Advancing nursing knowledge through complex holism

This article presents how nursing worldviews, relationship, and holism have evolved differently according to the predominant mode of perception used to create them. Intensive and extensive modes of perception are both primarily and fundamentally different; neither mode of perception can be subsumed by the other. Nurses are susceptible to limiting their perception by practicing simple holism. An evolution to complex holism in both intensive and extensive modes of perception is advocated for effective leadership in shaping the future of health care and nursing practice.     

Utilization of genetic knowledge in pediatric nursing practice.

Many clients with potential genetic conditions are leaving clinics and hospitals without the conditions being recognized. Nurses knowledgeable in genetics can change this by using skills in genetic history-taking and dysmorphology assessment to recognize signs of genetic conditions and birth defects. Nurses can also positively impact clients' health by participating in follow-up care after a genetic evaluation and counseling. During any interaction, nurses need to be advocates for genetic clients.     

Advancing innovative nursing practice

A massive reorganization of its national healthcare network, coupled with new goals of primary care and preventive care-provided in the highest quality and most cost-efficient manner-prompted the US Department of Veterans Affairs to identify innovative models of nursing practice that would promote needed change. Using these events as a case study, the author discusses why innovation is essential in today's successful health care organizations and explores methods by which innovative practices can be identified.     

Advancing patient-centred care through knowledge development.

The call for health-care services that are patient-centred raises the need for knowledge development in both the conceptual and empirical domains. The definitions and operational elements of patient-centred care present a variety of conceptual issues. A common element in all definitions is accommodation of patient wants, preferences, and expectations. In the research domain, intervention studies face both design and measurement challenges. These include the development of interventions that are patient-centred or tailored for both patient characteristics and the environment in which they will be delivered. By addressing these critical issues, nursing can play a key role in advancing intervention science and knowledge development in the domain of patient-centred care.     

护生遗传护理知识水平和自信程度的现状调查

目的了解护生遗传护理的知识水平和自信程度,为护理教学提供依据。方法采用简体中文版《遗传护理知识水平和自信程度调查问卷》对护生进行问卷调查。结果护生遗传知识水平总分为(160.45±34.94)分,处于较低水平,对遗传护理自信程度也处于较低水平,平均17.8%的护生回应完全自信或相当自信,不同学历的护生自我报告的知识水平和自信程度差异有统计学意义。结论护生的遗传护理知识水平和自信程度普遍较低,应加强培训教育。