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PubMedDate not supplied

Caring for the infertile woman.

Increasing numbers of women are seeking infertility services. In light of this, it is important that professional nurses learn about infertility treatments and options, for the public looks to nurses for guidance in all aspects of healthcare. This article describes the systematic assessment, planning, implementation, and evaluation phases of the nursing process for women who are involved in infertility evaluation and interventions. Much of the basic work-up for infertility can be accomplished by a generalist (OB/GYN, CNM, or nurse practitioner), but if the patient does not conceive in a few months, referral to an infertility specialist is essential. Women need help to understand the possibilities as well as the limitations of current therapies for infertility. The toll that the emotional roller coaster of infertility takes on women and their partners can be devastating so those caring for them must be prepared to address that aspect of the experience. The nurse must be prepared to help the infertile woman deal with crushing disappointment and grief when cycles fail or pregnancies end in the early stages. The caring aspect of professional nursing is an essential component of meeting the special needs of these patients.

Female↗
PubMed1984

Evaluating clinical performance using simulated patients.

In summary, we believe that nurse practitioners use the nursing process in giving primary health care to patients, and their skill in using that process must be periodically evaluated as they move through their educational program. Further, we believe that consumers have the right to expect a beginning level of competence from graduates of nursing programs. Based on our experience, we believe that the use of the simulated patient, now used primarily in teaching, should be expanded to be of valuable assistance in clinical performance evaluation.

Clinical Competence↗
PubMed1991

Conceptual frameworks and patterns of nursing curriculum.

Common concepts of conceptual frameworks and curriculum patterns are identified by studying all 18 English-speaking, generic baccalaureate nursing programmes in Canada. Four identified curriculum patterns use client systems, health-illness, growth and development, and nursing roles as the primary curriculum organizer to sequence programme courses. The nursing programmes commonly use nursing process, followed by growth and development, human needs, and family as secondary organizers to structure contents of programme course. Identifying a curriculum by its organizers is useful to curriculum practice and research. Nursing faculty can use the identified organizers as primary or secondary organizers in designing, changing or evaluating their curriculum. It is also possible to use a nursing model with the identified organizers for an effective curriculum structure. Research studies on conceptual frameworks could use primary and secondary organizers to compare strength and weakness among different nursing curriculum structures.

Canada↗
PubMedDate not supplied

Developing an effective teaching nursing home: the planning process.

The Teaching Nursing Home (TNH) represents one of the major approaches to improve the quality of long-term care services to evolve over the past decade. The authors present their interdisciplinary approach to seeking TNH affiliations from area nursing homes through the use of a request for proposal (RFP) process. The components of this process, including identification of benefits to both the nursing home and the university; development of strong collaborative relationships; establishment of methods of shared decision-making about program and service mix, research protocols, and selection of key staff; joint appointments of personnel; and evaluation of potential TNH partners are discussed.

Aged↗
PubMed2006

[A patient at home; a clinical case].

This article describes the practical application of the Nursing Process, bearing in mind the patterns set by Gordon, NANDA and NIC, during a clinical case involving a home care visit. By means of these patterns, health care professionals carried out the corresponding observation, nursing diagnosis and nursing treatment for the patient visited.

Home Care Services↗
PubMedDate not supplied

Intuition and nursing practice implications for nurse educators: a review of the literature.

Intuitive knowledge is an essential component of the art of nursing and of the nursing process. This article provides an analysis and review of the literature on intuition. The author addresses the use of intuition in nursing science, characteristics of intuitive nurses, receptivity of intuitive knowledge, and the importance of expanding nursing's utilization of the intuitive process. Strategies are provided for promoting intuitive skills in continuing education/staff development settings.

Clinical Competence↗
PubMed1998

Patients' and nurses' perceptions of the quality of nursing care in Kuwait.

Using an exploratory research method and a purposive sample of 259 subjects (109 of whom were nurses and 148 patients), data were collected using an instrument consisting of the elements of the nursing process. Four hypotheses were tested, using the analysis of covariance and the t-test The result of hypothesis I showed that there was no statistically significant difference in the perception of the quality of nursing care between the patients in the medical and surgical units of the five study hospitals. Hypothesis 2 indicated that there was no significant difference between nurses in the medical-surgical units in the areas of assessment, planning and implementation. However, a significant difference was found for accountability and responsibility. Further analysis using a t-test showed a significant difference between nurses in the medical and surgical units in the areas of accountability and responsibility. The data for hypothesis 3 and 4 yielded no significant difference in the perceptions of quality care by nurses according to work experience and by patients in all hospitals regardless of the patients' age and sex.

Adult↗
PubMedDate not supplied

A case study--initiation of haemodialysis.

End-stage renal disease (ESRD) is a chronic failure of normal kidney function, which is precipitated by a number of factors, such as diabetes, pyelonephritis, hypertension, and polycystic kidney disease (1). The loss of kidney function is gradual, and many patients do not have any symptoms until the end-stage of the disease. Killingworth and Van Den Akker (2) point out that people undergoing haemodialysis have to comply with a wide range of medications and restrictions, which affect both their physiological and psychological status. This paper presents a case study of a woman with ESRD, requiring initiation of haemodialysis. An assessment of the patient's health needs is addressed, followed by the implementation and evaluation of the nursing process. Finally, the analysis of the overall plan used in the case study is presented.

Adult↗
PubMed1990

Clinical conferences--the key to successful experiential learning.

Clinical practice is a major component of nursing programs and a source of a great deal of student learning. The experiential learning which occurs during clinical practice can be utilised to enhance the integration of theory and practice. The key to maximising students' clinical learning is the instructor's deliberate attention to the experiential learning cycle. The congruence between nursing process and the processes of experiential learning provides a basis for effective post-clinical conferences. A model of questioning, which is directed at each phase of the experiential learning cycle, is presented. Use of the model in a baccalaureate nursing program has assisted beginning students to analyse their clinical experience, develop accurate nursing diagnoses and plan future care.

Communication↗
PubMed1983

Patient-centred nursing care in a multi-racial society: the relevance of ethnographic perspectives in nursing curricula.

The aim of the paper is to demonstrate the importance of including cultural dimensions as a fundamental component of nursing curricula and to provide some indications as to how this may be achieved. The concept of 'institutionalized racism' is examined, with reference to the absence of the cultural dimension in nursing education, and it is suggested that nurses, as members of a 'caring profession', should be in the forefront in promoting mutual cultural understanding. The argument for promoting cultural awareness is developed in the context of individualized nursing care and the nursing process. The needs of ethnic minority learners are considered along with their potential role, and that of tutors, in breaking down barriers to the acceptance of cultural diversity. Some possible reasons for the failure to include ethnographic perspectives in nurse education programmes are postulated, and finally suggestions as to how this curriculum deficit may be rectified are made. The paper concludes that British nurse educators should ensure that the needs of learners and patients are better provided for in the future by directing more attention to ethnographic perspectives relating to learning and the provision of nursing care.

Culture↗
PubMedDate not supplied

[Primary care in the community of Zero Hora: a new social approach].

The authors, after reflecting about practical nursing, directed a teach-learned nursing process towards the community on a social approach, which implicates in an effective participation of the population and the sanitary authorities. Therefore, they opt for demarcation of an action area, in order to measure the results, to create social nursing necessity, nurse/patient bond and to adapt teaching and research to social reality. The goal is to identify the basics needs of the chosen village and with them establish the priorities to plan the health and educational actions in agreement with primary nursing attention. The method used in this research was a sistematic study of the families by a application form at home. The results are: 70% of the children from zero twelve years old have respiratories problems; 13% of adults use alcohol; 30% are smokers, 60% live in bad housing and sanitary conditions; 35% are illiterate, there are an excess of insects, rodents cats and dogs.

Adolescent↗
PubMed1989

A model for nursing using anthropological literature.

This paper describes the usefulness of the incorporation of medical anthropology into the nursing process. It suggests that in order to plan comprehensive patient care, much more attention needs to be paid to lay concepts of illness and causation of illness. This must take place at the assessment stage. If it does not, the nurse and the patient may be working towards conflicting goals of care which may prevent healing.

Anthropology↗
PubMed2002

The efficacy of problem solving strategies utilized in professional nursing concepts course to improve problem solving abilities in students enrolled in a two-year baccalaureate nursing program.

