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Nursing

Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/24

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    Using stories to explore the lived experience of alcohol consumption in people with diabetes mellitus
    (Wiley, 2023-12-06) Charlton, Jacqui; MacDonald, Kath
    Background: Evidence supports the risks of dangerous episodes of hypoglycaemia, hyperglycaemia, or extreme glucose variability in type 1 diabetes during and after alcohol consumption. Minimal evidence regarding preventative self-care strategies exists, and people with type 1 diabetes can develop personal tactics to overcome risks. Combining the lived experience of managing alcohol consumption while living with diabetes will enrich new patient and health care professional education. Methods: Participants were recruited from social media, and attended between one and three online storytelling workshops. Demographic data were collected by questionnaire, and qualitative data were collected by note-taking during the online sessions and evaluated by thematic analysis. Results: Nine participants aged 18–36 years (type 1 diabetes = seven [three female], and type 2 diabetes = two [both male]) were recruited. Insulin administration was by multiple daily injection therapy (n=5 including one type 2 diabetes), continuous subcutaneous insulin infusion (n=3) without hybrid closed loop, and sulphonylurea plus morning long-acting analogue insulin (n=1 type 2 diabetes). From the nine participant stories three diabetic ketoacidosis, three hypoglycaemia, and one extreme glucose variability episodes occurred. Four clustered themes were found: living with diabetes, managing alcohol, app development suggestions, and future development suggestions. Discussion: New insights discovered were: distressing glucose risks including diabetic ketoacidosis episodes, misinterpretation of glucose and intoxication symptoms, trial and error approaches, and non-disclosure to health care professionals regarding severe glucose situations. Copyright © 2023 John Wiley & Sons.
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    Chapter 6: Professionalism and practising professionally
    (Wiley, 2020-12) Gibson, Caroline; MacDonald, Kath; Deirdre O’Donnell; McCormack, Brendan; McCance, Tanya; Bulley, Catherine; Brown, Donna; McMillan, Ailsa; Martin, Suzanne
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    Nursing students' experience of practice placements
    (RCN Publishing, 2016-11-02) MacDonald, Kath; Paterson, Kirstie; Wallar, Jessica
    Clinical practice placements are an essential component of pre-registration nursing programmes. Integration into a new team in an unfamiliar setting, which has its own values, practices, culture and language, can be stressful for nursing students. This article presents and discusses students' reflections on preparing for, entering and leaving practice placements. Ten students who participated in fortnightly group reflective sessions, discussed and analysed their learning experiences while on practice placements in an acute hospital. The challenges the students encountered were deconstructed using a group narrative approach. The students experienced ethical dilemmas around patient dignity, consent and advocacy as well as factors external to the practice setting, such as navigating systems and processes to access information before starting practice placements, managing household duties and academic workloads while working long shifts, and managing fatigue and loneliness. The students devised recommendations for other students to enable them to navigate their practice placements effectively and enhance their learning experience. Raising awareness among academic and practice placement staff of the challenges students encounter before and during their practice placement is essential to assist students to succeed and maximise their learning potential.
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    Clinical Placements: Pocket Guides for Student Nurses
    (Lantern Publishing Ltd, 2017-09-12) MacDonald, Kath; MacDonald, Kath; Paterson, Kirstie; Wallar, Jessica
    Clinical placements are an essential part of nurse training, but are extremely daunting, especially for new nursing students. This unique pocket guide provides a wealth of practical detail, tips and advice to help the student nurse get to grips with, and make the most of, their placement. The pocket-sized format means the book is extremely portable (it really will fit in a pocket!) and the ring binding allows it to be opened flat (useful when adding notes, for example). The information is presented in digestible chunks (lists, tables, bullets, even cartoons) so the reader can find the essential information really quickly without wading through pages of text there is even space to add notes specific to the particular placement. Written by recent nursing graduates based on their own experiences, reviewed by students and checked by a clinical supervisor this guidance has been produced specifically with student nurses in mind