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Biomedical subjects

P Bagnall

Publications and source records attributed to P Bagnall.

17 recordsLinked to original sources

Taking the lead.

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Humans↗

A study to evaluate the intervention of a nurse visiting patients with disabling chest disease in the community.

This paper describes the work of two nurses visiting patients with chronic respiratory disease at home. The outcome measures suggested that there were fewer deaths in the nurses' group but failed to show any changes in quality of life. The nurses chose the nursing model devised by Roper et al. as a framework for their intervention. Initial assessment by the nurses showed the patients had a number of problems which could be grouped into physical health, knowledge, psychosocial and social. The nurses' monthly visits were used to assist the patients to plan strategies for resolving their problems. Advice was directed at helping patients promote and control their own health and measurable goals were set. Most of the patients achieved the goals set, valued the visits and said they wished them to continue. Psychosocial problems proved most difficult to solve. Patients' knowledge was demonstrated to have increased. A nursing audit found the patients had received 'excellent' quality of care. The nursing method used in this study would be appropriate for such work as it focuses attention on the individual patient and his problems. Application of this approach will require education and support for nurses.

Community Health Nursing↗

Controlled trial of respiratory health worker visiting patients with chronic respiratory disability.

Seventy five patients with chronic respiratory disability were randomised to a group visited by a respiratory health worker (42) or control group (33). The first group was visited monthly by a respiratory nurse, who gave education and support. The effect of the intervention was assessed in terms of quality of life (by questionnaires), the number and duration of admissions to hospital, and the number of deaths. The questionnaires on quality of life showed no changes in either group during the study, but nearly all of the group visited by a respiratory health worker said that they valued the visits and wished them to continue. Their knowledge about their condition also improved compared with that of the controls. The duration of stay in hospital for respiratory reasons in the group visited by a respiratory health worker was longer than that of control patients. This was explained by their being scored as more ill than the controls on admission. Fewer patients died in the group visited by a respiratory health worker than in the control group (p = 0.11). The patients in the group visited by respiratory health workers may have survived longer because they sought help rather than dying at home. If confirmed this could have implications for the cost of their care.

Aged↗

Wise councils.

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Humans↗

School nurses' response to the measles vaccination campaign.

This paper describes the results of a retrospective analysis of the success of nurses, specifically school nurses, in undertaking last year's nationwide rubella and measles immunisation programme for five- to 16-year-olds. The aim of the study was to identify lessons for future practice, training needs, operational planning and resource management.

Attitude of Health Personnel↗

School nursing. Investing in school-age children's health.

This paper briefly charts historical antecedents and current healthcare issues that have impact on the delivery of the school health service. New ways in which the school nursing potential can be maximised towards improving the health of the nation's school children are suggested.

Adolescent↗

Continuing education: how well is PREP working?

It is nearly a year since the UKCC's standards for post-registration education were implemented. This paper reviews some of the issues resulting from post-registration education standards and introduces a combined Nursing Times/Queen's Nursing Institute study looking at practitioner's access to continuing education.

Education, Nursing, Continuing↗

Jill of all trades?

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Career Mobility↗

The dangers of cutting school nursing services.

This article highlights the important role played by the school nursing service. it stresses the need for school nurses to collect and analyse data so that they are able to provide evidence of their effectiveness. It also warns against the long-term implications for the nation as a whole, and its youth in particular, if nursing cuts are made in the interests only of short-term expediency.

Adolescent↗

Nurses' experiences of continuing education.

This article outlines some of the main findings from a survey into the experiences of nurses with continuing professional education following the introduction of the UKCC's standards for post registration education and practice (PREP). This survey was conducted jointly by the Queen's Nursing Institute and Nursing Times.

Attitude of Health Personnel↗