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991.
Lynn Strathie RN RM Colin A Holmes RN BA TCert MPhil PhD 《International journal of nursing practice》1996,2(2):99-104
This paper uses two practice stories (included as appendices) to illustrate the significance and value of story as a reflective technique for nurses. It employs an explicit framework to draw out the importance of story-telling and suggests that stories can help nurses expose the therapeutic dimension of their work. This aspect is conceived in terms of the concept of 'therapeutic nursing'. We will draw upon the practice stories of one of the authors (Strathie), and it is that author's experience of story-telling to which reference is made. Readers are urged to read the practice stories so that they can appreciate the points made in the text of the paper. 相似文献
992.
JEAN-LUC BONNET PHILIPPE RITTER GUY PIOGER for the INVESTIGATORS OF A MULTICENTER STUDY EVALUATING THE CHORUS RM OPUS RM PACEMAKERS 《Pacing and clinical electrophysiology : PACE》1998,21(1):4-10
A rate responsive minute ventilation (VE) pacemaker was implanted in 49 patients (70.8 ± 40.0 years). A Chorus RM 7034 pacemaker was implanted in 43 patients and an Opus RM 4534 in six patients. Four sensor configurations were compared: atrial configuration (bipolar atrial lead) in 34 patients; ventricular configuration (bipolar ventricular lead) in 6 patients; unipolar configuration (double unipolar leads) in 6 patients; and floating configuration (VDD single-pass lead) in 3 patients. The patients carried out 57 exercise tests in all with cardiopulmonary recording (CPX). Real VE and oxygen consumption (VO2 ) were recorded by the CPX, the VE measured by the sensor (VEsensor) was recorded in the pacemaker memory. The mean correlation between VE and VEsensor was 0.90 ± 0.08 (P < 0.001) and between VO2 and VEsensor was 0.86 ± 0.10 (P < 0.001). The mean correlation between VE and VEsensor by configuration type were as follows: atrial configuration = 0.89 ± 0.08; ventricular configuration = 0.95 ± 0.05; unipolar configuration = 0.87 ± 0.14; and floating configuration = 0.88 ± 0.05. In conclusion, VE may be reliably measured using different electrode configurations. A study conducted in a larger population should allow one to conclude that uniploar electrodes can be used in VDDR, AAIR, VVIR, or DDDR modes to measure VE. 相似文献
993.
Diana T.F. Lee MSc PRD RM RN RNT 《Journal of advanced nursing》1997,26(3):602-607
A qualitative study was designed to explore the perceptions of residential care placement among elderly Chinese people in Hong Kong. Content analysis of the semi-structured interviews with 20 community residents aged 60 years or over revealed that elderly people in Hong Kong generally had mixed feelings towards such placement. While they believed that residential care was an unavoidable alternative to family care in their later lives it was an important source of fear in their later years, especially for those who perceived their health as deteriorating. Residential care homes were generally seen as the ultimate 'dumping place' where one would 'idle till death' and the quality of care provided in these homes was anticipated to be problematic. It was found that most of these beliefs were formed as a result of indirect experience through 'listening to stories of neglect or abuse from friends and relatives whose relatives were residential care home residents'. Implications for professionals working with elderly people are discussed in the light of these findings. 相似文献
994.
BACKGROUND: Yersinia enterocolitica is frequently identified in cases of bacterial sepsis due to red cell transfusion. One of the features that makes Y. enterocolitica particularly dangerous is that, unlike most other bacterial contaminants of blood components, this organism can actively multiply in currently recommended refrigerator temperatures (1-6 degrees C). The effect of a colder than normal storage temperature on Y. enterocolitica growth was investigated to determine whether bacteria growth could be reduced or inhibited at 0 degree C. STUDY DESIGN AND METHODS: Twenty-four units of freshly collected donated blood were obtained. Three sets of 7 units each were inoculated with Y. enterocolitica O:3, Y. enterocolitica O:20, and Y. enterocolitica O:5, 27, respectively. The remaining 3 units served as uninoculated controls. Each of the 24 bags was split into two equal aliquots, with one aliquot stored at 4 degrees C and the other at 0 degree C. Bacteria growth was measured twice weekly for 6 weeks. Endotoxin and hemoglobin levels were also measured at selected intervals. RESULTS: Bacteria growth was detected earlier and in higher concentrations in the aliquots stored at 4 degrees C. Twenty-two of the 42 inoculated aliquots had measureable bacteria growth. Thirteen aliquots had been maintained at 4 degrees C, and nine had been stored at 0 degree C. Sixteen of these 22 aliquots were matched pairs. Exponential growth was detected after 14 to 32 days in the 4 degrees C aliquots and after 28 to 39 days in the 0 degree C aliquots. Final bacteria counts were much higher in the 4 degrees C aliquots (10(5)- 10(14) colony-forming units/mL) than in the 0 degree C aliquots (10(1)- 10(4) colony-forming units/mL) on Day 42. Endotoxin was present in all 13 of the 4 degrees C aliquots with actively growing Y. enterocolitica. CONCLUSION: Storage of red cells at 0 degree C markedly prolongs the time required for Y. enterocolitica to achieve exponential grwoth and results in lower concentrations of bacteria. 相似文献
995.
996.
Research partnerships: collaborative action research in nursing 总被引:1,自引:0,他引:1
This methodological paper discusses and critiques the 'insider' and 'outsider' models of action research described in the nursing literature It highlights tensions and problems with these models and demonstrates how the models developed by the authors — the 'double-act' and 'collaborative group' partnerships — overcome these difficulties The success of this approach suggests that such partnerships of nurse practitioners and a researcher should be considered when practitioners want to introduce innovation and facilitate change in practice and generate and test theory which is relevant to practice The paper is presented in the form of a commentary, interspersed with reflective conversations in which the authors illustrate and reflect upon their attempts to make the methodology described a reality 相似文献
997.
Reflection: a review of the literature 总被引:2,自引:0,他引:2
Sue Atkins MSc RGN RM DipN DipNEd Kathy Murphy MSc RGN DipN BA DipNEd 《Journal of advanced nursing》1993,18(8):1188-1192
This paper is a review of the literature on reflection The purpose was to unravel and make sense of the complex literature, and to identify the skills required to engage in reflection An analysis of the literature revealed that differences between authors' accounts of reflective processes are largely those of terminology, detail and the extent to which these processes are arranged in a hierarchy Key stages of reflection are identified and represented by a model Skills required to engage in reflection were found to be implicit in the literature and these are identified Methodological issues related to empirical literature are discussed It is suggested that reflection is an important learning tool in professional education and that the skills required for reflection need to be developed in professional courses 相似文献
998.
Janet M Walker BSc RGN RM RHV Justus A Akinsanya PhD BSc RNT FRCN FRSH Bryn D Davis PhD BSc RNT Donald Marcer PhD BSc FRSM 《Journal of advanced nursing》1989,14(3):240-247
This paper is based upon a research project designed to investigate the nursing management of pain in the community. A theoretical framework is described which has been designed to encompass the complexities of different types of pain, individual differences in reaction to pain, and to identify key differences between patients who cope with pain and those who do not. The framework is based on a model of stress, the concept of controllability, and contemporary learning theory. It identifies a unique role for the nurse in pain management and will be used to direct a study into strategies which nurses can use to enhance the coping abilities and resources of elderly patients in the community with pain. 相似文献
999.
Frances Badger RGN RM BSc MSc Research Fellow Elaine Cameron BSc MA MSc Research Fellow Helen Evers BSc MSc PhD 《Journal of advanced nursing》1989,14(7):518-527
Current pressures on all community services mean that practitioners must give more detailed attention to evaluation of patient outcomes and caseload review. District nursing caseloads in one health authority have been examined using a patient-focused approach. Random samples of patients who were either physically disabled, frail elderly, or elderly mentally infirm (n = 202) were examined for the distinctive and differing characteristics, if any, of recently referred and long-stay patients. Recently referred patients in our sample were either terminally ill, or had more chronic physical disorders. Patients who stayed on the books received either injections, general care from qualified staff or baths from nurse auxiliaries. Although covering similar areas of the health authority, nursing teams varied in the proportions of recently referred and long-stay patients, suggesting that individual nurses' caseload management is a crucial determinant of length of time on the books. In particular, nursing and medical review of all patients receiving vitamin B12 injections is urgently called for. In order for caseload monitoring to be facilitated, practitioners need relevant local and patient based data in order to make inter-team comparisons. The findings also have training and management support implications. 相似文献
1000.