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 health. BACKGROUND:In chronic diseases, pathogenic-oriented health care falls short in generating all the information required for determining healthcare provision to improve health. A broader, so-called salutogenic approach, by using the ICF, focusing on how to stay healthy, rather than on what causes diseases, seems more appropriate. DESIGN:A cross-sectional comparative study using data from a randomised controlled trial. METHODS:Data about patient problems and professional healthcare activities were collected from a total of 81 patients with severe multiple sclerosis who were randomly assigned to one of two groups: the ICF group, assessed with a functioning assessment (n = 43), and the medical group, assessed with a conventional medical assessment (n = 38). Data were analysed statistically using descriptive and inferential statistics. RESULTS:A functioning assessment resulted in the registration of significantly more patient problems in the health components 'participation' and 'environmental factors', as well as significantly more professional healthcare activities befitting these components. The ICF group had a significant positive correlation between registered problems by health professionals and patients' self-reported problems, whereas the medical group had several negative correlations. CONCLUSION:A functioning assessment resulted in a care plan that not only was broader and more complete but also reflected the patients' self-reported problems more closely than a medical assessment, without a loss of focus on medical problems. RELEVANCE TO CLINICAL PRACTICE:This study has shown that some health problems remain unnoticed by a medical assessment alone, which is especially important for the chronically ill. A functioning assessment provides a strong foundation for identifying all relevant information related to health.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Stallinga HA,Roodbol PF,Annema C,Jansen GJ,Wynia Kdoi
10.1111/jocn.12266subject
Has Abstractpub_date
2014-04-01 00:00:00pages
1044-54issue
7-8eissn
0962-1067issn
1365-2702journal_volume
23pub_type
杂志文章,随机对照试验abstract:AIMS AND OBJECTIVES:To explore patient and healthcare provider (HCP) perspectives about patients' barriers to the performance of diabetic self-care behaviours in Ghana. BACKGROUND:Sub-Saharan African urban populations are increasingly affected by type 2 diabetes due to nutrition transition, sedentary lifestyles and ag...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14835
更新日期:2019-06-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the meaning of rituals that women and their families perform after a stillbirth. BACKGROUND:A cultural taboo in Taiwan prohibits discussing death; thus, parents of stillborn babies have no established public mourning or burial ceremonies to perform for their stillborn children. Stillbirt...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14142
更新日期:2018-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To assess the prevalence of lipohypertrophy, and to compare differences in external, personal and regimen factors in adults with type 1 diabetes and different degrees of lipohypertrophy. BACKGROUND:Suboptimal insulin injection behaviour is associated with lipohypertrophy, which may affect insulin a...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13801
更新日期:2017-12-01 00:00:00
abstract:AIMS AND OBJECTIVE:The aim of this retrospective qualitative study is to understand how transitions in the family life cycle and responses to these events may relate to the onset of eating disorders in an attempt to generate new theoretical insights and inform future research in the area of eating disorder prevention. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03762.x
更新日期:2012-05-01 00:00:00
abstract::This article reports a project aiming to assess the effectiveness of clinical nurses employed in support roles for students in clinical practice in one UK higher education institution and its linked NHS Trusts. Focus groups and telephone interviews were used to collect data from the clinical support nurses themselves,...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00478.x
更新日期:2001-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate nurses' experiences of caring for older (65+ years) patients afflicted by delirium in a neurological department. BACKGROUND:Delirium is a frequent, acute and potentially fatal condition. Patients experience delirium as painful and stressful. The literature shows that nursing care is ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14709
更新日期:2019-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate sexual dysfunction and the factors that affect sexual dysfunction in women with chronic disease. BACKGROUND:Sexual dysfunction is one of the most common problems in women with chronic disease. There is limited understanding of the related factors of sexual dysfunction in women with chro...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12170
更新日期:2013-12-01 00:00:00
abstract::The appropriateness of any set of criteria generated to measure the quality of a particular intervention is dependent upon a thorough, up-to-date assessment of the current state-of-the-art. Few areas in nursing have received as much research attention as that of pain control, particularly post-operative pain control. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.1994.tb00353.x
更新日期:1994-01-01 00:00:00
abstract:AIM:This study explored the experience of long-term renal illness, including issues concerning compliance with treatment, from the perspectives of children and young people. BACKGROUND:Children and young people have difficulty complying with renal treatment; research in this area usually focuses on their compliance wi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02645.x
更新日期:2008-12-01 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:The purpose of this study was to explore the prevalence of sexual dysfunction in males one year after undergoing low anterior resection and to determine whether health care professionals discuss sexual issues with patients after surgery. BACKGROUND:Sexual dysfunction in males may be a complication ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13172
更新日期:2016-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To elucidate the lived experience of how patients with alcohol use disorders experience being cared for when admitted to acute medical units. BACKGROUND:Alcohol use is health damaging and is identified as one of the major avoidable risk factors, and alcohol use disorder is classified among the most...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14715
更新日期:2019-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determine the effectiveness of an improvement methodology initiative, directed at refining the quality of acute pain management of patients in the first 24 hours post major surgery using the Revised American Pain Society Patient Outcome Questionnaire, pre- and post development of a 'subject matte...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13308
更新日期:2016-09-01 00:00:00
abstract:AIM AND OBJECTIVE:To illuminate how family members of persons with dementia describe their own experiences, before and after placing their relative in a nursing home. BACKGROUND:In the Western world and with a growing population of older people, the number of persons with dementia increases. Family members often becom...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13718
更新日期:2017-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study examined the coping styles used by sexual minority men who have experienced intimate partner violence, including sexual, emotional and physical victimisation, as well as physical injury. BACKGROUND:Although sexual minority men experience intimate partner violence at least as often as do ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13388
更新日期:2016-12-01 00:00:00
abstract:AIMS:This study aimed to modify the Care Dependency Scale so that it could be used for children, to apply its Arabic version to Egyptian children to test the reliability and validity of the modified scale and to compare the care dependency of disabled and non-disabled Egyptian children. BACKGROUND:A higher dependence ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.01949.x
更新日期:2008-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:This element of the larger Scottish evaluation aimed to explore differences between access routes, cohorts and higher education institutes (HEI) (universities and colleges) in levels of self-efficacy, student support and self-reported competence in a nationally representative sample of student nurse...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02223.x
更新日期:2008-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe facilitators and barriers from a patient perspective in communications between patients with obstructive sleep apnoea syndrome and healthcare personnel during the first meeting when continuous positive airway pressure is initiated. BACKGROUND:Adherence to continuous positive airway pres...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13592
更新日期:2017-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To identify reporting practices that feature in studies of nurses' shift reports across diverse nursing specialities. The objectives were to perform an exhaustive systematic literature search and to critically review the quality and findings of qualitative field studies of nurses' shift reports. BA...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13655
更新日期:2017-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aims of this study are to review research published in the past 15 years to provide insight into the factors impacting on the management of pain in children and identify strategies that can be used to improve pain management practices. BACKGROUND:The evidence to guide nurses' pain management pr...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2010.03271.x
更新日期:2010-08-01 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:To investigate the interrelationships between workplace violence, thriving at work and turnover intention among Chinese nurses and to explore the action mechanism among these variables. BACKGROUND:Workplace violence is a dangerous occupational hazard globally, and it is pervasive in the health serv...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14311
更新日期:2018-07-01 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
doi:10.1111/jocn.13847
更新日期:2018-01-01 00:00:00
abstract::The cuban government has placed a very high emphasis on health since 1959 and vaccination and health education campaigns, as well as access to a comprehensive free healthcare system, have contributed to dramatic improvements in the population's health status. Much that has been written about the Cuban health service h...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00491.x
更新日期:2001-05-01 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:AIMS AND OBJECTIVES:To investigate the didactic and social leadership in parent education groups based on a parent perspective, and to conceptualise parent experiences of the leader roles in these groups. BACKGROUND:Leadership in parent education groups has been associated with a lack of confidence in one's ability to...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12856
更新日期:2015-07-01 00:00:00
abstract:AIM:To review the evidence on nurses' health systematically. BACKGROUND:Nurses are one of the most important resources of a health system. They are subjected to biological, socio-economic, cultural and health system factors that determine their health. Although mental and physical health problems seem to prevail among...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2011.03721.x
更新日期:2011-09-01 00:00:00
abstract::Admission to care after a period of family care-giving has been the focus of much recent research. Rather than being seen as an end in itself, admission is part of a process. This article concentrates on 'reaching the end' of family care-giving and the 'new beginning' of entering residential care. A cross-national stu...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determinate the incidence, incidence rate and risk factors of pressure ulcers in critical care patients. BACKGROUND:Pressure ulcers represent one of the most frequent health problems in clinical practice. Specifically, critical patients who are hospitalised in intensive care units have a higher ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14091
更新日期:2018-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study examined the degree to which acute wound care documentation by doctors and nurses meets the standards set in the Australian Wound Management Association guidelines, focusing on clinical history with regard to the wound, wound characteristics, evidence of a management plan and factors such...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03265.x
更新日期:2010-08-01 00:00:00