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At least 1,351 records · Page 75Linked to original sources
PubMed2005

Incorporating healthcare informatics into the strategic planning process in nursing education.

The purpose of this article is to describe the incorporation of healthcare informatics into the strategic planning process in nursing education. An exemplar from the University at Buffalo, the State University of New York School of Nursing, is interwoven throughout the article. The challenges and successes inherent in a paradigm shift embracing the multifaceted adoption of technology in higher education are illustrated. The paradigm shift that necessitated this change, the need for informatics standards and competencies identified by regulatory agencies and the relationship of the triad mission of the Academy which includes research, teaching and service are then elucidated. Information pertinent to the strategic planning process is described including the use of a strengths, weaknesses, opportunities and threats (SWOT) analysis to facilitate the integration of a healthcare informatics model into a nursing curriculum.

Curriculum↗
PubMedDate not supplied

Nursing diagnosis and nursing theory: exploration of factors inhibiting and supporting simultaneous use.

PURPOSE: To explore the values and philosophies of nursing theories that inhibit the simultaneous use of nursing diagnosis and nursing theory. SOURCES: Published articles, books, book chapters. DATA SYNTHESIS: Four factors in the literature and reflected in practice may have had a negative influence on the use of nursing diagnoses: (a) commitment to the uniqueness of each person, (b) an abandonment of the nursing process, (c) a perspective that nursing care is an evolving interaction, and (d) a belief that theory-derived language is more articulate and precise than standard classifications. PRACTICE IMPLICATIONS: Strategies for combining theory and diagnoses include emphasizing the diagnostic terms as professional shorthand and permitting flexibility in modifying diagnoses as needed; widely disseminating the concept that classification can be used effectively with newer iterations of the nursing process reflecting circular, simultaneous, and intuitive processes; developing classification language based on concepts of hypothesis and perception; and including diagnostic categories associated with theoretical perspectives.

Documentation↗
PubMed2006

Nursing job process analysis from viewpoint of process design by job diagram.

Recently Japan demands more and more quality assurance in clinical practice. Several aspects of issues have been discussed to provide significant suggestions for nursing quality assurance. In the quality management field, Process Design, which is known to contribute to quality assurance, is an important frame. This study attempts to analyze the nursing job process from the viewpoint of process design. As a result, some knowledge on the nursing job process could be comprehended. Process analysis from the viewpoint of Process Design is considered significant in nursing practice and further improvement of its technique and application is a challenge for the future.

Humans↗
PubMed2003

Mis-takes: mistakes in the nurse-person process.

This column supports the global mantra to develop mechanisms that address the worldwide crisis in patient safety and demonstrates, using nursing as an example, that the mechanisms currently being developed are too limited. Patient safety initiatives must be expanded to acknowledge and make ways to minimize mis-takes, that is, misconceptions of meaning that emerge when healthcare professionals dismiss, misconstrue, guess, or undervalue patients' perspectives. Commitment to the human becoming school of thought as a guide for practice is suggested as one way to address mis-takes in the nurse-person process.

Adult↗
PubMed2005

The problem of pain evaluation in the process of nursing care in thoracosurgical patients and in general surgery.

Postoperative pain causes numerous disorders in systemic homeostasis. It may result in various complications prolonging the period of convalescence and making the rehabilitation difficult, or even being dangerous to life. A nurse becomes irreplaceable in the process of pain evaluation just after surgical procedures since the pain intensity constitutes the basis for later treatment decisions. The aim of the research is the evaluation of postoperative pain in patients after thoracic and abdominal surgical procedures. 50 thoracosurgical patients and 50 general surgical patients were involved in the research. Patients were selected at random. A visual-analogue scale was used for pain evaluation and the categorisation table was used for the evaluation of patients' self-care ability. Statistical analysis was performed by means of STATISTICA 6 package (StatSoft, Inc). The results prove that in thoracosurgical patients pain intensity is lower and there is no dependence on the operation performed, as in the case of patients after surgical procedures within the abdominal cavity. Statistically significant differences were observed between groups of patients and the analgesic drugs used as well as pain intensity. The evaluation of patients' self-care ability does not depend on the intensity of pain declared by patients.

Aged↗
PubMedDate not supplied

Multidisciplinary mock codes: dream it, plan it, do it, rate it.

A mock code program using the nursing process was developed to teach nurses to cope with code situations. In addition, the program was designed to increase staff feelings of competency and effectiveness in response to a code, and provide a review of procedures, equipment, and roles during a code. The mock code program began with a multidisciplinary 2-hour minishop followed by a 6-month pilot project of prescheduled, and "briefed" mock codes. The specific behavioral objectives for mock code outcomes were translated into an evaluation questionnaire sent to each participant. Final evaluation, including cost analysis, proved the efficiency of the mock code exercises. This article describes how to get started in developing a similar program. Planning is the key. Creative teaching/learning approaches, active participation, realistic simulations, and immediate feedback all contribute to program success.

Education, Nursing, Continuing↗
PubMed1988

Action process of nurse administrators to problematic situations based on Orlando's theory.

This study used Orlando's theory to investigate the action process of nurse administrators to realistic hypothetical situations presented to them by their staff. Ninety subjects recorded their thoughts, feelings and actions in response to six problematic situations. Findings indicated the administrators' first thought was seldom about their staff's reaction to the situation. Most experienced negative feelings about the staff member or about other people associated with the situation which were not expressed. The majority of administrators would handle the situation alone or tell the nurse what to do; less than half would ask their staff a question. The conclusion was that subjects did not consider situations as problematic.

Administrative Personnel↗
PubMed2003

Increasing clinical, satisfaction, and financial performance through nurse-driven process improvement.

Providers and regulatory agencies are increasing their demands for hospitals to document clinical quality and customer satisfaction at a decreased cost. Nurse leaders search for ways to meet these requirements while retaining their most valuable resource: healthcare workers (especially nurses). First-line leadership struggles with balancing quality, cost-effectiveness, and staff retention. The author discusses the planning, methodology, implementation, and outcomes of a staff driven process improvement initiative.

Cost Control↗
PubMed1985

Occupational ideology and clinical decision-making in British nursing.

As the first phase of a study to assess the usefulness of the nursing process model of nursing practice, a survey was carried out in one health district to ascertain the predominant occupational ideology of clinical nurses, their perception of decision-making about individual patient care in everyday work, and their view of whether they ought to exercise a decision-making role with respect to 23 aspects of patient care. Two hundred ideology scale questionnaires were processed, together with perceived and normative decisions inventories. Subjects were representative of six nursing fields, i.e. general nursing, geriatric nursing, psychiatric nursing, mental handicap nursing, health visiting and district nursing. The main findings were that nurses predominantly espouse a professional ideology, they perceive decision-making to be part of their everyday work and contend that they ought to be able to make decisions in 22 out of the 23 areas of patient care included in the inventories. Differences in ideology between the groups and between men and women are identified and discussed, and some areas of role conflict highlighted. The professional ideology was found to correlate significantly with decision-making and a significant correlation was established between paramedicine and bureaucracy.

Community Health Nursing↗
PubMed1999

Patient records in nursing homes. Effects of training on content and comprehensiveness.

The purpose of this study was to describe the effects on the contents and comprehensiveness of the nursing-care documentation in the patient records at nursing homes following an educational intervention. A review was made of records (n = 120) from nursing homes in six Swedish municipalities, allocated to a study group and a reference group. All the nursing home nurses in three municipalities received education concerning the nursing process and how to document according to the VIPS model. A retrospective audit of all nursing notes in the records from the nursing homes was made before and after the intervention. Improvements were found in the contents of the records in the study group. The number of notes on nursing history more than doubled. The occurrence of the recording of nursing diagnoses, goals and discharge notes increased. No corresponding changes were observed in the reference group. In the study group, an increase in the number of acceptable notes with contents on nursing history, status, nursing diagnosis, planned and implemented interventions, and nursing discharge notes was found. This increase was significant. The comprehensiveness in the documentation of single nursing problems was only slightly improved in the study group. No record met the requirements of the national regulations on nursing documentation or followed the nursing process thoroughly.

