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Results for “Models, Nursing”

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At least 19 recordsLinked to original sources
PubMedDate not supplied

Creatively teaching the interrelationships of a nursing model.

Nursing students find that the abstract description of nursing models is difficult to understand and apply. On the other hand, strategies that operationalize these concepts through concrete applications within everyday experiences help to promote the students' understanding. The author describes an exercise for teaching nursing students the central concepts of a nursing model.

Curriculum↗
PubMed2004

Nurse staffing models, nursing hours, and patient safety outcomes.

BACKGROUND DATA: Limited research has been conducted examining the effect of nurse staffing models on costs and patient outcomes. OBJECTIVE: The objective of this study was to evaluate the effect of different nurse staffing models on costs and the patient outcomes of patient falls, medication errors, wound infections, and urinary tract infections. METHODS: A descriptive correlational study was conducted in all of the 19 teaching hospitals in Ontario, Canada. The sample comprised hospitals and adult medical, surgical, and obstetric inpatients within those hospitals. RESULTS: The lower the proportion of professional nursing staff employed on a unit, the higher the number of medication errors and wound infections. The less experienced the nurse, the higher the number of wound infections. Nurse staffing models that included a lower proportion of professional nursing staff in the mix used more nursing hours in this study. CONCLUSIONS: The results of this study suggest that a higher proportion of professional nurses in the staff mix (RNs/RPNs) on medical and surgical units in Ontario teaching hospitals are associated with lower rates of medication errors and wound infections. Higher patient complexity was associated with greater patient use of nursing care resources.

Adult↗
PubMed2001

Measuring quality of care with an inpatient elderly population. The geriatric resource nurse model.

Nurses provide health services to an increasing number of older adults in acute care settings. Acute care nurses are committed to giving patients the highest quality care while recognizing the importance of delivering care in a cost-effective manner. In this study, a unit-based, nurse-centered geriatric program is evaluated. The program is designed to enhance the knowledge and skill of staff nurses in providing care to elderly patients. Both quantitative and qualitative methods are used to assess geriatric resource nurses' (GRNs) influence on quality and cost outcomes of the elderly participants. Patients age 65 years and older were randomly selected from two general medical units of a major academic tertiary care center in the southeastern United States. Data were collected during an 18-month period in 1996 and 1997. A total of 129 participants provided data for quantitative analysis. A subset of 34 participants (17 from the unit where GRNs were on staff and 17 from a control unit) was interviewed about their experience during hospitalization. This information was analyzed for common themes and trends using appropriate qualitative techniques. Demographic variables and common measures of illness severity and complexity showed comparable patient populations on the two units. However, results of quantitative analyses indicated significant differences between groups on admission for several of the health status measures. Participants on the unit without GRNs were found to have more problems with pain, incontinence, and mobility. Administrative measures showed the number of patients readmitted to the hospital within 31 days of discharge and the length of stay associated with this initial readmission were significantly lower on the unit with GRNs. The use of vest-type physical restraints was also less frequent on this unit. Elderly patients in both groups indicated they have special needs related to normal aging changes and chronic illnesses, resulting in higher levels of fragility and decreased energy reserves. They identified specific functional areas for which help was needed. These include assistance with bathing, eating, sleeping, mobility, and elimination. Fewer participants on the intervention unit reported decline in activities of daily living (ADL) function during hospitalization than did control participants. Participants in both groups stressed the importance of nurses' demonstrating understanding and caring when working with older individuals.

Aged↗
PubMedDate not supplied

Use of nursing models in pediatric nursing research: a decade of review.

Systematic analysis of published nursing research is not new, but the incorporation of theory into research has not been separately evaluated, and pediatric nursing research has not been evaluated in its entirety for nearly two decades. A review of the use of nursing models in 302 pediatric nursing research articles published between 1980 and 1989 was conducted. Criteria developed by Silva (1986) to examine the theoretical basis of nursing practice research were used for this analysis. Nursing models were used as the theoretical framework in 17 investigations. According to Silva's criteria, the use of nursing models in these studies could be classified as follows: 6 minimal, 8 insufficient, and 3 adequate. This analysis produced results similar to those of previous analyses, finding that scant numbers of studies actually test nursing theory.

Humans↗
PubMed1995

Operationalization of a nursing model for psychiatric nursing research.

Theoretical substruction provides a framework for deriving and operationalizing study variables related to abstract constructs identified in nursing theories. Moreover, substruction demonstrates the suitability of nursing models for empirical investigation and clinical application. In this paper, theoretical substruction is used to illustrate the significance of Schlotfeldt's health-seeking model for nursing research and practice. From Schlotfeldt's model, study variables are derived and the theoretical-empirical consistency of an exemplary research design examining hypothesized relationships among study variables is described. The research design, grounded in explicit nursing theory, illustrates the investigation of phenomena of concern to the nursing discipline and promises results that will contribute to nursing knowledge development.

Humans↗
PubMed1993

Is there a place for nursing models in theatre nursing?

Nursing models are described as theoretical frameworks, or concepts, which represent what nursing is. A concept is 'something conceived in the mind, an idea, covering many similar things derived from study of particular instances'. You might ask, why do we need a model to explain what we do? But nursing has been notoriously difficult to define. Two definitions often cited are: 'The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or a peaceful death) that he would perform unaided, if he had the necessary strength, will or knowledge. And to do it in such a way as to help him gain independence as rapidly as possible'. and: 'Nursing consists essentially of acts of helping or assistance ... the conditions which validate nursing action are lack of strength or will or knowledge. The nursing role, therefore, takes on physical and psychological assistance and its teaching function'. These provide us with a basis to initiate our ideas of nursing, but provide few answers to the 'how' of nursing.

Models, Nursing↗
PubMed1992

A process-oriented approach. Selecting a nursing model for psychiatric nursing.

The nursing literature is replete with articles and books that describe nursing conceptual frameworks and models and encourage their use in clinical, education, and research activities. Although much information exists on the content of nursing models, less has been written about how a model is to be chosen and the process that may facilitate the choice of a model. This article reviews potential benefits and limitations of nursing models and conceptual frameworks and describes a three-phase process for selecting a model for psychiatric nursing practice.

Choice Behavior↗
PubMed1983

Nursing models in special hospital settings.

The use of theories and models in nursing is not merely an armchair activity indulged in by academic nurses in teaching and research institutions, but a means of looking critically at practice to improve the effectiveness of care. Nursing models help to provide descriptions of the contents of teaching and training courses. Models aim to specify: goals of action; descriptive terms for the recipients of services; nurse roles; likely sources of difficulty; the focus for intervention; and the intended consequences of the nursing model in applied practice. Examination reveals three separate dominant models of nursing practice in special hospitals: medico-legal, moral-retributional and educational. Nursing models are both useful and necessary for the provision of coherent teaching curricula and as a framework for the actual process of nursing. The need for consideration of model selection and model choice seems paramount in the current climate of special hospital nursing. A major advantage of educational nursing models seems that they allow the development and growth of nurses, with likely benefits for improved consumer services.

Ethics, Nursing↗
PubMed1998

Nursing models: extant or extinct?

Although nursing models have always had their sceptics, they are now being subjected to more sustained criticism. Critiques have tended to focus mostly on the value of models for nursing practice but, increasingly, their place in nursing science is also being questioned. Reed believes that the growing disparagement of nursing models is symptomatic of the tensions between modernist and postmodernist perspectives on nursing. Drawing its title from Reed's discussion, this paper--from the opposite side of the Atlantic--reflects on the original purpose of nursing models and critically examines their relevance now, using the first and best-known British nursing model (the Roper-Logan-Tierney model for nursing) as the particular example for scrutiny. Although the popularity of this model is acknowledged, Fraser highlights the concern that it has not been tested. Can, and should, models be tested? This question is addressed in view of its apparent importance to the debate about whether or not nursing models have any continuing, legitimate role in theory or in practice.

Humans↗