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Biomedical subjects

Edward Alan Glasper

Publications and source records attributed to Edward Alan Glasper.

11 recordsLinked to original sources

Pre-registration children's and young people's nurse preparation. A SWOT analysis.

An investigation was undertaken into the views of nurse educators on current approaches to preparing children's and young people's nurses in the UK. A convenience sample of lead academics in 17 child health nursing departments of British universities was contacted by email and invited to liaise with colleagues to generate lists of the strengths, weaknesses, opportunities and threats (SWOT) of the educational system. Thirteen departments provided data that were analysed and themed. Major themes included the common foundation programme, clinical skills learning, clinical placements and employment. More detailed evaluative work should be undertaken before wholesale changes are made to a relatively new curriculum.

Child↗

Shared records: towards collaborative working with families.

In response to government policy on integrated records, common assessment and information sharing, health and social care professionals who work with children and young people are reviewing how patient documentation is designed, implemented and evaluated. A survey of members of a multiprofessional team within a regional children's unit was carried out to inform the development of collaborative (shared) patient documentation. A focus group activity using the nominal group technique generated information to construct a questionnaire which was piloted and sent to 125 key informants identified using 'snowballing' technique (Blacktop 1996). Of the 62 respondents (a 50 per cent response rate) only four did not support a patient to be accessed by all who provide care. Sixty per cent strongly agreed or agreed that any new record design should provide space for contributions from the child/young person and the carer/parent. Despite this clear consensus, opposition by some gate keepers may still slow the introduction of shared records in children's services.

Access to Information↗

Nurse-led paediatric pre operative assessment: an equivalence study.

AIM: to explore whether nurses can undertake the pre operative assessment of children prior to day case surgery as safely as senior house officers. DESIGN: a randomised controlled trial involving 595 children, using an equivalence methodology (a method which looks for similarity rather than a significant difference). Pre-operative assessment prior to day case surgery was randomised to either a nurse (experimental group) or a junior doctor (control group). Blinded expert verification of nurse/junior doctor performance was ascertained by an experienced anaesthetist (the 'gold standard'). RESULTS: there was equivalence between nurses and senior house officers in their ability to detect clinically significant abnormalities within the sample population. Subgroup analysis also demonstrated equivalence in respect of history taking abilities. The smaller number of clinically significant physical findings within the sample meant that equivalence in respect of physical examination remains uncertain. Although the study was limited to a single setting, the results demonstrate nurses' equivalence with junior doctors in a discrete paediatric context.

Adolescent↗

Contemporary issues in the care of sick children and their families.

This article considers the response of children's nurses to contemporary change in the management of sick children and their families throughout the last decade. In recognizing the rich and diverse history of children's nursing the impact of those factors which have led to the development of operational strategies to manage children's services will be considered. The quest, not always successful, to coordinate care as a seamless web of services to children and their families will be investigated, as will the role dimensions encompassed by specialist children's nurses and their interface with interprofessional colleagues. A range of nurse-led services in a variety of contemporary child health settings will be explored.

Child↗

A review of children's nursing: but does it have a future?

With less than 35,000 registered children's nurses in the UK it is timely in the 10-year anniversary issue of the British Journal of Nursing to examine the progress of children's nursing. This article explores the ramifications of the outgoing UKCC's 'Fitness for Practice and Purpose' document (UKCC, 2001) and its legacy to the incoming Nursing and Midwifery Council. The argument as to whether preregistration nurse training should become generic with specialization occurring as a postregistration activity will be debated.

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The views of children and their families on being in hospital.

This study aimed to elicit the separate views of children, young people and carers after a period in hospital as an inpatient. Questionnaires were administered to 130 children and their families discharged after a period as hospital inpatients in January 2003. Anonymized data were returned from 50 families. Data analysis indicated that there were differences in the way that the three groups perceived the period of admission. Although parental sleeping and other social arrangements were subject to some critical review, the nursing care experienced by families was highly rated. Although arrangements for discharge were deemed satisfactory, 38% of carers had to wait for medicines to arrive on the ward before they could go home. Only six of the young people felt there ward catered for their age group and five indicated poor levels of privacy. None of the young people indicated that they had used the equipped teenagers' room. Attempts to include the voice of the younger child in this study proved unsatisfactory as parents elected to act as proxies in completing the child-specific questionnaires. Child healthcare professionals attempting to involve all service users in determining optimum levels of care need to consider fully the methods of data collection and their applicability for differing age groups of children. Dependence on adult carers to reflect accurately the voice of the child is not fully satisfactory.

Adolescent↗