While health education in late nineteenth-century Britain could be beneficial for every household, it was particularly so where district nurses understood family circumstances and adapted knowledge to individual needs. During this period sick room cookery training and lectures on hygiene and dietetics became standard for nurses--especially following the reforms of Matron Eva Lückes at the Londo...

In an environment characterized by a projected over-supply of primary care providers and a public seeking higher quality, cost-effective care, advanced practice nurses will be measured not only by their comparative value in delivering conventional primary care, but also by the uniqueness of their contributions to health outcomes. These value-added skills, distinctive to nursing practice at all ...

BACKGROUND To describe the variability in the application of community activities (CA) promoting health, in support received, in training, and in evaluation of the participation of professionals, administration and social partners in these. METHODS Survey to key informants identified in each region with the help of the Spanish Society of Family and Community Medicine. The questionnaire includ...

One of the weak points of our current primary care system—that is primary health care and community care together—is the lack of an integrated approach. This applies especially to the prevention, treatment and long term care of elderly persons and the chronically ill. Primary care appears like a group of islands with little connection; each island with its own practices, professional characteri...

AIMS AND OBJECTIVES To examine themes of communication between office-based primary care providers and nurses working in private residences; to assess which methods of communication elicit fruitful responses to nurses' concerns. BACKGROUND Lack of effective communication between home health care nurses and primary care providers contributes to clinical errors, inefficient care delivery and de...

INTRODUCTION The increasing prevalence of diabetes has led to expanded roles for primary health care nurses in diabetes management. AIM To describe and compare anthropometric and glycaemic characteristics of patients with diabetes and their management by practice nurses, district nurses and specialist nurses. METHODS Primary health care nurses in Auckland randomly sampled in a cross-section...

The excellent initiative of the Community Practitioners' and Health Visitors' Association - that school nurses investigate poor toilet facilities - is to be applauded (news November 27).

In practicing existential and human advocacy, or engaging in a relational narrative, nurses may assist persons who experience health inequalities to clarify their values, and, in becoming more fully their authentic selves, community members who ordinarily feel powerless in the public space may act with confidence in influencing the distribution of health-care resources. In this paper, the write...

INTRODUCTION Health care systems and nurses need to take into account the increasing number of people who need post-hospital nursing care in their homes. Nurses have taken a pivotal role in discharge planning for frail patients. Despite considerable effort and focus on how to undertake hospital discharge successfully, the problem of ensuring continuity of care remains. CHALLENGES In this pape...