{"title":"Promoting seniors' health--confronting the issue of incontinence.","authors":"J Skelly, S Boblin-Cummings","doi":"10.12927/cjnl.1999.19080","DOIUrl":"https://doi.org/10.12927/cjnl.1999.19080","url":null,"abstract":"<p><p>Incontinence is a demoralizing and costly problem that severely affects the quality of seniors' lives. With the aging Canadian population expected to double within the next 15 years, the elderly are at the highest risk of developing incontinence. It is now recognised that incontinence can be successfully managed, and in many cases, resolved. A survey was conducted with seniors experiencing problems with incontinence who were receiving home care services. Results showed that incontinence has a significant impact on their lives. Seniors tend to mistakenly see the problem as an inevitable factor in the aging process; consequently many hesitate to seek information. In addition, they face barriers to receiving incontinence care that includes knowledge and access to services and resources. Nurses have the potential to take a leading role in reducing the problem of incontinence and in reducing the impact on the lives of seniors. In order to realize this potential, nurses need to be more aware of their attitudes towards incontinence and more informed about conservative treatment options. Some thought needs to be given to the role of the general nurse, and the role of a specialized nurse such as the nurse continence advisor.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"12 3","pages":"13-7"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21919328","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":"Nurses perspective of patient acuity on geriatric assessment units.","authors":"B Wilden, J McMullen, E Goudy","doi":"10.12927/cjnl.1999.19081","DOIUrl":"https://doi.org/10.12927/cjnl.1999.19081","url":null,"abstract":"<p><p>The purpose of this study was to explore how nurses on geriatric assessment inpatient units perceived patient acuity. Three questions were developed and included: what variables do nurses use to define acuity; does variation exist between and among groups of nurses; and are there nursing activities taken for granted or overlooked that can contribute to the perception of acuity? The purposive sample included all the full time and part time nurses (11 RNs, 16 LPNs) working on the units. Focus groups were used to facilitate the data gathering for this qualitative study. Five themes were identified from the data and the program NUD*IST was used to visualize the relationships between the individual items and themes. Patient acuity was defined differently by the RNs and LPNs and is based on their reality and the realm of their mandated practice. A large category of indirect non patient related activities was found to contribute greatly to the nurses' perception of acuity. Two benefits of the study were: 1) provision of a breakdown of items nurses incorporate into their definition of acuity; 2) a list of categories to guide decision making when determining which category of staff is required to best meet the needs of the patients.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"12 3","pages":"18-23"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21919212","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":"Profile of a leader: Scharley Phoebe (Wright) Brown.","authors":"G Zilm, E Warbinek","doi":"10.12927/cjnl.1999.19082","DOIUrl":"https://doi.org/10.12927/cjnl.1999.19082","url":null,"abstract":"<p><p>This brief article profiles Charlotte (Scharley) Wright Brown, a leader in registration for nurses in British Columbia, founding member and first president of the Graduate Nurses Association of B.C. (later the Registered Nurses Association of B.C.), and third president of the Canadian National Association for Trained Nurses (later the Canadian Nurses Association). She and a small, dedicated executive group led the fight for registration for nurses from 1912 to 1918, and she helped establish the national organization on a strong and purposeful footing. Despite her major contributions, few records have been kept about this extraordinary nursing leader.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"12 3","pages":"24-6"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21918668","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}
D L Wells, D K Martin, A Moorhouse, D Craig, J M Foley
{"title":"An integrated model of discharge planning for acutely-ill elderly patients.","authors":"D L Wells, D K Martin, A Moorhouse, D Craig, J M Foley","doi":"10.12927/cjnl.1999.19079","DOIUrl":"https://doi.org/10.12927/cjnl.1999.19079","url":null,"abstract":"<p><p>Prior research has demonstrated that current discharge-related practices present resource-related and ethical problems for all those involved. The purpose of this 9-month qualitative study was to develop a more resource efficient and compassionate discharge planning model for acutely-ill, elderly patients. The focus group interviewing method was used to elicit 99 participants' perceptions of an ideal approach to discharge planning. Focus group participants included professionals from acute-care hospitals and community organizations. Telephone interviews were also completed with 25 patients and 6 family members. Themes identified in the analysis revealed that an ideal approach to discharge planning would incorporate seven elements. According to participants, the approach is ideal because it potentially addresses both resource utilization and ethical issues. Program evaluation of the model is underway in order to determine its effectiveness.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"12 3","pages":"6-12"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/cjnl.1999.19079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21919326","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":"Predictors of job satisfaction in remote hospital nursing.","authors":"W Chaboyer, G Williams, W Corkill, J Creamer","doi":"10.12927/cjnl.1999.19075","DOIUrl":"https://doi.org/10.12927/cjnl.1999.19075","url":null,"abstract":"<p><p>This research examined the relationship between the content of work, the work environment and job satisfaction among nurses working in a teaching hospital located in a remote area of Central Australia. Using the results of recent meta-analyses of job satisfaction, a conceptual framework was developed that predicted that work content (variety, autonomy, task identity and feedback) and work environment (ward facilities, collaboration with medical staff, cohesion amongst nurses, staffing, pooling and respected by others) would influence job satisfaction. A descriptive survey of 135 nurses employed in a 170 bed hospital was undertaken. Strongest predictors of job satisfaction were job variety, feedback and collaboration with medical staff. Other moderate correlates were cohesion amongst nurses and task identity. This study demonstrated that feedback from colleagues and supervisors should never be trivialised as a strategy to improve job satisfaction. Furthermore, the need to be considered as part of the health care team by the medical profession can be influenced by proactive workplace strategies and policies.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"12 2","pages":"30-40"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/cjnl.1999.19075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21919329","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":"Profile of a leader. Alena Jean MacMaster: administrator, educator, professional activist and community advocate.","authors":"G Gautreau, P Winans","doi":"10.12927/cjnl.1999.19076","DOIUrl":"https://doi.org/10.12927/cjnl.1999.19076","url":null,"abstract":"<p><p>This paper profiles Alena Jean MacMaster, an extraordinary nurse leader, activist, visionary and humanitarian from New Brunswick. Her determination and drive were instrumental in fostering the development and progression of health care, nursing education and nursing services at the local, provincial, federal and international levels. \"First, loyalty to the institution in which you serve. The patient is the most important person in the entire institution,\" was Miss MacMaster's guiding principle throughout her career.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"12 2","pages":"41-4"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21919327","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}
A E Tourangeau, P White, J Scott, M McAllister, L Giles
{"title":"Evaluation of a partnership model of care delivery involving registered nurses and unlicensed assistive personnel.","authors":"A E Tourangeau, P White, J Scott, M McAllister, L Giles","doi":"10.12927/cjnl.1999.19073","DOIUrl":"https://doi.org/10.12927/cjnl.1999.19073","url":null,"abstract":"<p><p>The employment of unlicensed personnel in Canadian acute care hospitals has been undertaken without clear evidence of outcomes for patients, caregivers, and hospital organizations. This quasi-experimental evaluation study was completed in a metropolitan Toronto acute care hospital to examine the effects of a new nursing care delivery system which included unlicensed assistive personnel. Most of the expected benefits of the newly implemented nursing care delivery system did not materialize leading to the conclusion that the employment of unlicensed assistive personnel in acute care hospital systems may not offer additional benefits for patients, caregivers, or hospital organizations. The processes and results of this study provide useful information for nurse administrators who are seeking effective and innovative care delivery systems that are designed to optimize patient, caregiver, and hospital outcomes.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"12 2","pages":"4-20"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/cjnl.1999.19073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21919324","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":"Work-family congruence and work-family concerns among nursing staff.","authors":"R J Burke, E R Greenglass","doi":"10.12927/cjnl.1999.19074","DOIUrl":"https://doi.org/10.12927/cjnl.1999.19074","url":null,"abstract":"<p><p>This study investigated work status congruence and work-family experiences among nursing staff. Data were collected from 1362 hospital-based nurses using anonymous questionnaires. Nurses indicated whether they were currently working full-time or part-time and whether they preferred to work full-time or part-time. Four work status groups were then compared. There were considerable demographic differences among the four work status groups. Nursing staff having congruent work status were generally more satisfied with their families and reported lower levels of work-family conflict. The two work status incongruent groups of nurses were found to have different correlates and consequences.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"12 2","pages":"21-9"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/cjnl.1999.19074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21919325","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":"Profile of a leader. Mary Agnes Snively: realistic optimist.","authors":"D Mansell","doi":"10.12927/cjnl.1999.19069","DOIUrl":"https://doi.org/10.12927/cjnl.1999.19069","url":null,"abstract":"<p><p>This paper examines the leadership Mary Agnes Snively gave to Canadian nursing during the late-nineteenth and early-twentieth century with a particular focus on her practical views regarding nursing education. Although surrounded by the Victorian values of her day, Snively developed a vision of nursing education that was both optimistic and realistic. This investigation of Snively's ideas as they were articulated in papers she presented to the American Society of Superintendents of Training Schools for Nurses in 1895 and 1898, is further testament to the validity of the accolade, \"Mother of Nurses in Canada,\" given her in 1924 by her biographer.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"12 1","pages":"27-9"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.12927/cjnl.1999.19069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21912055","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":"Working together toward the issue of conjugal violence: the work of an interdisciplinary task force.","authors":"S Bonhomme, M Ratcliffe","doi":"10.12927/cjnl.1999.19068","DOIUrl":"https://doi.org/10.12927/cjnl.1999.19068","url":null,"abstract":"<p><p>In 1995 each of the Professional Councils at the Royal Victoria Hospital endorsed the creation of an Interdisciplinary Task Force on Conjugal Violence. Task force members were drawn from Medicine, Nursing and Social Work. The overall goal was to increase the quality of care that the interdisciplinary team could provide to their patients. This mandate encompassed three major tasks. First, to study the extent of awareness about the issue among health care professionals; second, to assess their needs for resources and education; and finally, to recommend and implement means of increasing the level of awareness of this health concern among professionals and patients. The task force members educated themselves about conjugal violence and developed a questionnaire that was distributed to health care professionals within the hospital. The number of individuals from each discipline who received the survey was proportionate to their actual number in the center and selected at random. Results of the survey indicated that all groups desired more information and education about the scope of the problem as well as means for assessing and intervening with patients who are abused. The task force developed a Conjugal Abuse Information Package, an Abuse Assessment Screen, a Public Awareness Program and an Ongoing Teaching Program for Health Care Professionals. This project provides an example of how an interdisciplinary health care team can successfully work together for the benefit of patients.</p>","PeriodicalId":80260,"journal":{"name":"Canadian journal of nursing leadership","volume":"12 1","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21912604","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}