ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18121855.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18121857-3.x

出版商:Blackwell Science Ltd    

年代:1993

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18121857-8.x

出版商:Blackwell Science Ltd    

年代:1993

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18121857-15.x

出版商:Blackwell Science Ltd    

年代:1993

数据来源: WILEY

摘要:

This study aimed at exploring nurses’ views of the characteristics of severely demented patients, the difficulties these characteristics produced and the emotional reactions they evoked during the provision of care Also, it aimed at exploring any changes in these aspects during a year of regular systematic clinical supervision combined with the implementation of individualized care at an experimental ward (EW) (n= 19) and at a control ward (CW) (n= 19) Data were collected by means of the Strain in Nursing Care scale, assessing the presence of certain characteristics in the patients, and how difficult each characteristic can be to handle The Emotional Reactions in Nursing Care scale was also used, assessing 18 pairs of emotions The analysis showed that agitation, not being responsive and unruly behaviour were the most common features while emptiness and agony turned out to be the most difficult problems to handle in the provision of care Feelings of defeat and dissociation were reported to be almost as common as feelings of control and association The EW nurses saw the patients as significantly more responsive, and victims of nihilation to a lesser degree and also patients’ wilfulness and emptiness was significantly easier to handle during the year of intervention There were no significant changes on the CW The mean values improved significantly in several aspects on the EW in comparison to the CW, patients seen as victims of ruhilation, easier to handle agony, obediency, wilfulness, evaluation and improved feelings of devotion and beneficence in the nu

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18121860.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The effects which student nurses have on the care of clients with mental health problems in the community is an area which has seldom been studied With the closure of large psychiatric hospitals and the rise in community placements as part of Project 2000, an increasing number of students are being placed in the community The study gathers data from clients attending five self‐help/support groups in the North Derbyshire area of England Analysis of the data challenges assumptions generally held by community psychiatric nurses (CPNs) that the presence of a third person, e g student/visitor, during a CPN home visit to the client is detrimental to the therapeutic interaction between the CPN and the client The findings are inconclusive but suggest that some client groups (possibly those with long‐term mental health problems) may find the presence of a student during a CPN visit facilitative The study raises the issue of the student nurse/patient power relationship within a support group Findings suggest that membership of a support group is empowering to the client and illustrates that clients in the community have greater control over the involvement of student nurses in their care than patients in hospital Groups within the sample expressed a unanimous view that student nurse placements should be long enough to allow therapeutic nurse/client relationships to develop This is in direct contrast to the current Project 2000 Common Foundation Programme approach of short observational non‐institutional plac

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18121876.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

A support group for the relatives and friends of patients at a special hospital in Merseyside, England, has been in operation for over 1 year A detailed evaluation of that group has been completed based on the minutes of each meeting and on a structured questionnaire sent out to each relative/friend involved The evaluation provides an illuminating account of the particular needs of this group, highlighting many of the concerns expressed by the Committee of Inquiry during the recent Public Inquiry at Ashworth Hospital The results of the evaluation are discussed in relation to work already completed on network support and mental health, as well as the recent work involving the relatives of patients in the community It provides a direction for future work and research within the special hospitals

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18121883.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

It has been estimated that up to 40% of people with moderate to severe dementia live in residential homes or long‐stay hospital wards This paper examines some of the ethical issues that arise in nursing people suffering from dementia within an institutional setting The paper focuses first on the nursing profession and the recently publishedStrategy for NursingThe fundamental patient/client values within the strategy recognize the uniqueness of the individual and the importance of providing nursing care which is tailored to meet individual needs The next part of the paper will examine the difficulties associated with individualizing care for people suffering from dementia and highlight some of the ethical issues involved in looking after them Finally, some of the general professional issues involved are examined and some tentative suggestions are put forward as to how some of the identified problems might be tackl

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18121889.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

In order to compare the characteristics, preventive interventions and outcomes of single and multiple fallers, a retrospective cross‐sectional study was conducted in a 680‐bed acute‐care hospital in Western Australia Fifty patients falling more than once (multiple fallers) were randomly selected from all patients reported to have fallen between 1 July 1989 and 31 December 1989, and age–sex matched with 50 patients falling once in the trial period (single fallers) In total, 382 in‐patients were reported to have sustained 578 falls in the 6‐month trial period Fifty‐two per cent of these falls involved multiple fallers An analysis of the 100 single and multiple fallers showed that single fallers were more likely to have fallen from their bed, be discharged home from hospital, and be clinically deteriorating at the time of the fall Multiple fallers were more likely to be transferred to a long‐term nursing facility after discharge from hospital, suffer blindness/poor vision, be sedated post fall, be ordered to be restrained following a fall, and be hospitalized for longer periods There was also a tendency for multiple fallers to repeat the type and location of the fall on successive falls Stepwise logistic regression showed that falling from the bed on the first fall predicted remaining a single faller Being ordered to be restrained following the first fall and hospitalized for longer periods predicted the patient would fall repeatedly Further analytical research incorporating an expanded number of independent variables is needed to allow confident assertions of causality To test the effectiveness of preventive measures, a prospective longitudinal st

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18121895.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Trusting as an area of research has not been critically examined in nursing research literature In this study, nurses working in home care and elderly clients were interviewed to ascertain the process of developing a trusting relationship Data were obtained from seven home care nurses and six elderly clients who were interviewed from one to three times The data were analysed using grounded theory methodology and sorted using Microsoft Word software on a Macintosh computer The core category which was identified in the data was labelled ‘trusting, caring relationships’ This core category encompassed trusting which is developed and the caring which the nurses provide Home care nurses and elderly clients moved through four phases initial trusting, connecting, negotiating, and helping The findings have implications for novice nurses working with elderly people, as well as for programme development and education More research needs to be done on trust in different contexts to assist all nurses in establishing nurse–client relatio

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1993.18121903.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY