Dorothy Kleffel

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In the last decade, the number of women in US jails has increased at an annual average of 7.0%. These women typically suffer from untreated, serious health problems. This participatory research project explored health problems and healthcare from the perspective of women incarcerated in a county detention facility located in the western US. A convenience(More)
This article examines a taxonomy of three environmental paradigms. The egocentric paradigm is grounded in the person and is based on the assumption that what is good for the individual is good for society. The homocentric paradigm is grounded in society and reflects the utilitarian ethic of the greatest good for the greatest number of people. The ecocentric(More)
Nurses frequently care for individuals whose problems originate from the environment. Yet the environmental paradigm in nursing is client-oriented and psychosocial and does not adequately explain these conditions. Nursing theory and research in the environmental domain are explored in this article and found to be focused within this limited paradigm. Models(More)
Homeless women and children who reside in shelters experience many health-related problems. The aim of the qualitative study reported here was to (a) explore how shelter staffs manage health problems among their residents and assist them in accessing health services, and (b) identify clinical strategies for community health nurses working with this(More)
When health professionals, including RNs, have negative attitudes toward women experiencing homelessness, they create barriers to services. It is incumbent on nursing faculty to develop curricula that address homelessness and associated stereotypes, as well as to prepare students to provide safe and appropriate care to the homeless population. The aim of(More)
A patient classification system has been developed for use in a home health setting. It is easy to use and is readily adaptable for computerization. The reliability and validity of the system has been supported through use by nurses on approximately 1,000 home visits. After appropriate adaptations are made, it can be a useful tool in measuring nurse(More)