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Making nursing models relevant for the practising nurse.

In this article the authors examine the background to the development of the nursing process and nursing models. The latter, it is argued, provide the theoretical framework for nursing actions. The descriptive study described here by the authors, took place at Michigan State University. The aim was to determine how useful nurses perceived nursing theory to their practice--in a setting where nursing theory had been taught for ten years. Nursing models were found to be useful to practising nurses in the clinical setting.

Attitude of Health Personnel↗

Nursing models and the idea of nursing.

The Wittgensteinian idea of family resemblances and meaning is explained. The idea of nursing is examined from this standpoint as are the knowledge claims of several influential nursing models. It is argued that the task of building a general model of nursing is theoretically impossible. The political and educational implications of the above argument are developed.

Education, Nursing↗

Nursing models in the curriculum: the nursing degree course at Bristol Polytechnic.

This article discusses the use of nursing models as a basis for curriculum planning in a Nursing degree course. Each module in the course is based on a Nursing model, as are assessment of theoretical aspects and of nursing competencies. Rationales for the structure of the course and choice of models are given, and the article concludes by emphasising the need for continuing evaluation of this way of planning and implementing the curriculum.

Clinical Competence↗

Guidelines for selecting a nursing model for practice.

Nursing models can provide direction to the practicing nurse. In this article, the process of selecting a nursing model is outlined. Noteworthy is the need for administrative support in this process in terms of providing release time, adequate coverage of the unit, scheduling, secretarial support, praise, and encouragement. It is suggested that nurses from various levels form an ad hoc committee so that there be representatives from both management and staff nurses as well as those who have been exposed to the use of models on the committee. Initially, the committee members should examine beliefs about nursing, the client, and the environment so that the model selected will reflect the beliefs and goals of the staff. Factors to consider in model selection are outlined so that the selected model will provide direction to each phase of the nursing process. Once a model is selected, it is recommended that individuals with experience in using it be approached to share their successes and difficulties. It is imperative that staff nurses be involved in the decision-making process.

Decision Making, Organizational↗

The implications of jumping on nursing bandwagons--the case of nursing models in Newfoundland hospitals.

Nurses are as susceptible as others to trends and fads which have an unproven impact on the provision of quality health care. One enduring trend has been the adoption of nursing models which, it is claimed, unifies nurses in distinctive approaches to caring. In Newfoundland, the current financial constraints in health care have created an opportunity to investigate the soundness of jumping on the nursing model "bandwagon". The author explores the meaning of nursing knowledge, the importance of developing knowledge for safe, effective practice, and explains how nursing models have become associated with nursing knowledge and imbued with almost mystical qualities. One aspect not seen in the literature-that of the cost of implementing a model for nursing care in hospitals-is presented. The implications, financial and ethical, are discussed and, in conclusion, another approach to encourage philosophizing about nursing work is outlined.

Humans↗

Nursing models: a useful strategy for nephrology nursing practice?

The use and misuse of nursing models has been a subject which has provoked intense debate amongst nurses both in clinical areas as well as within the realms of nursing academia. The impetus for such analysis has been increased by the many changes that are evolving in modern nursing. The Oxford Renal Unit, along with many of the UK units, has begun to question available nursing models, and whether they actually represent the reality of renal patient experience.

Hemodialysis Units, Hospital↗

Designing a nursing model for dermatology.

Nursing models provide a useful framework for care but should be adapted to specific patient groups. Models need to be adaptable to changing perceptions of patient needs and to patient-centred care.

Dermatology↗

The essential elements of a practitioners' nursing model: a survey of psychiatric nurse managers.

Most of the existing models of nursing have been formulated by academic theorists rather than practising nurses. According to the literature, the template used by these theorists is their perception of what the essential elements 'nursing', 'health', 'person' and 'environment' are: the so-called 'metaparadigm' of professional nursing. However it is also generally accepted in the literature that all nurse practitioners have their own 'personal model' of nursing, invariably based upon the individual nurse's values and beliefs concerning the same elements! Within this study it was possible to enable 95 ward managers to make their views on the four elements explicit, thereby forming a basis for a practitioners' model of nursing.

Adult↗

Have nursing models a place in intensive care units?

The usefulness of conceptual models to guide nursing practice within an intensive care unit is explored within this paper. In order to do this, the term 'nursing model' is first of all defined and the three key types identified. The benefits and difficulties of utilizing a nursing model are then considered. Within this discussion, the relationship of the nursing process to a nursing model is highlighted, as is the opportunity to give a structured and scientific base to clinical practice. Potential problems relating to the language used within the model are acknowledge. Finally, the selection and use of models within this area of practice is explored.

Humans↗

One method for comparing different nursing models.

To have diverse nursing models is well and good, but how does one select among them or even understand their differences? Sohn devises a simple method for comparing nursing models that will be of use to teachers, students, and practitioners alike.

Holistic Health↗

Nursing models fail in practice.

Despite an increasing academic interest in the nature of nursing models, nurses do not tend to use them in practice. This article examines the future of nursing models as a framework for delivering client care and questions their effectiveness in a practical setting.

Humans↗

A post-modern nursing model.

For some time, nursing has been based on the structure of the nursing process and nursing models. However, in an age where the old order of science and medicine can no longer answer all of society's questions, can a nursing model, with its roots firmly based in the modernist structure of the nursing process, be post-modern?

Decision Support Techniques↗

Finding a model that fits. The use of nurse models in A&E.

Careful and promptly completed documentation is vital in A&E, where patients rarely stay for long. Most A&E departments do not appear to use a nursing model. Many respondents to the study felt there was no suitable model available for A&E. There is a need for more emphasis on developing models for A&E and educating nurses about their use; nurses also need to be actively involved in their implementation.

Emergency Nursing↗