Disaster relief and development could be twinned in health research.
Explore the source record for details and available documents.
Disasters↗
Biomedical subjects
P Deeny
Publications and source records attributed to P Deeny.
A comparison of an international experience for nursing students in developed and developing countries.
Theoretical perspectives and approaches to transcultural nursing have been developed and there are different options for teaching transcultural care. The opportunity for nursing students to gain healthcare experience in another country is one option. This article reports a study undertaken in Northern Ireland to evaluate outcomes of a 3-month international experience for undergraduate nursing students (n=74) and to assess differences between the experiences in developed and developing countries. Data were collected by questionnaire. The findings indicate a high impact on students' international perspective and career development. Students' understanding of cultural and political issues within Northern Ireland was enhanced.
Adult↗
Colloquial descriptions of body image in older surgical patients.
Major surgery and associated experiences in critical care settings affect patients' perceptions of their body images. This paper discusses several colloquial terms related to body image used in interviews by elderly patients following major surgery for abdominal aortic aneurysm. The terms 'badly failed, and well mended', and 'out of sorts', and 'in tune with my body' recurred. These referred to perceptions related to body weight or strength and bodily competence and control, respectively. Patients had difficulty explaining these colloquial terms in other words, i.e. synonyms were not readily available to them. Therefore, discussions or assessment using conventional body image terms used in psychology and nursing literature may be confusing, misunderstood or irrelevant to these patients. This may be true for other groups, not necessarily elderly patients, using other colloquialisms. Such terms may not correspond directly to conventional body image terms, so comparability must be ascertained before standard body image instruments can be justified for use in such populations. Nurses and health care professionals need to be sensitive to such colloquial descriptions when assessing need and interventions involving psychological perceptions of body image. It is suggested that these colloquial terms, which patients naturally perceive as relevant, should be used to communicate, discuss, and assess therapy during recovery after major surgery that involves intensive care.
Activities of Daily Living↗
Nursing Care of the General Paediatric Surgical Patient.
Explore the source record for details and available documents.
Journal Article↗
A concept analysis of the sensoristrain experienced by intensive care patients.
Psychological disturbances that patients may experience during admission to intensive care units (ICUs) can have distressing implications for their emotional and physical integrity, progress and subsequent recovery. It is widely believed by practitioners and reflected in professional literature that these disturbances are precipitated by sensory deprivation or overload in the physical environment of intensive care units. In this paper the sources and mechanism of the sensory imbalances experienced by these patients are examined. A new concept--sensoristrain--has been developed in an attempt to promote awareness and improve understanding of the phenomenon among nurses. Once this has been achieved, assessment and identification of patients at risk are optimized and appropriate interventions can be formulated. Using an eclectic approach to analyse sensoristrain, both causes and effects of the phenomenon have been identified from the literature. This information has been combined with practical examples in the development of a model of the concept sensoristrain. The paper concludes by outlining the resulting implications for nursing practice, which may be used to guide future research both in concept development and identification of effective prevention of the phenomenon conceptualized and interventions if it occurs.
Adult↗
Sensoristrain: an exploration of nursing interventions in the context of the Neuman systems theory.
Defining what nurses do and why has been the endeavour of many researchers, both academic and clinical. Nursing interventions are a fundamental component of nursing practice and a focus on accountability means that nurses must be able to justify their actions. The sensoristrain experience of intensive care patients is widely acknowledged in nursing literature, though without the use of the word 'sensoristrain'. The aim in this paper is to place patients, their experience and the role of nurses within the practical framework of a suitable nursing theory which will elucidate and guide everyday practice in preventing and alleviating the causes (stressors), symptoms (reactions) and emotional aftermatch. Nursing interventions appropriate for the three modalities of intervention elucidated by the Neuman systems theory have been outlined, paralleled by a discussion of how these could relate to the three dimensions of nursing care: comfort care; knowing the patient; and the therapeutic presence of the nurse. Nurses must use each opportunity to advance practice through emphasizing the value of nursing in today's cost-conscious health care climate. In order to do this, and to ensure nurses' continued presence at the bedside, clear articulation of the contribution of nursing interventions to improved patient outcomes is essential.
Critical Care↗
Stoma care: the patient's perspective.
This was a qualitative study, the design of which was based on ideas from the grounded theory approach to data collection and analysis. The study examined the concept of human needs from the perspectives of individuals who have an ileostomy or a colostomy and attempted to ascertain their evaluation of the way in which their needs were fulfilled during the time they spent in hospital. Respondents consisted of a convenience sample of six individuals who had recent experience of surgery involving the formation of a stoma. Data were collected through unstructured, non-directive interviews. Analysis of data involved identification of themes and categories that emerged from the transcripts of the interviews. Findings indicated that while individuals' physical needs were met, their psychological and sociocultural needs were not identified. This seems to imply that nurses may not be aware of the relevance of these needs to individuals who have an ileostomy or a colostomy. Since respondents identified the existence of a good relationship with nurses as being conducive to the fulfillment of these needs, it could be inferred that nurses may lack the skills that are necessary to develop a good relationship with those who are in their care.
Attitude to Health↗
Emergency first-aid treatment of gunshot and stab wounds.
The number of violent crimes in Great Britain is on the increase and therefore there is a possibility that nurses will encounter a casualty with stab or gunshot wounds. On encountering a casualty with stab or gunshot wounds, the first aider must immediately assess the scene to avoid personal injury or risk to life. No matter how ugly or bad the injuries look, the basic principles of first aid still apply. Never attempt to remove any penetrating object still in situ as this may cause more serious bleeding. Any penetrating injury to the chest may result in instant respiratory distress. Make use of people present at the scene of the injury. Always ensure that the emergency services are notified immediately.
Emergencies↗
Euroquan. Quality across frontiers.
Explore the source record for details and available documents.
Humans↗