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Biomedical subjects

M R Hagland

Publications and source records attributed to M R Hagland.

5 recordsLinked to original sources

Reflection: a reflex action?

Nursing appears to be regularly subjected to new and 'fashionable' ideas and practices, many of which come from the USA. Examples of these include the nursing process and models of nursing. In the pursuit of professionalization of nursing, the need for such innovations is supported by the author. What cannot be supported, however, is the haphazard way in which some of these initiatives are often badly introduced and accepted into the profession in the absence of any research supporting their benefits. This article seeks to explore the notion of reflective practice, some of the reasons it has been introduced, as well as some of the problems associated with investigating its benefits. The different types of reflective practice are discussed along with their implications for professional practice. Attempts are made to explain the difference between reflection and the mere recall of events, as well as some possible explanations as to why reflective practice has not been embraced by clinical nurses in the way it should or could have. Finally, the subject of how reflective practice could be practically implemented in clinical areas is discussed and an example for a model of reflection given.

Clinical Competence

Septic shock: a case study.

Septic shock is a pathological process that is common to most intensive care units; however, despite major developments in intensive care and medicine, it continues to be one of the commonest causes of morbidity and mortality. This article describes the management of a patient admitted to intensive care with septic shock. Some of the principles regarding septic shock, including the pathophysiology, management and nursing care, are explored. Also included are some of the current theories and research into the sepsis syndrome.

Acute Disease

Nurse-patient communication in intensive care: a low priority?

Nursing literature is well endowed with information supporting the importance of maintaining optimal communication between nurses and critically ill patients (Rundell 1991). There is, however, evidence to suggest that although critical care nurses are aware of the need to communicate effectively with their patients, this often does not occur (Mallett 1990).

Attitude of Health Personnel

The management of acute renal failure in the intensive therapy unit.

The intensive care setting is well recognised as a highly technical area, and intensive care nurses are regularly introduced to new and increasingly more sophisticated and complicated equipment. The aim of this article is to eliminate some of the confusion surrounding the choice of dialysis treatment in acute renal failure by reviewing the different types of continuous renal replacement therapy (CRRT). Explanation of the principles behind CRRT is expanded by identification of the main differences between continuous haemofiltration and continuous haemodialysis. Some of the more common problems encountered are discussed and suggestions for nursing practice included.

Acute Kidney Injury