PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Nurses”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 73 records · Page 4Linked to original sources

Nursing students' perceptions of a career in nursing and impact of a national campaign designed to attract people into the nursing profession.

The study assessed perceptions about a career in nursing, the nursing shortage, decision to enroll in a nursing education program, and awareness and effect of the Johnson & Johnson Campaign for Nursing's Future. Data were obtained from a survey administered to a national sample of 496 nursing students. Although most students believe nursing is physically challenging and there is inadequate respect and recognition of nurses, most agree nursing is a good career for men and for people who have academic ability and want a secure job. Although the majority believes the nursing shortage will increase stress on nurses, lower the quality of care, and fail to improve working conditions, most students also expect the shortage will lead to higher pay and more job choices. Information and advice from practicing nurses was the most influential factor in deciding to become a nurse, and friends, parents, and other family members also had a positive influence. Two thirds are aware of the campaign, almost all said it made them feel good about becoming a nurse, and students who are White and enrolled in baccalaureate programs were more likely to be aware of the campaign. Future recruitment initiatives should strengthen the focus on men and minorities, parents and friends, and practicing nurses and nursing educators.

Adolescent↗

[Disorders requiring nursing care and the period before recognized as needing nursing care (active life expectancy) in relation to nursing care insurance].

PURPOSE: To measure the state of health of the elderly population, active and dependent life expectancies were calculated based on the number of people needing nursing care. For this purpose, active life expectancy was defined as the period before nursing care was recognized by insurers as being required. Moreover, to cast light on disorders requiring nursing care, age-adjusted nursing time needed for different ailments per ten thousand elderly population was calculated. SUBJECTS AND METHODS: Subjects were those 65 years or over living in Taihaku-ku, Sendai City, recognized as needing nursing care by nursing care insurers. The period before being recognized as needing nursing care was calculated using the Sullivan method, and termed the active life expectancy. Dependent life expectancy = life expectancy - active life expectancy. The number of those needing nursing care caused by each disorder diagnosed by attending physicians, was also age-adjusted by the reference population and multiplied by the nursing time needed for each level of nursing, resulting in the age-adjusted nursing time needed per ten thousand elderly population. RESULTS: Those recognized as needing nursing care were 7.5% (7.7% after age adjustment) of the male elderly population, and 12.5% of the female population (10.7% after age adjustment). For men, the active life expectancy was 16.1 years for the age of 65, 9.2 years for 75 and 4.4 years for 85, while the dependent one was 2.0-2.1 years for all ages. For women, the active life expectancy was 19.3 years for the age of 65, 11.1 years for 75 and 4.8 years for 85, while the dependent one was 4.6-5.3 years. The age-adjusted nursing time needed per ten thousand elderly population was 874 hours for men and 1,125 hours for women: of the time 51% was for men with cerebrovascular disease (40% for cerebral infarction), 11% for men with dementia; 37% for women with cerebrovascular disease (26% for cerebral infarction), 20% for women with skeletal diseases, 18% for women with dementia. CONCLUSIONS: The active life expectancy for women is longer than for men, by 3.7 years for the age of 65, by 2.3 years for 75 and by 0.5 years for 85. The dependent life expectancy for women is also longer than for men, by 3.2 years for the ages of 65 and 75 and by 2.6 years for 85. Thus, nursing prevention is an urgent issue, especially for women. The disorders requiring particularly long age-adjusted nursing time are carebrovascular disease (particularly cerebral infarction), dementia and skeletal disorders (particularly among women).

Age Factors↗

Classification of nursing statements based on the ICNP, the HHCC, and the nursing process for use in electronic nursing records.

The purposes of this study were to identify nursing-phenomena-related statements and nursing-action- related statements for use in nursing records, to link nursing statements for the nursing process, to develop integrated nursing terms using the ICNP, to identify new terms for inclusion, and to group statements using the HHCC in a user interface. We extracted 5,133 nursing-phenomena-related statements and 3,844 nursing-action-related statements, with the former including 233 nursing diagnoses. A total of 2791 nursing terms were mapped and 287 new terms were developed. Synonyms of 827 standard nursing terms were extracted. We developed trees of nursing statements using the HHCC for the user interface in an electronic nursing record. The quality of nursing documentation and the nursing performance improved with the standardization process.

