Mapping the future of environmental health and nursing: strategies for integrating national competencies into nursing practice.

Nurses are increasingly the primary contact for clients concerned about health problems related to their environment. In response to the need for nursing expertise in the field of environmental health, the Institute of Medicine (IOM), Agency for Toxic Substances and Disease Registry (ATSDR), and National Institute of Nursing Research (NINR) have designed core competencies for the nursing profession. The IOM competencies focus on four areas: (1) knowledge and concepts; (2) assessment and referral; advocacy, ethics, and risk communication; and (4) legislation and regulation.

Impoverished children with asthma: a pilot study of urban healthcare access.

 ISSUES AND PURPOSE: Using Andersen's Behavioral Model of Health Care Use, this pilot study was conducted to better understand the experiences of children with asthma as they access an urban healthcare system.

Reformulation of a Methodological Concept in Grounded Theory

Although the grounded theory method was not designed with nursing science in mind, it is one of the most prevalent and theory-producing qualitative methods in nursing. Changes in the grounded theory methodology have been debated in numerous articles. What has not received much attention, however, is a central idea of the grounded theory method - the basic social process.

Experiencing Cancer Treatment Decision-making in Managed Care

AIM: This paper is a report of a study to explore women's perceptions of and experiences with breast cancer treatment decision-making in managed care organizations (MCOs). BACKGROUND: Managed care organizations are the predominant form of employer-sponsored healthcare insurance in the United States of America. These healthcare financing entities minimize cost by streamlining healthcare delivery and may impose choice restrictions. The extent of these restrictions has not previously been studied from an in-depth patient perspective.

Theories of Fatigue: Application in HIV/AIDS

A number of theoretical fatigue frameworks have been developed by nurse scientists with the intention of guiding research, practice, and education in fatigue. However, there is a significant gap between theory development and research utilization of fatigue frameworks in clinical and intervention trials.

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