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 1,693 records · Page 94Linked to original sources
PubMed1994

Parish nursing--a conceptual framework.

Parish nursing is a current nursing care delivery model that practices holistic health care. Parish nurses provide care to a faith community, emphasizing the relationship between faith and health. Specific nursing activities address physical, emotional, and spiritual health and well-being, closely attending to the inseparability of these dimensions. Parish nurses may assume one or more roles associated with this practice to accomplish parish nursing activities and achieve the holistic health and well-being of individuals, families, and groups within the faith community. The five broad categories of client, health, nurse, environment, and nursing process provide a framework for organizing the concept of parish nursing for future nursing theory, research, and practice.

Christianity↗
PubMedDate not supplied

Nurses information-processing patterns: impact on change and innovation.

This descriptive study, based on the Organizational Engineering conceptual framework, investigates the information-processing styles of nursing staff (RNs, LPNs, nursing assistants, and unit secretaries) that impact how they accept and deal with change and innovation. The study sample was made up of 578 nursing staff and nurse managers. The major finding is that both nursing staff overall and RNs as a separate group are clustered in the "Conservator" (Logical Process--Hypothetical Analyzer) quadrant of the Organizational Engineering Model. In contrast, the nurse managers were significantly more likely to be in the "Changer" (Reactive Stimulator--Relational Innovator) quadrant.

Analysis of Variance↗
PubMed1991

Critical thinking: impact on nursing education.

Critical thinking is considered an essential component of nursing science. As a concept in nursing education, however, critical thinking is not clearly understood nor systematically applied. A survey of deans and directors of baccalaureate and higher-degree schools of nursing accredited by the National League for Nursing examined perceptions of critical thinking as it is currently characterized in nursing education. Results indicated that critical thinking was conceptualized as a variant of the scientific method. It was explicated as a rational-linear problem-solving activity which reflected the nursing process. The findings demonstrated the respondents' lack of clarity about the fullest expression of the mechanisms and operations of critical thinking process and applications.

Education, Nursing, Baccalaureate↗
PubMed1994

Patho-flow diagramming: a strategy for critical thinking and clinical decision making.

Developing and implementing alternative strategies to assist nursing students to gain critical thinking and clinical decision-making skills are paramount for today's nurse educator. Patho-flow diagramming is offered as a strategy that merges nursing process and pathophysiology with approaches used effectively in general education to develop thinking skills.

Aged↗
PubMed1997

Strategies for comprehensive nurse managed occupational health services: focusing on work related health problems while maintaining comprehensive care delivery.

1. Occupational health nurses can position themselves to be valuable assets as human resources become more important in the complicated world of producing products, services, managing employees, and making a profit. 2. An on-site nurse managed occupational health unit provides opportunities for positively influencing employees' health while affording multiple opportunities for the occupational health nurse to impact the bottom line of the business unit. Exploring the opportunities can lead to exciting program development and implementation. 3. The nursing process (assessment, planning, implementation, and evaluation) can be applied to occupational health programs and service development. This technique assists the nurse in identifying an organization's strengths and weaknesses and in developing the strategies for the implementation of a coordinated program.

Ambulatory Care Facilities↗
PubMed1991

Clinical decision making in nursing.

In this paper, the author reflects on the new practitioner envisaged by developers of the Project 2000 curriculum in Scotland, and focuses on the need to develop critical thinking ability, in particular in relation to clinical decision making. Two approaches to decision making are outlined: the rationalist perspective and the phenomenological perspective, and a model illustrating each is discussed. The models examined are, respectively, decision analysis and hypothetico-deductive reasoning, and their relevance to nursing outlined. The author concludes by discussing the nursing process model from both perspectives; and by recommending that nurses learn from the work done by other disciplines on professional judgement. The suggested role of the nurse teacher in preparing the new practitioner is outlined.

Clinical Competence↗
PubMed1999

Review of nursing documentation in nursing home wards - changes after intervention for individualized care.

