Biomedical subjects

D Gould

Publications and source records attributed to D Gould.

At least 163 records · Page 9Linked to original sources

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Sharps handling and disposal: a study.

The risks associated with handling sharps are well known but it is less clear why accidents occur. This study aimed to determine how often sharps are used by nurses, the usual procedures associated with disposal, the identification of unsafe practices and any factors such as heavy workload or lack of resources which could be associated with accidents. The results overall were encouraging although unsafe practices were witnessed that were totally unnecessary.

HIV Infections↗

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Facing the pain of dysmenorrhoea.

Explore the source record for details and available documents.

Anti-Inflammatory Agents, Non-Steroidal↗

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Menorrhagia: care and treatment.

Approximately one tenth of women in this country experience menorrhagia. This can cause considerable discomfort, distress and curtailment of lifestyle. Hysterectomy is a common treatment, but morbidity and convalescence can be prolonged. Alternative surgical and pharmacological treatments are currently being developed which, it is hoped, will be available in the future. In the meantime, nurses have an important role to play in investigating, diagnosing and treating menorrhagia, and in supporting the women who experience it.

Female↗

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Infection control: a survey to determine knowledge of nurses in a clinical setting.

This study set out to discover whether nurses with an understanding of the theoretical principles of microbiology know more about the clinical aspects of infection control than those without. Two vignettes were developed depicting typical situations. They were presented to 130 nurses in intensive care, surgical or medical units in two similar hospitals, one with updated guidance and one without. Results showed that most subjects would not perform optimally in the everyday situations depicted, nor would they have sufficient knowledge of microbiology to understand the theoretical principles underpinning infection control.

Cross Infection↗

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Research in the clinical area: the ethical issues.

Healthcare professionals have a duty to undertake research, say the authors of this article, yet the patient's perspective is rarely considered. Here, they review the ethical aspects of clinical research.

Body Temperature↗

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Wound management and pain control.

In recent years there have been many advances in the management of wounds, but one area which is still neglected is pain control. The author describes the physiology of wound pain and how careful management can reduce patients' discomfort.

Bandages↗

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Consumer views of pressure sores: a preliminary survey.

AIM: To obtain consumer views about pressure sore development, particularly in A&E departments. METHOD: The local Patient and Carers Association received a freepost survey in the form of a simple fixed choice questionnaire. RESULTS: Fewer than half the questionnaires were returned. Relatively few respondents were aware that pressure sores could be avoided, and few were aware that prolonged bed rest or lying on a hospital trolley could increase the risk. CONCLUSION: The survey raised more questions than it managed to answer. More research is needed into the views of patients and carers before they can be involved in healthcare planning.

Emergency Nursing↗

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Contraception: the changing needs of women throughout the reproductive years.

The contraceptive needs of women often change as they get older. Dinah Gould discusses the reasons behind this and reviews the different methods of contraception currently available.

Adolescent↗

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Hand decontamination.

Hand decontamination is an important intervention in controlling hospital-acquired infections. Dinah Gould examines the issues relating to this, including different decontaminants, the evidence base, the need for improvements in practice, and effective practice.

Antisepsis↗

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Clinical nurse managers' perceptions of factors affecting role performance.

AIM: This study explored clinical nurse managers' perceptions of the factors affecting role performance. METHOD: Interviews were carried out with 15 clinical nurse managers in four trusts. RESULTS: Results highlight the main influences on the role, the barriers to successful role fulfillment, and the stressors that cause some of the postholders to consider leaving the NHS. CONCLUSION: The findings of this exploratory study established the diversity of the clinical nurse manager role and showed that they continue to play a central role in healthcare delivery.

Adaptation, Psychological↗

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Clean surgical wounds: prevention of infection.

Nurses need to be aware of the principles of infection control and the factors affecting wound infection to develop effective strategies to prevent infection and cross-infection.

Bacterial Infections↗

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Preparing nurse managers to mentor students.

AIM: To explore clinical nurse managers' perceptions of factors influencing their ability to perform their clinical leadership role. METHOD: A random sample of 15 clinical nurse managers in four acute NHS trusts was interviewed in depth to identify and explore factors that they perceived to be helping or hindering their performance. The qualitative data were analysed to identify recurrent themes, which were used to develop a survey questionnaire that was distributed to the remaining clinical nurse managers in the four trusts (n = 152). RESULTS: The response rate was 65 per cent (n = 99). Many of the clinical nurse managers reported poor preparation to undertake key aspects of their role and did not favour open learning as a method of continuing professional development. CONCLUSION: The findings are of interest in the context of the new framework proposed by the English National Board (ENB) and the Department of Health for the preparation of nurse educators. Many of the findings are identical to the advisory standards set out for mentors in Preparation of Mentors and Teachers: A New Framework of Guidance (ENB and DoH 2001a). Attention to the development of clinical nurse managers, as well as new mentors, should continue to ensure that the proposed changes meet the needs of both groups.

Attitude of Health Personnel↗

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