Abstract:
:This paper summarizes a 12-month evaluation of an emergency assessment and community care psychiatric nursing service to demonstrate the possibility and desirability of health service providers evaluating their own service provision. The radical question central to such an assessment is: 'What would have been the case if the service assessed had not existed?' This question is more difficult to answer than might at first appear. However, recent changes in UK legislation concerning health care in general, and community care of the mentally ill in particular, make the assessment of new services of great importance. What is most needed in making such assessments is not technical expertise in data collection and analysis but non-specialized critical acumen in making inferences from data routinely collected in the course of providing any service. This is illustrated using the example of a community psychiatric nursing service which afforded an opportunity to consider the impact of a new project on established services.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Holdsworth N,Guy Wdoi
10.1111/j.1365-2648.1994.tb01083.xsubject
Has Abstractpub_date
1994-02-01 00:00:00pages
290-8issue
2eissn
0309-2402issn
1365-2648journal_volume
19pub_type
杂志文章abstract::A status passage is the process of change from one social status to another and, in this report, transition into the occupational role of nurse is described. The status passage includes the anticipations, entry, reporting of contrasts and changes which are often accompanied by surprise, and reality shock before making...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01715.x
更新日期:1990-10-01 00:00:00
abstract:AIM:To determine the effectiveness of the 'sleep enhancement' nursing intervention (Nursing Interventions Classification) in patients hospitalized with mental illness and having a disturbed sleep pattern and to identify the possible effect of psycho-active medications on this disturbed sleep pattern. DESIGN:A quasi-ex...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.06116.x
更新日期:2013-06-01 00:00:00
abstract::Liver transplantation is now the treatment of choice for patients with end-stage chronic liver disease. However, few studies have examined the recovery of liver transplant patients and no qualitative research studies have examined the experiences of these patients. Therefore the purpose of this study was to explore an...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1995.tb03107.x
更新日期:1995-12-01 00:00:00
abstract::Problematic situations comprise a significant proportion of nurse administrators' practice. Reflective inquiry is recommended as a method for identifying the problem and its solution. This approach is consistent with pragmatic philosophy which recognizes the fallacy of basing one's action on an a priori conclusion. De...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01134.x
更新日期:1999-09-01 00:00:00
abstract::The literature on interpretive/qualitative social science is maddeningly imprecise with respect to both the focus and aims of interpretive social science; this paper articulates an attempt to address these twin limitations. The dimensions of physical and social reality are compared and the definition of 'meaning' and ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01179.x
更新日期:1994-05-01 00:00:00
abstract::Contemporary nursing practice and education belong to a dynamic process which is likely to change the structure of nursing, as well as the relationships that have been established with other professions. This paper is concerned with the professionalization of nursing and examines how nurses and doctors maintain, or ch...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1994.tb01094.x
更新日期:1994-02-01 00:00:00
abstract::Developments in nurse training need to be based upon an understanding of the characteristics and aspirations of students. In this study, characteristics of a sample of registered nurses (n = 27) and students (n = 41) entering an undergraduate degree programme in nursing were compared with those of student nurses (n = ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01992.x
更新日期:1990-09-01 00:00:00
abstract::Improved management of HIV-related illness means that patients spend over 80% of their time in non-institutional settings. Most community-based health care in the United Kingdom is provided by primary health care teams: general practitioners and community nurses, with support from social workers. However, in many area...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18040531.x
更新日期:1993-04-01 00:00:00
abstract::Recently, there has been considerable interest shown in research studies that identify the needs of dying patients and their families, as well as the needs of health care professionals who care for the dying. This particular type of research has significantly contributed to an increase in the awareness of health care ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1994.tb01120.x
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:Children's emergency hospital use is of concern internationally, but there has been little examination of home care by nurses. AIMS:To examine the care provided by community children's nurses during acute illness. DESIGN:Triangulation of findings from case studies of three Community Children's Nursing Team...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.12141
更新日期:2013-11-01 00:00:00
abstract:AIM:A discussion of how the construct of compassion fatigue is understood in nursing. BACKGROUND:Compassion fatigue is a topic commonly found in nursing literature. DESIGN:Discussion paper. DATA SOURCES:The literature from 1992-2012 on compassion fatigue was examined. The literature from 1998-2012 on compassion was ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12686
更新日期:2015-09-01 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:AIM:This paper reports a comparison of nurses affected by the restructuring associated with healthcare organization mergers (1998-2000) in the United Kingdom and those of non-affected nurses in the UK. BACKGROUND:Restructuring, a feature of healthcare organizations for decades, has been associated internationally with...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03723.x
更新日期:2006-02-01 00:00:00
abstract:AIM:This paper is a report of an analysis of the concept of connectedness. BACKGROUND:Previous attempts to conceptualize patient-provider relationships were limited in explaining how such relationships are fostered and maintained, and how they influence patient outcomes. Connectedness is a concept that may provide ins...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05763.x
更新日期:2012-01-01 00:00:00
abstract::Clinical and policy developments in health care have recently created demand for a professional response in terms of the development of advanced roles for nurses, notably 'nurse practitioner' roles. Such roles demand the exercise of autonomy, a term which eludes succinct definition despite the fact that the preparatio...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1999.00948.x
更新日期:1999-03-01 00:00:00
abstract:AIM:Drawing upon the selected findings from a multidisciplinary study that sought to explore the meaning of master's level performance in health professional practice, the characteristics which nurse educators attributed to the practice of master's level nursing graduates are analysed to reveal underlying discourses. ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01791.x
更新日期:2001-06-01 00:00:00
abstract:AIM:This paper reports a comparison of four Cochrane systematic reviews on bladder training and voiding programmes for the management of urinary incontinence using metastudy descriptive techniques. It presents a synopsis of findings on theory and methods for interventions. BACKGROUND:From the mid-1970s bladder trainin...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/j.1365-2648.2006.04098.x
更新日期:2007-01-01 00:00:00
abstract:AIMS:We explore home care nurse decision-making about the need for and amount of service by clients and families at the end of life. We identify factors nurses refer to when describing these decisions, situated within contextual features of nursing practice. BACKGROUND:Home care nurses are often responsible for decisi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05491.x
更新日期:2011-02-01 00:00:00
abstract::In this paper, research guided by the principles of fourth-generation evaluation, which has negotiation as its centre, will be scrutinized. The role of stakeholders will be discussed with reference to negotiation issues. Throughout this discussion, observations will be based on the actual process of conducting three p...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01253.x
更新日期:2000-01-01 00:00:00
abstract::A structured questionnaire was used to investigate the relationship between expectation and evaluation of occupational health nursing services as perceived by providers (nurses) and receivers (employers and employees) in the United Kingdom. The response rate was 66.55% (254) from nurses, 51.32% (194) from employees an...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18050826.x
更新日期:1993-05-01 00:00:00
abstract:AIM:This paper is a report of a study to explore nurses' perceptions of health promotion and health education practice in a Chinese provincial hospital. BACKGROUND:Health promotion and health education practices are based on universal constructs. Therefore, such practices should share common principles. To date, most ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2007.04479.x
更新日期:2008-01-01 00:00:00
abstract::This paper considers the use of a rational curriculum planning model within nurse education. It suggests that the process of change within the model is oversimplified and mechanistic. As such it denies or ignores the experience of individuals involved in the change process by reducing their personal, cultural and poli...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1991.tb01623.x
更新日期:1991-02-01 00:00:00
abstract::Assessing a patient's level of consciousness is a skilled part of nursing practice. The epistemology of this activity is discussed using the four patterns of knowing identified by Carper. It is suggested that all four patterns and their interaction are necessary for a practitioner to be able to carry out this activity...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1994.20050881.x
更新日期:1994-11-01 00:00:00
abstract:AIM:This paper reports a study examining glass particle contamination in two ampoule sizes under three different experimental conditions (n = 18 in each group). BACKGROUND:While existing literature is clear that glass contamination occurs on opening single-dose glass ampoules, the clinical significance of intramuscula...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2648.2004.03195.x
更新日期:2004-11-01 00:00:00
abstract:AIMS:To explore responses to indirect trauma reported by health professionals and to identify issues of potential salience for midwives. BACKGROUND:Indirect exposure to a traumatic event can lead to the development of distressing and potentially enduring responses. Little is understood about the impact that perinatal ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12274
更新日期:2014-04-01 00:00:00
abstract::The author considers that whilst nurse tutors teach theory, nurse practitioners go on nursing in the same way that they always have done. There appears to be a chasm dividing theory and practice. This paper describes an attempt to leap that chasm. The paper identifies the problem, inherent in the nursing process that ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1988.tb01428.x
更新日期:1988-05-01 00:00:00
abstract:BACKGROUND:Two decades after the emergence of human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), the infection remains enigmatic and shameful. In Sweden, many HIV-infected persons still encounter attitudes of avoidance. AIMS:The aims were to investigate differences between attitudes of nurs...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02553.x
更新日期:2003-03-01 00:00:00
abstract:AIMS:To report findings of a national survey of care closer to home services for children and young people and a typology based on these findings. BACKGROUND:Providing care closer to home for children is a policy and practice aspiration internationally. While the main model of such services is children's community nur...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05893.x
更新日期:2012-09-01 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::This paper reviews the ways in which quality measures have been defined by reference to objective measures and applied by the producers of health care to patients. Patient satisfaction surveys may be thought to redress this imbalance and will be addressed as a precursor to the discussion of the SERVQUAL methodology, d...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1996.tb01030.x
更新日期:1996-12-01 00:00:00