83 research outputs found
How can the configuration of dialysis centres encourage shared care?
No full textBased on the responses of 74 interviews from 7 dialysis centres, Ian Davison, Sandra Cooke and Robin Gutteridge argue that shared care shouldn't just be seen as a stepping-stone to home haemodialysis. Reasons for this include increased job satisfaction of nursing staff and ultimately more patients dialysing at home. Six organisational recommendations are made to promote vibrant shared care environment
Herstory Cafe: Helena Gutteridge, Vancouver\u27s First \u27Alderman\u27.
No full textIllustrated talk by Irene Howard, author of "The Struggle for Social Justice in British Columbia: Helena Gutteridge, the Unknown Reformer\u27
What do therapists perceive are the enablers and barriers to working with transgender clients?
No full textThesis submitted in partial fulfilment of the requirements of the University of Wolverhampton for the degree of Doctor of Counselling Psychology.This research aimed to explore what therapists perceive are the enablers and barriers which can arise when working with transgender clients. Some research studies have previously been carried out exploring the client’s experiences of the therapeutic process, with a large proportion finding the counselling profession to be wanting. However, there is a dearth of literature exploring the reasons behind this from a clinical perspective, including potential ways of addressing the issues raised.
This qualitative study explored the perspectives of five experienced clinicians, from varying backgrounds who work therapeutically with transgender clients. The participants recognised that while there is positive work occurring within the field, there remains room for growth and improvement across all services including medical, social, psychological and legal. Due to the role and impact of individuation, personal beliefs and experiences, background and therapeutic approach, a Thematic Analysis as carried out on the data gathered from semi-structured interviews. The resulting themes highlighted the role of self-disclosure, training, the theoretical approach utilised and the use of language were all considered to be key elements; which can have a significant impact on the therapeutic relationship and subsequent outcomes. These themes were considered with reference to the implications both as an enabling and barrier on therapeutic outcomes and for Counselling Psychology practice
Nurses’ views on compassionate care: a study using Q methodology
No full textA thesis submitted in partial fulfilment of the requirements of the University of Wolverhampton for the Professional Doctorate in Health and Wellbeing.Compassion and compassionate care are identified as essential elements in nursing. They enhance quality care, wellbeing, and the overall quality of patients’ lives. However, incidents of substandard care have highlighted inherent tensions between competing professional and organisational demands in a rapidly changing workplace. This research investigated nurses’ views of the promoters and inhibitors of provision and maintenance of compassionate care. Participants were third year student nurses and qualified nurses in a large inner-city Trust hospital.
An integrative literature review revealed three overarching themes that impact on nurses’ ability to provide and maintain compassionate care. Sumner’s (2008a) Moral Construct of Caring in Nursing as Communicative Action Theory (MCCNCAT) was applied as the theoretical framework.
Q methodology supported the investigation of subjectivity within an interpretive design. 54 statements were developed from the literature review and focus group participation, representing the breadth of debate on compassion and compassionate care. Participants (n=30) rank-ordered these statements onto a quasi-normal distribution grid (the Q sort). They provided post Q sort data via Report Sheets and semi-structured interviews; thematic analysis was used to explore interview data. Completed Q sorts were analysed using correlation and by-person factor analysis, resulting in two distinct factors. Some participants shared commonalities across factors and did not contribute to the construction of the factor estimates. Remaining participants (n=18) included student nurses (n=10) and qualified nurses (n=8).
Compassionate care was found to be complex, interconnected, and multifaceted. There was consensus from student nurses and qualified nurses in the three overarching themes:
• Personal/relational – Improved patient outcomes impact positively on patients and motivate nurses to provide compassionate care. Satisfaction gained from providing compassionate care creates a virtuous circle, enhancing wellbeing, personal motivation, professional commitment, and job performance. It supports collegial relationships and positive patient outcomes.
• Organisational – Organisations must promote compassionate care, supporting nurses and providing necessary resources. Managers, leaders, mentors, and colleagues should demonstrate compassion towards patients and staff. Developing and supporting a culture of compassion can counter factors that inhibit compassionate care. Nurses should be encouraged to develop self-compassion, which promotes their own wellbeing.
• Educational – Nurses’ clinical experiences should be connected to teaching and learning. This means replacing inappropriate didactic, classroom-based education with approaches that are experiential and creative, using strengthened links with practice, so that learning is relevant to the reality of clinical practice.
These findings were incorporated in an explanatory diagram, underpinned by MCCNCAT (Sumner 2008a) which makes visible the dynamics involved and strategies that build and sustain compassionate care
Storyboarding Technique in the Classroom to Address End of Life Experiences in Practice and Engage Student Nurses in Deeper Reflection.
No full textThis paper evaluates the use of storyboarding within a classroom setting as a means of addressing end of life issues and engaging second year student nurses in creative, critical thinking and deeper reflection on practice.
Storyboarding is a process that was developed to encourage learners to use the creative right brain and the critical left brain to formulate ideas in front of a group and then to look at those ideas critically (Lottier, 1986). The session was evaluated using a questionnaire and group discussion to elicit perceived learning from students. The activity was to create the storyboards in small groups, then review the content generated by discussion with the whole group. Main themes identified by the students included breaking bad news, dealing with cardiac arrest situation, coping with families following bereavement and the dying patient. Evaluation of the teaching session suggested that students found storyboarding helped to identify cultural aspects and feelings related to the dying patient. Students valued sharing with each other and the opportunity to have their experiences heard. It was noted that although this method provided as valuable learning experience for the student it is staff and time intensive and attention is required to establish a climate of trust and safety. The risk of exposing unexpected emotions within individual students appears no greater than with other approaches to teaching about loss, death and dying
Jon Richardson & The Futurenauts Live Show: The Future of Human Animal Communication
No full textIn this first ever full line-up LIVE show to kick off Series 5 Jon, Mark & Ed are joined by special guests Tom Mustil (author of ‘How to speak whale’) and Holly Root Gutteridge (researcher in bioacoustics) in an incredible philosophical and scatological adventure into the past, present and future of human: animal communication. Featuring our best animal impersonations, ‘Guess the animal’ sound clips and why what Sea Otters get up to is NSFW.</p
Barbara Sherman, <i>Sex, Intimacy and Aged Care</i>, Jessica Kingsley Publishers, London, 1999, £13.95 195 pp., pbk, ISBN 1 85302 784 7. Raul C. Schiavi. <i>Aging and Male Sexuality</i>, Cambridge University Press, 1999, 246 pp., no price pbk, ISBN 0 521 65391 6
No full textEnduring relationships : the evolution of long-lasting marriages
No full textEThOS - Electronic Theses Online ServiceGBUnited Kingdo
Crystal Structure EPrints: Publication @ Source Through the Open Archive Initiative
No full textRecent advances in crystallographic instrumentation and computational resources have caused an explosion of crystallographic data, as shown by the recent exponential growth of the CSD [1]. However, even this is considered to be lower than expected, following the introduction of area detection. The reason for this is clearly identified as a publication bottleneck, which will become even more severe with developments in high throughput crystallography [2]. As a result of this situation, the user community is deprived of valuable information, and the funding bodies are getting a poor return for their investments!
Electronic publishing has helped to make some inroads into the problem, and is already an integral part of chemical and crystallographic publishing. This has dramatically reduced the turnaround time in the publication process, but the system still fails to keep apace of the generation of structural information, mainly because of the continued reliance on traditional protocols for the assembly of manuscripts and their peer review. The need to maintain some kind of review process is clear, and this makes the sometimes-used direct submission of structures to the CCDC “unpopular”.
Unlike the mathematical and electronic sciences, the chemical sciences have been reluctant to embrace the 'preprint concept' [3]: the one exception has been the efforts of rapid electronic communications journals. This poster outlines a pre-print procedure for the rapid and effective dissemination of structural information to the scientific community which removes the lengthy peer review process that hampers traditional publication routes, but provides an alternative mechanism. Crystallographic EPrints are built on a concept developed in the Computer Science community [4] whereby an author may reveal to the public archives of information. An Eprint makes available all raw, derived and results data from a crystallographic experiment via a searchable and hierarchical system. At the top searchable level this metadata includes bibliographic and chemical identifier items which allow access to a secondary level of searchable crystallographic items which are directly linked to the associated archived data.
Hence the results of a crystal structure determination may be disseminated in a manner that anyone wishing to utilise the information may access the entire archive of data related to it and assess its validity and worth
Factors that influence how relationships adjust to a diagnosis of chronic fatigue syndrome: A grounded theory
No full textA thesis submitted in partial fulfilment of the requirements of the University of Wolverhampton for the degree of Professional Doctorate in Counselling Psychology.Background: There is relatively little research explaining how an intimate couple jointly adapt to a diagnosis of myalgic encephalomyelitis (ME)/ chronic fatigue syndrome (CFS). A large body of literature exists that investigates the impact of ME/CFS on the individual and a smaller body of work addresses the effect on the partner and the influence the partner has in the management of the condition.
This research, therefore, sought to illuminate couples’ experiences of ME/CFS, in order to gain a greater understanding of the factors that influence adaptation to the condition in their joint relationship. A Grounded Theory Methodology was adopted to create a tentative theory of adaptation which could supplement the current evidence base and begin to inform future professional practice.
Method: Eight semi-structured interviews were conducted with experiencers diagnosed with ME/CFS. Five interviews were conducted with the experiencer alone and three interviews also involved the experiencer’s partner. Interviews focused upon the couple’s experience of living with and adapting to ME/CFS. Interviews were analysed following the constructivist grounded theory principles outlined by Charmaz (2006).
Findings: A tentative model of reconciliation was constructed which explained the couple’s journey from disruption towards adaptation. This tentative model explained how the couple manage ‘fundamental disruptions’ to their identities and expectations brought about by the introduction of a powerful entity ME/CFS (‘Illness identity or It’). The couple managed these disruptions by working through periods of ‘loss and grief’ using skills such as humour, communication and understanding. Through this process the couple were able to identify and begin to implement appropriate ‘adaptations’ that helped them to manage the impact of ME/CFS within their relationship.
Conclusion: This research identified how ME/CFS impacts upon the individual with the diagnosis and their partner and illuminates that the process of reconciling with loss and grief and implementing adaptations is a joint journey. It highlights the importance of considering the couple and not just the individual in the management of ME/CFS and makes tentative recommendations that could inform professional support interventions in the future
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