Reports 2002

| Ref no |
2002/1 |
| Title |
Nurse led
care of the patient with non limb-threatening or life-threatening injury or
illness |
| Author |
Robert
B COWAN, Charge Nurse/Emergency Nurse Practitioner, Monksland Hospital Airdrie |
| Abstract |
This
report is a descriptive account of some of the experiences that were gained by
the scholar following a study tour that was undertaken tin two States of North
America: Chicago, Illinois and Houston, Texas. The study focussed on the
educational preparation and clinical practice of Emergency Nurse Practitioners
and Acute Care Nurse Practitioners.
Three decades of development of the nurse practitioner role have resulted in a
national core education at Masters level with requirement for state
certification to practice. Information collated is used to compare and
contrast United States’ practice against the revolving door development
of the ENP role in the United Kingdom. |
| Ref no |
2002/2 |
| Title |
The
appliance of science: a study of the nurse’s role in providing genetic
information, counselling and advice to patients in the United States of America
(USA) compared with roles in the United Kingdom (UK) |
| Author |
Alison
METCALFE, Research Fellow, University of Birmingham |
| Abstract |
The following report
provides an overview of a study tour undertaken in summer 2002 in the USA and
autumn 2002 in the UK. The aim of the tour was to study the role of nurses in
providing genetic information, counselling and advice to patients with a
genetic predisposition to cancer, in the USA and compare this with roles and
developments in the UK. The study tour involved talking to a number of nurses
from six centres in the USA and four centres in the UK. |
| Ref no |
2002/3 |
| Title |
Care of
the child with special needs in Bangladesh |
| Author |
James
Edward ROBINSON, Lecturer in Child Health Nursing, Royal Hospital for Sick
Children, Edinburgh |
| Abstract |
Accessing services by families in minority ethnic children with special needs
is largely made difficult by the way these services are organised and
delivered. However, there is also evidence within the literature that negative
attitudes within their own community towards disability act as a disincentive
for parents seeking aid. Local research lent support to this view, as did
instances of families within my services own operational area refusing to use
supports based within their own community.
To gain some
understanding of how these views originate and how they can be effectively
addressed a study was undertaken in Bangladesh. Organisations working with
children with special need were visited. |
| Ref no |
2002/4 |
| Title |
Education
for Practice – What approach should be taken to the support and development of
newly registered practitioners? |
| Author |
Jane
ORMEROD, Senior Nurse, Professional Development Unit, Westburn Centre, Aberdeen |
| Abstract |
It is
well known that the transition from student to newly registered nurse can be a
difficult and stressful time. In recent years further work has highlighted
that a more formal approach is indicated towards the support and development of
newly registered practitioners to enable the building of competence and
confidence and thus effective working in the health care team.
This report details a
study tour to two centres in Sweden and three in the UK, where a variety of
approaches have been taken to the development and support of new
practitioners. The aim of the tour was to compare and contrast the approach
taken in Aberdeen, Scotland, to that seen in other centres and to gain
information about evaluation of those programmes. |
| Ref no |
2002/5 |
| Title |
Decision
making processes of nurses when extubating patients following cardiac surgery |
| Author |
Helen
HANCOCK, Department of Education, University of Newcastle-Upon-Tyne |
| Abstract |
This study focused on
one aspect of nurses’ clinical decision making within the demands of evidence
based practice in the field of cardiac surgery. In this field recent
advances, combined with increasing demands on health care institutions, have
promoted early extubation of post-operative cardiac patients. While this
remains a medical role in many institutions, an increasing number of Intensive
Care Units (ICUs) now consider it as a nursing role. This ethnographic study
was conducted with a Cardiothoracic Intensive Care Unit (CICU) over an 18-month
period. The study sought to describe patterns in the decision behaviour of
nurses when extubating patients following cardiac surgery. In doing so it
explored the realities of ‘research and evidence based practice’ in a culture
of increased responsibility and growing accountability. |
| Ref no |
2002/6 |
| Title |
First
steps towards the development of an inquiring culture in an acute hospital
using action learning |
| Author |
Catherine O’CONNELL, Practice Development Nurse at Bostock House, Belfast |
| Abstract |
Action learning can
provide a model of learning that values practitioners’ experience and a means
of facilitating reflection. As a result it is a means of developing and
emancipating nursing practice. A group of senior nurses in an acute hospital
chose action learning as the most appropriate method for meeting their
development needs and to enable them to create a collective vision for nursing
and strategies consistent with the vision. |
| Ref no |
2002/7 |
| Title |
Best
practice in the management of emergency admissions: international perspectives |
| Author |
Susan
Margaret ROBERTS, Manager, Acute Medical Assessment Unit, Ysbyty Gwynedd,
Bangor |
| Abstract |
The
subject of emergency pressures has received a great deal of publicity over the
past give to ten years. The fact that demand exceeds capacity has been
acknowledged with major discussions happening at a national and local level in
the United Kingdom about the best ways in which to address the problem.
