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At least 163 records · Page 9Linked to original sources
PubMedDate not supplied

The Geriatric Resource Nurse Model: a culture change.

The introduction of the Geriatric Resource Nurse (GRN) Model and the Nurses Improving Care for Healthsystem Elders (NICHE) program has changed the culture at Waukesha Memorial Hospital. The number one key to successfully implementing them has been the overwhelming administrative and staff support. The following article contains an outline of the initial steps taken to implement the GRN model and a NICHE program, the way both became fully integrated into the culture of care, and evidence of positive patient and staff outcomes.

Aged↗
PubMedDate not supplied

Nursing model of psychoeducation for the seriously mentally ill patient.

The purposes of this paper are to describe a nursing model for psychoeducation that is being implemented in the psychiatric unit of a Veterans Administration (V.A.) Hospital and to report baseline descriptive data for 19 seriously mentally ill patients. The data were collected as part of a larger study of patient, family, and treatment variables associated with community adjustment of seriously ill psychiatric patients. A convenience sample of 19 consenting patients with DSM-III-R diagnoses of schizophrenia, schizoaffective disorder, or bipolar disorder were interviewed and assessed by a clinical nurse specialist. Nine consenting family members, identified by the patient as a key family member, were also interviewed. The baseline data reported here were generated in these interviews. These data were also used to develop psychoeducational plans to meet individual patient/family needs. The patients had had an average of 12 prior hospitalizations. Their mean age was 38 years; 74% were African-American and 89% were male. Patients reported a variety of understandings of the reason for their hospitalization and techniques for management of their symptoms. The most common ways of managing symptoms were categorized as physical activity, decreasing stimuli, and use of alcohol/drugs/smoking. Practical problems arising in association with the conduct of clinical research in a V.A. psychiatric setting by a research team are also discussed.

Adaptation, Psychological↗
PubMed1997

Parish nursing: advancing practice nursing. Model for healthier communities.

Advanced practice nurses (APNs) in the community are in a prime position to respond to the changing health care environment stimulated by health care reform. An emerging practice model for APNs is parish nursing, community-based nursing practice set in communities of faith. Parish nursing stimulates shared public-private partnerships and is a consumer-oriented delivery system. The article describes the models, context, and practice of parish nursing, emphasizing the problem of evaluating outcomes. It also discusses implications for research and education. Parish nursing is a significant practice model affording APNs the opportunity to contribute to healthier communities.

Community Health Nursing↗
PubMed2002

Implementing a geriatric resource nurse model.

The aging of the American population and its effects on healthcare centers require strategies and programs to ensure best practices for older patients. The authors describe an educational program, modification of a Geriatric Resource Nurse Model, and the use of a Geriatric Nurse Practitioner in implementing and integrating the clinical, psychosocial, and financial aspects that influence care needed by elderly patients and their families.

Aged↗
PubMedDate not supplied

Trialing collaborative nursing Models of Care: the impact of change.

OBJECTIVE: The aim of the project was to develop and trial a nursing Model of Care (MoC) and devise a framework to investigate the impact of nursing staff mix on patient outcomes and job satisfaction (nurses). SETTING AND SUBJECTS: In 2001-2002 a pilot project was undertaken to explore issues related to the delivery of patient care by nurses on two medical inpatient wards, one acute and one subacute, at a referral teaching hospital in New South Wales (NSW), Australia. The framework employed was an adaptation of, and based on, the Clinical Practice Improvement (CPI) model developed by NSW Health. PRIMARY ARGUMENT: Countries across the world are seeking solutions to a shortage of registered nurses and their ability to sustain quality care services. It becomes imperative that organisations develop strategies to attract and retain nurses in the health care system. CONCLUSIONS: Results of the project highlighted areas related to the quality of care delivery: clinical supervision; continuity of staffing; trust; employer of choice; more effective nurse to patient ratios; educational preparation; and recognition of prior experience.

Continuity of Patient Care↗
PubMed1989

The selection by ward managers of an appropriate nursing model for long-stay psychiatric patient care.

The Northern Ireland National Board of Nursing, Midwifery and Health Visiting has stipulated that models of nursing must be utilized on psychiatric nurse training wards. However, since there are approximately 40 such frameworks available to the practicing nurse a problem of choosing an appropriate one arises. The philosophical basis for this research centres around the assumption that all nurses regardless of specialty possess values and beliefs concerning four essential elements. These are: nursing, health, the person, and the environment. In addition the literature reveals that each of the recognized nursing models are also constructed around these four concepts, forming in many cases the very foundations of the model. Within this study it was possible to ask 95 ward managers from 49 long-stay psychiatric wards to view how different models deal with the four elements and to choose a model which best reflects not only their personal beliefs about nursing, health, person, and environment, but also the needs of their patients.

Adult↗
PubMed1989

The bifocal clinical nursing model: description and application to the patient receiving thrombolytic or anticoagulant therapy.

Carpenito's bifocal clinical nursing model enables the clinician to address the spectrum of clinical possibilities and problems associated with patients receiving thrombolytic and anticoagulant agents. Through correct application of nursing diagnoses, collaborative problems, and referrals, a global and multidisciplinary approach to patient care is achieved.

Adult↗
PubMed1993

A primary care nursing model in long-term care facilities: evaluation of impact on affect, behavior, and socialization.

A primary care model of delivery of nursing aide care was implemented and evaluated in one small, rural nursing home and one large, urban facility. Experimental unit residents received primary care consisting of permanent assignment of nursing aide, a team approach and enhanced communication. The urban experimental residents improved significantly in behavior and affect as measured across several sources, while the comparison group declined or remained the same. Significant improvements in behavior and social activities were observed among the experimental rural nursing home residents as contrasted with the comparison group after implementation of primary care nursing. It was concluded that primary care nursing as applied to nursing attendants in long-term care is beneficial to residents in terms of decreasing disturbed behavior and improved affect.

Affect↗
PubMedDate not supplied

Initiation of a home hemotherapy program using a primary nursing model.

A home hemotherapy pilot study was implemented based on a primary nursing model. Seventy-one patients received a total of 248 units of red blood cells and 104 units of platelets during 137 home transfusions. In no case did a clinical change in patient status require the interruption of the transfusion. Total nursing time for the pretransfusion, transfusion, and posttransfusion follow-up visits for each patient averaged 4.36 hours, while another 4.45 hours accounted for nurse travel to and from the home and the blood bank. Home hemotherapy is a viable option for selected homebound patients. Program success is dependent on staff education, strict clinical guidelines, and an acknowledgment of the time required to provide quality patient care.

Adolescent↗
PubMed1992

The development and testing of a nursing model of morbidity in patients with cancer.

Although oncology nurses are concerned about patient morbidity associated with cancer and its treatment, a comprehensive morbidity model from the perspective of nursing has yet to be developed. The purpose of this study was to begin to develop a morbidity model relevant to patients with cancer receiving treatment in the ambulatory care setting. The model was empirically tested with a sample of 100 patients with cancer beginning chemotherapy. Three domains emerged from the model: physiologic/pathophysiologic, functional, and psychological. Indices of morbidity within each domain were tested to establish beginning reliability and validity of the model. The results that were obtained indicate significant correlations among many of the indices within each domain (e.g., performance status, mood disturbance, patients' ratings of their current health); other indices did not contribute significantly to the model (e.g., type of cancer, history of recurrent disease, and patients' assessments of their health prior to developing cancer). Although further testing and refinement of the model is indicated, these preliminary findings reflect the model's potential for significant clinical relevance. By using this model, nurses could more readily profile patients at risk for increased morbidity and target their interventions accordingly.

Activities of Daily Living↗
PubMedDate not supplied

Modeling nursing terminology using the GRAIL representation language.

OBJECTIVE: The purpose of the study is to explore the use of formal systems to model nursing terminology. DESIGN: GRAIL is a formal, compositional terminologic language, closely related to frame-based systems and conceptual graphs, which allows concepts to be formed from atomic-level primitives and automatically classified in a multiple hierarchy. A formal model of the alpha version of the International Classification for Nursing Practice (ICNP) classification of nursing interventions was constructed in GRAIL. MEASUREMENTS: The model was analyzed for completeness, coherence, clarity, expressiveness, usefulness, and maintainability. RESULTS: GRAIL is capable of representing the complete set of atomic-level concepts within the ICNP as well as certain cross-mappings to other vocabularies. It also has the potential to represent many more concepts, to an arbitrary level of detail. CONCLUSIONS: Formal systems such as GRAIL can overcome many of the difficulties associated with traditional nursing vocabularies without restricting the level of detail needed to describe nursing care.

Models, Theoretical↗
PubMedDate not supplied

Nursing model encourages care planning.

After examining the pitfalls of nursing care plans done in a medical model format, a system based entirely on the nursing model was developed in a 500-bed acute care hospital. By centering the format, the structure, and the education around the patient problems treated by nurses, the nurses in this hospital began to do care plans for the purpose of improving patient care rather than for compliance with the Joint Commission on Accreditation of Healthcare Organizations' regulations. The system has led to more knowledgeable nurses and a more autonomous and rewarding practice setting.

Humans↗
PubMed1993

Beliefs, values, attitudes and nursing models.

'I only came into theatres to get out of the way of the patients.' This remark was heard in the staff dining room on a busy weekday lunchtime. It is in the light of such conversations that I consider the issue of theatre nursing and nursing models, particularly in relation to examining beliefs and values of the sub-culture. According to Hilgard and Atkinson values are beliefs which an individual views as positive attributes. Many nurses reading this article would not value the above statement. However, when the definition of 'belief' is analysed it is suggested as being 'a statement that a person thinks is true'. Such a statement as this portrays a negative attitude towards patients requiring nursing intervention.

Health Knowledge, Attitudes, Practice↗
PubMed2006

Function and practice of public health nursing in Japan: a trial to develop the Japanese Purpose-Focused Public Health Nursing Model.

AIM: To clarify the significance of public health nurses' practice, we introduced the activities of Japanese public health nurses and tried to develop a model based on the purpose of their work. BACKGROUND: Despite international efforts toward clarifying public health nurses' practice, earlier models based on the purpose of their activities were underdeveloped. METHOD: Japanese terms describing public health nurses' activities were gathered from the literature, nine researchers analysed and brainstormed the activities to develop a model. Seven municipality public health nurses and three researchers in both Japan and the USA validated the model. RESULTS: The model includes three categories: creating the basis for support; working with individuals, families to enhance their health; and enhancing the health of individuals, families, groups, communities/regions by working with the community. CONCLUSION: The Japanese Purpose-Focused Public Health Nursing Model was based on the purpose of public health nurses' practice which was considered significant for assisting public health nurses to explain the meaning of their work.

Attitude of Health Personnel↗