Abstract：
:This study describes efforts to reduce turnover of child care workers, one of the many activities undertaken within the Milieu Enhancement Project. This 3-year endeavor, funded by the Division of Nursing of the Department of Health and Human Services, allowed nurses to provide care for orphaned and disadvantaged children, test the value of a nursing practice model, analyze the cost-benefit and the cost-effectiveness of the project, computerize existing and model-derived health care records, and allow faculty and graduate students to practice autonomously in a nontraditional setting. The research question was: What is causing job dissatisfaction in child care workers? Nurses and social workers used the Milieu Enhancement Model to conceptualize, address, and evaluate factors contributing to turnover. While statistical significance was not obtained in the turnover rates before and after implementation of the Turnover Prevention Program, the milieu was enhanced in many ways. Data are presented to support many aspects of the program's success.
journal_name
Arch Psychiatr Nursjournal_title
Archives of psychiatric nursingauthors
Warner SL,Perkins A,McGrath M,Kucinkas Cdoi
10.1016/0883-9417(91)90053-8subject
Has Abstractpub_date
1991-08-01 00:00:00pages
244-50issue
4eissn
0883-9417issn
1532-8228pii
0883-9417(91)90053-8journal_volume
5pub_type
杂志文章abstract：BACKGROUND:Although resilience and coping are important factors associated with mental health, they are rarely investigated in the treatment of patients with panic disorder (PD). OBJECTIVE:To evaluate the response to four resilience and coping strategy sessions added to the standard cognitive behavioral group therapy ...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2019.06.003
更新日期：2019-08-01 00:00:00
abstract：:Within an interactive model of schizophrenia, social support is postulated to serve as a protective factor that facilitates coping and competence, thus modulating the deleterious effects of social and environmental stressors. Although there is growing evidence of the importance of social support in influencing the cou...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,评审
doi：10.1016/s0883-9417(95)80003-4
更新日期：1995-04-01 00:00:00
abstract：:This review consolidates findings regarding knowledge and attitudes of healthcare professionals, together with challenges faced while caring for patients with eating disorders. A rigorous and systematic approach was taken to identify 21 articles, which include 12 quantitative, 7 qualitative, and 2 mixed-method papers....
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,评审
doi：10.1016/j.apnu.2016.09.002
更新日期：2017-02-01 00:00:00
abstract：:Critically ill patients receiving mechanical ventilatory support experience profound anxiety with this common treatment modality. Music intervention is one adjunctive therapy that can be implemented to allay anxiety. This article reviews the evidence support music as an adjunctive intervention with mechanically ventil...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2008.12.005
更新日期：2009-04-01 00:00:00
abstract：PURPOSE:This study aimed to examine the relationship between behavioral variables and aggression among severely and chronically mentally ill inpatients in a Social Learning Program (SLP) at a state psychiatric facility. METHODS:Using archival data over a 24-month period, a total of 23 severely and chronically mentally...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2017.09.012
更新日期：2018-02-01 00:00:00
abstract：:Agitation is exhibited by most nursing home residents with dementia and is a risk factor for poor health outcomes. Identifying the antecedents of agitation is essential for appropriate treatment because interventions require well-defined targets. This study explored relationships between level of social interaction (h...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2005.08.006
更新日期：2006-02-01 00:00:00
abstract：:This study investigates the prevalence and predictors for posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG) in adult survivors 1year after the 2008 Wenchuan earthquake. Questionnaires were used to collect the data. PTSD was assessed using the PTSD Check List-Civilian (PCL-C), and PTG was assessed usi...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2013.10.010
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVE:To clinically validate risk factors for the nursing diagnosis risk for suicide in older adults. METHODS:Case-control study (105 older adults). The strength of the association between variables was assessed using odds ratio (OR). Risk factors were grouped into hierarchical blocks according to the Integrated M...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2020.01.003
更新日期：2020-04-01 00:00:00
abstract：PURPOSE:To clarify the concept of early recognition for the field of forensic nursing. The concept is based on the proposition that patient behavior deteriorating toward aggression is idiosyncratic but nevertheless reconstructable like a "signature." Once reconstructed, this signature can be used to detect "early signs...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2007.06.012
更新日期：2008-08-01 00:00:00
abstract：:The article shows the results of a longitudinal study aimed to explore the institutional therapeutic alliance (ITA) that is the alliance formed by a patient and all the therapeutic staff. Fifty five patients who have psychiatric disorders in partial hospitalization were evaluated at admission (global functional level,...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2007.07.003
更新日期：2008-10-01 00:00:00
abstract：:Identifying client outcomes related to nursing care is critical to establish empirical evidence that supports the effectiveness of psychiatric nursing. The purpose of this article is to conduct a methodological review of the literature that examines client outcomes after treatment in acute care inpatient psychiatric h...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,评审
doi：10.1016/j.apnu.2004.09.003
更新日期：2004-12-01 00:00:00
abstract：:Specialization within health care is evolving in response to the proliferation of knowledge about disease treatment and health management. The practice of psychiatric consultation-liaison nursing in the acute care hospital is diversifying through subspecialization as a result of this trend. This article examines the c...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/0883-9417(92)90066-r
更新日期：1992-08-01 00:00:00
abstract：:People with mental disorder experience a heavy burden of physical ill-health. This, alongside structural health-system changes, means more people with mental disorder are being cared for in non-psychiatric hospitals. This article reports on 32 studies that have investigated the care and outcomes of people with comorbi...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,评审
doi：10.1016/j.apnu.2013.10.009
更新日期：2014-04-01 00:00:00
abstract：:The more complex influences of social problem-solving abilities and rumination-specifically brooding and reflection-on suicide intent is not well understood. We hypothesized that social problem solving would moderate the association between reflection and suicide intent, and mediate the influence of brooding on suicid...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2017.10.008
更新日期：2018-02-01 00:00:00
abstract：:Resilience describes a process whereby people bounce back from adversity and go on with their lives. It is a dynamic process highly influenced by protective factors. Protective factors are specific competencies that are necessary for the process of resilience to occur. Competencies are those healthy skills and abiliti...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,评审
doi：10.1016/s0883-9417(96)80036-7
更新日期：1996-10-01 00:00:00
abstract：:An attribution model was used to examine how staff perceptions of behavior of a resident with Alzheimer's disease influenced the way the behavior was managed. A sample of 54 female nursing staff members responded to a vignette describing a caregiving situation of a demented resident who was not feeding himself or hers...
