ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00022.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.tb00023.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This paper outlines the role of quality audit within the framework of quality assurance, presenting the concurrent and retrospective approaches available.•The literature survey provides a review of the limited audit tools available and their application to continence services and care delivery, as well as attempts to produce tools from national and local standard setting. Audit is part of a process; it can involve staff, patients and their relatives and the team of professionals providing care, as well as focusing on organizational and management levels.•In an era of market delivery of services there is a need to justify why audit is important to continence advisors and managers. Effectiveness, efficiency and economics may drive the National Health Service, but quality assurance, which includes standards and audit tools, offers the means to ensure the quality of continence services and care to patients and auditing is also required in the purchaser/provider contracts for patient services.•An overview and progress to date of published and other a projects in auditing continence care and service is presented. By outlining and highlighting the audit of continence service delivery and care as a basis on which to build quality assurance programmes, it is hoped that this knowledge will be shared through the setting up of a central auditing clearing

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00024.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Reflection can be utilized to reveal aspects of clinical practice which remain shrouded in ritualistic origin.•The underlying themes surrounding the action of washing patients can be traced to Victorian legacies and the nurse education process.•The nurse‐patient relationship serves as a template for the deliverance of nursing interventions.•An incomplete awareness of the nurse‐patient relationship persists as to its initiation, continuation and usefulness in clinical nursing.•Following reflection, there has been an increased awareness of feelings and attitudes surrounding the activity of wash

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00025.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This paper outlines the first phase of a project to generate and evaluate the role of an advanced nurse practitioner inductively from first principles.•The role was developed by interviewing a wide range of health‐care professionals, carers and patients.•The resulting role is responsive to perceived need at grassroots level rather than to the needs of managers with no clinical experience.•Although the role might not be generalizable to other settings, the method can be applied to any role in any clin

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00026.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•The nursing assessment, and the contribution it makes to the identification of an individual's health needs, is often a complex and multidimensional process. This is always true when the individual concerned has a severe learning disability.•The nurse should develop the assessment in partnership with individuals who may experience major communication difficulties, or have unappreciated levels of perceptual or cognitive dysfunction. They may also live with the ongoing possibility that their affective or behavioural responses may be misinterpreted as ‘challenging behaviour’.•This case study focuses upon one particular young man with a severe learning disability living in a community home. Drawing upon the principles of qualitative research methods, especially those of ‘grounded theory’, this study aims to demonstrate how these can be used to develop a uniquely person‐centred assessment.•A systematic process of observation, analysis and reflection produces a detailed picture of the individual and his or her particular health states.•The strength of this approach is threefold. Firstly, the person is considered as an active participant and remains the central focus. Secondly, in contrast to many other forms of assessment, the person is viewed as dynamic with ever changing needs. Thirdly, the process of nursing judgement is made explicit and integrated into the

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00027.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Current policy requires systematic and comprehensive assessment of elderly people. Few standardized tools exist for assessment.•This paper is in two parts. First it reports on the SAFE assessment measures agreed by a multidisciplinary working party initiated by the Royal College of Physicians and the British Geriatrics Society in 1992.•The second part reports the findings of a feasibility study of SAFE in district nursing practice. The outcomes examined were the proportion of patients with completed assessments, the time taken to carry out the assessments, acceptability to the patient, carer and district nurse, and the training required.•The findings show that SAFE is a practical and acceptable set of instruments in the assessment of elderly people by district nurses, but that further refinement is de

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00028.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This study has analysed the level descriptors of Higher Award degree programmes offered by a random sample of 15 colleges of nursing and midwifery in England.•The analysis revealed a wide variation in the way each level (1, 2, 3 and M) had been denned.•The variation occurred in a range of different ways. The main categories of variation were: the style of the descriptor; the features denned by the descriptor; the use of descriptors in the cognitive domain; the use of dimensions of professional knowledge and practice such as autonomy and reflective practice; and progression between the levels.•The context of the study is described and the implications of the study and possible ways forward are di

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00029.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•The lived experience of relocating to a nursing home is explored from the perspective of 19 residents of Australian nursing homes.•The interpretative research methodology is informed by hermeneutic phenomenology.•In‐depth interviews were conducted with 19 nursing home residents living in nursing homes in NSW. Interviews were audiotaped, transcribed and analysed to identify emergent themes.•The themes are described and interpreted to provide an understanding of the relocation e

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00030.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Helping nurses to become effective and confident as primary nurses involves developing their interpersonal skills, sharpening their decision‐making and nurturing their creativity. In our action research study, we found that traditional methods of ward teaching did not help to promote this kind of professional growth. We therefore developed, tested and refined three distinct strategies for clinical supervision which specifically aimed to foster more thoughtful and more sensitive nursing practice. Very importantly, we found that these approaches to supervision were feasible and practical to use in a busy hospital ward.•In this paper, we describe the three supervision strategies, using a clinical story to illustrate what each demands from the supervisor and what it offers the nurse under supervision. We also suggest ways in which expert nurses can be helped to become effective clinical superv

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00031.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY