Abstract：
AIM:This paper reports a study conducted to explore how nurses working at advanced practice level in chronic and acute care outpatient contexts responded to decision-making concerns in clinical practice. BACKGROUND:Current theoretical explanations of clinical judgement offer insight into how healthcare professionals process information; however, they are incomplete as they do not consider psychosocial issues. Research evidence informing clinical judgement practice is based largely on acute care hospital settings. Consequently, little is known about how practitioners make clinical judgements in outpatient contexts where patients can participate in their own care. METHOD:A grounded theory approach was used to analyse interview data about clinical judgements made in actual clinical practice. Twenty-one nurses working at advanced practice level in mental healthcare clinics and accident and emergency in the Republic of Ireland were recruited. Concurrent data collection and analysis, constant comparative analysis and theoretical sampling were conducted in 2002-2005. FINDINGS:The core category to emerge from the data was 'mutual intacting'. This refers to the main strategies that practitioners used to resolve concerns about eliciting patient information and selecting treatments that were acceptable to patients. It highlights the clinical judgement practices that practitioners find useful to engage patients to facilitate effective decision-making. CONCLUSION:Practitioners could draw from the various strategies identified in this research to develop their clinical judgement practice further in ways that include the development of an effective relationship with their patients. Negotiation and compromise are particularly useful strategies that should be used to facilitate effective treatment delivery that takes account of patients' circumstances.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Elliott Ndoi
10.1111/j.1365-2648.2010.05412.xsubject
Has Abstractpub_date
2010-12-01 00:00:00pages
2711-21issue
12eissn
0309-2402issn
1365-2648pii
JAN5412journal_volume
66pub_type
杂志文章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
abstract：:This paper examines the phenomenon of family 'interference' in the health care of a sick member from a new angle. The 'interfering' behaviours are located within the context of the family's evolving relationships with health care providers. The authors argue that the behaviours are an understandable product of the fam...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1984.tb00416.x
更新日期：1984-11-01 00:00:00
abstract：:The essential nature of foundational studies in nursing, which are usually called meta-theories or conceptual frameworks, is explored. There are three approaches to this type of study, namely foundationalism, language critique and philosophical analysis. The work of Orem, King and Rogers is briefly analysed as an exam...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1987.tb01333.x
更新日期：1987-05-01 00:00:00
abstract：AIM:To report a concept analysis of futility in health care. BACKGROUND:Each member of the healthcare team: the physician, the nurse, the patient, the family and all others involved perceive futility differently. The current evidence and knowledge in regard to futility in health care manifest a plethora of definitions...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.13526
更新日期：2018-06-01 00:00:00
abstract：:In nursing, a commitment to continuing education appears to be a relatively new concept. There have always been nurses who are continuing learners throughout their professional lives. Too often, this is incidental, rather than planned. There appears to be a need to re-examine current approach in continuing nursing edu...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb01533.x
更新日期：1991-10-01 00:00:00
abstract：AIM:To investigate the rate of and risk factors for perinatal depression in an Israeli ultra-orthodox Jewish community and assess the contribution of antenatal nursing intervention to reducing symptoms of postpartum depression. BACKGROUND:Perinatal depression is recognized globally as a common complication of pregnanc...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12938
更新日期：2016-07-01 00:00:00
abstract：:This paper presents a discussion on the assessment of mental competence of patients and relatives in the health care setting. Their decision-making ability is explored with particular reference to the giving of consent for nursing intervention and medical treatment. It is suggested that, in addition to obvious psychol...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1994.tb02381.x
更新日期：1994-09-01 00:00:00
abstract：AIM:This paper is a report of a study to examine the reliability and validity of a Korean version of the Revised Caregiving Appraisal Scale with Korean caregivers of older stroke survivors. BACKGROUND:The Revised Caregiving Appraisal Scale was developed in the United States of America for an American English-speaking ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1365-2648.2007.04346.x
更新日期：2007-08-01 00:00:00
abstract：:This qualitative study has aimed to explore children's, parents' and health professionals' experience of childhood chronic illness. Seven families and their professional carers participated in semistrucured interviews. The children's interviews were augmented with a 'drawing' technique. A grounded theory approach faci...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：
更新日期：2000-10-01 00:00:00
abstract：AIM:This paper is a report of a study to describe women's experiences and their self-management of postoperative pain after elective cardiac surgery. BACKGROUND:Cardiac surgery involves several pain-sensitive areas, and untreated postoperative pain may lead to chronic pain. Early discharge requires increased patient p...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2008.04727.x
更新日期：2008-09-01 00:00:00
abstract：AIM:This study explores the experience of hope for patients and staff in the context of a British stroke unit. BACKGROUND:Hope is identified as a useful concept for exploring how people find meaning in recovery from illness. Uncovering the experience of hope in acute stroke care has provided evidence that can be used ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2011.05899.x
更新日期：2012-09-01 00:00:00
abstract：AIM:To report an analysis of the concept of perinatal bereavement. BACKGROUND:The concept of perinatal bereavement emerged in the scientific literature during the 1970s. Perinatal bereavement is a practice-based concept, although it is not well-defined in the scientific literature and is often intermingled with the co...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.12119
更新日期：2013-11-01 00:00:00
abstract：:This study details a programme which emphasized nursing interventions for women at high risk for preterm birth. Preterm birth continues to be a major health problem, with ongoing research being conducted both in the United States and internationally in an effort to find causative factors. Programmes designed to preven...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1990.tb01824.x
更新日期：1990-03-01 00:00:00
