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At least 253 records · Page 14Linked to original sources
PubMedDate not supplied

The health corner: a community-based nursing model to maximize access to primary care.

America spends more than $700 billion per year on a health care system that is unparalleled in the technological advances it produces, yet many Americans do not receive the basic health care they need. Access to obtaining these health services can be affected by economic, structural, or personal barriers. This paper describes a primary health care delivery that addresses the specific health concerns of a neighborhood. The model forges a partnership with the community while developing collaborative relationships with area health providers. Targeted health services are offered in a community-based, nurse-managed site. Clients receive the basic health services they need, local providers expand their client base with "satellite locations," and the major medical institutions receive more appropriate referrals and have less unnecessary use of the emergency rooms.

Black or African American↗
PubMedDate not supplied

Community nursing centers: models of nurse managed care.

Changes in health care that have resulted in an increase in community-based nursing practice and new models for nurse managed care are developing. One of these models is the academic community nursing center. The development and characteristics of academic community nursing centers are described, using examples from one academic nursing center. Strategies for development, administration, collaboration, and funding are outlined, including the changes needed in nursing education to prepare nurses for new roles in community-based care.

Academic Medical Centers↗
PubMedDate not supplied

Mentoring in the career development of hospital staff nurses: models and strategies.

Mentoring in the career development of hospital staff nurses was explored using a qualitative, grounded-theory method in a descriptive study design. Verbatim audiotaped interviews of hospital staff nurses and their nurse managers from four hospitals in the northeast were used. Document analysis of key hospital and nursing organizational policy statements was included. Two models were identified from the study regarding the mentoring of hospital staff nurses, ie, a structural and a process model. Within the structural model, mentoring influentials were noted to be people, events, and environments. Peers and nurse managers proved to be the primary people influential in providing key mentoring strategies. Within the process model, four phases were identified leading to three separate career development outcomes toward which hospital staff nurses strive: the development of career-building relationships, facilitation of career transition points, and positive interaction within the organizational climate.

Female↗
PubMed1990

Nursing models and community as client.

Each of the four nursing frameworks discussed here represents worldviews that result in different meanings of the concepts of health, community, and, therefore, of community health. Orem's framework reflects a casual model of the community as an aggregate of individuals and a concept of health that is most akin to Smith's clinical and functional levels of health. Roy's model broadens to allow for consideration of the community as a system. The community as a system is perceived from the perspective of behaviors in response to stimuli. Causality is time ordered and linear, although one must consider the context of continuing time through the mechanism of feedback loops. Smith's adaptive level of health is most congruent with this perspective. King's conceptual framework views the community as a system interacting with the personal and interpersonal systems it includes. Causality is necessarily symmetrical within a systems approach. Health includes both role performance and adaptive levels of health. Finally, Rogers' model considers the community as a field in itself. That field is one of awareness, is integral with the environmental field, and is acausal in nature. Health as expanding awareness is most similar to Smith's eudaimonistic concept of health. It is proposed that these four frameworks reflect increasingly integrated conceptions of community health by which to guide public health/community health nursing practice.

Causality↗
PubMed2005

Using social judgement theory to model nurses' use of clinical information in critical care education.

Understanding the learning needs of students is a vital step in planning the delivery of effective education. Evaluating the impact of such interventions is not always easy and many methods rely on self-reported behaviour or simple changes in knowledge--whose relationship to action is not always clear. Using conjoint analysis, within the theoretical framework of social judgement theory, this study illustrates a novel means of examining nurses' use of clinical information when diagnosing hypovolemic shock in a series of simulated cases presented via computer. The study examines changes in information usage before and after a traditional lecture. The results show that nurses' information use is not linear and the utility for decision judgement derived from clinical information is not distributed equally. The study also suggests that some clinical information (for example, the Glasgow Coma Score) is not well understood and incorporated into clinical judgement. The study has implications for those designing and evaluating educational interventions and those studying information use, clinical judgement and decision making.

Adult↗
PubMed1993

Job stress and occupational health nursing: modeling health affirming choices.

1. Job stress is a condition or event in the workplace that induces strain (a physical, psychological, or behavioral response to a stressor). The outcome of unrelieved job stress can be burnout. 2. Occupational health nurses can experience job stress in the areas of intrinsic job factors, organizational structures, reward systems, human resource systems, and leadership. 3. Stress reduction techniques can be grouped into physical, social, spiritual, intellectual, emotional, and environmental strategies. 4. Application of stress reduction strategies to reduce experienced job stress in occupational health nurses is one way occupational health nurses can model health affirming choices.

Adaptation, Psychological↗
PubMed1996

Assessing the congruence of nursing models with organizational culture: a quality improvement perspective.

Model-based practice was identified by the Nursing Department at Riverview Health Centre, a 320-bed long-term care facility located in Winnipeg, Manitoba, as having the potential to enhance care quality significantly. To achieve real impact in the clinical setting, however, the model selected would need to reflect closely the culture and values of the department. It was decided to explore these phenomena using cross-method triangulation involving a cultural assessment survey (the Nursing Unit Cultural Assessment Tool) and focus groups. Patient comfort and empathy emerged consistently as core values for staff. Greater appreciation of the depth and complexity of the nursing department culture and values has provided invaluable direction vis-à-vis conceptual model selection.

Chi-Square Distribution↗
PubMedDate not supplied

Helping students use nursing models to guide research.

This article describes a teaching-learning strategy that was used to help third-year undergraduate BSN students understand the importance of situating nursing research questions within a nursing theoretical framework. Examples of student-generated research questions and their transformation into questions that reflect explicit nursing frameworks are provided. Common difficulties encountered by the students are also discussed.

Education, Nursing, Baccalaureate↗
PubMed1999

Reflection: an alternative to nursing models.

The value of models is currently being challenged by some health-care practitioners. Alternative theoretical underpinnings are required on which to base nursing care. Informal processes which support learning from experience should be formalized to advance nursing practice.

Attitude of Health Personnel↗
PubMed2004

Australian women's perceptions of a specialist breast nurse model.

The aim of this study was to evaluate Australian women's perceptions of the specialist breast nurse (SBN) model developed by the National Breast Cancer Centre. Two hundred and forty women evaluated the care they received from a SBN. The SBN was perceived as a valuable link between women and the multi-disciplinary team, with continuity of care being rated as a major benefit. Over 80% of women reported the SBN to be effective in providing information and emotional support. There is a need to consider the establishment of SBN positions in treatment centres for breast cancer in Australia.

Australia↗
PubMed1992

A human resources decision support model: nurse deployment patterns in one Canadian system.

Optimal deployment of current staff--as opposed to recruitment of new staff--has been recognized as an effective strategy for dealing with nurse human resource shortages in hospitals, especially during periods of overall nursing shortages. In this article we present a model for maximizing current nursing staff resources by incorporating three dimensions of staff deployment: workforce stability, employment mix, and average paid hours. Using centralized provincial payroll data from British Columbia, we analyzed a set of three indices that measure these factors to examine patterns of nurse deployment and their impact on total nurse human resource requirements. Furthermore, by constructing hypothetical scenarios and changing the parameters according to possible situations depicted by the model, it is possible to demonstrate the impact of alternate management strategies on nurse requirements. The results emphasize the need for dealing with staff deployment in a multidimensional manner that may vary by facility type; it is not the size of the full-time nursing component alone that should be the dominant consideration for all facilities. Innovative approaches to management are called for to maximize the deployment of a limited human resource pool.

British Columbia↗
PubMed1994

A comparison of two nursing models: Allen's developmental health model and Newman's theory of health as expanding consciousness.

Allen's developmental health model and Newman's theory of health as expanding consciousness are compared here with respect to their goals, theoretical influences, general orientations, and conceptualizations of the metaparadigm concepts of person, health, environment and nursing. While development of each of these models began around the same time (early 1970s) and each emphasizes health as the central concept, clear differences and relatively few similarities are evident. Each proposes that health is a process which evolves over time, yet conceptualization of these processes lies at the heart of the distinctiveness of the models. For Allen, health is a phenomenon of the family which can be developed through the learning of healthy behavior (coping and development skills). In Newman's view, health is not developed through behavior change but reflects increasing awareness of one's unitary pattern of interaction with the universe. Both models contribute to nursing science in a unique way by offering alternative perspectives of health and nursing and, for Allen, considering the family as the unit of concern.

Consciousness↗