Biomedical subjects
D Towell
Publications and source records attributed to D Towell.
Over the rainbow.
What is required to renew purposeful and socially relevant leadership in Britain? In the fifth and final article of his 'Travelling Light' series, David Towell draws on the experience gained during his travels to consider how we can all contribute
Old values in New York.
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Waging war on the poor.
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Managing psychiatric services in transition.
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Developing effective management for the general nursing service.
Directors of nursing services and their colleagues in the new units created by NHS restructuring face major challenges in developing effective management for the general nursing service. Emerging ideas within the profession on the organization of nursing work, severe pressures arising from financial constraints at a time of growing health care needs, and restructuring itself each demand a carefully planned response. Beginning from the basic management cycle involved in implementing the nursing process, this paper offers a redefinition of the main functions of nursing management as a whole in meeting these challenges and provides a check-list for reviewing existing management practice. The use of this check-list is then illustrated by a case study in one health district. In this example, managers sought external assistance in planning a programme of action to strengthen nursing leadership. Similar efforts elsewhere are likely to rely mainly on a range of self-help methods. This paper is intended to provide a tool for designing and implementing these local strategies of management development.
Developing mental handicap services in an English county: lessons from an action research strategy.
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Developing mental handicap services. Part 2: Generating a county-wide programme of informed change.
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Towards professional autonomy: a commentary on "Expectations and disappointments' in development of the Royal College of Nursing.
The Royal College of Nursing of the United Kingdom has been engaged over recent years in a unique process of organizational change. Since 1973 sustained efforts have been made to mobilise widespread membership participation in shaping a new college structure which enables the Rcn to function effectively in representing the profession and in developing expertise on all aspects of nursing. A critical element has been creation of a network of "Rcn Centres' to provide a professional forum in each locality. A recent study by Bridget Ramsay has followed up this process. Its title, Expectations and Disappointments, reflects the mixed views of those involved on the progress which has been made. This article provides a commentary on Ramsay's analysis against the background of the complex situation of the Rcn in the early 1970s and the considerations which led the College to adopt an innovative approach to change. Particular attention is given to the influences which have made the growth of an active and integrated "Rcn at local level' quite problematic. It is suggested that the course Rcn development has taken in part reflects important elements in the nursing culture which members learn from their work in hospitals. Accordingly the Rcn experience has wider implications for the profession, not least for contemporary efforts, to achieve the greater professional autonomy necessary for nurses to implement more individualized patient care.
Large institutions reconsidered: an approach to the management of transition.
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European workshop on alternatives to mental hospitals: personal interpretation of the workshop.
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A 'social systems' approach to research and change in nursing care.
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Large institutions--problems and solutions.
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Developing services based on large institutions: some organisational requirements.
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Encouraging innovations in hospital care.
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Developing the role of the unit nursing officer.
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Improving general nurse training by psychiatric secondment.
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