Humans↗

[Perceptions of spiritual nursing care nurses and nursing students].

This study was designed to clarify how nurses and nursing students perceive their clients' needs for spiritual nursing care, it's practices, and problems. The purpose was to suggest directions for the development of spiritual nursing practice. The major findings are as follows: Respondents primarily perceived spiritual nursing as nursing care designed to help terminally ill patients accept death. Many of the respondents showed a high level of awareness of spiritual nursing care and its necessity. Few of them, however, bad actual experience in spiritual care. Those with experience in spiritual nursing care tend of take either a religious approach or perceived it as the therapeutic use of the self. The greatest problem related to the practice of spiritual care was found to be lack of time. Most of nurses and nursing students were found to be well aware of the needs for spiritual nursing care but were hindered from practising it because of the lack of time. To resolve the problem it was recommended that the scope of nursing practice be readjusted and that pre- and in-service programs should be developed to further heighten nursing students' interest in spiritual nursing care.

Humans↗

The impact of a diabetes nurse educator on nurses' knowledge of diabetes and nursing interventions in a home care setting.

The purpose of this study was to compare nurses' knowledge of diabetes and nursing interventions in a home health care agency (HHCA) that employed a diabetes nurse educator (DNE) and an agency that did not employ a DNE. Nurse knowledge of diabetes mellitus was measured using the Diabetes: Basic Knowledge Test (DBKT). Nursing care interventions for patients with diabetes were measured using a researcher-developed tool, the Nursing Care Intervention Tool (NCIT). The data analysis showed that the nurses in the agency with the diabetes nurse educator were significantly more knowledgeable about diabetes. The data also showed that the nurses in the HHCA with a diabetes nurse educator provided a significantly higher standard of patient care than the nurses in the agency without a diabetes nurse educator.

Diabetes Mellitus↗

Characteristics of registered nurses in nursing homes. Preliminary data from the 1985 National Nursing Home Survey.

Registered nurses work more often in other types of facilities or settings than in nursing homes. The typical RN working in a nursing home in 1985 was female, white, and married. RN's who work with the elderly tend to be older than the average RN. RN's on the staff of nursing homes in 1985 had a median age of about 45 years, and the majority had been working in their profession for 10 years or more. Studies have shown that nursing students associate negative stereotypes with caring for the elderly and that older health personnel, regardless of their profession, are more likely than their younger colleagues to view the elderly favorably (Feldbaum and Feldbaum, 1981; Smith, Jepson, and Perloff, 1982). Because the positions held most often by RN's who work full time in nursing homes are head nurse or supervisor or director of nursing, the actual hands-on care of the elderly is usually not performed by the registered nurse. That leaves the primary care of the elderly being provided by licensed practical nurses, licensed vocational nurses, and nurse's aides.

Demography↗

Nursing the clinic vs. nursing the patient: nurses' experience of a day hospital chemotherapy service.

AIMS AND OBJECTIVES: This study sought to explore the nurses' experience of a day hospital chemotherapy service in an acute general hospital in Northern Ireland and how this compared with their experience of working in an inpatient setting. BACKGROUND: Despite the many changes taking place in cancer care delivery, little research has been conducted on nurses' experience of working in more acute cancer treatment settings. Research conducted to date has tended to focus on the role of nurses in wards, hospices and palliative care settings. DESIGN: This Heideggerian hermeneutic phenomenological study explored nurses' lived experience of day hospital chemotherapy service. METHOD: Face-to-face focused in-depth interviews were conducted with the total population of nurses who worked in the day hospital at the time of data collection (n = 10). Data analysis involved a two-staged approach, the analysis of narratives and narrative analysis, based on the work of Polkinghorne (1995). CONCLUSIONS: The nurses' viewed their experience of the chemotherapy day hospital as having both positive and negative dimensions. The positive dimensions included an increased sense of autonomy and the challenge of developing new skills, while the negative dimension included a perceived decrease in their caring role: (i) The individual characteristics of the nurse were seen to have a key influence on caring experience; (ii) Role changes led to a perceived dichotomy between their actual and aspired role and their caring and clinical role. RELEVANCE TO CLINICAL PRACTICE: There is a need to achieve a balance between delivering a clinical role (administering chemotherapy) while maintaining the centrality of the nurse-patient relationship. This can be likened to achieving a balance between 'nursing the clinic' alongside 'nursing the patient'. These findings have implications for the discourse on caring within other outpatient type clinics and discourse on cancer nursing as therapy and the culture of the cancer clinic.

Adaptation, Psychological↗

The educational preparation of undergraduate nursing students in pharmacology: clinical nurses' perceptions and experiences of graduate nurses' medication knowledge.

This paper explores clinical nurses' perceptions and experiences of graduate nurses' pharmacology knowledge. Six focus group interviews were conducted with clinical nurses of various appointment levels at two metropolitan public and two regional public hospitals in Victoria, Australia. Four major themes emerged from the study. First, participants indicated that graduate nurses had an overall lack of depth of pharmacology knowledge. While clinical nurses indicated that graduate nurses had enormous deficits in their pharmacology education, these deficits were not confined to graduate nurses--all nurses experienced difficulties in understanding and demonstrating pharmacological concepts in the clinical practice setting. Second, there was an unstructured approach to addressing the continuing education needs of graduate nurses. Third, theoretical and clinical principles of pharmacology knowledge were perceived to be important for practice. Fourth, improvements for nursing education involved the need for undergraduate students to take greater responsibility in monitoring and administering medications and the need for more structured learning experiences. The ultimate goal of consolidating pharmacology knowledge for graduate nurses is to optimise medication use, thereby improving the health outcomes of patients. Current teaching and learning opportunities appear to be inadequate in their efforts to enhance and improve graduate nurses' pharmacology knowledge. These inadequacies need to be addressed if the ultimate goal is to become a reality.

Adult↗

The nursing care of stroke patients in nursing homes. Nurses' descriptions and experiences relating to cognition and mood.

Registered nurses working in nursing homes often care for stroke patients with impaired cognition and mood disorders. Understanding the behaviour of these patients often puts great demands on nurses. This study illuminates registered nurses' descriptions and experiences of stroke patients and the nursing care given in nursing homes, with a focus on cognition and mood. Registered nurses responsible for the care of stroke patients in nursing homes were asked to describe the individual patient's state of health and the nursing care given. Patients' cognition and mood have been selected for this article. A qualitative content analysis was used to group the text into categories. Registered nurses' descriptions showed great complexity and variation in patients' disabilities, as well as uncertainty about understanding these patients and the appropriate nursing care. Registered nurses described the need for further education in stroke care, and adequate resources for patient activity training, as well as meeting patients' psychosocial and communicative needs.

Adult↗

Nursing research, nursing theory and the nursing process.

In recent years, practising nurses and nurse theorists have shown interest in the development of conceptual models of nursing and nursing theory. As yet, however, there exists little agreement concerning the most appropriate methodologies to be employed in such an exercise. This paper identifies a number of strategies which might usefully be adopted for this purpose. In particular, it distinguishes between inductive and hypothetico-deductive approaches to the development of nursing theory. It further attempts a clarification of the relationship between conceptual models of nursing and theories of nursing, and explores the use of the nursing process as a research technique which combines both inductive and hypothetico-deductive commitments. Finally, it argues that the systematic use of the nursing process may identify a set of research procedures with the potential to facilitate the development of nursing theory using insights from both the direct experience of practising nurses and from existing conceptual models of nursing.

Humans↗

[Analysis of the concept of family nursing. Family systems nursing and family-centered nursing as closely related concepts].

The article analyses the concept of family nursing, which is defined and described by reference to its key characteristics (e.g. Rodgers 1989, Meleis 1991). Other, closely related and to some extent even substitutable concepts identified in the article are family systems nursing and family-centered nursing. The broad area of family therapy is excluded from the discussion since the purpose is to concentrate on the nursing of healthy families. Family nursing is defined in three different ways depending on the place and the role of the family on practical nursing: family as a context, as a sum of its parts and as a client. Concept of family-centered nursing is included in these three levels, but also levels minimal emphasis on family and family therapy, which are not included in the concept of family nursing. However, it is concluded that the two concepts can be regarded as closely related. Family systems nursing can be regarded either as one sub-concept to family nursing and family-centered nursing or as a kindred concept. It is suggested that a serious debate should be started in Finland on these concepts and that research should be undertaken in different nursing situations to find out how these concepts occur in reality.

Family↗

Nurse to nurse referral: the role of the child psychiatric nurse consultant.

Nurse to nurse referral is a process by which nurses can use various areas of expert knowledge within their profession. Nurse to nurse referral is examined here with specific reference to the role of the child psychiatric clinical nurse specialist as consultant to the pediatric nurse practitioner. Current research and Chisholm's guidelines for the nurse consultant role are reviewed. With a focus maintained on the ambulatory care area, the referral and consultation process in such settings is discussed. Parameters for using nurse to nurse referral between pediatric nurse practitioners and child psychiatric clinical specialists are outlined and recommendations given for implementing the process. The conclusion is reached that this type of referral process includes a number of components that must be examined, if it is to continue to develop and flourish.

Adolescent↗

[The relationship between nursing practice, nursing, and nursing philosophy].

The activities of the three dimensions of nursing does not occur in isolation. Nursing practice, the field of study of nursing science, has characteristics which influence the scientific practice of nursing. Nursing practice is constituted by the nurse practitioner as a result of the fact that the pre-scientific interpretations of the nurse give form (gestalte) to nursing interactions. From a functional perception in nursing science, the scientific practitioner must take cognisance of the pre-scientific interpretations. Besides the empirical reality, specific values and assumptions form an integral part of this practice of science in Nursing. The third dimension, the philosophy of nursing brings greater clarity in that the activities of the first two dimensions can be organised, analysed and evaluated.

Humans↗

[The nursing process in the daily lives of nursing students and nurses].

The present study aims to be a contribution to the Nursing student and the nurse's daily use of the Nursing process; the investigation method used was qualitative, applying semi-structured research tools; the data obtained were confronted with theoretical references and were put together in themes. The results show that the Nursing students and the nurses recognize the true value of the Nursing process, although they are not so sure about its practical use, and for them the Nursing schools should have the responsibility of promoting discussions in order to establish the theoretical references that would support the Nursing process. In other words, the schools should define one or more Nursing Theories and/or Conceptual References and its following methodologic definitions to be used on teaching the Nursing process.

Attitude of Health Personnel↗

Process of nursing as an active form nurse's work with patient in therapeutic team--project of evidencing the process of looking after a sick person for students of nursing Faculty of Health Sciences, UMK Collegium Medicum in Bydgoszcz.

In years sixtieth in U.S.A. the process of nursing was introduced to the contemporary practice of nursing. U.S. was also the first country where the need of teaching the nurses on high standard was noticed and executed. In years 1960-1980 a very intensive development of nursing appeared there, the process of nursing strengthened it's position as a work method based on the theory of human's needs. In Poland idea of process of care developed from over twenty years. Instruction cares is based for scientific bases this of process. Process of nursing as dynamic work method, makes a work of nurse very active and raises the quality of care after a sick person. This process embraces with one's own range also healthy man, potentially threatened with disease, family, group of persons and environment. It is the modern form of nursing in the contrary to nursing understood in traditional way. The main purpose of introduction the process of evidencing to execution of classes like geriatrics and geriatric nursing with students of the third year Faculty of Health Sciences, UMK Collegium Medicum was moulding abilities of conducting the process looking after a sick person by students trough underlining the meaning of scientific bases of nursing.

