• Understanding the arousal of anger: a patient-centred approach

      Hollinworth, Helen; Clark, Charlotte; Harland, Rowena; Johnson, Linda; Partington, Gareth; University of Suffolk (Royal College of Nursing, 2005-05-25)
      The aim of this article is to enable reflection on practice by exploring a nurse-patient scenario and identifying what factors trigger anger and aggressive behaviour. It recommends strategies that can be used to tackle anger among patients, and emphasises the importance of the therapeutic relationship. Anger management, which usually refers to cognitive behavioural therapy designed to enable people to manage anger, is not explored.
    • Understanding violence when the perpetrator has an intellectual disability: The perceptions of professionals

      Lovell, Andrew; Skellern, Joanne; University of Chester; University of Derby (SAGE Publications, 2017-12-18)
      The research sought to enhance professional understanding of the violence perpetrated by some people with an intellectual disability. The violent behaviour exhibited by some people with intellectual disabilities remains poorly understood, particularly with regard to a clear and informative definition. A qualitative study investigated the views and perceptions of professionals working directly with people with an intellectual disability in different settings. Twenty-two semi-structured interviews were undertaken with professionals from a variety of backgrounds, and four themes were generated through data analysis. Themes produced comprised the degree of intellectual disability, impulsivity, intentionality and unpredictability. Findings indicated tension between understanding violence as purposeful and explaining it in relation to the intellectual disability and/or additional conditions. Intellectual disability is central to understanding the impact of the other three themes, though there is a professional reluctance to use such knowledge as evidence to inform practice.
    • Using interactive digital technology to predict and prevent childhood overweight

      Atkinson, Pippa; University of Nottingham; Anglia Ruskin University; University of Lincoln; Nottingham University Hospitals Trust (Wiley, 2017-11-12)
      Obesity risk factors can be identified during infancy, providing an opportunity for early intervention. ProAsk is an interactive digital intervention that supports health professionals to quantify and communicate an infant's overweight risk status, prompting discussion of parental strategies to reduce future risk. To investigate user experiences of an interactive digital intervention that assesses overweight risk during infancy and supports motivational behaviour change by parents to reduce their infants' future risk. The study was conducted in four economically deprived localities in the UK. Qualitative data on user experiences of ProAsk were collected at the end of a feasibility study of the intervention in which health visitors (public health nurses) used ProAsk with parents when the infants were three months old. Semi-structured interviews with parents (N = 12) and health visitors (N = 15) were conducted when the infants were 6 months old. Interview data were transcribed and analysed thematically using an inductive, interpretative approach. The analysis identified four key themes: engaging and empowering with digital technology; unfamiliar technology presents challenge and opportunity; trust in the risk score; resistance to targeting. Interactive, digital technology was found to actively engage parents, and enabled them to take ownership of the process of seeking strategies to reduce infant risk of overweight. However, cognitive and motivational biases that prevent effective overweight risk communication represent barriers to targeting the intervention at those infants most at risk of becoming overweight.
    • Using more healthcare areas for placements

      Sherratt, Lou; Young, Alwyn; Brundrett, Heather; Whitehead, Bill; Collins, Guy; University of Derby (Macmillan Publishing Ltd., 2013-06-26)
      The need for private, voluntary and independent placements in nursing programmes has become more important in recent years due to changes in where health services are delivered. These placements can be used effectively within nursing programmes to show students the realities of healthcare, and to challenge myths and attitudes. Dedicated time and resources need to be provided to discover and maintain these placements, and to ensure appropriate, high-quality learning opportunities. This article presents the findings of a national Higher Education Academy workshop, held at the University of Derby in November 2012. It explores three key issues discussed at the workshop: current practice and opportunities for learning; myths, attitudes and solutions; and maintaining the quality of placements. The use of PVI placements is seen as valuable and a set of recommendations are provided to assist in their use.
    • Using recorded sounds in the clinical skills lab.

      Watkinson, Debbie; Collins, Guy; University of Derby (EMAP publishing limited, 2016-07-18)
      Clinical simulation is embedded in undergraduate nursing education, but does not always reflect real-life situations. As clinical environments are rarely silent, a team of lecturers decided to find out whether background clinical noise could increase authenticity. This article describes how audio recordings were obtained from a variety of settings. Feedback was gathered on the benefits and barriers to widespread implementation.
    • Using specialist nurse mentors to boost placement capacity.

      Bailey, Elaine; Whitehead, Bill; University of Derby (Macmillan Publishing Ltd., 2006-11-28)
      Mentors play a pivotal role in assessing and supporting nursing students. This can be rewarding but stressful. With increasing numbers of students requiring clinical placements, ward mentors are becoming overloaded. This article examines a new method of supporting senior nursing students in placement while alleviating the pressures on overworked mentors. It recommends the use of specialist nurses to support pre-registration students through a structured learning pathway. The scheme also opens up new areas for clinical allocations. This is a summary: the full paper can be accessed at nursingtimes.net.
    • Venesection best practice guidance

      Mortimore, Gerri; Francis, Yvonne; McClements, Neil; University of Derby (Haemochromatosis UK, 2020-01-28)
      This Royal College of Nursing endorsed guidance has been developed to support the care of adult patients undergoing therapeutic venesection, for conditions including genetic haemochromatosis. This guidance represents the culmination of 3 years' collaboration and consultation with practising nurses and healthcare professionals under the auspices of UK registered charity Haemochromatosis UK.
    • Venesection best practice: A guide for nurses and healthcare practitioners

      Mortimore, Gerri; University of Derby (Haemochromatosis UK, 2020-01)
    • We are not the same people we used to be: an exploration of family biographical narratives and identity change following traumatic brain injury

      Whiffin, Charlotte Jane; Ellis-Hill, Caroline; Bailey, Christopher; Jarrett, Nicola; Hutchinson, Peter J.; University of Derby; Bournemouth University; University of Nottingham; University of Southampton; University of Cambridge (Taylor and Francis, 2017-10-26)
      Subjective changes are increasingly recognised as important in recovery and rehabilitation following traumatic brain injury. Accumulation of subjective changes over time has led many to examine the question of ‘continuity of self’ post-injury. Vacillation between feeling the same and different is common and often at odds with the medical narrative preparing families for permanent change. This position of ambiguity was examined in a qualitative narrative study. The aim of this paper is to describe the narrative structures used by uninjured members of a family to understand change. These changes relate primarily, to their perspective of whether and how the injured person had changed, but also secondarily to whether and why they themselves felt they had changed in the first year post-injury. Nine uninjured family members from three families took part in three unstructured interviews during the first twelve months post-injury. In-depth narrative analysis showed family members used biographical attendance; biographical disruption; biographical continuity and biographical reconstruction to understand change. Drawing on these findings it is argued that concentrating on a narrative of change is too limiting and that engaging in biographical narratives may help humanise care provided to injured individuals and their families. Implications for research and practice are discussed
    • We may unknowingly consume dangerous levels of alcohol.

      Mortimore, Gerri; University of Derby (EMAP publishing limited, 2018-05-31)
      Alcohol is the main cause of liver disease and associated death. By raising awareness and offering brief interventions, not only to patients but also to family and friends, nurses can potentially save lives.
    • What are the ethical dilemmas in the decision making processes of nursing people given Electroconvulsive therapy? A critical realist review of qualitative evidence

      Sweetmore, Victoria; University of Derby (Wiley, 2021-06-18)
      Electroconvulsive therapy (ECT) has a complex and contentious place in psychiatric care. Mental health nurses (MHNs) are of obligated to be part of this practice despite ethical concerns. To consider the ethical dilemmas and decision-making processes facing MHNs involved in the administration of ECT. A critical realist review of the literature surrounding ethical considerations and ECT was undertaken using thematic analysis. Four key themes emerged: the MHN as an advocate and conflict in their role, issues surrounding consent, questionable efficacy and unknown method of action, side effects, and legal issues and clinical guidelines. Using a critical realist framework for understanding, the decision-making process and ethical considerations are viewed as part of the empirical and actual parts of reality, while the potential for other, unseen causal powers to be at play is acknowledged. MHNs need to ensure they have an adequate ethical underpinning to their practice to enable them to navigate contentious areas of practice such as ECT to practice effectively and preserve safety. This may require moving beyond the traditional biomedical model of ethics. Developing an appreciation of unseen causal factors is also an essential part of MHNs’ developing professional competency.
    • What next for End Point Assessments?

      Baker, Denise; Robertshaw, David; University of Derby (Emerald, 2021-07-20)
      This paper reflects on changes to End Point Assessment (EPA) brought about as a result of the COVID pandemic and considers how proposed future change will impact on training providers and employers of health apprentices. The paper provides an analysis of apprenticeship policy, the role of end point assessment and consideration of assessment strategies used in higher education and health professions. Implications for policy, training providers and clinical practice are proposed. These changes will bring the completion of EPA closer to education providers and allow them to take a more direct role within the process. Education providers will need to be issued with clear guidance to ensure regulatory compliance. The pedagogical value of end point assessment is questioned. Training providers and policymakers will need to review their processes and guidance appropriately. This paper provides a summary of salient points needing consideration.
    • Why it’s important healthcare professionals talk about dying

      Watson, Sharan; University of Derby (University of Derby, 2020-05-15)
      This week is Dying Matters Awareness Week (May 11-17) – an awareness week led by Hospice UK to provide an opportunity to discuss the importance of talking about dying, death and bereavement. Here, Sharan Watson, Programme Leader for PG Cert Palliative Care at the University of Derby, discusses why it is more imperative than ever that health and social care workers feel confident and supported to talk about bereavement. The theme of this year’s Dying Matters Awareness Week is ‘Dying to be heard’, which feels so much more pertinent in our current challenges of delivering person-centred care during the Coronavirus pandemic. This week marked International Nurses Day (May 12) and 200 years since Florence Nightingale was born. Being a nurse has given so many of us the platform to develop such a diversity across all settings and has highlighted the true importance of interprofessional working.
    • Will graduate entry free nursing from the shackles of class and gender oppression?

      Whitehead, Bill; University of Derby (Macmillan Publishing Ltd., 2010-06)
      Debates in nursing focus on the provision of good nursing care and its relation to academic status. For example, are nurses "too posh to wash" if they believe entry to the profession should require a degree, or is this a case of them having pretensions "above their station"? This article discusses the nature of oppression and its relationship to hierarchy, and concludes that nurses are oppressed through gender and socioeconomic class. It also examines the profession's social position, arguing thatthe majority of nurses identify with the most oppressed social class.