Biomedical subjects

R Hogston

Publications and source records attributed to R Hogston.

7 recordsLinked to original sources

PubMed1998

Shared learning for community based maternity care.

In order to ensure the best quality of maternity care midwives and doctors must work closely together but unfortunately the necessary interdisciplinary cooperation and respect has not always been present. This paper suggests that the benefits claimed for interprofessional education, which remain largely untested in maternity care, are being put forward as a panacea for earlier difficulties. It outlines some of the initiatives currently taking place. Material ripe for shared learning is identified and it is suggested that shared teaching in addition to shared learning for midwifery and medical students and for midwives and doctors should be the norm. Learners may then eventually provide shared care based on both their shared learning experiences and also on the role model of shared teaching. Such a major change would require considerable political will, including a shift in funding. There is some evidence that the necessary political will is developing and this may be given more emphasis by the need for teaching to follow care as the NHS becomes more primary-care led.

Community Health Nursing↗

PubMed1997

Nursing diagnosis and classification systems: a position paper.

There has been little professional debate in the UK literature about nursing diagnosis and this paper explores some of the reasons why nursing diagnosis has failed to gain momentum among nurses in the United Kingdom. The nursing diagnosis movement has now reached some European countries and in the light of the International Classification of Nursing Project (ICNP) and the Strategic Advisory Group for Nursing Information Systems (SAGNIS) project commissioned by the NHS Executive (NHSE), requires a close examination by British nurses. The unsuccessful attempt by the North American Nursing Diagnosis Association (NANDA) to have its taxonomy accepted for inclusion in the World Health Organization's 10th revision of the International Classification of Diseases, an innovation which would have made the NANDA taxonomy the definitive classification of nursing, should alert British nurses to the importance of nursing diagnosis. Although nurses effectively diagnose as part of the nursing process, adoption of the concept of nursing diagnosis as a driving force for practice evades many of them. This paper reflects upon some of the logistical and conceptual difficulties including issues of culture and terminology. It is suggested that nursing diagnosis has a great deal to offer British nurses in their efforts to improve the quality of care and to provide data in this area for both practice and research.

Classification↗

PubMed1995

Evaluating quality nursing care through peer review and reflection; the findings of a qualitative study.

The purpose of this study was to examine the everyday methods by which nurses evaluate quality care. The method was qualitative; specifically, a grounded theory approach was used. The sample comprised 18 registered nurses from a large hospital in the south of England. Data was collected through tape recorded interviews and the constant comparative method used to analyze the data. The findings revealed that although nurses used objective methods such as evaluating planned care as part of the nursing process, they also used more subjective methods such as peer review and intuition. The study seeks to explain the value of these less formal methods of evaluation and recognises how difficult they may be to substantiate in light of the recent health care reforms. It is suggested that the use of a more formalised process of peer review using reflection as its foundation would enable nurses to satisfy managerial concerns for a measurable outcome to quality.

England↗

PubMed1995

Quality nursing care: a qualitative enquiry.

In spite of the wealth of literature on quality nursing care, a disparity exists in defining quality. The purpose of this study was an attempt to seek out practising nurses' perceptions of quality nursing care and to present a definition of quality as described by nurses. Eighteen nurses from a large hospital in the south of England were interviewed. Qualitative analysis based on a modified grounded theory approach revealed three categories described as 'structure', 'process' and 'outcome'. This supports previous work on evaluating quality care but postulates that structure, process and outcome could also be used as a mechanism for defining quality. The categories are defined by using the words of the informants in order to explain the essential attributes of quality nursing care. The findings demonstrate how more informants cited quality in terms of process and outcome than structure. It is speculated that the significance of this rests with the fact that nurses have direct control over process and outcome whereas the political and economic climate in which nurses work is beyond their control and decisions over structure lie with their managers.

Clinical Competence↗

PubMed1995

Nurses' perceptions of the impact of continuing professional education on the quality of nursing care.

The purpose of this study was to understand what impact nurses perceived continuing professional education (CPE) to have on the quality of nursing care. Given that CPE will become mandatory once the necessary legislation has been implemented, the value and worth of CPE with regard to the quality of nursing care, in both a consumer-led and financially-driven NHS, merits serious consideration. Little research has been conducted into the real impact that CPE has on the quality of nursing care and this paper begins by providing an overview of the current debate within the profession. The method chosen for the study was qualitative and 18 nurses from a large hospital in the South of England were interviewed. The data were analysed using the grounded theory method and three categories emerged. The categories are described in detail and reveal some of the problems with which the nursing profession is faced. The study demonstrates how issues of finance were particularly high, with service managers sometimes negating nurses' CPE needs. However, the study reveals the real importance that nurses attached to CPE in supporting their professional status and the real impact that CPE and knowledge have on professional competence and the quality of patient care.

Attitude of Health Personnel↗

PubMed1993

From competent novice to competent expert: a discussion of competence in the light of the post registration and practice project (PREPP).

The nursing profession in the UK, is today faced with major changes in the light of the Post Registration and Practice Project (PREPP) (UKCC 1990). This paper raises questions about how the maintenance of professional competence as detailed in PREPP can be assured. Through a discussion of professional porfolios and continuing education, the subjectivity of guaranteeing a practitioner's competence at tri-annual re-registration is raised. With reference to Benner's (1984) work, the paper suggests that there may be some similarities on the 'novice to expert' continuum that relate directly to the UKCC's proposals. However, the inherent deficiencies with such a mandatory approach to professional development are discussed and questions posed about the extent of nurses' continuing education needs being met. In view of the controversy that still surrounds who will finance the changes, and what format the portfolios will adopt, practitioners are at risk of conforming to the changes but being denied the opportunity of ensuring that they possess the necessary skills and framework, that are essential in ensuring the maintenance of clinical competence. The paper suggests that a concerted effort will be required by both educators and service personnel to ensure that the PREPP proposals are successful.

Certification↗

PubMedDate not supplied

Nursing management of irritable bowel syndrome.

Irritable bowel syndrome (IBS) affects up to 25% of the population and accounts for about 40% of patients referred to consultant gastroenterologists (Nagvi and Prout, 1983). Despite this, much of the medical and dietary research is conflicting and inconclusive. This article discusses the variety of symptoms and treatments associated with IBS and the nursing management of the condition.

Colonic Diseases, Functional↗