Hu li za zhi The journal of nursing
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Kuhn's thoughts on scientific revolutions, published in 1962, had a huge impact on many disciplines. In order to gain a foothold in their professional discipline, nursing scholars in the early stage aggressively borrowed knowledge from other disciplines, including Kuhn's outstanding thoughts on scientific revolutions, such as paradigm, normal science, and anomaly, that frequently appeared in scholarly articles in nursing. ⋯ Secondly, it elucidates Kuhn's paradigm and scientific revolutions. Lastly, it reflects upon and analyzes nursing knowledge using Kuhn's paradigm and scientific revolutions.
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This article mainly discusses the causes of acute confusion and the factors affecting them among patients in intensive care units, while also identifying relevant assessment tools and important points for consideration in medical care. Clinically, it is often observed that patients in intensive care units (ICU) develop changes in the neurotransmitters of the brain that are due to rapid changes in their disease or to attention disorders or cognitive disorders resulting from lack of stimuli from the external environment in a closed space. These patients mostly fail to cooperate in their treatment, which leads to the occurrence of complications and further increases the probability of disability and death. ⋯ Usually nurses, who look after patients 24 hours a day, are the clinicians who first discover the patients' changes in physiology and psychology. In today's clinical practice, however, we lack an assessment tool which can help ICU nurses to diagnose early, and in a rapid, simple and effective way, the cognitive and attention disorders of patients in order to provide early medical interventions and effective nursing interventions and reduce the incidence of various complications. With reference to relevant domestic and foreign research reports, the author identifies some acute confusion assessment tools and relevant information on nursing interventions for the benefit of nurses, and as guidance in their clinical work.
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This study was designed to evaluate the reliability and validity of the Chinese version of the diagnostic and statistical manual (DSM) of mental disorders written by Ely et al as a confusion assessment method for the intensive care unit (CAM-ICU) for diagnosing delirium. Purposive sampling was used to recruit 31 patients in a southern medical center ICU. Data were collected by two interviewers who used CAM-ICU to test inter-rater consistency. ⋯ The validity PABAK value was .48 (p< .01) and McNemar's test value was p = .72. The sensitivity achieved by the two interviewers was 89%, versus 96% for the doctor. The CAM-ICU is a method that helps ICU nursing staff to detect occurrences of delirium rapidly and easily, permitting early intervention treatment with fewer complications.
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Nursing education aims to help students understand concepts and gain competencies in holistic care. The purpose of this paper was to present a nursing curriculum that adapted and introduced holistic care into an adult nursing curriculum taught at a university of science and technology. ⋯ The nursing aspect addressed the way in which nursing was applied to identify client problems and provide individualized, integrated and continuous care in hospital, family or community based settings employing primary, secondary, or tertiary prevention. Scenario with problem based learning and concept mapping were used in class to guide students to consider in depth the concepts that underpin holistic care.
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The purpose of this paper is to propose a vision and appropriate policy development strategies for nursing manpower in Taiwan. Proposals are grounded in a comprehensive analysis of Taiwan's current nursing manpower policy problems based on the linkages between nursing education and nursing practice. Nursing manpower policy goes beyond concern for simple numbers to include other variables that affect nursing staffs such as workload, work environment, case complexity, skill level, nursing staff mix, and nursing care cost efficiency and effectiveness. ⋯ In recent years, demand for nurses in developed countries has fallen short of domestic supply, which has raised international nursing migration levels. The International Council of Nurses pursues policy issues related to nursing manpower. Although it has not yet experienced a shortage of nurses, Taiwan still lacks comprehensive policy and management systems governing nursing manpower.