Abstract：
:Families are rapidly becoming unpaid givers of complex care. Using McKeehan & Coulton's systems model, this critique reviews the evolution of the structure and processes of discharge planning programmes. It explores three common assumptions: discharge planning programmes are cost-effective, allow for enhancement of patients' and families' quality of life, and ensure continuity of care between hospital and community. Funds are saved due to decreased lengths of initial hospital admissions and readmission rates. However, the cost of additional hospital and community resources is rarely considered. Little evidence supports the concept that discharge planning directly affects a patient's health status. Patients and families often do not perceive the same level of benefit from discharge planning as do health professionals. Several issues surrounding research methodologies used in the reviewed studies are identified. Of particular concern is the lack of qualitative research into patients' and families' experiences. The critique concludes with an exploration of ethical issues and challenges arising from increased emphasis on cost-effective discharge planning. These include patients' rights, provision of sufficient human, social and financial resources, improved hospital-community communications, and control over hospital-developed but community-implemented programmes.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Jackson MFdoi
10.1111/j.1365-2648.1994.tb01112.xsubject
Has Abstractpub_date
1994-03-01 00:00:00pages
492-502issue
3eissn
0309-2402issn
1365-2648journal_volume
19pub_type
杂志文章,评审abstract：AIM:This paper presents a conceptual analysis of the concept of bio-power in the context of nursing, including a critique of the widespread rhetoric that nursing is deprived of power and consequently is an apolitical agency. BACKGROUND:Traditionally, power tends to be defined in terms of repression, interdiction and p...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2005.03432.x
更新日期：2005-06-01 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
abstract：AIMS:To examine nurse-perceived quality of care, controlling for overall job satisfaction among critical care nurses and to explore associations with work environment characteristics. BACKGROUND:Nurse-perceived quality of care and job satisfaction have been positively linked to quality outcomes for nurses and patients...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/jan.13242
更新日期：2017-06-01 00:00:00
abstract：AIM:This paper is a report of a study conducted to (1) review and critique the published empirical research on nurses' intention to leave the profession and (2) synthesize the findings across studies. BACKGROUND:Lack of nurses and nurse turnover represent problems for the healthcare system in terms of cost, the abilit...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2010.05322.x
更新日期：2010-07-01 00:00:00
abstract：AIMS: This article is a report on a study of the effectiveness of breast health education provided by trained breast cancer survivors on knowledge, skills, performance and self-efficacy. BACKGROUND: Numerous studies have been performed to assess the effects of breast health education provided by health professionals...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2011.05815.x
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:The Nurses' Observation Scale for Inpatient Evaluation is a 30-item scale designed in 1965 for behavioural and observational rating of psychiatric inpatients. AIM:This paper reports a re-evaluation of the Nurses' Observation Scale for Inpatient Evaluation carried out to confirm that it remains reliable in a...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2004.03006.x
更新日期：2004-05-01 00:00:00
abstract：:For the past two decades authors have discussed the lack of research-based nursing practice. Many explanations are afforded but few focus on the way in which the researcher plans to involve staff in each stage of the process. The desire by practitioners to become researchers has been confounded in the main by increasi...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1990.tb01862.x
更新日期：1990-05-01 00:00:00
abstract：:Although fatigue has been identified as a major problem for individuals with chronic obstructive pulmonary disease and with asthma, no research was found in which the symptom was directly studied in persons with these conditions. From studies carried out on various patient populations, it appears that fatigue has some...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01102.x
更新日期：1999-08-01 00:00:00
abstract：AIMS:To examine the impact of errors or adverse events on emotional distress and professional quality of life in healthcare providers in the neonatal intensive care unit, and the moderating role of coworker support. BACKGROUND:Errors or adverse events can result in negative outcomes for healthcare providers. However, ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13403
更新日期：2018-01-01 00:00:00
abstract：AIM:This paper reports a study of (a) popular conceptions of mental illness throughout history, (b) how current social and cultural knowledge about mental illness influences Chinese-Australian patients' and caregivers' understanding of mental illness and the consequences of this for explaining and labelling patients' p...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2006.03886.x
更新日期：2006-07-01 00:00:00
abstract：AIM:To explore bereaved parents' interactions with healthcare providers when a child dies in a paediatric intensive care unit. BACKGROUND:Although most children admitted to a paediatric intensive care unit will survive, 2-5% will die during their stay. The parents of these children interact and form relationships with...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13401
更新日期：2018-01-01 00:00:00
abstract：AIM:This paper is the report of a study to explicate the components of observable behaviour that indicate a potential for violence in patients, their family and friends when presenting at an emergency department. BACKGROUND:Violence towards nurses is a contemporary, multifaceted problem for the healthcare workforce gl...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2007.04308.x
更新日期：2007-07-01 00:00:00
abstract：AIMS:The aims of this study of people with oral cavity cancer were to compare the social support, depression, nicotine dependence, physical function and social-emotional function of those who continued smoking with those who quit smoking, by matching age and survival time and to identify the predictors of continued smo...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13506
更新日期：2018-04-01 00:00:00
abstract：:An understanding of the importance of language as a symbolic artefact, particularly with reference to metaphor, has been little addressed within the nursing literature. Consequently, the potential richness of people's accounts may be missed. Data from a study which explored the nature of hospice work and nurses' exper...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00688.x
更新日期：1998-08-01 00:00:00
abstract：BACKGROUND:Despite a plethora of information on the prevention of pressure sores, they remain a significant problem in both hospital and community settings. The need to reduce the incidence of pressure sores has been well documented; unfortunately there is little evidence to suggest improvement. The reasons for this la...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2002.02370.x
更新日期：2002-11-01 00:00:00
abstract：AIM:This study was designed to identify the level of nurses' job satisfaction, occupational commitment and intent to stay among mainland Chinese nurses, to explore the relationship among them. BACKGROUND: Little is known about the magnitude of Chinese nurses' intent to stay. Understanding the association among demogr...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2011.05755.x
更新日期：2012-03-01 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：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：AIM:This paper is a report of a study to assess: (1) the relations between nursing organization models in hospital wards and nurses' perception of the quality of patient care and dimensions of the practice environment, and (2) if these relations were modified by variations in local conditions at the ward level. BACKGR...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1365-2648.2008.04873.x
更新日期：2009-02-01 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 understand the relationships among certain key factors such as organizational climate, self-efficacy and outcome expectation on registered nurses, with regard to the development of registered nurses' cross-cultural competence. The focus is specifically on the use of a social cognitive framework for nurses for p...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/jan.12901
更新日期：2016-05-01 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:The aim of this study was to explore the experiences of Clinical Research Nurses, with an emphasis on factors that may have an impact on successful study delivery. BACKGROUND:The Clinical Research Nurse workforce is pivotal to improving health outcomes through supporting research-active health economies. Investme...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13409
更新日期：2018-02-01 00:00:00
abstract：AIM:To provide expert consensus on the clinical indicators that signal a person with a haematological malignancy is at high risk of deteriorating and dying. BACKGROUND:Identification of people who are at risk of deteriorating and dying is essential to facilitate patient autonomy, appropriate treatment decisions, and e...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13889
更新日期：2019-01-01 00:00:00
abstract：:The essential nature of foundational studies in nursing, which are usually called meta-theories or conceptual frameworks, is explored. There are three approaches to this type of study, namely foundationalism, language critique and philosophical analysis. The work of Orem, King and Rogers is briefly analysed as an exam...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1987.tb01333.x
更新日期：1987-05-01 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：AIMS:This study compared the work-related experiences and personal health status of double-duty caregivers with those of caregivers who do not provide informal care to a family member or close friend in need. BACKGROUND:The interest in providing informal care alongside employment is growing. However, little attention ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12320
更新日期：2014-07-01 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：AIM:This paper is a report of the development and testing of an instrument that measures metacognitive abilities of nursing students. BACKGROUND:Metacognition refers to an individual's knowledge, awareness and command of thinking and learning strategies. Nursing students are challenged to think and learn in ways that ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2010.05427.x
更新日期：2010-11-01 00:00:00
abstract：AIM:This project has two aims: (a) What do relatives to brought in dead (BID) describe as helpful and supportive care when they arrive at the emergency department to see and say goodbye to a deceased? (b) What do nurses describe as good nursing practice for BID persons and their relatives and what may hinder or facilit...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14353
更新日期：2020-07-01 00:00:00
