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At least 379 records · Page 21Linked to original sources
PubMed1999

Improving client outcomes through differentiated practice: a rural nursing center model.

The TriCounty Community Health Center (the Center) was created in 1994 with federal grant monies to increase access and to provide outreach and primary health care services for rural residents. The Center employs a differentiated practice model of nursing care in which all nurses use the nursing process targeted to client systems that match the nurse's level of educational preparation and competence. The model allows nurses to intervene with various client systems, including the individual, family, aggregate, and community. Program outcomes for the Center suggest that using a differentiated nursing practice model for outreach and primary care services appears to have a positive impact on the health of individuals, families, and aggregates in rural settings, using the Omaha Classification System as a framework for evaluation.

Community Health Centers↗
PubMed1988

Identification of nursing diagnoses and defining characteristics: two research models.

Nursing diagnoses and their defining characteristics associated with one Diagnosis Related Group (DRG) were identified and validated. The clinical-retrospective model and the nurse validation model were used to identify high-volume nursing diagnoses associated with DRG 366, transurethral prostatectomy, and to validate related defining characteristics. For the clinical-retrospective model, 34 patient records classified as DRG 366 were reviewed, nursing diagnoses and their associated defining characteristics were identified and retrospectively validated. The nurse-validation model was implemented by assessing nine patients within DRG 366 over 22 shifts. Analysis using descriptive statistics demonstrated 80% level of agreement on five most frequently identified nursing diagnoses, but lack of agreement on the associated defining characteristics.

Diagnosis-Related Groups↗
PubMedDate not supplied

Nursing case management: a rural practice model.

Nursing case management is a blend of individual case- and/or disease-management activities used in urban hospitals or community health settings. The authors propose that in rural communities, a third form of case management is also used. Nursing case management in the rural community has a broader and more diverse scope of practice than nurse case managers practicing in urban settings.

Case Management↗
PubMed1987

The McGill model of nursing: a practice-derived model.

This article describes the salient features of the McGill model of nursing, (ie, health, family, collaboration, and learning), within the health, person, environment, and nursing paradigm. According to the model, the central goal of nursing is to maintain, strengthen, and develop the patient's health by actively engaging him or her in a learning process. Because health is a learned phenomenon and the family is considered the primary socializer in this learning, the family is the focus of nursing. The nurse strives to structure a learning environment that enables the patient to participate as fully as possible. The nurse and patient together set goals and, building on the patient's strengths and resources, devise means of achieving them.

Canada↗
PubMed2003

The value of the intersystem model for cosmetic nursing practice.

Conceptual nursing models are a framework for practice. However, these models are often not used in an outpatient dermatology clinic that provides cosmetic services or a plastic surgeon's office. In a cosmetic setting, clients are receiving care on an elective basis. Clients are generally healthy and educated as to what type of care and services they want, and they wish to be active participants in the decision-making process. Therefore, this type of atmosphere requires a model that allows for negotiation of ideas and a joint plan of care, such as the Intersystem Model.

Models, Nursing↗
PubMed1990

Implementing the Roy model: challenges for nurse educators.

The experience of selecting and implementing a nursing model appropriate to the nursing course in the first year of the generic baccalaureate programme of the University of Ottawa School of Nursing is described. Many challenges surfaced for the professors in year one as this curriculum change was implemented. Four challenges: (1) adapting the course to be congruent with the Roy model, (2) developing teaching tools suitable for student learning, (3) sequencing of content for student learning, and (4) obtaining competent role models, and how they were met, are discussed.

Adaptation, Psychological↗
PubMed1994

Philosophy and models in critical care nursing.

In 1991 a new philosophy and nursing model was developed in the adult intensive care unit. A team approach over several months, through the exploration of attitudes, values and beliefs, gave rise to the unit philosophy. The philosophy identified the beliefs of the nursing team which then, along with identified knowledge and goals for practice, directed us towards an appropriate nursing model. The Mead model, an adaptation from Roper, Logan & Tierney's model, was chosen and then adapted further. We believe the resulting model, although not perfect, guides our practice, reflects our beliefs, and is practical and 'user friendly'.

Adult↗
PubMedDate not supplied

Developing a model for theatre nursing.

There has been much debate about the nature of theatre work and whether the activities performed by theatre nurses represent real nursing. This article examines the potential for constructing a nursing model to depict the variety of environments in which theatre nurse's work.

Humans↗
PubMed2003

Acknowledging posttraumatic stress effects on health. A nursing intervention model.

Many people in our society have been exposed to overwhelming trauma, including abuse and assault. Posttraumatic stress can persist and become a chronic disorder, with behavioral and physiologic alterations affecting health across the lifespan. Often the etiologic role of trauma in a health problem remains undiscerned and unacknowledged. Acknowledging the effects of trauma is a caring intervention in itself, and it can lead to more effective healthcare and better relationships with patients. This article describes the process of acknowledging the effects of trauma in clinical reasoning, in dialogue with the patient, and in planning care and interventions.

Adult↗
PubMed2006

Mapping VIPS concepts for nursing interventions to the ISO reference terminology model for nursing actions: A collaborative Scandinavian analysis.

The aims of this study were to analyze the coherence between the concepts for nursing interventions in the Swedish VIPS model for nursing recording and the ISO Reference Terminology Model for Nursing Actions and to identify areas in the two models for further development. Seven Scandinavian experts analyzed the VIPS model's concepts for nursing interventions using prototypical examples of nursing actions, involving 233 units of analyses, and collaborated in mapping the two models. All nursing interventions in the VIPS model comprise actions and targets, but a few lack explicit expressions of means. In most cases, the recipient of care is implicit. Expressions for the aim of an action are absent from the ISO model. By this mapping we identified areas for future development of the VIPS model and the experience from nursing terminology work in Scandinavia can contribute to the international standardization efforts.

Cooperative Behavior↗
PubMed2004

A theory of health promotion for preterm infants based on Levine's Conservation Model of Nursing.

The infant born prior to the completion of term gestation faces many challenges in order to merely survive in the extrauterine environment. A preterm birth is also a time of extreme crisis for the family. There is a great need for the refinement of nursing practice models for neonatal intensive care nursing, to assure that the holistic nursing care needs of the infant and family are met. This article describes a new middle range theory of health promotion for preterm infants based on Levine's conservation model of nursing that can be used to guide neonatal nursing practice.

Adaptation, Psychological↗
PubMed2000

Describing a model of nursing as a focus for psychiatric nursing care.

This thesis would not be complete in it's review of Psychiatric nursing and Psychiatric nurse education, without reference to one of the fundamental changes that is occurring in nursing. One of the major changes that had occurred in recent years has been in the focus of nursing management nurses are placing much more emphasis on nursing diagnosis and nursing theories and are detaching from the more traditional medical model when planning nursing care. This movement towards a greater autonomy in planning their nursing care is assisting nurses in becoming a professional and independent group. Nurses are establishing a body of knowledge and skills which may be called "nursing science". Through the use of nursing models for planning patient and health care, nurses are offering a better service to the individual and the community. These changes in the focus of care commenced in the 1950's within the United States with the introduction of nursing models and theories. The Philosophies and concepts of these theories have outlined various methods and ways that the nurse could better plan and organize their professional work, including patient assessment and care. As early as 1953 the term "nursing diagnosis" was introduced by Fray to describe a step in the organization of a nursing care plan. (1) The various nursing models and theories seemed to have coincided with the movement through the 1950's and 1960's within America towards more generic based integrated curricula.

Curriculum↗
PubMed1992

Nurse clinician model of managed care.

Many different models of delivering nursing care have been proposed, each with specific advantages and disadvantages. One such model, the nurse clinician model, uses the strengths of advanced clinical practice as the cornerstone for improving quality in patient care. The increase in quality simultaneously produces an efficient and cost-effective system, as indicated by the results of a multiyear study at our institution. While other effective models exist, those that emphasize advanced clinical practice, such as the nurse clinician model, are most likely to achieve improved patient outcomes and conserve resource expenditures.

Humans↗