ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1990.tb00054.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

ABSTRACT.There are propositions that two indices of ADL ability, Katz's and Barthel's indices, are exchangeable for each other. Here this is investigated with regard to clinical applicability. The indices are applied on a material of 23 long term care patients. Sensitivity, specificity, predictive value and interassociations are calculated between the indices, and between indices, nurses' judgements of appropriate care level, an index of congnitive ability (PTS), and a physical examination. Results show clear differences between the indices as to specificity and predictive value, pluse differences in sensitivity on dichotomised measurement level. Associations between measures are very high, between measures and nurses' judgements and PTS medium high, and low between indices and physical status. It is concluded that the Katz's ADL index should be preferred in a clinical decision‐making for appropriate care leve

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1990.tb00055.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

ABSTRACT.The study is a part of a research project on death in a sector of a large city, involved cooperation with the Franciscan Aid “home care team”. The purpose was to study death in the home setting. Fifteen deaths were registered. Participant observation in the care of 14 patients were made—a total of 83 visits to homes, 2–15 visits per patient. In one case the author had contact with the relatives, after the death had occurred. Most of the patients had cancer. Their age varied from 28 to 80 years. The observations were recorded immediately after each visit. After the death of a patient a structured interview with the closest relatives and the nurse responsible were made. Their statements were used as a basis for formulating problems for the further study and the clarification of quantitative data. Results showed that the patients who chose to leave the hospital and remain at home often had negative experiences in hospital. All the patients in this study received good palliative treatment at home. All patients were also informed about their condition. One‐third of the patients were readmitted to hospital during the f

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1990.tb00056.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

ABSTRACT.Advice by telephone is an important part of primary health care service. Telephone advice is given at different levels of care. In order to give people confidence in the health care system it is important that personnel at different levels give similar advice for the same symptom or complaint. In order to establish generally accepted guidelines, discussions were held between personnel at different levels of care. This procedure was laborious but successful. Generally accepted guidelines could be agreed upon for all the symptoms and complaints discussed, altogether more than 60. This paper describes the procedure used during the collaborative work to provide these guidelines. It must be emphasised, though, that the guidelines should be adapted to local circumstances before being used as a practical aid in the health care service at health centres and at other outpatient units.

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1990.tb00057.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

ABSTRACT.The prevalence of dependency on feeding was estimated in 3 607 residents cared for in old people's homes, nursing homes, somatic long‐stay clinics, psychiatric long‐stay wards and psychogeriatric wards.Ten per cent of the residents were found to be dependent on the staff to eat. The highest proportion was found in nursing homes and somatic long‐stay clinics. A considerably larger proportion of the residents with dependency on assisted feeding imposed the highest workload on the staff. Residents who were totally dependent on assisted feeding were more disabled with regard to other ADL functions and also they were demented more often. Loss of the ability to eat was related to an inability in other ADL functions. Support was gained for a hierarchical loss of ADL functions as suggested by Katz&Apkom. Feeding problems seem to be a terminal phenomenon in demented pat

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1990.tb00058.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1990.tb00059.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

ABSTRACT.Relationships between antecedent person variables (sex and age), empathic understanding, content of communication, and patients' emotional reactions were studied in 3200 patient‐assistant nurse dyadic interactions. The sample consisted of 32 psychiatric patients (20 males and 12 females, mean age: 61 years) and eight female assistant nurses at a nursing‐home in Sweden. Four assistant nurses were younger (25 years old or less) and four were older (45 years old or more). All interactions were regular morning meetings at which the patient's activity plans for the day were discussed. These meetings were held in each patient's private room, and lasted for about 15 min. High empathic understanding on part of the helper covaried with more communication of “everyday character” and communication dealing with “personal and emotional qualities”, with less communication dealing with “facts and practical issues”, and with a more cheerful emotional state among the patients during the encounters. Male patients were more cheerful during encounters with younger assistant nurses while female patients were more cheerful when interacting with older assistant nurses. Helpers with higher scores on empathic understanding seemed to have a higher awareness of rel

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1990.tb00060.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

ABSTRACT.In the reformed nursing education, introduced in Sweden in 1982, the emphasis is placed on nursing as the nurse's distinguishing characteristic. The profession comprises many coexisting functions, one of which is to transmit the professional role to the student of nursing. With the aim of acquiring knowledge concerning this transmission we analysed one topic of a questionnaire which was sent to the nurses at surgery clinics. This material was processed qualitatively. The answers crystallised into two categories discerning how the role is transmitted: (A) Conscious Approach, (B) Unconscious Approach. The results show that most of the nurses acted in a conscious manner, i.e. in a form of active influence on the students, in their transmission of the professional role. The unconscious approach, with a vague perception of, and therefore vague transmission of, the professional role is frequent.

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1990.tb00061.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1990.tb00062.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1990.tb00063.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY