Biomedical subjects

A Alty

Publications and source records attributed to A Alty.

3 recordsLinked to original sources

PubMed1998

The ouch! Factor: problems in conducting sensitive research.

Qualitative health research often slams into sensitive barriers in attempting to understand the phenomena under scrutiny. John D. Brewer pointed out that textbooks tend to view areas of sensitivity as purely ethical issues. However, research within sensitive areas requires practical solutions that are not always linked to ethical dilemmas. Practical difficulties abound and demand flexibility and tact on the researcher's part if valuable research is to be carried out. As qualitative researchers, the authors share personal trials and tribulations that have been successfully overcome and integrated into completed research projects. This article outlines some of the problems and pitfalls that may be encountered while conducting sensitive research and offers some ideas that may enable researchers to deal with the "ouch! factor" in a professional and confidential manner. Above all, the authors hold that a sense of humour is one of the essential ingredients for surviving the unexpected ouch! factor.

Confidentiality↗

PubMed1997

Nurses' learning experience and expressed opinions regarding seclusion practice within one NHS trust.

Brief face-to-face interviews took place with 64 mental health nurses working within one National Health Service Trust about their education and training regarding seclusion practice. Free comments were also recorded as to their opinions about seclusion practice. Seventy-three per cent claimed to have either implemented seclusion or supervised patients in seclusion. Only 28% recalled any training or education regarding seclusion practice with 34% recalling reading articles. Training experiences were perceived to be more appropriate to practice than reading articles. Sixty-six per cent claimed that they would like more information. Seventy-eight per cent disagreed with the statement that seclusion should no longer be used with 52% agreeing that seclusion was a valuable intervention. Brief comments made during interviews were sorted into six thematic categories. Nurses' comments involved issues concerning: (1) keeping safe; (2) seclusion abuse; (3) nurses' role conflict in implementing seclusion; (4) the value of seclusion in 'real world' practice; (5) the learning process; and (6) 'against the wall' decision-making. Nurses were more able to identify difficulties than define proper use of seclusion. Nurses most closely involved with seclusion were more likely to refuse to be interviewed about their experiences reflecting the fact that issues surrounding seclusion continue to be a sensitive area for research.

Adult↗

PubMedDate not supplied

Adjustment to bereavement and loss in older people.

Nurses are now expected to be aware of grief and people's reactions to it. Nurse education emphasises the skills of recognising and supporting people as they experience the overwhelming emotions associated with death and dying. Some excellent books and articles have been written on the subject but it appears that only a small proportion of this material is directly applied to care of the elderly. Child death and other, more unusual circumstances of bereavement have lengthy literature bases but older people are particularly vulnerable to complicated grief reactions. Nurses need to be aware of these complications if older patients are to be cared for effectively as they adjust to the many losses in their lives. An understanding of the various processes and reactions involved will greatly enhance care of older people whenever they receive health care.

Adaptation, Psychological↗