ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00387.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00388.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•The last 30 years have seen considerable development in research in nursing.•Nursing is building a repository of research‐based knowledge.•Formal structures around which research can be developed and organized are being established.•Research findings are still not being implemented in practice, but strategies to address this issue are being developed.•Nurses are being educated to utilize research findings in practice.•TheReport of the Task‐force on the Strategy for Research in Nursing, Midwifery and Health Visitingwas published in May 1993 (DoH, 1993). It advocates that research in nursing should be fully integrated in health‐services research and outlines future strategy in four key areas: priorities, education, pra

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00389.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•The nurse manager/ward sister*role is becoming endangered as many of these nurses are being asked to take fiscal and personnel responsibility for multiple units/programmes and supervise more non‐registered nursing staff.•Loss of this important nurse manager/ward sister role could severely decrease nursing's voice in the development and implementation of policies that affect nurses arid the care they deliver.•The authors review 20 years of literature from both the USA and the UK regarding supportive supervision and the role of the nurse manager/ward sister. Nurse managers/ward sisters were found to be key individuals within the entire health‐care organization.•Nurse managers/ward sisters can empower the nurses they surpervise to initiate changes that will improve patient care. Nurse managers/ward sisters can also improve the working conditions and thus increase the job satisfaction and retention of those they supervise.•Strategies for being more supportive of these overworked and endangered nurse managers/ward sisters

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00390.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•Having a critically ill child can be a heartbreaking experience. The sudden transformation of a healthy child to a critically ill or injured child causes parents to undergo feelings of pain and shock.•Parents with a critically ill child are in acute need of support and intervention by caregivers.•This article describes a parents' support group, conducted as part of a nursing programme student experience, in a pediatric critical‐care unit. This experience provides information concerning the group that others may wish to re

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00391.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•Self‐help groups for coronary heart disease (CHD) patients were initiated by the Swedish National Association for Heart and Lung Patients in co‐operation with Halland University College of Caring Science. Professional support was given in the form of a guidebook with health advice to be used at group meetings.•The aims of this study were to describe the experiences of social support and the effects of health advice among people suffering from CHD and their next‐of‐kin participating in self‐help groups.•A questionnaire was developed containing three scales with questions about social support in connection with group participation and the effects of health advice shared during the programme.•The results showed that 84% of participants knew about risk factors; all group members had changed their attitudes in some way concerning their life‐style and 65% thought that they had changed their daily life activities as a consequence of the group participation. Most participants had experienced social support, through both support received (82%) and their own ability to provide support (7.1, scale range 0–10).•In self‐help groups layman support is the most effective kind of support, but the results indicate that health professionals also have an important role to play. In future research and clinical planning of rehabilitation of people with CHD, self‐help groups, both from a human and economic point of view

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00392.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•This is the first of two articles providing an introduction to appraising published research critically.•In this paper three styles of research are presented and the basic types of research objectives and designs are briefly descri

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00393.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•This research adopts a phenomenological approach to investigate how registered nurses think and experience nursing.•Findings from the study highlighted the dynamic nature of how nurses think and experience nursing. This dynamic nature demonstrates the often vulnerable and stressed position nurses find themselves in today when trying to meet their professional aspirations within a medically dominated, bureaucratic health‐care system.•The findings suggest that not only is educational reform required, but nurses need skills to enable them to form change strategies so that their paradigm of health care can be established. This study represents the very beginning of trying to create that paradigm indu

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00394.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•A contract for the provision of community nursing and associated services was drawn up between the Plymouth Community Unit and general practitioners associated with a fundholding practice at a health centre in Devon in October 1991.•This project, which aimed at applying purchaser/provider principles, contained some novel features and was subject to evaluation and review after 6 months.•An evaluation which had four main aspects was carried out, consisting of interviews and questionnaire assessment of staff attitudes, patients' views of the effectiveness of aspects of the practice health‐promotion activity, an analysis of staff activity data before and during the pilot phase and an examination of the documentation concerned with critical issues which had arisen.•Questionnaire data indicated that staff motivation and enthusiasm for the project was high and that patients' views on the practice facilities were generally positive.•The role of the Macmillan nursing service at this practice was greatly enhanced during the pilot project with a fourfold increase in the number of visits carried out.•Over 120 h were spent by health visiting and district nursing staff on issues surrounding the pilot project including attending additional meetings.•The results are discussed in relation to service benefits to patients, the effect on the cohesion of the primary health‐care team and issues of fundholding and are considered in the context of models put forward for the future development of community

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00395.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•This paper describes the findings of” a questionnaire survey designed to create a picture of current case management practices as they relate to community nursing.•Eighty‐three questionnaires were analysed in order to identify client groups, nurse details, functions of case management adopted, other services involved, titles used and advantages and disadvantages of the ways of working adopted.•Findings suggest that interpretation of, and involvement in, case management is variable and that the practice potential for this model of care warrants further

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00396.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY