The objective of this assignment is to critically evaluate the following research article: Bowes, S., Lowes, L., Warner, J., & Gregory, J. W. (2009). Chronic sorrow in parents of children with type 1 diabetes. Journal of Advanced Nursing

Student ID: 21117317 Cohort: September 2011 Course: BSc Mental Health Nursing Module Name: Evidence-Based Practice and the Community. Module Number: NS501 Word count: 1914 Submission Date: 08/01/2012 Modular Tutor: David Rawcliffe Module Leader: Barbara Holloway The objective of this assignment is to critically evaluate the following research article: Bowes, S., Lowes, L., Warner, J., & Gregory, J. W. (2009). Chronic sorrow in parents of children with type 1 diabetes. Journal of Advanced Nursing, 65 (5), pp. 992-1000 (Appendix 1). For the purpose of this essay, the Critical Appraisal Skills Programme (CASP) (Appendix 2) is the critiquing framework used to guide this essay. Walsh and Wigens (2003) say that critical evaluation allows people to see the validity of a study by assessing all parts of it in depth. Hek (1996) agrees with this and states that when research material is critiqued, it is imperative to highlight the strengths and the weaknesses of the study in order to identify its worth. This essay aims to display that although the study gives a greater insight into the emotions and impact that chronic sorrow has on parents of a child with diabetes, the study has numerous limitations that need to be addressed before the findings could be representable of the current population and then transferred to evidence-based practice. Whilst a continual process of

  • Word count: 2328
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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It is it essential that nurse as managers possess the qualities of good leadership to effectively manage contemporary clinical nursing teams. Critically analyse this statement with emphasis on the impact good leadership has on the performance of clinical nursing teams and on patient care.

This assignment will critically analyse the qualities that a nurse, as a leader must possess in order to effectively manage a contemporary nursing team. The assignment will focus on several areas and will include that of the role of the nurse as a leader and skills that the nurse requires as a professional practitioner. The assignment will go on to discuss the meaning of Clinical Governance and the components of this with regard to their involvement within the framework. Personal qualities of a nurse leader will be reflected upon throughout the assignment and the relevance in regards to communication, quality and leadership will be analysed. Finally the impact that effective leadership has on the performance of clinical nursing teams and on patient care will be discussed. The NHS Next Stage Review (DoH 2008) identified and described a future where the National Health Service (NHS) will deliver a high quality service to everyone and in addition this future will afford the staff the opportunity to focus on quality. To ensure that this is achieved, both existing and new staff will be in receipt of primary education and training in order that their current skills are supported and improved and new skills developed. The NHS affirm that their workforce operate on the most effective basis when they are reflecting the needs of the patients. However, we must consider the vast

  • Word count: 4081
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Essay by trainee practitioner. During my time spent on placement on Intensive Care Unit (ICU) I looked after a young 20 year old male with traumatic head injuries

Essay wrote by Trainee Assistant Practitioner This essay describes the effect of an assault on a young male patient. During a night out in Leeds. It also describes the trauma of the family, friends, police officers and staff on intensive care. It will also explain the reason for a patient being intubated (using an endotracheal) and ventilated. When working as a level 2 clinical support worker, I was not involved in caring for patients with a traumatic brain injury. I was also not trained on assessing a patients Glasgow coma scale (GCS) it was the registered practitioners that had the responsibility to this critical assessment. Since my training to be an Assistant practitioner I have been taught to do these assessments, I now have a better understanding of the assessment and what it involves and also what the patients responses are and pupil sizes. During my time spent on placement on Intensive Care Unit (ICU) I looked after a young 20 year old male with traumatic head injuries he was physically and sexually assaulted during a night out in Leeds. He came in to Accident and Emergency (A&E) at 03.20 the patient was intubated and ventilated on arrival he then underwent extensive brain surgery he had a craniotomy in theatre (removal of bone flap) he was admitted to (ICU) at 11.00 after having extensive surgery for a Traumatic brain injury (TBI). He was an unknown patient as all

  • Word count: 1082
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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The Endocrine System

Anatomy & Physiology The Endocrine System Ian Wright Dip He ODP/RODP ALSP, ATLS Theatre Practitioner March 2008 Contents Introduction.....................................................................................................Page 1 Major Endocrine Glands....................................................................................Page 2 Anatomy...........................................................................................................Page 3 Structure and Function of Adrenal Glands...........................................................Page 4 Hypothalamus.......................................................................................Page 4 Pituitary.................................................................................................Page 4 Thyroid.................................................................................................Page 5 Parathyroid............................................................................................Page 5 Adrenal glands.......................................................................................Page 5 Pineal....................................................................................................Page 6 Gonads (Testes and ovaries) ..................................................................Page 6 The

  • Word count: 2797
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Reflection In Practice

REFLECTION IN PRACTICE Definition Reflective learning is the process of internally examining and exploring an issue of concern, triggered by an experience, which creates and clarifies meaning in terms of self, and which results in a changed conceptual perspective, as suggested by Boyd and Fales (1983). Reflective learning is a key to learning from experience (Journal of Humanistic Psychology,23) The author is going to use The Gibbs Reflective Cycle (1988) to help her in the process of reflection, as reflection can be a difficult experience without the guidance and support of an expert. Description of Incident As usual I started my shift and was assigned an emergency case of laparatomy. I laid up my trolley and counted all the swabs, needles, blades and instruments with my circulating nurse one by one. The swb, tape and the needle counts were clearly written on the board. The patient was an obese Mr Jones. He was anaesthetised, brought into the operating theatre and was transferred to the operating table. The surgeon and his assistant scrubbed, prepped, draped, attached diathermy and suction and started the operation. Mr Jones had an obstructed bowel, which was removed. However the operation did not go well because of an excessive amount of bleeding, due to which the surgeon put small swabs inside the wound, as he felt the larger swabs with tapes would obstruct his view.

  • Word count: 1200
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Article Critique

The purpose of this assignment is to critique and evaluate the chosen article in terms of strengths and weaknesses, to demonstrate an understanding of the research process. According to Polit and Beck (2004) the aim of critically appraising an article is an attempt to determine its strengths and limitations. Therefore, the research critique should reflect an objective and balanced consideration of the study's validity and significance (Polit and Hungler 1999). The task of critiquing is, according to Lo Biondo-Wood and Harber (2006) a challenging one and can only be effectively achieved through much practice and skill. For the purpose of this critique, the frameworks of Parahoo (1997) and Polit and Hungler (1999) have been used as a guide. This will assist in producing an organised sub-headed piece of work. Title The title of an article is the first part of a study to be encountered and Parahoo (1997) states that a title should draw the reader's attention to the precise area of study and make reference to the population from whom the data is collected. Cormack (2000) and Marshall and Kelly (2007) agree, stating a title should be concise and reflect the content of the study. The chosen article is titled 'Perceived barriers and facilitators to implementing research findings in the Irish practice setting'. This title utilised by Glacken and Chaney is concise, consisting of 13

  • Word count: 2961
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Engaging with Vulnerable People

Engaging With Vulnerable People In this essay I will discuss the concepts of vulnerability and speculate on possible reasons why the patient in the scenario I have chosen is vulnerable. I will explore ways in which I can demonstrate and develop professional values according to the Nursing and Midwifery Council (NMC) code of conduct and consider ways in which I can maintain the patient's dignity and empower her. "vulnerability is not a license for the nurse to rescue; it is rather an opportunity to encourage growth." (deChesnay and Anderson 2008:21). I will then discuss how I can promote anti-discriminatory practice and finally I will reflect on what I have learned from undertaking this assignment. Vulnerability has been defined as: "susceptibility to physical or emotional injury susceptibility to attack, open to censure or criticism; assailable, liable to succumb, as to persuasion or temptation" (American Heritage Dictionary, 2000 :1, as cited in deChesnay and Anderson 2008:16 ) The above definition of vulnerability could apply to most people at some point in their lifetime. According to Pritchard (2001), there are many reasons why people become vulnerable. People respond to situations such as illness, bereavement and stress differently, because they are unique individuals. However, vulnerability can also apply to groups, due to factors that include:

  • Word count: 2452
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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Whose Life Is It Anyway?

WHOSE LIFE IS IT ANYWAY? Ken Harrison changes throughout the play as he fights for the right to decide his own fate. What you must keep in-mind as you perform is that Ken used to be a creative, useful person leading a normal life yet now he is frustrated by the injuries he has suffered and their effects on him as a man. This questioning of the medical authorities is a very modern and current idea. The issues that come out of this play are should patients be aloud to decide their own fate? And do the medical profession have the right to operate without the patients permission when he or she is contuse or the families permission if their not contuse. The play begins, immediately Ken is aggressive towards the medical proffeciaon (nurses and doctors). This seems to be because angry and bitter about the parralysis he has suffered as a result of his car accident. When he first meets Nurse Sadler, he sarcastically says: "Hello, I am afraid I can' offer you my hand. You'll just have to do with my backside like all the other nurses" . One can see his anger in the usage of the mild taboo word 'backside.' Later, he compares Dr Emerson to doctor Frankenstein and himself to the monster who should now be released. This image of him shows he is angry about not being able to function like a normal human being. Ken Harrison is angry because his verility is in question. Ken lets everyone

  • Word count: 2403
  • Level: University Degree
  • Subject: Subjects allied to Medicine
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