Browsing by Person "Tropea, Savina"

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Exploring nursing perspectives on moving and handling in older people with osteoporosis in acute care settings.
(BioMed Central, 2017-06-27) Smith, Margaret Coulter; Pearson, C.; Tropea, Savina; O'May, Fiona; Irvine, Linda; Rush, Robert; Wilson, R.; Anonymous benefactor
Osteoporosis is highly prevalent worldwide and is associated with increased risk of low trauma fracture (LTF) [1], increased morbidity and mortality [2]. Major advances in diagnosis, management and prevention of secondary fractures have occurred [3] but implications for acute nursing care are less well documented. This project investigated practitioners' experiences of caring for people with osteoporosis, knowledge of the disease, explored implications for moving and handling, reported patients' care experiences, and developed education for frontline staff.
Final Report for The Lydia Osteoporosis Project
(Queen Margaret University, Edinburgh, 2016-05-05) Smith, Margaret Coulter; Pearson, C.; O'May, Fiona; Tropea, Savina; Irvine, Lindesay; Rush, Robert; Wilson, R.
Sharing Research and Education Focused on Moving and Handling and Older People with Osteoporosis in Acute Settings
Framing moving and handling as a complex healthcare intervention within the acute care of older people with osteoporosis: a qualitative study
(Wiley, 2016-08-22) Smith, Margaret Coulter; O'May, Fiona; Tropea, Savina; Berg, Jackie; Anonymous
Aims and objectives. To investigate healthcare staff's views and experiences of caring for older hospitalized adults [aged 60+] with osteoporosis focusing on moving and handling. Specific objectives were to explore the composition of manual handling risk assessments and interventions in osteoporosis. Background. Osteoporosis is a skeletal disease that reduces bone density and causes increased fracture risk. Incidence rises with age and osteoporotic fractures cause increased morbidity and mortality. It is major global health problem. In the UK older hospitalized adults are normally screened for falls risk but not necessarily for osteoporosis. As presentation of osteoporosis is normally silent until fractures are evident it is frequently undiagnosed. Healthcare staff's knowledge of osteoporosis is often sub optimal and specific manual handing implications under-researched.
'Therapeutic emplotment': A new paradigm to explore the interaction between nurses and patients with a long-term illness
(Wiley-Blackwell, 2012-04) Tropea, Savina
Aims. This paper presents a discussion of the use of 'therapeutic emplotment' during health professional-patient interactions when caring for patients with a long-term illness, with implications for nursing. Background. 'Therapeutic emplotment' develops from two philosophical strains: one emphasizing the connection of speech to actions, the other the linguistically mediated nature of human experience. Mattingly defines therapeutic emplotment as the creation of story-like structures through therapist-patient interactions which encourage the patient to see therapy as integral to healing. Data Sources. A literature search for the period 1994-2010 was undertaken using the keywords therapeutic emplotment, chronic illness, illness narratives, nursing narratives and nurse-patient interaction in the following databases: CINAHL, MEDLINE, COCHRANE, Social Care online, PsycInfo and AnthroSource. Reference lists of papers and books were examined for relevant studies published before 1994. Discussion. Differing from other social scientists, Mattingly highlights potential of narratives to create experiences in clinical practice. With therapeutic emplotment, narratives become 'tools' in the hands of health professionals to shape the interaction with patients with a long-term illness and are constructed by them together. This introduces changes in the way health professionals, including nurses, look at their practice. Implications for nursing. Therapeutic emplotment may provide nurses with a way of improving communication and relationship skills to help patients reach therapeutic goals; its use may also help qualitative research that explores the impact of nurses' interactions with patients on the quality of care. Conclusion. Therapeutic emplotment may be used by a broader range of health professionals, including nurses, for clinical and research purposes. 2011 Blackwell Publishing Ltd.