Image--the journal of nursing scholarship最新文献

{"title":"Staying healthy in immigrant Pakistani families living in the United States.","authors":"R Jan,&nbsp;C A Smith","doi":"10.1111/j.1547-5069.1998.tb01272.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1998.tb01272.x","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the meaning of \"staying healthy\" as experienced by immigrant Pakistani families living in the United States.</p><p><strong>Design: </strong>Phenomenological, interpretive using a convenience, purposive sample, in 1994, of members of four Pakistani immigrant families in one Midwestern U.S. city.</p><p><strong>Method: </strong>Heideggerian interpretive analysis applied to verbatim Urdu translated to English text by four researchers.</p><p><strong>Findings: </strong>The relational themes found were: feeling understood, maintaining spiritual peace, keeping family and neighbor support, longing for the former way of being, and knowing how. Achieving wholeness was found to be the constitutive pattern. Participants viewed health as a dynamic experience of \"being on the right path\".</p><p><strong>Conclusions: </strong>Acceptance of care interventions depends on congruence with one's sense of what is \"right\"--spiritually as well as physically. Viewing health and illness as unitary and planning care once the meaning people assign to health and illness is clearly understood is important for clinical practice.</p>","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"30 2","pages":"157-9"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1998.tb01272.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20688492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shifting images of chronic illness.","authors":"S Thorne,&nbsp;B Paterson","doi":"10.1111/j.1547-5069.1998.tb01275.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1998.tb01275.x","url":null,"abstract":"<p><strong>Purpose: </strong>To describe results of a meta-study of client roles in two decades of qualitative research on elements of chronic illness experiences. While a vast body of qualitative health research has uncovered insider perspectives on a range of chronic diseases and their related illness experiences, systematic analysis has not been attempted, and research has not yet contributed to coherent theoretical developments.</p><p><strong>Organizing construct: </strong>Health care relationships as articulated in the context of insider research into chronic illness experience.</p><p><strong>Sources: </strong>Elements of meta-theory, meta-method, and meta-data-analysis in the available qualitative research reports addressing chronic illness experience published 1980 through June 1996. Of over 400 published reports, 158 met the inclusion criteria and were subjected to systematic analysis on a number of themes, one of which is reported in this article.</p><p><strong>Methods: </strong>Data selection, reduction, thematic analysis, and synthesis using constant comparative analysis.</p><p><strong>Findings: </strong>Early conceptualizations of individuals with chronic illness shift from a focus on loss and burden toward images of health within illness, transformation, and normality. Parallel conceptualizations of health care relationships appropriate to chronic illness shift from client-as-patient to client-as-partner for the 15-year period.</p><p><strong>Conclusions: </strong>Meta-study permits critical analysis of the location of current inquiry into the larger context of systematic patterns in knowledge development. Researchers are cautioned against uncritical acceptance of current trends in interpretation.</p>","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"30 2","pages":"173-8"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1998.tb01275.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20688494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing history: repositories and the Web.","authors":"M Szabunia,&nbsp;K Buhler-Wilkerson","doi":"10.1111/j.1547-5069.1998.tb01259.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1998.tb01259.x","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"30 2","pages":"109-10"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1998.tb01259.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20688619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse staffing levels and adverse events following surgery in U.S. hospitals.","authors":"C Kovner,&nbsp;P J Gergen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the relationship between nurse staffing and selected adverse events hypothesized to be sensitive to nursing care, while controlling for related hospital characteristics. Efforts in the United States to reduce hospital costs, resulting in strategies to use fewer nurses, have stimulated extensive debate but little evaluation.</p><p><strong>Design: </strong>Survey using data from a 20% stratified probability sample to approximate U.S. community hospitals. The sample included 589 acute-care hospitals in 10 states.</p><p><strong>Methods: </strong>Discharge data from 1993 for patients aged 18 years and over were used to create hospital-level adverse event indicators. These hospital-level data were matched to American Hospital Association data on community hospital characteristics, including nurse staffing, to examine the relationship between nurse staffing and adverse events.</p><p><strong>Results: </strong>A large and significant inverse relationship was found between full-time-equivalent RNs per adjusted inpatient day (RNAPD) and urinary tract infections after major surgery (p < .0001) as well as pneumonia after major surgery (p < .001). A significant but less robust inverse relationship was found between RNAPD and thrombosis after major surgery (p < .01), as well as pulmonary compromise after major surgery (p < .05).</p><p><strong>Conclusions: </strong>Inverse relationships between nurse staffing and these adverse events provide information for managers to use when redesigning and restructuring the clinical workforce employed in providing inpatient care.</p>","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"30 4","pages":"315-21"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20774822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpretive research should be taught to beginners.","authors":"C Andrews","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"29 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20075641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Division of Nursing, U.S. Public Health Service--50 years.","authors":"M E Salmon","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"29 4","pages":"302-3"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20379089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"All users of NIC encouraged to submit new interventions, suggest revisions. Iowa Intervention Project Research Team.","authors":"G M Bulechek,&nbsp;J McCloskey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"29 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20075645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mother of twins finds studies timely.","authors":"C Mariano","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"29 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20075637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Future of the nurse labor market according to health executives in high managed-care areas of the United States.","authors":"P I Buerhaus,&nbsp;D O Staiger","doi":"10.1111/j.1547-5069.1997.tb01023.x","DOIUrl":"https://doi.org/10.1111/j.1547-5069.1997.tb01023.x","url":null,"abstract":"<p><strong>Purpose: </strong>To understand how the work environment of nurses is changing in states with high enrollment in health maintenance organizations (HMOs), the underlying forces driving change, and how these forces are expected to affect employment and earnings of nurses in the future. Financing and delivery systems that have developed in some states with high enrollment in HMOs are generally regarded as indicative of the future for all the United States.</p><p><strong>Design: </strong>Survey in 1995 of a convenience sample of 62 health executives in 11 states with high enrollment in HMOs. Executives included officials in state governments, state and metropolitan hospital associations, professional and nonprofessional nursing associations, state boards of nursing, community and public health, home health care, nursing homes, other non-acute care associations, and leading HMOs.</p><p><strong>Methods: </strong>Through structured telephone interviews, executives were asked about changes in nurse employment, earnings, collective bargaining, fringe benefits, nurses' roles, substitution of licensed practical nurses (LPNs) and aides for RNs, patient severity, quality of patient care, and expectations for nurse employment during the remainder of the decade.</p><p><strong>Findings: </strong>Executives perceive a mostly positive and fast-changing nurse labor market but they are concerned about the aging RN work force, possible development of an RN shortage, and linking quality of patient care to the provision of nursing services. They doubt the ability of nurse educators to respond quickly to the need to prepare nurses for rapidly changing employer requirements.</p><p><strong>Conclusions: </strong>Public and private forces are causing rapid, profound changes in health care delivery and throughout the nurse labor market. These changes are most evident in the shift in employment of nurses from hospitals to home health. Despite anxiety associated with these changes, no evidence of an \"employment disaster\" exists in the views of health executives.</p>","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"29 4","pages":"313-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1547-5069.1997.tb01023.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20362839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hermeneutic research doesn't take a PhD.","authors":"M F Moloney","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77169,"journal":{"name":"Image--the journal of nursing scholarship","volume":"29 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20075642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}