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PubMed2004

Organ procurement from the perspective of perioperative nurses.

This study explores the essential personal challenges associated with organ procurement from the perspective of perioperative nurses experienced with this process. Nurses participated in interviews that reflected and provided detailed experiential information about their participation in the procurement process. Challenges associated with participation included personalizing the event and identifying with the donor family members' grief. Reported feelings about participation in organ procurement included anger, sadness, and helplessness.

Adaptation, Psychological↗
PubMed2002

[Movement as interaction--systemic-constructivist approach to movement and consequences for nursing care]].

The article starts off by analysing the problem that practice of nursing care and its training primarily keep to a mechanistic understanding of movement which is based on the scientific stimulus-response-model. Following this understanding it is argued that subjective dimensions of movement are thus neglected, ignoring patients' needs and demands. In order to reach a complex understanding of movement systemic and constructivist perspectives are introduced. Hence consequences for nurses' development of motorical propositions are developed. Interventions focussed on movements are to be designed as movement dialogues in which patients and nurses must find a consensus. In this process nurses' propositions can be seen as suggestions while patients' responses can be taken as counter suggestions.

Communication↗
PubMed1982

Obesity and the school-age child.

The need for nursing involvement in the care of the obese school-age child and his family has been identified. The use of the nursing process based on the MSI Model of nursing has been discussed. The nurse plays an important role in identifying overweight children and in working with these children and their families when the need arises. the focus of nursing care may be preventing future weight gain, weight reduction, or regain after reduction. Linda, the obese child in Blubber, was ridiculed by her peers. This is a common, everyday experience for the obese child. It is hoped that the obese school-age child will have a better success rate for weight reduction and will ultimately be able to maintain the weight loss through the interventions of a professional nurse who uses this holistic approach to nursing care.

Adolescent↗
PubMed1984

Measuring change in nursing practice.

This report gives an account of the development of a method to measure the effects of changes in nursing practice for a group of patients. Staff and nurses on a 20-bed female geriatric ward were observed for a 3-day period before the 'nursing process' was gradually introduced. Two years later a second 3-day period of observation took place. Methodology is discussed in some detail and the results are presented.

Activities of Daily Living↗
PubMed2003

Demystifying the clinical nursing research process: the literature review.

The literature review is a critical step in designing and conducting a credible study. It might seem tedious at first, but your own ideas will become better developed and thoughtful as you critique what other researchers have done. It will make your study stronger. Thus, don't skim over this part of the process. A good literature review will make the next steps easier. It will also assure that you are studying an important area, that the outcome has clinical importance to your patients, and that writing and reporting the results will be easier.

Clinical Nursing Research↗
PubMedDate not supplied

An orientation model for correctional-health nursing.

A model to assist staff development educators with the orientation of nurses entering correctional health practice is introduced. The model incorporates the nursing process in screening activities, providing direct care, examining health behavior, teaching, and counseling incarcerated persons. The use of an education plan and contract for the adult learner, teaching strategies, method of evaluation and terminal behavioral objectives are discussed.

Humans↗
PubMed1985

A study of the dependency of elderly patients in wards using different methods of nursing care.

Geriatric wards using individualized care (nursing process) were compared with task allocation wards in three hospitals. Patient dependency was measured using the CAPE scales. Patients admitted to the wards were similar in dependency but patients who had been in hospital for more than a month were significantly less dependent if they had been cared for in individualized care wards. Patient turnover was slower in task allocation wards, and the ratio of discharges to deaths was lower. Several nursing practices were seen to be pushing patients into dependency. The findings indicate that a considerable proportion of the dependency of elderly patients can be iatrogenic, and the formulae for calculating the number of nurses needed on the basis of patient's dependency are inadequate.

Aged↗
PubMed1994

Using Roy's adaptation model in practice: nurses' perspectives.

Using a qualitative research methodology, the utility of the Roy adaptation model as a framework for nursing practice within a hospital setting was investigated. The level of integration of the model into practice varied among nurses. The model was generally found to be useful in focusing, organizing, and directing nurses' thoughts and actions regarding patient care, resulting in a perception of improved quality of nursing process and patient outcomes. Prior education on the Roy model and participation in professional advancement activities facilitated model integration, while lack of education and resistance to change inhibited implementation of model-based practice.

Adaptation, Psychological↗
PubMed1988

An inquiry into the attitudes of qualified nursing staff towards the use of individualized nursing care plans as a teaching tool.

This paper summarizes a research study inquiring into the attitudes of qualified nursing staff towards the use of individualized nursing care plans as a teaching tool. The survey was conducted in medical and surgical wards used for nurse training, in two hospitals. In common with many hospitals, the introduction of the nursing process into the surgical wards is of more recent origin than the medical areas, so would this be reflected in the attitudes of staff? Results indicated an overall positive attitude of all staff, although significant differences were identified between the grades of staff participating in the study and between the two hospitals. There was no significant difference shown in the comparison of all surgical staff with all medical staff, but the ward sister demonstrated a more positive attitude than staff nurses or enrolled nurses. The length of time care plans had been in use and whether the Open University Programme P553 had been completed, were taken into consideration. Analysis of the individual statements which clustered around the same theme is discussed. Possible factors affecting the attitudes identified are suggested and recommendations which include ongoing educational support, in particular for the enrolled nurse, and exploration of the 'role model' function of the ward sister made. Finally, the method of study is critically examined.

Attitude of Health Personnel↗
PubMed2005

Measurements of the clinical competence of doctors and nurses to process telemedicine referrals for burns patients.

Simulated telemedicine referrals were used to test the ability of groups of clinicians to manage telemedicine referrals of patients with burn injuries. Sixty-one participants recorded burn depth from digital images using a four-point scale. The definitive ('gold standard') diagnoses were based on a review by an experienced consultant burns surgeon. Sixty clinical cases that reflected the routine referrals to a specialist burns service were used for the study. The mean kappa scores for the participants ranged from 0.33 to 0.58, indicating poor to good agreement. The scores for the groups all had a similar pattern, with more experienced staff scoring higher than junior staff. The doctors and nurses specializing in burns had higher scores than the general surgical nurses.

Burns↗
PubMedDate not supplied

A conceptual framework for studying child adaptation to Type 1 diabetes.

Understanding the challenges of managing a chronic illness, nurses provide a key component of care to patients and families who struggle daily with the demands of self-management and the balance of daily life challenges. Even though nurses empathize with the issues of chronic illness management, the complexity of managing such clients has not been articulated in a theoretical or research base. Hence, the nursing process related to facilitating adaptation to childhood chronic illness remains in a formative stage. My article presents a conceptual framework that can guide the study of children and families coping with children with Type 1 diabetes. The framework also may prove useful for other chronic illnesses.

Adaptation, Psychological↗
PubMed1991

The recognition and non-recognition of problem-solving stages in nursing practice.

A requirement for high-quality individualized nursing care is that nurses must recognize and attempt to solve patients' health problems. In this study, it was decided to investigate problem solving using a model similar to the nursing process derived from the general literature. Insight into nurses' perceptions and understanding of problem solving was gained by interviewing 116 nurses using vignettes of clinical problem solving. Data analysis revealed that many informants failed to discuss some problem-solving stages, in particular planning and evaluation. Conversely, problem assessment and implementation attracted more comment. The implications for these variations in nurses' problem-solving behaviour are examined in relation to contemporary nursing issues.

Humans↗
PubMedDate not supplied

Hemodialysis teaching protocols: an educational tool for both patients and nurses.

The goal of our dynamic progressive care unit patient education program was to empower hemodialysis patients to learn to be as independent in their hemodialysis treatments as their condition permitted, whether in the home or in the clinical setting. The paradigm shift that has placed patient education at the centre of health care has necessitated a practice change for both patients and nurses. In response to this change and to assist us to achieve our goal, a set of 14 hemodialysis teaching protocols has been developed. Individual protocols address specific aspects of the management of hemodialysis treatments and implementation, and are based upon the nursing process. Each protocol has an accompanying documentation and evaluation tool and can be used as an indicator for continuous quality improvement. Our success to date is evident in the placement of patients along the continuum of limited self-care starting in the progressive care unit and continuing to achieve increased independence by dialyzing in their own homes as part of the home hemodialysis program.

Clinical Protocols↗
PubMedDate not supplied

A systematic approach to complex wounds.

Complex wounds fill most nurses with the feeling of unmanageable dread. This article aims to dispel such fears by showing that the nurse, once equipped with the correct physiological knowledge and an in-depth awareness of the treatments available, can provide effective wound care using the nursing process.

Bandages↗
PubMedDate not supplied

Solving the Orem mystery: an educational strategy.

Three years ago Orem's Self-Care Deficit Theory was introduced in five pilot units at the Toronto General Hospital. To augment the existing implementation program and to introduce the basic concepts of the theory to staff from nonproject units, the clinical nurse specialist group developed a multimedia exhibit showing the theory in action. The theory was interpreted within the framework of the nursing process. A case study approach was developed so that a global perspective of the actual application of the model could be readily visualized. This article describes the activities involved in producing a self-learning educational presentation that can be put to a variety of uses, such as orientation of new staff and a review for current project unit staff, and that can also be revised and augmented as use of the theory becomes more sophisticated.

Education, Nursing, Continuing↗
PubMed2004

Differentiated practice, patient-oriented care and quality of work in a hospital in the Netherlands.

This article describes a quantitative study of the relationship between differentiated practice on the one side and patient-oriented care and quality of work on the other. Nursing wards where differentiated practice has been implemented (intervention group) have been compared with wards where differentiated practice has not been implemented (reference group). The research variables with regard to differentiated practice, patient-oriented care and quality of work have been measured by questionnaires. Subjects were 68 nurses and six supervisors from six nursing wards from one hospital. The results show that the extent to which differentiated practice had been implemented varied between the wards. With regard to patient-oriented care differences have been found between the intervention and reference group on the variables patient assignment and use of the nursing process, but not on the variables of tasks and communication. Concerning quality of work, differences have been found on: social support from the supervisor, social-emotional leadership and health complaints. Rank order correlations between differentiated practice and patient-oriented care and between differentiated practice and quality of work were not significant. Practical implications with regard to the use of differentiated practice and implications for further research are discussed.

Adult↗
PubMed1979

Nursing and the process of scientific inquiry.

Nurse education has to confront the problem of developing in students an understanding of the different perspectives put forward in nursing. However, all the perspectives adhere to the scientific method and it is therefore necessary to examine the process of scientific inquiry. As nursing occupies a position at the interface between physical and social sciences, it is also necessary to offer students an examination of the different paradigms which exist within the social sciences.

Nursing↗
PubMed1987

Developing a privileging process for the psychiatric nurse.

A privileging process for nurses has the potential for improving nurses' professional performance and increasing the quality of patient care. At Logansport State Hospital, a psychiatric hospital in Logansport, Indiana, a privileging process was developed in which advanced psychiatric nursing skills and areas of expertise are delineated as privileges. Twelve privileging areas were established along with specific educational and performance criteria. By requiring nurses to reapply for privileges on an ongoing basis, the hospital assures the continued education and competency of its nursing staff.

Credentialing↗