Code pink: a system for neonatal resuscitation. It has been documented that the care given to the high-risk neonate in the first moments after birth correlates with the incidence of mortality and morbidity in the first 24 hours of life. In an effort to reach optimal outcome for each individual infant, Columbia Hospital for Women developed an emergency system for neonatal resuscitation and provided a team of highly skilled professionals to deliver this emergency care. "Code Pink" provided an effective method of reducing mortality and morbidity and improving outcome.


Articulation--where are you?

Articulation--where are you?


Continuing nursing education--interests and needs of nurses in rural Kansas.


Counseling for positive mental health: a philosophical statement.


School mental health programs: a challenge to the health professional. Mental health programs which facilitate prevention and remediation within the school system are indicated by large numbers of children at risk for problems. Counseling, consultation and communication activities to promote mental health can readily be provided by school health personnel. Barriers to the development and implementation of a mental health program include problems in staffing and communication as well as a continued illness orientation of the health professional.


School counseling and positive mental health: when does 1 + 1 = 3? School counseling and guidance services are specifically intended to develop and maintain positive mental health among students. Although some school counselors have been highly effective, the majority have been only moderately effective because of the difficulties they have encountered in this mission. Personal, academic, and vocational counseling and information processing from either remedial or preventative perspectives are currently the most common functions within school counseling services. The factors limiting the effectiveness of these and other school counseling functions include discrepancies between school counseling training and practice, school counselor professional isolationism, lack of understanding of school counseling roles and functions, and the poor professional attitudes of some school counselors. As the school counseling profession develops, these inhibiting factors should be overcome as a result of changes in school counselor roles and activities and associated changes in school counseling and guidance services.


Speech and hearing therapy.

Speech and hearing therapy.


Identity crisis in school psychology.

Identity crisis in school psychology. The problem of identity crisis in school psychology has been with us for many years. It has been suggested in these pages that the problem does not constitute a weakness within the profession but rather promotes a healthy interchange in ideas. Instead of seeking to provide a narrow definition of the school psychologist's identity, it seems to be wiser to recognize the roles of school psychologists to be as broad as the needs of children in the schools. There will continue to be debate about school psychologists' identity and about what they can do or ought to do in the schools. Those whom school psychologists serve will be the ultimate beneficiaries of this vibrant and constructive debate within the profession.


Mental health counseling dimensions of special education programs.


Role of teachers and administrators in providing for positive mental health.


A systematic approach to evaluating mental health services.


Mental health in schools.

Mental health in schools.


Is health education being bastardized or cloned?


The school-aged child, the law, and the school nurse.


If you don't know where you're going.......you may wind up somewhere else.


The contribution of nurse practitioners to service delivery in family planning.


Pharmaceutical review: new and recent products from the pharmaceutical companies in Australia.


On your mark: report on the July, 1978, General Nursing Examination.


The fetal alcohol syndrome.

The fetal alcohol syndrome.


Nursing education reform--ten years on.

Nursing education reform--ten years on.


The privacy paradox.

The privacy paradox.


The Australian Association for Better Hearing.


Employment agencies for nurses.

Employment agencies for nurses.


Professional negotiations: avenue to quality care--a perspective from practice.


The year of the child.

The year of the child.


Fetoscopy in prenatal diagnosis.

Fetoscopy in prenatal diagnosis.


Health care in the Yemen.

Health care in the Yemen.


Community care: a clergyman in the community.


Professional practice: doctor and nurse--the changing relationship.


Ethics and morals.

Ethics and morals.


Aspects of pregnancy: pregnancy in prison.


Professional practice: the implications of the EEC nursing directives.


Communicable diseases. 6. Marburg virus disease.


New fathers.

New fathers.


A venture in community care.

A venture in community care.


Uncommon accidents in obstetric practice. Part I.


Industrial relations in the NHS.

Industrial relations in the NHS.


Perineal pain after epidural analgesia in labor.


Thoughts on epidurals.

Thoughts on epidurals.


Great expectations!

Great expectations!


Letter from India.

Letter from India.


"Breast feeding your baby".

"Breast feeding your baby".


Should the RCM set up an English Board?

Should the RCM set up an English Board?


"Prevention of handicap": the quality of prenatal care.


Prevention of handicap: the quality of intrapartum care.


Touch!

Touch!


A traumatic experience?

A traumatic experience?


The Employment Protection Act 1975.

The Employment Protection Act 1975.


The Briggs controversy.

The Briggs controversy.


NNA voluntary continuing education approval recognition program.


Nurses in energy crisis.

Nurses in energy crisis.


"Salud, mis amigos"!

"Salud, mis amigos"!


The role of the family nurse practitioner.


Keynote address for educational conference. Planning for the future.


Sharing: prisoner--patient.

Sharing: prisoner--patient.


The MAIN feasibility study: status and prospect.


How to break the kidney stone cycle.

How to break the kidney stone cycle.


A simplified guide to managing patients with hyponatremia.


The unique object and system of nursing.


Post-vascular surgery: when happiness can be a warm foot.


The other side of death: good memories and the strength to go on. Nursing grand rounds.


Cor pulmonale.

Cor pulmonale.


Numidia looked like a model--but she wasn't a model patient: difficult patients.


Casts, your patients, and you. Part 3. A review of hip-spica procedures.


Test your knowledge of today's nursing. Part 2.


Medication errors: error No. 20. Know the patient's diagnosis before you administer the drugs.


Continuing education: how can you make the most of it?


Patient teaching aid: questionnaire for postpartum patients.


Comeback: sharing.

Comeback: sharing.


Helping survivors cope with the shock of sudden death.


The LeVeen shunt: new hope for ascites patients.


Comeback from disaster: helping the stroke patient learn to help himself.


Traumatic blindness: a flexible approach for helping a blind adolescent. Nursing grand rounds.


Pressure sores: what to do when prevention fails.


The school nurse takes a look at her charges.


Rx for stress--your stress.

Rx for stress--your stress.


Let's set the record straight: preparing the discharge summary and the patient's instruction sheet.


Test your knowledge of today's nursing. Part 3. Medical.


Consultation: leukemia basics.

Consultation: leukemia basics.


Consultation: differentiating aberrant and premature beats.


Conflict: how to avoid it and what to do when you can't.


Adult nurse practitioner: one of the most satisfying nursing roles.


A study of consumer perceptions related to nursing.


Preparing nurse leaders for the world of tomorrow.


Have we dichotomized theory and practice in nursing?


Impotence may be curable: an essay.

Impotence may be curable: an essay.


Nursing administration and research.

Nursing administration and research.


The psychology of changing attitudes.

The psychology of changing attitudes.


Colour vision testing in industry--a survey.


Safety: fitting British Standard man.

Safety: fitting British Standard man.


Occupational first aid. No. 1. Eyes.

Occupational first aid. No. 1. Eyes.


Effective first aid.

Effective first aid.


Noise on offshore platforms.

Noise on offshore platforms.


Teaching old dogs new tricks--changing attitudes to health education at work.


Guide to counselling.

Guide to counselling.


Case history: high pressure paint gun injuries.


Attitude change in an industrial hearing conservation program: comparative effects of directives, educational presentations and individual explanations as persuasive communications.


Assertiveness: the meek inherit the dirty work.


Hearing conservation education program.

Hearing conservation education program.


The psychiatric aspects of occupational health nursing.


A continuing education dilemma: luring the adult learner.


Design of an occupational health unit.

Design of an occupational health unit.


Urinary tract infections and the orthopedic patient.


Make the switch: reduce the high costs with optimum recovery.


Thoughts of a patient's wife.

Thoughts of a patient's wife.


Continuity of care: a stumbling block or stepping stone?


Standards for nursing practice. IV. ANA Standard I. Health status data.


Issues in nursing.

Issues in nursing.


"Technical and professional functions in nursing".


Responsibility.

Responsibility.


An introduction to collective bargaining. Part II.


Geriatric nurse practitioners: key in improving quality care.


The nurse as an expert witness.

The nurse as an expert witness.


Political, social, and educational forces on nursing: impact of political forces.


Considerations on political forces in higher education and the professionalization of nursing.


Nurses as a political force.

Nurses as a political force.


Characteristics of baccalaureate education in nursing.


Characteristics of graduate education in nursing leading to the Master's Degree.


Manual for members of governing boards of community/home health agencies: a prototype.


Practical nursing career 1979: Information about NLN-accredited schools of practical nursing.


Patterns of codon recognition by isoacceptor aminoacyl-tRNAs from wheat germ. Isoacceptors of Ala-, Arg-, Glu-, Gln-, Ile-, Leu-, Lys-, Ser-, Thr- and Val-tRNAs from wheat germ have been resolved by reverse phast chromatography. Codon recognition properties have been determined on isolated fractions of each of these aa-tRNAs and codon assignments have been made to a number of isoacceptors. Evolutionary changes which have occurred in patterns of codon recognition by isoacceptor aa-tRNAs in wheat germ and other organisms are discussed.


No false promises.

No false promises.


The childbearing center: an alternative to conventional care.


Preparing for accreditation.

Preparing for accreditation.


Rethinking diploma school and collegiate education.


Salaries in community health agencies--1978.


The spirit of nursing past.

The spirit of nursing past.


Role development workshop for administrators in schools of nursing.


Systems of life. 47. Hearing. 4.

Systems of life. 47. Hearing. 4.


Showing an example.

Showing an example.


The smoking habits of hospital nurses.

The smoking habits of hospital nurses.


Caring about the suicidal patient.

Caring about the suicidal patient.


Nurse could you care more?

Nurse could you care more?


Alternatives to strike action.

Alternatives to strike action.


Where the need is greatest--Medway District: idealism and opportunism.


A nurse's guide to intra-aortic balloon assistance.


Theatre nursing care study: Derbyshire neck--a classic case of an enlarged right lobe of the thyroid gland.


Salisbury's progressive diabetics.

Salisbury's progressive diabetics.


A study on the nurse staff officer's role.


Body fluids. 18. Body water and its control.


Caring is what it's all about.

Caring is what it's all about.


An event of great significance.

An event of great significance.


Can patients teach nurses how to nurse?

Can patients teach nurses how to nurse?


Nursing Times explains: resource reallocation.


Where the need is greatest--Medway District. 'So you think you've got problems'.


Complications of blood transfusions--1. How to avoid the dangers inherent in the technique.


A locally-based first-line management course.


Much happier at home.

Much happier at home.


The Urinary Conduit Association.

The Urinary Conduit Association.


Total cystectomy and ileal conduit.

Total cystectomy and ileal conduit.


Audiometric screening in schools. 1. The types of deafness and how they are detected in children.


Job hunting on retirement.

Job hunting on retirement.


Rediscovering the patient. Prescription for nursing care.


Rediscovering the patient. Introducing individual care plans.


Rediscovering the patient. Taking admission histories.


Rediscovering the patient. Introduction of care plans in a psychogeriatric ward.


Rediscovering the patient. The process in practice.


Technology in nursing. Respiratory function. 10. Challenge testing.


Problems of communication facing overseas nurses.


Rediscovering the patient. Introduction to planning care--1.


Rediscovering the patient. Introduction to planning care--2.


That unspoken prejudice.

That unspoken prejudice.


The continuous flow cell separator.

The continuous flow cell separator.


'This stranger, our son'.

'This stranger, our son'.


Complictions of blood transfusion--2. Human fallibility.


The nursing process: why do we need the nursing process? 1. For legal reasons.


The nursing process: why do we need the nursing process?


The nursing process: why do we need the nursing process? 2. For practical reasons.


The nursing process: why do we need the nursing process? 3. For professional reasons.


Audiometric screening in schools--2. A child with bilateral sensorineural loss and secretory otitis media.


Synapse: free expression.

Synapse: free expression.


Infection Control Nurses' Association.

Infection Control Nurses' Association.


The Canadian Hospital Infection Control Association.


'What nurse don't see, she don't worry about', or The use of observation in hospital research.


Single dose pre-operative antibiotic prophylaxis in gastro-intestinal surgery.


Systems of life. 48. Smell.

Systems of life. 48. Smell.


A method for pasteurising human milk.

A method for pasteurising human milk.


Closed urine drainage: an evaluation of a pre-connected system.


Refuse disposal--1978.

Refuse disposal--1978.


Grasping the nettle: Normansfield.

Grasping the nettle: Normansfield.


Over to you: costing the care-free student.


Nurse could you care more?

Nurse could you care more?


Who wants to be average?

Who wants to be average?


Modified nylon tights.

Modified nylon tights.


Dietary pathogenesis of schizophrenia: an investigation into the effects of gluten.


Good diet, bad diet.

Good diet, bad diet.


Fit for a 'different' future.

Fit for a 'different' future.


Over the rainbows.

Over the rainbows.


Golden opinions and golden opportunities.


Order, order!

Order, order!


Work and the health of the worker.

Work and the health of the worker.


Nursing in the adolescent service.

Nursing in the adolescent service.


Psychodrama with adolescents: an action technique used to harness and control disturbed behaviour.


Nursing care study: acute psychotic disturbance and regression in an adolescent girl.


Nurses and the law. 8. Employment law--3.


Ten years of measles vaccinations: a review of the advantages and hazards of vaccination.


Wertheim's hysterectomy.

Wertheim's hysterectomy.


Oxygen therapy in hospital practice: the indications for oxygen therapy and its safe application.


The dilemma of life and death: should we let them die?


The nurse a patient advocate?

The nurse a patient advocate?


The process of effecting change in nursing.


Professional advancement and salary differentials among baccalaureate, diploma and associate degree nurses.


Dissatisfaction and the changing meaning and purpose of the nurse's work.


Gastrointestinal fibre-endoscopy.

Gastrointestinal fibre-endoscopy.


Jobs for the boys - and girls.

Jobs for the boys - and girls.


Does private care provide value for money? 1. Why people prefer to pay for treatment.


Ginseng: the plant that hides from man.

Ginseng: the plant that hides from man.


A future for ward-based nursing officers?


Rheumatoid arthritis: the team approach is the answer.


The mechanics of walking: putting your best foot forward.


Depression: why do people get the 'blues'? 2. A biochemical explanation.


Dental care: preventing those teething problems.


Nursing care study. Paranoid schizophrenia: learning to cope with eccentricity.


Community nursing: we all work for a dinosaur!


Community nursing: the caring crypt.

Community nursing: the caring crypt.


Community nursing: counterfeit care.

Community nursing: counterfeit care.


The challenge at the end of an unhappy affair: the downward path of Normansfield.


A better deal for graduates, please.

A better deal for graduates, please.


Student's view: the myths about nursing.


Breaking through the communication barrier.


Spot on! That's the name of the game.

Spot on! That's the name of the game.


Does private care provide value for money? 2. How much is it going to cost?


Breast cancer: nurse's role is vital in early detection.


Hodgkin's disease: working towards a cure for all.


Depression. Why do people get the 'blues'? 3. What the nurse can do to help.


Neonatal care. Good teamwork: a key to saving the ill newborn baby.


Nursing care study. Chronic brain syndrome: a challenge to nursing skills.


Community nursing: Jean's taken an overdose.


Striking the right balance between patient care and nurses' safety.


Orthopaedics. 2. Congenital dislocation of the hip.


Stress: the crucial factor in student wastage.


Involving the family in patient care.

Involving the family in patient care.


In camera: does nursing need more men?

In camera: does nursing need more men?


Don't write us off as neurotics.

Don't write us off as neurotics.


Does private care provide value for money? 3. Why small is beautiful.


Tuberous sclerosis: how my daughter mirrored the facts.


Nursing care study. Botulism: a team effort to save the poison salmon victims.


Laurence-Moon-Biedl-Bardet syndrome: the factor that can blind a family.


Therapeutics' conference: three views on cancer treatment. The target is a pain-free patient.


Therapeutics' conference: three views on cancer treatment. How tumour cells reach bone.


Therapeutics' conference: three views on cancer treatment. Let the patient set his own goal.


Community nursing: elderly couple require small council house.


Last-ditch stand tries the staying power of the EGA.


Orthopaedics. 3. Congenital club foot.

Orthopaedics. 3. Congenital club foot.


Does private care provide value for money? 4. Where morale is high and recruitment no problem.


The lord of misrule.

The lord of misrule.


Physiology at play: the nephron.

Physiology at play: the nephron.


In search of the lost chord.

In search of the lost chord.


Community nursing: always look at the patient's tablets...you might learn a lot.


Orthopaedics. 4. Principles of traction.


Reflections: with reference to references.


1978: the year of battles, Briggs and Brother Christopher.


New year, new hopes--what will 1979 bring?


Astounding how arrogant graduates can be!


Coping with stress at work.

Coping with stress at work.


All nurses must share in the care of the old.


Myasthenia gravis: a cure is in sight.

Myasthenia gravis: a cure is in sight.


Nursing care study. Hydrocephalus and blocked shunt: and mother came too.


Community nursing: the handicap of giftedness.


Community nursing: keeping your client warm.


Student's view: a home from home?

Student's view: a home from home?


Primary health care.

Primary health care.


Nursing in primary health care.

Nursing in primary health care.


Declaration on the economic and social welfare of Filipino nurses.


The primary health care project of the Philippine Nurses Association.


The philosophy of community-based health programs.


Supervised community participation.

Supervised community participation.


A comparative study of help-seeking behavior in an urban community.


DNA at 28--a story of nurses' enterprise.


Intensive care nursing after cardiac surgery.


The relevance of the role and functions of the nurse administrator in the health care system.


Nurse anesthetists O.K. recertification of nonmembers.


Man's inhumanity to man.

Man's inhumanity to man.


Clinical bulletin: what if Legionnaires' disease turns up in your hospital?


Sound off! "let's say 'yes' to unions"!

Sound off! "let's say 'yes' to unions"!


While medical care was failing: creative nursing saved this infant's life.


Assertiveness workbook: how to soothe a savage surgeon (without making a doormat of yourself or blowing a fuse).


Sex during pregnancy: what can you say?

Sex during pregnancy: what can you say?


12 (At least) incredibly simple tips on how you can control infection.


Watch for this renal time bomb: urinary postobstructive diuresis.


Experiences in clinical problem solving. Nursing decisions: pulling a patient through acute renal failure.


The chronic threat of Crohn's disease: how to help your patients cope.


What the 'rent-a-nurse' trend means to you.


Opinion exchange: Betty's treatment battle.


Leadership at work: how a 21-year-old director of nursing almost blew it.


Leadership at work. Changing behavior: a fun approach that works.


Legally speaking: when to 'tattle' on physician misconduct.


Sound off! Playing with the entry requirement: a game we can't afford.


Panic.

Panic.


RN's assertiveness workbook: 'I'm OK and I want a raise'! Don't let the 'myth of modesty' put you in the poorhouse.


You can inject heparin subcutaneously.

You can inject heparin subcutaneously.


Nursing experience: the patient was lucky--and so was I.


Acetaminophen overdose: a new--and treacherous--care problem.


Experiences in clinical problem solving. Nursing decisions: nursing intervention in acute pancreatitis.


Are you too sure of your stand on the right to die?


Opinion exchange: Andrea's I.V. ambivalence.


Opinion exchange: Rhonda's radiation row.


Leadership at work: find out what your staff really thinks--and act on it.


Collective bargaining is "unwanted child" at ANA, staff charges.


Legally speaking: when it comes to consent, empty gestures won't do.


The view from the bed.

The view from the bed.


The year's new drugs.

The year's new drugs.


What's new in drugs.

What's new in drugs.


How to succeed with wet-to-dry dressings.


Theater as therapy: how rehearsing your patients can help them cope.


When you're faced with a neuro patient.

When you're faced with a neuro patient.


