Reports 2002

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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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Last updated on 27 March 2008