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At least 145 records · Page 8Linked to original sources
PubMed1999

Describing parish nurse practice using the Nursing Minimum Data Set.

The purpose of this study was to describe parish nurses practice using the framework of the Nursing Minimum Data Set (NMDS). Nineteen parish nurses practicing in 22 faith communities collected data using standardized nursing classification systems (North American Nursing Diagnosis Association [NANDA] Taxonomy and Nursing Intervention Classification [NIC]). A database was developed for quantitative analysis. Nurses recorded 1,557 encounters for services provided to 776 individuals. Over the period studied, the nurses recorded 1,730 nursing diagnoses and 3,451 nursing interventions. The most frequent nursing diagnoses and nursing interventions are reported and emphasized health promotion and illness prevention. The parish nurse roles of educator, counselor, referral agent, and advocate/facilitator, described in the literature, were consistent with the findings of this study. A focus group of the parish nurses provided validation of the results of the database descriptions of practice. The nurses also identified issues related to the use of NANDA and NIC in documenting practice.

Christianity↗
PubMedDate not supplied

Assessing competency for community-focused nursing practice.

What and how we teach, how we learn, and how we practice nursing are fundamentally changing. Perspectives on Assessment invites dialogue on assessment's central role in the paradigm shifts currently occurring in nursing education and nursing practice. Programs of assessment in educational and practice institutions offer the opportunity for continuous feedback on the quality and effectiveness of our efforts to prepare nurses who are competent to practice in a healthcare environment that is continuously changing and increasingly community based. The assessment process itself offers the opportunity for us to engage in an ongoing conversation about our progress with these two paradigm changes.

Clinical Competence↗
PubMed2000

Crown II: the implications of nurse prescribing for practice nursing.

Certain limited prescribing rights have now been granted to district nurses and health visitors. Proposals to extend prescribing rights to other health professionals have recently been put forward in the Review of Prescribing. Supply and Administration of Medicines (DoH, 1999). Practice nurses are one group who are likely to apply for such rights. This article reports on selected findings from a small-scale qualitative study designed to investigate the current and potential future of practice nurse in prescribing. It was found that practice nurses exercise considerable influence over prescribing in diverse therapeutic areas within general practice. However, it may be difficult to accommodate the prescribing requirements inherent in such a broad scope of practice within the framework of the present proposals. Important issues of accountability and patient safety are raised, and recommendations made for policy, research and education.

Attitude of Health Personnel↗
PubMed1994

Practice theories in nursing and a science of nursing practice.

The claim that knowledge about clients, client problems, and nursing therapeutics is enough to make nursing practice scientific is refuted on the basis that practice theories in nursing must encompass not only theories addressing these aspects but also those dealing with practice issues pertaining to the nurse-agent in action. A comprehensive framework specifying two dimensions of focus for practice theories is proposed to examine different types of practice theories in nursing and it is further used to frame a science of nursing practice as a subset of nursing science at large. Knowledge development for a science of nursing practice is then examined within four possible paradigms founded on different ontological and epistemological views.

Aged↗
PubMedDate not supplied

Advanced nursing practice: old hat, new design.

Advanced practice nurses positively impact the delivery of healthcare and client outcomes. However, in the past these positions have been seen to have variable value and were often vulnerable during budget cuts. Lack of a clear advanced nursing practice (ANP) framework probably contributed to the compromised effectiveness of these roles and evolution of roles with different titles, scopes of practice and reporting structures. To build the foundation for developing an ANP framework, a task force at The Ottawa Hospital (TOH) conducted a literature review related to ANP roles and completed a review of all clinical nursing roles at TOH. In addition, focus groups with nurses and other health professionals elicited ANP perceptions. The ANP framework includes a standardized job description that details competencies under five role components: clinical practice; consultation; research; education; and, leadership. Recommendations for assessment, implementation and evaluation of ANP roles are identified. The process undertaken by our ANP task force proved to be thorough and sound in developing a framework within which to move forward with ANP role implementation throughout TOH. This article, describing the process, may assist other organizations in defining ANP roles to better meet patient needs in changing health care environments.

Clinical Competence↗
PubMed1998

[From the ritualized distance between nursing practice and nursing theory to eye-level contact].

Although the "social relationship" between care givers and care recipients should be one of the distinguishing features of care giving--in contradiction to medicine--there is in fact a clear need in practice and on a theoretical level for the professional to distance him-/herself from a physically or psychologically "other" person. In order to avoid this destructive situation whereby people are divided into categories such as healthy and ill, helping and in need of help, powerful and weak, knowledgeable and ignorant, a self-reflective process on the part of the caring profession needs to be set in motion. This would inevitably lead care givers to question their roles and behaviour as professionals which is a necessary step towards establishing a "social relationship" between care givers and care recipients. Only then can the experience of the care recipients and the professional knowledge of the care givers be regarded as of equal importance. No longer would care recipients be perceived as somehow different and needed to be kept at a distance by numerous rituals.

Ceremonial Behavior↗
PubMed1998

The diagnosis, transmission and prevention of HIV-1 in the infant under 18 months of age: implications for nursing practice.

Vertical transmission of HIV from mother-to-child is a significant problem around the world. This paper examines the main issues that confront those caring for pregnant women who may transmit HIV-1 to their babies with reference to the impact upon clinical practice. Nursing practice should accommodate research from a number of disciplines including medical and scientific researchers. A number of risk factors for vertical transmission have been identified, including immunological status of the mother, premature birth, method of delivery and breast feeding. The use of prophylactic zidovudine has also been shown to reduce the rate of transmission of the virus, although it is not clear at what point in pregnancy and delivery it exerts this protection. Although this paper considers recent advances in the prevention of vertical transmission, this is a rapidly developing area and readers are provided with Internet addresses where the most up to date information may be found.

Adult↗