ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1992.tb00045.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1992.tb00046.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1992.tb00047.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1992.tb00060.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Summary•This paper gives a brief account of the development of individualized nursing care, from the introduction of the nursing process to the more recent interest in primary nursing.•Individualized care would appear to have been adopted as an ideal by the nursing profession, with little debate about some of the possible implications of such an approach.•The paper outlines some other perspectives on patient care, and discusses the limitations of an individualistic framework which fails to acknowledge the communal and societal aspects of patient

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1992.tb00049.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Summary•There are a number of health behaviour models and theories available to nurses which have been developed to explain and predict health behaviour. Of particular interest to nurses in recent years is the ‘health belief model’ which has been the most widely used.•Despite a wealth of evidence to support the model's value in predicting health behaviour, often it is evident that there are a substantial number of factors involved in health behaviour which are not health related and are therefore not easily predicted by the model. Cigarette smoking is one interesting example due to the many physiological and psychological factors involved that are not health related.•Another model, the ‘theory of reasoned action’, may be useful in understanding such a complex behaviour as cigarette smoking as it relys not only on health beliefs but also takes into consideration personal factors which are seen as relevant by smokers such as social influence and the individuals positive or negative evaluation of giving up or continuing smoking and it is these factors according to the model, which underlie whether or not a person will intend to give up or continue to smoke.•The theory of reasoned action may be a useful tool to both health educators and nu

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1992.tb00050.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Summary•An experimental group of community psychiatric nurses (CPNs) were trained to undertake psychosocial intervention with families caring for a sufferer from schizophrenia. Intervention consisted of a detailed assessment of all the needs of each family member, health education and family stress‐management programmes. Outcome was compared with a control group of families who received standard CPN care.•This report concerns the evaluation of one component of the intervention, namely, health education. A key relative's functional knowledge about schizophrenia was assessed at pre‐test, post‐test and 6‐month follow‐up using the Knowledge about Schizophrenia Inventory (KASI). The KASI is a tape‐recorded and semi‐structured interview schedule which is scored by reliable raters and which yields a global knowledge score from six subscales. Both the control and experimental CPNs were trained to administer the KASI.•Analysis revealed that the KASI scores of the control group of relatives did not significantly change over the 12‐month period of the study. However, global KASI scores in the experimental group improved significantly both post‐test and at 6‐month follow‐up. These results are discussed in relation to the ‘stress‐vulnerability’ model of schizophrenia and the implications for CPNs (and other community based mental health professionals) are considered. It is argued that there are both sound theoretical and practical reasons for providing families with information about schizophrenia which should be addressed by appropriat

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1992.tb00051.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Summary•Munchausen syndrome by proxy is a difficult to diagnose, complex form of child abuse. The subtleties of this type of abuse allow the parent to victimize the child by presenting a fictitious medical history, which then initiates a series of unnecessary diagnostic procedures and therapeutic interventions. By recognizing the warning signals of this syndrome health‐care professionals can intervene, and prevent its potentially fatal resu

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1992.tb00052.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Summary•A study group of 50 low‐risk primigravidae of normal stature delivered by emergency caesarean section during the course of labour were compared with a closely matched control group of 50 primigravidae delivered vaginally.•Data for the purposes of the study was collected from a number of sources including semi‐structured interviews on the 3rd or 4th postnatal day and 6 months after the birth.•Women delivered by emergency caesarean section took significantly longer than those delivered vaginally to feel close to their infants and these differences persisted for several months.•Contact between women delivered by caesarean section and their babies was found to be restricted in the 24 h following caesarean delivery.•This paper focuses on maternal‐infant attachment following delivery, and discusses some of the implications of the findings for mid

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1992.tb00053.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

Summary•The need for counselling of patients with HIV‐related diseases has been clearly demonstrated in the literature.•This study aimed to elicit nurses', perception of their role in such counselling.•Nurses did not have a uniform understanding of the term ‘counselling’, viewing it mostly as ‘information‐giving’, however listening skills and allowing the person to deal with their own problems and fears were also central issues.•The doctor was seen as the most important health professional when it comes to counselling of AIDS patients. The nurse is viewed as a ‘number two’, surprisingly perceived as more important than priests, psychologists and social workers, despite being thought of as not being well trained and consequently not having the necessary skills for counselling interventions.•As a result, there was a clear need and wish for more general education on AI

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1992.tb00054.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY