ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00349.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00350.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00351.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00352.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•The appropriateness of any set of criteria generated to measure the quality of a particular intervention is dependent upon a thorough, up‐to‐date assessment of the current state‐of‐the‐art. Few areas in nursing have received as much research attention as that of pain control, particularly post‐operative pain control.•The following review of the literature*on this subject complements earlier reviews undertaken by Seers (1988) by organizing the information according to four distinct categories, namely environmental issues, nursing actions, patient outcomes and a review of a number of pain measures. This particular format was selected in order to help in the development of structure, process and outcome criteria on the topic of post‐operative pain management.•The section on measurement is to inform practitioners about pain‐assessment charts and provide ideas abo

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00353.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•The shift in emphasis to community‐based health care necessitates that opportunities be provided for nursing students to acquire an understanding of the complex nature of health.•A qualitative study was used to demonstrate the benefits accrued by junior baccalaureate nursing students in non‐traditional community settings.•Key themes that emerged from data analysis included definitions of health and illness as context specific, and environmental factors influencing health.•The study demonstrated that learning experiences with diverse communities can broaden students' perspectives and understanding of health behaviours. Students gained an appreciation of the sociocultural variation in meanings of health and illness as well as of the social and political dimension

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00354.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•This small exploratory study evaluated the effects of introducing a system of nurse‐led team care on a ward providing intensive nursing and rehabilitation to elderly people.•A quasi‐experimental design compared three variables between the study ward and two similar wards within the unit. These were:—quality of care,—job satisfaction,—length of patient stay.Quantitative data were complemented by semi‐structured interviews with team members and by observation of team meetings.•Quality of care scores showed an improvement on the study ward, but no difference on the main comparison ward. There were no differences between nurse job satisfaction between the study and comparison wards or in length of patient stay throughout the period of evaluation.•Observation of team meetings suggested that communication was more structured and focused on the study ward and that patient goals were more clearly specified. Interviews suggested three main factors in successful implementation of the change to nurse‐led team care:—commitment of the team,—open communication about difficulties,—the support of managers and medical staff.The main effects noted were:—partnership with patients,—equality between team members,—improved decision making and quality of care.•Further studies of nurse‐led team care are required, and the stress and anxiety for staff consequent on developing the nurse's

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00355.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•As part of a nursing degree course, one of the authors (M.K.) gathered data on the knowledge and use of lifting techniques among a group of undergraduate student nurses. A 17‐itcm questionnaire was administered to one cohort of 19 third‐year students.•The results show that while they were aware of lifts recommended by the RCN and by other researchers, they reported that they frequently used lifts not recommended by the above sources during their medical placement. This behaviour seemed to mirror the practices of ward staff. Possible explanations for the knowledge‐practice gap ar

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00356.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•Much has been written concerning the use of complementary and alternative therapies in health care. It is the author's belief that much of the current debate exists within a context of little knowledge of the research concerning these therapies. Because of this lack of knowledge, nursing practice may not be informed and/or directed by research.•Despite guidance from the UKCC (1992) nurses need to ensure that their position regarding these therapies is based upon a judicious review of the literature and carefully crafted and reasoned acti

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00357.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Summary•With the increase in the numbers of elderly people, methods to improve the quality of life for this population has never been more relevant. As the primary carers for this group of people, nurses are likely to be faced with this task.•Cognitive therapies such as reality orientation, validation, reminiscence and life review, can help to maintain or improve aspects of cognitive or behavioural functioning for the elderly confused.•If this in turn can increase life satisfaction for those elderly suffering from dementia then cognitive therapies must be addressed as means to improve individual quality of life.•Existing research otters contradictory evidence as to the practical application and usefulness of such therapies. More substantial research must be undertaken in the area, addressing nursing perspectives with regards to the implementation of cognitive therapies.•The author maintains that the cognitive therapies discussed in this paper have great potential for use within care of the elderly and despite controversial research results, can help to maintain or improve the quality of life for the elderly

ISSN:0962-1067    

DOI:10.1111/j.1365-2702.1994.tb00358.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY