Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Nursing Process”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,675 records · Page 93Linked to original sources

Processing complaints and disciplining nurses. An overview of the investigative process by the Kansas State Board of Nursing.

This is a brief review of the process the Kansas State Board of Nursing would utilize when investigating a complaint and determining discipline against a licensee, and does not include all points of law that could apply. Although the Kansas Administrative Procedures Act was discussed, there are many sections of the statute that were not addressed. The Board of Nursing has published two pamphlets "Your Rights Before the Kansas State Board of Nursing" and "The Investigative Process" which are valuable to the nurse in understanding the process. These are available on the KSBN's website www.ksbn.org or by mail.

Data Collection↗

Evaluating patient outcomes.

In this study, nurses effectively demonstrated that in addition to stating goals in observable outcomes, they could develop rating scales to measure a patient's progress toward goal attainment. An unexpected finding was that improvement in evaluation was accompanied by corresponding improvement in other components of the nursing process. For example, prior to the study period, nurses rarely listened to chest sounds or measured ventilatory volume to assess lung congestion, even though many had received training in physical assessment and a respirometer was available on the unit. During the study period, however, there was a flurry of auscultation and spirometric measurement activities for patients whose goals were to decrease lung congestion. When one such patient failed to progress as rapidly as the nurse anticipated, greater assistance was given to pulmonary physiotherapy and assistance with coughing. Although nursing has not given sufficient attention to the development of patient evaluation tools, recent legislation as well as consumers' demand for quality care are providing the impetus for developing such mechanisms in a scientific way. This fact may significantly contribute to refining clinical data for the objective evaluation of patient progress. Since most nurses receive some theoretical education in the evaluation process, the challenge may well be to provide nurses, in both educational and service settings, with practical experiences in developing and implementing evaluation techniques.

Goals↗

Health care system reform and the scope of independence in decision making by environmental/family nurses. II. Evaluation of preparation of nurses for a modern model of environmental care.

Changes biased towards the autonomy of the nursing occupation originated by formal regulations do not yet designate the actual independence of nurses. This independence is determined by the modern method of work-nursing process and application in practice of a selected theory of nursing. The question pertaining to the knowledge and practical usefulness of nursing theories was justified by an anticipated positive effect of these theories on the working process. They not only indicate the goals of care, but also the scope of tasks and their type. The study was conducted by the method of a diagnostic survey with the use of questionnaire forms, and covered environmental/family nurses employed in public health care units (n=60), and non-public units (n=50). The data obtained and the results of statistical analyses allowed us to presume that environmental/family nurses do not apply the method of the nursing process, and in the majority of cases did not keep the required records. The respondents had no knowledge of international concepts of nursing. People employed in new organizational forms significantly more often referred to the theory by D. Orem, compared to those working in traditional structures.

Decision Making↗

Processes used by nurses to make decisions in the clinical practice setting.

A qualitative study was conducted to examine the processes nurses used to make decisions in actual practice settings. Nurse participants (n = 17) practicing in acute care settings were observed and interviewed to determine the covert cognitive processes that occurred while they were making decisions. Data were analyzed using a constant comparative method. Two decision-making categories emerged: goal-directed process and rule-out process. The goal-directed process was used to reach a goal. The rule-out process involved the development and elimination of hypotheses until only one remained. This process was used to determine what problems existed, the cause of a problem, or the action needed.

Acute Disease↗

[Critical thinking during the clinical teaching at the beginning of nursing students' clinical education].

This article examines how critical thinking is seen in learning decision making during the clinical lessons in the beginning of nursing students' clinical education. The data has been collected by taping all the clinical lessons (11) of the students (32). The data was analyzed by using content analysis both quantitatively and qualitatively. The phases of the nursing process, in other words the phases of decision making appeared clearly in the discussions. A lot of assessment of the nursing needs of the patient appeared clearly. Physical needs were focused among the nursing problems. The objects of the nursing were defined nurse-centrically and generally. The discussion about the implementation and the evaluation of the nursing received insufficient attention. There were presented neither alternative solutions of the care nor any reasons for proposed solutions. Learning of the students represented mainly superficial, mechanical learning, lacking critical thinking.

Decision Making↗

The nurse legal consultant and disabling injuries.

This article discusses six functions of a nurse expert hired by an attorney. Use of nursing models and the nursing process in legal consultation are described. Qualifications of the nurse legal consultant are outlined.

Disability Evaluation↗

Care plan hints.

Considering defining characteristics as symptoms of a nursing diagnosis can help one choose the most appropriate diagnosis of a patient. This article gives examples illustrating the use of defining characteristics. These examples help explain the relationship of the various components of the care plan and nursing process.

Goals↗

[Nursing care in ambulatory methadone programs. A comparative literature study between The Netherlands and The United States].

In this article, the results are discussed of a literature study on nursing care for heroin addicts in out-patient methadone maintenance clinics in the Netherlands and the United States. In the Netherlands, the most important aim of methadone maintenance is to limit the harm caused by heroin use. Community based methadone maintenance is the subject in several Dutch evaluation studies. Care is described in these studies, however the medical role is not distinguished from the nursing role and functions. Research variables are basic care assumptions and client satisfaction. In the USA, heroin misuse is considered a disease more than in the Netherlands. Nurses in the American methadone maintenance clinics have a more independent function compared with the nurses in the Netherlands. The main variables in the American studies on nursing care in the out-patient methadone maintenance clinics are the nursing process as well as the development and testing of nursing interventions. Further nursing research concerning the methadone maintenance clinics in the Netherlands is needed because the nursing contribution in maintaining and improving the basic health status of the heroin misuser is of vital importance. The American nursing research and the associated outcomes could be used as a guideline.

Ambulatory Care↗

Nursing discipline: demystifying the process.

This article provides a general overview of the disciplinary process for nurses. It also outlines at least one example of an alternative, often called a diversion program, to the standard disciplinary process. It urges school nurses to obtain legal counsel when responding to an inquiry from the board of nursing and discusses several factors to consider when seeking an attorney. The article also briefly discusses how the Nurse Licensure Compact affects the disciplinary process.

Employee Discipline↗

The holism in critical thinking. A concept analysis.

In nursing, critical thinking is particularly important because of its potential impact on patient care. With the rapid changes in health care and the influx of new technology, nurses must be able to use critical thinking to make decisions that provide optimal patient care. The rapid, dynamic changes occurring in the health care setting have dictated a stronger, more comprehensive, holistic way of arriving at decisions than the traditional nursing process. This more comprehensive, holistic approach is called critical thinking. Nurses must be able to engage in critical thinking to handle the onslaught of continuous procedural and technological changes. Critical thinking has become such a key component in learning that the National League for Nursing requires that graduates be able to demonstrate critical thinking. This article is a concept analysis of critical thinking using the Walker and Avant model.

Adult↗