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1.
Arch Psychiatr Nurs ; 41: 354-358, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-36428072

RESUMEN

For more than two decades, the International Society of Psychiatric Nurses has dedicated its efforts to improving mental health care services worldwide, focusing on leveraging the psychiatric nursing workforce and advocating to eradicate systemic health disparities. Part of this labor included creating a culturally centered initiative, the Position Statement on Diversity, Cultural Competence and Access to Mental Health Care to fortify the cultural awareness of ISPN members to improve health-care quality delivered to diverse individuals, families, and communities across the life span and to improve these populations' access to mental health care.


Asunto(s)
Enfermeras y Enfermeros , Personal de Enfermería , Enfermería Psiquiátrica , Humanos , Salud Mental , Competencia Cultural
2.
Nurs Outlook ; 68(4): 523-527, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32896305

RESUMEN

Patients with complex and chronic illnesses and those who have significant needs related to care coordination and transitions of care are dependent on access to healthcare providers who are skilled at meeting the distinct needs of these populations and are current in the latest evidence-based practices and guidelines. Clinical nurse specialists (CNSs) are uniquely qualified to care for patients with complex illnesses as well as having the skills to optimize care for entire populations with complex needs. The absence of consistent legislative advanced practice registered nurse recognition of CNSs prevents health care systems from optimal use of this advanced practice registered nurse role to improve and provide safe and quality care for these patients. Additional barriers in optimal utilization of CNSs include lack of consistency: in title protection and licensing from state to state; ensuring patient access through identification and tracking of CNS numbers across the United States in order to determine workforce and educational program requirements; and ensuring appropriate reimbursement for care provided by CNSs. Therefore, it is the position of the American Academy of Nursing that addressing public and private sector regulatory, legislative, and policy concerns related to CNSs is essential to achieving optimal population health outcomes across the nation.


Asunto(s)
Guías como Asunto , Enfermeras Clínicas/estadística & datos numéricos , Enfermeras Clínicas/normas , Mejoramiento de la Calidad/estadística & datos numéricos , Mejoramiento de la Calidad/normas , Calidad de la Atención de Salud/estadística & datos numéricos , Calidad de la Atención de Salud/normas , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estados Unidos
3.
J Affect Disord ; 263: 301-309, 2020 02 15.
Artículo en Inglés | MEDLINE | ID: mdl-31818793

RESUMEN

BACKGROUND: It is unclear if the relationship between depression and physical health problems in women is related to age, reproductive stage, obesity or socio-demographic risk factors. METHODS: Longitudinal data were obtained every 6 months for 36 months in 264 midlife African American, Caucasian and Latina women who began the study as healthy regularly menstruating 40 to 50-year-olds; 75 transitioned to peri- or post-menopause by 36 months. Scores of 16 or higher on the Center for Epidemiologic Studies-Depression (CES-D) scale were used to estimate depression risk. RESULTS: Depression risk was 28% at study initiation and 25% at 36 months. Significantly more women at risk for depression were unemployed, obese, or hypertensive. Women at risk were more likely to become peri- or post-menopausal during the study period. A higher percentage (38%) of overweight and obese women had CES-D scores ≥ 16 compared to normal weight women (23%; p < .001). Over half (58%) of the 73 women at higher depression risk at the initial visit reported a health problem or chronic illness at 36 months, compared to only 36% of the 191 women with CES-D scores <16 (p = .001). LIMITATIONS: This was a secondary analysis of data from a relatively healthy sample of women in the decade before menopause. Chronic illness was self-reported and the CES-D is a screening tool for depressive symptoms rather than a clinical diagnostic tool. CONCLUSIONS: Health care providers may be underestimating the impact of unemployment on depressive symptoms, obesity and chronic health problems in midlife women.


Asunto(s)
Depresión , Menopausia , Posmenopausia , Adulto , Negro o Afroamericano , Depresión/epidemiología , Femenino , Hispánicos o Latinos , Humanos , Estudios Longitudinales , Menopausia/psicología , Persona de Mediana Edad , Posmenopausia/psicología , Población Blanca
4.
J Neurosci Nurs ; 38(4 Suppl): 316-27, 2006 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-16989301

RESUMEN

Depression is a frequent complication of stroke, but few nurse researchers have studied poststroke depression (PSD). We reviewed all published research (January 1980-March 2005) that examined the incidence of and risk factors for depression among stroke survivors during the first 3 months after stroke. Many of the 49 studies reviewed were complicated by methodological limitations, including differing definitions of stroke and depression, the use of screening instruments to diagnose depression, selection bias, assessment at different time intervals poststroke, exclusion of patients with physical or cognitive impairments, and failure to control for associated variables. The incidence of PSD ranged from 5% to 63%. A history of depression, increased stroke severity, and poststroke cognitive or physical impairment were found to be risk factors for PSD.


Asunto(s)
Depresión/etiología , Trastorno Depresivo/etiología , Accidente Cerebrovascular/psicología , Depresión/epidemiología , Trastorno Depresivo/epidemiología , Humanos , Incidencia , Proyectos de Investigación , Factores de Riesgo , Rehabilitación de Accidente Cerebrovascular , Terminología como Asunto
8.
Am J Nurs ; 114(7): 13, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25742330
9.
J Obstet Gynecol Neonatal Nurs ; 38(3): 333-43, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19538623

RESUMEN

Emphasizing midlife women, this review describes sleep and compares self-report sleep data with objective findings from laboratory studies of women. Sleep disturbance is a more prevalent complaint for women than men. Not due to chronologic age per se, it is associated with menopausal symptoms and most importantly with comorbidities and stress. Sleep problems in midlife women should not be attributed only to the menopausal symptom experience and should trigger a clinical evaluation. Assessment guidelines are included.


Asunto(s)
Trastornos del Sueño-Vigilia/diagnóstico , Trastornos del Sueño-Vigilia/fisiopatología , Salud de la Mujer , Factores de Edad , Anciano , Anciano de 80 o más Años , Envejecimiento/fisiología , Regulación de la Temperatura Corporal/fisiología , Causalidad , Femenino , Salud Global , Humanos , Estilo de Vida , Masculino , Menopausia/fisiología , Persona de Mediana Edad , Polisomnografía , Factores Sexuales , Sueño/fisiología , Trastornos del Sueño-Vigilia/epidemiología , Trastornos del Sueño-Vigilia/terapia , Estrés Psicológico/epidemiología
11.
Arch Psychiatr Nurs ; 16(1): 3-15, 2002 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11877601

RESUMEN

Psychiatric Consultation Liaison Nursing (PCLN), an advanced practice subspecialty of psychiatric mental health nursing, has evolved over the last 4 decades in response to increased recognition of the importance of psychophysiological interrelationships and their impact on wellness, physical illness, and recovery. PCLN specialists practice in many countries although there are few PCLN programs in schools of nursing. This article defines PCLN, reviews its history, and recommends essential educational content for inclusion in a master's curriculum to prepare graduates for competent and effective PCLN practice. The educational content is based on the work of the PCLN Core Curriculum Task Force of the International Society of Psychiatric Consultation Liaison Nurses and is integrated with the 1990 Standards of Psychiatric Consultation Liaison Nursing Practice and the 2000 Standards of Psychiatric-Mental Health Nursing Practice. The relationship of the PCLN educational content to other national curriculum guidelines is discussed in the proposed PCLN curriculum content.


Asunto(s)
Consultores , Enfermeras Clínicas/educación , Enfermería Psiquiátrica/educación , Curriculum , Humanos , Estados Unidos
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