Nursing Times Research最新文献

{"title":"Regulating complementary medicine implications for the nursing profession","authors":"Lorraine Wiliams, Pamela Jack, H. Russo","doi":"10.1177/136140960400900203","DOIUrl":"https://doi.org/10.1177/136140960400900203","url":null,"abstract":"In any healthcare profession, orthodox or complementary, quality of care, treatment and patient safety must be given the highest priority. The establishment of effective systems of professional regulation is seen by many as essential in order for this to happen. This paper outlines the case for improving systems of statutory and voluntary self-regulation in the complementary sector and charts the progress and current developments in a number of therapies towards that end. The impact of an independent, non-governmental organisation, The Prince of Wales's Foundation for Integrated Health, in driving forward this process, is discussed. Nurses, as part of any modern multidisciplinary healthcare team, need to be aware of the advances and current issues emerging in this sector and the increasing need for their profession to be involved in shaping future developments.","PeriodicalId":177021,"journal":{"name":"Nursing Times Research","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127422012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the use of complementary and alternative medicine by people with cancer","authors":"J. Corner, J. Harewood","doi":"10.1177/136140960400900204","DOIUrl":"https://doi.org/10.1177/136140960400900204","url":null,"abstract":"Complementary and alternative medicine are widely used by people with cancer, yet little information exists as to how such therapies are used or people's motivations for using them, and few studies have been conducted to assess the efficacy and safety of these in the context of cancer and its treatment. Therapies may be used in parallel to conventional cancer treatment in the belief that they may help cure the cancer, prevent its recurring, help manage the symptoms or simply enhance well-being. Little data exist for patients to help guide choices over whether or not to use complementary medicine. There is also a lack of information available to inform patients as to how to use therapies for their best effect; many patients manage complementary treatments themselves as there is little else to guide them. Pressure is increasing to fill in the large evidence gaps surrounding the efficacy and safety of complementary medicine through conducting large-scale clinical trials. This paper argues against launching, at this stage, a major initiative to conduct clinical trials to test the effectiveness of various therapies; instead, an approach using qualitative methods and drawing on biographical narrative research is advocated. We are in the process of collecting information about how people with cancer use complementary therapies in a longitudinal study of cancer patients who have declared that they are users or non-users of complementary medicine, funded by the NHS R&D Programme. Using a biographic narrative method, detailed maps of the ways in which patients' use complementary medicine and the intersection of this with individual cancer journeys and personal biographies are being acquired. Arguments for this novel methodological approach are presented.","PeriodicalId":177021,"journal":{"name":"Nursing Times Research","volume":"808 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133217001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seeing things differently: Evaluating psychodynamically informed group clinical supervision for general hospital nurses","authors":"C. Ashburner, Julienne Aleyer, A. Cotter, Guy Youog, Richard Ansell","doi":"10.1177/136140960400900108","DOIUrl":"https://doi.org/10.1177/136140960400900108","url":null,"abstract":"This paper reports the findings from the development of psychodynamically informed group supervision for 52 clinical leaders in nursing at a general NHS hospital over four years. The initiative was evaluated through a variety of methods, underpinned by action research. This paper is based on the findings generated by semi-structured interviews (n=24) and descriptive statistics of staff sickness and turnover. The findings suggest that clinical supervision using a psychodynamically informed approach helps nurses acknowledge their feelings and see their work from a different perspective; builds confidence; provides support through a crisis and reduces their isolation in their role. Other findings suggest that, while having no impact on staff turnover, clinical supervision might reduce staff sickness. However, not all staff were comfortable with the experiential nature of clinical supervision and there was fragmented attendance at sessions. Embedding supervision into nursing practice remains a challenge; this paper offers an approach that has proved sustainable over four years.","PeriodicalId":177021,"journal":{"name":"Nursing Times Research","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122617411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expanding the case study: The narrative thread","authors":"Peter Alorrie","doi":"10.1177/136140960400900106","DOIUrl":"https://doi.org/10.1177/136140960400900106","url":null,"abstract":"A new research framework is described in this paper, termed 'the narrative thread'. It is a development of the case study, but argues that the paradigm of physical boundaries that has been used to define the case, can be shifted so that it is the phenomenon itself that defines the case, not where the case takes place. In addition, this framework has a number of attractive attributes, in that it is highly flexible, supports an inductive then a deductive approach, and gives formal guidance for both the incorporation of knowledge gained in literature reviews and the generation of theory.","PeriodicalId":177021,"journal":{"name":"Nursing Times Research","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132727997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seconding health care assistants to a pre-registration nursing course: Evaluation of a novel scheme","authors":"D. Gould, G. Carr, D. Kelly, P. Brown","doi":"10.1177/136140960400900110","DOIUrl":"https://doi.org/10.1177/136140960400900110","url":null,"abstract":"Traditionally in the United Kingdom, reliance has been placed on unqualified support workers, such as student nurses, to deliver a high proportion of patient care. However, the move of nurse education into higher education and the accompanying supernumerary status of student nurses in the 1980s resulted in a shortfall of staff to deliver that care. The government has made a number of suggestions for increasing recruitment. One possible solution regarded as very promising is to encourage health care assistants (HCAs) with at least 12 months' experience in the National Health Service to enrol on existing pre-registration programmes, providing them with financial incentives to do so. Very little literature directly concerned with training opportunities for HCAs could be traced, but it was evident that financial constraints and family commitments had, in the past, operated as disincentives to training, although some HCAs would otherwise be keen to register. In 1999 one of the workforce development confederations in London responded to government policy by seconding HCAs onto a pre-registration programme operated by the local university. Plans for evaluation were made at the outset. Interviews were conducted with two consecutive intakes of secondees at three time intervals: after three months; after 12 months and during the final placement of the 36-month course. Interviews with other stakeholders were conducted just before the course ended. A qualitative approach was taken and the data were analysed employing the sequence recommended by Miles and Huberman (1994). Evaluation highlighted important features of the secondment process contributing to its success and indicated pitfalls attached to introducing such schemes. It is recommended that evaluation should be extended to explore how the new staff nurses prepared by this novel scheme continue to develop their career trajectories. Given the emphasis now being placed on the 'skills escalator' model of staff development in the NHS, such approaches will assume even greater importance in future, and more extensive evaluations will be needed.","PeriodicalId":177021,"journal":{"name":"Nursing Times Research","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124572345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profiling Black South African nurse pioneers: Promoting the Black biography","authors":"T. Mhlongo","doi":"10.1177/136140960400900112","DOIUrl":"https://doi.org/10.1177/136140960400900112","url":null,"abstract":"South Africa has produced some remarkable African nurses who have worked in a range of posts, and it is important that their contribution to the nursing profession is acknowledged. The value of a biographic approach to research as a means of understanding the profession's past, and the beliefs of the time of its leaders and institutions is discussed. A profile of one black South African nurse, Professor Thembani Grace Mashaba, is offered as an example of somebody who achieved high academic status despite humble beginnings and, moreover, during the years of apartheid in South Africa. It is contended that biographic research of high profile nurses and, in this case of a black female nurse, is a way of inspiring others and of increasing understanding of the nursing profession itself.","PeriodicalId":177021,"journal":{"name":"Nursing Times Research","volume":"333 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133731184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Researching patients in the vegetative state: Difficulties of studying this patient group","authors":"Leslie Geluing","doi":"10.1177/136140960400900103","DOIUrl":"https://doi.org/10.1177/136140960400900103","url":null,"abstract":"It is now generally accepted that all patient groups should benefit from the potential advances in knowledge and understanding that result from clinical research. Despite this principle, patients in the vegetative state remain a group that has been chronically under-researched by neuroscientists because complex ethical questions and logistical dilemmas are raised by such research. The vegetative state is one of the best known but least understood of neurological conditions. It affects a small but significant number of people who make a poor recovery after sustaining a brain injury and has been brought to public attention through high profile cases in the UK and the USA. This paper defines the vegetative state and explores four important issues that should be considered when planning clinical research in this field. It is demonstrated that not only is it possible to undertake such research but also that there needs to be more of it so that greater numbers of patients and their families will benefit.","PeriodicalId":177021,"journal":{"name":"Nursing Times Research","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131611366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The extended role of the clinical research nurse: Building an evidence base for practice","authors":"A. Stephens-Lloyd","doi":"10.1177/136140960400900104","DOIUrl":"https://doi.org/10.1177/136140960400900104","url":null,"abstract":"Increasing numbers of nurses are moving from their direct clinical base to take up posts as clinical research nurses. However, although there are published guidelines about their role responsibilities, little is written about the reality of the role. This paper offers an experiential account into the variety of responsibilities undertaken by CRNs, highlighting the extended role that experienced CRNs may undertake, the transferable skills exhibited and the extent to which traditional boundaries between professionals can continue to be challenged. Role remits are examined in an attempt to show that not only do CRNs possess many of the skills that are highly regarded and respected in specialised clinical nursing but also that they may be well placed within the profession to assist in building the evidence base for practice as nursing continues to develop.","PeriodicalId":177021,"journal":{"name":"Nursing Times Research","volume":"95 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120929758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Appropriate leadership and education are the key to transforming healthcare and the patient experience","authors":"B. Malone","doi":"10.1177/136140960400900102","DOIUrl":"https://doi.org/10.1177/136140960400900102","url":null,"abstract":"","PeriodicalId":177021,"journal":{"name":"Nursing Times Research","volume":"375 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134051356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Book Review: Qualitative Research in Nursing (2nd Edn), Advanced Qualitative Research for Nursing","authors":"D. Freshwater","doi":"10.1177/136140960400900115","DOIUrl":"https://doi.org/10.1177/136140960400900115","url":null,"abstract":"","PeriodicalId":177021,"journal":{"name":"Nursing Times Research","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114978218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}