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PubMed2001

Advancing the quality of oncology nursing care: Interlink Community Cancer Nurses' model for reflective practice.

Since 1996, Interlink Community Cancer Nurses have been using reflective practice as a team to share knowledge and experience amongst peers. The use of reflective practice enables the nurse to examine decision-making in patient situations and uncover the knowledge and artistry that is embedded in nursing practice. This article describes how reflection is practised by specialist cancer nurses to advance the quality of caregiving. The use of a structured framework for reflection which incorporates ways of knowing in nursing is an essential feature of the Interlink model for reflection. The development of a process for reflection within the Interlink program has at times been challenging. However, the Interlink nurses' experience with reflection is believed to be critical to the ongoing development of the program and the individual nurse. Interlink nurses have found that guided reflection, the creation of an environmental milieu for reflection and personal knowing, and self-evaluation are critical to the process of becoming a self-reflective practitioner.

Caregivers↗
PubMedDate not supplied

Self-care nursing model for patients experiencing radical change in body image.

A description of the integration of concepts from other disciplines into the nursing self-care model is presented. Orem's model of the patient as a self-care, goal-directed, decision-making agent is applied to the care of a woman recovering from a radical vulvectomy. The model can be used in other nursing care situations in which the patient's body image is altered.

Activities of Daily Living↗
PubMedDate not supplied

Advanced practice nursing model for comprehensive care with chronic illness: model for promoting process engagement.

New models of providing care to chronically ill persons are needed that can facilitate a more integrative approach to patient care. The purposes of this article are to describe the utilization of a theory synthesis process for development of a client-focused approach for advanced practice nurse (APN) management of chronic illness and to present the Model for Promoting Process Engagement. The model was developed as a theory-driven intervention to address complexities of chronic illness care. This APN practice model is the direct result of the synthesis of a number of differing theoretical models developed by the authors in previous individual research endeavors.

Caregivers↗
PubMed1991

An integrated nursing model of depressive behavior in adults. Theory and implications for practice.

Accumulating evidence suggests that cognitive processes or stimuli associated with a stressor may influence the neurochemical state. In addition, it has been suggested that a person's coping responses may protect him or her from the biologic dysregulations implicated in depression. From a nursing care perspective, the proposed model suggests the following practice components. First, assessment not only should include the symptom profiles of each client but should address both physical and psychosocial stressors. Second, once identified, individualized care needs to incorporate a variety of interventions that focuses on the target components (i.e., cognitive interventions for negative thought patterns, interventions to build interpersonal skills, sleep hygiene principles, pharmacologic interventions, and so forth). Finally, one needs to address how having experienced episodes of depression may influence the client's self-perception and ongoing quality of life. Nurses must begin to understand how the experience of having a depressive episode itself may serve as an ongoing stressor for the client. The factors that maintain depressive behavior and influence recurrence need to be the central focus of mental health nursing from a research and clinical perspective. It is this attention to integration and recurrence that will define nursing's unique contributions to this important area of mental health.

Behavior↗
PubMedDate not supplied

A nursing model for helping both clients and carers.

This care study charts the progress made in meeting the needs of carers and clients through the use of the systems development model, which has proved to be both flexible and user friendly. The authors explain how the client and his informal carer wife were helped to explore feelings and adapt to new roles.

Aged↗