Education, Nursing↗

[Experience in applying legal conditions according to the nursing insurance regulation--ambulatory rehabilitation, nursing aids and nursing care eligibility].

UNLABELLED: The Statutory Health Care (Nursing) Insurance in Germany, called "Pflegeversicherung (PVG)", financially supports nursing care at home and in nursing homes. If suggested by an authorized examining person (MDK), it provides access to ambulatory rehabilitation and to various aids to facilitate nursing care of patients cared for at home. Also, the PVG mandatory requires the visit by a nurse every three to six months (nursing care checkup) if the patient is cared for by family members without support of professional nursing services. Little is known about the realisation of the suggestions given by the examining person from MDK and about the realisation of the nursing care checkup in actual practice. Our study tried to find answers to these questions. For this purpose, we visited 150 patients at home and asked them about rehabilitation efforts, whether the recommended additional aids had been supplied, and whether nursing care checkups had been successfully performed. RESULTS: For 41 patients, rehabilitatory exercises were suggested, but only 7 were actually realised. 89 patients were supposed to receive various aids, but only 31 were actually delivered. Whenever rehabilitation was performed, it was nearly without exception thanks to the initiative of relatives supported by their private doctor. Nursing care checkups should have been performed in 80 patients, but had been realised in only 11 cases. The care providing relatives considered such "care checkups" to be ineffective, costly and useless. CONCLUSION: The nonfinancial services granted by the PVG were not translated into reality in most instances, and if so, it was due to efforts of relatives and private doctors, not to efforts of the statutory bodies. Apparently this task was more than these bodies could handle during this early phase of services by the PVG. Therefore, the private doctors (family doctors) should be informed of the results of the examination done by MDK. The need for the nursing care checkup should be reconsidered.

Aged↗

[A study of the nature of the nurse's recognition of problems in pediatric nursing and the expectation for a support system provided by a specialist of pediatric nursing--the study presents a comparison children units with mixed units of both children and adults].

The purpose of the research was to examine the nature of the nurse's recognition of problems in pediatric nursing, the method of solving the problems and the expectation of support by the pediatric nursing specialist. A questionnaire was sent to 1511 nurses who care for hospitalized children. The nurses were selected from 165 hospitals which had a children's unit and 172 hospitals which did not have a children's unit, but had a mixed unit of both children and adults. Each hospital selected had more than 300 beds. The nurse's recognition of problems in child care in both care setting was high. Recognition of problems regarding direct care for children on the children's unit was higher than that on the mixed unit. Indirect factors relating to pediatric nursing were higher on the mixed unit than on the children's unit. The expectation of support by the specialist was high and varied in kind. Nurses who responded to the questionnaire expressed a need to have a pediatric nurse specialist in their hospital or on their unit. The results indicated that a pediatric liaison nurse is required to support the various needs of the pediatric nurse.

Adult↗

Nurse educator competence: a study of Norwegian nurse educators' opinions of the importance and application of different nurse educator competence domains.

This article presents results from a study focusing on Norwegian nurse educators' opinions of the importance and application of different nurse educator competence domains. The sample consisted of all nurse educators in Norway (N = 828). The Ideal Nursing Teacher Questionnaire was used to assess nurse educator competence. The questionnaire was returned by 348 nurse educators, yielding a response rate of 42%. Results show both teacher competence and nursing competence were rated more important than evaluation skills, personality factors, and relationship with students. Correlation analyses (Pearson's r) between the ratings of how important the educator assessed the statement of a good teacher and whether the statement was applied in practice showed in general few and weak relationships. Multivariate classification analyses (ANCOVA), controlling for age, showed teachers who have more than 10 years experience in education report the relationship with student domain as more important than those with shorter careers in education. Determination of the relative importance and application of different competency domains in nursing education has implications for graduate level nursing curriculum development, as well as for professional development activities for nurse educators.

Attitude of Health Personnel↗