A science of nursing--to be or not to be?
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Biomedical subjects
Publications and source records attributed to H R Feldman.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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This article presents a case study of the implementation of a continuous quality improvement (CQI) effort in a school of nursing. By using the process of CQI reported in the literature and used in clinical settings, the school has transformed its governance and structure to address issues of faculty, student, administrative, and staff performance and satisfaction, curriculum development, and organizational change. An annual "Report Card" monitors all CQI-related activities and provides structure for the feedback and change that are integral to the process.
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Forty-eight experimental studies of nonmechanically assisted relaxation techniques used to control a variety of clinical symptoms were synthesized using meta-analysis. Effect sizes for three types of comparisons, experimental-control, experimental-placebo, and pre-post, ranged from .43 to .66, demonstrating that treatment of any type included in the analysis moved the client from the 50th to the 67th percentile of an untreated group at minimum and from the 50th to the 75th percentile at maximum. All treatments included in the analysis except Benson's relaxation technique demonstrated evidence of effectiveness, particularly for nonsurgical samples with chronic problems such as hypertension, headache, and insomnia.