England: progress made, more to be done.
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Biomedical subjects
Publications and source records attributed to Deborah Sturdy.
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Most general hospital users are older people. Standard 4 of the national service framework for older people aims to transform the whole hospital experience for this group. Trusts have yet to grasp the fundamentals of this approach, despite the fact that it will help them achieve improvements such as access targets. Investment in staff training and education is needed to achieve the necessary cultural change.
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This paper explores some of the global challenges in gerontological nursing and suggests that nurses need to be able to identify better more appropriate person-centred outcomes, to justify their own worth in caring for older people. It highlights some of the methodological difficulties of measuring outcomes for older people and, more generally, of determining the value and contribution of nursing. It argues that, to address some of these methodological challenges, more participative approaches to research are needed, highlighting the particular value of action research. It suggests that if research is to be meaningful to both older people and those caring for them, there is an urgent need for gerontological nursing research to become much more person-centred and practice/action oriented.
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