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PubMedDate not supplied

A nursing model for a community hospital preterm birth prevention program.

Newer interventions for the treatment of preterm labor led to the development of a nursing program for preterm birth prevention. The Roy adaptation model was used as a framework for patient and community education. Quality improvement activities provided the impetus for nursing practice changes. Tools were developed to produce a comprehensive, consistent approach for patient care from assessment to discharge.

Adaptation, Psychological↗
PubMedDate not supplied

Transforming practice using a caring-based nursing model.

Today's health care environments are calling for new models of care delivery grounded in essential values. This article describes the results of a 2-year funded research project that intentionally grounded an acute care unit in the perspective of nursing as caring. Outcomes of care for patients, families, staff and the organization are described.

Acute Disease↗
PubMed1993

The Albrecht Nursing Model for Home Healthcare. Predictors of satisfaction with a self-care intervention program.

Satisfaction with a self-care intervention program was evaluated through this quantitative study of arthritis clients at home. The results indicate that the clients were highly satisfied with the intervention. In this era of consumer satisfaction with their care, nurse administrator's knowledge of which interventions are satisfying is important for staff development and case management in the community.

Adult↗
PubMedDate not supplied

Interventions for irritable bowel syndrome: a nursing model.

Irritable Bowel Syndrome (IBS) is a common problem affecting a significant portion of the U.S. population. Nurses are involved directly in the planning and implementing of therapeutic interventions for this patient population. Using a Human Response Model, the authors of this article review intervention studies for IBS. This model provides a context for integration of Person (vulnerability) and Environment (risk) factors that may modify the patient's response to a given therapeutic regimen. Human responses are categorized as Physiological, Pathophysiological, and Behavioral/Experiential. Interdisciplinary therapeutic strategies include motility manipulations via pharmacological agents, dietary modifications, and self-care enhancement. Areas for nursing research are described.

Colonic Diseases, Functional↗
PubMed2004

[Estimating the cost of visiting nursing service by visiting nursing model for urban public health center in Korea].

PURPOSE: This study focused on analysing costs per visiting nursing care based on nursing activities in a public health center. METHOD: The Easley-Storfjell Instrument(1997) was used for a prospective descriptive analysis of self-records for workload data from 10 visiting nurses during 4 weeks on all nursing activities. In addition, analysis of the 478 visiting nursing records and cost data from 5 home visiting departments in public health centers during one year of 2003 was done. RESULT: The workload of visiting nurses by the type of model was identified as follows: Type I showed that caseloads made up 32.9 % of all nurse activities, and type II showed that the caseloads made up 45.8 %. Second, The cost per visit in type I was 33,088 won and 31,323 won in type II. Third, the estimated budgets were 1,902,436 won to 12,057,696 won for the type I model. and 4,151,316 won to 17,432,712 won for the type II model for one year. CONCLUSION: This study's results will contribute to baseline data used to establish on infrastructure for visiting nursing program and visiting nursing agencies based on the budget of visiting nursing services.

Community Health Nursing↗
PubMedDate not supplied

Modeling nursing interventions in the act class of HL7 RIM Version 3.

The proposed Health Level 7 Reference Information Model (HL7 RIM) Version 3 is the foundation for expressing data to be communicated across health care information systems. The general objective of this analysis was to examine whether the RIM supports the expression of nursing interventions, considering both terminological and structural perspectives. The Nursing Terminology Summit Interventions Group focused on patient education about breast cancer, an intervention that differs sufficiently from other medical processes already considered by HL7 and represents issues surrounding both definition and execution of nursing process. Relevant actors, actions, and action relationships were culled from use cases and modeled into the proposed RIM structure and attributes by using modified instance diagrams. This method was effective and reproducible, and the RIM proved to be an adequate model for supporting breast cancer education. Additional interventions must be studied to fully assess the adequacy of the model to support all aspects of nursing process and terminology.

Computational Biology↗
PubMed2002

Necrotizing fasciitis: a model nursing care plan.

Accurate assessment and timely interventions are critical in caring for patients diagnosed with necrotizing fasciitis. A case example helps nurses assess and intervene the numerous problems commonly experienced by patients with necrotic fasciitis.

Adult↗
PubMed2002

Necrotizing fasciitis: a model nursing care plan.

Accurate assessment and timely interventions are critical in caring for patients diagnosed with necrotizing fasciitis. A case example helps nurses assess and intervene the numerous problems commonly experienced by patients with necrotic fasciitis.

Adult↗
PubMed1991

Using a manpower database to model nurse turnaround and return to service.

A manpower database for nurses employed by the Department of Health and Social Services in Northern Ireland has been developed. This database contains information on all nurses employed between March 1977 and July 1988 and consists of data on all posts held in this period, including breaks in service. The authors show how these data may be used to analyse the durations of spells in post and spells out of service prior to departure to a number of destinations for the sister and staff nurse grades. The results are presented in a graphical format which enables us to evaluate the relative proportion of departures to each destination and at what stage in service these departures are likely to occur. Such a methodology provides a valuable tool for the nurse manpower planner, and utilizes personnel data which are routinely collected by most health authorities.

Career Mobility↗
PubMed2000

Modelling nursing activities: electronic patient records and their discontents.

A fully integrated and operating EPR in a clinical setting is hard to find: most applications can be found in outpatient or general practice settings or in isolated hospital wards. In clinical work practice problems with the electronic patient record (EPR) are frequent. These problems are at least partially due to the models of health care work embedded in EPRs. In this paper we will argue that these problems are at least partially due to the models of health care work embedded in current EPRs. We suggest that these models often contain projections of nurses' and doctors' work as it should be performed on the ward, rather than depicting how work is actually performed. We draw upon sociological insights to elucidate the fluid and pragmatic nature of healthcare work and give recommendations for the development of an empirically based EPR, which can support the work of nurses and other health care providers. We argue that these issues are of great importance to the nursing profession, since the EPR will help define the worksettings of the future. Since it is a tool that will impact the development of the nursing profession, nurses have and should have a stake in its development.

Humans↗
PubMed1990

A nursing model for addressing the health needs of homeless families.

Homelessness in the United States continues to be a major social problem directly affecting an estimated three million persons, of whom nearly 30 percent belong to families without permanent shelter. This paper reviews recent research concerning homeless families and the conditions in which they live and outlines the significant health and mental health problems that these families experience. Effective nursing interventions for homeless families using Peszneckers' Model of Poverty are proposed. Nurses must advocate for changes in the social and political conditions that bring about homelessness since the resources to meet the needs of these families are either nonexistent or woefully inadequate.

Child↗
PubMed1980

Support services in the school setting: the nursing model.

The multiple components of the school-based services for the handicapped are collapsed into a support service/instructional intent matrix which gives visual expression to new dimensions in school health services. Student needs for care and coping skills are addressed by a network of professional joint-practice arrangements built into a nursing service delivery model. A challenge is made to providers for a reciprocal relationship, to improve professional preparedness and thus promote access, excellence and equity in programs for the handicapped.

Child↗
PubMed1998

Making cancer bearable: the Interlink Community Cancer Nurses model of supportive care.

Most cancer patients and their families experience the full impact of their diagnosis and the disruptions cancer brings to their lives in their own homes and communities. Access to supportive care programs within the community is critical if we are to assist these individuals in coping and adjusting to the realities of cancer. Interlink Community Cancer Nurses, a nonprofit nursing agency, provides supportive care across the continuum of cancer care from early diagnosis and treatment through to remission and/or palliative care through its independent model of supportive care delivered by expert oncology nurses. The program utilizes a unique, client-centred model of care delivery to ensure that needs are met, and to link patients to community services which promote their ability to meet the demands of cancer. Interlink's program of supportive care demonstrates that oncology nurses can make a significant impact on the outcomes of cancer for individuals and their families which may impact on cost, influence survival and enhance quality of life.

Community Health Nursing↗