ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1993.tb00120.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1993.tb00121.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1993.tb00122.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Summary•Post‐operative pain has been increasingly reported over the last 40 years.•Literature reporting pain in children is increasing.•Although methods of assessing pain in children have been developed over the last 15 years, difficulties still exist.•The long‐standing problems of managing pain persist because practice is often based on misconceptions rather than research.•This failure to base practice on research is caused, in part, by the fact that neither medical nor nurse training recognizes pain as a specific subject area in its own right.•Until training changes and practice improves, post‐operative pain in children is likely to remain poorly recognized

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1993.tb00123.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Summary•This is the second of two articles which addresses the subject of intuition and its relevance in practice and to curriculum development.•Ways by which nurse educators can learn to value the concept of intuition and integrate it into the curriculum are discussed.•Following examination of the concept of intuition, some solutions are offered.•Research concerning the measurement of intuition in nursing practice is analysed.•Concepts of intuition and the role of intuitive thinking in nursing practice are

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1993.tb00124.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Summary•A short text for educators entitledFactbook of Inflammatory Bowel Disease: A Primer for Lecturers and Teacherswas prepared by a group of doctors and teachers.•As a technical manual it was formally assessed as generally easy to read with a Flesch Kincaid score of 10.1 and a Flesch Reading Ease Score of 47.9.•In a pilot survey of 156 schools in Leicestershire, 78 headmasters or senior teachers completed a questionnaire about its value. Of these 70 (90%) would make use of the booklet.•The results of the survey reflect the lack of professional support for teachers, although if available most educators would prefer nurses to hospital specialists as their point of

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1993.tb00125.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Summary•A pilot study of nurses and nursing auxiliaries was carried out to determine the prevalence and psychological sequelae of sexual harassment.•Thirteen nurses and 22 nursing auxiliaries were interviewed.•Sixty per cent reported having experienced sexual harassment on at least one occasion.•The results showed that the predominant experience typically occurred:–to female nursing staff;–by male patients;–on the wards;–often while washing patients.•There was minimal reporting of the incident.•The overriding emotion felt was embarrassment which was perceived as resulting in impair

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1993.tb00126.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Summary•The nature of the therapeutic interventions of nurses in the care of stroke patients is at the core of the debate over the exact role of the nurse in patient rehabilitation.•The nature of that intervention is explored in the terms of previous writers in the area through a review of the English language literature published.•The main conclusion is that even though the number and quality of publications has increased significantly, the nature of the nurse's specific interventions are still vague with the result that Henderson's claim for nurses to be the ‘rehabilitatorpar excellence’ still lies unfulfilled.•This lack of precision enhances the possibility that the nature of the nurse's interventions will be defined and hence potentially constrained by other pr

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1993.tb00127.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Summary•Oral care is a basic nursing activity central to patient comfort and well‐being, the prevention of infection and the maintenance of nutritional status.•This care is particularly important in cancer when both disease and treatment cause significant destruction of oral membranes/teeth, marked decline in salivary secretion and increased risk of infection. Systemic infection, originating in the mouth, is regarded as a significant cause of death. Appropriate oral care is, therefore, an important part of cancer care.•Thorough assessment is required to: provide baseline data, monitor response to therapy, identify new problems as they arise.•Although several assessment guides have been reported, for the majority no reliability/validity data are available.•This paper describes evaluation of the reliability, validity and clinical usefulness of three such guides. All were found reliable with regard to detection of gross abnormalities although precision with regard to scoring of subcategories was less reproducible.•In terms of validity, the literature supported the assessment categories of all tools, although an expert panel, supported by the nursing observers, identified many inappropriate descriptors and omissions highlighting, in particular, the difficulty of selecting appropriate descriptors when differences were observed in different areas of the mouth.•The lack of reliability and validity limits the clinical usefulness of these tools; it also suggests that reservations must be expressed about research based on their use. Further work is required to develop suitable tool(s) for assessing oral status in

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1993.tb00128.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Summary•This paper focuses on one aspect of a study of elderly orthopaedic patients, namely pain control.•One‐hundred patients aged 70 years and over were interviewed on up to five occasions during admission to an acute orthopaedic unit.•The majority of patients had significant post‐operative and/or post‐trauma pain, and backache and joint pain were reported frequently.•None of the patients received more than half of the maximum prescribed number of doses of opioid analgesics over a period of 48 h following surgery.•The well‐recognized problem of inadequate pain relief among hospital in‐patients is discussed, in particular its relevance to elderly o

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1993.tb00129.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY