1,721,047 research outputs found
Environment for Nursing Scholarship and Journal Impact Factors in Taiwan
No full textUniversities are seeking objective measures to assess their faculty members' research output in order to improve their national and international standing. Despite concerns, many have adopted the impact factor of journals for this purpose. The objective of this study was to explore the conditions that have been created within Taiwan as a result of such national and institutional policies.A case study design was used. Information was sought from five senior faculty members, who responded to a questionnaire with items derived from the literature.A key participant provided context within the country. The data were summarized and described. The respondents confirmed the presence of governmental and university policies for publication in highimpact factor journals; they saw some positive aspects, yet described the obstacles faced by many scholars, felt that the policies led to competition rather than cooperation, and viewed national , compared to international, publications in opposing terms. The findings are discussed within the context of current nursing literature. It is recommended that, where impact factors are used, they not be the only quality measure.A larger and more representative study is also recommended
Environments for Nursing Scholarship and Journal Impact Factor in Five Countries
No full textBACKGROUND: Universities worldwide are seeking objective measures for the assessment of their faculties' research products to evaluate them and to attain prestige. Despite concerns, the impact factors (IF) of journals where faculties publish have been adopted. RESEARCH OBJECTIVE: The study aims to explore conditions created within five countries as a result of policies requiring or not requiring faculty to publish in high IF journals , and the extent to which these facilitated or hindered the development of nursing science. DESIGN: The design was a multiple case study of Brazil, Taiwan, Thailand (with IF policies, Group A ), United Kingdom and the United States (no IF policies, Group B). Key informants from each country were identified to assist in subject recruitment. METHODS: A questionnaire was developed for data collection. The study was approved by a human subject review committee. Five faculty members of senior rank from each country participated. All communication occurred electronically. FINDINGS: Groups A and B countries differed on who used the policy and the purposes for which it was used. There were both similarities and differences across the five countries with respect to hurdles, scholar behaviour, publishing locally vs. internationally, views of their science, steps taken to internationalize their journals. CONCLUSIONS: In group A countries, Taiwan seemed most successful in developing its scholarship. Group B countries have continued their scientific progress without such policies. IF policies were not necessary motivators of scholarship; factors such as qualified nurse scientists, the resource base in the country , may be critical factors in supporting science development
A Study of a Nursing Department Performance Measurement System: Using the Balanced Scorecard and the Analytic Hierarchy Process
No full textThe health care industry is under pressure from government and private entities as well as from market conditions to contain costs. In an effort to respond to these pressures, the case hospital in this study implemented a Balanced Scorecard (BSC) in January 2003 and integrated it with the hospital's formal incentive plan for non-physicians in January 2005. The nursing department's performance improved in the 2 years following the introduction of the plan. This study contributes to the literature by demonstrating the performance improvement that results from integrating the BSC with an incentive plan in the nursing field. The results provide insight into the current BSC performance metrics applied by the case nursing department, and could be used as guidelines by other health care organizations that wish to implement BSC-based incentive plans
中老年糖尿 病患心目中的幸福感
No full text促進病人的幸福感（well－being）是護理的主要目標。護理人員對服務物件的幸福 感應有清楚的概念，才能確定我們是否協助病人朝向目標邁進。本研究的目的是探討 中老年糖尿病人心目中幸福的主觀意義。研究者以方便取樣，深入訪談12位，50歲以 上忠糖尿病者，訪談是在醫院或病人家中進行，每位病人訪談1－2小時，會談內容均 寫成書面記錄，藉由內容分析找出「幸福感」意義的主題以形成概念模式。結果發現 幸福感的概念含有五個主題：（1）家庭支持一從家人獲得實質的幫助、肯定、愛和 忠告，（2）完成自己對家庭的所有義務一自認為完成對家庭應負責的任務，（3）有 尊嚴一覺得自己高尚、有價值、被尊重，（4）自立一在經濟和日常生活上不依賴子 女或他人，（5）家庭以外的支持一從家庭以外的人獲得實質的幫助、肯定、愛和忠 告。研究結果顯示中老年人的幸福感是包含身體、心理、社會各面向的統合性概念。 我國傳統的五福觀念：健康、長壽、財富、俗德、善終，仍深植中老年人心中，家庭 在他們的心中還是佔了首要地位。家庭支持對中老年人的健康幸福有正面的影響，護 理人員在照顧中老年人時，應把家屬納入且應促進家庭的健康以強化家庭給中老年人 的支持。 To promote clients’ well-being is the primary goal of nursing practice. Researchers and practitioners should formulate a clear concept of well-being. The purpose of this study was to explore the subjective meaning of well- being in older patients with diabetes mellitus in Taiwan. A convenience sample of twelve older Taiwanese with diabetes mellitus were recruited. For data collection, face-to-face, in-depth interviews lasting 1 to 2 hours were conducted by the researcher in a quiet room in the hospital or in the subjects’ home. The interviews were recorded in writing immediately after being conducted. Content analysis was performed to generate a conceptual model to explicate the meaning of well-being. Findings from content analysis revealed that well-being consists of five themes which the subjects perceive as essential attributes of good life in old age. The five themes were: (1) family support — the tangible benefits, affirmation, affection and advice acquired from family members; (2) completion of all family obligations —the sense of completing all the duties that the subjects perceived to be among their obligations toward their family; (3) sense of dignity— a self-perception of being noble, worthy, and respected; (4) self-reliance — the perception of not being dependent on children or others for financial support or physical care; and (5) extrafamilial support—the perceived tangible benefits, affirmation, emotional support and advice provided by the individuals who do not belong to one’s own family. The findings confirm that five elements of traditional Chinese concepts of well- being, i.e. health, longevity, wealth, virtue, and a peaceful death, are still embedded in today’s concept of well-being. The identified themes indicate that older adults perceive well-being in an integrative way. Subjects were concerned with physical, psychological, and social perspectives at the same time. Family held a position of supremacy in these subjects’ lives. It reinforces the validity of positive effects of family support on the well- being of older adults. Families should be involved in nursing care of older adults and the health of the family should be promoted to strengthen family support
Therapeutic Play in Nursing Care: One Experience with a School-Age Liver Transplant Recipient=應用治療性遊戲於肝臟移植術後學齡期兒童之護理經驗
No full text本文以個案研究法探討一位學齡期接受活體肝臟移植手術後的兒童之護理經驗,主要 採用治療性遊戲來進行對個案的照護。首先利用個案喜愛的遊戲,建立治療性關係 其次從其喜好中發展出治療性遊戲藉以觀察個人的健康與生活習慣,並且評估其對住 院的感受和對自我照護的了解 最後藉由遊戲來引導個案更熟悉自我照顧的細節,同 時當個案在加護病房面臨與父母的分離焦慮時,引導其說出內心感受並宣洩負向情? 。過程中,筆者深感治療性遊戲對兒童在住院期間的重要,其可作為與兒童溝通的工 具及提升對治療的順從性,護理人員應適時將遊戲納為護理措施,協助兒童減輕住院 期間面臨的各種壓力。This case report described an experience using therapeutic play in the care of a school-age living donor liver transplant recipient. A first intervention employed playing the patient's favorite game in order to create a therapeutic relationship. The author then introduced therapeutic play elements into the game to observe the patient 's personal health behaviors, evaluate patient perception of hospitalization and assess the knowledge of self-care protocols. Therapeutic play was then used to raise patient familiarity with daily care specifics. The author found therapeutic play also helpful in persuading the patient to share deep feelings on the anxiety of separation from her parents while in the ICU. During the nursing process, the author recognized therapeutic play as an effective tool to communicate with children and improve treatment protocol compliance. The author recommends that nurses incorporate therapeutic play in clinical practice to reduce children's stress during hospitalization
功能評估：長期照顧服務的重要依據
No full text長期照護系統中不論是實際照的業務或是相關研究的進行都少不了功能評估的概念與 技能，本文介紹功能評估的概念架構、使用範圍、以及選擇功能評估量明應考慮的因 素，提供從事老人護理、復健護理、長期照護、及其它相關業務的護理同仁參考
譫妄病患之護理經驗
No full text譫妄為一老年住院病患常見的問題，本研究之目的在瞭解對譫妄病患之護理過程之經 驗，以開放性面談方式，共收集四位元曾照顧過譫妄病患的護理人員之護理過程並將 所得資料加以分析，結果發現整個護理經驗是—“尋求平衡”的過程，護理人員在平 日沈重工作負擔及病患發性譫妄之不確定性二者間，試圖採取最佳措施來平衡此二種 壓力，其所採取措施包括依賴家屬或其他病患的協助、確保病患安全、報告醫師處理 、及同儕間相互支持。瞭解護理人員的經驗能讓護理管理者在在職教育及人力分配等 各方面訂定措施，經由提升護理人員對譫妄之認知、評估、及處理技能，一方面能達 到早期偵測譫妄之目的，另一方面能減輕基層護理人員壓力，以提升病患之護理品質 。 This qualitative research was aimed at under standing nurses experiences of caring for delrious patients. Four in- depth open-ended interviews were analyzed. A model to present the caring experience was developed from the inter views. The experience of caring for the delirious patient is a process of “striving for balance”. Infor mants reported trying to deal with unan ticipated patient conditions and the unyielding work loads by balancing these two conditions. Some of the actions pursued included: relying on external resources, assur ing safety, reporting, and sup porting each other. Understanding nurses＇caring expeience is important for nurse admin is trators in helping the nurse man age delirious patients. Suggestions for future research are also made
- …
