Browsing by Person "Harbison, Jean"

Now showing 1 - 7 of 7

Commentary on Taylor J, Baldwin N and Spencer N (2008) 'Predicting child abuse and neglect; ethical, theoretical and methodological challenges'.Journal of Clinical Nursing17, 1193-1200
(2009-01-14) Harbison, Jean
Establishing the contribution of nursing in the community to the health of the people of Scotland: integrative literature review
(Wiley, 2008-12) Kennedy, Catriona; Christie, J.; Harbison, Jean; Maxton, F.; Rutherford, Ishbel
Aim. This paper is a report of an integrative literature review to explore the evidence base for nursing in the community. Background. The Scottish Executive (2005) in Scotland (UK), announced that a review of nursing in the community should be undertaken to inform implementation of the policy Delivering for Health. This policy called for a fundamental shift in the focus of care away from acute hospitals into the community where health care in the future will be concentrated. To inform this review of nursing in the community, the Scottish Executive commissioned a literature review. Methods. An integrative literature review was carried out during 2006 (February to April). We carried out an extensive literature search using multiple electronic databases and hand-searched key texts to find suitable systematic reviews and primary quantitative and qualitative papers for review (1996-March 2006). We included English language publications describing systematic reviews and primary empirical research about community nurses' contributions to the health of people. Findings. Seventy-three papers (12 systematic reviews and 61 studies) met our inclusion criteria. All of the studies were scored as either 'low' or 'medium' quality. None merited a 'high' quality rating. Conclusions. There is little research evaluating the impact of community nursing actions. Adequately resourced research is needed to strengthen the evidence base to support nurses in the community in delivering effective and efficient care that meet the health needs of people and communities. 2008 The Authors.
Exploring leadership in community nursing teams
(Blackwell, 2012-07) Cameron, Shona; Harbison, Jean; Lambert, Vicky; Dickson, Caroline
Aims.- This article is a report on a study investigating how leadership is perceived in community nursing teams and how these perceptions are translated into working practices of team leaders. Background.- The consensus in community nursing literature is that leadership is important, and especially so in a time of change. However, little empirical evidence exists on how leadership works in practice. Method.- The study adopted an exploratory descriptive design, utilising individual semi-structured interviews and focus groups in four case-studies, with a total of 54 participants. Two case-studies focussed on district nursing teams and two involved public health nursing teams, located in two geographical areas. Participants debated their understanding of the concept of leadership, its associated practices and behaviours in teams, if they saw themselves as leaders, and what preparation was required. The study was undertaken in 2009. Framework analysis techniques were employed to analyse the data. Findings.- A 'quasi-family' model of leadership emerged, with significant emphasis on the importance of personal relationships and support. Nursing grade had a greater impact on perceptions of leadership than geographical context or professional and clinical focus. Conclusion.- No clear fit with any existing theoretical framework was identified. However, nurses in the highest grade banding, in particular, demonstrated practices associated with transformational leadership. Nurses expressed the very clear need to be acknowledged, respected and valued, and that those who provided this support were regarded as good leaders.
Investigating the contribution of community nurses to anticipatory care.
(Blackwell, 2010) Kennedy, Catriona; Harbison, Jean; Mahoney, C.; Jarvis, A.; Veitch, L.
Kennedy C, Harbison J, Mahoney C, Jarvis A, Veitch L (in press) Journal of Advanced Nursing.
Investigating the contribution of community nurses to anticipatory care: A qualitative exploratory study
(Wiley, 2011-07) Kennedy, Catriona; Harbison, Jean; Mahoney, Catherine; Jarvis, Alison; Veitch, Linda
Aims. To investigate how one aspect of anticipatory care is understood and delivered in practice. 'Anticipatory care' in this context can be understood as proactive care, which is oriented towards prevention of adverse events. Background. Scotland has identified the intention to move away from a preoccupation with acute care and invest in health improvement and anticipatory care. Community nurses are the key, yet little is known about how they understand and deliver anticipatory care. Methods. A qualitative case study design using individual in-depth interviews (n=10), observation (n=9) and focus groups (n=5) was selected. Five focus group interviews were carried out with district nurses, practice nurses and health visitors. Subsequently, nine observation events took place, each focused on a single nurse/client encounter. Data were collected during 2008 and 2009 in one Community Health Partnership in Scotland. Findings. Two approaches to anticipatory care emerged; these were influenced by participants' roles and responsibilities. Approach 1 derives from Government policy agenda and is focused on protocol-focused management of long-term illness. Approach 2 is synonymous with long-standing nursing activity focused on holistic care of individual patients. Both approaches are proactive in nature. Conclusions. There is scope to develop a more conceptually complex model of anticipatory care, building on this initial exploration, within which all aims, roles, practices and methods of evaluation can be located and clearly visible. This offers the potential to enable practitioners to interpret and apply policy - otherwise change may be limited and result in service gaps. 2011 Blackwell Publishing Ltd.
Investigating the contribution of community nursing to anticipatory care
(Health Services Research Programme, NHS Lothian, 2009) Kennedy, Catriona; Harbison, Jean; Jarvis, A.; Mahoney, C.; Veitch, L.
The aims of this proposal are to: -Study one aspect of anticipatory care (promotion of self care and support) to investigate how it is understood and delivered in practice -Articulate the nursing contribution to anticipatory care -Identify skills and competences required -Inform identification of potential outcome measures
Leadership in Community Nursing - Report of a study carried out by Queen Margaret University Edinburgh, NHS Lanarkshire and NHS Forth Valley
(Queens Nursing Institute in Scotland, 2010-02-28) Cameron, Shona; Harbison, Jean; Lambert, Vicky; Rutherford, Ishbel; Dickson, Caroline; Astbury, R.; Russell, M.; Lindesay, S.
In response to national and local agendas, both NHS Lanarkshire and NHS Forth Valley maintain a strong commitment to the development of those in clinical leadership positions. Queen Margaret University programmes in Nursing incorporate leadership as a core element in preparation for practice, and QMU have accredited NHS Lanarkshire's leadership educational programme for several years. This project emerged from that collaboration, from ideas about the nature of leadership and the recognition that few empirical studies exist in nursing in general, and fewer specifically in community nursing. The two data collection sites were not involved in pilot work of the Review of Nursing in the Community (SEHD 2006) although all staff were working in this context of policy drivers encouraging change (SE 2005a, SE 2005b, Pollock 2007, Kennedy et al 2009, RCN 2009a 2009b).