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PubMedDate not supplied

The nursing licensure process and the NCLEX-RN.

Each profession is obligated to ensure society's safety. Licensure examinations must be valid and reliable measures of the knowledge necessary to practice safely in the profession. Nursing has an obligation to society for safe care and licensure is one way to guarantee this. Many changes have occurred in nursing licensure and many nurses are unfamiliar with them. The author traces these changes, describing and analyzing the current licensure examination.

Education, Nursing↗
PubMed1989

Nursing diagnosis: a strategy for teaching etiologies.

In teaching the nursing process, educators ask students to identify nursing diagnoses for patients in the clinical area. Nursing diagnoses provide structure and focus for the student's plan of care. However, beginning nursing students have little or no clinical knowledge upon which to base decisions in the area of etiology determination. A model is presented which limits etiologies to four categories. The four categories can also assist the nurse in practice to assess needs in order to comprehensively plan and implement care. Examples of nursing diagnoses pertaining to the neuroscience patient using the four categories of etiologies are described.

Curriculum↗
PubMed2006

Nursing documentation audit--the effect of a VIPS implementation programme in Denmark.

AIM AND OBJECTIVES: The aim of this paper is to present a study describing nurses' adherence to the VIPS model by evaluating the quality of nursing assessment, and the quantity of completed nursing care plans. BACKGROUND: Numerous efforts have been made over the years to improve nursing documentation in Denmark. Hospitals have traditionally based nurses' charting on a rudimentary version of the nursing process and on Virginia Henderson's theory of human needs. In 2002-2004 the Copenhagen University Hospital, Rigshospitalet, introduced the Swedish VIPS model for nursing documentation. VIPS is an acronym for well being, integrity, prevention and safety, all of which are seen as major goals for nursing care. The model organizes nursing data according to a system of keywords, which facilitates storage and retrieval of data. DESIGN AND METHODS: The design in this part of the study was retrospective, wherein 50 journals from each of the departments of cardiology, neurology, oncology and urology were audited annually for three years using the Cat-ch-Ing instrument (n=600). All nursing journals were randomly selected by including the first 50 journals at each site given a specific date. RESULTS: The nursing documentation significantly improved during the course of the study. After the second year the participants used the keywords appropriately and correctly according to the VIPS model. Application of primary nursing increased during the study. Initial, ongoing and discharge patient status improved. The nurses' familiarity with nursing diagnoses, goals and interventions increased. CONCLUSIONS: The structured implementation programme significantly improved nursing documentation, and the simultaneous training of the entire nursing staff shows promise. The VIPS model has prepared the nurses for more complex computerized taxonomies and classification systems in the future by improving the nurses' analytical skills. Relevance to clinical practice. New strategies for improving nursing documentation have been demonstrated.

Adult↗
PubMed1994

A comparison of three theories of nursing used as a guide for the nursing care of an 8-year-old child with leukemia.

This article evaluates three nursing theories that can be used to provide a framework for holistic pediatric oncology nursing practice: the Roy Adaptation Model, the Neuman Systems Model, and the Orem General Theory of Nursing. Each theory is compared in terms of its view of man, health, environment, nursing, and the nursing process. Critique of each theory is presented. The decision of which theorist to use as a basis for practice is left to the individual nurse. This article explicates the similarities and differences in the three theories.

Child↗
PubMedDate not supplied

Incorporating cultural diversity in nursing care: an action plan.

This article examines the context of culture from the perspective of the increase in immigration and concomitant growth of diversity within the United States. It proposes that nurses who deliver culturally competent care are brokers of three cultures: their own; the health care system; and the client. The mechanism for creating approaches to care that utilize this concept is the nursing process. A culture-specific assessment can be achieved using the explanatory model of illness. The inadequacies of some frequently used strategies such as nursing diagnosis are also discussed with suggested changes.

Attitude of Health Personnel↗
PubMed2002

Conceptual frameworks in undergraduate nursing curricula: report of a national survey.

A national survey was conducted to analyze the components of conceptual frameworks to assess how they are being used to organize the curricula of nursing programs and to determine whether there was a difference among types of programs (i.e., baccalaureate degree, associate degree, diploma). A stratified, random sample of 300 National League for Nursing Accrediting Committee-accredited schools of nursing was selected based on percentages of each type of program. Questionnaires were returned from 160 programs. The survey found that the conceptual frameworks of most nursing programs were eclectic and that the nursing process was the most commonly cited component for all types of programs. Significant differences were identified among the three types of programs in their use of simple-to-complex organization, the medical model, and the nursing process. Significant differences also were identified among the three types of programs in incorporation of the metaparadigm concepts of nursing, person, health, and environment, and the emphasis placed on critical thinking, problem solving, and therapeutic nursing interventions.

Concept Formation↗
PubMed1992

The content of the oral daily reports at a long-term ward before and after staff training in integrity promoting care.

This study was based on the assumption that the daily report between different caregivers are of great importance for the quality of the care delivered and that they guide the content of it. The staff of a nursing home ward were given training in integrity promoting care and special training in reporting. After a three months' intervention period effects on patients and staff were evaluated and compared with a control ward. Positive patient outcomes have been reported earlier. The aim of this study was to describe the content of the oral daily reports between staff members in long-term care and investigate whether some changes occurred after training that might have contributed to the positive results for the patients. Another aim was to assess whether the staff regarded the reports as satisfactory. Oral reports were tape-recorded before and after staff training. A content analysis by a scheme based on Henderson's description of components of nursing care and a form analysis based on the nursing process were made. The reports were highly task oriented and the staff often discussed the patients' reaction in vague and general terms. The steps of the nursing process did not seem to be used. The answers to a questionnaire about the staff's satisfaction with the oral reports showed some increasing dissatisfaction and also comments about needs of more collaboration between different groups of personnel. More messages were given per report after the intervention compared to the control ward and the messages with psychosocial content had doubled.(ABSTRACT TRUNCATED AT 250 WORDS)

Communication↗
PubMed1990

The Betty Neuman Systems Model applied to practice: a client with multiple sclerosis.

The importance of nursing theories and models for the growth and development of the profession of nursing is widely acknowledged. The variety of nursing phenomena and situations demands some flexibility in the choice of specific conceptualizations to be used. This paper demonstrates the goodness of fit of the Betty Neuman Systems Model to the care of clients with multiple sclerosis. An adapted assessment tool, based on Neuman's tool, but more useful in the acute care medical setting, is used to gather data related to a woman with recently diagnosed multiple sclerosis. A nursing care plan illustrating the use of Neuman's model is generated, implemented and evaluated. The Neuman Model is demonstrated to be useful and effective in the implementation of the nursing process in this case.

Adult↗
PubMed1996

Clinical supervisors' views of their leadership role in the clinical supervision process within nursing care.

The purpose of this study was to investigate nurse supervisors' views of their supervisory styles, their personal qualities and their leadership role, and the development of these styles. The sample consisted of 18 clinical nurse supervisors. The data were collected by interviews using 15 open-ended questions, and a 10-item questionnaire, and the analysis was a combination of hermeneutical and factor analysis. The analysis revealed two specific styles: the emotional and the cognitive supervisory style. The supervisor's personal qualities were: willingness and preparedness to show understanding, bringing out genuine feelings and 'confirming', the latter being the most important in the nurse supervisors' styles. The supervisors' views of their leadership role showed that high values were given to the following three factors: techniques in providing clinical supervision, responsibility for facilitating process, responsibility for creating a climate conducive to supervision and focusing on the main themes.

Attitude of Health Personnel↗
PubMed1989

The significance of primary nursing.

Primary nursing is a relatively new phenomenon in the organization of ward-based nursing. This paper seeks to answer the question of what lies behind primary nursing's sudden and startling rise in popularity. Factors within nursing which are implicated include most importantly the adoption of the nursing process, and the attempt to provide truly individualized patient care. Nursing's search for professional status has played its part, primary nursing frequently being seen as a key strategy in its achievement. Other areas of wider social change have also had an impact, from the nascent dominance of new right political/social values, to the micropolitical scene within the British National Health Service. While appearing to be the ideal answer to some of nursing's current problems, primary nursing contains some inherent contradictions, most evident being those surrounding the concept of accountability. It may also threaten the cohesiveness of the nursing team on the ward, and may lead to the uncovering of conflicts between doctors and nurses. Finally, perhaps one of the major reasons for its continuing success is the way it brings together the various nursing interest groups and current managerialism in the NHS.

Humans↗
PubMed2004

[Quality dimensions in patient records--a standardised analysis of nursing home resident records].

279 resident records of 26 nursing homes were analysed using a standardised instrument as part of a comprehensive study about the quality of nursing homes in Frankfurt on Main. The main questions referred to the completeness of several content indicators and the visibility of the nursing process in the different parts of the records. Selection criteria were records only of residents in care dependency level two or three. From each of the 26 participating nursing homes at least 10 up to a maximum of 14 records depending on the number of residents were chosen. The best part of the documentation is the assessment, especially the body-oriented problems and resources and the caring devices. However neither the resident's perspective or the source of information are generally noted. The planning part contains mainly interventions, is not always related to the assessment and refers quite seldom to the support of resources. The report shows even more deficiencies. The worst part is the evaluation. A comparison of extreme groups of nursing homes with a very good resident/staff relationship to those with a very bad resident/staff relationship shows that many parts of the records, but not all, are much better documented in the homes with more staff than in those with less staff.

Aged↗
PubMed2006

Evaluation of concept mapping in an associate degree nursing program.

The purpose of this project was to evaluate concept mapping as a clinical teaching-learning activity that reflects critical thinking by promoting identification of nonlinear relationships among the components of the nursing process. The sample involved 28 associate degree nursing students from one graduating class. Students completed one map each in the second and fourth semesters and two maps in the fifth semester, for a total of four concept maps. The students' learning activity was to create a concept map on a blank sheet of paper describing the clients' physiological and psychosocial needs and nursing care and the relationships among concepts. As students progressed through the curriculum, there was a steady increase in the mean scores and the average number of cross-links in their concept maps. Cross-links indicated students' ability to use nonlinear thinking to identify relationships among concepts. The results of this study support the use of concept maps as an effective teaching-learning activity and support concept mapping as an evidence-based nursing education strategy.

Adult↗
PubMed1987

Effective nursing orientation can thwart dissatisfaction.

With experienced nurses at a premium, every hospital faces the problems of nursing recruitment and retention. Low morale among nurses may compound the problem. Nursing administrators may bolster morale--thus improving retention and aiding recruitment efforts--by providing a thorough orientation program, setting clear guidelines, and providing a supportive environment for staff members to suggest care system innovations and make daily decisions. Effective orientation relies on the administrator's appreciation of the nursing process. Close cooperation is necessary between administrators and nurses as nursing administrators identify stages of the orientation process that staff members are working through and intervene with direction and advice to encourage progress. Administrators may help nurses by: Consciously supporting them in their efforts to achieve the four nursing practice components: skill competency, anticipatory care, concerned human presence, and dealing with the life effect. Establishing clear-cut guidelines within which nurses may make decisions. Being aware of the patterns of staff responses to job challenges and replying to these responses.

Decision Making↗
PubMedDate not supplied

[Retrospective analysis of nursing records at a specialized unit].

This is a retrospective longitudinal study conducted in a Specialized Unit in the interior of Brazil. It aimed at verifying differences in nursing records with regard to how to document the care provided to patients in three periods related to the implementation of the Nursing process. Data were collected from 20% of the records of patients aged over 15 years who were randomly selected according to proportional distribution. Such data were fully transcribed in an instrument constructed for this purpose and classified according to the proposals of the referential. The Binomial Test was used for analysis with a significance level of 0.05%. The results showed a tendency to improvement of the records as to writing intellection and complete description of the signs/symptoms in the second period. It was concluded that there was a difference between the initial and the pre-implementation periods, which expresses the need to review the way the Nursing Process must be developed as a responsibility of the whole nursing team.

Hospital Units↗
PubMed1991

Pairing students for community health nursing home visits.

Faculty paired community health nursing (CHN) students for home visits to reduce students' anxiety and enhance their learning of the nursing process. The pairing method involved 60 students over a three-semester period. The process is described and advantages and disadvantages are analyzed. The net results are favorable. Faculty found that students' fear of entering an unfamiliar home was supplanted by a sense of challenge at working collaboratively with a peer. Furthermore, the pairing experience increased students' confidence in making decisions about client care and offered them more physical safety when visiting high-crime urban settings. Students felt positive about the increased safety and expressed greater confidence in their CHN role and their application of the nursing process.

Community Health Nursing↗
PubMedDate not supplied

[Group process in nursing: possibilities and limits].

This paper describes our study trajectory and reflection on the use of groups in Care. Through a qualitative perspective we aim at identifying, under the interviewees perception, the aspects which motivate them for this activity, their learning sources and their group concrete experiences relevant topics. We have verified that nurses recognize the therapeutic value of this work which promotes them adequate structural and physical conditions. However, it has been observed that one of the limiting factor for this activity is the difficulty of dealing with group situations which reveal the nuances of human feeling indicating that the group coordinator nurse besides needing theoretical resources, he also needs to exercise his self-knowledge in order to provide a group relationship and environment able to optimize this activity therapeutic value.

Adaptation, Psychological↗