ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1993.tb00185.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

On hospital wards the period of the day when the early and late nursing shifts overlap has frequently been the focus of attention by those seeking to reduce costs. Recently the Audit Commission has recommended a reduction of the afternoon overlap period to one hour. As part of a wider study investigating the use of nursing resources in Wales this paper looks at 14 wards with shift overlap periods of differing lengths, from one hour to three and a half hours. The results indicate that the length of time when extra staff were on duty did not differ greatly between wards with long and short overlap periods. On wards with a ‘long’ overlap part‐time working and rostered halfdays frequently meant that extra staff were on duty for only a fraction of the ‘official’ overlap period. In fact with meal breaks to accommodate there were oftenfewerstaff on the ward during the overlap period than during the rest of the day. Far from making time available for ‘extras’ and personal activities, during the overlap period the pattern of work usually continued unchanged from other times of the day. On wards with short overlap periods work continued at a rapid pace and opportunities for teaching learners, private study and care planning were lost. The results of this study suggest that on many wards with ‘long’ overlap periods there is limited scope for cutting them further, and that on wards with very short overlaps the lack of personal time may contribute to staf

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1993.tb00186.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

It is difficult to understand properly the characteristics and problems of professional development in nursing without reference to the clinical settings in which nursing exists. This exploratory study, using case study methodology, attempts to determine important aspects of that context, with particular focus on the roles of the nurse unit managers who appear to be influential on the way professional nursing development is perceived in nursing. An emerging picture from this study which requires rigorous conceptual analysis is leadership and the notion of team. It is particularly evident in this study that a delicate interplay appeared between the style of leadership by the Nurse Unit Manager and the context in which a team environment was provided.

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1993.tb00187.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Research has revealed an excessive level of work‐place stress in the nursing profession, the costs of which are very high. The aim of this research is to summarize the empirical literature on the subject and the means available for managing this type of stress efficiently. The scientific literature suggests that stress management strategies should include the following elements: a diagnosis of the various stressors encountered at personal and organizational levels; individual and organizational stress management strategies, such as better human resources management; involvement of personnel in the decision‐making process; and adequate support at the professional and emotional levels. These factors, taken together, will enable most organizational stressors to be eliminated, and should improve both the quality of life in the work‐place and the productivity of health professi

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1993.tb00188.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Health and nursing trends in relation to job profile and the location of future nurses' work, their competencies and responsibilities, ethics and values are discussed in this paper. Bio‐ethical issues with nursing implications that probably will stand in the future are those concerned with life and death particularly with the use of advanced technology in every day practice. Ethical dilemmas arising in practice situations and the need for more humanistic nursing and health care as well as the axiologic orientation of future nurses are stresse

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1993.tb00189.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

In 1991 the Isle of Wight Health Authority engaged Management Consultants, Price Waterhouse, to undertake a comprehensive review of staff employed in the District. Changes in future manpower requirements (numbers and skill‐mix) were planned ‐ in conjunction with existing staff ‐ to meet assessed workload and required quality standards. Potential savings of up to 10% were ident

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1993.tb00190.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

While much has been written on psychological problems of patients in critical care settings, little has been written on the patient whose serious condition is the consequence of a deliberate and serious attempt to end life. The suicidal patient in critical care presents a special challenge to the critical care nurse. In responding to a suicidal patient the critical care nurse demonstrates technological expertise in life‐saving intervention. The nurse is also in a position to provide a positive psychological bridge of hope for the future. This paper addresses the care of the suicide attempter in the critical care unit by first considering prevalent societal attitudes toward suicidal behaviour. Secondly, attitudes which may affect comprehensive care for the suicidal patient in critical care are discussed and the scope of the problem of suicide delineated. Finally strategies for providing crisis intervention for the suicide attempter in the critical care unit are outline

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1993.tb00191.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1993.tb00192.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Book reviewed in this article:How to Moarure Training Effectivoness (Second Edition) by Leslie RaeHealth Service Quality by John OvretveitAudit in Action edited by Richard SmithCounseiiing–A Guide to Practice In Nursing by Philip BurnardThe Skills of Appralsal–Audlo Manuals by Peter Packard and John StaterMatornal Newborn Nursing–A Family Centred Approach (4th Edition) by S.B. Olds, M.L. London and P.W. L

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1993.tb00193.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY