Abstract：
:The organization of the way in which hospitals and hospital staff provide a service to patients is obviously of critical importance to their effectiveness, yet it is clear that rigidities and inappropriate and ineffective procedures frequently intrude. It is commonly held that changing hospitals as organizations is difficult to acomplish, and indeed, reported attempts at such change reflect this. The project reported here was a successful attempt at changing a number of different aspects of the culture of a psychiatric hospital which included managerial practices and structure, aspects of patient care, multidisciplinary team work, and staff development. The present paper concentrates on some specific outcomes at ward level. The general pattern for bringing about change involves the collection of (valid) data and then feeding this back to the staff involved so that they can take appropriate action. The data discussed here concerned ward nursing staff's attitude to the 'climate' of the hospital, their job satisfaction and aspects of patient care. This was fed back to nursing, managerial and medical staff, and action plans were agreed to overcome the difficulties highlighted. Outcomes have included the production of ward and unit objectives and changes in treatment programmes and aspects of patient care on the wards.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Cope D,Cox Sdoi
10.1111/j.1365-2648.1980.tb00977.xsubject
Has Abstractpub_date
1980-07-01 00:00:00pages
371-80issue
4eissn
0309-2402issn
1365-2648journal_volume
5pub_type
杂志文章abstract：:There is a dearth of studies on the job satisfaction of community nurses, especially those working with people with a mental handicap, in the United Kingdom. This paper reports on some of the data gathered as part of a survey of community nurses (mental handicap) (CNMH) in Northern Ireland in 1992. A 25-item questionn...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1994.20061046.x
更新日期：1994-12-01 00:00:00
abstract：:The amount of pain experienced by the postoperative newborn remains one of the most challenging problems in neonatology. In this study, ethological methods were used to examine behaviours for 12 hours, commencing 24 hours postoperatively in three male full-term infants following chest surgery. The infants' facial expr...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb03426.x
更新日期：1991-04-01 00:00:00
abstract：AIM:This paper reports a study to test the hypothesis that day surgery patients who listen to music during their preoperative wait will have statistically significantly lower levels of anxiety than patients who receive routine care. BACKGROUND:Although previous day surgery research suggests that music effectively redu...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1365-2648.2005.03563.x
更新日期：2005-10-01 00:00:00
abstract：:Trust is an important and pervasive concept. In nursing, it has been considered primarily from two perspectives. Clinically, it is an important aspect of the nurse-patient relationship. Organizationally, trust is associated with various outcomes and levels of effectiveness. Much of the nursing literature that discusse...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.1996.16310.x
更新日期：1996-07-01 00:00:00
abstract：:Members of a county division of the Midwives' Association of Sweden were surveyed to examine their awareness of, attitudes to and use of selected research findings. A total of 14 findings from research within the midwifery field were identified from midwives' dissertations and the journal Jordemodern using the criteri...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1996.tb00007.x
更新日期：1996-03-01 00:00:00
abstract：AIM:This paper is a report of a study to identify the extent of postgraduate nursing students' information literacy skills in relation to electronic media and health information and barriers to accessing this information. BACKGROUND:The Internet is a key source of information for a significant group of patients. Howev...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2007.04460.x
更新日期：2008-01-01 00:00:00
abstract：AIMS:This paper reports a revision of the United Kingdom's National Health Service Job Evaluation System and tests the revised system in eight clinical nursing management jobs in four Turkish hospitals. BACKGROUND:A job evaluation system was developed in the United Kingdom in 2003-2004. Most studies have focused on ho...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1365-2648.2006.04024.x
更新日期：2006-11-01 00:00:00
abstract：AIM:To longitudinally describe stroke caregivers' quality of life, anxiety, depression and burden and to identify predictors of stroke caregivers' quality of life, anxiety, depression and burden. BACKGROUND:Caregivers have a key role in stroke survivor care and the first year of caregiving is the most challenging. To ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13695
更新日期：2018-04-27 00:00:00
abstract：AIM:A discussion of issues associated with Values Based Recruitment (VBR) for nurse education programmes. BACKGROUND:Values Based Recruitment is a mandatory element in selection processes of students for Higher Education healthcare courses in England, including all programmes across nursing. Students are selected on t...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13512
更新日期：2018-05-01 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：AIMS:The aims of this paper are to discuss the uses of the concept of technology from the medical science and the management perspectives; to propose a clear definition of nursing technology; and to present a study applying the use of the concept of nursing technology on nursing units. BACKGROUND:Nurse managers must u...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.2001.01910.x
更新日期：2001-09-01 00:00:00
abstract：:Patient satisfaction with a nurse-led rheumatology clinic was tested using the Leeds Satisfaction Questionnaire (LSQ), which was specially developed and shown to be both reliable (Cronbach's alpha, 0.96) and stable (test-re-test r = 0.83). A total of 70 patients with rheumatoid arthritis, aged 22-75 years were randoml...
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.1365-2648.1997.1997025347.x
更新日期：1997-02-01 00:00:00
abstract：:The development of a satellite education partnership between the School of Nursing at the University of Wisconsin Eau Claire and St Joseph's Hospital in Marshfield, Wisconsin, is reported. The factors which were identified as key to this successful partnership are compared to the antecedent conditions and defining att...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00836.x
更新日期：1998-12-01 00:00:00
abstract：AIMS:To examine the effect of transformational leadership on early career nurses' intent to stay, job satisfaction and organizational commitment. BACKGROUND:Lack of leadership support is one of the top reasons staff nurses leave. Current studies reported mixed results about the impact of transformational leadership on...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13055
更新日期：2016-11-01 00:00:00
abstract：AIMS:This paper sets out to examine critically aspects of curriculum policy related to preregistration nursing education in the Republic of Ireland. BACKGROUND:Following a period of industrial unrest concerned with pay, promotional opportunities and conditions of employment amongst nurses and midwives in the Republic ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2002.02132.x
更新日期：2002-03-01 00:00:00
abstract：AIM:To explore the reasons why older Chinese people decline to tell their life stories. BACKGROUND:Promoting the telling of life stories by older people, as part of healthy ageing, may develop their sense of unity and meaning in life. However, not all older adults seem to review their past and tell others about it. Un...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12630
更新日期：2015-07-01 00:00:00
abstract：:From patient narratives, the phenomenological literature and reflection of patients' autobiographical accounts of illness, nine themes reflecting the phenomenological concept of corporeality were used to identify the ways patients achieve comfort. The themes were: the dis-eased body, the disobedient body, the vulnerab...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1994.20010189.x
更新日期：1994-07-01 00:00:00
abstract：:This paper reports on the outcome of nursing intervention consisting of information-giving to patients about to undergo a threatening medical event (intravenous pyelography). Thirty patients in an intervention group were given structured information on all aspects of the examination (sensory, procedural and temporal c...
journal_title：Journal of advanced nursing
pub_type： 临床试验,杂志文章
doi：10.1111/j.1365-2648.1989.tb01471.x
更新日期：1989-10-01 00:00:00
abstract：:Psychiatric nurses in the United Kingdom (UK) have begun to reattend to people with 'serious and enduring mental illness'. At the same time research in the USA and UK has refocused much of its attention on neuroscientific theories and models of serious mental illness. Psychiatric nurses are being encouraged to conside...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.1997.1997025660.x
更新日期：1997-04-01 00:00:00
abstract：AIM:To determine the cost effectiveness of increasing nurse staffing or changing the nursing skill mix in adult medical and/or surgical patients? BACKGROUND:Research has demonstrated that nurse staffing levels and skill mix are associated with patient outcomes in acute care settings. If increased nurse staffing levels...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.12577
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:Autonomy plays an important part in nurses' job satisfaction and retention, but the literature shows that they are often dissatisfied with this aspect and want better working conditions and greater autonomy in decision-making. AIMS:The aim of this study was to examine the role that nurse managers have in en...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.2003.02893.x
更新日期：2004-02-01 00:00:00
abstract：BACKGROUND:In a resident-oriented care model the assignment of patients to primary nurses takes place. These primary nurses are responsible for the total nursing care of their patients and make use of the nursing process. According to job demand-control models, these enlarged and enriched jobs can be described in terms...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2003.02956.x
更新日期：2004-03-01 00:00:00
abstract：:The purpose of this qualitative study was to gain an understanding of the response of English speaking adults with low literacy skills to screening of reading ability in order to facilitate the planning of patient teaching in a hospital setting. The Rapid Estimate of Literacy in Medicine (REALM) was the screening tool...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1997.19970251040.x
更新日期：1997-05-01 00:00:00
abstract：AIM:This article is a report of a protocol for studying the development and evaluation of an online parent information and support package for home-based care of children with chronic kidney disease stages 3-5. The study is funded by a National Institute of Health Research, Research for Patient Benefit Grant awarded (D...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1365-2648.2011.05908.x
更新日期：2012-09-01 00:00:00
abstract：AIMS:The aim of this study was to explicate the processes by which a patient's choice to undergo bariatric surgery is made to feel like a medical necessity, to explore the ways widespread societal stigmatization of weight and bariatric surgery shapes patient and provider discourse about surgery and to discuss patient r...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13193
更新日期：2017-04-01 00:00:00
abstract：:Nurses will often be at the forefront in a health care team which decides that it is ethically acceptable to allow a particular patient to die but the possibility of actually killing another patient who requests his own death is met with heartfelt resistance. This paper explores the distinction between killing and let...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.21050911.x
更新日期：1995-05-01 00:00:00
abstract：AIM:To explore primary family caregivers' observations and perceptions of their older relatives' knee osteoarthritis pain and pain management. BACKGROUND:Osteoarthritis is one of the most common joint disorders in older people. Studies have mainly focused on spouses' or partners' perceptions of older individuals' oste...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12684
更新日期：2015-09-01 00:00:00
abstract：:Models of care from the general field of nursing applied in special hospitals appears to be unworkable in this type of environment in terms of their inability to affect patient care. It is argued that these external models, adopted due to a crisis of confidence in special hospitals, fail because their fundamental cons...
journal_title：Journal of advanced nursing
pub_type： 历史文章,杂志文章
doi：10.1111/j.1365-2648.1990.tb01889.x
更新日期：1990-06-01 00:00:00
abstract：:A prospective study designed for 336 hospitalized patients with stroke and their families, who were followed from the discharge day to the third month after being discharged, was carried out in order to compare the costs and effectiveness of home care with the community-based nursing homes for stroke patients with dif...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1997.00410.x
更新日期：1997-11-01 00:00:00
abstract：AIMS:This paper is a report of a study conducted to explore the relationship between nurses' personal and professional factors and evidence-based nursing practice. BACKGROUND:Like most health-related professions, nursing is shifting from the traditional intuition-based paradigm to evidence-based nursing practice. MET...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2010.05488.x
更新日期：2011-01-01 00:00:00
