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Biomedical subjects

S Waterworth

Publications and source records attributed to S Waterworth.

13 recordsLinked to original sources
PubMed2003

Large outbreak of infection with Escherichia coli O157 PT21/28 in Eccleston, Lancashire, due to cross contamination at a butcher's counter.

An outbreak of infection with Escherichia coli O157 Phage Type 21/28 occurred between the 23rd November 2001 and the 7th December 2001 in Eccleston, Lancashire. There were 30 confirmed cases (23 with positive faecal isolates and seven serologically positive). Eccleston is a village of approximately 5,000 inhabitants with a single medical practice where many of the cases were patients. Initial investigations identified the suspected source as a butcher's counter, operated as a franchise, in a supermarket in Eccleston. The butcher closed voluntarily on the 24th November. The median age of cases was 60 with a mean of 56 and a range of 2-91 years. Of the 30 confirmed cases, 22 were admitted to hospital. Two patients developed serious complications but all 30 made a full recovery. Microbiological investigations confirmed the butcher's counter as the source of the outbreak. The epidemiological evidence implicated cooked meats and microbiological evidence confirmed that contamination had occurred between raw and cooked meats. The deficiencies in meat hygiene practice that were identified could have led to the cross contamination. This outbreak illustrates the risk associated with the handling of raw and cooked meats in the same shop. Complete physical separation of raw and cooked meat operations reduces the risk of such outbreaks.

Disease Outbreaks↗
PubMed1995

Exploring the value of clinical nursing practice: the practitioner's perspective.

This paper describes a preliminary study which attempted to explore the value of nursing practice from the viewpoint of practitioners. The objective was to further knowledge and develop insights into nursing practice, identifying concepts central to therapeutic care. Integral to the study was the development of a model for reflective practice.

Attitude of Health Personnel↗
PubMed1991

A change worth the making. Implementing primary nursing.

Adopting primary nursing can be a difficult task, involving a great deal of planning, and change for all nursing staff. One haematology ward, however, found it resulted in improved satisfaction for both patients and nurses.

Attitude of Health Personnel↗
PubMed1990

Reluctant collaborators: do patients want to be involved in decisions concerning care?

Against the background of the popularity of the concept of 'patient collaboration' in care, this paper describes, from the frame of reference of the patients, how they perceive being involved in decisions concerning their own treatment and nursing care. A convenience sample of 12 patients were selected. The data collection and analysis were informed to some extent by the approach known as grounded theory. Although only 12 in-depth interviews were conducted, one major theme emerged from the data and that was named 'toeing the line'. The data suggests that some patients are more concerned about doing what is right, that is, pleasing the nurse, than participating in decisions concerning care. It is contended that if nurses adopt practices which encourage involvement they may unwittingly coerse patients to comply. It is argued that patients will accept this situation even if they do not wish a collaborative role. Despite the small sample size, interesting questions are raised concerning the underlying rationale of patient involvement. The conclusion is drawn that promoting individualized care is not necessarily synonymous with active patient involvement as advocated in much of the literature.

Attitude to Health↗
PubMedDate not supplied

Long-term effects of cancer on children and their families.

An increasing number of children now survive malignancies, which has implications for nursing practice in caring for long-term survivors and their families. This article will examine the physical, psychological and social consequences of surviving childhood cancer and will suggest how nurses can meet the needs of long-term survivors.

Child↗
PubMedDate not supplied

Basing practice on research.

Susan Waterworth argues that adopting a research-based model for clinical practice is necessary both to improve standards and to ensure a more informed approach for the delivery of patient care. She outlines the purposes of research in nursing and goes on to describe how clinical practitioners can identify and carry out relevant research topics. A collaborative approach is, she suggests, often the key to addressing problems successfully, and promoting links with a university nursing department may prove beneficial.

Diffusion of Innovation↗