Abstract：
:A literature search was conducted to identify 'nursing led in-patient units' where the nurse is the designated leader of the clinical team. The review concentrates on studies which have attempted to measure the impact of nursing-led in-patient units and reviews both the methodology and outcomes. Three major bodies of work were identified. Lydia Hall's evaluation of the Loeb Center for Nursing and Rehabilitation (USA) is reviewed in some detail. This work was the model for 'nursing beds' at the two Oxfordshire Nursing Development Units (UK) in the 1980s. Studies evaluating these centres are reviewed and reports of similar UK units discussed. A third body of work evaluates a nurse-managed critical care environment. Common features include a case mix based on nursing need with nurses having authority to admit and discharge patients. While results are generally favourable, with improved patient independence, fewer readmissions, lower mortality and cost savings reported in some or all of the studies, all studies reviewed demonstrate the difficulties of applying an experimental model to real life clinical services. Methodological limitations render firm conclusions difficult. Techniques adopted from studies in field settings, the so-called 'quasi-experiment', are advocated as a remedy, as is further study of the process of care in investigating this model of care delivery.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Griffiths P,Wilson-Barnett Jdoi
10.1046/j.1365-2648.1998.00655.xsubject
Has Abstractpub_date
1998-06-01 00:00:00pages
1184-92issue
6eissn
0309-2402issn
1365-2648journal_volume
27pub_type
杂志文章,评审abstract：AIM:This paper reports an assessment of the effects of a breastfeeding journal on breastfeeding prevalence and perceptions of conflicting advice, self-management and self-efficacy. BACKGROUND:Breastfeeding prevalence rates in most developed countries are not meeting recommendations. Women's concerns about inconsistent...
journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.00940.x
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1997.1997025045.x
更新日期：1997-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章,评审
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：1987-01-01 00:00:00
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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
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：1995-02-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2002-07-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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更新日期：2000-11-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
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更新日期：2007-05-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13477
更新日期：2018-03-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.21040729.x
更新日期：1995-04-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1997.1997025953.x
更新日期：1997-05-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1995.tb02729.x
更新日期：1995-03-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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更新日期：2005-10-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1986.tb01215.x
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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更新日期：2006-04-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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journal_title：Journal of advanced nursing
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更新日期：2010-12-01 00:00:00
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journal_title：Journal of advanced nursing
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更新日期：1998-07-01 00:00:00
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journal_title：Journal of advanced nursing
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更新日期：2017-06-01 00:00:00
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journal_title：Journal of advanced nursing
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更新日期：2011-01-01 00:00:00
