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At least 1,477 records · Page 82Linked to original sources
PubMed1995

The chronic wound pain experience: a conceptual model.

Chronic wound pain is experienced to a greater or lesser degree with most types of chronic wounds, yet research to date on this subject has been extremely limited. This article presents an empirically and inductively derived model, including a theoretical definition of the chronic wound pain experience (CWPE) and its subcomponents (noncyclic acute wound pain, cyclic acute wound pain and chronic wound pain). The model relates the CWPE to the nursing process and to nursing diagnoses and proposes intervention schemes to optimize patient outcomes. Avenues for future research are delineated.

Chronic Disease↗
PubMed1997

Risk management considerations in conscious sedation.

Sedation care is an expanded nursing role that may have potential liability associated with it. Liability reduction requires consistent application of the principles of the nursing process. Properly prepared nurses with commitment to patient safety will discover that the art and science of nursing combine in this challenging area of patient care.

Procedural Sedation↗
PubMed2000

[The process of nursing work in collective health and interdisciplinary studies].

This study aims at discussing and stimulating reflections on the need of an interdisciplinary dialogue when the object of work is the health-illness-care process. The authors discuss the definition of Nursing by considering its essence, care, its history and practice. Following, considerations about inter- and trans-disciplinary studies on collective health are presented and the authors conclude with a proposal of basing care on the theory of communicative action developed by Jürgen Habermas.

Interdisciplinary Communication↗
PubMedDate not supplied

Effects of guided design and lecture teaching strategies on knowledge recall and on problem-solving performance of student nurses.

The purpose of this study was to compare the effect of guided design and lecture teaching strategies on the clinical problem-solving performance of first quarter student nurses. The guided design treatment (written simulations and small group interaction) was selected especially with a view of developing new approaches to teaching nursing diagnosis. A total of 50 students, enrolled in Fundamentals of Nursing, were randomly assigned to two treatment groups: guided design and lecture. Each group received 10 hours of instruction. Treatment groups remained intact for 6 weeks of clinical practice following instruction. Recall knowledge of the nursing process was measured by an objective examination, and performance in problem solving was measured through the use of a care plan evaluation tool. Data were analyzed using analysis of variance and t-tests. Students taught by guided design scored significantly higher than those taught by lecture in preparing a patient care plan for an actual patient and for a simulated patient. Knowledge of the nursing process as tested by an objective examination was not significantly different for the two treatment groups.

Adult↗
PubMedDate not supplied

Measuring nursing outcomes in a psychiatric setting.

Recent developments in health care reform suggest the importance of outcome data regarding the nature, costs, and documented effectiveness of various health care services. While psychiatric nurses believe in the value of the care they provide, the present climate requires that research be conducted to elaborate the outcomes of psychiatric nursing care. This article describes a pilot study conducted on two adult inpatient units of a teaching hospital. On the experimental unit, nurses used North American Nursing Diagnosis Association (NANDA) nursing process documentation that related to specific patient outcome criteria. On the control unit, nurses used a medical systems approach to documentation. Study results and important unanticipated findings are reported with implications for future nursing research and practice.

Adult↗
PubMed2004

Resident-oriented care in nursing homes: effects on nurses.

BACKGROUND: In a resident-oriented care model the assignment of patients to primary nurses takes place. These primary nurses are responsible for the total nursing care of their patients and make use of the nursing process. According to job demand-control models, these enlarged and enriched jobs can be described in terms of autonomy, job demands and social support, and the presence of these work characteristics has a positive influence on workers' psychological and behavioural outcomes. AIMS: This paper reports a study to investigate the extent to which the various features of resident-oriented care were implemented and its effects nurses' on work characteristics and on psychological and behavioural outcomes in three Dutch nursing homes. METHODS: In a quasi-experimental design, experimental and control groups were followed over 22 months, using a pretest and two post-tests with questionnaires, interviews and qualitative observations. RESULTS: The quantitative data showed significant increases in resident assignment, the two variables measuring the nursing process and, in the psycho-geriatric experimental group, on resident-oriented tasks. The qualitative data showed that a partly task-oriented division of labour was still used and that the planned delegation of coordination tasks to primary nurses was not fully achieved. Effects on work perceptions were limited. After implementation of the new system, the experimental group showed an increase in job autonomy. CONCLUSIONS: The intervention appeared to be only partly successful. Most of the expected results regarding work characteristics and psychological and behavioural outcomes did not materialize. Theoretical and methodological reflections are presented in the light of these findings.

