ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01977.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.tb01978.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This paper describes issues relating to coping with stress as expressed by nurses in cardiology The data were collected at a 1‐day workshop on ‘Coping with Stress’, sponsored by the Israel Cardiac Nursing Association in response to repeated requests from nurses in cardiology The programme included theoretical presentations Group work focused on the nurses ‘self‐evaluation of coping with stress, rather than on patients’ needs Twenty‐two groups of 15 nurses each worked with pre‐trained group leaders on the following issues causes and origins of stress, coping strategies and mechanisms, feelings and emotions accompanying the different coping strategies, suggestions and alternatives for improving coping skills The group process also included experiential exercises Analysis of the nurses' coping strategies in relation to staff, patients and their families, and work‐related issues suggests four distinct coping modes Nurses' overall responses were positive and emphasized practical benefi

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01979.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The purpose of the study was to determine if there is a relationship between types of entry‐level preparatory nursing programmes in which a nurse receives basic nursing education and conceptual and theoretical approaches to patient care A secondary purpose of the study was to determine if there is a relationship between entry‐level basic preparatory nursing education and nursing leadership, the ability to make nursing diagnosis, and implementation, as well as evaluation of the nursing process Three nursing practice categories were identified and included professional, all‐nurse and technical Useable data collected by short‐essay questionnaire from 343 out of 344 sample subjects were computed to determine the relationship, if any, between basic preparatory nursing education and conceptual and theoretical approaches to patient care Decisions about three null hypotheses were made at the 0 05 level of significance utilizing analysis of covanance and the 0 01 level of significance utilizing chi‐square analysis For Hypothesis 1, the main effect for degree work when covaned with Verbal Scholastic Aptitude Test scores, Quantitative Scholastic Aptitude Test scores, time and age indicated a significance of 0 001 for all item associations in the professional, all‐nurse and technical categories utilizing analysis of covanance, and 0 001 utilizing chi‐square analysis For Hypotheses 2 and 3, the main effect for degree work when covaned with the aforementioned variables indicated a significance of 0 001 utilizing analysis of covanance, and 0 001 utilizing chi‐square analysis In conclusion, the findings from the study suggest that graduates of baccalaureate degree programmes do vary in conceptual and theoretical approach to nursing care in specific nursing care situations Further, there is a significant relationship between the level of basic educational preparation and the degree and proficiency of leadership demonstrated by a nurse in specifie nursing care situations, particularly when uncontrolled variables have been controlled Moreover, there is a significant relationship between educational preparation and degree of proficiency to which the nurse makes nursing diagnosis, executes and implements the nursing process, and evaluates the effects of nursin

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01980.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The literature review has been earned out to determine the effects of the contraceptive pill in relation to the development of certain cancers Current research findings are presented, in an attempt to evaluate the risks and benefits associated with oral contraceptive use Particular attention is paid to the findings of a recent United Kingdom National Study, which supports the controversial link between the pill and breast cancer The actions of the combined oral contraceptive pill and the progesterone‐only pill are explored regarding their influence on the ovarian, breast, endometnal and cervical cancers A background to the incidence and nsk factors associated with these cancers is given Included is a brief analysis of long and short‐term use, dose variability and chemistry of the pill It emerges through the literature that the pill clearly has a protective function in relation to cancers of the ovary and the endometnum However, its influence on the development of breast cancer and cervical cancer remains irresolute pending further research In the absence of firm guidelines for advice to clients concerning the sensible use of oral contraceptives, proposals are included for a more reasoned approach to ch

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01981.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

A major problem of diabetes melitus lies in its complications Fourteen Type 1 diabetic patients with severe long‐term complications were interviewed on two occasions with the aim of gaining a deeper understanding of their coping strategies The study has a qualitative design and a grounded theory approach was used The data‐based categories ‘Coming to terms’, ‘Keeping going’ and ‘Making sense’ serve as a framework for the presentation of the substantive issues raised by the respondents It was found that the problem of uncertainty feat

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01982.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

As the population of older people in the world increases, concerns about the health and delivery of health care to these elderly people become increasingly more important Geriatric mental health arose as a nursing speciality in response to this concern over the health of older adults This paper focuses on a review of nursing literature relevant to the mental and cognitive health of older adults Implications for current practice and future research are explored

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01983.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This study focuses upon the experiences of a group of 10 long‐stay psychiatric patients as they moved from a large institution to a staffed community hostel The residents were interviewed 2 weeks prior to moving and again 6 weeks after the move Areas identified in the first set of unstructured interviews were followed up in the second set Qualitative analysis of the interviews revealed seven recurrent themes that are discussed in relation to other research studies that consider how people experience the effects of inshtutionahzahon The study tests the feasibility of unstructured interviews as a means of collecting accounts of the perceptions and expenences of a client group from which other research methods have failed to elicit detailed information Unstructured interviews proved successful when undertaken by a researcher who was well known and accepted by the residents Familiarity with the residents and the context of the interview was also found to be important in analysing interviews qualitatively and the study casts doubt upon the value of primary qualitative analysis of interview transcripts by researchers who have not also participated in the interviews The methodological implications for future deinshtutionalizahon studies are discuss

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01984.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Music, as an aesthetic and symbolic medium, has the ability to dispel much of the fear and anxiety associated with facing the unknown alone As such it is an ideal support for patients undergoing surgery where a non‐general anaesthetic is administered However, it is important to consider whether, from the patient's perspective, the inclusion of music in such a situation is considered to be helpful A pilot study conducted at an acute hospital involved interviewing 25 patients who, through an athtudinal scale and their interview responses, revealed positive support for the music that they listened to during their operation Their remarks focused on the ability of the music, as a familiar personal and cultural medium, to ease their anxiety, to act as a distractor and to increase their threshold of pain From a nursing perspective, such an application of music as therapy to reduce fear and anxiety may be viewed as being highly relevant to the work of the anaesthetic nurse, with regard to a more individualized and holistic approach to patient ca

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01985.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The outcomes of a structured warfarin patient education programme were compared with those of an unstructured programme For both programmes, knowledge and satisfaction levels were determined, incidence of complications of warfarin therapy were noted, and prothrombin time results were examined The 23 patients who participated in the structured educational programme were selected from among vascular surgery patients The comparison group was composed of 10 patients who had mechanical prosthetic valves inserted The structured programme was designed for the study, and implemented by staff nurses The comparison group received the usual unstructured educational programme Post‐treatment assessments were made before discharge and at 1 month and 3 months after discharge Interview guides were developed, to determine knowledge and satisfaction At the predischarge interview, significant differences between the treatment and comparison groups were observed related to knowledge of elements of warfarin therapy The most important effects of the programme related to specific instructions to promote safety The interviews 1 month and 3 months after discharge demonstrated that knowledge changed in several areas for both groups Overall both groups were satisfied with the information they received. The majority in both groups did not experience complications Prothrombin fames were available for some patients Those obtained indicated that prothrombin times were not consistently within the therapeutic range for 60% of the time or more The study supports the use of a structured educational programme as one element in achieving safe, effective warfarin therapy Reasons for changes in knowledge over fame merit further exploration, as does the relationship between optimal control of therapy and educational programm

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01986.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY