1,720,965 research outputs found
Reflections on a study tour to explore history taking and physical assessment education
No full textIn 2005 a study tour, funded by a Florence Nightingale Foundation Travel Scholarship, was undertaken by the author to gain insight into the teaching of ‘History Taking and Physical Assessment’ (HTPA) across different countries of the UK and beyond. The study tour was inspired by recent developments in health professional practice, which increasingly require nurses and other health care professionals to undertake the skills of history taking, inspection, palpation, percussion and auscultation. The study tour visit included 16 Universities across the UK, Eire, Canada and the United States. Insights were gained into similarities and differences in the content and structure of HTPA courses across the centres visited, with valuable observations in respect of mental health assessment and optimal session ordering. Insights into modes of delivery reinforced perceptions regarding the value of theory, demonstration and small group supervised practice, and highlighted interesting issues for debate in respect of course text options, videotaped demonstrations, electronic learning support programmes and use of mannequins. Consideration of assessment issues focused in particular on the value and design of Objective Structured Clinical Examination (OSCE) as a core mode of assessment. Wider insights gained in relation to HTPA included suggestions of the need for its cautious use in preregistration education. There is also debate regarding the teaching of HTPA within advanced practitioner preparation. Throughout the report, current and planned changes to local practice inspired by the study tour and underpinning literature are identified, alongside several recommendations for further research
Assessment made incredibly easy! (1st UK edition)
No full textThe Nursing and Midwifery Council Standards for pre-registration education call for the nurse to be able to undertake and document a comprehensive, systematic and accurate nursing assessment of the physical, psychological, social and spiritual needs of patients, clients and communities. The text provides the know-how nurses need to interview patients, obtain health histories, perform physical examinations, and interpret findings.The skills covered in this book are fundamental to the delivery of excellent health care, and can help you to make a real difference to the quality of care that your patients receive. Reader-friendly features include abundant illustrations, cartoons, checklists, quick quizzes, memory joggers and chapter summaries
Seeking delegate views regarding the development of child health competencies for the all graduate 2011 curriculum (on behalf of the Nursing and Midwifery Council)
No full textChildren’s views of nursing and medical roles: implications for advanced nursing practice
No full textAim: Changes in healthcare delivery make it increasingly likely that children accessing ambulatory care will receive their health assessment and management from nurses rather than junior doctors. As part of a larger study exploring the safety and efficacy of nurse-led pre-operative assessment (Rushforth et al 2006) this study aimed to discover children’s views of nursing and medical roles.
Method: Data were collected from 63 children using drawing and writing activity sheets during preadmission events.
Findings: Findings suggest that there is a clear demarcation in children’s minds between doctors and
nurses. In addition to the gender differences, children saw ‘caring’ as a nursing role and ‘curing’ as a medical role. However, there has been some change since earlier studies with only three children noting that nurses ‘helped doctors’ or ‘did what doctors tell them’ and less than a quarter of the children drawing nurses with hats.
Conclusion: As with all other patients, children should be fully informed of the status of the practitioner undertaking their care; understanding how they perceive the roles of doctors and nurses will support this information giving
Commentary on Mantzoukas S & Watkinson S (2007) Advanced nursing practice: reviewing the international literature and developing the generic features. Journal of Clinical Nursing 16, 28–37
No full textObjective structured clinical education (OSCE): review of literature and implications for nursing education
No full textObjective structured clinical examination (OSCE) has been used to assess medical students since the mid 1970s, and in more recent years has been increasingly utilised to assess students from nursing and the allied health professions. This growing utilisation has led to considerable debate within the literature pertaining to the optimal use of OSCE as an assessment process.The purpose of this paper is to present a narrative review regarding some of the key issues affecting the utilisation of OSCE within the assessment of nursing students. The paper briefly reviews the historical development of OSCE within health professional assessment, and summarises some of its key strengths and limitations. It then offers a more ‘in depth’ consideration of the research literature pertaining to the reliability and validity of the OSCE process, which is then used as a basis for exploring some of the particular issues that need to be considered when OSCE is used to assess nursing students. Key issues identified include the need to carefully prepare and pilot new OSCE examinations and marking tools in order to ensure reliability and validity is optimised, and also the need to carefully consider the length, number and interdependence of OSCE stations to ensure that the potentially competing requirements of validity and reliability are balanced. The paper also recognises that whilst the evidence base regarding OSCE is extensive, the evidence base specific to nursing is more limited. There is therefore scope for further research in this area, as well as the need for careful debate regarding how national guidance may be a way of enhancing and standardising future OSCE examinations. The paper concludes that whilst caution must be applied in relying on OSCE as a sole means of practitioner assessment, used carefully it can make a helpful and meaningful contribution to health professional education
