Academic literature on the topic 'Nursing - General'

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Journal articles on the topic "Nursing - General"

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Pravikoff, Diane S. "General Nursing and Occupational Health Nursing." AAOHN Journal 40, no. 11 (November 1992): 531–37. http://dx.doi.org/10.1177/216507999204001104.

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Taylor, Susan G., and Katherine McLaughlin. "Orem's General Theory of Nursing and Community Nursing." Nursing Science Quarterly 4, no. 4 (October 1991): 153–60. http://dx.doi.org/10.1177/089431849100400407.

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Victoria, Liverpool. "Community and general nursing." Nursing Standard 21, no. 25 (February 28, 2007): 71. http://dx.doi.org/10.7748/ns.21.25.71.s63.

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Nickalls, Kelly. "Rebuild general practice nursing." Practice Nursing 33, no. 4 (April 2, 2022): 133. http://dx.doi.org/10.12968/pnur.2022.33.4.133.

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Renganathan, Lakshmi. "Partners; Effectiveness of Cooperative Teaching Learning on the Nursing Care of Patients with Gout among General Nursing Diploma Students." International Journal of Scientific Research 2, no. 9 (June 1, 2012): 127–29. http://dx.doi.org/10.15373/22778179/sep2013/48.

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Nutbrown, Sue. "The General Practice Nursing Tree." Primary Health Care 15, no. 5 (June 2005): 19. http://dx.doi.org/10.7748/phc.15.5.19.s25.

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Xue, Guifeng, Huafang Yi, Ping Xue, and Wenmin Sun. "The Effects of Humanized Psychological Nursing Model in General Surgery Nursing." Proceedings of Anticancer Research 5, no. 4 (July 29, 2021): 98–102. http://dx.doi.org/10.26689/par.v5i4.2356.

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Objective: To analyze and comprehensively study the clinical effects of humanized psychological nursing model in general surgery nursing. Methods: The study period was from January 2018 to December 2020. A sample of 200 patients who were admitted to The Second People’s Hospital of Taizhou City for general surgery were selected. Random lottery grouping was used to divide the subjects into a study group and a control group. The sample within each group was n=100. The patients in the control group were provided with conventional general surgery nursing plan whereas the patients in the study group received the same nursing plan but with addition of the humanized psychological nursing model. The indicators of the two groups were compared and analyzed. Results: Comparing the scores from Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) after nursing intervention, postoperative visual analog scale (VAS), hospital stay, and patient satisfaction with the nursing services between the two groups, the study group was better (P < 0.05). Conclusion: The implementation of humanized psychological nursing model in general surgery nursing had a significant effect in which there were improvements in regard to the patients’ mental state and their satisfaction with the nursing services. Hence, it is worthy of promotion.
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Jones, Dorothy, Margaret Lunney, Gail Keenan, and Sue Moorhead. "Standardized Nursing Languages Essential for the Nursing Workforce." Annual Review of Nursing Research 28, no. 1 (December 2010): 253–94. http://dx.doi.org/10.1891/0739-6686.28.253.

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The evolution of standardized nursing languages (SNLs) has been occurring for more than four decades. The importance of this work continues to be acknowledged as an effective strategy to delineate professional nursing practice. In today's health care environment, the demand to deliver cost-effective, safe, quality patient care is an essential mandate embedded in all health reform policies. Communicating the contributions of professional nursing practice to other nurses, health providers, and other members of the health care team requires the articulation of nursing's focus of concern and responses to these concerns to improve patient outcomes. The visibility of the electronic health record (EHR) in practice settings has accelerated the need for nursing to communicate its practice within the structure of the electronic format. The integration of SNLs into the patient record offers nurses an opportunity to describe the focus of their practice through the identification of nursing diagnosis, interventions and outcomes (IOM, 2010). Continued development, testing, and refinement of SNLs offers nursing an accurate and reliable way to use data elements across populations and settings to communicate nursing practice, enable nursing administrators and leaders in health care to delineate needed resources, cost out nursing care with greater precision, and design new models of care that reflect nursepatient ratios and patient acuity that are data driven (Pesut & Herman, 1998). The continued use of nursing languages and acceleration of nursing research using this data can provide the needed evidence to help link nursing knowledge to evidence-driven, cost-effective, quality outcomes that more accurately reflect nursing's impact on patient care as well as the health care system of which they are a part. The evaluation of research to support the development, use, and continued refinement of nursing language is critical to research and the transformation of patient care by nurses on a global level.
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Sousa, Valmi, and Laura Hayman. "Nursing theory development." Online Brazilian Journal of Nursing 1, no. 2 (August 2, 2002): 2–9. http://dx.doi.org/10.17665/1676-4285.20024786.

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This paper analyzes knowledge and theory development in the discipline of nursing. Nursing theory development is characterized by nursing’s unique perspective: a distinct focus of the discipline of nursing. In a recognized nursing theory, the nursing metaparadigm’s concepts of person, environment, health, and nursing are defined, and the interrelationships among those concepts are described. Knowledge development in the discipline of nursing has generated and continues to generate philosophical, theoretical, and scientific knowledge, which serve as a basis for further reflections, investigations, and refinement, and as a source of new knowledge. In addition, nursing theory development has been related to borrowed or shared theories from or with other disciplines such as anthropology, education, sociology, and psychology.
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Taylor, Susan G. "Nursing Theory and Nursing Process." Nursing Science Quarterly 1, no. 3 (August 1988): 111–19. http://dx.doi.org/10.1177/089431848800100306.

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Orem's general theory of nursing, referred to as the self-care deficit nursing theory, is described as a theory that can be used for organizing and structuring nursing knowledge and nursing practice. The technolog ical nursing process appropriate to the theory is described. The use of the self-care deficit nursing theory is illustrated through a case study. The relationship between the case situation and the technological proc ess of nursing is explored.
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Dissertations / Theses on the topic "Nursing - General"

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Paxton, Fiona M. "Practice nursing : a time of change : a study of nursing in general practice." Thesis, University of Edinburgh, 1998. http://hdl.handle.net/1842/22550.

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The view is offered within this thesis that nursing is essentially a practice-based discipline and therefore any theory of nursing must reflect what happens in practice. By analysing research material from a study of practice employed and attached nurses, the nurses' pattern of work was described within the context of the primary health care. Both delegated and more autonomous roles were examined, and the implications of these and their relationship with holistic care and experiential learning were described in view of the continued expansion of the role. The objectives were: a) to examine the process of care and identify any changes in workload or differences in working patterns of practice employed and attached nurses as a result of the introduction of the New GP Contract in April 1999; b) to measure patient satisfaction with nurse consultations and ascertain their views on the changing role of community nurses; and c) to determine the opinions and attitudes of community nurses and general practitioners to future developments and educational opportunities for primary care nursing. Thirty four nurses participated in 1990 with a total of 6675 consultations; 33 nurses in 1991 with a total of 6050 consultations. The largest proportion of patients seen by both groups of nurses during both periods of recording was by general practitioner referral. Practice employed nurses initiated more of their own appointments in the second year and saw fewer general practitioner referrals. This tend was reversed for attached nurses. By the second recording period both attached and practice employed nurses had experienced a reduction in the time spent on routine treatment room work and an increase in clinic activity. Practice employed nurses reported a higher level of therapeutic listening than the attached nurses both years. It was found that 39% of all nurse consultations in 1990 and 27% in 1991 had an interruption either before or during surgery sessions.
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O'Shea, Rose Ann. "The regulation of advanced nursing practice." Thesis, University of Glasgow, 2013. http://theses.gla.ac.uk/4283/.

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The typical picture that is conjured up when one thinks of a nurse is that of a matronly figure, in a uniform and cap, sitting at the patient’s bedside administering care. Associated with this is the traditional view held by the public, in which nurses are beholden to doctors and dependent on them for instruction, and perform a generally subservient role. However, those who have had the misfortune to require treatment more recently will testify to a far different situation, in which nurses perform a more professional and clinically autonomous role, as well as having a caring and compassionate function. In fact, the picture that exists in most clinical environments is one in which nurses are recognised as knowledgeable and capable clinicians, and independent practitioners in their own right, rather than obedient medical handmaidens. The delivery of modern healthcare has also changed beyond recognition, with interventions that were once considered to be the domain of hospital practitioners now provided in a more liberated community-based system. Within this structure, the role of healthcare professionals has similarly been transformed, such that the ‘power’ has shifted away from doctors and towards non-medical clinicians. This has, in turn, resulted in non-medical practitioners, most notably nurses, having more authority, autonomy and responsibility for clinical decision-making, rendering them more equal in the clinical hierarchy and more evenly aligned as professionals. This thesis explores the range of traditional medical activities that are now performed by nurses who have expanded their practice in order to accommodate the additional responsibilities that this 'power' affords. In particular, it looks at those nurses who have advanced their practice such it constitutes a new clinical role and, in some cases, act as medical substitutes. With the further devolution of clinical tasks inevitable, and the creation of more clinical roles likely, this thesis looks at the regulatory framework that underpins advanced nursing practice. In particular, it questions whether the existing framework provides the regulatory safeguards that are required to ensure patient and public protection and asks whether an alternative approach, such as that which is provided by another professional regulator, may be more appropriate. In concluding, this thesis will assert that a compelling case for the statutory regulation of advanced nursing practice can be made, and will suggest a number of options regarding how this regulatory solution can be achieved.
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Chan, Yung-kwan Albert, and 陳容坤. "Hong Kong nursing students' learning approaches: why and how do hospital-based general nursing students learn?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B31957055.

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Chan, Yung-kwan Albert. "Hong Kong nursing students' learning approaches : why and how do hospital-based general nursing students learn? /." [Hong Kong] : University of Hong Kong, 1994. http://sunzi.lib.hku.hk/hkuto/record.jsp?B1383289X.

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Loury, Sharon D. "History of Knoxville General Hospital’s School of Nursing 1902-1956." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/8189.

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Peet, Jacqueline Stephanie. "Strengthening nursing surveillance in general wards: A practice development approach." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/205383/1/Jacqueline_Peet_Thesis.pdf.

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This thesis evaluated an emancipatory practice development (ePD) approach to strengthening nursing surveillance on a single medical-surgical ward. A relationship was established, and a researcher embedded on a ward around a shared interest of strengthening nursing surveillance and patient safety. Ward engagement with ePD methods of critical reflection, holistic facilitation and active learning were supported through workplace workshops and the formation of an action learning set with a group of ward RNs. The ward travelled through a transformative and at time turbulent process of resistance and retreat towards a new learning culture where nursing surveillance is visible and valued.
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Laschinger, Heather Kathleen. "Learning styles of baccalaureate nursing students and attitudes towards theory-based nursing practice a validation study of Kolb's experiential learning theory." Thesis, University of Ottawa (Canada), 1987. http://hdl.handle.net/10393/5223.

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EHRAT, KAREN SUE. "LIBERAL EDUCATION SKILLS IN THE FIELD OF NURSING (GENERAL, NON-TECHNICAL)." Diss., The University of Arizona, 1985. http://hdl.handle.net/10150/187948.

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The primary purpose of the study was to identify liberal education skills necessary for competent, professional nursing practice and to compare baccalaureate and associate degree faculties' perceptions of the importance of liberal education skills and program emphasis on those skills. Further, the study sought to identify underlying factors of liberal education skills perceived by college nursing faculty to be required for competent, professional nursing practice. Finally, the study attempted to identify differences in baccalaureate and associate degree faculties' perceptions of the importance of liberal education skills and program emphasis place on those skills by public and private institutional membership and by National League for Nursing (NLN) geographic accrediting region assignment. The study's survey approach could be classified as a quasi-experimental design. The study utilized a multistage, stratified sample of 432 baccalaureate and associate degree nursing faculty. Seventy-two baccalaureate and 72 associate degree nursing programs were randomly selected from the four NLN geographic regions. Each dean or director of selected programs was requested to select three nursing faculty "most knowledgeable of the nursing curriculum" to complete the instrument. Data for the study were collected by means of the "Liberal Education Skills Inventory for Nursing" (LESIN). Data analysis was accomplished through the use of descriptive statistics, principal factors analysis, and analysis of variance. Major conclusions of the study were (1) nine of the ten LESIN subscales had mean faculty ratings suggesting high skill importance to competent, professional nursing practice; (2) one factor ("conceptual abilities") underlying faculty perceptions of liberal education skills importance was extracted; (3) there were statistically significant differences in baccalaureate and associate degree faculties' perceptions regarding skills importance on two of the LESIN subscales and regarding program emphasis on five of the subscales; (4) on each of the ten LESIN subscales, faculty from public and private institutions did not differ significantly on their perceptions of skills importance and did differ significantly on one subscale regarding program emphasis; and (5) the mean skill importance and program emphasis responses of faculty did not differ significantly on the ten LESIN subscales by NLN geographic accrediting region assignment. In addition, information regarding liberal education skills program evaluation measures or standards was reported.
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Jabareen, Hussein Mohammad. "Skill mix development in general practice : a mixed method study of practice nurses and general practitioners." Thesis, University of Glasgow, 2009. http://theses.gla.ac.uk/632/.

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General practice has undergone considerable change in the last two decades. New roles for nurses working in general practice have extended to include tasks that were previously delivered by general practitioners, in particular chronic disease management, and the development of new, advanced roles such as independent nurse prescribing. There have been few research studies investigating the impact of these changes, especially after the introduction of the new General Medical Services contract in April 2004. The overall aim of the work presented in this thesis was to examine the emerging roles of practice nurses, the forces influencing that development, and the effects of these changes on doctor-nurse skill mix in general practice within NHS Scotland. The work employed a mixed methods approach, with three inter-linked studies. The first study was a quantitative, desk-based analysis of workload and clinical activities of doctors and nurses working in 37 practices across Scotland for the year 2002. The second study was a postal questionnaire to all practice nurses working within NHS Greater Glasgow (n=329), conducted in autumn 2005 and achieving a 61% response rate. The third study was a qualitative study, consisting of eighteen interviews with a doctor and nurse inform each of nine general practices. The interviews were conducted between January and July 2006 and practices were selected according to the number of partners and the deprivation status of the practice population. Analysis of workload data showed that practice nurses and general practitioners dealt with 27.5% and 72.5% of total face-to-face encounters, respectively. Many of the encounters with nurses involved chronic disease management, with 20% of such encounters appearing similar in content to the work of GPs. The postal survey found that one third of practice nurses were aged over 50, and will be approaching retirement within 10 years. The majority worked in small teams of nurses, although 31% worked alone. This may have contributed to the finding that 52% (n=103) reported feeling isolated in their workplace. Many had attended CPD training on chronic conditions, but identified minor illness treatment as an area for future training. The qualitative study showed that the Quality and Outcomes Framework of the 2004 contract had been a key driver of changes in general practice service delivery. This has led to an increasing shift in routine care from doctors to nurses. As new roles for practice nurses have evolved, GPs have been able to focus on treating complex morbidities that need medical diagnosis and intervention. The incentivised targets of the new contract have made chronic disease management a predominant activity for practice nurses, with treatment room and non-incentivised activities featuring less and increasingly being provided by new, lower grade nurses or nurse replacements such as Health Care Support Workers (HCSW). There was no consensus between interview participants in terms of the most appropriate use of doctor-nurse skill mix in general practice. Nor did they agree on the merit of advanced roles for practice nurses. However, respondents did emphasise that nurses who wanted to have an independent/advanced role in the practice would need to combine three competencies (independent nurse prescribing, triaging, and minor illness treatment). Most practice nurses interviewed were concerned with obtaining a fair financial return to match their increasing responsibilities, especially after the introduction of the nGMS contract. GPs, however, tended to believe that nurses were appropriately remunerated for the level of responsibility they had within the practice. The continuing role of the GP as the employer of practice nurses was problematic for some nurses and many felt there would be advantages to being employed on Agenda for Change terms and conditions. However, the majority of nurses interviewed preferred being employed by a GP rather than the Health Board. There was little support amongst either nurses or GPs for the notion of nurse partners within practices. Overall, these studies provide lessons which will be of value in planning the future training and development of practice nurses. It suggests that practice nurses should obtain proper training and support in order to meet their individual needs and to carry out new responsibilities and roles. In addition, the impending shortage of practice nurses due to retirement, lack of retention and potential recruitment difficulties needs to be addressed urgently at the level of primary care policy and manpower planning.
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Goodchild-Brown, Beatrix. "Carinus Nursing College : an historical study of nursing education and management using the general systems approach, 1947-1987." Master's thesis, University of Cape Town, 1992. http://hdl.handle.net/11427/26620.

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The purpose of this dissertation is to research aspects of the historical development of Nursing Education and Nursing Management at the Carinus Nursing College from 1949 to 1987; to determine and explain how the College has adapted and coped with historical change and to determine whether proposals for the future can be made. Research has been done by applying the general systems theory and by using the standard methods of historical analysis. Data has been collected by means of oral history, literature search and documentation. The variables isolated are the College as a system; the government or influential super systems; resources such as financial, personnel and students and material inputs; and throughput or processing the work in the output, which leads to the professional nurse. The models used are Bucheles' organizational system, Sharma's flow chart pattern, Mintzberg's parts of organizational systems, and power flows and as shown in Emery, Feibleman and Friends relations and rules of interaction in systems thinking. Parsons' "imperatives of maintenance of a system" as well as Alvin Toffler's "second and third wave phenomena as responses to change" were two further models that were used. By using Robert Buchele's model, the work is divided into four parts: - i) the College as a system ii) the super systems iii) the resources iv) the throughput or processing. A further design that emerged was that two eras could be distinguished, within which three historical phases: - Early, Middle and Late are developed.
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Books on the topic "Nursing - General"

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A, Downie Patricia, ed. General medical nursing. London: Penguin, 1989.

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Cheetham, Christina. Revise general nursing. London: Baillière Tindall, 1987.

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Cheetham, Christina. Revise general nursing. London: Baillière Tindall, 1987.

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Luft, Sarah, and Milly Smith, eds. Nursing in General Practice. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4899-3089-7.

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R, Johnson J., ed. Psychiatric nursing for general nurses. London: Celtic Revision Aids, 1985.

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The origins of general nursing. London: Croom Helm, 1985.

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Barbara, Stilwell, and Hobbs Richard 1953-, eds. Nursing in general practice: Clinical care. Oxford: Radcliffe Medical, 1990.

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Gorman, Linda M. Psychosocial nursing for general patient care. 3rd ed. Philadelphia: F.A. Davis Co., 2008.

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Donna, Sultan, ed. Psychosocial nursing for general patient care. 3rd ed. Philadelphia: F.A. Davis Co., 2008.

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Central Nursing Advisory Committee, Northern Ireland. Nursing philosophy in Northern Ireland: A general philosophy for nursing. [Belfast]: Central Nursing Advisory Committee, Northern Ireland, 1985.

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Book chapters on the topic "Nursing - General"

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Merchant, Jane. "General/adult nursing." In Clinical Supervision and Mentorship in Nursing, 109–20. Boston, MA: Springer US, 1992. http://dx.doi.org/10.1007/978-1-4899-7228-6_8.

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Mattocks, Sarah. "General Practice Nursing." In Mentorship in Community Nursing: Challenges and Opportunities, 111–17. Oxford, UK: Blackwell Science Ltd, 2008. http://dx.doi.org/10.1002/9780470690536.ch10.

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Halcomb, Elizabeth J. "General practice nursing." In Nursing in Australia, 254–60. Milton Park, Abingdon, Oxon; New York, NY: Routledge, 2021.: Routledge, 2020. http://dx.doi.org/10.4324/9781003120698-33.

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Owens, Patricia, and Howard Glennerster. "Implementing general management." In Nursing in Conflict, 59–82. London: Macmillan Education UK, 1990. http://dx.doi.org/10.1007/978-1-349-11177-0_5.

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Armstrong, Alan E. "The Virtues in General Ethics." In Nursing Ethics, 26–39. London: Palgrave Macmillan UK, 2007. http://dx.doi.org/10.1057/9780230206458_3.

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Luft, Sarah. "The dynamics of practice nursing." In Nursing in General Practice, 158–86. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4899-3089-7_7.

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Smith, Milly. "Practice nursing: profession or occupation?" In Nursing in General Practice, 187–213. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4899-3089-7_8.

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Smoyak, S. A. "General systems model: principles and general applications." In Psychiatric and Mental Health Nursing, 133–52. Boston, MA: Springer US, 1990. http://dx.doi.org/10.1007/978-1-4899-3011-8_6.

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Van Bogaert, Peter, and Sean Clarke. "General Conclusions." In The Organizational Context of Nursing Practice, 309–10. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-71042-6_15.

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Mansfield, Jacqueline. "How social policy influences health." In Nursing in General Practice, 1–36. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4899-3089-7_1.

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Conference papers on the topic "Nursing - General"

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Kim, Mi-Jung. "The effect of socio-demographic characteristics of the childcare staff on general mental health." In Healthcare and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.104.02.

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Jang, Sunyoung. "Effects of Nurse Staffing on Surgical Patient-Outcomes with Cerebrovascular Disease in General Hospitals." In Healthcare and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.116.36.

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Choi, Jung Im, and Myung Suk Koh. "Differences of Job stress, Burnout, and Mindfulness according to General Characteristics of Clinical Nurses." In Health Care and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.88.40.

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Sintia Lamonge, Annastasia. "Diabetic Self-Care Practice and Health-Related Quality of Life of Type 2 Diabetic Patients In Outpatient Department-Philippine General Hospital." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.44.

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Esti Susanti, Christina. "The Influence of Internal Service Quality Toward Patient's Behavioral Intention In Inpatient Unit At The Type C General Hospitals In East Java, Indonesia." In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.31.

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Koh, Myung Suk, Nam Suk Lee, and Hyeon Cheol Jeong. "Comparison of the Influence of Work Satisfaction and Job Stress on the Turnover Intention of Nurses in the General Ward and the Comprehensive Nursing Service Ward." In Healthcare and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.116.27.

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Abidin, Zaenal, Nissa Aruming Sila, Alwan Revai, and Gusti Pandi Liputo. "Modified Early Warning System (Mews), Indicator Of Changes In Patient's Condition In The General Wards: A Sistematic Review." In 8th International Nursing Conference on Education, Practice and Research Development in Nursing (INC 2017). Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/inc-17.2017.19.

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Akers, Elizabeth, Sonia Chavda, Chloe Couzens, Louise Eccles, Sophie Grout, Kirsty Hart-Dyer, Danielle Law, Amelia Painter, Summer Parker, and Emma Scott. "75 General paediatric nursing education at GOSH- new team, a new disease." In GOSH Conference 2020 – Our People, Our Patients, Our Hospital. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-gosh.75.

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Putra, Kuswantoro, Baiq Rukmana, and Ahsan Ahsan. "The Nursing Work Environment and Triage Decision Making Among Nurses in General Hospitals." In Proceedings of the 6th Batusangkar International Conference, BIC 2021, 11 - 12 October, 2021, Batusangkar-West Sumatra, Indonesia. EAI, 2022. http://dx.doi.org/10.4108/eai.11-10-2021.2319516.

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Diniz, Clebiana Alves E. Silva, Poliana Silva de Brito, Tainan de Andrade Rocha, Thaísa Mirella da Silva, and Julia Maria Pacheco Lins Magalhães. "Nursing care for children victims of violence." In II INTERNATIONAL SEVEN MULTIDISCIPLINARY CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/homeinternationalanais-037.

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Abstract The occurrence of cases of violence has transformed the profile of health problems in Brazil and worldwide. To address this problem, new approaches to the health sector are necessary, such as the determinants oflifestyle, the conditions to mbientais, social and the impact that is caused on quality of life. Even with the enactment of the National Health Policy for The Reduction of Accidents and Violence, the system has been slowly organized to meet the needs of the theme while trying to assist the general demand (MINAYO, 2007)
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Reports on the topic "Nursing - General"

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Schwieger, Alexandra, Kaelee Shrewsbury, and Paul Shaver. Dexmedetomidine vs Fentanyl in Attenuating the Sympathetic Surge During Endotracheal Intubation: A Scoping Review. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0007.

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Purpose/Background Direct laryngoscopy and endotracheal intubation after induction of anesthesia can cause a reflex sympathetic surge of catecholamines caused by airway stimulation. This may cause hypertension, tachycardia, and arrhythmias. This reflex can be detrimental in patients with poor cardiac reserve and can be poorly tolerated and lead to adverse events such as myocardial ischemia. Fentanyl, a potent opioid, with a rapid onset and short duration of action is given during induction to block the sympathetic response. With a rise in the opioid crisis and finding ways to change the practice in medicine to use less opioids, dexmedetomidine, an alpha 2 adrenergic agonist, can decrease the release of norepinephrine, has analgesic properties, and can lower the heart rate. Methods In this scoping review, studies published between 2009 and 2021 that compared fentanyl and dexmedetomidine during general anesthesia induction and endotracheal intubation of surgical patients over the age of 18 were included. Full text, peer-reviewed studies in English were included with no limit on country of study. The outcomes included post-operative reviews of decrease in pain medication usage and hemodynamic stability. Studies that were included focused on hemodynamic variables such as systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate, and use of opioids post-surgery. Result Of 2,114 results from our search, 10 articles were selected based on multiple eligibility criteria of age greater than 18, patients undergoing endotracheal intubation after induction of general anesthesia, and required either a dose of dexmedetomidine or fentanyl to be given prior to intubation. Dexmedetomidine was shown to effectively attenuate the sympathetic surge during intubation over fentanyl. Dexmedetomidine showed a greater reduction in heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure than fentanyl, causing better hemodynamic stability in patients undergoing elective surgery.Implications for Nursing Practice Findings during this scoping review indicate that dexmedetomidine is a safe and effective alternative to fentanyl during induction of general anesthesia and endotracheal intubation in attenuating the hemodynamic response. It is also a safe choice for opioid-free anesthesia.
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2

Johnson, Corey, Colton James, Sarah Traughber, and Charles Walker. Postoperative Nausea and Vomiting Implications in Neostigmine versus Sugammadex. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0005.

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Purpose/Background: Postoperative nausea and vomiting (PONV) is a frequent complaint in the postoperative period, which can delay discharge, result in readmission, and increase cost for patients and facilities. Inducing paralysis is common in anesthesia, as is utilizing the drugs neostigmine and sugammadex as reversal agents for non-depolarizing neuromuscular blockers. Many studies are available that compare these two drugs to determine if neostigmine increases the risk of PONV over sugammadex. Sugammadex has a more favorable pharmacologic profile and may improve patient outcomes by reducing PONV. Methods: This review included screening a total of 39 studies and peer-reviewed articles that looked at patients undergoing general anesthesia who received non-depolarizing neuromuscular blockers requiring either neostigmine or sugammadex for reversal, along with their respective PONV rates. 8 articles were included, while 31 articles were removed based on our exclusion criteria. These were published between 2014 and 2020 exclusively. The key words used were “neostigmine”, “sugammadex”, “PONV”, along with combinations “paralytic reversal agents and PONV”. This search was performed on the scholarly database MEDLINE. The data items were PONV rates in neostigmine group, PONV rates in sugammadex group, incidence of postoperative analgesic consumption in neostigmine group, and incidence of postoperative analgesic consumption in sugammadex group. Results: Despite numerical differences being noted in the incidence of PONV with sugammadex over reversal with neostigmine, there did not appear to be any statistically significant data in the multiple peer-reviewed trials included in our review, for not one of the 8 studies concluded that there was a higher incidence of PONV in one drug or the other of an y clinical relevance. Although the side-effect profile tended to be better in the sugammadex group than neostigmine in areas other than PONV, there was not sufficient evidence to conclude that one drug was superior to the other in causing a direct reduction of PONV. Implications for Nursing Practice: There were variable but slight differences noted between both drug groups in PONV rates, but it remained that none of the studies determined it was statically significant or clinically conclusive. This review did, however, note other advantages to sugammadex over neostigmine, including its pharmacologic profile of more efficiently reversing non-depolarizing neuromuscular blocking drugs and its more favorable pharmacokinetics. This lack of statistically significant evidence found within these studies consequentially does not support pharmacologic decision-making of one drug in favor of the other for reducing PONV; therefore, PONV alone is not a sufficient rationale for a provider to justify using one reversal over another at the current time until further research proves otherwise.
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3

Batt, Rosemary, Eileen Applebaum, and Tamar Katz. The Role of Public REITs in Financialization and Industry Restructuring. Institute for New Economic Thinking Working Paper Series, July 2022. http://dx.doi.org/10.36687/inetwp189.

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Real Estate Investment Trusts (REITs) are important but little studied financial actors that control over $3.5 trillion in gross assets and over 500,000 properties in the U.S. Yet they have been largely ignored because tax rules define them as ‘passive investors.’ The evidence in this report shows that they are actually financial actors that aggressively buy up property assets and manage them to extract wealth at taxpayers’ expense. This study identifies the powerful impact that REITs, as owners of the real estate that houses productive enterprises, have had on operating companies and on the US economy more generally. It draws on case study evidence from markets where REITs have a major presence – nursing homes, hospitals, and hotels. The tax treatment of REITs has facilitated a growing and worrying influence on health care markets in particular at taxpayer expense.
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