journal_title：Archives of psychiatric nursing
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1016/s0883-9417(97)80028-3
更新日期：1997-08-01 00:00:00
abstract：INTRODUCTION:Over the last two decades, mental health services internationally have shifted towards intervening early in psychosis. The critical period for intervention is estimated to be five-years and many specialised programs target early psychosis. AIM/QUESTION:This prospective cohort study aimed to evaluate five-...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2017.07.003
更新日期：2017-12-01 00:00:00
abstract：:A descriptive study was designed to identify and describe the ways in which registered nurses use nonprocedural touch in the inpatient psychiatric setting. Natural setting observation and nurse interviews were used to examine the decision-making process and intentions of nurses who used touch. Twenty-five incidents of...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/0883-9417(90)90035-j
更新日期：1990-08-01 00:00:00
abstract：:This study explored whether the Global Assessment of Functioning (GAF) score is associated with the functional exercise capacity among inpatients with alcohol use disorders (AUD). 45 (32 men) inpatients (41.1 ± 13.2 years, range = 18-70 years) performed a 6-minute walk test (6 MWT), a standing broad jump (muscle stren...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2019.09.002
更新日期：2019-12-01 00:00:00
abstract：:This study aimed to explore relationships of premorbid personality and behavioral responses to stress with wandering behavior of persons with dementia in long-term care facilities. Ambulatory residents (N = 108) with dementia were selected from 21 long-term care facilities. The Mini-Mental State Examination, the NEO F...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2007.10.008
更新日期：2008-12-01 00:00:00
abstract：:Psychiatric nurses' practice with parents who have mental illness, their children and families is an important issue internationally. This study provides a comparison of Irish and Australian psychiatric nurses' family-focused practices in adult mental health services. Three hundred and forty three nurses across Irelan...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2015.07.005
更新日期：2016-04-01 00:00:00
abstract：:In this study a symptom self-regulation model was used as a framework to examine the characteristics and stability of indicators of illness identified by individuals with schizophrenia. Subjects were interviewed to determine if they could identify indicators of illness and describe characteristics of their primary ind...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/0883-9417(92)90084-v
更新日期：1992-12-01 00:00:00
abstract：:The purpose of this study was to examine sociodemographic and health-related risks for loneliness among older adults using Health and Retirement Study Data. Overall prevalence of loneliness was 19.3%. Marital status, self-report of health, number of chronic illnesses, gross motor impairment, fine motor impairment, and...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2008.11.002
更新日期：2009-10-01 00:00:00
abstract：:Psychiatric comorbidities in the general hospital population have been found to increase the cost of health care. This descriptive study provides an in-depth analysis (including nursing hours), of general hospital patients receiving low, medium, and high intensity consultation/liaison (C/L) services from C/L psychiatr...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/0883-9417(93)90054-z
更新日期：1993-12-01 00:00:00
abstract：:Diabetes mellitus (DM) is more common among individuals with schizophrenia/schizoaffective disorders than among the general population. Eleven mental health consumers diagnosed with comorbid schizophrenia/schizoaffective disorder and DM participated in a grounded theory study that examined their approaches to diabetic...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2006.10.004
更新日期：2007-02-01 00:00:00
abstract：:The process of personal recovery in people diagnosed with substance use disorder and comorbid attention deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD) was mapped. Four general themes representing four consecutive stages in the recovery process were identified in both client groups: (1) crisis ...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2015.04.006
更新日期：2015-08-01 00:00:00
abstract：:One in 68 Americans has autism spectrum disorder (ASD), and diagnosis is often delayed into adulthood in individuals without comorbid intellectual disability. Many undiagnosed adults resort to self-diagnosis. The purpose of this descriptive phenomenology was to explore the experience of realizing a self-diagnosis of A...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2016.03.009
更新日期：2016-10-01 00:00:00
abstract：:Research has validated the importance of postdeployment social support in mitigating the effects of combat deployment on mental health for female service members. However, the influence of social conflict on mental health during this period has not been explored. The purposes of this descriptive correlational study we...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2011.02.005
更新日期：2011-12-01 00:00:00
abstract：:Patient participation is an important topic in mental health and receives increased attention along with deinstitutionalization. No tool exists to measure healthcare worker-related factors that influence patient participation. A three-staged study was conducted to develop and validate the 'Patient Participation Cultur...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2017.06.010
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:Health care reform promotes delivery of mental health care in the community. Outpatient mental healthcare professionals (HCPs) are pressured to discharge patients. This study's purpose: to understand the experience and perceptions of mental HCPs with discharge planning and transitioning patients into communi...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2014.05.002
更新日期：2014-08-01 00:00:00
