Supporting children with complex health care needs and their families - an overview of the research agenda.
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Biomedical subjects
Publications and source records attributed to N Eaton.
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The title structure, [ZnBr2(C2H8N2)], is made up of infinite -ZnBr2-(en)-ZnBr2-(en)- zigzag chains. Each repeat unit contains a trans ethylenediamine ligand [N-C-C-N -179 (1) degrees ], which bridges two approximately tetrahedral but crystallographically distinct Zn atoms. One Zn atom is bisected by a crystallographic twofold axis, whereas the other has mirror symmetry. Even though the crystal packing does not allow significant interaction between Zn and N atoms on adjacent chains, it does facilitate extensive intermolecular N-H...Br hydrogen bonding (N...H 2.69-2.96 A).
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A review of the United Kingdom literature Children's community nursing (CCN) services in the United Kingdom (UK) have slowly become recognized as an important component in the care of sick children. However, as yet not every child has access to a CCN scheme should the need arise. In the literature there are many descriptions of CCN schemes set up in various parts of the United Kingdom based on a variety of models. This article describes six models of CCN and discusses the main components considered important when implementing or evaluating those models. Components include qualifications of the members of the team, communication between members of the multidisciplinary team, clinical responsibility, resources, willingness and ability of parents to provide care, and accessibility of services. The benefits and limitations of the models are also considered.
We reported previously a 37% excess risk of liver cancer within 1 km of municipal incinerators. Of 119/235 (51%) cases reviewed, primary liver cancer was confirmed in 66 (55%) with 21 (18%) definite secondary cancers. The proportions of true primaries ranging between 55% and 82% (i.e. excluding secondary cancers) give revised estimates of between 0.53 and 0.78 excess cases per 10(5) per year within 1 km.
OBJECTIVES: To follow up mortality and cancer incidence in a cohort potentially exposed to cadmium and to perform a geographical (ecological) analysis to further assess the health effects of potential exposure to cadmium. METHODS: The English village of Shipham has very high concentrations of cadmium in the soil. A previous cohort study of residents of Shipham in 1939 showed overall mortality below that expected, but a 40% excess of mortality from stroke. This study extends the follow up of the cohort for mortality to 1997, and includes an analysis of cancer incidence from 1971 to 1992, and a geographical study of mortality and cancer incidence. Standardised mortality and incidence ratios (SMRs and SIRs) were estimated with regional reference rates. Comparisons were made with the nearby village of Hutton. RESULTS: All cause cohort mortality was lower than expected in both villages, although there was excess cancer incidence in both Shipham (SIR 167, 95% confidence interval (95% CI) 106 to 250) and Hutton (SIR 167, 95% CI 105 to 253). There was an excess of mortality from hypertension, cerebrovascular disease, and nephritis and nephrosis, of borderline significance, in Shipham (SMR 128, 95% CI 99 to 162). In the geographical study, all cause mortality in Shipham was also lower than expected (SMR 84, 95% CI 71 to 100). There was an excess in genitourinary cancers in both Shipham (SIR 160, 95% CI 107 to 239) and Hutton (SIR 153, 95% CI 122 to 192). CONCLUSION: No clear evidence of health effects from possible exposure to cadmium in Shipham was found despite the extremely high concentrations of cadmium in the soil.
There are alternative models of community children's nursing (CCN). A number of suitable criteria have been identified for evaluating CCN. Which criteria are given most weight depends crucially on the perspective of different stakeholders and the power that they hold. A framework for evaluating CCN is developed.
This small-area study of incidence of cancers of the brain and central nervous system found evidence of trend (P = 0.02) of cancer risk with deprivation (8% higher risk in affluent areas), but no significant association with urban-rural status. Results were not indicative of a strong geographically determined risk at small-area level.
Two distinct trends can be identified in the context within which nursing care is planned and delivered. One is the continuous pressure to find ways of increasing efficiency and cost-effectiveness. The second is the widespread expectation that public services in general, and health services in particular, should be monitored and evaluated. In these circumstances, nurses and their managers need a range of evaluative tools so that changes in the organization of nursing care can be evaluated. Hackman and Oldham's 'Job Diagnostic Survey' (JDS) approach was tested in a Paediatric Unit in which aspects of primary nursing were being introduced. The paper outlines the JDS approach in the Unit in question and offers an assessment of the value of the JDS as an evaluative tool.
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Nursing jobs in the four wards of a paediatric unit were evaluated in a job diagnostic survey before the introduction of a primary nursing regimen. The approach used was a combination of task and patient allocation on a shift basis.
Nicola Eaton launches a four-part, monthly series by considering the range of uses of computer hardware and software for nurse researchers. The other articles in the series will look at expert systems in nursing, computers in nurse education and interactive video as a teaching medium.
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Scepticism over the use of computers in nursing still abounds. In this article, Nicola Eaton describes how the initial interest of one lecturer in a university based school of nursing led eventually to the development of a sophisticated computer network within an expanding department. The resultant benefits to staff and students are described, with the suggestion that familiarity with systems can promote improvements in nurses' attitudes towards computer technology.