This book seeks to define nursing at a management or administrative level. Using the widely regarded Orem self-care deficit model to provide a nursing focus, the authors explore the nursing needs of populations, the roles and functions of advanced practice nursing administration, and the administrative structures, processes and outcomes that facilitate nursing practice.

Appendix 6A: General Nursing System Design for New Spinal Cord Injury Patients

Appendix 6A: General nursing system design for new spinal cord injury patients

Factors Affecting Predictability of Outcomes

  • Whether the injury is complete or incomplete
  • Premorbid personality and operability of self-care agency
  • Extent of therapeutic self-care demand in relation to abilities of individual/dependent care agent
  • Socioeconomic-cultural influences on a) adjustment and b) effectiveness of self-management (i.e., when resources—financial, medical, and care provider—are limited, effectiveness of care management is diminished)
  • Time for adjustment—may take 2 to 4 years for both tetraplegics and paraplegics

AUTHORS' NOTE: From “Structuring Nursing Practice Based on Orem's Theory of Nursing: A Nurse Administrator's Perspective,” by S. E. Allison, in The Art and Science of Self-Care (Figure 22.2, pp. 231–234), edited by J. ...

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