ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00001.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00002.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00003.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•Staphylococcus aureushas a long association with nosocomial infection. Problems date from the 1950s, although methicillin‐resistantStaphylococcus aureus(MRSA) did not emerge until the following decade.•Initially the pathogenicity of antibiotic‐resistant strains was underestimated, and is still sometimes questioned, but today most authorities consider MRSA a serious threat, especially given current preoccupation with cost‐effectiveness within the health service: nosocomial infection is associated with increased expenditure and may be regarded as a hallmark of indifferent nursing and medical care.•This review documents the emergence of MRSA and recognition of the ensuing problems throughout the 1980s and early 1990s, with suggestions for nursing activities which could contribute towards improved control.•Lessons learnt during outbreaks are seen to be of value, but there is also a need for staff at ward level to review routine practice continually so that awareness of activities likely to result in cross‐infection is maintained. The use of protective clothing emerges as less important than handwashing, which may be periodically audited to mai

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00004.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This paper provides a review of research relating to knowledge, attitudes and education of nurses in relation to HIV/AIDS.•Early studies portrayed nurses (and other health‐care workers) as fearful of AIDS, ill‐informed, and negative and discriminatory in their attitudes towards people with HIV/AIDS. Several major surveys in the UK in the late 1980s produced broadly similar findings and, in the absence of more recent countering evidence, it cannot be assumed that there has been significant improvement.•Research surveys of HIV/AIDS education provision for nurses are also reviewed. A recent survey of UK nursing colleges revealed weaknesses in provision, and a lack of training and confidence among nurse teachers. Although evaluation research has been scarce, some studies have demonstrated the beneficial effects of various forms of education on nurses' HIV/AIDS‐related knowledge and attitudes, and these are also reviewed.•Although early predictions of a rapidly escalating AIDS epidemic have proved to be exaggerated, at least in developed countries, it is vital that nurses do not become complacent. This review should encourage nurses, irrespective of clinical specialty, to reconsider their own knowledge and attitudes and to press for further HIV/AIDS education if they consider that it is

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00005.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This paper notes the dawning of reflective practice on the horizon of nursing practice and sets out to explore its value for nursing.•Central to this value is the potential of reflective practice to enable practitioners to develop clinical expertise towards achieving desirable and effective practice and, through collaborative research, the development of a valid disciplinary knowledge grounded in practitioners' personal knowle

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00006.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•There are estimated to be 17 000 younger sufferers of dementia currently living in the UK. At present, individualized service and practice initiatives for younger sufferers and their carers remain fragmented and poorly developed. This is despite potential additional caregiving stressors caused by the age of onset, such as financial difficulties due to disruption in the work pattern, children still living at home, and the sufferer's decreased life expectancy.•Drawing on an individual carer's personal case history, this article details a spouse carer's individual experience of her husband's decline through the stages of younger‐onset Alzheimer's disease. Pointers for policy and practice for younger sufferers and their carers are drawn from this case history and a role for the community psychiatric nurse is out

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00007.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•This paper explores the concept of caring when used to define the nature of nursing.•It is suggested that explorations of caring in nursing fail to acknowledge the real world of work in nursing, which is influenced by personal career choice and the organization of the health‐care systems in which nurses work.•In some situations nurses delegate the caring role to others thus giving ‘care by proxy’, a factor that is not clearly acknowledged in the literature on caring.•It is suggested that if caring in nursing practice was denned as ‘formalized caring’ it would offer a framework for the analysis of caring more conducive to the reality of nursi

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00008.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•The use of dependency in assessing types of skill mix and of grade mix in health‐visiting practice is discussed.•With regard to the present system, where computer information systems may be used to give an indication of the skill mix required, the emphasis on efficiency rather than effectiveness is discussed. Note is made of the disproportionate emphasis of physical over psychological, social and emotional needs.•The implications of skill mix and grade mix in the community setting are discussed, with special reference to the advent of health‐care assistants, nursery nurses, and other non‐health‐visiting staff.•Finally, the inevitable influence of politics on health care, and its relationship to skill mix, grade mix and dependenc

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00009.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

Summary•A theory which enables the recipient of care to identify health‐care needs is paramount.•Hildegard Peplau's (1952) theory of psychodynamic nursing enables this process to occur in collaborative identification and resolution of need.•The psychodynamic approach can direct the user to focus on the psychosocial problems created by a stroke.•The advantages and limitations of the theory are still to be investigated with the continued application to varied clinical situations.•There is a need to generate an expanded research‐based taxonomy of psycho‐social interventions for th

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1995.tb00010.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY