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Biomedical subjects

G Rix

Publications and source records attributed to G Rix.

8 recordsLinked to original sources
PubMed2000

Perceptions of registered nurses working with assistive personnel in the United Kingdom and the United States.

This study examines registered nurse perceptions of their role in acute care hospitals that use nursing care assistants (NCA) and unlicensed assistive personnel (UAP). Also studied was registered nurse (RN) satisfaction with nursing care assistants and unlicensed assistive personnel in the United Kingdom (UK) and the United States of America (USA). The purpose of this study is to assist RNs and managers in the re-design of health-care delivery systems by investigating: 1. The differences and similarities of registered nurses in the UK and the USA in the perceptions of changes in the RN role when working with nursing care assistants or unlicensed assistive personnel. 2. The differences between and similarities of registered nurses in the UK and the USA in perceptions of NCA and UAP abilities to perform delegated duties, to communicate pertinent clinical information and to provide more time for professional nursing activities. Registered nurse perceptions in the UK were compared with the findings of a previous study of RN role changes and satisfaction in the USA. Registered nurses in the UK did not perceive a profound change in their role when working with UAP and were more satisfied with their use than were RNs in the USA.

Adult↗
PubMed1996

Clinical audit, the case for ethical scrutiny?

The UK Government's White paper stated their commitment to the development of medical audit. The subsequent growth of audit activity by all health-care professions has led to a proliferation of activity, often involving direct contact with the patient. However, there seems to be wide acceptance that there are no ethical dimensions to audit activity, even though it may be wide-ranging and uncoordinated. Argues that, while research has a well-developed mechanism for ethical scrutiny, audit activity can sometimes be indistinguishable from research and so, in some cases, it should be submitted to external scrutiny in order to protect the patient. Suggests five criteria as activities where ethical scrutiny should be considered.

Clinical Trials as Topic↗
PubMed1994

Preputial plasty: a good alternative to circumcision.

Since 1991, boys needing surgery for tight nonretractile foreskin have been offered a choice of preputial plasty or circumcision, providing that there is no clinical evidence of preputial scarring. We compared two similar groups of 50 boys that underwent each procedure, through our routine audit and questionnaires sent to their parents. Of the boys with circumcisions, 20% required an overnight stay after the operation; 14% had anesthetic complications, and 6% required reoperation because of bleeding. Only 8% of patients with preputial plasty had an overnight stay, and no bleeding was observed. Parental assessment of both operations showed that morbidity was significantly less and of shorter duration for the preputial plasty group. Two patients in the preputial plasty group (4%) had recurrent narrowing of the foreskin caused by scarring and contraction of the incision. Parents were pleased with the long-term results of both procedures. This simple alternative to circumcision is easy to perform and allows full mobilization of the foreskin, preserving its function and providing an excellent cosmetic result.

Adolescent↗
PubMed1987

Staff sickness and its relationships to violent incidents on a regional secure psychiatric unit.

This study aimed to examine the relationship between absenteeism in nurses and disturbed and/or violent incidents in patients. It was conducted in the Interim Secure Psychiatric Unit at the Bethlem Royal Hospital, London (which later transferred to the Denis Hill Unit) during 1985. Data was gathered from sickness figures recorded on the ward and in the nursing administration office. Violence records were collected from incident reports made by all grades of nursing staff. The hypothesis to be tested was that as violence increased then staff sickness would decrease. Results indicate that such a correlation is not present. However, staff sickness was significantly concentrated around days off. Some considerations for future research are given.

Absenteeism↗