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Various methods of budgeting in Nurse Education are discussed including subjective budgets, incrementalism, objective budgets and zero-base budgets. The author considers these in turn and concludes that there is some merit in considering a variety of budgeting methods for nurse education, particularly a programme of objective budgets.
Malcolm Knowles' theory of andragogy has gained increasing acceptance among nurse educators. Andragogy is espoused as a progressive educational theory, adopted as a theoretical underpinning for curricula and is even considered to be synonymous with a variety of teaching techniques and strategies such as 'problem-based' and 'self-directed' learning. This paper offers a critique of the notion of andragogy which maintains that the distinction created between andragogy and pedagogy is spurious and based upon assumptions which are untenable. It is argued that andragogy has been uncritically accepted within nursing education in much the same way that the nursing process and models of nursing were in their day. Finally, it is claimed that true pedagogy has far more radical, powerful and transformative possibilities for nursing education.
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This study examines the distribution, understanding and objectives of nursing visits as well as the implementation and the experience with nursing visits in 87 hospitals in North Germany (Bremen, Lower Saxony, Hamburg, Schleswig-Holstein and Mecklenburg-Western Pomerania). The survey was conducted using a questionnaire. It was found that nursing visits are implemented in 31% of the departments. By means of the nursing visit the patients are involved in the nursing process. The objectives of nursing visits are patient orientation. and the improvement of the nursing quality. The nursing visit is criticised because of both the level of organisation and the time spent on nursing visits as well as the lack of training, maintaining confidentiality and questions of data protection. The study contributes to a better understanding of nursing visits and a clearer definition of the term. It is the first empirical study of this type that has been conducted in Germany.
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Explore the source record for details and available documents.
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The study reports results of an inquiry into the different patterns of ethical decision making used by doctors and nurses. The findings of the study are that nurses and doctors act out of different values, motivations and expectations and that there is a communication gap between them. Nurses place the highest value on the 'caring' perspective, which entails responsiveness and sensitivity to the patients' wishes. In contrast, the doctors value above all the patients' rights and the scientific approach that implies a major concern with disease and its cure. The study suggests that there is a need for the development of a new foundation, based on common professional attributes of the two groups, to which both groups are committed. This would provide a joint point of reference from which the two professions can solve shared ethical problems and would remove communication barriers.
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This report describes research at the University of Iowa College of Nursing to develop a comprehensive classification of nursing-sensitive patient outcomes. The Nursing-Sensitive Outcomes Classification (NOC) completes the nursing process elements of the Nursing Minimum Data Set (NMDS). We describe resolution of conceptual and methodological problems that define the inductive approach taken to develop the NOC. Strategies used to develop NOC included review of the literature, clinical databases and instruments; concept analysis; and surveys of nurse experts. Examples of outcomes, definitions, and indicators are presented. The NOC provides standardized patient outcomes for determining the effectiveness of nursing interventions and enables inclusion of these data in data sets for healthcare effectiveness research.
The community health nursing faculty at Kent State University in Kent, OH developed a community assessment tool in accordance with the health pattern typology described by Gordon (1982). The purpose of the tool is to facilitate students' use of the nursing process with communities and to provide students and faculty the opportunity to explore the process of developing community nursing diagnoses.
Creation of an assessment tool to apply Gordon's functional patterns to the community as a client was a rewarding and stimulating project. Through use of the CHAT, students developed an appreciation of the complexity and inter-relationship of numerous aspects of the community. They completed the nursing process by developing appropriate nursing diagnoses, and planning, implementing, and evaluating a health promotion project. As the students continue to use this tool in the health promotion course, the diagnoses which they generate are being collected. From this accumulated input the plan is to compile a list of common diagnoses which are appropriate to use when the community is the client.
Assessment is a key element of district nursing practice and a cornerstone of community care. Yet very little research has been undertaken in this area. Given the current emphasis on evidence-based practice in health care, there is a need to ensure that district nurses, nursing students and educators can draw from an empirically derived and sound knowledge base. This article explores the relationship between knowledge and decision-making in district nursing assessment. It is based on a case study of one district nurse participant from a qualitative study of district nursing assessment. The case study material illustrates key findings from this study in order to examine the relationship between theoretical perspectives and everyday decision-making, based on the stages of decision-making identified by Carroll and Johnson (1990).
This exploratory and descriptive study presents the family context socioeconomic and cultural advancements in addition to emphasizing the educational trajectory of a group of nurses whose the common characteristic is their previous formation in the Nursing area. Based in the original study which provided part of the data used for this study, the analytical approach was of either of quantitative and qualitative nature as a consequence of the duplicate focus used in these data treatment viewing their complementarity. The present study was intended to characterize the studied population emphasizing the socioeconomic and cultural aspects which were determinant to the peculiar habitus, and culminated with a socioeconomic classification carried out either previous and subsequently to graduation time in order to detect the social mobility phenomenon resulting from the occupational mobility. It was then concluded that the latter could be observed in more than half the studied population, mostly because of the double employment linkage than the professional advancement itself.
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