Biomedical subjects

P Runciman

Publications and source records attributed to P Runciman.

8 recordsLinked to original sources

PubMed1997

Research-based nurse education: understandings and personal accounts.

Despite longstanding recognition, in Britain and elsewhere, of the problems of relating research to nursing practice and education, the authors found no previous research on nurse educators' understandings of the term 'research-based nurse education' (RBNE). In a cooperative inquiry, four nurse educators with varying lengths of experience in different kinds of educational institutions explored their understandings of the term and gave accounts of practice of RBNE. Themes from the data are discussed, including the central role of questioning in teaching and learning. These individuals' constructions of RBNE were related to their particular, situated experiences, but also reflect common concerns and issues. The study highlights contradictions and dilemmas arising when the constraints of nursing practice are 'married' to knowledge generation and freedom to learn. The implications of these tensions for higher education of nurses are discussed and further research is proposed.

Clinical Competence↗

PubMed1996

Discharge of elderly people from an accident and emergency department: evaluation of health visitor follow-up.

Elderly people discharged directly home from an accident and emergency department are known to be a vulnerable group. The value of health visitor follow-up in patients aged 75 years and over was assessed in a random controlled trail; 222 intervention patients were seen at home by a research health visitor shortly after discharge and screened for new dependency and support needs, appropriate community services then being offered. These patients, and 192 controls for whom no special arrangements were made, were followed up four weeks later by a research occupational therapist. New dependency, most commonly trauma-related, was found in approximately 50%, and in the majority proved transient. Advice and/or referral to a wide range of services was offered to 92% of the intervention group. Service refusal rates were high in both groups. Compared to controls, intervention patients received more services and were significantly more independent at four weeks. Health visitor assessment was seen as helpful. In order to identify elderly accident and emergency department patients at risk following discharge, study data were used to derive a short questionnaire. In follow-up visits to 48 patients the use of this questionnaire was piloted, and its validity demonstrated. A number of study limitations and areas for development of discharge planning are discussed.

Activities of Daily Living↗

PubMed1989

Health assessment of the elderly at home: the case for shared learning.

This paper reports findings from a collaborative research project (Buckley & Runciman 1985) which examined, using video studies and questionnaires, the scope and content of health assessment of old people at home and the views and feelings of different groups of health professionals towards visiting old people at home. The study sample included student and experienced health care workers and a number of elderly people; seven professional groups were represented. A prompt list summarizing key content of health assessment was devised and tested in field studies in two primary health care teams. Views and feelings about visiting old people are presented under four headings: priorities and preferences; skills and training; work organization and the team; and the feelings and rights of the elderly themselves. Educational recommendations from the study are made and the case for shared learning in relation to health care of old people is presented.

Aged↗

PubMed1981