ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00034.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This article explores some of the ethical issues associated with the use of complementary therapies in practice.•The adopted terminology and related concepts are clarified. The term ‘complementary therapy’ is compared and contrasted with ‘alternative medicine’ and ‘non‐conventional therapy’.•The increasing emphasis on holistic nursing care is also discussed.•Ethical issues of patient choice, informed consent and the principle of beneficence are examined in relation to complementary therapies.•The article highlights the obligation of the nurse, midwife or health visitor to provide or facilitate holistic care including complementary therapies, such as massage or aromatherapy, for those clients who request such care, and where it can be demonstrated that there will be benefits for the patient.•It is concluded that nurses should consider the possibility of incorporating or facilitating certain complementary therapies in their practice in order to benefit their patients. There is a corresponding need for an appropriate knowledge base, founded on nursing research, into the effectiveness and outcomes of complementary therapies. In addition, relevant educational co

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00035.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•A new career structure for clinical nurses was implemented in 1987 in Victoria with the intention of providing clinical advancement and material rewards for nurses in clinical settings.•This paper explains how participatory action research was used to explore some of the issues inherent in the role of the associate charge nurse.•The clinical/management tension and the role expectations formed within the taken‐for‐granted rituals and routines of the ward and the hospital managerial structure are

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00036.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This research study, which, because of its small numbers should be regarded as more of a pilot study, investigated the effect that therapeutic touch may have on measurable physical signs of the subjects involved.•It also looked at any change this complementary therapy may have made in health perception immediately following the experiment and 1 week later.•The design is modelled on that of Quinn (1984), eminent researcher in the field of energy exchange.•Therapeutic touch is a misnomer because physical touch is not necessary — it is the energy field that i

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00037.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Previous research into stress among student nurses has only concentrated on the practical aspects of nursing and has ignored stress caused by the academic side of training. In comparing Registered General Nurse (RGN) and Diploma of Higher Education in Nursing (Dip. HE Nursing) students using a modified nurses stress scale, the intensity of stress was investigated.•It was hypothesized that there would be a difference in the total stress scores between the two pre‐registration education courses as well as within the practical and academic elements.•Dip. HE Nursing students were significantly more stressed than RGN students, but equally for practical and academic elements. RGN students were significantly more stressed on the practical elements. Factors analysis clearly identified two factors: (i) the practical elements, and (ii) the academic elements of nursing. A third factor was also identified and this was related to stress induced by issues concerning death and suffering in the patient.•These results have implications for the development of the nurse education course (Dip. HE Nursing) which is still in it

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00038.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Acute renal failure (ARF) is a syndrome in which the kidneys are unable to excrete the products of metabolism. The failure of renal function is rapid in its onset but potentially reversible. It occurs rapidly, within 8 weeks of renal injury resulting in a rapid increase in serum urea and creatinine concentrations in patients with previously normal renal function.•It is a condition traditionally associated with a high mortality rate, often due to the complications of sepsis, delayed wound healing and disrupted haemocoagulation. Survivability has been demonstrated to be improved by early appropriate nutritional support (Bartlettet al., 1986) although in practice this is often difficult to achieve as nutritional support is complex. In the past high morbidity and mortality rates were related to infections and inadequate nutritional intake. This resulted from unnecessary protein restrictions in an attempt to control uraemic symptoms (Thomas, 1988).•To a large extent survivability of ARF has still not been greatly improved even with modern antibiotics and the careful dietary assessment of ARF patients. This reflects the complexity of managing patients with this condition. However, appropriate dietary management of ARF patients is essential to improve their long‐term prognosis. Although the precise form this takes remains a contentious issue amongst cli

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00039.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•The research reported in this article formed part of a project evaluating nursing developments in four demonstration wards in one health authority, and the article focuses on evaluation of patient satisfaction.•The evaluation of patient satisfaction is a topic surrounded by much methodological debate and therefore it was necessary to clarify the issues involved at the planning stage of the study.•The ‘process’ aspects of evaluating patient satisfaction will be discussed here, while the content of patient interviews will be the subject

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00040.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Interviews were undertaken with 202 men admitted to five hospitals in northeast England following an uncomplicated first myocardial infarction. The likelihood of patients speaking to a nurse about recovery or seeing a physiotherapist, dietician or specialist rehabilitation nurse, varied considerably between hospitals.•Whilst virtually all patients received written information concerning some aspect of life‐style change or cardiac rehabilitation, the quality and range of information, particularly with regard to information about stress or anxiety, was frequently limited.•Instructions about seeing a general practitioner following discharge were often vague; formal rehabilitation programmes, where they existed, excluded some patients.•The study suggests that much patient education is dependent on the provision of written information alone, and that further evaluation of the effectiveness of self‐help material supported by nursing input i

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00041.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.tb00042.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.tb00043.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY