Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “nursing practice”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 433 records · Page 24Linked to original sources

Nursing interventions used in school nursing practice.

School nurses need to define clearly their practice and identify the interventions they provide to students, families, and school employees. The purpose of this research was to identify which nursing interventions listed in Nursing Interventions Classification (NIC) are used by school nurses. Of the 174 surveys mailed to school nurses, 78 usable surveys were returned, representing a 45% return rate. Of the 433 NIC interventions, 114 were used by school nurses at least monthly, with 32 of these 114 interventions identified as being used at least once a week.

Adult↗

[The importance of symbolic interactionism in nursing practice].

The nurse should combine, in their daily practice, technical abilities with a profound comprehension of the main object oh their work, the human being. Symbolic Interactionism is an approach which enables the nursery professional to understand patients by the meaning they value their living experiences. The use of qualitative methods in nursery research is essential because it studies the humans beings and their relationship with the environment, allowing the understanding of the living experiences. These kind of approaches should be even more applied in nursery practice as they open new ways for professional knowledge and enrich practical skills.

Clinical Competence↗

Partnering of researcher and practicing nurses for transformative nursing.

The purpose of this praxis research was to address the process of a researcher's partnering with practicing nurses to incorporate Newman's theory of health as expanding consciousness as a guide for nursing practice. Initially the nurses were bound by their commitment to help clients within a philosophy of cure, but as they began to engage in a caring relationship of pattern recognition with clients, they experienced the clients' transformations in a way that was transformative for them and that pervaded the total realm of their nursing practice. The process illustrates the immediate applicability of Newman's theory.

Education, Nursing, Graduate↗

Frames and perspectives in clinical nursing practice: a study of Norwegian nurses in acute care settings.

The aim of this study was to investigate the nature of nurses' clinical practice in terms of what guide their clinical engagement and clinical constructions. Schön (1983) and Argyris, Putnana, and Smith (1985) have demonstrated that practitioners "see" situations differently depending on how they frame the situation. In nursing, there is a lack of knowledge regarding what kinds of frames nurses are using in their clinical work. The research question was: What frames and perspectives guide nurses' clinical constructions? The study was based on a descriptive design using a clinical field approach in an acute care setting in Norway. A theoretical sample consisted of 6 registered nurses, 3 from medical wards and 3 from surgical wards. Data were collected through participant observation and in-depth interviews with the nurses, as well as nursing documents about the patients. The results showed that the nurses' frame of reference emerged as normality, health, need, trajectory, and action. These are structured on 3 themes: (a) the patient status dimension with a set of 3 frames that are used to consider patients' current status and condition in terms of normality, health, and needs; (b) the dimension with a frame for judging patients' situational experiences in relation to hospitalization, (illness trajectory); and (c) the nurses' action referring to the frame with which nurses consider their actions. These 5 frames form a complex template with which nurses come to arrive at meanings of clinical situations and "design" or engage in their practice. The nurses are moving back and forth between these different perspectives, circulating around the individual patient or patients as a group. The nurses' practice in this setting tells about the complexity and diversity permeating the assessment, decisions, and performance of nursing care.

Adult↗

The value of the intersystem model for cosmetic nursing practice.

Conceptual nursing models are a framework for practice. However, these models are often not used in an outpatient dermatology clinic that provides cosmetic services or a plastic surgeon's office. In a cosmetic setting, clients are receiving care on an elective basis. Clients are generally healthy and educated as to what type of care and services they want, and they wish to be active participants in the decision-making process. Therefore, this type of atmosphere requires a model that allows for negotiation of ideas and a joint plan of care, such as the Intersystem Model.

Models, Nursing↗

Nursing documentation and nursing practice: a discourse analysis.

Nursing documentation exists as a daily reality of nurses' work. It is interpreted by some as the evidence of nursing actions and dismissed by others as a misrepresentation of nursing care. This paper reports on a study of nursing documentation as nursing practice. The work of Foucault and discourse analysis provide a research design for examination of how written descriptions of patient events taken from patient case notes result from hegemonic influences that construct a knowledge and therefore a practice of nursing. Discourses as ways of understanding knowledge as language, social practices and power relations are used to identify how nursing documentation functions as a manifestation and ritual of power relations. A focus on body work and fragmented bodies provided details of nursing's participation in the discursive construction of the object patient and invisible nurse. It is through resistances to documentation that alternative knowledge of nursing exists.

Holistic Nursing↗

The nature and scope of nursing practice.

The word 'nursing' has been used to describe a wide range of activities undertaken by many different people. These include the activities of informal careers, and also those of professionals such as nurses, midwives and health visitors. This article seeks to define the scope of nursing practice pertinent to those people who hold a statutory nursing qualification.

Ethics, Professional↗

The clinical and economic impact of a secondary heart disease prevention clinic jointly implemented by a practice nurse and pharmacist.

BACKGROUND: A primary care practice in the West of Scotland used clinical governance funding to develop a heart disease prevention clinic to target patients with existing heart disease. The practice nurse enlisted the help of the practice pharmacist and the protocol for the clinic was subsequently developed with the involvement of both practitioners. OBJECTIVE: The aim of this project was to identify and offer health screening and appropriate disease modifying treatment to patients of a primary care (or general medical) practice suffering from cardiovascular heart disease in a clinic run jointly by a practice nurse and pharmacist. METHOD: Patients identified by the practice pharmacist were offered a full health screen. Their clinical parameters were assessed and appropriate disease modifying drug therapy and lifestyle advice was offered in a review clinic with the practice nurse and pharmacist. RESULTS: The practice pharmacist identified over 212 patients over a 30-month period. A majority demonstrated hypertension (91%) and angina (89%), while over half (57%) had suffered a heart attack. Statin therapy was modified in a large number of patients (47%) and the number of patients with satisfactory total cholesterol levels has increased from 30% to 57% (P < 0.001). Aspirin and beta-blocker therapy has been initiated in a significant number of patients (53% and 26% respectively). Twelve patients (6%) stopped smoking; however, many 42% continued to smoke. The general medical doctors (GPs) who demonstrated a change in their own practice readily accepted changes to therapy recommended by the practice nurse and pharmacist. The practice pharmacist offset the additional cost of drug spend on statin therapy by making savings in other therapeutic areas. CONCLUSION: A secondary heart disease clinic can benefit patients by optimising drug and lifestyle therapy. While the inclusion of a pharmacist confers clinical and economic benefits.

Adrenergic beta-Antagonists↗

Measuring Nursing Practice Models using Multi-Attribute Utility theory.

Nursing Practice Models (NPMs) represent the structural and contextual features that exist within any group practice of nursing. Currently, measurement of NPMs relies on costly and nonreproducible global judgments by experts. Quantitative measurement techniques are needed to provide a useful evaluation of nursing practice. Guided by Multi-Attribute Utility theory (MAU theory), an expert panel identified 24 factors representative of N PMs. The factors became elements in a computational index that, when summed, assigns a score to a given nursing unit reflecting the extent to which that unit's nursing practice model achieves the nursing professional ideal. Initial validation of the index and its elements consisted of comparing assessments of 40 nursing units generated by the index with a global evaluation provided by each of the expert panelists who proposed the model factors. Pearson correlations between the index-generated scores and the global assigned scores provided evidence supporting the preliminary validation of the index.

Delivery of Health Care↗

Complex medicolegal issues surround modern nursing practice.

Increasingly, nurses are being involved in malpractice suits and are being called upon to appear as expert witnesses or as friends of the court. The legal responsibilities of nurses today as well as the complex current and emerging medicolegal issues that are affecting their practice were the subject of a recent conference. The findings and recommendations resulting from that conference are described herein.

Humans↗

Using evidence-based practice for managing clinical outcomes in advanced practice nursing.

Preparation of advanced practice nurses to assume leadership positions for clinical decision making requires that traditional ways of solving clinical problems be augmented with information from relevant, research-derived evidence. In this article, the authors describe how one graduate program prepares advanced practice nurses to use the best scientific evidence with clinical expertise to influence patient outcomes. The assignments that students complete in their program provide examples of evidence-based practice that apply quality improvement principles and science-based nursing interventions to create best practices.

Education, Nursing, Graduate↗

The advanced practice nursing role in a high-risk breast cancer clinic.

PURPOSE/OBJECTIVES: To describe the role of an oncology nurse practitioner in a breast cancer prevention clinic. DATA SOURCES: Published articles, abstracts, and book chapters and personal experience. DATA SYNTHESIS: Validated risk assessment models and genetic screening can be used to assess an individual's risk for breast cancer. Lifestyle changes and medical interventions can reduce that risk. CONCLUSIONS: Interventions for primary prevention of breast cancer soon may become one of the most effective means of reducing the incidence, morbidity, and mortality of breast cancer. IMPLICATIONS FOR NURSING: Advanced practice nurses in the oncology setting are ideal healthcare providers to assess patients' risk of breast cancer, determine physical findings that can influence that risk, provide risk education, synthesize existing data, and make recommendations for surveillance, pharmacotherapy, lifestyle changes, and genetic counseling and testing. Limitations in the existing data in cancer prevention provide excellent opportunities for nursing research.

Adult↗