onal goals that will be pursued in practice by this researcher are as follows:
1. The first goal will be to provide care appropriate to a patient's needs at the time the patient requires care.
2. The second goal will be to seek to identify those persons in the community who require care.
3. The third goal will be to incorporate health education into the delivery of patient care.
4. The fourth goal will be to track patient compliance with treatment regimens to assure to the extent possible that treatment is successful.
Developing the Philosophy For Pursuing the Objectives in Nursing Practice
The growing diversity in the structure of the American population, an increase in the incidence of both incurable and highly communicable diseases among this population, and an evolving social milieu that to some people causes the unthinkable to be considered creates moral, ethical, and practical dilemmas for many in the nursing profession. Some nurses question the requirement that they provide treatment for patients who do not comply with treatment regimens. Other nurses question a requirement for them to deliver care to inner city populations where the incidence of such diseases as tuberculosis and AIDS (acquired immunity deficiency syndrome) is the highest. Questions such as these just mentioned lead to the issue of providing care for immigrants present in the United States. It is not only that higher probabilities of AIDS and tuberculosis infection attached to some immigrant population groups that causes some nurses to question the requirement to provide care for such individuals. Some nurses also object to the delivery of such care within the context that the delivery of such care restricts the availability of care for the domestic indigent. Other nurses appraise these conditions differently and support the delivery of care to such individuals.
Social issues also affect the attitudes of some nurses toward the del...