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Biomedical subjects

I Norman

Publications and source records attributed to I Norman.

9 recordsLinked to original sources

Psychiatric patients' views of their lives before and after moving to a hostel: a qualitative study.

This study focuses upon the experiences of a group of 10 long-stay psychiatric patients as they moved from a large institution to a staffed community hostel. The residents were interviewed 2 weeks prior to moving and again 6 weeks after the move. Areas identified in the first set of unstructured interviews were followed up in the second set. Qualitative analysis of the interviews revealed seven recurrent themes that are discussed in relation to other research studies that consider how people experience the effects of institutionalization. The study tests the feasibility of unstructured interviews as a means of collecting accounts of the perceptions and experiences of a client group from which other research methods have failed to elicit detailed information. Unstructured interviews proved successful when undertaken by a researcher who was well known and accepted by the residents. Familiarity with the residents and the context of the interview was also found to be important in analysing interviews qualitatively and the study casts doubt upon the value of primary qualitative analysis of interview transcripts by researchers who have not also participated in the interviews. The methodological implications for future deinstitutionalization studies are discussed.

Adaptation, Psychological

Preparing teachers for the performance and evaluation of gaming-simulation in experiential learning climates.

Gaming-simulation exercises have become an established teaching strategy for nursing education. This paper suggests that nurse educators must now attempt to evaluate their effect on learning. Problems of evaluation are discussed and alternative approaches critically considered. The dominant 'classical' approach is rejected in favour of 'illuminative' evaluation and the approach of 'new paradigm research'. Nurse teachers are encouraged to apply the principles of therapeutic community practice and 'gestalt awareness' to the learning environment to enhance gains from experiential approaches. Finally the need to prepare teachers is examined. It is suggested that personal and interpersonal sensitivity, plus the ability to meaningfully facilitate groupwork are necessary prerequisites for effective gaming-simulation and its qualitative evaluation.

Education, Nursing

Positive results.

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Applying triangulation to the assessment of quality of nursing.

The claim that generic quality assessment instruments provide an objective assessment of quality of nursing care is questioned. Recent research suggests that most instruments are in need of extensive validity testing, particularly in relation to the concepts that they purport to assess. This paper outlines a research study designed to test the validity of the generic quality assessment instruments, Monitor, Senior Monitor and Qualpacs. In the absence of an independent criterion of quality against which to validate these instruments we propose a multiple triangulation research strategy in order to achieve the goals of 'confirmation' and 'completeness' within the same research design. The research incorporates approaches that purport to focus on quality of nursing care that are complementary to the generic instruments. We pay particular attention to the meanings of quality of nursing to those most closely involved and in positions of expertise--that is, nurses and patients. Comparisons between scores from the generic instruments and data generated by these complementary approaches will enable a more accurate picture of the validity of the generic instruments to emerge. The research should also increase our understanding of the meaning of quality in relation to nursing care.

Humans

Nurses' role in supporting people who are HIV positive.

This is the second of two papers which report the results of a research study of the psychological and emotional needs of people with HIV disease and how nurses might best offer support. This paper discusses the nurse's role in offering psychological and emotional support to patients. Inductive analysis of in-depth interviews with in-patients and their nurses revealed four aspects of the nursing role that were highly valued: nurses being caring; acting therapeutically; assessing and monitoring patients' changing needs for emotional support; and acting as educators.

HIV Infections