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At least 847 records · Page 47Linked to original sources
PubMed1997

Empowering practice nurses in the follow-up of patients with established heart disease: lessons from patients' experiences. SHIP Collaborative Group. Southampton Heart Integrated care Project.

This paper reports on the views of patients with established heart disease of a structured programme of follow-up care provided by practice nurses (PNs) in general practice in England. It is based on in-depth interviews with 22 patients receiving an integrated primary and secondary care intervention being developed and piloted for patients following heart attack or diagnosis of angina. Patients identified the important features of follow-up care to be easy access to a health professional who possessed knowledge and social and emotional skills. A range of views about the ability of PNs to provide such care emerged from patients' accounts. Patients' perceptions about the seriousness of their condition and the way PN follow-up care was provided in practices emerged as important issues affecting patients' views. In addition, perceptions about the practice nurse's role, status and knowledge, existing relationships with general practitioners, and issues of communication were also important factors. It is concluded that in order to develop high-quality PN-led services for patients with established heart disease, four issues need to be taken into account: practice nurse training; continuity of follow-up care; the integration of the primary and secondary care interface; and development of the practice nurse's status within the primary health care team.

Adult↗
PubMed1978

Quantitative assessment of the quality of medical care provided in five family practices before and after attachment of a family practice nurse.

The standards of patient care were maintained in five urban medical practices after the introduction of family practice nurses. Evaluations were achieved before and after their appointment by the indicator condition method. Minimal explicit criteria for the management of patients with 12 indicator conditions and by the use of 14 drugs were approved by an ad hoc peer group of community physicians. These cirteria were applied to the five practices by the use of a single-blind design and the abstraction of unaltered medical records. A standardized score for each practic e permitted comparison of scores for the management of indicator conditions and for the clinical use of drugs before and after attachment of the family practice nurses. For each of the indicator conditions and the drugs assessed in the five practices similar levels of adequacy were observed in the two study periods. These explicit (objective) audit resutls agreed with the implicit (subjective) assessments of the family practice nurses by their physician colleagues.

Drug Therapy↗
PubMed2000

Research and oncology nursing practice.

OBJECTIVE: To trace the evolution of oncology nursing research and to discuss its contribution to oncology nursing practice and health care. DATA SOURCES: Articles, textbooks, organizational documents, conference proceedings, and personal communication. CONCLUSIONS: Placing research in perspective will help suggest where we should go as a nursing specialty to provide excellent cancer care to patients, families, communities, and populations. It will also suggest directions for research priorities and for conceptual, methodologic, and health policy activities. IMPLICATIONS FOR NURSING PRACTICE: To influence oncology care, it is essential that oncology nurse researchers be responsive to trends that are relevant to both the conduct and utilization of oncology nursing research.

History, 20th Century↗
PubMed2003

Practical nurses in elder care and changes in Finnish society - a biographical study.

BACKGROUND: Substantial changes in the socio-economic circumstances in Finnish society over the past century have resulted in major changes in the case of older people, and in the status of nursing staff who care for them. AIM: The purpose of this study was to describe and analyse the work of practical nurses in elder care through the experiences and life cycles of two practical nurses with a long working experience. METHODS: The data consisted of oral biographical narratives produced by the two nurses in repeated interviews. The data were analysed using inductive content analysis. FINDINGS: The following chronological stages and periods of the work of the informants emerged as the core themes of elder care: (1) Collective institutionalized care in the 1950s-1970s: The lowest caste in training, obedient subordinates, undemanding service and routine work; (2) Elderly orientated institutionalized care in the 1980s and 1990s: From subordination to co-operation as an experienced nurse, recognizing the specific qualities of the elderly; (3) Prospects of elder care from the 1990s onwards: Returning to custodial care? CONCLUSIONS: The themes are related to the more general changes that have taken place in Finnish society and health care. The future prospects of practical nurses seem challenging because the principles of social work and health care in Finnish society have shifted from institutionalization towards community care. As a consequence, practical nurses are required to have higher qualifications.

