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An evaluation of nurse-led team care within a rehabilitation ward for elderly people


, : An evaluation of nurse-led team care within a rehabilitation ward for elderly people. Journal of Clinical Nursing 3(1): 25-33

This small exploratory study evaluated the effects of introducing a system of nurse-led team care on a ward providing intensive nursing and rehabilitation to elderly people. A quasi-experimental design compared three variables between the study ward and two similar wards within the unit. These were: quality of care, job satisfaction, length of patient stay. Quantitative data were complemented by semi-structured interviews with team members and by observation of team meetings. Quality of care scores showed an improvement on the study ward, but no difference on the main comparison ward. There were no differences between nurse job satisfaction between the study and comparison wards or in length of patient stay throughout the period of evaluation. Observation of team meetings suggested that communication was more structured and focused on the study ward and that patient goals were more clearly specified. Interviews suggested three main factors in successful implementation of the change to nurse-led team care: commitment of the team, open communication about difficulties, the support of managers and medical staff. The main effects noted were: partnership with patients, equality between team members, improved decision making and quality of care. Further studies of nurse-led team care are required, and the stress and anxiety for staff consequent on developing the nurse's role in this way should be considered.

US$29.90

PMID: 8313071


Other references

Walzer, R.A.; Einbinder, J.M.; Nelson, C.T., 1966: Development of antibodies in response to immunization with heterologous skin. Rabbits immunized with full-thickness human fetal skin developed circulating antibodies against antigen(s) in human epidermis. The antisera reacted with a common antigen in human esophagus and ileum but did not cross-react with tissues or serum ob...

Richard, J.L.; Thurston, J.R., 1983: Rapid hematogenous dissemination of Aspergillus fumigatus and A. flavus spores in turkey poults following aerosol exposure. Cultures of blood samples taken from 3-week-old turkey poults exposed to aerosolized spores of either A. fumigatus or A. flavus for 15 min yielded organisms. A. fumigatus was also isolated from brain and liver tissue samples taken immediately afte...

Hewitt, R.G.; Morse, G.D., 1992: Granulocyte-macrophage colony-stimulating factor and zidovudine in the treatment of neutropenia and human immunodeficiency virus infection. Granulocyte-macrophage colony-stimulating factor (GMCSF) is a hematopoietic protein that has been studied both in vitro and in vivo in human immunodeficiency virus (HIV) infection. Since both HIV infection primarily and zidovudine (formerly AZT) t...

Leclercq Suzanne, 1954: Rapport general sur l'origine et l'evolution des Fougeres et des Pteridospermophytes du Paleozoique. Pages 146-160 1954

Heikkinen, R.; Luoto, M.; Virkkala, R., 2006: Does seasonal fine-tuning of climatic variables improve the performance of bioclimatic envelope models for migratory birds?. We examined the influence of 'seasonal fine-tuning' of climatic variables on the performance of bioclimatic envelope models of migrating birds. Using climate data and national bird atlas data from a 10 x 10 km uniform grid system in Finl...

Stokes A.N.S.; Croft G.C.; Gee D., 1987: Comparison of laboratory and intraorally formed mouth protectors. An ethylene vinyl acetate rim was intraorally adapted (I), and another was vacuum-formed on a stone cast (L). One type of mouth protector was worn for 8 weeks and then exchanged for the other. Subjects were not aware which type they had. At the en...

Ross, R.J.J..; Shaw, FC., 1972: Distribution of the Middle Ordovician Copenhagen Formation and its trilobites in Nevada. Professional. Papers US Geol Survey, 749 iii,1-33

Hassoun, A.A.; Nippoldt, T.B.; Tiegs, R.D.; Khosla, S., 1997: Hepatitis C-associated osteosclerosis: an unusual syndrome of acquired osteosclerosis in adults. American Journal of Medicine 103(1): 70-73

Rabodonirina, M.; Paulus, S.; Thevenet, F.; Loire, R.; Gueho, E.; Bastien, O.; Mornex, J.F.; Celard, M.; Piens, M.A., 1994: Disseminated Scedosporium prolificans (S. inflatum) infection after single-lung transplantation. A case of disseminated infection with S. inflatum is reported in a 50-yr-old woman from France who had received an organ transplant and was verified at autopsy. The patient underwent single (right)-lung transplantation and subsequently died on the...

Zachoval, R.; Hunstein, W.; Ho, A.D., 1980: Progressive multifocal leukoencephalopathy in a patient with Hodgkin's disease. This is a report on a 78-year-old patient with Hodgkin's disease of mixed cell type in stage III B, who, because of his age, underwent only mild cytostatic therapy. Two months after beginning of treatment, cerebellar neurological symptoms dev...