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Biomedical subjects

J Doyle

Publications and source records attributed to J Doyle.

184 records · Page 11Linked to original sources

Forensic nursing: a review of the literature.

A review of the nursing literature reveals that forensic nursing is an emergent specialty area of practice that has undergone substantive role development in recent years. Forensic nurses have not only begun to write about the challenging and distinctive nature of their practice and their unique practice arrangements, but have commenced a concerted call to action for greater recognition within the nursing profession and correction and criminal justice system. The literature reveals an increasing demand for forensic nursing skills in a range of community and hospital based clinical settings. The problematic nature of caring for forensic clients in both correctional and less restrictive contexts of care remains a salient feature of forensic nurses' accounts of their practice.

Clinical Competence↗

Ramstedt's pyloromyotomy: a specialist procedure?

One hundred and twenty infants with infantile hypertrophic pyloric stenosis were operated on by two consultant general surgeons over a 13-year period. General anaesthetic and a standard surgical approach was used in all cases. No mortality was recorded and there were no wound dehiscences. The overall postoperative wound infection rate was 9.2%. Prior to 1985 the infection rate was 15%. Following attention to a number of details including care of the umbilicus, the incidence decreased after 1985 to 4%. The most common postoperative complication was vomiting, which occurred in 25% of infants. There was one negative laparotomy in the 13-year study period. Two children required a second procedure for persistent vomiting. The argument in favour of specialisation in managing this condition is questioned along with the need for intensive diagnostic investigation.

Female↗