison clinical experience. This finding suggests that attitudes can be favorably altered by a relevant student clinical experience. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1984 Nov DC - 19850123 YR - 1984 ED - 19850123 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6094767 <891. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6238744 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Long DM FA - Long, D M TI - Stimulation of the peripheral nervous system for pain control. SO - Clinical Neurosurgery. 31:323-43, 1983. AS - Clin Neurosurg. 31:323-43, 1983. NJ - Clinical neurosurgery PI - Journal available in: Print PI - Citation processed from: Print JC - df8, 2985141r SB - Index Medicus CP - UNITED STATES MH - Back Pain/th [Therapy] MH - *Electric Stimulation Therapy/mt [Methods] MH - Humans MH - Neuralgia/th [Therapy] MH - *Pain Management MH - Pain, Postoperative/th [Therapy] MH - Peripheral Nerve Injuries MH - Prognosis MH - Research MH - Sciatica/th [Therapy] MH - Transcutaneous Electric Nerve Stimulation/is [Instrumentation] MH - *Transcutaneous Electric Nerve Stimulation/mt [Methods] AB - Transcutaneous stimulation is a proven effective way to relieve pain. Its optimal use requires an accurate patient diagnosis. Treatment of pain as a symptom only is likely to fail. There must be a careful psychosocial evaluation, for the majority of patients who come to the doctor complaining of pain have major psychological, social, or behavioral factors that are most important in the genesis of the complaint. Drug abuse must be corrected. Related symptoms, such as anxiety and depression, must be treated. Then, a thorough trail of transcutaneous stimulation is mandatory. A desultory use will undoubtedly lead to failure. This trial must begin with patient education by experienced personnel. Then the electrodes must be properly applied, and there must be a regular follow-up of stimulation to be certain the patient is utilizing it correctly. The patient must be supported through an adequate trial which should extend over 2-4 weeks before purchase of the device is contemplated. Furthermore, all related nursing and physician personnel must be educated in the proper use of the technique. The uninformed professional who denigrates the therapy is a very effective deterrent to appropriate use. In this situation, transcutaneous electrical stimulation will be of great value in the treatment of acute musculoskeletal injury and acute postoperative pain. It will be effective in the treatment of peripheral nerve injury pain, chronic musculoskeletal abnormalities, chronic pain in the patient who has undergone multiple operations upon the low back and neck, visceral pain, some of the reflex sympathetic dystrophies, and postherpetic neuralgia. Stimulation will not help a complaint which is psychosomatic in origin. It will not influence drug addiction. It is not likely to be useful in any situation where secondary gain is important. The metabolic neuropathies, pain of spinal cord injury, and pain from cerebrovascular accident will not respond frequently enough to warrant more than hopeful trials. The technique is inexpensive, places the patient in control of his own pain, and has no known serious side effects. Its widespread application awaits the development of reasonable systems to provide this service to physicians and patients. Stimulation-induced analgesia deserves a place in the armamentarium of every physician dealing with the complaint of pain. IS - 0069-4827 IL - 0069-4827 PT - Journal Article LG - English DP - 1983 DC - 19841226 YR - 1983 ED - 19841226 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6238744 <892. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6333400 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haack MR AU - Harford TC FA - Haack, M R FA - Harford, T C TI - Drinking patterns among student nurses. SO - International Journal of the Addictions. 19(5):577-83, 1984 Aug. AS - Int J Addict. 19(5):577-83, 1984 Aug. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - Adult MH - *Alcohol Drinking MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Students, Nursing/px [Psychology] MH - United States AB - The present study examined the use of alcohol among student nurses in a senior class of a college of nursing. A majority of the students indicated a stable pattern of alcohol use, and 13% reported alcohol-related problems either at school or at work. IS - 0020-773X IL - 0020-773X PT - Journal Article LG - English DP - 1984 Aug DC - 19841212 YR - 1984 ED - 19841212 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6333400 <893. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6471320 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Spickard WA AU - Tucker PJ FA - Spickard, W A FA - Tucker, P J TI - An approach to alcoholism in a university medical center complex. SO - JAMA. 252(14):1894-7, 1984 Oct 12. AS - JAMA. 252(14):1894-7, 1984 Oct 12. NJ - JAMA PI - Journal available in: Print PI - Citation processed from: Print JC - 7501160 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Academic Medical Centers MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/rh [Rehabilitation] MH - Education, Medical MH - Education, Nursing MH - Faculty MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Occupational Health Services MH - Tennessee AB - We developed a three-part approach to the problem of alcoholism among the employees and faculty of the Vanderbilt University and Medical Center. This included identification of faculty and staff with problem drinking, guidance of those identified for rehabilitation, and an educational program for students. Forty university employees (37 staff and three faculty) with problem drinking were identified and referred for rehabilitation. The principles of employee assistance used successfully in industry were applied in this employee group. The 65% "job rehabilitation" rate is comparable with that achieved in industrial employee assistance programs. Identification and rehabilitation of faculty in the university required special approaches. The educational program for students as part of the medical school elective curriculum was attended by most of the first- and second-year medical students. IS - 0098-7484 IL - 0098-7484 PT - Journal Article LG - English DP - 1984 Oct 12 DC - 19841025 YR - 1984 ED - 19841025 RD - 20140917 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6471320 <894. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6427625 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crowley TJ FA - Crowley, T J TI - Contingency contracting treatment of drug-abusing physicians, nurses, and dentists. SO - NIDA Research Monograph. 46:68-83, 1984. AS - NIDA Res Monogr. 46:68-83, 1984. NJ - NIDA research monograph PI - Journal available in: Print PI - Citation processed from: Print JC - nrm, 8811762 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Aged MH - *Behavior Therapy/mt [Methods] MH - Dentists/px [Psychology] MH - *Dentists MH - Female MH - Humans MH - Male MH - Middle Aged MH - Motivation MH - Nurses/px [Psychology] MH - *Nurses MH - *Physician Impairment MH - *Professional Impairment MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] MH - Token Economy AB - Seventeen drug-abusing physicians, dentists, and nurses entered contingency-contracting treatment. They deposited with their therapist letters to their respective licensing boards, confessing renewed drug abuse and surrendering their licenses. Each contract directed the therapist to collect frequent urine samples and to mail the letter if a scheduled sample was not provided, or contained drugs. The followup occurred a mean of 20 months after signing the contracts, which were of varied duration. Drug use dramatically declined for most patients after a contract was signed. Most patients' personal and professional lives also improved over the followup time. Twelve patients had suspended licenses or professional privileges before signing the contracts. All then worked; two subsequently lost their licenses through the contract mechanism, and three lost their licenses for other reasons. About half of the patients completed a full year with no apparent relapse. Relapses were more common when contracts were not in effect than when they were. IS - 1046-9516 IL - 1046-9516 PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - DA 02386 (United States NIDA NIH HHS) LG - English DP - 1984 DC - 19840626 YR - 1984 ED - 19840626 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6427625 <895. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6728348 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown MS AU - Burns CE AU - Hellings PJ FA - Brown, M S FA - Burns, C E FA - Hellings, P J TI - Health care in China. SO - Nurse Practitioner. 9(5):39, 42-4, 46, 1984 May. AS - Nurse Pract. 9(5):39, 42-4, 46, 1984 May. NJ - The Nurse practitioner PI - Journal available in: Print PI - Citation processed from: Print JC - oa1, 7603663 OI - Source: PIP. 026869 OI - Source: POP. 00138494 SB - Index Medicus SB - Population Information Citations SB - Nursing Journal CP - UNITED STATES MH - Child MH - Child Health Services MH - Child, Hospitalized MH - China MH - Cross-Cultural Comparison MH - *Delivery of Health Care/og [Organization & Administration] MH - Family Planning Services MH - Female MH - Health Services MH - Humans MH - Infant MH - Maternal Health Services MH - Pregnancy KW - Asia; *Barefoot Doctors; China; *Delivery Of Health Care; Developing Countries; *Eastern Asia; Family Planning; Health; *Health Personnel; *Health Services; *Health Services Administration; Immunization; Infant Mortality; Management; *Maternal-child Health Services; *Medicine; Mortality; *Organization And Administration; Population; Population Dynamics; *Preventive Medicine; Primary Health Care AB - Maternal-child nurses are part of a growing number of Americans who have had the opportunity to visit China. An increased understanding of the history and of the health care practices of the Chinese people lends itself to an examination of American values and health practices. The insight developed may aid us as we seek to understand our own health care practices for women and children and to plan for the future in health care. OA - PIP: Reporting on a professional exchange tour of American nurses in China, this discussion recounts what was learned about the Chinese health care system, nursing system, and maternal-child health, and focuses on some insights gained into the US health care system. Before 1949, the infant mortality rate was 20% during the 1st year of life; 30-40% of children died before age 5; vernereal disease, tuberculosis, schistosomiasis, typhus, cholera, and the plague were rampant; and traditional medicine had been outlawed. When the communists came to power, efforts were made at preventive health care but the results were not impressive until the Cultural Revolution of 1965. 4 main health objectives were stressed at that time: improving access to health care for the rural areas; emphasizing prevention; emphazing Chinese traditional medicine; and making health an individual and collective responsibility. Peasants were brought in to become the nurses or physicians with minimal or no preparation or education. Since then Western-trained physicians and nurses have been reintroduced into the health care system. Since 1965 the Chinese life expectancy has increased from 40 to 70 years. Infant mortality is now 1 of the lowest in the world. Veneral disease, drug addiction, and several other epidemic diseases have been almost totally eradicted, as has malnutrition. There is at least 1 barefoot doctor in each of these "production teams" of 30-50 families, often supported by traditional medical assistants, health aides, midwives, nurses, and public health workers. Patients can be referred to the commune hospital and can be further referred to county hospitals for more complicated problems. Free care is provided for many people. It is within this highly organized, prevention oriented, socially conscious context of health care that maternal-child health care is deelivered. Prenatal and postpartum care begins with home visits by traditional birth attendants or ffemale barefoot doctors. At the well baby clinics the walls are hung with colorful health education posters. Family planning is probably the number 1 health concern in China, and the government stresses late marriages, free use of contraceptives, and the 1 child family. Another insight gained was the idea of harnessing manpower rather than technological power for the purpose of health.; Language: English NT - TJ: NURSE PRACTITIONER. IS - 0361-1817 IL - 0361-1817 PT - Journal Article LG - English DP - 1984 May DC - 19840625 YR - 1984 ED - 19840625 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6728348 <896. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6701570 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hagey R FA - Hagey, R TI - The phenomenon, the explanations and the responses: metaphors surrounding diabetes in urban Canadian Indians. SO - Social Science & Medicine. 18(3):265-72, 1984. AS - Soc Sci Med. 18(3):265-72, 1984. NJ - Social science & medicine (1982) PI - Journal available in: Print PI - Citation processed from: Print JC - ut9, 8303205 SB - Index Medicus CP - ENGLAND MH - Alcoholism MH - Canada MH - Diabetes Mellitus, Type 2/ep [Epidemiology] MH - Diabetes Mellitus, Type 2/et [Etiology] MH - Diabetes Mellitus, Type 2/pc [Prevention & Control] MH - *Diabetes Mellitus, Type 2 MH - *Folklore MH - Health Services, Indigenous MH - Humans MH - *Indians, North American MH - Language MH - Urban Population AB - Type II Diabetes is a growing problem among Indian people in Canada. Ojibway and Cree leaders in Toronto collaborated with the University of Toronto, Faculty of Nursing, to develop the Native Diabetes Program. A key to the success of the program was seen by Natives to be the story 'Nanabush and the Pale Stranger', which seemed to put into perspective the nature of diabetes as a phenomenon. It provided explanations for it and answered numerous questions (non-biological) associated with the disease and indicated appropriate coping strategies. Yet formal methods of analyzing the story would not reveal its benefit as there is no explicit reference to many of the questions it implicitly answers. Metaphoric relationships are illuminated which may provide an underlying rationality to the narrative. Cultural expression is advocated as a source of making meaningful and tolerable that which is feared and avoided; of generating metaphors which make health information understandable and useful, by providing resolution to conflicting systems of belief. Information does not come in discreet ingestible particles of fact. All information is a sort of propaganda in that it is tied to deeper meaning structures. Clinicians are architects of meaning construction. Clinical research and practice requires a knowledge of the folk and professional construction of meaning around so-called factual information. IS - 0277-9536 IL - 0277-9536 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1984 DC - 19840417 YR - 1984 ED - 19840417 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6701570 <897. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6690697 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Taylor RB AU - Camp L AU - Rogers JM AU - Updike J AU - Lyle C FA - Taylor, R B FA - Camp, L FA - Rogers, J M FA - Updike, J FA - Lyle, C TI - A third-year family medicine clerkship based in an academic family practice center. SO - Journal of Medical Education. 59(1):39-44, 1984 Jan. AS - J Med Educ. 59(1):39-44, 1984 Jan. NJ - Journal of medical education PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Academic Medical Centers MH - Alcoholism/th [Therapy] MH - Ambulatory Care MH - *Clinical Clerkship MH - Curriculum MH - *Education, Medical, Undergraduate MH - *Family Practice/ed [Education] MH - Humans MH - Physicians, Family AB - In this paper, the authors describe the planning, curriculum, and evaluation of a five-week family medicine clinical clerkship for third-year students based in an academic family practice center. The program is an outpatient experience utilizing several innovative techniques: (a) problem-based learning that focuses on patient management tutorials, (b) consultation sessions with individuals offering specialized expertise, (c) supervised patient care in a family practice center and with a nursing home inpatient teaching service, and (d) workshops on various topics, such as office-surgical techniques, practice management, and alternative methods of health care. Evaluation of the course has demonstrated the merits of careful planning with student input, the need for flexibility, and the value of focusing on concepts in ambulatory care. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 5 D32 PE1005 (United States BHP HRSA HHS) LG - English DP - 1984 Jan DC - 19840223 YR - 1984 ED - 19840223 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6690697 <898. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6558662 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Duncan S FA - Duncan, S TI - Education: alcohol dependency nursing. SO - Nursing Mirror. 157(25):50, 1983 Dec 21-28. AS - Nurs Mirror. 157(25):50, 1983 Dec 21-28. NJ - Nursing mirror PI - Journal available in: Print PI - Citation processed from: Print JC - o98, 7708429 SB - Nursing Journal CP - ENGLAND MH - *Alcoholism/nu [Nursing] MH - *Education, Nursing, Continuing MH - Humans IS - 0029-6511 IL - 0029-6511 PT - Journal Article LG - English DP - 1983 Dec 21-28 DC - 19840214 YR - 1983 ED - 19840214 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6558662 <899. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6349932 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lemons PK FA - Lemons, P K TI - Victims of addiction. [Review] [35 refs] SO - Critical Care Update. 10(5):12-20, 1983 May. AS - Crit Care Update. 10(5):12-20, 1983 May. NJ - Critical care update PI - Journal available in: Print PI - Citation processed from: Print JC - 7802334, dta, 7802334 SB - Nursing Journal CP - UNITED STATES MH - Education, Nursing, Continuing MH - Female MH - *Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Fetal Alcohol Spectrum Disorders/th [Therapy] MH - *Fetal Diseases/di [Diagnosis] MH - Fetal Diseases/th [Therapy] MH - Humans MH - Infant, Newborn MH - Pregnancy MH - Substance Withdrawal Syndrome/th [Therapy] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] IS - 0162-7252 IL - 0162-7252 PT - Journal Article PT - Review LG - English DP - 1983 May DC - 19831028 YR - 1983 ED - 19831028 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6349932 <900. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6551755 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Leary PM AU - Solari-Twadell PA FA - O'Leary, P M FA - Solari-Twadell, P A TI - The student has a problem: whose responsibility. SO - Nurse Educators Opportunities & Innovations. :1-2, 4, 1983 Jan. AS - Nurse Educ Oppor Innov. :1-2, 4, 1983 Jan. NJ - Nurse Educators Opportunities And Innovations PI - Journal available in: Print PI - Citation processed from: Print JC - o8r, 9880100 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/th [Therapy] MH - *Faculty, Nursing MH - Humans MH - Social Responsibility MH - *Students, Nursing PT - Journal Article LG - English DP - 1983 Jan DC - 19830610 YR - 1983 ED - 19830610 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6551755 <901. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7166961 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wechsler H AU - Rohman M FA - Wechsler, H FA - Rohman, M TI - Future caregivers' views on alcoholism treatment. A poor prognosis. SO - Journal of Studies on Alcohol. 43(9):939-55, 1982 Sep. AS - J. stud. alcohol. 43(9):939-55, 1982 Sep. NJ - Journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 SB - Index Medicus CP - UNITED STATES MH - Alcohol Drinking MH - *Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Counseling MH - Female MH - Humans MH - Male MH - Prognosis MH - Social Work MH - *Students, Health Occupations/px [Psychology] MH - Students, Medical/px [Psychology] MH - Students, Nursing/px [Psychology] AB - Few students preparing for careers in medicine, nursing, social work, or counseling are interested in devoting their professional time to the care of problem drinkers; this reluctance to become involved in the treatment of alcohol problems is related to prognostic pessimism and negative assessments of existing therapeutic resources for alcoholism treatment. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - AA 03616-01 (United States NIAAA NIH HHS) LG - English DP - 1982 Sep DC - 19830527 YR - 1982 ED - 19830527 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7166961 <902. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6757156 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ewan CE AU - Whaite A FA - Ewan, C E FA - Whaite, A TI - Training health professionals in substance abuse: a review. [Review] [46 refs] SO - International Journal of the Addictions. 17(7):1211-29, 1982 Oct. AS - Int J Addict. 17(7):1211-29, 1982 Oct. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - Attitude of Health Personnel MH - Education, Medical MH - Education, Medical, Continuing MH - Education, Nursing MH - *Health Occupations/ed [Education] MH - Humans MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States AB - Alcohol- and drug-related problems are a major component of the work of health professionals. Most professionals are inadequately trained to handle the problems they will confront in this field. The need for training in aspects of substance abuse is widely accepted. This paper is a review of reports of such training programs in English-speaking countries. The programs have been reviewed in four categories: (1) courses for practitioners and teachers of health professionals, (2) courses for medical students, (3) courses for nurses and nursing students, and (4) courses for other health professionals. Many programs have achieved their objectives, but documentation for many of them is insufficient to provide guidance for future program development. In general, knowledge gain is easily demonstrated, but changes in attitudes and skills require special conditions in training. [References: 46] IS - 0020-773X IL - 0020-773X PT - Journal Article PT - Review LG - English DP - 1982 Oct DC - 19830214 YR - 1982 ED - 19830214 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6757156 <903. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6924546 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - The hospitalized alcoholic. SO - American Journal of Nursing. 82(12):1861-79, 1982 Dec. AS - Am. j. nurs.. 82(12):1861-79, 1982 Dec. NJ - The American journal of nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 3mw, 0372646 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Education, Nursing, Continuing MH - *Hospitalization MH - Humans IS - 0002-936X IL - 0002-936X PT - Journal Article LG - English DP - 1982 Dec DC - 19830107 YR - 1982 ED - 19830107 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6924546 <904. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7113623 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Frye-Kryder S AU - Katz LE FA - Frye-Kryder, S FA - Katz, L E TI - AANA Journal Course. 2. Cardiovascular system. The anesthetic management of the patient: a focus on myocardial infarction. SO - AANA Journal. 50(3):285-92, 1982 Jun. AS - AANA J. 50(3):285-92, 1982 Jun. NJ - AANA journal PI - Journal available in: Print PI - Citation processed from: Print JC - 0431420 SB - Index Medicus CP - UNITED STATES MH - Anesthetics/ad [Administration & Dosage] MH - Anesthetics/ae [Adverse Effects] MH - Coronary Circulation MH - Education, Nursing, Continuing MH - Humans MH - Myocardial Infarction/nu [Nursing] MH - *Myocardial Infarction/su [Surgery] MH - Nurse Anesthetists/ed [Education] MH - Oxygen/bl [Blood] MH - Patient Care Planning MH - Recurrence MH - Risk AB - Although it is important to note the cardiovascular effects of the various anesthetic agents, the anesthetist should use the anesthetic agent with which he or she is most familiar and with which it is felt that the best control of cardiovascular parameters can be maintained. It should be remembered that the effects of all drugs are dependent upon the milieu into which the drug is given. Expected effects may be altered because of the patient's cardiac and/or related pathophysiology. It is important that the anesthetist give attention to all parameters so that oxygen supply is always equal to or greater than cardiac oxygen demand. In this manner, anesthesia may most safely be conducted for patients with compromised coronary circulation. RN - 0 (Anesthetics) RN - S88TT14065 (Oxygen) IS - 0094-6354 IL - 0094-6354 PT - Journal Article LG - English DP - 1982 Jun DC - 19821029 YR - 1982 ED - 19821029 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7113623 <905. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10256728 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kahans D AU - Calford MB FA - Kahans, D FA - Calford, M B TI - The influence of music on psychiatric patients' immediate attitude change toward therapists. SO - Journal of Music Therapy. 19(3):179-87, 1982. AS - J Music Ther. 19(3):179-87, 1982. NJ - Journal of music therapy PI - Journal available in: Print PI - Citation processed from: Print JC - izv, 0014162 SB - Health Administration Journals CP - UNITED STATES MH - Analysis of Variance MH - Attitude MH - Humans MH - *Music Therapy MH - *Professional-Patient Relations MH - *Psychotherapy AB - This study was undertaken to establish that in an audience situation, music may facilitate an immediate attitude change toward a therapist by patients. To determine the characteristics of such a change, recorded (popular and classical) and live (cello) music was employed. A semantic differential was used to measure attitude change by psychiatric inpatients and control subjects (medical students and student nurses). Significant attitude change were found when the music presented was the preference of the therapist and when this preference was conveyed to the audience. Patient breakdown into diagnostic categories also showed that patients with affective or alcoholic disorders showed significantly larger attitude change than the controls. Results are discussed in terms of cognitive consistency theories of attitude change, concluding that maximal attitude change toward a therapist occurs under conditions in which the therapist presents new aspects of behavior (in terms of previous exposure) to the patients. IS - 0022-2917 IL - 0022-2917 PT - Journal Article LG - English DP - 1982 DC - 19821029 YR - 1982 ED - 19821029 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=10256728 <906. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7048975 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Engs RC FA - Engs, R C TI - Medical, nursing, and pharmacy students' attitudes towards alcoholism in Queensland, Australia. SO - Alcoholism: Clinical & Experimental Research. 6(2):225-9, 1982. AS - Alcohol Clin Exp Res. 6(2):225-9, 1982. NJ - Alcoholism, clinical and experimental research PI - Journal available in: Print PI - Citation processed from: Print JC - 35x, 7707242 SB - Index Medicus CP - UNITED STATES MH - *Alcoholism/px [Psychology] MH - *Attitude of Health Personnel MH - Australia MH - Humans MH - Students, Medical/px [Psychology] MH - Students, Nursing/px [Psychology] MH - Students, Pharmacy/px [Psychology] MH - Surveys and Questionnaires MH - Time Factors IS - 0145-6008 IL - 0145-6008 PT - Journal Article LG - English DP - 1982 DC - 19820924 YR - 1982 ED - 19820924 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7048975 <907. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6919936 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Potempa K AU - Roberts KV FA - Potempa, K FA - Roberts, K V TI - Cardiovascular drugs and the older adult. SO - Nursing Clinics of North America. 17(2):263-74, 1982 Jun. AS - Nurs Clin North Am. 17(2):263-74, 1982 Jun. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Aged MH - *Aging MH - Arrhythmias, Cardiac/dt [Drug Therapy] MH - *Cardiovascular Agents/ad [Administration & Dosage] MH - Cardiovascular Agents/ae [Adverse Effects] MH - Cardiovascular Agents/me [Metabolism] MH - Coronary Disease/dt [Drug Therapy] MH - Female MH - Heart Failure/dt [Drug Therapy] MH - Humans MH - Hypertension/dt [Drug Therapy] MH - Kinetics MH - Middle Aged AB - This case is typical of cardiovascular drug regimens in the elderly. Indeed, patients are often on several additional drugs for cardiovascular problems as well as other diseases. Familiarity with the pharmacology of all drugs is mandatory. Interactions of drugs can be complex, and a clinical pharmacologist can be a helpful resource. The classic interaction in cardiovascular drug regimens, as in this case, is with the combination of digoxin and potassium-depleting diuretics. The special interactions of cardiovascular and psychotropic drugs will be discussed elsewhere in this symposium. General clinical concerns in the care of patients taking cardiovascular drugs include scrutiny of drug choice, dosage, and combination. The dosage of drugs may need to be altered as the client ages. Drug types and combinations also may need to be changed to meet the needs of the patient's altered physiologic responses. The patient's response to drug therapy must be continuously evaluated. The best rule is to ensure that the patient takes the least number of drugs at the minimum dose required for desired effects. Starting drug dosages low and increasing them gradually often prevent toxicity. The nurse's assessment of subtle behavior or physical changes is important for the early detection of toxicity and adverse reactions. The possibility that a noted change is drug precipitated should always be considered. Health education of the client, family, or appropriate others is a significant nursing contribution to care. Awareness of drug side effects and specific offsetting interventions can prevent many discomforts and complications. Often making the patient aware of his changing body needs helps to elicit cooperation. RN - 0 (Cardiovascular Agents) IS - 0029-6465 IL - 0029-6465 PT - Case Reports PT - Journal Article LG - English DP - 1982 Jun DC - 19820807 YR - 1982 ED - 19820807 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6919936 <908. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6794835 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clarke MG AU - Williams AJ AU - Jones PA FA - Clarke, M G FA - Williams, A J FA - Jones, P A TI - A psychogeriatric survey of old people's homes. SO - British Medical Journal Clinical Research Ed.. 283(6302):1307-10, 1981 Nov 14. AS - Br Med J (Clin Res Ed). 283(6302):1307-10, 1981 Nov 14. NJ - British medical journal (Clinical research ed.) PI - Journal available in: Print PI - Citation processed from: Print JC - b4x, 8302911 OI - Source: NLM. PMC1507726 SB - Index Medicus CP - ENGLAND MH - Aged MH - *Cognition Disorders/ep [Epidemiology] MH - Dementia/ep [Epidemiology] MH - England MH - Female MH - Geriatric Nursing MH - *Homes for the Aged MH - Humans MH - Male MH - Patient Care Team MH - *Social Behavior Disorders/ep [Epidemiology] MH - Substance-Related Disorders/ep [Epidemiology] AB - An assessment of mental impairment and behavioral disabilities in 289 residents in six old people's homes indicated that 50.6% were probably demented and 54% needed considerable help in daily living, 74% were taking prescribed medication, and 11% were taking four or more prescribed drugs. There was a wide variation between homes in those rated as behaviourally disabled, and in the amount of medication prescribed. A follow-up of 60 mentally impaired residents showed few remediable psychiatric disorders or psychotoxic drug effects. A community psychiatric nurse working with the psychogeriatric team would provide a useful support service to old people's homes, particularly where there is a high proportion of disturbed residents and where the staff lack nursing experience. IS - 0267-0623 IL - 0267-0623 PT - Journal Article LG - English DP - 1981 Nov 14 DC - 19820120 YR - 1981 ED - 19820120 RD - 20130924 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6794835 <909. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7274001 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Engs RC FA - Engs, R C TI - The drug-use patterns of helping-profession students in Brisbane, Australia. SO - Drug & Alcohol Dependence. 6(4):231-46, 1980 Oct. AS - Drug Alcohol Depend. 6(4):231-46, 1980 Oct. NJ - Drug and alcohol dependence PI - Journal available in: Print PI - Citation processed from: Print JC - ebs, 7513587 SB - Index Medicus CP - SWITZERLAND MH - Analgesics MH - Australia MH - Caffeine MH - Cannabis MH - Ethanol MH - Female MH - Health Manpower MH - Humans MH - Hypnotics and Sedatives MH - Male MH - Plants, Toxic MH - *Students MH - Students, Medical MH - *Substance-Related Disorders/ep [Epidemiology] MH - Tobacco MH - Tranquilizing Agents AB - A survey of 1691 first-and final-year students in the helping professions (medicine, law, nursing, pharmacy, police science, seminary, social work/ psychology, and teaching) as to their use of drugs was carried out during February to April, 1980, in Brisbane, Australia. The results indicated that about 86% drank coffee or tea, 85% drank alcohol, 85% used non-prescription analgesics, 31% used tobacco, 25% antihistamines, 9% marijuana, 9% sedatives, 6% tranquilizers, 2% hallucinogens, 2% stimulants, 1% cocaine and 1% used opiates at least once a year. Of these students, females used analgesics and antihistamines significantly more frequently than males and consumed more caffeine, tobacco and analgesics than males, while males drank significantly more alcohol than females. Final-year students used more alcohol, coffee or tea and tobacco, and used marijuana, coffee and tea and tobacco significantly more frequently than first-year students. Individuals who did not consider religion important used more alcohol and tobacco and used marijuana, tobacco and hallucinogens more frequently compared to individuals who considered religion to be important. There was also a significant difference in drug usage between the different courses of study for most of the substances, with law students using the majority of substances the most frequently and seminarians the least frequently. RN - 0 (Analgesics) RN - 0 (Hypnotics and Sedatives) RN - 0 (Tranquilizing Agents) RN - 3G6A5W338E (Caffeine) RN - 3K9958V90M (Ethanol) IS - 0376-8716 IL - 0376-8716 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1980 Oct DC - 19811119 YR - 1980 ED - 19811119 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7274001 <910. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6941117 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thornton L FA - Thornton, L TI - Education of nurses to recognise problem drinkers. SO - New Zealand Nursing Journal. 74(2):9, 36, 1981 Feb. AS - N Z Nurs J. 74(2):9, 36, 1981 Feb. NJ - The New Zealand nursing journal. Kai tiaki PI - Journal available in: Print PI - Citation processed from: Print JC - 19110850r, obt SB - Nursing Journal CP - NEW ZEALAND MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Counseling MH - Humans MH - *Nursing Assessment MH - *Nursing Process IS - 0028-8535 IL - 0028-8535 PT - Journal Article LG - English DP - 1981 Feb DC - 19810827 YR - 1981 ED - 19810827 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6941117 <911. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7241253 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nelson JE FA - Nelson, J E TI - Drug abusers on the job. SO - Journal of Occupational Medicine. 23(6):403-8, 1981 Jun. AS - J Occup Med. 23(6):403-8, 1981 Jun. NJ - Journal of occupational medicine. : official publication of the Industrial Medical Association PI - Journal available in: Print PI - Citation processed from: Print JC - jfr, 7502807 SB - Index Medicus CP - UNITED STATES MH - Costs and Cost Analysis MH - Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Methadone/tu [Therapeutic Use] MH - *Occupational Medicine MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States AB - Drug abusers in the working population range from the functional to the dysfunctional. Functional drug-abusing employees may work as productive members of a company for years without incident or detection. Cases have been documented of long-term heroin addicts with stable 10- and 20-year work histories., Studies of drug addicts in treatment with known work histories reveal that such persons can, and do, hold a broad range of jobs in the work force. In a study by Levy of 95 former addicts with histories of simultaneous employment and undetected drug abuse (including on-the-job use by 91 of the 95 addicts), the following occupations were found: bank teller; mail clerk; secretary; delivery man; stock clerk; college registrar; typist; baker; nurses aide; medical supply clerk; messenger; pharmacy clerk; receptionist; teletype operator; men's clothing salesman; truck driver; busboy; telephone installer; roofer; clothing designer; assembly line worker; waitress; auto mechanic; security officer; postal worker; credit collector; plant manager; and rigger. Reports from CODAP, a Federal statistical system covering drug treatment programs, indicate that about 20% of opiate users admitted to treatment were employed full time at the time of admission. Caplovitz found that the stable worker-addict is more similar in basic characteristics to other workers than to nonworking addicts. RN - UC6VBE7V1Z (Methadone) IS - 0096-1736 IL - 0096-1736 PT - Journal Article LG - English DP - 1981 Jun DC - 19810820 YR - 1981 ED - 19810820 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7241253 <912. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10251678 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith-DiJulio K FA - Smith-DiJulio, K TI - Alcohol education for nurses. SO - Alcohol Health & Research World. 5(3):68-71, 1981. AS - Alcohol Health Res World. 5(3):68-71, 1981. NJ - Alcohol health and research world PI - Journal available in: Print PI - Citation processed from: Print JC - 3ai, 0365245, 100900708 SB - Health Administration Journals CP - UNITED STATES MH - *Alcoholism/px [Psychology] MH - Attitude of Health Personnel MH - *Education, Nursing, Continuing MH - Humans MH - *Nursing Staff/px [Psychology] MH - United States IS - 0090-838X IL - 0090-838X PT - Journal Article LG - English DP - 1981 DC - 19810723 YR - 1981 ED - 19810723 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=10251678 <913. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7225982 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Choi-Lao AT AU - McRae BC AU - Hastie KD FA - Choi-Lao, A T FA - McRae, B C FA - Hastie, K D TI - Smoking during pregnancy - a national survey on the curricula in medical, nursing, and physiotherapy schools in Canada. SO - Canadian Journal of Public Health. Revue Canadienne de Sante Publique. 71(6):407-11, 1980 Nov-Dec. AS - Can J Public Health. 71(6):407-11, 1980 Nov-Dec. NJ - Canadian journal of public health = Revue canadienne de sante publique PI - Journal available in: Print PI - Citation processed from: Print JC - ck6, 0372714 SB - Index Medicus CP - CANADA MH - Canada MH - *Curriculum MH - *Education, Medical MH - *Education, Nursing MH - Female MH - Humans MH - *Physical Therapy Modalities/ed [Education] MH - Pregnancy MH - *Pregnancy Complications/pc [Prevention & Control] MH - *Tobacco Use Disorder/pc [Prevention & Control] IS - 0008-4263 IL - 0008-4263 PT - Journal Article LG - English DP - 1980 Nov-Dec DC - 19810720 YR - 1980 ED - 19810720 RD - 20130605 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7225982 <914. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7215153 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Singh G AU - Jindal KC FA - Singh, G FA - Jindal, K C TI - Drugs on a medical campus. III. Drug use among nursing and paramedical personnel. SO - Drug & Alcohol Dependence. 7(1):31-7, 1981 Feb. AS - Drug Alcohol Depend. 7(1):31-7, 1981 Feb. NJ - Drug and alcohol dependence PI - Journal available in: Print PI - Citation processed from: Print JC - ebs, 7513587 SB - Index Medicus CP - SWITZERLAND MH - Adult MH - *Allied Health Personnel MH - Female MH - Hospitals MH - Humans MH - India MH - Male MH - Middle Aged MH - *Nurses MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - Fifty nurses and 50 paramedical staff working in the Rajendra Hospital and Medical College, Patiala, were studied by means of a structured, self-report questionnaire. The life-time prevalence of drug use among nurses was comparatively low--55%, compared to 81% among the paramedical staff. Current use of drugs as shown by the 30-day prevalence rate was also very low among the nurses, a majority of whom restricted themselves to using tranquillizers and sedatives for the specific purpose of relaxation or inducing sleep; only a few had experimented with alcohol, cannabis, and tobacco. On the other hand, the most commonly used drug among the paramedical personnel was alcohol, followed by sedatives, tranquillizers, cannabis and tobacco, most of them taking the drug for social reasons or for the thrills from the effects of the drug. This is also reflected in the comparatively higher number of paramedicals who felt that they would probably continue to use these drugs in the future, as also the fact that there were a few dependent users of opium and narcotics in this group. IS - 0376-8716 IL - 0376-8716 PT - Journal Article LG - English DP - 1981 Feb DC - 19810623 YR - 1981 ED - 19810623 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7215153 <915. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6905068 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rotheram F FA - Rotheram, F TI - Nurses and alcohol-related problems. SO - Nursing Times. 76(50):2197-8, 1980 Dec 11. AS - Nurs Times. 76(50):2197-8, 1980 Dec 11. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - Humans MH - *Students, Nursing MH - Surveys and Questionnaires IS - 0954-7762 IL - 0954-7762 PT - Journal Article LG - English DP - 1980 Dec 11 DC - 19810226 YR - 1980 ED - 19810226 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6905068 <916. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6904938 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Redding WL FA - Redding, W L TI - Alcohol education program: a benefit for you. SO - Oklahoma Nurse. 25(9):3, 1980 Nov. AS - Okla Nurse. 25(9):3, 1980 Nov. NJ - The Oklahoma nurse PI - Journal available in: Print PI - Citation processed from: Print JC - oh7, 19330740r SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - *Education, Nursing, Continuing MH - Humans MH - *Patient Education as Topic IS - 0030-1787 IL - 0030-1787 PT - Journal Article LG - English DP - 1980 Nov DC - 19810224 YR - 1980 ED - 19810224 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6904938 <917. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6903926 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Nursing in an inner city area--Glasgow. SO - Nursing Times. 76(40):1735-41, 1980 Oct 2. AS - Nurs Times. 76(40):1735-41, 1980 Oct 2. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Adult MH - Aged MH - Alcoholism/nu [Nursing] MH - Child MH - Child, Preschool MH - *Community Health Nursing MH - *Community Health Services/og [Organization & Administration] MH - Education, Nursing, Diploma Programs MH - Female MH - Health Services for the Aged MH - Humans MH - Scotland MH - Urban Health IS - 0954-7762 IL - 0954-7762 PT - Journal Article LG - English DP - 1980 Oct 2 DC - 19810116 YR - 1980 ED - 19810116 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6903926 <918. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6773971 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Elzarian EJ AU - Shirachi DY AU - Jones JK FA - Elzarian, E J FA - Shirachi, D Y FA - Jones, J K TI - Educational approaches promoting optimal laxative use in long-term-care patients. SO - Journal of Chronic Diseases. 33(10):613-26, 1980. AS - J Chronic Dis. 33(10):613-26, 1980. NJ - Journal of chronic diseases PI - Journal available in: Print PI - Citation processed from: Print JC - hqv, 2985123r SB - Index Medicus CP - UNITED STATES MH - Aged MH - *Cathartics/ad [Administration & Dosage] MH - Costs and Cost Analysis MH - *Drug Utilization MH - *Education, Medical, Continuing MH - *Education, Nursing, Continuing MH - Female MH - Humans MH - *Long-Term Care MH - Male MH - Middle Aged MH - Substance-Related Disorders RN - 0 (Cathartics) IS - 0021-9681 IL - 0021-9681 PT - Journal Article LG - English DP - 1980 DC - 19801125 YR - 1980 ED - 19801125 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6773971 <919. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7399757 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kopteff PJ FA - Kopteff, P J TI - A survey of the abuse of medicines and illicit drugs by Finnish students. SO - International Journal of the Addictions. 15(2):269-75, 1980 Feb. AS - Int J Addict. 15(2):269-75, 1980 Feb. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - Female MH - Finland/eh [Ethnology] MH - Humans MH - Male MH - *Population Surveillance MH - *Students MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States AB - The purpose of the investigation was to determine the extent of the abuse of medicines (sedatives, hypnotics, and analgesics) and illicit drugs (cannabis, LSD, and amphetamine) among Finnish students. The information was collected from a sample representing a population of approximately 6,400 Finnish students. The population was divided into three groups: university students, nursing students, and drama students. Abuse of medicines and illicit drugs was highest throughout among drama students. Illicit drugs were less widely abused among Finnish university students than among students in the United States. As in the United States, cannabis is the illicit drug most commonly taken by Finnish students. Five percent of Finnish university students had taken illicit drugs. Among Finnish drama students, the rate was 38%. IS - 0020-773X IL - 0020-773X PT - Comparative Study PT - Journal Article LG - English DP - 1980 Feb DC - 19801021 YR - 1980 ED - 19801021 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7399757 <920. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6104383 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Morgan WA AU - Sullivan ND FA - Morgan, W A FA - Sullivan, N D TI - Nurse practitioner and physician's assistant clinics in rural California. Part I: issues. SO - Western Journal of Medicine. 132(2):171-8, 1980 Feb. AS - West J Med. 132(2):171-8, 1980 Feb. NJ - The Western journal of medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0410504, xn5 OI - Source: NLM. PMC1272011 SB - Index Medicus CP - UNITED STATES MH - *Ambulatory Care Facilities/og [Organization & Administration] MH - California MH - Medically Underserved Area MH - *Nurse Practitioners MH - *Physician Assistants MH - *Rural Health AB - The primary health care needs of at least 26 rural California communities are being served by nurse practitioners (NP's) or physician's assistants (PA's). All of these have physician supervision and support. NP's and PA's have proved to be acceptable and effective. With 230 rural areas in California identified as having unmet health care needs, this type of service is likely to increase and should be supported.NP/PA clinics serve total populations or concentrate on Indians, Chicanos or the poor. Many barriers have been overcome, especially over the past four years, to allow these clinics to flourish and increase in number. The availability of nurse practitioners and physician's assistants has increased due to support to schools and to school policies. Clinic funding has greatly improved; federal funds for general rural clinics, Indians, migrants, family planning and maternalchild health have been greatly supplemented by California state funds. Beginning in 1978, rural NP and PA services can be reimbursed by Medicare and Medi-Cal (California's Medicaid program).Since 1975 state laws have defined PA and NP roles broadly, and these roles are more precisely defined at the local level. Although nurse practitioners and physician's assistants generally cannot prescribe or dispense drugs (a major problem in many clinics), demonstration legislation allows special pilot projects to do both. As remaining funding and legal problems are corrected, NP's and PA's will serve an even greater role in rural areas. IS - 0093-0415 IL - 0093-0415 PT - Journal Article LG - English DP - 1980 Feb DC - 19800825 YR - 1980 ED - 19800825 RD - 20130925 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6104383 <921. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7360510 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Merritt TA AU - Lawrence RA AU - Naeye RL FA - Merritt, T A FA - Lawrence, R A FA - Naeye, R L TI - The infants of adolescent mothers. SO - Pediatric Annals. 9(3):100-10, 1980 Mar. AS - Pediatr Ann. 9(3):100-10, 1980 Mar. NJ - Pediatric annals PI - Journal available in: Print PI - Citation processed from: Print JC - oub, 0356657 OI - Source: PIP. 034389 OI - Source: POP. 00156698 SB - Index Medicus SB - Population Information Citations CP - UNITED STATES MH - Adolescent MH - Birth Weight MH - Child Abuse MH - *Child Development MH - Female MH - Fetal Death MH - Gestational Age MH - Humans MH - Infant Mortality MH - Infant, Low Birth Weight MH - Infant, Newborn MH - Infant, Newborn, Diseases/ep [Epidemiology] MH - Intelligence MH - Maternal Age MH - Maternal Behavior MH - New York MH - Pregnancy MH - Pregnancy Complications/ep [Epidemiology] MH - *Pregnancy in Adolescence KW - Adolescents; *Adolescents, Female; *Age Factors; *Anthropometry; Behavior; *Biology; *Birth Weight; *Blacks; *Body Weight; Child Abuse; Child Development; Child Rearing; *Congenital Abnormalities; Crime; Cultural Background; *Demographic Factors; *Diseases; *Ethnic Groups; Family And Household; Family Characteristics; Family Relationships; *Fetal Death; *Growth; *Hispanics; *Infant Mortality; *Literature Review; Measurement; *Morbidity; *Mortality; *Mothers; *Neonatal Diseases And Abnormalities; Parents; *Physiology; Population; *Population Characteristics; *Population Dynamics; *Pregnancy Complications; Research Methodology; Social Behavior; Social Problems; *Whites; Youth OA - PIP: This discussion addresses the questions of the parinatal, neonatal, and infant health and development of children born to adolescent mothers as related to other biologic and social factors. Medical and legislative plans for adolescent mothers and their infants must be based on assessment of both mortality and morbidity of the infants born to adolescent mothers. Focus here is on neonatal data on 55,711 pregnancies collected by the Collaborative Perinatal Project of the National Institute of Neurological and Communicative Disorders and Stroke; neonatal data from the University of Kansas Medical Center covering 4000 pregnancies, 770 of which were gestations in teenage mothers; and obstetric, perinatal, and neonatal data concerning 6087 pregnancies in 1976, 1977, and 1978 at the Regional Perinatal Center at the University of Rochester. Ample evidence suggests a strong association between maternal age and birth weight. In particular, Hardy and Mellits found a higher frequency of low birth weight infants born to young black women. Interactions with other variables, including parity, clearly illustrate that firstborn infants are lighter than subsequent infants up to a maternal age of 35. Hoffman et al. have demonstrated that American women 18 years and under show a tendency to have infants of shorter gestational age than women 19-24 years of age. Cigarette smoking, alcohol and drug abuse, prolonged rupture of membranes, seizure disorders, and gonorrhea were significantly more frequently diagnosed in teenage mothers. The studies showed that behavioral and medical complications in the mothers were more powerful determinants of infants born with weight of less than 2500 gm than maternal age alone. In sum, when maternal and fetal growth retarding factors are taken into account among mothers of specific age categories, no biologic disadvantage appears unique to adolescent mothers. Findings fail to support the often expressed view that the mother's biologic immaturity is the main factor responsible for excessive fetal and neonatal deaths in infants born to very young mothers. Proportionately more infants born to adolescent mothers required admission to the intensive care or special care nurseries at the University of Rochester hospital than did infants born to mothers in their 20s (15.77% versus 13.9%). The data suggest that the mothering skills and child rearing practices of adolescent childbearing women have yet to be evaluated adequately.; Language: English NT - TJ: PEDIATRIC ANNALS. IS - 0090-4481 IL - 0090-4481 PT - Journal Article LG - English DP - 1980 Mar DC - 19800523 YR - 1980 ED - 19800523 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7360510 <922. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6898301 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McMillen M FA - McMillen, M TI - Alcohol education: early case identification--the profit of an accurate nursing assessment. SO - Oklahoma Nurse. 25(1):8, 1980 Jan-Feb. AS - Okla Nurse. 25(1):8, 1980 Jan-Feb. NJ - The Oklahoma nurse PI - Journal available in: Print PI - Citation processed from: Print JC - oh7, 19330740r SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/di [Diagnosis] MH - *Health Education MH - Humans MH - *Nursing Assessment MH - *Nursing Process MH - Patient Education as Topic IS - 0030-1787 IL - 0030-1787 PT - Journal Article LG - English DP - 1980 Jan-Feb DC - 19800425 YR - 1980 ED - 19800425 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6898301 <923. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6898093 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fortin ML FA - Fortin, M L TI - Detoxification, then what? A community nursing course in alcoholism. SO - American Journal of Nursing. 80(1):113-4, 1980 Jan. AS - Am. j. nurs.. 80(1):113-4, 1980 Jan. NJ - The American journal of nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 3mw, 0372646 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - *Alcoholism/th [Therapy] MH - California MH - *Community Health Nursing/ed [Education] MH - Curriculum MH - Humans MH - Nurse-Patient Relations MH - Pilot Projects IS - 0002-936X IL - 0002-936X PT - Journal Article LG - English DP - 1980 Jan DC - 19800228 YR - 1980 ED - 19800228 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6898093 <924. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6898036 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harlow PE AU - Goby MJ FA - Harlow, P E FA - Goby, M J TI - Changing nursing students' attitudes toward alcoholic patients: examining effects of a clinical practicum. SO - Nursing Research. 29(1):59-60, 1980 Jan-Feb. AS - Nurs Res. 29(1):59-60, 1980 Jan-Feb. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/nu [Nursing] MH - Attitude of Health Personnel MH - Curriculum MH - Education, Nursing, Baccalaureate MH - Evaluation Studies as Topic MH - Humans MH - Illinois MH - *Students, Nursing/px [Psychology] MH - United States IS - 0029-6562 IL - 0029-6562 PT - Comparative Study PT - Journal Article LG - English DP - 1980 Jan-Feb DC - 19800228 YR - 1980 ED - 19800228 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6898036 <925. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 158048 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith JP FA - Smith, J P TI - The challenge of health education for nurses in the 1980s. SO - Journal of Advanced Nursing. 4(5):531-43, 1979 Sep. AS - J Adv Nurs. 4(5):531-43, 1979 Sep. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Alcoholism/pc [Prevention & Control] MH - Dental Caries/pc [Prevention & Control] MH - Disabled Persons MH - Emigration and Immigration MH - Female MH - Genetic Counseling MH - Great Britain MH - *Health Education MH - Humans MH - Male MH - *Nurses/ut [Utilization] MH - Pregnancy MH - Preventive Health Services/ec [Economics] MH - Sexually Transmitted Diseases/pc [Prevention & Control] MH - Smoking/pc [Prevention & Control] AB - As nurses are the largest group of health workers, it is argued that their potential for influence, so far as health education is concerned, is very great. The health problems associated with demographic changes in British society, smoking, alcohol, road accidents, dental decay, mental health and the sexual revolution are focused on; and the health education contribution that nurses (and other health workers) can make to alleviate and prevent these problems is discussed. The important role of 'significant others' is also stressed. Problems associated with general lack of basic biological and health information, and with the physically handicapped, and immigrant groups are also noted with concern and are considered to be particular challenges to nurses. Nurses are urged to develop their social skills, to constantly update their knowledge about British society, and to commit themselves to the aims of health education. It is also argued that they need missionary zeal so that they will take health education to the people in the community at large. The basic tenet of the paper is that health education is part and parcel of the nursing process and, therefore, greater involvement of nurses in health education is a logical and rational extension of their role. IS - 0309-2402 IL - 0309-2402 PT - Journal Article LG - English DP - 1979 Sep DC - 19791121 YR - 1979 ED - 19791121 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=158048 <926. