PubMed HealthSearch

Biomedical subjects

P Morrison

Publications and source records attributed to P Morrison.

At least 19 recordsLinked to original sources

Students' and lecturers' preferred teaching strategies.

A survey of lecturers (n = 47) and students (n = 110) was undertaken to explore their preferred teaching strategies, using a questionnaire based on Heron's (1977) Dimensions of Facilitator Styles (Human potential research project, University of Surrey, Guildford). Overall it was found that the students tended to prefer a teacher-centred approach to teaching, whilst the lecturers preferred a student-centred approach. These findings are discussed in the light of current educational trends in the nursing profession.

Education, Nursing, Baccalaureate

Patient participation: its meaning and significance in the context of caring.

The ideal that patients should be participants in their own care has found wide acceptance amongst nurses. Yet within the academic discipline of nursing little has been done to clarify the nature of participation. In this paper, a phenomenology of participation is presented as it applies to the caring work of nursing. Participation requires: (a) attunement to a mutual 'stock of knowledge at hand'; (b) emotional and motivational attunement to the other's concerns; (c) taking for granted (and implicitly assuming the other takes it for granted) that one can contribute worthily; (d) feeling that one's identity is not under threat. Though it is difficult to attain, participation appears to embody many of the ideals central to current thinking in nursing. Moreover, the attempt to build participatory relationships with patients is ethically required of members of a 'caring' profession.

Affect

Absence of drug interaction between temafloxacin and low dose heparin.

An open 5-day study was conducted in 12 healthy male volunteers to determine the potential for drug interaction between low dose standard heparin and temafloxacin, a new fluorinated quinolone antibiotic. Heparin 5000IU was administered subcutaneously on the morning of the first and last study days and temafloxacin 600mg was administered twice daily for 4 days. The mean change in activated factor X (antifactor Xa) concentration relative to baseline 2h after coadministration was similar to that after heparin alone. Likewise, changes in activated partial prothrombin time, prothrombin time and thrombin time were similar after either heparin alone or concomitant temafloxacin administration, indicating the absence of interaction between temafloxacin and low dose standard heparin in healthy volunteers.

Administration, Oral

The lack of interaction between temafloxacin and combined oral contraceptive steroids.

In view of the considerable debate concerning the possible failure of contraception in women taking broad spectrum antibiotics, we have examined a group of 12 women aged 22-32 in a controlled study. Each woman had been on long-term therapy with oral contraceptive steroids (OCS) containing ethynylestradiol (EE2) and levonorgestrel (Ng) for at least 6 months and all were in good general health. Blood samples were taken about 11.0 hours after dosing with their OCS on days 5, 6, 7 and 8 of their contraceptive cycle, for measurement of EE2, Ng, FSH and LH by radioimmunoassay. In addition blood samples were taken on days 19, 20 and 21 of the contraceptive cycle for assay of progesterone concentrations in plasma. The study was repeated in the next cycle of use of their OCS during which they took temafloxacin, a broad spectrum quinolone antibiotic in a dose of 600 mg twice daily for 7 days starting on day 1 of the cycle. All women completed the study satisfactorily as judged by diary cards, tablet counts and plasma temafloxacin concentrations. In the early part of the study some nausea and headaches were seen due to taking temafloxacin on an empty stomach but these effects were not seen when the antibiotic was later given with food. There was no evidence of any interaction between temafloxacin and the OCS. The plasma concentration of EE2 was 61.4 +/- 21.1 pg/ml in the control cycle and 68.5 +/- 26.6 pg/ml in the temafloxacin cycle.(ABSTRACT TRUNCATED AT 250 WORDS)

4-Quinolones

Problems of competence-based nurse education.

The system of nurse education in the UK is undergoing a radical shake-up. Many new courses are being designed and implemented along the lines of the Project 2000 framework. New curricula and course structures are required to meet the changing role of the nurse of the future. Many curriculum design teams are adopting a competence-based model of curriculum to meet these needs. This approach is receiving central encouragement (UKCC 1986). In this paper it is argued that this strategy is faulty and ill-conceived; the inherent difficulties of the competence-based model of curriculum design are highlighted. These issues are of fundamental concern to nurse educators and students in the UK.

Clinical Competence

The caring attitude in nursing practice: a repertory grid study of trained nurses' perceptions.

The process of caring is central to nursing practice but it remains a poorly defined concept in nursing practice and education. A small number of studies of caring in the field of nursing have been undertaken, but these have tended to be more quantitative in nature. This paper describes a qualitative study designed to explore nurses' perceptions of the concept of caring. Kelly's (1955) personal construct theory and the repertory grid interview technique were used to elicit trained nurses' views about caring in relation to the practice of nursing. A strategic informant sample of 25 nurses was chosen. A total of 200 verbal descriptions (constructs) were generated from interviews, and these were analysed into similar content areas. Seven categories emerged from the analysis to provide a detailed description of caring. These include: a) personal qualities; b) clinical work style; c) interpersonal approach; d) level of motivation; e) concern for others; f) use of time; and g) attitudes. There were very few constructs related to physical aspects of care. The findings are offered as reflection of British nurses' perceptions of caring. Some possible applications of the results for nursing practice, education and research are considered.

Attitude of Health Personnel

Nurses' interpersonal skills: a study of nurses' perceptions.

Six Category Intervention Analysis was used as the framework of a study which involved asking 117 trained nurses to rate their interpersonal skills along six dimensions. The findings suggested that the nurses viewed themselves as being more skilled in offering support, information and prescription in their dealings with patients and less skilled in being catalytic, cathartic and confronting in similar circumstances. The findings in this study were similar to those of previous studies in this field. The study has implications for the development of interpersonal skills training programmes for nurses.

Clinical Competence

Client-centred counselling: a study of nurses' attitudes.

A survey of 142 nurses from mixed grades and disciplines was carried out to evaluate their attitudes to counselling. The Nelson-Jones and Patterson Counselling Attitude Scale was used to collect and analyse the data. The main finding was that the group as a whole showed only a slight tendency towards client-centredness. However, some interesting trends emerged across the groups, with students for example tending to be more client-centred than qualified staff. Some possible explanations for these results are offered.

Attitude of Health Personnel

Emery-Dreifuss muscular dystrophy.

Emery-Dreifuss syndrome is a rare form of muscular dystrophy associated with cardiac complications that lead to sudden death. The disorder and its potential anaesthetic implications in the management of a patient who presented for orthopaedic surgery is described.

Achilles Tendon

An example of the use of repertory grid technique in assessing nurses' self-perceptions of caring.

This paper describes how the repertory grid technique was used to structure interviews with ward sisters and charge nurses to explore their perceptions about the nature of caring in nursing practice. Informants were also asked to assess themselves as carers. The interviews generated both qualitative and quantitative data and the findings which emerged were used to guide further qualitative interviews with nurses and patients in the next stage of the study.

Attitude of Health Personnel

Electrical dysrhythmias in the Roux jejunal limb: cause and treatment.

Electrical dysrhythmias in the Roux limb after Roux gastrojejunostomy are associated with upper gut stasis of food. The aim of this study was to determine the cause of the dysrhythmias and whether they could be eliminated with pacing. A set of four dogs (Group A) underwent three sequential operations: placement of jejunal electrodes at sites corresponding to the Roux limb; construction of a Roux limb without vagotomy, gastrectomy, or gastrojejunostomy; and transthoracic truncal vagotomy. A second set of five dogs (Group B) underwent truncal vagotomy, distal gastrectomy, and Roux gastrojejunostomy with recording electrodes placed on the Roux limb and a pacing electrode situated at the proximal end of the limb. Electrical recordings were obtained on four separate occasions after each operation. In Group A dogs, orad and disordered propagation of jejunal pacesetter potentials occurred in the Roux limb 56 +/- 5% of the time after limb construction but never before construction. The pattern was not changed with vagotomy. In Group B dogs, electrical dysrhythmias in the Roux limb also occurred and were corrected with electrical pacing. We concluded that electrical dysrhythmias in the canine Roux limb are secondary to the jejunal transection done during Roux limb construction, and are not due to gastrectomy, gastroenterostomy, or vagotomy. The dysrhythmias can be corrected with pacing.

Anastomosis, Roux-en-Y

Gadopentetate dimeglumine clearance in renal insufficiency in rabbits.

The total body clearance of gadopentetate dimeglumine (Gd-DTPA) was evaluated in 17 normal rabbits and 11 rabbits with renal insufficiency induced by angioinfarction. Serial measurements of the serum spin lattice relaxation rate (1/T1) were compared with actual gadolinium concentrations as determined by mass spectroscopy. Gadopentetate dimeglumine concentrations measured by both mass spectroscopy and magnetic resonance (MR) relaxometry decreased by two logs in both normals and rabbits with renal impairment by 24 hours and were highly correlated with each other (r = .98). The estimated total body clearance of gadopentetate dimeglumine was 14.1 +/- 0.56 cc/minute for the normal animals and 3.78 +/- 0.19 cc/minute for the impaired rabbits. These results indicate that gadopentetate dimeglumine is excreted rapidly, usually within 24 hours, even in the presence of renal insufficiency.

Animals

585 nm for the treatment of port-wine stains.

Although the flashlamp-pulsed-dye laser has been successfully used for the treatment of port-wine stains (PWS) at 577 nm, a number of adult patients had incomplete clearance of their birthmarks with this treatment modality because of residual vessels lying beyond the 0.75-mm penetration depth of 577-nm irradiation. Fifteen adult patients, of whom nine were previously treated with limited success at 577 nm (group A), and six untreated patients (group B) were included in the study. For the group A patients, treatment with 585 nm produced successful clearance of the birthmark. For the six patients in group B, parallel treatment of different sites of the same lesion coupled with skin biopsies and histologic examination revealed that a change in the wavelength from 577 to 585 nm allowed the laser light to penetrate from the midreticular dermis into the subcutaneous fat. This explained the clearance achieved at 585 nm and not at 577 nm.

Adolescent

A multidimensional scalogram analysis of the use of seclusion in acute psychiatric settings.

Seclusion is still an available strategy for managing difficult and disturbed behaviour in British psychiatric hospitals and units. While arguments for and against the continued use of seclusion remain, little empirical work has been done on the subject. Most of the research to date has been completed in America, and findings may not be entirely applicable to the UK. In this study, 109 records of seclusion in one health authority were examined, and each of the 52 patients involved in these seclusions were coded on six different variables. These were analysed using the multidimensional scaling (MDS) procedure--multidimensional scalogram analysis (MSA-1)--to explore possible relationships between the variables. Three sets of relationship were observed: (1) the length of time spent in seclusion was related to the status of the patient; (2) higher rates of seclusion were shown to be linked to higher levels of staffing; and (3) the sex of the patient was related to the number of different staff authorizing seclusion. Some possible explanations for these findings are outlined, and suggestions for future research in this domain are offered.

Ethics, Nursing

Interaction of sulfonamide and sulfone compounds with Toxoplasma gondii dihydropteroate synthase.

Toxoplasma gondii is a common protozoan disease that often causes life-threatening disease, particularly among patients with the acquired immunodeficiency syndrome. This study demonstrates that the dihydropteroate synthase in T. gondii is kinetically distinct from the enzyme characterized from other sources and can be highly purified with a high yield using sequential dye-affinity chromatography. Conditions have been identified that allow for stabilization of the purified enzyme, and its physical characteristics have been elucidated. The molecular weight of the native protein was 125,000 and the protein appeared to contain both dihydropteroate synthase and 6-hydroxymethyl-dihydropterin pyrophosphokinase activities. The sulfonamide class of compounds vary in inhibitory potency by more than three orders of magnitude. Sulfathiazole, sulfamethoxazole, and sulfamethazine, with 50% inhibitory concentrations (IC50's) of 1.7, 2.7, and 5.7 microM, respectively, represent the most potent of this class of inhibitors. Several sulfone analogues, including dapsone, were identified as highly potent inhibitors with IC50's less than 1 microM. The results of these cell-free experiments were corroborated by investigating the metabolic inhibition produced by the various inhibitors in intact organisms. The qualitative and quantitative relations among the inhibitors were preserved in both the cell-free and intact cell assay systems. These studies suggest that the sulfones may be important therapeutic agents for the treatment of toxoplasmosis.

4-Aminobenzoic Acid

Counselling attitudes in health visiting students.

All health visitors have a counselling function as part of their jobs. When visiting people in their homes they are frequently asked to discuss personal problems and emotional difficulties. It would be helpful if all health visitors developed specific counselling skills say Philip Burnard and Paul Morrison who here describe the results of a piece of research into counselling skills among a group of health visiting students.

Attitude of Health Personnel

Heparin induces changes in the synthesis of porcine aortic endothelial cell heparan sulfate proteoglycans.

Heparin is known to bind to cultured endothelial cells. This report documents that addition of heparin to endothelial cells results in an alteration of the heparan sulfate proteoglycan synthetic pattern. Specifically, the addition of saturating amounts of heparin to confluent cultures of porcine aortic endothelial cells results in an increase in the amount of radiolabeled heparan sulfate proteoglycan secreted into the growth medium. The increase is apparent as early as 8 h after heparin administration. Although there is often a decrease in the amount of cell surface heparan sulfate proteoglycan produced, it is not sufficient to account for the increase in the secreted form. Of the other glycosaminoglycans tested, only dextran sulfate and commercial heparan sulfate induce changes in heparan sulfate proteoglycan synthesis and secretion. Chondroitin sulfate glycosaminoglycans do not elicit this synthetic change. These data indicate that endothelial cells can alter the synthesis of heparan sulfate proteoglycans in response to extracellular signals including heparin and related glycosaminoglycans.

Animals