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PubMed1997

[Holistic promotion in the process of nursing care in a home nursing situation--an empirical case study].

This article presents results of an empirical test of the conceptual model of "holistic promotion in the process of nursing care" (Krohwinkel, 1991, 1992, 1993a, b, 1994) in a home care situation within an empirical case study. The results show that by an integrated assessment of the client's problems/needs and the systematic integration of his abilities and those of his primary related person, as well as the application of promoting methods of nursing in the nursing process, independence and well-being can be reached in "Activities and Existential Experiences of Living" (AEDL's). This independence/well-being leads also to a relief of the primary related person, his wife, and therefore contributes to the security of the home care situation.

Activities of Daily Living↗
PubMedDate not supplied

Understanding the research process in nursing.

This article provides an overview of the research process in nursing, outlining a logical and structured approach to answering research questions. Illustrations from a hypothetical research study are used to outline procedures that are relevant to NHS research.

Nursing Process↗
PubMedDate not supplied

Starting a nurse-managed center for older adults: the needs assessment process.

Nursing centers can be a vital part of the plan to meet the health needs of the coming "age wave." Nurses, who provide both the care for chronic illness and the means for preventing the onset of chronic disability, are in key positions to influence the evolving health care system to create new systems of community-based care. The time for NMCs is, perhaps, now or never. Conducting a thorough needs assessment is the first important step.

Aged↗
PubMed1990

The teaching of decision-making process to nurses working in hospital.

The study examines how systematic teaching of nursing decision-making process can develop nurses' decision-making in practice. The study was carried out as action research. Teaching lasted five months. The subjects were measured by many methods at the beginning and at the end of the study. The results showed that by systematic teaching nurses can learn the identifying and understanding of decision-making process as separate from the organisational factors in the work environment. The utilisation of this knowledge in nursing practice presupposes the support of the work environment.

Clinical Nursing Research↗
PubMed2005

Process of nursing as an active form nurse's work with patient in therapeutic team--project of evidencing the process of looking after a sick person for students of nursing Faculty of Health Sciences, UMK Collegium Medicum in Bydgoszcz.

In years sixtieth in U.S.A. the process of nursing was introduced to the contemporary practice of nursing. U.S. was also the first country where the need of teaching the nurses on high standard was noticed and executed. In years 1960-1980 a very intensive development of nursing appeared there, the process of nursing strengthened it's position as a work method based on the theory of human's needs. In Poland idea of process of care developed from over twenty years. Instruction cares is based for scientific bases this of process. Process of nursing as dynamic work method, makes a work of nurse very active and raises the quality of care after a sick person. This process embraces with one's own range also healthy man, potentially threatened with disease, family, group of persons and environment. It is the modern form of nursing in the contrary to nursing understood in traditional way. The main purpose of introduction the process of evidencing to execution of classes like geriatrics and geriatric nursing with students of the third year Faculty of Health Sciences, UMK Collegium Medicum was moulding abilities of conducting the process looking after a sick person by students trough underlining the meaning of scientific bases of nursing.

Education, Nursing↗
PubMed2004

Witnessing change with aspiring nurses: a human becoming teaching-learning process in nursing education.

Nurse educators have the opportunity to encourage meaningful reflections of nursing students. Dr. Rosemarie Rizzo Parse's teaching-learning processes provide a framework for such experiences. Student reflection through journaling and student participation in dialogue using these processes brings about an opportunity for students to discover new meaning for themselves and others. The process of how two nurse educators incorporated the human becoming teaching-learning model into students' experiences is discussed. Excerpts of student journals, themes of student work, and considerations for future development of the teaching-learning model with students are discussed.

Education, Nursing, Baccalaureate↗
PubMed2004

[Application of therapeutic play in the process of nursing a preschool patient].

This report describes the application of therapeutic play to a 4-year-old female patient with intestinal obstruction during the process of nursing. The patient suffered a Port-A in the clavicle and an ileostomy in the right upper abdomen. She cried incessantly and resisted nurses who attempted to change her dressing. Data were collected by participant observation, and it was found that the patient had problems dealing with anticipatory pain and body image and lacked an emotional outlet. Therapeutic play therefore was applied during the process of nursing in an effort to accomplish the following: (1) establish trust between the patient and the health care providers; (2) reduce the patient's fear of therapy; (3) help the patient to understand her own self-image; (4) provide an emotional outlet for her. During the nursing process, we improved her overall compliance, provided her with an emotional outlet, and helped her to understand her self-image. Through this nursing process we experienced the nature of children's play. Pediatric nurses may consider employing play as a means to communicate with patients in an effort to reduce their stress during hospitalization. Therapeutic play may also improve patient compliance with the process of nursing.

Child, Preschool↗
PubMed1995

Challenging a reductionistic paradigm as a foundation for nursing.

Historically, nursing practice has been grounded in the objective, analytic philosophy of the natural sciences. Over the past decades, caring--a humanistic concept--has been espoused as the essence of nursing. Paradoxically, practice based on the theme of caring remains aligned with the philosophy of the natural sciences and continues to use tools such as nursing process and nursing diagnosis, products of the natural sciences paradigm. The authors have outlined the foundation for a philosophy of caring. The encounter between caregiver and patient is the central aspect of this philosophy and is elaborated with the related concepts of openness, nonreductionism, immediacy, and meaning. In addition, holistic nursing practice requires attention by caregivers to their own self-awareness and the personal growth that is necessary for the demands of encountering patients. Practice based on such a philosophy maintains the primacy of the caregiver-patient relationship and permits the incorporation of analytic tools without depersonalizing effects.

Empathy↗
PubMed1997

Latex allergy in the nursing population.

This paper analyzes the major health issue "latex allergy," and risk reduction for nurses (aggregate). First, the historical significance of latex in the environment is discussed along with our rationale for choosing latex allergy as a major health issue. Identification, description and justification of the use of Neuman's systems model are evident throughout the paper. In this model, assessment is incorporated into the nursing diagnosis of the nursing process. The second category of the nursing process, planning of actual goals, is negotiated with the client/client system. Intervention strategies are implemented in the last stage of the nursing process, nursing outcomes. The last two categories are formulated into a chart for better clarification of the goals with rationale. Lastly, an evaluation of the goals is discussed.

Dermatitis, Contact↗
PubMedDate not supplied

Perceiving patient assignment methods through a conceptual framework.

For several decades, the nursing process has been the central issue for numerous nursing discussions. Definitions, meanings, sequences and steps as well as their significance have been presented within the context of given clinically oriented conceptual frameworks. On the other hand, the nursing process could be largely influenced by the organizational context in which it is exercised. This article shows how analyzing patient assignment methods through a conceptual framework permits a better understanding of the ways organizational factors impact upon nursing process quality. Nursing care is the central issue of nursing modalities which characterize the organization and provision of its delivery. In this analysis, these modalities are renamed patient assignment methods. They refer to the tasks, roles, policy and structure for allocating nursing personnel to patients for the provision of nursing care in a hospital unit (Kérouac, Duquette & Sandhu, 1990; Nunson, Beckman, Clinton, Kever & Simms, 1980). The synonyms for patient assignment method found in the literature are: nursing assignment patterns, nursing assignment systems, and organization mode of nursing care (McLennan, 1983). Whatever its name, a given modality does not occur by chance but, rather is a product of specific characteristics. Some of these characteristics pertain to the nursing process. These characteristics can be identified and better understood through a conceptual framework. Historically, patient assignment methods have been extensively described in the literature. The descriptions usually focus on their merits and limitations or their comparisons with one and another. To the best of our knowledge, they have not been analysed using a conceptual framework. This article demonstrates how patient assignment methods could be better understood through an analysis using a conceptual framework. This analysis aims to systematically examine the commonly used patient assignment methods: case, functional, team, primary and modular. Particular attention is paid to the variables that influence the patient assignment methods, for instance, patient characteristics, nursing resources and organizational support. Furthermore, the variables related to nursing process quality, such as, comprehensiveness, accountability, continuity, and coordination of care are also examined. This article is addressed to all nurses who wish to examine through new lenses some of the ways they deliver patient care. Knowing more about the patient assignment method one uses implies understanding the contribution of the organizational factors applicable to the nursing process. Moreover, it is a sure way of enhancing quality care when one has the knowledge of the philosophy, values, beliefs and meanings inherent in each assignment method.(ABSTRACT TRUNCATED AT 400 WORDS)

Models, Nursing↗
PubMed1990

Building undergraduate nursing students' knowledge of the research process in nursing.

This article describes a simple approach to teaching a nursing research course to undergraduate nursing students which was received with enthusiasm by both students and faculty. Through short answer progressive assignments throughout the semester involving students in the thinking processes required at each stage of the research process, student knowledge of the research process was progressively developed. Students chose a topic of personal interest for a proposed study and carried this topic through the various phases of the research process. Students positively evaluated this approach frequently commenting that the approach helped them to "think in different ways than before" and strongly recommended continuance of the approach in future course presentations.

Curriculum↗
PubMedDate not supplied

The nursing care technician program. An education process for nurse extenders.

The Nursing Care Technician Program at Ochsner Foundation Hospital in New Orleans, Louisiana, is specifically designed to enable the nurse to plan, provide, and evaluate patient care while delegating tasks to assistive personnel. This article describes the institution's approach to role development, reviews the planning, implementation, and evaluation process, and provides an analysis of associated costs, benefits, and patient outcomes of the program.

Cost-Benefit Analysis↗