ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1980.tb03349.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

The author examines what the essence of nursing is. Then she goes on to seek the kind of administrators that will help preserve this essence. And the kind of research that will facilitate it as well as the practice manifested by it. She concludes that the essence of nursing —‐basic nursing care is essential to human welf

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1980.tb03350.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

It is claimed that philosophy has a distinctive contribution to make to the education of nurses and their teachers, as well as to the development of nursing theory and research. After a brief characterization of philosophy and philosophy of education, stressing its relationship with thinking processes, and the development of personal values, the above claim is supported in the body of the article by discussion of four central concerns in nursing. First the concept of caring where cognitive, moral and attitudinal aspects are examined and secondly, the importance of gaining a moral and political consciousness of assumptions underlying a nurse's work. Thirdly, a discussion of some ethical and other implications in adopting a systems approach to the nursing process. Finally an analysis of nursing theory and research which draws attention to the value of non‐empirical work, and reiterates criticisms of the objectives approach as a research too

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1980.tb03351.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

The literature associated with the care of the unconscious patient tends to concentrate on aspects of care relevant to the maintenance of the patient's equilibrium, within a medical or surgical context (Atkinson 1970, Roper 1973, Ayres 1974, Burrell&Burrell 1977, Rhodes 1977). The importance of maintaining such an equilibrium is beyond dispute, but die difficulty of understanding what unconsciousness is becomes a contributory factor towards inhibiting the nurse from extending the same totality of care she would offer the conscious patient, to one who is unconscious. The writers draw parallels between features of the world of‘booming, buzzing confusion’often postulated for the neonate, and those of the unconscious patient. They claim that despite perceptual and other similarities, the framework of care instituted for the unconscious patient lacks the social dimension normally expected to be available to the infant. Care of the unconscious patient suffers from fragmentation because of its emphasis on the physi

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1980.tb03352.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

While American nursing attempts to deal with the multitude of dilemmas that have been plaguing it for decades, many developing countries look to the USA for a nursing model to emulate, and then become lost in this confusion of its nursing profession. However, these countries continue to reach out and seek consultants with educational and practical experience in nursing in the USA, as well as in other developed countries. A paradigm is proposed for use by educators and consultants to help delineate the major issues a developing country has to confront in establishing a stable nursing service. This paradigm is explicated by applying it to the situation in Kuwait, a Fourth World country with many social paradoxes (e.g., rich in economic resources but poor in human resources). Four major paradoxes in nursing are identified by using the proposed paradigm. They are: I educational needs vs. educational reality; 2 locals vs. cosmopolitans; 3 role congruency vs. role incongruency; and finally 4 medical vs. nursing conceptual models. Although these paradoxes became manifest through work done by the author in Kuwait, any international health care professional will quickly realize that the paradoxes are not unique to Kuwait but have parallels in many other countries which are at different stages of development.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1980.tb03353.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Although the work reported here began at health district level, even a casual perusal of published statistics reveals a quite bizarre situation when viewed from a manpower planning perspective. The quite considerable effort involved in producing state‐certified midwives seems, on the surface at least, to be excessive given the number gainfully employed in that profession. The national situation with respect to trends in the birth rate is examined and a somewhat surprising seasonal effect identified. This material is then used to estimate the likely situation to be encountered at local level and in particular the effect at different levels of bed provision. In an attempt to translate these estimated births into workload figures recourse was made to regression analysis. Data from 417 maternity units relating both to outputs and inputs were secured, but the subsequent analysis proved abortive due to the high correlation which exists between the variables. Estimates were therefore derived from the work of other author

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1980.tb03354.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

The decline in the number of children nationally being vaccinated against pertussis has caused anxiety and concern, both for parents and for professional workers. Publicity by the media and professional press has added to the confusion, and has been largely held responsible for the present situation. A survey was undertaken to analyse the factors which may have been responsible for the reduction in the number of children coming forward for pertussis vaccination in Leicestershire. These factors included social class, the position of the child within the family, and the reasons given by families for omission of the vaccine. Observations on the computerized record of immunization and vaccination, and the family's own record of the dates of immunization were made. The results of the survey present a more complicated picture than expected, with the consequence that solutions are difficult to find.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1980.tb03355.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Psychomotor skill‐learning is a basic aspect of nursing education. Students are expected to perform skills in relation to patient care. How can nursing instructors optimize skill learning and how can they analyse where a student is going wrong? The critical components of the psychomotor‐skill learning process are identified and listed under the control of the instructor or the student. A checklist provides for mutual examination of the process to see if a problem area can be isolated. The article provides a review of a process which tends to become second nature to experienced nurses, but it remains one of which nursing instructors must be conscious, in order to understand why some students do not learn nursing skills easily or saf

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1980.tb03356.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

In the earlier paper (published in the March 1980 issue of theJournal of Advanced Nursing) two dominant themes were developed. One was that the organizational behaviour of nurse managers could be traced to the social defence system learned during early nursing, the other was that many of the assumptions which underpin much of the current thinking on nurse management training can do little either to help them unlearn these early behaviours or to prepare them to take more innovative action in their respective roles. Part 2 analyses some implications of this. The initial discussion examines the purpose of management training and what it is intended to achieve, which embraces the issues of the transfer of course learning back to the workplace and the greater involvement of line managers in the development of their staff. By redefining nursing in terms of open‐system boundary management, some new directions are suggested which management trainers may find useful in clarifying and redefining their own task, as well as enabling nurse managers to be more innovative and effective within the constraints of their organizational situations. The implications go beyond just nursing and nurse management training. They are concerned with the wider range of institutions whose task is the throughput of people, and which tend to be managed by groups of professional

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1980.tb03357.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1980.tb03358.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY