PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 8340124

Thoughts about nursing.

D M Smith
View original source ↗Export metadata ↓

Abstract

A graduate of Quincy City (Massachusetts) Hospital School of Nursing and holding the BS degree from Teachers College, Columbia University and the MS degree from Harvard University, Dorothy Smith was dean of the College of Nursing and chief of nursing practice at the J. Hillis Miller Health Center, University of Florida, Gainesville from 1956 to 1972. In that capacity, Smith pioneered the development of the unified model of nursing education and practice in which nursing faculty provided the clinical, scholarly and administrative leadership in the teaching hospital to create an environment for students to learn professional nursing practice by example. The unification model at the University of Florida has been replicated in varying degrees in many of the nation's leading health sciences centers. Dorothy Smith, probably more than any other single nurse leader in America, influenced nursing education's renewed commitment to clinical nursing--a commitment that eventually spawned clinical nurse specialists and nurse practitioners, organizational reforms in hospitals that promoted professional nursing practice, and the evolution of clinical nursing research.

Explore related subjects

Clinical Nursing ResearchCurriculumEducation, NursingModels, NursingNursingNursing CareJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

D M Smith. 1993. Thoughts about nursing.. https://doi.org/10.1111/j.1547-5069.1993.tb00771.x

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1999

Talking on the telephone with people who have experienced pain in hospital: clinical audit or research?

The adequacy of postoperative pain management in British hospitals appears insufficient to improve patient care, and much of the research and clinical audit in postoperative pain has failed to seek the patient's perspective. This paper reports on the findings from a semi-structured telephone interview survey which formed part of a hospital-wide audit on postoperative pain at a district general hospital in the south of England. Of a total of 360 completed audit questionnaires, 114 patients left their telephone number and 29 were interviewed. Content analysis revealed five main themes: inadequate information, pain at home, staff attitudes, expectations of pain, and ward atmosphere. Several patients identified insightful strategies that potentially could improve pain management. The telephone interview generated a richness of data that had not been reported before in this important area. Some authors view clinical audit and research as having different characteristics but this work raises important questions for both approaches when using the semi-structured telephone interview. The ethical issues pertaining to collection of audit data using the telephone interview are discussed.

Clinical Nursing Research↗
PubMed1999

Clinical Development Units (Nursing): the western Sydney approach.

On 24 September 1997 Western Sydney Area Health Service and the University of Western Sydney, Nepean (Australia) launched a network of nine Clinical Development Units (Nursing). The approach taken towards the development of CDU(N)s in western Sydney differs substantially from those taken elsewhere in terms of preparation for CDU(N) leadership and the role of CDU(N) criteria in the designation ('accreditation') process. The rationale underpinning the western Sydney approach, together with details of a leadership preparation programme, are discussed.

Clinical Nursing Research↗
PubMed1999

Comfort in labor and midwifery art.

PURPOSE: To examine the phenomenon of comfort in the context of childbirth. Enhancement of comfort for laboring women is a valued outcome of nursing and midwifery care. Interventions that increase comfort during labor support a woman's effort to participate more fully in the birth thereby keeping her more aware of her body, emotions, and experience. ORGANIZING CONSTRUCT: The concept of comfort is analyzed and defined in the context of laboring women. Comfort studied from a feminist perspective is suggested. SOURCES: A literature review of nursing, midwifery, and medical texts from the 1920s to 1998 provides information about labor, pain in labor, and goals of providers caring for laboring women. Research articles focusing on comfort are identified as they relate to the concept of comfort in labor. Writings of contemporary feminist authors provided the ideas for designing the study of comfort from a feminist perspective. METHODS: To develop a theory of comfort during labor, early nursing and midwifery texts were searched to identify goals of care. The meaning of comfort was analyzed from the early 1920s to the present by concept analysis. Validation of findings was sought from publications on comfort research. FINDINGS: Comfort can exist in spite of great pain and nurses and midwives may be able to assist laboring women to achieve a level of comfort during labor. Intervening to promote the comfort of laboring women can empower these women during birthing. CONCLUSIONS: For clinicians caring for birthing women, particularly midwives, promotion of comfort is a high priority. Increasing comfort can redefine the meaning of pain in childbirth. Increasing comfort may create a decreased need for medical interventions and lower costs.

Clinical Nursing Research↗