摘要:

Interventions utilized by nurses to manage “difficult” patients and outcomes indicating successful interventions were investigated. Themes included getting the difficult patient label, difficult patient behaviors, reflecting on the label and passing it on, coping with a difficult patient, interventions that worked, and interventions that did not work. Clues indicating that patient behavior was changing were also identified.

ISSN:0887-9311    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Patients demand to be active participants on and partners with the health care team to design their care regimen. Patients bring unique perceptions and expectations and use these to evaluate service quality and satisfaction. If customer satisfaction is not achieved and a patient complaint results, staff must have the skills to respond and launch a service recovery program. Service recovery, when done with style and panache, can retain loyal customers. Achieving patient satisfaction and resolving patient complaints require commitment from top leadership and commitment from providers to dedicate the time to understand their patients' needs.

ISSN:0887-9311    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

When things are too close to us, we have trouble seeing them clearly. Such may be the case with aspects of nursing work that are too familiar for words. The article reports a small case study from a qualitative study asking nurses to discuss work that no one else sees. Nurses use words such asfacilitating, making it happen, filling in gaps, andputting the self in the situationto describe this work. With further study, these descriptions may offer insight into how nurses intervene to personalize the patient's experience with the health care system.

ISSN:0887-9311    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The article reviews qualitative studies of historical and contemporary home visiting by nurses to articulate the expert practice wisdom integral to this practice. Ten assumptions about reality that have become barriers to funding for home visits are examined, and strategies to challenge these false assumptions are proposed.

ISSN:0887-9311    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Chemical dependency among nurses is a complex professional and ethical dilemma confronting the nursing profession. The article reports a descriptive study conducted to identify the support systems perceived to be supportive to nurses recovering from chemical dependency. Attitudes, beliefs, and identified support systems were examined using the Norbeck Social Support Questionnaire, the Miller Recovering Nurse Self-Report Questionnaire, and the Miller Targeted Sociogram. Recovering registered nurses identified counselors/ therapists and friends as most supportive during recovery. Conversely, family members/relatives were perceived as least supportive by recovering nurses.

ISSN:0887-9311    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Cost and caring are both dimensions of holistic nursing practice. Each is a term that is complex and ambiguous, yet assumed to be simple and well understood. Nurses need to examine the specific embedded assumptions of cost and caring; measure each; and demonstrate their inter-relationship and effects on patient outcomes. Integral to caring is “professional vigilance,” which cannot be delegated; attempts to do so may incur future hidden costs. Nurses are urged to be alert to cost-shifting that affects caring and quality. Advocacy for cost-effective caring practices is urged through participation in governance structures.

ISSN:0887-9311    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The article reports a qualitative study examining vigilance, or the close, protective involvement of families who stay with their hospitalized relatives. Participants described the meanings, patterns, and day-to-day experience of vigilance through five categories of meaning: commitment to care, emotional upheaval, dynamic nexus, transition, and resilience. These categories of meaning sensitize nurses to the family's experience of vigilance and have significant implications for nursing practice.

ISSN:0887-9311    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0887-9311    

出版商:OVID    

年代:1997

数据来源: OVID