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Biomedical subjects

M Nolan

Publications and source records attributed to M Nolan.

At least 19 recordsLinked to original sources
PubMed1999

Barriers to nurses' use of research: an Australian hospital study.

Although research is recognised as an essential basis for nursing knowledge and practice development, there is considerable agreement that nurses do not use research as often as they could. The question is, what factors are perceived by nurses in Australia to interfere with their ability to use research in their clinical practice? Using factor analysis procedures, barriers to the use of research by 149 nurses working in an Australian hospital were grouped under three main factors, viz. the perceived usefulness of research to clinical practice; the perceived ability of the practitioner to generate change to practice based on research and the accessibility of research to the practitioner. The three most frequently cited barriers to using research were insufficient time on the job to implement research findings, insufficient time to read research and a lack of awareness of research findings. In order to improve the ability of nurses to apply research to their practice, fundamental changes need to occur within the education system, so as to improve the teaching of research to students of nursing and qualified practitioners, within the health care system where nursing research is expected to be applied and among clinical nurses.

Communication Barriers↗
PubMed1999

Rehabilitation, chronic illness and disability: the missing elements in nurse education.

Chronic illnesses represent one of the most significant health challenges in all developed countries and currently there is considerable debate about how to meet the rehabilitative needs of chronically ill and disabled people. The literature suggests that nursing has a potentially significant, but largely unrealized, role to play in addressing areas of current deficit. However, to fulfil this potential it is vital that the educational preparation of nurses at both qualifying and post-qualifying levels equips them with the necessary knowledge and skills. This paper describes a study which analysed curriculum documents from an extensive range of courses in the United Kingdom (UK) in order to determine the emphasis placed on rehabilitation, chronic illness and disability. The results reveal the overall lack of attention given to these important areas and the superficial manner in which key concepts are addressed. The need to identify more clearly the nursing contribution to rehabilitation is highlighted and indicative areas of knowledge and skill required to develop an expanded role are presented.

Aged↗
PubMed1998

Ceratobium mosaic potyvirus: another virus from orchids.

A potyvirus, which we call ceratobium mosaic virus, has been detected in about one third of more than 100 plants representing c. 33 orchid genera in two collections in Australia. It was detected using RT-PCR with redundant primers that are Potyviridae-specific and have additional sequences corresponding to either the SP6 or T7 bacteriophage promoters at their 5'-termini. Thus the nucleotide sequence of the resulting PCR fragments, consisting of about 1.7 kb of the 3' portion of the viral genome, could be determined directly. Viral sequences obtained from five infected orchids indicate that they contained different isolates of a single potyvirus species most closely related to the bean common mosaic group of potyviruses, but clearly distinct from all whose virion protein genes have been reported to the international gene sequence databases.

Amino Acid Sequence↗
PubMed1998

Rewards and gratifications among family caregivers: towards a refined model of caring and coping.

Supplemented by a case illustration, findings from a study in Wales are reported for the first time from the application of two new instruments for measuring rewards and stresses among family caregivers. The paper takes as its starting point a critique of models of caregiving which emphasize instrumental and pathological dimensions. Findings suggest that caregivers report the existence of pervasive rewards and gratifications, as well as stresses, as part of the caregiving experience, and that these stem from varying sources. The role of rewards and satisfactions in stress-coping models is briefly discussed, and implications for changed practice and policy thinking are reviewed.

Activities of Daily Living↗
PubMed1997

Admission to care: facilitating role transition amongst family carers.

Admission to care after a period of family care-giving has been the focus of much recent research. Rather than being seen as an end in itself, admission is part of a process. This article concentrates on 'reaching the end' of family care-giving and the 'new beginning' of entering residential care. A cross-national study conducted in the USA and the UK is discussed, and similarities and differences in the two cultures are highlighted. Decisions to enter a nursing home were often taken hurriedly and with lack of information in both countries. Issues of quality of care and emotional responses by former carers were also important in both settings.

Aged↗
PubMed1996

Entry to care: positive choice or fait accompli? developing a more proactive nursing response to the needs of older people and their carers.

A range of issues surrounding admission to either residential or nursing home care are considered from the perspectives of older people and their family carers. Drawing on the literature and a number of studies conducted by the authors, the processes and perceptions that shape and influence admission to care are identified. On the basis of the interaction of these factors a four-stage typology of admission is suggested: the positive choice, the rationalized alternative, the discredited option, and the fait accompli. The characteristics of each admission type are discussed and the implications for professionals, particularly nurses, working with older people and their carers are addressed.

Aged↗
PubMed1996

Behavioural and Instrumental Stressors in Dementia (BISID): refocussing the assessment of caregiver need in dementia.

The importance of supporting family carers of people with dementia is well accepted and is likely to remain one of the primary areas of intervention for mental health practitioners. This article argues for a holistic assessment of need prior to designing intervention strategies. Such an assessment should include both objective and subjective stressors. Following discussion of a relevant theoretical approach to assessment, a new index for measuring behavioural and instrumental stressors is presented.

Caregivers↗