ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00207.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•In recent times, nursing has witnessed a growing support for the notion of theory as being instrumental in enhancing nursing practice and ultimately patient care (Marriner, 1986). Whether generated from nursing practice, or ‘borrowed’ from other fields, the use of theory is viewed by some as the key to the ultimate recognition of nursing as a scientific, professional discipline in its own right (Stevens, 1984). Parallel to this view, there is a research perspective that questions the ultimate contribution of certain theories to health‐care practice, particularly those emanating from other disciplines, urging caution in their practical utility. This paper enlarges upon this theme, focusing specifically upon the psychological theory of bonding, attempting to explore critically the degree to which it can be used in nursing practice, and to which it contributes towards our understanding of the attachment behaviour between a mother and her infant.•A brief outline is given of the theory and its impact on health‐care practice, and possible limitations discussed with reference to the conceptual origins of bonding theory, the validity of its research methodology, and its use within the wider health‐care setting.•A feminist sociological perspective is used in a brief attempt to explore the wider implications of the bonding theory in relation to the po

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00208.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Lymphoedema is a significant health problem for some groups of patients and few health authorities have carried out a systematic health needs assessment for this client group. When planning and developing services, there is a need to demonstrate a knowledge of the literature relating to the incidence and prevalence of this condition. To facilitate interpretation of the literature, clarification of the difference between incidence and prevalence rates is included in this review. It is important that the differences between these rates is clearly understood when considering the nature of a chronic, progressive condition.•The problems inherent in comparing results from studies which use different definitions of what constitutes ‘lymphoedema’, as well as different methods of measurement are acknowledged. A number of studies are examined and using information from this review, it is suggested that the prevalence rate of lymphoedema in women treated for breast cancer is in the region of 25–28%.•Factors which influence the development of lymphoedema, and the controversy concerning axillary node sampling and dissection are discussed. The need to consider patients with lymphoedema due to very advanced cancer, and those with lower limb problems is also

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00209.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•A pilot study of catheterized women was designed to investigate their perceptions of pain and discomfort during the procedure.•The study aimed to test the feasibility of conducting a larger randomized controlled trial.•Problems were encountered during the execution of the study, due to the need to conform to established principles in clinical research.•Restrictions on access to patients impinged upon the opportunity to ‘cast the net wide’ in order to generate mean

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00210.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Existing studies indicate the importance of the communication that takes place within specific nursing procedures, but a body of knowledge in this area has yet to be developed.•This study explores the verbal communication that took place when nurses were administering cytotoxic chemotherapy in a specialized gynaecological oncology unit.•Most interactions were initiated by the nurses and concentrated on information giving.•Detailed, clear and precise explanations were provided, reflecting the highly technical nature of the procedure.•The nurses rarely made any assessment of the patients' understanding of the situation, their preconceptions, or their feelings.•It is suggested that there is a need to structure and improve the emotional, supportive, and information‐giving techniques emplo

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00211.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Stoma care nurses aim to meet the physical, psychological, social and spiritual needs of patients.•Development of stoma care nursing services has varied, as it has been the responsibility of each nurse, resulting in differences in the mode of delivery.•This qualitative and quantitative study involved stoma care nurses from six areas in Essex, to assess patient perception of the service they received.•Overall, the satisfaction level was high despite differences in delivery of care, especially timing and frequency of visits

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00212.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Nursing practice is based on experience, tradition, intuition, common sense, untested theory and sometimes research.•There are a number of reasons why nurses may see research as irrelevant to their practice.•This paper provides a model identifying possible strategies to help nurses develop research‐based p

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00213.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Professional profiles and portfolios have recently been identified by nursing's regulatory bodies in the UK as ways of recording each nurse's career and professional development. Although the use of portfolios is widespread in education, the concept of a developmental portfolio to support continuing professional development on an individual basis is recent.•As an innovation in nursing the portfolio is to be used for periodic registration with the UK Central Council (UKCC), for the on‐going recording of learning, both formal and experiential, and as a way of accrediting prior learning for academic purposes.•This paper argues that the potential of the portfolio is wider than the purposes already identified in that the knowledge generated from experiential learning and identified by reflective practice is of specific interest and value to the nursing profession as a whole.•In particular portfolios are likely to record the knowledge embedded in practice, which is often hard to describe, yet represents nursing's expertise.•For this potential to be realized pragmatic issues such as finance, time and verification of experiences need to be addressed, and an infrastructure created to support the nurse compiling

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00214.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This paper describes one part of a first‐stage study concerned with the care received by a group of adolescents and young adults with insulin‐dependent diabetes mellitus (IDDM) in one district health authority.•The paper reports findings from a self‐selected sample of 30 patients aged between 15 and 25. Each of the 30 patients was interviewed during a routine appointment at a diabetes clinic. The patients' doctor at the clinic and one of the diabetes specialist nurses also filled in a short questionnaire for each of the patients interviewed.•The main finding was that although all 30 patients interviewed reported that their diabetes control was at least moderately good, a significant number of patients had blood glucose levels above the recommended norm.•The study lends support to the widely held belief that young adults with diabetes have particular difficulties in maintaining blood glucose levels within a normal range.•It is suggested that processes within the current mode of care may be contributing to this poor level of control. Recommendations for a controlled trial of specialist nurse versus docto

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00215.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00216.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY