Abstract:
AIMS:To present a new nursing intervention category called therapeutic enhancement. BACKGROUND:Fewer than half of North Americans follow their physician's recommendations for diet and exercise, even when such are crucial to their health or recovery. It is imperative that nurses consider new ways to promote healthy behaviours. Therapeutic enhancement is intended to provide such a fresh approach. Traditional intervention techniques focusing on education, contracts, social support and more frequent interaction with physicians appear not to be effective when used alone. Successful strategies have been multidisciplinary; and have included interventions by professional nurses who assist patients to understand their disease and the disease process and that helps them to develop disease-management and self-management skills. Therapeutic enhancement incorporates The Stages of Change Theory, Commitment to Health Theory, Motivational Interviewing techniques and instrumentation specifically designed for process evaluation of health-promoting interventions. METHOD:This is a critical review of approaches that, heretofore, have not been synthesised in a single published article. CONCLUSIONS:Based on the commonly used Stages of Change model, therapeutic enhancement is useful for patients who are at the action stage of change. Using therapeutic enhancement as well as therapeutic strategies identified in Stages of Change Theory, such as contingency management, helping relationships, counterconditioning, stimulus control and Motivational Interviewing techniques, nursing professionals can significantly increase the chances of patients moving from action to the maintenance stage of change for a specific health behaviour. RELEVANCE TO CLINICAL PRACTICE:Using the nursing intervention category, therapeutic enhancement can increase caregivers' success in helping patients maintain healthy behaviours.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Kelly CWdoi
10.1111/j.1365-2702.2007.02121.xsubject
Has Abstractpub_date
2008-04-01 00:00:00pages
188-91issue
7Beissn
0962-1067issn
1365-2702journal_volume
17pub_type
杂志文章,评审abstract:AIMS AND OBJECTIVES:To explore the profiles of delirium in coronary artery bypass grafting patients and identify related patient outcomes. BACKGROUND:Delirium was assessed previously as a binary result, i.e. present or absent, but little attention was paid to the profiles of delirium, e.g. the subtype, severity, durat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13089
更新日期:2016-03-01 00:00:00
abstract:AIM:To explore district nurses care of chronic pain sufferers and to create a theoretical model that can explain the variation in district nurses experiences when caring for these patients. BACKGROUND:Many people suffer from chronic pain, which greatly affects their wellbeing and causes physical suffering and psychoso...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02222.x
更新日期:2008-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To compare a functioning assessment based on the International Classification of Functioning, Disability and Health (ICF) with a conventional medical assessment, in terms of their respective consequences for health professionals' clinical decision-making and the fit with patient's own perspective of...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.12266
更新日期:2014-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore health literacy status in asthma patients and to examine the causal model linking health literacy to health outcome-related factors via mediator and moderator variables. BACKGROUND:Understanding how low health literacy may influence health outcomes is important. DESIGN:This is a cross-s...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12434
更新日期:2014-07-01 00:00:00
abstract:AIM:This paper presents an account of nurses' perceptions and understanding of health promotion in an acute setting. BACKGROUND:Health promotion is considered the remit of every nurse. To engage in health-promoting practice, however, nurses need to understand the term 'health promotion' clearly. METHOD:A single quali...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.01640.x
更新日期:2007-06-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore and describe lived experience of blood glucose self-monitoring among pregnant Thai women with gestational diabetes mellitus. BACKGROUND:Self-monitoring of blood glucose is an essential practice among pregnant women with diabetes to prevent complications in pregnancy and the newborn infan...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13571
更新日期:2017-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study was to investigate how a lifestyle intervention programme influences psychiatric and psychosocial factors among persons with psychiatric disabilities. BACKGROUND:Persons with psychiatric disabilities often suffer from a simultaneous physical health problem, where circulatory d...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2702.2009.03010.x
更新日期:2010-06-01 00:00:00
abstract:AIMS AND OBJECTIVES:To translate and validate a Greek version of the Hypertension Knowledge-Level Scale. BACKGROUND:The major barrier in the management of hypertension is the lack of adherence to medications and lifestyle adjustments. Patients' knowledge of the nature of hypertension and cardiovascular risk factors is...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12906
更新日期:2015-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe changes in cognitive function, as measured by the trail making test; to identify distinct patterns of change in cognitive function; and to examine predictors of change in cognitive function in people with severe chronic obstructive pulmonary disease. BACKGROUND:How cognitive function ch...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14285
更新日期:2018-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore service provision for Victorian regional refugee families from the perspective of maternal and child health nurses. BACKGROUND:Increasingly, more families from a refugee background are resettling in regional Victoria. The refugee journey has significant effect on families. Refugee famili...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14277
更新日期:2018-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the levels and causes of work-related frustration among senior nurses. BACKGROUND:Role changes and the associated expectations and setbacks faced by senior middle-aged nurses can easily result in low morale. Therefore, working setbacks experienced by senior nurses must be investigate...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13241
