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„Evidence“ based practice focusing on specific clinical environments has emerged as foundational to best practice and been incorporated into nursing education over the past ten years. This article considers wider organizational issues that impact on the implementation of evidence based practice.
It describes the strategies adopted by the Auckland Area Health Board and Unitec New Zealand to implement the principles of evidence based practice in New Zealand.
This has resulted in a collaboration with Auckland University and the Joanna Briggs Institute for Evidence Based Nursing and Midwifery to form the Centre for Evidence Based Nursing – Aotearoa. Evidence based nursing is a vital part of nursing education.
Unitec New Zealand has developed and incorporated evidence based nursing into all courses in their undergraduate programme. Central to this is the use of evidence based practice in patient care and the integration of technology with evidence based nursing in clinical practice.
Spouses of patients with acute myocardial infarction need supportive care from healthcare professionals in order to be able to encourage their partners’ rehabilitation. International studies indicate that enhancement of professional supportive care is needed but no Danish studies have previously addressed the issue. The purpose of this article is to report on findings from a qualitative descriptive study of spouses’ experiences when their partner was admitted to hospital with acute myocardial infarction. Three spouses were interviewed using a semi-structured interview guide. Findings indicated that – even though emotional support was advertised by the spouses – need might not be fully recognised by the health care professional. A discussion of findings is elaborated, drawing on Ida J. Orlando’s ideas on nurse-patient relationships. The conclusion is drawn that the recent change in treatment of myocardial infarction to invasive treatment seems to cause new difficulties in terms of establishing a trustful relationship between spouses and healthcare professionals at community hospitals. Consequently, health care professionals are challenged to put extra efforts into the establishment of good relations to spouses.
This article provides an overview of Watson’s theory of Human Caring, sometimes referred to as Transpersonal Caring. Special emphasis is placed upon the core of the theoretical structure of caring, referred to as 10 Carative Factors/Caritas Processes (see website: www.uchsc.edu/nursing/caring). These core conceptual aspects of the theory, when grounded within the philosophical and ethical foundation of the overall work, serve as a guide for nursing education and practice as well as a professional-disciplinary blueprint for Caring Science.
The purpose of this paper is to describe the phenomenon of consolation as this appears in nursing literature. The understanding of consolation has been developed from an interpretation of a letter on consolation from Søren Kierkegaard to his sick sister-in-law.
A search in professional databases resulted in 20 articles where the phenomenon of consolation was described. The phenomenon of consolation was interpreted in a hermeneutic circle from the 20 articles to provide a description of the phenomenon.
The results revealed that the nurse can console the patient in a process of communion with her/him. It appears that the patient receiving consolation experiences an inner process. After experiencing loss, impairment, despair or threats of these, the patient seems to be receptive to consolation, and shows signs of openness. A nurse can guide a patient to find hope and courage. It appears that there is a process for consolation which is described as linear, but which will, in a real life experience, not be linear.
The intention of this study was to acquire more knowledge of how nurses can support the terminally ill patient by focusing on the spiritual/existential dimension.
Data were collected by semi-structured interviews of one nurse and one patient, who was dying of cancer in his own home. The study is based primarily upon Katie Eriksson’s nursing theories, because she explicitly includes the spiritual/existential dimension of man. Furthermore, I have used the theories of Marit Kirkevold and Steen Wackerhausen concerning competence, as well as reports on the existential dimension have been used.
The results of the study show that the existential need is not an ordinary part of daily conversations between nurses and patient. If the subjekt arises, it is on the patient’s initiative. The initiative of the patient seems to be important for the nurse. Existential issues were momentous for the terminally ill patient. The nurse lacks the necessary skills to uncover and address such issues.
What I teach is not necessarily the same as what the student nurses learn. As a teacher I have experienced that they learn even more when they work on case related situations with patients.
In this article I want to describe and discuss how to create cases, and how various cases can be used to increase the students’ knowledge of nursing. As teachers, we must give the students the opportunity to learn how to act relevantly when they start work as trained nurses. I want to point out the key issues to be addressed in good learning situations.
I use the logic of profession and the logic of society as a frame of analysis when discussing the development of nursing literature from the end of the 1950’s to the turn of the century.
Nursing literature in the 1920’s and 30’s in the USA, and later in the Nordic countries, focused on the logic of society, whereas in the 50’s and 60’s the focus was primarily on the logic of profession. During the 60’s and from then on the stress on the logic of profession in nursing has continued to focus on the concept of human needs and on the nursing process. During this period the impact of positivism in nursing is distinct.
This article is the first of two.
The Outpatients’ Clinic at Aarhus University Hospital has, as one of the first departments in Denmark, developed a school for patients with inflammatory bowel diseases: ulcerative colitis and Crohn’s disease. It is a school for adults who have been diagnosed within the last three years.
The Patient School was established in the spring of 2003. Nurses with special experience in these diseases have established an educational programme providing knowledge of the diseases and their treatment in order to increase the patients’ capability to cope with these diseases and take responsibilty for themselves and their medication. From the spring of 2003 to the autumn of 2004 a survey was carried out using a questionaire to clarify what benefit the patients reaped from attending the school. It is the author’s conclusion that the Patient School is a valuable tool in the management of patients with inflammatory bowel diseases and that it should become a permanent concept on offer to patients with inflammatory bowel disease.
This investigation is based on the fundamental belief that the interaction between the nurse and the violent and theatening psychiatric patient influences the possible later use of restraint. I approach the problem by investigating a critical act, i.e. the admission of involuntarily hospitalized psychiatric patients. I describe and investigate the interaction through the use of qualitative interviews and passive (non-participant) observation of the nurse and her working environment.
The study findings compile the strategies used by the nurse in her practical reality. These strategies include preparation, protection and introduction. The study findings indicate that the nurse, in the act of admission as a whole, does not provoke violent behaviour in the patient. The admission demands her undivided attention. She is vigilant in her preparation; the protection strategies contain problematic controlling action, but these are compensated by the patient’s introduction to the department.