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1 – 10 of over 89000Maureen Nokuthula Sibiya, Thembelihle Sylvia Patience Ngxongo and Somavathy Yvonne Beepat
The purpose of this paper is to explore the influence of peer mentoring on critical care nursing students’ learning outcomes in critical care units.
Abstract
Purpose
The purpose of this paper is to explore the influence of peer mentoring on critical care nursing students’ learning outcomes in critical care units.
Design/methodology/approach
A qualitative exploratory research design was used to conduct the study. Ten critical care nursing students were recruited from critical care units in the five private and two public hospitals. Descriptions of their experiences were gained through individual face-to-face interviews.
Findings
The study reinforces peer mentoring as a vital strategy in helping the critical care nursing students to attain their learning outcomes. However, peer mentoring was not consistent in all hospitals and there were no structured support systems to ensure that peer mentoring was formalized. Making peer mentoring a vital component in the registered nurses core competencies would enable efficiency and guarantee the viability of peer mentoring.
Research limitations/implications
Mentors for the critical care nursing students were not included in the study.
Practical implications
The study identified a need for incorporating a formalized mentorship programme into the core competencies of all qualified critical care nurses, the unit mentor to familiarise themselves with the prescribed learning objectives of the critical care nursing student and an allocation of supernumerary time for the critical care nursing student and mentors to allow for formal mentoring responsibilities to take place.
Originality/value
The study reinforces peer mentoring as a vital strategy in helping the critical care nursing students to attain their learning outcomes and conscietises registered nurses of their responsibility as mentors.
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Naomi Algeo and Leanne M. Aitken
A recent paradigm-shift in patient care advocates for long-term recovery and quality of life in survivors of critical illness. Evidence suggests that occupational therapists in…
Abstract
Purpose
A recent paradigm-shift in patient care advocates for long-term recovery and quality of life in survivors of critical illness. Evidence suggests that occupational therapists in critical care can contribute to recovery in areas such as functional outcomes, length of stay and delirium, although poor role understanding can limit service-utilisation. The purpose of this study is to investigate current and future roles and practices of critical care occupational therapists in the UK.
Design/methodology/approach
Occupational therapists with clinical experience in adult critical care were invited to participate in a mixed-methods design using a locally developed online questionnaire and semi-structured interviews, concurrently. Descriptive statistics were generated through SPSS. Qualitative data were analysed using the framework approach.
Findings
Twelve occupational therapists participated in the survey element, with five continuing to interview. Occupational therapists described a multifaceted role in critical care where the majority reported practice in upper limb function, seating/positioning, cognition, psychosocial sequelae and discharge planning. Role and internal characteristics impacted on service delivery. It is envisaged that earlier intervention in a greater percentage of patients, a greater evidence-base, raising awareness and adequate staffing will be features for future development.
Originality/value
This study provides new insight into the current role and practices of adult critical care occupational therapists in England and generates insights into their role in addressing physical and non-physical morbidity for this patient cohort. Findings are preliminary in nature; however, future research is warranted to evaluate the effectiveness of interventions.
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This qualitative phenomenological study examined the experiences of patients, their family members, and the nurses in the intensive care unit during critical illness. Five…
Abstract
This qualitative phenomenological study examined the experiences of patients, their family members, and the nurses in the intensive care unit during critical illness. Five participants from each category participated in two interviews over a period of five months. Content analysis of the interview transcripts revealed five integrating common themes, each reflecting concepts from the Roy Adaptation Model (RAM). The ICU experience among all participants is interdependence. Adaptation in the ICU integrated family as a unit, physical care/comfort, physiological care and psychosocial support, resulting in transformation.
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Critical care nurses' work is rich in informative interactions. Although there have been post‐hoc self report studies of nurses' information seeking, there have been no…
Abstract
Purpose
Critical care nurses' work is rich in informative interactions. Although there have been post‐hoc self report studies of nurses' information seeking, there have been no observational studies of the patterns of their on‐duty information behavior. This paper seeks to address this issue.
Design/methodology/approach
This study used participant observation and in context interviews to describe 50 hours of the observable information behavior of a representative sample of critical care nurses in a 20‐bed critical care unit of a community (non‐teaching) hospital. The researcher used open, in vivo and axial coding to develop a grounded theory model of their consistent pattern of multimedia interactions.
Findings
The resulting Nurse's Patient‐Chart Cycle describes their activities during the shift as centering on a regular alternation between interactions with the patient and with the patient's chart (in various record systems), clearly bounded with nursing “report” interactions at the beginning and the end of the shift. The nurses' demeanor markedly changed between interactions with the chart and interactions with the patient. Their attention was focused on patient‐specific information. They had almost no time or opportunity to consult published sources of information while on duty.
Originality/value
Libraries often provide nurses with information services that are based on academic models of information behavior. Clinical information systems are designed more for medico‐legal record keeping than for nursing care. Understanding the reality of nurses' on‐duty information behavior may guide librarians and systems designers in the provision of more appropriate systems and services.
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This paper considers cash for care as reflected in direct payments and the more recent development of individual budgets in England. While the momentum to roll out individual…
Abstract
This paper considers cash for care as reflected in direct payments and the more recent development of individual budgets in England. While the momentum to roll out individual budgets gathers pace in England, Wales has embarked on a more cautious approach in wishing to evaluate the impact of individual budgets on social services. The paper identifies some of the far reaching implications of cash for care in general and individual budgets in particular, for service users, carers ‐ both paid and informal ‐ and for the social work profession. The policy incoherence in relation to risk and safeguarding is highlighted. This paper supports the approach currently adopted by the Welsh Assembly Government in relation to the ‘rolling out’ of individual budgets. The Assembly's 10‐year strategy for social services focuses on the rights of citizens and the needs of communities. This paper argues that fulfilling that vision should not be wholly contingent upon an unproven extension into the field of individual budgets.
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Larry A. Mallak, David M. Lyth, Suzan D. Olson, Susan M. Ulshafer and Frank J. Sardone
The critical incident technique (CIT) provides a means to produce rich cultural information from organizational members in an effort to describe the organization’s culture. Very…
Abstract
The critical incident technique (CIT) provides a means to produce rich cultural information from organizational members in an effort to describe the organization’s culture. Very few published studies have used CIT to diagnose culture. In combination with other methods, CIT can be an integral element of a larger study of an organization’s culture. In this study, CIT was used in a US acute care hospital that had recently occupied a new $181 million replacement hospital having an emphasis on patient‐centered care and a healing environment. Individual CIT “stories” supplied rich detail about the hospital’s culture, providing opportunities to communicate how people behave with respect to the culture. Consequently, CIT results provide specific information on what people do that supports the culture and what they do that works against the culture.
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Nina Lunkka, Pirjo Lukkarila, Sanna Laulainen and Marjo Suhonen
The purpose of the paper is to investigate ambiguous language use in health-care project plans in a manner that accounts for the wider, institutional, public health-care context.
Abstract
Purpose
The purpose of the paper is to investigate ambiguous language use in health-care project plans in a manner that accounts for the wider, institutional, public health-care context.
Design/methodology/approach
The article deployed a case study approach and drew from Fairclough's critical discourse analysis (CDA) as well as a keyword analysis to investigate two time-sequenced versions of the same project planning document for a health-care project in Finland.
Findings
In the project plans investigated, the study identified patient as a keyword possessing various meanings within the public health-care context. By examining the discursive practices around the keyword patient, the study demonstrated their role in constituting the institutional context as well as the function of this context in constraining these practices.
Originality/value
By looking at the potential of the CDA to investigate discursive practices of the keyword in two sequential versions of a project plan within the broader context of public health care, the study adds to the scant existing literature on critically oriented health-care project communication studies.
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The purpose of this paper is twofold. First, it proposes a critical posthumanist orientation to social work as an approach to address the impediments to care experienced by…
Abstract
Purpose
The purpose of this paper is twofold. First, it proposes a critical posthumanist orientation to social work as an approach to address the impediments to care experienced by interspecies families. Secondly, it challenges the anthropocentric assumptions that underpin this exclusion of nonhuman family members in human services disciplines such as social work.
Design/methodology/approach
This article presents primary data from a qualitative study into social work and other human services practice in the family violence and homelessness sectors in the state of Victoria, Australia.
Findings
Social workers undertook companion animal-inclusive practice to counter vulnerability to interspecies families caused by gender- and species-based violence, and by homelessness. Gender- and species-based violence was exacerbated by a lack of refuge options, and contributed to women considering their companion animals to be their children. The vulnerability that homelessness brought upon interspecies families was amplified by stigma within and external to social work and related professions, and the impediment that experiences of homelessness had on being able to provide care for their nonhuman family members. These factors shaped practice with interspecies families. Scope for future practice was also identified.
Research limitations/implications
The research findings can be used to inform policy change that includes consideration of nonhuman family members, as well as critical posthuman program design in social work education.
Originality/value
Companion animal-inclusive practice with interspecies families in social work is an under researched area, and there is little empirical data available on the nature of this work in Australia. This paper addresses this gap by centring social workers' own accounts of practice. This paper has scope to contribute to education in social work and other welfare fields, with the potential to empower students to challenge assumptions about social work being solely focused on human-centred concerns.
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