Biomedical subjects

J W Albarran

Publications and source records attributed to J W Albarran.

7 recordsLinked to original sources

PubMed2000

Lesbian, gay and bisexual experiences within critical care nursing, 1988-1998: a survey of the literature.

The aim of this paper is to provide an analysis of the extent to which gay, lesbian and bisexual service user experiences are represented within the critical care literature. A survey of five well established critical care journals, covering the period 1988-1998, was conducted in order to reveal the range of themes addressed within them. The findings suggest that these groups are invisible in this field of practice and consequently their particular concerns have remained marginalised. The implications of this absence are far reaching, potentially inhibiting nurses from establishing effective caring relationships with either lesbians, gays or bisexuals and from identifying and developing appropriate interventions for the care of these patients and their families.

Bibliometrics↗

PubMed1997

An analysis of professional, specialist and advanced nursing practice in critical care.

A recent document, The Future of Professional Practice--Standards for Education and Practice Following Registration (United Kingdom Central Council (UKCC) 1994a), has laid down a structure for clinical practice, providing a pathway for nurses to progress from the professional level, through to specialist and advanced levels, according to clinical expertise and educational preparation. The purpose of this article thus sets out to analyse critically these distinct levels in relation to critical care nursing. In particular, the paper discusses the development of advanced practice and how the proposed levels may be integrated within critical care.

Career Mobility↗

PubMed1997

Problems with providing education on resuming sexual activity after myocardial infarction: developing written information for patients.

This article contains a review of the importance and the adverse consequences of patients not receiving information about resuming sexual activity following an acute myocardial infarction (AMI). The available evidence indicates that nurses are failing to supply this form of advice for a number of reasons. Therefore this paper is focused on the development of an information leaflet which can be used as a vehicle for assisting nurses in meeting patients' needs in this area, the content of which may not have been conceived as important or considered at all during the period of the patients' hospitalisation.

Female↗

PubMed1992

Advocacy in critical care--an evaluation of the implications for nurses and the future.

Patient advocacy is now considered an integral part of a nurse's role, however there is continued debate concerning whether a nurse can ever truly represent patients' views and interests. The purpose of this paper is to examine why it is necessary for nurses in critical care areas to consider patient advocacy from professional, ethical and moral perspectives. First definitions of advocacy are reviewed, and this is followed by a critical evaluation of the legitimacy of the idea that nurses are the ideal health care professionals to be patient advocates. In conclusion key issues are identified and recommendations made for preparing future nurse advocates.

Critical Care↗

PubMedDate not supplied

Should nurses be politically aware?

In the present atmosphere of change, nurses need to develop political awareness. This article reviews the many factors that have mitigated against such a development and examines how these have adversely affected the profession. It proposes that nurses must develop political awareness as only by becoming politically knowledgeable can they can control and shape their own destiny, and effectively contribute to the decisions that affect their patients.

Education, Nursing↗

PubMedDate not supplied

Exploring the nature of informed consent in coronary care practice.

The nature of informed consent is bound within legal and moral duties. An analysis of informed consent includes the elements of understanding, disclosure, competence, voluntariness and authorisation, all of which can be affected by a variety of factors. Nurses can make a unique contribution to informed consent situations either as advocates, interpreters, coordinators, witnesses or culture brokers. In order to fulfill their obligations to the patient and manage potential conflicts, nurses need to have a substantial awareness to the diversity of issues and pitfalls. Communication skills and building a therapeutic alliance with the patient are at the heart of nursing care. Nurses are taking on duties previously associated with medical practice-it is unclear how this affects their roles as information givers.

Communication↗

PubMedDate not supplied

Percutaneous balloon mitral valvuloplasty: advancing the nursing perspective.

Balloon mitral valvuloplasty is increasingly used to widen the narrowed mitral orifice in selected patients with valve stenosis and is a cheaper alternative to open heart surgery. This technique is gaining wide acceptance in clinical practice due to certain advantages, such as being less invasive and thus abolishing the need for thoracotomy, reduced costs and shorter hospital stay. Recent research indicates that there are substantial long-term benefits, such as improved functional capacity and relief from symptoms, which compare favourably with surgical valvotomy. As interventional cardiology expands, nurses must meet the new challenges and continue to expand and develop the unique nursing perspective in this field of patient care. A key role for nurses is to develop a trusting relationship, provide information to meet the patient's needs and emotional support.

Catheterization↗