Adult↗
PubMed1983

Discharge planning for the elderly patient in the acute care setting.

Discharge planning is an important professional function of the nurse caring for elderly persons in an acute care setting. In collaboration with the patient, the family, and other health care providers, the nurse often assumes the major responsibility for developing a comprehensive discharge plan to assist with continuity of patient care. This plan must be written with clearly identified objectives. Direct support to the patient and professional collaboration in discharge decision-making are major contributions of the nurse to patients moving from the acute care setting to other environments. By applying the nursing process to discharge planning, the nurse can enable elderly patients to realize their maximum potential on discharge.

Activities of Daily Living↗
PubMed2006

The force of nursing theory-guided practice.

This column is the first of two that features summaries of the papers presented by nursing theory-guided practice experts at the American Academy of Nursing meeting in Scottsdale, Arizona, in November 2005. Their presentations inform us about the diversity of nursing processes that facilitate human health and define the discipline. In this column, the focus is on the Roy adaptation model, King's transaction process and concept of goal attainment, and the concept of trust as a pattern manifestation of Rogers' human-environment process.

Adaptation, Psychological↗
PubMed1995

A new paradigm for computer-based nursing information systems twenty care components.

This paper describes a new paradigm for computer-based nursing information systems. Twenty Care Components provide a means for coding, classifying, and statistically analyzing nursing taxonomies. They provide the structure for documenting the nursing process using a holistic approach. They can be used to assess, document, cost, evaluate, as well as link the nursing process phases. The components are classes and can be used to compare nursing care across health care settings, nationally and internationally. They make it possible for nurses around the world to communicate on-line and interact with each other.

Computer Communication Networks↗
PubMed1991

The effect of nursing home quality on patient outcome.

This historical cohort study investigated the relationship between nursing home quality and the group outcomes of mortality, rehospitalization, and discharge. Multiple logistic regression was used to determine if nursing home quality indices increased the prediction of these outcomes when patient severity of illness and case-mix differences were in the model. Three hundred ninety veterans discharged to 11 nursing homes were followed for 6 months. Nursing home quality was assessed using indices from the Multiphasic Environmental Assessment Procedure and the Rush-Medicus Methodology for Monitoring Quality of Nursing Care. An increased likelihood of death was associated with the diagnoses of cancer and heart disease and with being rehospitalized. Four nursing home quality indices significantly improved the prediction of mortality (RN hours, nursing process, security, and mean quality). Rehospitalization was associated with the patient factors of heart disease, hypertension, race, and level of care and with size of the nursing home. Discharge from the facility was inversely associated with the diagnosis of cancer and directly related to the index of nursing process. The results support the notion that group outcomes may be related to nursing home quality and suggest the need for further studies to investigate the specific elements of nursing home quality which relate to improved outcome.

Adult↗
PubMed1993

Design and results of the nursing quality assurance program in Hospital de la Santa Creu i Sant Pau: an integrated effort.

This paper aims to describe and evaluate the results of the Nursing Quality Assurance (QA) Program in the Hospital de la Santa Creu i Sant Pau. The program was designed in 1987 as part of a global QA program involving all aspects of patients' care. The QA Program was organized at three levels: hospital, ward and joint medical-nursing. During the first 3 years of the study the following activities were carried out: (A) nursing process and results; (B) risk management; (C) patients' opinion; (D) utilization review; (E) ward nursing QA programs. Among other significant results, the program has detected that only 55.6% patients manifest that they sleep well at hospital, hygiene of dependent males (51%) is significantly worse than dependent females (81%) and patients' falls are more prevalent among oriented patients (73%) than disoriented patients (27%). Also a significative improvement has been demonstrated after implementing corrective measures in patients' information (7.5/10-8.1/10) and patients without supervision in emergency areas became from 35% to 0.02%. New nursing records were designed as a result of the QA assessment. The most important conclusion is that the Nursing QA Program is a valid instrument to evaluate general problems in the hospital and concrete problems in each ward.

Female↗
PubMedDate not supplied

Hospital case management: the path to empowering nurses.

Hospital nursing case management is a client-centered approach to patient care that emphasizes client outcomes and nurse accountability. While nursing case management uses the nursing process, it also promotes patient advocacy throughout the entire episode of illness. By incorporating this model of care, nurses can increase their authority, creativity, and satisfaction in the health care system.

Humans↗