Nursing experience: turnabout on the locked unit.


RN's assertiveness workbook: 'Frankly, MS. Scarlett, I can't work another double' (or, getting clear of guilt).


No! Seven out of ten nurses oppose the professional/technical split.


Clients receive do-it-yourself care at dialysis centre.


Mortality in meningococcal infections.

Mortality in meningococcal infections. Among 124 patients with meningococcal infections between 1966-1976, 108 had meningitis with a fatality rate of 7.4%, and 16 septicaemia with 18.8% fatality. High risk patients (more than 3 prognostically unfavourable characteristics) increased from 3.5% 1966-1970 to 15.6% 1971-1976, and the total mortality from 3.6 to 10.4%. The most unfavourable prognostic factor was low blood pressure at admission. High risk patients were more common among those who had meningococci with complete or partial sulfonamide resistance (25.7%) than among those having sensitive meningococci (11.9%). When the meningococci were at least partially sulfonamide-resistant, initial therapy with the combination of benzylpenicillin, sulfaisodimidine and chloramphenicol seemed to be more successful than benzylpenicillin alone in patients above 10 years. Ampicillin was used only in children, and these all survived.


[Epidemiology and prevention of viral hepatitis].


Making primary nursing work.

Making primary nursing work.


Nursing supervision: leadership or police work?


The New York State Regents External Degree Program.


Nursing care plans for the special care nursery.


The crisis.

The crisis.


Supervision: is a master's degree really necessary?


A plea to role models.

A plea to role models.


A patient outcome criterion measure.

A patient outcome criterion measure.


Job satisfaction for the float staff.

Job satisfaction for the float staff.


Quoth the raven, "Nevermore!".

Quoth the raven, "Nevermore!".


Supervisor overseas: staffing and operating departments.


To strike or not to strike: a debate on the ethics of strikes by nurses.


The teaching square.

The teaching square.


The art and science of supervision: which cap are you wearing?


"It should only come to pass..." A Christmas, "Year of the Nurse" whimsey.


The role of the head nurse: power and practice.


Law for the nurse supervisor: references.


Do you confront the boss?

Do you confront the boss?


An introduction to role theory for nurses.


Supervisor overseas: nurses pay. Union affiliation for RCN?


Law for the nurse supervisor: the Bakke decision.


One more change.

One more change.


The art and science of supervision: under the microscope.


The profoundly mentally retarded.

The profoundly mentally retarded.


MASH in San Antonio.

MASH in San Antonio.


Institutional licensure versus individual licensure.


What an RN should know about copyright law.


Grades are necessary criterion for evaluating students.


The eustachian tube--4: therapeutics.

The eustachian tube--4: therapeutics.


Puppy rearing--4: crate-training the pup.


Comparative evaluation of the anticholinergic agent glycopyrrolate as a preanesthetic agent.


Eosinophilic granuloma in the cat: two cases involving the tongue.


Two cases of foreign-body osteomyelitis secondary to retained surgical sponges.


Tracheal osteochondroma in a young dog.

Tracheal osteochondroma in a young dog.


A quiz panel for client education.

A quiz panel for client education.


Use of a chromed umbilical prosthesis in the repair of a persistent abdominal fistula.


Coccidiosis associated with scours in baby pigs.


The veterinarian and cases of cruelty to horses.


The importance of good cash management. The high cost of money has turned a sometimes neglected art into a virtual necessity.


An unusual carcinoma in a Lhasa Apso.

An unusual carcinoma in a Lhasa Apso.


Puppy rearing--6: vocalizing.

Puppy rearing--6: vocalizing.


A technique employing graduated flexible reamers prior to intramedullary fixation of long-bone fractures.


An inexpensive chamber for induction of anesthesia in small animals.


Nylon-cable tie band used to remove rear dewclaws from dogs.


Persistent postcervical band as a cause of dystocia in a bitch (a case report).


Collodion and cotton method of trimming canine ears.


Subconjunctival hemorrhage due to birth trauma in a calf (a case report).


Repair of a fractured femur in an iguana.


Splenomegaly and splenic infarction in a standardbred colt.


Sequela to a urachal abscess in a Hereford heifer (a case report).


Examination of bucks for breeding soundness.


Effects of passive immunity on immune response in calves vaccinated against Clostridium chauvoei infection (blackleg).


Surgical correction of perosis in a 3-week-old mallard duck.


Dependency exemptions: some tips on making the most of them.


Puppy rearing--3: The leader-follower bond, part 2.


The eustachian tube--3: Function tests.

The eustachian tube--3: Function tests.


Heartworm survey in the Cincinnati, Ohio, area.


Biopsy in cases of canine vulvar-fold dermatitis & perivulvar pigmentation.


A case of diaphragmatic hernia.

A case of diaphragmatic hernia.


Reduction of simple lateral luxation of the elbow joint.


Surgical treatment of polycystic ovaries in the dog (a case report).


Paramite dip for control of sarcoptic mange on dogs.


Mastectomy in a goat (a case report).

Mastectomy in a goat (a case report).


Evaluation of fenbendazole as a swine anthelmintic.


Effect of immunization with a Bordetella bronchiseptica bacterin on weight gain in weaning pigs.


Infectious thromboembolic meningoencephalitis (TEME) in an Iowa feedlot.


Intramammary infusion of cephapirin benzathine for treatment of mastitis in dry cows.


Adenoma of the pars intermedia and hirsutism in a pony.


Tax clinic. Q. What are the tax effects of placing one's children on the payroll?


An approach to treatment of locoism in horses.


Get top mileage from your driving deductions.


How to get your money's worth from continuing education programs.


Roundworm: cause of tracheal stricture.

Roundworm: cause of tracheal stricture.


Experimentation with a concept: shared control of the health care system.


Anti-trust laws and the professions. Report of workshop.


Nucleoside composition of lysine transfer RNAs from Lupinus luteus seeds. Analysis of the nucleoside composition of five lysine tRNAs from lupin seeds has shown their general similarity to other eukaryotic lysine tRNAs, except that lupin lysine tRNAs do not contain either t6A, Tm, or thioderivatives of uridine. It is assumed that each of the lupin tRNALys is coded for by a separate gene. The acceptor activity of the analysed tRNAs ranged from about 1200 (tRNA3Lys, tRNA4Lys, tRNA5Lys) to 1470 (tRNA2Lys) pmoles of lysine per one A260 unit of tRNA.


First accredited health care centre in the Federal Correction System.


Why not try working in psychiatric nursing?


The operating room slate.

The operating room slate.


The development of family-centered maternity/newborn care in hospitals.


Accreditation of continuing education in nursing: the site visit process.


American Nurses' Association Bylaws as amended June 1978.


Nurse aide note book: nursing in the oncology unit.


The implementation of holistic/humanist nursing concepts in a rehabilitation setting.


W.H.O. statement: meeting a challenge--health care for all.


Employing reality orientation in a short term treatment setting.


Drugs in current use. The burn wound: topical therapy for infection control.


Barriers and values in the nurse/client relationship.


The Cancer Institute.

The Cancer Institute.


A hearing test for babies.

A hearing test for babies.


Patient evaluation of a primary nursing project.


Non-accidental physical injury to children--case management in the community.


Nursing education in gerontology in the United States.


Existentialism and behavioral objectives.


Psychiatric and social treatment facilities for adolescents.


Single unit and lesion experiments on the sensory inputs to the hippocampal cognitive map. The hippocampal cognitive map theory states that the hippocampus calculates the animal's location in an environment and also the locations of objects such as rewards and threats. In this paper we report single cell experiments which explored how sensory inputs are used by the hippocampus to calculate spatial information and behavioural experiments which tested the sensory capabilities of fornix-lesioned rats. Both sets of experiments were done in cue-controlled enclosures which contained only a few distant cues by which the rat could locate itself and the goal. Other cues were eliminated by rotating the constellation of cues and the goal from trial to trial. The results of the single cell experiment show that the place fields of hippocampal cells recorded in this environment are related to the controlled cues and, further, that some of these place cells maintain their fields after the removal of any two of four controlled cues. The lesion studies show that rats with damaged fornices can learn to approach distant cues behind and below the level of the goal but not ones behind and above the goal. A second study showed that the addition of redundant distant cues to the enclosure impairs the learning ability of the lesioned, but not the normal, animals.


Hippocampal electrical activity during waking behaviour and sleep: analyses using centrally acting drugs. Rhythmical slow activity (RSA) occurs in the hippocampus under many conditions including waking behaviour, active sleep and surgical anaesthesia. Under all these conditions RSA, apparently, is produced by the coupled operation of CA1 and dentate gyrus generators. Two ascending brainstem systems appear capable of initiating activity in these coupled generators. One system, ascending via the diagonal band and medial septal nucleus, may contain cholinergic synapses since it is blocked by atropine and stimulated by eserine. The RSA produced by this system usually has a frequency of 4--7 Hz and can occur during total immobility during the waking state, active sleep or anaesthesia. A second ascending system produces RSA of higher frequency (usually 7--12 Hz) and is active during waking if, and only if, movements such as walking occur. During active sleep this system is active only during phasic muscular twitches. Anaesthetics (ether, urethane) and morphine abolish activity in this second system but it is resistant to atropinic and nicotinic drugs. Amphetamine stimulates, and major tranquillizers depress the atropine-resistant system but these drugs do not abolish its normal relation to behaviour. Neocortical activity appears to be controlled by two ascending systems which parallel closely those ascending to the hippocampus.


