Nursing
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/24
Browse
8 results
Search Results
Item Understanding the hospital discharge planning process for medical patients with dementia(Informa UK Limited, 2023-10-21) Duah-Owusu White, Mary; Kelly, Fiona; Vassallo, Michael; Nyman, Samuel R.Background: Poor hospital discharge processes can result in the readmission of patients and potentially increase the stress levels of carers. Therefore, this study sought to understand the factors related to the discharge planning process for patients with dementia. Methods: The researchers interviewed 32 carers of patients with dementia and 20 hospital staff who worked on medical wards in a United Kingdom (UK) hospital. The semi-structured interviews were analysed thematically using a systems theory (patient–carer–staff relationships, hospital equipment and policies). Results: The findings indicated that the following factors could either have a positive or negative impact on discharge planning: patient (e.g. cognitive capacity), carer (e.g. preconceived ideas about care homes), staff (e.g. communication skills), policy (e.g. procedures such as discharge meetings), equipment (e.g. type of service provider delivering the equipment) and the wider social context (e.g. availability of specialist dementia beds in care homes). Conclusion: It is important for hospital staff to adopt a systems perspective and to integrate the different elements of the hospital system when planning for patients’ discharge.Item Chronic kidney disease and renal replacement therapy: An overview for the advanced clinical practitioner(Mark Allen Group, 2022-02-12) Price, Ian; Wood, AlisonChronic kidney disease (CKD), also known as chronic renal failure (CRF), is a common, globally significant condition, with associated significant mortality and morbidity. Due to the disease prevalence, advanced clinical practitioners (ACPs) in a variety of primary and secondary care settings will encounter patients with this diagnosis who will require care and treatment. This article examines definitions of CKD, describes a clinical approach to a patient with CKD, including key history and examination findings, and provides a brief overview of renal replacement strategies for the patient with end-stage renal failure. ACPs require a thorough understanding of this condition and the key elements of treatment and care in this population.Item Effects of strength‐based intervention on health outcomes of family caregivers of persons with dementia: A study protocol(Wiley, 2020-08-03) Yu, Doris S. F.; Cheng, Sheung‐Tak; Chow, Esther Oi‐Wah; Kwok, Timothy; McCormack, Brendan; This work was supported by General Research Fund of Research Grants Council, Hong Kong (Project Number: 14639016).Aims This study aims at identifying the health effects of a strength‐based intervention on family caregivers of persons with dementia and to explore the underlying mechanism. The perception of family caregivers on the strength‐based intervention will also be explored.Item What is the value of nursing knowledge in a time of crisis? [Editorial](Wiley, 2020-05-29) McCormack, BrendanItem The third person in the room: The needs of care partners of older people in home care services—A systematic review from a person-centred perspective(Wiley-Blackwell, 2018-03-26) Anker-Hansen, Camilla; Skovdahl, Kirsti; McCormack, Brendan; Tønnessen, SiriAims and objectives To identify and synthesise the needs of care partners of older people living at home with assistance from home care services. Background Aging in place- is a promoted concept where care partners and home care services play significant roles. Identifying the needs of care partners and finding systematic ways of meeting them can help care partners to cope with their role. Design/ Methods This study is based on the PRISMA reporting guidelines. The systematic review of qualitative and quantitative studies was guided by the Joanna Briggs Institute (JBI) methodology. Results In total, 16 studies were included in the review, eleven qualitative and five quantitative. Three main categories were revealed in the analysis; the need for quality interaction, the need for a shared approach to care and the need to feel empowered. Conclusion Care partners of older people have several, continuously unmet needs. A person-centred perspective can contribute new understandings of how to meet these needs. A knowledge gap has been identified regarding the needs of care partners of older people with mental health problems. There is a need to develop a tool for systematic collaboration between home care services and care partners, so that the identified needs can be met in a more thorough, systematic and person-centred way.Item Working in a Storied Way - Narrative based approaches to person-centred care and practice development in older adult residential care settings(Wiley-Blackwell, 2018-01-11) Buckley, Catherine; McCormack, Brendan; Ryan, AssumptaAims and Objectives To evaluate the effects of the implementation of a methodological framework for a narrative based approach to practice development and person-centred care in residential aged care settings. Background Care in long-term residential settings for older people is moving away from the biomedical approach and adopting a more person-centred one. Narrative can help shape the way care is planned and organised. The provision of person-centred care that is holistic and that takes account of resident's beliefs and values can be enhanced by incorporating narrative approaches to care within a practice development framework. Design The chosen methodology was participatory action research. Methods Between 2010 and 2014, a methodological framework of narrative practice was implemented in two residential care settings, comprising 37 residents and 38 staff, using an action research approach. Three action cycles: (i) narrative practice and culture identification, (ii) developing narrative practice and (iii) working in a storied way emerged during the implementation. Results Key outcomes emerged in relation to the findings. These were based on narrative being, knowing and doing and centred around the key outcomes of: (i) how people responded to change (narrative being), (ii) the development of shared understandings (narrative knowing) and (iii) intentional action (narrative doing). Conclusion The implementation of a framework of narrative practice demonstrated that how people respond to change, the development of shared understandings and intentional action were interrelated and interlinked. It illustrated the importance of ensuring that practice context is taken account of in the implementation of action research and the importance of ensuring that narrative being, knowing and doing are clear and understandable for change to occur. Relevance to Clinical Practice Implementation of a narrative approach to care can develop new ways of working that value biography and promote the development of a co-constructed plan of care.Item Lipoedema complicated by secondary lymphoedema(Mark Allen Group, 2017-07-13) Williams, Anne F.; MacEwan, IsobelAnne Williams and Isobel MacEwan of Talk Lipoedema supply an overview of an often misunderstood disorder and the effects of additional complications - and provide guidance for supporting self-management in patients This article explores the pathophysiology of lipoedema, and the changes to the lymphatic system in someone with lipoedema. It aims to identify some of the challenges for individuals who live with lipoedema complicated by secondary lymphoedema, and provides information for health professionals in managing associated problems such as cellulitis.Item Perceived caring attributes and priorities of pre-registration nursing students throughout a nursing curriculum underpinned by person-centredness(Wiley, 2018-03-08) Cook, Neal F.; McCance, Tanya; McCormack, Brendan; Barr, Owen; Slater, PaulAim This paper explores pre-registration nursing students' caring attributes development through a person-centred focused curriculum.