摘要:

An increasing tendency to focus primarily on the intellectual and technical competence of nurses is radically redefining nursing and threatening nursing's ability to respond to human need. After exploring why interpersonal skils and moral competence are essential to the practice of nursing, the article describes practical strategies to develop interpersonal competence and challenges nurses to hold themselves and one another accountable for interpersonal proficiency. The discussion redirects nursing's attention to the human outcomes of nursing and health care.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The current health care environment has ignited a renewed interest in the value of nurse caring and its potential effect on quality of care and patient satisfaction. This study compared perceptions of nurse caring behaviors of inpatient hospice nurses and the families of inpatient hospice clients. The Professional Caring Behaviors Instrument was administered to staff nurses and family representatives in the hospice of a midwestern hospital. Perceptions of nurse caring behaviors were similar for both groups. Only one item, “The caring nurse respects the patient's spiritual beliefs,” was significantly more important to the nurses than the family members. Several differences in perceptions were noted in relationship to age.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

to be clear about the unique contribution nurses make to health care outcomes. In our technology-driven society, however, some of nursing's most powerful contributions go unacknowledged. An unexpected finding of a study on nurse experts' perceptions of synchrony revealed that nurses themselves frequently do not document or even dialog about important contributions if they cannot be captured within the dominant paradigm of high-technology care. The article describes nurses' “little secret” that must be exposed.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

As a health care professional for many years, Ivan Hanson was an advocate of quality health care and the caring component. As a health care consumer during his nearly 5-year struggle with cancer, he had ample opportunity for thoughtful reflection about this same care and caring. During the last stage of his illness he willingly shared his reflections about important aspects of the quality of care from the consumer's perspective. He leaves this as a legacy that has the potential to influence the caring dimension of the services that nurses provide.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Jean Watson's theory of human caring in nursing is introduced as an innovative approach to improving care for residents in a special dementia unit. The rationale for theory-based nursing practice includes implementation projects of caring theory that have increased job satisfaction among staff, shortened hospital length of stay, and reduced health care costs. Specific examples of ways that Watson's model can be applied in typical nurse-client situations are presented. Implementation strategies with creative visual aids are included, and research tools for the evaluation of outcomes are described.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

An assumption that undergirds quality improvement activities is that a practitioner cares for himself or herself. The article describes six caring attributes. The discussion focuses on care of the nurse self with verbal abuse as a case in point. Nurses average five to six incidents of verbal abuse every month. Understanding oneself and implementing certain techniques can help one overcome feelings of powerlessness, incompetence, and decreased self-worth. Self-knowledge and self-change are important aspects of the nurse caring for himself or herself. Quality nursing practice is a positive outcome.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The simultaneous evaluation of quality and the cost of health care can provide information that is useful for guiding quality improvement activities while minimizing or reducing cost. Despite the evidence of concern for health care costs, a long history of concern for health care quality, and numerous efforts to evaluate the quality and cost of health care simultaneously, current methods have been relatively ineffective in decreasing or containing costs. Simultaneous monitoring of cost and quality indicators can be used to compare differences between the cost of prevention and the cost of failure and can be utilized to determine areas where failure costs can be decreased.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Based on findings of the Utilization/Peer Review Forum, a quality assurance system committee comprising public health professionals, there was a question about whether public health nurses followed the standards of care when treating children with anemia. The article describes the process of identifying the problem and then developing and implementing an investigation to determine the magnitude of the problem. A sample of 703 child care records was audited. As a result of this process, conflicts in the established protocols of the county health department were identified, and an unexpectedly high prevalence of childhood anemia was discovered.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

A comprehensive approach to the delivery of family-centered care in the neonatal intensive care unit (NICU) requires that parental perceptions of caregiving be addressed. The Parent Feedback Questionnaire is based on researched needs of NICU parents. Specific dimensions of needs (informational, emotional, parenting, and environmental) and overall satisfaction are identified and included in survey items. Ongoing feedback from parents is obtained and incorporated into a planned multidisciplinary continuous quality improvement program. Evaluation of data has resulted in planned interventions to reduce sources of stress and dissatisfaction for parents.

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:1995

数据来源: OVID