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At least 19 recordsLinked to original sources
PubMed1994

"Sensing" patient needs: exploring concepts of nursing insight and receptivity used in nursing assessment.

Nursing assessment utilizes skills that enable the nurse to "sense" the patient's needs and the patient's condition, and that provide a humanistic dimension to the provision of nursing care. The explanatory concepts describing these processes include intuition, emotional empathy, inference, knowing, counter transference, compathy and embodiment. In this paper these concepts are defined, and the more commonly used concepts (i.e., intuition, empathy, and inference) are compared. The underlying assumptions and characteristics are identified and the antecedents or prerequisites, mechanisms, and outcomes of each concept are explored. While some overlap and blurring of boundaries are evident, these concepts are diverse and were developed to apply to different contexts and non-nursing situations. When used alone, none is comprehensive enough to account for nurses' ability to sense patient needs. We conclude that, given the unique aspects of nursing, we must consider using innovative methods to examine this phenomenon (e.g., the use of ethology to examine intuitively perceived changes in the patient's condition), to increase efforts to explore the newer concepts (i.e., embodiment, compathy and "knowing"), and to develop new concepts or models that better represent this complex phenomenon that better fits nursing contexts and situations.

Cognition↗
PubMed1985

A theoretical approach to nursing assessment.

Nurses use theory to sharpen their observations and to facilitate their understanding of the human responses to which they direct their interventions. An assessment tool, derived from the nursing theory 'modelling and role-modelling', was developed by nurses at the University of Michigan Hospitals. This tool appears to elicit the data necessary to assess and diagnose the health status of clients. This article describes the assessment tool, why it was developed, the objectives in utilization of the tool and suggestions for implementation.

Health Status↗
PubMed1986

Nursing assessment and nursing diagnosis in patients with peripheral vascular disease.

Effective nursing interventions are determined by the nursing diagnoses and associated etiologies. The diagnoses are derived from a complete data base that results from a thorough assessment. As the nurse proceeds through the process of differentiating among diagnoses, the focused cue search is essential. For the client with PVD, lifestyle changes, symptomatology, chronicity of the disease, and frequent contact with the health care system are the major influences on the diagnoses. These clients are likely to have potential for injury, potential for infection, impaired skin integrity, activity intolerance, alteration in tissue perfusion, alteration in comfort, and knowledge deficit. Other diagnoses are probable but are determined by the unique characteristics of each client.

Adaptation, Psychological↗
PubMedDate not supplied

Nursing students assess nursing education.

This study assessed the characteristics of nursing students currently enrolled in nursing education programs, how students finance their nursing education, their plans for clinical practice and graduate education, and the rewards and difficulties of being a nursing student. Data are from a survey administered to a national sample of 496 nursing students. The students relied on financial aid and personal savings and earnings to finance their education. Parents, institutional scholarships, and government loans are also important sources, but less than 15% of the students took out bank loans. Nearly one quarter of the students, particularly younger and minority students, plan to enroll in graduate school immediately after graduation and most want to become advanced nursing practitioners. Most of the nursing students (88%) are satisfied with their nursing education and nearly all (95%) provided written answers to two open-ended questions. Comments collapsed into three major categories reflecting the rewards (helping others, status, and job security) and three categories reflecting the difficulties (problems with balancing demands, quality of nursing education, and the admissions process) of being a nursing student. Implications for public policymaking center on expanding the capacity of nursing education programs, whereas schools themselves should focus on addressing the financial needs of students, helping them strike a balance among their school, work, and personal/family responsibilities and modifying certain aspects of the curriculum.

Adolescent↗
PubMed2003

Pre-admission nursing assessment in a Welsh Medium Secure Unit (1991-2000): Part 2--comparison of traditional nursing assessment with the HCR-20 risk assessment tool.

Pre-admission forensic nursing assessment is a tradition that has no research evidence base, little documentary support and is an expensive drain on nursing resources from clinical environments. Such an expensive practice warrants some evaluation of the quality of these nursing assessments. This study assessed the quality of nursing risk assessments through comparison with the HCR-20, a well-established and widely validated violence risk assessment instrument. There was a high degree of correspondence between nurse assessments and the contents of the HCR-20. The results offer support for forensic nurses' abilities to develop effective measures and practices based upon nursing knowledge and experience where no formal evidence base previously existed.

Forensic Psychiatry↗
PubMedDate not supplied

Perceptions of patients' pain: a study assessing nurses' attitudes.

This study of 35 orthopaedic nurses assessed attitudes to pain and its relief. Using an anonymous questionnaire, nurses gave their views on a range of issues from what patients' expectations of post-operative pain should be, to the use and effectiveness of pain assessment tools. The findings suggest that nurses require re-education in various aspects of pain and analgesia provision to ensure that patients do not feel pain unnecessarily and receive appropriate pain relief promptly. The study recommends that pain assessment tools are used by orthopaedic nurses and that further training is required in the pharmacology of analgesic agents.

Health Knowledge, Attitudes, Practice↗
PubMed2003

[Assessment scales for nursing assessment of the mouth. A literature review].

Especially in patients which are at risk for transformations of the oral soft tissue the importance of an oral assessment is stressed by many authors. The application of an assessment instrument enables a diagnosis related decision of the care measures which have to be taken. Furthermore, the effectiveness of the measures can be assessed and it is an important research instrument. An assessment instrument gives support and safety to the practitioner in his decisions and simplifies a precise documentation. In the literature, more than 40 assessment methods and instruments to assess the oral health status could be found. Only a few of them are validated. Concerning the assessment criteria, there was no consensus between the authors. There is no agreement if subjective perceptions of the patient should be included in the assessment. Based on available validity characteristics, recommendations for assessment methods which are suitable for patients in geriatrics, intensive care and specific tumor therapy are given.

Aged↗
PubMed2005

[Chronic pain in nursing home residents--patients' self-report and nurses' assessment].

BACKGROUND: Nursing home patients who have difficulties communicating are often under-treated for painful conditions. We assessed the agreement between nurses and patients regarding pain. Furthermore, we studied nurses' assessment of pain in non-communicative patients. MATERIAL AND METHODS: Cross-sectional study, including 157 patients from four nursing homes. Demographic data, diagnoses and clinical information were collected. A study nurse interviewed patients and nurses with regard to pain over the last seven days. Patients who answered this question were regarded as communicative, the others as non-communicative. Cognitive function was assessed by means of the Abbreviated Mental Test. RESULTS: A total of 109 patients (69%) were capable of answering the question of whether they had felt pain: 42% of the severely, 68% of the slightly or moderately cognitively impaired, and 97% of the cognitively intact patients. 53% of the patients indicated pain. There was agreement between nurses and patients in 77% of the cases (kappa = 0.54), among the severely impaired 33%, among the slightly or moderately impaired 69%, and among of 78% of those cognitively intact. Nurses considered pain to be less prevalent in non-communicative than in communicative patients (44% versus 52%, p = 0.39). Nurses' pain assessment was significantly related to the presence of pain-related diagnoses. INTERPRETATION: With regard to communicative patients, there was a fairly good/good agreement between patients' report and nurses' assessment of pain. A substantial proportion of the cognitively severely impaired are able to communicate their pain problems.

Aged↗
PubMed2003

Geriatric nursing assessment.

Gerontological nursing is a unique area of nursing. The cornerstone of the gerontological nursing process is assessment. In some traditional education models, nurses are taught assessments in general areas, such as cardiology, neurology, urology, and orthopedics. Little emphasis is placed on integrating these systems. A one-day workshop was developed with the objective to further develop the assessment skills of the registered nurse (RN) in continuing care by demonstrating a holistic approach to assessment and care planning. For this workshop, the "giants of geriatric medicine," namely falls, incontinence, confusion, iatrogenic illness, and impaired homeostasis (Cape, 1978) were further developed into a geriatric nursing model to include the psychosocial issues. This model demonstrates a way of assessing and integrating the information known about the resident. To ensure the workshop content was practical for the nurse, existing resident care documentation within the sponsoring organization, The Capital Care Group, was used. Through the education provided in the workshop, the RNs recognized that individualized care is based on full assessment of the resident, integration of the information gathered, and complete documentation.

Aged↗