Biomedical subjects

Jacqueline Randle

Publications and source records attributed to Jacqueline Randle.

11 recordsLinked to original sources

PubMed2006

Inter-group conflict in health care: UK students' experiences of bullying and the need for organisational solutions.

This paper addresses bullying of United Kingdom (UK) nursing students whilst on work placement as a specific issue of inter-group difficulty that currently affects nurses and students working in the UK National Health Service. The authors begin by discussing the concept of bullying and sharing the types of bullying reported in two recent studies involving UK nursing students. Both studies illustrate the effects that negative workplace experiences can have on new entrants to the profession. After reviewing various individual solutions which have been recommended for reducing bullying, they suggest that the most effective solution is for health care organisations offering placement training to become much more proactive in creating a culture that will not tolerate bullying behaviour by staff at any level. The literature suggests bullying is a phenomenon affecting workplaces in many countries. Thus the issues described in this article, and the solutions offered have relevance to a variety of health care settings.

Adult↗

PubMed2006

Alzheimer's disease and the psychosocial burden for caregivers.

The majority of patients with Alzheimer's disease are cared for by their families at home. Caring for someone with Alzheimer's disease is commonly portrayed in terms of 'problematic' behaviour. This study explored the level of understanding carers have of the illness and the psychosocial impacts carers experience. Qualitative interviews were conducted with eight carers who had been looking after their relatives in community settings. Findings suggest that the carers in this study had a distinct lack of knowledge regarding Alzheimer's disease and its management. A number of psychosocial consequences of caring were identified, including: isolation; feelings of guilt; uncertainty regarding lack of knowledge; and loneliness. Carers failed to utilise available services appropriately, and thus gained little benefit from their presence. Carers perceived their experiences as 'problematic' and they suffered negative psychosocial effects due to their caring experiences. The findings suggest that carers require more information and explanation of their experiences. This would help them in their ability to cope with their spouses.

Adaptation, Psychological↗

PubMed2006

Toys--friend or foe? A study of infection risk in a paediatric intensive care unit.

Toys are an established part of the hospital experience for the child and family. They are seen as a source of comfort and security and form part of the child-friendly environment. However, they can also act as a source of healthcare associated infection which can be harmful to children, especially those who are in intensive care environments. This small-scale study was conducted in a paediatric intensive care unit at a large teaching hospital and involved swabbing those toys that had been brought in by families and those that were provided by the hospital. Findings show that 85 per cent of the toys harboured viable bacteria, which could be damaging to the child's health. Recommendations for practice are identified to ensure that toys remain a component of the child's hospitalisation yet are safe in relation to the transmission of infections not just in PICU but in all paediatric settings.

Benchmarking↗

PubMed2005

Strengthening workforce relationships: developing practice learning.

A joint partnership between a University and its local hospitals developed and implemented Practice Learning Teams (PLTs) to enhance student nurse learning experiences. In order to achieve this, PLTs arrived at clear aims and purposes, with educators and nurses working collaboratively and being jointly responsible for the quality of students' placement experience. This study occurred after a year of implementation, and a range of stakeholders were interviewed in order to evaluate perceived effectiveness. Findings of this report suggest the majority of respondents thought PLTs should be retained, recognising that they were new, and thus required development. There was a clear difference between effective and ineffective PLTs. Effective teams were considered to support the students' practice-based learning and mentors, while providing a forum for sharing 'good practice', discussion and problem solving. Less effective teams were characterised by having a low attendance or a membership that lacked enthusiasm and/or willingness to participate.

Education, Nursing↗

PubMed2005

Living with a stoma: a review of the literature.

AIMS AND OBJECTIVES: This systematic review looks at the psychological and social impact of stoma surgery on peoples' lives. BACKGROUND: The formation of a stoma can have a negative effect on a person's quality of life and affect lifestyle in a number of ways. METHODS: The review examines nursing literature from 1990 to date and focuses on how stoma patients' lives are affected by the presence of a stoma. It informs nursing practice so nurses are better able to help individuals improve, maintain or recover their health following ostomy surgery. RESULTS: The findings of the review indicate that stoma surgery can impact on individuals' lives in many different ways. RELEVANCE TO CLINICAL PRACTICE: Knowledge of the problems stoma patients can experience can help nurses plan care in an individualized way. Recommendations for nursing practice and future research are made.

Activities of Daily Living↗

PubMed2004

Breaking sexuality taboos.

Sexuality and relationships are an integral component of personhood, regardless of whether people have special needs or not. This paper reports findings from a qualitative study exploring pre-registration nursing students' knowledge and attitudes towards the sexuality of children with special needs. Interview data were analysed thematically. Although participants felt confident about defining sexuality, the application of addressing sexuality was hampered in practice. Specific issues identified by students were those of consent, parental choices and potential for the abuse of children. It was also felt that more education and training was required for nurses to effectively begin to address sexuality in this client group.

Child↗

PubMed2003

Bullying in the nursing profession.

BACKGROUND: Self-esteem is a major predictor of behaviour. Nurses with healthy self-esteem are likely to deliver therapeutic patient care, while those with low self-esteem are less likely to do so. AIM: The aim of the 3-year study discussed here was to explore students' self-esteem and how their experiences of preregistration education influenced its development over the period of the programme. RESEARCH METHODS: Students participated in unstructured qualitative interviews at the beginning and end of their 3-year preregistration course and a grounded theory approach was used for data collection and analysis. FINDINGS: Bullying was found to be commonplace in the transition to becoming a nurse. Students were bullied and also witnessed patients being bullied by qualified nurses. The internalization of nursing norms meant that students then bullied others. Students' self-esteem was low. CONCLUSION: Bullying, and its effects on self-esteem, are perpetuated by practices within nursing. This situation will only be changed if nurses and educators transform their practice and the context in which bullying occurs. Otherwise, each new generation of nurses will continue to be socialized into negative practices which undermine both their own feelings of self-worth and standards of nursing care.

Adult↗

PubMed2003

Changes in self-esteem during a 3-year pre-registration Diploma in Higher Education (Nursing) programme.

Nurses' self-esteem affects patient care. This study measured self-esteem of pre-registration nursing students over their 3-year training programme. Quantitative data were measured by the Professional Self-Concept Nursing Inventory and the Tennessee Self-Concept Scale. Students's self-esteem decreased during their training programme. Results indicate a need to address the damaging effects of the process of becoming a nurse.

Education, Nursing, Baccalaureate↗

PubMed2002

Communication skills: some problems in nursing education and practice.

This article is based on a literature review carried out as part of a study of communication skills training in pre-registration nursing education in England in 2000. A systematic literature search was conducted and 200 articles were found that were relevant to the study. Definitional problems were found, with terms such as communication skills and interpersonal skills being used interchangeably. The term communications strategies is suggested to overcome these problems, as it reflects the logical organization of a number of different communication skills within a theoretical or empirical framework. Problems in current communication skills teaching and social barriers to using communication skills in practice are discussed. It is concluded that problems continue to exist in these areas and that an emphasis on both aspects is needed if patient and staff satisfaction is to be improved.

Communication↗

PubMed2002

Communication skills training in healthcare: a review of the literature.

This article is based on a literature review carried out as part of a study of communication skills teaching in pre-registration nurse education in England in 2000. The rationale for the study was two-fold: the history of patient dissatisfaction with communications and information-giving in the National Health Service and concern about skills deficits in alumnae of recent educational programmes. A lack of research evaluating communications skills training was found in relation to both pre- and post-registration nursing education, and in other healthcare disciplines. Furthermore, the research that has been done is limited by methodological deficiencies in many cases. Recommendations are made concerning improved methods for future research evaluating communication skills training.

Australia↗

PubMedDate not supplied

The risk of infection from toys in the intensive care setting.

The risk of cross-transmission of infection for patients in intensive care is substantial. The increasing use of new technologies and invasive procedures increases the risk of acquiring a healthcare-associated infection. The routine and effective disinfection of toys, unlike other equipment, is often overlooked and research into toys as a potential source of infection is sparse. A small-scale study measured the prevalence of micro-organisms on toys in the intensive care setting. It was conducted in a paediatric intensive care unit (ICU) at a large teaching hospital but the results will have resonance with adult ICUs. The study involved swabbing toys that had been brought in by families and those that were provided by the hospital. Recommendations for future practice are identified to ensure that toys can still be made available in hospital and are safe in relation to the transmission of infection.

Child↗