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 consultations with a PN or HV trained in the management of acute minor illness. Comparative data were collected before and after the establishment of the acute minor illness service. SETTING:A general practice in Nottingham, England. MAIN OUTCOME MEASURES:Patient satisfaction, consultation rate, prescriptions, investigations, referrals and urgent re-consultations for the same condition within 2 weeks. RESULTS:About 2056 urgent consultations were recorded in the study period, of which 332 (16.1%) were seen by PNs and 46 (2.2%) by a HV. High levels of patient satisfaction were reported for all health professionals. Patients seeing the HV reported higher levels of satisfaction than those consulting GPs (P=0.033) and PNs (P=0.010). There was no difference by health professional for prescription rates (P=0.76), re-consultations (P=0.14), or referrals to secondary care (P=0.07). General practitioners were more likely to initiate further investigations than the PNs or HV (P < 0.001). CONCLUSION:With suitable training, PNs and HVs can successfully manage patients with a range of conditions. General practitioner workload can be reduced while maintaining high patient satisfaction levels.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Pritchard A,Kendrick Ddoi
10.1046/j.1365-2648.2001.02008.xkeywords:
subject
Has Abstractpub_date
2001-11-01 00:00:00pages
556-62issue
4eissn
0309-2402issn
1365-2648pii
2008journal_volume
36pub_type
杂志文章abstract::Historical and contemporary conceptualizations of caregiving have not addressed the active role of care recipients within caregiver-care-recipient relationships. Using an interpretive synthesis method, the authors developed the concept of protective care-receiving from three qualitative studies of different groups of ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1997.1997025532.x
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVES:The objective of this review was to investigate physical restraint minimization in acute and residential care settings. The first aim was to determine the effectiveness of attempts to minimize the use of physical restraint, and the second was to generate a description of the characteristics of restraint mini...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1046/j.1365-2648.2002.02422.x
更新日期:2002-12-01 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 a study conducted to (1) review and critique the published empirical research on nurses' intention to leave the profession and (2) synthesize the findings across studies. BACKGROUND:Lack of nurses and nurse turnover represent problems for the healthcare system in terms of cost, the abilit...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2010.05322.x
更新日期:2010-07-01 00:00:00
abstract:AIM:To report the development and psychometric testing of the Supportive Needs of Adolescents Breastfeeding Scale. BACKGROUND:Nurses worldwide can influence adolescent mothers' decisions to initiate and continue breastfeeding through understanding their social support needs in the early postpartum. Review of the liter...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.06119.x
更新日期:2013-03-01 00:00:00
abstract:AIMS:To examine the effects of two factors on the transmission of clinical information at nursing handover. These factors were: (i) an affective statement expressing concern about the information; and (ii) verbal reference to a written summary of the information. BACKGROUND:Quality of communication at patient handover...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jan.12484
更新日期:2015-01-01 00:00:00
abstract::This paper describes the use of focus groups in the first phase of a study to investigate the attitudes of teachers and clinical assessors to the assessment of student nurses. It offers a description of the methodology, with an analysis of its strengths and weaknesses. ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18121986.x
更新日期:1993-12-01 00:00:00
abstract::This study of 156 Dutch general hospital nurses tested a theoretically derived model of specific relationships between work stressors and stress reactions. The model proposes four central domains of the work situation, namely work content, working conditions, social and labour relations, and conditions of employment. ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01022.x
更新日期:1999-06-01 00:00:00
abstract:AIMS:The purpose of this investigation is to describe Scottish health visitors (HVs) experience of changes in their work and compare these with their Norwegian counterparts. BACKGROUND:The renewed emphasis on community health care, health promotion and illness prevention is a strong reason to focus on health visiting ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01764.x
更新日期:2001-05-01 00:00:00
abstract::This paper reviews the literature surrounding the research on how individuals solve problems. The purpose of the review is to heighten awareness amongst nurses in general, and nurse academics in particular about the theories developed, approaches taken and conclusions reached on how clinicians problem-solve. The nursi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2000.01342.x
更新日期:2000-04-01 00:00:00
abstract::The aims of this research project were to identify areas for research in Australian critical care nursing with potential for improvement in patient care, and to advise nursing research policy and priorities with relevance to areas of patients' needs. Research participants represented a national sample of clinical nurs...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1996.tb03146.x
更新日期:1996-01-01 00:00:00
abstract:AIM:This paper presents a discussion of the relation between health literacy and cultural competence in nursing practice. BACKGROUND:Cultural competence involves understanding values, beliefs, traditions and customs of diverse groups. Health literacy is the degree to which individuals can obtain, process, and understa...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05822.x
更新日期:2012-03-01 00:00:00
abstract::Despite dissatisfaction with disease-oriented models, nursing has not yet adopted a truly health-oriented paradigm. It is important that nurse theorists remain open to health-oriented conceptual models which, although developed in other disciplines, offer adaptability for nursing. In the accompanying article, Antonovs...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1989.tb03421.x
更新日期:1989-04-01 00:00:00
abstract:BACKGROUND:Cystic fibrosis (CF) is the most common inherited disease of childhood. Caring for a child with CF is stressful and this has implications for the main carer, the parental relationship, well siblings, family functioning as well as the affected child. AIM:This study aimed to explore current stresses and copin...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02299.x
更新日期:2002-08-01 00:00:00
abstract::Patient assessment underpins every aspect of nursing care. However, there is much evidence to suggest that many nurses lack the skills necessary to communicate effectively with their patients, and so assess their individual problems and concerns. Communication studies to date have been descriptive, or have concentrate...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.1996.tb02668.x
更新日期:1996-02-01 00:00:00
abstract:AIM:This paper is a report of a systematic review and meta-analysis of strategies, other than antimicrobial coated catheters, hypothesized to reduce risk of catheter-related bloodstream infections and catheter colonization in the intensive care unit setting. BACKGROUND:Catheter-related bloodstream infections occur at ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/j.1365-2648.2007.04564.x
更新日期:2008-04-01 00:00:00
abstract::This study explored members' perceptions of teamwork in two primary health care teams (PHCTs). It also examined the effect of a team-building intervention on members' perceptions centred around five topics: the PHCT, role perception, communication, leadership and conflict. The study used a qualitative approach with se...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.10911.x
更新日期:1996-05-01 00:00:00
abstract::Family dynamics, parental-fetal attachment and infant temperament The purpose of this longitudinal study of families having their first or second baby was to explore relationships among family dynamics, paternal- and maternal-fetal attachment, and infant temperament. Data were collected from 156 women and 62 of their ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01245.x
更新日期:2000-01-01 00:00:00
abstract:AIM:To determine the association between time to first analgesic medication and emergency department length of stay (ED LOS). DESIGN:Retrospective cohort study. METHOD:We conducted this study in a large, inner-city emergency department and included adult patients who presented with pain as a symptom and received anal...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14216
更新日期:2020-01-01 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::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::This qualitative study was conducted to gain an understanding of the experiences of persons with chronic pain and their relationships with family members and the family as a whole. The framework of systemic organization was used to define the areas of investigation guiding the formulation of broad questions relative t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01123.x
更新日期:1999-09-01 00:00:00
abstract::This article contrasts two clinical cases using a relatively new paradigm and theory, modelling and role-modelling. The concepts and linkages from modelling and role-modelling are presented and are the basis for analysing the outcomes of of two patients. The case study approach communicates an understanding of the the...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1989.tb01640.x
更新日期:1989-09-01 00:00:00
abstract:AIMS:To investigate the factors affecting the quality of life among adults with comorbid serious mental illness and chronic diseases. DESIGN:Descriptive, cross-sectional study design. METHODS:In total, 204 patients with serious mental illness were recruited from two hospitals. Self-reported data were collected using ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14663
更新日期:2020-11-24 00:00:00
abstract::Theories and models on the concept of nursing are reviewed briefly and their contribution then assessed in terms of their potential to advance the scientific basis of nursing practice. The constructs are acknowledged to have moved the focus of nursing from disease to patient need and provided different ways of looking...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1982.tb00218.x
更新日期:1982-03-01 00:00:00
abstract:AIM:To present a discussion of precepting through the use of symbolic interactionism as exemplified by findings from an ethnographic study. BACKGROUND:It is a well-known fact that clinical practice, where students are supervised by precepting nurses, is an important part of nursing education. Several previous studies ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.06047.x
更新日期:2013-02-01 00:00:00
abstract::Longitudinal panel studies have several distinct methodological and analytical advantages over cross-sectional studies for gaining an understanding of nurses' careers and developing strategies to facilitate retention. Panel studies do, however, present the researcher with a number of substantial challenges if maximum ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1994.20040729.x
更新日期:1994-10-01 00:00:00
abstract:AIM:A discussion which aims to explore the diversity of decision-making during teenage and young adult cancer treatment. The discussion will be related to the concepts of autonomy, dependence and decision-making in this age group. BACKGROUND:The experience of cancer involves a significant series of treatment decisions...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12669
更新日期:2015-09-01 00:00:00
abstract::This literature review discusses the evidence that modern wards divided into small bedrooms or bays, require higher nurse staffing levels. Aspects of ward design and operation such as patient privacy, nursing efficiency, patient dependency and ward organization are outlined and methods for establishing staffing levels...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1982.tb00231.x
更新日期:1982-05-01 00:00:00
abstract:AIM:To document experiences of nurses educated abroad and in the USA in 2 urban hospitals in the southeastern USA. BACKGROUND:Nurses are responsible for providing quality patient care. Discrimination against nurses in the workplace may create hostile environments, potentially affecting patient care and leading to high...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12197
更新日期:2014-02-01 00:00:00