Using standardized assessment instruments may help staff identify needs, problems and resources which could be a basis for nursing care, and facilitate and improve the quality of documentation. The Resident Assessment Instrument/Minimum Data Set (RAI/MDS) especially developed for the care of elderly people, was used as a basis for individualized and documented nursing care. This study was carried out to compare nursing documentation in three nursing home wards in Sweden, before and after a one-year period of supervised intervention. The review of documentation focused on structure and content in both nursing care plans and daily notes. The greatest change seen after intervention was the writing of care plans for the individual patients. Daily notes increased both in total and within parts of the nursing process used, but reflected mostly temporary situations. Even though the documentation of nursing care increased the most, it was the theme medical treatment which was the most extensive overall. A difference was seen between computer-triggered Resident Assessment Protocol (RAP) items, obtained from the RAI/MDS assessments, and items in the nursing care plans; the former could be regarded as a means of quality assurance and of making staff aware of the need for further discussions. The RAI/MDS instrument seems to be a useful tool for the dynamic process in nursing care delivered and as a basis for documentation. The documentation should communicate a patient's situation and progress, and if staff are to be able to use it in their everyday nursing care activity, it must be well-structured and freely available. The importance of continuing education and supervision in nursing documentation for development of a reliable source of information was confirmed by the present study.

Aged↗
PubMed1995

[Interaction with hospitalized children. Use of therapeutic techniques and measures].

The aim of this study is to describe an experience of a nursing student caring for a child in a pediatric unit. Using therapeutic communication techniques and therapeutic nursing measures, the student developed a help relationship with the child, which enabled the implementation of a thorough nursing process, where the student got fully involved with the patient sharing beneficial experiences for both.

Child↗
PubMed1990

The energy crisis of change.

This paper explores the methods that nursing has used to introduce new practice to the clinical environment. The implementation of the nursing process will provide an example of how nursing has attempted to change practice in totality and why the methods used perhaps undermined the original objectives. The use of 'change-agents' and action research to effect change in the ward environment will then be discussed. Particular attention will be paid to the idea of an 'energy crisis'--which may be an inevitable side effect of the change process--and how the programme of development at Ladywell Hospital has taken account of, and acted upon, this problem.

Clinical Nursing Research↗
PubMed1991

Implications of smoking bans in the workplace. A nursing perspective.

1. The occupational health nurse is in a strategic position to promote changes in smoking policies, participate in effective planning and implementation of policy changes, and encourage workers to participate in smoking cessation programs. 2. Nursing process, including data collection and assessment, development of a plan, implementation, and evaluation, provides a framework for action for the informed occupational health nurse. 3. Those policies that are part of an overall health promotion program, including individualized health risk assessment, are most successful in encouraging employees to stop smoking. 4. Development of or changes in smoking policies are emotionally laden issues that require considerable planning, effective communication, and involvement of employees at every level of the organization.

Ethics, Nursing↗
PubMedDate not supplied

Assessment of hope in patients with cancer: development of an instrument.

Hope has been identified as a vital component to individuals with cancer. This study focused on development of a reliable and valid instrument to measure hope following a stressful event as exhibited in a sample of well adults and a sample of patients with cancer. A review of the literature provided a conceptual framework for this study and the development of the Nowotny Hope Scale. Six dimensions of hope were identified and became the subscales for the instrument: confidence in the outcome, possibility of a future, relates to others, spiritual beliefs, comes from within, and active involvement. The sample consisted of 306 adults, both well and with cancer. Cronbach coefficient alpha for the scale was 0.90. Six factors were derived by principal components analysis. Study results established the instrument's initial reliability and validity. The hope scale, showing that hope is a measurable quantity, could be used in the assessment phase of the nursing process.

Attitude↗
PubMed1981

Critical infections in the pediatric oncologic patient.

Over the past three decades, significant progress has been made in the treatment of childhood cancers. These advances derive not only from the effectiveness of the multimodal approach but also because of advances in supportive measures during the critical induction phase of therapy. The impact of disease and therapy on the immune system significantly compromises the child to a critical state. Astute application of the nursing process in assessing, planning, implementing, and evaluating measures to prevent, detect, and treat infectious processes in the granulocytopenic child is one of the critical challenges of nursing the child with cancer.

Bacterial Infections↗
PubMed1990

Status passage into nursing: another view of the process of socialization into nursing.

A status passage is the process of change from one social status to another and, in this report, transition into the occupational role of nurse is described. The status passage includes the anticipations, entry, reporting of contrasts and changes which are often accompanied by surprise, and reality shock before making sense of the passage some months later. Subpassages are noted, and in particular the subtle process of divestiture which results in loss of personal identity. Personal identity is sought through patients and those outside the institution. Occupational role identity occurs between 6 and 10 months after entry into nurse training. The status transition is easier for those with higher self-esteem and lower anxiety scores. The study involved four cohorts of trainee nurses during their first year of training in two schools of nursing, and the study was undertaken using multiple research methods. Present and future policy implications are noted.

Education, Nursing↗
PubMedDate not supplied

A patient-centered approach to nurse orientation.

An orientation pathway was developed using a patient-centered approach. The pathway provides a guide or "road map" for the preceptor and new nurse to care for high-volume patient populations in medical and surgical units. Benefits include application of the nursing process, promotion of critical thinking skills, reduction of reality shock, and improvement in job satisfaction and retention. This article describes the rationale behind the approach and its application to nurse orientation. Steps in the process are described. Staff development educators can use the steps to develop orientation pathways for other practice settings.

Critical Pathways↗
PubMed1990

Nursing care planning. Overview and application to the patient in shock.

The systematic nursing process is an essential prerequisite for providing effective care for patients in shock. Nurses use assessment skills to identify actual and potential collaborative problems and nursing diagnoses. Once collaborative problems and nursing diagnoses are identified, the nurse develops appropriate individualized patient outcomes and plans care to accomplish the outcomes and resolve the problems. Nursing actions from the three domains may be included in the care plan. The evaluation phase assesses the adequacy of nursing actions in accomplishing the stated goals and returns the process to the stage of assessment. Application of the nursing care planning process to the patient in shock can be somewhat difficult because of the critical nature of the illness, complex assessment data, and rapidly changing interventions. It is indeed a challenge for the critical care nurse to integrate sound principles of nursing care planning into the busy intensive care environment, but the outcome of improved patient care is worth the effort.

Critical Care↗
PubMed1999

Multiple sclerosis pathways: an innovative nursing role in disease management.

Multiple sclerosis (MS), a chronic disease of the central nervous system, is characterized by a variable and unpredictable course. The most common pattern of the disease is the relapsing-remitting form in which clearly defined relapses (also called exacerbations) are followed by complete or incomplete recovery. Interferon beta-1b (Betaseron), a drug that affects the natural course of the disease, was developed for the treatment of relapsing-remitting MS. Multiple Sclerosis Pathways (MSP), a disease management program, was developed to provide comprehensive and personal support to MS patients taking interferon beta-1b and to serve as an information resource for all people with MS, their families, and healthcare professionals. The MSP program includes personal patient assistance, reimbursement services, a 24-hour nurse hotline, training program, educational resources, and injection supplies. The nurse hotline counselor (NHC) utilizes the nursing process in a unique telephone nursing practice in this program. The positive impact of education and support on adherence to therapy has been validated by training and nurse hotline data.

Adjuvants, Immunologic↗
PubMedDate not supplied

Nursing diagnosis anyone? Do staff nurses use nursing diagnosis effectively?

The use of nursing diagnosis by staff nurses in a 225-bed metropolitan hospital was examined. The sample consisted of 82 newly hired nurses who had participated in a mandated staff development program on nursing process theory and use of nursing diagnosis, with an emphasis on transfer of knowledge to practice. The data collected included demographic information, attitudes concerning nursing diagnosis, pretest and posttest scores, and percent completed on the audits of chart documentation. A cross-tabulation by clinical arena was performed on the forms used to document utilization of nursing diagnosis. Analysis of the data indicated that a greater proportion of the charts for the nurses in the maternal/child clinical arena evidenced use of nursing diagnosis as a component of practice. The nurses in the critical care arena scored slightly lower. The nurses in the medical/surgical arena had the lowest compliance of both completion and utilization of nursing diagnosis. This study demonstrated that nurses can be taught to use nursing diagnosis in the clinical setting.

Adult↗