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Susan Waterworth RGN FCNA MSc MPhil Diane Jorgensen MBA PhD 《Health & social care in the community》2010,18(2):199-207
This paper explores the experiences of older people living with heart failure and their transitions from independence to dependence and for some death. New Zealand’s ageing population is predicted to increase from 12% in 2001 to 25% by the year 2051, similar to the worldwide trend of ageing. A high proportion of these people will have one or more chronic illnesses. Associated with the increase in survival is a growing body of research examining the needs of the older person with heart failure and finding particular problems with end of life care. Older people face many challenges in living with their heart failure, in particular the transition to dependence. To study the transition a longitudinal qualitative study using General Inductive approach was used. Participants were interviewed every 3 months for a 12‐month period during 2006–2008. A total of 79 interviews with 25 people were completed. Our findings showed that transition was not a simple linear process with the older person moving from one phase to another; instead their experiences illustrated the complexity of transitions they faced and what helped them to manage these. The older people in this study illustrated the importance of trust in health professionals and believed they would receive good care. Their fears revealed concerns about being a burden as they deteriorate and becoming more dependent. Understanding the complex issues related to transition to dependence can provide health professionals with a framework for assessment and approaches to providing the support required. 相似文献
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Alan Pearson RN ONC DipNEd MSc PhD FCNA FRCN Ismene Durant BA Susan Punton RGN 《Journal of advanced nursing》1989,14(4):269-273
Determining quality in a unit where nursing is the primary intervention This paper discusses the use of a variety of quantitative and qualitative methods of measuring quality in a nursing unit. It reports the result of comparing the quality of nursing care between patients admitted to the nursing unit concerned (in Oxford, England) following admission to an acute ward, with patients who spent the whole of their hospitalization in an acute ward. The findings suggest that quality can be best assessed by using a number of methods, and the quality of nursing care delivered in a unit which focuses on therapeutic nursing is significantly and consistently higher than that delivered in acute hospital wards. 相似文献
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Debra Jackson RN PhD FACN Marie Hutchinson RN PhD Susan Barnason RN PhD APRN‐CNS FAEN FAHA FAAN William Li RN PhD Judy Mannix RN PhD MACN Stephen Neville RN PhD FCNA Donella Piper LLB PhD Tamara Power RN BN PhD Graeme D. Smith RN PhD Kim Usher RN PhD FACN FACMHN 《Journal of nursing management》2016,24(7):902-914
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