Abstract：
AIM:To explore and understand patterns of mealtime culture, environment and social practice from the perspective of staff, volunteers and visitors on the hospital ward. BACKGROUND:Inadequate food intake is a common and complex problem in hospital and can lead to malnutrition. Mealtime interventions have been implemented to address this problem with limited success. A better understanding of mealtime environment and practice is needed to ascertain which interventions are more likely to be effective in addressing inadequate food intake in hospital. DESIGN:A qualitative, ethnographic approach was used to promote a comprehensive understanding of mealtime environment and practice. METHODS:Sixty-seven hours of fieldwork was conducted August-October 2015. More than 150 participants were observed and 61 unique participants were interviewed in 75 interviews. Data analysis followed an inductive, thematic approach, informed by systems and complexity theory. FINDINGS:Themes of "patient centredness" and "system" and their disharmonious interrelationship emerged. Staff, volunteers and visitors strive for patient centredness at mealtimes. The routine and structured nature of the meal and care systems was constantly in tension with providing patients the care they needed. CONCLUSION:The findings of this study expose the challenges associated with maintaining patient centredness at mealtimes in complex healthcare and foodservice systems. This facilitates a better understanding of why inadequate food intake is difficult to address in the hospital setting and highlights the need to support strategies that approach foodservice processes and nutritional care as complex and non-linear.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Ottrey E,Porter J,Huggins CE,Palermo Cdoi
10.1111/jan.13477subject
Has Abstractpub_date
2018-03-01 00:00:00pages
603-613issue
3eissn
0309-2402issn
1365-2648journal_volume
74pub_type
杂志文章abstract：:This paper reports the findings of one stage of an ongoing project to evaluate a problem-based learning (PBL) curriculum. Focusing on the students themselves, the ethnographic study explored how undergraduate nursing students (n=17) managed and made sense of a PBL programme. Fieldwork and ethnographic interviews revea...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01188.x
更新日期：1999-11-01 00:00:00
abstract：:The growing prevalence of chronic illness is due, in large part, to the control and/or eradication of infectious diseases as well as, in North America, the increasingly aged population and overall lengthening life span. Although the trajectory of chronic illness is in a generally downward direction, the rate of progre...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1983.tb00463.x
更新日期：1983-09-01 00:00:00
abstract：:This study explored members' perceptions of teamwork in two primary health care teams (PHCTs). It also examined the effect of a team-building intervention on members' perceptions centred around five topics: the PHCT, role perception, communication, leadership and conflict. The study used a qualitative approach with se...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1996.10911.x
更新日期：1996-05-01 00:00:00
abstract：AIMS:To review, discuss and compare nursing and midwifery regulatory and professional bodies' scope of practice and associated decision-making frameworks. BACKGROUND:Scope of practice in professional nursing and midwifery is an evolving process which needs to be responsive to clinical, service, societal, demographic a...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12660
更新日期：2015-08-01 00:00:00
abstract：AIM:This study explores the current state of collaboration and communication between nurses and general practitioners in nursing homes, as well as needs and expectations of nursing home residents and their families. Finally, we aim to develop a new model of collaboration and communication. BACKGROUND:Rising numbers of...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/jan.12545
更新日期：2015-02-01 00:00:00
abstract：TITLE:Women's experiences with vaginal pessary use. AIM:This paper is a report of a study of the lived experiences of women using vaginal pessaries for the treatment of urinary incontinence (UI) and/or pelvic organ prolapse. BACKGROUND:The use of a vaginal pessary offers a non-surgical treatment option to provide phy...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2009.05095.x
更新日期：2009-11-01 00:00:00
abstract：:This qualitative study was conducted to gain an understanding of the experiences of persons with chronic pain and their relationships with family members and the family as a whole. The framework of systemic organization was used to define the areas of investigation guiding the formulation of broad questions relative t...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01123.x
更新日期：1999-09-01 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：AIM:The aim of this study was to test psychometrically the Italian and French versions of the Care Dependency Scale. BACKGROUND:The Care Dependency Scale assesses changes in patients' level of care dependency including important functional and mental dimensions. Evaluation of the psychometric properties of the Italian...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13077
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:A qualitative study of shift handover practice and function from a socio-technical perspective Background. Shift handover plays a pivotal role in the continuity of patient care in 24-hour nursing contexts. The critical nature of this communication system is recognized within the literature and by the nursing...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2002.02066.x
更新日期：2002-01-01 00:00:00
abstract：AIM:The aim of this study was to explore nursing students' understanding and enactment of resilience. BACKGROUND:Stress is considered to be a major factor affecting the health, well-being and academic performance of nursing students. Resilience has been extensively researched as a process that allows individuals to su...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12730
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:Osteoarthritis is the most common degenerative disease in humans. It usually begins in middle age and is progressive. Chronic pain in older people presents a significant obstacle in maintaining function and independence. Previous studies have shown that music can improve motivation, elevate mood, and increas...
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.0309-2402.2003.02835.x
更新日期：2003-12-01 00:00:00
abstract：:The purpose of this study was to determine if a relationship exists between work roles, work role values and job satisfaction for registered nurses employed in the hospital setting in the USA. A total of 201 nurses responded (33% response rate) to a survey instrument consisting of questions regarding work roles, work ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1994.20050958.x
更新日期：1994-11-01 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：:A total of 18 good nurses experienced in the care of cancer patients were asked to describe care situations where it had been difficult to know what was 'the right and good' thing to do for the patient. The purpose of the study was to throw light on how they disclosed themselves in managing ethically difficult care si...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.21061073.x
更新日期：1995-06-01 00:00:00
abstract：:Five institutionalized patients with Alzheimer-type dementia were observed (video-recorded) during meals. The aim was to assess their meal behaviour and social interaction. The results showed that when the patients ate without the participation of staff, the two least demented patients became 'caregivers' in the group...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1988.tb01450.x
更新日期：1988-09-01 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：AIM:To evaluate and summarize the current evidence on the effectiveness of complementary and alternative medicine for the management of low back pain and/or pelvic pain in pregnancy. BACKGROUND:International research demonstrates that 25-30% of women use complementary and alternative medicine to manage low back and pe...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.12360
更新日期：2014-08-01 00:00:00
abstract：:Because of trends in the health care environment, hospitals are restructuring to innovative patient care delivery systems. The Case Management Model, with its emphasis on quality patient care and cost containment, is gaining widespread recognition throughout Canada and the United States. In this paper, the Case Manage...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1992.tb01834.x
更新日期：1992-10-01 00:00:00
abstract：:There has been a rapid development of measurement systems in the health services in the United Kingdom (UK) over recent years, not always matched by a thorough understanding of the phenomenon being measured and rarely based on any assessment of reliability or validity. A particularly flagrant example of this process i...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.22020221.x
更新日期：1995-08-01 00:00:00
abstract：:Women's attendance for regular cervical screening has been identified as a significant factor in the prevention of cervical cancer. Evidence suggests, however, that both extrinsic and intrinsic factors influence women's attendance patterns for screening. Extrinsic factors, in particular the practitioner undertaking th...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01481.x
更新日期：2000-08-01 00:00:00
abstract：:To be or to parent a chronically-ill child is a difficult experience. Parents can initiate 'normalizing' tactics that alleviate the child's feeling of being different and enable a sense of control with the possibility to influence the quality of life of the child and the family. Following up among 20 parents of chroni...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1980.tb03188.x
更新日期：1980-11-01 00:00:00
abstract：:The objective of this paper is to describe one study undertaken in the north of England which sought an understanding of family care-giving for people with dementia. Data were collected by interview and diary with 14 family carers, by questionnaire with 60 professional carers, and by interview and diary from nine case...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.00940.x
更新日期：1999-03-01 00:00:00
abstract：BACKGROUND AND RATIONALE:With an increasing demand for intensive care beds more nurses in acute and high dependency wards will be expected to care competently for patients with tracheostomy tubes. Tracheal suctioning is an essential aspect of effective airway management. However, this has many associated risks and comp...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2002.02240.x
更新日期：2002-07-01 00:00:00
abstract：:Longitudinal panel studies have several distinct methodological and analytical advantages over cross-sectional studies for gaining an understanding of nurses' careers and developing strategies to facilitate retention. Panel studies do, however, present the researcher with a number of substantial challenges if maximum ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1994.20040729.x
更新日期：1994-10-01 00:00:00
abstract：:Caring has been cited by many authors as the core value of nurse educator-student relationships. Others have discussed the need for caring to be translated and transmitted in the practices of nursing education. However, a clear conceptualization of what caring in nursing education is and how it is transmitted to stude...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.1994.tb01064.x
更新日期：1994-01-01 00:00:00
abstract：:An examination of what constitutes assessment would help to clarify those aspects which are essential for establishing a suitable nursing plan for clients. There is no consensus on one assessment tool in nursing, and many methods are used. The important areas in a comprehensive assessment (physiological, mental, socia...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1997.00397.x
更新日期：1997-10-01 00:00:00
abstract：AIM:To evaluate the relationship between the pressure exerted on the heel of one foot resting directly on a mattress, versus that exerted on the other heel, protected by a pillow beneath the Achilles tendon area and the changes thus produced in perfusion, oxygenation and temperature in the skin of heels of healthy volu...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14250
更新日期：2020-02-01 00:00:00
abstract：BACKGROUND:Changing health care practice is commonly attempted by feedback of performance data measured by clinical audit. However, empirical evidence of the effectiveness of clinical audit in changing practice is limited. Few studies have attempted to evaluate practice development or clinical outcomes within the conce...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.02228.x
更新日期：2002-06-01 00:00:00
abstract：:This paper reports the findings of a study which examines changes in a group of Bachelor of Science (BSc) nursing students' perceptions, knowledge of and attitudes towards human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), accruing from attempts at a systematized education for the cohort. Base...
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.1365-2648.2000.01492.x
更新日期：2000-08-01 00:00:00
