Biomedical subjects

H P Bartlett

Publications and source records attributed to H P Bartlett.

9 recordsLinked to original sources

PubMed2002

Can lay-led walking programmes increase physical activity in middle aged adults? A randomised controlled trial.

STUDY OBJECTIVE: To compare health walks, a community based lay-led walking scheme versus advice only on physical activity and cardiovascular health status in middle aged adults. DESIGN: Randomised controlled trial with one year follow up. Physical activity was measured by questionnaire. Other measures included attitudes to exercise, body mass index, cholesterol, aerobic capacity, and blood pressure. SETTING: Primary care and community. PARTICIPANTS: 260 men and women aged 40-70 years, taking less than 120 minutes of moderate intensity activity per week. MAIN RESULTS: Seventy three per cent of people completed the trial. Of these, the proportion increasing their activity above 120 minutes of moderate intensity activity per week was 22.6% in the advice only and 35.7% in the health walks group at 12 months (between group difference =13% (95% CI 0.003% to 25.9%) p=0.05). Intention to treat analysis, using the last known value for missing cases, demonstrated smaller differences between the groups (between group difference =6% (95% CI -5% to 16.4%)) with the trend in favour of health walks. There were improvements in the total time spent and number of occasions of moderate intensity activity, and aerobic capacity, but no statistically significant differences between the groups. Other cardiovascular risk factors remained unchanged. CONCLUSIONS: There were no significant between group differences in self reported physical activity at 12 month follow up when the analysis was by intention to treat. In people who completed the trial, health walks was more effective than giving advice only in increasing moderate intensity activity above 120 minutes per week.

Adult↗

PubMed2001

Measuring the socialization of graduate and diplomate nurses using the Corwin Role Orientation Scale.

The nature of United Kingdom (UK) nursing education has changed significantly as the responsibility has been transferred from hospitals to the University sector. More information is needed on the outcome of the Project 2000 diploma and degree courses given the rapidly changing health care context. This paper focuses on the role socialization of graduate and diploma nurses. As part of a larger study, this research investigated the role orientations of 52 nursing graduates and 28 diplomates from two different universities at three time points; on graduation and at 6 and 12 months postgraduation. The Corwin Role Orientation Scale was selected and modified for the study. It comprised of three separate scales measuring professional, bureaucratic and service orientation. The data from the two groups of nurses were examined to identify nurses' ideal role orientations and role discrepancies over the transitionary period from graduate to qualified nurse. Although the results showed observed differences between the groups over time, none of these differences were statistically significant. The findings raise a number of questions about the value of the instrument as a measure in the contemporary nursing context. Furthermore, each of the Corwin subscales had a low internal reliability. A possible explanation may be that the instrument, which was developed in the United States of America (USA) in the 1960s, and modified, for this study, has little relevance for contemporary UK nursing. The study findings are also limited by the small size of the sample. In spite of these limitations, the study suggests there are few differences between the role orientations and socialization experiences of UK nursing graduates and diplomates. Indeed, both programmes commonly take place in university settings and students receive the same amount of clinical experience. Further instrument development and exploratory research is recommended to identify the role socialization and orientations of UK nurses through larger national studies.

Education, Nursing, Baccalaureate↗

PubMed2000

A comparison of the nursing competence of graduates and diplomates from UK nursing programmes.

This paper reviews the literature on nursing competence measurement and reports the results of a comparative quantitative study of the competencies of Project 2000 diplomates and BA (Hons) Adult Nursing graduates from two UK nursing programmes. The findings reveal that graduates appear to overcome any initial limitations and become more competent than the diplomates in certain areas. Attention to social awareness and participation is necessary in both pre-registration programmes, whilst greater attention could be given to graduates' leadership and management development. Diplomates need support in their professional development if they are to achieve the same level of competence as graduates during the first post-qualifying year. There are implications for the level of support afforded to qualifying nurses in their first staff positions; preceptorship programmes could be an important means of assisting newly qualified staff to gain confidence. More research on nurse competencies with larger samples drawn from programmes across the UK is needed.

Clinical Competence↗

PubMed1999

A comparison of the career aspirations of degree and P2000 diploma graduates from UK nursing programmes.

AIM: This paper reports the findings from a study of career aspirations undertaken as part of a larger study on the graduate outcomes of two different preregistration nursing educational programmes in the UK. METHODS: A self-completion questionnaire was administered to 52 degree graduates and 28 diplomates from two Universities on completion of their course. FINDINGS: The findings suggest that while graduates appeared more definite over their long-term career goals, diplomates were more confident in their initial decision to enter the nursing profession. All respondents showed a marked tendency towards hospital-based clinical posts on graduation. Degree graduates displayed a greater interest in working overseas, nominating a far broader range of possible destinations and expressed interest in a wider range of further education courses, including Master's and PhD degrees. CONCLUSIONS: The career aspirations of degree graduates and diplomates revealed in this study highlight a number of issues with implications for workforce planning, recruitment and retainment. Further larger scale longitudinal research is warranted.

Career Choice↗

PubMed1996

Policy issues in the private health sector: examples from long-term care in the U.K.

The international trend towards private markets in health care can be illustrated very clearly by developments over the last decade in the U.K., where the balance of health care provision has shifted from a predominantly free, public and comprehensive system to more of a mixed economy model. The shift can be attributed to a variety of factors, and not government policy alone. The relationship between the private and NHS sectors of health care is not a simple one and there are both positive and negative implications of the public-private mix. The growth of private hospitals and acute beds has dominated debates about private health care, but further policy issues have emerged in relation to the significant growth in private residential and nursing home care. This paper briefly reviews developments in private health care and then explores the key policy issues associated with this development. Secondly, an analysis of developments in the private residential care sector is undertaken highlighting the relationship between the public and private sectors of care provision. Policy issues pertaining to the long-term care sector of private health care are raised, including the regulation of residential care, regulatory models, enforcement and quality, and standards of care. Lessons for the regulation of private health care generally are considered and the implications for the private sector of a growing trend towards market deregulation are explored. Future models of long-term care are discussed and the likely balance between the public and private sectors explored.

Aged↗

PubMed1995

Aging trends--Hong Kong.

Aspects of demographic aging in Hong Kong are examined in this study. "By regional standards, many of Hong Kong's 1992 population of 5.9 million have a good standard of living and adequate housing. However, there are considerable discrepancies in wealth and well-being; elderly people are not always financially secure, and there are growing difficulties in maintaining the oft-cited mode of family care for elderly members. Hong Kong is a rapidly aging society and it is essential to see this process in the context of local and regional socioeconomic change and the future political linkages of the territory with China."

Adult↗

PubMed1995

Aging trends--Singapore.

"Three major inter-related issues have emerged concerning population aging in Singapore. The first two concerns are whether aging will increase dependency on the state for welfare and financial assistance and whether traditional family caring structures will survive and provide the care deemed necessary in the future. The third concern focuses on the potential impact of population aging on Singapore's future economic growth and development....A national policy on elderly persons has been formulated since 1989 and focuses on four main areas: employment of elderly people in the workforce; attitudes towards elderly people; community care; and residential care."

Adult↗

PubMed1995

Aging in the United Kingdom: a review of demographic trends, recent policy developments and care provision.

"Although the U.K.'s population is not predicted to grow very much in the future, the population structure is changing and there is a shift towards a much older age distribution. The characteristics of demographic aging in the U.K. include a marked reduction in fertility rates, increasing rates of life expectation at birth..., increasing dependency ratios and variations in mortality and social class in old age. The U.K.'s demographic context has important implications for aged care policy and planning. This paper documents the demographic trends, reviews recent major policy changes and their impact on care provision, and discusses some of the emerging implementation issues that challenge the potential of such policies to meet the needs of an aging population."

Age Distribution↗

PubMed1993

The contribution of quality assurance to the achievement of quality nursing care.

This paper explores the concept of quality in relation to nursing care and the contribution of quality assurance to its achievement. A descriptive study involving the administration of a questionnaire to all registered nurses in the clinical area employed at Osborne Park Hospital, Perth, Western Australia was undertaken to examine these issues. Overall, respondents had a positive attitude towards quality and quality assurance, although the latter concept appeared to be better understood. Quality assurance was viewed as an effective activity for reviewing and changing nursing practice and for helping to achieve quality nursing care. However, the study also demonstrated a need for further education in skills associated with quality assurance activities. Several other barriers to participating in quality assurance and to delivering quality care were identified.

Attitude of Health Personnel↗