ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01042.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01043.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The present study was conducted to determine which nursing care activities in informing breast cancer patients are considered important by the patients themselves and their nurses. One hundred and nine breast‐operated women and 125 nurses participated in the study. All patients had contracted breast cancer in the previous 3 years but not within the previous 3 months. Ward and clinical nurses from one university and six area hospitals were contacted. The patients considered that the information that they had received and their level of knowledge of their own situation was not conducive to good recovery. The nurses' opinions were in agreement, although their overall assessment of the situation was more positiv

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01044.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This paper focuses upon an exploration into the world of the cancer nurse regarding stress and persons with cancer. It is proposed that the cancer nurse's world often is not emphasized or even acknowledged within clinical practice and, for the most part, remains ignored. It is argued that the cancer nurse's world is rich with meaning, and the knowledge, skills and values within this domain need to come to the fore. A phenomenological approach was adopted for the study, because of the inherent emphasis upon meaning and understanding within the cancer nurse's everyday practice. Methodological triangulation involved qualitative interviews with nursing staff on an acute oncology unit, observation of the nursing admission assessments of cancer patients and use of archival sources (nursing kardexes). Content analysis of the interview findings revealed that the common‐sense understandings of the cancer nurse were present in relation to stress and the person with cancer. Although these construals have not been adequately studied, the framework of common‐sense knowledge involves the informal views and the wealth of knowledge individuals have. Common‐sense construals are linked to the nurses' experience, both past and present, and derived from both professional practice and educational experiences. In practice, however, the nurses often failed to rely on this knowledge, apparently because of the mainstream influence of the medical model. The study led to the recommendation reported on in this paper that nurses must bring their common‐sense knowledge and values to the fore in order to provide holistic care of persons with

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01045.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Implantable injection port systems are safe and convenient for long‐term venous access. The present investigation comprises nurses' and patients' evaluation of three different types of devices; Port‐A‐Cath (16.0 g), Cordis Miniport (3.8 g) for implantation in the chest wall and the PAS Port system (5.6 g) for implantation in the forearm. The devices were implanted for chemotherapy. Eighty patients and 17 nurses answered a questionnaire regarding their experience with the devices. Overall, the systems functioned well and were helpful for both patients and nurses. In the patient study few significant differences emerged. Nurses noted that the PAS Port system was more difficult to withdraw blood from (P<0.001) and its infusion flow capacity was inferior to the two ports in the chest wall (P<0.001). Port‐A‐Cath was judged to be the easiest system for needle insertion and the needle position was felt to be more secure (P<0.001). Fourteen of the 17 nurses preferred Cordis Miniport for cosmetic reasons (P<0.001). All devices functioned well. The differences in shape, size and site of implantation allow an optimum port selection for each patient. The replies in thus study expressed the need for educational programmes in order to spread the injection port concep

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01046.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This paper discusses the use of the concept of ‘persons’, and its related principle ‘respect for persons’, in health care ethics. It is suggested that the main use of the concept is in attempts to answer the questions: Who owes moral respect? and ‘To whom is it owed?’. An examination of different writers and their use of the concept of ‘persons’ show it to be unsuccessful in answering the first question, and dangerous and unacceptable in answering the second. Therefore, it is suggested the concept should not be used at all in health care ethics. An alternative idea is suggested, based on the work of Hu

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01047.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

HIV infection and AIDS create a unique dilemma for women in their potential for vertical transmission of these conditions. Selected feminist perspectives in ontology, epistemology, and axiology are reviewed to illuminate possible social, cultural, and political circumstances of these women. Drawing both on these perspectives and various sources of data about women with HIVIAIDS, some implications for nursing complete this discussion.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01048.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Organ transplantation is becoming more important as a viable method of treatment for certain severe medical conditions. It is a complex and demanding process for all involved. Nursing as a developing science must respond to cultural and economic changes. Therefore, a need exists to develop a body of empirically based knowledge to understand and support the process of organ transplantation. This paper will argue that as trading in organs is unacceptable to the moral standards of western society and outlawed in many countries, an alternative framework must be considered for understanding the mechanisms through which organs are donated and utilized. The donating and receiving of organs may be equated with gift‐giving, as there is no barter of commodities involved. Therefore, a useful framework to explore this phenomenon will be one that underpins the process of giving and receiving of gifts. Gift Exchange Theory will be evaluated and critically examined in relation to organ transplantation and the role of nurses in this proces

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01049.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

A small exploratory study (n= 20) is described which compares the experience of children admitted to a day‐case unit with that of children admitted to a general paediatric ward. Both samples received inadequate amounts of information, particularly prior to discharge. The care offered in the day‐case unit was found to be woefully deficient in many areas and the wisdom of utilizing occasional sessions in an adult day‐case unit is questioned. The crucial role of skilled nurses trained in the care of sick children is empha

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01050.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This paper describes a research study designed to evaluate a community health service development in one health authority in rural England. The study compared two types of primary care teams working towards the same objectives. Surveys of patients and staff in the health authority were conducted about a range of issues, defined by the original aims of the scheme. Measures were made of care received by people over 75 years of age, consumer satisfaction, staff experiences of the multi‐disciplinary team, job satisfaction and liaison with social services personnel. Few differences existed between the two forms of care on all of these measures. This paper contains a discussion of the findings alongside an examination of the implications for future health service developments, particularly flagship enterprises such as nursing development units. The importance of well established baseline measurements is emphasized by both the research findings and the discussio

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01051.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY