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Biomedical subjects

G Copp

Publications and source records attributed to G Copp.

18 recordsLinked to original sources
PubMed1999

Communication and awareness about dying in the 1990s.

Since the 1960s communication and awareness about dying in modern western societies have been topics for debate, with a considerable amount of literature on the need for open communication and the strategies which can be used by health professionals to improve their communication with patients facing a terminal prognosis. Despite the difficulties of comparing studies using different methodologies and the additional problems of ascertaining patients' knowledge and awareness about their impending deaths, the trend is clear. In advanced industrial societies there is increasing evidence that doctors have shifted from a policy of 'withholding' to a policy of 'revealing' to the patient his or her terminal prognosis. This change in medical practice is further supported by other data which show an increase in the percentage of those patients who were aware they were dying from chronic diseases, especially cancer. However, despite the perceived trend towards open disclosure of the patient's terminal illness, recent studies have suggested that in their daily encounters with dying patients health workers employ 'conditional' rather than 'full open disclosure'. Such moderating strategies in discussing the patient's prognosis may be employed despite open awareness of a patient's prognosis. This paper examines this apparent paradox by analysing the complex tensions and conflicts of such communication through a discussion of existing literature on modes of communication and patient awareness.

Attitude to Death↗
PubMed1998

A review of current theories of death and dying.

Recently, attention has been focused on the care of dying individuals and their families. Although this area of care remains topical for health care professionals, there have been few attempts undertaken to explore critically both the seminal and more recent theories of death and dying in order to extend and develop the theoretical scope and orientation of this field further. The purpose of this paper is therefore twofold: first, to provide a general overview of the current theories of death and dying, and second, to discuss some specific and general contributions and limitations of the current theories. To this end, a review of seminal and more recent theoretical frameworks is presented in this paper. Implications for future research in theory development in the field of death and dying are highlighted.

Adaptation, Psychological↗
PubMed1998

A telephone survey of the provision of palliative day care services.

A telephone survey was conducted to gather preliminary data in order to identify the nature of palliative day care provision in the UK. A random sample of 131 day centres was taken from 17 regional locations in the UK. providing a 60% representation out of a total of 215 adult day care facilities. A combination of a structured and semistructured interview schedule was used to collect the data. The results obtained from this preliminary survey provided further information on the nature, range, and types of services that are currently provided by UK palliative day care centres; management and organizational issues; and the nature of common problems and care issues of patients attending day centres. Data from the study provided further information on the current status of day care services. The implications for future evaluative research are discussed, particularly in the area of the impact and cost-effectiveness of day care services and the potential work with regard to different models of service provision.

Data Collection↗
PubMed1994

Palliative care nursing education: a review of research findings.

Recently, there has been considerable interest shown in research studies that identify the needs of dying patients and their families, as well as the needs of health care professionals who care for the dying. This particular type of research has significantly contributed to an increase in the awareness of health care professionals of the need to look critically at the ways dying patients and their families are cared for. Moreover, this awareness has led to demands for death education and, in recent years, advances have been made in identifying a body of palliative care knowledge to teach health care professionals. This progress has been particularly notable within nursing. This paper presents an analysis of some of the key education research undertaken, focusing specifically on studies related to death education. Some potential areas for future research in palliative nursing education are also discussed.

Clinical Competence↗
PubMed1993

Frequent and difficult problems perceived by nurses caring for the dying in community, hospice and acute care settings.

A total of 167 practising nurses from three practice settings--community, hospice and acute care--were asked to identify the five most common problems encountered when caring for the dying and the five most difficult problems to manage. Nine main categories of problems were elicited, including physical, work-related, nurse-related, death-related and spiritual problems. Key categories have been selected for discussion in this paper. Specific differences in the responses obtained from the three practice settings may be related to differences in the ethos of care of the dying patient in each area, particularly between hospice/community care and acute care. The findings of the survey will serve as a basis for planning initiatives in education and research in palliative care nursing.

Attitude of Health Personnel↗
PubMed1987

Cover gowns. Researching their effectiveness.

1. Bacterial colony counts on the right shoulder of the subject's scrub suits were lower after lunch when a. cover gowns were worn over scrub suits outside the OR during lunch, and b. when fresh scrub suits were put on after lunch. 2. Bacterial colony counts were higher after lunch when a. scrub suits were worn without cover gowns outside the OR during lunch, and b. when they were removed before lunch, stored in a locker, and put on again after lunch. 3. The thigh region can be assumed to be dirtier than the shoulder area on scrub suits. From this study, the researchers concluded that wearing cover gowns outside the OR exerts a protective effect against bacterial contamination as determined by samples taken from the right shoulder. Furthermore, this protective effect is comparable to that seen when subjects changed into fresh scrub suits after lunch.

Bacteriological Techniques↗
PubMedDate not supplied

Hidden nursing.

Explore the source record for details and available documents.

Aged↗
PubMedDate not supplied

Covergowns and the control of operating room contamination.

This study assessed the effectiveness of cotton/polyester covergowns in protecting scrubsuits against bacterial contamination when operating room (OR) personnel are outside the clean environment of the operating suite. Rodac impression plates were used to measure bacterial contamination. The subjects were nurses working a normal daily OR routine. Bacterial colony counts on the right shoulder decreased when covergowns were worn over scrubsuits during the lunch period outside the OR and when fresh scrubsuits were put on following the lunch period. Colony counts rose over the lunch period when scrubsuits were worn unprotected outside the OR and when scrubsuits were removed before and put on again following lunch. Left thigh samples showed no significant effects of experimental treatments and yielded a mean colony count 2.8 times higher than right shoulder samples. Fifty-three percent of subjects were positive for Staphylococcus aureus and 16% yielded positive plates on 3 or more study days. The incidence of S. aureus contamination was affected by experimental treatments in a way similar to overall bacterial contamination. The results indicated that wearing covergowns protects against above-waist bacterial contamination of scrubsuits.

Adult↗
PubMedDate not supplied

Footwear practices and operating room contamination.

The extent of bacterial transfer into the clean confines of the operating room (OR) was studied by comparing the use of protective footwear (i.e., polypropylene shoe covers and OR restricted shoes) with unprotected street shoes over a 5-week period. The study was divided into two experimental times: (a) early morning (disinfected floor) and (b) midmorning (dirty floor). Data obtained from the early morning experiment showed that OR restricted shoes and shoe covers transferred fewer bacteria onto the disinfected study area than unprotected street shoes; similar findings were obtained from the midmorning experiment for shoe covers, but not for OR restricted shoes. A comparison of changes in bacterial counts obtained from OR restricted shoes and shoe covers worn from the changing room through a common corridor to the disinfected study area did not differ significantly from OR restricted shoes and shoe covers that were put on immediately before walking through the study area at both experimental times. Overall results indicated that protective footwear may act to reduce bacterial contamination on OR floors.

Adult↗