See my abuse--the shelter transition of battered women.
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Biomedical subjects
Publications and source records attributed to C P Germain.
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This article provides an analysis of esthetics, one type of nursing knowledge, in the context of the role of the nurse in family-centered nursing care of hospitalized children. Esthetic knowledge is explained through the analysis of vignettes from a clinical article. The components of the creative and expressive dimensions of esthetic knowledge are illustrated as are processes for assessing credibility or forming understanding. Finally, implications for nursing practice, education, and knowledge development are presented.
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Society's failure to value the work of nurses, the professionals most frequently involved in the care of the dying, is attributed to a cultural definition of nursing as a second-class occupation and the public's need to deny the realities of the suffering and indignities often associated with the process of dying. Efforts within the field of nursing to improve the care of the dying, by shifting emphasis from a narrow physical focus to a more holistic patient and family focus, preceded the past decade's contributions of Elisabeth Kübler-Ross. Although her staging theory has been cited as having limitations in development and in interpretation, Kübler-Ross' influence towards increasing awareness of the needs of the dying and others experiencing major losses has been substantial as evidenced by many references to staging theory in nursing literature, by a marked increase in attention to holistic care of the dying in the basic and continuing education programs of nursing, and by specialty role development in nursing care of the dying. This decade has also witnessed the major growth of professionalism in nursing, including strides towards professional autonomy. Conflict with the traditional pattern of medical dominance and bureacratic constraints in institutions is inevitable, especially when the medical goal of cure is not attainable. Change to an interdisciplinary model of care is viewed as essential for optimal care of the dying and their families.
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Quality assurance in doctoral education in nursing is a high priority as programs are developed and changed. The discipline and profession of nursing will not be well served if doctoral program quality is not monitored in a systematic way. Without the demands of a periodic, required evaluation by an external accrediting body, the motivation for quality assurance must be internally driven. One pragmatic motivating factor is that today's sophisticated doctoral applicant has resources available to assist with program choice by assessment of quality indicators. High-quality programs will attract the highly qualified students who will lead nursing in the next century. This article has presented a process leading to evaluation of quality and outcomes of one doctoral program. Some of our ideas and experiences may be helpful to those initiating an evaluation process in their own institutions.
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