An experimental 'dissection' of the septal syndrome. I present evidence from several different lines of investigation (including partial lesions, intraseptal and intrahippocampal drug injections, and surgical transections of the major fibre systems that enter, leave, or traverse the area) which indicates that individual components of the septal syndrome in the rat and cat reflect an interruption of different neural elements. The 'disinhibitory' effects of septal lesions on behaviour that is suppressed as a consequence of non-reward are due to an interruption of septo-hippocampal (or hippocampo-septal) connections that do not have a cholinergic synapse in the septum but do have one in the hippocampus. The inhibitory effects of punishment are not mediated by the same pathways but involve amygdalo-septal (no directionality intended) projections that have a cholinergic synapse in the septal area. This component of the septum may communicate with the hippocampus via entorhinal and periamygdaloid projections. This pathway does not appear to have a cholinergic synapse in the hippocampus. The effects of septal lesions on active avoidance are related to an interruption of at least two pathways. The facilitated shuttle box conditioned avoidance response acquisition is related mainly to an interruption of ventral connections of the septum with the lower brainstem. The impaired acquisition of most other avoidance problems seems to be due to an interruption of components of the stria medullaris. Both pathways have a cholinergic synapse in the septal area. The hyperdipsia, finickiness, and sudden weight loss are related to an interruption of pathways that interconnect the septum with the lower brainstem.


The anatomical organization of septo-hippocampal projections. Since the time of Elliot Smith (1910) it has been recognized that the septal complex occupies a pivotal position within the mammalian telencephalon, being strategically placed between the hippocampal formation on the one hand and the basal forebrain and diencephalon on the other. However, it is only in the last few years that the detailed interrelationships between the different nuclear groups within the septum and the various subfields of the hippocampus have been studied. We have recently re-examined the connections of both the septum and the hippocampal formation using the techniques based on the anterograde transport of isotopically labelled proteins and the retrograde transport of the enzyme marker, horseradish peroxidase. Our findings may be summarized as follows. Field CA1 of Ammon's horn and the adjoining subiculum project through the fimbria and pre-commissural fornix upon the lateral septal nucleus of the same side in a topographically ordered manner. Field CA3, on the other hand, projects bilaterally upon the lateral septum. The lateral septal nucleus in turn, projects partly upon the medial septal nucleus and nucleus of the diagonal band, and partly to the lateral hypothalamus and the mamillary complex. The medial septal-diagonal band complex projects back, through the fimbria and dorsal fornix, to fields CA3 and CA4 of the hippocampus, to the dentate gyrus, to the subicular complex, and to the entorhinal area. The subicular complex projects through the post-commissural fornix to the anterior thalamic group, the mamillary complex, and the ventromedial and arcuate nuclei of the hypothalamus. Ammon's horn and the subiculum also project to the posterior septal nuclei (triangular and septofimbrial), which in turn send their output to the habenular and interpeduncular nuclei. The significance of these projections is analysed in a review of the major known afferent and efferent connections of the septum and hippocampus, and the cell groups to which they project directly.


Functions of the septo-hippocampal system. Objectives of the meeting.


The function of septo-hippocampal connections in spatially organized behaviour. The role of septo-hippocampal connections in spatial behaviour is examined in lesion and stimulation experiments in rats. Destruction of septo-hippocampal connections produces a severe and enduring deficit in the ability to perform a spatial memory task. Furthermore, crossed unilateral lesions of the entorhinal area and fimbria-fornix produce the same deficit as bilateral lesions in either the entorhinal area or the fimbria-fornix, as predicted from a disconnection analysis of hippocampal lesions. Evidence also suggests that septo-hippocampal damage produces a greater deficit in spatial behaviours when a flexible response is required than when a consistent response is required, although this difference is a relative one rather than an absolute one. Finally, disruptive stimulation of the hippocampus while rats are performing a spatial memory task produces retrograde amnesia but not proactive interference. Taken together, these data indicate an important role of the septo-hippocampal system in spatial behaviour, and in the maintenance of spatial memories.


Multivariate analysis of the septal syndrome. Since recent reviews of the behavioural effects of septal lesions agree that more than one explanatory concept is required, a multivariate analysis of the septal syndrome has been made. A total of 127 rats have been tested 73 with septal lesions and 54 controls. The rats were tested in a standard test battery consisting of a residential maze, spontaneous alternation, spatial learning, approach/avoidance conflict and one-way active avoidance. Factor analyses reveal a complex change in the factor structure after septal lesions. None of the previous explanations of septal functions receives unequivocal support. The findings do not exclude the possibility that septal lesions interfere with a few general behaviour mechanisms or perhaps only one. However, if so, this factor does not explain as much of the variance as expected. Situational or test-dependent factors play a greater role in the variance. This is interpreted as an indication of insufficiency in the theoretical structure, or in conventional test designs.


A comparison of hippocampal pathology in man and other animals. Bilateral damage to the medial temporal lobe, including the hippocampus, in man is associated with a severe amnesic syndrome. It is still not clear whether the hippocampus (or its output pathways and related target projection sites) is the critical structure in producing this syndrome, especially as more severe learning deficits in animals are found with lesions in the anterior inferotemporal cortex than with hippocampal lesions per se. But the problem of trying to relate memory deficits in man and animals depends on the characterization of the amnesic syndrome itself. It was originally thought to be a failure of input into long-term memory store or a failure of consolidation. Medial temporal and hippocampal lesions in animals do not produce results that fit such a characterization. On re-examination of the human syndrome, however, for which some of the evidence is reviewed, it appears that the amnesic patients can learn and remember over long intervals if certain testing paradigms are used. The results are more readily matched to some of the results of hippocampal lesion studies in animals. Two main classes of current theories of the amnesic syndrome are discussed. A somewhat different approach is suggested here, based on the dissociation between human amnesic subjects' commentaries and their objective performance, which suggests a dissociation between levels of processing rather than a failure on any particular level.


Functions of the septo-hippocampal system. Final general discussion.


Intramolecular interactions, enzyme activity and models. The specificity of protein binding and the specificity-catalysis relationship in enzymes are analysed. Many enzymes use extended binding sites to achieve specificity and to create special environments which activate chemical groups on both the substrate and the enzyme itself. Aside from this effect, which is not adequately available in model compounds, the use of models is exemplified for several possibly separable effects in enzyme-substrate reactions. These include proximity (entropy loss on binding), locking into a productive binding mode, desolvation, electrostatic effects, changes of pKa by local environments, geometric strain, acid-base catalysis, and formation of other intermediates.


Perturbations of model protein systems as a basis for the central and peripheral mechanisms of general anaesthesia. Protein perturbations associated with anaesthetic interactions are relevant to: (a) the central molecular mechanisms of general anaesthesia; (b) the molecular basis of physiological selectivity and anaesthetic specificity of the many 'side-effects' of anaesthesia; (c) the use of anaesthetic agents as selective hydrophobic probes for the study of protein structures and activities in detail. Small but specific protein perturbations have been studied with various nuclear magnetic resonance procedures with haemoglobin as a model protein to establish the 'ground-rules' for anaesthetic-macromolecule interactions. The correlation of one aspect of these perturbations with anaesthetic potency and hydrophobic solubility indicates that hydrophobic pockets in proteins can behave like bulk-lipid phases in terms of their solubility characteristics. Other aspects appear to depend on physical characteristics such as size, geometry, structure and composition of the individual agents. These data support the hypothesis that anaesthetic actions can be explained on a molecular basis by direct interactions with proteins in addition to lipid and aqueous effects.


Physical and chemical properties of lysozyme. The conformations of lysozyme in crystals and in aqueous solution are discussed and it is shown that the basic conformation is similar in the two states. Certain parts of the molecule have mobility. The reactions of lysozyme with protons, metal ions and some organic reagents are examined in the light of the conformations and their dynamics. The reactions considered are mainly those of tyrosyl, tryptophyl and carboxylate residues. The reactivity data are used in a discussion of the energy states of the reacting side-chains. In particular the reactivity of Glu-35 and its interaction with Trp-108 lead to suggestions for some new aspects in the hypothesis for the mechanism of action of lysozyme. In most respects the X-ray crystal diffraction and the nuclear magnetic resonance solution studies are in accord and complementary.


Dynamics of local conformation and enzyme function. Enzyme function is critically affected by gross changes in tertiary structure, but much less is known about the dependence of activity on localized conformational changes that might occur during the catalytic process. Such information is essential to the understanding and verification of enzyme mechanisms, and can only be obtained from systems in which the substrate binding and catalytic groups of the enzyme active centre are not only identified but also rendered appropriate probes of the catalytic reaction, that is they must signal changes in their mutual interactions at rates at least as fast as catalysis. It should then be possible to observe directly each of the dynamic events that result in catalysis. Time-averaged structural analyses can neither reveal the dynamics of catalysis nor describe the conformational details of molecules who structures-particularly of the active centre-are motile. Moreover, the three-dimensional structures of enzymes in crystals and solutions may not always be identical as evidenced by marked differences between the kinetic properties of crystalline and of dissolved enzymes (e.g. hexokinase, glycogen phosphorylase and carboxypeptidases A and B). Various experimental approaches have been devised to explore the relationship between structure and function of these and other enzymes. We have focused on the syncatalytic, spatial relationships of active-site residues as they bear on the mechanism of enzyme action using absorption, circular dichroism, magnetocircular dichroic, and resonance Raman spectroscopy as well as resonance energy transfer. Stopped-flow, pH and temperature jump methods quantitatively assess both the conformational and local structural features of the enzyme and reveal multiple, discrete conformational states that prove to have mechanistic significance. These and related data serve as a basis for a minimal model of the dynamic aspects of enzyme action.


To stabilize a transition state.

To stabilize a transition state. Inspection of the active sites of the many enzymes whose structures are known at high resolution leads to the unsurprising conclusion that an enzyme may provide an environment that exquisitely stabilizes the transition state for an elementary catalytic step that is expected to be difficult. In an effort both to mimic such an environment and to have the opportunity of investigating the thermodynamic and kinetic consequences of juxtaposing polar and non-polar loci in the same molecule, we have synthesized several specifically functionalized alpha-cyclodextrins. One of these is designed to stabilize the trigonal bipyramidal transition state for an in-line displacement at the phosphorus of a phosphate monoester. This cyclodextrin contains three symmetrically disposed ammonium groups on the 'top' (at C-6) of the hydrophobic cavity formed by the hexa-glucose torus and the remaining 15 hydroxy groups are methylated. The thermodynamic consequences of adjacent hydrophobic and hydrogen-bonding and/or electrostatic binding sites are investigated using several charged and uncharged ligands. The feasibility of building host species explicitly to stabilize reaction transition states is discussed.


