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 to facilitate rehabilitation. METHODS:The methodology drew on the principles of ethnography, undertaking unstructured qualitative interviews with ten patients, ten multidisciplinary staff and 21 hours of participant observation including informal discussions with staff and patients. Data collection took place between November 2007 and November 2008. FINDINGS:Four themes were identified: suffering, struggling with no hope and despair, hope for recovery and realistic hopefulness. Hope was experienced in the context of suffering a stroke demonstrated as loss of function, loss of mental capacity and dependency. Patients struggled to maintain a sense of hopefulness while feeling close to a slippery slope towards despair and death. Hope was expressed as a strong desire to recover, get back to normal and a time to reflect on their lives so far. Staff identified realistic hopefulness as focused on keeping things real while balancing giving hope and avoiding false hope. CONCLUSION:Hope is placed within the emotional challenges of suffering and struggle inherent in recovery from stroke. The staff work with patients' hopes but offer realistic hopefulness as a practical strategy for recovery. Further interventions are required for working with feelings of despair or no hope.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Tutton E,Seers K,Langstaff D,Westwood Mdoi
10.1111/j.1365-2648.2011.05899.xsubject
Has Abstractpub_date
2012-09-01 00:00:00pages
2061-9issue
9eissn
0309-2402issn
1365-2648journal_volume
68pub_type
杂志文章abstract:AIM:To identify evidence related to association between the nurse work environment and severe maternal morbidity in high-income countries. DESIGN:Quantitative Systematic review. DATA SOURCES:Cumulative Index of Nursing and Allied Health Literature, Cochrane Database of Systematic Reviews, PubMed/Medline, and Scopus w...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14672
更新日期:2020-11-27 00:00:00
abstract:AIM:To determine the association between time to first analgesic medication and emergency department length of stay (ED LOS). DESIGN:Retrospective cohort study. METHOD:We conducted this study in a large, inner-city emergency department and included adult patients who presented with pain as a symptom and received anal...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14216
更新日期:2020-01-01 00:00:00
abstract:AIM:To evaluate emergency nurse practitioner service effectiveness on outcomes related to quality of care and service responsiveness. BACKGROUND:Increasing service pressures in the emergency setting have resulted in the adoption of service innovation models; the most common and rapidly expanding of these is the emerge...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12386
更新日期:2014-09-01 00:00:00
abstract:AIM:This paper reports a study that compares opinions of final year nursing students, rating their own competence, with the opinions of experienced nurses on the competence of newly-graduated nurses. BACKGROUND:The transition of nursing preparation into higher education is regarded as positive, although it has led to ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03778.x
更新日期:2006-03-01 00:00:00
abstract::This paper reports on a study of the benefits reported from participation in clinical supervision by registered nurses (n=201) working in a large English community and mental health NHS Trust. It summarizes the emergent practical and theoretical 'key ingredients' of clinical supervision in the United Kingdom and argue...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01179.x
更新日期:1999-10-01 00:00:00
abstract::This descriptive study was undertaken to investigate patients' perceptions of the seven content areas commonly included in cardiac teaching in terms of how important and how realistic they were for being learned following the experience of an acute myocardial infarction (MI). Lazarus's stress-coping theory was used as...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01705.x
更新日期:1990-10-01 00:00:00
abstract:AIM:This paper is a report of a study conducted to explore the effects of promoting self-management on the well-being of patients having peritoneal dialysis. BACKGROUND:Peritoneal dialysis is a home-based treatment for end-stage renal disease. Promoting self-management has been shown to improve the health status of pe...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.04993.x
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Many patients experience anxiety during treatment in an intensive care unit, but intensive care patients are often not able to respond to existing validated measures of anxiety such as the Brief Symptom Inventory. We have developed a new single item Faces Anxiety Scale made up of drawings of five faces. AIM...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02508.x
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND:Person-centred care is regarded as the optimum way of delivering health care and is defined as valuing people as individuals (Winefield et al. 1996). So how can practitioners find out if their service 'values people as individuals'? Serious doubts have been expressed about the validity of the concept of pati...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01993.x
更新日期:2001-11-01 00:00:00
abstract:AIM:This paper reports findings of a study to examine the independent contribution of chest pain, fatigue and dyspnoea to health-related quality of life in people with chronic stable angina. BACKGROUND:People with chronic stable angina experience poorer quality of life in multiple areas including physical and emotiona...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05564.x
更新日期:2011-05-01 00:00:00
abstract:AIM:This paper reports a concept analysis to define the concept of nursing bioterrorism preparedness. BACKGROUND:Nursing bioterrorism preparedness is necessary, yet no theoretical or operational definition exists. The concept is often misinterpreted as being synonymous with organizational preparedness or confused with...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2006.03866.x
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Musculoskeletal pain is a problem with which many seniors must contend, many on a daily basis. Little is known, however, of the self-care decisions that seniors make regarding the management and control of this pain. These decisions can influence in a significant manner the delivery of health care to seniors...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01859.x
更新日期:2001-08-01 00:00:00
abstract:AIM:This paper is a report of a study to identify the occupational burnout profiles of a sample of nurses in Turkey and to examine alternative developmental models of burnout based on these profiles. BACKGROUND:Previous findings on causal links between components of occupational burnout have largely been inconclusive....
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2008.04818.x
更新日期:2008-12-01 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:AIM:This paper is a discussion of the use of a systematic approach to explore researcher subjectivity and how this enhanced the rigour of a qualitative study. BACKGROUND:The need for rigour in qualitative research is widely documented; the means by which it is enhanced are varied and numerous. Although most qualitativ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2007.04306.x
更新日期:2007-08-01 00:00:00
abstract::In response to a Department of Health, England, circular encouraging policies of named voluntary antenatal HIV antibody testing, one West Midlands health authority in England introduced a policy of raising the issue proactively at the first antenatal attendance. In order to facilitate this policy a short staff educati...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章
doi:10.1046/j.1365-2648.1997.1997026273.x
更新日期:1997-08-01 00:00:00
abstract:AIM:This review examined evidence regarding computer- or web-based interventions to increase preadolescent and adolescent physical activity. BACKGROUND:Today's youth are less active and more overweight than their counterparts from 25 years ago. Overweight youth tend to become overweight adults with weight-related mala...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2010.05493.x
更新日期:2011-02-01 00:00:00
abstract:AIMS:To analyse the changes in senior students' opinions about the nursing profession over a 10-year period. DESIGN:A descriptive and comparative study. METHOD:Data were collected using a questionnaire form, which was completed by 400 senior high school students in Çankiri city center during 2007-2008 (Group 1) and 2...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14403
更新日期:2020-04-30 00:00:00
abstract::The purpose of this study was to explore any patterns that may be evident in the experiences of 20 patients and their partners 1 month after a first heart attack. An interpretive research approach was used to illuminate the illness experience of patients and its impact on their partners. Semi-structured interviews wer...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.22040707.x
更新日期:1995-10-01 00:00:00
abstract:AIM:This article reports a study of self-care agency and perceived health in a group of people using advanced medical technology at home. BACKGROUND:An increasing number of people are using medical technology for self-care. Few studies describe daily life in this context at an overriding level, irrespective of the spe...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05781.x
更新日期:2012-04-01 00:00:00
abstract:AIM:This paper reports a study examining glass particle contamination in two ampoule sizes under three different experimental conditions (n = 18 in each group). BACKGROUND:While existing literature is clear that glass contamination occurs on opening single-dose glass ampoules, the clinical significance of intramuscula...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2648.2004.03195.x
更新日期:2004-11-01 00:00:00
abstract:AIMS:To empirically validate a conceptual model of Clinical Nurse Leader integrated care delivery. BACKGROUND:There is limited evidence of frontline care delivery models that consistently achieve quality patient outcomes. Clinical Nurse Leader integrated care delivery is a promising nursing model with a growing record...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13113
更新日期:2017-02-01 00:00:00
abstract:AIMS:To understand the impact of urban violence and crime on HIV care delivery. BACKGROUND:Urban violence and crime can put pressure on the healthcare system and on nursing staff. Whilst there is research about the impact this has at the individual level, there is less research that places this in the context of the o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14022
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Cystic fibrosis (CF) is the most common inherited disease of childhood. Caring for a child with CF is stressful and this has implications for the main carer, the parental relationship, well siblings, family functioning as well as the affected child. AIM:This study aimed to explore current stresses and copin...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02299.x
更新日期:2002-08-01 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:AIM:This paper reports a study comparing the content of talk about treatments by nurse practitioners and general practitioners in order to understand how this might be related to satisfaction. BACKGROUND:Studies show that satisfaction with nurse practitioner care is high when compared with that given by general practi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03865.x
更新日期:2006-06-01 00:00:00
abstract:AIMS:To integrate existing theoretical perspectives on change management, subjective fit and occupational stress to better understand the effects of change on employee adjustment. BACKGROUND:Although subjective fit with organizational goals and objectives has been shown to have positive effects on employee adjustment,...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12198
更新日期:2013-12-01 00:00:00
abstract:AIMS:To examine the impact of errors or adverse events on emotional distress and professional quality of life in healthcare providers in the neonatal intensive care unit, and the moderating role of coworker support. BACKGROUND:Errors or adverse events can result in negative outcomes for healthcare providers. However, ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13403
更新日期:2018-01-01 00:00:00
abstract::AIDS has become a leading cause of death for women between the ages of 25 and 34. An overwhelming proportion of these women are Black (52%) or Hispanic (20%). Despite the disproportionate number of minority women who are HIV infected, the majority of AIDS educational programmes have been directed at the White gay male...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01743.x
更新日期:1990-11-01 00:00:00
abstract:AIM:This paper is a report of a review conducted to identify, critically analyse and synthesize the humour literature across a number of fields related to health, health care and nursing. BACKGROUND:The humour-health hypothesis suggests that there is a positive link between humour and health. Humour has been a focus o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2007.04548.x
更新日期:2008-03-01 00:00:00