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PubMed1988

Spiritual care: an element in nursing care planning.

Nursing has recognized spirituality as an aspect of holistic patient care but little has been written on the understanding of this concept within the holistic approach. In a discussion of the issue, three basic questions are addressed. These questions include 'What is spirituality?', 'How do patients express their spirituality?', and 'How can spiritual care be incorporated into a plan of care?' Drawing upon nursing and health-related literature, an outline of the concept of spirituality is drawn and five broad areas of expression are described. The nursing process is used to demonstrate how spirituality can be incorporated into the patient's plan of care.

Adolescent↗

PubMed1997

A model for analysis of the nurse-patient interactive process (MAIP).

A model for analysis of the nurse-patient interactive process (MAIP), based on the analysis of the content of that interaction, is proposed as a method for determining appropriate psychosocial nursing diagnoses for the patient. The model focuses on the qualitative aspects of the phenomenon of interaction. The MAIP permits a systematic analysis of the nurse-patient interaction, and in turn will provide guidance for the professional in their actions in the interactive process.

Communication↗

PubMed1982

Assessment of the adult with cancer.

The nursing process is a systematic method of problem-solving that incorporates four phases: assessment, planning, intervention, and evaluation. These four steps, in actual practice, are continuous and cyclical. One may not be able to complete the entire data-gathering phase and then move on to the planning phase. For example, the nurse often finds it necessary to obtain a baseline assessment, plan for immediate care to meet priority needs, and then collect additional information at a later time to set goals for less pressing problems the patient may experience. Changing conditions and alterations in the patient's status requires continual reassessment and modification of approaches.

Adult↗

PubMed2000

Integrated Internet based tools for learning and evaluating the International Classification of Nursing Practice.

This paper presents some tools designed and implemented for learning-related purposes; these tools can be downloaded or run on the TeleNurse web site. Among other facilities, TeleNurse web site is hosting now the version 1.2 of SysTerN (terminology system for nursing) which can be downloaded on request and also the "Evaluation of Translation" form which has been designed in order to improve the Romanian translation of the ICNP (the International Classification of Nursing Practice). SysTerN has been developed using the framework of the TeleNurse ID--ENTITY Telematics for Health EU project. This version is using the beta version of ICNP containing Phenomena and Actions classification. This classification is intended to facilitate documentation of nursing practice, by providing a terminology or vocabulary for use in the description of the nursing process. The TeleNurse site is bilingual, Romanian-English, in order to enlarge the discussion forum with members from other CEE (or Non-CEE) countries.

Curriculum↗

PubMed1996

Routine surgery, routine patients? Never!

The nursing process--assessing, diagnosing, planning, intervening, and evaluating--is a dynamic tool when properly used by the nurse. It ensures that nursing care is never routine. The following case study demonstrates how this process was used to guide the care of a patient with an unexpected corneal abrasion following meloplasty (chin augmentation) surgery.

Chin↗

PubMed1996

Development, testing, and validation of two scales measuring nursing home management of subjects with mental disorder.

This paper describes the development, testing, and validation of summary scales measuring nursing processes commonly used in caring for elderly nursing home residents with cognitive, mood, and behavior problems, or other markers of mental disorder. Data were obtained from a cross-sectional study of 1017 residents from a proportionate random sample in Delaware nursing facilities, to determine the prevalence of mental disorders and to describe distinguishing characteristics and treatments. An exploratory factor analysis was performed on 11 frequently encountered nursing management strategies as applied to 808 subjects with some indicator of mental disorder. Two factors emerged, which were subsequently conceptualized as separate scales (composed of six and five elements, respectively) that measure the basic approaches termed Encouragement and Control. Alpha reliability levels determined internal consistency for each scale. Cognitive, behavioral, and mood correlates were identified for each scale using multiple regression. Replication and validation were achieved when similar findings were obtained using a random sample of 290 residents at Hebrew Rehabilitation Center for Aged, a 725-bed long-term care facility in Boston. LISREL analyses confirmed the presence of at least two dimensions in behavior management strategies. The identification of these approaches is significant in providing non-pharmacologic and non-restraint alternatives to managing elderly residents with symptom distress.

Aged↗

PubMed1989

Organ donation: a nursing perspective.

The frequency and success rate of organ donation and transplant surgery has dramatically increased over the past several years. Since organ donors are drawn primarily from the traumatically brain-injured population this increase has a direct impact on neuroscience nurses. This article addresses the organ procurement process, nursing care of the organ donor and the interrelationship of organ donation and neuroscience nursing.

Brain Death↗

PubMedDate not supplied

Chronic pain: dynamics and treatment strategies.

Chronic pain, which affects an estimated 80 million Americans, has untold effects on personal productivity, self-esteem, functioning of the family, and cost to the healthcare delivery system. The author describes how the nursing process offers an effective framework from which nurses can provide psychosocial care to clients with chronic pain. Helping clients to assume responsibility for their own well-being, achieve independence in their lives, and practice healthy coping mechanisms are major goals of such psychosocial care.

Analgesia↗

PubMed1999

[Macrocampaigns: alternatives to health promotion].

To reflect about teaching and practicing nursing in public and collective health, helps to direct the teaching/learning nursing process to a health promotion alternative, involving nursing students of UFRGS with Lions Clubs, Health State Secretaries and, specially, with the population and the media, so that early detection of high blood pressure and diabetes and also health promotion could be focus on Macro-campaigns Project. The aim is to early detect high blood pressure, diabetes and to promote health, individually and collectively, in a short period of time, at places of major concentration of persons, using academic work power, clubs of service, participation of the population and the media. The method used on this investigation was of interviews, blood pressure measurement, blood sugar checking, and filling forms from spontaneous demand in shoppings malls and other sites, by two professors and 58 nursing students of UFRGS. The main aspects of the results are that 15% of the demand have high blood pressure and 9% have high level of blood sugar.

Blood Glucose↗

PubMed2005

[An experience of taking care of an adolescent spinal surgery patient suffering from scoliosis].

This case report describes the experience of taking care of an adolescent (nineteen year-old) girl, who needed spinal surgical treatment because of scoliosis. The author assessed the patient's condition by observation, interview, and the Gordon 11-item functional health pattern assessment guide. Because she had had no previous surgical experience, and faced changes in her bodily appearance, the adolescent had physical and psychological problems, such as acute pain, self-care deficit, anxiety, and body image disturbance. Besides applying professional knowledge and technical ability, to alleviate the discomfort caused by the young lady's surgery, the author used caring, listening and empathy to encourage and support her in learning self-care, to accept her change in body image, and to overcome the impact of the disease. Through this nursing process, the author came to understand that nurses must concern themselves with both physical problems and mental needs in order to provide holistic health care.

Adult↗

PubMedDate not supplied

HIV/AIDS case management: a learning experience for undergraduate nursing students.

Case management has received national and international recognition as a method for providing comprehensive, coordinated care to clients/families with various health problems, especially HIV/AIDS. With the increase in clients infected with the AIDS virus and the needs of such clients, community health nurses will likely become their case managers since they usually seek care from the public sector. Therefore, students receiving learning experiences in community health nursing will have contact with HIV/AIDS clients and their affected families. Nurses must monitor, coordinate, and manage the care of HIV/AIDS clients within community-based settings. Case management models have been used by community health nurses who provide care to HIV/AIDS clients. In fact, senior nursing students in community health nursing at the Coppin State College Helene Fuld School of Nursing were provided learning experiences with a community health nurse case manager who had a bachelor's degree. Students had to reassess their values, beliefs, and attitudes concerning caring for HIV/AIDS clients and their affected families. Additionally, students used the nursing process and the Levine Model to provide nursing care to clients. Baccalaureate Nursing Programs must provide students with learning experiences as case managers of HIV/AIDS clients/families.

Case Management↗

PubMed1991

Implementing a short-term family support group.

1. Although family involvement has been increasingly recognized as a vital component in the treatment and care of the mentally ill, little has been written about efforts to provide education and support to the families of patients hospitalized for short-term evaluation and treatment. 2. The family education and support group provided emotional support and critical information to increase family members' coping and problem solving abilities, and enabled them to return to a pre-crisis or higher level of functioning. 3. The family education and support group not only enhances the assessment and planning phases of the nursing process, but it also can serve as a useful intervention for strengthening the patient's major support system.

