ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01773.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01774.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The scientific knowledge on which nurses may base their clinical practice is often lacking Not withstanding this, scientific knowledge in isolation is sterile unless it is invoked to address nursing hypotheses This paper explores how such nursing questions can be both identified and answered within a scientific framework Using the example of infection control, the complexity of the problem is examined and the contribution that various research approaches, includingin vitroinvestigations, can offer is evaluated Nursing practice research has a vital role to play in determining the effective prevention of nosocomial infection The necessity for a collaborative and flexible approach to such research and the value of multidisciplinary teams of nurses and other scientists is emphasized

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01775.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This paper argues that the current sources of material for the debate of moral questions in health care in general and nursing in particular, are inadequate The current bases of nursing's knowledge and values are explored, and the conclusion drawn that reliance upon theory developed by other disciplines has led to theories which are wholly inappropriate to explain either how nursing is practised or even how it ought to be A case is made that naturalistic sociological methods such as participant observation have the greatest possibilities to describe and explain moral conduct in nursing Further, these methods can produce a view of reality more consistent with the experiences and feelings of the patients or clients and other health workers It would seem that data and theory generated using this perspective could better inform the debates of moral philosophers than the currently dominant sources of their case material, the views of the medical and legal professions

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01776.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

A status passage is the process of change from one social status to another In this report, the process of transition from lay person to nurse in respect of undertaking essential elements of patient care is described The aspects of care included in the study are attending to hygiene needs, incontinence, altered body image, the very ill and dying person, and behavioural problems associated with attention‐seeking, confusion, suicidal attempts and aggression Student nurses mainly were expected to cope with these situations alone The emotional effects on these students and implications of undertaking care in this manner are not

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01777.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This study compared four different assertive measurements used to assess student‐nurse behaviour The measurements employed included a semantic differential ‘subjective self‐report’, the Rathus Assertiveness Schedule, a behavioural test, and observer ratings The study was divided into three different phases In phase one, subjects (n= 19) were requested to complete the two self‐report measures Several days later, they were asked to partake in a behavioural test which took the form of a response to an unreasonable request The final phase entailed observers (n= 9) viewing a video‐recording of the behavioural test (without sound) and rating subjects on levels of assertiveness Analyses of the results revealed only one significant finding, namely that there was a positive relationship between the scores on the Semantic Differential Measurement and the Rathus Assertiveness Schedule (P<0.05) No other significant results emerged The findings of this investigation are discussed in the context of the role of assertive behaviou

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01778.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Project 2000gives us an opportunity to reconsider the need for nursing ethics in initial nurse education in the United Kingdom Three arguments are presented to justify its inclusion The overall aim of an ethics course should be to help the student become an autonomous moral agent, capable of functioning in the complex and difficult nursing environment Hence, to design such a course we need an analysis of the skills, knowledge and motivation required by such an agent This will help us choose our objectives and course content A tentative analysis is offered Suggestions are made about the teaching of the course and the integration with other subject areas Some practical, moral and philosophical objections to this approach are considered and replies are offered

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01779.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Social support groups are receiving increased attention in professional literature and the media and the number of groups is growing Nurses are often urged to utilize social support groups as part of client care These groups cannot be effectively used by nurses unless they are approached from the framework of the nursing process This approach helps assure individualization of referrals and evaluation of the support group in relation to the client's needs Based on the literature reviewed and the proposed nursing process framework, many research questions are identified

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01780.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

An ethnographic study was conducted into the style of conversation registered nurses used with elderly residents during activities of morning care Speech was analysed into basic components of speech act categories (e g explanation, instruction, reassurance) Patterns of speech style were seen to vary in relation to the physical procedure being earried out, and to function as an adjunct to the smooth execution of this physical activity However, they were also seen to have an important psychological function reflecting a particular way of relating Some morning‐care activities — the journey — were associated with a more personally engaging social interaction which appeared to be mutually beneficial to nurse and resident Other approaches to morning care — the dissection —appeared to constrain the way the nurse interacted, producing a more formal style of relating Findings were discussed in terms of optimal use of physical activities of nursing care to achieve greatest benefit in relation to the psychological needs of the resident, as addressed through verbal i

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01781.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Admission to a critical care unit often causes a great deal of distress and anguish, not only for the patient but also his or her family If one believes in the holistic approach to care, then it is essenhal that the critical care nurse is able to identify the specific needs of family members, and demonstrate appropriate intervention techniques with those in need of support It is suggested that crisis theory can provide an effective tripartite framework on which to base such nursing care Following a brief description of its development and basic principles, application of its approach will be demonstrated in relation to the specific needs and concerns which have been identified from responses of family members themselves Suggestions are offered which may assist the nurse in further developing basic communication skills which can assist the intervention process at this difficult time Awareness of such principles is of value to all workers in critical care areas

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01782.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY