bluuebunny/crossref_metadata_2025 huggingface dataset:
‘Putting Words into Action’ project: using role play in skills training
Authors: Lewis Debbie , O'Boyle-Duggan Marie , Chapman Jim , Dee Philip , Sellner Katharina , Gorman Stevie
Published: May 2014

Research highlights the need to use experienced role-players with skilled facilitation to deliver effective communication skills training (CST) but this is challenging in a large faculty of health. In this pilot project, students from Birmingham City University's School of Acting and role-players from the Learning Disability nursing programme received role-player training (Phase I) before delivering 26 CST sessions to 520 first year BSc nursing students (Phase II), using role-plays based on clinical scenarios in adult, mental health, learning disability and children's nursing. A pre- and post-session survey assessed student confidence, with feedback gathered from role-players, and facilitators. Pre-session confidence levels in students who participated and observed the role-play were similar, and using Wilcoxon and Mann Whitney non-parametric tests, a statistically significant increase in post-session confidence levels was demonstrated across all four fields of nursing. This increase in confidence applied to role-play participating students and observers, although role-playing students gained the largest confidence increase. A Higher Education Academy Collaborative Grant extended the project in 2012/13.
Anxiety and depression in care homes in Malta and Australia: part 2
Authors: Baldacchino Donia R , Bonello Lilian
Published: May 2014

This cross-sectional comparative study, conducted in two phases, assessed the levels of and factors contributing to anxiety and depression in older people in residential homes in Malta and Australia. Part 1 presented the methodology of this cross-sectional study and presented the quantitative findings; this constituted phase 1. Part 2 presents the qualitative findings on the contributing factors to anxiety and depression and discusses the overall findings. Maltese residents were recruited from four church homes in Malta and Australia and two state residences in Malta; there was a high response rate in phase 2 of 89.4% (n=42, mean age 71.9 years). The residents were all mobile Roman Catholics who had lived in the homes for a minimum of 6 months. Data was collected using audiotaped focus groups. The qualitative data generated three contributing factors: physical functional abilities, adaptation to institutionalisation, and personal outlook towards the future. Mobility was found to foster an active life, which appeared to help residents to control their anxiety and depression. Rehabilitation programmes and facilitation of strategies were recommended to strengthen relationships with family members, room mates, health professionals and pets to help residents live meaningfully. Further cross-cultural longitudinal research would identify the role of other influencing variables such as culture, spirituality and caring relationships.
Diabetes: increasing the knowledge base of mental health nurses
Authors: Hemingway Steve , Trotter Fiona , Stephenson John , Holdich Phillip
Published: May 2014

Physical health assessment for people with a serious mental illness (SMI) has been a neglected issue, with all the evidence showing that mental health nurses (MHNs) and associated practitioners need to develop such skills. The University of Huddersfield and South West Yorkshire Partnership Foundation Trust collaborated in a Physical Skills Project with the aim of facilitating knowledge and skills for MHNs. The development of the education and training workshop is presented. The results of a pre- and post-test evaluation of diabetes, evaluation of the workshop and, finally, implications for practice with regard to transferable knowledge and skill, are discussed.
Preoperative antiseptic skin preparations and reducing SSI
Authors: Maqbali Mohammed Abdullah Al
Published: May 2014

Surgical site infection (SSI) can affect the quality of care and increase the morbidity and mortality rate in after-surgical procedure. The use of an antiseptic skin preparation agent before the procedure can reduce the pathogens in the skin surface around the incision. Indicating the type of skin antiseptic preparation could prevent the infection and contamination of the wound. The most commonly used types of skin preparations are chlorhexidine and povidone iodine. However, the antiseptic solutions of both agents are strengthened with alcohol to prevent postoperative wound infection. The aim of this paper is to identify the best antiseptic agent in terms of skin preparation by evaluating the evidence in the literature. The factors associated with choosing the antiseptic skin agent, such as patients' allergies, skin condition and environmental risk, are also taken into account. This review suggests that cholorhexdine with alcohol may be the most effective in terms of reducing SSI.
Assessing and managing patients with cauda equina syndrome
Authors: Kavanagh Maxine , Walker Jennie
Published: May 2014

Cauda equina syndrome is a surgical emergency that requires prompt assessment and swift surgical intervention. Compression of the cauda equina can result in loss of power and sensation to the lower limbs, back pain and loss of bladder and bowel function. Research regarding timing of surgery and surgical outcome continues to be debated. Nurses have an important role in recognising symptoms of cauda equina syndrome and supporting the patient and effectively managing care based on individual healthcare needs.
Mental health services must improve care provision
Authors: Tingle John
Published: May 2014

John Tingle discusses the Care Quality Commission's Mental Health Act Annual Report
The current state of abortion law and practice in Northern Ireland
Authors: Daniels Pauline , Campbell Patricia , Clinton Alison
Published: May 2014

This paper reviews current abortion law and practice in Northern Ireland (NI). It explores the origins of NI’s abortion law and its complexity in relation to current practice. It reviews issues relating to women seeking terminations in NI and Great Britain and reviews attempts by the Family Planning Association in NI to require the Department of Health, Social Services and Public Safety NI to clarify the current legal basis for termination of pregnancy and to provide guidance for health professionals engaged in this practice. The paper also discusses some of the issues surrounding abortion in NI and seeks to explain why this subject is causing controversy and debate, especially following a judicial review in February and Marie Stopes opening a termination service in Belfast.
Exploring the experiences of nurses studying professional doctorates
Authors: Baldwin Sharin
Published: May 2014

Recently there has been a rapid increase in the number of professional doctorates being undertaken in the UK. Nursing doctorates in particular are relatively new to the UK and therefore little is known about nurses' experiences of them, especially from a qualitative perspective. The aim of this study was to explore the experiences of nurses studying professional doctorates in health care, and in particular to determine what factors influence nurses in undertaking the programme, and to identify any challenges they encounter. Data were collected through semi-structured interviews and a purposeful sample of five was selected from a total of 24. Data were analysed using a grounded theory method. The desire to enhance professional and personal identity was the core influential factor, while challenges included the balance between family, social, work and academic responsibilities. Nurses created a system through the use of a range of coping mechanisms to overcome these challenges. Findings from this study could be informative for prospective students, academic staff and practitioners involved with doctorate students. This study could also be used as a preliminary analysis to form the basis for theoretical sampling in a larger scale study.
Hepatitis C therapy at home: a hospital and home care partnership
Authors: Jack Kate , Barnett Jenn , Holiday Amanda , Heard Greeba , Thomson Brian
Published: May 2014

Hepatitis C virus (HCV) is a significant public health threat in the UK, and is both underdiagnosed and undertreated. The treatment episode takes between 12 and 48 weeks. In the UK, HCV management is undertaken in secondary and tertiary centres. This does not meet the needs of all patients; they may have to travel long distances, incur travel costs, wait a long time to be seen and negotiate time off work while not divulging their illness. Providing care at home can increase patients’ access to and acceptability of treatment, especially in areas remote from specialist centres. This paper describes the feasibility, safety and efficacy of treating HCV infected patients at home by a partnership between secondary care and an clinical home care company. The home care model had a significantly higher attendance rate than the clinic model. It allowed the trust to improve care at no extra cost. This model can optimise specialist nurses’ time, allowing them to focus on patients with more complex needs.
Motivational interviewing-based interventions and diabetes mellitus
Authors: Mulimba Ashlee A Clifford , Byron-Daniel James
Published: May 2014

This review assesses whether motivational interviewing (MI)-based interventions are effective at improving health behaviours in adults with diabetes. Electronic databases were searched for articles that investigated the use of MI and diabetes self-management between 1966 and March 2010. In total, 464 titles were found; after duplicates were removed, 112 studies remained. Of these, 24 abstracts were identified as potentially relevant. No studies were excluded on the basis of their methodology. By use of a data extraction sheet, eight studies were identified as relevant once full articles were examined. Positive results in health-behaviour improvement were reported in four studies. These were: reduced smoking, improved blood glucose, improved diet and weight management. Studies varied in quality; four were methodologically weak owing to small sample sizes, lack of clarity of scoring measurement tools and/or limited use of valid measurements, and reported inclusion/exclusion criteria. In conclusion, MI cannot be recommended as an evidenced-based approach to diabetes self-management.
The Francis report: one year on
Authors: Tingle John
Published: May 2014

John Tingle discusses a recent research report by The Nuffield Trust into how hospital trusts have responded to the Francis Inquiry Report, which investigated the very serious care failings at Mid Staffordshire NHS Foundation Trust between 2005 and 2009
Depression among nursing students in an Indian government college
Authors: Chatterjee Supantha , Saha Indranil , Mukhopadhyay Sujishnu , Misra Raghunath , Chakraborty Amitava , Bhattacharya Abantika
Published: May 2014

Background

Depression is a major public health threat that can affect anyone including health professionals and nursing students.

Objectives and Methods

This analytical, cross-sectional study was conducted among 180 students of a nursing college to find out the burden of depression on them and possible contributing factors using the Beck Depression Inventory.

Results

63.9% of the students were found to be depressed, the majority being mild in grade. First-year students were found to be significantly more affected (P=0.008). Binary logistic regression showed that familial disharmony, disinterest in the course and insecurity about future placement were statistically significant factors behind the development of depression.

Conclusion

It is imperative that the psychological condition of nursing students be viewed as an important aspect to be considered, particularly within the Indian population and others in which there is a paucity of data.
Five by five: the joys of placements
Authors: Freshwater Ed
Published: May 2014

Ed Freshwater is in his second year of nurse training and shares more of his experiences of life as a student nurse. This time, he covers a few highs and lows of being a student mental health nurse on placement
Patient journeys: diagnosis and treatment of pernicious anaemia
Authors: Hooper Martyn , Hudson Peter , Porter Fiona , McCaddon Andrew
Published: May 2014

Background: Instigating a patient support group for patients with pernicious anaemia (PA) revealed dissatisfaction with its current diagnosis and treatment. The authors investigated the clinical features, patient experience of diagnosis and treatment of PA in the UK. Methods: A total of 889 patients registered with the PA Society support group completed an online survey or postal questionnaire. Outcome measures included clinical features, length of time to diagnosis and patient satisfaction with current treatment Results: One-third of patients experienced symptoms for up to 1 year before diagnosis; 14% waited more than 10 years for a diagnosis. Neurological features were highly prevalent, the most common being memory loss and poor concentration. Nearly two-thirds of respondents were dissatisfied with current treatment; 10% used a non-licensed form of B12 to supplement their prescribed injections. Conclusion: The diagnosis and treatment of PA should be subject to a thorough review. This article discusses the patient survey and results and makes recommendations for how the diagnosis and treatment of PA may be evaluated.
Putting the patient's interests first in the NHS
Authors: Tingle John
Published: May 2014

John Tingle discusses the Health Foundation's two recent publications, which provide important perspectives on putting patient interests first in the NHS.
World Health Day: the growing threat of vector-borne disease
Authors: Glasper Alan
Published: May 2014

Professor Alan Glasper discusses the role of the World Health Organization (WHO) in preventing global ill health and, in particular, World Health Day on 7 April 2014, in which WHO highlighted the serious and increasing threat of vector-borne diseases, with the slogan ‘Small bite, big threat’
Acute pain services following surgery for colorectal cancer
Authors: Higgs Simon , Henry Richard , Glackin Marie
Published: May 2014

This paper evaluates the pain management provided to patients following surgery for colorectal cancer. These patients were part of an enhanced recovery after surgery (ERAS) programme, which among other goals, aims to reduce length of hospital stay. The aim of the service evaluation was to investigate the success of the pain service in meeting the needs of the patients in relation to provision of analgesia for their postoperative recovery, ensuring that the ERAS programme wasn't compromising patient satisfaction. Findings demonstrate high levels of satisfaction with pain management and the approach of staff. The study also reinforces findings that there is a paradoxical link between pain intensity and patient satisfaction. However, despite advances in care, treatments and services, patients continue to experience high levels of pain after surgery and recommendations are made on how pain management services provided to patients after surgery might be enhanced.
Pressure ulcers in long-term care: a point prevalence study in Jordan
Authors: Aljezawi Ma'en , Qadire Mohammad Al , Tubaishat Ahmad
Published: May 2014

Background: Pressure ulcers (PUs) are a common problem in the elderly long-term care population. Aim: To explore the prevalence of PUs in Jordanian long-term care settings. Design: A cross-sectional survey. Method: Data in this study were collected with the European Pressure Ulcers Advisory Panel (EPUAP) minimum data set. The skin of residents was directly examined. Risk of PUs was assessed with the Braden scale. Information about prevention was obtained from staff and resident files. Setting and sample: The largest elderly long-term care facility in Jordan (124 residents) was surveyed. Six residents did not match the inclusion criteria, and 118 were actually examined. Results: Participants in this study were considerably younger when compared with similar studies (median age 65 years, mean 65.14, standard deviation 11.48). The general prevalence of PUs was 16.9%. The most common place for PUs was on the buttocks (42.9%). The most reported grades were 1 and 2, each of which had 40% prevalence. Of those patients at risk, 27.6% received adequate prevention for PUs. Conclusion: Given that the residents in this study sample were quite young, prevalence of PUs was relatively high compared with similar studies that used the same methodology. Bearing in mind that most elderly patients in Jordan are looked after at home, on account of Jordanian cultural attitudes toward elderly people, it can be hypothesised that institutionalised elderly people are either very ill or do not receive the care they need at home. The greater frailty of the Jordanian patients in this study, evident in their higher PU risk scores and comorbidities, supports this hypothesis.
The Elders Dance Project: a study of a culturally sensitive initiative
Authors: Hui Ada , Stickley Theodore
Published: May 2014

This article presents an evaluation of a culturally-appropriate dance project for older people, held in four care settings in urban districts of Nottingham. A triangulation of methods was used in combining observations, reflections and interviews to gather data. The evaluation sought to identify the benefits of the dance project on participants, living in what are often perceived to be isolated, fragmented communities. The findings indicate that there are both personal and social benefits for those participating. Significantly, a dance group brings enjoyment to all those involved.
Count your blessings: expressing gratitude can influence wellbeing
Authors: Carson Jerome
Published: May 2014

Common sense might indicate that being grateful for your lot is good for your mental health. But, as Jerome Carson explains, mounting empirical evidence shows that the link between gratitude and wellbeing offers a fruitful avenue for researchers and practitioners to explore
Assessing the impact of mental health on self-management of physical conditions
Authors: Phillips Anne , Wright Jerome
Published: May 2014

It is well documented that there is a high prevalence of psychological ill-health in people with chronic conditions, and screening people annually for depression has become a facet of the Quality and Outcomes Framework (QOF) (NHS Employers, 2010). Many groups of people with long term conditions can be at increased risk of depression, although the evidence is strongest for people with diabetes and chronic heart disease (Cohen, 2006). This article explores the interactions between physical and psychological factors and how practitioners can more adequately identify both depression and psychological distress in people with chronic illnesses.
Fresh attention to veterans’ welfare
Authors: Fossey Matt
Published: May 2014

Matt Fossey traces the development of our understanding about the mental pressures on our armed forces and outlines the support services currently available to veterans
The wrong shirt
Authors: Gillam Tony
Published: May 2014

Tony Gillam discusses his work on the training DVD set, Family Work in Early Psychosis
Exploring the ABC Programme: the role of the School Nurse
Authors: Vaughan Jo , Cook David , Duffy Jayne
Published: May 2014

Airedale Back care for Children Programme (ABC) has been designed by physiotherapists to help children at school prevent back problems. School Nurses can be key players in educating school children on the subject of back care by embracing their health improvement role.
What factors influence children’s activity?
Authors: Parrish Anne-Maree , Russell Ken , Yeatman Heather , Iverson Don
Published: May 2014

The school environment has an essential role in encouraging children to exercise. This study explores variables which may contribute to increased activity levels on the playground.
Self-harm in young people: A public health issue
Authors: Hackney Stephen
Published: May 2014

Self-harm has been identified as a serious health risk in children and young people. Stephen Hackney discusses its importance in a public health context and explains why school nurses have an important contribution to make to supporting affected children.
Understanding sun exposure in adolescent girls in the UK
Authors: Curtis Bethany , Pollock Kristian
Published: May 2014

Adolescents are particularly susceptible to the effects of too much sun exposure. Encouraging healthy sun behaviour in this age group is difficult and requires an understanding of the factors influencing adolescent’s ‘sun behaviour’. With a paucity of UK-based studies more research is required to achieve this. The aim of this qualitative study was to explore these influences in 12–15-year-old girls, in order to inform health promotion work carried out by school nurses.
Effective sex education in primary schools: A study
Authors: Piercy Hilary , Hayter Mark
Published: May 2014

Sex education is a highly emotive topic that generates strong social debate making this a very challenging area of health practice. This is particularly true with the education of primary school children. This study presents findings from a qualitative study which explored the experiences of school nurses involved in teaching of sex and relationships education in the primary school setting. The findings identify sources of tension in this area of practice and the strategies employed by the nurses to manage those tensions while operating within the context of existing organizational constraints. This provides the basis for consideration of what constitutes good practice.
Living with undiagnosed dysgraphia
Authors: Ross Stephanie
Published: May 2014

Stephanie Ross, who has been diagnosed with dysgraphia in her early 20s, explains how an undiagnosed learning difficulty can severely affect academic performance and self-esteem.
Smoking, part 1: Introduction to its biology and effects
Authors: Croghan Emma
Published: May 2014

School nurses can play a vital role in preventing children and young people from starting to smoke and in helping those who already are to quit. In this first article in a series on smoking, Emma Croghan provides a brief overview of some of the effects of smoking.
Relaxation: Teaching students to cope with stress and anxiety
Authors: Lamb Suzanne
Published: May 2014

This is an example of a fairly simple stress-release session that has proved very successful (especially prior to exams, going to a new school or to help GCSE panics) and can be done with groups of any size and any age-range (just mention relevant topics as you go through the techniques). The relaxation suggested is to give the pupils something simple and practical to use and is not intended to be a full detailed massage/relaxation. If you are new to relaxation there are lots of ideas online
Helping pupils recognize bullying and speak out
Authors: Lamb Suzanne
Published: May 2014

‘In 2003/04 more than 31,000 children and young people called ChildLine about bullying, making it the most common problem they were contacted about. A survey commissioned by ChildLine in 2003 found that half of primary school children and more than one in four secondary school students said they had been bullied during the term.’ (NSPCC, 2007)
The concept of public health
Authors: Wright Jane
Published: May 2014

The issues that affect the health of populations, groups and individuals have dramatically changed over time. Illnesses arising out of environmental conditions and poorly understood disease processes have, to some extent, been replaced with problems associated with behavioural choices and current lifestyles (Kerr et al). Coronary heart disease, stroke and chronic obstructive pulmonary disease are included in the top four causes of death identified by the WHO (2010a) across the world. All of these are to some extent related to the changing patterns of behaviour of individuals and populations.
Reviews
Authors: Norman Amanda
Published: May 2014

Reach for the stars is a child friendly book enabling the reader to have a basic understanding of what it is like to receive growth hormone treatment from the perspective of both the child and parents. The book includes five short stories written by children who are currently undergoing growth hormone therapy. There is discussion in relation to the anxieties children may experience prior to treatment and how these anxieties become reduced during time. The parent’s perspective within each short story is also given.
Cystic Fibrosis: Issues from a school nursing perspective
Authors: Griffiths Kairen
Published: May 2014

Cystic fibrosis (CF) is the UK’s most common life-shortening recessive disorder. Kairen Griffiths discusses the management and treatment of CF and highlights issues that school nurses may encounter should they have a pupil with CF in their care.
A history of contraception
Authors: Wright Jane
Published: May 2014

The story of contraception is inevitably tied up with cultural and social history, in particular, the changing role and status of women and the family. The control of fertility is linked to religious, political, moral and epidemiological factors which have shaped the use of contraceptives over the centuries.
Smoking part 2: Preventing uptake among young people
Authors: Matthes Edwards Sarah
Published: May 2014

Currently, a total of 6% of 11–15-year-olds regularly smoke, showing a substantial decrease on 1997 when prevalence stood at 13%.

There is still much to do to bring the level further down and it is important that comprehensive approaches to tobacco control are not disinvested in as this could result in the smoking rates going up again.

This article will briefly reflect on the importance of prevention, examine the evidence base for prevention in young people, and recommend different interventions, which may have an impact.
Differentiating viral infections of the skin-Part 1: warts
Authors: Watkins Jean
Published: May 2014

In this article, part of a series on dermatology, Jean Watkins offers practical information on common viral skin infections, including an overview of presentation, complications and management.
Responding to the needs of children with HIV and learning difficulties in school
Authors: Rowson Katie
Published: May 2014

School nurses can play an important role in ensuring that the holistic needs of children and young people with HIV are met. This article, the second in a series of articles on HIV in children and young people, looks at the impact of HIV on cognitive impairment and provides an overview of the needs of children with HIV and learning difficulties in school.
Peer victimisation: Strategies to decrease bullying in schools
Authors: Perron Tracy
Published: May 2014

In recent years, school nurses have become increasingly aware of the adverse effects of bullying in the primary and secondary school setting. Victims of bullying exhibit a wide range of both physical and psychological symptoms and report significantly more unexplained psychosomatic symptoms than those who are not bullied. It has been suggested that children who perceive a school climate as negative report a higher incidence of bullying than children in those schools with a positive school climate. Therefore, nurses in schools with a negative school climate may be significantly more likely to encounter students with unexplained psychosomatic symptoms than nurses in schools with a positive school climate. School nurses are in a unique position to help identify the victims and perpetrators. School nurses can play a major role in identifying, counseling and protecting the victims of bullying.
Identifying cases of fabricated, exaggerated or induced illness
Authors: Cabral Rachel
Published: May 2014

School nurses can play an important role to enable effective communication between professional bodies in cases of suspected fabricated, exaggerated or induced illness (FII) in children and young people. This once rare phenomenon is becoming increasingly apparent within the community setting and presents unique challenges within the safeguarding arena. This article aims to provide an overview of FII.
The pride and the passion: Using poetic re-presentations to reflect upon school nursing practice
Authors: Sherwin Sarah , Cross Vinette , Holyoake Dean-David
Published: May 2014

School nurses face a number of challenges in everyday practice. To sustain their own wellbeing and commitment, it is essential that they acquire insight into how they can respond to and learn from them. The aim of this article is to offer school nurses an innovative way of reflecting on and analysing their practice.
Ensuring children with Down's syndrome reach their full potential
Authors: Mills Stuart , Black Lesley
Published: May 2014

Stuart Mills and Lesley Black look at the health needs of children and young people with Down's syndrome and how school nurses can provide vital support to ensure they reach their full potential.
The impact of allergic rhinitis on school examinations
Authors: Lepkowska Dorothy
Published: May 2014

Dorothy Lepkowska looks at how symptoms of hay fever can have a negative impact on school examination results, as well as measures which schools can take to help children and young people with allergic rhinitis.
Taking occupational therapy into the workplace
Authors: Pratt Joanne
Published: May 2014

Engagement in work activities, tasks and roles is often the major element in human endeavours throughout the lifespan. Changes in the potential provision of health-care services, the benefits system, the nature of work in Britain in the 1900s and beyond, and employer attitudes to the effects of work on health would appear to offer occupational therapists a number of opportunities to develop and contract their services directly to and within industry.
Occupational stress: an interactional perspective
Authors: Armstrong Joe , McKay Margaret
Published: May 2014

Industry is currently under great pressure, having undergone many cultural changes. Staff redundancies have been a frightening reality and staff who are still in employment suffer from the ‘survivor syndrome’ where they find themselves taking on more and more responsibility and have involvement in stripping out layers of management. The result is significant job-related anxiety and concern over future career prospects. This article looks at some of the management strategies used to treat occupational stress.
Rehabilitation in a neuroscience centre: the role of expert assessment and selection
Authors: Johnson Jane , Thompson Alan J
Published: May 2014

In the light of current NHS strategy, assessment of needs, particularly among those with significant disability, has become highly topical. This article outlines the complexity and skill required for assessing and managing neurologically-related disability. The multifaceted nature of assessment in rehabilitation is indicated, along with an example of such an assessment service developed in practice. The benefits of an assessment strategy in neurorehabilitation is emphasized in terms of resources, patient outcomes and staff development.
Are primary health-care occupational therapists specialists or generalists?
Authors: Crawford-White Jane
Published: May 2014

The role of primary care occupational therapy needs to be clearly defined and distinguished from other community positions. Primary care occupational therapists can be described as generalists because of their varied caseload but the role does require a high level of expertise. There is potential for growth of occupational therapy in primary care that could lead to the development of referral pathways between specialists and generalists.
Case studies: Primary care occupational therapy: Paula and Jack
Authors: Gaynord Bridget
Published: May 2014

Primary care occupational therapy is creating a lot of interest, but what exactly is it? The following case reports outline the clinical aspects of three cases in order to illustrate this new service. The benefit to the patients and the interface of primary care occupational therapy with existing services are explored through the clinical discussions.
Effects and benefits of clinical audit within a multidisciplinary team
Authors: Carson Maureen , Fairhead Ros , Rush Joy , Wood Judith
Published: May 2014

Clinical audit is fundamentally used as a process to improve patient care but its benefits extend beyond this. The process of clinical audit within a multidisciplinary team facilitates collaborative team practice, enhancing understanding of roles and appropriate use of expertise.
The hidden benefit of group education for people with arthritis
Authors: Barlow Julie H , Cullen Lesley A , Davis Sonia , Williams Bethan
Published: May 2014

Group education in health-care settings is becoming more widely utilized in the UK. Although little is known about the process of participation, there is increasing evidence that simply being with and sharing experiences with others provides benefits for patients.
Carer health after stroke: the influence of stroke unit treatment
Authors: Miller NB , Drummond AER , Juby LC
Published: May 2014

Carers of stroke victims can experience considerable strain. The treatment of stroke patients in specialist stroke units can have a beneficial effect on recovery. This study looks at whether these benefits were reflected in the health of their principal co-resident carers.
Occupational therapists' assessment practices with children who have disabilities
Authors: Hong Chia Swee
Published: May 2014

The principal aim of this study was to identify the current assessment methods and approaches used by paediatric occupational therapists. A questionnaire was used. Most occupational therapists use a variety of assessment methods in order to meet the individual need of each child. Issues pertaining to the use of standardized and non-standardized assessments are discussed.
Aiming to ensure quality in a palliative care setting
Authors: Richardson Heather
Published: May 2014

The NHS of the 1990s makes significant demands on its providers to measure and ensure the quality of the care provided to users of the service. This article describes an approach to this challenge, highlighting the value of a dedicated organizational structure and strategy, and the vital relationship between manager and clinician, to achieve this aim.
The use of level access showers 12 months after installation
Authors: Adams Jo , Grisbrooke Jani
Published: May 2014

Occupational therapists recommend level access showers for individuals with physical impairments to ease bathing difficulties. These adaptations are costly, but there is little research to indicate effectiveness in addressing the individual's long-term needs. This article reports on a retrospective research study investigating the usage and benefits of level access showers for tenants with disabilities a year after installation.
Management of CFS: development and evaluation of a service
Authors: Cox Diane L
Published: May 2014

The Joint Report of the Royal Colleges (Royal Colleges of Physicians, Psychiatrists and General Practitioners, 1996) on chronic fatigue syndrome called for more multidisciplinary teams to diagnose, treat and manage the disorder throughout the country. This article outlines the clinical features of the condition, and the development and evaluation of one such multidisciplinary approach to daily management. The different types of service offered will be outlined and the actual treatment approach illustrated with case vignettes.
Intercultural OT: learning, reflection and transformation
Authors: Whiteford Gail E
Published: May 2014

This article presents some of the findings of a phenomenologically oriented qualitative study undertaken with occupational therapy students in Auckland, New Zealand. The 17 student participants were drawn from a first year cohort at the beginning of their 3-year degree programme. Students underwent a cycle of qualitative interviews during their education with the aim of elucidating their experiences in working with people from different cultural backgrounds and understanding the processes by which they developed intercultural skills and competence. Following a phenomenological reduction of the narrative data, several important themes emerged alongside discrete clinical and educational ‘stories’. Besides issues regarding clinical preparation, clinical modelling and curriculum integration, the phenomenon of perceived selftransformation through learning to work interculturally was highlighted by participants. The process of self-reflection and self-transformation resulting from intercultural learning is the focus of this article.
Carers' perceptions of rehabilitation in a stroke unit
Authors: Chesson Rosemary , Massie Susan , Reid Alison
Published: May 2014

