ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00859.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

This paper deals with the nature of pedagogical studies, starting with a discussion on aspects of the curriculum. This is followed by sections dealing with objectives, lesson presentation and teaching practice. The final sections deal with the assessment of learning and curriculum planning.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00860.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

The practice in teaching psychiatric nursing to post registration student nurses at the Bethlem Royal&The Maudsley Hospital School of Nursing is described, showing the exclusive use of experiential teaching methods. Five distinct courses are conducted at present in this topic:1 discussions based on written work;2 discussions centring on set topics;3 group dynamics discussions and projects;4 psychodrama exercises;5 supervision classes.The later are conducted in a manner not previously described. The dependence of effective classroom teaching on the students' ward experience is dem

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00861.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

This study examined the subjective needs of labouring patients. A convenience sample of 80 postpartum patients was interviewed. They described the nursing care they had received, indicated the most helpful nursing measure received, and rated their satisfaction with their nursing care. These answers were categorized into types of nursing care. These were supportive care nursing, physical care nursing, medications and combinations of these three, χ2calculations done between these categories and satisfaction scores indicated a significant relationship between the type of care a patient received and her satisfaction scores. Patients found combined care very satisfying, but supportive care was the decisive factor in the way patients viewed their nursing care. The most frequently mentioned element in supportive care was the ability of the nurse to be a sustaining presence. The nurse's ability to assess and to meet the patient's need or non‐need for her presence was a major factor in patient satisfaction with nursing care in this sample. The relationship between congruency (agreement between time wanted and time spent by the nurse at the bedside) and satisfaction scores was highly significant. Thus the ability to recognize and respond to the patient's need or non‐need for her presence was a crucial factor in patient satisfaction and in the way in which a nurse allocated her time. The relationships between numbers of nurses caring for a patient, parity, length of labour, presence of visitors, worries about the baby and patient satisfaction scores were examined. All were non‐significant. However numbers of nurses caring for a pacient was defined as a contributing factor to the delivery of supportive care nursing. More nurses contributed to more supportive care nursing being given, but was not the major factor in the delivery of supportive care nursing. Finally it was shown that the administration of syntocinon to patients in this sample decreased patient satisfaction with nursing care. Implications and possible reasons for these results are dis

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00862.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

The aim of this study was to review six nurse‐rating schedules to evaluate their suitability for a British psychiatric unit and current nursing practice.They were compared for their reliability, their concordance with psychiatric ratings and their acceptability to the nursing staff. It was found that psychiatric and nursing observations corresponded over a wide area of psychopathology: anxiety, tension, depression, hostility, preoccupation with hypochondriacal, grandiose and self‐depreciatory ideas, hallucinosis, thought disorders, mannerisms, retardation, emotional withdrawal, hypomanic activity and uncooperative behaviour. These were adequately covered by two of the scales, the Brief Psychiatric Rating Scale (BPRS) and the Psychotic Inpatient Profile (PIP), which together took 71/2 minutes to complete. Another of the schedules studied, the Nursing Rating Scale (Hargreaves), also had relatively high reliability and a broad effective ra

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00863.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

Decisions relating to the preparation for hospital discharge of medical patients can take place at any time after admission to hospital. Referrals to the hospital departments of social work, occupational therapy and physiotherapy, and to community nursing, health visiting and social services are a key factor in this preparation. The referral process is complex and multifaceted and can be analyzed in terms of the questions of who initiates the referral, for what reasons, and at what point in the patient's career. The variant views of role of those professionals involved in the referral process and their perceptions of the situation affect what subsequently takes place and can be examined in relation to each other and to the referral process itself The complexity may be increased further by the intervention of a patient's relativesReferrals are made on the basis of a social diagnosis, the sources of information for which are diverse, with the result that the referral process is unstandardized and unpredictable.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00864.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

This paper was presented in the context of an international interdisciplinary conference onPriorities in Health Care.The focus of the paper is the relationship between the nurse's role and the demands of patients, now and in the future. The incongruence between patients' needs and their demands is discussed and the question is raised as to whether the nurse's skills and knowledge currently acquired will be appropriate to meet patients' needs and demands in the future.Future patient needs and demands are not the only external pressures on changes in the nurse's role; advances in medical treatment and technology and changing roles of other health professionals are others. The paper highlights the dilemma between the profession having to give way to such external pressures or the risk of preparing nurses for irrelevant roles. A case is made for greater interchangeability of first level health care workers through a common portal of entry. It is suggested that diversion into the various professional fields should occur after the foundation course to health care and suitable counselling.Among the top level professionally qualified nurses should be both generalists and specialists. A speciality of nursing generalism, as a parallel with general medical practice, is advocated. A plea is made for a liberating rather than a restricting interpretation of professionalism so that necessary changes in the nurse's role can be initiated and directed by the profession rather than being forced upon it by external pressures.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00865.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.tb00866.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

Book reviewed in this article:Virus hepatitis and its controlby Yvonne E. Cossart.Managing Diabetics Properlyby Patrician S. Chaney (ed.).Dynamics of Oncology Nursingby Pamela K. Burkhalter&Diana L. Donley.Essential Intensive Careby E. Sherwood Jones.Essential Intensive Careby E. Sherwood Jones.Quality Assurance for Patient Care: Nursing Perspectivesby Marlene G. Mayers, Ronald B. Norby and Annita B. Watson.Intensive Coronary Care a Manual for Nursesby Lawrence E. Meltzer M.D., Rose Pinneo R.N. M.S. and J. Roderick Kitchell M.D.The Wessex Portage Project: A home teaching service for families with a preschool mentally handicapped childThe First Month of Life (A parent's guide to care of the newborn)by Glenn R. Stoutt Jr.Patients and their Hospitalsby W. Raphael.Psychiatric Hospitals viewedby their Patients by W. Raphael.Nursing Auxiliaries in Health Careedited by Melissa Hardie and Lisbeth Hockey.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1978.tb00867.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.tb00868.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY