Abstract:
AIM:To develop, refine and put forward a programme theory that describes configurations between context, hidden mechanisms and outcomes of nursing discharge teaching. DESIGN:Rapid realist review guided by Pawson's recommendations and using the Realist and Meta-narrative Evidence Syntheses: Evolving Standards. DATA SOURCES:We performed searches in MEDLINE, Embase, CINAHL Full text, Google Scholarand supplementary searches in Google. We included all study designs and grey literature published between 1998-2019. REVIEW METHODS:We followed Pawson's recommended steps: initial programme theory development; literature search; document selection and appraisal; data extraction; analysis and synthesis process; presentation and dissemination of the revised programme theory. RESULTS:We included nine studies and a book to contribute to the synthesis. We developed 10 context-mechanisms-outcome configurations which cumulatively refined the initial programme theory. These configurations between context, mechanisms and outcome are classified in four categories as follows: relevancy of teaching content; patients' readiness to engage in the teaching-learning process; nurses' teaching skills and healthcare team approach to discharge teaching delivery. We also found that some of the same contexts generated similar outcomes, but through different mechanisms, highlighting interdependencies between context-mechanisms-outcome configurations. CONCLUSION:This rapid realist review resulted in an explanatory synthesis of how discharge teaching works to improve patient-centred outcomes. The proposed programme theory has direct implications for clinical practice by giving meaning to the 'hidden' mechanisms used by nurses when they prepare patients to be discharged home and can inform curricula for nursing education. IMPACT:The essential components, process mechanisms, contexts and impacts of the nursing discharge teaching are not consistently or clearly described, explained or evaluated for effectiveness. This review uncovers underlying contexts and mechanisms in the teaching/learning process between patients and nurses. The resulting programme theory can guide nurse clinicians and managers towards improvements in conducting discharge teaching. :目标: 发展、完善并提出一个项目理论,描述出院护理教学的情境、隐藏机制和预后之间的配置。 设计: 以波森建议为指导,采用现实主义和元叙事证据合成法进行快速现实主义回顾:不断发展的标准。 数据来源: 评审方法 我们遵循了波森推荐的步骤:初步的项目理论制定;文献检索;文档选择和评价;数据提取;分析和合成过程;介绍和传播修订后的项目理论。 结果: 我们囊括了九篇研究和一本用于合成的书籍。我们开发了10种“背景-机制-预后”配置,这些配置对初步的项目理论做出不断的完善。这些情境、机制和预后之间的配置分为四类:教学内容的相关性;患者参与教学过程的准备程度;护士的教学技能和医疗团队完成出院教学任务的方法。我们还发现,一些相同的背景会产生相似的结果,但通过不同的机制,强调了“背景-机制-预后”配置之间的相互依赖性。 结论: 这一快速的现实主义回顾产生一个有关于出院教学如何作用于提高以患者为中心的预后的合成解释。所提出的计划理论对临床实践有着直接的启示作用,让护士在准备患者出院时使用“隐藏”机制赋予意义,并可作为护理教育课程的参考。 影响: 出院护理教学的基本组成部分、流程机制、背景和影响没有得到一致或清晰的描述、解释或评估。该回顾揭示了患者和护士之间在教学过程中的潜在背景和机制。由此得出的项目理论可以指导临床护士和管理者改进出院教学内容。.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Pellet J,Weiss M,Rapin J,Jaques C,Mabire Cdoi
10.1111/jan.14511subject
Has Abstractpub_date
2020-11-01 00:00:00pages
2885-2896issue
11eissn
0309-2402issn
1365-2648journal_volume
76pub_type
杂志文章,评审abstract::The recent increase in published work relating to the supervision of nurses and in particular mentorship suggests that nurses value the opportunities that such schemes present for developing practice. Much of the literature surrounding mentorship concerns the supervision of students in practice settings but more recen...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1999.00884.x
更新日期:1999-01-01 00:00:00
abstract:AIM:To examine how home nurses' turnover intentions are affected by the quality and frequency of supervisory feedback and by their own self-efficacy. BACKGROUND:Little is known about effective retention strategies for the growing home healthcare sector that struggles to retain an adequate workforce. While the work env...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12747
更新日期:2015-12-01 00:00:00
abstract::Recent advances in the prenatal diagnosis of birth defects including amniocentesis, ultrasound and fetoscopy are discussed. Indications, technical considerations and limitations are presented. Parental reactions to the stresses encountered during the process of prenatal diagnosis are related. Implications are identifi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1979.tb00882.x
更新日期:1979-09-01 00:00:00
abstract:AIM:To report an analysis of the concept of perinatal bereavement. BACKGROUND:The concept of perinatal bereavement emerged in the scientific literature during the 1970s. Perinatal bereavement is a practice-based concept, although it is not well-defined in the scientific literature and is often intermingled with the co...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12119
更新日期:2013-11-01 00:00:00
abstract::This paper considers the issue of nursing science. Nursing, as an art, has long been accepted as integral to nursing. Nursing, as a science, however, is a more recent concept. Nursing science is viewed as a threat to the profession by its opponents, while the proponents of nursing science see it as a promise for advan...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1986.tb01281.x
更新日期:1986-09-01 00:00:00
abstract:AIM:This paper is a report of an assessment of the construct validity of the Chinese version of the Edinburgh Feeding Evaluation in Dementia scale. BACKGROUND:The Edinburgh Feeding Evaluation in Dementia scale has previously been translated and back-translated and to determine the equality of the Chinese and English v...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04596.x
更新日期:2008-04-01 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 identify the sociodemographic attributes, project characteristics and champion strategies that differentiate formal from informal nursing champions, and to test their success in terms of project spread and novelty. BACKGROUND:Champions spread innovation in healthcare organizations. Empirical research has not e...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13838
更新日期:2019-01-01 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::The purpose of this study was to explore the perceived needs and anxiety levels of adult family members of intensive care unit (ICU) patients. The study was conducted over a 3-month period, on a convenience sample of 166 subjects selected from the total adult population of family members visiting an ICU patient in thr...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1991.tb01796.x
更新日期:1991-08-01 00:00:00
abstract::This study, conducted in acute care hospitals, supports and expands previous findings that delegation of responsibility and authority in the nursing service hierarchy is related to known factors affecting quality of patient care. Quality health care is improved if staff nurses are given autonomy and are expected to fu...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1985.tb00829.x
更新日期:1985-07-01 00:00:00
abstract::Nursing students, like their college counterparts, are beginning to revolt against hierarchical authority and to claim a more active part in their educational planning. Nurse educators can no longer assume that their students will never revolt; they must face up to the challenge of developing strategies for proper man...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1985.tb00518.x
更新日期:1985-05-01 00:00:00
abstract:AIM:To explore carers' experience of caring during a mental health crisis. BACKGROUND:Community mental health care including crisis care relies increasingly on carers. The relationship between carers and professionals is at times fraught due to issues of what constitutes a crisis, confidentiality and a perception of l...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12742
更新日期:2015-12-01 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:BACKGROUND:The recent government decision to fund the costs of Registered nursing time in long-term care facilities in England through the Registered Nurse Contribution to Care renders the need to distinguish the role of Registered General Nurses (RGNs) from that of Care Assistants (CAs) in nursing homes increasingly i...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1046/j.1365-2648.2003.02649.x
更新日期:2003-06-01 00:00:00
abstract::Marital separation in Japan usually occurs as a result of husbands' occupational transfers. There is an increasing number of married men who are transferred by their employers and who do not take their families, primarily in order to maintain educational continuity for the children. An exploratory field study was cond...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18101515.x
更新日期:1993-10-01 00:00:00
abstract:AIM:This paper is a report of a study to investigating the incidence types and causes of medication errors (MEs) and the consequences for patients. Background. Medication errors are a common problem in hospitals around the world, including those in Brazil. METHOD:An exploratory, quantitative survey design was used and...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.04979.x
更新日期:2009-06-01 00:00:00
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::Historical trends encouraging the extended role of the nurse in general practice are described, and Department of Health and Social Security (DHSS) policy regarding this and the legal position of the nurse, discussed. The results of a postal questionnaire to all 192 Directors of Nursing Services (DNSs) (Community) in ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1985.tb00532.x
更新日期:1985-09-01 00:00:00
abstract:AIMS:To investigate the readability, comprehensiveness and transparency of web pages about medical abortion in the second trimester of pregnancy. DESIGN:A cross-sectional descriptive study of Swedish web pages. METHODS:Six systematic searches were performed in Google during January 2017. The first 10 hits of each sea...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14080
更新日期:2019-11-01 00:00:00
abstract:AIM:The aim of this study was to evaluate the self-help behaviour of individuals with eating disorders in an Internet-based self-help programme developed in the Asia-Pacific region and to determine their compliance with the programme. BACKGROUND:Eating disorders represent a growing health problem affecting both Wester...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05988.x
更新日期:2013-01-01 00:00:00
abstract:AIM:The aim of this paper is to present the results of a study designed to determine the effect of scenario-based simulation training on nursing students' clinical skills and competence. BACKGROUND:Using full-scale, realistic, medical simulation for training healthcare professionals is becoming more and more common. A...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2648.2006.03810.x
更新日期:2006-05-01 00:00:00
abstract:AIMS:The aim of this study was to examine the effectiveness of a scheduled 30-min nap and its interaction with individual factors on sleepiness and cognition during an 8-hr night shift. DESIGN:This prospective, within-subjects study conducted between 2011-2014 compared sleepiness and cognition with/without a nap durin...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14031
更新日期:2019-11-01 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:UNLABELLED:AIM OF THE STUDY/PAPER: To identify the contribution of the nurse within the multi-professional rehabilitation team. BACKGROUND:The requirement for nurses to work effectively within the multi-professional rehabilitation team is increasingly important with the higher incidence of chronic disease, growing num...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02059.x
更新日期:2002-01-01 00:00:00
abstract::The attention to patient outcome has nowadays extended from morbidity and mortality to an aspect of patients' benefits in terms of quality of life. One factor crucial for quality of life is coping capacity, in this study represented by the sense of coherence concept. Physical status and emotional state (often measured...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01408.x
更新日期:2000-06-01 00:00:00
abstract::This preliminary study is part of an ongoing action research project. Elderly patients (n = 45) and their informal caregivers (n = 147) completed a questionnaire. The purpose of this study was to evaluate the quality of care from both the patients' and their informal caregivers' points of view and to compare differenc...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章
doi:10.1046/j.1365-2648.1994.20010071.x
更新日期:1994-07-01 00:00:00
abstract:AIM:This paper is a report of a study to illustrate the unique relationship between role stress and job satisfaction and provide recommendations for advanced nursing practice in Taiwan. BACKGROUND:International literature has shown that work role-related stress experienced by staff nurses predicts role strain, which i...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2007.04339.x
更新日期:2007-09-01 00:00:00
abstract::This study seeks to gain an understanding of the learning experiences of district nurse students in the learning environment of the community, and to examine learning in the practice setting from the perspective of the student. Since the research depends upon the changing and differing interpretations of the individua...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1992.tb01965.x
更新日期:1992-06-01 00:00:00
abstract:AIM:To gain insight into a new type of nurse specialized in gerontology and geriatrics, how they find meaning in the care of older persons and how this relates to the seven professional roles derived from the CanMEDS theoretical framework. BACKGROUND:To promote the quality of care for older persons in the Netherlands,...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12936
更新日期:2016-07-01 00:00:00