Abstract:
AIM:This paper presents the findings of a staff survey conducted at a 350-bed acute care facility located on the periphery of Toronto, Canada. BACKGROUND:Toronto's severe acute respiratory syndrome (SARS) crisis resulted in trauma-like effects at hospitals hardest hit by the disease. A systematic examination of the impact on staff working in hospitals that saw relatively few cases, while maintaining the precautions associated with elevated alert levels, has not been undertaken. METHODS:A questionnaire was distributed for 1 month commencing 17 April 2003 and 300 completed responses were obtained (approximately one in six staff members). The data collected included demographic and occupational information, in addition to perceptions of SARS' impact on patient care, factors contributing to adverse impacts on patient care, working conditions, decision-making, communication and relations, sources of support, and the impact on workers' lives outside work. Items for these sections were developed by a multi-disciplinary team of health care workers and hospital administrators. RESULTS:In the absence of pre-SARS normative data for the survey, demographic and occupational variables were used to look for patterns of differences between relevant subgroups of respondents. Statistically significant differences were found for gender (73.9% women), nurses (24.7%) vs. others, doctors (20.3%) vs. others, older (40 years or older, 60.0%) vs. younger persons, emergency or intensive care unit workers (8.0%) vs. others, and those employed fewer years at the hospital (less than 5 years: 46.2%) vs. five or more years. These differences varied across the following domains: factors adversely affecting patients, communications, support, working conditions, decision-making and, to a lesser extent, impact on life outside work. While all groups found SARS stressful, nurses reported a greater impact on morale and job satisfaction. Nurses relied more on peer support than doctors, felt less informed and less involved in decision-making than doctors felt, and were more likely to report that infection control procedures were not strict enough. CONCLUSIONS:The between-group differences and the pattern of these differences clearly illustrate the polarizing and stressful impact SARS had at a hospital with only a small number of probable or suspect cases. The clear differences between groups defined by demographics, professions and clinical roles suggest a subtle and pervasive secondary impact of the SARS outbreak, with repercussions health care facilities must contend with while maintaining increased levels of vigilance in the wake of SARS.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Tolomiczenko GS,Kahan M,Ricci M,Strathern L,Jeney C,Patterson K,Wilson Ldoi
10.1111/j.1365-2648.2005.03366.xkeywords:
subject
Has Abstractpub_date
2005-04-01 00:00:00pages
101-10issue
1eissn
0309-2402issn
1365-2648pii
JAN3366journal_volume
50pub_type
杂志文章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: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:AIM:To explore how patients with acute abdominal pain describe their experiences of fundamental care across the acute care episode. BACKGROUND:Acute abdominal pain is one of the most common conditions to present in the acute care setting. Little is known about how patients' fundamental care needs are managed from pres...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12880
更新日期:2016-04-01 00:00:00
abstract::This paper explores the efficacy of reflective practice within the context of clinical supervision. It examines some potential limitations that reflective practice has within the context of clinical supervision drawing upon the literature and the early stages of the author's empirical work. It concludes that whilst th...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1998.00528.x
更新日期:1998-02-01 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::This paper examines the British provision for advanced education in psychiatric nursing. Information was derived from a review of the literature, personal contacts with nurse educationalists, and an undergraduate project supervized by the author. After operationally defining advanced education, the paper describes cou...
journal_title:Journal of advanced nursing
pub_type: 历史文章,杂志文章
doi:10.1111/j.1365-2648.1985.tb00533.x
更新日期:1985-09-01 00:00:00
abstract::The clinical learning environment (CLE) is an interactive network of forces influencing student learning outcomes in the clinical setting. This study used mixed methods to identify factors characterizing students' perceptions of the CLE. The sample consisted of 229 undergraduate students in the second or third year of...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.19970251299.x
更新日期:1997-06-01 00:00:00
abstract::Nurses will often be at the forefront in a health care team which decides that it is ethically acceptable to allow a particular patient to die but the possibility of actually killing another patient who requests his own death is met with heartfelt resistance. This paper explores the distinction between killing and let...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.21050911.x
更新日期:1995-05-01 00:00:00
abstract:AIMS: This paper is a report of the development and testing of a questionnaire measuring knowledge and skills of cancer clinical trials nurse in Australia. BACKGROUND: The role of cancer clinical trials nurse, widely acknowledged as an integral member of the clinical research team, has evolved in recent years. Eleme...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05816.x
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Children's emergency hospital use is of concern internationally, but there has been little examination of home care by nurses. AIMS:To examine the care provided by community children's nurses during acute illness. DESIGN:Triangulation of findings from case studies of three Community Children's Nursing Team...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.12141
更新日期:2013-11-01 00:00:00
abstract:AIM:This article is a report of a grounded theory study of the influence of emotions on women's selection of a method of childbirth. BACKGROUND:There is substantial evidence to indicate that a pregnant woman's emotions play an important role in the decision-making process of selecting a child delivery method. Despite ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05656.x
更新日期:2011-10-01 00:00:00
abstract::The growing prevalence of chronic illness is due, in large part, to the control and/or eradication of infectious diseases as well as, in North America, the increasingly aged population and overall lengthening life span. Although the trajectory of chronic illness is in a generally downward direction, the rate of progre...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1983.tb00463.x
更新日期:1983-09-01 00:00:00
abstract::This paper summarizes a research study inquiring into the attitudes of qualified nursing staff and nursing auxiliaries towards stroke patients in general medical wards. The survey was undertaken on eight mixed-sex general medical wards in a large general hospital. All wards are used for clinical nursing experience for...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1991.tb01562.x
更新日期:1991-11-01 00:00:00
abstract:AIMS:This study compared the work-related experiences and personal health status of double-duty caregivers with those of caregivers who do not provide informal care to a family member or close friend in need. BACKGROUND:The interest in providing informal care alongside employment is growing. However, little attention ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12320
更新日期:2014-07-01 00:00:00
abstract:AIM:This paper is a report of a study to examine the relationship between health-related admission factors and post-hospital physical function at 3, 6, 9 and 12 months in older adult nursing facility residents. BACKGROUND:Physical functional decline is a significant health problem for older adults and has far-reaching...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04612.x
更新日期:2008-05-01 00:00:00
abstract:AIMS:The aim of this study was to examine the effectiveness of a scheduled 30-min nap and its interaction with individual factors on sleepiness and cognition during an 8-hr night shift. DESIGN:This prospective, within-subjects study conducted between 2011-2014 compared sleepiness and cognition with/without a nap durin...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14031
更新日期:2019-11-01 00:00:00
abstract:AIM:This paper is a report of a study to investigate the self-reported competence of home nursing staff and whether this is associated with their education, job descriptions, access to help and support and with factors in their psychosocial work environment, such as opportunities for personal growth and development at ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04747.x
更新日期:2008-10-01 00:00:00
abstract:AIMS:This paper reports a study to investigate the relationships between informal and formal care, changing relationships over time, impact of integrated care, and theoretical and methodological lessons that can be drawn from research on this topic. BACKGROUND:The ratio of informal to formal care provided in nursing h...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03299.x
更新日期:2005-02-01 00:00:00
abstract:AIM:This paper presents a conceptual analysis of the concept of bio-power in the context of nursing, including a critique of the widespread rhetoric that nursing is deprived of power and consequently is an apolitical agency. BACKGROUND:Traditionally, power tends to be defined in terms of repression, interdiction and p...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2005.03432.x
更新日期:2005-06-01 00:00:00
abstract:AIMS:To explore the impact of bracing on the perceptions of body image, happiness and satisfaction of adolescents with scoliosis. DESIGN:The study was designed as compare of 134 girls and 16 boys who wore a Boston type brace for scoliosis treatment and a control group of 99 healthy girls and 51 healthy boys. All them ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01900.x
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:Although important progress has been made during the past decade, research on pain in people with intellectual disabilities is still scarce. Pain assessment in people with intellectual disabilities is a frequent and difficult problem, especially for nurses working with people with intellectual disabilities o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02884.x
更新日期:2004-02-01 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:AIMS:To review, discuss and compare nursing and midwifery regulatory and professional bodies' scope of practice and associated decision-making frameworks. BACKGROUND:Scope of practice in professional nursing and midwifery is an evolving process which needs to be responsive to clinical, service, societal, demographic a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12660
更新日期:2015-08-01 00:00:00
abstract::The importance of nursing theories and models for the growth and development of the profession of nursing is widely acknowledged. The variety of nursing phenomena and situations demands some flexibility in the choice of specific conceptualizations to be used. This paper demonstrates the goodness of fit of the Betty Ne...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01838.x
更新日期:1990-04-01 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:AIMS:The aim of this study was to test a symptom cluster model in chronic kidney disease patients based on the Theory of Unpleasant Symptoms, accounting for the relationships between influencing factors, symptom experience and consequences for quality of life. BACKGROUND:The evaluation of symptom clusters is a new fie...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13303
更新日期:2017-10-01 00:00:00
abstract:AIM:The aim of the study was to evaluate the changes in symptoms and quality of life in people with puborectalis dyssynergia after biofeedback by using Short Form-36 and Patient Assessment of Constipation Quality of Life Questionnaire. BACKGROUND:Biofeedback is an effective treatment in clinical symptoms for puborecta...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05593.x
更新日期:2011-06-01 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: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:AIM:The aim of this study was to test hypotheses associated with a model which explains individuals' readiness in early stages of a change. BACKGROUND:In an effort to improve the quality of nursing care, hospitals in the United States of America seek to obtain Magnet recognition. While it is commonly known that Magnet...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05012.x
更新日期:2009-07-01 00:00:00