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Article
Publication date: 1 March 2008

Christopher Armstrong‐Esther, Brad Hagen, Christine Smith and Sherrill Snelgrove

Aim: Previous research has documented the widespread use of antipsychotic drugs by nursing staff with older persons, although less is known about the knowledge that nurses…

Abstract

Aim: Previous research has documented the widespread use of antipsychotic drugs by nursing staff with older persons, although less is known about the knowledge that nurses actually have about these drugs. The purpose of this exploratory, descriptive study was to survey a sample of UK gerontological nurses from different work settings on their knowledge of antipsychotic drugs.Methods: An exploratory descriptive study design was utilised, whereby a sample of nursing staff was given a questionnaire developed to determine knowledge about antipsychotic drugs and their use with older persons. Questionnaires were distributed to 100 nursing staff, including registered general nurses, registered mental nurses, state enrolled nurses, nursing assistants and care assistants. Of the 100 questionnaires distributed, 62 were returned and 57 were completed substantially enough for data analysis.Results: Descriptive statistics including frequencies and means were calculated for demographic variables and the questionnaire responses. Results indicated that the use of antipsychotic drugs within the psychiatric hospital setting was substantial, with 43.7% of patients receiving antipsychotic drugs, for an average length of time of 1.8 years. Conclusions: Nursing staff participants from all three work settings revealed a number of significant knowledge gaps, particularly with regard to appropriate indications for antipsychotic drugs with older persons and the side‐effects of antipsychotic drugs. Summary: This paper adds new information regarding the use of antipsychotic drugs in the nursing care of older people.

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Quality in Ageing and Older Adults, vol. 9 no. 1
Type: Research Article
ISSN: 1471-7794

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Article
Publication date: 1 June 2001

Brad Hagen and Christopher Armstrong‐Esther

Despite the increasing evidence about the inappropriate use of medications by older people, there is very little published evidence about the control and monitoring of…

Abstract

Despite the increasing evidence about the inappropriate use of medications by older people, there is very little published evidence about the control and monitoring of neuroleptic drugs used in nursing homes. As others have indicated, this is all the more worrying when set in the context of the paucity of research on nursing home care and the trend to replace registered nurses with untrained care assistants. In the United States, legislation in the form of the Nursing Home Reform Act (OBRA 1987) was introduced, in part, to regulate the prescribing and administration of neuroleptic (antipsychotic) drugs. No such legislation exists in Canada or the United Kingdom. In the case of the latter jurisdiction, the recent Royal Commission on Long‐Term Care for older people (The Stationery Office, 1999) has recommended a national care commission to monitor care, and set assessment and quality benchmarks. In Canada this debate has not even begun, and the purpose of this paper is not to ignite controversy, but to raise questions about the use of these drugs with nursing home residents. Voluntary guidelines and education of physicians, nurses and care attendants would be infinitely better than legislation. In the meantime, we need research to address the following questions: For what reasons should these drugs be given to older people? Are these drugs being used appropriately? Is the risk of side‐effects too great with these drugs? Are the numbers and type of staff employed in nursing homes adequate/qualified to detect and report side‐effects? How well do these drugs manage the behaviours they are given to control? Are they being used as chemical restraints or to make the older person compliant? Are the so‐called ‘atypical’ neuroleptic drugs any better? What we offer in this article is background information that might encourage others to not only review their practice but also to address these questions.

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Quality in Ageing and Older Adults, vol. 2 no. 2
Type: Research Article
ISSN: 1471-7794

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Article
Publication date: 1 June 2008

Em Pijl‐Zieber, Brad Hagen, Chris Armstrong‐Esther, Barry Hall, Lindsay Akins and Michael Stingl

Nurses and other professional caregivers are increasingly recognising the issue of moral distress and the deleterious effect it may have on professional work life, staff…

Abstract

Nurses and other professional caregivers are increasingly recognising the issue of moral distress and the deleterious effect it may have on professional work life, staff recruitment and staff retention. Although the nursing literature has begun to address the issue of moral distress and how to respond to it, much of this literature has typically focused on high acuity areas, such as intensive care nursing. However, with an ageing population and increasing demand for resources and services to meet the needs of older people, it is likely that nurses in long‐term care are going to be increasingly affected by moral distress in their work. This paper briefly reviews the literature pertaining to the concept of moral distress, explores the causes and effects of moral distress within the nursing profession and argues that many nurses and other healthcare professionals working with older persons may need to become increasingly proactive to safeguard against the possibility of moral distress.

