ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00061.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00062.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The American Pain Society cites the failure of health care providers to routinely assess pain and pain relief as the most common reason for unrelieved pain in US hospitals Lack of knowledge on the part of nurses about pain and its treatment is one of the major barriers to achieving comfort for those in pain Thus, the purpose of this descriptive study was to determine the pain management knowledge of hospital‐based nurses in a rural Appalachian area The nonpurposive sample consisted of 123 registered nurses The questionnaire consisted of three sections demographic items and two instruments designed to measure knowledge of opioid classification and pain management The overall pain management knowledge score was 67 4% The findings indicate a knowledge deficit specifically related to the behavioural indicators of pain, classification of opioid analgesics, properties of opioid analgesics and adjuvant medications, and incidence of addiction This sample of rural nurses demonstrates similar pain management knowledge compared to the reported scores of urban nurses These results may serve as the impetus to develop strategies to decrease the barriers to effective pain management Further education about pain management is warrant

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1996.00951.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This paper arose during work for a BSc(Hons) dissertation, and considers the theoretical approach of Wittgenstein to pain analysis This paper seeks to discuss one aspect of the research undertaken representing some of the findings which illustrate the association between pain and language

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1996.01072.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The aim of this study was to determine the significant stressors and coping methods which are related to quality of life in dialysis patients A survey was conducted on patients in two dialysis centres in Sydney The response rate was 58% (n= 64) The results revealed that limitation of physical activity was the most troublesome stressor followed by decrease in social life, uncertainty about the future, fatigue and muscle cramps Although their ranking was not identical to that found in prior studies, these five stressors were considered to be compatible with the high stressors identified in previous studies Problem‐solving methods were considered to be more effective than affective measures in dealing with stressors Quality of life was perceived as below average in both haemodialysis and continuous ambulatory peritoneal dialysis (CAPD) patients However, CAPD patients were experiencing a higher quality of life than haemodialysis patients The length of time on the dialysis programme was not significantly related to coping behaviour The findings of this study can further facilitate nurse practitioners in providing support, information, alternative solutions and in assisting patients to better utilize problem‐solving methods to enhance their quality of life on dial

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1996.00893.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The World Health Organization urges nurses to heed the health needs of the vulnerable groups ‘to permit all citizens to lead socially and economically productive lives’ The characteristics of vulnerable adults and children are linked to relationship problems (Browne et al 1988) within the family Because of the diverse nature of families, it is not surprising that there is some ambiguity and complexity to the concept of vulnerability This paper explores vulnerability within families through the explanations for domestic violence and child abuse, and concludes with the implications for nursing prac

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1996.tb00066.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

There is a great deal of interest in the United Kingdom in clinical guidelines as a means of assisting practitioner and patient decision making about care options and in improving the quality of the care provided Confusion remains, however, over what is meant by a clinical guideline and how it differs from and relates to protocols and standards This paper was written under the auspices of the Royal College of Nursing Steering Group for the college's work on clinical guidelines, with the aim of clarifying some of the terminology used in the field and introducing ways in which clinical guidelines might be used by practitioners and patients to readers At the moment just how effective the use of clinical guidelines can be on care is poorly established What is known, however, is that crucial to their success are the strategies and methods used for their implementation Such strategies and methods raise questions about how a sense of ownership can be engendered in those using the clinical guidelines and how they may be best operationalized These questions are considered in this paper

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1996.00875.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Emphasis on meaning underpins a current thrust of knowledge development in nursing, especially in the client domain Examination of meaning in the interactional context and through varying levels of consciousness has not been examined Initially, an integrated model was developed deductively from philosophical, theoretical and research‐oriented sources This model was meant as a guide to begin examining how patients with varying levels of consciousness make sense of their intensive care unit experience Over a 10‐month period of fieldwork, this author observed patients twice daily through their intensive care unit stay to capture the nature and content of thinking processes The resulting neuro‐interactional model describes patients' thinking processes and scope of meaning as a function of levels of consciousness as well as factors which affect thinking and meaning Theory, research and practice implications are pre

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1996.01036.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This study describes the occurrence of non‐necessary touching, defined as spontaneous and emotional physical contact between the nurse and patient, in the nursing care of elderly people in long‐term care The analysis was based on observation of nursing situations, any verbal communication occurring in connection with touching was also recorded A total of 182 situations were studied in which 178 non‐necessary touches by the nurse and four by the patient were recorded Non‐necessary touching was used in connection with a wide range of activities making statements, making requests, waking up, encouraging, explaining, asking, comforting, teasing, telling off, hugging and

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1996.00947.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The aim of this paper is to describe part of the findings of a research study which explored the health visitor's role in identifying and working with vulnerable families in relation to child protection One objective of the study was to describe and analyse the work which health visitors undertake with vulnerable families aimed at preventing crisis, ill‐health and child abuse This paper outlines this aspect of the research and looks specifically at health visitors'perceptions of their work and interventions with vulnerable families and children Health visitors working m an inner city area and a suburban area were sampled and pilot work was undertaken in a third suburban area Stage one involved a postal survey of 102 health visitors, in which a response rate of 58 (57%) was obtained Stage two involved 12 in‐depth interviews with health visitors One major finding of this study highlighted the fact that the health visitor's role when working with vulnerable families appears to be one of diversity and conflict In the light of the current National Health Service reforms it seems of paramount importance that health visitors illustrate to others, both managers and other health/social service professionals alike, the important function of their work with these vulnerable groups This is essential to ensure that health visitors'work with vulnerable families in relation to child protection is understood and valued and that the needs of vulnerable families continue to be identified This paper contributes to the knowledge base of health visiting and raises some important issues for professional health visiting prac

ISSN:0309-2402    

DOI:10.1046/j.1365-2648.1996.01028.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY