Abstract:
:Clinical and policy developments in health care have recently created demand for a professional response in terms of the development of advanced roles for nurses, notably 'nurse practitioner' roles. Such roles demand the exercise of autonomy, a term which eludes succinct definition despite the fact that the preparation of practitioners for these roles relies on a clear understanding of its nature. Utilizing an approach described by Wilson, this paper undertakes a concept analysis of autonomy, each step illustrated with examples taken from clinical practice, with the ultimate aim of offering an operational definition of autonomy.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Keenan Jdoi
10.1046/j.1365-2648.1999.00948.xkeywords:
subject
Has Abstractpub_date
1999-03-01 00:00:00pages
556-62issue
3eissn
0309-2402issn
1365-2648journal_volume
29pub_type
杂志文章,评审abstract::This is the second of two linked papers exploring decision making in nursing. The first paper, 'Classifying clinical decision making: a unifying approach' investigated difficulties with applying a range of decision-making theories to nursing practice. This is due to the diversity of terminology and theoretical concept...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:
更新日期:2000-10-01 00:00:00
abstract:AIMS:The aim of this study was to explore breast cancer patients' experiences during survivorship. Particular attention is given to the role of specialist breast care nurses in supporting women throughout this phase. BACKGROUND:There is a relative lack of research involving long-term breast cancer survivors. Yet, many...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13237
更新日期:2017-06-01 00:00:00
abstract::Prolonged waiting for major elective surgery has been a problem in several Western countries for many years. In Iceland coronary artery bypass graft (CABG) surgery was installed in 1986 and this descriptive study was conducted to describe systematically the experience of Icelandic people waiting for CABG surgery with ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00497.x
更新日期:1998-01-01 00:00:00
abstract::Quality assurance (QA) is being hailed as a 'new frontier' of nursing. Its diffusion into nursing theory and practice in the United Kingdom is outlined. QA is not an alien import; favourable preconditions already existed. The systems-reasoning of the nursing process, which sprawned a plethora of models, each geared to...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1987.tb01375.x
更新日期:1987-11-01 00:00:00
abstract::The death of a spouse is one of the most stressful events in a person's life. Social support has been shown to be widely beneficial in moderating the effects of both chronic and acute stress. The answers of Finnish widows and widowers (n=318) were analysed in order to investigate the sources of social support, what is...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01220.x
更新日期:1999-12-01 00:00:00
abstract:AIMS:This article reports on the quantitative findings from a large mixed method study that determined the extent to which the provision of alternatives to an Emergency Department and Index of Relative Social Disadvantage score influenced non-urgent paediatric Emergency Department use. BACKGROUND:In Australia, there i...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12810
更新日期:2016-01-01 00:00:00
abstract:AIM:To report an analysis of the concept of perinatal bereavement. BACKGROUND:The concept of perinatal bereavement emerged in the scientific literature during the 1970s. Perinatal bereavement is a practice-based concept, although it is not well-defined in the scientific literature and is often intermingled with the co...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12119
更新日期:2013-11-01 00:00:00
abstract::This paper demonstrates, through a specific case study, the relationship of nursing practice and research. The author discusses how a clinical problem stimulated research and how the research findings, then, were utilized in practice. Client attrition in an obesity programme for high-risk clients was defined as the cl...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1984.tb00359.x
更新日期:1984-03-01 00:00:00
abstract::Support workers have been advocated as a means of overcoming a shortage of professional nursing practice, whether this shortage is derived from a decrease in budgeted positions or from a lack of persons to fill positions. The demand for nursing practice has increased because of a rise in the intensity and complexity o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.21010064.x
更新日期:1995-01-01 00:00:00
abstract:AIM:To examine how a major Clostridium difficile outbreak in the UK was represented in the media. BACKGROUND:Clostridium difficile is a serious health care-associated infection with significant global prevalence. As major outbreaks have continued to occur worldwide over the last few decades, it has also resulted in in...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12305
更新日期:2014-07-01 00:00:00
abstract::The dual concepts of evidence-based practice and clinical effectiveness have become ever more important for nurses, midwives and health visitors in recent years. In order that suitable initiatives can be derived and future policy shaped and evaluated it is important that the current level of knowledge and attitudes to...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.00967.x
更新日期:1999-04-01 00:00:00
abstract:AIM:This paper is a report of a study to determine: (a) Spanish nurses' level of knowledge of existing guidelines for pressure ulcer prevention and treatment, (b) the level of implementation of this knowledge in clinical practice and (c) the professional and educational factors that influence knowledge and practice. B...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2007.04236.x
更新日期:2007-05-01 00:00:00
abstract::Prevention as intervention is identified as a middle-range theory consistent with the Neuman systems model. Through an examination of anxiety research using Neuman's theory, prevention as intervention is examined for clarity, simplicity, generality, accessibility and importance. Conceptual clarity is in need of improv...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2000.01465.x
更新日期:2000-06-01 00:00:00
abstract:AIMS:To examine qualified intensive care nurses' implicit and explicit attitudes towards obese intensive care patients and whether their attitudes are associated with their behavioural intentions towards these patients. BACKGROUND:Obese intensive care patients may experience more stress than do normal-weight patients....
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14205
更新日期:2019-12-01 00:00:00
abstract::Contemporary nursing practice and education belong to a dynamic process which is likely to change the structure of nursing, as well as the relationships that have been established with other professions. This paper is concerned with the professionalization of nursing and examines how nurses and doctors maintain, or ch...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1994.tb01094.x
更新日期:1994-02-01 00:00:00
abstract::Midwife groups qualified for less than 5 years, 5-10 years and more than 10 years, and a group of student midwives, expressed degrees of agreement/disagreement with statements relating to aspects of obstetric practice. Responses were factor analysed and six interpretable rotated factors were obtained. Factors 1 to 3 r...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1987.tb01302.x
更新日期:1987-01-01 00:00:00
abstract::The purpose of this study was to explore any patterns that may be evident in the experiences of 20 patients and their partners 1 month after a first heart attack. An interpretive research approach was used to illuminate the illness experience of patients and its impact on their partners. Semi-structured interviews wer...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.22040707.x
更新日期:1995-10-01 00:00:00
abstract::Little information exists in the literature to assist the nurse in understanding people of ethnic minority group status who become hospitalized in an acute-care setting. Research on these populations has primarily centred on out-patient service utilization and on folk health practices, yet the process of becoming hosp...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1984.tb00399.x
更新日期:1984-09-01 00:00:00
abstract:AIM:This review examined evidence regarding computer- or web-based interventions to increase preadolescent and adolescent physical activity. BACKGROUND:Today's youth are less active and more overweight than their counterparts from 25 years ago. Overweight youth tend to become overweight adults with weight-related mala...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2010.05493.x
更新日期:2011-02-01 00:00:00
abstract::A status passage is the process of change from one social status to another and, in this report, transition into the occupational role of nurse is described. The status passage includes the anticipations, entry, reporting of contrasts and changes which are often accompanied by surprise, and reality shock before making...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01715.x
更新日期:1990-10-01 00:00:00
abstract::Clinical nurse specialists (CNSs) deliver expert patient care that is based on advanced nursing models with two important characteristics, clinical judgement and leadership, as summarized by Spross & Baggerly. To utilize the clinical judgement for the benefit of patients, CNSs stay within the realm of direct patient c...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1997.t01-9-00999.x
更新日期:1997-09-01 00:00:00
abstract::This paper describes the planning, implementation and evaluation of a series of workshops for practising health visitors, as one aspect of continuing professional education. The history demonstrates response to stated need. Planning was intensive and extensive, resulting in one broad educational objective and a flexib...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1982.tb00238.x
更新日期:1982-05-01 00:00:00
abstract::In this paper, research guided by the principles of fourth-generation evaluation, which has negotiation as its centre, will be scrutinized. The role of stakeholders will be discussed with reference to negotiation issues. Throughout this discussion, observations will be based on the actual process of conducting three p...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01253.x
更新日期:2000-01-01 00:00:00
abstract:AIMS:The aim of the study was to examine the variety, frequency and severity of stressors experienced by community mental health nurses (CMHNs) in Wales. BACKGROUND:Numerous studies undertaken throughout the United Kingdom (UK) have indicated that those health professionals working as part of community teams are exper...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.02035.x
更新日期:2001-12-01 00:00:00
abstract::Research-based interventions for women with the human immunodeficiency virus (HIV) are usually developed without input from the women who receive the intervention. An exploratory study was performed using focus group methodology to develop a culturally sensitive videotape intervention for educating HIV-positive women ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01610.x
更新日期:2000-12-01 00:00:00
abstract::This paper argues that nursing is an elemental activity, the first concern of which is a person's experience of illness, not the causes of that experience. Any model of nursing should begin with an account of that experience and deduce from that what it is that nurses ought to do in order to explain what it is that th...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1992.tb02044.x
更新日期:1992-09-01 00:00:00
abstract:INTRODUCTION:The survival rate of infants born prematurely and hospitalized in Neonatal Intensive Care Units (NICUs) has increased due to improvement of the technology in obstetrics and neona tology that allows saving preterm infants at earlier gestational ages. Preterm infants are hospitalized in a care environment wh...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02526.x
更新日期:2003-02-01 00:00:00
abstract:AIMS:To explore the lived experience of resuscitation team members involved in notifying family members when a patient dies following a resuscitation event in an Iranian cultural context. BACKGROUND:Death notification to the family is indeed a difficult and an important issue for resuscitation team members. The way he...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.13558
更新日期:2018-07-01 00:00:00
abstract::This paper outlines a theoretical framework that was created as a result of an investigation into the feelings graduate nurses have towards clinical practice. The framework offers an explanation of the complexity of emotions which need to be considered when considering why it is that people react in the way they do to...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.16620.x
更新日期:1996-07-01 00:00:00
abstract:AIM:To explore first-time fathers' postnatal experiences and support needs in the early postpartum period. BACKGROUND:The postnatal period is a stressful transition period for new fathers. It is imperative to understand their needs and experiences to provide appropriate support for them. The majority of previous studi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13349
更新日期:2017-12-01 00:00:00