Abstract:
AIM:The aim of this study was to generate a grounded theory of nursing practice in end-of-life care. BACKGROUND:Provision of end-of-life care that meets the needs of the dying person and their family is complex. While symptom control, disease management and psychosocial care are well understood, there is less evidence about how nurses manage everyday practicalities in challenging organisational environments. DESIGN:Qualitative using Glaser's method of grounded theory. METHODS:Data were collected from 30 semi-structured interviews with registered nurses working in end-of-life care in New Zealand. Data were analysed using constant comparative techniques. Theoretical sampling and memo writing furthered theoretical development. RESULTS:Nurses used the process of moderated guiding to manage different expectations in end-of-life care. Moderated guiding included checking out, involving and supporting. Guiding was both controlling and non-controlling. Moderation was required, as there were tensions in nursing practice because of patient control issues, resource constraints and the individual nurse's emotional investment in the nurse-patient relationship. CONCLUSIONS:Moderated guiding raises questions about the challenges nurses face in a health care environment where responsibilities for care have changed. RELEVANCE TO CLINICAL PRACTICE:Moderated guiding explains the role nurses have as resource managers in health services where wider social and economic issues impact multiple clinical demands and influence nursing practice.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
McCallin AMdoi
10.1111/j.1365-2702.2010.03543.xsubject
Has Abstractpub_date
2011-08-01 00:00:00pages
2325-33issue
15-16eissn
0962-1067issn
1365-2702journal_volume
20pub_type
杂志文章abstract:AIMS AND OBJECTIVES:To examine nursing staff's perceptions about how often they provide interventions of emotional support and the level of competence needed on neurosurgical wards to support traumatic brain injury patients' family members. BACKGROUND:Traumatic brain injury in one individual affects the health of thei...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12136
更新日期:2013-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore parents' experiences with paediatric fever to understand their needs for information and support. BACKGROUND:Paediatric fever is a normal part of childhood, and multiple episodes of fever are a common occurrence between infancy and adulthood. Despite this expectation, paediatric fever of...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15165
更新日期:2020-03-01 00:00:00
abstract:AIMS:The aim of this survey was to gain an overview of enteral nutrition practices and procedures of European adult intensive care units and to describe current trends. BACKGROUND:Currently, little is known about nutritional practices in European intensive care units and whether they match existing guidelines. DESIGN...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2006.01841.x
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVES:To investigate family members' prioritisation of care in residential aged care facilities (RACFs). INTRODUCTION AND BACKGROUND:Family members are often involved in the care of their older relatives even after these relatives transit to a RACF. Understanding family members' priorities regarding care (i.e., w...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.15352
更新日期:2020-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim was to develop a questionnaire for use by practitioners working in stroke care to measure self-efficacy judgements in specific domains of functioning relevant to individuals following stroke. BACKGROUND:The prevalence of stroke is set to rise across the developed world especially amongst th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02333.x
更新日期:2008-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:The proposed study aimed to answer the following question: What communication issues do nurses find challenging when caring for people with life-limiting illness? BACKGROUND:Evidence suggests that attitudes, skills and knowledge about how nurses communicate effectively with patients and their famil...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15099
更新日期:2020-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore young adult cancer patients' experiences of support from their private social network during cancer treatment. BACKGROUND:Cancer treatment in young adulthood (aged 18-35 years) can be distressing. Social support is crucial for health and well-being, especially for young people and in tim...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14899
更新日期:2019-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the association between subthreshold depression and self-care behaviours in adults with type 2 diabetes (T2D) attending a tertiary healthcare service. BACKGROUND:Diabetes is a global public health problem. Self-care behaviours are a fundamental element in managing diabetes as adherence t...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15250
更新日期:2020-05-16 00:00:00
abstract:AIMS AND OBJECTIVES:To compare the effects of music intervention with nursing presence and recorded music on blood volume pulse amplitude, the low/high frequency ratio component of heart rate variability, depression, anxiety and sleep quality in cancer patient caregivers; to compare the participants evaluation of these...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2702.2011.03916.x
更新日期:2012-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate whether gender, age and their interaction affect health-related quality of life and overall health status following kidney transplantation. BACKGROUND:Some investigators have examined the main effects of gender and/or age on health-related quality of life following kidney transplantatio...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01745.x
更新日期:2008-01-01 00:00:00
abstract::Since 1994 district nurses (DNs) in Sweden have been permitted to prescribe drugs from a limited list. This reform has met severe resistance from doctors and the opinions of general practitioners (GPs) and DNs have differed in many aspects. The aim of this study was to gain deeper understanding of the different opinio...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2003.00716.x
更新日期:2003-09-01 00:00:00
abstract:AIM AND OBJECTIVE:To examine the correlation between maternal parental self-efficacy and social support as well as predictors of self-efficacy in the early postpartum period. BACKGROUND:Maternal parental self-efficacy is important for mothers' adaptation to motherhood. Lack of support could result in decreased materna...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12507
更新日期:2014-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate whether nurses experience barriers to delivering high quality care in areas that are of particular concern to patients and to describe which aspects of care are most affected when nurses lack the required resources, such as time, tools and training to do their job. BACKGROUND:Patient...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2004.01091.x
