Abstract:
AIMS:We explore home care nurse decision-making about the need for and amount of service by clients and families at the end of life. We identify factors nurses refer to when describing these decisions, situated within contextual features of nursing practice. BACKGROUND:Home care nurses are often responsible for decisions which have an impact on the access of clients and families to services at the end of life. Understanding how these decisions, are made, factors that are considered, and contextual influences is critical for improving access and enhancing care. METHODS:Qualitative data were collected between 2006 and 2008 from two samples of home care nurses: the first group (n = 29) recorded narrative descriptions of decisions made during visits to families. The second group (n = 27) completed in-person interviews focusing on access to care and their interactions with clients and families. Data were analysed with thematic coding and constant comparison. FINDINGS:Participants described assessing client and family needs and capacity. These assessments, at times integrated with considerations about relationships with clients and families, inform predictive judgements about future visits; these judgments are integrated with workload and home health resource considerations. In describing decisions, participants referred to concepts such as expertise, practice ideals and approaches to care. CONCLUSION:Findings highlight the role of considerations of family caregiver capacity, the influence of relationships and the importance of the context of practice, as part of a complete understanding of the complexity of access to care at the end of life.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Stajduhar KI,Funk L,Roberts D,McLeod B,Cloutier-Fisher D,Wilkinson C,Purkis MEdoi
10.1111/j.1365-2648.2010.05491.xsubject
Has Abstractpub_date
2011-02-01 00:00:00pages
276-86issue
2eissn
0309-2402issn
1365-2648journal_volume
67pub_type
杂志文章abstract:AIM:This paper describes the findings from one aspect of an evaluation study of the role of the nurse, midwife and health visitor consultant and the consultants' perceived impact of their role on services and patient care. BACKGROUND:The nurse, midwife and health visitor consultant role was established in 2000 in Engl...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03910.x
更新日期:2006-08-01 00:00:00
abstract:AIM:This paper is a report of a study conducted to examine factors (severity and duration of the disease, credible authority, social support, education) that may influence the level of uncertainty and stress in patients having peritoneal dialysis. BACKGROUND:Although home peritoneal dialysis improves the patient's qua...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05013.x
更新日期:2009-08-01 00:00:00
abstract::Health and well-being are basic concepts to nursing science and also important to practical nursing care: to provide effective nursing we need to have a good understanding of both health and well-being. Experienced health has been studied quite extensively at the individual level, but the family's point of view has be...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.21810.x
更新日期:1996-09-01 00:00:00
abstract::More than 90% of women are affected by one or more of the signs and symptoms of perimenstrual syndrome (PMS), which causes disruptions at work and in family relations and can be economically costly. Self-care measures relating to lifestyle modifications, most particularly nutrition and exercise, can be helpful in prev...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01814.x
更新日期:1990-03-01 00:00:00
abstract::While scholars in nursing are charged with the responsibility of advancing and structuring a body of knowledge for application in nursing practice, many of the currently utilized theories have been borrowed from other disciplines. Until such knowledge is redefined and synthesized according to the perspective of nursin...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1989.tb03415.x
更新日期:1989-04-01 00:00:00
abstract:AIMS:To investigate the curvilinear associations between two job characteristics (i.e. task identity and information processing) and negative outcomes (i.e. nurse need for recovery and negative affect). BACKGROUND:Research has historically demonstrated the beneficial effects of motivational job characteristics on seve...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12894
更新日期:2016-05-01 00:00:00
abstract:AIMS:To provide an overview of the literature focusing on the influence of self-efficacy and self-efficacy enhancing interventions on mobility, activities of daily living, depression and quality of life of patients with stroke. BACKGROUND:There is growing evidence for the importance of self-efficacy in the care of peo...
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::From patient narratives, the phenomenological literature and reflection of patients' autobiographical accounts of illness, nine themes reflecting the phenomenological concept of corporeality were used to identify the ways patients achieve comfort. The themes were: the dis-eased body, the disobedient body, the vulnerab...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1994.20010189.x
更新日期:1994-07-01 00:00:00
abstract:AIM:To present a discussion of precepting through the use of symbolic interactionism as exemplified by findings from an ethnographic study. BACKGROUND:It is a well-known fact that clinical practice, where students are supervised by precepting nurses, is an important part of nursing education. Several previous studies ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.06047.x
更新日期:2013-02-01 00:00:00
abstract:AIM:To investigate persons with dementia and their informal caregivers' views of inter-sectoral information, communication and collaboration throughout the trajectory of dementia care, in eight European countries. BACKGROUND:Living with dementia and being next of kin to a person with dementia means having to live thro...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12581
更新日期:2015-06-01 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:AIM:To report the first large-scale realistic nurse-led implementation, optimization and evaluation of a complex children's continuing-care policy. BACKGROUND:Health policies are increasingly complex, involve multiple Government departments and frequently fail to translate into better patient outcomes. Realist methods...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12169
更新日期:2014-01-01 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: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:BACKGROUND:An important purpose of theories is to challenge practice, create new approaches to practice and remodel the structures of rules and principles. Therefore, it is of interest to study whether it is possible to make use of nursing theories in care of older people, when the aim is to support them in the process...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02594.x
更新日期:2003-04-01 00:00:00
abstract::There is a decline in recruitment to pre-registration programmes in psychiatric nursing in Ireland. This article discusses factors that may relate to the Irish situation in the context of relevant international literature on nurse recruitment. It is noted that disciplines and courses in Ireland, such as social care, t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2000.01460.x
更新日期:2000-07-01 00:00:00
abstract::Towards an aesthetics of nursing This paper re-appraises the work of Barbara Carper on aesthetics and the art of nursing. It identifies serious flaws in Carper's original arguments and the way in which she and subsequent authors have conflated the concepts of art and aesthetics in nursing. The paper explores a broader...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2000.01536.x
更新日期:2000-09-01 00:00:00
abstract:AIM:To compare different levels of self-rated pain and determine if they predict anticipated early physical recovery in patients undergoing general and orthopaedic surgery. BACKGROUND:Previous research has indicated that average self-rated pain reflects patients' ability to recover the same day. However, there is a kn...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13331
更新日期:2017-11-01 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:BACKGROUND:The United Kingdom National Health Service aims to provide a holistic 'cradle to grave' service. In order to achieve this, systems are in place for effective communication between providers of services for babies and children. However, when children leave school, communication between the school health servi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02877.x
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:In most parts of the world, nursing historically has been considered an occupation for women. Gender stereotypes are associated with the nursing profession. AIM:The aim was to describe and compare the self-reported competence in female and male nursing students. The students were also compared according to ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14220
更新日期:2020-01-01 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::This descriptive study examined the differences in beliefs and social influences between patients who decided to quit or to continue smoking following diagnosis of chronic peripheral vascular disease. A consecutive quota sample of 20 patients who had quit smoking (quitters) and 22 who had continued smoking (continuers...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1989.tb01607.x
更新日期:1989-08-01 00:00:00
abstract:AIM:This paper is a report of a study conducted to determine the perceptions and experiences of coitus interruptus as a contraceptive method used by married women in Turkey. BACKGROUND:Various factors affect women's choice of contraceptive methods. One of these factors is socioeconomic status, which may have an effect...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2009.05024.x
更新日期:2009-08-01 00:00:00
abstract::Despite the poor performance of the general economy, the health care industry in Australia has experienced constant growth for several decades. Overall, Australia's expenditure on health is relatively high and, with an increasingly aged population, this expenditure is not likely to decrease. With the current concerns ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1997.1997025454.x
更新日期:1997-03-01 00:00:00
abstract:AIMS:This paper is a report of a study conducted to explore the relationship between nurses' personal and professional factors and evidence-based nursing practice. BACKGROUND:Like most health-related professions, nursing is shifting from the traditional intuition-based paradigm to evidence-based nursing practice. MET...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05488.x
更新日期:2011-01-01 00:00:00
abstract:AIMS:The Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group Guidance is widely used to increase the transparency by which evidence is turned into recommendations. Although the process is clearly defined, it may be difficult to use in nursing education and practice because it uses se...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14303
更新日期:2020-04-01 00:00:00
abstract:AIMS:This paper is a report of a study with three aims: (i) to investigate whether emotional, quantitative and physical demands have a causal, negative impact on nurses' health; (ii) to examine whether work-home interference can explain this effect, by playing a mediating role; and (iii) to test the so-called loss spir...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2008.04630.x
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Recent mortality profiles in Brazil show that circulatory diseases are the leading cause of death in Brazil. These disorders contribute to 34% of deaths, with 50% of those deaths occurring in people under 50 years of age, that is, in people who are still active in the workforce. We assume that the growing in...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2003.02753.x
更新日期:2003-09-01 00:00:00
abstract:AIM:To explore how nurses, who are the principal character of zombie-focused feature films are portrayed. DESIGN:A mixed methods study with a quantitative exploration of 44,000 feature film synopsis and additional online material for films made between 1900 and 2018 was used. Zombie-focused films (485) were reviewed f...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14036
更新日期:2019-08-01 00:00:00