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Biomedical subjects

S Dudley-Brown

Publications and source records attributed to S Dudley-Brown.

5 recordsLinked to original sources

The effectiveness of tutorials in behavioural sciences for nurses: an action learning project.

As the first round of an action research project, this paper describes a between-methods triangulation process which examines the effectiveness of tutorials in a post-registration nursing degree course. The major concerns of the research team were with student learning approaches and student satisfaction. The research utilized a pre-/post-test experimental design as well as descriptive designs including non-participant observation of tutorials, tutor journal keeping and student interviews, to study the effects of a change from theory-based to learning process-based tutorials. The experimental design utilized the 'study process questionnaire' and the 'approaches to study inventory'. Two experimental groups showed a significant change in pre-/post-test scores. The qualitative data indicated that there were differences in the ways in which these two groups operated. The qualitative data also indicated that students were largely subscribing to achieving approaches and that satisfaction with tutorials was mainly related to relevance to the previous lecture as well as the perceived contribution to course assessment. As a consequence of this study it was concluded that the efficiency of tutorials could be increased by reducing the number of assignments, designing a set of specific tutorial activities that integrate theory and process, and having an explicit tutorial group formation policy.

Behavioral Sciences↗

Case management: a review of the definitions and practices.

Case management has been suggested as an innovative strategy which facilitates the linking of quality and cost-effective care. However, there is little consensus about what is actually being introduced under the name of case management. It is suggested that this absence of a clear understanding of case management has been an obstacle in moving forward case management practice and research. This paper presents a critical review of the confusion surrounding case management with an attempt to unravel issues relevant to the implementation of case management into community nursing practice in Hong Kong. It is concluded that there is a need for different definitions of case management as a result of the differences in the cultural and health care context in which it is being practised. Also, if case management programmes are to be advanced, there needs to be more co-ordinated effort in researching not only the expected outcomes but also the structures and processes of these programmes so that findings of similar case management programmes can be compared for ways of future improvement.

Case Management↗

The processes of case management: a review of the evaluation of a pilot study for elderly people in Hong Kong.

AIM: This paper is based on research into case management that aimed to evaluate the processes of the introduction of case management for elderly people into the community nursing services in Hong Kong. BACKGROUND: The Hospital Authority in Hong Kong introduced a pilot Case Management scheme into the Community Nursing Services. A research project was therefore developed to evaluate this case management model. METHOD: The processes were measured through information gained from group interviews, daily diaries and weekly activity sheets. FINDINGS: The roles and work practices of the Care Coordinators and Case Managers are described and the benefits of case management to patients, carers and nurses are highlighted. Difficulties are also discussed and good practices are identified. CONCLUSION: Staff in the hospital and community need time to get used to the model of case management and to the accompanying documentation. The role of the case manager needs to be clearly dilineated.

Aged↗

Living with ulcerative colitis.

This pilot study was undertaken to describe the experience of living with ulcerative colitis. Using a phenomenological approach, three subjects with diagnosed ulcerative colitis were interviewed and asked to describe what it was like to live with ulcerative colitis. Data from transcriptions of the audiotaped interviews were gathered and analyzed. Five major themes arose: the uncertainty surrounding exacerbations; the fear and humiliation surrounding stool incontinence; the desperate need to find successful treatment; the profound effect on family life, social life, and work; and, finally, the feeling of being controlled by the disease. Findings detail the impact of the disease on the subjects' lives and provide insight into this devastating disease. Implications for nursing practice and research are discussed.

Adaptation, Psychological↗