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Biomedical subjects

A Farrington

Publications and source records attributed to A Farrington.

15 recordsLinked to original sources

Cancer, emotional responses and cognitive behavioural psychotherapy.

Cancer and its treatment is known to have a substantial psychological morbidity and, while adjuvant psychological therapy (APT) is well established, relatively little work has been done to investigate the effectiveness of psychotherapy, particularly cognitive behaviour therapy (CBT), for patients with cancer. This article focuses initially on emotional responses to the diagnosis of cancer, individual vulnerability and the prevalence of psychological problems in patients with cancer. The use of cognitive behaviour therapy is then described, together with key issues in its application and specific problems. The work concludes by considering differences in applying CBT to patients with cancer compared to patients with other physical illnesses and the notion of 'relapse inoculation'.

Adaptation, Psychological

The fourth paradigm: a new model of leadership for managing nurse education.

Over 20 years ago Toffler suggested that 'tomorrow's individual will have to cope with even more hectic change than we do today' and that for education the lesson is clear, 'its prime objective must be to increase the individuals 'copeability'--the speed and economy with which he/she can adapt to continual change and the faster the rate of change, the more attention must be devoted to discerning the pattern of future events' (Toffler 1970). Knowledge and understanding about what produces change in education is often unclear, however, many theories exist to account for change, which has been described as 'the most recalcitrant subject in the social sciences' (Clark 1983). This work considers change and process and includes types of change, the process and management of change, and models of organization. The integration of colleges of nursing into higher education and university departments is then discussed before the article concludes, by putting forward a new model of leadership for nurse education--the fourth paradigm.

Adaptation, Psychological

Transcultural psychiatry, ethnic minorities and marginalization.

Cultural and racial bias has been woven into the fabric of Western psychiatry in its historic development. Western psychiatry emphasizes the medical model as being fundamental to the discipline. Many communities in large cities and industrial areas have become multicultural and multiracial. Culture-bound syndromes are not specific to non-Western ethnic minorities. Black people are overrepresented among psychiatric patients in institutions. Mental health services for ethnic minorities have been haphazard and inconsistent. Cultural experiences and the practical realities of racism are overdue their recognition.

Cross-Cultural Comparison

Stress and nursing.

This article looks at definitions and models of stress and examines sources of stress in nursing and the assessment and measurement of stress factors.

Absenteeism

Shared governance: developing a British model.

This article will examine the concept of shared governance and describe the development of a model for a British NHS trust. The philosophy of shared governance will be related to a decentralised style of management and the consequences that this will have for managers and staff nurses. The introduction of shared governance in the USA has realised many benefits. However, limitations have also been illustrated and these will be discussed in relation to the proposed model for Leicester General Hospital.

Decision Making, Organizational

Models of clinical supervision.

This article describes several schools of practice in relation to clinical supervision and discusses models of supervision, particularly an integrative approach to clinical supervision in mental health practice. While it is recognised that clinical supervision is more likely to occur in mental health nursing, the article concludes by suggesting a broader application of the underlying principles described.

Humans

Suicide and psychological debriefing.

The death of a patient by suicide is one of many upsetting experiences that nurses face. However, psychological debriefing after such an event is not commonly available.

Attitude of Health Personnel

Change, revolt and the student nurse.

Nurse education is facing great changes which challenge traditional methods of training and educating student nurses. Project 2000, college amalgamation and links with universities have coincided with a drive towards increasing opportunities for nurses to achieve graduate status and generally raise the academic status of nursing as a profession. The student nurses caught up in these changes must be more than passive recipients of information, or dissatisfaction will occur. The author considers the unsettling effect of change on students and, through examination of factors such as teachers' attitudes and adult education, concludes that student participation in programme planning and policy-making must become more widespread of educators are to avoid dissatisfaction turning to revolt.

Adult

Learning revolution.

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Education, Nursing