Search results

1 – 10 of 704
To view the access options for this content please click here
Article
Publication date: 18 June 2019

George Benson, Andrew McPherson, Jacqueline McCallum and Nicola Roberts

The purpose of this paper is to develop an alcohol withdrawal syndrome risk stratification tool that could support the safe discharge of low risk patients from the…

Abstract

Purpose

The purpose of this paper is to develop an alcohol withdrawal syndrome risk stratification tool that could support the safe discharge of low risk patients from the emergency department.

Design/methodology/approach

A retrospective cohort study that included all patients referred to the acute addiction liaison nursing service over one calendar month (n=400, 1–30 April 2016) was undertaken. Bivariate and multivariate modelling identified the significant variables that supported the prediction of severe alcohol withdrawal syndrome (SAWS) in the cohort population.

Findings

The Glasgow Modified Alcohol Withdrawal Scale (GMAWS), hours since last drink, fast alcohol screening test (FAST) and systolic blood pressure correctly identified 89 per cent of patients who developed SAWS and 84 per cent of patients that did not. Increasing each component by a score of one is associated with an increase in the odds of SAWS by a factor of 2.76 (95% CI 2.21, 3.45), 1.31 (95% CI 1.24, 1.37), 1.30 (95% CI 1.08, 1.57) and 1.22 (95% CI 1.10, 1.34), respectively.

Research limitations/implications

The research was conducted in a single healthcare system that had a high prevalence of alcohol dependence syndrome (ADS). Second, the developed risk stratification tool was unable to guarantee no risk and lastly, the FAST score previously aligned to severe ADS may have influenced the patients highest GMAWS score.

Practical implications

The tool could help redesign the care pathway for patients who attend the emergency department at risk of SAWS and link low risk patients with community alcohol services better equipped to deal with their physical and psychological needs short and long term supporting engagement, abstinence and prolongation of life.

Originality/value

The tool could help redesign the care pathway for emergency department patients at low risk of SAWS and link them with community alcohol services better equipped to deal with their physical and psychological needs, short and long term, supporting engagement, abstinence and prolongation of life.

To view the access options for this content please click here
Article
Publication date: 7 January 2019

George Benson, Nicola Roberts, Jacqueline McCallum and Andrew McPherson

The purpose of this paper is to identify published literature from a general hospital setting that may highlight variables implicated in the development of severe alcohol…

Abstract

Purpose

The purpose of this paper is to identify published literature from a general hospital setting that may highlight variables implicated in the development of severe alcohol withdrawal syndrome (SAWS) in patients who have alcohol dependence syndrome (ADS).

Design/methodology/approach

A systematic literature review was carried out using the electronic databases: MEDLINE, Medline in Process, Cinahl, Embase and PsycINFO from 1989 to 2017. The focus of this search was on English language studies of individuals over 16 years admitted to general hospital with ADS, delirium tremens (DTs), alcohol-related seizure (ARS) or alcohol withdrawal syndrome (AWS).

Findings

Of the 205 studies screened, eight met the criteria for inclusion. Six studies were quantitative retrospective cohort and two were retrospective case-control. Six studies investigated risk factors associated with DTs, one examined SAWS and one alcohol kindling. Descriptive analysis was performed to summarise the empirical evidence from studies were 22 statistically significant risk factors were found; including the reason for admission to hospital, daily alcohol consumption, previous DTs and prior ARS. The last two factors mentioned appeared in two studies.

Research limitations/implications

Further research should consider the quality and completeness of the alcohol history data and competence of staff generating the data in retrospective studies.

Originality/value

The paper suggests that the factors linked to SAWS development from the literature may not fully explain why some individuals who have ADS develop SAWS, and others do not.

Details

Drugs and Alcohol Today, vol. 19 no. 4
Type: Research Article
ISSN: 1745-9265

Keywords

To view the access options for this content please click here
Article
Publication date: 9 September 2013

Andrew McPherson and George Benson

– The purpose of this paper is to ascertain an awareness of the management of the drug misusing guidelines in Glasgow general hospitals.

Abstract

Purpose

The purpose of this paper is to ascertain an awareness of the management of the drug misusing guidelines in Glasgow general hospitals.

Design/methodology/approach

A brief literature review was carried out to establish the available evidence for the guidelines. Additionally, a survey questionnaire was sent out to junior medical staff requesting their views on the drug misusing guidelines.

Findings

A paucity of evidence relating to drug misusing guidelines was found from the literature. The Glasgow Guidelines appear to be a welcome source of information that is both comprehensive and easily accessible for staff. Junior medical staffs have broadly welcomed the guidance but would appreciate additional support on the management of patients prescribed Suboxone.

Research limitations/implications

There should be an increase in training and development for junior medical staff regarding the guideline.

Originality/value

The Glasgow Guidelines are aimed primarily at junior medical staff whose knowledge on drug misusing patients may be scarce. Increased training and awareness should improve the management of drug misusers in general hospitals. Consequently, patients should spent less time in hospital.

Details

Drugs and Alcohol Today, vol. 13 no. 3
Type: Research Article
ISSN: 1745-9265

Keywords

To view the access options for this content please click here

Abstract

Details

Handbook of Transport Strategy, Policy and Institutions
Type: Book
ISBN: 978-0-0804-4115-3

To view the access options for this content please click here
Book part
Publication date: 1 July 2013

George S. Benson, Michael Kimmel and Edward E. Lawler

Employee involvement (EI) is a major part of high-performance work systems (HPWS) that have successfully transformed a large number of organizations and have become…

Abstract

Employee involvement (EI) is a major part of high-performance work systems (HPWS) that have successfully transformed a large number of organizations and have become standard practice in many new organizations. Despite the proven benefits of EI, however, it is still not as widely utilized as it could be even when accounting for industry and organization differences in its applicability. We suggest that EI implementation is limited in part by the change management challenges it presents. We review the recent research on EI and HPWS, and suggest ways in which change research and theory can inform our understanding of why EI practices have fallen short of their potential and how they can be effectively implemented.

Details

Research in Organizational Change and Development
Type: Book
ISBN: 978-1-78190-891-4

To view the access options for this content please click here
Article
Publication date: 1 March 1945

R.D. MACLEOD

That all is not well with the Library of the House of Commons is indicated by a document published by H.M.S.O. under the title of Special Report from the Select Committee

Abstract

That all is not well with the Library of the House of Commons is indicated by a document published by H.M.S.O. under the title of Special Report from the Select Committee on Library (House of Commons) together with Minutes of Proceedings, Evidence and Appendices. Mr. J. V. Kitto, C.B.E:, Librarian of the House of Commons, is retiring from his post, and in December, 1944, he handed to the Speaker of the House of Commons, the Rt. Hon. Col. D. Clifton Brown, a memorandum giving his views on the Library position, criticising the existing administration, and outlining his suggestions for improvement. The Library is represented as being out of date, understaffed, lacking a serviceable catalogue, and as having an inadequate book fund; and Mr. Kitto proposes a better scale of salaries. There are also memoranda on storage and an appendix indicating that the Library stock is “all over the place.” A Select Committee was constituted, with Mr. George Benson as Chairman. We suggest that if librarians obtain copies of this remarkable report they will be assured of diverting reading.

Details

Library Review, vol. 10 no. 3
Type: Research Article
ISSN: 0024-2535

To view the access options for this content please click here
Book part
Publication date: 2 October 2001

Brien Benson

Abstract

Details

Handbook of Transport Systems and Traffic Control
Type: Book
ISBN: 978-1-61-583246-0

To view the access options for this content please click here
Article
Publication date: 1 February 1992

George C.S. Benson

Almost two centuries of efforts to improve the ethics of Americancorporations is apparently leading into a movement of the mostsuccessful corporations towards establishing…

Abstract

Almost two centuries of efforts to improve the ethics of American corporations is apparently leading into a movement of the most successful corporations towards establishing and educating employees to use them. Federal laws have been a major motivator. Code provisions often vary according to ethical needs of the industry corporations. Ethical codes are also supported by arrangements to hear employee complaints, through a “hotline” or some other process which affords some protection to the complainant. A number of statutes protecting “whistleblowers” have been passed by federal and state governments; whistleblowing seems to be generally accepted but is not completely popular. Concludes with a discussion of the work of internal or managerial auditors, who are supporting ethics work but seem diffident about use of the term. Effective ethical education might show the reasons for close ties between internal auditors and other members of the management team.

Details

Managerial Auditing Journal, vol. 7 no. 2
Type: Research Article
ISSN: 0268-6902

Keywords

To view the access options for this content please click here
Article
Publication date: 4 April 2011

Andrew McPherson and George Benson

The Glasgow acute addiction liaison nurse service provides a unique service to patients with alcohol and drug issues who are admitted to general hospitals in the Glasgow…

Abstract

The Glasgow acute addiction liaison nurse service provides a unique service to patients with alcohol and drug issues who are admitted to general hospitals in the Glasgow City area. It offers guidance on withdrawal management, educates patients and staff and provides a facility to refer to appropriate community services. Since its foundation in 2005, patient referrals have increased by more than 3,000. Additionally, it has taken on a greater educational role and is more involved in research and evaluation.

Details

Drugs and Alcohol Today, vol. 11 no. 1
Type: Research Article
ISSN: 1745-9265

Keywords

To view the access options for this content please click here
Book part
Publication date: 30 August 2019

Ellis Cashmore

Abstract

Details

Kardashian Kulture
Type: Book
ISBN: 978-1-78743-706-7

1 – 10 of 704