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Biomedical subjects

H Platzer

Publications and source records attributed to H Platzer.

At least 19 recordsLinked to original sources
PubMed2000

An evaluation of process and outcomes from learning through reflective practice groups on a post-registration nursing course.

An evaluation of process and outcomes from learning through reflective practice groups on a post-registration nursing course Small groups were set up purposefully on a part-time post-registration Diploma in Professional Studies in Nursing programme to enable students to reflect on and learn from experience. The use of these groups was qualitatively evaluated by the use of in-depth interviews. Although there were many barriers to such learning, some students made significant developments in their critical thinking ability and underwent perspective transformations that led to changes in attitudes and behaviour. These are identified as an increased professionalism, greater autonomy in decision making, more self-confidence to challenge the status quo and make their own judgements, and a less rule-bound approach to their practice. The processes by which these changes occurred are identified as support and challenge within the groups offered by both the facilitators and other group members.

Attitude of Health Personnel↗
PubMed2000

Barriers to learning from reflection: a study of the use of groupwork with post-registration nurses.

There are few studies which describe the use of groups to facilitate reflection and even fewer which evaluate the effectiveness of such groups. Much of the literature discussing the techniques used to facilitate reflection suggests that learners willingly engage in such processes and find them enjoyable. This paper reports on a qualitative study of the use of groups to develop learning through reflection on a part-time post-registration diploma programme for nurses. The findings suggest that there are many barriers to learning which must be overcome before practitioners can use the opportunities to reflect on and learn from their experience. It is also contended that such learning may not necessarily be an enjoyable experience. The findings suggest that previous educational experience and the current culture in which nurses and midwives work, impose tremendous barriers to reflecting on, and learning from, experience. In particular these affect the willingness of learners to expose themselves to the judgement of others and their ability to be open to taking responsibility for their own learning. Other barriers to learning in groups are the effects of other group members, their commitment or resistance to shared learning, the ways in which group members interact with each other and facilitation styles.

Education, Nursing↗
PubMed1999

Ethical considerations in qualitative research with vulnerable groups: exploring lesbians' and gay men's experiences of health care--a personal perspective.

It is rare to find honest accounts of the difficulties and dilemmas encountered when conducting sensitive research with vulnerable research populations. This account explores some of the ethical issues raised by a qualitative interview study with lesbians and gay men about their experiences of nursing care. There is tension between the moral duty to conduct research with vulnerable and stigmatized groups in order to improve care, and the inevitable lack of resources that go with such a venture. This increases the risk of harm during the process of research. The risk of harm to both the researchers and the researched is explored and the need for a support structure for both groups is raised. There is a pressing need to develop further understanding about the ways in which the dissemination of research can potentially harm already vulnerable research populations.

Attitude to Health↗
PubMed1998

The concerns of lesbians seeking counseling: a review of the literature.

Whilst lesbians are no different in terms of psychological adjustment than heterosexuals, they do seek counseling for a variety of reasons and some of these are unique to their experiences as lesbians. Some of these reasons are related to difficulties in coming out, particularly in young lesbians, and some are to do with relationship problems. In most cases where lesbians seek counseling it is difficult to establish a rapport and therapeutic milieu without disclosure of sexual orientation even if this does not directly relate to the presenting problems. However, empirical evidence suggests that lesbians have difficulty in finding counselors who are not homophobic or heterosexist and who are sensitive to their mental health concerns. The debate about whether or not specialist counseling services should be developed or mainstream services improved will be discussed.

Attitude of Health Personnel↗
PubMed1997

Methodological issues conducting sensitive research on lesbian and gay men's experience of nursing care.

This paper is a methodological discussion on a qualitative research project which involved interviewing lesbians and gay men about their experiences of nursing care. The research project arose primarily because most of the knowledge available on the subject was based on hearsay and anecdote. It is worthy of note that those who felt there was an issue to be addressed, as well as the bearers of anecdote, were by and large what would be termed 'insiders' in ethnographic research, and zealots with an axe to grind in less academic circles. It is the nature of this "insider' status which is of interest throughout the research process of what was and remains a sensitive research topic. 'Insider' status can reduce many of the problems associated with conducting sensitive research in terms of access, rapport with subjects, ethical concerns, and stigma contagion, but by the same token lays researchers open to the charge of bias thought to be inherent in going native, or rather in this case being native. However, there are some problems associated with 'insider' status as well and this paper offers a discussion of the methodological problems we have encountered in relation to this, as well as more general methodological issues when conducting research considered to be sensitive. Ethical dilemmas also arose during the research when lesbian and gay patients who were currently receiving hospital care contacted the researchers directly because they felt threatened by nursing and medical staff. The paper is an attempt to describe some fairly conscious strategies to use the research team's 'insider' status for methodological reasons and to explain the ethical position we took when we felt compromised.

Attitude of Health Personnel↗
PubMed1989

Post-operative confusion in the elderly--a literature review.

The literature indicates that the elderly form a substantial proportion of surgical patients and that a disproportionate number of them suffer an abnormal temporary change in mental state which can have an adverse effect on their recovery. A computer search using 'Medline' and the 'Nursing and Allied Health Database' from 1966-1988 revealed very few references which related directly to post-operative confusion in the elderly. One study in 1984 located only "one prospective, cohort, analytical study of post-operative confusion" which was undertaken in 1979. Two further studies have since been published in 1985, but there is obviously a paucity of literature in this area.

Aged↗