This chapter describes the Drexel University College of Nursing and Health Professions (CNHP) public health nursing faculty spearheaded the now 17-year-old partnership. The 11th Street Family Health Services center, with its large patient base, broad outreach, and innovative model is a primary component of the college’s mission. CNHP is committed to leading the way in improving health and reducing health disparities through innovative education, interdisciplinary research, and community-based practice initiatives. After the Future Search conference, the 11th Street Partnership for Community Based Care (PCBC) was established. CNHP-based program to improve the health status of residents in a public housing community has grown into a center that is now a nationally recognized transformative and integrated model of comprehensive care. The staff continues to refine programs and share best practices with others who are engaged in similar community efforts, and nurses will continue to lead the way in this university-community collaboration.
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- Go to chapter: 11th Street Family Health Services of Drexel University: A University–Community Partnership
The goal of this book is to teach the ability to form an autonomous and clinically useful opinion about any 12-lead electrocardiogram (EKG). It introduces basic principles of anatomy and physiology, including a review of the heart’s electrical system. The heart has an intricate electrical system, made up of highly specialized cells, that is responsible for generating each heart beat. The heart’s electrical system consists of five structures: the sinoatrial (SA node), the atrioventricular (AV node), the bundle of His, the right and left bundle branches, and the Purkinje fibers. One of the most basic yet important pieces of information the EKG provides is the heart rate (HR). The most accurate way to measure heart rate is by measuring the R-R interval. Learning the normal electrical direction of forces in the heart provides a simple and scientific way of understanding and interpreting an EKG. The book also discusses vital elements of cardiology, such as atrial and ventricular arrhythmias, conduction abnormalities and heart block, ischemic and nonischemic disorders, and more. It explains various types of heart blocks such as premature atrial contraction, sinus arrest and asystole, and various types of pacemakers such as ventricular pacemaker and artrial pacemakers. Drug effects and toxicities, electrolyte imbalances, trauma, pericardial diseases, lung disease, cancer, cardiomyopathies, and systemic diseases are conditions that can cause specific changes on the EKG.
The 19130 Zip Code Project at the Community College of Philadelphia (CCP) started as a curriculum innovation: the CCP Department of Nursing’s response to the national shift toward community-based health care. The project resulted in the refocusing of the nursing curriculum and the development of partnerships with CCP’s neighbors in the 19130 zip code. It also is an excellent example of a nurse-managed wellness center without walls. The Zip Code Project has put down deep roots in the neighborhood and in the nursing curriculum. It has produced a community-based model for educating local health professionals and a service-learning model for enhancing health service delivery by local agencies. The faculty arranged community-based clinical experiences for nursing students in the neighborhood surrounding CCP. Although CCP sits in the middle of the zip code, faculty knew little about community-based health care services in the community.
The progressive care certified nurse (
PCCN®) examination is written and administered by the AACNand accredited by the NCCA. This exam is designed for RNsand APRNswho practice in progressive care units or provide direct care for acutely ill patients. The PCCNexamination is a 2.5-hr exam with 125 multiple choice questions. Of the 125 multiple choice questions, 100 are scored, and 25 are sample test questions to be used on future exams. Test covers two main topics: Clinical Judgment and Professional Caring/Ethical Practice. Clinical Judgment accounts for 80% of the questions and covers each body system, and its related diagnostic tests and nursing interventions. The examination cost for AACNmembers is $195, and the cost for nonmembers is $300. After successfully passing the PCCNexamination, certification is active for 3 years. Online renewal is available to active PCCNcertifications 4 months before the scheduled renewal date.
- Go to article: Abused and Rejected: The Link Between Intimate Partner Violence and Parental Alienation
Previous studies have demonstrated a connection between intimate partner violence (IPV) and a child’s alienation from the abused parent, but little is known about the relationships between the type of IPV, aspects, and severity of a child’s alienation, and the target parent’s gender. This study assessed the presence of an IPV history (verbal and physical aspects) among parents who identify as targets of their children’s unreasonable rejection. Also investigated were associations between the form of IPV and manifestations of a child’s alienated behavior, parent’s gender and type of IPV, and parents’ gender and degree of the child’s alienation. Self-identified alienated parents (n = 842) completed an online survey that included an IPV screening measurement (Hurts, Insults, Screams, Threatens screening tool) and a measure of the parent’s perception of their child’s alienated behaviors (Rowlands Parental Alienation Scale). The majority identified as IPV victims and reported a higher level of verbal than physical abuse. More mothers than fathers identified themselves as IPV victims. As a group, IPV victims rated their child as more severely alienated than did non-IPV alienated parents. Mothers were more likely than fathers to report physical aggression by the other parent and more likely than fathers to assess their child’s alienated behaviors as more severe. Victims of physical violence reported their children were less likely to withhold positive affection from them. This knowledge may assist in earlier identification of the alienation process and greater recognition, legitimacy, funding, and opportunities for enhanced collaboration among stakeholders. This, in turn, may lead to improvements in prevention, intervention, and accountability, thus helping to interrupt alienation processes.
This study adds to the available literature on female-perpetrated intimate abuse by examining Dutton’s (2007) theory of the abusive personality (AP) in a sample of 914 women who had been involved in dating relationships. Consistent with the AP, recalled parental rejection, borderline personality organization (BPO), anger, and trauma symptoms all demonstrated moderate-to-strong relationships with women’s self-reported intimate psychological abuse perpetration. Fearful attachment style demonstrated a weak-to-moderate relationship with psychological abuse perpetration. A potential model for explaining the interrelationships between the elements of the AP was tested using structural equation modeling (SEM). Consistent with the proposed model, recalled parental rejection demonstrated relationships with BPO, trauma symptoms, and fearful attachment. Similarly consistent with the model, trauma symptoms demonstrated a relationship with anger; and BPO demonstrated strong relationships with trauma symptoms, fearful attachment, and anger. Additionally, anger itself had a strong relationship with women’s self-reported perpetration of intimate psychological and physical abuse. Contrary to the proposed model, fearful attachment had a nonsignificant relationship with anger when this relationship was examined using SEM.
The study of men’s violence against their intimate partners is segregated from the study of other forms of violence. Comparing intimate partner violence (IPV) to other violence, however, allows one to examine whether the motivation and the legal response are similar. I examine whether men’s assaults on partners are particularly likely to have a control motive, whether women’s assaults on partners are particularly likely to be motivated by self-defense, and whether intimate partner violence is less likely to be reported to the police and legally sanctioned. The evidence casts doubt on the feminist approach, which has dominated the study of IPV. I suggest that a theory of instrumental violence provides a better understanding of IPV. Such an approach recognizes a variety of motives and emphasizes the role of conflict in intimate relationships, sex differences in strength and violence, and the importance of chivalry. Finally, I suggest that social scientists who study IPV should be more careful in their descriptive terminology.
In recent years, the rural hospital closure crisis has escalated with 2015 closure rates six times higher than in 2010. The National Rural Health Association (2020) reported that currently one in three rural hospitals may be at risk of closure. Much of the blame for closures has long been attributed to factors external to rural communities, such as reduced Medicare reimbursement, a declining rural economy, provider shortages, and being located in states that did not expand Medicaid under the Affordable Care Act. Improving equity in access to care has been an ongoing concern throughout most of the past half century, and rural access to care has been a particularly persistent problem. Improving equity in access to care has been an ongoing concern throughout most of the past half century, and rural access to care has been a particularly persistent problem. This chapter focuses on the Acceptability Scale.
Partner aggression is a major public health concern. Batterers’ intervention programs (BIPs) are commonly used as an alternative to incarceration for offenders who have been arrested for domestic assault. Historically, BIPs have shown little effectiveness in reducing partner aggression. This article presents a new BIP based on acceptance and commitment therapy (ACT; Hayes, Strosahl, & Wilson, 1999). ACT is a third-wave therapy that builds on the cognitive-behavioral tradition, focusing on increasing psychological flexibility by promoting acceptance and mindfulness processes. Several lines of evidence support the use of ACT in the treatment of partner aggression. Achieving Change Through Values-Based Behavior (ACTV; Lawrence, Langer Zarling, & Orengo-Aguayo, 2014) was developed based on ACT principles with a specific focus on feasibility and transferability to the community correctional setting and court-adjudicated treatment. ACTV incorporates experiential skills training and uses innovative methods to engage participants and teach the ACT processes. This article details the components of ACTV, including a case study to illustrate one participant’s journey through the program. We also present preliminary pilot data, which look promising with respect to reductions in domestic assault and violent recidivism.