An exploration of an expanded nursing role in paediatric pre-operative assessment
No full textThis thesis explores the appropriateness of suitably trained children's nurses undertaking the pre-operative assessment of children prior to day case and minor surgery. The central focus of the study is a 60 subject hypothesis refining randomised controlled trial (RCT), comparing the pre-operative assessment of children carried out by suitably trained nurses with the assessment carried out by senior house officers (SHO's). Findings demonstrate significantly greater accuracy by nurses in the detection of abnormalities in children's history, when compared with the SHO's. No significant difference is demonstrated between the performance of nurses and SHO's in detecting abnormalities within the physical examination, or in the correct identification of children who have no detectable abnormalities. However, these findings of 'no significant difference' must be substantiated within a larger equivalence trial before assurances can be given that paediatric pre-operative assessment might safely be transferred from SHO's to nurses. Supplementary data explores the perspectives of parents and practitioners with regard to children's nurses undertaking a pre-operative assessment role. The views of parents, gathered via questionnaires, are supportive of the initiative. The views of nurses and SHO's involved in the RCT are similarly supportive, although the conduct of in-depth interviews with the nurses also reveals insights into their perceived vulnerability when carrying out such expanded roles. The views of anaesthetists are less positive, and convey a reluctance to accept nurses carrying out the pre-operative assessment of children. Finally, a national survey explores the views of nurses and SHO's involved in paediatric pre-operative assessment, revealing that nurses attribute significantly greater importance and enjoyment to the pre-operative assessment role when compared with SHO's. This factor may in part explain the greater accuracy demonstrated by nurses in the RCT, but such speculation must be substantiated by further enquiry. This study contributes to the nursing literature in offering what is thought to be the first systematic UK exploration of the role of the paediatric nurse within pre-operative assessment. It is also the first study, as far as the author is aware, to demonstrate significantly greater accuracy in history taking by nurses when compared with doctors, in a paediatric specific UK study. It therefore makes a meaningful contribution to both the paediatric and expanded role evidence bases. It also offers systematically informed hypothesis generation to underpin the ongoing exploration of an expanded nursing role within paediatric pre-operative assessment
The child's experience of single room isolation: a literature review
No full textStudies have shown that people who require single room isolation while in hospital often feel lonely, sad, worried, bored and in need of information. A literature review identified only 16 papers reporting on the child’s experience of isolation. Findings indicate that children feel lonely, are scared of the personal protective equipment and feel bored. Patients’ parents feel guilty, worried and under increased pressure to visit their children. It is also suggested that isolation may affect child development
Datasets for "Is Antenatal Exposure to Selective Serotonin Reuptake Inhibitors (SSRIs) Associated with Prolongation of the QT Interval in Term Neonates (37 Complete Weeks Gestation or Greater)?"
No full textDataset supports: 'Is Antenatal Exposure to Selective Serotonin Reuptake Inhibitors (SSRIs) Associated with Prolongation of the QT Interval in Term Neonates (37 Complete Weeks Gestation or Greater)?' a DClinP thesis by Lindsay-Sutherland.
Workbook for case results SSRI Exposed
Data collected from women who had taken SSRIs in pregnancy. Includes data on medical history, pregnancy, birth, and neonatal details including QT interval value.
Workbook for control results Suspected Sepsis
Data collected from neonates who were treated for suspected sepsis in the early postnatal period, and their mothers. Includes data on medical history, pregnancy, birth, and neonatal details including QT interval value.
Parent Information Leaflet for Case Group
Parent Information Leaflet for Control Group
Blank Consent form for Case Group
Blank Consent form for Control Group</span
Nurse-led pre-operative assessment: a study of appropriateness
No full textA randomised controlled trial was undertaken to compare the safety and appropriateness of preoperative assessment of children prior to day case or minor surgery between five nurses and six senior house officers (SHOs). The nurses received 30 hours of training in history taking and physical assessment. Sixty children were randomly allocated to be assessed by an SHO or an assessment trained nurse and then by an expert (a specialist registrar paediatric anaesthetist). All children with no detectable abnormalities were identified correctly by both groups. The nursing group identified 85per cent of the detectable abnormalities with the SHO group identifying 47 per cent. Parents, nurses, SHOs and surgeons were supportive of the initiative but anaesthetists were not so positive in their views. A larger study would indicate whether nurse-led pre-operative assessment could help to optimise pre-operative care of children
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