PubMed · 1789884
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J G Koerner, S S Bunkers, J Nelson. 1991. Change: a professional challenge.. https://doi.org/10.1097/00006216-199101610-00005
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Aiming to carry out a critical and interpretative reflection about Joyce Travelbee's theory of Interpersonal Relation, we used a discursive segment of the model of theory analysis proposed by Meleis. The analysis specifically used the description of the model at the functional components: focus, client, nursing, health, nurse-client interaction, environment, nursing problems and nursing therapeutics. We identified the focus as the interpersonal nature of the relations, with the objective to help the client or the family. The other component had been identified within the theory, except for the term environment. The model of analysis is presented, therefore, as efficient while aiming the evaluation and adequacy of the theory to the scientific work.
Conceptual nursing models are a framework for practice. However, these models are often not used in an outpatient dermatology clinic that provides cosmetic services or a plastic surgeon's office. In a cosmetic setting, clients are receiving care on an elective basis. Clients are generally healthy and educated as to what type of care and services they want, and they wish to be active participants in the decision-making process. Therefore, this type of atmosphere requires a model that allows for negotiation of ideas and a joint plan of care, such as the Intersystem Model.
How do patient characteristics, organization characteristics and patient care unit characteristics interact to affect quality, safety, and cost outcomes? What changes can nurse managers make on their units that will optimize outcomes for their patients? To answer these questions, we are collecting data from 35 nursing units in 12 hospitals in Arizona, and using the results as a basis for computational modeling. Although it has been used in clinical research, until now computational modeling has had little application to healthcare or nursing organizations. In this poster session, we describe our application of Orgahead, a computational modeling program.