Determinants of patient care: nursing process or nursing attitudes?

Moss, A. R.

doi:10.1111/j.1365-2648.1988.tb01455.x

Cited by 21 publications

(11 citation statements)

References 18 publications

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“…Often, the physical needs are addressed, but the psychological needs are poorly met or simply not addressed at all (Lewis-O'Connor et al, 2009 Moss, 1988). Personal attitudes influence the quality of care that a patient receives (McCann et al, 2007;Moss, 1988). Attitudes toward patients and their care may be influenced by a shared common culture, an individual's experience and knowledge base, and the time and skills needed to complete tasks.…”

Section: ▪ Review Of the Literaturementioning

confidence: 97%

“…Despite this, current approaches to treating adult sexual assault patients are inconsistent, and once patients arrive in the ED, they are often subjected to long waits and may be attended to by providers who lack the time and experience needed to care for them. Often, the physical needs are addressed, but the psychological needs are poorly met or simply not addressed at all (Lewis-O'Connor et al, 2009 Moss, 1988). Personal attitudes influence the quality of care that a patient receives (McCann et al, 2007;Moss, 1988).…”

Section: ▪ Review Of the Literaturementioning

confidence: 97%

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Does Sexual Assault Nurse Examiner (SANE) Training Affect Attitudes of Emergency Department Nurses Toward Sexual Assault Survivors?

Nielson

Strong²,

Stewart³

2015

Journal of Forensic Nursing

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There are over 243,800 female sexual assaults in the United States annually. Of those who seek healthcare services after being sexually assaulted, 90% present to hospitals. Unfortunately, care and services for women who have been sexually assaulted are inconsistent. Increased burnout, frustration, and feelings of inadequacy can lead healthcare providers to exhibit personal biases or negative attitudes toward their patients. The Joint Commission, responsible for accreditation of healthcare organizations, has stated that nurses must provide competent care to all patients. Therefore, Sexual Assault Nurse Examiner (SANE) training needs to be available for emergency department (ED) nurses who care for patients who have been sexually assaulted. A survey using the Attitude Toward Rape Victims Scale was sent to 1503 ED nurses throughout the United States, from the Emergency Nursing Association's mailing list. The results of the survey showed that there was a significant difference in attitudes toward the patients between SANE-trained emergency nurses and those without training. This study also showed that 35.5% of hospitals represented by the respondents did not have SANE services available for adult patients who had been sexually assaulted, and furthermore, 85.5% of the respondents who cared for adult patients who had been sexually assaulted were not SANE trained. The negative attitudes held toward such patients as found in this study, coupled with a lack of training provides evidence that ED nurses may benefit from education related to appropriate treatment for patients who have been sexually assaulted. As evidence-based practice becomes the gold standard of care, ensuring that nurses are properly trained to care for all patients must be the goal.

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Section: ▪ Review Of the Literaturementioning

confidence: 97%

Section: ▪ Review Of the Literaturementioning

confidence: 97%

Does Sexual Assault Nurse Examiner (SANE) Training Affect Attitudes of Emergency Department Nurses Toward Sexual Assault Survivors?

Nielson

Strong²,

Stewart³

2015

Journal of Forensic Nursing

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“…Research supports the theory that categories and schemas play a role in how nurses define a patient's condition and need for nursing care (Moss 1988). They may reflect socialization into nursing models, familiarity with particular disease patterns, past experience with like patients, or cultural influences.…”

Section: Individual Factorsmentioning

confidence: 77%

The Impact of Individual and Contextual Factors on Nursing Care and the Implementation of AHCPR Practice Guidelines

Arndt¹,

Bigelow²

1994

Medical Care Review

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Clinical practice guidelines are meant to assist practitioners in making decisions about appropriate care (Field and Lohr 1992). They are also an attempt to exercise control over practice variation and, by eliminating ineffective services, to reduce the cost of health care (Garber and Wagner 1991). The concept of practice guidelines has received renewed attention with the establishment of the Agency for Health Care Policy and Research (AHCPR) whose guidelines cross disciplinary lines and are expected to affect nursing care as well as medical care (Jacox, Ferrell, Heidrich, et al. 1992). Although nursing is the largest single component of inpatient cost (McKibbin et al. 1985; U.S. Department of Health and Human Services 1987; Walker 1983) and, like medical care, is subject to practice variation (Hinshaw, Verran, and Chance 1977; Fetter, Thompson, Ryan, et al. 1987; Skydell and Arndt 1988), research and policy discussions traditionally focus on the effect of guidelines on medical practice. Downloaded from 62 analyzing the potential impact on nursing care of the guidelines proposed by the AHCPR.An underlying assumption of practice guidelines is that clinical practice can be altered by rational information about outcomes and patient preferences (Eddy 1988). However, it has been pointed out that the link between information and actual medical or nursing care may be moderated by other factors (Waitzken and Hubbell 1992;Coyle and Sokop 1990;Kirchhoff 1982). This article looks at such influences on nursing care, arguing that nursing care not only is a function of the patient's illness but is influenced as well by the nurse's cognition and by the organizational context.The health management literature has paid little attention to the effect of individual or contextual factors on nursing care. The nursing literature adds insights but is not consistent in the factors it admits as influences. For example, theoretical models of nursing, which are concerned with what nursing &dquo;ought to be&dquo; (Stevens 1984), sometimes acknowledge that nurses' perceptions play a role in patient assessment (King 1981;Neuman 1982;Orem 1985) but discount influences from the work setting (Orem 1985;Orlando 1961). Practitioner literature, on the other hand, often recognizes the work setting as an important influence on nursing care (Aydelotte 1972;Hodges, Sanford, and Elzinga 1986;Van Slyck 1987), yet discounts nurses' perceptions, describing patient assessment as an objective analysis of patient need (Aydelotte 1972;Halloran 1988; Yura and Walsh 1988). The intent of this article is first to review the research on the impact of individual and contextual factors on nursing care, and second to analyze their impact on the implementation of AHCPR practice guidelines.The article is organized into three sections. The first draws on diverse fields, including nursing, psychology, sociology, health policy, and management, to describe individual and organizational factors that affect decisions about nursing care. The second section turns to an analysis ...

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“…In the western world, the role of the nurse is held to be changing from a custodial, nurturant one to that of an independent professional offering an objective problem solving approach (Moss, 1988). In the developing world, particularly in rural areas where there is a shortage of medical and mental health specialists, the nurse has an important part to play in detecting illness as well as treating it.…”

Section: Discussionmentioning

confidence: 99%

Nurses' Views of Parasuicide in a Developing Country

Elliot¹,

Pitts

McMaster

1992

Int J Soc Psychiatry

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This study examines the knowledge, beliefs, attitudes, intentions and experiences of nurses at various stages of their careers with regard to patients who have made suicide attempts. It focuses particularly on the relationship of traditional Shona beliefs about suicide and considers how they interact with western medical beliefs. A detailed questionnaire covering these elements was administered to three groups of nurses. They were sampled at either the beginning or end of their training or after approximately ten years experience. Knowledge of suicide was found to be poor and attitudes towards parasuicide were negative. Traditional beliefs were held strongly by all groups of nurses; western beliefs were strongest amongst experienced nurses. Practical implications of these attitudes and beliefs for training are considered.

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Determinants of patient care: nursing process or nursing attitudes?

Cited by 21 publications

References 18 publications

Does Sexual Assault Nurse Examiner (SANE) Training Affect Attitudes of Emergency Department Nurses Toward Sexual Assault Survivors?

Does Sexual Assault Nurse Examiner (SANE) Training Affect Attitudes of Emergency Department Nurses Toward Sexual Assault Survivors?

The Impact of Individual and Contextual Factors on Nursing Care and the Implementation of AHCPR Practice Guidelines

Nurses' Views of Parasuicide in a Developing Country

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