Issue : December 2001
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Who's afraid of clinical governance?Subscription
VOL: 97, ISSUE: 50, PAGE NO: 34 Susan Alyson Charnock, BSc, RMN, is nurse practice facilitator, Glanrhyd Hospital, Bridgend, Wales
Paediatric risk assessment in an adult settingSubscription
VOL: 97, ISSUE: 50, PAGE NO: 40Sharon McAllister, RGN, DipN, is a senior sister, BUPA Hospital, LeedsThe Department of Health (1991) recommends that two children's nurses should be on duty in any hospital setting in which children are cared for. However, a shortage of paediatric nurses means that it is sometimes not possible to put this into practice.
Applying clinical governance in hospice careSubscription
VOL: 97, ISSUE: 50, PAGE NO: 38
Rotational programmes for newly qualified nursesSubscription
VOL: 97, ISSUE: 50, PAGE NO: 42Kath Evans, MSc, BSc, RN, RSCN, is nurse rotational programme leader at Central and East London Educational Consortium (CELEC)Many nurses say that on completion of their preregistration training, they feel ill-equipped to deal with the demands of clinical practice. They often remark that they feel as if they have been 'thrown in at the deep end'. Consequently, the first six months following qualification are known to be particularly stressful.
Nurse education needs a lifelineSubscription
VOL: 97, ISSUE: 49, PAGE NO: 31Janet Gillan, MSc, RGN, NDNCert, DPSNIt is a relief to learn from a recent RCN survey (Akid, 2001), that most lecturers in nurse education have the same problems as I do. We are struggling to meet the demands placed upon us and worry that the quality of our work is being compromised, which is sad because teaching nursing students is rewarding for all concerned.
VOL: 97, ISSUE: 49, PAGE NO: 32 Ann Gallagher, MA, RGN, RMN, PGCEA, is a PhD student at the University of Central Lancashire Jean McHale, MPhil, LLB, is professor of law at the University of Leicester
Acting on dilemmas in palliative careSubscription
VOL: 97, ISSUE: 49, PAGE NO: 37Mezzi Franklin, RN, SCM, DN, is a Macmillan clinical nurse specialist, North Devon District Hospital, BarnstapleCaring for a dying patient can give nurses a real sense of fulfilment if they feel they have helped to achieve a dignified death and comforted the family. But too often this does not happen because the pressures of work limit the time that nurses can spend at the patient's side (Dunne and Sullivan, 2000).
Psychotherapy with a soulSubscription
VOL: 97, ISSUE: 49, PAGE NO: 34Jenny Droughton, MSc, RMN, Dip Psychosocial Management of Psychosis, is a freelance writerPsychosynthesis is a little-known psychotherapy that may offer positive outcomes for certain mental health problems. It is an eclectic form of treatment that draws on aspects of psychoanalytical, existential and humanistic psychotherapies as well as some Eastern and Western philosophies.
Jennifer Kelly, BA (Hons), MSc, RN, DipN, DipEd.Senior Lecturer, Homerton College, CambridgeThis article, and the article on antibiotic resistance published in the September 2001 issue, has been adapted from Jennifer Kelly's book Adverse Drug Effects: A nursing concern (2000), published by Whurr Publishers, London
Atie Fox, BSc (Hons) ,SRN; Paulette Bartlett, SRN DPSN.
Kate Lawler, BSc (Hons) Nursing, RN, DipN. Clinical Nurse Specialist in Pain Management, James Cook University Hospital, Middlesbrough
Wendy Ansell, BSc (Hons) (Open), RN, OncNursCert. Macmillan Urology Nurse Specialist, Medical Oncology Department, St Bartholomew’s Hospital, London
Karen Magorrian, RN, RMN.
Penelope Taylor, RN, SCM, Dip Aromatherapy, Cert Counselling. Clinical Nurse Specialist, Stoma Care, Birmingham Specialist Community Health NHS Trust, Selly Oak, Birmingham This paper explores some of the complications that may occur following formation of a stoma. All of the complications described can have a deep impact on a person with an ostomy, affecting physical, psychological and social well-being. The most common stomal complications are listed in Box 1.
Mandy Howell, BSc (Hons), RGN, OND, FETC, DPSN, DMS, Asthma Dip, RespManDip.Senior Clinical Nurse, General Internal Medicine, City Hospitals Sunderland NHS Trust, Sunderland Royal HospitalNurses are becoming increasingly involved in examining not only their own practice but that of other health-care professionals which may affect or influence nursing practice.
Irene Anderson, BSc (Hons), DPSN, RN.Lecturer, Tissue Viability, Department of Post-registration Nursing, University of Hertfordshire, HatfieldHyaluronan (HA) is a polysaccharide common to most species, including bacteria and mammals (Chen and Abatangelo, 1999). It presents as a viscous gel and is found in many sites in the human body, such as the vitreous body of the eye, skin and soft tissue such as synovial fluid (Laurent, 1989).
Jacqui Fletcher, BSc (Hons), RN.Senior Lecturer, University of Hertfordshire, Hatfield, HertfordshireThe aim of cleansing wounds is simply to remove loose debris (including dressing residue) or foreign bodies to allow thorough assessment of the wound.
Rachel Leaver, BSc (Hons) Health Studies, RN.Clinical Nurse Specialist, Middlesex Hospital, LondonHealth-care delivery has undergone a major overhaul over the past few decades, with calls for greater participation by the recipients of care and individual responsibility for health and health care.
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