Promoting health

By introducing the theories and practices of health promotion, emergency nurses can become strategic practitioners

How to empower patients, and involve the public

Patient empowerment and patient and public involvement are a focus for NHS policy, with an emphasis on patient decision making and representation as core features of a patient-focused NHS. Patient empowerment and patient and public involvement imply a rebalancing of power in the nurse-patient relationship. In reality this is complicated by wider issues of power and control in a complex health service influenced by professional agendas, healthcare leadership, government targets and a developing business culture. Despite these ideological and organisational constraints, there are many ways in which nurses can support aspects of individual patient empowerment and patient and public involvement

Conceptual frameworks and terminology in doctoral nursing research

Aim: To define conceptual frameworks and their inherent dichotomies, and integrate them with concomitant concepts to help early nursing doctoral researchers to develop their understanding of and engage with discourse further, so that nursing can demonstrate its ability to contribute to the meta-theoretical debate of doctoral research alongside other practices and theory-based disciplines. Background: Conceptual frameworks are central to nursing doctoral studies as they map and contextualise the philosophical assumptions of the research in relation to paradigms and ontological, epistemological and methodological foundations. They shape all aspects of the research design and provide a structure for theorising. They can also be a challenge for researchers and are under-discussed in the literature. Review methods: Literature review. Discussion: The key aspects of the conceptual framework debate in terms of objectivist, subjectivist paradigms and the wider paradigm debate, including retroduction and abduction, are reviewed here together with consideration of how these apply to nursing doctoral research. Conclusion: Conceptual frameworks are pivotal to nursing doctoral research as they clarify and integrate philosophical, methodological and pragmatic aspects of doctoral thesis while helping the profession to be seen as a research-based discipline, comfortable with the language of meta-theoretical debate. Implications for research/practice: Conceptual frameworks should form the methodological foundation for all nursing doctoral research

Gestational diabetes

Gestational diabetes mellitus (GDM) is defined as hyperglycaemia that is diagnosed for the first time in the second or third trimester of pregnancy. It occurs in 1 in 7 pregnancies worldwide and is associated with increased risk of adverse perinatal outcome, in particular, infant birth weight that is large for gestational age, increased infant adiposity, preeclampsia and preterm delivery, and increased delivery by caesarean section. This review focuses on the controversy regarding screening and diagnosis of GDM following development of the International Association of Diabetes and Pregnancy Study Groups (IADPSG) guidelines and the National Institute of Clinical Excellence (NICE) 2015 guidelines. It reviews the most recent research in to diet and exercise modification in prevention and management of GDM, pharmacological management and post-partum management to delay and/or prevent progression to type 2 diabetes

Evaluation of visual implant elastomer and alphanumeric internal tags as a method to identify juveniles of the freshwater crayfish, Cherax destructor

Abstract In the last few years there has been an increasing interest in using traditional animal breeding techniques to improve important traits such as growth rate in freshwater crayfish. However, a major impediment to such programs is an inability to reliably identify individuals or family groups for long periods because of the non-retention of external tags through ecdysis. Visual implant Ž . Ž . elastomer VIE and visual alphanumeric VIalpha internal tags have proven useful in identifying finfish and amphibians. We evaluated the suitability of these two internal tags as a method to Ž . identify yabby Cherax destructor juveniles. Both tags proved useful in identifying juveniles Ž between 0.1 and 4.6 g, with the VIE having the higher retention rate of the two tags up to 92%, . as opposed to 79% for the VIalpha tag . Mortality, as a direct consequence of tagging juveniles with the VIE and VIalpha tags was 13% and 11%, respectively. The ability to reliably identify C. destructor juveniles will increase the efficiency of selective breeding programs for this species by allowing individuals and family groups to be pooled in growth experiments, thereby decreasing the impact of confounding environmental effects. q 2001 Elsevier Science B.V. All rights reserved. Jerry et al.r Aquaculture 193 2001 149-154 15

A qualitative study exploring the relationship between nursing and health promotion language, theory and practice

The definitions and meaning qualified nurses employed in an acute NHS hospital setting in the UK gave to health education and health promotion practice and how these fitted established language and theory were investigated qualitatively. These concepts, and the concomitant frameworks and models of practice, have been the subject of considerable debate in the literature. While unresolved both in general and in nursing, a degree of theoretical convergence was established in the 1990s [Bunton, R., Macdonald, G., 1992. Health promotion: disciplines and diversity. Routledge, London; Maben, J.M., Macleod Clark, J. 1995. Health promotion: a concept analysis. Journal of Advanced Nursing 22, 1158–165] helped by The Ottawa Charter [WHO, 1986. Ottawa Charter for Health Promotion. http://www.who.int/hpr/archive/docs/ottawa.html]. For many of the participants in this study however, the meanings given to these concepts and the predominant use of health education were inconsistent with much of the language of the wider debate and this has potential implications for nurse education. For, if the findings are considered transferable then there is a need to develop education strategies and curricula that articulate the ideological foundations of policy and practice and to use mainstream terminology to assist nurses both to understand and contribute to the contemporary health promotion debate