Abstract:
:A recent study found that intermediate care in a nursing-led in-patient unit (NLIU) led to dramatically increased hospital stay when compared to usual care in a hospital. This is despite a large body of work across a variety of settings, including the pilot for that same study, which suggests that the NLIU is effective. This paper presents a series of exploratory analyses that aim to explore the findings further. A number of changes were identified in the functioning of the NLIU between the main and pilot study including patient population, leadership and staffing levels. Two ANCOVA analyses reveal that while performance of the NLIU declined between the two studies, that of usual care improved dramatically. Extended lengths of stay appear to be associated with the NLIU's location on a satellite site rather than the model of care per se. Reduction in the staffing levels on the NLIU and a change in patient population may well explain the findings.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Griffiths P,Wilson-Barnett Jdoi
10.1016/s0020-7489(99)00068-1keywords:
subject
Has Abstractpub_date
2000-06-01 00:00:00pages
245-55issue
3eissn
0020-7489issn
1873-491Xpii
S0020-7489(99)00068-1journal_volume
37pub_type
杂志文章abstract:BACKGROUND:Prolonged eating disturbances increase the risk for a full-blown eating disorder and lifelong health impairment. Screening will improve early detection of eating pathology, but the major question still remains: who will benefit from early treatment and who needs little or no intervention. To answer this ques...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.01.014
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:To explore (a) how nurses feel about disclosing patient safety incidents to patients, (b) the current contribution that nurses make to the process of disclosing patient safety incidents to patients and (c) the barriers that nurses report as inhibiting their involvement in disclosure. DESIGN:A systematic sea...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2013.07.001
更新日期:2014-02-01 00:00:00
abstract::This paper represents some of the findings from a study of expatriate nurses working in developing countries. The aim of the study was to identify the value orientations of Western nurses and to suggest to what extent those values influenced practice. A values clarification exercise was carried out and classified with...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(94)90054-x
更新日期:1994-06-01 00:00:00
abstract:BACKGROUND:A high prevalence of postpartum physical symptoms and depressive symptomatology has been reported in Western countries. Although previous studies have shown postpartum physical symptoms and emotional problems are correlated, a causal relationship between the two variables has not been established. OBJECTIVE...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.02.007
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Nursing professionals and care assistants are often subject to a combination of negative physical and psychosocial work environment factors, but most disability pension studies on such occupations have focused on one or the other of these factors. As they often coexist, there are reasons to assume that simul...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2019.103484
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to assess the impact of adding assistants in nursing to acute care hospital ward nurse staffing on adverse patient outcomes using administrative health data. DESIGN:Logistic regression modelling was used with linked administrative health data to examine the association between seve...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.09.008
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Maternal mortality from postpartum hemorrhage remains high globally, in large part because women give birth in rural communities where unskilled (traditional birth attendants) provide care for delivering mothers. Traditional attendants are neither trained nor equipped to recognize or manage postpartum hemorr...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.03.001
更新日期:2011-10-01 00:00:00
abstract::This study compared six dimensions of adult life among 39 hospitalized elders with a mean age of 72.1 years and 44 elders with a mean age of 75.7 years living in the community. The dimensions of life were physical function, work, spirituality, family, community and self concept. Multivariate analysis of variance revea...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(94)90067-1
更新日期:1994-12-01 00:00:00
abstract:BACKGROUND:Family-centred care is widely accepted as the underlying philosophy of paediatric nursing. Studies of family-centred care have mainly been conducted in western countries and little is known of its practice in other contexts. No studies have been undertaken in the Middle East. AIM:To explore family-centred c...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2017.01.011
更新日期:2017-04-01 00:00:00
abstract::This study adopted a multiple case study design to develop our understanding of the experiences and adjustments made by women with Parkinson Disease in relation to womanhood. Nineteen women participated in this investigation telling their stories through a combination of individual interviews, group interviews, reflec...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2003.12.004
更新日期:2004-07-01 00:00:00
abstract::The purpose of this transcultural qualitative study was to discover, describe and explain the meaning of a caring student-teacher encounter within the context of clinical education. Clinical teachers are registered nurses who have completed a university undergraduate nursing degree program and at least 1 year of post-...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(02)00032-9
更新日期:2003-01-01 00:00:00
abstract:INTRODUCTION:The economic impact of pressure ulcer prevention and treatment is high. The results of cost-of-illness studies can assist the planning, allocation, and priority setting of healthcare expenditures to improve the implementation of preventive measures. Data on the cost of current practice of pressure ulcer pr...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2015.03.005
更新日期:2015-07-01 00:00:00
abstract::This paper describes the findings of a descriptive study into needs of parents of children with Acquired Brain Damage during hospitalisation. Thirty four parents of 28 children treated at a tertiary referral pediatric hospital were interviewed. Parents described their experiences during their child's hospitalisation a...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00016-4
更新日期:1999-06-01 00:00:00
abstract::This paper describes a number of epidemiological findings relating to the size of the back pain problem within nursing, its distribution across nursing specialties and the comparison of these data with other occupational groups. The extent of the problem within the nursing profession has been estimated through a numbe...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/0020-7489(87)90024-1
更新日期:1987-01-01 00:00:00
abstract::Risk assessment scales (RASs) intended to identify patients most at risk of developing pressure ulcers have been widely used for many years. Numerous studies have evaluated their predictive validity but potential bias has been inherent in the design of all. To overcome these problems a simulation study was conducted i...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2003.10.005
更新日期:2004-03-01 00:00:00
abstract::The concept of privacy is used in many disciplines and is recognised as one of the important concepts also in nursing. In this review, a description about the perspectives and dimensions of the concept will be made and empirical studies in the area will be analysed. Perspectives include units experiencing privacy, des...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(00)00111-5
更新日期:2001-12-01 00:00:00
abstract::A person's willingness to disclose things about him or herself is an important facet of all social interaction. In professional helping relationships effective management of treatment and therapy may depend ultimately on a person's self-disclosures. Sidney Jourard claimed in 1971 that "disclosure begets disclosure". I...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(94)90045-0
更新日期:1994-04-01 00:00:00
abstract::The meaning of dignity in health care has been primarily explored using interviews and surveys with various patient groups, as well as with health care practitioners. Philosophical analysis of dignity is largely avoided, as the existing philosophical literature is complex, multifaceted and of unclear relevance to heal...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.06.010
更新日期:2016-09-01 00:00:00
abstract::The purpose of this review was to critically examine the literature published in the English language (1983-1995) related to the use of self-medication programmes by hospital patients and to determine whether such a scheme could be implemented and evaluated within the acute medical setting. Searches revealed a wealth ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(97)00013-8
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:Child-to-parent violence is an often hidden serious problem for parental caregivers of mentally ill adult children who experience violence toward them. To date, the comprehensive dyadic parent-adult child intervention to manage child-to-parent violence is scarce. OBJECTIVE:To evaluate the effect of Child- a...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2016.03.002
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Aging is a normal degenerative process that results in a decline in the gait and balance performance of older adults. Interactive cognitive motor training is an intervention that integrates cognitive and motor tasks to promote individuals' physical and cognitive fall risk factors. However, the additive effec...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2018.03.015
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:To examine effects of sedative music on cancer pain. DESIGN:A randomized controlled trial. SETTINGS:Two large medical centers in Kaoshiung City, in southern Taiwan. PARTICIPANTS:126 hospitalized persons with cancer pain. METHODS:Participants were randomly assigned to an experimental (n=62) or a control g...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2010.03.008
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Evidence-based practice is considered a foundation for the provision of quality care and one way to integrate scientific knowledge into clinical problem-solving. Despite the extensive amount of research that has been conducted to evaluate evidence-based practice implementation and research utilization, these...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2017.09.006
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Hospital discharge of older people receiving care at home offers a salient opportunity to identify and address their family caregivers' self-identified support needs. OBJECTIVES:This study tested the hypothesis that the extent to which family caregivers of older people discharged home from hospital felt pre...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.09.012
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:The importance of nurse staffing levels in acute hospital wards is widely recognised but evidence for tools to determine staffing requirements although extensive, has been reported to be weak. Building on a review of reviews undertaken in 2014, we set out to give an overview of the major approaches to assess...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2019.103487
更新日期:2020-03-01 00:00:00
abstract::The increased incidence of AIDS in rural areas of the United States has called attention to the practice of universal precautions by rural nurses. The purpose of this research was to determine protective barrier use by 555 nurses living in rural counties in Pennsylvania and New York State and the effect on this use of...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(95)00057-7
更新日期:1996-06-01 00:00:00
abstract::This study investigated whether postpartum depressive symptoms and parenting stress are related to exclusive breastfeeding in mothers at 2-3 months postpartum. Data were collected from 734 Icelandic mothers postpartum. Parenting stress, depressive symptoms, feeding methods and demographical data were assessed by self-...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2004.10.009
更新日期:2006-01-01 00:00:00
abstract::Ethics is increasingly being included in the training curriculum for health-care professionals. However, debate continues around the appropriate content of ethics courses for such students and the most relevant teaching approaches which will enable students to apply their ethical knowledge in clinical settings. At a t...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(95)00012-m
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this systematic review was to determine why people are physically restrained in the acute and residential care settings. METHOD:A comprehensive search was undertaken of electronic databases to identify studies addressing the reasons for using physical restraint. Findings were synthesised using...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(02)00015-9
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:Hip surgery is associated with the risk of postoperative urinary retention. To avoid urinary retention hip surgery patients undergo urinary catheterisation. Urinary catheterisation, however, is associated with increased risk for urinary tract infection (UTI). At present, there is limited evidence for whether...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2013.05.007
更新日期:2013-12-01 00:00:00