Abstract:
BACKGROUND:The recent government decision to fund the costs of Registered nursing time in long-term care facilities in England through the Registered Nurse Contribution to Care renders the need to distinguish the role of Registered General Nurses (RGNs) from that of Care Assistants (CAs) in nursing homes increasingly important. AIM:The objective of this qualitative study was to obtain an in-depth understanding of the main differences between the roles and functions of RGNs and CAs working in nursing homes in the United Kingdom (UK). DESIGN:Data were collected through interviews with nine RGNs and 12 CAs employed in four different nursing homes across England. FINDINGS:Our findings suggest that RGNs have difficulty defining and limiting their roles because they have all-embracing roles, doing everything and anything within the home. By contrast, CAs define their role in terms of what they are not allowed to do. This difficulty in limiting their role, in addition to their sense of professional accountability for residents' care, leads RGNs to experience difficulty in delegating tasks to CAs. Both RGNs and CAs agreed that an increase in the number of assistive staff is needed to provide residents with good quality care and suggested that a measure of resident dependency would be a good method by which to determine staffing levels. CONCLUSIONS:We recommend that job descriptions that clearly define the roles and responsibilities of both RGNs and CAs are developed so that caregivers at all levels understand each others' roles and work together to co-ordinate, plan and provide residents' care.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Perry M,Carpenter I,Challis D,Hope Kdoi
10.1046/j.1365-2648.2003.02649.xkeywords:
subject
Has Abstractpub_date
2003-06-01 00:00:00pages
497-505issue
5eissn
0309-2402issn
1365-2648pii
2649journal_volume
42pub_type
杂志文章,多中心研究abstract:AIM:This paper is a report of a study conducted to explore how the family members of older people who will undergo haemodialysis treatment for the rest of their lives perceive participation. BACKGROUND:The rights of families to participate in treatment and health care are supported by international law, and by nationa...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05854.x
更新日期:2012-08-01 00:00:00
abstract::The purpose of this study was to describe the problems of HIV-infected patients, hospitalized for Pneumocystis carinii pneumonia (PCP), as documented in the nursing care plan and to examine differences in the number and type of activated patient problems and patient outcomes between manually generated, computer-suppor...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01140.x
更新日期:1994-04-01 00:00:00
abstract:AIM:The aim of this paper is to describe guidance for nurses today from the lessons learned by nurses who served in the Vietnam War. BACKGROUND:There is little research focusing on nurses' experiences in the Vietnam War. Lessons learned and subsequent advice from nurses who served in Vietnam may be helpful to those se...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03335.x
更新日期:2005-03-01 00:00:00
abstract:AIMS:To develop and psychometrically test a Theory of Planned Behaviour (TPB) questionnaire to assess nurses' intention to use physical restraints (PRs) in intubated patients. DESIGN:A psychometric instrument validation study conducted in three phases. METHODS:A theory-driven questionnaire was developed. Eight expert...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14046
更新日期:2019-09-01 00:00:00
abstract:AIM:To clarify the anxieties experienced by liver transplant recipients and their methods of coping during pregnancy and delivery. BACKGROUND:The recent increase in liver transplantation among adults and the growth in the number of paediatric (until reproductive age) liver transplant recipients have caused an increase...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12957
更新日期:2016-08-01 00:00:00
abstract:AIMS: To test a model that suggests the ward's climate of service facilitates nurses' patient-centred care behaviours through its effect on nurses' work engagement. BACKGROUND: Organizational efforts to promote patient-centred care focused on interventions aimed to improve nurses' communication skills, or to improve...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05834.x
更新日期:2012-06-01 00:00:00
abstract:AIM:This paper is a report of a study of the views of prisoners about health services provided in prisons. BACKGROUND:Prison provides an opportunity for a 'hard to reach' group to access health services, primarily those provided by nurses. Prisoners typically have high health and social needs, but the views and experi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2007.04221.x
更新日期:2007-05-01 00:00:00
abstract:AIM:This paper is a report of a concept analysis of clinical reasoning in nursing. BACKGROUND:Clinical reasoning is an ambiguous term that is often used synonymously with decision-making and clinical judgment. Clinical reasoning has not been clearly defined in the literature. Healthcare settings are increasingly fille...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2010.05262.x
更新日期:2010-05-01 00:00:00
abstract::The purpose of this study was to identify the stressors perceived by individuals with rheumatoid arthritis (RA) and to describe coping strategies used to cope with illness-related stressors and their perceived effectiveness. Data were collected from 53 patients attending a rheumatology clinic. Results revealed that pa...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.19970251144.x
更新日期:1997-06-01 00:00:00
abstract:AIMS:To raise awareness of critical care nurses' cognitive bias in decision-making, its relationship with leadership styles and its impact on care delivery. BACKGROUND:The relationship between critical care nurses' decision-making and leadership styles in hospitals has been widely studied, but the influence of cogniti...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13142
更新日期:2017-02-01 00:00:00
abstract:AIM:To examine and describe disciplinary discourses conducted through professional policy and regulatory documents in nursing and midwifery in Ireland. BACKGROUND:A key tenet of discourse theory is that group identities are constructed in public discourses and these discursively constructed identities become social re...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13723
更新日期:2018-05-23 00:00:00
abstract:AIMS:To report a study of the negotiation practices of neurorehabilitation nurses with one another and with allied health professionals to understand nursing relations. BACKGROUND:Negotiated order theory offers a promising theoretical lens with which to explore negotiation between nurses and other professionals. This ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.12041
更新日期:2013-08-01 00:00:00
abstract:AIM OF THE STUDY:This paper reports a two-part study relating to the further psychometric development of the Mental Health Problems Perceptions Questionnaire. BACKGROUND:The instrument was developed and used originally in a study to investigate the role of district nurses in caring for people with mental health proble...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01696.x
更新日期:2001-03-01 00:00:00
abstract::Caring as a central concept within nursing has led to the development of several caring theories, the most well known being Madeleine Leininger's Theory of Culture Care and Jean Watson's Theory of Human Caring, both of which were formulated in the 1970s. This paper explores a total of four caring theories: the two est...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1999.01214.x
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:In a resident-oriented care model the assignment of patients to primary nurses takes place. These primary nurses are responsible for the total nursing care of their patients and make use of the nursing process. According to job demand-control models, these enlarged and enriched jobs can be described in terms...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02956.x
更新日期:2004-03-01 00:00:00
abstract:AIM:This study aimed to explore the role and impact of advanced practice nurses (APNs) in care of patients following fragility hip fracture by systematically reviewing the available evidence. REVIEW DESIGN:Systematic review. DATA SOURCES:A search of the databases Ovid Medline, CINAHL, Embase, Emcare, Cochrane Library...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14692
更新日期:2020-12-15 00:00:00
abstract::Families are rapidly becoming unpaid givers of complex care. Using McKeehan & Coulton's systems model, this critique reviews the evolution of the structure and processes of discharge planning programmes. It explores three common assumptions: discharge planning programmes are cost-effective, allow for enhancement of pa...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1994.tb01112.x
更新日期:1994-03-01 00:00:00
abstract:AIMS:The aim of this study was to determine whether there was a direct relation between sexual orientation and sexual practices involving penetration; to analyse whether condom use in the first sexual relation was conditioned by sexual orientation; to verify whether consistent condom use in sexual relations was determi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13147
更新日期:2017-03-01 00:00:00
abstract::This paper describes videotaped recording as a data collection method when conducting participant observation in a psychiatric nursing study. The videotaped episodes were part of the daily life of psychiatric nursing in a hospital environment. The advantages and limitations of using videotaped recording in nursing res...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01383.x
更新日期:2000-05-01 00:00:00
abstract:TITLE:Surgical facial cancer treatment: the silencing of disfigurement in nurse-patient interactions. AIM:The aim of this study was to explore and explain how disfigurement is addressed in interactions between patient and nurse during the period in hospital immediately after undergoing disfiguring facial surgery. BAC...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2009.05102.x
更新日期:2009-11-01 00:00:00
abstract:AIM:To describe temporary and permanent separation patterns and changes in nursing practice over 5 years, for the 2006 cohort of nurses aged ≥50 years in New Zealand. BACKGROUND:As ageing populations increase demand on nursing services, workforce projections need better information on work and retirement decision-maki...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12426
更新日期:2014-12-01 00:00:00
abstract:AIMS:The aim of this study was to describe the layperson's knowledge and perceptions regarding the aetiology, pathogenesis, prevalence, medical evaluation, diagnosis and treatment of irritable bowel syndrome. BACKGROUND:Diagnosis acceptance and adherence to treatment is influenced by the views of the patient's social ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13521
更新日期:2018-05-01 00:00:00
abstract:AIMS:To report a study of patients' views of patient-centred care. The study aimed to explore patients' understanding and conceptualization of patient-centred care and link it to existing literature on the topic. BACKGROUND:Patient-centred care currently lacks a widely accepted definition, with much of the literature ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05965.x
更新日期:2012-12-01 00:00:00
abstract:AIM:To determine the cost effectiveness of increasing nurse staffing or changing the nursing skill mix in adult medical and/or surgical patients? BACKGROUND:Research has demonstrated that nurse staffing levels and skill mix are associated with patient outcomes in acute care settings. If increased nurse staffing levels...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12577
更新日期:2015-05-01 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:AIM:To evaluate the efficacy of metacognitive group training in reducing psychotic symptoms and improving cognitive insight and functions in people with schizophrenia. DESIGN:Randomized controlled trial. It was carried out between July 2019 -February 2020. METHODS:Fifty-six patients with schizophrenia were enrolled a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14627
更新日期:2020-11-22 00:00:00
abstract:AIM:This paper is a report of a study to examine the construction of the stereotype of male nurses as gay, and to describe how this discourse impacts on a group of New Zealand male nurses. BACKGROUND:A discourse stereotyping male nurses as gay is accompanied by one which privileges hegemonic masculinity and marginaliz...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2007.04447.x
更新日期:2007-12-01 00:00:00
abstract:AIMS:To analyse the changes in senior students' opinions about the nursing profession over a 10-year period. DESIGN:A descriptive and comparative study. METHOD:Data were collected using a questionnaire form, which was completed by 400 senior high school students in Çankiri city center during 2007-2008 (Group 1) and 2...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14403
更新日期:2020-04-30 00:00:00
abstract:BACKGROUND:Changing health care practice is commonly attempted by feedback of performance data measured by clinical audit. However, empirical evidence of the effectiveness of clinical audit in changing practice is limited. Few studies have attempted to evaluate practice development or clinical outcomes within the conce...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.02228.x
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:Only a few studies are available of team supervision and its challenges to supervisors. A multiprofessional team supervision project was accomplished in 1995-1998 in one university hospital in Finland. Eighty-two practitioners from five wards participated in the project and 10 experienced supervisors impleme...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02192.x
更新日期:2002-05-01 00:00:00