Aged↗
PubMed1992

Tradition, rationality, and power in introductory nursing textbooks: a critical hermeneutics study.

This study investigated the language used to describe, explain, and interpret the concept of nursing process in four introductory nursing textbooks. A critical theory framework was used to reinterpret the ways in which language or linguistic activities construct the social-historical reality of nurses. Themes related to tradition, rationality, and power relationships were explicated. The meanings disclosed from the world of the text provide understandings about how nurses interpret their professional autonomy and how normative structures inform what constitutes authority and responsibility in research, education, and practice.

Communication↗
PubMed1999

A developmental evaluation process for nurses: enhancing professional excellence.

Healthcare organizations are challenged to provide an environment that enhances professional growth. Miami Valley Hospital responded by examining its evaluation system for clinical nurses and designing a developmental evaluation process. The result is an objective position description outlining global responsibilities of a nurse and a comprehensive, unit-specific assessment of performance. As nurses are guided and nurtured in their development, the opportunities for them to excel are unlimited.

Consultants↗
PubMed1998

Evaluation of nursing practice: process and critique.

This article describes the difficulties in conducting clinical trials to evaluate nursing practice models. Suggestions are offered for strengthening the process. A clinical trial of a nursing practice model based on a synthesis of Aristotelian theory with Rogers' science is described. The rationale for decisions regarding the research procedures used in presented. Methodological limitations of the study design and the specifications of the practice model are examined. It is concluded that clear specification of theoretical relationships within a practice model and clear identification of key intervening variables will enable researchers to better connect the treatment with the outcome.

Clinical Nursing Research↗
PubMedDate not supplied

[Application analysis of Nursing Care Systematization according to Horta's Conceptual Model].

This study has as purpose to analyse the implementation of the Nursing Care Systematization in a private hospital in medical surgical units. Results evidenced that the Horta's Conceptual Model was present only in part of nursing hystory instrument, that the remaining phases of nursing process were not inter-related and that there was a lack of coherence of the prescribed actions in relation to the patient's health condition. From the results of the study it can be concluded that the model used for Nursing Care Systematization is eclectic, not obeying therefore, only to Horta's conceptual model; the totality of the data had not been collected in some phases of the nursing process; there is no correlation of the phases in the majority of analyzed patient records; diagnostic and planning phases do not comprise the phases of the nursing process as proposed by Horta.

Models, Theoretical↗
PubMed1993

Sustaining professional practice: an overview of opportunities.

Over the last decade the trend in surgical nursing has been towards more involvement of the patient in care and decision-making. The ideology of the nursing process can enable the family and the patient to become involved and to exercise individual rights. Within the framework of the nursing process the nurse has been encouraged to perceive and relate to patients in terms of their common and particular personal needs. Furthermore, the patient has a right to contribute to the decision-making process. From the patient's perspective this has been a welcomed change. In recent years patients' rights movements and the development of patients' charters within hospitals and health authorities have been focal. From the nurses' perspective this means that the patient has a right to challenge decisions and treatment. This in turn may lead to nurses' examining and questioning standards of care and professional accountability.

Humans↗
PubMedDate not supplied

A computer program to support patient assessment and clinical decision-making in nursing education.

This article reports on the development of a computer program for the recording of patient assessments performed by graduate nursing students. This program is part of a larger effort called Computer-Aided Research in Nursing (CARIN) that will also be used for data collection and retrieval. This article describes two phases of the current project. Other nursing diagnosis programs in existence are briefly reviewed, and formulation of the two initial steps of the nursing process, assessment and nursing diagnosis, are described.

Decision Making, Computer-Assisted↗