ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01663.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01664.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

A prospective study was conducted to investigate the perceptions of 21 mothers of singleton babies weighing 1500 g or less Six in‐depth interviews were held with each respondent from 1 week after delivery to 3 months after the baby's discharge from hospital Diaries and Neonatal Perception Inventories supplied additional data Six phases were identified each characterized by certain critical factors related to the mother's emotional state, her perceptions of the baby, and family responses Significant statistical differences were found between those mothers who did not feel ready to take the infant home and the rest of the sample Those who were not ready demonstrated a marked difficulty in establishing and maintaining relationships and held very inappropnate perceptions of the baby These findings have important implications for the discharge of very low birthweight babies after a prolonged stay in hospit

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01665.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This paper is concerned with the development or theory in the discipline of nursing as it is practised in Great Britain It stems from dissatisfaction with the generally uncritical adoption by British nurses of models of nursing which have been developed to explain and enhance North American practice After the introductory paragraph, four roles for nursing theory are proposed These are to define nursing by describing nursing phenomena, to form a realistic basis for curriculum design, to provide tools for the professional prachce of nursing, and to provide a nursing language It is then argued that although British nurses have recognized the need for an adequate theoretical basis for practice, their response has been rather uncritical adoption of American models of nursing As a basis for practice, it is argued that American models generally fail to meet the needs described above, and therefore fail to have impact on clinical work Structural and philosophical reasons for this failure are identified Following a brief discussion of the inductive and deductive approaches to the development of theory, the paper closes with the argument that British nurses should be concerned with the development of new theory which, if grounded in the reality of practice, would be likely to be both useful and realistic

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01666.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

This paper is borne of the increasing interest and relevance of computers in nursing It describes the method, and results obtained from a postal questionnaire survey distributed across the United Kingdom to gain information about the developments in computing in nursing education The results indicate that considerable developments have been made, but that they are more piecemeal than co‐ordinated A selection of the results are presented and discussed, and one or two points concerning future proceedings are rais

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01667.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Nurse preceptorship programmes have evolved as a means to ease the turmoil of transition from student nurse to staff nurse In this era of economic retrenchment, it is possible that such programmes might be elimmated Conversely, it is also possible that preceptorship programmes represent an important mechanism for recruitment and retention, issues that also pervade the contemporary health care arena This study was conducted, therefore, to evaluate the transition process of new graduates who participated m a preceptorship programme While the objechve measures used in this investigation did not support the common belief that the transition from student nurse to staff nurse is an emotion‐laden experience, the preceptees did verbalize feelings of psychosocial discomfort Several explanations are proposed to account for these findings, including that the effectiveness of the programme may have sustained the more positive affective states The authors conclude that preceptorship programmes remain important and necessary interventions to facilitate integrating and enacting the professional nurse ro

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01668.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Nurses face their own fear of death whenever they come to the bedside of a dying patient This fear must be confronted and reconciled before they can help others meet death with dignity Examining one's attitude towards death is a difficult task that needs to begin in the student years, when attitudes towards working with the dying are formed Nurse educators recognize that brief but effective ways of promoting this kind of personal awareness need to be found An experimental study is described that investigated the effect of death education programmes and personal experience with death on the attitudes of nursing students It was found that the death attitudes of mexpenenced students who were in an experiential programme were more positive than similar students who received a didactic or placebo programme Experienced students, however, were negatively affected by the expenential approach The implications of these findings for nursing education are outlined

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01669.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

The growing emphasis on health promotion by society and the increasing utilization of Orem's general theory of nursing to guide practice, education and research create a need to clanfy health promotion activity withm the model The concept of health promotion self‐care is developed after an analysis of statements by Pender and Orem for their logical congruence Further m‐depth analysis of Orem's model facibtates the placement of the new concept within its current structure The potential strength of the model for guiding health promotion practice is discussed, as well as areas for needed develop

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01670.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Adequate pain relief during the postoperative period has long been recognized as difficult to accomplish The reasons for this are mentioned in a bnef review of methods of pain control, and an overview of the detrimental effects of acute pain is given This retrospective analysis of data from 36 patients set out to examine whether those whose night‐time sleep was found to be disturbed by pain were subject to different patterns of analgesic provision from those whose sleep was not Although no such differences emerged, it was found that analgesics were given approximately half as frequently during the night when compared with during the day It was also noted that only 30–35% of the maximum doses of analgesics prescribed were actually given within the immediate postoperative period The possible reasons for these findings are discu

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01671.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Organization development approaches to improving nursing practice, especially survey feedback and team development approaches, are described, and differences from organization development in industry explored Problems encountered in developing effective interdisciplinary teams with nurse participation are examined in the context of studies of intergroup relationships, especially studies of interprofessional relationships in the health and social services fields Reference is made to a specific intervention with a community drug team in order to highlight issues of goals, roles, procedures, skills and accountabilities in such teams Some problems encountered in developing interagency collaboration between nursing and social work staff are illustrated with reference to a specific intervention made in a West Yorkshire maternity unit antenatal clinic, and some recommendations for increasing the success of such projects are made

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1990.tb01672.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY