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Assistant Editors KATHLEEN A. O’CONNELL, PhD, RN, FAAN Research GUEST EDITORS Insights and Innovations ANN MARIE BROOKS, DNSc, RN, FACHE, FAAN Cultural Diversity M. JOSEPHINE SNIDER, EdD, RN Legal and Ethical Issues DANIEL J. PESUT, PhD, RN, FAAN Education JOANNE DISCH, PhD, RN, FAAN Professional Practice BARBARA LANGNER, PhD, RN Public Policy HELEN R. CONNORS, PhD, RN, FAAN Technology Editor ELEANOR J. SULLIVAN, PhD, RN, FAAN University of Kansas Managing Editor WILLIAM F. O’CONNOR Mailing Address American Association of Colleges of Nursing One Dupont Circle, NW Suite 530 Washington, DC 20036 Phone: (202) 463-6930 Fax: (202) 785-8320 E-mail: [email protected] Editor Emerita LAUREL ARCHER COPP, PhD, RN, FAAN, DHL Editorial Board JEAN BARTELS, PhD, RN Georgia Southern University BRENDA S. CHERRY, PhD, RN University of Massachusetts-Boston JOAN HRUBETZ, PhD, RN Saint Louis University KATHLEEN LONG, PhD, RN, FAAN University of Florida MADELINE WAKE, PhD, RN, FAAN Marquette University CAROLYN A. WILLIAMS, PhD, RN, FAAN University of Kentucky Publisher: W.B. SAUNDERS COMPANY/The Curtis Center, Independence Square West, Philadelphia, PA 19106-3399 Publisher TODD M. HUMMEL Production Editor STEVEN J. SCHNELL Director, Journals Production MICHAEL T. MILLER JOURNAL OF PROFESSIONAL NURSING (ISSN 8755-7223) is published six times yearly by W. B. Saunders Company, Corporate and Editorial Offices: The Curtis Center, Independence Square West, Philadelphia, PA 19106-3399. Account and Circulation Offices: 6277 Sea Harbor Drive, Orlando, FL 32887. Periodicals postage paid at Orlando, FL 32862, and at additional mailing offices. POSTMASTER: Send address changes to JOURNAL OF PROFESSIONAL NURSING (ISSN 8755-7223), W. B. Saunders Company, Peri- odicals Dept. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. SUBSCRIPTIONS. Yearly subscription rates: United States and posses- sions: individual, $103.00; institution, $199.00; student, $71.00; single issue $41.00. All other countries: individual, $208.00; institution, $245.00; student, $129.00; single issue, $41.00. For all areas outside the United States and possessions, there is no additional charge for surface delivery. For air mail delivery, add $24.00. To receive student rate, orders must be accompanied by name of affiliated institution, date of term, and the signature of program coordinator on institution letterhead. Orders will be billed at individual rate until proof of status is received. Prices are subject to change without notice. Current prices are in effect for back volumes and back issues. Single issues, both current and back, exist in limited quantities and are offered for sale subject to availability. Back issues sold in conjunction with a subscription are on a prorated basis. Checks should be made payable to W.B. Saunders Company and sent to JOURNAL OF PROFESSIONAL NURSING, W.B. Saunders Company, Peri- odicals Department, P.O. Box 628239, Orlando, FL 32862-8239. Copyright © 2001 by W.B. Saunders Company. All rights reserved. No part of this publication may be reproduced or transmitted in any form by any means now or hereafter known, electronic or mechanical, including photocopy, recording, or any information storage or retrieval system, without permission in writing from the publisher. Printed in the United States of America. Correspondence regarding subscriptions or changes of address should be directed to JOURNAL OF PROFESSIONAL NURSING, W.B. Saunders Company, Periodicals Dept. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Changes of mailing address should be sent preferably 60 days before the new address will become effective. Missing issues will be replaced free of charge if the publisher is notified at the above address within two months of publication of the issue for US and Canadian subscribers and within four months for subscribers from all other countries. PERMISSIONS. Correspondence regarding permission to reprint all or part of any article published in this journal should be addressed to Journal Permissions Dept, W.B. Saunders Company, Orlando, FL 32887. Tele- phone number 1-407-345-2500. ADVERTISING: The Gray Company, PO Box 128, Devon, PA 19333. Telephone: 610-293-1722; Fax: 610-293-9882. The appearance of the code at the bottom of the first page of an article in this journal indicates the copyright owner’s consent that copies of the article may be made for personal or internal use, or for the personal or internal use of specific clients, for those registered with the Copyright Clearance Center, Inc. (222 Rosewood Drive, Danvers, MA 01923; (508) 750-8400; www.copyright.com). This consent is given on the condition that the copier pay the stated per-copy fee for that article through the Copyright Clearance Center, Inc. for copying beyond that permitted by Sections 107 or 108 of the US Copyright Law. This consent does not extend to other kinds of copying, such as copying for general distribution, for advertising or promotional purposes, for creating new collective works, or for resale. Absence of the code indicates that the material may not be processed through the Copyright Clearance Center, Inc. The ideas and opinions expressed in the JOURNAL OF PROFESSIONAL NURSING do not necessarily reflect those of the American Association of Colleges of Nursing, the Editor, or the Publisher. Publication of an advertisement or other product mention in the JOURNAL OF PROFESSIONAL NURSING should not be construed as an endorsement of the product or the manufacturer’s claims. Readers are encouraged to contact the manufacturer with any questions about the features or limitations of the products mentioned. Neither the American Association of Colleges of Nursing nor the Publisher assumes any responsibility for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this periodical. The reader is advised to check the appropriate medical literature and the product information currently provided by the manufac- turer of each drug to be administered to verify the dosage, the method and duration of administration, or contraindications. It is the responsibility of the treating physician or other health care professionals, relying on independent experience and knowledge of the patient, to determine drug dosages and the best treatment for the patient. JOURNAL OF PROFESSIONAL NURSING Official Journal of the American Association of Colleges of Nursing

Editorial Board

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Page 1: Editorial Board

Assistant Editors

KATHLEEN A. O’CONNELL, PhD, RN,FAAN

Research

GUEST EDITORSInsights and Innovations

ANN MARIE BROOKS, DNSc, RN,FACHE, FAAN

Cultural Diversity

M. JOSEPHINE SNIDER, EdD, RNLegal and Ethical Issues

DANIEL J. PESUT, PhD, RN, FAANEducation

JOANNE DISCH, PhD, RN, FAANProfessional Practice

BARBARA LANGNER, PhD, RNPublic Policy

HELEN R. CONNORS, PhD, RN, FAANTechnology

EditorELEANOR J. SULLIVAN, PhD,

RN, FAANUniversity of Kansas

Managing Editor

WILLIAM F. O’CONNOR

Mailing Address

American Association of Collegesof NursingOne Dupont Circle, NWSuite 530Washington, DC 20036Phone: (202) 463-6930Fax: (202) 785-8320E-mail: [email protected]

Editor EmeritaLAUREL ARCHER COPP, PhD, RN,

FAAN, DHL

Editorial BoardJEAN BARTELS, PhD, RNGeorgia Southern UniversityBRENDA S. CHERRY, PhD, RNUniversity of Massachusetts-BostonJOAN HRUBETZ, PhD, RNSaint Louis UniversityKATHLEEN LONG, PhD, RN, FAANUniversity of FloridaMADELINE WAKE, PhD, RN, FAANMarquette UniversityCAROLYN A. WILLIAMS, PhD, RN,

FAANUniversity of Kentucky

Publisher: W.B. SAUNDERS COMPANY/The Curtis Center, Independence Square West, Philadelphia, PA 19106-3399

PublisherTODD M. HUMMEL

Production EditorSTEVEN J. SCHNELL

Director, Journals ProductionMICHAEL T. MILLER

JOURNAL OF PROFESSIONAL NURSING (ISSN 8755-7223) is published six timesyearly by W. B. Saunders Company, Corporate and Editorial Offices: TheCurtis Center, Independence Square West, Philadelphia, PA 19106-3399.Account and Circulation Offices: 6277 Sea Harbor Drive, Orlando, FL32887. Periodicals postage paid at Orlando, FL 32862, and at additionalmailing offices. POSTMASTER: Send address changes to JOURNAL OF

PROFESSIONAL NURSING (ISSN 8755-7223), W. B. Saunders Company, Peri-odicals Dept. 6277 Sea Harbor Drive, Orlando, FL 32887-4800.

SUBSCRIPTIONS. Yearly subscription rates: United States and posses-sions: individual, $103.00; institution, $199.00; student, $71.00; singleissue $41.00. All other countries: individual, $208.00; institution, $245.00;student, $129.00; single issue, $41.00. For all areas outside the UnitedStates and possessions, there is no additional charge for surface delivery.For air mail delivery, add $24.00. To receive student rate, orders must beaccompanied by name of affiliated institution, date of term, and thesignature of program coordinator on institution letterhead. Orders will bebilled at individual rate until proof of status is received.

Prices are subject to change without notice. Current prices are in effect forback volumes and back issues. Single issues, both current and back,exist in limited quantities and are offered for sale subject to availability.Back issues sold in conjunction with a subscription are on a proratedbasis. Checks should be made payable to W.B. Saunders Company andsent to JOURNAL OF PROFESSIONAL NURSING, W.B. Saunders Company, Peri-odicals Department, P.O. Box 628239, Orlando, FL 32862-8239.

Copyright © 2001 by W.B. Saunders Company. All rights reserved. Nopart of this publication may be reproduced or transmitted in any form byany means now or hereafter known, electronic or mechanical, includingphotocopy, recording, or any information storage or retrieval system,without permission in writing from the publisher. Printed in the UnitedStates of America.

Correspondence regarding subscriptions or changes of address shouldbe directed to JOURNAL OF PROFESSIONAL NURSING, W.B. Saunders Company,Periodicals Dept. 6277 Sea Harbor Drive, Orlando, FL 32887-4800.Changes of mailing address should be sent preferably 60 days before thenew address will become effective. Missing issues will be replaced free ofcharge if the publisher is notified at the above address within two monthsof publication of the issue for US and Canadian subscribers and within

four months for subscribers from all other countries.

PERMISSIONS. Correspondence regarding permission to reprint all orpart of any article published in this journal should be addressed to JournalPermissions Dept, W.B. Saunders Company, Orlando, FL 32887. Tele-phone number 1-407-345-2500.ADVERTISING: The Gray Company, PO Box 128, Devon, PA 19333.Telephone: 610-293-1722; Fax: 610-293-9882.

The appearance of the code at the bottom of the first page of an article inthis journal indicates the copyright owner’s consent that copies of thearticle may be made for personal or internal use, or for the personal orinternal use of specific clients, for those registered with the CopyrightClearance Center, Inc. (222 Rosewood Drive, Danvers, MA 01923; (508)750-8400; www.copyright.com). This consent is given on the conditionthat the copier pay the stated per-copy fee for that article through theCopyright Clearance Center, Inc. for copying beyond that permitted bySections 107 or 108 of the US Copyright Law. This consent does notextend to other kinds of copying, such as copying for general distribution,for advertising or promotional purposes, for creating new collectiveworks, or for resale. Absence of the code indicates that the material maynot be processed through the Copyright Clearance Center, Inc.

The ideas and opinions expressed in the JOURNAL OF PROFESSIONAL NURSING

do not necessarily reflect those of the American Association of Collegesof Nursing, the Editor, or the Publisher. Publication of an advertisement orother product mention in the JOURNAL OF PROFESSIONAL NURSING should notbe construed as an endorsement of the product or the manufacturer’sclaims. Readers are encouraged to contact the manufacturer with anyquestions about the features or limitations of the products mentioned.Neither the American Association of Colleges of Nursing nor the Publisherassumes any responsibility for any injury and/or damage to persons orproperty arising out of or related to any use of the material contained inthis periodical. The reader is advised to check the appropriate medicalliterature and the product information currently provided by the manufac-turer of each drug to be administered to verify the dosage, the methodand duration of administration, or contraindications. It is the responsibilityof the treating physician or other health care professionals, relying onindependent experience and knowledge of the patient, to determine drugdosages and the best treatment for the patient.

J O U R N A L O F

PROFESSIONALN U RS INGOfficial Journal of the American Association of Colleges of Nursing