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In this article account is given of a validation study, according to the nursing diagnosis 'social isolation'. The label, definition and cluster of defining characteristics according to cluster of defining characteristics according to Townsend (1990) are the starting point, the related factors are left out of consideration. The validation mentioned above was carried out in accordance with the Delphi-method, that consisted of three Delphi rounds. A panel of experts was asked particularly to compile defining characteristics that are relevant for 'social isolation' and to indicate the critical defining characteristics. This procedure generated a cluster of seven defining characteristics for 'social isolation' of which the content validity turned out to be considerably increased with regard to the cluster formulated by Townsend. The distinction between critical defining characteristics and supporting defining characteristics was not clarified by this study.

This paper describes a study on the relationship between job characteristics, health and well-being of health care professionals from various sectors (N = 249). More specific, we investigated the Demand-Control-Support Model (Johnson & Hall, 1988), using covariance structure modelling (LISREL 7). Although the data did not confirm the total model, we did found evidence with regard to some predicted relationships. Based on the present data, a revised model was presented. Finally, some practical implications were discussed.

This article describes the results of a cross-sectional study in which an inventory is made of the level of knowledge of and the need for information about osteoporosis among women in Breda aged 44-54 years. Subsequently the relation between self care agency and the level of knowledge is explored. Orem's self care theory was used as theoretical framework for this study.

The Abu-Saad Pediatric Pain Assessment Tool consists of 30 word descriptors in the sensory, affective and evaluative domains as well as a 10 cm scale that measures present and worst pain experienced by the child. In the first phase of the study an inventory was carried out of pain word descriptors used by hospitalized Dutch children. In the second phase, these word descriptors were given an intensity value on the 10 cm scale by 355 children. An alpha reliability coefficient of 0.83 supported instrument homogeneity. Factor analysis (N - 355) was used to investigate construct validity. A three-factor solution was carried out to evaluate the validity of the three dimensions of pain. Factor 1 consisted of items in the affective and evaluative domains and factors 2 and 3 items from the sensory domain. Ultimately a two-factor solution provided the most intelligible conceptual pattern with the least loss of information. Conceptual composition and discussion of these factors are described and elaborated.

The aim of the study was to investigate the correlation between complexity of nursing care and the level of competence of the nurse. In the study the actual level of competence and the desired level of competence has been distinguished. In total, 105 patients participated in the study. Complexity of care correlates with desired level of competence, but hardly with the actual level of competence. The correlation between complexity and level of competence is higher for new patients than for patients who were receiving care already.

This article reports on the results and method used in a literature review which was performed as a partial study in the Dutch National Pilot Research in Nursing Terminology. In this study literature stands for documents which are being used in nursing practice. The analysis of these documents points out that the Dutch practical nursing terminology is very heterogeneous. Concepts related to nursing diagnosis and nursing problems are used in many different ways. The arrangement of nursing terminology in general and of nursing diagnosis or nursing problems in particular, shows many dissimilarities. Indications for known classifications are small in number. There is a prodigious conceptual confusion. Community health care and mental health care show interesting efforts concerning classification, acute hospital care however only in a limited way. Community health care seems more advanced in establishing and systematizing nursing data. The results of this literature research indicate a large similarity with the results gathered at the other parts of the National Pilot Research in Nursing Terminology. The credibility of the results of this literature study is considered very high.

This paper reports on an investigation about application of the nursing process in psychiatric nursing. The main focus was the development of an instrument for measuring the nursing process. This instrument was developed on the principle of the SOAP-system. The goal of developing such an instrument was to give nurses the possibility of following the process of implementation of the nursing process on their wards. After selecting the items of the instrument, content validity and interrater reliability were determined. Analysis revealed adequate validity and reliability of the instrument. Therefore the instrument can be used in psychiatric hospitals applying the nursing process on the principle of the SOAP-system.

Problems and information needs of patients six months after myocardial infarction or after coronary artery bypass surgery were assessed in this study. The theoretical framework was provided by the theory of Orem (1991). Data on problems experienced and need for more or other information were collected by semi-structured interviews. Results show that almost all (81) of the 82 patiënts did experience problems the first six months after discharge. Most (60) of the 82 patients stated they had needed more or other information concerning one or more topics. Most information was needed concerning: knowledge of the disease, convalescence, tiredness, risk factors, medication, emotional reactions en deleterious effects of treatment. The relationship between problems, information needs, health condition and character of the topic (affective or cognitive) was also examined.