Journal of advanced nursing
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Referral patterns to a palliative nursing team are examined within the context of the developing role of the service. Reasons for referral are identified and a checklist developed to encourage specificity in statement of need on referral. Comparison is made with the assessment of the Macmillan nurse on assessment. ⋯ There was no correlation between the referrers' perceived needs and the Macmillan nurses' assessments on visiting. The literature supports the need for more explicit referral criteria based on needs assessment. There are implications for greater awareness of roles, better communication regarding intervention, and organizational review.
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Improved management of HIV-related illness means that patients spend over 80% of their time in non-institutional settings. Most community-based health care in the United Kingdom is provided by primary health care teams: general practitioners and community nurses, with support from social workers. However, in many areas specialist HIV services have assumed responsibility for the care of HIV/AIDS patients, and primary health care teams have only played a marginal role. ⋯ The appropriateness of different nursing models was assessed, taking into account the changing epidemiological and demographic profile of the disease, the influence of dedicated HIV funding, and the effect of recent British National Health Service reforms. Three models of care have developed in NETRHA: specialist HIV teams, individual CNS HIV/AIDS acting as a resource to generic staff, and care given by generic community nurses. Our work suggests that both generic community nurses and patients benefit from specialist input, and that this should be provided using CNSs HIV/AIDS in an advisory and facilitative capacity.
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Comparative Study
Evaluation of the pain response by Mexican American and Anglo American women and their nurses.
This study examined the relationship between ethnicity and pain. The study addressed three major research questions. The first question asked whether there was a significant difference in Mexican American women's and Anglo American women's response to cholecystectomy pain. ⋯ Nurses evaluated the patients' pain as being less than patients did. Pearson product-moment correlations were used to examine the relationship between pain and sample characteristics of both patients and nurses. For the nurses, pain was significantly related to the patient's education, place of birth, language and religion.
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This paper looks at the patient satisfaction levels with care in an emergency department (ED) setting. Specific aspects of nursing care, information given to patients, auxiliary personnel and ED environment are examined in the light of the current literature on the subject. Recommendations for practice are provided to assist the nurse and administrator in updating their accountability to the ED patient.