The purpose of this study was to investigate the satisfaction of clients with care provided in a rural nurse-managed health center by family nurse practitioners and to describe common health problems for which family nurse practitioner services were sought. The results indicated that of the 2,106 visits from a case load of 1,350 clients, acute health problems were the most common (95.7%), and chronic health problems were the least common (3.9%). Respiratory and ear infections were the most frequent acute illness (55%), and hypertension (29%), respiratory (27%), and musculoskeletal complaints (27%) were the most frequent chronic conditions. Children up to 6 years of age constituted the largest client population (30%), followed by young adults (23%). Older adults were the smallest numbers of clients (3%). Client satisfaction with nurse practitioner-managed care was highly rated by 97% (n = 101) of the subjects in a random sample telephone survey. The results suggested that family nurse practitioners were providing effective and satisfactory healthcare for this rural community. Issues for further investigation are also discussed.

No abstract

No abstract

The German Narcissism-Inventory contains a 6-item scale for the assessment of depersonalization (DP) and derealization (DR). The validity of this scale (NI-DRP) was examined in comparison to the German version of the Dissociative Experiences Scale (FDS) and the Cambridge Depersonalization Scale (CDS). The sample consists of 144 psychotherapy patients, of whom showed on the basis of a structured clinical interview n = 51 none, n = 45 mild, n = 28 moderate and n = 20 severe DP-DR. The areas under the curve and the rate of misclassification did not differ for NI-DRP and the scales of the FDS. The CDS showed the lowest rate of misclassifications.

No abstract