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 1,729 records · Page 96Linked to original sources
PubMedDate not supplied

Information structures: an analysis of nursing performance.

This study demonstrated a methodology of measuring information content and manipulation of nursing subject matter and suggested features of information processing nurses may use to determine the condition of patients. Subjects included 23 associate degree nurses (experts) and 37 first-year AD nursing students (novices) who sorted 59 data elements of a simulated client problem into categories. As a result, 12 categories of patient problems were identified, which were subjected to a latent partition analysis to identify common categorization. Subjects then were asked to decide on appropriate patient interventions. The two groups--experts and novices--were compared re: mean number of data elements requested, mean number of elements requested by LPA category, t test of the mean weights for each category, and rank order correlations of category emphasis. The 12 protocols were then tested for conformity to experience by nine judges. Experts were found to address more problems than novices; they placed more emphasis on current vital signs, pain, and neurological check.

Decision Making↗
PubMedDate not supplied

Nurse's role in tracking adverse drug events: the impact of provider order entry.

Adverse drug events (ADE), or injuries caused by drug therapy, are a frequent and serious problem in hospitalized patients. Monitoring, preventing, and treating ADEs is an important patient safety function. Nurses play a significant role in this function, because their data is a unique and important indicator of ADEs and because they are the final point of medication administration. New provider order entry systems with electronic medical records have been viewed as an effective innovation and solution to high rates of ADEs. These systems increase legibility of drug orders, provide decision support, and increase access to the medical record. However, they may not interface with nursing processes effectively. This study reports the experience of a team conducting an ADE surveillance study in a Veterans Health Administration setting where extensive computerized innovations are in place. Lessons learned regarding the integration of nursing work processes with the computerized setting are described. Three areas of concern are highlighted: decreased access to nursing narratives, lack of decision support for medication administration, and failure to code nursing data. Each of these is discussed in terms of relevance to patient safety and the design of information systems.

Female↗
PubMed1989

Timely detection of colorectal cancer in the elderly. Implications of the aging process.

Increased age is a risk factor for colorectal cancer; however, there is a lack of literature that focuses on the early detection of colorectal cancer in the elderly. The nursing process provides the conceptual basis for this article, which discusses normal bowel function, aging changes in the bowel, and colorectal cancer. A nursing care plan for alterations in bowel elimination/constipation is presented as a model.

Aged↗
PubMed2003

Experiences of using the VIPS-model for nursing documentation: a focus group study [corrected].

BACKGROUND: The present investigation is part of a study where the Registered Nurses on three hospital wards received a 2 year intervention programme on nursing documentation in accordance with a keyword structure based on the nursing process. AIM: To describe the Registered Nurses' perceptions of and attitudes towards the effects of the intervention, and to generate hypotheses for further research. METHOD: Focus group discussions were used to collect data, with a qualitative content analysis method for the processing of the data. FINDINGS: The most interesting finding in these group discussions was the statements made by participants that the structured way of documenting nursing care made them think more, and think in a different way about their work with their patients. Two types of role changing were reported; from a medical technical focus to a more nursing expertise orientation and from a "hands on clinician" to more of an administrator and secretary. CONCLUSION: A number of issues debated among the participants in this study could be seen as organizational matters and lead to the important issue of multidisciplinary and organizational work when implementing innovations within nursing.

Attitude of Health Personnel↗
PubMed1993

Quality nursing care survey, 1988-1990.

In a quality nursing care survey conducted in Israel, 1988-1990, the four nursing process components were examined. The survey covered 13 hospitals with 119 medical and surgical wards, in which the nursing care quality for a sample of 2065 patients was assessed. Instruments used were (a) the Patient Classification Form, to assess patient dependency level, and (b) Monitor--an index of the quality of nursing care for acute medical and surgical wards [Goldstone et al., Polytechnic Products, Newcastle upon Tyne, 1982], a British adaptation of the Rush Medicus methodology [Jelinek et al., US Dept of Health, Education and Welfare, 1974]. The survey process involved orientation of the hospitals' senior staff, and training of participants in the administration of patient classification and of Monitor. The highest quality nursing care was found in "Meeting the patient's physical needs"; the lowest in "Assessment and planning of patient care". Factors chosen for possible influence on quality of nursing care were: patient dependency category, type of ward (medical, surgical), ward size and hospital size. The most influential factor was found to be the patient dependency category.

Adolescent↗
PubMed1991

Patient assessment in psychiatric nursing.

This paper examines the literature on patient assessment in nursing, with particular reference to assessment in psychiatric nursing. It finds that most nursing assessment is concerned with gathering physiological information about patients while effectively ignoring psychosocial indices. This phenomenon, it is argued, is due to historical factors in the socialization of nurses, the particular version of nursing process imported into the UK, and an oversimplification of the concept of 'need' which has encouraged nurses to focus on patient disabilities but has ignored their capabilities. It is proposed that nursing assessment should be a relatively lengthy process, increasing in specificity, involving gathering and analysing information from a holistic perspective about individuals'/families' health concerns. Then, by applying concepts from appropriate conceptual models, a nursing diagnosis to those health concerns is proposed. This proposal is supported by a discussion of the process, functions and methods of nursing assessment. Finally, while recognizing the importance of social causation theories in psychiatric care, it is argued that community health assessments are beyond the scope of individual nurses.

Holistic Health↗
PubMed1998

The circle of caring: a transformative model of advanced practice nursing.

This article presents a new and original approach to advanced practice nursing. A transformative model, the Circle of Caring is described. Using a template that builds on both nursing and medicine, this model provides a synthesized approach to practice. The traditional medical model is reviewed, as well as the evolution of the nursing process. In response to changing societal need, the scope of nursing practice is constantly challenged and expanded. New elements of practice emerge. In an effort to clarify and elaborate the current realities of advanced practice nursing, the Circle of Caring was conceptualized. Components of traditional medical practice are combined with elements of traditional nursing practice; both are situated in an elemental nursing model of caring. Although a linear representation, the Circle of Caring encompasses process pieces taken in part from a theory of caring (Boykin & Schoenhofer, 1993; Mayerhoff, 1971). An underlying purpose of this model is to highlight in a concrete way the inclusion of nursing's voice in the new and emerging--and rapidly changing--healthcare system. It is theorized that this approach to practice will yield more positive outcomes for patients, families, and communities.

Empathy↗
PubMed1994

Musculoskeletal trauma: implications for critical care nursing practice.

The majority of trauma patients experience significant musculoskeletal injury (MSI). The patient who has developed complications related to orthopaedic trauma--such as compartment syndrome, fat embolus syndrome, and crush injury--requires astute nursing assessment. A thorough understanding of trauma pathophysiology and the pathogenesis of MSI pain will assist the nursing practitioner to anticipate physiologic needs, allowing a greater range of nursing process intervention.

Critical Care↗
PubMed2006

Mind-mapped care plans: integrating an innovative educational tool as an alternative to traditional care plans.

Teaching nursing students how to think critically when planning patient care is vital to their professional success. Traditionally, the nursing care plan has been used to apply steps of the nursing process in planning patient care. However, nursing has evolved into a more complex profession that requires expanded ways of thinking and reasoning beyond the linear methods used in the past. Mind-mapped care plans provide an alternative method of teaching holistic, patient-centered care. This article describes the process used to integrate the mind-mapped care plan as an innovative educational tool, as well as formative and summative outcomes of its use.

Attitude of Health Personnel↗
PubMed1997

Problem solving in clinical nursing practice.

Problem solving in clinical nursing practice is the essence of good care delivery. This paper gives an overview of a research study which identified the cognitive problem solving process nurses use while delivering care. The study was conducted in the clinical setting and used a qualitative research methodology of observation, followed by in-depth semi-structured interview. The analysis of the study revealed diagnostic reasoning is the process used by clinicians. Information regarding the differences between novices and experts is offered as topics for discussion throughout the paper, and recommendations for changes to educational processes are made.

