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Biomedical subjects

S Hatcher

Publications and source records attributed to S Hatcher.

15 recordsLinked to original sources
PubMed1997

A survey of deliberate self harm services in New Zealand: shouldn't we be doing better?

AIMS: Deliberate self harm is important because it is common, it is associated with suicide and it provides a window of opportunity to provide help to people who do not access the usual mental health services. This survey aimed to describe the management and provision of services in New Zealand public general hospitals for people who deliberately harm themselves. METHODS: A questionnaire asking about deliberate self harm was sent to all 23 CHE's in New Zealand. RESULTS: Nineteen CHE's returned the questionnaire. There was widespread differences in the provision of services and the management of deliberate self harm. For example some admitted nearly everyone who presented whilst others only admitted 20%. Only two CHE's said they kept any computerised records of this population and only six had a psychiatrist responsible for the deliberate self harm service. CONCLUSIONS: Provision for the general hospital management of deliberate self harm is unplanned and disorganised. There should be centrally funded units which monitor deliberate self harm; standards for management of deliberate self harm in the general hospital should be produced; purchasers should use these standards in contracts with providers to insist on better care of this group of patients.

Community Mental Health Services↗
PubMed1995

"Abnormal" illness behaviour in chronic fatigue syndrome and multiple sclerosis.

OBJECTIVE: To investigate the presence of abnormal illness behaviour in patients with a diagnosis of chronic fatigue syndrome. DESIGN: A cross sectional descriptive study using the illness behaviour questionnaire to compare illness behaviour scores and illness behaviour profiles of patients with chronic fatigue syndrome and patients with multiple sclerosis. SETTING: A multidisciplinary fatigue clinic and a teaching hospital neurology outpatient clinic. SUBJECTS: 98 patients satisfying the Oxford criteria for chronic fatigue syndrome and 78 patients with a diagnosis of multiple sclerosis. MAIN OUTCOME MEASURE: Responses to the 62 item illness behaviour questionnaire. RESULTS: 90 (92%) patients in the chronic fatigue syndrome group and 70 (90%) in the multiple sclerosis group completed the illness behaviour questionnaire. Both groups had significantly high scores on the general hypochondriasis and disease conviction subscales and significantly low scores on the psychological versus somatic concern subscale, as measured in relation to normative data. There were, however, no significant differences in the subscale scores between the two groups and the two groups had identical illness behaviour profiles. CONCLUSION: Scores on the illness behaviour questionnaire cannot be taken as evidence that chronic fatigue syndrome is a variety of abnormal illness behaviour, because the same profile occurs in multiple sclerosis. Neither can they be taken as evidence that chronic fatigue and multiple sclerosis share an aetiology. More needs to be known about the origins of illness beliefs in chronic fatigue syndrome, especially as they are important in determining outcome.

Adult↗
PubMed1995

Decision analysis in psychiatry.

BACKGROUND: Decision analysis is an explicit, quantitative approach to examining difficult decisions about course of action. Its applicability to psychiatry is considered. METHOD: An example of how decision analysis could be used in psychiatry is given, criticism of the technique is discussed, and previous attempts to apply it to mental illness problems (from a Medline search from 1966 onwards) are reviewed. CONCLUSION: The future for decision analysis in psychiatry lies in teaching, audit and research, rather than clinical work.

Decision Making↗
PubMed1994

The "home bag": a must for lactation consultants on the go.

The "home bag" is a tool for lactation consultations away from the office. The "home bag" consists of a large bag which houses a notebook and supplies. It organizes paperwork and supplies in a useful, compact, and por-table manner. Almost any consultation away from the office can be handled with the "home bag", an electric breast pump, and a map.

Consultants↗
PubMed1994

Debt and deliberate self-poisoning.

This study is a descriptive survey of financial difficulties in a consecutive series of patients who deliberately poisoned themselves. Over three months 160 such patients presented to the liaison psychiatry service at Leeds General Infirmary. Information was available on 147 of these patients, of whom 54 (37%) had problem debts. Patients in debt were more likely to harm themselves with greater suicidal intent and, after the episode, to report more symptoms of depression and hopelessness. Psychiatrists were more likely to diagnose mental illness in those in debt.

Adolescent↗
PubMed1994

Self harm.

Explore the source record for details and available documents.

Adolescent↗
PubMed1990

The effects of chronic lithium treatment on psychomotor performance related to driving.

A group of 16 psychiatric out-patients in remission, who had been taking lithium carbonate as their sole medication for at least three months, were compared with a control group of 22 healthy volunteers. On a computerised driving simulator which produced measures of reaction time, tracking ability and mistakes made, the patient group had a significantly slower reaction time. Patients should be warned therefore that lithium may affect their ability to drive or operate machinery and that psychomotor impairment and sedation are not synonymous.

Adult↗
PubMedDate not supplied

Applying the Stetler-Marram model to a nursing administration problem: a graduate student learning experience.

Research utilization models have not commonly been used in attempts to solve workplace problems using the results of nursing administration research. This paper describes a graduate learning experience in which the Stetler-Marram Research Utilization Model was applied to a fictitious case in nursing administration. In this case, the model was used to develop a research-based intervention to improve job satisfaction in a hospital setting.

Education, Nursing, Graduate↗
PubMedDate not supplied

Staff nurses' perceptions of job empowerment and level of burnout: a test of Kanter's theory of structural power in organizations.

Kanter's structural theory of organizational behavior was used as framework to explore the relationship between perceptions of power and opportunity and level of burnout in a sample of 87 hospital staff nurses. Data were collected using a modified version of the Conditions for Work Effectiveness Questionnaire (Chandler, 1986) and the Human Services Survey (Maslach & Jackson, 1986). Consistent with Kanter's theory, perceived access to power and opportunity was significantly related to the three aspects of burnout: level of emotional exhaustion and depersonalization (r = -.3419, p = .004; r = -.2931, p = .02), and personal accomplishments (r = .3630, p = .002). The results of this study are useful for nurse administrators positioned to create organizational structures than empower staff nurses and subsequently decrease burnout.

Adult↗