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Home care for dying children: a nursing model.

A model is presented for providing home care services for children dying from cancer and for their families. Forty-two families whose children were patients at the Midwest Children's Cancer Center received home care during the first two years of this program. Variations in patient age, diagnosis, or family structure did not preclude successful participation in home care. In all families, the medical and nonmedical financial burdens of inpatient and outpatient hospital care were reduced when the child died at home. Since this program was initiated, terminal care has shifted from hospital-based medical management to nursing support in the home for the majority of children at our cancer center.

Adolescent↗

Family involvement following institutionalization: modeling nursing home visits over time.

Gerontological research has emphasized family members' continued involvement in the lives of loved ones following institutionalization. However, many of these studies are cross-sectional in design and do not ascertain how family members' visits change over time. The present study utilized a growth curve analysis to examine preplacement and postplacement predictors of nursing home visits over a two-year period among a sample of 65 caregivers of dementia patients. Intraindividual patterns of change suggested considerable heterogeneity in family visits. Several variables were also significantly predictive (p < .05) of change in nursing home visits. Spousal caregivers were more likely to report increased visits. Care recipients with greater cognitive impairment following institutionalization experienced increased visits. Caregivers who perceived respect and support from their social network following institutionalization also reported increased visits over the two-year study period. Caregivers who engaged in socially restorative activities after institutionalization reported decreases in visits. The findings provide a more refined understanding of the long-term involvement process following institutionalization.

Aged↗

Model nurse.

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Health Promotion↗

A model nurse.

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Career Choice↗

[Model nurses].

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Nursing Care↗

The Prince Edward Island Conceptual Model for Nursing: a nursing perspective of primary health care.

The philosophy of primary health care (PHC) recognizes that health is a product of individual, social, economic, and political factors and that people have a right and a duty, individually and collectively, to participate in the course of their own health. The majority of nursing models cast the client in a dependent role and do not conceptualize health in a social, economic, and political context. The Prince Edward Island Conceptual Model for Nursing is congruent with the international move towards PHC. It guides the nurse in practising in the social and political environment in which nursing and health care take place. This model features a nurse/client partnership, the goal being to encourage clients to act on their own behalf. The conceptualization of the environment as the collective influence of the determinants of health gives both nurse and client a prominent position in the sociopolitical arena of health and health care.

Family Nursing↗

Nursing research organizational models.

Nursing departments have a responsibility to promote nursing research activities. To attain this goal, they may select and/or adapt an organizational approach from existing models for nursing research. Research consortium, directorate, program, group, and single researcher, organizational models are described and discussed in this paper using examples from the literature and current practice. Issues which nurse administrators and researchers should consider when selecting and implementing organizational models are presented. These include the departmental perspective regarding nursing research, the nurse researcher role, and compatibility between model and departmental characteristics.

Hospitals, Teaching↗

[Holism in theoretical models of nursing].

In this bibliographical analysis, we present the classification of nine theoretical nursing models which frame holistic thinking according to the school of thought of Human Needs, Interaction and Outcome. It further describes the definition of holism, health, client and nursing in the holistic conception, with the objective of portraying holism in the theoretical references of nursing: The Ambiental Theory of Nightingale, the Interpersonal Theory of Peplau, the Philosophical Theory of Hall, The Theory of Basics Principals of Henderson, the Theory of Self Care of Orem, the Prescriptive Theory of Wiedenbach, the Theory of Basic Needs of Horta, the Theory of Adaptation of Roy and the Theory of Holism of Levine.

Holistic Nursing↗

Peplau's model of nursing: caring for a man with AIDS.

Nursing models should be seen as an adaptable framework for care. Peplau's model of nursing centres on the interpersonal process and involves the client with a felt need and the nurse who has the knowledge to respond to the problem and be effective within the therapeutic process. When utilised effectively, negative energy can be channelled towards positive growth. Clients have a right to refuse nursing intervention. Confidentiality is paramount in building a trusting relationship.

Acquired Immunodeficiency Syndrome↗

The Neuman Systems Model in nursing education: course development and implementation.

Nursing education programmes increasingly are integrating nursing models into their curriculum. The model chosen can provide a guide for curriculum content as well as strategies for learning content. In the clinical setting a model can facilitate the student's nursing practice by assisting in the organization of observations and interpretation of data. This paper describes the introduction of the Betty Neuman Systems Model to fourth year baccalaureate students at the University of Ottawa School of Nursing, Canada. The selection of this model for a senior nursing course reflects its congruency with the school's philosophy of learning and nursing and the purpose of the course. Course development and implementation, teaching strategies and outcomes are discussed and reflect an attempt at incorporating a nursing model into course design.

Curriculum↗

The Tredgold model of nursing.

A nursing model is a framework upon which nurses can base their approach to care. A model may expand a philosophy into the abstract as it encompasses the nurses' beliefs about their role, the patient's involvement and the meaning of the interactions between the two. On Tredgold ward we decided to write our own model as established frameworks did not entirely reflect our approach. We used the elements of British nursing models as described by Brown (1989) as the basis for our work and in doing so additionally wrote our own definition of nursing. The process has led to a more cohesive and confident team with a clearer sense of direction. This has increased our standing with colleagues and educationalists.

Humans↗