ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01682.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01683.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

There are signs that researchers and practitioners are seriously attempting to work more closely together to bring research and practice into closer alliance This paper describes one such attempt in the form of an ‘experiment’ in collaboration between academic researchers and practising nurses in the undertaking of a practice‐based research project Positive benefits of collaborative research became evident and are highlighted in this paper No attempt was made to evaluate the ‘experiment’ objectively and so this is a subjective account, aimed at encouraging other efforts towards closer collaboration between researchers and practitioners

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01684.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Assessments of quality of care using Senior Monitor in three matched wards for elderly patients were carried out on three occasions The first assessment was carried out in June 1987 as a trial of the measurement tool The instrument allows for a maximum score of 100 All three wards scored above 60, with two wards scoring above 70 Primary nursing was introduced in one of the wards in January 1988 and the assessment was repeated in June 1988 All ward scores were above 70, with one ward, not the primary nursing ward, scoring above 80 A third assessment was carried out in June 1989 Again, all three wards scored above 70 but this time the primary nursing ward scored 86, the highest ward score of the series The results for the sub‐sections of the assessment are explored in the paper and issues about validity, reliability and inter‐rater reliability are discussed It is argued that Senior Monitor is a useful tool for assessing changes in the quality of care delivered to patients in wards for the elderly but that its full value only becomes apparent with repetition over an extended time period It may be less appropriate for assessing the impact of a change in the organization of care, not because of any inherent fault in the test but because the very process of using it makes staff look at their practice more critically It is this critical re‐appraisal rather than the change in organizationper sewhich stimulates the improvement in the quality o

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01685.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This paper describes some aspects of a study which looked at clients' perceptions of health visiting, and how, if at all, these related to their perceptions of health needs The researcher explored the alterations of these perceptions over time, and also examined how they related to professional perceptions The background to this study is described The methods used are outlined The study was earned out in two phases The first phase used semistructured interviews and diaries to explore 41 parents' perceptions at one point in time In phase two, a series of three semistructured interviews were completed over a 10‐month period with 19 primiparous parents, commencing antenatally, and with 10 of their health visitors Analysis was by the grounded theory method The eight concept areas which emerged from the data are listed The paper goes on to discuss the use of case studies in developing a substantive theory Finally, some of the implications which this study has for health visiting practice are outlin

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01686.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Critical thinking is considered an essential component of nursing science As a concept in nursing education, however, critical thinking is not clearly understood nor systematically applied A survey of deans and directors of baccalaureate and higher‐degree schools of nursing accredited by the National League for Nursing examined perceptions of critical thinking as it is currently characterized in nursing education Results indicated that critical thinking was conceptualized as a variant of the scientific method It was explicated as a rational‐linear problem‐solving activity which reflected the nursing process The findings demonstrated the respondents' lack of clarity about the fullest expression of the mechanisms and operations of critical thinking process and applic

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01687.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This study developed and evaluated an experiential teaching model which aimed to improve the integration of theory and practice for first‐year RGN students This work took a qualitative approach and used Lewin's action research methodology Using a participant observation approach, data, in the form of diaries, interviews and spot checks, were gathered To evaluate the teaching model, the spot checks were developed as an indicator of theory–practice integration The analysis of these spot checks revealed that this teaching approach had value The strengths and weaknesses of the teaching model, in relation to possible origins of the theory‐practice gap, are outlined The validity of action research is discussed, as are similar issues that are related to the methodology of this

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01688.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Using an ethnographic approach, the phenomenon of the routine of ‘doing the obs' (nursing observations of vital signs) was examined with particular reference made to its rationale This involved a period of fieldwork in a ward which consisted of non‐participant observation of the nurses at work and short interviews with them The experience of the study raised awareness of the research process for the researcher and is explored in detail in this article The dissemination of such an account offers valuable insight for future researchers and occupies a vital role in determining the validity and reliability of qualitative

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01689.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This paper explores ideas about the appropriate basis for nurse–patient relationships which underwrite the nursing practice of experienced staff nurses on the acute surgical and medical wards of a Scottish general hospital Three central features of involvement with patients are identified,knowledge, reciprocityandinvestment, and these are related to three general models of the nurse–patient relationship, characterized asprimary, demonstrativeandassociationalThe implications of the nursing practice on which these models are based are discussed in the context of issues of quality of care and orientation to

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01690.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This pilot study prepares the way for a controlled evaluation of counselling of disabled stroke survivors and their carers It assesses feasibility of methods and outcome measures potentially useful in the main study The study elicited information about the psychological, physical, social and service needs, and the feelings of stroke survivors and their informal carers Twenty patients and their carers were interviewed separately in their own homes Results describe research tools which were refined, and demonstrate several unmet needs in the psychosocial domain The main findings were a requirement for more information about stroke and for counselling in relation to ‘care’ problems arising out of the disability of stroke disease and the changes in dependency prod

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01691.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY