Competency in practice.
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Biomedical subjects
Publications and source records attributed to A Odell.
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The procedure for endotracheal suctioning was perceived as a problem by the members of a quality circle in the intensive care unit (ICU). Endotracheal suction, when performed in the unit, appeared to be carried out according to the nurses' experience and expertise, and had no formal research backing. An extensive literature search was undertaken, and a framework for endotracheal suction was formulated based on the available evidence. Some of the aspects of endotracheal suction represented in the research evidence appear contradictory, and nurses must make a professional judgement about their suction technique based on the individual circumstances of patients. The wealth of evidence available regarding endotracheal suctioning allows nurses to make an informed decision about care.
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The health, social status and contacts with services of all people over the age of seventy-five living at home in and around Melton Mowbray was assessed by interview. Nearly half the sample (46%) lived alone, and just over a third (37%) were married. Most respondents were able to complete the basic activities of daily living without any assistance. The apparent prevalence of dementia at 1.6% was lower than had been found in previous population studies. The levels of social contact were similar to those reported previously. While service provision compared well with that found in other studies, only a relatively small proportion of the population were in receipt of nursing, paramedical and social services.
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The cooperation that makes human society possible is manifested most visibly within the organization and is almost entirely dependent upon the skill with which we communicate (Tortoriello et al, 1978). By understanding concepts related to communication theory, nurses may be better able to analyse areas of communication in their own practice. This article reviews the concepts of communication in terms of definition, function and purpose. The communication process model is examined and the hindrances to effective communication are explored. The shift handover report is analysed and related to group networking theory. Communication theory is then applied to the shift handover process and recommendations for practice are made.