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Biomedical subjects

K Teasdale

Publications and source records attributed to K Teasdale.

At least 19 recordsLinked to original sources

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

Open learning for enrolled nurses.

Enrolled nurses need help in considering the new range of career options which conversion courses have opened to them. They also need assistance in planning how best to take advantage of these new opportunities. This article describes a training course run in South Lincolnshire which aims to help enrolled nurses to meet their development needs through a combination of classroom and distance learning methods.

Career Mobility

Caring versus empowerment: considerations for nursing practice.

The authors argue that there is a tension between the concepts of caring and empowerment. This tension appears in political and managerial debates over how best to run a health service, and it reappears in the clinical situation in nursing dilemmas over the presentation of information to patients. The authors review the major contributions to theory from health care literature, and use case studies to explore some of the clinical implications of these theories for nursing practice.

Communication

The concept of reassurance in nursing.

Reassurance is frequently mentioned in nursing literature and in nursing practice. However, there is no generally accepted definition of its range of meanings, and some controversy over its therapeutic value. This paper uses a structured approach to present an analysis of reassurance. It identifies three main usages, and argues that it is the failure to differentiate between these usages which has caused the controversy over reassurance as a therapeutic approach in nursing.

Humans

Implementing Project 2000--time to speak out!

Unless we understand what is proposed by Project 2000 and speak up for the fundamental values of nursing, the reforms will not bring about the improvements in the quality of patient care we seek. This article is the first in a new series on Project 2000.

Education, Nursing

Stigma and psychiatric day care.

Comparatively little is known about the stigma which attaches to psychiatric day care, as opposed to in-patient care. This study uses grounded theory to analyse the views of 21 clients of a psychiatric day unit. The results suggest that clients have difficulty in interpreting their reasons for continuing to attend the unit, and that these difficulties are connected with a fear of being labelled 'mad'. The issue of stigma management was important to the clients, and some thought that the move to a locally-based service would exacerbate problems by reducing the number of available stigma management strategies.

Adaptation, Psychological