摘要:

Parents of chronically ill or disabled children face a number of common tasks in adapting to their child's condition These tasks are delineated from the literature on theory, research and clinical issues and are discussed in relation to their documented importance to family adaptation, the difficulties parents have in managing the tasks and effective coping strategies parents can use to accomplish the tasks The implications of utilizing adaptive tasks as an organizing framework for assessing and intervening with parents of children with chronic conditions are discussed

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18010046.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Data were collected by telephone interviews with 178 mothers of full‐term patients in a NICU (neonatal intensive care unit) concerning advice on facilitation of the initiation of breastfeeding The main advice to the first author as a nurse in the NICU concerned the environment, advice on breastfeeding, distance between units, work organization and nurse behaviour The advice to other mothers of patients centred on persistence, physical contact with the infant, and not to let nurses take over maternal role functions The data were structured into themes and categories, classified by one author and two research assistants according to Roy's adaptation theory, and analysed for degree of interrater agreement The overall agreement of classification was high, reaching 92 5% It was easily applied by nurses after a brief introduction and proved useful for structuring interview data It also contributed to clarification of nurse behaviour and division of roles between nurses and mothers As the four adaptation modes showed considerable overlap, this kind of classification seems inadvisable for application to the assessment of patient/parent situations in the nursing process For use in a clinical setting, the theory needs the addition of the interactive aspect of nurse and patient/family role functions, and may then be used as a framework for the development of assessment too

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18010054.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The aim of the study was to clarify how nurses assess the information targeted at breast cancer patients before, during and after hospitalization The sample group consisted of 176 nurses from surgical and radiological wards and clinics in southwest Finland The study used responses to a questionnaire investigating breast cancer patients’ recovery Of the sample, 71% responded to the questionnaire Log‐linear modelling was used for the final statistical analysis of the results The findings obtained by log‐linear modelling showed a cumulative effect Various associations were seen in the responses of the nurses on how they assessed the information received by patients Patients who were considered well‐informed before hospitalization were similarly considered during their hospital stay Nurses consider that they give their patients insufficient information Further, nurses are not clear about their own role in the distribution of inf

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18010064.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper reports the findings of the first phase of a study designed to assess the needs of people with HIV and AIDS and the extent to which these needs are being met by services in Camberwell Health Authority in inner London The study involves collecting information and opinions from key service providers, clients with HIV/AIDS and their informal carers It is the service provider data which will be presented here Semi‐structured interviews were conducted with 47 key service providers involved in the care and support of people with HIV/ AIDS in the Camberwell Health District Respondents were drawn from the local health services, local social services departments and a number of locally active voluntary organizations The aim was to gather respondents’ views on their individual roles and the roles of the organizations they represented, the health and social needs of people with HIV/AIDS and the extent to which these were being met by current service provision and the co‐ordination of services for people with HIV/AIDS The data showed that a broad range of services were utilized by people with HIV/AIDS, reflecting a wide variety of health and social care needs The majority of respondents felt that some of the needs of people with HIV/AIDS were similar to those of people living with other chronic illnesses (such as cancer) However, they also identified a number of problems which were either unique or more severe for people with the virus Services for people with HIV/AIDS were generally felt to be poorly coordinated and a number of areas of overlap and gaps in service provision were iden

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18010069.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The results are presented of a survey of the AIDS‐related knowledge, attitudes and beliefs of a random sample of 600 qualified nurses in the Lothian Region of Scotland This locality is characterized by a high rate of detected HIV infection which is mainly associated with intravenous drug use This study indicated that 64% of respondents had contact with HIV‐ infected patients and that 48% had nursed people with AIDS Levels of AIDS‐related knowledge were not high and a substantial proportion of nurses reported lacking basic AIDS information and professional support to enable them to work effectively with people who hav

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18010080.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Death is a universal phenomenon In the health care system, however, it is regarded as unfortunate and catastrophic Death is perceived as the extreme end of a continuum whose opposite end is health In nursing practice, through the application of nursing diagnosis and nursing process, dying is treated as a procedural problem Rarely is dying treated as part of the experience of living, characterized by the meanings assigned by the individual to the event The purpose of the study was to describe one person's dying experience as a personal expression of the meaning of health

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18010089.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

This paper reports on a study which investigated whether nurses from Eastern and Western cultures hold differing definitions of euthanasia and different perspectives of the effect of their attitudes to euthanasia on professional relationships with patients and colleagues The focus of the study was the lived experience of Chinese and Australian nurses working in palliative care The results indicate that there were differences between these two groups in their definitions of euthanasia Lived experience obtained from both groups revealed conflict with patients and colleagues, and a lack of opportunity to discuss the ethical issue of euthanasia in the workplace

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18010095.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Patient knowledge of asthma and treatment and compliance levels were assessed among 100 moderate to severe asthmatics recruited from general practice With the use of postal questionnaires non‐compliance was found to be high 39% of patients omitted to take their asthma treatment as prescribed The level of patient knowledge had no significant effect on compliance to drug therapy The highest compilers were respondents who reported never receiving an explanation about the condition The majority of patients believe they would know how to manage an attack, but when they 'scored’ on their ability only 34 4% were deemed to be safe However, the level of patient knowledge appears to influence a patient's ability to manage an asthma attack Less than half of the patients who had had asthma explained to them reported to have understood the initial explanation, and explanations made by nurses were particularly poorly understood The study identifies reasons why patients do not comply with drug treatments Many feel the drugs are not necessary and many forget to take them Almost half of the cohort admit a reluctance to use their inhalers in public and a third state a preference for tablets rather than inhalers Health professionals must look at other means of improving patient compliance rather than education in isolation Since the general practitioner contract was introduced in April 1990, nurses working in general practice have become increasingly involved with health education as part of health promotion and chronic disease management clinics This study highlights the need for further education in this

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18010103.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1993.tb03298.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

An earlier paper by the writer reported on the construction and administration of an instrument for the measurement of therapeutic attitudes in student nurses This paper continues that work by producing a short, appropriate and easily administered test, known as the Patient‐Centredness Multi‐Choice Questionnaire The instrument was tested for validity and reliability, and was piloted on a large group of new Project 2000 students from several colleges and institutes of nursing, to produce a database for use in further stu

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18010120.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY