Surgical gloves: perforation and protection.
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Biomedical subjects
Publications and source records attributed to Judith Tanner.
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The Siobhan Rankin Lecture is given each year at Congress in memory of a previous Chair of the Association. Individuals invited to give this lecture are experts within their chosen fields. In 2005 Professor Judith Tanner was asked to describe her work in encouraging perioperative practitioners to undertake research in clinical practice. This paper is based on Professor Tanner's presentation.
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Emotional labour has been established as a significant factor in nursing work, although no studies have been done looking at emotional labour specifically in an operating theatre nursing context. Theatre staff (17 nurses and three Operating Department Practitioners (technicians) were observed in practice over a period of nine months by one of the authors. Each of the staff was subsequently interviewed. The transcriptions of the observation fieldwork notes and the semistructured interviews were analysed for themes and content. The (predominantly female) nurses perceived that one of their responsibilities was 'looking after the surgeons'. We have described this as the 'hostess' role. This role consisted of two major areas of activity: 'keeping the surgeons happy' and 'not upsetting the surgeons'. Examples are given of how this was accomplished through talk and actions. The (predominantly male) operating department practitioners did not see this as part of their work. This 'hostess' role is a kind of emotional labour, but performed with coworkers rather than patients. Like other forms of emotional labour, it is strongly gendered. The emotional labour performed by the theatre nurses was necessary to maintain what has been called elsewhere the 'sentimental order'.
The purpose of this randomised controlled trial was to determine if patients showed a preference for preoperative hair removal with razors or clippers and to identify if one method was associated with more trauma or postoperative infections. The trial took place in a day surgery unit with patients who were having a range of surgical procedures including hernias and varicose veins. This study was sponsored by an award from the NATN/3M Clinical Fellowship.
Traditionally, surgeons (and to a lesser extent anaesthetists) have been assisted primarily by nurses. This role has been threatened in recent years, in the UK NHS (and elsewhere), by a relatively new profession, that of the Operating Department Practitioner (ODP). The ODP profession is still in the process of establishing itself as a 'full' profession within UK health care. While occupational boundary disputes between professions are common in health care, it is unusual for them to become as overt as the dispute we will analyse in this paper. Drawing on fieldwork observations and interviews conducted in operating theatres, as well as documentary sources, we will show how this dispute arose, how it is manifested at both the micro and the macro level, and how both groups involved justify their positions, drawing on surprisingly similar rhetorical strategies. A further unusual feature of this dispute is the fact that, unlike many attempts by managers to substitute one type of labour for another, issues of cost are relatively unimportant, as both theatre nurses and ODPs earn similar salaries.
This article describes a study carried out to determine the incidence of bladder spasm and any common factors among patients presenting with bladder spasm in the recovery unit following transurethral surgery. Data was collected retrospectively from 200 sets of patient notes. The findings suggest that bladder spasm is common following transurethral surgery and that certain surgical procedures are more likely to result in bladder spasm.
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Southern Derbyshire Acute Hospitals NHS Trust has a policy of open visiting for people who wish to visit ward-based patients. The maternity unit, however, has adopted a slightly different approach, in which the visiting policy loosely consists of set hours with a degree of flexibility for mothers and visitors who wish to have extended visiting or want visitors outside the set hours. This article describes research undertaken to formulate a policy within the trust.
Surgical draping practices throughout the UK vary between hospitals. This national survey (funded through an NATN/3M Clinical Fellowship) sought to determine the extent of various draping practices and identify practitioners' reasons for selecting specific draping products.
While the role of the nurse within theatre is yet to be defined (NATN has set up a working party to define this), some theatre practitioners are being described as advanced practitioners and certain types of theatre practice are being labelled as advanced or extended. What constitutes advanced practice has implications for theatre practitioners, their professional development, their competency-based salaries and how they are viewed by other nurses outside their specialism.
Children aged between six and 15 years on two paediatric wards of one NHS trust were invited to take part in a study to find out whether they preferred digital underarm thermometry or tympanic thermometry. The study was conducted as part of the Nursing and Midwifery Research and Practice Development Project for the Southern Derbyshire Acute Hospitals NHS Trust. In the six to ten year age group (n = 39), 74 per cent of the children preferred the tympanic thermometer, as did 91 per cent in the 11-15 year age group (n = 44). Children/young people in both age groups commented that the tympanic thermometer was quicker and more comfortable. All children over two years now have their temperature taken using the tympanic thermometer, with the exception of those for whom it would not be medically appropriate or who express dislike for this method.
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The workshop is one of a number of strategies that can be used to disseminate information. This study set out to evaluate the effectiveness of the workshop as a method of disseminating information which had as its aim the introduction of new practices. A series of workshops, attended by G and H grade nurses, were carried out in a large teaching Hospital in England. The information which was disseminated concerned recruitment and retention activities for nurses which had been proposed in recent government documents, in particular in the Strategy for Nursing in England 'Making a Difference' by the UK Department of Health. Two sample groups of 25 nurses (workshop attendees and non-attendees) were interviewed. The interviews took place shortly after the workshops and were repeated 7 months later. The first set of interviews explored the nurses' intention to implement changes in their clinical areas and the second set of interviews identified actual change. The findings from the study suggests that the workshops were an effective means of producing changes in practice. However, the interviews also identified the value of personal engagement, especially in relation to meeting individual human needs, which were facilitated through the workshop. These emotions appeared to have an influence on the success of the nurses in implementing change and it is proposed that these outcomes should be considered when determining the benefits of a dissemination strategy.
This article is based on a paper presented at the National Association of Theatre Nurses Congress and Exhibition in October 2001. In it, Judith Tanner asks why it is so difficult to recruit students to theatres, identifies some reasons given by students for not going into theatres, as well as their reasons forgoing into theatres, and gives advice on how perioperative departments can become more student-friendly.
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AIM: To obtain the views of patients, visitors and nursing staff regarding visiting hours. METHOD: Questionnaires, collecting qualitative and quantitative data, were distributed on each of the trust's 35 inpatient adult wards. A total of 863 completed questionnaires were returned - 432 from nursing staff, 227 from patients and 204 from visitors. RESULTS: None of the three groups of respondents preferred completely open visiting; Patients and visitors preferred open visiting with a quiet hour; Nursing staff preferred set visiting hours; One-third of patients were embarrassed about receiving nursing care in front of visitors; One-third of patients, visitors and staff did not like visitors to be present at mealtimes. CONCLUSION: Nurses, patients and visitors did not prefer open visiting as first choice, preferring to have a rest period. This highlights the need to consult with service users.