ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00847.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

This paper makes the point that for psychiatric patients the nursing process based on a systems approach may be more useful than that based on problem‐solving or activities of daily living.Some of the key concepts used in this approach are (i) listing component parts of a system(2) defming the inside and outside of systems, the outside being described as environment(3) changing the boundaries or the interface of various systems, as appropriate, (4) observing the impact of the environment and especially of the nurse herself as a part of the system or the environment, (5) tracing input, output and throughput, and (6) drawing distinctions between open and closed systems and accounting for a steady state in the syste

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00848.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

A theoretical model is described whose particular emphasis is directed towards operationalizing the statements: ‘effective teaching bridges the gap between information and practice’ or ‘teaching is more than telling’. It concentrates on nurse behaviours (facilitation) designed to actively engage the patient in learning, whereby he accepts his diagnosis or situation, projects the effects of prescribed therapy on his future life, and commits his intentions to practice.It utilizes principles of learning derived from the perceptual (phenomenological) approach and indicates the nurses' responsibilities. The model identifies four critical elements in the engagement process–the patient's values, his perception of the disease threat, his perceived utility of the prescription, and the facilitating behaviours of the nurse. The strategy is adapted from a combination of theHealth Belief Modeland thePersonal Cho

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00849.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

There is widespread discussion at the present time of ‘participation’— allowing members of an organization to exert an influence on the processes of decision‐making.The National Health Service is not isolated from this debate and already a number of experiments have been carried out at various levels of the service to allow a wider range of opinion to influence decisions than hitherto. This paper reports on a study the author carried out into one such exercise, designed to assist a Health Board reach decisions about the longterm pattern of health care in its area. Nurses, paramedical staff and local authority staff, as well as doctors, were appointed to a series of programme planning committees to advise the Health Board on issues of longterm policy. After 2 years of operation, a study was carried out into the operation of the committees and the lessons drawn from the experience should be relevant to actual and potential members of any consultative or decision‐ma

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00850.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

The responses to ‘given situations’ in a questionnaire administered to 50 nursing students indicate that they are conscious of high stress factors in nursing. Role conflict is created when they are given instructions in the wards contrary to what they are taught in the schools of nursing. Some of the responses also indicated that learners may be developing attitudes which are contrary to good nursing practice as a protection from external pressures.The majority of the respondents had opportunities for discussion of their problems, but 28% were unsure about available facilities. The author argues that the counselling needs of nursing students must be met by the provision of a comprehensive counselling serv

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00851.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

One primary source of feedback on the effectiveness of their teaching, which instructors may easily overlook, comprises of students' reactions. The purpose of this study is to identify students' perceptions of teacher behaviours, which either facilitate or hinder students' learning in the clinical field, and to determine if there is a difference in the perceptions of 1st and 2nd year students. This study is exploratory and descriptive in nature.Firstly, some research studies regarding effective clinical teaching in nursing are reviewed, followed by a discussion of the research design. The tool used for collecting data is a modified form of the critical incident technique. A description of illustrative incidents is requested within five divisions: professional competency, relationship, personal attributes, teaching methods, and evaluation of practice. A system for analysis and coding of data is then discussed. Finally, the finding of this study is presented. It would seem to the investigator that students in 1st year are particularly sensitive to how the teacher makes them feel, whereas students in the 2nd year would seem to be more concerned with the teacher's competency in teaching. The teacher behaviours reported as helpful or hindering to students' learning, as identified by the students, are outlined.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00852.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

A preliminary trial was carried out to establish the most suitable hygienic wipe for sanitary cleansing in incontinence and to study and compare the difference between cleansing with soap and non‐ionic detergents in incontinent patients. Four non‐ionic detergents were tested against National Health toilet soap in 290 incontinent episodes. Other observations were made on the skin condition following cleansing, the ease of cleansing, odour control, detergency, and allergenicity.The results showed that a scrim wipe was the best for this purpose and also indicated that the non‐ionic detergentCetomacrogol 1000 B.P.C.to be preferential to all other creams and soap in the time taken for cleansing. The skin condition, odour control and detergent ability were all superior with this cream. It was revealed by the trial that in cleansing faecal incontinence with non‐ionic detergent, an initial wipe, followed by about 7‐0 grams of detergent on a moistened wipe to achieve emulsification and then followed by another dry wipe, is all that is required. The condition of the skin was recorded as excellent and the figures indicated a possible saving of 20% in nur

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00853.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00854.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00855.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

Book reviewed in this article:Administering nursing serviceby Marie DiVincenti, R.N. Ed.D. Little BrownReport on the Feasibility of Achieving Economics and Increased Eficiency in the Hospital and Community Nursing ServiceGastroenterological Nursingby H. E. Gribble.Sociology for Nursesby Christine M. Chapman.Cancer Rehabilitation: An Introduction for Physiotherapists and the Allied Professionsby Patricia A. Downie.Suicide: Assessment and Interventionby Corrine Loing Hatton, Sharon McBride Valenta and Alice Rink.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00856.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY