摘要:

Seclusion is still an available strategy for managing difficult and disturbed behaviour in Bntish psychiatric hospitals and units While arguments for and against the continued use of seclusion remain, little empirical work has been done on the subject Most of the research to date has been completed in America, and findings may not be entirely applicable to the UK In this study, 109 records of seclusion in one health authority were examined, and each of the 52 patients involved in these seclusions were coded on six different variables These were analysed using the multidimensional scaling (MDS) procedure — multidimensional scalogram analysis (MSA‐1) — to explore possible relationships between the variables Three sets of relationship were observed (1) the length of time spent in seclusion was related to the status of the patient, (2) higher rates of seclusion were shown to be linked to higher levels of staffing, and (3) the sex of the patient was related to the number of different staff authorizing seclusion Some possible explanations for these findings are outlined, and suggestions for future research in this domain are o

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01673.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The involvement of relatives in patient care is frequently associated with‘good nursing practice’ However, according to recent literature it is a practice that is not widely adopted The intention of this study was to ascertain the extent of relatives’ involvement in caring for the elderly mentally ill, from both relatives’ and nurses’ perspectives Following analysis of more than 130 questionnaires it was found that nursing staff responded very positively towards greater involvement of relatives wishing to encourage their participation In comparison relahves felt that their role in patient care was negligible, but despite this did not wish to seek greater involvement The discussion that follows examines possible reasons for these findings and the implications for futur

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01674.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The aim of this paper is to explore the concept of gaining access to clients as it emerged from an in‐depth qualitative study of health visiting practice The study was conducted using a grounded theory approach to data collection and analysis Forty‐five experienced health visitors were interviewed using a semi‐structured interview guide The interviews were tape recorded and later transcribed A detailed analysis of the processes involved in‘entering’ into client situations to begin health visiting work is presented Entry into the client/family situation is a process which involves both obtaining access to the client in the environment where health visitor and client meet and‘entering’ into the client situation more fully to continue the health visiting work The data from this study would suggest that the work involved in entering client situations involves many strategies to ensure entry and re‐entry This process is influenced by many factors within the client, the health visitor, and the health visitor‐client encounter This paper makes a contribution to our understanding of the processes involved in everyday health

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01675.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This paper presents a review of the literature concerning the care of cancer patients who develop fungating and/or ulcerating lesions The nature, sites of presentation, prognosis, different therapeutic modalities, incidence among cancer patients and characteristics of the patients affected are discussed In order to assess the current state of knowledge about wound management and to determine its applicability to malignant lesions, a review of the general wound healing literature was undertaken and is presented here in part The review demonstrates that there is little published research which deals specifically with this condition The reports which are available give little indication of the knowledge base and rationale on which nursing management is founded The authors conclude that an informed and considered choice regarding the use of conventional and non‐conventional topical agents and dressings is as pertinent to the nursing management of malignant lesions as it is to other wound types They also suggest that awareness of and sensitivity to the psychological problems that such pahents often present is as important as controlling the physical symptoms associated with this conditi

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01676.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Recent evidence suggests that postoperative pain is poorly controlled and it is reported that nearly 75% of hospitalized patients failed to receive adequate pain relief It was hypothesized that there was no difference between expected and experienced pain and that pain scores on the first postoperative day would be‘low’ Factors affecting the management of pain were identified using a patient questionnaire A Visual Analogue Scale was used to measure patients’ pain, pre‐ and post‐operatively A patient questionnaire explored pain experience and identified contributing factors A review of all analgesia prescribed and given to the patients was undertaken Twenty‐one surgical patients participated in the study There was a significant difference between preoperative expectations and postoperative experience of pain No relationship was found between the doses of analgesia and pain scores on the first day postoperatively and pain scores on the first day postoperahvely were not ‘low’ The nurse did not play a key role in the preoperahve information given to the patient Patients experienced ‘worsened’ pain in the morning and evening Nurses questioning patients about their pain often failed to id

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01677.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This paper defines and explores the nature of learning contracts It also discusses the origins of learning contracts, presents a critical evaluation covering the implications of their use in nurse education and makes recommendations

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01678.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Nursing diagnosis is defined and discussed in relation to nursing's metaparadigm, the cognitive processes involved in problem‐solving, and nursing's theoretical knowledge base It is argued that each of these distinct yet related domains must be addressed by the clinician when applying the reasoning process Factors are identified which can hinder and dramatically influence this diagnostic process, even to the detriment of the patient's welfare Suggestions are offered throughout the discussion which may assist the nurse in developing more effective and accurate clinical decision‐making strate

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01679.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Book reviewed in this article:Human Ageing and Later Life Multidisciplinary Perspectives edited by Anthony M Warnes Edward ArnoldManaging Nursing Work edited by B Vaughn&M PillmoorDepression An lntegrative Approach edited by Katia Herbst and Eugene Paykel HeinemannDisasters Current Planning and Recent Experience by Mike Walsh Bristol PolyMedical Nursing by Mary Ann Black SpringhouseThe Nurses Dictionary by Honnor Morten and Christine Brooker Faber and Faber

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01680.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01681.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY