Promoting collaboration/unification models for nursing education and service.
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Education, Nursing↗
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Promoting collaboration/unification models for nursing education and service.
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Education, Nursing, Baccalaureate↗
National Council begins revising models for nursing regulation.
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Health Policy↗
Models of nursing, nursing practice and nurse education.
Over the last few years, and concurrent with wider debates about the quality of patient care, increasing numbers of practising nurses and nurse educators have expressed interest in using conceptual models of nursing as a basis for planning and delivering nursing care. In the light of such interest, this paper identifies the distinctive features of three fundamental types of nursing model and explores the implications of these for contemporary approaches to nursing practice and nurse education.
Education, Nursing↗
Management development: preparing nurse managers for the future. Part 1, Program model.
Nurse executives need to develop programs to help nurse managers meet rapidly changing role expectations and prepare for new healthcare challenges. This two-part series reports on one such program for nurse managers at The Johns Hopkins Hospital. Part 1 describes the program model, its conceptual framework, and its various components. Part 2 will present an in-depth evaluation of the program and recommendations for future development.
Baltimore↗
Sphere of Nursing Advocacy Model.
The Sphere of Nursing Advocacy (SNA) model explains and depicts nursing advocacy on behalf of a client. The SNA model views the client as continually protected from the external environment by a semipermeable sphere of nursing advocacy that allows clients to self advocate if the client is emotionally and physically able or to be advocated for by the nurse if the patient is unable to advocate for him- or herself. The SNA model can be used to guide research or it can provide the basis for instruction on the subject of nursing advocacy.
Acute Disease↗
A nurse practitioner model of practice in the neonatal intensive care unit.
PURPOSE: The purpose of this study was to describe the practice of the nurse practitioner (NP) in the neonatal intensive care unit (NICU) in an attempt to define an advanced practice nursing model that is unique to NP practice in the NICU. DESIGN: This qualitative research used an ethnographic case study design to answer the research question: 'What is the practice model of nurse practitioners working in the NICU?' METHODS: Seven nurse practitioners working in five level II/III NICUs in Massachusetts and Rhode Island were interviewed and observed in practice. Audiotaped interviews using open-ended questions and field notes from participant observations were analyzed for patterns of behavior. RESULTS: These nurse practitioners practiced within a model of advanced practice nursing that emphasized health, holism, and caring within the highly technological and medical NICU environment. CLINICAL IMPLICATIONS: A model of NP practice in the NICU is emerging and needs further development and testing. Nurse educators and administrators must find ways to support the nursing model in the advanced practice nursing role in the NICU. Nurse practitioners need to be more active in promoting a clearer understanding of their practice and contributions to the NICU care delivery team.
Adult↗
How nursing homes behave: a multi-equation model of nursing home behavior.
This paper estimates a multi-equation model of nursing home behavior using the 1973 NCHS National Nursing Home Survey for data. The paper investigates empirically the effects of public reimbursement and regulatory policies, as well as other exogenous factors, on the following dependent variables: (1) average operating cost; (2) nursing hours per patient-day; (3) an index of rehabilitation-type services; (4) the occupancy rate; (5) the mix of public and private patients; and (6) the rate charged to private patients. The results dramatize the importance of endogeneity concerns in nursing home behavior. Rate setting and many regulations are shown empirically to have unintended and often undesired consequences on cost and other policy criteria of interest. While there has been anecdotal evidence of such system-wide interdependencies, this study affirms that such possibilities must be taken seriously. Rational nursing home regulation cannot proceed apart from a comprehensive understanding of the nursing home behavioral environment.
Bed Occupancy↗
Personalized nursing LIGHT model. Love, Intend, Give, Help, Touching.
The Personalized Nursing LIGHT model is a prescriptive model for nursing. It is a model for nursing practice derived from a synthesis of Aristotle's theory of ethics and Martha E. Rogers' science of unitary human beings. The LIGHT model provides a mechanism for nurses to assist clients to improve their sense of well-being. The authors believe that improving well-being is the focus of nursing. Using principles synthesized from Aristotle and Rogers, clients are encouraged to use their talents in the pursuit of well-being and happiness in an increasingly complex world.
Ethics, Nursing↗
The Attending Nurse Caring Model: integrating theory, evidence and advanced caring-healing therapeutics for transforming professional practice.
This paper presents a proposed model: The Attending Nursing Caring Model (ANCM) as an exemplar for advancing and transforming nursing practice within a reflective, theoretical and evidence-based context. Watson's theory of human caring is used as a guide for integrating theory, evidence and advanced therapeutics in the area of children's pain. The ANCM is offered as a programme for renewing the profession and its professional practices of caring-healing arts and science, during an era of decline, shortages, and crises in care, safety, and hospital and health reform. The ANCM elevates contemporary nursing's caring values, relationships, therapeutics and responsibilities to a higher/deeper order of caring science and professionalism, intersecting with other professions, while sustaining the finest of its heritage and traditions of healing.
Child↗
Using conceptual models of nursing to guide nursing research: the case of the Neuman systems model.
Conceptual models of nursing inform thinking and give meaning and direction to nursing research. The Neuman systems model is used to exemplify the following five steps, which provide specific direction for conceptual model-based research: (a) Develop a comprehensive understanding of the substantive content and research rules of the conceptual model, (b) review existing research guided by the conceptual model, (c) construct a conceptual-theoretical-empirical structure, (d) clearly communicate the conceptual-theoretical-empirical structure, and (e) conclude the report with an evaluation of the empirical adequacy of the middle-range theory and the credibility of the conceptual model.
Humans↗
A causal model of nursing education and state board examination scores.
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Achievement↗
A theory-based clinical nurse specialist practice exemplar using Neuman's systems model and nursing's taxonomies.
This article illustrates the process of theory-based advanced nursing practice by presenting an exemplar of clinical nurse specialist practice using Neuman's systems model and nursing's taxonomies. A brief explanation of Neuman's systems model is given, and the process of assessment, diagnosis, and planned outcomes/interventions is fully described. A clinical example illustrates the entire process.
Classification↗
Developing a common nursing practice model.
Implementing standard approaches to nursing care simplifies task-oriented work so nurses can spend more time tailoring expectations to individual patients. A multihospital system defines a common nursing practice model and the issues that occurred during the process.
Humans↗
The relationship of nursing practice models and job satisfaction outcomes.
The concept of nursing practice models--shared governance--has attracted the attention of nursing administrators in the last decade in response to maintaining nursing job satisfaction, quality care, and fiscal viability. This article contains a critique of existing research that tests the effects of nursing practice models on nursing outcomes, predominantly job contentment and autonomy. The results of the studies reviewed indicate that implementation of nursing practice models enhances job satisfaction, increases personal power and accountability, and improves climatic change. In addition, implementation of nursing practice models is highly dependent on manager skill in leading and maintaining the change process.
Humans↗
A case study: the clinical application of quadrangular dialogue--a caring in nursing teaching model.
Teaching caring in nursing is expected of nursing faculty, but the practical application is rarely explained. It has been regarded as the moral responsibility of faculty to teach in a caring way. This case study relates how one faculty applied the concepts to quadrangular dialogue a caring model of nursing education to the experience of baccalaureate student nurses in their first clinical rotation. The components of quadrangular dialogue will be described, and applied to a specific patient who was cared for by students in one semester. This model is developed from Habermas' (1995) Theory of Communicative Action and Moral Consciousness, Bishop and Scudder's (1990) Triadic Dialogue and a caring in nursing paradigm developed by this author. It explains how the patient, nursing student and nursing faculty are all first person in the interaction, while the illness is object. By acknowledging the humanness of participants, validation and fulfillment for each follow.
Clinical Competence↗
The Parent-Staff Interaction Model of Pediatric Care.
Nursing models have had a long and often troubled history of development. Many that have been developed are not applicable in the pediatric setting. Models of pediatric care, though in use in many developing countries, are often not applicable within the cultures of those countries. This article outlines the history of the development of nursing models, the debate that has accompanied their progress, and the way in which they have been applied. An argument about the influence of culture on the way children are cared for in hospitals is postulated, and explanations are given as to why current models are not appropriate for use in pediatrics. A new philosophical model for pediatric nursing, the Parent-Staff Interaction Model of Pediatric Care, is presented and analyzed using Jacqueline Fawcett's framework for evaluation of nursing models. Its applicability to and use in any culture is explained, and feedback for further development is requested.
Child↗
Demonstrating theory in practice: examples of the McGill model of nursing.
An important test for a model of nursing is its usefulness in practice. One-hundred and forty-seven nurses in one hospital attended a 2-day workshop on the McGill Model of Nursing. An evaluation of this workshop showed the usefulness of the McGill model. Self-efficacy for performing the model increased, as did behaviors and performance related to nursing by this model. Self-reports and supervisor reports measured these increases 6 months after the workshop. Further, the implementation of the model led to staff nurses initiating bottom-up changes in the nursing department. Boundary conditions or factors outside of the workshop content that enhanced the adoptation of the model are described.
Adaptation, Psychological↗