PubMed Health⌕ Search

Biomedical subjects

Jane Conway

Publications and source records attributed to Jane Conway.

7 recordsLinked to original sources
PubMed2006

An exploration of the concept of patient education: implications for the development of educational programmes for relapsed post-bone marrow transplantation patients and their families in Korea.

Frequently, the nursing care of patients who undergo bone marrow transplantation (BMT) is focused on acute, curative care. However, given that recurrent disease following BMT has a poor prognosis, a focus on acute care alone appears inappropriate for those clients who experience relapse. Care for this group of patients should be more inclusive of principles that underpin palliative care. Patient education is an important element of palliative care. Therefore, patient education based on the principles of palliative care should play a significant part in the nursing care of BMT patients with recurrent disease. This paper proposes a framework for the development of a palliative educational programme for relapsed post-BMT patients and their families in Korea. The framework was developed through a concept analysis of patient education.

Attitude to Health↗
PubMed2004

Processes, outcomes and evaluation: challenges to practice development in gerontological nursing.

When aligned to participants' needs, evaluation may be used to enhance practice developers' work. Process evaluation enables practice developers to evaluate as they develop; making evaluation an integral part of practice development rather than an 'add on task'. It is contended that beginning practice developers can discharge their need to evaluate their work through the practice development techniques of critical reflection, dialogue and action learning. These form the basis of iterative and formative evaluation activity. However other types of evaluation are important for different audiences in practice development. Consideration of the purpose and utility of evaluation in a range of contexts in which gerontological nursing occurs, brings some clarity regarding the scope of the evaluation required to sustain practice development initiatives. In addition, it helps to clarify the nature of the evaluation required to provide evidence of patient-centred outcomes from developments in the practice of gerontological nursing.

Aged↗
PubMed2002

Communication: principal barrier to nurse-consumer partnerships.

An 8-month pilot study conducted in urban, rural and remote areas of Australia sought to identify barriers to nurse-consumer partnerships, as well as strategies to overcome these barriers. One hundred and ninety-nine Registered Nurses (RNs) and 36 consumers participated across 14 workshops to collect data for the pilot study. Analysis of these data found that nurses' perceptions of partnership with consumers were diverse. Nevertheless, participants in the workshops identified 'communication' as the principal barrier to nurse-consumer partnerships. Contexts in which communication barriers occur grouped easily under the themes of information transfer, documentation, education, personal and interpersonal situations, guidelines and policy, organizational structures, politics, resources and time. Workshop participants also worked together to identify/recommend strategies through which the most important barriers to communication in nurse-consumer partnerships could be addressed.

Communication Barriers↗
PubMed2002

Congruence or conflict? Challenges in implementing problem-based learning across nursing cultures.

Using the "real-life" situation of delivering an Australian nursing curriculum in the Maldives, this paper argues that successful offshore delivery requires far more than simply implementing an existing programme on a different site. In health education, cultural and contextual circumstances necessitate a critical appraisal of the needs of the community and the corresponding attributes of those who provide health-care services. This means designing programmes that are process oriented and easily adapted to different circumstances, and a commitment to maintaining effective communication systems. Although it would seem that problem-based learning (PBL) provides the framework for a process-oriented, learner-centred curriculum, the paper raises questions about how universally relevant the processes embedded in PBL are and describes concerns about the intent and purpose of nominating PBL as the preferred instructional strategy for cross-cultural projects.

Australia↗
PubMed2002

Exploring the culture of an ICU. The imperative for facilitative leadership.

This article presents findings of a study conducted in an Australian Intensive Care Unit (ICU). The authors were invited by staff of the unit to provide education to them to improve their experience of the workplace. Attempts to determine what staff would see as useful professional development activity, however, revealed an inability to specify their professional development needs. Exploration of the workplace situation with all nurses in the unit revealed that issues related to the workplace culture--the impact of a changing health care contexts on ICU nurses, a lack of collegial support, and a lack of preperation for the roles of ICU nurses--resulted in increased tension in the workplace and heightened job dissatisfaction. The article provides a discussion of these issues and suggests that while all who work in ICU are accountable for their interaction, those employed as educators have both a right and a responsibility to undertake a leadership role in the workplace. It is argued that the current role of educators in demonstrating procedures and equipment, assessing clinical competence of those new to the area, and supporting students who participate in accredited ICU training does not embrace the potential role of ICU educators to facilitate a change in unit culture and behavior.

Attitude of Health Personnel↗
PubMedDate not supplied

Enhancing cardiac rehabilitation nursing through aligning practice to theory: implications for nursing education.

This article presents a case study that examined the work practice of nurses in a cardiac step-down unit (CSDU). The action research included interviews, participant observation, and a self-reporting questionnaire. Nurses in the unit used a conceptual framework that was inconsistent with the rehabilitation-oriented nursing necessary to enhance patient outcomes in a CSDU. The results of this study show that a need exists for greater alignment between the practice and the educational preparation of nurses who work in a CSDU. A framework such as Dorothea Orem's Self-Care Theory of Nursing (1995) offers a conduit for nurses to deliver care appropriate to CSDU patient needs. However, there is a need for continuing education for nursing staff to align the cardiac rehabilitation nursing philosophy and the theories that underpin it (such as the Self-Care Theory) with nursing practice. Practice development provides a mechanism through which to examine the congruence between patient needs and nurse perception of those needs.

Attitude of Health Personnel↗