更新日期:2005-04-01 00:00:00
abstract:AIM AND OBJECTIVES:The aim of this study was to identify nurse's experiences in the clinical care of children experiencing abuse. The objective was to assess how nurses remain professional especially when the suspected perpetrator is a parent. BACKGROUND:The diagnosis of child abuse is a difficult one, yet essential b...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02353.x
更新日期:2008-10-01 00:00:00
abstract::1. The aim of nursing research is to produce a sound foundation for evidence-based nursing; the job of nurses is to make the best possible use of that foundation and apply the knowledge produced to the practice of nursing. 2. The purpose of this study was to identify and describe barriers to and facilitators of resear...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2002.00587.x
更新日期:2002-03-01 00:00:00
abstract:AIM AND OBJECTIVE:To identify training strategies and determine how registered health and social care practitioners change their practice after Mental Capacity Act training. DESIGN:Narrative literature review. DATA SOURCES:Seventeen databases were searched up to December 2019: CINAHL, Social Care Online, PubMed, Soci...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.15256
更新日期:2020-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe how patients with malignant blood diseases conceive the influence of chemo- or chemoimmunotherapy on sexuality, and their need of support related to this issue. BACKGROUND:Sexuality is often negatively affected in cancer patients with sex-specific diagnoses. For patients with malignant ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12333
更新日期:2013-12-01 00:00:00
abstract:AIM:To assess the effect of distraction (looking through kaleidoscopes) to reduce perceived pain, during venipuncture in healthy school-age children. BACKGROUND:Distraction has been noted to be an effective method to help children cope with painful procedures. In the studies carried out, although it was found out that...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2702.2008.02775.x
更新日期:2009-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:This systematic review aimed to determine whether there was enough evidence to conclude that silver-alloy urinary catheters reduce catheter-associated urinary tract infections compared with silicone or latex urinary catheters in adult inpatients. BACKGROUND:Previous systematic reviews into the effe...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2010.03561.x
更新日期:2011-08-01 00:00:00
abstract:AIM AND OBJECTIVE:Primary aim--to explore patient satisfaction with preoperative assessment for day surgery and compare patient satisfaction between two specialties, General Surgery and Urology. Secondary aim--to compare numbers of patients being preoperatively assessed in General Surgery and Urology. BACKGROUND:Patie...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03277.x
更新日期:2010-10-01 00:00:00
abstract:AIM AND OBJECTIVES:To investigate the relationship between traumatic growth and psychological resilience in young adult children of parents with a mental disorder and to compare them with young adult children of parents without mental disorders. BACKGROUND:Negative life experiences that lead to trauma can affect young...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14533
更新日期:2018-10-01 00:00:00
abstract:AIM:The present study aimed at examining the factorial structure of the Chinese version of the State Anxiety Scale (Short form), using exploratory and confirmatory analyses. BACKGROUND:The factorial structure of the short form of the Chinese version of the State Anxiety Scale for Children has neither been examined by ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02284.x
更新日期:2008-07-01 00:00:00
abstract::This paper presents a proposed model: The Attending Nursing Caring Model (ANCM) as an exemplar for advancing and transforming nursing practice within a reflective, theoretical and evidence-based context. Watson's theory of human caring is used as a guide for integrating theory, evidence and advanced therapeutics in th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2003.00774.x
更新日期:2003-05-01 00:00:00
abstract::Simulations are of particular advantage in research studies where large samples are necessary to achieve statistical power and the information must be collected under uniform conditions in order to aid interpretation. In the study reported below, simulation was achieved through the use of medical photography accompani...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00525.x
更新日期:2001-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this paper is to explore self-care in diabetes and to present a model of factors that affect self-care according to reviewed literature. BACKGROUND:Self-care in diabetes is crucial to keep the disease under control. Self-care consists at least four aspects: (i) self-monitoring of blood g...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2004.01043.x
更新日期:2005-03-01 00:00:00
abstract:AIM:This study was conducted to evaluate the local complications in children who had a peripheral intravenous catheter. BACKGROUND:Currently, the insertion of peripheral intravenous catheters occurs in most children that are hospitalized. However, the development of some complications associated with the insertion of ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13730
更新日期:2017-01-19 00:00:00
abstract:AIM AND OBJECTIVE:The study compared the effect of earplug-delivered sleep-inducing music on sleep in persons with percutaneous transluminal coronary angiography in the cardiac care unit. BACKGROUND:Diverse types of music have been claimed to improve sleeping elsewhere, but relatively little is known in South Korea. M...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2702.2011.03876.x
更新日期:2012-03-01 00:00:00
abstract:AIMS:The main aim was to describe registered nurses' perceptions of violence and threats, as well as their access to prevention measures and routines for handling violent behaviour in municipal care of older people. Another aim was to compare nurses' perceptions working solely in dementia care with those working in gen...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01835.x
更新日期:2007-05-01 00:00:00
abstract:AIM:The aim was to describe research utilisation among newly graduated nurses and to explore critical thinking dispositions and other individual and contextual factors as possible predictors for research use. BACKGROUND:Nurses are expected to be research users, and variations in research utilisation are explained by i...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03629.x
更新日期:2011-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate and adjust systematic implementation of guided family-centred care in a neonatal intensive care unit. BACKGROUND:Family-centred care is valued in neonatal intensive care units internationally, but innovative strategies are needed to realise the principles. Guided family-centred care was...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12599
更新日期:2014-12-01 00:00:00