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Biomedical subjects

K Teasdale

Publications and source records attributed to K Teasdale.

At least 19 recordsLinked to original sources

Clinical supervision and support for nurses: an evaluation study.

AIM: To assess the effects of clinical supervision and informal support on qualified nurses. RATIONALE: Earlier small-scale research studies have provided conflicting evidence about the impact of clinical supervision, hence the need for this larger-scale study. DESIGN: Survey design drawing on an opportunity sample of 211 qualified nurses from 11 randomly selected hospital and community NHS Trusts in one region in England. Quantitative data collection used the Maslach Burnout Inventory (MBI) and the Nursing in Context Questionnaire (NICQ), while qualitative data were based on written critical incidents. The analysis compared supervized with unsupervized nurses. FINDINGS: The critical incident analysis revealed that supervized nurses continued to use informal support networks as well as their supervision sessions to discuss clinical issues. The MBI found no significant differences in levels of burnout between supervized and unsupervized nurses. However, the NCIQ detected some statistically significant differences, with supervized nurses reporting a more listening and supportive management, coping better at work and feeling that they had better access to support than unsupervized nurses. Closer analysis found that this positive finding was particularly strong among the more junior supervized nurses. CONCLUSION: Where resources are limited, it is better to concentrate on providing clinical supervision to more junior grades of nurses as a valued form of support during their early years as qualified practitioners.

Adaptation, Psychological↗

PREP: present requirements for nurses and future possibilities.

All nurses know the requirements for PREP, with its practice, continuing professional development and re-registration standards. However, the system relies on nurses' honesty in completing their PREP record and does not assess a person's fitness to practice as a nurse. Would a system such as the medical re-accreditation process be more appropriate?

Accreditation↗

Lifelong learning, CPD and you.

The essence of clinical governance is continuing professional development (CPD) for all professional staff. A system is now in place to disseminate and support CPD throughout the NHS, from national to local level.

Education, Nursing, Continuing↗

Practical approaches to clinical supervision.

Clinical supervision is difficult to establish on a large scale in general nurse settings. Mandatory supervision schemes promote resistance, particularly if introduced without extra nursing cover. Reflective practice and staff support are the key goals for the profession. Organisations need to experiment with more varied ways of achieving these goals.

Efficiency, Organizational↗

Using profiles in job and appraisal interviews.

Profiles provide the information needed to negotiate support for further training and development at appraisal. They should form the basis of a CV or job application. Selected sections from a profile may be presented at an appraisal or job interview.

Clinical Competence↗

Using personal profiles in reflective practice.

When health-care professionals learn from experience it is quite a different process from that of learning from books or lectures. By recording significant events you can use your experience to learn faster and more effectively. A significant event requires careful recall of the facts and imaginative reflection upon them. Significant events also lend themselves to use in clinical audit and supervision.

Clinical Competence↗

Nursing on the Internet.

The Internet is a world-wide network of computers that anyone with the right equipment can join. Users can communicate quickly with other people all over the world and join news groups discussing a wide variety of issues, including nursing topics. The Internet gives access to academic and commercial information, stored in large computers on the World Wide Web.

Computer Communication Networks↗

Theoretical and practical considerations on the use of reassurance in the nursing management of anxious patients.

This paper analyses the concept of reassurance in health care, arguing that it entails giving information predicting a safe outcome, plus the use of personal support to help patients feel secure. The literature on anxiety management interventions is reviewed and selected findings are presented from a survey of reassurance in nursing practice based on 351 critical incidents reported by 253 nurses and 51 patients. The survey concludes that reassuring strategies are indicated where patients' fears are judged to be unrealistic or excessive. Accurate assessment is vital and must take into account coping styles. Reassurance may also be indicated as a measure of last resort when working with cognitively impaired patients. Personal support interventions are particularly valued by hospitalized patients who appear to observe individual nurses in order to assess their levels of competence and caring before requesting help.

Adaptation, Psychological↗

The use of deception in nursing.

Arguments about the morality of the use of deception in patient care have been conducted largely in an empirical vacuum, with few data about the situations in which deception occurs. Do staff frequently deceive their patients and, if so, under what conditions? Can the consequences of deception always be foreseen? What justifications do staff use to explain their behaviour? The small-scale study reported here on the uses of deception by nurses when attempting to reassure patients provides information on these questions. The results suggest that deception can have deleterious effects on trust and increase the emotional distance between patients and staff.

Beneficence↗

Using a personal profile to claim CATS points.

Career progression in nursing increasingly requires evidence of academic as well as practical abilities. CATS claims are awarded for proof of prior learning. Universities differ in the tariffs they award for nursing courses so it pays to shop around. Developing appropriate academic study skills is more important than claiming maximum CATS points.

Career Mobility↗

PREP profiles: creating and using learning opportunities.

PREP requires practitioners to demonstrate that they have completed the equivalent of five days' study activity over three years. This requirement commences from the first renewal of registration with the UKCC after April 1995. Study requirements may be fulfilled in many different ways, without necessarily spending time in formal classroom courses. Profile records should include outcomes, demonstrating the relevance of the study activity to the practitioner's work area.

Career Mobility↗

Developing a personal professional profile.

All nurses and midwives need to compile personal professional profiles in order to satisfy the requirements of PREP. Profiles must show the equivalent of five days' study activity every three years. The primary purpose of profiles is to give patients a guarantee that practitioners are up-to-date in their practice. Profiles can be a valuable aid to planning personal and professional development.

Documentation↗