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Inpatient practice. An integrated framework.

E G Morrison1

  • 1University of Alabama School of Nursing, Birmingham 35294-1210.

Journal of Psychosocial Nursing and Mental Health Services
|January 1, 1992
PubMed
Summary
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This study presents an integrated practice framework combining nursing and system concepts for clinical nurse specialists (CNS). This approach enhances inpatient care by integrating direct patient care with essential system management strategies.

Area of Science:

  • Nursing Practice
  • Healthcare Systems Management
  • Clinical Nurse Specialist (CNS) Roles

Background:

  • Inpatient nursing requires more than direct patient care; it necessitates effective system management.
  • Clinical Nurse Specialists (CNS) must navigate complex institutional environments.
  • Existing practice models may not fully address the integration of care delivery and system navigation.

Purpose of the Study:

  • To introduce and evaluate an integrated practice framework for CNS in inpatient settings.
  • To demonstrate the advantages of combining nursing concepts, the nursing process, and system concepts.
  • To provide a guide for CNS to enhance both patient care and system management.

Main Methods:

  • Development of a practice framework integrating nursing and system concepts.

Related Experiment Videos

  • Application of the framework in the clinical practice of a CNS.
  • Qualitative assessment of the framework's utility in guiding inpatient practice.

    • Main Results:

    • The integrated framework offers distinct advantages for inpatient practice.
    • It provides direction for nursing care (nursing concepts) and structure for delivery (nursing process).
    • System concepts facilitate CNS navigation and negotiation within the institutional context.

    Conclusions:

    • The integrated framework has proven useful in CNS inpatient practice.
    • Further use and testing are indicated to validate its broader applicability.
    • This model supports managing the healthcare system to ensure quality patient care delivery.