PubMed HealthSearch

Biomedical subjects

A While

Publications and source records attributed to A While.

At least 19 recordsLinked to original sources

Reflections on nursing as a career choice.

AIM: The study sought to explore (1) reasons for choosing nursing as a career; (2) expectations, if any, of nursing; (3) whether those expectations had been realized; (4) how such expectations had been met or could be met. BACKGROUND: Nursing recruitment and retention are of central concern to health care. The Audit Commission have highlighted the costs of 'preventable' staff attrition and suggested that staff turnover may be minimized if staff policies reflected an understanding of the views and aspirations of staff. METHOD: A semi-structured interview survey was conducted with a quota sample of undergraduates attending one university (n = 40). Different course groups were represented. FINDINGS: Satisfaction of caring for people together with long-term desire to nurse emerged as important factors influencing career choice. Expectations included working in a caring team and having a satisfying career. Conflict experienced in the clinical setting, disappointment over the treatment of nurses and changes within the NHS and nursing were considered among the factors detracting from nursing as a career. CONCLUSION: Health care management must recognize issues of concern to nurses and develop policies which make nurses feel valued.

Altruism

Information-seeking strategies and data utilisation: theory and practice.

This paper explores the twin processes of information-seeking and data utilisation, two key components of the problem-solving process. The assessment and management of pain are examined as important exemplars of where varying degrees of skill and efficiency in these key processes emerge from the research conducted to date. It is suggested that if performance is to be enhanced, then a review of the current use of the nursing process, the main vehicle for the operationalisation of problem-solving in practice is required, coupled with further empirical study directed towards exploring how and when the development of advanced cognitive skills is best facilitated.

Clinical Competence

Child health clinic attendance during the first two years of life.

Attendance at child health clinics in three contrasting urban areas is described. Sociodemographic analysis of clinic attenders in the inner city area showed that families in poor socio-economic circumstance attended child health clinics more frequently than their more fortunate contemporaries during the first six months of life. Health visitor home visiting was a major determinant in clinic attendance rates.

Ambulatory Care Facilities

Long-term follow-up of a prospective trial of argon laser photocoagulation in the treatment of central serous retinopathy.

In a prospective randomised trial of argon laser photocoagulation in the management of central serous retinopathy, long-term follow-up (6.4 to 12.1 years) revealed no evidence that treatment significantly influenced the visual outcome as measured by the Snellen chart and by the Farnsworth-Munsell 100-hue test. Treatment did not reduce either the recurrence rate or the prevalence of chronic disease. Complications of treatment were uncommon. The justification for argon laser photocoagulation appears to be limited to the hastening of symptomatic relief by earlier resolution of serous detachment.

Clinical Trials as Topic

Longterm results of treatment of central serous retinopathy--a preliminary report.

The longterm follow-up of 38 patients with central serous retinopathy who were recruited into a prospective randomised trial of argon laser photocoagulation is reported. They were reviewed at a mean of 9.3 years after presentation. The results support the original findings that treatment shortens the disease, but does not benefit the final visual outcome.

Clinical Trials as Topic