ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1994.tb00129.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This paper describes the systems of nursing operating at a major cancer centre in the United Kingdom. The review was undertaken over a period of 8 weeks and 11 wards were included. The systems being implemented were primary nursing, team nursing and patient allocation. Methods of enquiry included questionnaires, non‐participative observation and interviews. The results of the review found the nursing systems to be at various stages of implementation, and that in reality, not all wards were operating the system they said they were. A pragmatic mixture of team nursing and primary nursing as described by Hegyvary (1982) was being practised on some of the wards. The report makes recommendations for change, and concludes by discussing the future implications for cancer nursing at the centr

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1994.tb00130.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1994.tb00131.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The present research examined the moderating effects of three structural characteristics of wards: ward type (surgical vs medical), size, and hospital size on the relationship between professional management and quality of nursing care (QNC) on the ward. The sample consisted of 119 wards situated in general hospitals in Israel. The results of the three regression analyses show that only hospital size, had a moderating effect. Further analysis of the interaction showed that the effect of professional ward management on QNC was greater in large than in small or medium‐sized hospitals. In addition, ward size was found to have a great effect, i.e. larger wards had lower QNC. Finally, in all three analyses professional management achieved significance, that is, better management is associated with higher QN

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1994.tb00132.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The aim of the study was to identify patterns of physical, psychological, and social conditions that may be of prognostic value when it comes to assessing continued care of patients clinically ready for discharge; a related aim was to evaluate instruments used for this identification, especially a Swedish version of the health assessment form. The sample consisted of 53 consecutive patients (mean age 82.8 years, SD = 6.6 years) All patients came from their own homes and were admitted to surgical and orthopaedic departments. Interviews were carried out on the day the patients were assessed as medically ready for discharge, and a second time 1 month later. The health assessment form measured the persons' social and environmental situation, health history, and functional health status, and another instrument measured the persons' sense of coherence. Few significant differences in functional health status were noted between persons who could return to their homes (n =25) and persons who were referred to institutions after discharge (n = 17). However, the persons being referred to institutions showed less favourable scores within the areas of mood, sense of coherence, and worries about their home accommodation situation. When another sub‐group was included (patients who died between the interview occasions; n = 8), significant differences were also noted in the health functions breathing, digestion, elimination, and body movement. Sense of coherence had a significant prognostic value for the continued care after discharge irrespective of whether the deceased patients were included or no

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1994.tb00133.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Developing a market‐orientated organization is a complex task. An organization's market orientation is reflected in its ability to fulfil its customer's needs. The organization must look outside itself and adopt a flexible response to changing needs. This paper will examine what is meant by the term marketing and why it is necessary for an organization to incorporate the marketing concept. Analysis of the organization's culture and its relevance to the development of market orientation will also be considered. Reference will be made to health care where appropriat

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1994.tb00134.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This paper analyses the advocacy role of the nurse manager, defining terms and emphasizing the need for a rational appraisal of risks before advocacy is undertaken. Power analysis is offered as a theoretical basis for estimating risk and for tactical planning. Outcomes from a small‐scale qualitative research study are also presented, in order to stimulate a wider debate on the principles underpinning safe and ethical practice in advocac

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1994.tb00135.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1994.tb00136.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Book reviewed in this article:Medical Statistics. A Commonsense Approach. 2nd Edn. by M.J. Campell&D. Machin. John Wiley&SonsReflective practice in nursing edited by Anthony Palmer, Sarah Burns&Chris Bulman.Financing Healthcare in the 1990s by J. Appleby.Children's consent to Surgery by P. Alderson.Professional and Ethical Issues in Nursing by P. Burnard and C. M. Chapman.Mentoring and Preceptorship edited by A. Morton‐Cooper&A. Palmer.Writing for health care profesions by D.F.S. Cormack.Learning Disabilities edited by Earnon Shanley&Thomas Starr

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1994.tb00137.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY