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H Shea

Publications and source records attributed to H Shea.

4 recordsLinked to original sources

Developing a plan to evaluate the use of nursing conceptual frameworks.

Five hospitals in the Metropolitan Toronto area have introduced a nursing conceptual framework as the basis of practice in their agencies. A research team representing the hospitals and the University of Toronto has developed a comprehensive plan to evaluate the impact of using a nursing framework on nursing practice. This paper describes the selection of variables to be studied and the ways selected to measure them. A series of papers will follow describing the establishment of psychometric properties of the instruments and the results of the pre-test phase. Although this paper describes a process that began some time in the past, the authors have kept current the literature on the subject and the most current references are included in this paper.

Humans↗

Implementation of nursing conceptual models: observations of a multi-site research team.

The general acceptance by nursing of the nursing process as the methodology of practice enabled nurses to have a common grounding for practice, research and theory development in the 1970s. It has become clear, however, that the nursing process is just that--a process. What is sorely needed is the nursing content for that process and consequently in the past 10 years nursing theorists have further developed their particular conceptual models (CM). Three major teaching hospitals in Toronto have instituted a conceptual model (CM) of nursing as a basis of nursing practice. Mount Sinai Hospital has adopted Roy's adaptation model; Sunnybrook Medical Centre, Kings's goal attainment model; and Toronto General Hospital, Orem's self-care deficit theory model. All of these hospitals are affiliated through a series of cross appointments with the Faculty of Nursing at the University of Toronto. Two community hospitals, Mississauga and Scarborough General, have also adopted Orem's model and are related to the University through educational, community and interest groups. A group of researchers from these hospitals and the University of Toronto have proposed a collaborative project to determine what impact using a conceptual model will make on nursing practice. Discussions among the participants of this research group indicate that there are observations associated with instituting conceptual models that can be identified early in the process of implementation. These observations may be of assistance to others contemplating the implementation of conceptually based practice in their institution.

Attitude of Health Personnel↗