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Biomedical subjects

Iain Graham

Publications and source records attributed to Iain Graham.

9 recordsLinked to original sources
PubMed2006

Practice development 'without walls' and the quandary of corporate practice.

AIM: The context of this study is a group of clinical nurse specialists from across a Trust seeking accreditation as a practice development unit. The university was asked to facilitate the accreditation process via 11 2-hour learning sessions (including a one-hour focus group). During initial discussions between the university and practice development unit, the overarching research question for this study was set as: 'what are the main roles and responsibilities of clinical nurse specialists?' BACKGROUND: Although there is no known study of a practice development unit based beyond a ward or speciality, the central tenet of the practice development unit literature is that units must demonstrate their worth if they are to survive and harness senior management support in doing so. DESIGN AND METHODS: Data gleaned from the transcribed audio tape-recordings of the learning sessions were studied at least three times to ensure transcription accuracy and produce detailed charts. Ethical approval was granted by the appropriate Local Research Ethics Committee and written informed consent obtained from clinical nurse specialists. The study lasted 30 months and ended in October 2004. RESULTS: The four crucial statements that give meaning to specialist practice are: quality care giver; expert; information giver and initiator of change. Further analysis reveals the area of corporate and political practice as being missing from this and other lists of clinical nurse specialist attributes found in the literature. Clinical nurse specialists characterize their relationship with the Trust in terms of dichotomy--differing agendas and perceptions of value. CONCLUSIONS: The specialist role requires professional development in the areas of corporate and political acumen and professional business management. While the findings of this study relate to one Trust and a group of 16 clinical nurse specialists, with careful application they may be transferable to other settings and groups of senior nurses.

Accreditation↗
PubMed2005

Advanced practice nursing: continuation of the dialogue.

This column continues the dialogue about advanced practice nursing. Professor Iain Graham of Bournemouth University shares his ideas about advanced practice nursing in the United Kingdom and answers questions about the tasks and responsibilities of advanced practice nurses within the National Health Service.

Career Mobility↗
PubMed2004

Developing health and social care under the reforms of Tony Blair and Clement Attlee, Prime Ministers of Great Britain and Northern Ireland.

In July 1948, the British National Health Service (NHS) was introduced by then Prime Minister Clement Attlee with the aim of offering "free" medical treatment for the entire British population from cradle to grave. Since then, the British public have come to see the NHS and its free health care as a fundamental human right and a cornerstone to their democracy, and subsequent governments have been understandably reluctant to change or reform this popular program. Yet, funding issues, as well as societal changes and technological advances, are threatening the way the NHS performs. While the NHS was intended to be a flexible and responsive service, its restrictive practice culture and attitudes of staff, organizational flaws, and funding issues often work against patients' interests and government ideas of health policy. This paper outlines how the Blair Government has attempted to alter health and social care within the UK and to fundamentally change how the NHS works, with particular effect on its staff.

Attitude of Health Personnel↗
PubMed2004

European health policy: working within a paradox.

This article gives an overview of the position of European health policy within the European Union. A general introduction as to what the European Union is, its structure, and its purposes is followed by an explanation of the status of an overriding European health policy. What is revealed through the debate is the situation in which potential conflict between member states and the European Commission has suppressed the establishment of an integrated health policy. The debate also reveals a paradox, however, because other drivers and policy decisions are creating health policy in a partly unofficial and nonintegrated way.

Delivery of Health Care↗
PubMed2003

Leading the development of nursing within a Nursing Development Unit: the perspectives of leadership by the team leader and a professor of nursing.

Leadership within nursing is receiving unprecedented focus and development. This reflective narrative explores the nature of leadership, termed scholarly leadership, by an academic and a clinical leader of a Nursing Development Unit. The narrative explores the characteristics of such leadership and highlights how it empowered a nursing team to further reach its potential. Two areas, patient-centered care and the characteristics of practice, are focused upon to highlight the leadership style that the clinical leader adopted. The paper concludes by suggesting what structural and systems changes need to be put in place in order to bring about change.

Anecdotes as Topic↗
PubMed2002

Intramuscular hemangioma of the posterior belly of the digastric muscle failing to highlight on magnetic resonance imaging.

Intramuscular hemangiomas of the digastric muscle are rare. We present the fifth case reported and the second to be imaged in vivo with magnetic resonance imaging. Accurate preoperative diagnosis of these lesions is difficult, but may be facilitated by a high degree of clinical suspicion and imaging. Magnetic resonance imaging using T2-weighted sequencing has been reported to effectively highlight these lesions. We present a case in which magnetic resonance imaging failed to highlight an intramuscular hemangioma of the posterior belly of the digastric muscle. Possible reasons for this failure are discussed.

Adolescent↗