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Biomedical subjects

J Lyneham

Publications and source records attributed to J Lyneham.

9 recordsLinked to original sources
PubMedDate not supplied

The process of decision-making by emergency nurses.

The manner in which emergency nurses make decisions is a fundamental component of their practice but has not been widely researched. A review of nursing literature revealed that the decision model used by nurses in other clinical areas was a hypothetico-deductive method of clinical reasoning. It appeared cogent to determine whether the hypothetico-deductive decision-making theory held true for emergency nursing. Accordingly, the overall objective in this study was to establish the method of decision-making used by emergency nurses. A modified grounded theory framework was chosen to validate the model put forward by White et al. Three participants, all clinical nurse specialists, were given five clinical situations to respond to and asked to describe and discuss their thoughts when arriving at a diagnostic conclusion. The results demonstrated that the use of the hypothetico-deductive model of clinical reasoning, utilising verbal, non-verbal and other sources of information, was used by clinical nurse specialists in the emergency setting.

Decision Making↗
PubMedDate not supplied

Violence: part of the job for Australian nurses?

According to a recent Australian Institute of Criminology report (1999) the health industry is the most violent industry in Australia. In this paper the authors aim to highlight violence as an important professional issue for Australian nurses that is currently concealed as 'part of the job'. National and international studies bring attention to the severity of the problem for nurses with a particular focus on emergency nurses. Some of the issues identified and discussed include increased waiting times and frustration; increasing use of weapons; inadequate systems of security; culture of silence; inadequate support for emergent mental health needs; lack of reporting; lack of institutional concern and systems of support, and; demands of triage nursing. The nature of workplace violence in emergency departments in New South Wales and South Australia will be explored based on the authors' research. A research pathway to explore national impact and implications of violence for nurses and nursing practice in general will be outlined.

Australia↗
PubMedDate not supplied

Violence in New South Wales emergency departments.

In 1999 the International Council of Nurses recognised workplace violence as a significant issue in nursing. During the same year the Australian Institute of Criminology reported that health was the most violent industry. This study examined the nature and extent of violence in NSW hospital emergency departments. Emergency nurses experienced violent incidents in their department, in the wards and outside the hospital setting. Every respondent (n=266) experienced some form of violence at least weekly. Ninety-two incidents involved lethal weapons. Ninety-two percent of perpetrators were patients or their relatives, however other staff members were also implicated. Non-reporting of violence is an issue as over 70% of incidents were not referred to authorities. Drugs, alcohol and emergency department waiting times are the most significant predisposing factors. Most emergency nurses are not satisfied with the response of administration to violent incidents within hospitals.

Attitude of Health Personnel↗