Using problem solving strategies in professional nursing concepts course (PS-PNC) was a newly developed core course in a two-year baccalaureate nursing program in an institute of technology. The purpose of this study was to evaluate the efficacy of problem solving strategies used in this new course to improve students clinical problem solving abilities. Prior to the PS-PNC, 12 faculty who participated in the teaching received complete training, and then continued to receive supervision and to conduct group discussions during the whole period of the PS-PNC implementation. A one- group posttest design with repeated measures was used. In total 49 nursing students from one class agreed to be recruited as the study subjects. The PS-PNC was performed separately in three semesters. After each class learning, students would start their clinical practice, were advised by the same faculty group who participated in the PS-PNC, and were asked to submit three written nursing process recordings during each clinic. Assignments from the three practices were named post-test I, II, and III sequentially, and provided the data for this study. A coding strategy was developed by the investigators. Then, data were collected and analyzed by four selected faculty who had been involved in the PS- PNC. The overall score of problem solving indicated that the three post-tests significantly increased, meaning those students clinical problem solving ability improved. However, data on the sub-concepts of problem solving on nursing assessment, nursing diagnosis, nursing intervention, and nursing evaluation showed no constant improvement. It is inferred that teaching of professional nursing concepts utilizing problem-solving strategies may be useful for future nursing students but dignified control should be strengthened.

Adult↗
PubMedDate not supplied

Outpatient quality assurance monitor: constipation/encopresis.

Quality Assurance (QA) programs assure that patients are getting the appropriate care, information, and support needed to produce better health outcomes. In this article, the authors describe monitoring nursing process by documentation of care in patients with constipation/encopresis. Longitudinal follow up to monitor patient outcomes completed the QA program. The process portion of the monitor was very successful, but the results of the outcome monitor were disappointing.

Child↗
PubMed1989

An application of Johnson's behavioral model: a case study.

The utilization of Johnson's approach to assess clients' behavioral systems demonstrated that it is an effective way of determining the many factors that impinge on an individual's ability to cope with and adapt to change. Small (1980) used the Johnson model as a conceptual framework in assessing the needs of visually impaired children and found that for nursing practice, the Johnson model was a practical tool for implementing all phases of the nursing process encompassing the child's feelings, needs, and desires. Holaday (1980) combined the Johnson model and the Piagetian theory to assess the cognitive development of a 6-year-old, chronically ill child. She found that use of this model for assessment allows the nurse to describe objectively the patient's behavior, which serves to indicate the presence of any disequilibrium. The Johnson model can also be used successfully in a group situation such as a support group for Alzheimer's caregivers, where problem solving and making choices to adapt to lifestyle changes are a definite requirement. For professional nurses in clinical practice, the application of models for assessment of clients will allow them to categorize the phenomena they observe and to gain insight into the clinical situations with which they deal.

Adult↗
PubMed1987

The impact of nursing theory on the clinical decision making process.

The concepts of the nursing process and nursing diagnosis are related to models of nursing. The use of nursing diagnosis in relation to Orem, Neuman and Roy's models is presented. Benner's work, describing the development of the nurse from novice to expert, is used to demonstrate strategies that can be used to enhance the decision making process, and the role of the nursing process and models in decision making is explicated.

Clinical Competence↗
PubMed1988

Nursing management of adults in the hospital.

This chapter has provided an overview of the nursing process from the initial assessment to discharge planning in the care of the adult AIDS patient. The psychosocial aspects have not been addressed since they are discussed in the article by Govoni. The emotional support required by the patient may be as great as the physical nursing care needed. The AIDS patient may be experiencing social isolation related to discrimination, rejection or isolation by employers, society, family, friends, and even health care workers. It is important not to isolate the patient but to establish a therapeutic relationship. This may be accomplished by being professional, knowledgeable about the issues, nonjudgmental, understanding, and, lastly, sensitive to the patient's needs, fears, and concerns. Patients may be going through the stages of grieving as they try to come to terms with their prognosis. Caring for the adult AIDS patient is both complex and challenging for the nurse as the primary care provider. The nurse can help the patient to cope through the very difficult periods of the disease, even if it means to help the patient have a peaceful and dignified death.

Acquired Immunodeficiency Syndrome↗
PubMed1989

Objectives for care: replacing procedures with guidelines.

Nursing procedure manuals tend to obstruct the implementation of the nursing process, with their emphasis on task, rather than assessment. Guidelines give more scope for a systematic and needs-based approach to care.

Clinical Competence↗