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Biomedical subjects

J Lugton

Publications and source records attributed to J Lugton.

10 recordsLinked to original sources

Fit for purpose: the relevance of Masters preparation for the professional practice of nursing. A 10-year follow-up study of postgraduate nursing courses in the University of Edinburgh.

Continuing education is now recognized as essential if nursing is to develop as a profession. United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) consultations are currently seeking to establish appropriate preparation for a 'higher level of practice' in the United Kingdom. The relevance of Masters level education to developing professional roles merits examination. To this end the results of a 10-year follow-up study of graduates from the Masters programme at the University of Edinburgh are reported. The sample was the entire cohorts of nurses who graduated with a Masters degree in the academic sessions from 1986 to 1996. A postal questionnaire was designed consisting of mainly closed questions to facilitate coding and analysis but also including some open questions to allow for more qualitative data to be elicited. The findings indicated clearly that the possession of an MSc degree opened up job opportunities and where promotion was not identified, the process of study at a higher level was still perceived as relevant to the work environment. This applied as much to the context of clinical practice as to that of management, education or research. The perceived enhancement of clinical practice from a generic Masters programme was considered a significant finding. Also emerging from the data was an associated sense of personal satisfaction and achievement that related to the acquisition of academic skills and the ultimate reward of Masters status. The concept of personal growth, however, emerged as a distinct entity from that of satisfaction and achievement, relating specifically to the concept of intellectual sharing, the broadening of perspectives and the development of advanced powers of reasoning.

Adult↗

Evolutionary change in the use of skills within the district nursing team: a study in two Health Board areas in Scotland.

Grade mix within the district nursing team in the United Kingdom has changed markedly over the last 10 years but the relationship between grade mix and skill mix has received only intermittent research attention. This study adopted an ethnographic approach and aimed to explore the way in which grade and skill are taken into account in the delegation of nursing care. After gaining ethical approval, a total of 76 members of 21 district nursing teams in two areas were observed and interviewed. Delegation practices were found to vary both within and between areas and considerable differences were uncovered in the responsibilities allocated to more junior and unqualified team members. The developing role of nursing auxiliaries is discussed in relation to the role of the G grade sister, resource constraints and the standards of patient care. The paper concludes by arguing that the supervision and leadership role provided by the G grade sister should be fully recognized and safeguarded.

Attitude of Health Personnel↗

Health visitor support for patients with breast cancer--2.

In the second of two articles, the author's report on research indicates that health visitors (HVs) with preparation and education for the role, can provide effective support for patients having treatment for breast cancer in the community. A sample of 35 patients with breast cancer was interviewed at home soon after referral from hospital following treatment and again three months later. They had many medical and psychosocial problems relating to their disease and its treatment, indicating need for professional support. Support from HVs consisted of preparing patients for treatments, assessing how they were coping and liaising with staff from the breast unit. The HVs encouraged patients to express their feelings about altered body image, sexuality and depression, as well as offering information and medical advice when this was requested. The HVs also helped patients with social problems, mainly difficulties with family relationships, finance and work. The first article appeared on May 7 1997.

Adaptation, Psychological↗

Health visitor support for patients with breast cancer--1.

In the first two articles, the author reports on research exploring the attitudes towards, and knowledge and experience of, caring for patients with breast cancer of health visitors (HVs) acting as resource personnel for colleagues. The study also examined how they used their knowledge and what difference it made to patients' coping ability at various stages of the disease. The HVs underwent a short education programme to increase their ability to help patients in several key ares. All the HVs described the support of patients with treated breast cancer in the community as important. While they felt that their support to patients was mainly psychological, they also described giving medical information and assisting with a number of social problems. HVs were constrained by their existing caseloads in the time they could give to patients with breast cancer. However, the research showed that only a minority of patients required more intensive support, most being satisfied with one visit and the opportunity of further contact should this be necessary. The second article will appear in two weeks.

Breast Neoplasms↗

The nature of social support as experienced by women treated for breast cancer.

This paper deals with one aspect of a major study, namely the meaning of social support, a concept loosely used in research and by practitioners. Grounded theory was adapted and discourse analysis used to retrospectively analyse data collected for a previous study exploring health visitors' support of patients with breast cancer. Patients' diagrams of their social networks illustrated their perceptions of support and strain. Respondents indicated that they faced six threats to their identities associated with the breast cancer experience and perceived social support to be actions/attitudes from formal or informal sources which maintained or assisted changes to their established identities. Social support maintained identities for many respondents who wanted to 'get back to normal' in their relationships and in their work. Women also needed support to accept identity changes, for example, adapting to an uncertain future. This paper focuses on the effects of informal support on identity. Respondents identified seven main types of informal support from various sources. Larger social networks were more likely to provide the different types of support needed. However, social intimacy of close relationships maintained important aspects of women's identities and were indeed part of their identities. Respondents' social contacts sometimes perceived breast cancer as threatening to their own identities and were consequently unsupportive. Informal support was vital for respondents coping with breast cancer. Nurses should help patients maintain and create their own informal support during illness.

Adaptation, Psychological↗

Assessing need for district nursing: study findings.

To determine whether an appropriate level of nursing care is being provided in the community, this study aimed to explore whether patients' needs are being identified through the referral system and whether those needs are being met.

Health Services Needs and Demand↗