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PubMed1995

Specialty nursing council: a coalition of advanced practice nurses.

Advanced practice nurses (APNs) are often isolated within their specialty area, placing unnecessary limits on their range of influence and making professional networking more difficult. Networking and sharing of information are critical to developing a broadened perspective. As APNs become more systems and program oriented, a strong affiliation base must be maintained. How a group of APNs in one hospital developed a coalition to decrease the isolation gap, promote sharing of information and encourage cohesiveness is discussed in this article. The process of moving from the rather narrowed perspective of individual practice to the concept of group unity and collaboration is explored.

Education, Nursing, Continuing↗
PubMedDate not supplied

Advanced practice nursing: merging the clinical nurse specialist and nurse practitioner roles.

Advanced practice nursing has taken a preeminent role in the recent reform of health care by fostering a perception of leadership, accountability, and responsibility in areas involving access to care, quality of care, and the cost of care. Despite this opportunity for recognition and advancement in the current healthcare system, variations in educational preparation, public confusion about the various roles and titles within advanced practice nursing, and differing professional certifications plague the opportunity for an elevated status of advanced practice nursing. In this article, the author addresses the issues related to merging the clinical nurse specialist and nurse practitioner roles. A review of the historical development of advanced practice nursing along with current practice issues and future needs is also presented.

Health Services Needs and Demand↗
PubMed1995

Determining variables to measure the impact of information systems on nursing practice.

Evaluations of nursing information systems (NIS) are complex. Current research and evaluative results on the impact of computer technology and information systems (IS) in nursing practice have been mixed. Clear cost and performance benefits have not been documented, because the variables and indicators of these gains are not well identified. The purpose of this discussion is to present a conceptual framework of the nursing practice and to group and organize specific variables, or indicators.

Hospital Information Systems↗
PubMed2003

Evaluating health promotion: a model for nursing practice.

AIMS: To investigate the place and validity of effective process in evaluating health promotion practice in nursing and, in doing so, develop a specific model for this purpose. BACKGROUND/RATIONALE: The failure of many nurses to provide successful health promotional programmes is underpinned by a distinct lack of evaluation research activity. Without this type of activity, health-related nursing practice remains limited in its scope and nature. This article seeks to redress this situation by proposing a specific evaluation model that assists the nurse in their attempts to include evaluative research activity in future health promotion practice. METHOD: This article draws on existing literature to develop an evolving theoretical perspective for health promotion practice in nursing. The proposed model was developed from this perspective. CONCLUSION: Evaluation is an essential activity for any health promotion programme. Failure to include it in practice ensures that attempts to conduct health promotion are usually rendered ineffective and unsuccessful. Evaluation models are valuable tools that nurses can incorporate routinely into existing frameworks of practice, alongside other models of health education/health promotion, such as planning models. The development of this model is intended to enable nurses to review their current practice and offer a further framework for those who wish to extend their current health promotion repertoire.

Health Promotion↗
PubMedDate not supplied

Integrating nursing diagnoses, interventions, and outcomes in public health nursing practice.

TOPIC: Applying standardized nursing language in public health nursing practice. PURPOSE: To develop a charting format to document public health nursing practice based on standardized nursing language. SOURCES: Literature review of documentation systems for public health nursing practice. CONCLUSIONS: A task force of public health nurses developed a charting format based on Taxonomy I of Nursing Diagnosis (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC).

Forms and Records Control↗
PubMed2006

Ethical dilemmas and moral distress in oncology nursing practice.

Although ethical values and principles guide oncology nursing practice, nurses often are challenged to fulfill every professional core duty and responsibility in their everyday practice. Nurses commonly encounter clinical situations that have ethical conflicts, and they often have difficulty recognizing and articulating them. Unresolved conflicts can cause feelings of frustration and powerlessness, which can lead to compromises in patient care, job dissatisfaction, disagreements among those in the healthcare team, and burnout. This article reviews the ethical principles and values individual nurses bring to their practice as well as those basic to the profession of nursing. This article also discusses ethical conflicts in oncology practice and describes how nurses, especially students and novice nurses, may react to such situations with moral uncertainty or distress. In addition, a process for analyzing and resolving ethical problems in clinical situations is outlined. Increasing awareness and dialogue about ethical issues is an important first step in the process. Additional resources in the clinical setting may encourage nurses to actively participate in ethical decision making and take deliberate action as moral agents.

Adaptation, Psychological↗
PubMed1996

Health-promoting nursing practice: the demise of the nursing process?

Health promotion is gaining widespread recognition throughout the world as the most efficacious practice in achieving health for all. In Canada, the philosophy of health promotion is driving both federal and provincial health initiatives. Such a philosophy is derived from a human science paradigm and is in direct opposition to the natural science paradigm from which the biomedical approach to health care emerged. There now exists a tension between these contrasting paradigms as health care shifts to embrace a health-promotion perspective. The nursing process is based in the natural science paradigm and on a biomedical approach to health care. In order for nurses to embrace health promotion fully, they must move away from the philosophy of the natural sciences and adopt a human science perspective. Such a shift requires a radical transformation in nursing practice as nurses move away from the 'top-down' approach of the nursing process and adopt a 'bottom-up' approach to health-promoting nursing practice. The purpose of this paper is to compare and contrast the nursing process with the principles of health promotion, and to challenge our use of the nursing process in current nursing practice. In particular, a framework for health-promoting nursing practice will be provided.

Behavioral Sciences↗
PubMed1991

The caring attitude in nursing practice: a repertory grid study of trained nurses' perceptions.

The process of caring is central to nursing practice but it remains a poorly defined concept in nursing practice and education. A small number of studies of caring in the field of nursing have been undertaken, but these have tended to be more quantitative in nature. This paper describes a qualitative study designed to explore nurses' perceptions of the concept of caring. Kelly's (1955) personal construct theory and the repertory grid interview technique were used to elicit trained nurses' views about caring in relation to the practice of nursing. A strategic informant sample of 25 nurses was chosen. A total of 200 verbal descriptions (constructs) were generated from interviews, and these were analysed into similar content areas. Seven categories emerged from the analysis to provide a detailed description of caring. These include: a) personal qualities; b) clinical work style; c) interpersonal approach; d) level of motivation; e) concern for others; f) use of time; and g) attitudes. There were very few constructs related to physical aspects of care. The findings are offered as reflection of British nurses' perceptions of caring. Some possible applications of the results for nursing practice, education and research are considered.

Attitude of Health Personnel↗
PubMedDate not supplied

Intuition and nursing practice implications for nurse educators: a review of the literature.

Intuitive knowledge is an essential component of the art of nursing and of the nursing process. This article provides an analysis and review of the literature on intuition. The author addresses the use of intuition in nursing science, characteristics of intuitive nurses, receptivity of intuitive knowledge, and the importance of expanding nursing's utilization of the intuitive process. Strategies are provided for promoting intuitive skills in continuing education/staff development settings.

Clinical Competence↗