Abstract：
RATIONAL:The interest in complexity of nursing care has grown in science and practice in recent years because of changed patient profiles and higher average levels of patient acuity in acute care hospitals. AIM:The aim of this study was to redefine the concept of patient-related 'complexity of nursing care' in acute care hospitals. DESIGN:The hybrid model for concept development was chosen. METHODS:In a first theoretical phase, we performed a narrative literature review regarding defining elements of patient-related 'complexity of nursing care' and developed a working definition. In the fieldwork phase, we investigated collective case studies representing 12 nursing care situations. The theoretical phase was updated before all findings were synthesised, and in the final analytical phase, the preliminary working definition was refined. ETHICS:An ethical committee judged the study as unproblematic (waiver no. 82/14 from 5 December 2014). RESULTS:The concept was redefined confirming previous understandings of patient-related 'complexity of nursing care' as a dynamic, relational concept characterised by the instability, variability and uncertainty that exist. The extent of complexity was determined by multifaceted patient problems and resources as well as extensive knowledge, experience, attention and caring skills of registered nurses interacting with each other. LIMITATIONS:The study did not include organisation-related complexity of nursing care. CONCLUSIONS:The redefinition of the concept may support a common understanding of patient-related demands on nursing care among practitioners, managers and politicians which is important regarding patient safety and health nursing staff.
journal_name
Scand J Caring Scijournal_title
Scandinavian journal of caring sciencesauthors
Huber E,Kleinknecht-Dolf M,Kugler C,Spirig Rdoi
10.1111/scs.12833subject
Has Abstractpub_date
2020-03-22 00:00:00eissn
0283-9318issn
1471-6712pub_type
杂志文章abstract：:This study was based on the assumption that the daily report between different caregivers are of great importance for the quality of the care delivered and that they guide the content of it. The staff of a nursing home ward were given training in integrity promoting care and special training in reporting. After a thre...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.1992.tb00132.x
更新日期：1992-01-01 00:00:00
abstract：:In 1994, the Norwegian Board of Health (NBH) published recommendations for nursing care documentation. The two-fold purpose of the present study was to see if 5 wards in 2 Norwegian hospitals fulfilled the proposed NBH recommendations and guidelines regarding documentation, and to evaluate them in terms of the propose...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：BACKGROUND:Despite recent improvements in Swedish stroke care some patients still experience a lack of support and follow-up after discharge from hospital. In order to provide good care according to the National Board of Health and Welfare, systematic evaluations of stroke care must be performed. Quality indicators in ...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12116
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:Norway has a higher incidence of hip fractures than any other country. For older individuals, a hip fracture may cause dramatic changes in health status like incontinence and daily activities. Patients with hip fractures are at high risk of urinary incontinence (UI) after surgical repair. A urinary indwellin...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.2012.01075.x
更新日期：2013-09-01 00:00:00
abstract：:The "Appraisal of Self-care Agency" scale (the ASA scale) is designed to measure self-care agency in accordance with Orem's self-care deficit theory of nursing. The aim of this study was to obtain a reliable Swedish version of the ASA scale by measuring the internal consistency. ASA-A for self-appraisal and ASA-B for ...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.1996.tb00302.x
更新日期：1996-01-01 00:00:00
abstract：BACKGROUND:Childhood sexual abuse (CSA) survivors deal with complex mental, physical and relationship problems in adulthood which negatively affects their well-being and health. The aim of the present paper was to present a description of the Wellness-Program for female CSA survivors, the participating women's evaluati...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12238
更新日期：2016-03-01 00:00:00
abstract：:The implementation of theoretical knowledge in clinical practice and the implementation of good clinical practice into theory have been of interest in caring science for the last 30 years. The aim of this article was to elaborate and discuss a methodology named clinical application research. The method is grounded in ...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12561
更新日期：2018-09-01 00:00:00
abstract：AIM:Undernutrition has been seen in hospitalized patients at all times. Nurses have a central position in the nutritional care of the patient. Despite guidelines for nutritional practise and care, 20-55% of patients are still at risk of complications to insufficient nutrition intake. The aim of this study was to obtain...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.2010.00808.x
更新日期：2011-03-01 00:00:00
abstract：AIM:The aim was to test the hypothesis that education provided to staff regarding nutritional needs and individualizing nutritional care will improve the nutritional status and functional capacity of elderly people newly admitted to resident homes. DESIGN:Pre- and posttest, quasi experimental. SETTING:Resident homes....
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.2008.00632.x
更新日期：2009-09-01 00:00:00
abstract：:The purposes of this study were twofold. The first was to investigate if relaxation training conducted by nurses as an integral part of their caring activities affected breast cancer patients' experiences of radiotherapy sessions as well as their general wellbeing. Second was to evaluate a pedagogical model for large ...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.1992.tb00149.x
更新日期：1992-01-01 00:00:00
abstract：:Food and mealtimes should be adapted to the older person's individual needs and desires, a fact that is often ignored in favour of a functional mealtime organisation. This study was grounded in participatory action research (PAR), and the aim of the study was to illuminate a PAR process to assist care providers in con...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12197
更新日期：2015-12-01 00:00:00
abstract：BACKGROUND:The nursing profession still needs more attention from decision-makers to enhance satisfaction and commitment in the work environment. AIMS AND OBJECTIVES:This study aims to explore the perceived level of job rotation, job satisfaction, job commitment, job turnover and job conflict among nurses who previous...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12947
更新日期：2020-12-16 00:00:00
abstract：:The aim of this study was to examine factors related to how the first-time mother experiences childbirth. The data were collected by questionnaire in a sample of 326 first-time mothers in Tampere University hospital in Finland. The multivariate method used was a stepwise regression analysis. The most important predict...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：
更新日期：2000-01-01 00:00:00
abstract：OBJECTIVE:To examine the experience of a discharge letter received by patients suffering from epilepsy and parents with children who suffer from epilepsy. DESIGN:Qualitative research inspired by a phenomenological methodology approach. SETTING:Face-to-face interviews with patients and parents of epileptic children in...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章,评审
doi：10.1111/scs.12846
更新日期：2020-04-02 00:00:00
abstract：:The importance of adapting incontinence aids according to the patients leakage volume and comfort was investigated in 28 urinary incontinent 85-year-old men and women who were living at home. The patients incontinence was quantified by a 48-hour pad test and was graded as slight (max. leakage per pad < 5 g; total leak...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.1993.tb00168.x
更新日期：1993-01-01 00:00:00
abstract：:Advancing age is associated with high prevalence of dementia, often combined with under-diagnosed and under-treated pain. A nurse-administered assessment tool has been developed to unmask pain during standardised, guided movements, called Mobilisation-Observation-Behaviour-Intensity-Dementia (MOBID) Pain Scale. The ai...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.2008.00606.x
更新日期：2009-03-01 00:00:00
abstract：OBJECTIVES:To investigate the quality of standardized care plans and the extent to which they are used within Swedish in-hospital somatic care. Further, to examine the quality of the knowledge summaries on which existing standardized care plans were supposed to be based. DESIGN:Submitted documents were reviewed with s...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.2009.00687.x
更新日期：2009-12-01 00:00:00
abstract：:The aim of the present study was to investigate how dependence was experienced by 129 non-institutionalized 85-year-old persons, who previously had been categorized into seven different patterns of adjustment. The participants' subjective experiences of dependence were expressed in in-depth interviews and additionally...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.1991.tb00090.x
更新日期：1991-01-01 00:00:00
abstract：AIM:The aim of the study was to explore how patient participation is constructed in social interaction processes between nurses, other health professionals and service users, and which structures provide a framework for the participation of service users in a psychiatric context? METHODOLOGICAL DESIGN:Ten tape-recorde...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12581
更新日期：2018-12-01 00:00:00
abstract：:The aim of the study was to describe and analyse how newly graduated nurses perceive themselves as professionals and their perceptions of barriers to research utilization when starting to work within paediatric care. The nurses were employed in two paediatric university hospitals in Sweden and had been working as staf...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.2007.00435.x
更新日期：2007-03-01 00:00:00
abstract：:This study examines factors that contribute to work satisfaction among Swedish dental hygienists. A questionnaire was used to collect data on health, demographics, work-history, work characteristics, work satisfaction and social support at work. The questionnaire was mailed to 471 hygienists; 77.3% responded. 70% of t...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/j.1471-6712.1996.tb00344.x
更新日期：1996-01-01 00:00:00
abstract：:The Canadian Parents' Postoperative Pain Measure (PPPM) is a behavioural pain measure for children. The purpose of this study was to test validity and reliability of this measure in 1-6-year-old Finnish children at home after minor day surgery. Children (n = 85) and their parents from four hospitals were included in t...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1046/j.1471-6712.2003.00104.x
更新日期：2003-03-01 00:00:00
abstract：BACKGROUND:Since the beginning of 2000, the primary healthcare services around the globe are challenged between demands of home care and number of staff delivering it. The delivery of healthcare needs new models to reduce the costs, patient's readmission and increase their possibilities to stay at home. Several paramed...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12659
更新日期：2019-09-01 00:00:00
abstract：:The purpose of this study was to describe nurses' experiences of interactions with family members in intensive care units. Ten experienced Registered Nurses were interviewed, and the interview text was qualitatively analysed by its content. Nursing of families was experienced as an essential, necessary and demanding t...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1046/j.1471-6712.2003.00222.x
更新日期：2003-06-01 00:00:00
abstract：:Energy is an essential concept in nursing which seems to be a key concept in the daily life of three individuals with chronic illness. Much has been done within the natural sciences to investigate and explain the concept, but studies on the meaning of energy and how it is experienced are difficult to find. A review of...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1080/02839319850163075
更新日期：1998-01-01 00:00:00
abstract：AIM:The study was conducted to examine the relation between self-efficacy in patients with chronic obstructive pulmonary disease (COPD) and caregiver burden. MATERIAL AND METHODS:This descriptive, cross-sectional study included 200 patients with stage II and III COPD presenting to hospital between June and November in...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12780
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Home care service (HCS) for sick children is a complex healthcare service, which can be organised in various models. Despite the possibility to support family everyday life, the accessibility and utilisation may still be limited. The aim of this study was to (i) determine characteristics in referrals to coun...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12678
更新日期：2019-12-01 00:00:00
abstract：:In the emergency department (ED) Registered Nurses (RNs) often perform triage, i.e. the sorting and prioritizing of patients. The allocation of acuity ratings is commonly based on a triage scale. To date, three reliable 5-level triage scales exist, of which the Canadian Triage and Acuity Scale (CTAS) is one. In Sweden...
journal_title：Scandinavian journal of caring sciences
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1111/j.1471-6712.2005.00372.x
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Social function is a key aspect of health-related quality of life after solid organ transplantation (SOT). The focus of this study was to report how solid organ-transplanted patients change their social function after transplantation. AIM:To investigate the main concerns associated with social function afte...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12264
更新日期：2016-09-01 00:00:00
abstract：:Most patients in intensive care units suffer from critical diseases/injuries and are in need of life-saving medical treatment. Recovery after such diseases/injuries may be lengthy and may vary. Little is known about older patients' own assessment of recovery following intensive care. The aim of this study was to explo...
journal_title：Scandinavian journal of caring sciences
pub_type： 杂志文章
doi：10.1111/scs.12301
更新日期：2016-12-01 00:00:00
