Archive
1996 Reports
Go to 1997 reports
Go to Symposium 1998
| Refno | Title | Author |
| 96/1 | An exploration of problem-based learning in Sweden and Canada | Francis C Biley, School of Nursing Studies, University of Wales College of Medicine |
| 96/2 | Pelvic floor awareness for teenagers: a programme for schools | Liz Bonner, County Continence
Advisor,
South Bedfordshire Community Health Care Trust |
| 96/3 | A study of child health provision within the School Nursing Service in Egypt, focusing particularly on health promotion/education | Susan Brady, School Nurse, Leeds |
| 96/4 | Effective nursing care for people with a serious mental illness: learning from the experience in Sydney, Australia | Charles Brooker, Director of
Nursing Research,
SCHARR, University of Sheffield |
| 96/5 | The potential of pre-admission home visits by ward-based nurses in fulfilling patients' and nurses' information needs | Frances M Campbell, Ward Manager, Mental Health Services for Older People, Blackburn, Hyndburn & Ribble Valley Health Care NHS Trust |
| 96/6 | The experience of living with chronic pain:
a family perspective |
Bernie Carter, Senior Lecturer in Health Care Studies, Manchester Metropolitan University |
| 96/7 | "The elements of nursing are all but unknown": the development of an international classification for nursing practice | Dame June Clark, Professor of Community Nursing, University of Wales Swansea |
| 96/8 | A comparison of infection control issues and practice | Sandra A J Clayton, Clinical Nurse Specialist, Infection Control, Nuffield Orthopedic Centre NHS Trust, Oxford |
| 96/9 | Nurse managed units in North America: whatever happened to therapeutic nursing? | Peter D Griffiths, Clinical Nurse Researcher, Byron Ward Nursing Development Unit, King's Healthcare, London |
| 96/10 | A study into rehabilitation counseling and research in three centres in Canada | Anna Johnstone, Ward Manager,
Stroke Unit,
Nunnery Fields Hospital, Canterbury |
| 96/11 | A study tour of psychiatric emergency provision within the United States of America | Garry Kent, Psychiatric Liaison Nurse, Hull Royal Infirmary |
| 96/12 | Teamworking and community nursing: identifying the factors which contribute to the successful integration of nursing skills across professional boundaries | Heather T Livesey, Senior Lecturer
Practitioner, Faculty of Health,
University of Central Lancashire |
| 96/13 | Identifying best nursing practice for patients experiencing HIV or AIDS-related impairment (HRBI) | Hilary McCallion, Assistant Director of Nursing, Professional Development, Pathfinder Mental Health Services NHS Trust, London |
| 96/14 | Care of the dying: access to hospice services in the North Island of New Zealand | Sheila Payne, Health Research Unit, University of Southampton |
| 96/15 | Does nursing policy impact upon patient care? | Lorene Read, Executive Nurse Director, Nevill Hall and District NHS Trust, Abergavenny |
| 96/16 | Self harm and sexual abuse: survivor experiences and care options | Judith H Reece, Senior Lecturer, Mental Health Branch Leader, School of Health and Community Studies, De Montfort University, Leicester |
1997 Reports
Go to 1996 reports
Go to Symposium 1998
| Ref no | 97/1 |
| Title | WILL THE FUTURE OF NURSING DEPEND ON THE QUALITY OF ITS LEADERS? |
| Author | Lorna AINSWORTH
Directorate Nurse Manager, General Surgery and Urology, New Cross Hospital, Wolverhampton |
| Abstract | In hospitals in the UK, especially in the many that still retain a Clinical Directorate structure, the role of the Chief Executive nurse and the professional boundaries are less well defined than in the United States. Major problems in recruitment and retention of nursing staff suggest that a different structure is needed which recognises the unique contribution of the nursing profession. The opportunity to travel and meet nurses from the USA and Canada was both inspiring and informative and gave the author a unique opportunity to discuss with them their views on leadership and the effect this had on their profession and patient care. The author has made recommendations for nurse leadership in the UK. |
| Ref no | 97/2 |
| Title | A STUDY OF SERVICE PROVISION FOR PATIENTS WITH END-STAGE HEART FAILURE |
| Author | Denise BIRCUMSHAW
Macmillan Clinical Nurse Specialist, University Hospital, Queen's Medical Centre, Nottingham |
| Abstract | There has been recent emphasis on palliative care provision for patients with serious problems other than cancer. This study investigated a range of service provision for people with end-stage heart failure. Several centres were visited in both Canada and the UK. They included both cardiology and palliative care settings where patients with heart failure were cared for. This report outlines the main findings in relation to specific aims. The study confirmed the dichotomy which exists regarding palliative care provision for this group of patients. Recommendations are made for research to explore various models of palliative care provision and to explore palliative symptom control in this group of patients. It is also suggested that education, training and support should be available to health care professionals caring for heart failure patients in the various elements of palliative care. |
| Ref no | 97/3 |
| Title | MOVING TOWARDS "NO LIFTING" |
| Author | Kathryn BRIODY, Ward Sister, Queens Park Hospital, Blackburn |
| Abstract | A number of sites were visited in both Sweden and the UK to investigate how patient handling could be made safer for both patients and staff, and identify any progress being made towards a No Lifting Policy. During the tour, many examples of moves towards No Lifting were found from a variety of perspectives. As a result of the tour, recommendations are made for building design, equipment, training and risk assessment. Issues involving record keeping are also included. |
| Ref no | 97/4 | ||||
| Title | PSYCHIATRIC NURSING SERVICES FOR DEAF PEOPLE IN LONDON AND ABROAD | ||||
| Author | Wing Kee Emmanuel CHAN, Community Psychiatric Nurse, National Deaf Services, London SW12 | ||||
| Abstract | The
mental health services for deaf people have grown, in scale and variety, for
the last 40 years. The study visit aimed to compare some deaf services in
London, the USA, Belgium and the Netherlands, and to seek information to assist
in evaluating some of the innovative nursing practices in the National Deaf
Services, London. The results indicate that each deaf service has its
philosophy and ideology of care. The findings provided useful information for
the nursing team in the National Deaf Services to review some of their
practice, and to formulate:
|
| Ref no | 97/5 |
| Title | PATIENT PARTICIPATION IN CARE: A COMPARISON BETWEEN THE UNITED STATES OF AMERICA AND THE UNITED KINGDOM |
| Author | David CONNOLLY, Project & Development Nurse, Nuffield Orthopaedic Centre, Oxford |
| Abstract | Patient involvement in care is an issue fundamental to modern nursing. It is a complex concept with multiple levels and has its base in the rise of consumerism in healthcare. It is the aim of this report to view participation from both sides of the Atlantic, offering an insight into the different approaches used and exploring the ability to translate some of the approaches to the UK. |
| Ref no | 97/6 |
| Title | CULTURAL INFLUENCE ON POSTNATAL DEPRESSION |
| Author | Celia COULSON, Senior Midwife/Practice Development Midwife, Clacton Maternity Unit, Clacton-on-Sea |
| Abstract | The term "postnatal depression" is described by Raphael-Leff (1991) as a depressed mood accompanied by tearfulness, tiredness, anxiety and irritability. The women who experience these symptoms describe feelings of inadequacy, anger, self-loathing, helplessness and/or hopelessness. During one of the "Education for Parenthood" sessions the author talked about postnatal depression and realised that one woman did not understand what she was referring to. The author wondered if it was a language problem but, as she is bilingual, she was able to talk this issue through with the couple in their own language and was informed that they had never heard of "postnatal depression" in Mexico. This is what the author set out to investigate on a study trip to Mexico. |
| Ref no | 97/7 |
| Title | AN INVESTIGATION OF ACUTE PAIN SERVICES IN AUSTRALIA |
| Author | Anne-Maria GALLAGHER, Acute Pain Sister, Glasgow Royal Infirmary |
| Abstract | The purpose of this study tour was to investigate acute pain management services in Australia. Two main centres visited are described, the Royal Adelaide hospital in South Australia, and the Royal North Shore hospital in Sydney, New South Wales. An overview of the daily function of each acute pain service is provided. Protocols for the management of acute pain are discussed. Positive aspects of each service are highlighted, such as formal in-service education for nursing staff in acute pain management. Recommendations for implementation in clinical practice are provided. |
| Ref no | 97/8 | ||||||||||
| Title | THE DEVELOPMENT OF ADVANCING CLINICAL PRACTICE ROLES WITHIN PAEDIATRIC NURSING | ||||||||||
| Author | Faith GIBSON, Senior Lecturer/Nurse Researcher, South Bank University and Great Ormond Street Hospital for Children NHS Trust London | ||||||||||
| Abstract | This
report presents the findings of a Travel Scholarship to the United States of
America (USA) to examine the development of advanced clinical practice roles
within paediatric nursing. The aims of the professional study were:
In total, ten centres were visited in the USA over a period of two months. |
| Ref no | 97/9 | ||||||||||||
| Title | THE POTENTIAL OF EXPANDING DAY HOSPITAL SERVICES INTO THE COMMUNITY | ||||||||||||
| Author | Stella GREGORY, Day Hospital Manager, Elderly Mental Illness Unit, Blackburn, Hyndburn & Ribble Valley NHS Trust | ||||||||||||
| Abstract | The study
tour, to centres in the UK, was to explore the potential of expanding day
hospital services into the community. The main points from the tour are:
|
| Ref no | 97/10 |
| Title | THE EDUCATION AND TRAINING OF REGISTERED NURSES FOR PRACTICE IN PAEDIATRIC INTENSIVE CARE IN AUSTRALIA AND NEW ZEALAND |
| Author | Jaquelina HEWITT-TAYLOR, Nursing Lecturer (Child Health), Sheffield University |
| Abstract | This study was designed to explore the preparation of nurses for practice in paediatric intensive care nursing in Australia and New Zealand. Four Paediatric Intensive Care Units and two Institutes of Education were visited over an eight week period of time. In paediatric intensive care courses in academic institutes, the use of more flexible approaches which may allow a greater attendance level merit consideration. These include the alteration of semester/term times to accommodate known busy times on paediatric intensive care units, the use of some elements of open or distance learning in programmes, and the use of a modular approaches to courses. The use of problem based learning and a case study approach to teaching and learning in paediatric intensive care courses is also recommended. |
| Ref no | 97/11 |
| Title | CAN A NEW ZEALAND MODEL FOR NURSE RECOGNITION WORK IN THE UK? |
| Author | Irene MCKUNE,Assistant Director of Nursing, Yorkhill NHS Trust, Glasgow |
| Abstract | Following the implementation of the NHS Act (1990) and related developments, NHS Trusts are now in a position to move away from clinical grading, which was introduced for nurses, midwives and health visitors in 1988. It is important nurses do not have options imposed upon them which undermine their professionalism, but rather, they require to look at alternatives to the present grading system which would acknowledge their clinical knowledge, provide motivation and job satisfaction, reward them financially, and at the same time allow them to remain at the bedside. One option to be considered is clinical career pathways, which are based on the USA concept of clinical ladders, and are being introduced in New Zealand. The report contains findings and recommendations for anyone wishing to consider a similar programme |
| Ref no | 97/12 |
| Title | HEALTHCARE FOR THE ELDERLY JAMAICAN REPATRIATE: DISTRIBUTION, AVAILABILITY AND QUALITY |
| Author | Jacqueline
MORAIS
Community Staff Nurse, South Birmingham Health Authority |
| Abstract | Elderly Jamaicans in the United Kingdom, wishing to return home, are finding difficulty in obtaining information about the healthcare system in Jamaica. The purpose of this study was to travel to Jamaica and investigate the availability, quality and distribution of healthcare on the island. Besides visiting health care facilities and organisations and establishing what services were available, the author also identified what other services were in the developmental phase and is now communicating this information to Jamaicans living in the United Kingdom. |
| Ref no | 97/13 |
| Title | GIVING CHILDREN A CHANCE: A COMPARATIVE STUDY OF PAEDIATRIC LIAISON FOR CHILDREN WHO ATTEND A&E DEPARTMENTS |
| Author | Jon MOULD, Paediatric Liaison Nurse, Children's Centre, Hull |
| Abstract | Accident & Emergency Departments (A&E) are in an ideal position to detect deliberate child harm and they can play a major role in child health surveillance. It is becoming more common in the UK to have a Paediatric Liaison Nurse (PLN) who monitors the attendance of children to A&E. Information can then be passed on to the community health workers and, when necessary, to the Social Services. Prior to the tour, the author felt that this system would not work in Australia as they do not have Health Visitors but it was thought that the pro-active nature of the community services, including the Social Services, would detect any problems families were having. This proved to be a naive assumption. |
| Ref no | 97/14 |
| Title | THE STUDY OF THE PREVENTION AND MANAGEMENT OF AGGRESSION LEADING TO IMPROVED CARE OF PATIENTS AND ALLEVIATION OF HOSPITAL STAFF STRESS |
| Author | Denise O'HARA, Staff Nurse, Royal Victoria Hospital, Belfast |
| Abstract | Having experienced an incident of extreme verbal abuse and watched it happening to others, the author felt disgusted and humiliated. She felt there should be a more tangible answer and support to her crisis. She found this in the Prevention and Management of Aggressive Behaviour programme as produced by the Canadian Training Institute, Toronto, Canada. From attending their workshops and visiting mental health centres, strategies and the reasoning for them were apparent. The environmental aspects were highlighted by the METRAC Environmental Survey of Risks and Dangers. The personal aspects are reflected in the correct assessment of patients, appropriate actions in reducing aggression using good communication skills, escapism techniques and the reliance on policies and clinical guidelines for support. The recognition of staff post crisis is also highlighted in their training and although support is automatically provided the ongoing effects of post traumatic stress have not been fully recognised. |
| Ref no | 97/15 |
| Title | MAJOR INCIDENT PLANNING: THE NURSE'S ROLE IN THE EMERGENCY RESPONSE |
| Author | Jennifer PATERSON, Sister (Accident & Emergency), Ormskirk Hospital, Lancashire |
| Abstract | Historically health professionals feel, with reference to Major Incidents, that it will never happen to "them". In the light of recent local incidents in West Lancashire National Health Service Trust (WLNHST) e.g. the "Aintree Bombing", this has proved to be wrong. The purpose of this work was to look at Major Incident Plans which could be initiated by the Accident & Emergency Department at WLNHST in the event of a Major Incident or Disaster. The Scholarship was awarded to develop the WLNHST Disaster Plan and to develop best practice. The study incorporated visits in both the United Kingdom (UK) and the United States America (USA). The main findings of the tour were that in the USA they are bound by the Government to initiate disaster training, whilst in the UK, although plans are required by the NHS Executive, training is not obligatory. Training programmes are to be commenced in WLNHST but there is still considerable ground to cover. |
| Ref no | 97/16 |
| Title | SEAMLESS CARE - EXAMINING THE ROLE OF INTEGRATED CARE PATHWAYS |
| Author | Janet TAYLOR, Senior Lecturer/Practitioner, Department of Acute and Critical Care
Faculty of Health, University of Central Lancashire, Preston |
| Abstract | Integrated Care Pathways (ICPs) represent the latest innovative tools to challenge the present health care delivery system. They have the potential to fulfill many of the national policy requirements, particularly in the clinical effectiveness directive. This document reports on a Florence Nightingale Foundation Travel Scholarship to examine how ICPs might be used as a tool to facilitate seamless care. In particular, it includes the experiences of practitioners who have been involved with ICP implementation. It is intended to provide a review of ICPs in the present health care context, highlighting the successes and barriers to implementation. In particular, to offer recommendations of how they could be taken forward. |
|
NURSING: THE LEADERSHIP CHALLENGE A REPORT OF THE FLORENCE NIGHTINGALE FOUNDATION SYMPOSIUM 1998 Go to 1996 reports
Introduction The Florence Nightingale Foundation's symposium, chaired by Mrs. Yvonne Moores, Chief Nursing Officer at the Department of Health, was held on 11 June 1998. It was attended by an invited audience of Trust Nurse Executives, Senior Nurses and Senior Educationalists. The symposium focused on the vitally important issue of leadership for nurses, midwives and health visitors and on how they can develop a greater leadership role within the new NHS and the education sector. Opening the symposium, Baroness Jay of Paddington, emphasised the crucial importance of the role of nurses, midwives and health visitors if the NHS is to deliver the quality of care outlined by the Government. Nurses, midwives and health visitors can make a vital leadership contribution to the successful implementation of Government policy initiatives such as clinical governance, public health and the development of primary care groups.
Baroness Jay of Paddington,
This report presents the key conclusions from the symposium and will be of particular interest to the Department of Health, the NHS Executive, health authorities, Trust boards, primary care groups, nurses, midwives and health visitors. The issues are presented in four main sections: 1. The particular contribution made by nurses, midwives and health visitors to service and education 2. The constraints and influences on the development of the leadership role 3. How to develop leadership skills and ideas for good practice 4. Key action points to take leadership forward.
Brian Footitt, Symposium Speaker Nurses, midwives and health visitors in positions of leadership are able to make a particular contribution to service and education. Their contribution focuses on:
Nurses, midwives and health visitors can:
Nurses, midwives and health visitors can:
Nurses, midwives and health visitors can:
Nurses, midwives and health visitors can:
Nurses, midwives and health visitors can:
A number of constraints and influences have limited the extent to which nurses, midwives and health visitors have developed their leadership role.
Issues that influence the development of leadership skills include:
3. How to develop leadership skills and ideas for good practice
Nurses, midwives and health visitors can develop leadership skills in a number of important ways:
Ideas for good practice Good practice should be shared so that nurses, midwives and health visitors can learn from the experience of others. Examples of good practice include:
Picking the winners
Light many fires
|