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Quality in Ageing and Older Adults, vol. 9 no. 2
Type: Research Article
ISSN: 1471-7794

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Article
Publication date: 1 June 2001

Ron Iphofen and Chris Joyce

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Quality in Ageing and Older Adults, vol. 2 no. 2
Type: Research Article
ISSN: 1471-7794

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Book part
Publication date: 15 July 2019

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Research in Organizational Change and Development
Type: Book
ISBN: 978-1-78973-554-3

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Article
Publication date: 1 October 1908

THE 31st annual meeting of the Library Association passed off very comfortably at Brighton, and if nothing particularly momentous occurred affecting librarianship…

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THE 31st annual meeting of the Library Association passed off very comfortably at Brighton, and if nothing particularly momentous occurred affecting librarianship, everybody enjoyed the various entertainments and the breezy weather. Brighton certainly deserved the title to breeziness which it claims, because it was stormy nearly every night or early morning during the run of the Conference, and members must be congratulated on the lucky manner in which it was found possible to dodge the showers.

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New Library World, vol. 11 no. 4
Type: Research Article
ISSN: 0307-4803

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Article
Publication date: 1 June 2003

Elisabete Correia, João Lisboa and Mahmoud Yasin

This study empirically examines the impact of quality effort orientation on the financial performance of certified Portuguese firms. The results of factor analysis…

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Abstract

This study empirically examines the impact of quality effort orientation on the financial performance of certified Portuguese firms. The results of factor analysis revealed four quality efforts orientation factors. The results of cluster analysis revealed the existence of three distinct groups of firms with regard to quality efforts orientation and performance. The analysis of variance results revealed that firms with a quality efforts orientation focusing on the customer tends to outperform firms utilising other quality efforts orientation with regard to net profit after taxes.

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Cross Cultural Management: An International Journal, vol. 10 no. 2
Type: Research Article
ISSN: 1352-7606

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Article
Publication date: 1 August 1963

In the first five months of 1963, 33,700 boys entered apprenticeships directly from school — 29 per cent of the total. This represents a decline in relation to the…

Abstract

In the first five months of 1963, 33,700 boys entered apprenticeships directly from school — 29 per cent of the total. This represents a decline in relation to the corresponding months of 1962, for which the proportion was 34·1 per cent. Over the full 12 months of 1962 the proportion was 36·2 per cent. The figures for 1961 and 1960 were 37·9 per cent and 36 per cent. Although there was a decline in the proportion from 1961 to 1962, in actual fact, the total of apprentice placements in 1962, at 121,500, was a record.

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Education + Training, vol. 5 no. 8
Type: Research Article
ISSN: 0040-0912

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Article
Publication date: 1 April 2003

Georgios I. Zekos

Aim of the present monograph is the economic analysis of the role of MNEs regarding globalisation and digital economy and in parallel there is a reference and examination…

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53766

Abstract

Aim of the present monograph is the economic analysis of the role of MNEs regarding globalisation and digital economy and in parallel there is a reference and examination of some legal aspects concerning MNEs, cyberspace and e‐commerce as the means of expression of the digital economy. The whole effort of the author is focused on the examination of various aspects of MNEs and their impact upon globalisation and vice versa and how and if we are moving towards a global digital economy.

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Managerial Law, vol. 45 no. 1/2
Type: Research Article
ISSN: 0309-0558

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Book part
Publication date: 16 February 2006

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Emerging European Financial Markets: Independence and Integration Post-Enlargement
Type: Book
ISBN: 978-0-76231-264-1

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