Clinical Competence↗
PubMedDate not supplied

[Nursing approach for the care of the diabetic patient with renal failure].

The very numerous group of the diabetics with final stage renal disease, the peculiar and excess problems, which do not only concern their body, but also their social and psychological state, demand constant efforts for their solution. In this work methods and nursing approaches for these problems in the base of the patients personal care and the nursing process are tried and presented.

Diabetic Nephropathies↗
PubMed1989

[The nursing dimension in palliative care].

In this 250-bed general hospital, nursing care for the dying focuses not on recovery but on self-actualization. In a broader context, patients also benefit from nursing's theory-based approach. A parallel between the evolution of the patient and the nursing process is established.

Adult↗
PubMedDate not supplied

A university-wide health fair: a health promotion clinical practicum.

Can sophomore baccalaureate students in their first clinical experience develop a health promotion activity to meet the needs of a university community? The authors describe how students, focusing on wellness and the nursing process, developed a university-wide health fair; the learning experiences, both planned and serendipitous; the importance of collaboration in health promotion and disease prevention activities; and the promotion of nursing's presence on a university campus.

Attitude of Health Personnel↗
PubMed1991

Ambulatory surgery and prepared discharges. Effects on orthopedic patients and nursing practice.

Orthopedic medical and nursing practice has changed dramatically partly as a result of three trends: cost containment, technology, and consumer activism. Many orthopedic procedures previously requiring inpatient hospital stays are routinely performed on an outpatient, day-surgery basis. it is imperative that nurses working in the ambulatory surgery environment be diligent in practicing the nursing process to ensure comprehensive patient care. Patients requiring hospitalization for orthopedic procedures now have shorter lengths of stay. The brevity of stay means that a great deal of coordination, education, and referral efforts are necessary before the patient's discharge. Prepared discharge programs, with the nurse assuming the coordinator role, are one way of ensuring that patients are ready to make the transition from the hospital to their postdischarge environment.

Ambulatory Surgical Procedures↗
PubMed1988

The development of Canadian nursing: professionalization and proletarianization.

In this article, the development of nursing in Canada is described in terms of three major time periods: the emergence of lay nursing, including organization and registration, 1870-1930; the move to the hospital, 1930-1950; and unionization and the routinization of health care, 1950 to the present. This development is viewed in the light of the orienting concepts of professionalization, proletarianization, and medical dominance (and gender analysis). This historical trajectory of nursing shows an increasing occupational autonomy but continuing struggles over control of the labor process. Nursing is now using theory, organizational changes in health care, and credentialism to help make nursing "separate from but equal to" medicine and to gain control over the day-to-day work of the nurse. Nursing can thus be viewed as undergoing processes of both professionalization and proletarianization. As nursing seeks to control the labor process, its occupational conflicts are joined to the class struggle of white-collar workers in general. Analysis of nursing indicates the problems involved in sorting out the meaning of concepts that are relevant to occupational or class analysis but which focus on the same empirical phenomenon.

Canada↗
PubMed2000

Clinical problem-solving in nursing: insights from the literature.

This paper reviews the literature surrounding the research on how individuals solve problems. The purpose of the review is to heighten awareness amongst nurses in general, and nurse academics in particular about the theories developed, approaches taken and conclusions reached on how clinicians problem-solve. The nursing process, which is heavily used and frequently described as a problem-solving approach to nursing care, requires a deductive reasoning process which is not the problem-solving process in use during care-giving activities. More knowledge is required on what process is in place as we develop as a profession. The literature highlights the complexities involved in attempting to uncover thinking processes. The main research approaches to discovering problem-solving strategies in the past three decades have been from a cognitive perspective, with two main theories, decision-theory and information processing-theory, underpinning the majority of studies conducted. None of the research approaches used to date has resulted in the identification of a general model of problem-solving that is consistent across tasks or disciplines. However, early hypothesis activation with subsequent testing of the hypothesis seems to be consistent in clinicians across disciplines.

Clinical Competence↗