• The lived experience of nurse practitioners caring for victims of domestic violence

      Haase, Joan E.; Briere, Sarah Beniquez (The University of Arizona., 1998)
      Domestic violence (DV) is a major health care problem. Providing care for victims of domestic violence is a multifaceted experience. Nurse practitioners are faced with the daily challenges of providing medical and social services, coordinating quality care, and ensuring safety for these victims. As health care providers, nurse practitioners are forced to uncover the truth about abuse, accept new roles and responsibilities, and move forward as they care for these victims. Furthermore, there is a renewal of commitment to their role as a nurse practitioner, maintaining devotion and caring for victims ofDV even when victims decide to return to the abuse. In this phenomenological study, three nurse practitioners who care for victims of DV were interviewed. The results of this study help to gain a better understanding of their lived experiences so that clinicians may provide care that addresses the unique concerns of both victims of DV and health care providers, establishing direction to the long-term goal of improved health, through specialization of resources and sensitive outcome evaluation, for both the victim and health care provider.
    • Nurse practitioner interventions for domestic violence

      Gagan, Mary Jo; Baker, Mia de Leon; Badger, Terry; Manke, Gail (The University of Arizona., 1997)
      The purpose of this study was to conduct a secondary analysis of the data from Dr . Mary Jo Gagan's study "Correlates of Nurse Practitioner Diagnosis and Intervention Performance for Domestic Violence ." Three vignettes from twenty A/FNPs were analyzed for a total sample of sixty vignettes. Secondary analysis of the data involved 1) determination of interventions being used by Adult/Family Nurse Practitioners A/FNPs for domestic violence, 2) comparison of the interventions used by A/FNPs to the literature to determine if those interventions were theoretically supported, 3) comparison of the interventions used by A/FNPs to the literature to determine if those interventions were empirically supported. Thirteen intervention categories were formulated . Interventions used by the A/FNPs were screening/history, safety, physical examination, medical treatment, report abuse, education, referrals , counseling, follow-up , exercise, separate spouse, interview spouse, and documentation. Twelve interventions were theoretically supported and only six interventions had empirical support . All interventions except exercise were theoretically supported . The interventions that were empirically supported included screening/history, physical examination, medical treatment , reporting abuse to authorities , counseling, and followup . Safety, interview spouse, separate couple , documentation, education, referrals , and encourage exercise were not empirically supported .
    • Perceptions of outcomes of psychiatric-mental health nurse practitioner practice

      Badger, Terry; Letellier, Marian Jane (The University of Arizona., 2000)
      Staff perceptions relay contextual factors which must be considered in developing psychiatric-mental health nurse practitioner (PMhNP) practice outcomes. This study, a secondary analysis, examined perceptions of interdisciplinary staff about outcomes of PMhNP practice on an inpatient, psychiatric unit. Data were originally gathered during two focus groups from seventeen participants, all integral to client care. Content analysis revealed philosophical differences between participants' and PMhNPs' perspectives about empowerment as a client outcome. These differences indicate that PMhNPs must consider interdisciplinary sensibilities in framing PMhNP outcomes. Participants concurred on systems outcomes of PMhNP practice required to support client empowerment. These findings support the utility of a social ecological model in interpreting staff perceptions relative to PMhNP outcomes developed in a complex, organizational environment.
    • Problems, interventions and outcomes of older age clients in a free standing nurse practitioner managed clinic

      Verran, Joyce; Rubio, Elaine Catherine; Wroten, Linda (The University of Arizona., 1993)
      Medical reform is currently being debated at the highest level of government. Among the major issues are those related to access, quality of care and cost. The nursing profession is suggesting that one appropriate alternative related to these issues, is the utilization of Nurse Practitioners (NPs) as primary health care providers. This purpose of this study was to describe problems, interventions and outcomes of older age clients seen at one free standing HP managed clinic, which has been in existence for eleven years. The results of this study indicate that: (1) health care maintenance was the most frequently presenting non-episodic problem, (2) the interventions utilized were at the primary level of prevention and, (3) the majority of the problems were unresolved. These data will provide the framework needed for additional studies to be completed which might argue the appropriateness of this model.