One week was spent in
Finland and three in New Zealand looking at the process of admission from
primary to secondary care, the management of patients in hospital and aftercare
services that exist. Particular attention was paid to the innovative systems
that had been developed to prevent admission and the interface between the
General Practitioner and the hospital. |
| Ref no |
2002/8 |
| Title |
Health
beliefs and practices in Bangladeshis living in the UK and in Bangladesh using
Coronary Heart Disease as a model. |
| Author |
Zoë
WELLS, Cardiac Research Sister, Barts and The London Hospital NHS Trust |
| Abstract |
Patients of Asian origin, primarily Bangladeshi, make up 30% of acute
myocardial admissions at the Royal London Hospital. Prospective database
analysis showed that these patients are under treated in casualty with a median
door to needle time which is seventy minutes longer than whites.
The aim of the study was
to understand the health beliefs and concepts of health and illness from a
Bangladeshi patient’s perspective to help formulate targeted primary and
secondary prevention advice. |
| Ref no |
2002/9 |
| Title |
You too
can make a difference: Developing evidence based practice in nursing and
healthcare: Lessons from Finland |
| Author |
Dr
Mansour Olawale JUMAA, Principal Lecturer, Middlesex University |
| Abstract |
This
is a post-doctoral exploration study, carried out in Finland in 2002, under the
patronage of the Finnish Medical Society, Duodecim. The study was sponsored
through a scholarship awarded by the Florence Nightingale Foundation in the UK.
Since 1988, 80% of
primary care physicians in Finland have been consistently using evidence based
medicine (EBM) guidelines for quality practice. In 2002, the number was
almost 100%. This study set out to find out the success of the ‘Finnish
way’, and how it could be modified for nurses in the UK and elsewhere.
Methods included documents analysis; stakeholder interviews and discussions,
workshops, presentations, opportunistic sampling with members of the public,
GPs, nurses and ‘interested’ others. |
| Ref no |
2002/10 |
| Title |
An
Exploration of Cancer Related Fatigue – Assessment and Management |
| Author |
Deirdre McGRATH, Lecturer in Nursing, Waterford Institute of Technology |
| Abstract |
The aims of this report
are: To explore the problem of cancer related fatigue. Investigate the
causes of fatigue. Discuss various fatigue measurement scales. Investigate
interventions for cancer related fatigue. Explore the relationship between
fatigue and cancer treatments, anaemia and cancer related fatigue, gender and
fatigue, the influence of age of fatigue. Discuss the quality of life of
patients with cancer related fatigue. To present recommendations for future
practice. In addition direct reference will be made to oncology and
palliative care centres and organisations visited in Australia in fulfilment of
this scholarship. |
| Ref no |
2002/11 |
| Title |
Enhancing
the ‘palliative care approach’ in oncology nursing: The impact of introducing
assessment tools to structure nurses’ assessments of cancer patients receiving
palliative chemotherapy. |
| Author |
Catherine WILSON, Nurse Specialist Palliative Care (Research), Mount Vernon
Hospital |
| Abstract |
The following report
outlines the work undertaken during a first year as a PhD student, preparing a
research study to explore the impact of introducing an assessment tool for
nurses to use when assessing the needs of patients with advanced cancer
receiving outpatient chemotherapy. Details are included for the research
training received, the progress made and the plans for implementing the study
later this year. |
| Ref no |
2002/12 |
| Title |
End of
year report – Research Proposal |
| Author |
Peta
Jane EASTLAND, Lecturer Practitioner, Northumbria NHS Trust |
| Abstract |
The explosion of
government policy and its emphasis on effectiveness has in part led to
inter-professional developments in practice. Policy rhetoric clearly calls
for greater emphasis on teamwork and partnership, although it has been argued
that the reality of practice indicates professional groups ‘jostling’ over
shifting boundaries and autonomy. Shared learning has been advocated as the
way forward in acknowledging and removing the perceived boundaries to effective
collaboration. |
| Ref no |
2002/13 |
| Title |
A study
of smoking, attitudes and perceptions of heart disease risk in coronary
sibships |
| Author |
Lorna
DAY, Nurse Co-ordinator of Research, Human Genetics Queen Anne Hospital,
Southampton |
| Abstract |
Cigarette smoking is a
major behavioural risk factor for coronary disease and is the target for risk
reduction in the national service framework for coronary heart disease
requiring systematic identification of those at high risk. There is evidence
of a synergistic effect of smoking and family history of coronary heart disease
leading to a substantial increased risk for individuals with both risk factors,
and high-risk individuals are most likely to benefit from risk factor
reduction. The study investigated whether current smokers, ex-smokers and
never smokers, who have a least one sibling with coronary heart disease, differ
in health beliefs and attitudes with particular reference to perception of a
family history of heart disease, endorsement of coronary health promotion,
fatalism, perceived risk of getting heart disease and self-assessed risk in
relation to epidemiological risk for the purpose of informing design of smoking
cessation interventions. |
| Ref no |
2002/14 |
| Title |
Comparison and contracts of ITU follow-up services. |
| Author |
Judith
SCOTT and Mary STRACHAN, ITU Research/Follow-up Nurses Aberdeen Royal Infirmary |
| Abstract |
Following the Department of
Health “Comprehensive Critical Care” document (2000), several Trusts in the UK
set up outreach services, the key objective being adverting admissions, to
enable discharge, and to share critical care skills. This outreach service in
England functions similarly to the “Follow Up” service set up in Aberdeen Royal
Infirmary, Scotland.
