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Biomedical subjects

A Weale

Publications and source records attributed to A Weale.

13 recordsLinked to original sources
PubMed1999

The impact of higher education for post-registration nurses on their subsequent clinical practice: an exploration of students' views.

In recent years there has been a large increase in the number of qualified nurses in the United Kingdom, who have raised the academic level of their nursing qualification to diploma level or above. Correspondingly, there has been little research that assesses the value of post-registration education offered by universities. In particular, there is a paucity of research regarding the effects of courses on the subsequent clinical practice of participants. Studies of post-registration education appear to be small scale and limited in scope. This paper examines the views of diplomates as to the effect of a Diploma in Professional Studies in Nursing course on clinical practice. A questionnaire was sent to all nurses (n = 169), from the first seven cohorts, who successfully completed the course. A response rate of 66.8% (n = 113) was achieved. The respondents reported themselves to be more questioning, more able to apply research findings and to have a wider knowledge for practice following completion of the course. The findings are discussed, limitations of the study addressed and recommendations for further research are made.

Curriculum↗
PubMed1999

Media reviews

Explore the source record for details and available documents.

Journal Article↗
PubMed1997

HIV and AIDS awareness: an evaluation of a short training programme for midwives.

In response to a Department of Health, England, circular encouraging policies of named voluntary antenatal HIV antibody testing, one West Midlands health authority in England introduced a policy of raising the issue proactively at the first antenatal attendance. In order to facilitate this policy a short staff education programme was provided for midwives. This paper reports on part of a study which aimed to evaluate the impact of the HIV awareness training programme. A sample of midwives (n = 65) was randomly selected for inclusion in the study. Thirty-three had attended training and 32 had not. Data were collected using a self-administered questionnaire exploring knowledge of aetiology of HIV/AIDS, knowledge of transmission, knowledge of obstetric and paediatric HIV, attitudes to HIV, issues related to antenatal HIV antibody testing and opinions about the HIV awareness training programme. Results indicated no significant difference in levels of knowledge or in attitude between those who had attended the training programme and those who had not. Similarly, no significant difference was found in terms of how midwives would react to women requesting HIV antibody testing. Many of the results contradict the current literature and as a conclusion it is suggested that there is a need to review HIV-related training for midwives.

AIDS Serodiagnosis↗
PubMed1995

The ethics of rationing.

Rationing can occur at three levels of health care choice: the individual, the institutional and the social, with each level posing its own ethical problems. The institutional level is the focus of this paper. The principle of effectiveness may seem attractive, since it promises to ease the institutional dilemmas of rationing, but it is not straightforward to implement in the face of uncertainty. Greater efficiency also promises much, but concepts of benefit are contested and improving contractual performance has complications. Fairness can be a powerful criterion, but there are contested cases, for example age, where its meaning is unclear. Democratic responsiveness, for all its difficulties, is important to maintain in whatever process of rationing is chosen and this can be done by adopting some procedural devices.

Decision Making↗
PubMed1983

Invisible hand or fatherly hand? Problems of paternalism in the New Perspective on health.

This article examines the charge that the "New Perspective" on health (as exemplified by the Lalonde Report in Canada, by Prevention and Health in the United Kingdom) represents an abandonment of liberal principles in favor of a collectivist and paternalistic role for the state. It looks first at the problems confronting modern health policy, and at the reasoning behind the New Perspective's approach. It then explores whether and how the charge of paternalism applies to that approach, and just what such a charge implies. The article concludes with a discussion of the "liberal paternalist" viewpoint towards health policy, a viewpoint that combines respect for individual liberty with an interest in taking effective public action to improve the health status of modern populations.

Canada↗