ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01791.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.tb01792.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This case study presents a problematic patient who has been resident m a special hospital for mentally handicapped people for years due to a gross sexual fantasy disorder, continuous self‐injurious behaviour and an array of disordered conducts which resulted in negative nursing reports The introduction of Rogers’ model, with its abstract finer conceptualizations produced an alternative framework by which to assess the patient This holistic interactive model generated a paradigmatic shift in the nursing perceptions, at a conceptual level, which was manifested in their reporting behaviours The results appeared to indicate a sudden and dramatic change in the patient's behaviour However, alternative interpretations proved the more convincing on closer analysis The use of Rogers’ framework proved difficult in its practical application due to its underpinning requirements for role adoption and negotiation, both being problematic in a secure envir

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01793.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The expenence of selecting and implementing a nursing model appropriate to the nursing course in the first year of the generic baccalaureate programme of the University of Ottawa School of Nursing is described Many challenges surfaced for the professors in year one as this curriculum change was implemented Four challenges (1) adapting the course to be congruent with the Roy model, (2) developing teaching tools suitable for student learning, (3) sequencing of content for student learning, and (4) obtaining competent role models, and how they were met, are discussed

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01794.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The authors describe their observations of three trends in the nursing of families namely, increased diversity in nursing practice, increased research, and increased family content in academic settings These trends have major implications for nursing practice, research and education The authors speculate on the implications and their effect on the families for whom nurses care

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01795.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The English National Board Clinical Course No 811 is a 36‐week preparation for community psychiatric nurses (CPNs) Unlike health visiting or district nursing the course is not yet a mandatory prerequisite for practice and it has been estimated that, nationally, 23% of all CPNs have been awarded the certificate to date There are currently 24 course centres in England, offering 420 places annually The completion of a care study by the course student is a curriculum requirement The present study aimed to establish the characteristics of clients chosen by course students for such work whilst attending the course in an attempt to obtain a ‘proxy’ measure of the current CPN role nationally A stratified random sample of eight course centres was selected — four based in schools of nursing, and a further four located in establishments of higher education Then within each course centre a stratified random sample of students was selected, who each completed a postal questionnaire A 79% response was obtained The results are described and discussed within the context of the CPN's developing role The findings suggest that many CPNs conceptualize their role and function, to use Caplan's terminology, at the primary prevention level, and see their work as being located firmly in primary health care settings The desirability of this orientation to CPN intervention is examined, acknowledging both mental health service developments and the wider educational impl

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01796.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This descriptive study examines the use of community support services by elderly persons discharged from general and genatric medical wards of a large acute care British teaching hospital A convenience sample of 40 patients were interviewed at 6‐week intervals over a 3‐month period about their need for and use of community support services The type of ward from which patients were discharged did not influence the use of nursing, homemaker, physician, or warden/community visitor services, hospital day care, or meals‐on‐wheels Patients who used the largest number of community services, and were the most frequent users of all available services, were those who, because of their fragility, died or were readmitted to hospital within 6 weeks of discharge All families interviewed identified a need for more information about their elderly members’ illnesses and prescribed medic

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01797.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This paper describes a pilot project examining whether two research‐based assessment instruments following a conflict model of dependency are of any clinical use It is argued that the information they provide about client motivation towards treatment and about supporting and hindering influences during withdrawal is important for clinicians of any profession involved in a service to drug use

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01798.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This report describes a way in which role‐playing can be applied in nursing research The questions investigated were how much the memory capacity is influenced by different methods of providing information, and in what manner objective and comprehensive information about a disease with all its possible consequences is experienced by the recipient To elucidate these questions, 48 healthy persons imagined that they had a chronic disease The study was arranged as a 2 × 2 factorial design, the factors being group information versus individual information about the disease, and provision of the whole information at once versus division of the information into three parts separated by 15 minutes. The information was given orally and a structured interview was consequently conducted After 1 week the subjects were telephoned and were asked to tell the investigator what they remembered about the disease The results showed that the amount and type of information recalled was not affected by the way in which it was given The information in itself, however, had the effect of making the subjects calmer Several parallels between the results of the role‐playing study and observations in patients demonstrate that role‐playing provides useful knowledge and should be applied to a greater extent in nursing r

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01799.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This paper describes the ethical dilemmas which the authors encountered when conducting qualitative research with samples consisting of a small number of participants Ethical conflicts are explored in terms of the principles of autonomy, non‐maleficience, and beneficience with examples from the authors’ research experiences Although there are no definitive resolutions to these conflicts, the paper may increase awareness of the special concerns which require further study and de

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01800.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY