Trends in nursing education and research cannot be isolated from the dynamics of nursing practice. Likewise, nursing trends are responsive to the projected changes in the delivery, organization, and financing of health care. The health care revolution occurring in the United States is spurred by the questionable effectiveness of the current system to provide access to basic health services in an efficient and cost-effective manner. Because of the lack of a unified federal and state health care policy that directs, monitors, and ensures the basic value of health, discussion about appropriate practice roles and an adequate supply of professionals is central in the health care industry. To address these concerns, immediate shifts in traditional activities may offer solutions by developing guidelines for the optimal size of the health care work force, thus providing the nature and structure of care that guarantees access to health care for all U.S. citizens. Continue reading Nursing Education and Research
The International Council of Nurses, the oldest of all international nursing organizations,
was formed in 1899. Founded by Mrs. Bedford Fenwick, it held its first meeting in Buffalo, New York, at the World Exposition in 1901. Mrs. Fenwick was the first president of the organization. The membership originally was composed of self-governing national nurses’ associations rather than individual members, although, until 1904, individual members could belong because few countries had organized nursing associations. Its purpose was to encourage communication among nurses of all nations and to provide opportunities for nurses from all over the world to meet and discuss concerns about the profession and about patient care. At the present time, the International Council of Nurses meets once every 4 years. Lists of nursing organizations can be found on the World Wide Web at the following sites:
http://dir.yahoo.com/health/nursing/organizations/ or http://nursingworld.org/rnindex/ and click on links to nursing organizations. The links provided at those Web sites can help you to research individual organizations that may be of interest to you. As you review that list, you can understand why some critics suggest that nursing has too many organizations working in too many different directions.
DHF adalah suatu infeksi arbovirus akut yang masuk ke dalam tubuh melalui gigitan nyamuk spesies aides. Penyakit ini sering menyerang anak, remaja, dan dewasa yang ditandai dengan demam, nyeri otot dan sendi. Demam Berdarah Dengue sering disebut pula Dengue Haemoragic Fever ( DHF ).
Setelah virus dengue masuk ke dalam tubuh, pasien akan mengalami keluhan dan gejala karena viremia, seperti demam, sakit kepala, mual, nyeri otot, pegal seluruh badan, hiperemi ditenggorokan, timbulnya ruam dan kelainan yang mungkin muncul pada system retikuloendotelial seperti pembesaran kelenjar-kelenjar getah bening, hati dan limpa. Ruam pada DHF disebabkan karena kongesti pembuluh darah dibawah kulit.
Fenomena patofisiologi utama yang menentukan berat penyakit dan membedakan DF dan DHF ialah meningginya permeabilitas dinding kapiler karena pelepasan zat anafilaktosin, histamin dan serotonin serta aktivasi system kalikreain yang berakibat ekstravasasi cairan intravaskuler. Hal ini berakibat berkurangnya volume plama, terjadinya hipotensi, hemokonsentrasi, hipoproteinemia, efusi dan renjatan. Continue reading ASUHAN KEPERAWATAN ANAK DENGAN DEMAM BERDARAH DENGUE