Implementing research with underserved populations.
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Biomedical subjects
Publications and source records attributed to A Busby.
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Communication between hospital staff and in-patients, especially regarding the provision of information, has been found to be inadequate although improving information-giving has been demonstrated to have a number of beneficial effects. While the ward round might be a particularly valuable setting for communication, few studies have explored the multidisciplinary nature of rounds. This study obtained the views of 33 consultants, 14 nurses and eight patients and observed three ward rounds in order to determine the nature of present round functioning, and the nurse's role in such a round. The results showed that the rounds studied were not being conducted in a democratic fashion: medical staff dominated and other health care professionals had little involvement. Patients received few explanations and had great difficulty understanding the discussion. The functions nurses were seen to perform involved primarily providing information for medical staff. It is recommended that patients are more involved in rounds and are given more explanations and encouraged to ask questions. Nurses should be educated to assert themselves in ward rounds in order to fulfil roles they prescribe for themselves, and all professionals should aim towards more democratic, equal discussion. There is a need for further research to determine the effectiveness of nurse intervention on patient involvement and satisfaction with the round.
The dietary pattern of 270 third-year secondary schoolgirls in Glasgow was investigated by means of a 24-hour recall. Subjects were asked to indicate any food which they had bought themselves and to answer questions relating to fat, sugar and fibre. Most ate at normal mealtimes including breakfast but additional snacking was prevalent especially in the evening. There was a distinct lack of fruit and vegetables in the diet. The subjects could exercise reasonable influence over their own intake by virtue of their purchasing power. The roles of fat, sugar and fibre in the diet were variably understood and sources of fibre not well recognised.
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