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Biomedical subjects

B Stilwell

Publications and source records attributed to B Stilwell.

At least 19 recordsLinked to original sources
PubMed1991

Low dopamine-beta-hydroxylase: a biological sequela of abuse and neglect?

Twenty-one psychiatrically hospitalized boys were studied while off psychoactive medication to determine if conduct disorder, solitary type, and abuse or neglect experiences correlated with low levels of dopamine-beta-hydroxylase (DBH) activity. Preliminary results supported earlier findings that undersocialized types of conduct disorder in boys were correlated with low DBH activity. Possible or definite neglect or abuse before 36 months of age was correlated with low DBH activity. Abuse or neglect was not correlated with low DBH activity when time of occurrence was not specified. Low serum DBH may be a biological sequela of seriously disrupted attachment.

Adolescent↗
PubMed1988

Description and evaluation of a course for practice nurses.

There is increasing awareness of the needs of practice nurses for continuing education and both the report of the community nursing review and the government's white paper Promoting better health have stressed this. A course for practice nurses is described in which the curriculum was based on previous research into their requirements. An evaluation of the course demonstrated changes in the attitude towards the work of the practitioner and an overall increase in confidence of the group. Perceptions of the course and the relevance of the content were also measured. The cost of the course is given and the future direction of training discussed.

Adult↗
PubMed1988

A nurse practitioner in general practice: patient perceptions and expectations.

A study exploring the acceptability of a nurse practitioner to a random sample of 126 patients is reported. Sixty per cent of patients either approved of the concept and expressed willingness to consult the nurse or held no strong views. Fifty three per cent of the 61 patients who had seen her already were prepared to see her again. Fifty four per cent of patients had difficulty in differentiating between the role of the nurse practitioner and the doctor and the perceived differences included qualifications, ability to prescribe drugs and the severity of the condition dealt with. Women were nearly three times more likely than men to consult a nurse practitioner. Good communication skills were reported to be among the most sought after qualities of those whom patients consult about their health problems.

Consumer Behavior↗
PubMed1987

Practice nurses: social and occupational characteristics.

Three hundred practice nurses in the West Midlands responded to a questionnaire survey about their social and occupational characteristics. The nurses were mainly married women with children and had had considerable hospital experience. They were largely satisfied with their job and felt that their own general practitioner colleagues were supportive, though doctors in general might not be so. Large variations in patterns of work were revealed and in some cases there was a considerable extension of the traditional nursing role. Almost two-thirds of practice nurses were undertaking breast and vaginal examinations, 70% were carrying out cervical smears and a number of nurses were diagnosing, investigating and managing common ailments. Nurses expressed a desire for further extension of their role to allow them to undertake broader aspects of patient care and to be less task-centred, but felt that they would require further training to do so. There was evidence of a need for better definition of the practice nurse's role and for more support from health authorities and the nurses' own professional body.

Adult↗
PubMed1987

A nurse practitioner in general practice: working style and pattern of consultations.

The work of a specially trained nurse practitioner, to whom patients had open access, was studied in an inner city general practice over a period of six months in 1983. A total of 858 patients of all ages and ethnic origins sought consultations for 979 problems. Morbidity from every diagnostic group was presented but the majority of the problems (60.4%) fell into the 'Supplementary' group: preventive medicine; health instruction and education; social, marital and family problems; administrative procedures. The consultation room setting and the long appointment times available (20 minutes) may partly account for this. Additional problems, mostly concerning health education, were raised in 46.0% of consultations. Most patients chose a consultation with the nurse practitioner appropriately and in more than one-third of all consultations the nurse managed the presenting problem without further referral for investigation, prescription or other medical advice. It is concluded that nurses have a much larger and more autonomous part to play in the care of patients than hitherto.

England↗
PubMedDate not supplied

Assessing elderly people (continuing nursing education).

Community nurses are increasingly likely to be involved in assessing the health status of elderly people in a number of care settings. It is important that the assessment is relevant and useful, not only for the primary health care team, but also for the elderly person and any involved carers.

Aged↗