ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00397.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.tb00398.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•Recent research from America has confirmed that the quality of metabolic control achieved by people with insulin‐dependent diabetes does influence the onset and progression of diabetic complications.•More than ever before diabetic individuals now have good reasons for striving to attain as good a standard of diabetic control as is possible. Regular monitoring of diabetic status is essential if good control is to be achieved.•This article will focus upon the concept of control and consider aspects of diabetic monitoring which may be undertaken either by patients or through professional services.•Both direct and indirect monitoring methods will be discussed and strengths and weaknesses c

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00399.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•This is the second of two articles providing an introduction to the critical appraisal of research reports.•In this paper guidelines for evaluating the quality of evidence and the validity of conclusions are suggested, and a check‐list of evaluation points is pres

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00400.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•A review of the literature pertaining to therapeutic communities in Britain is presented. An outline of the historical origins and development of communities is provided.•Overall, the review is set within a somewhat sceptical context. Mention is made of the inherent confusion of descriptions resulting from the proliferation of competing terminologies in the field. Problems of research are also itemized as are problems of ideological interference with both theory and practice.•A tentative conclusion suggests that outcome measures might assist the process of describing these communities more accur

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00401.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•Feelings engendered during 585 triage nursing assessments made by a total of 10 nurses were studied.•Marked differences in nurses' feelings were demonstrated towards patients attending the accident and emergency (A&E) department with ‘primary care’ needs compared with those assessed as having ‘A&E&’ needs. In particular, nurses demonstrated more negative feelings, in the form of less sympathy, more irritation and less motivation to help, towards patients with ‘primary care’ needs. Nurses' feelings were adversely affected by delays in patient presentation following the occurrence of illness or injury.•Nurses perceived patients' attendance as illegitimate when it had deviated from expected norms of health‐care‐seeking behaviour.•These findings were elicited using visual analogue scales completed immediately following the triage assessment of the patients. This work is part of a larger study into developing the primary care role of accident and emergency nurses.•The culture of the A&E department is discussed, and the need to challenge and change this culture to ensure it becomes more responsive to individual patients' needs is advocated. This paper calls for development of triage training and education and further investigation into the effects of nurses' attitu

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00402.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•Depression in elderly people is a common yet treatable psychiatric problem.•The Gospel Oak depression study researched this much overlooked group and has shown that a community psychiatric nurse (CPN) was able significantly to improve the mental state of depressed elderly people.•A multifaceted package of care was co‐ordinated and delivered by one CPN over a study period of 3 months.•A detailed account is given of those interventions implemented, highlighting those which were of most benefit for the patient.•Outcome was assessed independently and it was found that those patients allocated to CPN care improved significantly compared to the non‐intervention control group.•Ways in which nurses can enhance care given to patients in the communit

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00403.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•Pressure to reduce the incidence of smoking is increasing and widespread, coming from health professionals, independent research groups and Government policy objectives.•Moves to introduce non‐smoking policies within health‐service premises are gaining acceptance, and form an element of the Government's overall health plan.•This paper considers the background to smoking prohibition in hospitals, its merits and drawbacks as a health‐promotion strategy, and some of the health and ethical issues that may arise.•In particular, the paper explores the application of non‐smoking policies in the speciality of orthopaedic trauma, the benefits and conflicts that may occur, and the scope for nurses in this area to resolve problems resulting from

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00404.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•In this article, the authors adopt a position with respect to the definition of ‘nursing diagnosis’.•Two central functions of a classification system for nursing diagnoses are distinguished: domain and communication.•Seven issues related to the development of such a classification system are discussed. These issues are of a methodological, philosophical and practical nature.•A proposal is made for further study and development of a Dutch classification system for nursing diagnoses, preferably in collaboration

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00405.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Books reviewed in this article:Mentoring and Preceptorship: A Guide to Support Roles in Clinical Practiceby Alison Morton‐Cooper and Anne PalmerFacing Death, Conversations with Cancer Patientsby Gill L. McLeanThe Essentials of Health Care of the Elderlyby Gerald J. Bennett and Shah EbrahimPreventive Care for Elderly Peopleby David C. KennieAIDS, HIV and Mental Healthby M. B. KingThe Two Culturesby C. P. SnowSocial Psychology for Nursesby Charles Abraham and Eamon ShanleyMedical Audit. Rationale and Practicalities.Edited by S. P. Frostick, P. J. Radford and A. W. Walla

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00406.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY