Abstract:
AIMS:To report a study of the negotiation practices of neurorehabilitation nurses with one another and with allied health professionals to understand nursing relations. BACKGROUND:Negotiated order theory offers a promising theoretical lens with which to explore negotiation between nurses and other professionals. This study is the first to apply the perspective to nurse-nurse and nurse-allied health professional relations. DESIGN:The study is a secondary analysis of findings from a multi-site arts-based intervention to improve patient-centred neurorehabilitation practice. METHODS:Interviews and ethnographic observations were conducted (2008-2011) in two neurorehabilitation units in Ontario, Canada. Participants (n = 31) included registered and practical nurses, nurse leaders, and allied health professionals from physical, occupational, and recreational therapy, speech language pathology, and social work. FINDINGS:Neurorehabilitation nursing is characterized by heavy workload, high patient acuity, and poor interprofessional collaboration. This practice context was negotiated by nurses through two strategies: (1) intraprofessional collegialism, accomplished through tactics including task and knowledge sharing, emotional support, coercive threats, and suppression of dissension; and (2) vying for an autonomous essential nursing role in interprofessional practice, accomplished by claiming unique nursing knowledge based on 24/7 nursing proximity, the expansion of the division of professional labour with allied health professionals and modifying physical therapy care plans. CONCLUSION:The intraprofessional context and negotiations therein were linked in significant ways to interprofessional negotiations. Understanding this complexity has important implications for improving patient safety and interprofessional practice interventions.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Miller KL,Kontos PCdoi
10.1111/jan.12041subject
Has Abstractpub_date
2013-08-01 00:00:00pages
1797-807issue
8eissn
0309-2402issn
1365-2648journal_volume
69pub_type
杂志文章,多中心研究abstract::The aim of this study was to evaluate potential access to personal community nursing services and the desirability of these services from the point of view of different population groups. Potential access to personal community nursing services was defined as having one or more particular nurses to contact when needing...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.24911.x
更新日期:1996-10-01 00:00:00
abstract::Falls occur frequently in patients with a stroke and have serious consequences: discharge delays and hip fractures can result. In order to evaluate the impact of nursing workload on stroke-patient falls, we assessed the patients per nurse ratio in a detailed case-control study carried out in nine Dutch hospitals. Ther...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18071101.x
更新日期:1993-07-01 00:00:00
abstract:AIM:A discussion which aims to explore the diversity of decision-making during teenage and young adult cancer treatment. The discussion will be related to the concepts of autonomy, dependence and decision-making in this age group. BACKGROUND:The experience of cancer involves a significant series of treatment decisions...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12669
更新日期:2015-09-01 00:00:00
abstract:AIM:This paper is a report of a pilot study to examine the significance, direction, and magnitude of the relationship of risk factors, protective factors, and resilience to quality of life in survivors of childhood cancer, and to explore what these variables meant to participants in order to better understand the quant...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05078.x
更新日期:2009-10-01 00:00:00
abstract::The notion of intersubjectivity raises fundamental epistemological and ontological questions concerning how individuals come to know one another and how that knowing affects action. Within the sphere of professional nursing, relationship, as an intersubjective process between individuals, constitutes an integral eleme...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1999.01081.x
更新日期:1999-08-01 00:00:00
abstract::Reports of fear and psychological distress on the part of nurses when caring for AIDS patients have drawn attention to the real possibility that care for this very sick group of patients may be less than adequate. This paper reviews what is currently known about the attitudes of nurses and the care provided to HIV-inf...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1991.tb01648.x
更新日期:1991-03-01 00:00:00
abstract::Annual increases in indices which reflect the extent of alcohol and drug abuse in society result in a considerable cost to industry. Nurses as a professional group have not generally been identified as having a significantly high incidence of staff with problems of alcohol or drug abuse, although there is some evidenc...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:
更新日期:1987-09-01 00:00:00
abstract:INTRODUCTION:The survival rate of infants born prematurely and hospitalized in Neonatal Intensive Care Units (NICUs) has increased due to improvement of the technology in obstetrics and neona tology that allows saving preterm infants at earlier gestational ages. Preterm infants are hospitalized in a care environment wh...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02526.x
更新日期:2003-02-01 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
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1994.tb01092.x
更新日期:1994-02-01 00:00:00
abstract::One hundred female patients undergoing major reconstructive plastic or gynaecological surgery were randomized to either receive subcutaneous patient-controlled analgesia (PCA) (bolus dose 2.5 mg diamorphine in 1 ml with a 20-minute lockout) or intravenous PCA (bolus dose 0.5 mg diamorphine in 1 ml with a 5-minute lock...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2648.1999.01161.x
更新日期:1999-10-01 00:00:00
abstract:AIMS: To compare physical activity levels, body mass index, habitual diet, tobacco use and prevalence of non-communicable disease between the two ethnic groups and to identify predictors for differences between groups. BACKGROUND: Tobacco use, poor diet and physical inactivity are major lifestyle risk factors for ch...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05948.x
更新日期:2012-11-01 00:00:00
abstract::This paper describes a preliminary study which attempted to explore the value of nursing practice from the viewpoint of practitioners. The objective was to further knowledge and develop insights into nursing practice, identifying concepts central to therapeutic care. Integral to the study was the development of a mode...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.22010013.x
更新日期:1995-07-01 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::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::This paper reports the findings of the first phase of a study designed to assess the needs of people with HIV and AIDS and the extent to which these needs are being met by services in Camberwell Health Authority in inner London. The study involves collecting information and opinions from key service providers, clients...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18010069.x
更新日期:1993-01-01 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
abstract:AIM:To report a novel review to develop a health systems model of successful transition of children with complex healthcare needs from hospital to home. BACKGROUND:Children with complex healthcare needs commonly experience an expensive, ineffectual and prolonged nurse-led discharge process. Children gain no benefit fr...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12278
更新日期:2014-05-01 00:00:00
abstract:AIMS:To provide a comprehensive collection of evidence on the effectiveness of exercise interventions to prevent falls and support clinical decision-making. DESIGN:A systematic literature review and meta-analysis of randomized controlled trails were performed by combining trials from published systematic reviews and m...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析
doi:10.1111/jan.14238
更新日期:2020-01-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1982.tb03277.x
更新日期:1982-01-01 00:00:00
abstract:AIMS:To investigate how general practitioners and community nurses value the support that they receive from a nurse case manager with expertise in palliative care, whether they think the case manager is helpful in realizing appropriate care and what characteristics of the patient and case management are associated with...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12818
更新日期:2016-01-01 00:00:00
abstract:AIMS:To evaluate use of an evidence-based discharge tool, the Post-Anaesthetic Care Tool and its impact on nursing assessment, communication, and management of patients in the postanaesthetic care unit. BACKGROUND:Postanaesthetic care unit nurses manage patients immediately after surgery and make clinical decisions on...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13779
更新日期:2018-11-01 00:00:00
abstract::Collaboration is a complex phenomenon, yet one that is of significance to nursing. This concept analysis presents definitions and defining characteristics of collaboration so that the concept may be used in the creation of operational definitions, or to develop and evaluate tools for measuring collaboration. Anteceden...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.21010103.x
更新日期:1995-01-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.02008.x
更新日期:2001-11-01 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:AIM OF THE STUDY:To examine the construct and predictive validity of Antonovsky's Sense of Coherence (SOC) concept in a sample of schizophrenic persons living in the community. BACKGROUND:The salutogenic model of Antonovsky proposes that the individual's sense of coherence, which is a personal orientation towards life...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01692.x
更新日期:2001-02-01 00:00:00
abstract:AIM:This paper is a report of a literature review of the determinants of health and health behaviour relevant to coronary heart disease risk for women living on a low income. BACKGROUND:Coronary heart disease is now recognized as the biggest killer of women in both developed and developing countries. As in men, women'...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2007.04418.x
更新日期:2007-11-01 00:00:00
abstract:AIM:To understand parents' experiences and needs during a child's end-of-life care at home and to identify systemic factors that influence its provision. BACKGROUND:A child's end-of-life phase is an extremely difficult time for the whole family. Parents have specific needs, especially when they care for a dying child ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13304
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:This study is a replication of research undertaken by Mogan and Knox in 1987, which investigated and described characteristics of 'best' and 'worst' clinical educators. They developed and used an instrument known as the Nursing Clinical Teacher Effectiveness Inventory (NCTEI), a 48 item checklist that descri...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02306.x
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:Clinical Nurse Specialists (CNS) play a major role in the delivery of specialist palliative care services to patients with advanced cancer, in hospital, hospice and community settings across the United Kingdom. A major component of their work focuses on the delivery of emotional care and support to patients ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2003.02749.x
更新日期:2003-09-01 00:00:00