Adaptation, Psychological↗

PubMedDate not supplied

The Ullrich-Hodge Alternative Therapy Assessment Model. Teaching students to evaluate patients for use, motivation, and risks.

Americans are increasingly turning to complementary and alternative medical therapies as a way of maintaining or improving their health. As with other treatment modalities, nurses have a responsibility to implement the nursing process as it relates to the use of alternative therapies. This article introduces a model for identifying patients who use alternative therapies and evaluating their knowledge base, motivation, and degree of risk.

Complementary Therapies↗

PubMed1989

Adult education. The cornerstone of patient teaching.

Patient teaching is necessary for good nursing care. Nurses cannot learn for patients, but they can facilitate learning by incorporating concepts of adult education into their teaching. Both the educational and nursing processes are based on the steps in the problem-solving approach: assessing, planning, implementing, and evaluating. Special attention to assessment and evaluation are necessary to achieve the desired change in behavior.

Adult↗

PubMedDate not supplied

Computer-assisted interactive video instruction in nursing (CAIVIN).

Computer-assisted interactive video instruction in nursing (CAIVIN) uses a team approach in designing and producing interactive software. The team's goal is to produce videodiscs in a variety of settings within nursing specialties. The current focus is decision making in medical-surgical nursing using the nursing process as the problem-solving model. Interactive video is used to make a smooth, safe transition from theory to practice through the use of simulations.

Computer-Assisted Instruction↗

PubMed1982

New perspectives on nursing lower limb amputees.

New perspectives on nursing lower limb amputees arise from the author's researches into amputee rehabilitation and a summary of other recent research findings. These are dealt with in the context of basic amputee treatment and the nursing process. There is new material on the psychological and neurological sequelae of amputation, the practical problems of loss of a limb and the prosthetic dimension of treatment. The patients' reactions to lower limb amputation were found to vary from intense grief to intense relief, many noting it to be of minor or moderate consequence. The model of sudden and shocking loss is largely incorrect. Attention is drawn to an unrecognized ordinariness which should become part of amputee nursing. Patients have many practical problems. These are social and economic, personal and domestic. The ward environment is unsuited to these needs but, working closely with therapists, nurses can do much to facilitate amputee rehabilitation. The modern purpose of amputation surgery is prosthetic replacement. Nurses should be working with some urgency towards uniting patient and prosthesis. Pain and discomfort are underestimated and research shows them to be a major characteristic of amputation continually and for many years after surgery. A variety of pain syndromes are involved.

Adaptation, Psychological↗

PubMedDate not supplied

Nurses' attitudes toward dimensions of nursing practice.

The purpose of this study was to examine nurses' attitudes toward nursing behaviors. The research question was: What is the relative importance that nurses attribute to certain dimensions of nursing behaviors? In order to answer this question, an attitudinal instrument was developed and administered to a sample of 196 female nurses whose names were obtained from the deans and directors of the nine NLN schools in Connecticut. Five a priori constructs were used as a basis for validation in the instrument development--the utilization of a unique body of knowledge and skills; the utilization of the nursing process; research ability; leadership ability; and teaching, prevention, and maintenance. Objectives, which were obtained from each of the nine schools in Connecticut, as well as from the NLN, constituted the items in the measuring instrument. Factor analysis of the instrument yielded seven factors, accounting for 63.1 percent of the total variance. Three of these factors were the same factors as those identified in the a priori analysis. The results of this study contribute toward a better understanding of nurses' perceptions of the importance of several identified components of the nursing role.

Attitude of Health Personnel↗

PubMed1993

Women's body image: the nurse's role in promotion of self-acceptance.

Women face criticism regarding their bodies from childhood to old age. Overt and covert messages demand that all women seek the ever-changing "ideal" body through a variety of costly, ineffective, and often dangerous means. As these demands are internalized, healthy women may develop a negative body image and a damaged sense of self. Nurses can promote peace between mind and body through the nursing process, role modeling, and community involvement. Body image should be assessed, particularly during vulnerable periods, such as adolescence, pregnancy, postpartum, and menopause. Planning, intervention, and evaluation should focus on self-acceptance and emotional and physical well-being, rather than on changing one's appearance.

Body Image↗