This report details a
study tour of two centres in Madrid and four centres in the UK where a variety
of Follow Up/Outreach services have been established. The aim of the tour was
to compare and contract Follow Up Services in Madrid and the UK and how they
have since developed with the view to lead innovation within our own practice
in Aberdeen, Scotland. |
| Ref no |
2002/15 |
| Title |
IT
for health research. Integrated care: a urology perspective |
| Author |
Siew
Hwa LEE. Staff Nurse Freeman Hospital, Newcastle upon Tyne |
| Abstract |
This project looks at the
practical application of Information Technology in patient care within a large
urology unit in the North of England. A context diagram is used to show the
structure of inter-relations between the urology ward and other departments and
agencies. A data flow diagram shows how the system works at ward level.
The author uses this
theoretical basis to describe and analyse the current system of information
transfer on the ward, highlighting the limitations of current practice. She
then suggests some measure needed to improve the system, including investment
and training requirements in order that the application of Information
Technology may be better used to enhance patient care on this ward. |
| Ref no |
2002/16 |
| Title |
Learning
to change |
| Author |
Helen
SKERRITT, Clinical Governance Development Lead (Professional) Blackpool Primary
Care Trust |
| Abstract |
The aims of this study
are to evaluate an educational intervention within Blackpool Primary Care Trust
called Quality Team Development (QTD) and to explore the learning and changes
in those GP practices that have undergone QTD practice development assessment,
the purpose being to describe and identify learning in GP practices. The QTD
scheme has been implemented in Blackpool over the last 2 years as part of a
clinical governance programme. The study was felt important to do, as there
is a gap in the literature on multi-professional learning and how this might
influence the implementation of clinical governance in the NHS. |
| Ref no |
2002/17 |
| Title |
The Role
of Forensic Nurse Consultants |
| Author |
Christopher MINTO, Senior Lecturer/Academic Nurse Consultant University of
Northumbria at Newcastle |
| Abstract |
Nurse Consultancy and in
particular the rapid development of Nurse Consultant posts around the world has
been extremely rapid within the last decade. Unfortunately there continues to
be discrepancy about how these types of roles are being developed and
interpreted. There are also problems of definition with the term Forensic
Nursing.
An attempt is made here at
defining the concepts of Forensic Nursing and Nurse Consultant from both an
Australian and UK perspective. The implications of incorporating emerging
concepts into everyday practiced are debated.
Personal commentary is
utilised from the many people in the States of Victoria and New South Wales,
Australia, who took the time to spend with the author during the visit.
Documentary evidence was also gathered during the visit and is examined in
depth in this report. |
| Ref no |
2002/18 |
| Title |
Proposal
for the development of a multi-professional/nurse led outreach service from
paediatric intensive care. |
| Author |
Caroline HAINES, Nurse Consultant Paediatric Intensive Care, Bristol Royal
Hospital for Children |
| Abstract |
This report represents
the findings of a travel scholarship to centres in the United Kingdom, New
Zealand, Australia and the United States of America (USA), to examine the
development of a multi-professional/nurse-led outreach service from paediatric
intensive care.
A greater understanding of
the history of outreach services, how they have and are being integrated into
health services internationally and how this information has been applied to
paediatrics and more specifically to the BRHFC has been gained.
This professional study
had added to the review of the literature, it has clarified thoughts, reduced
some of the confusion and confirmed the value of the need for some type of
support system and assessment tool for staff caring for more highly dependent
children in hospital, to enhance the level of care already received. |
| Ref no |
2002/19 |
| Title |
A
phenomenonological exploration of weaning practices of Bangladeshi mothers and
grandmothers living in Bangladesh |
| Author |
Josephine (Jo) FEE, Health Visitor Longsight Health Centre, Manchester |
| Abstract |
Weaning a child
anywhere in the world, raise major issues for parents, health professionals and
governments. Worldwide there are directive and proposals on weaning from
global authorities, such as the World Health Organisation (2000), and UNICEF
(2003). Socio-economic factors embrace all cultures. This essay critically
reviews the literature on weaning, in Bangladeshi communities, in the UK and in
Bangladesh, with the intention of highlighting gaps in research. The
subsequent study seeks to develop knowledge on this subject, to increase
awareness and stimulate interest in the health needs of the Bangladeshi
community. |
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