INTRODUCTION Progress towards the MDG targets on maternal and child mortality is hindered worldwide by large differentials between poor and rich populations. Using the case of Brazil, we investigate the extent to which policies and interventions seeking to increase the accessibility of health services among the poor have been effective in decreasing neonatal mortality. METHODS With a panel da...

The Community Ambassador Program (CAP) in the Mid-Atlantic States Region places Kaiser Permanente-employed nurse practitioners, midwives, and physician assistants to work in the safety-net clinics and share best practices through a long-term community collaboration. The authors conducted an evaluation of 18 safety-net clinics that participated in the CAP in 2012. The Community Ambassadors provi...

BACKGROUND The role of the school nurse is complex with many possible elements identified by previous research. The aim of this study is to understand perceptions of the role of the school nurse in order to support school nurses in the delivery of health education. METHODS The study used an inductive, qualitative research design involving semi-structured interviews and focus groups. Participa...

Background: Because of the economic crisis and nursing shortage, the situation for hospitals will be demanding throughout the decade in the 2010s. This poses challenges for nursing management. This article focuses on Finnish health care, particularly on nurse managers. Aim: The aim of this study is to describe and analyse future challenges in hospitals in one hospital district in Finland from t...

BACKGROUND A&E departments are key points of contact for many people with mental health problems. Various models of care have been developed in A&E departments for delivering mental health services, but few have been assessed for effectiveness. The present study aimed to assess the impact of a dedicated A&E psychiatric nurse service on several outcomes relevant to patients and clinicians. MET...

BACKGROUND UK general practitioners (GPs) refer patients with common mental disorders to community mental health nurses. AIMS To determine the effectiveness and cost-effectiveness of this practice. METHOD Randomised trial with three arms: usual GP care, generic mental health nurse care, and care from nurses trained in problem-solving treatment; 98 GPs in 62 practices referred 247 adult pati...

INTRODUCTION Little is known about health care and social service professionals' perspective on the acceptability of long-term home-visit programs serving low-income, first-time mothers. This study describes the experiences and perspectives of these community care providers involved with program referrals or service delivery to mothers who participated in the Nurse-Family Partnership (NFP), a t...

Diabetes is a major health problem with many social and economic consequences in general population. The importance of education in the diabetic patient and his family, led to the development of diabetes clinical nurse specialist. The role of diabetes clinical nurse specialist is essential and crucial to the hospitals and the community, in order to form a relationship with the diabetic patient ...

Note: In this column, the author describes some of the experiences of a medicalsurgical nurse volunteer aboard the United States Navy Ship (USNS) Mercy. Mr. Yates served on the second Project HOPE (Health Opportunities for People Everywhere) rotation aboard the Mercy from February 26 to March 20, 2005. The earthquake and resulting tsunami of December 26, 2004, in the Indian Ocean affected 12 co...

OBJECTIVE To undertake an economic evaluation of nurse led intermediate care compared with standard hospital care for post-acute medical patients. DESIGN Cost minimisation analysis from an NHS perspective, comprising secondary care, primary care, and community care, using data from a pragmatic randomised controlled trial. SETTING Nurse led unit and acute general medical wards in large, urba...