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Biomedical subjects

B Gibbon

Publications and source records attributed to B Gibbon.

At least 19 recordsLinked to original sources
PubMed2000

Community nursing and stroke: a reassessment of the issues.

Recent research has highlighted the difficulties that stroke patients and carers experience in navigating a recovery path through a complex array of service providers. Many of these difficulties relate to continuing recovery from stroke at home, often when professional help is decreasing. A study by Gibbon (1994) demonstrated a potential role for community nurses in helping patients and carers to cope with the aftermath of stroke. This article reassesses the issues that affect the capacity of community nurses to develop this role. A focus group conducted with community nursing students identified a number of barriers to the expansion of service provision for this patient group, including workload pressures, training and management support. Understanding of the problems faced by stroke patients and their carers in the current organization of continuing care and rehabilitation is required to support expansion of nursing practice in this area.

Community Health Nursing↗
PubMed1999

An investigation of interprofessional collaboration in stroke rehabilitation team conferences.

The aim of this paper is to report a study examining the team processes occurring in team conferences in a stroke unit. Team conferences provide an opportunity for all members of the rehabilitation team to report patients' progress and establish patients' rehabilitation goals. The findings suggest that little discussion or consideration of alternative intervention plans are undertaken and that team conferences serve to disseminate decisions rather than establish patients' rehabilitation goals. Core members of the rehabilitation team have developed specific roles. The physiotherapist 'proposes' decisions which are 'seconded' by the occupational therapist. The doctor acts to sanction decisions and the nurses action them. Team conferences are effective for dissemination of decisions and for giving rise to a sense of team collaboration.

Communication↗
PubMed1998

Nurses' perceptions of their work environment in a Nursing Development Unit.

This descriptive study examined nurses' perceptions of their work environment in a Nursing Development Unit (NDU). A postal survey of 70 nurses working in three NDUs was conducted using the Work Environment Scale (WES) for data collection. The response rate was 76%. The aggregate scores from the WES indicate that the nurses surveyed were satisfied with their work environment. The ratings for the 10 subscales of the WES were higher than the norms given by the authors of the scale. However, the findings do not fully support the literature and previous research into nurses' satisfaction in NDUs. A significant finding of the study was the marked difference, in satisfaction with the work environment, between the three units surveyed. It is suggested that a larger scale study should be carried out to explore whether the findings of this study are reflected in other NDUs. Research into the management of change in NDUs is also suggested.

Female↗
PubMed1996

Stroke care and rehabilitation.

This article explores the nurse's role in the care and rehabilitation of patients who have had a stroke. It relates to UKCC Professional Development categories: Care enhancement and Patient, family, client and colleague support.

Cerebrovascular Disorders↗
PubMed1996

An exploratory study of recipients' perceptions of bone marrow transplantation.

Bone marrow transplantation (BMT) is now an established form of treatment for a wide range of malignant and non-malignant diseases. Research has led understanding and effective treatment of many side-effects of BMT. However, relatively little is known about how patients' perceive BMT, and how they view their experiences during transplantation. The purpose of this study was to describe the perceptions of a small group of BMT recipients. Audio-taped interviews were undertaken with six recipients of BMT who were well and in remission. This provided in-depth descriptive data of these individuals' experiences, which were analysed using latent content analysis. Five broad categories were identified under which data were grouped and discussed: mortality and death; luck; 'prison' (protective isolation); relationships; and physical effects. These revealed that patients attached relatively little importance to the physical effects of BMT, possibly because of the effectiveness of treatment. However, this led to a focus on other concerns, which the categories reflect. The importance of family members, particularly spouses, in sharing the burden of BMT, and the strengthening of family relationships were highlighted. The value of nurses was also emphasized. Protective isolation was found to be a stressor in two different ways. All of those interviewed reported concern with thoughts of their own mortality and possible death before and during BMT. Recommendations for nurses working in BMT units and suggestions for the direction of future research are made.

Adaptation, Psychological↗
PubMed1995

Improving stroke care through action research.

Stroke accounts for approximately 20% of beds occupied on general medical wards yet nurses felt inadequately prepared to participate fully in the interdisciplinary approach to stroke rehabilitation. An action research project was established to improve stroke care and rehabilitation in a general medical ward. Results indicate a correlation between knowledge and attitudes: the greater the nurse's understanding the more positive the nurse is towards nursing involvement in rehabilitation. It was concluded that nurses have a vital part to play in the rehabilitation of stroke patients and that their contribution can be enhanced through greater understanding. Further research is needed to determine the effects of greater nursing involvement in terms of quality of patient recovery and length of patient stay.

Cerebrovascular Disorders↗
PubMed1994

Stroke nursing care and management in the community: a survey of district nurses' perceived contribution in one health district in England.

Little appears to have been written about how district nurses perceive their role in relation to the care and management of stroke patients in the community despite the high number of stroke patients on their case loads. A qualitative study using a semi-structured interview was undertaken with a convenience sample of 30 district nurses representing each locality in one health district in England. Findings suggest that district nurses do not have a major role in the rehabilitation of stroke patients in the community and generally become involved in their care once the patient's chronicity has reached the point of inability to meet self-care demand, or the carer is unable to cope.

Caregivers↗
PubMed1993

Implications for nurses in approaches to the management of stroke rehabilitation: a review of the literature.

There is as yet no general agreement on how best to manage stroke rehabilitation in terms of the approaches to the management of this client group. Approaches include the Stroke Rehabilitation Unit (SRU), applying the principles of SRU management to general medical wards and the use of peripatetic stroke therapy teams. Each of these approaches has implications for nurses yet the contribution of nurses to the rehabilitation of stroke patients receives only scant attention in the literature. It is suggested that understating and undervaluing nursing leads to under use of this essential resource.

Cerebrovascular Disorders↗
PubMed1991

A reassessment of nurses' attitudes towards stroke patients in general medical wards.

This paper summarizes a research study inquiring into the attitudes of qualified nursing staff and nursing auxiliaries towards stroke patients in general medical wards. The survey was undertaken on eight mixed-sex general medical wards in a large general hospital. All wards are used for clinical nursing experience for nurses in training. Each of the wards, despite having a particular interest in one or more medical specialities, regularly admit patients following stroke. All nurses were therefore familiar and in regular contact with this particular client group. A Likert scale with demonstrated reliability and validity was employed as the data collection instrument. Results indicated that nurses were largely ambivalent in their attitudes towards stroke rehabilitation. The patterns of responses indicate that the nurses who have the more positive attitudes about stroke patients consider that they have a role in stroke rehabilitation and that they value the nursing contribution. The nurses with less positive attitudes towards stroke patients see stroke patients as unco-operative and demanding. The findings suggest the need for specific education for the role of the nurse as a rehabilitator.

Attitude of Health Personnel↗
PubMed1990

Giving information to relatives.

This study was designed to determine how student nurses perceive their role as information givers to relatives of hospital in-patients. There was evidence to suggest that relatives were dissatisfied with the information given to them in respect of the patient's diagnosis, treatment and prognosis. A non-experimental design was used for this study with instruments collecting both quantitative and qualitative data. Findings indicated that student nurses are asked to supply information and also see themselves as having a role in supplying such information. Analysis of qualitative data revealed four categories of response, which were labelled: 'assessing', 'stockphrasing', 'reassuring', and 'referring'. It is contended that relatives' information-needs are only met when nurses use an 'assessing' response and concludes that communication skills must be both taught and assessed during nurse training.

Communication↗
PubMedDate not supplied

Nurses' attitudes to patient activation.

Levels of engagement of patients in rehabilitation activities in elderly care wards tend to be low, despite evidence that activity improves functional recovery. Since most patients in such wards spend their day in the direct care of nurses, an activation programme was established in a Liverpool elderly care unit. Informally, nurses expressed general feelings of satisfaction with the programme, but some disquiet was also noted. A survey of their attitudes towards the patient activation programme was therefore undertaken. No significant differences were found between the attitudes of nurses according to grade or between experimental and control wards, but a significant difference was noted between each of the four wards when regarded as independent variables. These findings suggest the need for 'ownership' of developments in rehabilitation care.

Activities of Daily Living↗
PubMedDate not supplied

The role of the nurse in rehabilitation.

Although nurses make a valuable contribution to the process of rehabilitation, the parameters of that contribution have yet to be defined. This article describes a small study, undertaken on a care of elderly people ward, designed to elicit nurses' understanding of their role in rehabilitation. Interdisciplinary relations and patient care, the authors conclude, would be improved if nurses were taught, and developed the confidence, to implement rehabilitation techniques in practice.

Aged↗
PubMedDate not supplied

Clinical education. Relating practical experiments to theory.

Integrating theory into practice is not without its difficulties. Often concepts derived from the physical and behavioural sciences appear to be unrelated to nursing practice and although noted laboriously by student nurses no active learning occurs. As nurse education changes not only in curriculum content and teaching methodology but in who will do the teaching and in what venue, then the importance of ensuring the relevance of theoretical concepts to nursing practice will increase. This paper illustrates how physiological theory can be integrated into nursing practice by the use of ward-based practical experiments. Currently four such experiments have been introduced and are being evaluated. There is scope for developing further experiments and it is contended that this approach will enhance learning.

Clinical Nursing Research↗