Abstract:
:Over the last decade, the concept of the "complex patient" has not only been more widely used in multidisciplinary healthcare teams and across various healthcare disciplines, but it has also become more vacuous in meaning. The uptake of the concept of the "complex patient" spans across disciplines, such as medicine, nursing, and social work, with no consistent definition. We review the chronological evolution of this concept and its surrogate terms, namely "comorbidity," "multimorbidity," "polypathology," "dual diagnosis," and "multiple chronic conditions." Drawing on key principles of concept clarification, we highlight disciplinary usage in the literature published between 2005 and 2015 in health sciences, attending to overlaps and revealing nuances of the complex patient concept. Finally, we discuss the implications of this concept for practice, research, and theory.
journal_name
Nurs Health Scijournal_title
Nursing & health sciencesauthors
Manning E,Gagnon Mdoi
10.1111/nhs.12320subject
Has Abstractpub_date
2017-03-01 00:00:00pages
13-21issue
1eissn
1441-0745issn
1442-2018journal_volume
19pub_type
杂志文章,评审abstract::The process of acculturation often results in changes in the health behavior of international students. This study employed an open-ended, qualitative approach in an attempt to gain an in-depth understanding of the acculturation process for physical activity, diet, and drinking behavior among international students. E...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12232
更新日期:2016-03-01 00:00:00
abstract::In the 21st century, knowledge of genetics is closely linked to the ability to provide good care for all patients, not just the few with uncommon genetic diseases. The authors suggest that what is needed in nursing is a comprehensive, three generation pedigree that records a patient's medical, social and environmental...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2004.00208.x
更新日期:2004-12-01 00:00:00
abstract::As an evaluation method, standardized patients have a long history in medical education and research yet are less established in nursing. This paper explores the reliability of using standardized patients as the evaluative method in a communication competence pilot study with international nurses. Standardized patient...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2011.00667.x
更新日期:2012-03-01 00:00:00
abstract::Our previous study revealed that cardiopulmonary resuscitation (CPR) was performed in 65.7% of 411 terminally ill patients who died in a tertiary-care university hospital in northern Thailand. Advance directives (ADs) are needed to ensure that life-sustaining therapies are used more appropriately. To investigate inpat...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2005.00243.x
更新日期:2005-12-01 00:00:00
abstract::According to the World Health Organization, although breastfeeding has significant health benefits for infants and mothers, rates of breastfeeding remain lower than recommended. Suggested strategies for assisting new mothers with breastfeeding have included both peer and professional support. We undertook a systematic...
journal_title:Nursing & health sciences
pub_type: 杂志文章,评审
doi:10.1111/j.1442-2018.2012.00679.x
更新日期:2012-03-01 00:00:00
abstract::A descriptive correlation study was conducted at the outpatient pulmonary clinic of a large medical center to describe family support and self-care behavior and to ascertain the relationship of these two variables among Chinese chronic obstructive pulmonary disease (COPD) patients. A total of 98 COPD patients complete...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1046/j.1442-2018.2002.00100.x
更新日期:2002-03-01 00:00:00
abstract::Similar to many developed nations, older people living in residential aged care homes in Australia and the staff who care for them have become increasingly multicultural. This cultural diversity adds challenges for residents in adapting to the care home. This study explores: (i) residents' and family members' percepti...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12302
更新日期:2017-03-01 00:00:00
abstract::Autism spectrum disorder has only recently been recognized as a developmental disability in Taiwan. We conducted an exploratory qualitative descriptive study with children (n = 14, mean age = 13.57 years) and their parents to understand stressors experienced by children with autism spectrum disorder in Taiwan. An anal...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12583
更新日期:2019-06-01 00:00:00
abstract::A growing body of research has shown an association between nurse staffing levels and a range of nurse outcomes. There is little empirical research evaluating this relationship in Thailand. This study evaluated the influence of nurse staffing levels on outcomes among nurses. A cross-sectional survey design was conduct...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12140
更新日期:2015-03-01 00:00:00
abstract::In health care, high-fidelity simulation has been shown to result in increased student learning outcomes when compared to low-fidelity simulation. With educational facilities investing significant amounts of money into purchasing high-fidelity simulators, it is imperative to identify if the midlevel simulator, which i...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12267
更新日期:2016-09-01 00:00:00
abstract::This descriptive study identifies and examines the consistency of parenting styles during the first year of their children's lives. The data were collected from interviewing 4088 parents or primary care takers of the 6 month old infants during the third wave of data collection of The Prospective Cohort of Thai Childre...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2012.00720.x
更新日期:2012-09-01 00:00:00
abstract::This cross-sectional study investigated nurses' reactions to Internet medical information that was retrieved from sources of different scientific credibility and the association between self-epistemic authority and these reactions. The participants filled in questionnaires on their reactions to Internet medical inform...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2011.00626.x
更新日期:2011-09-01 00:00:00
abstract::We investigated the difficulties involved in assessing post prostatectomy voiding according to 20 nurses working in urology and dermatology wards. Problems they encountered included completing a urination (frequency/volume) chart and performing an assessment. We constructed a hourly urination chart for basic nursing e...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1046/j.1442-2018.2003.00152.x
更新日期:2003-09-01 00:00:00
abstract::Talking about sex with people living with HIV receives insufficient attention in health care. A cross-sectional and exploratory study describes the preferences of people living with HIV to talk about sex with specialized HIV physicians and nurses in a clinic in Barcelona (Spain). A 27-item self-administered questionna...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12696
更新日期:2020-09-01 00:00:00
abstract::Healthcare systems in aging societies need to find new solutions in the provision of care and treatment of older people. Gerotechnologies play a crucial role in the "aging-in-place" process. This article offers a critical overview of gerotechnological studies and will suggest a new approach in the study of the relatio...
journal_title:Nursing & health sciences
pub_type: 杂志文章,评审
doi:10.1111/j.1442-2018.2011.00634.x
更新日期:2011-12-01 00:00:00
abstract::The present study investigated knowledge of and beliefs about breastfeeding among Chinese female physicians and nurses and their breastfeeding practices. This study documented knowledge, attitudes and practices of breastfeeding among Chinese medical staff. A total of 367 female physicians and nurses completed a self-a...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2012.00699.x
更新日期:2012-09-01 00:00:00
abstract::The current local overweight-prevention protocols are not applied as intended by Dutch child healthcare physicians and nurses. The development of a training program for these practitioners, based on the Intervention Mapping framework, with the aim of improving overweight-prevention in a child's first year, is describe...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12051
更新日期:2013-09-01 00:00:00
abstract::In the past, genetic services were delivered to a limited number of families with rare conditions. However, genomics is now being applied to both inherited and common diseases in a range of healthcare settings, and there is a greater need for nurses to understand the basic concepts of genetic health care. The aim of t...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2012.00708.x
更新日期:2013-03-01 00:00:00
abstract::This study was undertaken as a complete cross-sectional survey of tobacco smoking habits among 270 undergraduate students at an Australian nursing school (response rate: 84.6%). An anonymous, self-reporting questionnaire survey was used to gather the data. The overall prevalence of current smoking was 15.9%, with a fu...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2007.00306.x
更新日期:2007-06-01 00:00:00
abstract::This study aimed to explore the experiences of the people who underwent orthopedic surgery under spinal anesthesia and to report their feelings and thoughts. The study was carried out using a qualitative approach. Twenty-one patients were interviewed who underwent orthopedic surgery on the first or second postoperativ...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12708
更新日期:2020-09-01 00:00:00
abstract::The present study discusses how nurse managers' work-related empowerment has been investigated, in order to determine the level and relationships of empowerment among them. A systematic review was carried out, and a literature search was conducted with certain electronic databases for the period 1990-2009, using the m...
journal_title:Nursing & health sciences
pub_type: 杂志文章,评审
doi:10.1111/j.1442-2018.2012.00694.x
更新日期:2012-09-01 00:00:00
abstract::The aim of the present qualitative study was to understand the experiences of South Asian ethnic minority women in accessing health-care services in Hong Kong, a Chinese-oriented society. Levesque's framework (2013) was adopted to conduct and analyze focus group discussions among 30 South Asian women aged between 21 a...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12564
更新日期:2019-03-01 00:00:00
abstract::The consumption of meat products is considered to be a feasible solution to prevent anemia, which is a critical health problem. The present study assessed hematological parameters and the prevalence of anemia in Japanese children and adolescents, and examined the association with the frequency of meat intake. Data fro...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2012.00678.x
更新日期:2012-06-01 00:00:00
abstract::The purpose of this study was to examine the variables that are related to person-environment fit in Italian nurses, highlighting the role of supervisor support and organizational support in the relationship between nurses' perceptions of care adequacy, job satisfaction, and turnover intention. Therefore, 1240 nurses ...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2011.00596.x
更新日期:2011-06-01 00:00:00
abstract::The aim of this study is to cross-culturally explore the crucial and often conflicting issues of least restrictive placement of long-term psychiatric patients in Hawaii and Japan, and the need to provide high-quality care for such patients. Policy implications are discussed. A survey instrument facilitated the compari...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1046/j.1442-2018.1999.00006.x
更新日期:1999-03-01 00:00:00
abstract::The purpose of this article is to critically review and synthesize the literature related to the general concepts and the process of diagnosing the client's condition, and the possible variables which influence diagnostic practise in nursing. It is suggested that statistical theories are capable of capturing the diagn...
journal_title:Nursing & health sciences
pub_type: 杂志文章,评审
doi:10.1111/j.1442-2018.2006.00267.x
更新日期:2006-03-01 00:00:00
abstract::In South Africa, various treatment models from abroad have been implemented for patients diagnosed with borderline personality disorder. This report is based on a South African model that has been developed, implemented, and evaluated for mental health nurses to use in facilitating the self-empowerment of women living...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12726
更新日期:2020-09-01 00:00:00
abstract::This study examined the effects of a self-efficacy enhancement program for the cardiac rehabilitation of Thai patients who had a myocardial infarction. Sixty-six hospitalized patients of various ages and both genders were randomly assigned to either an experimental or a control group. Participants in the experimental ...
journal_title:Nursing & health sciences
pub_type: 杂志文章,随机对照试验
doi:10.1111/nhs.12243
更新日期:2016-06-01 00:00:00
abstract::This study determined the prevalence of and factors associated with insomnia in rotating-shift nurses. A two-stage, cross-sectional, hospital-based study was conducted in eastern Taiwan. Participants were randomly-sampled, rotating-shift nurses (n=661), ranging in age from 21 to 62 years, with a mean age of 31.86 (sta...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/j.1442-2018.2011.00641.x
更新日期:2011-12-01 00:00:00
abstract::The aims of this study were to examine the extent of decisional conflict in end-of-life cancer treatments and to investigate the influences and predictors of decisional conflict among family surrogates. A cross-sectional, descriptive, correlational design was applied. Data were collected from a convenience sample of 1...
journal_title:Nursing & health sciences
pub_type: 杂志文章
doi:10.1111/nhs.12537
更新日期:2018-12-01 00:00:00