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The impact of central glucocorticoid sensitivity on the disease course in ulcerative colitis
Background The demand for General Practice services in the UK, and elsewhere, is rising quickly. In part, the increasing demand is from an aging population that requires management of multiple long-term conditions. The General Practice... more
Background The demand for General Practice services in the UK, and elsewhere, is rising quickly. In part, the increasing demand is from an aging population that requires management of multiple long-term conditions. The General Practice Nurse is increasingly taking on the role. It is acknowledged that if general practice is to be able to recruit sufficient General Practice Nurses (GPNs) to meet this increasing demand in the future, new graduate nurses must be encouraged to consider general practice as a viable career option. This research is part of a review of the Advanced Training Practice Scheme (ATPS) which supported clinical placements in participating general practices. Methods The aim of the study was to examine nursing students’ perceptions of GP placements, and their effect upon career intentions following graduation from Sheffield Hallam University (SHU), in the UK. Interviews and an online survey were used collect data. Only the survey is reported here. The bespoke survey ...
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The UK Government document 5 year forward view describes the need to move chronic disease management from secondary to primary care, which will require a significant increase in the numbers of General Practice Nurses (GPNs). Until... more
The UK Government document 5 year forward view describes the need to move chronic disease management from secondary to primary care, which will require a significant increase in the numbers of General Practice Nurses (GPNs). Until recently, there has been no specific recruitment strategy to address this increased need. In recent times, a number of solutions have been suggested to address this impending GPN recruitment crisis. For example, Health Education England (HEE) commission General Practitioners (GPs), who are members of the Advanced Training Practice Scheme (ATPS), to provide placements for student nurses within general practice. A descriptive qualitative study was undertaken, in which data were collected using semi-structured interviews with 16 GPs and 2 GPN partners*. Qualitative analysis used a framework approach and themes were cross-checked within the team and member checking was undertaken with a convenience sample of GPs. The research had ethical approval and anonymity...
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Designed to encourage scholarly activity and promote professional growth experiences for doctoral candidates, the Residency Portfolio at Marshall University replaced the use of comprehensive exams in 2003. During this session, doctoral... more
Designed to encourage scholarly activity and promote professional growth experiences for doctoral candidates, the Residency Portfolio at Marshall University replaced the use of comprehensive exams in 2003. During this session, doctoral students in Curriculum and Instruction with ...
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Implementing safety science {a term adopted by the authors which incorporates both patient safety and human factors (Sherwood, G. (2011). Integrating quality and safety science in nursing education and practice. Journal of Research in... more
Implementing safety science {a term adopted by the authors which incorporates both patient safety and human factors (Sherwood, G. (2011). Integrating quality and safety science in nursing education and practice. Journal of Research in Nursing, 16(3), 226-240. doi: 10.1177/1744987111400960)} into healthcare programmes is a major challenge facing healthcare educators worldwide (National Advisory Group on the Safety of Patients in England, 2013; World Health Organisation, 2009). Patient safety concerns relating to human factors have been well-documented over the years, and the root cause(s) of as many as 65-80 % of these events are linked to human error (Dunn et al., 2007; Reason, 2005). This paper will describe how safety science education was embedded into a pre-registration nursing programme at a large UK university. The authors argue that the processes described in this paper, may be successfully applied to other pre-registration healthcare programmes in addition to nursing.
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This article reviews the current situation regarding the provision of education and training for healthcare clinical support workers (HCSWs). In the UK, there has been an increasing reliance on unqualified clinical support staff to... more
This article reviews the current situation regarding the provision of education and training for healthcare clinical support workers (HCSWs). In the UK, there has been an increasing reliance on unqualified clinical support staff to provide a significant proportion of the direct patient care in all healthcare settings. HCSWs routinely undertake several nursing activities that were traditionally the responsibility of nursing students or junior staff nurses. There is a need for an urgent review of the training of healthcare support staff. A 'tick box' approach to training, with an emphasis on classroom-based or on-the-job learning, makes it difficult for HCSWs to integrate theory into practice, and supports a transactional approach to caring rather than a relational approach to caregiving. Lessons from the educational experiences of other healthcare groups should be applied to the training of HCSWs. An immersive, participatory teaching and learning strategy is one approach that could be used.
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Patient deterioration is not always detected, resulting in avoidable deaths.
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Pressure ulcers are one of the main causes of avoidable harm in patients.
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Maintaining an adequate fluid intake is vital for health. Under normal circumstnces, humans require about 2.5 litres of fluid per day. Dehydration occurs when the body loses more fluid than it takes in, and can be the result of either... more
Maintaining an adequate fluid intake is vital for health. Under normal circumstnces, humans require about 2.5 litres of fluid per day. Dehydration occurs when the body loses more fluid than it takes in, and can be the result of either inadequate fluid intake or excessive fluid loss.
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Poor nutrition can hinder a patient’s recovery. It is important to spot and monitor its signs, says Robin Lewis.
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To review the literature on the use of simulation in the development of non-technical skills in nursing The potential risks to patients associated with learning 'at the bedside' are becoming increasingly unacceptable, and the... more
To review the literature on the use of simulation in the development of non-technical skills in nursing The potential risks to patients associated with learning 'at the bedside' are becoming increasingly unacceptable, and the search for innovative education and training methods that do not expose the patient to preventable errors continues. All the evidence shows that a significant proportion of adverse events in health care is caused by problems relating to the application of the 'non-technical' skills of communication, teamwork, leadership and decision-making. Simulation is positively associated with significantly improved interpersonal communication skills at patient handover, and it has also been clearly shown to improve team behaviours in a wide variety of clinical contexts and clinical personnel, associated with improved team performance in the management of crisis situations. It also enables the effective development of transferable, transformational leadershi...
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Measuring blood glucose in patients with diabetes by taking a sample of capillary blood is a safe method. It is also good for detecting hypoglycaemia or hyperglycaemia, and managing complications of diabetes.
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This study examined alcohol consumption, internalized homophobia, and outness as related to men’s (N = 107) reports of the perpetration of violence against a same-sex partner. Higher typical weekly alcohol consumption, higher levels of... more
This study examined alcohol consumption, internalized homophobia, and outness as related to men’s (N = 107) reports of the perpetration of violence against a same-sex partner. Higher typical weekly alcohol consumption, higher levels of internalized homophobia, and less outness (e.g., lower levels of disclosure of one’s sexual orientation) predicted the perpetration of partner violence. In contrast to what we expected, the interaction between higher alcohol consumption and higher levels of outness about one’s sexual orientation (i.e., being open to friends, family members, work colleagues) increased the likelihood of participants’ reports of perpetrating physical violence. These results suggest the importance of both alcohol consumption and sexual minority stressors and their interactions in understanding men’s perpetration of same-sex partner violence.
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This research examined attributions that female and male college students made about an individual who committed suicide. The gender of the victim and whether alcohol use was involved were systematically varied. Results indicated that... more
This research examined attributions that female and male college students made about an individual who committed suicide. The gender of the victim and whether alcohol use was involved were systematically varied. Results indicated that female and male respondents see the issues involved in suicide differently. Female respondents appear to place more emphasis on contextual clues such as alcohol use and gender of the actor. In addition, both female and male respondents tended to associate alcohol use and suicide for male actors but not for female actors. These results are discussed in terms of stereotypes that may be held for females and males vis-a-vis emotional expression and alcohol use. The use of population base rates in attributions about suicide and alcohol use is also considered. Directions for future research are also presented.
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The families of people with learning disability frequently report that their relatives receive poor care when they attend hospital as in-patients. For some individuals the consequences have been fatal. Despite official responses there is... more
The families of people with learning disability frequently report that their relatives receive poor care when they attend hospital as in-patients. For some individuals the consequences have been fatal. Despite official responses there is growing evidence to suggest that this situation remains unchanged and may even be worsening. Here we present a case study. The narrative is related principally by two close relatives and with additional contributions from caregivers who worked regularly with the gentleman whose experiences form the basis for this account. From this we must conclude that current provision is inadequate. Hospital staff of all grades and backgrounds clearly need more training and education in caring for people with learning disability who present as patients. This is urgent because the learning disability population is growing and ageing and will necessarily be more frequently in contact with secondary care.
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We report on the use of a high fidelity patient simulator (SimMan) within a clinical lab setting to teach learning disability nursing students about epilepsy management. We had previously prepped the students with verbal discussions on... more
We report on the use of a high fidelity patient simulator (SimMan) within a clinical lab setting to teach learning disability nursing students about epilepsy management. We had previously prepped the students with verbal discussions on epilepsy management and, when the simulator began to undergo a seizure, small groups of students managed the unfolding scenario. We received written feedback from the students on the experience, and with reference to this and to the wider literature we consider the benefits of this approach to patient care. We surmise that lessons learned here will be applicable to trainee professionals from other parts of the register and in other fields allied to healthcare. We anticipate that this will improve care for people with intellectual disability in line with recommendations in Health Care for All (2008).
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In this article, we report on that aspect of our ongoing simulation project which focuses on the cultural needs of a... more
In this article, we report on that aspect of our ongoing simulation project which focuses on the cultural needs of a 'virtual' young man living with profound and multiple intellectual disabilities, who is British Asian and receives care in a residential setting. We describe our involvement with a local agency who support families from black and minority ethnic populations and who have children with a variety of intellectual disabilities. We then go on to detail the focus group we attended and how we incorporated the data generated into a more comprehensive story for our 'virtual' young man, Ahmed.
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The experiment described in this article examined how interacting with a friend as opposed to a stranger in anticipation of a stressful event (giving an extemporaneous speech) affects coping. Results indicated that subjects perceived more... more
The experiment described in this article examined how interacting with a friend as opposed to a stranger in anticipation of a stressful event (giving an extemporaneous speech) affects coping. Results indicated that subjects perceived more social support after interacting with a friend than with a stranger. They were less depressed and were judged to be more confident during the extemporaneous speech after interacting with an opposite-sex friend than with an opposite-sex stranger. Specific verbal and nonverbal behaviors contributed to successful coping. Subjects reported less fear if they talked about their feelings about public speaking during the social interaction, and they were more confident while speaking if they engaged in problem-solving talk. Problem-solving, other-related, and unrelated talk predicted perceived social support. Of the nonverbal behaviors measured, eye contact was the best predictor of coping and perceived social support.
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The experiment described in this article examined how interacting with a friend as opposed to a stranger in anticipation of a stressful event (giving an extemporaneous speech) affects coping. Results indicated that subjects perceived more... more
The experiment described in this article examined how interacting with a friend as opposed to a stranger in anticipation of a stressful event (giving an extemporaneous speech) affects coping. Results indicated that subjects perceived more social support after interacting with a friend than with a stranger. They were less depressed and were judged to be more confident during the extemporaneous speech after interacting with an opposite-sex friend than with an opposite-sex stranger. Specific verbal and nonverbal behaviors contributed to successful coping. Subjects reported less fear if they talked about their feelings about public speaking during the social interaction, and they were more confident while speaking if they engaged in problem-solving talk. Problem-solving, other-related, and unrelated talk predicted perceived social support. Of the nonverbal behaviors measured, eye contact was the best predictor of coping and perceived social support.
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Research Interests: Engineering, Education, Eating Disorders, Skeletal muscle biology, Physical Activity, and 15 moreBody Image, Medicine, Humans, Body Composition, Male, Weight Lifting, Active Control, Self Concept, Adult, Body Mass, Body Weight, Boolean Satisfiability, Self Esteem, Competitive Behavior , and Medical and Health Sciences
ABSTRACT: We tested the notion that male and female observers would have differ-ent reactions to the use of touch by a nurse towards a patient in a hospital situation. If males are socialized to favor autonomy and independence and females... more
ABSTRACT: We tested the notion that male and female observers would have differ-ent reactions to the use of touch by a nurse towards a patient in a hospital situation. If males are socialized to favor autonomy and independence and females to favor nurturance and caring, it was ...