Aged↗
PubMed1989

Baccalaureate nursing education: the framework for holistic home health nursing practice.

The concept of home care has been an intricate domain of professional nursing practice for over 100 years. Home health care as the new frontier in health care delivery, although not new to professional nursing, is an exciting challenge for professional nursing practice. The health care delivery system in the United States has, for the first time, been confronted with the issue of cost containment. Professional nursing has the opportunity to demonstrate to society not only the cost effectiveness of professional nursing services but also the comprehensive scope of professional nursing practice. To meet this challenge, home health nursing care must be delivered by practitioners who are highly skilled and qualified for their positions. Baccalaureate nursing education incorporates public and community health nursing content into the curriculum. Therefore, the baccalaureate degree in nursing should be a prerequisite for practitioners in home, public, and community health settings.

Community Health Nursing↗
PubMedDate not supplied

Camp nursing practice in review.

Camp nursing is an exciting, challenge area of practice that has many rewards to offer pediatric nurses. Nurses who plan to work at camps should be familiar with the current literature available specific to camp nursing practice.

Camping↗
PubMed1999

Collaborative practice agreements for advanced practice nurses: what you should know.

Advanced practice nurses (APNs) seeking employment are often presented with employment practice agreements. A collaborative practice agreement is a written statement that defines the joint practice of a physician and an APN in a collaborative and complementary working relationship. It provides a mechanism for the legal protection of the APN and sets out the rights and responsibilities of each party involved. All APNs, regardless of practice setting, should be knowledgeable about aspects of a collaborative practice agreement before they sign one. The purposes of this article are to delineate basic guidelines for evaluating and developing a collaborative practice agreement and to identify areas of special concern for APNs.

Cooperative Behavior↗
PubMed2004

Organizing practice: nursing, the medical model, and two case studies in historical time.

The medical model of clinical practice has long presented rather awkward challenges to the discipline of nursing. This study explores this challenge within nursing practice more deeply by examining two moments in the history of nursing practice: that before and that after the late 19th century professionalizing of the discipline. The first historical case study looks to the experiences of lay men and women staff caring for insane patients at the Friends Asylum in early 19th-century Philadelphia. This case study explores the workings of particular clinical encounters in day-today clinical practice. The second historical case study looks to the organizational efforts of pediatric nurse practitioners in the 1970s. This case study, set during a time when heuristic value of the medical model was already well-established, explores the tensions exerted by organized medicine and by organized nursing on the practicing nurse, and the efforts of both organizations to cloak their concerns surrounding professional legitimacy and control in the rhetoric of patient care and safety. These two seemingly disparate case studies suggest that the medical model has historically worked as an effective framework to contain the turmoil and turbulence that inevitably comes with the realities of both clinical practice and more organizationally focused disciplinary strategies. This study argues that the medical model has been an effective tool for thinking about all kinds and models of care for the sick. nurses appropriated the model to free them to do what they did best both before and after the development of modern models of practice. Hence, this study re-conceptualizes the medical model as both a source of power in nursing, and as a multidisciplinary, multidimensional organizational model of clinical and organizational practice.

History, 19th Century↗
PubMed1996

An occupational transmission of HIV: collision of ethical worlds in nursing practice.

This article proposes a new theoretical frame for ethical practice in nursing by locating ethical questions within the worlds of everyday nursing experience. The authors advocate a process of ethical thought and action that is not so much a weighing of dichotomized alternatives as a continual journey in which nurses delve deeper into their examination of clinical contexts, structural contingencies, and the meanings of experience for themselves and their clients. This theoretical vision is illustrated with a case study about a nurse who was infected with HIV on the job. The purposes in presenting the case study are to give testament to this brave woman's story, illustrate the dynamics of a contextualized ethics, and challenge nurses to make changes in practice, policy, and structure to foster truly ethical work and relations with others.

Attitude of Health Personnel↗