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PubMed2005

Progressing evidence-based practice: an effective nursing model?

AIMS: This paper presents findings from telephone interviews completed with link nurses 2 years into the project to explore how participation progressed achievement of evidence-based practice where the link nurses worked. BACKGROUND: In 2001, an innovative practice development initiative was launched in Scotland. A national network of experienced nurses from across the country was recruited to form the inaugural Community of Practice. This involved describing gerontological nursing, pioneering a nurse-sensitive methodology to craft care guidance that reflects the agreed practice model, and constructing a virtual college based on a situated learning model. METHODS: A volunteer sample of link nurses took part in telephone interviews exploring experiences of using the virtual college and the extent to which the description of gerontological nursing and the first best practice statement on nutrition had influenced practice. FINDINGS: Five components (themes) were identified as facilitating the attainment of evidence-based practice. These focussed on confidence-building and the positive benefits of achieving vision and clarity for gerontological nursing. Membership of a national Community of Practice afforded status and strengthened sense of professional identity. The inclusive knowledge synthesis methodology used to prepare, pilot and support implementation of the best practice statement was highly valued. Progress towards evidence-based practice in all affiliated areas was reported. Major challenges for nurses in participating in the virtual college included the absence of a learning-at-work culture, lack of time and doubts about the legitimacy of internet-based learning. CONCLUSION: The evaluation indicates the potential merits of e-practice development, particularly for nurses who feel geographically and professionally isolated or disenchanted with available continuing professional development opportunities. Participation in the virtual college appeared to enrich practice and foster a culture of change.

Aged↗
PubMed1987

Using nursing model to affirm Catholic identity.

Religious sponsors such as the Franciscans must develop an approach that reaffirms their mission goals in today's technological, competitive health care environment. The Neuman Systems Model, originally designed to help nurses incorporate values in their practice, offers a way to achieve this goal. This model provides a clearly defined system that identifies the client as a total person and a classification of stressors that all health team members can apply. It is compatible with such Catholic traditions as the Franciscans because of its: Holistic, systems approach; Emphasis on person as client; Inherent flexibility. According to the model, the client is a unique composite of physiological, psychological, sociocultural, developmental, and spiritual variables and has a central structure surrounded by lines of defense and resistance. Health care providers can use primary, secondary, or tertiary preventions, depending on the client's degree of reaction to stressors. Health care facilitates the client's system stability or harmony through either attainment or maintenance of optimal wellness. With this model and their mission values, religious institutes can develop creative ways to respond to client needs in an increasingly bureaucratic and business-oriented environment.

Catholicism↗
PubMedDate not supplied

A holistic nursing model for spiritual care of the terminally ill.

Terms such as religion and spirituality usually imply a mature understanding of philosophical values of life principles and existence. In a holistic paradigm, nurses are ethically obligated to support spiritual aspects of care just as they do the biophysical elements. But how often is this all important step overlooked in our assessments and interventions? This essay contains a discussion of basic spiritual and religious principles, the moral obligations to alleviate spiritual suffering and the principles of altruism, beneficence, goodness, individuality, and the need for continuing spiritual education as a component of a holistically competent practice.

Altruism↗
PubMed1993

The Milieu Enhancement Model: a nursing practice model, Part I.

The Milieu Enhancement Nursing Practice Model (MEM) served as the conceptual framework for implementing a 3-year project funded by the Department of Health and Human Services through the Division of Nursing as a demonstration grant (No. 1 D10 NU 600013) from October 1987 through September 1990. The MEM is described and examples of its use in developing health care forms, conducting research, guiding practice, and categorizing enhancements are presented.

Adolescent↗