ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01700.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01701.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Interviews with a small group of nurses working in a primary nursing ward were content analysed using the Ethnograph computer program In response to some very general questions about their views of primary nursing, the respondents talked at some length about their improved knowledge of patients, about better communication, about their relationships with pahents and relatives and about personal responsibility They did not talk spontaneously about controlling their own practice, decision‐making, autonomy or accountability Such terms did not form part of their vocabulary in describing their work though these issues were raised obliquely in the conversations The value of the change in the way of organizing the delivery of nursing care was seen more in terms of its potential for developing therapeutic relationships rather than in terms of personal professional development Increased knowledge of and responsibility for specific patients coupled with the greater continuity of care they were able to provide, gave them greater job satisfaction than they had previously experienc

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01702.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The infection control liaison nurse (ICLN) is a nurse in the ward, appointed to participate in education for infection control, and to liaise between the ward and the infection control nurse (ICN) The efficacy of ICLNs was evaluated when a guideline on urinary catheter care was introduced in a 1000‐bed hospital in Hong Kong The 27 public wards were divided randomly into a test (24 wards) and control group (three wards), and ICLNs were appointed in the test group by the nursing administration For education, the ICN conducted in‐service lectures for both groups, while in the test group, the ICLNs also conducted tutorials for all ward nurses Before and after the education programme, prevalence surveys were conducted to detect incorrect practices on urinary catheter care Three practices were evaluated the securing of catheters, presence of kinking and the use of urinary bags with a drainage spigot Before education, the percentage of incorrect practices in the test groups was 63%, which was comparable to the 68% of the control group (P= 0 40, χ2= 0.71) After education, the percentage of incorrect practices in the test group (36%) was significantly lower than the 48% in the control group (P<0.05, χ2= 4 25) This indicates that ICLNs can indeed enhance the education programme for infection c

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01703.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Self‐efficacy expectations were measured in 149 recovering cardiac surgery patients to determine whether in‐patient education and telephone monitoring during convalescence enhanced perceptions of cardiac efficacy and reported activity Significant differences were found for experimental patients in self‐efficacy expectations for walking between 4 and 8 weeks (P=0 02) and between 8 and 24 weeks (P= 0 05) following surgery Experimental patients also reported higher levels of general activity at 4 weeks (P= 0.05) and 8 weeks (P=0.02) as well as more walking and lifting at 8 weeks (P= 0 01 and P= 0.0008, respechvely) By 12 weeks, treatment differences were no longer significant except for continued higher general activity levels (P=0.03) for experimental patients Self‐efficacy expectations, summed for all physical activities, at 8 weeks were found to be a significant predictor of self‐reported activity at 12 weeks, contributing 14 8% of the 34 8% explained variance (R2change = 0 1479, F= 26 58,P<0 0001) Self‐efficacy expectations summed for all physical activity at 8 weeks were also significant predictors of self‐reported activities at 24 weeks, contributing 8 5% of the variance (R2change = 0 0847, F= 14 48, P=0 0002) A New York Heart Association functional class at 4 and 8 weeks was an independent predictor of self‐reported activity at 12 weeks, as was 8 week functional class for self‐reported activity at 24 weeks Mood state did not contribute to explained variance in the regression models These findings suggest that efficacy expectahons in the recovering cardiac surgery patient (a) can be influenced by in‐pahent education and further enhanced by out‐patient coaching by telephone during home recovery, (b) are correlated with activity and mood state and are predictive of subsequent activity, (c) change rapidly in the first weeks after discharge, and (d) may be influenced by cardiac functional class following surgery, in that cardiac class is also

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01704.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This descriptive study was undertaken to investigate patients’ perceptions of the seven content areas commonly included in cardiac teaching in terms of how important and how realistic they were for being learned following the experience of an acute myocardial infarction (MI) Lazarus's stress‐coping theory was used as a framework for the study A sample of 30 MI subjects were interviewed before discharge and during early convalescence Before discharge, subjects rated six out of the seven content areas as ‘important’ for learning Although the information was considered important, it was not rated as equally realistic to learn During early convalescence, mean scores under ‘important to learn’ were slightly lower, but all seven content areas were rated as significantly more realistic to be learned (P<0 05) Little variation in patients’ perceptions of the importance of teaching content was noted over time However, there was major variation between their perceptions of how important and how realistic it was to learn the material before discharge Both dimensions, how important and how realistic, are therefore crucial to consider in ca

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01705.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

In a mutidisciplinary study comprising 280 patients with acute cerebrovascular disease, the functional capacity was followed from the acute stage onwards with a test battery mainly measuring activities of daily living and motor capacity Systematized care procedures with written care plans in accordance with the nursing process model, together with a booklet of guidelines in stroke care, were introduced during an experimental period in the care of 173 of the stroke victims The remaining 107 patients received conventional care The functional improvements were equal from a statistical standpoint in these two groups However, in the group, which received special activities, there was a significant decrease in bed days, and a slightly larger number were able to return to their own homes Compared with another stroke population from the same hospital, measured with the same functional instrument 7 years ago, the patients in this study seemed better off from a functional standpoint For the individual severely‐disabled patient, the care planning procedures seemed to be valuable and an effective way of promoting communication between different units The difficulties in introducing new routines for documentation are discuss

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01706.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This study is designed to identify factors which influence quality of life for elderly people suffering from painful conditions It is based upon a theoretical model of control in which mood state is used as the indicator of coping One hundredand ninety elderly patients took part in semi‐structured interviews about their pain and coping experiences, and data were also collected from their nurses in the community Multivariate statistical analysis revealed that the key determinants of mood were having regrets about the past, being occupied, perceived level of pain control, additional personal problems (notably bereavement) and feeling informed about the painful condition Active personal coping strategies were identified as moretherapeutic than passive strategies Nurses’ data revealed that pain complaints were associated with perceived exaggeration Few nurses used formal pain assessment. Recommendations for the management of persistent pain in the community are g

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01707.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

In an effort to theoretically integrate perspectives of self‐care and health promotion, the Health‐Promoting Self‐Care System Model is proposed as a framework for identifying and explaining sequential patterns among factors which influence the decision‐making, performance and outcomes of health‐promoting lifestyles The model is based upon a synthesis of elements comprising constructs of the Self‐Care Deficit Nursing Theory as well as certain factors in the Interaction Model of Client Health Behaviour and the Health Promotion Model Directions for research and practice provided by the model should encourage the development of a cumulative nursing knowledge base and contribute to the goal of enhancing the health and well‐being of persons across developmental and sociocul

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01708.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Although empathy is regarded as a necessary component of good quality nursing care, defining and measuring empathy have both been fraught with problems A historical overview helps to explain these difficulties, as nurses have tended to accept the views of psychotherapists uncritically, and have used scales developed for clients in counselling with people who are physically ill Methodological difficulties combined with the results of studies demonstrating low levels of empathie ability in nurses have culminated in disenchantment with this topic A framework is used to show why nurses cannot always demonstrate empathic awareness of every patient's need and an alternative approach for exploring the nature of empathy is suggested

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01709.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY