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Biomedical subjects

C Maggs

Publications and source records attributed to C Maggs.

At least 19 recordsLinked to original sources
PubMed2001

The patient's view: the benefits and limitations of nurse prescribing.

This study was undertaken in a primary care group to explore nurse prescribing from the patient/client's viewpoint. All prescribing health visitors, district nurses and practice nurses were asked to recruit five patients for whom they had prescribed; 50 patients/clients participated in the study. Identified benefits of nurse prescribing included a more effective use of the nurse's and doctor's time; a quality relationship between the nurse and patient; nurses' awareness of their own professional limitations; their expertise in certain types of care; and their providing timely, convenient, practical and successful treatment. Limitations and the proposed options for change included the training and competency of nurse prescribers and the limitations of the Nurse Prescribers' Formulary. On a local level the study informs nurse prescribers that they are currently meeting the needs of the majority of recipients, and provides evidence of some of the benefits and limitations of nurse prescribing.

Adult↗
PubMed2000

Reflections on the role of the nursing development facilitator in clinical supervision and reflective practice.

The notions of clinical supervision and reflective practice are attracting considerable interest across the spectrum of nursing. This paper focuses upon how the two were linked together and, with the support of an independent survey, were used to evaluate the nursing development facilitator role. It is argued that reflective practice, as a model of clinical supervision, may provide a forum for nurses to explore the value of their actions. Linked to this, the personal knowledge that is revealed may mirror reality and as a result it is argued that there is benefit in evaluating practice through reflection.

Attitude of Health Personnel↗
PubMed1999

A systematic review of the relationships between written manual nursing care planning, record keeping and patient outcomes.

A systematic review of research literature published in English between 1987 and 1997 was carried out to test the hypothesis that care planning and/or record keeping in nursing practice has no measurable effect on patient outcomes. The study was limited to research applicable to acute in-patient care and to non-information technology based recording. A search strategy was agreed with the steering group and search terms refined as the study progressed. Using the guidelines from the University of York National Health Service Centre for Reviews and Dissemination (NHS Centre for Reviews 1995), a data extraction proforma was constructed. An initial search revealed approximately 300 possible abstracts for discussion. Further analysis limited this to 43 studies, of which 30 were rejected as having too little information. Of the remaining 13 studies, none was sufficiently robust to be included in the review. The hypothesis can be neither accepted nor rejected. This has important consequences for nursing practice and management and for research. A multi-centre rigorous study is recommended.

Critical Pathways↗
PubMed1997

Identifying the health needs of elderly people using the Omaha Classification Scheme.

An examination of what constitutes assessment would help to clarify those aspects which are essential for establishing a suitable nursing plan for clients. There is no consensus on one assessment tool in nursing, and many methods are used. The important areas in a comprehensive assessment (physiological, mental, social and environmental factors) which need to be addressed are covered by the Omaha Classification Scheme (OCS). This paper discusses the application of a research tool (OCS) for assessing the health needs of a given population. The primary focus of this paper is upon the methodology used in the study. A random sample of 500 elderly people was drawn from all elderly people aged 65 years and over, who lived in the rural areas of Isfahan province, Iran. Data were collected to identify the health needs of the population under study using the OCS. The reliability of this research tool was tested for quantitative scores using Cronbach's alpha test. The results showed an acceptable score for reliability (r = 0.78).

Aged↗
PubMed1997

Measuring care: the case of district nursing.

This paper describes a district nursing study that considered the experiences and responses of primary health care professionals and their patients to changes taking place within the community. As a qualitative study it employed interviews as the main method of data collection and was informed by both ethnography and interpretative phenomenology. Forty-three study participants were interviewed, eliciting opinion on whether care is more than just a hands-on activity, whether patient need is being met and to what extent service policy is in tune with care delivery. Describing the views of primary health care professionals and patients in order to illustrate the complexity of the district nursing service and professional roles, the paper finds little shared vision between staff and managers of each other's responsibilities. It concludes that a more holistic approach to understanding professional roles is needed in order to satisfy the differing agendas of managers, staff and patients. It propounds the need for closer collaborative practice between health care professionals, for it finds that they value the ability to communicate as an essential element of their jobs. It reflects that, without such collaboration, it will be difficult for nurses to take a lead position on changes shaping community care.

Adult↗
PubMed1996

Towards a philosophy of continuing professional education in nursing, midwifery and health visiting.

This paper outlines a justification for developing and articulating a belief system which encompasses continuing professional education and the theory and practice of nursing. It describes the nature and rationale for such a belief system, distinguishing it from the pursuit of an absolute or philosophy. Nevertheless, it is suggested that such a belief system owes and contributes much to both a philosophy of education and of nursing.

Community Health Nursing↗
PubMed1996

A history of nursing: a history of caring?

The history of nursing is, itself, a fit subject for research. It is unclear what would constitute history in this case, its time frame or its methodology. It is also the case that the purpose of history needs exploration, since it can meet many goals, including the goal of professionalization. This paper explores these issues in some detail, using examples from the literature in the history of nursing. It explores historical inquiry and purpose and the problems of sources. The paper also addresses the relationship between the history of nursing and nursing theory and questions whether existing historical scholarship is integrated with or is outwith mainstream nursing theory. The paper questions the relevance of the history of nursing and suggests that the history of caring may offer one way through history to nursing theory.

Culture↗
PubMed1996

Relationship between elderly carers and the older adult with learning disabilities: an overview of the literature.

This paper presents an overview of the literature concerning the changing relationship of the elderly carer and the older adult with learning difficulties. It identifies the need to further explore the relationship between informal carers as they age and the older person with learning difficulties. The paper suggests that life changes and choices by older carers will add strain to the relationships between them and those for whom they care. These episodes will be exacerbated by the ageing of the person with learning difficulties. The lack of understanding of this changing relationship makes the adequate provision of professional care unlikely. There is a need to address how health and social services can work with both the carers and the clients to manage the process of ageing and maintain the support needed by those at risk--older adults with learning difficulties and the people who care for them.

Activities of Daily Living↗
PubMed1996

Creating consensus about nursing outcomes. I. An exploration of focus group methodology.

The aim of this study is to explore a method for achieving consensus about nursing outcomes between patients, nurses and health professionals. Focus group work as a research tool is described and reviewed. Problems of recruiting and facilitating such groups are highlighted. The relationship between focus groups and consensus is discussed. It is concluded that focus group work is not without problems, yet means of incorporating patient views into health services need to be developed.

Administrative Personnel↗
PubMed1996

Creating consensus about nursing outcomes. II. Nursing outcomes as agreed by patients, nurses and other health professionals.

The questions 'what is it that you want from nursing?' and 'how would you know when you have got what you want from nursing?' were put to patients, nurses and other health professionals. The patients identified essential qualities of nurses. Problems within the nursing group are identified. The view of each group on the other's work is discussed. Areas of consensus related to respect, communication, competence, co-operation and context. Indicators or measures of the consensus areas are reported.

Attitude of Health Personnel↗
PubMed1995

Oral history and content analysis using Ethnograph.

The oral testimony is a well-established tool for the historian of the recent past and there is a considerable body of literature on the techniques for collecting oral testimony, the pitfalls to be avoided, as well as the conceptual issues involved. There is, however, little to guide the researcher on the analysis of oral testimony and this paper presents a computer-based technique for analysing taped recollections. It uses one example to demonstrate how Ethnograph can assist in a more rapid, but nevertheless equally valid, analysis of oral testimony.

Historiography↗
PubMed1994

Mentorship in nursing and midwifery education: issues for research.

Despite an apparent concensus that mentorship is an important aspect of learning in the practice continuum, there has been no real critical appraisal of the literature for its research base. References to published work on mentorship may merely uncritically repeat non-researched statements which, in turn, may not always be relevant to nursing and midwifery education in the UK. This paper sets out to begin to construct a research agenda for mentorship, free of statutory and regulatory constraints about meaning and practice.

Education, Nursing↗
PubMed1993

Informed opinion: an exercise in gathering the opinions of experts to facilitate the planning of continuing professional education.

In 1989 The English National Board for Nursing Midwifery and Health Visiting reviewed the organisation and provision of continuing professional education in order to identify a new structure which would meet most effectively the changing health care needs of clients and patients. Researchers were engaged in conducting a series of projects looking at key areas of concern in continuing professional education. During the research concern was expressed about levels of practice and preparation for practice. Respondents suggested that practitioners make highly complex decisions for which there is no apparent continuing education preparation. The research director decided that this issue should be explored further by selected individuals from the research team. This paper describes one of the approaches used to explore this area. Using the work of Benner (1984) as a framework for debate during three 1-day workshops, a panel of experts in nursing education and practice explored skill acquisition and attainment of expert clinical practice and considered these in relation to potential continuing educational development strategies for nursing, midwifery and health visiting. The conclusions drawn from this exercise were then 'fed' back to the research team. This paper examines the process of utilising experts in facilitating planning.

Clinical Competence↗
PubMed1993

Decision-making in clinical practice: how do expert nurses, midwives and health visitors make decisions?

Decision-making is an essential and integral aspect of clinical practice. Preparation for clinical decision-making is haphazard and unplanned, in part because the process of making clinical decisions is not fully understood. This is one study of how expert nurses, midwives and health visitors make clinical decisions. The project involved a literature review and a series of workshops with expert practitioners to uncover the decision-making process in clinical practice. The study found that decision-making is an essential attribute of the expert practitioner, must be based on sound knowledge, may involve risk-taking and can only flourish in a supportive environment. Most importantly, clinical decision-making must take place within the context of a philosophy of care. Without such a philosophy, decisions will be arbitrary, uninformed and probably unsafe.

Clinical Competence↗