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PubMed1992

A registered nurse-licensed vocational nurse partnership model for critical care nursing.

The development, implementation, and evaluation of a program that incorporates a registered nurse and licensed vocational nurse partnership model into the critical care practice setting is described. This model can be used by nurse executives to alleviate some of the immediate consequences of the nursing shortage and potentially to achieve a longer-range solution by expanding the pool of registered nurses. Evaluation of the program revealed statistically significant increases in nurse job satisfaction; perceptions of reduced workload and stress; a perception by registered nurses and physicians of increased nursing care quality; decreased registered nurse turnover and sick time; and a positive perception of the role of the licensed vocational nurse in the critical care unit.

Absenteeism↗
PubMed1991

The Burford Nursing Development Unit holistic model of nursing practice.

This paper offers a new approach for developing a model of nursing emerging from and hence inherently compatible with a philosophy for practice. It builds on the author's earlier work of describing a paradigm for writing a philosophy for practice. The model is that of the Burford Nursing Development Unit in Oxfordshire, England.

Clinical Nursing Research↗
PubMed1991

The use of the Roy Adaptation Model in nursing administration.

In recent years, considerable attention has been paid to the use of a nursing conceptual model for nursing practice. Although many of the theorists and early writers on the subject suggested that a nursing conceptual model could be used to guide nursing administration, there has been little attention given to this in the literature. This article describes the process that one hospital engaged in as they implemented the Roy Adaptation Model for nursing administration. The article discusses the use of the Roy Model in creating a nursing philosophy, mission statements, standards of practice, job descriptions, performance planning and appraisal system and a quality monitoring system. The authors conclude that the use of the Roy Model has contributed to the development of a highly integrated system of nursing administration and practice.

Adaptation, Psychological↗
PubMed1993

Latex allergy: collaborative nursing research using a consortium model.

Nursing research, a recognized component of the CNS role, is difficult to develop in practice. Collaborative research is frequently recommended as a way to promote research activity by advanced practice nurses. Although most collaborative nursing research involves cooperation between academic and clinical nurses or within nursing organizations that exist for the purpose of conducting research, a regional nursing consortium can successfully carry out research activities. An investigation into the incidence and nature of latex allergy in children with myelodysplasia grew out of the education, mutual support, and advocacy activities of a regional clinical consortium. This article shares the research process, the obstacles encountered, and the strategies employed to identify, investigate, and use new nursing knowledge.

Adolescent↗
PubMedDate not supplied

Research utilization in maternal-child nursing: application of the CURN model.

Nursing administrators, educators and clinicians are continually striving to incorporate research into practice. A number of research utilization models have been developed to help meet this challenge. This article describes how the Conduct and Utilization of Research in Nursing (CURN) approach was used in a maternal-child area of a Canadian tertiary care hospital. One patient care problem was identified by practising nurses that required acquisition and application of recent research findings. A thorough literature search and critique was conducted based on this patient care problem and research results were used to develop nursing care guidelines for this priority concern.

Maternal-Child Nursing↗
PubMed1997

Using models in learning disability nursing.

Nursing models and theory can be of particular benefit during periods of significant social and professional change. The use of nursing models in learning disability nursing needs to be shown to have positive outcomes in practice. A literature search found little proof of the efficacy of nursing models in learning disability nursing. More nursing research is essential in this area of practice.

Evidence-Based Medicine↗
PubMed2000

Caring in forensic nursing. Expanding the holistic model.

Nurses have practiced forensic nursing for many years without formal recognition of the domain as a discipline for specialized study. Forensic nursing expands the traditional concept of holism to include the medical-legal aspects of potential or actual client problems. The American Nurses Association (ANA) and the International Association of Forensic Nurses (IAFN) recently have designated forensic nursing as a unique specialty. Recognition of forensic nursing as a specialty area of practice within nursing mandates that the specialty define and explicate its major conceptual base. A concept germane to the practice of forensic nursing is that of caring. Caring as a central concept to the role of this specialty is discussed, and the implications for its inclusion in a curriculum preparing forensic nurses are explored.

Crime Victims↗
PubMed1992

Criteria for evaluating the clinical and practical utility of models used by nurses.

Arguably, nursing, like all health care disciplines, is an applied science. Essentially, this refers to the application of theory in order to understand and respond to the health problems of clients. These theories may be drawn (borrowed) from any applied science, or generated inductively from clinical nursing practice. Alternatively, nurses may attempt to apply deductive theory (global theoretical frameworks) known as nursing models. In this paper, all theoretical approaches, irrespective of origin, are referred to as models used by nurses. Thirteen criteria by which clinicians, and others, can evaluate the clinical and practical utility of models used by nurses which are expressed in the form of questions are identified and discussed. The criteria are an extension, both in detail and in number, of those developed by Reynolds and Cormack and subsequently applied by those writers to the Johnson Behavioural System Model of Nursing. The value, or otherwise, of individual models, or of models in general, will not be discussed in this paper. However, the authors propose that if the evaluation criteria described here are applied to existing models, serious deficits will be identified in relation to their clinical and practical utility.

Cultural Characteristics↗
PubMedDate not supplied

Evolving models of Geriatric Nursing care.

Outcomes of care improve when older patients are cared for by nurses with demonstrated competence in geriatrics and in environments that structure nursing care around the needs of older adults. The past twenty years has seen the development of a number of exciting new nursing models in the delivery of care for older adults. This article highlights some of these evolving models of nursing practice in assisted living, home care, hospitals, and nursing homes.

Aged↗
PubMedDate not supplied

Stress and coping among hospice nurses: test of an analytic model.

Nursing is a profession with high levels of occupational stress, especially for those employed in hospice settings. This study considered the stressors, mediators, and adaptations evident among 100 hospice nurses from 20 facilities. The research tested an analytic model of stress that included social and predisposing conditioning factors, stress appraisals, coping strategies, social resources, and adaptive status. Entered as sets in a hierarchical regression analysis, stress appraisals and coping strategies proved to be the best predictors of adaptive status. Social resources exerted a more indirect influence.

Adaptation, Psychological↗
PubMed1989

The effects of patient weight and sex on nurses' perceptions: a proposed model of nurse withdrawal.

This investigation challenged the premise that nurses adhere to affective neutrality in their practice of nursing, and examined the effect of patient weight and sex on evaluations, attributions and care delivery decisions formed by nurses. The phenomenon of mutual withdrawal originally identified by Tudor in psychiatric nursing was adapted to the general nursing milieu and served as the conceptual framework. Emphasis in this study was given to the phenomenon of nurse withdrawal. A volunteer sample of 100 senior female baccalaureate students was randomly assigned to one of four conditions in a 2 X 2 factorial design with the following factors: (a) weight of the stimulus patient (normal versus obese); and (b) sex of the stimulus patient (male versus female). These independent variables were presented through descriptive vignettes and visual stimuli to participants completing a self-administered questionnaire. Dependent variables included evaluation, attribution and care delivery. Analysis of the questionnaire demonstrated that obese patients were evaluated more negatively than normal weight patients, F = 2.82, P less than 0.05, but were not held more responsible for an alleged transgression, nor did nurses indicate withdrawal. The phenomenon of social attractiveness was identified as an intervening variable lending support to the proposed model of nurse withdrawal. This finding is examined within the context of affective neutrality in the nurse-patient relationship. Implications for nursing practice, theory and research are discussed.

Female↗