ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1996.tb00265.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Summary•The collaborative functioning of a specialist multidisciplinary team is a fundamental prerequisite in the establishment of designated breast cancer units throughout the UK. It is, therefore, opportune for clinical nurse specialists to examine carefully their unique contribution to the care of women with breast disease.•This article explores the contemporary developments in service provision and identifies potential areas for nursing development.•It is only when the role of the breast care nurse is explicitly defined can research begin to determine the effectiveness of nursing practice in terms of women's h

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1996.tb00266.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Summary•This article reports on one aspect of a research project carried out to monitor and evaluate the introduction of primary nursing on four demonstration wards in one health authority.•Nursing staff working on the wards were interviewed to identify how the changes were affecting them and their work.•Stress questionnaires were also completed by a sample of nurses on the wards.•Responsibility and communication — key concepts emerging from the data — are discussed and related to the literature on prim

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1996.tb00267.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Summary•This paper is primarily concerned with the use of readability formulas to determine the reading ease of printed education materials (PEMs) given to ostomy patients. Whilst the particular clinical focus is stoma care nursing, the content is relevant to all nurses who use printed text to inform their patients. PEMs have significant advantages in conveying information compared with verbal presentations alone.•Methods to calculate readability using the Flesch, FOG and SMOG readability formulas are described. Presentation factors that affect readability are briefly reviewed, including use of ‘white space’, font size and paper colour. The problem of functional illiteracy and the need for indirect assessment of patient literacy are discussed.•PEMs in use are often found to be difficult to read. Stress is identified as a potential factor in further reducing a patient's ability to deal with information.•Three commercially available PEMs are evaluated for ease of reading and their score on the FOG index indicates that only about 40% of the UK population would understand them.•Nurses are advised to evaluate the readability of their PEMs and to assess indirectly the literacy of their patients, so that they can more sensitively match PEMs to patient abi

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1996.tb00268.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Summary•The topic of children's rights is a wide‐ranging and complex subject, and in recognition of this fact this paper specifically addresses the concept of the right of children to make decisions about their own health‐care.•This paper explores the many factors which may influence a child's right to autonomy, including family relationships and the broader external influences exerted by health‐care workers.•The discussion highlights the dilemmas which may be faced by nurses when their values and beliefs, or hierarchical position within the health‐care structure, inhibit their ability to promote childr

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1996.tb00269.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Summary•Psychological stressors are said to be an important influence on the outcome of chronic illnesses such as rheumatoid arthritis (Engel, 1977).•Helping patients to cope with stressors is identified as a central concept in the delivery of nursing care (Khanet al., 1994). It is thus reasonable to suggest that rheumatology nurses may be key players in the process of coping with rheumatoid arthritis.•But in order for rheumatology nurses to beeffectiveplayers in this process, they need to discourage coping behaviour(s) linked to poor outcomes, and/or promote an overall behaviour pattern linked to a better outcome. Literature showing the link between different coping behaviours and outcome is examined, and cognitive restructuring is emphasized as one method nurses could use.•Having identified coping behaviour which is optimal in terms of future outcome, further study of different forms of coping‐based educational intervention is suggested, to reveal how such patterns of behaviour can be taught by nurses in the most eff

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1996.tb00270.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Summary•This study investigated residents' perspectives of their first 2 weeks in a long‐term care facility (LTCF). Twelve residents were interviewed to determine their experiences during the first 2 weeks, their needs, priorities and expectations, and their views about how relocation from home could be facilitated. The constant comparative method of qualitative analysis (Glaser&Strauss, 1967) was used.•Qualitative analysis of the audiotaped interviews revealed four main categories: emotional reactions, transition activities, reflecting on their situation, and connecting with a personal philosophy.•Residents' responses indicated that if they had actively participated in the decision to be admitted, the adjustment to the LTCF was easier. Connecting with a personal philosophy was also a significant factor.•Nursing implications include recognition of the importance of preparing residents for admission, involving them in the decision, and listening to their perspectives throughout the relocation e

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1996.tb00271.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Summary•Endotracheal suctioning is a routine but potentially dangerous procedure. The literature documenting approaches to minimizing the cardiopulmonary complications of endotracheal suctioning is reviewed. Hyperoxygenation, hyperventilation, hyperinflation and the use of adaptors are all evaluated. The effects of endotracheal suctioning on haemodynamics and oxygen transport are also examined. The traditional dualist approach to the respiratory and cardiovascular systems is contrasted with the recent emphasis on oxygen transport by the cardiopulmonary system.•The trade‐off between the rigour of laboratory studies (which can be well controlled but are difficult to generalize) and the relevance of clinical research (which is more easily generalized but which often lacks internal validity) is discussed. Although research studies have become both more methodologically and conceptually sophisticated, definitive recommendations for a safe and effective suctioning procedure still remain el

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1996.tb00272.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1996.tb00273.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Books reviewed in this article:Knowledge is the Cure – The British Brain&Spine Foundation Sub‐arachnoid Haemorrhage Informationby The British Brain&Spine Foundation. 1995.Clinical Nursing Practice in the Communityedited by Maria Kenrick and Karen A. Luker.Science and the Quiet Art: Medical Research and PatientCare by David Weatherall.Quality Assurance in Nursing Practice, 2nd edition, by Nan Kemp and Eileen Richardson.Advancing King's Systems Framework and Theory of Nursingby Maureen A. Frey and Christina I. Sreloff.Problem‐based Learning in a Health Sciences Curriculumby C. Alavi.Nursing Care of Adultsedited by James P. Smith.Have a Good Day Seriesby Jim Wood and Philip Seed with Series Editor Dr John H

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1996.tb00274.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY