Biomedical subjects

Julie Pryor

Publications and source records attributed to Julie Pryor.

10 recordsLinked to original sources

PubMed2006

What do nurses do in response to their predictions of aggression?

Nurses working with people who have an acquired brain injury report a high incidence of verbal assault and physical aggression directed against them. The aim of the current study was to identify the responses nurses make to such predictions of aggression. Twenty-eight nurses from 10 inpatient brain injury rehabilitation units in Australia participated. Participants were selected because of their expertise in predicting and minimizing aggression. They were interviewed one-on-one using the Critical Decision Method of interviewing. Transcripts were analyzed using thematic analysis. Nurses identified three general responses to predictions of aggression: paying attention, planned nonintervention, and planned intervention. The nurses were able to respond to predictions of aggression in a clinically effective way. Knowledge of the individual patient and experiences with other brain-injured patients informed their practice.

Adult↗

PubMed2005

Seeking evidence of rehabilitation in nephrology nursing.

Individuals with renal failure experience many varied and complex alterations in their health status. As a consequence, rehabilitation is an important aspect of their care. However, until recently, rehabilitation has not been explicit in the published nephrology nursing literature. This paper addresses that deficit through an examination of Australian nephrology nursing competency standards for evidence of rehabilitation. Recent Australian research about rehabilitation nursing practice was used as a guiding definition of rehabilitation. A systematic examination of these documents revealed evidence of rehabilitative practices embedded in the nephrology nursing competency standards' domains of empowerment and clinical problem solving. These findings add support for the belief that rehabilitation is a philosophy that all nurses can apply in their practice.

Australia↗

PubMed2005

What cues do nurses use to predict aggression in people with acquired brain injury?

There is a paucity of research on the frequent and repeated episodes of aggression and violence experienced by nurses when working with people who have an acquired brain injury. The purpose of this study was to bring this issue into focus by identifying the cues nurses use to predict aggression in people with acquired brain injury. Twenty-eight nurses from 10 different inpatient brain injury rehabilitation units in Australia participated in the study. Participants were interviewed using the Critical Decision Method on a one to one basis for up to one and one half hours on two consecutive days. Transcripts of the interviews were analysed using thematic analysis. Results revealed that nurses identified five groups of cues that predict aggression in a patient: (1) what a patient is saying; (2) changes in a patient's voice; (3) changes in a patient's face; (4) changes in a patient's behavior; and (5) a patient's emotions. Nurses reported using multiple cues to predict aggression and highlighted the importance of personal knowledge of the patient in conjunction with identified cues when predicting aggression. Nurses caring for patients with acquired brain injury can predict many episodes of aggression, though not all, by identifying cues from the patient.

Aggression↗

PubMed2004

What environmental factors irritate people with acquired brain injury?

PURPOSE: This study aims to determine the environmental factors nurses identify as being irritating to people with acquired brain injury. METHOD: This was a qualitative study. An experienced interviewer used the Critical Decision Method to interview 28 nurses working in 10 inpatient brain injury rehabilitation units in Australia on a one to one basis for 1-1.5 h on two consecutive days. Transcripts of interviews were analysed using thematic analysis. RESULTS: Nurses identified five groups of irritants that acted as triggers for aggression: CONCLUSION: The nurses in this study identified many environmental factors that irritate people with acquired brain injury. Some irritants appeared unavoidable but others could be addressed by staff expertise.

Aggression↗

PubMed2004

The International Classification of Functioning, Disability and Health (ICF) and nursing.

BACKGROUND: Nursing conceptualizes disability from largely medical and individual perspectives that do not consider its social dimensions. Disabled people are critical of this paradigm and its impact on their health care. AIM: The aims of this paper are to review the International Classification of Functioning, Disability and Health (ICF), including its history and the theoretical models upon which it is based and to discuss its relevance as a conceptual framework for nursing. METHOD: The paper presents a critical overview of concepts of disability and their implications for nursing and argues that a broader view is necessary. It examines ICF and its relationship to changing paradigms of disability and presents some applications for nursing. CONCLUSION: The ICF, with its acknowledgement of the interaction between people and their environments in health and disability, is a useful conceptual framework for nursing education, practice and research. It has the potential to expand nurses' thinking and practice by increasing awareness of the social, political and cultural dimensions of disability.

Disability Evaluation↗

PubMed2004

Is there evidence of the International Classification of Functioning, Disability and Health in undergraduate nursing students' patient assessments?

This paper reports on a secondary analysis of undergraduate nursing students' patient assessments while on clinical placement in a rehabilitation setting in search of evidence of the International Classification of Functioning, Disability and Health (ICF). It describes the evolution of the original World Health Organization's International Classification of Impairment, Disability and Handicap into the ICF. Data was analysed using the ICF categories of function, activity, participation, environmental factors and personal factors. Some evidence of ICF was revealed. Nurses are encouraged to further explore the relevance of ICF for nursing.

Activities of Daily Living↗

PubMed2003

Co-ordination of patient care in inpatient rehabilitation.

OBJECTIVE: To evaluate the effectiveness of a new patient care co-ordinator position in an inpatient rehabilitation setting. DESIGN: Pre and post test using a 42-item staff survey. SETTING: One inpatient rehabilitation service in rural New South Wales, Australia. SUBJECTS: Members of the multidisciplinary team. INTERVENTION: A new patient care co-ordinator position. OUTCOME MEASURES: Comparison of trends in staff responses to pre and post test surveys. FINDINGS: The post test survey demonstrated an overall increase in the reported frequency of desirable rehabilitation practices and increased staff satisfaction with those practices. CONCLUSIONS: A patient care co-ordinator may contribute to improving the processes and practices of inpatient rehabilitation and staff satisfaction.

Adult↗

PubMed2002

A framework for the role of Registered Nurses in the specialty practice of rehabilitation nursing in Australia.

AIM OF THE STUDY: This study sought to explore systematically the role of Registered Nurses working in rehabilitation in Australia. BACKGROUND: Rehabilitation has been identified as an important aspect of health care. However, evidence of a comprehensive investigation of the nurses' role in rehabilitation cannot be found. From Australia, in particular, no research has been published in this area. METHODS: This study used a qualitative approach by engaging 13 nurses in one-to-one interviews and a further 21 in focus group discussions. Thematic analysis was conducted on the interview and focus group data. FINDINGS: Seven domains of practice were identified and are suggested as a framework for the specialty practice of rehabilitation nursing. They capture the 'how' and 'what' of rehabilitation nursing practice. Central to this practice is a rehabilitative approach to patient care, teaching and coaching, and continual assessment. The nurses explained in detail how these aspects of rehabilitation nursing differentiate their practice from that of their acute care colleagues. CONCLUSION: The rehabilitative approach is one of a variety of approaches to nursing care, but should not be seen as the exclusive domain of rehabilitation nurses. Rehabilitation belongs in every nurse's toolkit.

Adult↗

PubMed2002

Young people with brain injury in nursing homes: not the best option!

We discuss the growing needs for appropriate accommodation for young people with acquired brain injury by exploring the accommodation of young people with brain injury in nursing homes. While the actual number is not clear, it is certainly expected to grow. Reviewing the literature and drawing on clinical experience exposes how nursing home becomes an option for these people. We argue that this should not be an option for this typically young male population, and give some suggestions for more appropriate accommodation.

Adolescent↗

PubMed2002

Rehabilitative nursing: a core nursing function across all settings.

Nurses are challenged to meet the changing health care needs of the Australian population as they live longer and experience increasing levels of disability. This paper reports on part of the findings of a recent study of rehabilitation nurses and suggests that the findings are relevant to all nurses as they attempt to meet this challenge. Thirty-four registered nurses working in rehabilitation settings in three states of Australia participated in the study. In-depth interviews and focus group discussions were used to collect data and validate interpretations. From the seven domains of practice identified in the findings, this paper discusses only one, the rehabilitative approach. This domain begins to capture the how and why of rehabilitation nursing practice, rather than the what. The rehabilitative approach is about the way the nurses conceptualise and think about their practice and the people they interact with. It is greater than the cliché of holistic care. Given that rehabilitation is a process that the patient undergoes and is not setting specific, the findings of this study offer direction to all nurses in supporting the rehabilitation of their patients. The study, the first of its kind in Australia, provides valuable guidance for the designers of undergraduate and postgraduate nursing programs in Australia.

Adult↗