An exploratory study of priority setting in gynaecology nursing practice

ABSTRACT This study explored how nurses in acute and nurse-led gynaecology wards prioritised patient caseloads ranging in diversity and number of patient conditions. Statistics show that since the introduction of medical termination of pregnancy (MTOP) procedures into the National Health Service (NHS) in 1991, the number of women having this procedure is increasing year on year. To date very little is known about the impact this procedure may have had on nursing practice. The focus of this study was to explore the nursing care when this included, and did not include, caring for women having MTOP. The study was conducted in two parts. The first qualitative study employed non-participant observation and semi-structured interviews of nurses in gynaecology and surgical wards at two hospital sites to examine the external context in which nursing decisions were made. This found that nurses in gynaecology focused on emotional or psychosocial aspects more so than surgical nurses who focused on physical aspects of patient care. The second quantitative study involved a cross-sectional survey of nurses from both ward types in two hospitals sites in Scotland. Internal constructs were examined using personality and thinking styles measures. Nurses were assessed on their emotionality, that is, the numbers of times an emotional care aspect was prioritised. This found that nurses who prioritised the emotional aspects of the task tended to be more conscientious and elected preference for a ‘people-centred’ thinking style. The context in which women have TOP is also important since the findings suggest women may benefit from being cared for in nurse-led rather than in acute wards. Knowing how a person thinks about emotional and physical aspects of care also has implications for those involved in education, and career planning.N& M departmental scholarshi

Providing culturally effective audiological services to the hispanic pediatric population

The Hispanic population is the fastest growing minority population in the United States and is expected to make up approximately 15% of the total United States population by the year 2010. In 2003, 18% of the students in elementary and high schools were Hispanic, compared to 6% in 1970. With a large increase in the number of Hispanics, especially children, in the United States there exists a strong need for audiologists to be more culturally diverse and competent, deliver services with respect and without stereotypes, use appropriate language-specific assessments, know when to seek other professional assistance when working with a family with limited English proficiency, and communicate in an effective and appropriate manner with families who have limited English and/or literacy proficiency. After reviewing literature on access to healthcare, Hispanic culture, audiological services to minority populations, this paper identifies and analyzes the barriers Hispanic children encounter to receive appropriate health care and their effect on audiologic care. The paper then discusses the limitations and obstacles audiologists face when providing assessments and services to the pediatric Hispanic population, and provides a framework of tools and sources in order to deliver the most appropriate audiologic care and intervention

An Exploratory Study Of The Assessment Process Of The Ethical Conduct Of Top Executives In The For-Profit And Nonprofit Sectors

Because this kind of study is filled with unique challenges from gaining direct access to an appropriate research sample to that of designing  an innovative survey that can be completed within strict time constraints, this research may be considered exploratory in nature.  Therefore, based on research findings derived from limited and constrained access to executive leadership in large publicly traded companies and their counterparts in the nonprofit sector, it was concluded that a very few organizations in either sector have a proactive ethics strategy or a formal approach to the assessment of leader ethics.  Correspondingly, whatever assessment process followed, the ethical criteria for assessing top executives focuses more on their behavior as individuals rather than those aspects having a systematic organizational impact on other subordinates

From the Bottom Up: Developing a Literacy Practitioner Research Network in British Columbia

This roundtable will address the developments and challenges involved in building research capacity among literacy practitioners in the province of British Columbia through collaborative partnerships between various agencies. Case examples of different approaches will be presented with opportunities for questions and discussion

Umbilical artery tone in maternal obesity

Background: The increasing prevalence of obesity constitutes a major health problem in obstetrics with implications for feto-maternal growth and wellbeing. This study investigated and compared the contractile properties of umbilical arteries excised from obese women, with those excised from women with a normal body mass index (BMI). Methods: Sections of umbilical artery were obtained from umbilical cord samples immediately after delivery and mounted for isometric recording in organ tissue baths under physiological conditions. Cumulative additions of 5-Hydroxytryptamine (5-HT) and Prostaglandin F-2alpha (PgF2alpha) were added in the concentration range of 1 nmol/L to 10 micromol/L. Control vessels were exposed to Krebs physiological salt solution (PSS) only. The resultant effects of each drug addition were measured using the Powerlab hardware unit. Results: 5-HT exerted a significant effect on human umbilical artery tone at concentrations of 100 nmol/L, 1 micromol/L, and 10 micromol/L in normal (n = 5; P < 0.05) and obese ( n = 5; P < 0.05) women. The contractile effect was significantly greater in vessels from obese women {Mean Maximum Tension (MMT) = 4.2532 g} than in those from women of normal BMI (MMT = 2.97 g; P < 0.05). PgF2alpha exerted a significant contractile effect on vessels at 1 micromol/L and 10 micromol/L concentrations when compared with controls (n = 5; P < 0.05). There was a nonsignificant trend towards an enhanced tone response in vessels from obese women (MMT = 3.02 g; n = 5), in comparison to vessels from women of a normal BMI (MMT = 2.358 g; n = 5; P > 0.05). Conclusion: These findings support the hypothesis that endogenous regulation of umbilical artery tone is altered in association with maternal obesity. This may be linked to the cardiovascular effects of secretory products of adipose tissue, with implications for the feto-maternal circulation

How Do You Love?: Conversations About Love and Lust in Morocco, Sweden, and the United States

Unlike other curriculums, sex education is widely varied in the methods of teaching, what age an individual receives this education, and what specifically is taught. This problem is universal, as often times, too many sensitivities concerning the effect it will have on a student’s character influence the outcome of sex education. Because of this, students and adults go through life with an inadequate understanding of their own sexual health. Ignorance about sexual health leads to unwanted pregnancies and the spread of sexually transmitted diseases, as well us an unfortunate confusion about one’s own body and the bodies of others. The curriculum of other subjects has evolved to cater towards better learning strategies and a more engaging strategy of presenting material, but sex education has remained static because of social, religious, and other controversial factors

An exploratory study of priority setting in gynaecology nursing practice

This study explored how nurses in acute and nurse-led gynaecology wards prioritised patient caseloads ranging in diversity and number of patient conditions. Statistics show that since the introduction of medical termination of pregnancy (MTOP) procedures into the National Health Service (NHS) in 1991, the number of women having this procedure is increasing year on year. To date very little is known about the impact this procedure may have had on nursing practice. The focus of this study was to explore the nursing care when this included, and did not include, caring for women having MTOP. The study was conducted in two parts. The first qualitative study employed non-participant observation and semi-structured interviews of nurses in gynaecology and surgical wards at two hospital sites to examine the external context in which nursing decisions were made. This found that nurses in gynaecology focused on emotional or psychosocial aspects more so than surgical nurses who focused on physical aspects of patient care. The second quantitative study involved a cross-sectional survey of nurses from both ward types in two hospitals sites in Scotland. Internal constructs were examined using personality and thinking styles measures. Nurses were assessed on their emotionality, that is, the numbers of times an emotional care aspect was prioritised. This found that nurses who prioritised the emotional aspects of the task tended to be more conscientious and elected preference for a ‘people-centred’ thinking style. The context in which women have TOP is also important since the findings suggest women may benefit from being cared for in nurse-led rather than in acute wards. Knowing how a person thinks about emotional and physical aspects of care also has implications for those involved in education, and career planning.EThOS - Electronic Theses Online ServiceN&M departmental scholarshipGBUnited Kingdo

Velvet Brass

Capen Auditorium Edwards Hall Monday Evening March 31, 1997 8:00p.m