1,721,064 research outputs found

    Debating mental health nurses' role in medicines management

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    This article delineates concordance and adherence; two fundamental positions pertaining to the role of the nurse in medicine management. Taking the form of a debate, it uses mental health nursing to describe the role and function of concordance and adherence in practice. Each author presents their case and responds briefly to the other in order to show why they see the adoption of one term or another as central to medicines interventions with the patient. The purpose of the paper is to encourage readers to consider their own position in relation to this important debate

    Promoting concordance in mental health.

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    Pioneering theories in nursing.

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    Evaluating nurse prescribing in mental health patients: a pilot study

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    This article describes the process of piloting a questionnaire designed to establish certain demographic, quantitative and qualitative information about the impact of nurse prescribing in Greater Glasgow and Clyde. The questionnaire was sent to a random sample of about 10% of the nurse prescriber database held by the lead nurse in Greater Glasgow and Clyde and elicited themes on which to base further research. The aim is to explore these themes in interviews with patients

    Ethics and originality in doctoral research in the UK

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    AIM: To show that the ethics governance process in the UK is not necessarily conducive to innovative investigation by doctoral students.BACKGROUND: Doctoral students need to demonstrate an original contribution to knowledge. This paper critically evaluates the concept of knowledge in relation to the concept of research paradigms. The purpose of this is to situate different claims to originality and show that original knowledge in nursing is always ethical knowledge of nursing.DATA SOURCES: Academic databases, local and national policy documents.REVIEW METHODS: Ethics governance procedures in nurse research in the UK are summarised. These are contrasted with ethical issues embedded in day-to-day nursing practice.DISCUSSION: The author's argument is that current methods of ethics governance for doctoral research in the UK can be detrimental to the construction of original knowledge in nursing. This is because original research in nursing necessarily affects the ethics of care, but the gatekeeping function of risk-averse ethics committees tends to prevent students attempting ethically complex studies. This means less important research gets carried out.CONCLUSION: To mitigate these issues, doctoral students need to develop a solid understanding of the ethics governance process. They need to build relationships with relevant ethics committees. University ethics committees are ideally placed to help with this process.IMPLICATIONS FOR RESEARCH/PRACTICE: Without original research practice will remain reactive. Originality entails risk on the part of both researcher and ethics committee. Positive risk taking is more feasible in the context of collaboration and mutual understanding. Nurses should become more active in research governanc

    Insomnia: management and treatments

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    The National Institute for Health and Clinical Excellence (NICE) guideline for treatment of insomnia suggests non-pharmacological interventions should take priority. This article discusses the rationale for this and grounds it in the evidence for and against pharmacological intervention. Different definitions of primary insomnia are elaborated alongside current understanding of normal sleep. Prescribing decisions are considered against this backdrop and it is concluded that optimal treatment will take place within an evidence-based concordant partnership

    The requirements for original doctoral research in nursing.

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    Clinical and academic doctorates (PhDs) demand an original piece of research. This article examines how to generate such research in nursing and proposes that it is not as elusive as it first appears
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