ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00001.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00002.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This paper describes a framework used by the National Institute for Nursing in Oxford to integrate research, development and practice With the increasing attention given to the topic of how research findings are implemented into clinical practice, it was felt important to share the challenges that have arisen in attempting to combine traditional research activities with more practice‐based development work The emerging conceptual framework, structures and functions are described, highlighting the variety of partnerships to be established in order to achieve the goal of integrating research into practice While the underpinning principles of the framework—generating knowledge, implementing research into practice and evaluating the effectiveness of programmes—are not new, it is the way they have been combined within an organizational structure that could be helpful to others considering such a strategy Both the strengths and weaknesses of the framework are discussed, a number of conclusions drawn as to its robustness and consideration given to its repli

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00003.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The authors of the present paper are a team of workers undertaking an empirical study of the definitions of quality in nursing used by National Health Service managers and others At an early stage in that work, their concern to enhance the validity of the findings led them to participate in the exercise reported in this paper Their purpose was to answer the question ‘what is the effect of the researcher's perspective on the interpretation of the analysis of interview data?’ This paper reports an exploration of the problem of validity in qualitative enquiry and a review of published strategies for analysing interview data It then outlines the strategy chosen by the team—the use of a framework which addresses validity in terms of adequacy of description The experience of using this framework is described and some empirical evidence of the way that individual perspectives influence the analysis is presented This gives rise to four principles which are considered to be of value in team working in qualitative enquiry, whether the team is a large one or consists of research student and supervisor alone The paper concludes with practical suggestions as to how these principles may be built in to the project planning

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00004.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Feminist research is evolving, and with it new methods of doing science In this feminist post‐positivist era, grounded theory, while less inclusive and descriptive than ethnography, allows for complex analysis of complex questions While Glaser&Strauss (the originators of this methodology) have written about grounded theory in an esoteric way, others have written extensively about this method in a much clearer and less rigid fashion In this paper we discuss how grounded theory could be used in a creative and constantly evolving manner for feminist resear

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00005.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This paper identifies the need for a debate about the appropriateness of action research for nursing as it seeks to achieve the status of a research‐based profession It also identifies a related need to inform such a debate by bringing together three sets of writings that are not normally united in the nursing research literature—those of action research, organizational culture and professionalization In nursing, as in education, action research is being deployed as part of a professionalizing strategy, since amongst other things it seems to offer a means of developing reflective practitioners and of producing knowledge for practice The increasing popularity of action research amongst nurse researchers suggests that it is seen to reflect the attributes to which nursing aspires as a profession, including a concern to realize humanistic values Action research was embraced by the teaching profession before nursing, and nurse researchers are increasingly drawing on the ideas of influential educationalists in defining action research as an emancipatory strategy and a form of collaborative enquiry rooted in reflective practice This paper argues that in the managerialist context of the British National Health Service action research may be reduced from a participatory methodology into a method for getting people to collaborate with managerial goals and internalize the values of the corporate culture The danger is that in the name of reflective practice nursing work may become increasingly individualized The challenge for action research in nursing is how to respond to this dilemma, and this may require looking critically at the managerial values underpinning the NHS reforms and at the organizational context in which action research strategies are depl

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00006.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Members of a county division of the Midwives' Association of Sweden were surveyed to examine their awareness of, attitudes to and use of selected research findings A total of 14 findings from research within the midwifery field were identified from midwives' dissertations and the journalJordemodernusing the criterion of physical availability Questionnaires were mailed according to the membership list [n = 146) The response rate was 74% (n = 118) The results demonstrated that 75% of the midwives were aware of research findings, 65% were convinced of their usefulness and 63% used findings at least sometimes According to the stages of Rogers' innovation‐decision model the midwives were in the ‘persuasion’ stage, which is consistent with the result in Brett's 1987 study The results indicate that research findings are used when midwives believe that the findings provide good care for mothers and babies Even though the midwife in Sweden is considered to be an independent practitioner she is a member of a limiting social system With regard to the interests influencing the health care system there is a need to examine the innovation‐decision process from an organizational perspective to effectively improve the quality

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00007.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The organization of clinical supervision within the nursing profession: a review of the literature There is a considerable amount of literature available on the subject of supervision within the nursing profession However, there appears to be little structure regarding how this subject is organized within the professional literature Thus, although the subject of supervision appears within the nursing literature as a fairly consistent theme, there has been little or no attempt by the profession to give structure to either its underpinning theory or its practice It is apparent that the term ‘supervision’ within the nursing profession has different meanings for different individuals and groups In an attempt to explore the literature relating to the United Kingdom, the author has developed a structure for the review, based upon his reading of the literature and his own experience within the profession The review covers five areas The first area is that of examining the need for clinical supervision within the practice of nursing The second area of the review identifies the various ways in which the concept of supervision is used in practice, particularly identifying the variety of terminology The third area of the review is that of the profession's perception of good practice regarding supervision The fourth area of the review seeks to identify various models of supervision as they are used within the nursing profession Lastly, the preparation and training for the role of supervisor is revi

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00008.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This paper, written by two male nurse teachers, describes and analyses their experience of working in a nurse education culture permeated by the philosophy of business management The introduction of business management practices to nurse education is discussed as a reflection of the current political hegemony of market forces and individualism The authors discuss the implications for nurse teachers of being continually exposed to these politically motivated forces which increasingly provide the paradigm for service developments within the United Kingdom health services In discussing the impact of this exposure it is argued that at the personal level individual teachers are experiencing a degree of apathy and personal dissonance which undermines their professional value system, resulting in emotional distress and a crisis of identity It provides a critical reflection on the way organizational dynamics and power relations influence the subjective sense‐making of individuals The authors use a multiplicity of perspectives, including those provided by individual psychology, power relations, feminism and personhood, to argue for the need to develop an alternative paradigm which is characterized by the valuing of individual persons, empathic sensitivity and the fostering of creativity been important to us from a personal and profession

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00009.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This paper reports a study which examined the specific information needs and sources of information for 105 women with breast cancer at two time points, the time of diagnosis and a mean of 21 months from diagnosis At diagnosis the priority information needs concerned survival issues Further from diagnosis survival issues were still a concern, but information about the risk to family members of getting breast cancer showed a significant increase in importance Information about sexual attractiveness was ranked last at both the newly diagnosed and follow‐up stages Information sources at the time of diagnosis centred around the specialist breast care service, while further from diagnosis few professional or voluntary sector sources were utilized, with women receiving most of their information from media sources such as women's magazines The relevance of these findings for nurses and other health care professionals is discuss

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00010.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY