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Biomedical subjects

Richard Winter

Publications and source records attributed to Richard Winter.

4 recordsLinked to original sources

Developing practice through the professional imagination.

How can the perspective of the service user be made real and helpful in the professional education of community nurses? This article presents one answer to this question through encouraging nurses to write fictional accounts of how their practice appears to their own service users. Arising from a research project on the "patchwork text" assignment format in a professional degree course at Anglia Polytechnic University, the article presents two such accounts by community nurses undertaking the course. Their accounts illustrate the insights into professional issues that are produced by an explicitly imaginative exercise. A particularly important outcome, not expected by the researchers, was that the commentaries written by the nurses on their imagined scenarios, led, not to a discussion of "issues" (as in many cases) but to a precise and practical critique of their actual practice, suggesting a further dimension of the educational value of writing fiction as part of professional education courses.

Attitude of Health Personnel↗

Can direct patient referral help the NHS modernisation agenda?

Patient referral systems have a direct impact on the patient experience: reducing unnecessary delays and stages relieves a great deal of anxiety. The NHS benefits from more efficient systems, which ease workload and reduce costs. This paper describes a nurse-to-nurse referral project set up by NHS Direct in one area, working with representatives from the local health economy.

Health Care Reform↗

A telephone-led clinical supervision pilot for nurses in different settings.

An NHS Direct centre provided the facilities for nurses to undergo telephone supervision as a way to meet their professional development requirements and carry out structured reflection on their practice. The process is backed by a dedicated database. To some extent the methods mirrored those used in contacts with patients. This paper looks at the lessons and potential of this pilot.

Clinical Competence↗

Setting up a screening service for abdominal aortic aneurysm.

Abdominal aortic aneurysms are usually asymptomatic. Rupture is associated with a very high mortality. Ultrasound surveillance of aneurysms offers the opportunity to select patients suitable for elective repair, avoiding risk of rupture. This article reports on how an ultrasound screening programme was set up by a nurse specialist rotating through local GP surgeries.

Aortic Aneurysm, Abdominal↗