Repository logo
 

Nursing

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

Browse

Subject: search.filters.subject.Research and Theory

Search Results

Now showing 1 - 5 of 5
  • Thumbnail Image
    Item
    A narrative review of staff views about dementia care in hospital through the lens of a systems framework
    (SAGE Publications, 2022-12-29) Duah-Owusu White, Mary; Kelly, Fiona
    Background: Significant numbers of people with dementia are admitted into acute settings. They are likely to face poor health outcomes during hospitalisation. There is the need to fully understand the care provided to people with dementia through novel methods such a systems approach (i.e. human interactions, policy, environment and equipment). Aim: The aim of this literature review is to explore hospital practitioners’ views on dementia care and to analyse findings using a systems approach. Methods: We conducted a narrative review of primary studies that examined dementia care in acute settings. We analysed a total of 33 papers using Thomas and Harden’s thematic synthesis guidelines. Results: Thirty-three papers met the inclusion criteria for the review. The findings were as follows: (1) staff-patient relationships (e.g. coping with difficult behaviour), (2) staff–family relationships (e.g. the benefits of involving families in patient care), (3) staff–staff relationships (e.g. building a robust multidisciplinary team), (4) staff–patient care decisions (e.g. decisions directly related to the patient), (5) the environment (e.g. difficulty in adjusting to the hospital environment), (6) policies (e.g. hospital bureaucratic processes) and (7) equipment (e.g. pain assessment tools). Conclusion: The paper revealed multidimensional challenges in the provision of dementia care within hospitals. We conclude that training programmes, hospital policies and processes aimed at improving outcomes for patients with dementia should adopt a systems approach which focuses on the relational, environmental, procedural and instrumental aspects of the hospital system.
  • No Thumbnail Available
    Item
    Designing and implementing an electronic nursing record to support compassionate and person-centred nursing practice in an acute hospital using practice development processes
    (SAGE, 2020-05-03) Hardiman, Michele; Connolly, Marie; Hanley, Sinead; Kirrane, Jackie; O'Neill, Winifred
    Background The complexity of nursing practice can pose challenges to the development of an e-record that meets all the requirements and standards whilst capturing the essence of the relationship between the nurse and his/her patients. Aims 1. Describe the process of designing the content of an electronic nursing record (e-record) specific to nursing in an Irish/UK context, using Practice Development (PD) methodology. 2. To share the learning of involving the end-user in the development of a person-centred e-nursing record. Methods Evidence-based PD methodologies, principles and evaluation tools were employed to involve end users in the development of a person-centred and evidence-based e-record. Results The results are limited to evaluation of the design process and reported using the SQUIRE guidelines for reporting quality improvement. Investing in time to involve end users in the design and implementation phase resulted in satisfaction and adoption of the e-record by nurses. Conclusions For nurses to be satisfied with the content and process flow of an e-nursing record it needs to include the relational and non-clinical aspect of nursing practice in addition to the clinical pre-set content. Involving the end user in a meaningful way supports a positive outcome.
  • No Thumbnail Available
    Item
    Editorial: Privilege and the call of the appeal
    (Wiley, 2020-07-24) Dewing, Jan
  • No Thumbnail Available
    Item
  • Thumbnail Image
    Item
    Guest Editorial
    (SAGE Publications, 2017-11-29) MacDonald, Kath; Clancy, Marie
    The idea for this special issue came about as a result of a meeting at the 2016 Royal College of Nursing (RCN) International Research Conference where we both presented our research through the medium of poetry. Coincidentally for us, Gary Rolfe opened the conference with a keynote called 'More poetry is needed'. Gary's concluding remarks suggested that nursing research should broaden its scope to encompass a wider variety of scholarly activities, and nurse academics should not forget that they are first and foremost nurses. This resonated very strongly with what we were trying to do, which was to connect with peoples' personal narratives, promote empathy and engage with the art of nursing as a way of knowing (Carper, 1978).