Abstract：
AIM OF PAPER:This paper is a response to Thompson's paper 'A conceptual treadmill: the need for a middle ground in clinical decision making theory' published in the Journal of Advanced Nursing in 1999. SUMMARY OF CONTENT:This author agrees with his main recommendations, which are to seek a middle ground in the current polarized debate over clinical decision making in nursing, and to draw upon Hammond's Cognitive Continuum theory to do so. The theoretical background is sketched out, and the implications of these recommendations are analysed against this. It is argued that nurses now need to move the academic debate forward in such a way as to make serious impact on developing and improving practice. Cognitive continuum theory, in the way in which it focuses on practice, holds considerable potential to assist this move. CONCLUSION:Drawing on cognitive continuum theory necessarily leads to consequences which are not addressed in Thompson's paper: namely a need to consider the quality of nursing decisions, and a willingness to consider approaches to decision making which have been neglected or criticised by nurses. These consequences are explored here, and the implications of adopting this approach for nurses are outlined.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Harbison Jdoi
10.1046/j.1365-2648.2001.01816.xkeywords:
subject
Has Abstractpub_date
2001-07-01 00:00:00pages
126-33; discussion 134-7issue
1eissn
0309-2402issn
1365-2648pii
jan1816journal_volume
35pub_type
评论,杂志文章,评审abstract：BACKGROUND:The need for evidence-based practice (EBP) to guide and develop mental health services remains fundamental for modern services. Aim. To discuss issues that impact upon implementation of EBP and practice development using family work (FW) as an example. METHODS:A selection of the FW literature was reviewed d...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.2002.02161.x
更新日期：2002-04-01 00:00:00
abstract：:This study details a programme which emphasized nursing interventions for women at high risk for preterm birth. Preterm birth continues to be a major health problem, with ongoing research being conducted both in the United States and internationally in an effort to find causative factors. Programmes designed to preven...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1990.tb01824.x
更新日期：1990-03-01 00:00:00
abstract：:The quality of student feedback is of critical importance in distance learning. Students studying such courses may be geographically far removed from tutors, and limited contact opportunities necessitate a sharp and accurate focus upon aspects of study which link theory, research, clinical practice and written assessm...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1997.1997026154.x
更新日期：1997-07-01 00:00:00
abstract：AIM:This paper is a report of part of a study to investigate the burden experienced by families giving care to a relative with dementia, the consequences of care for the mental health of the primary caregiver and the strategies families use to cope with the care giving stressors. BACKGROUND:The cost of caring for peop...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1365-2648.2007.04250.x
更新日期：2007-06-01 00:00:00
abstract：BACKGROUND:Many patients experience anxiety during treatment in an intensive care unit, but intensive care patients are often not able to respond to existing validated measures of anxiety such as the Brief Symptom Inventory. We have developed a new single item Faces Anxiety Scale made up of drawings of five faces. AIM...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2003.02508.x
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVE:To evaluate practice nurse (PN) and health visitor (HV) management of patients with acute minor illnesses, monitor the effect on general practitioner (GP) workload, and describe the range of conditions seen by nurses. DESIGN:Patients requesting 'urgent' appointments (within 24 hours) were offered consultatio...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2001.02008.x
更新日期：2001-11-01 00:00:00
abstract：:Psychomotor skill-learning is a basic aspect of nursing education. Students are expected to perform skills in relation to patient care. How can nursing instructors optimize skill learning and how can they analyse where a student is going wrong? The critical components of the psychomotor-skill learning process are iden...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1980.tb03356.x
更新日期：1980-05-01 00:00:00
abstract：AIMS:This paper is a report of a study with three aims: (i) to investigate whether emotional, quantitative and physical demands have a causal, negative impact on nurses' health; (ii) to examine whether work-home interference can explain this effect, by playing a mediating role; and (iii) to test the so-called loss spir...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1365-2648.2008.04630.x
更新日期：2008-06-01 00:00:00
abstract：AIM:To report literature search strategies for the purpose of conducting knowledge-building and theory-generating qualitative systematic reviews. BACKGROUND:Qualitative systematic reviews lie on a continuum from knowledge-building and theory-generating to aggregating and summarizing. Different types of literature sear...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2012.06037.x
更新日期：2013-01-01 00:00:00
abstract：AIM:To explore the relationships among various nursing homes characteristics including work environment, careworker outcomes and resident outcomes in Swiss nursing homes. BACKGROUND:In Switzerland, a growing number of older people live in nursing homes. Although research has addressed the issue of quality of nursing c...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12253
更新日期：2014-04-01 00:00:00
abstract：AIMS:To examine the experiences of health transitions for young people with intellectual disabilities and their carers and identify the implications for nursing practice. DESIGN:A systematic review and critical appraisal of qualitative, quantitative, and mixed methods studies. DATA SOURCES:A search of the relevant li...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.13985
更新日期：2019-11-01 00:00:00
abstract：AIM:This study tests a theoretical model where: (a) nurses' dispositional resistance to change is indirectly negatively related to behavioural empowerment through the mediating role of psychological empowerment; and (b) supervisors' empowering management practices buffer both the negative relationship between dispositi...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12665
更新日期：2015-09-01 00:00:00
abstract：:A discipline is 'characterized by a unique perspective, a distinct way of viewing all phenomena, which ultimately defines the limits and nature of its inquiry' (Donaldson & Crowley 1978). Further, Chinn & Jacobs (1987) define discipline as a 'branch of instruction; a body of knowledge and of systematizing that knowled...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1990.tb01913.x
更新日期：1990-07-01 00:00:00
abstract：AIM:To evaluate the effectiveness of a bundled self-management intervention (Taking control of your phosphate with the 4Ds) to improve phosphate control among adults receiving haemodialysis. BACKGROUND:Hyperphosphataemia occurs in end-stage kidney disease and is associated with increased morbidity and mortality. While...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1111/jan.13774
更新日期：2018-10-01 00:00:00
abstract：:Twenty-four family caregivers of bone marrow transplant (BMT) patients were interviewed to describe the burden of care and health outcomes (anxiety, depression, symptom distress and fatigue). A descriptive correlational research design with repeated measures was used. Data were collected in a conference room in the on...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1996.tb02926.x
更新日期：1996-11-01 00:00:00
abstract：AIM:To compare different levels of self-rated pain and determine if they predict anticipated early physical recovery in patients undergoing general and orthopaedic surgery. BACKGROUND:Previous research has indicated that average self-rated pain reflects patients' ability to recover the same day. However, there is a kn...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13331
更新日期：2017-11-01 00:00:00
abstract：AIM:This paper is a report of a systematic review to assess the effectiveness of family-focused smoking cessation interventions for people with chronic obstructive pulmonary disease and to determine what data on families are documented in studies of smoking cessation interventions. BACKGROUND:Chronic obstructive pulmo...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2007.04379.x
更新日期：2007-09-01 00:00:00
abstract：AIM:This paper is a report of a study exploring the role and practice of nurse anaesthetists, with particular attention to describing how it is 'nursing'. BACKGROUND:In many countries, there is no nurse anaesthetist role. Recent events suggest that hesitancy about the role may be changing in Canada. Yet, there is limi...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2009.05207.x
更新日期：2010-03-01 00:00:00
abstract：AIM:This paper is a report of a study to evaluate the construct validity of the four-dimensional Caring Nurse-Patient Interaction-Short Scale using confirmatory factor analysis. BACKGROUND:Validating theoretical structures of caring is an ongoing challenge in the discipline of nursing. Our previous work has contribute...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2007.04566.x
更新日期：2008-03-01 00:00:00
abstract：AIM:To examine how home nurses' turnover intentions are affected by the quality and frequency of supervisory feedback and by their own self-efficacy. BACKGROUND:Little is known about effective retention strategies for the growing home healthcare sector that struggles to retain an adequate workforce. While the work env...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12747
更新日期：2015-12-01 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：:Capturing essential elements of the client-nurse relationship is an ongoing quest for nursing theorists and practitioners. The concepts which can describe this relationship may in fact have a long history of study in nursing and related disciplines. The concept of intimacy does have a trail of previous study. Giving c...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.1994.tb01073.x
更新日期：1994-02-01 00:00:00
abstract：:By reviewing the literature, this paper explores the nature and function of sleep. Most of the evidence for the functional theories of sleep has been obtained as a result of examining the effects of sleep deprivation, the physiological, emotional and behavioural effects of which are discussed. There is a discussion on...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb01599.x
更新日期：1991-12-01 00:00:00
abstract：:Numerous studies have documented the high prevalence of psychological and emotional disorders in patients seen in general medical settings. However, despite the emphasis placed on holistic approaches to nursing care in all professional models of nursing practice, much of this distress is still missed by nursing staff....
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb03368.x
更新日期：1991-09-01 00:00:00
abstract：:Hospital noise pollution: an environmental stress model to guide research and clinical interventions This commentary provides an expanded environmental stress model. Conceptual relationships between ambient stressors, ambient stress, and health are detailed. A three-part intervention, enhancement of person-environment...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.2000.01307.x
更新日期：2000-03-01 00:00:00
abstract：AIM:This study explores the current state of collaboration and communication between nurses and general practitioners in nursing homes, as well as needs and expectations of nursing home residents and their families. Finally, we aim to develop a new model of collaboration and communication. BACKGROUND:Rising numbers of...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/jan.12545
更新日期：2015-02-01 00:00:00
abstract：AIM:This paper presents findings from a study that was designed to understand, from the perspective of cancer patients and their family caregivers, what spiritual care is wanted from nurses. BACKGROUND:Distressing and transformative spiritual responses to living with cancer have been documented. Although there is mome...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2004.03285.x
更新日期：2005-02-01 00:00:00
abstract：:The patient allocation paradigm of nursing care is slowly superseding the task allocation paradigm. A research study reported here upon the introduction of patient allocation in a maternity hospital found that patients experienced few significant changes in their satisfaction; similar to previous studies this research...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1986.tb01292.x
更新日期：1986-09-01 00:00:00
abstract：AIM:The aim of this study was to examine how patient safety indicators and processes and structures of nursing care have changed since the 2012 introduction of Swiss Diagnosis-Related Groups. BACKGROUND:Diagnosis-Related Groups have been implemented worldwide; yet, research findings regarding their impact on efficienc...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/jan.13287
更新日期：2017-07-01 00:00:00
abstract：:The provision by nurses of appropriate levels of care for people with dementia is considered to be adversely affected by the inadequate provision of post basic education. This paper reports on a study that seeks to evaluate the effectiveness of a brief educational programme for charge nurses caring for people with dem...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00714.x
更新日期：1998-09-01 00:00:00