abstract：:The question asked for this small research project was 'how do senior students judge their progress towards being a "good nurse"?' A qualitative approach was taken and a convenience sample of 10 student midwives identified. Interviews were the main source of data collection. Since the method of analysis was that of gr...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00496.x
更新日期：1998-01-01 00:00:00
abstract：AIM:To examine how home nurses' turnover intentions are affected by the quality and frequency of supervisory feedback and by their own self-efficacy. BACKGROUND:Little is known about effective retention strategies for the growing home healthcare sector that struggles to retain an adequate workforce. While the work env...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12747
更新日期：2015-12-01 00:00:00
abstract：:The purpose of this paper is to alert researchers and agency staff to potential conflicts that may arise during research projects conducted in busy community-based agencies. Within a framework of human territoriality, key factors in avoiding such conflicts are explored. Territoriality is the defence against intruders ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.1996.tb00044.x
更新日期：1996-04-01 00:00:00
abstract：:Nurses have known about unpopular patients for over two decades. Influential studies such as Stockwell's in the UK have had considerable impact upon students of nursing. Stockwell's book, The Unpopular Patient, is widely cited and was reprinted in 1984. Further, a critical review of the wider literature by Kelly & May...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1995.tb02729.x
更新日期：1995-03-01 00:00:00
abstract：AIM:To examine female youth's intentions for safe sex with the relationship partners based on the extended theory of planned behaviour (TPB) model and explore the direct and indirect impact of parent-child communication about sex, peer interaction related to sexual issues, and exposure to sexually explicit materials on...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14277
更新日期：2020-03-01 00:00:00
abstract：:This paper examines the life stories of 14 men and women who spent time in religious communities and who subsequently took up work in the caring professions. Their accounts reflect the alignment between the ethics of care and those of religious life, the centrality of contemplation and self-examination to both Christi...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00686.x
更新日期：1998-07-01 00:00:00
abstract：AIM:This study investigates the effect of a participatory organizational intervention on social capital and organizational readiness for change. DESIGN:Cluster randomized controlled trial. METHODS:In 2016, 27 departments from five hospitals in Denmark were randomly allocated at the department level to 1 year of parti...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14441
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:Herbal medicines, products and therapies are a subject of great public interest both nationally and worldwide. Use of herbal therapy is most common among women and patients with chronic health problems. AIM:This paper reports a study to determine the prevalence of herbal therapy use among women over 65 year...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2003.02970.x
更新日期：2004-04-01 00:00:00
abstract：BACKGROUND:The Nurses' Observation Scale for Inpatient Evaluation is a 30-item scale designed in 1965 for behavioural and observational rating of psychiatric inpatients. AIM:This paper reports a re-evaluation of the Nurses' Observation Scale for Inpatient Evaluation carried out to confirm that it remains reliable in a...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2004.03006.x
更新日期：2004-05-01 00:00:00
abstract：AIMS:This study aimed to provide an in-depth understanding of the process of hospital discharge experienced by the carers of patients 'at risk' of unsuccessful discharge from medical wards in three hospitals in the North of England. BACKGROUND:The Community Care Act and the Carers Recognition and Services Act placed r...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1046/j.1365-2648.2001.01838.x
更新日期：2001-07-01 00:00:00
abstract：AIM:To synthesize the evidence relating to the ability of specialist care home support services to prevent the hospital admission of older care home residents, including hospital admission at the end-of-life. DESIGN:Systematic review and narrative synthesis. METHODS:Ten electronic databases will be searched from 2010...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13866
更新日期：2019-02-01 00:00:00
abstract：:Though standards for handwashing have been defined, little effort has been made to assess the quality of handwashing in clinical settings. This paper describes tests of reliability and validity of tools to evaluate two aspects of handwashing--appropriateness and technique. Based on these tests, methods to evaluate han...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1985.tb00546.x
更新日期：1985-11-01 00:00:00
abstract：AIM:This paper is a report of a meta-study of early professional socialization and career choice in nursing. BACKGROUND:The current and growing shortage of nurses is a global issue, and nursing recruitment and retention are recognized priorities internationally. The future of nursing will lie in the ability to recruit...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2008.04839.x
更新日期：2009-01-01 00:00:00
abstract：AIM OF PAPER:This paper is a response to Thompson's paper 'A conceptual treadmill: the need for a middle ground in clinical decision making theory' published in the Journal of Advanced Nursing in 1999. SUMMARY OF CONTENT:This author agrees with his main recommendations, which are to seek a middle ground in the current...
journal_title：Journal of advanced nursing
pub_type： 评论,杂志文章,评审
doi：10.1046/j.1365-2648.2001.01816.x
更新日期：2001-07-01 00:00:00
abstract：:Recent studies have indicated that significant numbers of nurses are ineffective in performing cardiopulmonary resuscitation (CPR). Furthermore, the studies indicate that many nurses are unable to appraise realistically their own CPR performance. This study sought to ascertain the reasons why qualified nurses are unab...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb01696.x
更新日期：1991-05-01 00:00:00
abstract：:This study explores variables that might influence nurses' communication with elderly patients. Three groups of variables arise from the literature that seem to affect the quality or quantity of nurse-patient communication: variables related to nurses, to patients, and to the setting in which nursing care takes place....
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01197.x
更新日期：1999-11-01 00:00:00
abstract：:Electronic oral thermometry is performed routinely in most medical centres. From the studies available on this subject it seems difficult to find any documentation for this practice. We have conducted clinically controlled studies in which the accuracy of electronic oral thermometry (CRAFTEMP and TERUMO WCT) and that ...
journal_title：Journal of advanced nursing
pub_type： 临床试验,杂志文章
doi：10.1046/j.1365-2648.1994.20040660.x
更新日期：1994-10-01 00:00:00
