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Biomedical subjects

E Melville

Publications and source records attributed to E Melville.

10 recordsLinked to original sources

The history of industrial action in nursing.

The long tradition of successful campaigning and industrial action by nurses counters the profession's complacent image. Throughout the century, nurses have fought for, and gained, improved working conditions and pay in line with inflation. The threat of local pay bargaining means that nurses continue to need the protection of their unions.

Collective Bargaining

The implementation of the named nurse concept.

Continuity of care is of central importance to the named nurse concept and the method of care delivery in many clinical areas will have to be reorganised in order to achieve it. Patients are empowered when they contribute to their own care-planning but this is often hindered by traditional attitudes. Nurses must embrace the concept of professional autonomy if they want the initiative to succeed. National-level auditing of the named nurse initiative is required.

Continuity of Patient Care

The implications of PREP for practitioners.

The UKCC's proposals for PREP take effect on April 1, 1995. There are three major proposals: preceptor support; maintenance of effective registration and standard-setting for post-registration courses. There are four requirements for maintaining effective registration: notification of practice; return to practice programmes; five days of study every three years; and professional profiling.

Education, Nursing, Continuing

A model for predicting discharge against medical advice from adolescent residential treatment.

Characteristics of adolescents discharged from a psychiatric residential treatment center were examined to create a model for predicting patient discharge against medical advice (AMA). Subjects were 81 adolescents in two consecutive cohorts discharged between 1983 and mid-1988 (N = 49 and N = 32). In both groups 41 percent of the discharges were AMA. Logistic regression analysis found that an equation based on three factors--history of juvenile court involvement, unsupportive family attitude toward treatment, and diagnosis of conduct disorder--was 69 percent accurate in predicting discharge status in group 1 and 81 percent accurate in predicting discharge status in group 2. A positive correlation between rates of staff turnover and AMA discharge was noted.

Adolescent