School of Nursing Departmental Papers Copyright (c) 2013 University of Pennsylvania All rights reserved. http://repository.upenn.edu/nrs Recent documents in School of Nursing Departmental Papers en-us Wed, 23 Jan 2013 20:54:13 PST 3600 Women's health: A global perspective http://repository.upenn.edu/nrs/12 http://repository.upenn.edu/nrs/12 Wed, 21 Oct 2009 06:54:07 PDT The purpose of this chapter is to discuss global issues related to women's health. Several universal issues were selected for presentation to provide a context for understanding health care for women and to challenge readers to identify potential threats to quality care. In addition, principles that have been proposed for the development and implementation of a viable and comprehensive health care system for women are identified and discussed. The intent here is not to capture the situation and health experience of women in all parts of the world; nor is it possible to address all the contextual contingencies needed for addressing women's health. Rather, the intent is to provide a framework for understanding the neglect that women have encountered in all aspects of their lives, including health care. Furthermore, our aim is to provide those who have been committed to health care for women with support in their attempt to provide quality health carefor other women. Finally,our goal is to raise the readers' consciousness of women's health needs beyond the United States. We fully realize that women's health issues cannot be understood in isolation from the specific sociocultural context of their situations; however, by highlighting some universals, perhaps we can underscore the need for global cooperation in taking a more coherent and coordinated approach to providing affordable and quality health care for women.

]]> Afaf Ibrahim Meleis et al. Preventive role supplementation: A grounded conceptual framework http://repository.upenn.edu/nrs/11 http://repository.upenn.edu/nrs/11 Wed, 14 Oct 2009 11:45:27 PDT Afaf I. Meleis et al. Helping Elderly Persons in Transition: A Framework for Research and Practice http://repository.upenn.edu/nrs/10 http://repository.upenn.edu/nrs/10 Wed, 14 Oct 2009 07:29:53 PDT Karen L. Schumacher et al. Transitions: A Nursing Concern http://repository.upenn.edu/nrs/9 http://repository.upenn.edu/nrs/9 Tue, 29 Sep 2009 11:45:57 PDT Norma Chick et al. The evolving nursing scholarliness http://repository.upenn.edu/nrs/8 http://repository.upenn.edu/nrs/8 Tue, 29 Sep 2009 11:19:04 PDT The thesis of this discussion is that nursing is involved in a scholarly evolution, that this evolution has properties and norms that have evolved from previous stages of development, and that every previous stage had a major contribution leading to our current evolution. The discussion is based on the premise that a reflective stance and self-analysis are essential to growth and development and that meaning and ideas are enhanced when one is able to trace their origins, the problems that motivated their development, the conceptualizations to which they relate, and the knowledge of how one intellectual tradition grows from another. Progress in nursing theory is a most significant aspect of this scholarly evolution and a cornerstone of the discipline of nursing. It behooves us, therefore, to review the events that influenced the current stage of nursing scholarliness and the contributions of nursing theory to it.

In its search for professional identity and meaning, nursing has proceeded through several stages. Self-analysis and evaluation and the view and status accorded nursing in our patriarchal society made it appear as if each successive stage was a deviation from the goal of establishing the discipline of nursing. But in essence each stage has sharpened and clarified the dimensions needed for establishing the scientific discipline, prompting or leading to the scholarly evolution in nursing.

]]> Afaf I. Meleis The Case Against the DNP: History, Timing, Substance, and Marginalization http://repository.upenn.edu/nrs/7 http://repository.upenn.edu/nrs/7 Wed, 23 Sep 2009 07:48:44 PDT Doctor of Nursing Practice (DNP) or not? The answer is not! Within the historical context of our discipline, a doctorate degree should stand for advancing and translating knowledge. Clinical practice is the core of this knowledge. Separating the practice and research missions could undermine our ability to be equal partners in universities, as well as diminish our effectiveness in establishing the evidence for quality and safe health care.

]]> Afaf Meleis et al. Commentary: Human Capital in Health Care, A Resource Crisis or a Caring Crisis? http://repository.upenn.edu/nrs/6 http://repository.upenn.edu/nrs/6 Wed, 23 Sep 2009 07:17:50 PDT Predicting and shaping the human capacity resources for health care globally for the future requires voice and valuation of, and about, caring.

]]> Afaf Meleis Does nursing intervention make a difference? A test of the ROSP http://repository.upenn.edu/nrs/5 http://repository.upenn.edu/nrs/5 Wed, 16 Sep 2009 06:59:30 PDT Afaf Ibrahim Meleis Critique of “Cooperative triad in home dialysis care and patient outcomes.” http://repository.upenn.edu/nrs/3 http://repository.upenn.edu/nrs/3 Wed, 16 Sep 2009 06:58:41 PDT Afaf Ibrahim Meleis And the Cosmopolitans Plan Parenthood...! http://repository.upenn.edu/nrs/4 http://repository.upenn.edu/nrs/4 Wed, 16 Sep 2009 06:58:41 PDT Afaf Ibrahim Meleis Ethical crises and cultural differences http://repository.upenn.edu/nrs/2 http://repository.upenn.edu/nrs/2 Wed, 26 Aug 2009 08:15:50 PDT Generalizations about patients without careful attention to their cultural background, their values and norms could lead to a number of ethical crises. The informed consent, disclosure of diagnosis and prognosis, and discussions of termination of treatment are reflections of Western cultural values. They represent respect for autonomy of clients and respect for openness in communications. For patients from other cultures such practices have different meanings that may violate their own values. The result of such conflict in practices and meanings can render the relationship between patients and health care personnel difficult at best and distrustful at worst.

]]> Afaf I. Meleis et al. Issues in health care of Middle Eastern patients http://repository.upenn.edu/nrs/1 http://repository.upenn.edu/nrs/1 Wed, 26 Aug 2009 08:12:41 PDT Relationships between Middle Eastern patients and Western health care professionals are often troubled by mutual misunderstanding of culturally influenced values and communication styles. Although Middle Easterners vary ethnically, they do share a core of common values and behavior that include the importance of affiliation and family, time and space orientations, interactional style and attitudes toward health and illness. Problems in providing health care involve obtaining adequate information, “demanding behavior” by a patient's family, conflicting beliefs about planning ahead and differing patterns of communicating grave diagnoses or “bad news.” There are guidelines that will provide an understanding of the cultural characteristics of Middle Easterners and, therefore, will improve rather than impede their health care. A personal approach and continuity of care by the same health care professional help to bridge the gap between Middle Eastern cultures and Western medical culture. In addition, periodic use of cultural interpreters helps ameliorate the intensity of some cultural issues.

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