ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1985.tb00526.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

In this paper we describe a programme for developing nursing care for patients with myocardial infarction (MI) and report some results of a study in which applicability and effectiveness of this programme were evaluated. To investigate how the programme influenced nursing practice, nurses’ readiness (knowledge, skills, motivation, accountability) to provide care for MI patients was followed for 2 years. Data for the evaluation were collected by questionnaires from three categories of nurses, by analysing nursing documents before and 1 and 2 years after the programme started, and by keeping a continuous diary. This programme made an impact on many variables that measure changes in nursing practice and nurses’ readiness to provide care. The implications of this programme for nursing practice, research, education and administration are discus

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1985.tb00527.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

During the past two decades, redefinition of many of the beliefs and assumptions which underly nursing appears to have contributed to an increasing divergence between nursing theory and nursing practice. Nurses who are theorists and educationalists, and nurses who are engaged in nursing practice tend to use different vocabularies, to have differing perceptions of patients and of nursing, and to value different kinds of nursing knowledge. Some of the divergences between nursing theory and nursing practice are considered, and suggestions made about how theory and practice might be reconciled.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1985.tb00528.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Patient education, which is central to nursing practice, is evolving as a body of theory and in its application to groups of clients. This paper outlines a new body of theory known as self‐efficacy theory, which has considerable potential to improve patient outcomes from teaching. This theory posits that patient belief that he can perform a necessary behaviour (self‐efficacy) can be affected by four principal sources of information: performance attainments, vicarious experience, verbal persuasion, and perceived physiological states. This paper also describes new applications of patient education for psychiatric patients and notes the potential for the expanded educational services for geriatric patients. These programmes have the potential to save hospital costs and to improve quality of life but appear to be in early stages of programme development. Active development and management of a field's theory base and practice applications is fragmented in the patient education field but important to the field's continued relevance and vig

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1985.tb00529.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The paper describes a small study, in which the issue of patient popularity is re‐examined. A sample of 35 psychiatric in‐patients was used. The factors demonstrated by previous authors as affecting patient popularity are reconsidered in the light of theoretical, methodological, empirical and epistemological criticisms of previous research work in this area. The issues of consistency of patient popularity, both over time and between nurse raters, are also exami

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1985.tb00530.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

This descriptive study examined patients’ attitudes and feelings towards convalescence following vascular surgery, A convenience sample of 25 subjects consisted of patients who had initial (18) and repeat (7) surgery. A self‐administered questionnaire and a semi‐structured interview guide were utilized to examine patients’ perceptions concerning health, uncertainty about the outcome of surgery and course of disease, and their degree of adherence to discharge instructions. The findings suggested that the early convalescent period was difficult for all patients, but particularly for those in the repeat surgery group. Although data analysis revealed no statistically significant differences in perceptions between groups, repeat surgery patients tended to experience less favourable perceptions of health, a higher level of uncertainty, and a lower rate of adherence to discharge instr

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1985.tb00531.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Historical trends encouraging the extended role of the nurse in general practice are described, and Department of Health and Social Security (DHSS) policy regarding this and the legal position of the nurse, discussed. The results of a postal questionnaire to all 192 Directors of Nursing Services (DNSs) (Community) in England are presented. The study aimed to document the extent to which nursing policies at district level had been developed to meet DHSS recommendations. Although 71% of the DNSs questioned said a policy on the extended role of the nurse had been drawn up in their districts, few met all three criteria recommended by the DHSS: specific task definition, training requirements and legal safeguards.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1985.tb00532.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

This paper examines the British provision for advanced education in psychiatric nursing. Information was derived from a review of the literature, personal contacts with nurse educationalists, and an undergraduate project supervized by the author. After operationally defining advanced education, the paper describes courses at pre‐and post‐registration levels. These include degree, diploma, clinical, educational and managerial courses. The psychiatric component of nursing degree courses is also considered. Current provision is critically discussed and compared with similar courses for general nurses and educational provision abroad. The paper analyses how and why the current situation has occurred and the effects of current provision on psychiatric nursing practice. The paper concludes with proposals for future developments. These include recommendations for higher education based courses and consideration of a single register of nur

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1985.tb00533.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The medical and nursing literature suggests measurement of attitude (feelings and beliefs) of clients with schizophrenia may be possible. This paper reports a study by the author using Fishbein's expectancy‐value model to measure attitude toward taking medication and reflects on significant implications of both the research reported in the literature and the author's study. How symptoms of schizophrenia affect communication, attitude toward treatment, attitude toward taking medication, and clinical implications of measuring the attitude of clients with schizophrenia toward taking medication are discusse

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1985.tb00534.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The number of research studies carried out in the United Kingdom by nurses is now quite considerable. As a result there are a number of areas which have been studied by several researchers using different methods and study populations but producing convergent findings in which confidence can be placed. In this paper it is argued that as well as contributing to the content of the knowledge transmitted during study days such findings can be used in the planning of continuing education programmes for trained nurses. Research studies in the following areas were chosen: the consumer's view of continuing education; the ward sister's management role; teaching and learning in the ward; and clinical practice. Findings are discussed and ways in which use can be made of them in continuing education are suggested.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1985.tb00535.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY