摘要:

Traditionally, the approach to affective disorders has focused upon the biophysical aetiology of the disorder. Given that a significant proportion of the so called ‘recovered’ manic depressive population experience a relapse, the adequacy of traditional treatment methods is questionable. The nursing literature represents the view that manic depressive patients have little, if any, control over their condition and the nursing management, therefore, is predominantly custodial, supportive and directive in character. Recent research suggests that life events, in particular the patient's perception and interpretation of such events, are potentially significant in the development of manic depressive symptomatology. This paper reports some aspects of an on‐going nursing research project which is evaluating the efficacy of a multi‐model nursing management package. The therapeutic model of nursing under study is briefly discussed and results of locus of control measurements are presented, which compare a random sample of recovered manic depressive women with existing norms. A description is also given of an attribution schedule developed by the authors for the research project. This schedule attempts to specifically assess the patient's attitudes towards her control of her

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb01395.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

This study used Orlando's theory to investigate the action process of nurse administrators to realistic hypothetical situations presented to them by their staff. Ninety subjects recorded their thoughts, feelings and actions in response to six problematic situations. Findings indicated the administrators' first thought was seldom about their staffs reaction to the situation. Most experienced negative feelings about the staff member or about other people associated with the situation which were not expressed. The majority of administrators would handle the situation alone or tell the nurse what to do; less than half would ask their staff a question. The conclusion was that subjects did not consider situations as problematic.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb01396.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

This paper reviews the current nursing research findings on health promotion within the family and provides directives for future research. The concept of health promotion—the overall enhancement of well being—is contrasted with primary or disease prevention, the specific protection from a health threat. The conceptual parameters of health promotion were used to search the nursing research journals for studies of health promotion in the family. The four major nursing research journals were reviewed and yielded five articles in 105 issues which addressed this phenomenon. The findings from these studies as well as other research literature are used to develop future directives. The directives are presented for both the internal environment of the family and its external environment. Areas for study related to the internal environment include definitions of health and health promotion, descriptions of current health promotion behaviours and those practised over time, decision making, fathering, and methods of intervention. Research ofthe external environment includes the societal norms, societal interventions, and the effects of societal institutions. This discussion of health promotion in the family describes an agenda for nursing research which is necessary to support nursing practice with families if ‘health for all’ is to be reached by the ye

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb01397.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Patterns of personal control are predominant in Western culture, including the health care arena. A personal control theme is evident in the language of health care, the prevalent diseases, and the intervention strategies. However, facilitating a balanced pattern of personal control and personal uncontrol in interaction with the environment is most consistent with nursing theory and practice. In this paper, personal control and personal uncontrol nursing interventions are identified and analysed. Either set of interventions may enhance the health of the person, depending upon the control/uncontrol needs of the person.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb01398.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

The aim of this study was to determine if a ward sister's management style influenced the quality of care received by patients on the ward. The management styles of sisters on 16 oncology wards at the Royal Marsden Hospital were assessed by structured interviews with staff members from each ward. Management styles were classified as high, medium or low on three dimensions, namely socio‐emotional orientation, task orientation and pattern of decisionmaking. The quality of patient care was determined by asking all grades of clinical nursing staff to complete a questionnaire. A score for each nurse's perception ofthe quality of care given on her ward was thus obtained. Correlation of management style and nurse's perception of quality of care indicated that the management style prevalent on a ward influenced the quality of care carried out there. Other factors that influence both management style and quality of care were identified. Suggestions for improving the quality of care given on a ward are thus identifie

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb01399.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

This paper summarizes a research study inquiring into the attitudes of qualified nursing staff towards the use of individualized nursing care plans as a teaching tool. The survey was conducted in medical and surgical wards used for nurse training, in two hospitals. In common with many hospitals, the introduction ofthe nursing process into the surgical wards is of more recent origin than the medical areas, so would this be reflected in the attitudes of staff? Results indicated an overall positive attitude of all staff, although significant differences were identified between the grades of staff participating in the study and between the two hospitals. There was no significant difference shown in the comparison of all surgical staff with all medical staff, but the ward sister demonstrated a more positive attitude than staff nurses or enrolled nurses. The length of time care plans had been in use and whether the Open University Programme P553 had been completed, were taken into consideration. Analysis ofthe individual statements which clustered around the same theme is discussed. Possible factors affecting the attitudes identified are suggested and recommendations which include ongoing educational support, in particular for the enrolled nurse, and exploration ofthe ‘role model’ function ofthe ward sister made. Finally, the method of study is critically exami

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb01400.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb01401.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Book reviewed in this articles:Brief Lives: Living with the Death of a Childby Suzanne Foster&Pamela Smith.Dealing with Drugs: Helping the Problem Drug Takerby Annas Dixon.Emergency Nursing Core Curriculumby Emergency Nurses Association.Primer of Nursing Researchby Mary Reardon Castles.Counselling Skills for Nurses, 2nd edn by V. Tschudin.Diseases—Causes and Diagnosis. Current therapy and Nursing Management, 2nd edn. Nurse's Reference Library.The Management of Patient Care, 6th edn. by Thora Kron&Anne Gray.Basic Nursing Theory and Practiceby Patricia A. Potter&Anne G. Perry.Nursing Education: Research and Developments, edited by B. Davis.The Nursing Curriculum: Theory and Practiceby F. Greaves.Depressionby Robert Romanis.People with Mental Handicap. Perspectives on Intellectual Disabilityby J. Hattersley, G. P. Hosking, D. Morrow&M. Myers.Community Care in Britain: Variations on a Themeby David J. Hunter&Gerald Wistow.In Charge of the Ward, 2nd edn by Arline Matthews.Clinical Implications of Laboratory Tests, 4th edn by S. M. Tilkian, M. B. Conover&A. G. Tilkian.Critical Care Skillsedited by K. D. Degroot&M. B. Damato.Introduction to Nursing Conceptsedited by Wendy B. Young.Clinical Drug Therapy, Rationales for Nursing Practice2nd edn by Anne Collins Abrams.Nursing Quality Measurement—Quality Assurance Methods for Peer Reviewedited by Alan Pear

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb01402.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY