bluuebunny/crossref_metadata_2025_split huggingface dataset:
Receiving group clinical supervision: a phenomenological study
Authors: Taylor Claire 
Published: May 2014

This study examined the process of group supervision as experienced by one team of biofeedback therapists working in the south of England. A phenomenological study was undertaken to examine the team's perceptions of attending group supervision over time. Ten one-to-one in-depth interviews were conducted, six of which were with biofeedback therapists currently receiving supervision, three with nurses who used to receive this supervision and one interview with the supervisor. A four-stage model detailing how supervisees' experiences changed as a consequence of continued group supervision was developed. Study data revealed how this process allowed the biofeedback therapists to examine their clinical interventions and align their approach and perspective alongside other team members. This was a valuable and safe way of learning ‘on the job’ for the newer members of the team. The opportunity for free-thinking and reflection on practice supported clinical decision-making and therapeutic nursing. The more experienced supervisees demonstrated how their continued attendance of the group supervision sessions not only confirmed their expertise in role, but also facilitated their colleagues' development, which enhanced role satisfaction. The data also indicated some of the essential supervisory features of this process.
Student nurses' intention to get the influenza vaccine
Authors: Cornally Nicola , Deasy Elizabeth Ann , McCarthey Geraldine , McAuley Catherine , Moran Joe , Weathers Elizabeth 
Published: May 2014

Introduction: There is no national or international recommendation for nursing students to receive the influenza vaccine. Nurses are among the group of health professionals who traditionally have a low uptake of the vaccine and who arguably have the closest contact with patients. Aim: To investigate the uptake of influenza vaccination among student nurses, explore reasons for either declining or receiving it in the past, and establish if and to what extent the theory of planned behaviour (TPB) can explain vaccination behaviour. Methods: A quantitative, descriptive, correlational design was used. Data were collected with a researcher-developed questionnaire; 131 student nurses participated. Ethical approval was gained. Results: 79% (n=104) had never received the vaccine. The most common reason was ‘I don't need it as I rarely get ill’. Low mean ‘intention’ scores indicated that students were unlikely to get the vaccine once qualified. Past behaviour was significantly associated with future intentions. The TPB explained 41.9% of the variance in intention. Attitude emerged as the greatest predictor. Conclusion: Student nurses do not have strong intentions to get the vaccine. Results serve to guide future educational and occupational health initiatives, which would benefit from a framework based on TPB.
‘Is elderly care affected by nurse attitudes?’ A systematic review
Authors: Hanson Ruth M 
Published: May 2014

Background:The world's population of older people is increasing, The World Health Organization (WHO) (2013a) defines ‘elderly’ as those 65 years and older. Currently there are deficits in good basic care, partially resulting from the negative attitudes of some nursing staff.Method:This systematic review was conducted by searching the CINAHL and MEDLINE databases, which produced 119 results. Three original research papers were extracted, the fourth was obtained from a reference list and the final paper was taken from the internet.Results:Both student and qualified nurses can portray a negative attitude towards older people, thus negatively affecting care. The reasons for these negative attitudes are numerous, although lack of knowledge of the ageing process and gerontology prevail.Conclusion:Further research is required and in-depth interviews to establish why some nurses portray negative attitudes. Strategies need to be implemented to address these issues, so encouraging better care provision.
Management of Menopausal Symptoms for Breast Cancer Patients
Authors: Daniel Bethan , Mitchell Helen , Higham Philip , Timpson Joanne , Foy Sharon 
Published: May 2014

Background: Menopausal symptoms are commonly experienced in women treated for breast cancer. This project aimed to identify the types and prevalence of menopausal symptoms women experience and assess how well such symptoms are managed by means of a clinical audit. The authors also wanted to identify whether patients and health professionals require further education in this area to enhance patients' quality of life. Method: A pilot audit was initially undertaken. Twenty women were recruited from medical and clinical oncology clinics spanning a 2-week period. The main audit was conducted over a 3-week period (19 March 2012 to 6 April 2012). A total of 215 patients were surveyed from 11 consultant-led and 1 nurse-led clinic per week. A menopause rating scale (MRS) developed by Heinemann et al (2003) was used to assess the types and severity of symptoms. Results: Findings from the main audit provided preliminary evidence that certain breast cancer treatments can cause either the early onset of menopausal symptoms in pre-menopausal women or the return or aggravation of menopausal symptoms in peri-menopausal or post-menopausal women. This indicated that, for many women, symptoms are inadequately managed and supported. Discussion: A more detailed exploratory study of the management of menopausal symptoms is needed. Health professionals should consider discussing such symptoms when patients start treatment and assess these symptoms at follow-up appointments to identify potential interventions.
Medical honey and its role in paediatric patients
Authors: Weissenstein Anne , Luchter Elisabeth , Bittmann Stefan 
Published: May 2014

Background: The use of complementary medical treatment in wound management has continued to grow throughout the world. There is a large body of evidence that supports the use of honey as a wound dressing for a wide range of wound types. The authors present an update of present knowledge about honey as a form of complementary medicine in paediatric wound management. Methods: The literature cited was found by searching the PubMed, BIOSIS and ISI Web of Science databases for the phrase ‘honey and wound’. Papers where honey was used in a mixture with other therapeutic substances were excluded. Randomised controlled trials as well as case studies were taken into consideration. Results: This paper reviews data on the effectiveness of honey in wound healing; 80 citations or references were found that matched the criteria. Furthermore, the wound-healing properties of honey are described and the mechanism of action discussed. The authors' data show that honey induced enhanced epithelialisation, minimised scar formations and had an anti-microbiotic effect. Conclusion: These results should encourage the use of medical honey in the field of paediatrics. It is a safe and natural substance that induces wound healing at a greater rate than conventional methods.
The media don’t help us get the obesity message across
Authors: Tomlin Charlotte 
Published: May 2014

Dear Editor, An aquaintance of mine was talking about the obesity strategy that is being conducted in schools. Her main concern was that she had heard on the news or GMTV etc that parents were going to be reported to social services for having an overweight child. Her own daughter is slighty overweight and has a very limited healthy diet, but not for the want of trying to encourage healthy eating. I tried to reassure her that any phone call or letter from a school nurse would not include a referral on to social services and attempted to explain this new public health agenda to her. However the fact that it had been on the television had already made her defensive with regard to any school nurse communication.
Accessing sexual health services in rural Scotland
Authors: Docherty Alison 
Published: May 2014

Aim:To identify the existing knowledge of young people aged 16–18 years about sexual health services in a rural area of Scotland.Background:Scotland has poor sexual health with a rising incidence of sexually transmitted infections, and some of the highest teenage pregnancy rates in Europe, particularly in young people under 25 years of age. In rural areas in Scotland there remain challenges especially for young people in accessing sexual heath services, with issues linked to transport, anonymity and confidentiality.Method:An exploratory descriptive approach using quantitative survey design was used.Results:The results of this study suggested that young people’s knowledge levels were generally high with regards to accessing appropriate sexual health services. However, a link between poor sexual health knowledge of services and gender has been highlighted.Conclusions:Health promoters need to address the specific key issues in relation to gender-specific needs and access to sexual health services in rural areas remains an issue.
Looking at the assessment and management of burns
Authors: Watkins Jean 
Published: May 2014

In the UK, it is estimated that as many as a quarter of a million people will present each year to primary care teams with burns. It is likely that during their career, school nurses will be faced with children and colleagues with burns, which may have occurred at the school or noticed by staff during school hours. It is therefore important that school nurses are up to date with the assessment and management of burns.
Young people's experiences of online health information
Authors: Kell Billie 
Published: May 2014

Only limited literature explores the significance of the internet as a medium for adolescents to access health information, and little is known of the adolescents' experience within this. Aim: To gain a better understanding of the adolescents' experiences of using the internet to access health information. Methods: A small scale qualitative study, using a grounded theory approach using semi-structured interviews was undertaken with sixth form adolescents in Hertfordshire, UK, from May to July 2009, who had used the internet to access health information. Results: 14 initial key emergent categories were consolidated and clustered into 4 themes: internet use; skills; internet strengths and limitations and what adolescents want from the internet. Conclusions: Health professionals are perhaps the most obvious and authoritative source of health information for adolescents who require informational support, social network support, emotional support and esteem support. Health information resources need to be developed that reflect these. Producing internet health information resources that meet the wants identified in this study would empower adolescents to take on responsibility for their own health, which they can build on and develop as future purveyors of health services. The development of accurate and adolescent-friendly websites can best be achieved by directly involving them in creating resources – as they know what they want.
Looking at the life cycle and treatment of head lice
Authors: Goundrey-Smith Stephen 
Published: May 2014

Head lice infestations are a common condition. They are particularly prevalent among the 4–11-year-olds and spread through head-to-head contact. It is important that school nurses remain up-to-date with policy and treatment to be able to provide accurate information to families and relevant professionals. This article looks at the lifecycle of head lice, symptoms, diagnosis and treatment.
Safeguarding students from sexual exploitation
Authors: Fellows Nicki 
Published: May 2014

The true extent of the numbers of children and young people affected by sexual exploitation is unknown. Awareness of the problem among professionals is low. This article explores the role of the school nurse in safeguarding children and young people from sexual exploitation. It will reflect on the key principles to inform effective school nursing practice including: staying child-focused, raising awareness of sexual exploitation through Sex and Relationships Education, promoting early assessment/identification, making referrals following child protection procedures and ensuring accurate record keeping.
Exploring HPV awareness and understanding before and after health education
Authors: Watson Claudia , Serrant-Green Laura 
Published: May 2014

Aim: The human papillomavirus vaccine is routinely offered to girls aged 12-13 in schools in the UK. This pilot study examined knowledge concerning the purpose of the HPV vaccine among pupils and reported awareness of links between HPV and cervical cancer, before and after a human papillomavirus awareness presentation. Methods: Qualitative phenomenology was used and data collected by self-completing questionnaires comprising of six open-ended questions. Comparative analysis of respondents answers before the school nurse's presentation on the HPV immunisation campaign and after took place. Results: Of 74 eligible schoolgirls, 85.5% and 72.5% response rates were achieved pre and post-presentation, respectively. The results identified an overall increase in knowledge levels (16.4% compared to 68.5%) post presentation. However, 15.0% compared to 6.6% of pupils subsequently misinterpreted the reason for the HPV vaccine, and its role in future prevention. Conclusion: This study highlights variable levels of understanding about HPV among young teens and questions subsequent impact on ‘informed’ consent to vaccination. The study also rose the question whether literacy levels affect teenangers’ ability to assimilate health information, thus challenging educators to implement alternative approaches.
SAPHNA—News
Authors: Ross Helen 
Published: May 2014

SAPHNA: Raising the Profile of School and Public Health Nurses SAPHNA is a professional organisation dedicated to the promotion of excellence in children and young people's health services. SAPHNA was formed by a group of experienced school and public health nurses from around the UK who share a vision to improve services and take forward the public health agenda. SAPHNA represents school and public health nurses providing a voice locally, nationally and internationally. New members are encouraged to sign up to SAPHNA This is free of charge! Members of SAPHNA are kept regularly updated with policy, resources and learning opportunities throughout the UK. Sign up via www.SAPHNA-professionals.org [Figure: see text]
Correlation between two measurement scales of hemiplegic shoulder pain
Authors: Gustafsson L , McKenna K 
Published: May 2014

The objective of this article was to determine the correlation between two measures of hemiplegic shoulder pain, the Ritchie Articular Index (RAI) and the vertical Visual Analogue Scale (VAS), and to explore the effect of participant characteristics on the distribution of the vertical VAS scores in a rehabilitation unit setting. Participants (n = 34) with first time stroke and upper limb hemiplegia were studied. A positive relationship between the RAI and vertical VAS scores (Spearman's rho = 0.57, P <0.01) was found. The distribution of the mean and median scores of the vertical VAS across the RAI scores was as anticipated, except for the RAI score of 3. A longer length of hospital stay and an ischaemic stroke were predictive of unmatched responses on the two pain scales. Either the RAI or the vertical VAS can be used to measure hemiplegic shoulder pain but further studies are required to identify possible explanations for unmatched responses on the two scales. The ability of participants with stroke to use the VAS requires further investigation.
Exploring students' views of interprofessional education
Authors: Johnson Ros 
Published: May 2014

Interprofessional education is thought to underpin a patient-centred, integrated approach to healthand social-care provision. It is promoted as a means to encourage collaborative practice, improve services and implement workforce strategies. The benefits for students are said to be changes in knowledge, skills, attitudes and beliefs, but there is little research into the student experience of interprofessional education. This study investigates first year students' views of a university health and social care interprofessional module. Qualitative comments were collected from 65 students by means of the standard faculty module evaluation form. The findings reveal a wide range of views among the students, from those who found the module a stimulating and beneficial experience to those who found it irrelevant and confusing.
The ‘wandering’ abdominal lump: intussusception up to splenic flexure of an ileocaecal adenocarcinoma
Authors: Shah PR , Raman S , Barker RJ , Ginwalla RM , Kiberu S , Haray PN 
Published: May 2014

A63-year old woman presented with a 4-day history of watery diarrhoea that was preceded by acute constipation. This was associated with intermittent colicky abdominal pain and one episode of fresh rectal bleeding on the previous day. Past history included haemorrhoids, cholecystectomy and reflux disease with no significant family history of cancer. She was seen in the accident and emergency department with a mass in right iliac fossa (RIF), which was managed as scabylous mass owing to the history of constipation. The next day, the woman came back with continued symptoms. On this occasion, she had a firm, mobile mass, now palpable in the left hypochondrium associated with abdominal distension. Rectal examination revealed an empty rectum. Haematological and biochemical tests including tumour markers were essentially normal. Plain X-ray of the abdomen revealed a partial small bowel obstruction and the patient was commenced on conservative management. The following day, although her symptoms resolved, the mobile abdominal mass was still persistent but now palpable in the RIF. An ultrasound examination of the abdomen and pelvis showed ‘a pseudo-kidney’ sign in the RIF (Figure 1). An unprepared contrast enema revealed a possible neoplastic lesion at the splenic flexure (Figure 2). Helical computed tomography showed a ‘bowel within bowel’ appearance in the left hypochondrium with proximally-dilated small bowel loops (Figure 3). She underwent a laparotomy, which showed a mobile, ileocaecal tumour with intussusception reaching the splenic flexure. There was no evidence of disseminated disease. An extended right hemicolectomy with en-bloc resection of the intussuscepting mass was performed. She had an uneventful postoperative period. Pathological examination of the resected specimen revealed a 4.0 cm × 4.5 cm × 3.0 cm nodular tumour of the ileocaecal valve with intussusception of a 6.0 cm length of terminal ileum. Histological examination showed a moderately well differentiated adenocarcinoma with clear resection margins (Figure 4). There was no nodal or vascular invasion. Pathological staging of the tumour was Dukes' A, T2 (tumor confined to bowel wall), N0 (no tumor deposit in 11 lymph node harvested) (0/11), M0 (no distance metastasis).
Right atrial myxomas and hairy cell leukaemia: coincidence or causal relationship?
Authors: Rao Archana , R Ramsdale David , Gosney John , Oo Aung , Goodrick M Jean 
Published: May 2014

A 69-year-old man presented with a 6-week history of progressive breathlessness, fatigue and epistaxis. There was no significant past medical history apart from atrial fibrillation diagnosed 2 years earlier when echocardiography was normal. On examination, he was anaemic and had a new mid-systolic murmur. A full blood count revealed pancytopenia (haemoglobin=10.9 g/dl; white cell count=1.7×109/litre; platelets=52×109/litre) and bone marrow histology confirmed a diagnosis of hairy cell leukaemia (Figure 1). A ‘staging’ computed tomography scan of the thorax and abdomen showed no lymphadenopathy but splenomegaly and a mass in the right atrium. Transthoracic echocardiography confirmed the presence of a large right atrial mass, attached to the atrial free wall and a small pedunculated mass attached low on the interatrial septum (Figure 2). Both right and left ventricular contractility were impaired and there was mild tricuspid regurgitation. He was treated with intravenous cladribine (2-chlorodeoxyadenosine) to a total dose of 0.9 mg/kg. His blood count recovered to normal levels over the next 3 months and the splenomegaly resolved. There was, however, no change in the size of the right atrial mass which was then removed surgically. At open heart surgery, both the small pedunculated tumour and the larger, ovoid, more sessile, gelatinous right atrial mass (60 mm diameter) were excised (Figures 3 and 4). Histology showed fusiform cells in a myxoid stroma typical of myxoma (Figure 5), with the larger mass possessing laminated thrombus and degenerative changes.
A rare cause of small bowel obstruction
Authors: Delia Etienne Cassar , Hallan Rodney 
Published: May 2014

An 83-year-old man was admitted with a 1-day history of worsening, colicky central abdominal pain associated with vomiting and abdominal distension. A suprapubic catheter had been inserted under cystoscopic vision 4 years previously for a hypotonic, trabeculated bladder complicating long-term bladder outlet obstruction as a result of benign prostatic hyperplasia. The catheter was changed every 8 weeks without the need for any further surgical intervention. On this admission, physical examination revealed a grossly distended abdomen with central and left upper quadrant tenderness. He also had a left inguinal hernia, which was easily reducible. The suprapubic catheter was placed two fingerwidths above the upper border of the pubic bone. A chest radiograph was normal while a plain abdominal film showed dilated small bowel (Figure 1). A computed tomography scan of the abdomen showed the suprapubic catheter passing through the mesentery of the small bowel with dilated small bowel loops proximal to it (Figure 2). An urgent lower midline laparotomy was performed. The suprapubic catheter passed transperitoneally through the mesentery of the distal jejunum, very close to the bowel, before entering the bladder. The suprapubic catheter acted as a sling, kinking the jejunal loop, which looked discoloured (Figure 3). The suprapubic catheter tract within the mesentery and the short segment of ischaemic jejunum were resected and anastomosis performed. Another suprapubic catheter was inserted extraperitoneally inferior to the laparotomy wound. The postoperative period was uneventful apart from a wound infection, which was treated with antibiotics. Histological examination of the resected specimen showed a strictured inflamed segment of jejunum about 20 mm wide. Sections from this area showed an actively inflamed granulation tissue-lined tract within the subserosa and muscularis propria, consistent with the tract formed by the suprapubic catheter.