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Sarah Lake MN RN Cheryle Moss PhD RN Jan Duke PhD RN RM 《International journal of nursing practice》2009,15(5):376-388
Every day in clinical settings, nurses practise in complex and dynamic situations. Nurses work to achieve emergent order in these situations through nursing prioritization of the patient need for care. As direct research on nursing prioritization had not been reported, a study, using critical realism as method, was designed to discern the profession's embedded understanding from within the clinical decision-making literature. The research synthesizes a tacit knowledge on nursing prioritization of the patient need for care from key international literature (from 1966 to 2003). Nursing prioritization was discerned in both education and practice literatures; interrelationships between these and theoretical approaches were also identified. Nursing prioritization of the patient need for care was revealed both as a non-sequential decision-making process throughout unfolding patient situations and as an advanced skill of nursing practice. Increasing confidence with this skill is the hallmark of developing expertise. 相似文献
93.
Depression recognition and capacity for self‐report among ethnically diverse nursing homes residents: Evidence of disparities in screening
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An analysis of nursing students’ decision‐making in teams during simulations of acute patient deterioration
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KARIEN JOOSTE PhD MA Nurs RGN MELANIE JASPER PhD MSc BNurs BA PGCEA RN RHV RM 《Journal of nursing management》2010,18(6):704-714
jooste k. & jasper m. (2010) Journal of Nursing Management 18, 704–714
A framework for recognition of prior learning within a Postgraduate Diploma of Nursing Management in South Africa Aims The present study focuses on the development of an initial framework to guide educators in nursing management in designing a portfolio for the recognition of prior learning for accreditation of competencies within a postgraduate diploma in South Africa. Background In South Africa, there is a unique educational need, arising from the legacy of apartheid and previous political regimes, to facilitate educational development in groups previously unable to access higher education. Awareness of the need for continuous professional development in nursing management practice and recognition of prior learning in the educational environment has presented the possibility of using one means to accomplish both aims. Evaluation Although the content of the present study is pertinent to staff development of nurse managers, it is primarily written for nurse educators in the field of nursing management. Key issues The findings identify focus areas to be addressed in a recognition of prior learning portfolio to comply with the programme specific outcomes of Nursing Service Management. Further work to refine these focus areas to criteria that specify the level of performance required to demonstrate achievement is needed. Conclusion and implications for nurse managers Managers need to facilitate continuous professional development through portfolio compilation which acknowledges the learning opportunities within the workplace and can be used as recognition of prior learning. 相似文献
A framework for recognition of prior learning within a Postgraduate Diploma of Nursing Management in South Africa Aims The present study focuses on the development of an initial framework to guide educators in nursing management in designing a portfolio for the recognition of prior learning for accreditation of competencies within a postgraduate diploma in South Africa. Background In South Africa, there is a unique educational need, arising from the legacy of apartheid and previous political regimes, to facilitate educational development in groups previously unable to access higher education. Awareness of the need for continuous professional development in nursing management practice and recognition of prior learning in the educational environment has presented the possibility of using one means to accomplish both aims. Evaluation Although the content of the present study is pertinent to staff development of nurse managers, it is primarily written for nurse educators in the field of nursing management. Key issues The findings identify focus areas to be addressed in a recognition of prior learning portfolio to comply with the programme specific outcomes of Nursing Service Management. Further work to refine these focus areas to criteria that specify the level of performance required to demonstrate achievement is needed. Conclusion and implications for nurse managers Managers need to facilitate continuous professional development through portfolio compilation which acknowledges the learning opportunities within the workplace and can be used as recognition of prior learning. 相似文献
99.
Jurriaan P Oudhoff Danielle RM Timmermans Martin Rietberg Dirk L Knol Gerrit van der Wal 《BMC health services research》2007,7(1):32
Background
Problematic waiting lists in public health care threaten the equity and timeliness of care provision in several countries. This study assesses different stakeholders' views on the acceptability of waiting lists in health care, their preferences for priority care of patients, and their judgements on acceptable waiting times for surgical patients. 相似文献100.
目的:评估人工流产(指手术流产)对乳腺癌危险性的可能影响。方法:研究在上海267040例妇女的一项乳房自我检查随机试验的队列人群中进行,由队列研究和巢式病例对照研究两部分组成。结果:依据基线调查表采集的资料分析,人工流产不增加乳腺癌危险性。调整潜在的混淆因素后,OR=1.06(95%CI:0.91~1.25)。人工流产次数增加无危险性趋势增加。从更详细的652例乳腺癌病例和694例对照资料分析,得出相似的结果。人工流产发生在首次生育后不增加危险性;少数妇女在首次生育前人工流产以及妊娠13周后人工流产,虽然被观察到危险性有增加,但无显著性统计学意义。结论:在中国,人工流产不是乳腺癌发生的重要原因。 相似文献