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Biomedical subjects

Roger Watson

Publications and source records attributed to Roger Watson.

72 records · Page 4Linked to original sources
PubMed2002

Cadets and nursing students: same destination - different route.

BACKGROUND: In response to the policy initiatives in England to secure recruitment and retention in the nursing and midwifery professions, strategies to improve and extend access to preregistration education and training in England have been developed. The relatively recent development of modern cadet schemes is an example of such a strategy. Despite the increasing interest in and proliferation of cadet schemes, there is as yet little evidence for their effectiveness. Reporting on an evaluation of a scheme in England, this paper makes some contribution to this evidence. AIMS AND OBJECTIVES: The project explored former nurse cadets' experiences of the cadet scheme 9 months after their transition to nurse education. The aims of the project were to evaluate the extent to which former cadets and university staff considered the scheme to prepare students effectively for access to university nurse education. METHODS: The first cohort of former cadets entered nurse education in September 2000. After 9 months they were invited to contribute to an evaluation of the cadet scheme and their present experience. The evaluation consisted of a structured questionnaire sent to all the former cadets, a focus group interview with the former cadets, informal discussions with university staff and brief documentary analysis. CONCLUSION: Tensions were apparent between the worlds of education and clinical practice: the cadets felt better prepared clinically than academically and found an element of repetition in the nursing programme. They valued their preparation, which they felt put them at an advantage over other nursing students. However, some of them experienced difficulties in the transition to higher education and further review is therefore required to establish the success of cadet schemes.

Adolescent↗
PubMed2002

Eating difficulty in older people with dementia.

Difficulty with feeding is a common problem among people with dementia and may pose ethical problems for the care team if decisions about continued feeding arise. Thorough assessment can help with successful management and a team approach, with the full involvement of relatives, is advocated.

Aged↗
PubMed2002

Clinical competence: starship enterprise or straitjacket?

Clinical competence assessment has been a feature of nurse education in the United Kingdom for about 20 years but has really moved to centre-stage since the nurse education reforms of 1999. Clinical competence is a controversial issue and there are problems with assessment and the relationship between the practical and educational aspects of nurse education programmes. The present paper explores the origins of clinical competence assessment, presents some of the problems associated with the adoption of clinical competence in nurse education and reviews some literature in this area. In so doing the paper refers to two research studies commissioned in the United Kingdom into the educational preparation of nurses in which the measurement of clinical competence has been an issue. This paper is based on the Winifred Raphael Memorial Lecture delivered by the author on behalf of the Royal College of Nursing Research Society at the Royal College of Nursing Congress in Harrogate, England on 23 May 2001. The views expressed are those of the author and not necessarily, those of the Royal College of Nursing or the Royal College of Nursing Research Society.

Clinical Competence↗
PubMedDate not supplied

Resuscitation decision making and older people.

Public expectations of the success of resuscitation have been raised in recent years. However, reality does not always match these expectations. Media attention has highlighted the fact that decisions about resuscitation have, in the past, sometimes been ad hoc and not backed by strict protocol. This article draws attention to the issues and suggests how nurses may improve their skills in helping patients and families decide whether a resuscitation attempt is appropriate.

Aged↗
PubMedDate not supplied

Older nurses and employment decisions.

AIM: To investigate the options, decisions and outcomes for nurses aged over 50 in terms of remaining in, retiring from, or returning to, work in the NHS. METHOD: Interviews were conducted with 18 employers, advisers and policy makers linked to the nursing labour market. They were conducted by telephone (n = 14) or face to face (n = 4), recorded (with consent), transcribed and analysed thematically. Interviews were also held with 84 older nurses who were remaining in nursing, had retired or had returned to nursing. One focus group was held with older nurses who 'remained' in Scotland (n = 11) and the rest of the data were collected in face-to-face and telephone interviews (n = 73). Again, interviews were recorded (with consent), transcribed and analysed thematically. RESULTS: There is a gap between the rhetoric of policy and the implementation of practice in the employment of older nurses. CONCLUSION: Older nurses could continue to make a valuable contribution to the NHS, especially in light of the shortage of nurses, but their value is not always recognised. If older nurses are to continue making a contribution then they need good advice about employment, retirement and pension options.

Age Factors↗
PubMedDate not supplied

Nurses decision-making in clinical practice.

AIM: To identify what decisions nurses make in medical, surgical and critical care areas and compare the results. METHOD: A clinical decision-making questionnaire (CDMQ) consisting of 15 statements was developed. A total of 60 nurses completed the questionnaire: 20 from each of three clinical areas. RESULTS: Most nurses, in all specialties, regularly made clinical decisions on direct patient care, which included providing basic nursing care and psychological support, and teaching patients and/or family members. Although nurses in all specialties regularly managed the work environment, they did not make decisions on the ward or unit budget, supervise junior staff or mentor student nurses. Critical care nurses regularly made decisions on their extended roles, such as acting in emergency situations and deciding to change patient medication, while medical and surgical nurses only did this occasionally. Length of clinical experience is significantly related to the frequency of decision-making. CONCLUSION: The decisions nurses make are directly related to the clinical areas in which they work. However, it would be interesting to know if nurses showed particular aptitudes for different types and levels of decision-making and if this is related to other factors such as personality, education and experience in nursing.

Adult↗
PubMedDate not supplied

Quality assurance and UK nurse education.

AIM: To evaluate the quality assurance model for nursing education in the United Kingdom (UK) for the first nine months after the inception in 2002 of the Nursing and Midwifery Council (NMC). METHOD: A specially designed questionnaire was administered to representatives of higher education institutions where nurse education took place and representatives of the NMC in all four countries of the UK. RESULTS: Quality assurance activity had taken place across the UK, mostly in the shape of validation events. Quality assurance events proceeded largely as expected by higher education and NMC representatives. There was a statistically significant trend towards greater preparedness and knowledge for validation and satisfaction with the new quality assurance procedures in Scotland, Wales and Northern Ireland compared with England. CONCLUSION: At the time of this study the new quality assurance procedures were less than 12 months old and there may have been resistance to change in England where the changes were greatest.

Attitude of Health Personnel↗