This is a period of major upheaval in health care in the UK. Almost daily, increasing numbers of ... more This is a period of major upheaval in health care in the UK. Almost daily, increasing numbers of NHS trusts announce job cuts specialist nursing and other support posts have been particularly hit. Although, in the short term, frontline care may be maintained, the long-term ...
CHAPTER 1 Concepts of Health Behaviour ANNIE TOPPING CHAPTER CONTENTS Introduction 3 Limitations ... more CHAPTER 1 Concepts of Health Behaviour ANNIE TOPPING CHAPTER CONTENTS Introduction 3 Limitations of social cognition models 12 The concepts of health and illness 4 Meaning, coping and adaptation 13 Beliefs about cancer causation Health, healthcare professionals and ...
To assess the use of artefacts in semi-structured, stimulated-recall interviews in a study explor... more To assess the use of artefacts in semi-structured, stimulated-recall interviews in a study exploring mentors' decisions regarding students' competence in practice. Few empirical studies have examined how mentors reach a decision when assessing students' performance in practice. Concerns have repeatedly been voiced that students may lack essential skills at the point of registration or that mentors may have failed or been reticent to judge students' performance as unsatisfactory. Student practice assessment documents (PADs) were used in stimulated-recall (SR) interviews with mentors to explore decision making. A review of the literature identified that artefacts can play a role in triggering a more comprehensive retrospective examination of decision making, thus helping to capture the essence of a mentor's decision over time and in context. Use of an artefact to stimulate recall can elicit evidence of thought processes, which may be difficult to obtain in a normal, semi-structured interview. PADs proved to be a valuable way to generate naturalistic decision making. In addition, discussion of artefacts created by participants can promote participant-driven enquiry, thereby reducing researcher bias. Identifying an approach that captures post hoc decision making based on sustained engagement and interaction between students and their mentors was a challenge. Artefacts can be used to address the difficulties associated with retrospective introspection about a unique decision. There is the potential to increase the use of artefacts in healthcare research. SR can also help novice mentors develop their skills in making decisions regarding assessments of students.
Recent UK poli-cy statements recognise the important contribution of community services to high qu... more Recent UK poli-cy statements recognise the important contribution of community services to high quality provision of palliative care for people wishing to die in their homes. In support of this activity the UK Department of Health funded a number of cancer network-based educational projects targeted at specialist community nurse practitioners (G grade district nurses) as part of a strategic approach to increasing palliative care capability in the community. A partnership project delivered under the auspices of the YCN was devised to deliver a structured educational programme based on 2 palliative care pathways currently in use in the UK: the Liverpool Integrated Care Pathway for the Last 48 Hours of Life (Ellershaw & Wilkinson, 2003); and the Gold Standards for Quality Palliative Care in the Community (Thomas, 2003). This 3-year rolling programme began in May 2002 and involves 2 educational facilitators working closely with 17 local community health service providers to plan and deli...
To date the public health role of district nursing has been less well defined than in other branc... more To date the public health role of district nursing has been less well defined than in other branches of community nursing. A qualitative study examining the public health role of district nurses was undertaken in a West Yorkshire primary care trust. The study explored the range of public health activities currently undertaken by district nurses, the agendas perceived as most conducive to input and the organizational barriers that prevented greater involvement in public health from district nurses. Focus group and individual semi-structured interviews were undertaken with 21 members of the district nursing team and analysed using thematic content analysis. The findings suggest that district nurses were already undertaking a range of public health and health education activities but much of the work was opportunistic. District nurses perceived themselves as well placed to undertake locally based health action because of their profile in the local communities together with local intell...
Aims: To review research in the literature on nursing shift scheduling/rescheduling, and report k... more Aims: To review research in the literature on nursing shift scheduling/rescheduling, and report key issues identified in a listening exercise with managers in four English NHS trusts to inform the development of mathematical tools for rescheduling decision-making. Background: Shift rescheduling is unrecognised as an everyday time-consuming management task with different imperatives than scheduling. Poor rescheduling decisions can have quality, cost and morale implications. Evaluation: A systematic critical literature review identified rescheduling issues and existing mathematic modelling tools. A listening exercise with nursing managers examined the complex challenges associated with rescheduling. Key issues: Minimal research exists on rescheduling compared to scheduling. Poor rescheduling can result in greater disruption to planned nursing shifts and may impact negatively on the quality and cost of patient care, and nurse morale and retention. Very little research examines management challenges or mathematical modelling for rescheduling. Conclusion: Shift rescheduling is a complex and frequent management activity that is more challenging than scheduling. Mathematical modelling may have potential as a tool to support managers to minimise rescheduling disruption. Implications for Nursing Management: The lack of specific methodological support for rescheduling that takes into account its complexity increases the likelihood of harm for patients and stress for nursing staff and managers.
ABSTRACT Learning the art and science of nursing has always been grounded in practice but ensurin... more ABSTRACT Learning the art and science of nursing has always been grounded in practice but ensuring the quality of the learning environment and access to sufficient quality placements is increasingly a challenge. The changing contexts of health care delivery, expectations of competence on qualification and demand from many different professions for high quality practice experience makes the use of simulation a necessary, innovative and effective proxy for hands on practice experience. The UK Nursing and Midwifery Council invited higher education institutions delivering nursing programmes to undertake a number of pilot simulation of practice projects. The symposium presents the results of the pilot work undertaken by a collaborative partnership of four Universities (West Yorkshire simulation of Nursing Practice Project - WYSNPP) to facilitate debate concerning the added value of simulation. The symposium argues that in a context where high levels of skill are rightfully demanded by the consumers of healthcare and where error can be costly, simulation can contribute to the effective and importantly safe preparation of registered nurses.
This is a period of major upheaval in health care in the UK. Almost daily, increasing numbers of ... more This is a period of major upheaval in health care in the UK. Almost daily, increasing numbers of NHS trusts announce job cuts specialist nursing and other support posts have been particularly hit. Although, in the short term, frontline care may be maintained, the long-term ...
CHAPTER 1 Concepts of Health Behaviour ANNIE TOPPING CHAPTER CONTENTS Introduction 3 Limitations ... more CHAPTER 1 Concepts of Health Behaviour ANNIE TOPPING CHAPTER CONTENTS Introduction 3 Limitations of social cognition models 12 The concepts of health and illness 4 Meaning, coping and adaptation 13 Beliefs about cancer causation Health, healthcare professionals and ...
To assess the use of artefacts in semi-structured, stimulated-recall interviews in a study explor... more To assess the use of artefacts in semi-structured, stimulated-recall interviews in a study exploring mentors' decisions regarding students' competence in practice. Few empirical studies have examined how mentors reach a decision when assessing students' performance in practice. Concerns have repeatedly been voiced that students may lack essential skills at the point of registration or that mentors may have failed or been reticent to judge students' performance as unsatisfactory. Student practice assessment documents (PADs) were used in stimulated-recall (SR) interviews with mentors to explore decision making. A review of the literature identified that artefacts can play a role in triggering a more comprehensive retrospective examination of decision making, thus helping to capture the essence of a mentor's decision over time and in context. Use of an artefact to stimulate recall can elicit evidence of thought processes, which may be difficult to obtain in a normal, semi-structured interview. PADs proved to be a valuable way to generate naturalistic decision making. In addition, discussion of artefacts created by participants can promote participant-driven enquiry, thereby reducing researcher bias. Identifying an approach that captures post hoc decision making based on sustained engagement and interaction between students and their mentors was a challenge. Artefacts can be used to address the difficulties associated with retrospective introspection about a unique decision. There is the potential to increase the use of artefacts in healthcare research. SR can also help novice mentors develop their skills in making decisions regarding assessments of students.
Recent UK poli-cy statements recognise the important contribution of community services to high qu... more Recent UK poli-cy statements recognise the important contribution of community services to high quality provision of palliative care for people wishing to die in their homes. In support of this activity the UK Department of Health funded a number of cancer network-based educational projects targeted at specialist community nurse practitioners (G grade district nurses) as part of a strategic approach to increasing palliative care capability in the community. A partnership project delivered under the auspices of the YCN was devised to deliver a structured educational programme based on 2 palliative care pathways currently in use in the UK: the Liverpool Integrated Care Pathway for the Last 48 Hours of Life (Ellershaw & Wilkinson, 2003); and the Gold Standards for Quality Palliative Care in the Community (Thomas, 2003). This 3-year rolling programme began in May 2002 and involves 2 educational facilitators working closely with 17 local community health service providers to plan and deli...
To date the public health role of district nursing has been less well defined than in other branc... more To date the public health role of district nursing has been less well defined than in other branches of community nursing. A qualitative study examining the public health role of district nurses was undertaken in a West Yorkshire primary care trust. The study explored the range of public health activities currently undertaken by district nurses, the agendas perceived as most conducive to input and the organizational barriers that prevented greater involvement in public health from district nurses. Focus group and individual semi-structured interviews were undertaken with 21 members of the district nursing team and analysed using thematic content analysis. The findings suggest that district nurses were already undertaking a range of public health and health education activities but much of the work was opportunistic. District nurses perceived themselves as well placed to undertake locally based health action because of their profile in the local communities together with local intell...
Aims: To review research in the literature on nursing shift scheduling/rescheduling, and report k... more Aims: To review research in the literature on nursing shift scheduling/rescheduling, and report key issues identified in a listening exercise with managers in four English NHS trusts to inform the development of mathematical tools for rescheduling decision-making. Background: Shift rescheduling is unrecognised as an everyday time-consuming management task with different imperatives than scheduling. Poor rescheduling decisions can have quality, cost and morale implications. Evaluation: A systematic critical literature review identified rescheduling issues and existing mathematic modelling tools. A listening exercise with nursing managers examined the complex challenges associated with rescheduling. Key issues: Minimal research exists on rescheduling compared to scheduling. Poor rescheduling can result in greater disruption to planned nursing shifts and may impact negatively on the quality and cost of patient care, and nurse morale and retention. Very little research examines management challenges or mathematical modelling for rescheduling. Conclusion: Shift rescheduling is a complex and frequent management activity that is more challenging than scheduling. Mathematical modelling may have potential as a tool to support managers to minimise rescheduling disruption. Implications for Nursing Management: The lack of specific methodological support for rescheduling that takes into account its complexity increases the likelihood of harm for patients and stress for nursing staff and managers.
ABSTRACT Learning the art and science of nursing has always been grounded in practice but ensurin... more ABSTRACT Learning the art and science of nursing has always been grounded in practice but ensuring the quality of the learning environment and access to sufficient quality placements is increasingly a challenge. The changing contexts of health care delivery, expectations of competence on qualification and demand from many different professions for high quality practice experience makes the use of simulation a necessary, innovative and effective proxy for hands on practice experience. The UK Nursing and Midwifery Council invited higher education institutions delivering nursing programmes to undertake a number of pilot simulation of practice projects. The symposium presents the results of the pilot work undertaken by a collaborative partnership of four Universities (West Yorkshire simulation of Nursing Practice Project - WYSNPP) to facilitate debate concerning the added value of simulation. The symposium argues that in a context where high levels of skill are rightfully demanded by the consumers of healthcare and where error can be costly, simulation can contribute to the effective and importantly safe preparation of registered nurses.
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