Solvents, interfaces and protein structure. Mean packing densities in protein interiors are comparable to those of most organic solids but the variations between small regions may be substantial. Packing defects may be related to allowed structural fluctuations. Molecular surface areas can be correlated with free energies of transfer between different solvents. The proportionality factor will depend, in general, on the nature of the solute and both the solvents. The changes in solvent-protein interfacial area on chain folding are large and the implied changes in free energy from this solvent-squeezing effect are correspondingly large. The strong tendency to minimize surface area is reflected in the globular shape of most protein molecules or domains in larger structures. The formation of isolated units of secondary structure from an extended chain represents about one half of the eventual total area change. The tendencies of amino acids to form beta-sheets correlate well with the rank-ordered list based on non-polar area change for each residue type. The calculated area changes for helix and sheet formation are not identical in rank order. The rank-ordered list for alpha-helix formation correlates satisfactorily with the probability list prepared from actual structures if glutamic acid and tyrosine are removed. What special characteristics unrelated to surface area these two amino acids might have is not clear. Tertiary structure formation from preformed secondary structural units can be rank ordered on area change and possible nucleation sites can be identified. A prediction scheme for helix-helix interactions is proposed. The hydrophobic force begins to be felt when two helices are about 0.6 nm (6 A) from their final contact positions. Interfacial surface tension is a logical parameter to relate free energy and solvent contact area, but this macroscopic parameter must be used with great caution. It is suggested that water in the deep grooves, characteristic of the active sites of many enzymes, may have a substantially higher fugacity than bulk water as indicated, at least qualitatively, by the Kelvin equation based on surface curvature. Such water would be more easily displaced than its plane surface counterpart and could contribute significantly to ligand-binding energy. This factor would be in addition to the usual solvent entropic effects associated with surface area reduction on association.


Stereochemical studies of enzymic C-methylations. Samples of methionine carrying a chiral CHDT-group have been prepared from and degraded chemically to chiral acetic acid. With this powerful tool inversion mechanisms were detected for the methylations on sulphur, oxygen and carbon atoms in the biosynthesis of methionine, loganin and cyanocobalamin, respectively. Chirality of the methyl group of methionine is retained during formation of the C-24 methyl group in ergosterol biosynthesis. A stereochemical scheme for the unusual course of this reaction is presented and the current stage of experiments aimed at its verification is discussed.


Reactions in supercooled water; studies of active sites of matalloenzymes using perturbed angular correlation of gamma-radiation.


Flexibility and rigidity in protein crystals. There is an increasing body of crystallographic evidence for disorder in parts of the main polypeptide chain of certain proteins. The zymogens of pancreatic serine proteinases and tyrosyl-tRNA synthetase are used as examples. It is suggested that reactivity and specificity are favoured by an appropriate rigid conformation, and that disorder may often be involved in some kind of control function.


Transient interaction between elongation factor 1 from Artemia salina and the 80 S ribosome.


Comparison of expected competencies of baccalaureate- and associate-degree graduates in nursing.


The paradoxical nature of nursing research.


Excellence in nursing.

Excellence in nursing.


Relationship of communication satisfaction to need fulfillment among Kansas nurses.


The interdisciplinary team: a role definition for nursing.


Qualified personnel or traditional midwives? Women's choice in rural India.


Family planning and family health.

Family planning and family health.


The professional nurse in developing countries--practice and preparation.


Environmental and social change: the effects on nursing practice.


Socio--economics of nursing.

Socio--economics of nursing.


Adapting nursing textbooks for Africa: a necessity?


The professional association in Africa: toward the 21st century.


Brief sexual counseling during cardiac rehabilitation. Advances in the understanding and treatment of myocardial infarction have appeared over the past decade. One intervention technique receiving increasing emphasis is the development of multidisciplinary "rehabilitation teams" whose chief aim is to assist individuals in returning to former levels of medical and psychosocial functioning. Within the team approach, the mental health specialist clearly plays a significant role. Counselors can provide support and reassurance in the midst of the medical crisis and help to minimize stress related to rearrangements in family roles and routines. In this instance, brief sex counseling as part of an ongoing rehabilitation program serves to clarify misconceptions, reduce fears, and facilitate return to sexual activities after infarction. It is important to remember, however, that an accurate physiologic evaluation provides the foundation on which to base counseling efforts. Without adequate medical information, no amount of counseling expertise will succeed. Certainly the final decision to resume sexual behavior remains with the individual couple. The counselor's primary task is to emphasize that the myth of total abstinence is not applicable for most cardiac patients. In reality, it is possible and even highly beneficial for patient and spouse to return to their normal sexual relationship.


Renal assessment: a nursing point of view.


Children with learning disabilities.

Children with learning disabilities.


Psychosocial responses to myocardial infarction. This paper has presented some psychosocial factors believed to contribute to the incidence of coronary artery disease. In addition to the recognized risks, Type A behavior was identified as particularly predisposing to the incidence of CAD. A pattern of psychosocial responses to MI, as a symptomatic manifestation of CAD, was discussed in relation to a specific patient and to the nursing interventions employed. These responses are not peculiar to individuals who suffer an MI, but are common human responses to threat by illness or injury, and as such present a challenge to nurses for appropriate therapeutic intervention.


Right bundle branch block with Wenckebach conduction.


Speech and language problems: how you can help.


Spurious pulmonary embolism--a nondisease.


Exercise stress testing in the patient with coronary artery disease. Part II. Cardiac exercise stress testing has both diagnostic and prognostic implications. ECG changes, hemodynamic responses, and symptoms during exercise are clues to the functional capacity, severity of coronary artery disease, and probability of future coronary events. The time and workload required for a positive response to exercise and the length of time the ECG changes persist during recovery are indicators of the degree of coronary disease and are useful in predicting future coronary events.


Nursing care of emotionally abused and deprived children.


Childhood immunizations.

Childhood immunizations.


The child with diabetes.

The child with diabetes.


Management of the mechanically ventilated patient receiving pancuronium bromide. The use of the drug pancuronium bromide occasionally is necessary as a part of the treatment of mechanically ventilated patients. This article reviews the mechanism of drug action, the use of the drug, and the nursing care of the patient receiving pancuronium bromide.


A system for maintaining invasive pressure monitoring.


The clinical importance of coronary arteriography after myocardial infarction. An analysis of 80 patients who had elective coronary arteriography within 6 months after hospital dismissal for acute myocardial infarction showed that approximately two-thirds had multivessel coronary disease. The study is consistent with others reported in the recent literature in suggesting that most patients who survive myocardial infarction have multivessel disease. High early and late post-myocardial infarction mortality is comparable to that described for patients with two- and three-vessel occlusive disease. Knowledge of specific coronary anatomy and left ventricular function is critical in assessing post-myocardial infarction prognosis. This information is also important in defining optimal medical or surgical treatment. Unfortunately, the severity of the subjective clinical syndrome does not correlate well with the degree of anatomic findings or the prognosis. Properly selected surgical intervention may be one approach to modifying the high post-myocardial infarction mortality, which has not changed materially in the past several decades.


Staphylococcal outbreak in an intensive care unit--a narrative account of its management.


A survey of registered nurses' conceptions of and participation factors in professional continuing education.


Methods of teaching - revisited: nursing care conference.


Attitudes of nurses toward lifelong learning: one hospital examines the issues.


On the road: delivering a basic coronary care course in rural Minnesota.


Nurses want to keep up to date!

Nurses want to keep up to date!


Notes on continuing education. Continuing education: some definitions.


Educating teachers of nursing: the contribution of pedagogical studies. This paper deals with the nature of pedagogical studies, starting with a discussion on aspects of the curriculum. This is followed by sections dealing with objectives, lesson presentation and teaching practice. The final sections deal with the assessment of learning and curriculum planning.


The statewide continuing education plan of Louisiana.


Teaching psychiatric nursing in the classroom. The practice in teaching psychiatric nursing to post registration student nurses at the Bethlem Royal & The Maudsley Hospital School of Nursing is described, showing the exclusive use of experiential teaching methods. Five distinct courses are conducted at present in this topic: 1 discussions based on written work; 2 discussions centring on set topics; 3 group dynamics discussions and projects; 4 psychodrama exercises; 5 supervision classes. The latter are conducted in a manner not previously described. The dependence of effective classroom teaching on the students' ward experience is demonstrated.


A new concept of teaching-learning experience in trauma nursing.


Nursing care in labour and patient satisfaction: a descriptive study. This study examined the subjective needs of labouring patients. A convenience sample of 80 postpartum patients was interviewed. They described the nursing care they had received, indicated the most helpful nursing measure received, and rated their satisfaction with their nursing care. These answers were categorized into types of nursing care. These were supportive care nursing, physical care nursing, medications and combinations of these three. X2 calculations done between these categories and satisfaction scores indicated a significant relationship between the type of care a patient received and her satisfaction scores. Patients found combined care very satisfying, but supportive care was the decisive factor in the way patients viewed their nursing care. The most frequently mentioned element in supportive care was the ability of the nurse to be a sustaining presence. The nurse's ability to assess and to meet the patient's need or non-need for her presence was major factor in patient satisfaction with nursing care in this sample. The relationship between congruency (agreement between time wanted and time spent by the nurse at the bedside) and satisfaction scores was highly significant. Thus the ability to recognize and respond to the patient's need or non-need for her presence was a crucial factor in patient satisfaction and in the way in which a nurse allocated her time. The relationships between numbers of nurses caring for a patient, parity, length of labour, presence of visitors, worries about the baby and patient satisfaction scores were examined. All were non-significant. However numbers of nurses caring for a patient was defined as a contributing factor to the delivery of supportive care nursing. More nurses contributed to more supportive care nursing being given, but was not the major factor in the delivery of supportive care nursing. Finally it was shown that the administration of syntocinon to patients in this sample decreased patient satisfaction with nursing care. Implications and possible reasons for these results are discussed.


