Community health nurses' learning needs in relation to the Canadian community health nursing standards of practice: results from a Canadian survey.

Background: CANADIAN COMMUNITY HEALTH NURSES (CHNS) WORK IN DIVERSE URBAN, RURAL, AND REMOTE SETTINGS SUCH AS: public health units/departments, home health, community health facilities, family practices, and other community-based settings. Research into specific learning needs of practicing CHNs is sparsely reported. This paper examines Canadian CHNs learning needs in relation to the 2008 Canadian Community Health Nursing Standards of Practice (CCHN Standards).

Organizational attributes that assure optimal utilization of public health nurses.

Optimal utilization of public health nurses (PHNs) is important for strengthening public health capacity and sustaining interest in public health nursing in the face of a global nursing shortage. To gain an insight into the organizational attributes that support PHNs to work effectively, 23 focus groups were held with PHNs, managers, and policymakers in diverse regions and urban and rural/remote settings across Canada. Participants identified attributes at all levels of the public health system: government and system-level action, local organizational culture of their employers, and supportive management practices.

A questionnaire for assessing community health nurses' learning needs.

Learning needs assessment is an important stage of every educational process that aims to inform changes in practice and policy for continuing professional development. Professional competencies have been widely used as a basis for the development of learning needs assessment. The Canadian Community Health Nursing Standards of Practices (CCHN Standards) were released in 2003.

Leadership attributes: a key to optimal utilization of the community health nursing workforce.

This research examined leadership attributes that support the optimal utilization and practice of community health nurses (CHNs). Community health nursing is facing challenges in workforce capacity and sustainability. To meet current and future demands on the community sector, it is essential to understand workplace attributes that facilitate effective utilization of existing human resources and recruitment of new nurses.

Surge capacity and casualization: Human resource issues in the post-SARS health system.

In Ontario, the unpredictable funding climate of the 1990s led health care organizations to look for ways to reduce costs. Adopting a just-in-time staffing policy, they employed fewer full-time workers, scheduled part-time workers to work regular shifts, took on more casual staff, and became increasingly reliant on agency nurses and overtime to cover shifts. These policies resulted in higher costs and reduced surge capacity, and placed the health of nurses and patients in jeopardy.

They also serve: Chamorro male fertility in the pre-world war ii period.

Male fertility, a generally overlooked aspect in studies of human reproductive patterns, is examined from the reproductive life histories of Chamorro males with essential completed fertility by 1941. Males in this "natural fertility" indigenous population of the Pacific island of Guam exhibit low levels of couple infertility which are counteracted by high levels of adult male mortality, while new unions formed after the death of female partners tend to reduce completed fertility by only about one child. Delayed age at the time of union formation is largely compensated by reduction in birthspacing intervals among offspring of older fathers.

Maternal/offspring birth month concordance in a Pacific island population.

Analyses of 13,863 births occurring on Guam before 1942 reveal statistically significant concordance of maternal and offspring birth months, accounting for over 17% of recorded births. A secular change by maternal birth year in month of highest concordance level coincides with changing public health measures over this historical period. Together with observed birth order effects, showing decreasing concordance values with increasing birth order rank, these findings suggest an immunological component of observed birth seasonality patterns.

Sex ratio of livebirths in Micronesia.

A growing body of data extends Hunt's earlier findings from Yap to suggest a characteristic Micronesian pattern of highly masculinized secondary sex ratios. Using materials from an extensive family record register for pre-World War II Guam, it is now possible to examine parental age and birth order effects in a Micronesian population in which the overall sex ratio of livebirths to 3,406 formally wed and fertile couples was 109.6.