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At least 127 records · Page 7Linked to original sources
PubMed1995

The evaluation of a nursing model for long-stay psychiatric patient care. Part 2--Presentation and discussion of findings.

A nursing model selected by a population of ward managers was implemented on a long-stay psychiatric ward in Northern Ireland using an adapted action research approach within a quasi-experimental design. A range of dependent variables were appraised at one pre-test and two post-test evaluation points on an experimental (Ward X) and a control ward (Ward Y). A thorough review of the literature and methods used can be found in Part 1 (McKenna et al., 1995, Int. J. Nurs. Stud., 32, 79-94). The findings and their interpretations are presented here. Results indicate that on the experimental ward there were statistically significant improvements in "Psychiatric Monitor", patients' and staff's perception of ward atmosphere, patient satisfaction, staff's views about nursing models, and patient dependency levels. No significant changes were noted in nurse satisfaction levels nor nurses' perception of patients' behaviour. Particular emphasis is placed on the possible threats to the internal and external reliability of these findings and on the attempts made to control these threats.

Attitude↗
PubMedDate not supplied

Modeling nursing care in health level 7 reference information model.

This article describes the attempt that was made to fit nursing knowledge into the Reference Information Model developed by Health Level 7 (HL 7 RIM). A part of nursing knowledge concerning pressure ulcer was used to show the possibilities of modeling nursing knowledge, terminology, and information in the Health Level 7 Reference Information Model. The purpose of this modeling work was to allow the integration of nursing information in electronic patient records and to ensure the interoperability and exchange of nursing information. Based on earlier reviews of pressure ulcer literature, an overview was made of relevant variables, coding, and information required for nursing care for pressure ulcer. Next, a use case was made and followed by modeling the required information in the Unified Modeling Language. It is possible to integrate nursing knowledge, terminology, and information requirements in the Health Level 7 Reference Information Model.

Humans↗
PubMed2000

A collaborative nursing model for advanced non-malignant disease.

This article reviews the arguments for and against specialist palliative care for patients with advanced non-malignant disease. It argues the case for a collaborative model of education to develop the skills of specialist nurses so that they can better care for such patients. A clinically based collaborative nursing model of palliative care, which has not been derived from current cancer models, has also been developed. In addition, a brief overview of the current provision of care for cancer patients is given, since it is against this background that care for patients with advanced non-malignant disease will be developed.

Cooperative Behavior↗
PubMed1991

A nursing model for chronic illness management based upon the Trajectory Framework.

The trajectory framework developed by Strauss and associates provides a conceptual basis for developing a nursing model that gives direction for practice, teaching, and research in the area of chronic illness. This paper presents an overview of the trajectory framework and shows how it can be used to generate such a nursing model.

Adaptation, Psychological↗
PubMed1998

The continuum of care: the process and development of a nursing model for stroke education.

A recent focus in health care is to develop a seamless transition for patients between the variety of health care agencies with whom they interact. The continuum of care for patients with stroke is complex and many levels of care are required, from acute intervention through to rehabilitation and reintegration into the community. A group of nurses from a variety of agencies in Southwestern Ontario received funding from the Ontario province Wide Nursing Project to effect a desirable change in the way nurses care for the stroke patient. This article describes the Ontario Province Wide Nursing project and the process of and challenges in developing a nursing model for stroke. The development of a nursing model for stroke patients and their families involved conducting nursing, and patient and family focus groups to identify key issues. Thirty-eight nurses participated in the nursing focus groups, and 8 patients and 18 family members participated in the patient and family focus groups. The common themes were the need for improved communication and the need to better prepare patients and families for the many transitions they experience during their recovery from stroke. A Stroke Education Record, which identifies a comprehensive list of potential learning needs of stroke patients and their families, and a Stroke Education and Resource Guide, which provides a reference for nurses, were developed and will be implemented in September 1998. Implementation of the model included a workshop, staff inservices, a self-learning package, and unit displays. Evaluation of the model will include nursing and patient and family focus groups, a chart review, written nursing evaluations, and patient and family telephone interviews.

Cerebrovascular Disorders↗
PubMed2002

Judgement days: developing an evaluation for an innovative nursing model.

This paper reports on the process and outcomes of the evaluation of an innovative nursing model (the Tidal Model). In relation to process, the study has been used to refine the methodology in terms of defining important variables to take as outcome measures to be analysed both descriptively and inferentially. In relation to outcomes, the pre-post-test design has generated significant findings in relation to improved patient care.

Adolescent↗
PubMedDate not supplied

A restructured nursing process model.

Nursing process has guided clinical nursing practice for more than 25 years. During this time, many changes have occurred in healthcare practices, delivery systems, and nursing. The cumulative effects of such changes show a need to restructure the basic nursing process model. The author presents a three-level differentiated nursing process model.

Education, Nursing↗