Nurse-rating of psychotic behaviour.

Nurse-rating of psychotic behaviour. The aim of this study was to review six nurse-rating schedules to evaluate their suitability for a British psychiatric unit and current nursing practice. They were compared for their reliability, their concordance with psychiatric ratings and their acceptability to the nursing staff. It was found that psychiatric and nursing observations corresponded over a wide area of psychopathology: anxiety, tension, depression, hostility, preoccupation with hypochondriacal, grandiose and self-depreciatory ideas, hallucinosis, thought disorders, mannerisms, retardation, emotional withdrawal, hypomanic activity and uncooperative behaviour. These were adequately covered by two of the scales, the Brief Psychiatric Rating Scale (BPRS) and the Psychotic Inpatient Profile (PIP), which together took 7 1/2 minutes to complete. Another of the schedules studied, the Nursing Rating Scale (Hargreaves), also had relatively high reliability and a broad effective range.


Behavioral objectives: a necessity for nurse educators.


The future nurse: selection and training; autonomy; should her health-care role by modified for future patient demands? This paper was presented in the context of an international interdisciplinary conference on Priorities in Health Care. The focus of the paper is the relationship between the nurse's role and the demands of patients, now and in the future. The incongruence between patients' needs and their demands is discussed and the question is raised as to whether the nurse's skills and knowledge currently acquired will be appropriate to meet patients' needs and demands in the future. Future patient needs and demands are not the only external pressures on changes in the nurse's role; advances in medical treatment and technology and changing roles of other health professionals are others. The paper highlights the dilemma between the profession having to give way to such external pressures or the risk of preparing nurses for irrelevant roles. A case is made for greater interchangeability of first level health care workers through a common portal of entry. It is suggested that diversion into the various professional fields should occur after the foundation course to health care and suitable counselling. Among the top level professionally qualified nurses should be both generalists and specialists. A speciality of nursing generalism, as a parallel with general medical practice, is advocated. A plea is made for a liberating rather than a restricting interpretation of professionalism so that necessary changes in the nurse's role can be initiated and directed by the profession rather than being forced upon it by external pressures.


Landmark statement. Questions and answers about continuing education for registered nurses in Wisconsin.


A hospital school of nursing's approach to continuing education for registered nurses.


Resistance to chloramphenicol and ampicillin Salmonella johannesburg in Hong Kong: observations over a five-year period 1973-1977. Salmonella johannesburg has been prevalent in Hong Kong since 1973 and most strains were resistant to a multiplicity of antibiotics. The susceptibility of S. johannesburg strains isolated in a 5-year period from 1973 to 1977 to eight antimicrobial drugs including ampicillin (A), streptomycin (S), tetracycline (T), chloramphenicol (C), Kanamycin (K), sulphadiazine (Su), trimethoprim (Tm) and gentamicin (G) was tested by the agar dilution method. The proportion of strains resistant to chloramphenicol and ampicillin increased steadily during the 5-year period while those resistant to tetracycline decreased dramatically. This change was associated with an alteration of predominant patterns of antibiotic resistance: strains with the resistance pattern A.S.T.C.K.Su predominated in years 1973, 1974 and 1975 while those with the resistance pattern A.S.C.K.Su predominated in years 1976 and 1977. Analysis of the resistance patterns of S. johannesburg strains isolated from the same cases showed that the resistance pattern A.S.C.K.Su was more stable, and changed less frequently to other patterns of resistance than strains with the resistance pattern A.S.T.C.K.Su. In donor salmonella strains with the A.S.T.C.K.Su resistance pattern, transmissible factors carrying resistance to A.S.T.C.K.Su in toto, to A.S.T.C.Su,A.T.C.K.Su and to A or T alone were demonstrated. In donor salmonella strains with the A.S.C.K.Su resistance pattern, transmissible factors carrying resistance to A.S.C.K.Su in toto and to A.S.K.Su were detected. The significance of the carriage of such transmissible resistance factors by this Salmonella is briefly discussed.


Area inservice educators unite.

Area inservice educators unite.


Developing a teaching program for diabetic patients.


Evaluation in continuing education: is it practical?


Nurse-midwife in complicated obstetrics: trend or treason?


Patterns and causes of infant mortality in rural Uttar Pradesh.


Food supplementation during pregnancy, maternal anthropometry and birth weight in a Guatemalan rural population.


Factors associated with the occurrence of perineal lacerations.


Using primary school children to assess nutritional status in the community.


Normal foetal growth in the Sudan.

Normal foetal growth in the Sudan.


Core competencies in nurse-midwifery: expected outcomes of nurse-midwifery education.


The initial prenatal history and interview: a transitional approach for learners.


The effect of maternal position on labor: abstract of doctoral study.


Possible pathogenic mechanism of hemolysis in malaria.


The power of politics.

The power of politics.


Parents' understanding of their children's illnesses.


The impact of technology on health care--the childbearing center: a case for technology's appropriate use.


Comparison of the antiseptic effect of two Iodophor preparations on hand washing in a well-baby nursery. Two iodophor preparations, Betadine and Prepodyne, used as handwashing antiseptics in two well-baby nurseries, were compared. A total of 1,806 cultures were evaluated. They were taken a) from nurses' hands after washing with either of the products to determine the effectiveness in removing bacteria from the skin suface, b) from the babies' umbilicuses to assess the level of colonization of the infants' skin surfaces to which nurses were exposed during infant bathing, and c) from the nurses' hands immediately after completion of the babies' bathing routine. The results obtained indicated that the products are equally effective in eliminating bacteria in a routine handwashing procedure in similar circumstances. Both presented a comparable skin drying effect after repeated exposures and did not lead to any allergic reaction in the present trial.


High-risk pregnancy screening techniques: a nursing overview. Procedures and indications for nonstress fetal monitoring, oxytocin challenge tests, 24-hour measurement of urine estriols, ultrasound, and amniocentesis, five of the most widely used diagnostic tools for monitoring the fetus at risk, are reviewed. While none of these tests is completely accurate by itself, selective use of these tests improves the ability to diagnose placental insufficiency and to predict the ability of the fetus to survive outside the uterus. Complications may threaten the life of the fetus, but delivery can be timed to minimize the complications associated with prematurity. Overall, skilled medical management of underlying problems remains most important, while tests of placental insufficiency add valuable, but supplementary guidelines for overall management of the high-risk patient.


Culture and preventive health care.

Culture and preventive health care. Interviews were conducted with 85 Puerto-Rican-born women encountered in one urban community in the United States concerning their obstetrical and gynecological preventive health participation, modesty pattern, and feelings of being male dominated. Women who were living with partners were influenced in preventive health participation by their modesty pattern. The more modest woman participated less. Women no longer living with their partners participated in preventive health care independently of their modesty pattern. Women reporting to be more male dominated demonstrated no differences in their preventive health participation; however, women reporting to be less male dominated participated more in preventive health. The nurse should determine the degree of modesty and assess its probable influence on the woman's future participation in preventive health. The more modest woman will relate better to a female health provider in matters concerning her physical person, and particularly, in matters concerned with her sexuality. In some instances the nurse should determine the need to include the partner in preventive health education in order to encourage a more positive attitude toward and participation in preventive health care.


Toward improvements in parenting: a description of prenatal and postpartum classes with teaching guide. A pilot program was developed at an urban community hospital in an attempt to enhance the educational preparation of new and expectant parents and to provide them with the opportunity to examine their values and expectations relating to parenthood. Forty-one couples attended prenatal and postpartum classes. Child development and parenting issues were the main topics of discussion. The effectiveness of the educational program and instructor performance were evaluated through questionnaires measuring parenting knowledge and emotional support. Also, a teaching guide was developed and published.


Breastfeeding.

Breastfeeding.


Self-care nursing model for patients experiencing radical change in body image. A description of the integration of concepts from other disciplines into the nursing self-care model is presented. Orem's model of the patient as a self-care, goal-directed, decision-making agent is applied to the care of a woman recovering from a radical vulvectomy. The model can be used in other nursing care situations in which the patient's body image is altered.


The subtle points of controversy: a case study in implementing sex education. Although surveys have documented the ignorance of American teenagers on sexual matters, and other data suggest that a substantial segment of the public favors a sex education program in the schools, implementation has been limited.  A questionnaire designed to test the feelings of public school teachers, students and community members was undertaken in a stable, conservative town of 1000 in Ohio.  Respondents were asked to indicate which of 17 sex education topics should be included in a curriculum, the appropriate grade level for each, and whether each should be required or elective.  They also ranked potential types of instructors, indicated interest in adult sex education, and rated desirability of student-parent and coeducational classes.  The 1st choice for teacher type was a "sex education specialist," followed by a physician.  Slightly over 1/2 of teachers favored parent-child sex education classes, but fewer than 25% of students did.  Almost 2/3 of students favored coed classrooms for sex education, while 47.5% of teachers, about 1/3 of parents of school-age children, and fewer than 1/4 of persons without school-age children saw this as desirable.  Teachers were most in favor of adult sex education (83.8%), and nearly 2/3 of all adults responded positively.  A majority of all respondents favored including all 17 topics listed in a curriculum, but modal percentages of parents and persons without school-age children favored dropping masturbation and abortion from the sex education classroom, and homosexuality and premarital sexual relationships also met substantial opposition.  Most groups agreed that with few exceptions sex education topics were most appropriate for grades 7-9.  Although an expected strong resistence to sex education was not found, cautious administrators can find a number of reasons to avoid implementing sex education.


Patient education in university health services: an interdisciplinary approach to planning and implementation.


Children of alcoholic parents: a neglected issue. 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.


Learning about emergency vehicles.

Learning about emergency vehicles.


