Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Nursing Process”

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 1,171 records · Page 65Linked to original sources
PubMed2006

Nursing competencies for spiritual care.

AIM AND OBJECTIVES: The aim of this paper is to reveal the main nursing competencies for spiritual care, which emerged from data collecting from qualified nurses in Malta. BACKGROUND: For nurses to deliver spiritual care, they must be competent to provide care on a physical, mental, social and spiritual level. As spiritual care may be influenced by culture, this study explored the competencies for spiritual care from the Maltese nurses' perspective. METHODS: A descriptive exploratory study investigated nurses' competencies in the delivery of spiritual care to patients with myocardial infarction. Data were collected by means of an open-ended questionnaire on qualified nurses (n=77) followed by an in-depth interview on a stratified random sample (n=14) of nurses from the same respondents. RESULTS: The four main nursing competencies identified were associated with the role of the nurse as a professional and as an individual person; delivery of spiritual care by the nursing process; nurses' communication with patients, inter-disciplinary team and clinical/educational organizations and safeguarding ethical issues in care. CONCLUSION: This study demonstrated the complexity of spiritual care, which requires nurses to increase their awareness of the uniqueness of each individual patient with regard to the connection between mind, body and spirit; the assessment of the spiritual status of patients during illness and the implementation of holistic care as recommended by the Nursing Code of Ethics. RELEVANCE TO CLINICAL PRACTICE: These findings will enable nurses to consider the importance of spiritual care, which may allow them to help empower patients find meaning and purpose during times of illness. More emphasis should be put on spiritual care in the pre- and postregistration education. Further research to translate these main competencies into specific competencies will guide spiritual care.

Adult↗
PubMedDate not supplied

Using the change process to implement nursing diagnoses.

The purpose of this study was to assess the impact of implementing nursing diagnosis in a community hospital where only 32.5% of medical-surgical patients had individualized care plans. Of these care plans, only 13% correctly identified North American Nursing Diagnosis Association (NANDA) nursing diagnoses. Prior to the study, staff lacked commitment toward written care plans and viewed time management as the major clinical barrier to completion. Staff were instructed in nursing process and nursing diagnosis through a mandatory continuing education series. A follow-up survey at 6 months revealed care plans completed according to NANDA standards in 82% of cases. The nursing staff verbalized an increased commitment and appreciation of nursing process and its influence on patient care.

Education, Nursing, Continuing↗
PubMedDate not supplied

Meanings of the nursing diagnosis implementation process for nurses at a university hospital.

This qualitative study aims to understand the meanings nurses at a university hospital attribute to the implementation process of the Nursing Diagnosis Classification System (DEn) as a phase in the Nursing Care System (NCS). Data were collected through interviews with eight nurses from the Medical Clinical Unit, who participated in the creation of an instrument to implement the DEn in the NCS. In their reports, the respondents expressed a positive change in their feelings, from initial discomfort and adverse perception of the change proposal. The stepwise appropriation of the process stages allowed them, besides the sharing of feelings, decisions and responsibilities for the results, to develop the belief that they would able to overcome the difficulties.

Emotions↗
PubMedDate not supplied

Introduction to the nursing research process.

Many nurses have expressed an interest in conducting a nursing research project, but some have not had sufficient or recent exposure to the process of how to develop a research study. The nursing research process can be outlined using the nursing process steps of assessment, planning, intervention and evaluation. In the assessment phase the problem is identified, the literature is reviewed, and the variables are identified. In the planning phase the research question or hypothesis is formulated, and decisions are made on how the variables will be measured and how the sample will be chosen. In the intervention phase the data collection occurs; in the evaluation phase the data is analyzed and interpreted and the findings are communicated. By giving nurses a detailed yet understandable plan on how to conduct nursing research, their curiosity is encouraged and the body of knowledge will grow.

Data Collection↗
PubMed2000

Combining the arts: an applied critical thinking approach in the skills laboratory.

The quality of care that nurses provide to patients is strongly influenced by the nurses' ability to think critically and to solve problems. In response to the dynamic changes in healthcare and rapid technological advancements, nursing educators must prepare nursing students to meet the challenges. Baccalaureate nursing students must be taught to utilize critical thinking skills for problem solving during the application of the nursing process. Nursing students who use critical thinking skills will provide high quality and efficient patient care in the acute care and community settings. During the simulated laboratory experience, incorporating creative teaching strategies to promote critical thinking and enhance problem-solving skills can enable nursing graduates to enter the workforce feeling confident and competent.

Education, Nursing↗
PubMed1995

The nurse's role in giving nutritional advice.

Nurses are ideally placed to advise on nutrition and diet. Using the principles of the nursing process, nurses can assess clients, plan and help them implement changes in diet and evaluate the results. Everyday language should be used and practical advice must be given.

Humans↗
PubMed1999

[Nursing research, an active process in nursing].

Nursing knowledge can be produced through academic, assistance and collaborative model. There are few Nursing services in Brazil that stimulate research production by clinical nurses. This study aims to analyze declarations of nurses about the process of conducting research on their work places, having as a framework the symbolic interactionism. The data was collected through interviews with eleven nurses. The analysis led to the process of researching with six phases: the situation; the perception; the interpretation; the act; the manipulation and the consumation. The authors concluded that nurses interact with themselves and others, defining and interpreting their situation, their own actions as well as the other's. Through defining and interpreting the situation, they build their actions directed or not to activities related to research according to the meaning given by them to this "social object".

Attitude of Health Personnel↗
PubMed1978

Management an experimental approach.

An experimental teaching procedure was devised and tested for integrating the nursing process, nursing care plans, the research process and management principals. The integration defined as the problem oriented process (POP) was tested with 16 students over two semesters. The results indicated that the POP was a successful integration that aided the student in "getting it all together." As one of the students put it: This experience will give future students, as it did me, a better understanding of how research is best utilized. The students can use almost all their past learning experiences, bringing it all together in one situation. He (the student) can use his communication skills to detect a problem, his research skills to design planned intervention and evaluation and his interpersonal skills to measure his effectiveness as a change agent. Finally, he can use his nursing skills and knowledge of pathophysiology in a setting most like what he will find upon graduation.

Curriculum↗
PubMed2006

[A study of the process of nursing diagnosis of depressive patients by nursing students--through students' training records].

The purpose of this research is to clarify the nursing diagnostic processes of nursing students. The study subjects were 20 nursing students who were in bedside learning and took charge of patients suffering from depression. We analyzed their training records and extracted the information on which their nursing diagnoses were made. The information was classified into the categories based on the nursing diagnosis of North American Nursing Diagnosis Association (NANDA). As a result, the students were more likely to make their nursing diagnoses based mainly on subjective complaints of the patients, without logical reasoning. The results indicated an insufficient knowledge of the disease and a shortage of opportunity for the students to collect objective information of the patients. In conclusion, our study results suggest that bedside learning students should have the chance to reconfirm their knowledge and the nursing diagnosis procedures; that arrangements have to be made for students and ward staff to confer with each other; and that students should be advised on how to make effective use of the meetings to share their experiences and increase their knowledge. The implications of these findings for nursing students'education are discussed.

Adult↗
PubMedDate not supplied

[Treatment of systemic arterial hypertension].

The World Health Organization (WHO) and several other international committees on the study of hypertension define that a patient with blood pressure between 140/90-150/95 mmHg must be treated. In the first stage of hypertension it is possible to modify it with life style changes, but if high blood pressure persists, then drug therapy must be evaluated carefully. Drug therapy management is individualized and based upon age, race, previous history of hypertension, and risks for target systemic organs. At the National Institute of Cardiology "Ignacio Chávez" in Mexico City there is a wide experience with drugs of several groups, and treatment is chosen to give the patient the greatest advantage and quality of life. Nursing requires a clear and precise knowledge of drug therapy in hypertension, as well as the understanding of its physiopathology to support in an effective way each one of the interventions. Through the Nursing process, Nurses direct their actions not only to the correct administration of drugs, but also, based on the patients background, to orient, inform, and educate the patient about disease to achieve a strict drug therapy compliance, in order to reach the main goal of the process, the which is the best quality of life possible.

Humans↗
PubMed1990

Quality assurance in nursing care: structure and process of nursing care.

This article has the following objectives: to state the continuity in quality assurance in nursing without developing them, to point out the changes and the trends, to comment on them and to suggest plans of action. The objectives will be attained integrating these changes into the two first steps of the evaluation: the elaboration of norms and the measuring, including structure and process and mentioning the outcome. Proposals as how to act are presented; different actors have to play their own role: the nursing profession, the nursing unit, the nursing department, the executive board of hospitals, the legal and representative authorities.

Employee Performance Appraisal↗
PubMed2001

Using the nursing minimum data set for the Netherlands (NMDSN) to illustrate differences in patient populations and variations in nursing activities.

RATIONALE: A nursing minimum data set (NMDS) provides data that are useful to legitimate nurses' contribution to healthcare. In Belgium and the US, such NMDS are operational, other countries are developing it, among which is the Netherlands. OBJECTIVE: To evaluate whether the nursing minimum data set for the Netherlands (NMDSN) is suitable to describe the diversity of patient populations and the variability of nursing care. METHODOLOGY: Using the NMDSN data collection forms, patient data were collected from 15 different hospital wards. During one week, nurses manually completed the NMDSN list for every patient. The data analysis methodology from the Belgian MVG was used, including ridit analysis and graphs. RESULTS: The NMDSN includes items related to hospital, patient demographics, medical condition, nursing process, nursing phenomena, nursing interventions, outcomes of nursing care, and complexity of care. There were 686 individual patients in the study, while for the data analysis their 2090 patient days in the hospital were used. Frequencies of nursing phenomena, nursing activities and results of care were calculated, transformed into ridit scores, and presented graphically as 'fingerprints'. CONCLUSION: The set of NMDSN items allows illustrating the diversity of patient populations, and variation in nursing care by means of 'fingerprints'.

Activities of Daily Living↗
PubMed2003

[Evidenced-based nursing: knowledge, performance and learning in nursing care].

As part of the nursing process, nurses choose an academically secured intervention in response to a patient's problem, implement it and evaluate it. "Evidence based" describes a learning and working method which has the advantage of being applied in real, professional problem situations. Not only the learner but also the professional nurse can improve their competencies for professional acting. Following the problem- and motivation orientated approach of Roth (1983), the implicit learning steps of this method can be illustrated. The implementation of evidence-based nursing can raise high expectations. However, there are also critical aspects connected to it that need further exploration.

Education, Nursing, Continuing↗