Evaluating clinical skills of students in an online distance education program can be challenging because of the diverse location of students. The authors describe a unique and cost-efficient method of using standardized patients to evaluate these skills. The project involved undergraduate students representing standardized patients for graduate advanced practice nurse students.
The focus of the health care delivery system in the United States has shifted from an emphasis on acute care delivery and hospital-based care settings to disease prevention and modification of lifestyle. More nurses are focusing on primary care and health promotion. The nurse practitioner (NP) role was developed in response to an increased need for access to primary care. NPs integrate clinical knowledge with the knowledge of community resources. With the development of multicultural communities and the increase in the diversity of our population, health professionals need to develop more cultural sensitivity. What better way to understand the needs of clients and the culture from which they come than to assess them in their natural environment? This article will describe a family NP clinical practicum in the rural mountainous region of Nicaragua and how home visits were used as an integral part of the NP transcultural primary care experience.
The residents of senior-focused housing typify the phenomenon of aging-in-place. Older people are living longer than expected with a subsequent increase in health problems. However, with accessible health promotion and wellness services, these individuals are able to live independently for a longer period of time. This article will describe the background and implementation of the nurse-managed wellness clinic model developed by the faculty of the Duquesne University School of Nursing.
The purpose of this study was to describe the trends, themes, and outcomes of interventions over time within and between two academic nurse-managed wellness center (NMWC) sites. Documentation of wellness interventions and outcomes of these interventions presented ongoing challenges. The Omaha System was used as a documentation system to capture both interventions and client outcomes. A retrospective chart analysis revealed that the most commonly reported problems were circulation and nutrition. Interventions focused on teaching, guidance, and counseling; subsequently, the outcomes of knowledge, behavior, and status increased modestly with time for the older adult clients who attended these NMWC sites.
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