Integrating health care for women diagnosed with HIV infection, substance abuse, and mental illness in Detroit, Michigan.
This article describes the evolution of Personalized Nursing, a comprehensive nursing practice model of care. Findings from several nursing research studies contributed to the development of Personalized Nursing. The model includes a practice model of the art of nursing care based on nursing theory and a specific nursing process that directs nursing care delivery. The process of care delivery includes location of hard-to-reach clients; linkage to health care providers; integration of care among providers for clients diagnosed with HIV, mental illness, and substance abuse; and strategies to promote retention in health care. Use of Personalized Nursing is designed to assist clients to improve their well-being and increase positive health-related behaviors. Personalized Nursing has been used in urban landscapes to serve multiply diagnosed clients at risk for HIV infection. The model is currently being used in a study targeting multiply diagnosed women who are lost to follow-up from medical care.
Andersen
Marcia
M
Well-Being Institute, Inc., Ann Arbor, Michigan, USA.
Smereck
Geoffrey A D
GA
Hockman
Elaine
E
Tinsley
Jannie
J
Milfort
Dollie
D
Shekoski
Christine
C
Connelly
Christopher
C
Faber-Bermudez
Irva
I
Schuman
Paula
P
Emrich
Kathleen
K
Paliwoda
Joseph
J
Harris
Carlton
C
D003152:Community Health Nursing / Q000458:organization & administration*; D003159:Community-Institutional Relations; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D015658:HIV Infections / Q000150:complications / Q000451:nursing*; D006801:Humans; D001523:Mental Disorders / Q000150:complications / Q000451:nursing*; D008824:Michigan; D016294:Models, Nursing; D015403:Nursing Evaluation Research; D010347:Patient Care Planning / Q000458:organization & administration; D010349:Patient Compliance; D012657:Self-Help Groups / Q000458:organization & administration; D019966:Substance-Related Disorders / Q000150:complications / Q000451:nursing*; D019037:Urban Health Services / Q000458:organization & administration; D014932:Women's Health Services / Q000458:organization & administration*