The organizational, interactional and care-oriented conditions for patient participation in continuity of care: A framework for staff intervention

Davis, Marcella Z.

doi:10.1016/s0271-7123(80)90714-2

Cited by 3 publications

(3 citation statements)

References 16 publications

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“…Nurses are not generally seen as having a major part to play in the rehabilitation process, their main contribution being made in the acute stage of an illness (RCN/BGS/ RCP 1975 and1987). Davies (1980) described a rehabilitation unit which truly facilitated patient independence and in which the nurse was seen to be an expert in the care of the skin, bowel and bladder. This kind of role can be viewed from two perspectives; either as an unpleasant job or as a sphere of expertise.…”

Section: Nurse's Role In Rehabilitationmentioning

confidence: 99%

Getting dressed in the early morning: styles of staff/patient interaction on rehabilitation hospital wards for elderly people

Waters

1994

Journal of Advanced Nursing

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This paper presents findings from a study of the nursing role in rehabilitation hospital wards for elderly people and focuses on early morning dressing; this is a microcosm of service delivery but it illustrates the way in which institutional practices impinge on patient experiences and highlights areas which warrant attention for the future development of rehabilitation services for elderly people in hospital. The reported findings are drawn from a non-participant structured observational study of 'early morning rising' on rehabilitation wards for elderly people.

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Section: Nurse's Role In Rehabilitationmentioning

confidence: 99%

Getting dressed in the early morning: styles of staff/patient interaction on rehabilitation hospital wards for elderly people

Waters

1994

Journal of Advanced Nursing

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“…Lubkin (1986) criticized hospitals as being too acute care oriented. Davis (1980) described an alternate type of setting in which patients are viewed from a more egalitarian perspective by health care workers with a result of better patient outcomes. 1987 and Two subjects died between interview a and b and the others had moved.…”

Section: Hospitalization As a Stressormentioning

confidence: 99%

Hazardous Secrets and Reluctantly Taking Charge: Parenting a Child with Repeated Hospitalizations

Burke

Kauffmann

Costello

et al. 1991

Image: the Journal of Nursing Scholarship

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This study developed a grounded theory of the stresses and coping responses of parents to the repeated hospitalization of chronically ill and disabled children. The theoretical sampling spanned four years and included 30 mothers of children who have a chronic illness or disability and 30 mothers of healthy children; 100 parents of disabled children who attended a weekend retreat: six community health nurses; nine mothers of chronically ill and disabled children before, during and after a hospitalization. The resulting mid-range theory identifies the most stressful aspect as "hazardous secrets" which force the parent to "reluctantly take charge" of the situation. "Vigilance", "calling a halt", "exhaustion" and "taking a break" are key constructs in the process. "Trusting parent and professional relationships" emerged only when a professional assisted in revealing secrets.

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“…The steady increases of chronically ill in the acute setting and especially those with multiple chronic illnesses and functional debilitation has given rise to any number of problems for both patients and staff in the acute hospital where care and services are organized around the acute disease model (Wiener et al 1982, Fagerhaugh et al 1982, Davis 1978. For example in an earlier study conducted in the institution on which this paper is based, Davis (1978Davis ( , 1980 found that when medical services were so predominantly oriented to acute care there were negative consequences for patients whose condition did not fit the acute disease model, e.g. chronically ill and patient care procedures which are not directly related but peripheral to those of acute care, e.g.…”

Section: Introductionmentioning

confidence: 99%

Nursing and the chronically ill patient in the acute‐care hospital

Davis

1984

Journal of Advanced Nursing

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The purpose of this exploratory interview study was to delineate the experience of nurses in a large acute-care/teaching hospital who provided nursing care to patients whose condition is characterized by: (a) chronicity, (b) severe functional debilitation, (c) whose care needs require maximum staff effort, and (d) whose potential for improvement was minimal. These patients are of significance for nurses because their predominant care needs are nursing, yet most nurses in the acute setting find the experience of providing care to these patients to be burdensome and discouraging. However, based on the data to be reported on here, there were nurses in the study who found the experience to be both challenging and rewarding. Discussion is on the experience of nurses who found a challenge and reward in the experience and focuses on (a) what they found in the nursing care of these patients to be a challenge and rewarding and why, (b) how their expectations for the patient and their perspective on the patient's progress enhanced provision of care to these patients, and (c) their impact on the ward vis-à-vis their peers. Implications for nursing practice are discussed.

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The organizational, interactional and care-oriented conditions for patient participation in continuity of care: A framework for staff intervention

Cited by 3 publications

References 16 publications

Getting dressed in the early morning: styles of staff/patient interaction on rehabilitation hospital wards for elderly people

Getting dressed in the early morning: styles of staff/patient interaction on rehabilitation hospital wards for elderly people

Hazardous Secrets and Reluctantly Taking Charge: Parenting a Child with Repeated Hospitalizations

Nursing and the chronically ill patient in the acute‐care hospital

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