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Biomedical subjects

E Shanley

Publications and source records attributed to E Shanley.

14 recordsLinked to original sources

Use of implicit criteria in evaluation of mental nurses.

This paper describes the development of an instrument based on implicit criteria currently used by mental nurses in deciding whether a nurse is a good or a poor mental nurse. Existing implicit means of assessing mental nurses in the form of ward reports have been found to be inadequate. The study consisted of two stages: firstly, the production of a preliminary questionnaire using statements describing good and poor mental nurses obtained by interviewing mental nurses; secondly, the production of an assessment instrument, the Mental Illness Nurses' Evaluation Test, derived from the results of factor analysing responses of mental nurses to the preliminary questionnaire. The criteria used to evaluate mental nurses that emerged in order of importance were benevolence-malevolence to other nurses, amiable-irascible, regard-disregard for patients, confident-uncertain, directive-non-directive and professional-unprofessional. The study exposes current values used in judging mental nurses and constitutes a first important step in developing a valid and reliable instrument in assessing mental nurses in terms of their prescribed role.

Employee Performance Appraisal

Attitudes of psychiatric hospital staff towards mental illness.

The use of the social model of psychiatry as a form of treatment is increasingly accepted as a legitimate therapy. This is expressed in the continued growth of the 'therapeutic community' regimes. However, investigations into components of the social model, i.e. attitudes of nursing staff in psychiatric hospitals, have not accompanied this growth. A cross-section of research over the past 25 years has shown an omission of behavioural correlations in attempting to measure staff attitudes. Research into attitudes expressed indicate a correlation between age, education, regime in hospital and occupation and the responses to attitude questionnaires. Without behavioral correlations however, the value of this research is very questionable. A few studies have included behavioral correlations such as perception of staff, discharge rates and length of stay in the community. An example of an area in nursing that attitude studies with behavioral correlations could usefully be employed is in examining the effectiveness of using staff from different cultures in therapeutic communities.

Attitude of Health Personnel

Overseas nurses--effective therapeutic agents?

Factors affecting the effectiveness of overseas people employed as psychiatric nurses are discussed. Basic cultural influences, especially different value systems between the immigrant and the host population, are seen as unlikely to be greatly altered by the environment in which the immigrant nurses find themselves. In fact a greater divergence would seem more likely to occur. The different experiences of immigrant nurses compared with nurses recruited in Britain are considered under the following headings: expectations of the immigrants on entering nursing, their contact with the host culture, the reaction of the indigenous population to the immigrant, language difficulties, and the insecurity of employment. The conclusion drawn is that the cultural differences, recruitment methods, the immigrants' experiences in employment and lack of contact with the culture of the indigenous population (apart from their deviant members) are likely to adversely affect his/her ability to function as a therapeutic agent. This is particularly important where the form of treatment is based on the social model.

Clinical Competence

External examiner system in traditional nurse education--issues to be resolved.

Nurse education is in the process of adopting the practices of higher education establishment. One such practice is the external examiner system. Unfortunately this system is not without its shortcomings. A number of potential areas of difficulty in using this system are looked at in this paper. These range from problems associated with the selection of the external examiner to the balance of power between the external examiner and the course team. It is pointed out that nurses may, in their desire for validation and increased status, leave aside their growing critical abilities and accept without reservation and to their detriment the traditional practices of the higher education system.

Clinical Competence