Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/3657
Title: An evaluation of nursing practice models in the context of the severe acute respiratory syndrome epidemic in Hong Kong : a preliminary study
Authors: Chan, EA 
Chung, J
Wong, TKS
Yang, JCS
Keywords: Hong Kong
Infection control practice and education
Nurses' views
Nursing delivery models
SARS
Issue Date: Jun-2006
Publisher: Wiley-Blackwell
Source: Journal of clinical nursing, June 2006, v. 15, no. 6, p. 661-670 How to cite?
Journal: Journal of clinical nursing 
Abstract: Aim and objective. Like other health-care workers, Hong Kong nurses had their professional knowledge and skills seriously challenged during the SARS outbreak. Could current nursing practices support the care of SARS or SARS-like patients in the future? If not, alternative practices would be needed. Providing a preliminary understanding, this paper compares the conventional with different nursing delivery models in a simulated SARS ward and focuses on nurses’ efficiency, infection control practices and views of the two models.
Design and methods. This study was conducted in three phases. First, a baseline understanding of nursing practices was achieved through four workflow observations. In an eight-hour day, four research assistants observed nursing activities in the medical and fever wards. These data were used in the second phase to construct two sets of clinical vignettes, pertaining to SARS patient care in both conventional and alternative practice models. These scripts were discussed with nine nurses of various ranks from the hospital under study for their expert validation and input. In the third phase, nurse participants and patient actors enacted the vignettes in a simulated setting. Video-taped observations and four nurse participant interviews were employed. Observational data were analysed through descriptive statistics and independent t-tests. Textual data were coded and categorized for common meanings.
Results. Conventional practice from the findings consisted of cubicle and named nurse nursing. While the former reflected modified team and functional nursing, it did not confine patient care within a cubicle as suggested by its name. The latter depicted a modified primary nursing approach in a team, with delegation of care. Preliminary findings concerning infection control and nurse satisfaction revealed that the alternative model had an advantage over the conventional.
Relevance to clinical practice. This study findings lay the foundation for clinical trials, which would evaluate the significance of patient-care quality, cost-effectiveness and better human resource management by restructuring current nursing practices.
URI: http://hdl.handle.net/10397/3657
ISSN: 0962-1067
EISSN: 1365-2702
DOI: 10.1111/j.1365-2702.2006.01345.x
Rights: © 2006 Blackwell Publishing Ltd. This is the pre-peer reviewed version of the following article: Engle Angela Chan, et al., An evaluation of nursing practice models in the context of the severe acute respiratory syndrome epidemic in Hong Kong: a preliminary study, Journal of Clinical Nursing, June 2006, v.15, no. 6, which has been published in final form at: http://dx.doi.org/10.1111/j.1365-2702.2006.01345.x.
Appears in Collections:Journal/Magazine Article

Files in This Item:
File Description SizeFormat 
Model study for JCN revised May 2005 (3).pdfPreprint version98.21 kBAdobe PDFView/Open
Access
View full-text via PolyU eLinks SFX Query
Show full item record
PIRA download icon_1.1View/Download Contents

SCOPUSTM   
Citations

13
Last Week
0
Last month
0
Citations as of Jun 18, 2018

WEB OF SCIENCETM
Citations

11
Last Week
0
Last month
0
Citations as of Jun 23, 2018

Page view(s)

311
Last Week
5
Last month
Citations as of Jun 18, 2018

Download(s)

432
Citations as of Jun 18, 2018

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.