Sixth graders can take blood pressures.

Sixth graders can take blood pressures. A curriculum guide entitled "Heart Health Curriculum Guide" was developed with and by teachers in Peabody Public Schools under a Massachusetts Public Health grant to the American Heart Association. The 67-page manual describes the format of the 12-hour teacher workshop, background physiology of heart/circulatory system, hypertension risk factors, a set of 20 lessons, and evaluating procedures. (Copies may be obtained for $3.00 by writing the corresponding author.) As a result of teaching this unit, sixth grade students in each school ran a Blood Pressure Screening Clinic for their parents and school staff.


Dental health knowledge tests: their development, implementation and evaluation. The present study discusses the development of dental health knowledge tests as part of an integrated dental health curriculum in the public school system of a rural community. It is part of a large project designed to test the effectiveness of a school-based dental health delivery system. Cognitive measures of dental health were designed to study the relationship of dental health knowledge to oral health behaviors. A review of the literature revealed no suitable dental health knowledge tests for grades K-6; new assessment measures were then developed by project staff. The tests consisted of 14 objectively scored tests--two parallel forms at each of the seven grade levels, K-6, and were administered four times to 1,942 students. Consistently, the tests have demonstrated high reliability estimates and low standard errors of measurement and indicate that the instruments are functioning as parallel forms and measuring the same dental concepts with equal precision.


Robert Wood Johnson Foundation School Health Project.


Health education: reaching professional status?


Comments from Philip R. Nader, MD ASHA President, 1978-79.


Measuring the effectiveness of a school health program: methods and preliminary analysis.


Family life education--parental involvement.


Hyperactivity: pediatricians' and teachers' perspectives. Research of related literature indicated that disagreement existed among professionals as to the causes, diagnoses, treatments and descriptors of hyperactivity. A questionnaire was developed to compare the responses of a group of pediatricians, and a group of master's degree candidates in special education (79.18%) of whom were teachers with an average of 4.72 years of teaching experience) on four variables relating to hyperactivity diagnoses, etiology, treatments, and labels. Significant differences between the two groups were noted in their responses to the dependent measures.


Height/weight disproportion in elementary school children. This paper discusses the importance of studying physical growth patterns in children and presents the results of a survey of height and weight measurements collected on 1,953 children ages 5--11 from 12 schools in a city in the southeastern United States. Approximately 40% of the sample children had height/weight disproportion. Twenty-seven percent of the sample children weighed more than normal for their height. Physical and psychological consequences of childhood obesity are discussed as a basis for intervention with children. The investigators believe that the problems of elevated weight in childhood merits a great deal more study so that groups at risk can be predicted and more effective treatment programs developed. For persons who are overweight, control of weight requires a change in behavior which is essentially an educational process; therefore, it would appear appropriate to have such programs placed within the school setting.


Prenatal care for pregnant adolescents in a public high school. Two groups of pregnant adolescents enrolled in the St. Paul, Minnesota Maternal and Infant Care Project were involved in this study. A retrospective analysis of obstetrical summary sheets of delivered pregnant adolescents was conducted to demonstrate the relationship of the availiability of a comprehensive, interdisciplinary program of prenatal care in a regular public school setting to the achievement of early and continuous prenatal care and to the minimizing of obstetrical complications of the pregnant adolescents who were students in the school. A total sample of 36 students who received prenatal care in the school clinic (study group) from 1973 to 1976 was compared with a random sample of 36 adolescent patients (matched for race) who received care at a non-school clinic (comparison group). The data demonstrated that the study group initiated care earlier and had more total prenatal visits than did the comparison group. Also demonstrated were fewer obstetrical complications in the study group than in the comparison group. The comparison group had more low birth weight infants and more complicated deliveries than did the study group. Therefore, the results of this study support the initial objective and may have significance for educators and health personnel.


The evolution of a school-based mental health program using a nurse as a mental health consultant.


Accountability in school health.

Accountability in school health.


Dental health snack parties.

Dental health snack parties.


President's report--1978.

President's report--1978.


Primary health care in a school setting.


Answering the question "does health education work?".


Spine deformity screening in Kansas.

Spine deformity screening in Kansas.


Student nurse secondment to community health nursing.


The window.

The window.


Does nursing education in NSW country hospitals truly prepare the nurse for a nursing career?


Community health in Fairfield.

Community health in Fairfield.


Human genetics.

Human genetics.


Crown section report: Kenya.

Crown section report: Kenya.


Responsibilities and strategies for maintaning standards of nursing practice.


Opportunities for student clinical experience in community health services.


Attraction and its significance for the community nurse.


Encounter in community mental health: creating a position for nursing.


Who is the clinical role model for nursing students? The perspective of a nursing educator.


Who is the clinical role model for nursing students? The perspective of a staff nurse.


Law gives personnel record rights.

Law gives personnel record rights.


Arbitration settled in favor of nurses.

Arbitration settled in favor of nurses.


Will the real nurse practitioner please come forward?


Position on competence for relicensure adopted.


Does the work environment support or obstruct nursing?


Endocarditis due to resistant viridans streptococci during oral penicillin chemoprophylaxis.


Interpreting a general index of subjective well-being. The complex and continuing problem of identifying the relationship between several subjective and objective measurements of health is explored through data from a national health survey. Statistical analyses show that sociodemographic variables among groups are less important than are psychological variables in interpreting subjective well-being.


Basic world views.

Basic world views.


Judge not... or should I?

Judge not... or should I?


Spiritual dimensions of nursing practice.


The placement process.

The placement process.


Fever: understanding a sinister sign.

Fever: understanding a sinister sign.


Sergeant Caulder thought he was a POW - we played along.


Patient anxiety: teaching students to intervene effectively.


Somogyi effect: managing blood sugar rebound.


Hospital epidemiology: a challenge to nursing education.


Dealing with depression after radical surgery. Nursing grand rounds.


Perfecting your skills for systematic patient assessments.


What to do when you're number 1: a review of CPR for adults.


Augmentation mammoplasty: the cosmetic surgery with a lift.


Ambulatory nursing: recognizing and helping the abused child.


Proper nutritional assessment can prevent hospital malnutrition.


Drug transfer in human milk.

Drug transfer in human milk.


Communicating (or, make that noncommunicating) with doctors.


Moving ahead: enjoy professional independence as an insurance physical examiner.


Everyone needs standards.

Everyone needs standards.


Occupational first aid: No 2. Cardiopulmonary resuscitation.


Paper presented at the Dubrovnik, Congress. The role of the first aider in small industries.


Guide to counselling--2.

Guide to counselling--2.


Paper presented at the Dubrovnik, Congress. Designing hazard data sheets.


Safety: attitudes to first aid.

Safety: attitudes to first aid.


Update for pediatric nurses. 3. Sports medicine.


Pediatric drug information: use of Bactrim and Septra for otitis media.


Child advocacy: ideas for action.

Child advocacy: ideas for action.


Nurses' exchange: short term problem list.


Options in managing stress.

Options in managing stress.


What do parents know about infant development?


A toddler's eating habits.

A toddler's eating habits.


Simulations/games: a teaching strategy for nursing education.


Help for fat teen-agers.

Help for fat teen-agers.


Communication pitfalls in routine counseling.


Informed consent: a patient's right.

Informed consent: a patient's right.


The nurse as researcher: impediment to informed consent?


Signed consent: protection or constraint?


Are bunk beds hazardous to common sense?


Pediatric management problems (hyperkalemia with hyponatremia).


Making team teaching work.

Making team teaching work.


The third resolution.

The third resolution.


Otitis media.

Otitis media.


The supervisor-shared home visit.

The supervisor-shared home visit.


Master's preparation for joint practice.


The issue that won't go away.

The issue that won't go away.


Who teaches foundations in an integrated curriculum?


Open curriculum practices.

Open curriculum practices.


Developing a conceptual framework.

Developing a conceptual framework.


Implementing a conceptual framework.

Implementing a conceptual framework.


How real is the practicum for nurse practitioner students?


How to start a counterculture.

How to start a counterculture.


Situational stress and temporal changes in self-report and vocal measurements. Vocal stress levels (using the Psychological Stress Evaluator) the day before and eight days after final examination week for one group (I) of volunteer students were compared with levels of another group (II) without intervening examinations. Time intervals for both groups were identical. Vocal stress was also compared with self-rate anxiety. There was a significant (p less than 0.05) difference in vocal stress for group I when compared to group II, with group I showing a decrease. Mean changes in vocal stress paralleled mean changes (or lack thereof) in self-reported anxiety for both groups. This study suggested that vocal stress, as recorded by the PSE, does depict predictable and self-reported state anxiety which is significantly increased prior to and declines following college final examinations. Data further suggest that the PSE is useful for intervals of days rather than just in terms of minutes and that PSE measures may not be readily altered by acclimatization to the testing situation.


Topical application of insulin in decubitus ulcers. When a pilot study provided evidence that insulin may increase the rate of healing of decubitus ulcers, this study attempted to answer the question: Is topical insulin therapy an effective treatment regimen for decubitus ulcers? The experimental study utilized a two-group, before-after design. Twenty-nine geriatric subjects were randomly assigned to either the experimental or the control group. The single independent variable was the topical application of ten units of regular insulin (U.S.P.) twice daily. The dependent variable was the surface area of the decubitus ulcer measured in square millimeters. Rate of healing was defined as decrease in surface area over time. Data were also gathered on extraneous variables believed to influence the healing process. The F test was used to test the research hypothesis that experimental subjects would have an increased rate of healing. When comparison of group means on day seven and day 15 revealed no significant differences, the research hypothesis was rejected. Pearson product moment correlation procedures were utilized to determine if there were differences between extraneous variables and the rate of healing. Females healed significantly (p less than .05) more slowly than males. Also, there was a direct correlation between the number of days of treatment and the rate of healing.


