Hu li za zhi The journal of nursing
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Discussions of the impact of technological innovation on nursing practices have focused on how technology enhances nursing professional abilities to deliver quality nursing care, on one hand, and the sacrifice of artistic and humanistic aspects of nursing on the other. The debate highlights the fundamental incompatibilities between technology and nursing. ⋯ This article discusses medical technology in the context of the nursing practice in an attempt to reveal the interplay between technology and nursing with four major themes including the transformation of the ownership of technology, the transformation of nurses' professional identity, the transformation of the relationship between physicians and nurses, and the transformation of the nursing labor process. Implications for nursing practice and directions for future research are suggested.
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Case Reports
[The application of hospice palliative care on discharge planning for the terminal cancer patient].
Whole person, family-centered, continued care, and multidisciplinary approach were four core values of hospice palliative care applied in this paper to assist in the difficult processes of discharging terminal cancer patients from the hospital and providing continued care until their peaceful death. Reasons underlying difficulties with discharges identified during hospitalizations between July 5th to 25th 2007 include: 1. 'whole person' aspects, including lack of confidence with the discharge on the part of the patient and his / her families due to inadequate symptoms control and loneliness due to lack of caregiver understanding and support; 2. 'family-centered' aspects, including failure to designate a key decision maker, differences of opinions, and overwhelming caregiver burdens; 3. 'continuity of care' aspects, including lack of appropriate and continuing palliative care and 4. 'multidisciplinary approach' aspects, including factitious relationships among patient, family members, and healthcare providers due to lack of trust. ⋯ Ultimately, patients were successfully discharged from the hospital and peacefully passed away one week afterward. The writer hopes this nursing experience will provide a valuable reference for clinical practice to develop a family-centered approach to palliative care based on the four core values of hospice palliative care and the multidisciplinary discharge plan for terminal cancer patients.
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The purpose of this project was to improve the comprehensiveness of nursing instructions given to patients on managing pain following total knee replacement surgery. The project began on 3 January 2007 and concluded on 30 June of the same year. ⋯ Nursing instruction performance also rose from 28.6% to 95.0% and the correctness of nurse knowledge with regard to postoperative pain management rose from an initial 62.1% to 93.1%. In conclusion, this project to improve the appropriateness and comprehensiveness of nurse instructions to patients with the objective of managing pain following total knee replacement surgery effectively achieved significantly positive results.
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The aim of hospice palliative education care is to train nurses in hospice philosophy, terminal care skills, nursing care competencies, and professional reliability. Student nurses, staff nurses, and advanced practice nurses must be taught through a proper sequence, from novice to expert. Working together with patients and their families, nurses can educate and care for the physical, social and spiritual needs of terminally ill patients. ⋯ The current overdependence on traditional nursing education models, which hinders student nurse originality and delays staff nurse growth. Faced with the present issues, self-reflection, localization, and multiple teaching strategies should be the critical developmental directions of hospice palliative education. In order to improve terminal care quality, it is also important to integrate practice, education, and research in order to train more hospice palliative nurses.
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This paper aimed to expand the paradigm of nursing and expand the essential factors of nursing theories beyond "environment" to encompass universal life. While individuals live between the sky and earth, we are an inseparable part of the universe. "Health" is derived from a oneness that embraces the body, mind and spirit. The human body contains the wisdom of the universe, known in Chinese philosophy as the wisdom of "Changes". ⋯ Our inner world is also displayed through physical symptoms. As human suffering is caused by separation from our inner life, the only path to enjoying a healthy and joyful life is to achieve a oneness between our body-mind-spirit. Such is a universal law, which is called "Changes" or "Oneness".