Studies on the locus of nursing research activities at the national level.
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Biomedical subjects
Publications and source records attributed to G Felton.
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All research agencies and prestigious journals insist they are rewarding excellence, that they have a merit-based system, and that their system serves their mission well--all part of the ideology of the infallibility of peer review. There have been, and continue to be, criticism about the peer review system and several alternatives to peer review have been posed. A discussion of peer review is intended to allow the reader to evaluate approaches to the peer review system.
An Institute of Medicine (IOM) committee recently reviewed the TriService Nursing Research Program. In its report, The Program for Research in Military Nursing: Progress and Future Direction, the IOM committee ' supported the continuation of the program and made recommendations for improving it. The committee emphasized the importance of developing and supporting programs of research, establishing an environment of scientific excellence, determining areas for future research funding, and allocating resources for program infrastructure, management, and functions. This article expands that theme. It begins with an historical perspective; addresses challenges facing military nurse researchers and the role of programs of military nursing research; and offers a series of conclusions for leadership necessary to establish an environment of scientific excellence.
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This article reviews the requirements necessary to address nursing faculty development needs to continue to strengthen nursing education for state-of-the-art reflective practice. Included in the discussion are the importance of information and sophisticated information management; strategies to enhance teaching competency, efficiency, and the quality of instruction; current measures of quality facilities and resources; and the contributions of teaching and learning centers. The discussion ends by emphasizing the need to embrace the concept of differentiated nursing practice.
To ascertain the extent and degree of skill with which nurses have carried out processes judged to represent good nursing care, two alternate approaches were tested to organize the delivery of nursing care to children: Nurses on an experimental unit were trained to use primary care, that is, assignment of six to eight patients to one nurse who was responsible for the planning, implementation, evaluation, and coordination of the nursing care until the patient's discharge. On a control unit, nurses participated in delivery of group care, so that the care of each patient was assigned to various nurses. Performance of the nursing care was measured by the Slater Nursing Competencies scale, the Quality Patient Care scale, and the Phaneuf Nursing Audit. Mean scores on the three instruments were found to be higher on the experimental unit.
The chronicle of a cooperative research venture is presented in three sections: the sequence of events and the system within which the collaboration was sponsored, the pilot study and the actual cooperative research proposal, and the stresses and strains of the collaborative process. The vagaries of events, people, and places leading to the scientific review are described. Previous research on which the study proposal was based is described so that the natural evolution of a study which extends previous work may be depicted. Interpersonal problems, opportunities, and challenges of collaboration in research are described.
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Twenty-five pairs of terminally ill patients and their loved ones were studied to determine nursing behaviors which offer greatest support, comfort, and ease of suffering to the loved ones. The Q-sort methodology, consisting of 88 cards, each with one behavior, was used. A three-tier classification of behaviors was derived: those that promote the dying patient's comfort and hygiene; those that indicate understanding of the emotional needs of the dying patient; and those that indicate understanding of the impact on the bereaved of grief, grieving, and loss. The most-desired behaviors pertained to the patient, and the most-desired behavior of the total group was to "keep the patient well groomed." The least-desired behavior (ranked 88th) was to "encourage me to cry."
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