Effect of free time the day prior to mastery testing on nursing students' scores. This study compared mastery test score averages of 43 students who spent the day preceding the test in a seven-hour clinical laboratory with score averages of 36 students who had free time for study. The null hypothesis, that no significant difference would be found in the test means between the groups, was not rejected. Test score differences, it was assumed, resulted from chance.


Symposium on bioinstrumentation for nurses.


A study of older adults attending a program on human sexuality: a pilot study. This study attempted to ascertain if significant changes took place in older adults' knowledge and attitudes about human sexuality following a two-session course on the subject. Subjects were volunteers who attended a neighborhood center in Miami, Florida. Information was gathered immediately before the first session and after the second session by use of pencil-and-paper tests. Test items were adapted from the Sex Knowledge and Attitude Test and Attitude and Knowledge Assessment. At the first session, small-group discussions followed a large-group instruction period; the second session consisted of a 20-minute film on human sexuality, followed by group discussion. Of the 30 participants who took the pretest, only four completed the posttest, although most of the 30 attended the second session.


Biomedical instrumentation and the nurse practitioner.


Myocardial infarct stress-of-transfer inventory: development of a research tool.


Nursing activities and acute confusional states in elderly hip-fractured patients. Confusion in 91 hospitalized patients over 60 years of age who had sustained hip fracture and undergone subsequent surgical repair was examined in seven hospitals in five states. The relationship of nursing activities, patient, surgical, and environmental variables to the extent of confusion apparent in the sample was explored. Data were gathered by record review, patient testing, observation, and interview. Patient testing and interview were carried out on the first, third, and fifth postoperative days; the patient's caregiver on those days was also interviewed. The major dependent variables used in multiple regression analysis were memory (immediate and recent), observed behavior, and patient's self-report of mental clarity. Results showed that the most consistent predictors of postoperative confusion were the presence of confusion on admission to the hospital or confusion during the preoperative period. Greater postoperative mobility and freedom from urinary problems resulted in less confusion. Being male and of increased age were risk factors. The presence of timepieces and patients' use of television were associated with higher levels of mental clarity. Patients in private rooms tended to do better on memory testing than patients in rooms shared with others. Nursing personnel's major action in response to patient confusion was that of conscious attention to orientation, explanation, or reassurance. Use of restraints was relatively frequent.


Sources of measurement error in noninvasive electronic instrumentation.


A work of thought: creating the Eastern Conference on Nursing Research.


Symbiosis: nursing and the bioengineer.

Symbiosis: nursing and the bioengineer. At this time, bioinstrumentation is the product of the possible as modified by what is practical. The bioengineer offers both the possible and the practical from an engineering and ideal model. The nurse, in contrast, speaks to the ideal possible from a confining practical clinical model. Symbiosis of nursing and bioengineering will combine the important attributes of each discipline for the betterment of patient care. In truth, the machine becomes an instrument of humanity.


Bioinstrumentation in the care of the neonate. There are many things to consider when deciding upon the various instruments to use to monitor a newborn. The availability of these monitoring devices should be considered a boon both to the care of the sick newborn and to the nurse, for the data collection process is greatly enhanced in efficiency and accuracy. Nurses have assumed increasing responsibility for data collection, and with the aid of a variety of monitoring systems they will be better able to perform this task. They will also be left with more time for data synthesis and other aspects of patient care. The small amount of time that is necessary to check the machines for safety and functioning is well compensated for by the amount of data derived. The data contribute vastly to the maintenance of homeostasis and the early detection of problems in the neonate.


The bioinstrumentation of hemodialysis.

The bioinstrumentation of hemodialysis. This paper is designed to introduce the nondialysis nurse to the world of the hemodialysis patient through an overview of its bioinstrumentation. The aim of this paper is not to make a dialysis specialist of all who read it, but rather to assist the nurse--through an understanding of the basic principles of dialysis, the artificial kidney machine, and its component parts--to feel comfortable around the dialysis machine. The outcome will be to improve the quality of care given to the patient who is receiving hemodialysis.


Attitudes and intentions of baccalaureate nursing students toward the elderly. The primary purpose of this study was to develop instruments that reliably measure belief and behavioral intentions toward the elderly with control for social desirability set within the belief measure. Related purposes involved evaluation of the impact of a gerontologic nursing course on beliefs and behavioral intentions of nursing students toward the elderly. Data were collected over a three-month period from 153 volunteers in a baccalaureate nursing program. One group was tested both before and immediately after a gerontologic nursing course; three other groups were tested immediately, one, and two years after the course. A paired-comparison type belief scale and a multiple-act behavioral intention scale were developed and used in the study. The Kogan Old People and Marlowe-Crowne Social Desirability scales served as outside criteria. Both new instruments were found to be highly reliable. An association between beliefs and behavioral intentions above the .30 level was found between scores on the behavioral intention and Kogan scales, but not between behavioral intention and belief scores.


Erythromelalgia--a case for biofeedback.


Bioinstrumentation: twentieth century slave. Instrumentation represents an extension of human ability to sense, to monitor, and to record data for interpretation. The devices can supplement failing physiologic functions. They are the products of fertile imaginations, tedius and fastidious development, and scientific and technologic knowledge. As such, the devices have infiltrated health care. The time is ripe for nursing actively to take advantage of the capacities and potentials of these tools, which slavishly and untiringly carry out tasks and relay information that can contribute to the well-being of patients and the advancement of nursing.


Antecedents of nursing school attrition: attitudinal dimensions. In an attempt to identify attitudinal orientations that might be used as indicators of attrition, demographic, academic performance, and attitudinal data on 261 students enrolled in the Woodruff School of Nursing at Emory University, Atlanta, between 1968 and 1972, were studied. Traditional measures of scholastic aptitude were not found to be good indicators. The higher the father's educational attainment, the more likely attrition was to occur. The higher the mother's occupational status, the less likely attrition was to occur. Attitudinal measures used in the study seemed to have little direct impact on attrition.


Symposium on directions in psychiatric nursing.


Professional development of nurse practitioners as a function of need motivation, learning style, and locus of control. This study assessed the relationship of loci of control, learning styles, and motivational needs of 53 graduates of the Wichita State University Nurse Clinician Program to amounts and types of professional activities performed in a clinical setting. A self-appraisal was also considered in the analyses. Motivational needs assessed included the needs for achievement, affiliation, and power. Findings revealed that nurse clinicians with moderate need for achievement, high need for affiliation, and moderate need for power performed significantly (p less than .03) more professional activities than nurses with high need for achievement, low need for affiliation, and high need for power. Other findings showed a significant (p less than .04) negative relationship between chance locus of control and self-appraisals. Amounts and types of professional activities performed were not significantly related to loci of control or to learning styles.


Crisis intervention: a brief therapy model.


Influence of group process on the unit milieu. The purpose of this paper has been to discuss one clinical phenomenon, that of the group process, the determination of which facilitates the provision of nursing care on an inpatient psychiatric unit. Both the phenomena that engender a stressful group process and the cues to determining a group process were discussed.


A nurse-directed psychiatric intensive treatment unit.


Multiple family group therapy with a tri-therapist team. In summary, we attempt to minimize personal and professional factors that may hinder the group or be deleterious to the tri-therapists' working relationship. With such contract variables in mind, it is hoped that other co-therapists would find similar approaches that will make co-therapy a satisfying experience.


Group treatment for sexually abused children.


Expanding the theoretical framework for effective nursing.


Striking a balance between content and method in nursing education.


Defining and developing protocols for the nurse practitioner.


A contrary view of the nurse as patient advocate.


Strategies of transformation in the health delivery system.


Introspection: a prerequisite for emancipation.


The neonate: fashions in management.

The neonate: fashions in management.


The neonate.

The neonate.


The neonate: when a baby can't go home.

The neonate: when a baby can't go home.


The neonate: a day in the life of a wet nurse.


We are our own worst enemies.

We are our own worst enemies.


Staff face danger in the operating theatre.


A cry in the night - and help is immediate.


Hysterical epilepsy: conflict and confusion for patient and staff.


Nursing care study. Cleft lip and palate: three into one will go.


Nursing care study. Multiple handicap: stimulating Stanley - one small step at a time.


Picture quiz: Cushing's syndrome.

Picture quiz: Cushing's syndrome.


Community nursing: the cliff top barrier.


The countdown to crisis.

The countdown to crisis.


Unions press for urgent action on lethal viruses.


Private care: whose freedom to choose?

Private care: whose freedom to choose?


Nails: clues in your claws.

Nails: clues in your claws.


Nursing care study. Brain tumor: a child dies - and ward staff give support in the home.


Picture quiz: pyloric stenosis.

Picture quiz: pyloric stenosis.


Community nursing: refreshing the health visitor - why, how and where.


Community nursing: what is a nursing officer?


Positive health and the HV.

Positive health and the HV.


Can nurses now show a more united front on the Briggs bill?


Why nurses shouldn't smoke.

Why nurses shouldn't smoke.


Nursing - craft or profession?

Nursing - craft or profession?


The main line to Europe.

The main line to Europe.


Bitter-sweet success.

Bitter-sweet success.


Practical nursing: decubitus ulcer. 1.

Practical nursing: decubitus ulcer. 1.


Anatomy and physiology: the nervous system. 2.


Brain damage: predicting the quality of survival.


Picture quiz: gallstones.

Picture quiz: gallstones.


Weathering the battle of Wellington(s)!

Weathering the battle of Wellington(s)!


Assessing psychosocial needs involved in cancer patient care during treatment.


Lead or be led.

Lead or be led.


Elisabeth Kubler-Ross revisited: a personal account of a "life and transitions" workshop.


Death education: a different approach.

Death education: a different approach.


Nutrition in head and neck cancer: nursing implications.


How sexism haunts nursing.

How sexism haunts nursing.


Opinion exchange: Ida's isolation incident.


Nursing's labor relations crisis.

Nursing's labor relations crisis.


There has to be a better way.

There has to be a better way.


Pulmonary embolism: don't overlook these subtle warnings.


The bottlefeeding mother needs your help too.