ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18091341.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18091343.x

出版商:Blackwell Science Ltd    

年代:1993

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.180913439.x

出版商:Blackwell Science Ltd    

年代:1993

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.1809134314.x

出版商:Blackwell Science Ltd    

年代:1993

数据来源: WILEY

摘要:

The cause of acute leukaemia is unknown Untreated, the disease is generally fatal after a few months The therapeutic regimen is chemotherapy, and sometimes also bone marrow transplantation, and the aim is to cure the patient Not only does the person live under pressure from a life‐threatening disease with all the physiological complications that therapy can result in, the therapeutic regimen also involves a great psychological effect The concept of quality of life (QOL) is individual for each person, as is his/her experience of the value of the contents of life The principal aim of the study was to describe what QOL means to adults with acute leukaemia, not to describe the degree of QOL The second aim was to give the concept of QOL a theoretical and empirical significance relevant to nursing care Eight adults with diagnosed acute leukaemia detected in adulthood have been interviewed about their quality of life The concept was given one superior dimension in all the interviews, positive attitude to life Below the superior dimension were two further dimensions, interpersonal relationships and autonomy Different qualities were given below these dimensions, viz security, support, respect, information and conversati

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18091346.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The purpose of this study is to help understand what suffering is, i e how patients and nurses describe suffering, and how suffering can be alleviated The study has a descriptive–explorative design and its approach is phenomenological–hermeneutical The informants (research group) are 11 nurses (nurses, doctors, hospital theologians) and five patients in a social‐psychiatric nursing unit, based on Christian ideology The results of the study show that the ‘what’ of suffering is unclear The nurses tend to describe more the ‘why’ of suffering, I e the reason for suffering The what of suffering is pain, fear, despair, lack of strength It is a form of lack of freedom and non‐motion It is a struggle between wanting and knowing, between guilt and responsibility The form of suffering tends to mould the caring relation To be touched in some way by another in a meeting can alleviate the deepest suffering Compassion will always all

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18091354.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Some of the issues which nurses confront when they deal with the disclosure of terminal diagnoses and prognoses to patients are explored In such circumstances, the nurse must respond to the competing demands of patients, relatives and medical staff The paper examines the way in which a group of experienced staff nurses in a general hospital accounted for their activities during and after the disclosure of a lethal diagnosis In particular, it explores the ways in which nurses are included or excluded from decision making about disclosure by medical staff

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18091362.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

In this study, nurses perceived that the implementation of special supervision is the most effective preventive method in the nursing care of suicidal patients, but they also expressed the view that special supervision is non‐therapeutic The results of these findings show that it is possible to provide nursing care in the prevention of further harm to the patient but that nurses may not necessarily be proficient in demonstrating the interpersonal caring skills essential for the development of a therapeutic relationship and hence patient recovery This paper demonstrates there is now (a) a need for special supervision as a preventive method when caring for the suicidal patient, (b) a need for a planned therapeutic programme of care during special supervision, (c) a need for the development of essential interpersonal and counselling skills and dimensions for effective therapeutic intervention and empathic nursing care, (d) a need to bridge the gulf between theory and practice by giving nurses the opportunity to practise those skills in the clinical setting under the supervision of an expert clinician, (e) a need for the patient to experience that nurses do care, i e experience empathy, during the complete therapeutic programme including the period of special supervision, and (f) a need for further research regarding the patient's perception of nursing care experienced following a failed suicidal attem

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18091369.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

A qualitative study was conducted in order to understand how nurses cope with the risk of contagion while providing care to persons with AIDS (PWAs) Data were collected through in‐depth interviews with 13 nurses who had cared for PWAs in an acute‐care hospital in a western Canadian city The data were analysed using the constant comparative methodology of grounded theory. The analysis revealed that caring for PWAs involved achieving a sense of control over uncertainty One aspect of this process, making risk meaningful, centred on efforts to justify caring for PWAs in the face of risk The purpose of this paper is to describe how nurses make risk meaningful A sense of meaning was found to be related to three major factors accepting the patient as a person who needs and deserves care, finding work enjoyable and worthwhile, and professional commitment to care for all patients Attaining a sense of meaning led to a reappraisal of the risk situation as worthy of investment and provided the motivation to care for patients in spite of risk The paper concludes with implications for practice and suggestions for further rese

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18091377.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Although over 50% of individuals over the age of 65 live with at least one chronic illness, little research has been conducted on the individual lived experience For this phenomenological study, 12 individuals living with any long‐term illness participated in extended, non‐structured, audio‐recorded interviews Resulting verbatim transcripts were analysed hermeneutically using Heideggenan phenomenology as the philosophical framework The pattern ‘my death nearing its future’ emerged from this research The understandings gained from these individual narratives provide important insight for all individuals interacting with persons living with chron

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18091386.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY