Abstract:
BACKGROUND:Advances in knowledge in the biomedical and psychosocial sciences have expanded our understanding of schizophrenia and of how it evolves in people living with it. These individuals are no longer viewed as being 'ill' and requiring long-term hospitalisation. We have come instead to have a much more positive view of them and of the role they can play in coming to terms both with their health condition and with society. In the majority of cases, schizophrenia sufferers have the potential to recover. AIMS:The purpose of this study is to propose a theoretical explanation of recovery based on the concept of human responses put forward by the American Nurses' Association. PARTICIPANTS:Data were collected from 41 participants (16 people living with schizophrenia, 5 family members, 20 health professionals). Selection criteria required the people living with schizophrenia to be in stable health, see themselves as being in the process of recovery, and be able to speak about it. Family members were expected to have displayed a strong bond with their relative living with schizophrenia, and the health professionals to have had at least 3 years experience dealing with schizophrenia patients. METHOD:The Grounded Theory approach was selected because it allows for diversified data sources to be used in the empirical study of a phenomenon. It is an appropriate approach for the conceptualization of complex phenomena and the development of middle-range theory. To ensure a variety of subjects were involved, semi-structured interviews were conducted in three different settings: a specialised psychiatric hospital, a self-help group, and a community setting. FINDINGS:Seven categories emerged from the analysis and conceptualization: perceiving schizophrenia as a 'descent into hell'; igniting a spark of hope; developing insight; activating the instinct to fight back; discovering keys to well-being; maintaining a constant equilibrium between internal and external forces; and, finally, seeing light at the end of the tunnel. Comparison of these categories led to their being consolidated into a core category in which recovery is defined as a 'process involving intrinsic, non-linear progress that is primarily generated by the role as actor that the individual adopts to rebuild his or her sense of self and to manage the imbalance between internal and external forces with the objective of charting a path through the social world and regaining a sense of well-being on all biopsychosocial levels.' CONCLUSION:This study of recovery from schizophrenia is conceptualised from the nursing perspective: the concept of 'Human Responses' [American Nurses Association (ANA), 1980. Nursing: A Social Policy Statement. ANA, Kansas City, MO; American Association of Neuroscience Nurses (AANN's), 2001. AANN's Neuroscience Nursing: Human Responses to Neurologic Dysfunction, second ed. W. B. Saunders Company, Philadelphia]. It was possible to go beyond a descriptive analysis and bring out the dynamics of the process through a detailed, in-depth presentation of the recovery process. The theoretical explanation we have postulated is based on the inner resources of individuals diagnosed with schizophrenia and their potential to make a recovery.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Noiseux S,Ricard Ndoi
10.1016/j.ijnurstu.2007.07.008subject
Has Abstractpub_date
2008-08-01 00:00:00pages
1148-62issue
8eissn
0020-7489issn
1873-491Xpii
S0020-7489(07)00171-Xjournal_volume
45pub_type
杂志文章abstract:OBJECTIVES:The aim of the current study was twofold. First, we explored whether there were any differences concerning organisational characteristics, work characteristics and psychological work reactions in two types of health care setting, hospitals and nursing homes. Second, it was investigated and validated whether ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.06.007
更新日期:2006-05-01 00:00:00
abstract::In this paper, issues in Internet recruitment of ethnic minorities in the US are explored through an analysis of an Internet survey study. The issues include those related to: (a) the difficulties in ensuring authenticity; (b) a lack of cooperation by gate keepers; (c) the flexibility required in the recruitment proce...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.01.002
更新日期:2005-11-01 00:00:00
abstract::The meaning of dignity in health care has been primarily explored using interviews and surveys with various patient groups, as well as with health care practitioners. Philosophical analysis of dignity is largely avoided, as the existing philosophical literature is complex, multifaceted and of unclear relevance to heal...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.06.010
更新日期:2016-09-01 00:00:00
abstract::This paper reviews the debate concerning the relationship between dietary fats and heart disease. The paper also addresses the questions "should nurses persuade patients with heart disease to follow a low-fat, low-cholesterol diet?", "If so, will patients be less liable to a heart attack?" and "are such recommendation...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(83)90016-0
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Disability due to back pain in nurses results in reduced productivity, work absenteeism and attrition from the nursing workforce internationally. Consistent use of outcome measures is needed in intervention studies to enable meta-analyses that determine efficacy of back pain preventive programs. OBJECTIVE:T...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.10.013
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Nurses caring for the large numbers of people with leg ulceration play a key role in promoting quality in health via their diagnostic and treatment clinical judgements. In the UK, audit evidence suggests that the quality of these judgements is often sub optimal. Misdiagnosis and incorrect treatment choices a...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2014.09.004
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Although trust has been investigated in the health context, limited research explores nurse and nurse manager perceptions of trust. OBJECTIVE:To explore the concept of trust amongst nurses and nurse managers at individual, interpersonal and organisational levels. DESIGN:Our paper reports the findings from ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.10.003
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:The population is ageing globally. Older people are more likely to have chronic diseases and disabilities and have contact with health services. Attitudes of healthcare professionals affect the quality of care provided and individual career preferences. AIM:To examine the international research relating to ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.11.021
更新日期:2013-09-01 00:00:00
abstract::This paper reports on the findings of a pilot study that collated and categorised a range of Welsh-medium chronic pain descriptors and their conceptually equivalent English translations in order to provide a preliminary basis for chronic pain assessment amongst patients in the bilingual community of North West Wales. ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(03)00055-5
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:This cross-sectional study addresses the relationship between organisational and social factors and burnout in a group of registered and assistant nurses in Sweden. OBJECTIVE:The main objective of the study was to analyse the relationship (and the specific relationship patterns) between three different work...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2006.01.004
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:A high prevalence of postpartum physical symptoms and depressive symptomatology has been reported in Western countries. Although previous studies have shown postpartum physical symptoms and emotional problems are correlated, a causal relationship between the two variables has not been established. OBJECTIVE...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.02.007
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Aging is a normal degenerative process that results in a decline in the gait and balance performance of older adults. Interactive cognitive motor training is an intervention that integrates cognitive and motor tasks to promote individuals' physical and cognitive fall risk factors. However, the additive effec...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2018.03.015
更新日期:2018-06-01 00:00:00
abstract::The aim of this study was to evaluate the effects of locus of control and work-related stress on burnout in hospital staff nurses. A convenience sample of 361 staff nurses from nine units in five German hospitals were surveyed using the Maslach Burnout Inventory, the Locus of Control Questionnaire and a Work-Related S...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/s0020-7489(99)00069-3
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:Aggressive behavior and violence directed by patients at nurses are increasing worldwide. Aggressive behavior against nurses in their workplace can result in personal problems, such as impairment of physical and mental well-being, and, consequently, in organizational problems. Underreporting of patients' agg...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.12.011
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Ever-growing demands on care systems have increased reliance on healthcare support workers. In the UK, their training has been variable, but organisation-wide failures in care have prompted questions about how this crucial section of the workforce should be developed. Their training, support and assessment h...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2017.11.010
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Nursing home residents with dementia experience increased risk for compromised eating performance due to intrapersonal, interpersonal, and environmental factors. Environmental stimulation is physical, social, and/or sensory stimulation present in the environment that can potentially trigger individuals' emot...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2017.03.004
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Nurses' clinical judgement plays a vital role in pressure ulcer risk assessment, but evidence is lacking which patient characteristics are important for nurses' perception of patients' risk exposure. OBJECTIVES:To explore which patient characteristics nurses employ when assessing pressure ulcer risk without...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.09.005
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Cognitive impairment can reduce the self-care abilities of heart failure patients. Theory and preliminary evidence suggest that self-care confidence may mediate the relationship between cognition and self-care, but further study is needed to validate this finding. OBJECTIVES:The aim of this study was to tes...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.04.016
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:The handover and transport of critically ill pediatric patients requires communication amongst multiple disciplines. Poor communication is a leading cause of sentinel events and human factors affect handover and transport. OBJECTIVES:To synthesize published data on pediatric handover and transport and ident...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.07.020
更新日期:2016-10-01 00:00:00
abstract:PROBLEM STATEMENT:Nurses have one of the highest rates of work-related musculoskeletal injury of any profession. Over the past 30 years, efforts to reduce work-related musculoskeletal disorders in nurses have been largely unsuccessful. SPECIFIC AIMS:The primary goal of this program was to create safer working environm...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.09.004
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:Italian Nursing Faculties use a range of tutorial strategies (laboratory sessions, intensive clinical tutoring, weekly tutoring) aimed to enhance nursing students' diagnostic reasoning: these strategies have different impacts on promoting student critical thinking. By using critical thinking methods, student...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2007.10.003
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Orogastric tube feeding is used to support the nutrition of preterm infants. Although nonpharmacological methods are effective in reducing the pain caused by orogastric tube insertion, only limited studies have been found addressing this pain. No study has used combined nonpharmacological methods to reduce t...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103532
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Prenatal maternal stress is associated with adverse birth outcomes. Few studies have been published on the effectiveness of relaxation techniques focusing on women with preterm labour. OBJECTS:The object of this study was to examine the effectiveness of a relaxation training program on pregnancy outcomes in...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.09.007
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Person-centred care has been identified as the ideal approach to caring for people with dementia. Developed in relation to long stay settings, there are challenges to its implementation in acute settings. However, international policy indicates that acute care for people with dementia should be informed by t...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.03.001
更新日期:2013-11-01 00:00:00
abstract::Interest in chronic illnesses is an area for research and writing is increasing across a diverse range of disciplines. Initially of interest to medicine, chronic illness is now studied by social scientists, psychologists and health professions (for example, nurses). Predominantly, the individuals affected by particula...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(98)00013-3
更新日期:1998-02-01 00:00:00
abstract::Although aggression and violence have been increasingly viewed as a major public health problem with a biological and health basis, it has been under-researched in the nursing and health context. This paper reviews early biological risk factors for violence. These factors include pregnancy/birth complications, fetal e...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2004.06.007
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:Intravenous antibiotics are the cornerstone of treatment for patients with cystic fibrosis (CF). Midlines are a type of vascular access device (VAD) used exclusively in one treatment facility within Australia, most other centres use peripherally inserted central catheters (PICCs). OBJECTIVE:To ascertain the...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.09.002
更新日期:2014-05-01 00:00:00
abstract::This paper summarizes the results of a study analyzing the social, economic and political factors affecting the nursing education system in the Federal Republic of Germany (F.R.G.). Using a hermeneutic-dialectical approach the researcher examined the circumstances surrounding the conceptualization, implementation and ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(87)90008-3
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Child-to-parent violence is an often hidden serious problem for parental caregivers of mentally ill adult children who experience violence toward them. To date, the comprehensive dyadic parent-adult child intervention to manage child-to-parent violence is scarce. OBJECTIVE:To evaluate the effect of Child- a...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2016.03.002
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Measuring pain is important for the adequate pain management of postoperative patients. The actual compliance with pain assessment in postoperative patients after implementation of a national safety program is unknown. OBJECTIVES:The aim of this study is to examine the compliance with pain assessment in pos...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.09.001
更新日期:2016-11-01 00:00:00