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 257377 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Williams A FA - Williams, A TI - The student and the alcoholic patient. SO - Nursing Outlook. 27(7):470-2, 1979 Jul. AS - Nurs Outlook. 27(7):470-2, 1979 Jul. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Print JC - o9h, 0401075 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - Curriculum MH - Education, Nursing, Diploma Programs MH - Humans MH - Interpersonal Relations MH - Nurse-Patient Relations MH - *Students, Nursing IS - 0029-6554 IL - 0029-6554 PT - Journal Article LG - English DP - 1979 Jul DC - 19791024 YR - 1979 ED - 19791024 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=257377 <927. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 464418 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Goodwin JS AU - Goodwin JM AU - Vogel AV FA - Goodwin, J S FA - Goodwin, J M FA - Vogel, A V TI - Knowledge and use of placebos by house officers and nurses. SO - Annals of Internal Medicine. 91(1):106-10, 1979 Jul. AS - Ann Intern Med. 91(1):106-10, 1979 Jul. NJ - Annals of internal medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0372351, 5a6 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Adult MH - Attitude of Health Personnel MH - Female MH - Humans MH - *Medical Staff, Hospital MH - Middle Aged MH - *Nursing Staff, Hospital MH - Pain Management MH - Physicians MH - Placebos/tu [Therapeutic Use] MH - *Placebos MH - Professional-Patient Relations MH - Psychophysiologic Disorders MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - Sixty house officers and 39 registered nurses in a university teaching hospital were surveyed to ascertain their knowledge of placebo action and their patterns of placebo use. The majority of physicians and nurses greatly underestimated the percentage of patients who experience pain relief when given placebo. Placebos typically were given to disliked patients who were suspected of exaggerating their pain or had failed to respond to usual medical regimens, or both. Positive responses to placebo medication were then interpreted by the physicians as evidence that the pain had no physiologic basis. Many studies have shown that overdemanding and complaining patients are, if anything, less likely to respond to placebo than patients well liked by the hospital staff. Nevertheless the results of our survey suggest that this is precisely the type of patient "at risk" for placebo treatment. RN - 0 (Placebos) IS - 0003-4819 IL - 0003-4819 PT - Case Reports PT - Journal Article LG - English DP - 1979 Jul DC - 19790917 YR - 1979 ED - 19790917 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=464418 <928. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10242433 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Estes NJ AU - Gurel M FA - Estes, N J FA - Gurel, M TI - Nursing students' social acceptance of recovered alcoholics. SO - Alcohol Health & Research World. 3(4):31-2, 1979. AS - Alcohol Health Res World. 3(4):31-2, 1979. NJ - Alcohol health and research world PI - Journal available in: Print PI - Citation processed from: Print JC - 3ai, 0365245, 100900708 SB - Health Administration Journals CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - Attitude of Health Personnel MH - Humans MH - *Nurse-Patient Relations MH - *Students, Nursing MH - Washington IS - 0090-838X IL - 0090-838X PT - Journal Article LG - English DP - 1979 DC - 19790725 YR - 1979 ED - 19790725 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=10242433 <929. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 254655 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sorgen LM FA - Sorgen, L M TI - Student learning following an educational experience at an alcohol Rehabilitation Centre in Saskatoon, Saskatchewan, Canada. SO - International Journal of Nursing Studies. 16(1):41-50, 1979. AS - Int J Nurs Stud. 16(1):41-50, 1979. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Alcoholism/nu [Nursing] MH - *Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - *Education, Nursing, Baccalaureate MH - Evaluation Studies as Topic MH - Female MH - Humans MH - *Learning MH - Male MH - Nurse-Patient Relations MH - *Rehabilitation Centers MH - Saskatchewan MH - *Students, Nursing IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English DP - 1979 DC - 19790629 YR - 1979 ED - 19790629 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=254655 <930. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 252989 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tweed S FA - Tweed, S TI - Alcohol isn't the answer. SO - Imprint. 26(1):48-9, 1979 Feb. AS - Imprint. 26(1):48-9, 1979 Feb. NJ - Imprint PI - Journal available in: Print PI - Citation processed from: Print JC - ghc, 0163356, 0163356 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/et [Etiology] MH - Animals MH - Humans MH - Nurses MH - *Stress, Psychological/co [Complications] MH - *Students, Nursing MH - United States IS - 0019-3062 IL - 0019-3062 PT - Journal Article LG - English DP - 1979 Feb DC - 19790425 YR - 1979 ED - 19790425 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=252989 <931. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 252584 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Triplett JL AU - Arneson SW FA - Triplett, J L FA - Arneson, S W TI - Children of alcoholic parents: a neglected issue. SO - Journal of School Health. 48(10):596-9, 1978 Dec. AS - J Sch Health. 48(10):596-9, 1978 Dec. NJ - The Journal of school health PI - Journal available in: Print PI - Citation processed from: Print JC - k13, 0376370 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - *Alcoholism MH - Child MH - *Child Welfare MH - Counseling MH - Humans MH - Iowa MH - *Parents MH - Referral and Consultation MH - *School Nursing MH - Self Concept AB - Little attention has been focused on the children of alcoholic families, and the few studies that have been conducted indicate that these children are at grave risk for developing long-lasting psychosocial and educational problems. Their self-esteem suffers as a result of constant conflict, inconsistency, and role confusion in the home, and it is also known that academic performance and the ability to develop positive peer relationships are also greatly affected. In an effort to determine the scope of this problem, 51 Iowa school nurses attending an Annual School Nurse Conference were queried about: a) their awareness of the problem, b) who should be responsible for intervening with these children, and c) what the role of the school nurse is in working with these youngsters. Based on their responses as well as findings in the literature, suggestions regarding appropriate nursing interventions are offered. IS - 0022-4391 IL - 0022-4391 PT - Journal Article LG - English DP - 1978 Dec DC - 19790329 YR - 1978 ED - 19790329 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=252584 <932. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 692971 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Guida MA FA - Guida, M A TI - OHNs are in the best position to help workers fight alcoholism. SO - Occupational Health & Safety. 47(5):48-52, 1978 Sep-Oct. AS - Occup Health Saf. 47(5):48-52, 1978 Sep-Oct. NJ - Occupational health & safety (Waco, Tex.) PI - Journal available in: Print PI - Citation processed from: Print JC - 7610574, ode SB - Index Medicus CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - Education, Nursing, Continuing MH - Hospitals MH - Humans MH - Nurses/ut [Utilization] MH - Occupational Health Nursing/ed [Education] MH - *Occupational Health Nursing MH - Occupational Health Services MH - *Substance-Related Disorders/nu [Nursing] IS - 0362-4064 IL - 0362-4064 PT - Journal Article LG - English DP - 1978 Sep-Oct DC - 19781202 YR - 1978 ED - 19781202 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=692971 <933. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 250427 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Submission to the Royal Commission into the non-medical use of drugs. SO - Australian Nurses' Journal. 8(2):21-5, 1978 Aug. AS - Aust Nurses J. 8(2):21-5, 1978 Aug. NJ - The Australian nurses' journal. Royal Australian Nursing Federation PI - Journal available in: Print PI - Citation processed from: Print JC - 0370074, 9gg SB - Nursing Journal CP - AUSTRALIA MH - Australia MH - Drug Therapy MH - Education, Nursing MH - Humans MH - *Nurses MH - *Substance-Related Disorders IS - 0045-0758 IL - 0045-0758 PT - Journal Article LG - English DP - 1978 Aug DC - 19781122 YR - 1978 ED - 19781122 RD - 20131111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=250427 <934. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 674473 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gurel M FA - Gurel, M TI - Social acceptance of recovered alcoholics: toward the development of a predictive index. SO - Psychological Reports. 42(3 Pt 2):1185-6, 1978 Jun. AS - Psychol Rep. 42(3 Pt 2):1185-6, 1978 Jun. NJ - Psychological reports PI - Journal available in: Print PI - Citation processed from: Print JC - qf6, 0376475 SB - Index Medicus CP - UNITED STATES MH - Adult MH - *Alcoholism/rh [Rehabilitation] MH - *Attitude to Health MH - Female MH - Humans MH - *Social Distance MH - Students, Nursing IS - 0033-2941 IL - 0033-2941 PT - Journal Article LG - English DP - 1978 Jun DC - 19780930 YR - 1978 ED - 19780930 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=674473 <935. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 246871 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cooper SS AU - Murphy J FA - Cooper, S S FA - Murphy, J TI - Continuing education about alcoholism. SO - Journal of Continuing Education in Nursing. 9(2):14-8, 1978 Mar-Apr. AS - J Contin Educ Nurs. 9(2):14-8, 1978 Mar-Apr. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - *Education, Nursing, Continuing MH - Employee Performance Appraisal MH - Humans MH - Nurse-Patient Relations IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 1978 Mar-Apr DC - 19780724 YR - 1978 ED - 19780724 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=246871 <936. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 345854 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Westermeyer J AU - Doheny S AU - Stone B FA - Westermeyer, J FA - Doheny, S FA - Stone, B TI - An assessment of hospital care for the alcoholic patient. SO - Alcoholism: Clinical & Experimental Research. 2(1):53-7, 1978 Jan. AS - Alcohol Clin Exp Res. 2(1):53-7, 1978 Jan. NJ - Alcoholism, clinical and experimental research PI - Journal available in: Print PI - Citation processed from: Print JC - 35x, 7707242 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Female MH - *Hospitalization MH - Humans MH - Male MH - Methods MH - Middle Aged MH - Physician-Patient Relations MH - *Quality of Health Care MH - Sex Factors MH - Substance-Related Disorders/di [Diagnosis] AB - Current medical practice, vis-a-vis chemical dependency, was assessed in a university hospital setting. Findings indicate that the majority of physicians and nurses at this facility (1) did not take adequate alcohol and drug use histories, (2) did not identify chemical dependency as a medical problem even when they knew dependency was present, and (3) did not involve themselves in treatment or treatment recommendations even when the problem was identified. IS - 0145-6008 IL - 0145-6008 PT - Journal Article LG - English DP - 1978 Jan DC - 19780508 YR - 1978 ED - 19780508 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=345854 <937. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 272201 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lussier RJ AU - Perlman D AU - Breen LJ FA - Lussier, R J FA - Perlman, D FA - Breen, L J TI - Causal attributions, attitude similarity, and the punishment of drug offenders. SO - British Journal of Addiction to Alcohol & Other Drugs. 72(4):357-64, 1977 Dec. AS - Br J Addict Alcohol Other Drugs. 72(4):357-64, 1977 Dec. NJ - The British journal of addiction to alcohol and other drugs PI - Journal available in: Print PI - Citation processed from: Print JC - au8, 0372671 SB - Index Medicus CP - ENGLAND MH - Adult MH - *Attitude of Health Personnel MH - Female MH - Humans MH - Jurisprudence MH - Male MH - Manitoba MH - *Punishment MH - Students, Nursing MH - *Substance-Related Disorders IS - 0007-0890 IL - 0007-0890 PT - Journal Article LG - English DP - 1977 Dec DC - 19780417 YR - 1977 ED - 19780417 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=272201 <938. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 601159 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gurel M AU - Spain MD FA - Gurel, M FA - Spain, M D TI - Differences in attitudes toward alcoholism in graduates of two schools of nursing. SO - Psychological Reports. 41(3 pt. 2):1285-6, 1977 Dec. AS - Psychol Rep. 41(3 pt. 2):1285-6, 1977 Dec. NJ - Psychological reports PI - Journal available in: Print PI - Citation processed from: Print JC - qf6, 0376475 SB - Index Medicus CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - Catholicism MH - Humans MH - *Religion and Psychology MH - *Schools, Nursing IS - 0033-2941 IL - 0033-2941 PT - Comparative Study PT - Journal Article LG - English DP - 1977 Dec DC - 19780321 YR - 1977 ED - 19780321 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=601159 <939. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 243793 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Larson PA FA - Larson, P A TI - Nurse perceptions of patient characteristics. SO - Nursing Research. 26(6):416-21, 1977 Nov-Dec. AS - Nurs Res. 26(6):416-21, 1977 Nov-Dec. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Alcoholism MH - Attitude of Health Personnel MH - Emphysema MH - Humans MH - Laryngitis MH - *Morbidity MH - *Nursing Staff, Hospital MH - *Patients MH - *Social Class MH - *Social Perception MH - Stereotyped Behavior MH - Tinea AB - To determine whether nurse perceptions of patients are influenced by a patient's socioeconomic class, 78 nurse subjects observed slides and read about a patient and then rated him on a seven-point scale. Nurses were randomly given one of eight written descriptions in which the patient was identified as middle or lower class., with a more or a less serious and a more or a less socially acceptable illness. Results were subjected to 2 X 2 X 2 analysis of variance. Nurses were found to stereotype lower-class patients as dependent, passive, unintelligent, noncomprehending, ummotivated, lazy, forgetful, inaccurate, careless, uninformed, unsuccessful, and unreliable. Patients with less-acceptable illnesses were rated more negatively than those with more-acceptable illnesses and were perceived as sensitive, rigid, bored, and resistant to learning about their illness. Since nurses admitted they would feel embarrassed and would conceal having these less-acceptable illnesses themselves, these negative perceptions of patients may be projections of the nurses' feelings. IS - 0029-6562 IL - 0029-6562 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 1977 Nov-Dec DC - 19780127 YR - 1977 ED - 19780127 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=243793 <940. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 270364 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gurel M AU - Livingston C AU - Estes N FA - Gurel, M FA - Livingston, C FA - Estes, N TI - Selected characteristics of nursing students who study alcoholism. SO - British Journal of Addiction to Alcohol & Other Drugs. 72(3):235-40, 1977 Sep. AS - Br J Addict Alcohol Other Drugs. 72(3):235-40, 1977 Sep. NJ - The British journal of addiction to alcohol and other drugs PI - Journal available in: Print PI - Citation processed from: Print JC - au8, 0372671 SB - Index Medicus CP - ENGLAND MH - *Alcoholism/nu [Nursing] MH - Education, Nursing, Baccalaureate MH - Humans MH - Motivation MH - *Students, Nursing MH - Washington IS - 0007-0890 IL - 0007-0890 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 1977 Sep DC - 19780127 YR - 1977 ED - 19780127 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=270364 <941. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 876561 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Youngs DD AU - Niebyl JR AU - Blake DA AU - Shipp DA AU - Stanley J AU - King TM FA - Youngs, D D FA - Niebyl, J R FA - Blake, D A FA - Shipp, D A FA - Stanley, J FA - King, T M TI - Experience with an adolescent pregnancy program. A preliminary report. SO - Obstetrics & Gynecology. 50(2):212-6, 1977 Aug. AS - Obstet Gynecol. 50(2):212-6, 1977 Aug. NJ - Obstetrics and gynecology PI - Journal available in: Print PI - Citation processed from: Print JC - oc2, 0401101 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Adolescent MH - Comprehensive Health Care MH - Delivery, Obstetric MH - Female MH - Humans MH - Hypertension MH - Maryland MH - *Maternal Health Services MH - Patient Care Team MH - *Pregnancy MH - Pregnancy Complications MH - Pregnancy Complications, Cardiovascular MH - Prenatal Care MH - Substance-Related Disorders AB - A program has been designed to give comprehensive health care services to pregnant adolescents. The program components include community liason, patient education, counseling and social services, a nurse "on call" program for labor and delivery, and pediatric nurse-practitioner followup. In addition, a drug use identification component screens the patients by interview and urinalysis. Hypertensive disorders of pregnancy occurred in 10% of the first 202 patients. Forty-three percent had anemia (hematocrit less than 35%), and screening cervical cultures for gonorrhea were positive in 3.5%. Cigarettes, alcohol, and marijuana constituted the most common nonmedical drugs used, and aspirin the most common medical drug. Eighty-one percent of the patients attended 7 or more antenatal visits, one-half did not miss a single clinic appointment, and 95% completed a post-partum visit, indicating that the program was well accepted by the adolescents. IS - 0029-7844 IL - 0029-7844 PT - Journal Article LG - English DP - 1977 Aug DC - 19770902 YR - 1977 ED - 19770902 RD - 20091026 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=876561 <942. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 585857 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Daniel E FA - Daniel, E TI - Chronic problems in rehabilitation of patients with Laennec's cirrhosis. SO - Nursing Clinics of North America. 12(2):345-56, 1977 Jun. AS - Nurs Clin North Am. 12(2):345-56, 1977 Jun. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/co [Complications] MH - *Ascites/et [Etiology] MH - Ascites/nu [Nursing] MH - Ascites/th [Therapy] MH - *Hepatic Encephalopathy/et [Etiology] MH - Hepatic Encephalopathy/nu [Nursing] MH - Hepatic Encephalopathy/th [Therapy] MH - Humans MH - *Liver Cirrhosis/co [Complications] MH - Liver Cirrhosis/et [Etiology] MH - Nursing Assessment MH - Patient Care Planning AB - Hepatic encephalopathy and ascites are two major complications occuring in patients with Laennec's cirrhosis. Both may be intractable to treatment and may have poor prognoses. Many psychosocial problems are present, and counseling should be geared to optimizing maximum adaptation to the alterations that have resulted. Family and significant others are important support systems for the patient and should be included in as much of the nursing and medical care as possible. The nurse is responsible for a myriad of activities in providing care for cirrhotic patients who develop these chronic problems. Background knowledge regarding nursing theory, pharmacology, pathophysiology, psychology, sociology, and principles of teaching is imperative for effective intervention in these patient care situations. IS - 0029-6465 IL - 0029-6465 PT - Journal Article LG - English DP - 1977 Jun DC - 19770729 YR - 1977 ED - 19770729 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=585857 <943. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14228 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chesnay M FA - Chesnay, M TI - Nursing students in a juvenile court system. SO - Journal of Nursing Education. 16(2):19-23, 1977 Feb. AS - J Nurs Educ. 16(2):19-23, 1977 Feb. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Alcoholism/nu [Nursing] MH - Counseling MH - Curriculum MH - Evaluation Studies as Topic MH - *Forensic Psychiatry/ed [Education] MH - Humans MH - *Juvenile Delinquency MH - *Psychiatric Nursing/ed [Education] MH - Rehabilitation MH - Social Control, Formal MH - United States IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1977 Feb DC - 19770415 YR - 1977 ED - 19770415 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=14228 <944. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 186593 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bragg TL FA - Bragg, T L TI - Teen-age alcohol abuse. SO - Journal of Psychiatric Nursing & Mental Health Services. 14(12):10-8, 1976 Dec. AS - J Psychiatr Nurs Ment Health Serv. 14(12):10-8, 1976 Dec. NJ - Journal of psychiatric nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - 0141401, jtb SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Adolescent MH - Alcohol Drinking MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism MH - Attitude MH - Humans MH - Parents MH - Peer Group MH - Social Change MH - United States AB - In summary, we have seen that there isn't sufficient data available to properly assess this problem, but from what exists we are fairly sure that teen-age alcohol abuse is on the rise. We have also noted that there are many area agencies for alcoholics, but that there is not much coordinated effort, and essentially none for teen-agers. This is probably due to its being a relatively new trend and that many people are apparently refusing to admit that it exists. Also covered were possible causes for this new problem and the various roles of nurses in prevention. These include school nurses, public health nurses, and others in community and state politics, promotion of new educational methods, family teaching both at home and in the hospital, new responsibilities of the school nurse, and research. These are challenging roles, but also very important considering that these teen-agers who are flirting with trouble today will be rearing families and defining social behavior tomorrow. IS - 0360-5973 IL - 0360-5973 PT - Journal Article LG - English DP - 1976 Dec DC - 19770125 YR - 1976 ED - 19770125 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=186593 <945. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1048493 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heinemann ME AU - Smith-DiJulio K FA - Heinemann, M E FA - Smith-DiJulio, K TI - Learning to understand alcoholism. SO - Nursing Clinics of North America. 11(3):493-505, 1976 Sep. AS - Nurs Clin North Am. 11(3):493-505, 1976 Sep. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Alcoholism/nu [Nursing] MH - Community Health Services MH - Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - Employment MH - Female MH - Humans MH - Male MH - Research MH - Washington IS - 0029-6465 IL - 0029-6465 PT - Case Reports PT - Journal Article LG - English DP - 1976 Sep DC - 19761101 YR - 1976 ED - 19761101 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1048493 <946. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1065621 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schulman BM FA - Schulman, B M TI - Group process: an adjunct in liaison consultation psychiatry. SO - International Journal of Psychiatry in Medicine. 6(4):489-99, 1975. AS - Int J Psychiatry Med. 6(4):489-99, 1975. NJ - International journal of psychiatry in medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0365646, gsj SB - Index Medicus CP - UNITED STATES MH - Adult MH - Anger MH - Attitude of Health Personnel MH - Denial (Psychology) MH - Emotions MH - Fear MH - Female MH - *Group Processes MH - Hospital Units MH - Humans MH - Leukemia, Myeloid/th [Therapy] MH - Male MH - Middle Aged MH - Myocardial Infarction/th [Therapy] MH - Nursing Staff, Hospital MH - *Patient Care Team MH - Patient Compliance MH - *Psychiatry MH - *Referral and Consultation MH - Substance-Related Disorders/th [Therapy] AB - Many liaison psychiatrists have advocated staff meetings as a means of enhancing communications on a medical ward. This paper, based on a one year experience as a psychiatric consultant to a medical ward in a major teaching institution, describes the implementation of a weekly group meeting of nursing and social service staff as a component in the structure of an effective liaison service. Case material is presented to document the efficacy of group process as a teaching and therapeutic modality. By encouraging the verbalization of cogent feelings and anxieties in a weekly group meeting, members developed a sense of mutual trust and openness. In an atmosphere conducive to promoting clarification, understanding, and insight, the group members increased their self awareness of the psychological aspects of physical disease and the effect of their own emotions on the interpersonal process of patient care. IS - 0091-2174 IL - 0091-2174 PT - Case Reports PT - Journal Article LG - English DP - 1975 DC - 19760925 YR - 1975 ED - 19760925 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1065621 <947. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1045241 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gurel M FA - Gurel, M TI - An alcoholism training program: its effect on trainees and faculty. SO - Nursing Research. 25(2):127-32, 1976 Mar-Apr. AS - Nurs Res. 25(2):127-32, 1976 Mar-Apr. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - Animals MH - Attitude MH - Curriculum MH - Dogs MH - *Education, Nursing MH - Education, Nursing, Graduate MH - Evaluation Studies as Topic MH - *Faculty, Nursing MH - Humans MH - *Students, Nursing MH - Washington AB - Evaluation of the effect of a three-year specialized training program in alcoholism on opinions and attitudes of trainees and faculty members at the University of Washington School of Nursing showed that the program influenced both trainees and faculty in a positive direction. Trainees were found to be more accepting of alcoholism as a disease and an increasing number of faculty believed alcoholism-related courses should be a part of the curriculum. IS - 0029-6562 IL - 0029-6562 PT - Journal Article LG - English DP - 1976 Mar-Apr DC - 19760602 YR - 1976 ED - 19760602 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1045241 <948. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 943744 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Guida M FA - Guida, M TI - The occupational health nurse's role in the corporate alcoholism program. SO - Occupational Health Nursing. 24(3):22-4, 1976 Mar. AS - Occup Health Nurs. 24(3):22-4, 1976 Mar. NJ - Occupational health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - odc, 0200443 SB - Index Medicus CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - Humans MH - *Occupational Health Nursing MH - Occupational Health Services AB - The problem of alcohol abuse among the nation's employees takes its toll in countless ways -- in absenteeism, lost productivity, increased utilization of health benefits and eventual loss of the employee's services. In all cases both the employee and the employer lose. Like most other health professionals, nurses have received little education in the care and treatment of persons suffering with alcoholism or alcohol-related problems. But with the appropriate training and the total commitment of her company, she can be in a unique position to offer assistance to the alcoholic employee. The seriousness of this problem today demands that all effective means be utilized. We can no longer afford to mitigate or ignore the occupational health nurse's valuable role in contributing to the success of the corporate alcoholism program. IS - 0029-7933 IL - 0029-7933 PT - Journal Article LG - English DP - 1976 Mar DC - 19760525 YR - 1976 ED - 19760525 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=943744 <949. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1041608 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Estes NJ AU - Madden LP FA - Estes, N J FA - Madden, L P TI - Alcoholism in fiction: learning from the literature. SO - Nursing Outlook. 23(8):517-20, 1975 Aug. AS - Nurs Outlook. 23(8):517-20, 1975 Aug. