ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00197.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.tb00198.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This paper describes the findings of a literature review of the effectiveness of nursing. Three journals were selected in which this type of study was most likely to be published. A diversity of attempts to measure nursing effectiveness with various types of patient was found. Generally, however, there was a lack of rigour in study design and sample sixes were too small to be able to draw conclusions. No studies were found which undertook a cost‐effectiveness analysis of nursing interventions.•Suggestions for the way forward in measuring nursing effectiveness are given, together with questions to be addressed by nursing res

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00199.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This paper critiques pressure sore risk assessment tools. No attempt is made to describe individual tools in detail as this literature is available elsewhere.•The economic case for risk assessment is presented along with the criteria for an effective risk assessment instrument.•Reliability and validity studies are reviewed in relation to three risk assessment tools: Norton, Waterlow and Braden.•Finally a number of issues related to threshold scores, research design and the need to view pressure sores as a clinical problem rather than a nursing problem are di

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00200.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•The notion of clinical leadership is significant in current nursing practice, particularly since recommendations made by the Department of Health in ‘The Strategy for Nursing’. However, while it is a concept that many nurses aspire to implement, in reality the operationalizing of such a concept is fraught with difficulty.•This paper aims to explore the issue of clinical leadership through a collegiate model developed in a particular practice area.•The development of this collegiate relationship is articulated through the mediums of reflective practice and clinical supervision.•A model of collegiality is offered as an approach to the integration of the spheres of clinical leadership.•If reflective practice is to be a reality then it is essential that both clinical leaders and practitioners engage in such processes within a suppo

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00201.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•A research‐based project was conducted to introduce structured pain assessment on a surgical ward at a general hospital in Kenya, East Africa. The aim was to improve pain control, and subsequently patients' recovery and satisfaction with care.•It was agreed that the ultimate aim was to develop and use a common tool for pain assessment throughout the hospital, thereby reducing disparity in various clinical areas, and raising standards of patient care.•The project was seen as a pilot, and planned introduction of the pain assessment took place over 1 month.•This paper describes the findings in relation to the patient sample, and perceptions of nurses taking part. It also contains reflections about action research, and how it may enter the scene as a way of understanding the whole picture retros

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00202.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•The aim of this study was to investigate how patients with progressive neurological disorders describe what they perceive as quality of life.•The patients (n = 169) were interviewed while staying at a neurological rehabilitation centre by way of an open question, what ‘quality of life’ represented to them.•Patients' statements were classified and a comparison was made with Kajandi's three levels of factors constituting quality of life. The categories that came forth were ‘living in a sense of affinity’, ‘being independent’, ‘living on one's own terms’ and ‘feeling that life is meaningful’. The statements constituting the basis of the categories were impressive and illustrated wisdom.•The results underline the uniqueness of each patient's situation, and how important it is that nursing and treatment are adjusted to

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00203.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•The motivation behind this study was a desire to gain access to the experiences of elderly people receiving nursing care in hospital. Previous experience with quantitative approaches to quality assurance had led to dissatisfaction with their neglect of the patient perspective or reliance on patient satisfaction questionnaires.•An existential‐phenomenological approach was used in an attempt to reconstruct patients' experiences as reported in their own words.•Themes which emerged from the data and are reported here focus on ‘routine geriatric care’, ‘care deprivation’, ‘depersonalization’, and ‘geriatric segregation’.•The findings are discussed against the background of literature about nursing care of elderly people. It is suggested that in the setting studied, limitations posed by past management deficiencies, under‐staffing and poor physical environment contributed to the situation reported. Trained nurses felt they worked hard to give the best care they could but, with a high ratio of untrained staff and lack of continuing education, they were aware that their levels of achievement were far from ideal.•The study demonstrates that, with an appropriate methodology, it is possible to gain access to how patients' experience their care and in this sense the attempt to ‘listen to the voices of patients’ was successful and gives pointers to developing more patient‐se

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00204.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Staff in a psychiatric unit of a general hospital proposed the introduction of a programme of structured group activities, based on their casual observation that patients were sometimes unoccupied and bored. It was decided to collect data systematically in order to inform the implementation of activities.•An activities record sheet was developed to list all activities taking place over a 1‐week period. Questionnaires were administered to patients (n= 23) and staff (n= 20) on the unit to seek their views on the value, type, timing, frequency and location of activities as well as on other related aspects.•Overall, staff made practical and realistic suggestions regarding the implementation of structured group activities. The data collected, although useful in planning change, raised questions about the poor quality of patients' responses and the low response rate (50%) from staff. Implications of these and other issues are di

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00205.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.tb00206.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY