Abstract:
AIM:This paper discusses some of the findings of a qualitative study which described the decision-making processes that occurred during multidisciplinary meetings when prioritizing hospice inpatient admissions. BACKGROUND:Healthcare rationing and resource allocation have been identified as important but under-represented issues in the British nursing literature generally, and specifically within the field of palliative care. Little evidence currently exists about the rationing decisions made at a clinical level in hospices or palliative care units. METHOD:Adopting an ethnographic approach, data were collected at three hospice sites from three meetings at each site by observation, tape recording and transcribing of the meeting dialogue and examination of the available documentation from admissions meetings. The data were collected in 2002. RESULTS:Factors identified as potentially influential in these decisions included patient diagnosis, symptoms, current location and the stated reason for admission. The person who had assessed the patient's need for admission and whether or not a patient was personally known to a clinician present at the meeting also appeared important. The process seemed complex and incorporated different decision-making methods. Analysis of the group interactions suggested that these meetings were predominantly medically-led. CONCLUSION:Palliative care nurses need to examine their beliefs and practices in relation to how hospice inpatient care is prioritized, and develop sound evidence-based arguments in order to strengthen their role and influence in these important decisions for the benefit of patients. Further research is needed to achieve a greater understanding of these types of decision-making processes.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Eagle LM,de Vries Kdoi
10.1111/j.1365-2648.2005.03630.xkeywords:
subject
Has Abstractpub_date
2005-12-01 00:00:00pages
584-91issue
6eissn
0309-2402issn
1365-2648pii
JAN3630journal_volume
52pub_type
杂志文章abstract::The study examined the relationships among participation in outpatient rehabilitation, health locus of control, and mastery of stress with coronary artery disease completed the Master of Stress Instrument (MSI) and the Multidimensional Health Locus of Control Scale. One fourth of the sample had participated in the hos...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.22020294.x
更新日期:1995-08-01 00:00:00
abstract:AIMS:To explore the motivation of family members of patients at high risk for sudden cardiac death for undertaking cardiopulmonary resuscitation (CPR) training. BACKGROUND:Home cardiac arrests are associated with poor outcomes because few family members learn CPR. Little is known about factors that motivate family mem...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13923
更新日期:2019-04-01 00:00:00
abstract:AIMS:To identify the variables that affect family management of childhood atopic dermatitis and establish a prediction model based on Bandura's self-efficacy theory. BACKGROUND:Atopic dermatitis is a chronic recurrent skin disease and common health problem in childhood. It is necessary to use an approach that includes...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13551
更新日期:2018-06-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2011.05659.x
更新日期:2011-09-01 00:00:00
abstract::Estimation is the most commonly used method to determine blood loss. According to the literature, estimating blood loss is not exact; there are wide margins of error and blood loss tends to be underestimated. Forty-two registered nurses were asked to estimate varied amounts of blood on 20 peripads. Both over- and unde...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1982.tb00223.x
更新日期:1982-03-01 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::This article distinguishes two approaches within care theory, relating them to different views on the physician-patient relationship within philosophy of medicine. The first regards care as a skillful comportment by the care-giver, based upon intuitive insight into the needs of the care-receiver. The second regards ca...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.00985.x
更新日期:1999-05-01 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:AIM:To analyse the concept of transformational leadership in the nursing context. BACKGROUND:Tasked with improving patient outcomes while decreasing the cost of care provision, nurses need strategies for implementing reform in health care and one promising strategy is transformational leadership. Exploration and great...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13049
更新日期:2016-11-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03723.x
更新日期:2006-02-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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更新日期:2020-04-17 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02256.x
更新日期:2002-07-01 00:00:00
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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
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02315.x
更新日期:2002-09-01 00:00:00
abstract:AIM:This paper reports a study evaluating baseline competence levels among Emergency Nurse Practitioners using an Objective Structured Clinical Examination. The study also aimed to document change in competence over time and following an educational intervention. BACKGROUND:Emergency Nurse Practitioners form an increa...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03408.x
更新日期:2005-05-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03840.x
更新日期:2006-05-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1993.18091498.x
更新日期:1993-09-01 00:00:00
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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:AIMS:To identify significant patient and system access barriers and facilitators to dermatology care in one rural health system with limited dermatology appointment availability. DESIGN:Mixed methods study using data from electronic medical records, patient surveys, stakeholder semi-structured interviews, and service ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14604
更新日期:2020-10-24 00:00:00
abstract:BACKGROUND:Adolescent pregnancy has become a main issue in the health care system for aborigines in eastern Taiwan. Using aboriginal nurses to provide information on sexual behaviour may have potential as a means of promoting healthy sexual practices among aborigines. Aim. To explore aboriginal nurses' perspectives on ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02533.x
更新日期:2003-02-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00833.x
更新日期:1998-12-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12948
更新日期:2016-08-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1988.tb02853.x
更新日期:1988-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2007.04499.x
更新日期:2008-02-01 00:00:00
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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 identify, critically appraise and summarize the measurement properties of instruments to assess self-care in healthy children. BACKGROUND:Assessing self-care is a proper consideration for nursing practice and nursing research. No systematic review summarizes instruments of measurement validated in healthy child...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.13360
更新日期:2017-12-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2007.04220.x
更新日期:2007-04-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1984.tb00347.x
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:Autonomy plays an important part in nurses' job satisfaction and retention, but the literature shows that they are often dissatisfied with this aspect and want better working conditions and greater autonomy in decision-making. AIMS:The aim of this study was to examine the role that nurse managers have in en...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2003.02893.x
更新日期:2004-02-01 00:00:00
abstract:AIM:To explore the differences in perceived patient safety culture in cancer nurses working in Estonia, Germany, the Netherlands, and the United Kingdom. DESIGN:An exploratory cross-sectional survey. METHODS:In 2018, 393 cancer nurses completed the 12 dimensions of the Hospital Survey on Patient Safety Culture. RESU...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14177
更新日期:2019-12-01 00:00:00