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Print JC - o9h, 0401075 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - Education, Nursing MH - Humans MH - *Literature, Modern MH - *Medicine in Literature IS - 0029-6554 IL - 0029-6554 PT - Journal Article LG - English DP - 1975 Aug DC - 19751211 YR - 1975 ED - 19751211 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1041608 <950. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1058344 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Streat S AU - McCallum JA AU - Boswell R AU - Hunton R FA - Streat, S FA - McCallum, J A FA - Boswell, R FA - Hunton, R TI - Medical services at a music festival. SO - New Zealand Medical Journal. 82(545):76-80, 1975 Aug 13. AS - N Z Med J. 82(545):76-80, 1975 Aug 13. NJ - The New Zealand medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - obq, 0401067 SB - Index Medicus CP - NEW ZEALAND MH - Adolescent MH - Aged MH - Counseling MH - Emergency Medical Services/ma [Manpower] MH - *Emergency Medical Services MH - Facility Design and Construction MH - Female MH - Gastroenteritis/dt [Drug Therapy] MH - Hospitalization MH - Humans MH - Infant MH - Male MH - Morbidity MH - *Music MH - New Zealand MH - Organization and Administration MH - Substance-Related Disorders/th [Therapy] MH - Sunburn/dt [Drug Therapy] MH - Wounds and Injuries/th [Therapy] AB - A three-day open air musical festival attended by approximately 20 000 people was held at Ngaruawahia in January 1973. A medical service was provided and staffed mainly by medical students, nurses and young medical graduates. There were 1998 patient visits to the medical area, the five most common complaints being sunburn, headaches, minor foot trauma, gastroenteritis and lacerations which collectively accounted for 75 percent of the diagnoses. The medical services provided are discussed and recommendations for future festivals made. IS - 0028-8446 IL - 0028-8446 PT - Journal Article LG - English DP - 1975 Aug 13 DC - 19751211 YR - 1975 ED - 19751211 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1058344 <951. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1041508 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hopp JW FA - Hopp, J W TI - Values clarification and the school nurse. SO - Journal of School Health. 45(7):410-3, 1975 Sep. AS - J Sch Health. 45(7):410-3, 1975 Sep. NJ - The Journal of school health PI - Journal available in: Print PI - Citation processed from: Print JC - k13, 0376370 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - California MH - Child MH - Choice Behavior MH - Counseling/mt [Methods] MH - Female MH - First Aid MH - Health Education MH - Humans MH - Male MH - *School Nursing MH - *Social Values MH - Substance-Related Disorders MH - Teaching/mt [Methods] IS - 0022-4391 IL - 0022-4391 PT - Journal Article LG - English DP - 1975 Sep DC - 19751205 YR - 1975 ED - 19751205 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1041508 <952. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 236362 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Burkhalter P FA - Burkhalter, P TI - Alcoholism, drug abuse and drug addiction: a study of nursing education. SO - Journal of Nursing Education. 14(2):30-6, 1975 Apr. AS - J Nurs Educ. 14(2):30-6, 1975 Apr. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Alcoholism MH - California MH - *Curriculum MH - *Education, Nursing MH - Evaluation Studies as Topic MH - Humans MH - Middle Aged MH - *Substance-Related Disorders MH - Surveys and Questionnaires IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1975 Apr DC - 19750728 YR - 1975 ED - 19750728 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=236362 <953. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 235684 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Waring ML FA - Waring, M L TI - The impact of specialized training in alcoholism on management-level professionals. SO - Journal of Studies on Alcohol. 36(3):406-15, 1975 Mar. AS - J. stud. alcohol. 36(3):406-15, 1975 Mar. NJ - Journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 SB - Index Medicus CP - UNITED STATES MH - *Administrative Personnel/ed [Education] MH - Adult MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Community Mental Health Services MH - *Education, Nursing MH - Female MH - Financing, Government MH - Follow-Up Studies MH - Hierarchy, Social MH - Humans MH - Male MH - Motivation MH - Psychological Tests MH - Role MH - *Social Work/ed [Education] MH - Time Factors AB - Administrative and management-level social workers and nurses significantly increased their alcohol-related work activities during the year after they attended an 8-week alcoholism training program. Measures of attitude change, however, showed no appreciable differences. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 1975 Mar DC - 19750703 YR - 1975 ED - 19750703 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=235684 <954. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4498943 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Major DM FA - Major, D M TI - Nursing school courses for nonnurses. SO - Nursing Outlook. 22(12):769-72, 1974 Dec. AS - Nurs Outlook. 22(12):769-72, 1974 Dec. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Print JC - o9h, 0401075 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Curriculum MH - *Education MH - Education, Nursing, Baccalaureate MH - Evaluation Studies as Topic MH - Female MH - Humans MH - Jurisprudence MH - Male MH - New York MH - Nutritional Physiological Phenomena MH - *Schools, Nursing MH - Sex Education MH - Substance-Related Disorders IS - 0029-6554 IL - 0029-6554 PT - Journal Article LG - English DP - 1974 Dec DC - 19750602 YR - 1974 ED - 19750602 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4498943 <955. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4445514 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lanyon RI FA - Lanyon, R I TI - Technology of personality assessment: the Psychological Screening Inventory. SO - Progress in Experimental Personality Research. 7:1-48, 1974. AS - Prog Exp Pers Res. 7:1-48, 1974. NJ - Progress in experimental personality research PI - Journal available in: Print PI - Citation processed from: Print JC - 0023623, q0t SB - Index Medicus CP - UNITED STATES MH - Alcoholism/di [Diagnosis] MH - Child Behavior Disorders/di [Diagnosis] MH - Costs and Cost Analysis MH - Dentistry MH - Efficiency MH - Extraversion (Psychology) MH - Forecasting MH - Humans MH - *Mental Disorders/di [Diagnosis] MH - *Personality Assessment/mt [Methods] MH - *Personality Inventory MH - Prisoners MH - Social Adjustment MH - Social Alienation MH - Social Conformity MH - Students, Nursing IS - 0079-6255 IL - 0079-6255 PT - Journal Article LG - English DP - 1974 DC - 19750411 YR - 1974 ED - 19750411 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4445514 <956. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5173041 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marshall CD FA - Marshall, C D TI - The indigenous nurse as community crisis intervener. SO - Seminars in Psychiatry. 3(1):264-70, 1971 Feb. AS - Semin Psychiatry. 3(1):264-70, 1971 Feb. NJ - Seminars in psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - 0235734, uo0 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - Aged MH - Alcoholism/th [Therapy] MH - Child MH - Child, Preschool MH - *Community Mental Health Services/ma [Manpower] MH - *Crisis Intervention MH - Education, Nursing MH - Evaluation Studies as Topic MH - Family MH - Female MH - Humans MH - Infant MH - Male MH - Mental Disorders/th [Therapy] MH - Middle Aged MH - *Nurses/ut [Utilization] MH - Parent-Child Relations MH - Social Class MH - Stress, Psychological MH - Substance-Related Disorders/th [Therapy] MH - Suicide/pc [Prevention & Control] MH - Vermont IS - 0037-1971 IL - 0037-1971 PT - Journal Article LG - English DP - 1971 Feb DC - 19750218 YR - 1971 ED - 19750218 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5173041 <957. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4153556 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moreau D AU - Kahn P AU - Lal S FA - Moreau, D FA - Kahn, P FA - Lal, S TI - Role of a nurse on a psychiatric consultation service. SO - Canadian Psychiatric Association Journal. 19(5):453-6, 1974 Oct. AS - Can Psychiatr Assoc J. 19(5):453-6, 1974 Oct. NJ - Canadian Psychiatric Association journal PI - Journal available in: Print PI - Citation processed from: Print JC - clm, 0414266 SB - Index Medicus CP - CANADA MH - Alcoholism/th [Therapy] MH - Antipsychotic Agents/tu [Therapeutic Use] MH - Counseling MH - Education, Nursing MH - Health Facility Size MH - *Hospitals, General MH - Humans MH - Interprofessional Relations MH - Mental Disorders/th [Therapy] MH - Nursing Staff, Hospital MH - Patient Care Planning MH - Psychiatric Department, Hospital MH - *Psychiatric Nursing MH - Psychotic Disorders/dt [Drug Therapy] MH - Psychotropic Drugs/tu [Therapeutic Use] MH - *Referral and Consultation RN - 0 (Antipsychotic Agents) RN - 0 (Psychotropic Drugs) IS - 0008-4824 IL - 0008-4824 PT - Journal Article LG - English DP - 1974 Oct DC - 19750117 YR - 1974 ED - 19750117 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4153556 <958. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4496414 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heinemann ME AU - Estes NJ FA - Heinemann, M E FA - Estes, N J TI - A program in alcoholism nursing. SO - Nursing Outlook. 22(9):575-8, 1974 Sep. AS - Nurs Outlook. 22(9):575-8, 1974 Sep. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Print JC - o9h, 0401075 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/ur [Urine] MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - Humans MH - Washington IS - 0029-6554 IL - 0029-6554 PT - Journal Article LG - English DP - 1974 Sep DC - 19741107 YR - 1974 ED - 19741107 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4496414 <959. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4493669 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gurel M FA - Gurel, M TI - Should courses for nurses that deal solely with alcoholism be taught at universities? A preliminary report. SO - Nursing Research. 23(2):166-9, 1974 Mar-Apr. AS - Nurs Res. 23(2):166-9, 1974 Mar-Apr. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - Attitude of Health Personnel MH - Cognition MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - Education, Nursing, Graduate MH - *Faculty, Nursing MH - Humans MH - Surveys and Questionnaires MH - Teaching MH - Universities MH - Washington IS - 0029-6562 IL - 0029-6562 PT - Journal Article LG - English DP - 1974 Mar-Apr DC - 19740604 YR - 1974 ED - 19740604 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4493669 <960. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4493219 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Doran MO FA - Doran, M O TI - A nursing approach to the treatment of drug addicts: evaluation of an educational programme. SO - International Journal of Nursing Studies. 10(4):217-28, 1973 Dec. AS - Int J Nurs Stud. 10(4):217-28, 1973 Dec. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Connecticut MH - *Education, Nursing, Continuing MH - Evaluation Studies as Topic MH - Humans MH - Nurse-Patient Relations MH - Sensitivity Training Groups MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English DP - 1973 Dec DC - 19740522 YR - 1973 ED - 19740522 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4493219 <961. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4809898 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Young RL FA - Young, R L TI - Apples and oranges and bananas: diversity in a health manpower consortium. SO - American Journal of Public Health. 64(2):140-3, 1974 Feb. AS - Am J Public Health. 64(2):140-3, 1974 Feb. NJ - American journal of public health PI - Journal available in: Print PI - Citation processed from: Print JC - 1254074, 3xw OI - Source: NLM. PMC1775405 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Career Mobility MH - Community Health Workers/ed [Education] MH - Consumer Participation MH - Curriculum MH - Education, Continuing MH - Education, Graduate MH - Education, Nursing, Associate MH - Education, Nursing, Baccalaureate MH - Health Manpower/sd [Supply & Distribution] MH - *Health Occupations/ed [Education] MH - Humans MH - Maryland MH - Nursing, Practical/ed [Education] MH - *Organizations MH - Psychiatric Aides/ed [Education] MH - Substance-Related Disorders MH - Urban Population IS - 0090-0036 IL - 0090-0036 PT - Journal Article LG - English DP - 1974 Feb DC - 19740308 YR - 1974 ED - 19740308 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4809898 <962. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4491260 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sedgwick R FA - Sedgwick, R TI - The role of the process consultant. SO - Nursing Outlook. 21(12):773-5, 1973 Dec. AS - Nurs Outlook. 21(12):773-5, 1973 Dec. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Print JC - o9h, 0401075 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Humans MH - Juvenile Delinquency MH - *Nurses/ut [Utilization] MH - Problem Solving MH - *Public Health Nursing MH - *Referral and Consultation MH - Substance-Related Disorders IS - 0029-6554 IL - 0029-6554 PT - Journal Article LG - English DP - 1973 Dec DC - 19740207 YR - 1973 ED - 19740207 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4491260 <963. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4756973 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bosma WG FA - Bosma, W G TI - Training professionals for meeting the needs of alcoholics and problem drinkers. SO - Maryland State Medical Journal. 22(11):84-7, 1973 Nov. AS - Md State Med J. 22(11):84-7, 1973 Nov. NJ - Maryland state medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - lmg, 2985229r SB - Index Medicus CP - UNITED STATES MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Counseling MH - Curriculum MH - Education, Medical MH - Education, Nursing MH - Halfway Houses MH - *Health Occupations/ed [Education] MH - Humans MH - Maryland MH - Patient Care Team IS - 0025-4363 IL - 0025-4363 PT - Journal Article LG - English DP - 1973 Nov DC - 19740125 YR - 1973 ED - 19740125 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4756973 <964. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4490697 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vincent EP FA - Vincent, E P TI - The drug problem and the school nurse. SO - Ana Clinical Sessions. :14-8, 1972. AS - ANA Clin Sess. :14-8, 1972. NJ - ANA clinical sessions PI - Journal available in: Print PI - Citation processed from: Print JC - 7511412, 4lu SB - Nursing Journal CP - UNITED STATES MH - Delaware MH - Health Education MH - Humans MH - School Nursing MH - Students MH - Substance-Related Disorders IS - 0065-9495 IL - 0065-9495 PT - Journal Article LG - English DP - 1972 DC - 19731219 YR - 1972 ED - 19731219 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4490697 <965. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4267656 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schmid NL AU - Schmid DT FA - Schmid, N L FA - Schmid, D T TI - Nursing students' attitudes toward alcoholics. SO - Nursing Research. 22(3):246-8, 1973 May-Jun. AS - Nurs Res. 22(3):246-8, 1973 May-Jun. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - *Attitude of Health Personnel MH - Disabled Persons MH - Education, Nursing, Diploma Programs MH - Humans MH - New York MH - *Students, Nursing IS - 0029-6562 IL - 0029-6562 PT - Journal Article LG - English DP - 1973 May-Jun DC - 19730731 YR - 1973 ED - 19730731 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4267656 <966. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4705597 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Giolito C FA - Giolito, C TI - A perspective on federal health legislation. 1. Issues facing the 93rd Congress. SO - Hospital & Community Psychiatry. 24(2):85-9, 1973 Feb. AS - Hosp Community Psychiatry. 24(2):85-9, 1973 Feb. NJ - Hospital & community psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - gcj, 0040250 SB - Index Medicus CP - UNITED STATES MH - Alcoholism MH - *Delivery of Health Care MH - Education, Nursing MH - Emergency Medical Services MH - Financing, Government MH - Government MH - Government Agencies MH - Health Maintenance Organizations MH - Health Occupations/ed [Education] MH - Humans MH - Insurance, Health MH - *Legislation as Topic MH - Mental Health Services MH - Substance-Related Disorders MH - United States IS - 0022-1597 IL - 0022-1597 PT - Journal Article LG - English DP - 1973 Feb DC - 19730719 YR - 1973 ED - 19730719 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4705597 <967. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4705348 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dunovsky J AU - Sucha M FA - Dunovsky, J FA - Sucha, M TI - Social conditions of children in weekly and residential nurseries in Czechoslovakia. SO - Social Science & Medicine. 7(4):267-79, 1973 Apr. AS - Soc Sci Med. 7(4):267-79, 1973 Apr. NJ - Social science & medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 101084219, 0121744, uua SB - Index Medicus CP - ENGLAND MH - Adult MH - Age Factors MH - Alcoholism MH - *Child Care MH - Child, Preschool MH - Czechoslovakia MH - Divorce MH - Educational Status MH - Family MH - Family Characteristics MH - Female MH - Humans MH - Illegitimacy MH - Income MH - Infant MH - Jurisprudence MH - Male MH - *Nurseries/ut [Utilization] MH - Parent-Child Relations MH - Parents MH - Paternity MH - Residential Facilities MH - Social Conditions MH - *Social Problems IS - 0037-7856 IL - 0037-7856 PT - Journal Article LG - English DP - 1973 Apr DC - 19730717 YR - 1973 ED - 19730717 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4705348 <968. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5064238 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wood V FA - Wood, V TI - The drug incident--a case study. SO - Canadian Nurse. 68(7):21-6, 1972 Jul. AS - Can Nurse. 68(7):21-6, 1972 Jul. NJ - The Canadian nurse PI - Journal available in: Print PI - Citation processed from: Print JC - 0405504, cl9 SB - Index Medicus CP - CANADA MH - *Attitude MH - *Faculty, Nursing MH - Humans MH - *Students, Nursing MH - *Substance-Related Disorders IS - 0008-4581 IL - 0008-4581 PT - Journal Article LG - English DP - 1972 Jul DC - 19720811 YR - 1972 ED - 19720811 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5064238 <969. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5136548 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scheideman J FA - Scheideman, J TI - Student nurses lead family groups. SO - Hospital & Community Psychiatry. 22(12):378-80, 1971 Dec. AS - Hosp Community Psychiatry. 22(12):378-80, 1971 Dec. NJ - Hospital & community psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - gcj, 0040250 SB - Index Medicus CP - UNITED STATES MH - Alcoholism/th [Therapy] MH - *Family Therapy MH - Hospitals, Veterans MH - Humans MH - Mental Disorders/th [Therapy] MH - Psychiatric Department, Hospital MH - *Psychiatric Nursing MH - Social Environment MH - *Students, Nursing MH - Washington IS - 0022-1597 IL - 0022-1597 PT - Journal Article LG - English DP - 1971 Dec DC - 19720330 YR - 1971 ED - 19720330 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5136548 <970. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5535634 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Einstein S AU - Wolfson E FA - Einstein, S FA - Wolfson, E TI - Alcoholism curricula: how professionals are trained. SO - International Journal of the Addictions. 5(2):295-312, 1970 Jun. AS - Int J Addict. 5(2):295-312, 1970 Jun. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - *Alcoholism MH - *Curriculum MH - *Education, Medical MH - *Education, Nursing MH - *Education, Pharmacy MH - Humans MH - *Jurisprudence/ed [Education] MH - Methods MH - Periodicals as Topic MH - *Psychology/ed [Education] MH - *Social Work/ed [Education] MH - Teaching MH - Time Factors IS - 0020-773X IL - 0020-773X PT - Journal Article LG - English DP - 1970 Jun DC - 19720322 YR - 1970 ED - 19720322 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5535634 <971. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5209456 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lipp MR AU - Benson SG AU - Allen PS FA - Lipp, M R FA - Benson, S G FA - Allen, P S TI - Marijuana use by nurses and nursing students. SO - American Journal of Nursing. 71(12):2339-41, 1971 Dec. AS - Am. j. nurs.. 71(12):2339-41, 1971 Dec. NJ - The American journal of nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 3mw, 0372646 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Cannabis MH - Humans MH - *Nurses MH - *Students, Nursing MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States IS - 0002-936X IL - 0002-936X PT - Journal Article LG - English DP - 1971 Dec DC - 19720112 YR - 1971 ED - 19720112 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5209456 <972. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282654 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Burton G FA - Burton, G TI - Nursing education on alcoholism. SO - Annals of the New York Academy of Sciences. 178:48-51, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:48-51, 1971 Mar 29. NJ - Annals of the New York Academy of Sciences PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 SB - Index Medicus CP - UNITED STATES MH - Alcoholism/co [Complications] MH - Alcoholism/et [Etiology] MH - Alcoholism/rh [Rehabilitation] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Attitude of Health Personnel MH - Community Health Services/sd [Supply & Distribution] MH - Counseling MH - *Curriculum MH - Documentation MH - *Education, Nursing MH - Education, Nursing, Continuing MH - Humans MH - Referral and Consultation MH - Teaching IS - 0077-8923 IL - 0077-8923 PT - Journal Article LG - English DP - 1971 Mar 29 DC - 19710807 YR - 1971 ED - 19710807 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282654 <973. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5546046 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moody PM FA - Moody, P M TI - Attitudes of nurses and nursing students toward alcoholism treatment. SO - Quarterly Journal of Studies on Alcohol. 32(1):172-5, 1971 Mar. AS - Q J Stud Alcohol. 32(1):172-5, 1971 Mar. NJ - Quarterly journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - ql9, 7503879 SB - Index Medicus CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - *Authoritarianism MH - Educational Status MH - Empathy MH - Female MH - Humans MH - Nurse-Patient Relations MH - *Nurses MH - Socioeconomic Factors MH - *Students, Nursing IS - 0033-5649 IL - 0033-5649 PT - Journal Article LG - English DP - 1971 Mar DC - 19710415 YR - 1971 ED - 19710415 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5546046 <974. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5202909 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Caskey KK AU - Blaylock EV AU - Wauson BM FA - Caskey, K K FA - Blaylock, E V FA - Wauson, B M TI - The school nurse and drug abusers. SO - Nursing Outlook. 18(12):27-30, 1970 Dec. AS - Nurs Outlook. 18(12):27-30, 1970 Dec. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Print JC - o9h, 0401075 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Humans MH - *School Nursing MH - *Substance-Related Disorders IS - 0029-6554 IL - 0029-6554 PT - Journal Article LG - English DP - 1970 Dec DC - 19710115 YR - 1970 ED - 19710115 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5202909 <975. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5426241 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mizner GL AU - Barter JT AU - Werme PH FA - Mizner, G L FA - Barter, J T FA - Werme, P H TI - Patterns of drug use among college students: a preliminary report. SO - American Journal of Psychiatry. 127(1):15-24, 1970 Jul. AS - Am J Psychiatry. 127(1):15-24, 1970 Jul. NJ - The American journal of psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - Age Factors MH - Amphetamine MH - Attitude MH - Colorado MH - Drug Utilization MH - Education, Continuing MH - Education, Medical MH - Education, Nursing MH - Emotions MH - Female MH - Humans MH - Legislation, Drug MH - Lysergic Acid Diethylamide MH - Male MH - Sex Factors MH - Statistics as Topic MH - Students MH - *Substance-Related Disorders MH - Universities RN - 8NA5SWF92O (Lysergic Acid Diethylamide) RN - CK833KGX7E (Amphetamine) IS - 0002-953X IL - 0002-953X PT - Journal Article LG - English DP - 1970 Jul DC - 19700821 YR - 1970 ED - 19700821 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5426241 <976. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5412414 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mock RL AU - McCoard BF AU - Prestwood R FA - Mock, R L FA - McCoard, B F FA - Prestwood, R TI - Northern California postgraduate medical television: an evaluation. SO - Journal of Medical Education. 45(1):40-6, 1970 Jan. AS - J Med Educ. 45(1):40-6, 1970 Jan. NJ - Journal of medical education PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Adrenal Cortex Hormones/tu [Therapeutic Use] MH - Alcoholism/nu [Nursing] MH - Attitude of Health Personnel MH - Behavior MH - California MH - Communicable Disease Control MH - Cross Infection/pc [Prevention & Control] MH - *Education, Medical, Continuing MH - Education, Nursing, Continuing MH - Gastrointestinal Diseases/rh [Rehabilitation] MH - Humans MH - Medical Records MH - Quality of Health Care MH - Sampling Studies MH - *Television RN - 0 (Adrenal Cortex Hormones) IS - 0022-2577 IL - 0022-2577 PT - Journal Article LG - English DP - 1970 Jan DC - 19700314 YR - 1970 ED - 19700314 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5412414 <977. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5817808 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chodorkoff B FA - Chodorkoff, B TI - Alcoholism education in a psychiatric institute. II. Student nurses: relationship of personal characteristics, attitudes toward alcoholism and achievement. SO - Quarterly Journal of Studies on Alcohol. 30(3):657-64, 1969 Sep. AS - Q J Stud Alcohol. 30(3):657-64, 1969 Sep. NJ - Quarterly journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - ql9, 7503879 SB - Index Medicus CP - UNITED STATES MH - *Achievement MH - *Alcoholism MH - *Attitude of Health Personnel MH - Authoritarianism MH - Humans MH - Nurse-Patient Relations MH - Personality Inventory MH - *Psychiatric Nursing/ed [Education] MH - *Students, Nursing IS - 0033-5649 IL - 0033-5649 PT - Journal Article LG - English DP - 1969 Sep DC - 19691025 YR - 1969 ED - 19691025 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5817808 <978. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5749973 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCarrick H FA - McCarrick, H TI - Drug addiction discussion group. SO - Nursing Times. 64(52):1768-9, 1968 Dec 27. AS - Nurs Times. 64(52):1768-9, 1968 Dec 27. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Index Medicus CP - ENGLAND MH - Education, Nursing, Continuing MH - England MH - Humans MH - *Substance-Related Disorders IS - 0954-7762 IL - 0954-7762 PT - Journal Article LG - English DP - 1968 Dec 27 DC - 19690205 YR - 1968 ED - 19690205 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5749973 <979. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5188904 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Alsever WD FA - Alsever, W D TI - An evaluation of marihuana for school physicians, nurses and educators. SO - Journal of School Health. 38(10):629-38, 1968 Dec. AS - J Sch Health. 38(10):629-38, 1968 Dec. NJ - The Journal of school health PI - Journal available in: Print PI - Citation processed from: Print JC - k13, 0376370 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - *Cannabis MH - Humans MH - School Health Services MH - *Substance-Related Disorders MH - United States IS - 0022-4391 IL - 0022-4391 PT - Journal Article LG - English DP - 1968 Dec DC - 19690204 YR - 1968 ED - 19690204 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5188904 <980. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5182483 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferneau EW Jr FA - Ferneau, E W Jr TI - What student nurses think about alcoholic patients and alcoholism. SO - Nursing Outlook. 15(10):40-1, 1967 Oct. AS - Nurs Outlook. 15(10):40-1, 1967 Oct. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Print JC - o9h, 0401075 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - *Attitude MH - Humans MH - *Students, Nursing IS - 0029-6554 IL - 0029-6554 PT - Journal Article LG - English DP - 1967 Oct DC - 19671020 YR - 1967 ED - 19671020 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5182483