ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb00557.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

The purpose of this study was to evaluate the effects of a four‐session (8‐hour) gerontological nursing continuing education (CE) programme on nurses' knowlege of and attitudes towards the elderly. The study also sought to ascertain the effects of the CE programme on patient satisfaction with and perceptions of nursing care. Seventy‐six nurses completed the Miller‐Dodder Revision of the Palmore Facts on Ageing Quiz and the Kogan Attitudes Towards Old People Scale before and after participating in the CE programme. Post‐test scores on both measures were slightly but significantly higher than pretest scores. Thirty hospitalized elderly patients were interviewed before and 33 were interviewed after the CE programme was offered to the nurses on their hospital units, using the LaMonica‐Oberst Patient Satisfaction Scale and the Harrison‐Novak Patient Perception Scale. Post‐test measures of patient satisfaction and perception were not significantly different from pretest scores. Patients were generally satisfied with their nursing care, but perceived that nurses did not focus on health promotion activities. In addition, 59% of the patients indicated that they were unable to distinguish nurses from other health care providers. The article identifies implications of the study for nursing education, practi

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb00558.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

The use of the two principle types of reality orientation with the confused elderly has been the subject of research by nurses, psychiatrists and psychologists. Reviews of this research suggest that the effects of these therapies on patient outcomes are extremely limited. However, a number of writers advocate their use on the grounds that their implementation results in more individualized care by nurses. This argument is rejected in favour of the demonstrated effect of introducing Individualized care from a basis in nursing theory. Nursing theory also provides the remit for nurses to control the physical and interpersonal environment of the confused elderly patient. By examining moral principles as they are applied to nursing, it is argued that the nature of that environmental control should be towards a 24‐hour reality orientation type approach. This should be implemented in an individualized way and should form the basis of a minimum standard of care for this client grou

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb00559.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

The process of ageing is frequently described in terms of decline and deterioration. Limited attention is paid to the gains in later life. Studies among self‐defined healthy American‐born elderly and ill‐healthy British‐born older persons, indicated that the perception of health was determined by many dimensions other than the absence of disease and illness. The older the person, the more emphasis was placed on health as a state of mind, even in situations of a gradually failing body. It was evident that these respondents, among them the ill‐healthy elderly challenged the current beliefs of health and illness as perceived by health

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb00560.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

A geriatric health promotion programme was conducted to determine biometric changes in cardiovascular, nutritional and musculoskeletal status. Sixty‐seven older adults participated in the study. The experimental group of 34 elderly subjects showed statistically significant increases in flexibility and high density lipoprotein with significant decreases in resting pulse rate, blood pressure, total cholesterol, weight and skinfold measures. The overall results of the wellness programme showed significant improvements in the physical health status of older adult

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb00561.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

The survey study compared perceptions of work in the nursing staff of acute and long‐term care hospitals. The focus was on professional challenges, career prospects, independence, responsibility, the social requirements of work, time pressure and workload. Consistent differences were found in the extent to which the two groups experienced their work as challenging: the scores were lower in the long‐term care hospital than in the general hospital. For example, 40% of the respondents in the long‐term hospital felt their work was too easy compared with their knowledge and skills, while the figure was only 9% in the general hospital. Among these workers, a simultaneous decline was found in personal resources, as measured by psychosomatic symptoms, and in the individual's commitment to the organization. In the theoretical discussion the experience of lacking challenges is related to the concepts of work orientation, coping strategies and work cu

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb00562.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

This study compares sources of nursing stress and job satisfaction among 181 mental handicap and 24 hospice nurses. It was hypothesized that nursing stress varies as a consequence of nursing speciality. Analysis of variance revealed differing features of nursing stress between the two specialities. Hospice nurses reported stress as primarily associated with death and dying and inadequate preparation to meet the emotional needs of patients and their families, while mental handicap nurses reported stress related to workload, conflict with other nurses and nursing environment. The results suggest that two additional factors that did not differ between specialities require further examination, namely patient behaviour and purposelessness of nursing care. Job satisfaction also differed between specialities with hospice nurses reporting higher satisfaction with supervision, co‐workers, and pay, and lower satisfaction with promotion in comparison to mental handicap nurses. Within the mental handicap groups nursing stress correlated with job satisfaction, state‐trait anxiety and non‐psychotic psychiatric disturbance in predicted directions. Analysis of the above variables with respect to mental handicap nursing grade was also undertaken. Overall results indicate the importance of nursing speciality as a major factor influencing nursing s

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb00563.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

A comparison of learner nurses and student teachers indicated that occupational differences in smoking prevalence were established prior to entry. However, learner nurses experienced higher stress for the greater part of their first year of training and this was one factor contributing to the consolidation of smoking among them. In general, smoking was seen as a way of dealing with negative feelings and although smokers did not experience greater stress than non‐smokers, the former were more likely to feel anger. Lower levels of perceived stress were associated with moves to lesser smoking, suggesting that stress prevents smoking being given up. Some non‐smokers were vulnerable in that they both experienced higher stress and saw smoking as a solution. The use of maladaptive intrapsychic coping techniques and the absence of social support outside nursing were both associated with movements to greater smok

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb00564.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

This 1‐year retrospective study was conducted on a regional secure unit at the Bethlem Royal Hospital, London, using the hospital's data collection sheet for violent incidents. The majority of incidents were minor in nature but there were a few assaults that involved pain, lacerations or bruising. Although violence was common to the majority of patients, two contributed a large number. Those staff at the bottom of the nursing hierachy who spent most time with patients were most at risk. Likewise fellow patients were also often involved in incidents. Violence did not tail off after the breakfast period, as reported in previous studies, but continued to rise until bedtim

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb00565.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Although using research to guide nursing practice has been a long‐standing goal for the nursing discipline, the actual merger of research and practice is not yet widespread. There are many possible explanations for the limited progress that has been made in this arena. In this paper, it is suggested that the multiple identities taken on by nurses may stifle actualizing a merger between research and practice. Diverging responsibilities and orientations among identities are depicted by considering the nurse as researcher, clinician, educator and administrator. In addition to elucidating differences among these various nurse identities, the paper addresses their commonalities, the most obvious and important of which is that ofnurse. If individuals retain the identity of nurse as the generic and salient characteristic, the multiple nurse identities have the potential to become a complementary array of diverse resources that can empower rather than thwart merging research and practic

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1988.tb00566.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY