ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00374.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.tb00375.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.tb00376.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.tb00377.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•Asthma remains a frustrating and underestimated threat to health.•Non‐compliance with medication is a frequent problem, especially when asthma attacks arc difficult to predict, and amongst children and young adults.•Non‐compliance has been attributed to shortfalls in patient education. There may, however, be an attitudinal–altered image dimension to

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00378.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•A self‐report questionnaire was used to survey parental recollections and opinions concerning: –detection and diagnosis of their child's developmental disabilities; –the accessibility, usefulness and the efficacy of generic and specialist services which were offered and utilized by the family during the child's first 5 years from birth; –the necessity, utilization and adequacy of current generic and specialist services for the parents and their child.•Ninety parents of children who were clients of two New South Wales developmental disability community services at the time of this study were contacted by mail and asked to complete the questionnaire. Eighty parents correctly completed the questionnaire.•Parents of children using these two services were selected on the socio‐economic and resettlement differences between these regions (Australian Bureau of Statistics, 1989); descriptive analysis using cross‐tabulation tables indicated a significant group difference with regard to the fathers' occupational status and the families' private health‐care insurance membership. Group variation was also found with the responses to the availability and adequacy of services. Otherwise parents' experiences in the recognition and diagnostic assessment of their children's developmental disabiliti

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00379.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•Patients are not the only ones who suffer when they have a chronic illness; significant others and family members can also suffer.•Reaction to chronically ill family members and the problems in their care varies among significant others.•As the number of elderly individuals is increasing the number of chronically ill people needing care is also increasing.•Not only do patients feel powerless but personal factors, factors in the environment, and factors related to the illness itself can also provide a conceptual framework for organizing factors that affect feelings of powerlessness among family members and significant

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00380.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•A descriptive survey of current reported practice by 146 community nurses for their nursing treatment of leg ulcers was undertaken.•Sixty‐four per cent of nurses reported they would apply compression bandages to only venous ulcers; in only 23% of cases could the products described achieve an adequate level of compression.•A variety of modern wound dressings were used by the nurses; 89% of nurses reported using a combination of different products layered over the ulcer. There is no evidence that this has any beneficial effect and could therefore be a potential waste of money, as well as contributing to allergic skin reactions.•It would be useful if primary‐health‐care teams and Family Health Service Authority information pharmacists formulated protocols based upon effective treatments for patients with chron

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00381.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•The aim of the study was to evaluate the effects of an organizational change programme in a surgical department in Sweden (the introduction of modular nursing) on the nursing staffs perception of job satisfaction and quality of care, and to identify factors which promote or hinder this organizational change.•Planning and implementation of the change programme took about 1 year and comprised structural changes and staff training.•Assessments of job satisfaction and quality of care were made immediately before, and 1 year after, implementation of the change programme. Data were collected from the staff of two wards.•Virtually no statistically significant changes were found when looking at the department as a whole. However, considerable differences were noted between the two wards, particularly in the following areas: relationships with colleagues, identification and commitment, and perceived quality of care.•The quality of the interpersonal relationships, and the leadership of the wards' head nurses, appeared to be crucial determinants of th

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00382.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•A questionnaire survey of care staff in nursing homes examined staff stress. Staff completed questionnaires covering Type A behaviour, job satisfaction, psychological well‐being, relaxation behaviour, coping skills and demographic details.•A specific measure of nursing home stress was developed following a pilot study. From a total sample of 375, 112 (30%) responses were obtained. On the stress questionnaire the major stressors were found to be ‘unsatisfactory wages’, ‘shortage of essential resources’, ‘not enough staff per shift’, ‘feeling undervalued by management’, ‘lifting heavy patients’ and ‘working with colleagues who are happy to let others do the work’.•Factor analysis of stress questionnaire responses identified five major stress groupings. These were, ‘differing expectations about patient care’, ‘management factors’, ‘lack of support from other staff’, ‘feeling inadequately trained to deal with job demands’ and ‘home–work conflicts’.•Examination of stress outcomes showed that many staff were under pressure, with high levels of smoking and alcohol intake.•Given the increasing importance of nursing home care for the elderly the present study is timely. The implications of the findings for further research, and

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00383.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY