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Biomedical subjects

D D Holyoake

Publications and source records attributed to D D Holyoake.

8 recordsLinked to original sources
PubMed1999

Who's the boss? Children's perception of hospital hierarchy.

Young people in an in-patient mental health unit seemed to recognise that a hierarchy existed within the multidisciplinary team and that it had an effect upon their care and treatment. A literature review suggested that the prevailing culture perpetuated a hierarchy and those who get things done ('the bosses') have power while nurses have 'relational' power (Souminen et al 1997). The views of 35 in-patients aged between 13 and 17 years were obtained using a questionnaire and discussion. These young people believed that doctors (and possibly psychologists) make the important decisions, with nurses perceived as being 'all rounders' with no particular authority. Other professionals had distinct roles but were also subordinate. The findings of this exploratory study are relevant for the multidisciplinary team but further studies are needed to identify more specific implications for practice.

Adolescent↗
PubMed1998

A little lady called Pandora: an exploration of philosophical traditions of humanism and existentialism in nursing ill children.

This article battles its way through the contemporary philosophical assumptions regarding interactions with traumatized young people. That is, interaction by nurses as they attempt to provide 'a shoulder to cry on', 'someone to trust' or just simply 'a hand to hold'. The young people that are nursed in the hospital setting have experienced illness, surgery and recovery to name just a few, but when confronted with being separated from their families, being frightened and needing a friend the role of nursing takes on many different facets. The child (Pandora) a traumatized child taken from home to a new strange place, is warmly accepted by carers who seem to share a set of beliefs and assumptions about relationships and interaction. This article aims to explore the effects humanist and existentialist philosophy has had in guiding current nursing practice using extracts from his own practice and observations.

Child↗
PubMedDate not supplied

PAT: advanced nursing interventions for eating disorders.

Passive activity time (PAT) is a nursing intervention that was developed for young people with eating disorders. This development was a pioneering attempt to examine the nursing care for this client group and improve treatment programmes. Nursing practice before PAT was dominated by a biomedical model which directed a set procedure of care for all patients, focusing primarily on weight restoration. The prominent interventions were bed rest for any patient who was under weight and a strict dietary regimen. PAT was the result of a change in nursing practice towards a more holistic philosophy of care. This article will describe the rationale behind its development and discuss its potential in future nursing practice for people experiencing anorexia nervosa.

Activities of Daily Living↗
PubMedDate not supplied

Gender issues in nursing.

Explore the source record for details and available documents.

Attitude of Health Personnel↗
PubMedDate not supplied

Lessons in care.

Explore the source record for details and available documents.

Attitude of Health Personnel↗
PubMedDate not supplied

Favourite patients: exploring labelling in inpatient culture.

In this article, the author reports on a research study into the issue of favouritism in nursing, exploring theory relevant to the topic. The study focused on the nature of favouritism in nursing. Its explorative and descriptive nature allowed interviews to be conducted with nurses. They acknowledged that attachment and boundaries seem to be the most important issues related to favouritism. However, some of the participants pondered on the notion that personal characteristics of both patients and nurses affect the nature of nurse-patient interaction and attachment. The study has enabled discussion about these various aspects of practice and provides some tentative conclusions.

Adolescent↗
PubMedDate not supplied

Using transactional analysis to understand the supervisory process.

Most literature on supervision praises its ability to create space for reflection, but seldom explores the disabling effects. Using the experiences of four nurses, this article makes use of Berne's Transactional Analysis model as a method for illuminating patterns within supervision. The article concludes that the confessional nature of clinical supervision reflects contemporary practice and the implications of supervision really appear to be an undercover policing or enforcement of cultural/management objectives.

Clinical Competence↗