A case study of a nursing assignment pattern.
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Humans↗
Biomedical subjects
S Kérouac
Publications and source records attributed to S Kérouac.
Care delivery modes.
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Delivery of Health Care↗
[A support group intended for women victimized by conjugal violence].
For battered women, leaving the home and spending time in a shelter is only the first step of a long process of change that usually involves periodic crises. A support group has been set up to help these women establish new ways to relate with the outside world, ways that are meant to assist them in successfully going through this difficult phase of their lives. Based on Lifton's principles of affinity, presence and consolidation (1976), the authors highlight the value of reciprocity in the therapeutical relationship. In addition, the authors discuss issues relating to the main points affecting interventions with battered women who have spent time in a shelter.
Crisis Intervention↗
[Systems for the delivery of health care].
Re-examining the role of the nurse, the authors remind us of the importance of understanding how our system of health care has evolved, as well as what it holds for the future. Presenting an historical overview of the past 50 years, they discuss concepts related to moving the profession forward and suggest the decade ahead offers key opportunities.
Canada↗
Validation of questionnaires on physical function.
Data-gathering instruments were used in a randomized controlled trial, designed to assess a structured preoperative educational program for elective surgical patients. The key dependent variable was the physical functional capacity of patients following surgery. Questionnaires were developed to measure physical functioning in the immediate postoperative period, after discharge from hospital, and 10 days and 33 days after surgery. Statistical techniques used to measure interobserver agreement and bias were worker's chi square, Cicchett's statistic, the contingency coefficient, Kendall's Taub, and Kendall's coefficient of concordance W. The standardized questionnaires permitted classification of patients's postoperative physical functions with results that agreed highly with the classification done by experienced clinicians who cared for the same patients.
Activities of Daily Living↗
[Case management. The nursing business of care or cost].
Less money spent on health services, cost-effectiveness, better productivity and more efficiency are some of the driving forces of contemporary "neo-liberalism" and political trends. How can nursing services and the profession's human values adapt in this difficult context? The authors describe the newest modality of patient care delivery system: nursing case management. They examine the factors and assumptions that led up to its development and point out the validity of asking some serious questions before embarking on the euphoria of case management.
Cost-Benefit Analysis↗
Perceiving patient assignment methods through a conceptual framework.
For several decades, the nursing process has been the central issue for numerous nursing discussions. Definitions, meanings, sequences and steps as well as their significance have been presented within the context of given clinically oriented conceptual frameworks. On the other hand, the nursing process could be largely influenced by the organizational context in which it is exercised. This article shows how analyzing patient assignment methods through a conceptual framework permits a better understanding of the ways organizational factors impact upon nursing process quality. Nursing care is the central issue of nursing modalities which characterize the organization and provision of its delivery. In this analysis, these modalities are renamed patient assignment methods. They refer to the tasks, roles, policy and structure for allocating nursing personnel to patients for the provision of nursing care in a hospital unit (Kérouac, Duquette & Sandhu, 1990; Nunson, Beckman, Clinton, Kever & Simms, 1980). The synonyms for patient assignment method found in the literature are: nursing assignment patterns, nursing assignment systems, and organization mode of nursing care (McLennan, 1983). Whatever its name, a given modality does not occur by chance but, rather is a product of specific characteristics. Some of these characteristics pertain to the nursing process. These characteristics can be identified and better understood through a conceptual framework. Historically, patient assignment methods have been extensively described in the literature. The descriptions usually focus on their merits and limitations or their comparisons with one and another. To the best of our knowledge, they have not been analysed using a conceptual framework. This article demonstrates how patient assignment methods could be better understood through an analysis using a conceptual framework. This analysis aims to systematically examine the commonly used patient assignment methods: case, functional, team, primary and modular. Particular attention is paid to the variables that influence the patient assignment methods, for instance, patient characteristics, nursing resources and organizational support. Furthermore, the variables related to nursing process quality, such as, comprehensiveness, accountability, continuity, and coordination of care are also examined. This article is addressed to all nurses who wish to examine through new lenses some of the ways they deliver patient care. Knowing more about the patient assignment method one uses implies understanding the contribution of the organizational factors applicable to the nursing process. Moreover, it is a sure way of enhancing quality care when one has the knowledge of the philosophy, values, beliefs and meanings inherent in each assignment method.(ABSTRACT TRUNCATED AT 400 WORDS)
Models, Nursing↗
[Career plans in the clinical milieu].
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Career Mobility↗