更新日期:2016-07-01 00:00:00
abstract:AIM:To measure levels of anxiety among people accompanying consumers to the emergency department and to explore how anxiety influences satisfaction with care. BACKGROUND:When people seek treatment in an emergency department they are often accompanied by a next-of-kin, family member or friend. While the accompanying pe...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.02873.x
更新日期:2009-12-01 00:00:00
abstract:AIMS:To examine paediatric nurses' pain assessment and management practices in relation to postoperative care for children following surgery of a fractured lower limb and to compare these practices with evidence-based guidelines. BACKGROUND:Managing pain is one of the most challenging issues in current paediatric prac...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.03068.x
更新日期:2010-01-01 00:00:00
abstract:AIM AND OBJECTIVES:This study was conducted to explain the relationships of the factors affecting consumers' disease information-seeking behaviour on the Internet in Korea. BACKGROUND:Similar to other countries, Korea is facing an increasing use of Internet as a resource of health information. With the paradigm shifts...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.03187.x
更新日期:2010-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:(1) To evaluate the influence of local cold on severity of labour pain and (2) to identify the effect of local cold on maternal and neonatal outcomes. BACKGROUND:Fear of labour pain results in an increase in pain and duration of labour, maternal discontent and demand for caesarean section. Regardin...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/jocn.12413
更新日期:2014-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To compare the levels of self-care behaviour, social support and quality of life among type 2 diabetes mellitus patients who underwent three regimens: taking medicine, taking-medicine-while dieting and taking-medicine-while-dieting-with exercise. BACKGROUND:Diabetes treatment is a critical concern ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12123
更新日期:2013-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to evaluate the effectiveness of a self-medication programme (SMP) for inpatients of the Nursing Convalescent Unit, a 26-bed unit with medical and surgical patients. BACKGROUND:Self-medication is an important part of self-management of chronic illness. Self-medication ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01398.x
更新日期:2006-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate the effects of a nurse-led, hospital-based heart failure specific education session with a three-month telephone follow-up on self-care behaviour, care dependency and quality of life for patients with chronic heart failure. BACKGROUND:Patient education in patients with heart failure is ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/jocn.12766
更新日期:2015-06-01 00:00:00
abstract:AIMS AND OBJECTIVES:Participant narratives from a feminist and queer phenomenological study aim to broaden current understandings of trauma. Examining structural marginalisation within perinatal care relationships provides insights into the impact of dominant models of care on queer birthing women. More specifically, v...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13727
更新日期:2017-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To clarify chronic obstructive pulmonary disease patients' perspectives on treatment with noninvasive ventilation and develop management strategies for the treatment based on these perspectives. BACKGROUND:The effect of treating chronic obstructive pulmonary disease patients with noninvasive ventil...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2019-03-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2016-12-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01585.x
更新日期:2007-03-01 00:00:00
abstract::Research and development work in health and social care are increasingly required to involve users at all stages of the research process yet there is scant empirical evidence to support the justification of this laudable aim. Evidence does suggest that at present efforts to achieve this are primarily tokenistic and th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01162.x
更新日期:2005-03-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13900
更新日期:2018-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:Hand dermatitis is regarded as one of the most often observed dermatological disorders among nurses. This study was carried out to investigate the incidence of self-reported hand dermatitis and related factors among paediatric nurses. BACKGROUND:The most common occupational skin disease in the nurs...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03194.x
更新日期:2010-06-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the effect of the introduction of an electronic nursing documentation system on the efficiency of documentation in a residential aged care facility. BACKGROUND:Modern technology has the potential to free caregivers in residential aged care facilities from their burden of paper documentat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04157.x
更新日期:2012-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To report findings concerning family involvement in emergency department discharge education for older people. BACKGROUND:The current trend of population ageing in Western countries has caused an increase in emergency department visits. Due to the continuing improvement in the mental and physical s...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13399
更新日期:2016-11-01 00:00:00
abstract::This paper is based on an investigation into the learning experiences of student midwives in the clinical setting in one maternity unit in the Republic of Ireland. A questionnaire approach was adopted for the data collection and 42 student midwives participated in the study. A number of factors were identified which a...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.1994.tb00368.x
更新日期:1994-03-01 00:00:00
abstract:AIMS:This paper reviews placebo and placebo effects and their measurement and application to nursing. Ethical and methodological issues are also discussed. Implications for nursing and recommendations for future study are offered. BACKGROUND:Placebos have been used for decades in clinical trials but discussion about c...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2006.01373.x
更新日期:2006-05-01 00:00:00