ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01645.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01646.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Examination of four standardized nursing care plans for people with AIDS (PWAs) from four agencies with extensive experience with caring for PWAs revealed that there is little agreement about the nursing care problems of PWAs Differences in language, conceptual clarity, and level of complexity related to problem identification have implications for nursing practice, quality assurance and research Without consensus about patient problems, it is impossible to communicate effectively about nursing care problems for PWAs Research is needed to validate patient problems that can serve as the basis for standards of care and provide guidance for nurses inexperienced in caring for PWAs

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01647.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Reports of fear and psychological distress on the part of nurses when caring for AIDS patients have drawn attention to the real possibility that care for this very sick group of patients may be less than adequate This paper reviews what is currently known about the attitudes of nurses and the care provided to HIV‐infected individuals The authors reveal the paucity of empirical data concerning quality of care and how the concept of stima might serve to aid our understanding The need for more research documenting the quality of care provided to HIV‐infected patients is discu

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01648.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

The purpose of this study was to describe the clinical practice of clinical nurse specialists (CNSs) Data were collected from three recorded case studies and interviews from a theoretical sample of 17 masters‐prepared CNSs who had functioned in the CNS role for a minimum of 1 year Using the constant comparative method, transcribed interviews were line‐coded and clustered to form groups of data that could be labelled as constructs Caring was validated as the basic psychological process Scientific caring included investigating and teaching, humanistic caring included creating the new, showing the way, working with others, and taking care of the environment It was found that CNSs took care of the caretakers as well as the patients and their fami

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01649.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This paper examines the implementation of four of the most common approaches to nursing quality assurance in England, namely Monitor, Qualpacs, Nursing audits and a patient satisfaction questionnaire entitled ‘What the Patient Thinks’ The primary aim of the study was to look more closely at the context, processes and outcomes of selecting and implementing specific quality assurance tools ls Data were analysed at three distinct levels The findings are presented around the structure of this three‐level framework and indicate that the process of implementing a quality assurance tool is more important than the tool itself It is suggested that a bottom‐up approach to implementation, which locates ownership and control of the quality assurance tool with practitioners, is seen to result in more favourable staff responses and positive programme outcomes The implementation of Qualpacs is used to illustrate some of the tensions that can occur between the inherent principles of the tool and the method of implementation In studing the factors that might influence the method of implementing a quality assurance tool, a number of organizational and managerial factors are id

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01650.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Many scales have been developed to describe the functional status of geriatric patients These scales are of limited use for describing the functional status of elderly people living at home, because of their poor capacity for differentiation This article reports the results of a postal questionnaire among elderly people living at home The findings will be analysed to see whether the inventory on performance of household and daily living activities describes the functional status of elderly people in a useful manner A combined scale was constructed, which has satisfactory Guttman coefficients when applied to elderly people living at home In addition, the scale is informative for those providing home care with regard to the elderly person's quantitative and qualitative needs for assistance. As such, it could be an instrument to be applied in community nursing The applicability of the scale to institutionalized elderly people remains to be investigated

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01651.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

Research has consistently demonstrated that the transition to parenthood is a stressful event As well, the literature recognizes that the role of the father in North American society is in the process of change The purpose of this qualitative study was to clarify our understanding of the experience of new fathers during the first 3 weeks postpartum Twenty‐two fathers were interviewed in their homes using a semi‐structured interview format Findings suggest that new fathers go through a predictable three‐stage process during the transition to fatherhood In addition, factors were identified which affect the transition Nursing interventions were suggested to facilitate this process and implications for future study in

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01652.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

The purpose of this study is to examine the inter‐relationships among participation between physical activity, perceived well‐being, self‐esteem, health status, health locus of control and health‐promoting lifestyle activities of middle‐aged women in a rural context Since women comprise the largest (living) segment of the older population, it is extremely important to study the predictors of health promoting activities in this age group prior to old age Recent research has noted that participation in physical activity acts as an entry point to reflect on health behaviour practices, creating a ripple effect to other areas of lifestyle behaviours The research queshons were framed within the Health Promotion Model The study utilized a longitudinal experimental design. The findings of this study contribute to the small, but growing, research base on physical activity as a health‐promoting lifestyle behaviour and physical activity as a lifestyle practice of women in the mid‐life years Findings also provide a base for the development of community physical‐activity programmes and other intervention strategies to enhance the health and well‐being of women, particularly those residing

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01653.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY

摘要:

This paper examines the literature on patient assessment in nursing, with particular reference to assessment in psychiatric nursing It finds that most nursing assessment is concerned with gathering physiological information about patients while effectively ignoring psychosocial indices This phenomenon, it is argued, is due to historical factors in the socialization of nurses, the particular version of nursing process imported into the UK, and an oversimplification of the concept of ‘need’ which has encouraged nurses to focus on patient disabilities but has ignored their capabilities It is proposed that nursing assessment should be a relatively lengthy process, increasing in specificity, involving gathering and analysing information from a holistic perspective about individuals'/families' health concerns Then, by applying concepts from appropriate conceptual models, a nursing diagnosis to those health concerns is proposed. This proposal is supported by a discussion of the process, functions and methods of nursing assessment Finally, while recognizing the importance of social causation theories in psychiatric care, it is argued that community health assessments are beyond the scope of individual nu

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1991.tb01654.x

出版商:Blackwell Publishing Ltd    

年代:1991

数据来源: WILEY