ISSN:0160-6891    

DOI:10.1002/nur.4770180102

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThe PREP system of nursing interventions, designed to increase preparedness (PR), enrichment (E), and predictability (P) in families providing care to older people, was pilot tested for acceptability and preliminary effectiveness. Eleven family units were assigned to the PREP group and 11 to a standard home health control group. The PREP group scored approximately oneSDhigher than the control group (p<.05) on the Care Effectiveness Scale, indicating greater preparedness, enrichment, and predictability. Further, on a rating of overall usefulness, the PREP group rated their assistance from PREP nurses (M= 9.75) as significantly higher (p<.01) than the control group rated assistance from the home health nurse or physical therapist (M= 6.57). Although not statistically significant, mean hospital costs for the PREP group ($2,775) were lower than for the control group ($6,929). Results provided support for a full intervention trial. ©1995 John Wiley&Sons, Inc

ISSN:0160-6891    

DOI:10.1002/nur.4770180103

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractCombined mother–infant postnatal nursing care was compared with traditional, separate postpartum and newborn care in two studies. In Study I, self‐administered questionnaires were completed by 408 mothers and 63 staff nurses. Data were collected both before and after mother–infant care was implemented. Benefits of the new system included increased maternal competence and satisfaction with parent education, parent–infant contact, and the nurse–client relationship, increased staff satisfaction, with no increase in operational cost. There were no breastfeeding differences, but ways to improve duration were implied by reasons for stopping. These findings were replicated in a separate setting with similar sample sizes. However, in the latter case, low staff ratios appeared to limit the benefits of mother–infant care to multiparas rather than primiparas. ©1995 John Wil

ISSN:0160-6891    

DOI:10.1002/nur.4770180104

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThe effects of unimodal and multimodal stimulation on mental, psychomotor, and behavioral development of healthy full‐term infants were examined longitudinally. Subjects were randomly assigned to a control group or one of three experimental conditions: daily administration of a stroking procedure, placement on a multisensory hammock during sleep periods, or a combination of the two treatments. Interventions were conducted during the first 3 months of life. Data are presented on 49 infants who were available for 24‐month follow up. The experimental conditions did not significantly affect scores on the Bayley Scales of Infant Development. Eyberg's Child Behavior Inventory, the Nursing Child Assessment Teaching Scales, or the HOME. These findings suggest that supplementary stimulation provided no benefits beyond those associated with natural caregiving and raise questions about the value of the interventions with nonrisk infants in middle‐class families. Additional studies need to be conducted with larger samples of healthy infants to test sensory stimulation protocols before they are advocated for widespread consumer use. ©1995 John Wiley&Son

ISSN:0160-6891    

DOI:10.1002/nur.4770180105

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThis is one of a series of articles explicating a theory of family behavior under conditions of sustained uncertainty brought about by the diagnosis of a chronic, life‐threatening illness of a child. The procedures of the grounded theory method were used to collect and analyze data. The analysis illuminated a perceptual–interpretive–behavioral process that made visible the emergence and intensification of the uncertain state during the prediagnostic period. This process, which may consist of up to three stages, most frequently began with the parents' initial awareness of the child's illness cues and terminated with the diagnostic announcement. The stages were categorized as Lay Explanatory (I), Legitimating (II), and Medical Diagnostic (III). The duration of stage III was found to be a significant factor in explaining the variation in parental response to the diagnosis. ©1995 John Wiley&Son

ISSN:0160-6891    

DOI:10.1002/nur.4770180106

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractCommunication between health care providing organizations is fundamental to discharge planning and continuity of care, but has been reported to be inadequate. Using a classic communication model, the content of communication between hospitals and home health agencies was examined in 300 closed home care records and compared to referral content desired by practitioners. Discharge planners sent about half of the referral information recommended by the literature. Referrals consisted primarily of background data, some medical data, even less nursing care data, and almost no psychosocial data. No referral form was used by the hospital in over one third of the cases. Discrepancies existed between what client care data practitioners identified as important or desirable and the data they actually received. As responsibility for providing health care is decentralized and shared by multiple organizations, communication between providers will play a greater role in ensuring continuity of care. The findings suggest that adoption of standardized, written referral forms might facilitate clear and complete communication. ©1995 John Wiley&Sons, Inc

ISSN:0160-6891    

DOI:10.1002/nur.4770180107

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractThe purpose of this survey of Nebraska hospitals (N= 79) was to describe the planning, implementation, and evaluation of the Patient Self‐Determination Act (PSDA) and to explore the role of the nurse in these processes. Results indicate nurses were very involved in the planning phase but rarely in the implementing phase. Few evaluation strategies were utilized and only some respondents identified problematic issues related to the implementation of the PSDA. Clinical implications for issues related to the PSDA are discussed and framed within the American Nurses' Association Position Statement on the PSDA (1991). Future studies are suggested, especially related to evaluation of PSDA implementation. ©1995 John Wiley&Sons, I

ISSN:0160-6891    

DOI:10.1002/nur.4770180108

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractA postural analysis system was developed using a biomechanical approach to identify low back pain related working postures of nursing personnel. The Ovako Working Analysis System (OWAS) was modified for doing postural recording. Chaffin's biomechanical model was used to calculate the associated work stress on the I5/S1. The system was applied to examine the working postures of 64 nurses of 16 departments. The frequency distribution of the trunk showed 15.9% of the 8,629 observed postures were bending more than 15 degrees. Based on the calculated stress, 17.0% of the observed postures generated forces higher than the recommended action limit of the National Institute for Occupational Safety and Health (NIOSH). In addition to patient transfers, potentially health hazardous postures were identified in nursing tasks of inspection, nursing techniques, instrumentation, physical examination, taking inventory, and documentation. ©1995 John Wiley&Sons, Inc

ISSN:0160-6891    

DOI:10.1002/nur.4770180109

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

摘要:

AbstractCriteria for the examination of data collected at the individual level and aggregated to the group are proposed. These four empirical criteria relate to content validity, representativeness, reliability, and validity of the aggregated scores as indicators of group phenomena. An example of the use of the criteria is provided using data from a large research project on the implementation of a professional practice model on nine nursing units. The use of the criteria proposed provide a systematic approach to the evaluation of individual data for use at the group level.

ISSN:0160-6891    

DOI:10.1002/nur.4770180110

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY

ISSN:0160-6891    

DOI:10.1002/nur.4770180111

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1995

数据来源: WILEY