Carers are important in motivating stroke patients and may need advice on caring for the patient on discharge. Despite this, little is known about the carer's perspective of rehabilitation provided in a stroke unit. This study looked at carers' opinions of aspects of care and treatment, and highlighted the significance of therapy and carer contact with therapists. Carer involvement could be extended.
BJTR and interdisciplinary practice: moving forward
Authors: Lloyd Nicola
Published: May 2014

The terms ‘team’ ‘multidisciplinary team’ and ‘interdisciplinary team’ are sometimes used interchangeably and almost always differently by different persons and disciplines (Temkin-Greener, 1983). Petrie (1976) suggested that multidisciplinary teams may be thought of as requiring everyone to do his/her own thing with little or no awareness of other disciplines' work. These parallel efforts may be moulded at the end of the process, however, by a team leader or manager (Mandy, 1996).
Occupational therapy in the treatment of addictive behaviours
Authors: Buijsse Nicole , Caan Woody , Fowler Davis Sally
Published: May 2014

This article focuses on the application of occupational therapy in the treatment of people with addictive behaviours. Furthermore it looks at how using a framework for service organization promoted the effective integration of occupational therapy into the multidisciplinary treatment provision. This is illustrated with a specimen group programme and two case studies.
The OT in the forensic psychiatric setting
Authors: Forward Melody Jane , Trevan-Hawke Judith , Lloyd Chris
Published: May 2014

Forensic psychiatry is a specialty area of practice that is continuing to develop. There are growing opportunities for occupational therapists to further their role in this area. This article examines the roles and functions of occupational therapy within forensic psychiatry and identifies the areas for professional growth.
Views of service changes in UK brain injury rehabilitation
Authors: Davies Carol , Hawley Carol , Stilwell John , Stilwell Pippa
Published: May 2014

This paper describes professional views of service changes during a major 5-year study of increased rehabilitation outreach services for adult traumatic brain injury in twelve UK centres between 1992 and 1996. Common themes emerging from rehabilitation professionals' views of the driving and braking forces affecting implementation are reported.
Care of the ventilator dependent spinal cord-injured patient
Authors: Coggrave Maureen
Published: May 2014

Increasing survival of patients with high-level spinal cord injuries has increased the number of individuals needing mechanical ventilation during rehabilitation. A multidisciplinary study session has been developed and implemented at the National Spinal Injuries Centre to help spinal unit staff deal with these patients. Its educational effectiveness and impact on practice are discussed here.
Stakeholder perspectives on CPD
Authors: Pringle Eve , Moore Ann
Published: May 2014

This article describes the findings from the Kent and Sussex education consortia project for post-registration education of professions allied to medicine and clinical psychology. Adopting a stakeholder approach, it explores the different perspectives of key stakeholders and makes recommendations which inform the development of a continuous professional development framework.
Post-stroke depression
Authors: Gall Angela
Published: May 2014

Depression following stroke is common. Although it is highlighted as an issue in stroke guidelines, guidance on diagnosis or management is not given. This paper presents the original research from a literature review of Medline and the Cochrane Database on stroke and depression and discusses some of the clinical implications of the findings.
Clinical reasoning in novices: refining a research question
Authors: James Gill
Published: May 2014

This article describes an exploratory study into clinical reasoning (specifically in physiotherapy), which aimed to refine a research problem and develop a suitable methodology for further work. The study identified diagnosis as the phase which should be investigated further and highlighted the difficulties of carrying out research on clinical reasoning in the clinical context.
Defining expertise in cardiorespiratory physiotherapy
Authors: Roskell Carolyn , Cross Vinette
Published: May 2014

This study attempted to define expertise in cardiorespiratory physiotherapy to inform future development of the speciality. A Delphi technique was used to elicit clinicians' perceptions of expert cardiorespiratory practice. There was good consensus within and between groups on category selection, which provided a framework for exploration of tacit skills under categories supplied by respondents.
Multidisciplinary rehabilitation teams: the nurse's role
Authors: Kneafsey Rosie , Long Andrew F
Published: May 2014

Effective team working is essential to the delivery of consistent and goal-directed rehabilitation. Within the rehabilitation team, the nurse has a key role to play. This paper reports on a study which gained insight into the nursing contribution to rehabilitation.
Reliability of the experimental version of the Movement ABC
Authors: Chow Susanna MK , Chan Lai-Lok , Chan Casie PS , Lau Celia HY
Published: May 2014

The Movement Assessment Battery for Children has been revised for adolescents aged 11–15 years. The aim of this study is to examine the inter-rater and test-retest reliability of the amended component of the test on 31 teenagers. Most items of the revised instrument were relatively reliable even for inexperienced testers. Modifications on items that can improve the test's stability are suggested.
Perceived benefits of inhaled therapies in cystic fibrosis
Authors: McAlister Oonagh , Bradley Judy M , Elborn J Stuart
Published: May 2014

A questionnaire on inhalers was sent to all patients at the Northern Ireland Regional Adult Cystic Fibrosis Centre. The results showed widespread use of inhalers. Most patients perceived symptomatic benefit from inhalers, but 50% did not use them according to an agreed protocol. Education on the correct use of their inhalers is important to optimize patient benefit.
Self-directed learning in fieldwork education with learning contracts
Authors: Tsang Hector WH , Paterson Margo , Packer Tanya L
Published: May 2014

This article discusses the relevance of self-directed learning in fieldwork education in Hong Kong. A workshop for fieldwork educators aimed at facilitating self-directed learning of occupational therapy students through the use of learning contracts is reported. The pros and cons of using self-directed learning in Hong Kong are discussed in the light of the cultural context.
Maths madness!
Authors: Cruickshank Sarah
Published: May 2014

Sarah Cruickshank suggests some fun activities for developing numeric and geometric awareness.
Call to action
Authors: Pritchard Tricia
Published: May 2014

Tricia Pritchard, senior professional officer (childcare) at Voice: the union for education professionals, calls on childcare professionals and parents to actively show support for nanny registration.
National Handwriting Day
Authors: Garner Lynne
Published: May 2014

A few tips and ideas for celebrating this literary day, held on 23 January, with the older children in your setting.
Paper dolls’ houses
Authors: Hodgman Liz
Published: May 2014

This activity is an ideal way for children to learn about their own home environment and that of others.
A royal treat to try
Authors: Hammond Paula , Lillie Stephen
Published: May 2014

Try making this savoury sandwich filling with the children in your setting.
Celebrating differences around the world
Authors: Hodgman Liz
Published: May 2014

How scrapbooks can be used as a basis for learning about different countries and cultures.
A community spirit
Authors: Hodgman Liz
Published: May 2014

Encouraging children to develop an understanding and acceptance of the community they live in.
Having fun with messy play!
Authors: Barber Jenny
Published: May 2014

Why creative experiences that allow children to explore and investigate are so important and how they can be supported by effective messy play experiences.
Whatever the weather
Authors: Hampshire Viv
Published: May 2014

A selection of useful picture books to help children understand and make the most of our ever-changing weather.
The shopping list
Authors: Harries Judith
Published: May 2014

A story and activities related to shopping
Chatterbox!
Authors: Jones Michael
Published: May 2014

Chatterboxes are covered shoeboxes containing toys, objects and books based on a theme that reflects children's interests. Planning and collecting the contents with the children and parents stimulates language and makes links with home.
In the kitchen: measuring volume and weight
Authors: Elkin Susan
Published: May 2014

A range of activities designed to introduce early maths skills.
Wiggley worms
Authors: Stone Tunja
Published: May 2014

Creating and nurturing a worm colony increases children’s knowledge and understanding of the world around them and can be used to teach respect of living creatures and the environment.
Fashion designers
Authors: Hodgman Liz
Published: May 2014

Encourage children to be as imaginative as possible as they create their own, unique look.
Learning to talk the talk!
Authors: Fletcher Andrew
Published: May 2014

Andrew Fletcher introduces a project set up to support and develop speech and communication skills.
Notifiable diseases
Authors: Stone Tunja
Published: May 2014

Tunja Stone explains what these illnesses are and how some of the more common ones should be treated.
The joy of jigsaws
Authors: Mitchell Tim
Published: May 2014

Is this traditional pastime still relevant as an educational tool? Tim Mitchell looks at what puzzles have to offer today’s childcarer.
Pushy parents: Problems, tips and techniques
Authors: Stone Tunja
Published: May 2014

Most parents are interested in their child’s progress, but what do you do when parents have unrealistic expectations of their child’s development? Tunja Stone discusses how you can encourage parents to take a more supportive role.
Walking the walk...
Authors: White Stephie
Published: May 2014

I love these crisp, bright days when the daffodils are out and the smell of spring is in the air!
Art attack!
Authors: Dawson Susanna
Published: May 2014

Each month a childminder suggests a well-tried, rewarding activity requiring little advanced planning.
Texture tray
Authors: Hodgman Liz
Published: May 2014

Introducing a range of materials for children to explore is a great way of encouraging sensory development.
Painted pebbles, and so on
Authors: Harries Judith
Published: May 2014

A story looking at what’s good to paint... and what isn’t, followed by some activities which allow children to explore a range of materials.
Clever cheesecake
Authors: Hammond Paula , Lillie Stephen
Published: May 2014

A naughty but nice treat for special occasions.
Who is worth more?
Authors: Pritchard Tricia
Published: May 2014

Tricia Pritchard puts salaries under the spotlight and asks: should a footballer be paid more than a childcarer?
How to be ‘outstanding’
Authors: Marraffa Hudson Maria
Published: May 2014

Maria Marraffa Hudson offers some tips on getting that elusive top rating in your next inspection.
Dealing with fall-out
Authors: Mill Sarah
Published: May 2014

Can people who have fallen out share a child’s care? Sarah Mill discusses.
Early motor development
Authors: Thornton Stephanie
Published: May 2014

Dr Stephanie Thornton explores what is ‘normal’ and what isn't when it comes to physical development.