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The role of district nursing: perspectives of cancer patients and their carers before and after hospital discharge

The role of the district nurse (DN) is difficult to define. Knowledge about the perspectives of patients with cancer, and their informal carers, on the roles of DNs and community services is lacking. The aim of this study is to identify the roles of DNs and community services as perceived by patients with cancer and their carers before and after hospital discharge. Seventy-one pre- and post-discharge conversational interviews were conducted with cancer patients and carers, and analysed thematically.

Thu, 07/20/2017 - 15:19

Patient and carer input and the NHS: a vital tool in improving care

In every other industry, 'the customer is king' - so why should health care be any different? With reference to the Department of Health's newly published legislation, Real Accountability Guidance on the NHS duty to report on consultation, the author examines the importance of patient and carer input into NHS services. 

Thu, 07/20/2017 - 15:19

The effect on caregiver burden of a problem-based home visiting programme for frail older people

Objective: caregiver effects of geriatric care models focusing primarily at the patient have not been consistently studied. We studied caregiver effects of a nurse-led comprehensive geriatric evaluation and management (GEM) programme for community-dwelling frail older people that showed—in a randomised comparison with usual care-–health-related quality of life benefits for the care receivers.

Thu, 07/20/2017 - 15:19

Professional backup

Alan Simpson explains how nurses can learn to support carers of people with mental health problems. 2 refs. [Introduction]

Thu, 07/20/2017 - 15:19

Enhancing partnerships with relatives in care settings

Aim The aims of this project were to implement guidance that sought to involve carers of older people in decision-making processes, and to promote practice development through work-based learning.

Thu, 07/20/2017 - 15:17

All but invisible: older gay men and lesbians

The sexuality of older people and gay and lesbian sexuality in particular, is an issue that has been largely ignored in the nursing literature. But, says the author, older gay men and lesbians are becoming more vociferous about the health and social care services they have a right to expect. 

Thu, 07/20/2017 - 15:17

An experimental study on the effectiveness of a mutual support group for family caregivers of a relative with dementia in mainland China

When caring for an older relative with dementia, family members experience considerable distress and burden. Literature reviews show that supportive group interventions for these caregivers have significant positive effects on improving their distress and quality of life, but not consistent and conclusive. Limited research is found in Asian populations. This study tested the effectiveness of a 12-session bi-weekly mutual support group program for Chinese family caregivers of a relative with dementia in Hong Kong, when compared with standard family support service.

Thu, 07/20/2017 - 15:16

Gaining access to potential research participants

A researcher who conducted a study on the experiences of informal carers of terminally ill patients had difficulty gaining access to participants. In many cases this was because nurses would not refer them to the researcher without the permission of a doctor.

Thu, 07/20/2017 - 15:16

Causes of preventable drug-related hospital admissions: a qualitative study

Objective: To explore the causes of preventable drug-related admissions (PDRAs) to hospital.

Design: Qualitative case studies using semi-structured interviews and medical record review; data analysed using a framework derived from Reason’s model of organisational accidents and cascade analysis.

Thu, 07/20/2017 - 15:16

Nursing support for family members of critically ill adults

Researchers have identified the needs of family members of critically ill adults, explored their experiences, and investigated interventions. To address a gap in the theoretical knowledge about how nurses help these individual, the authors developed a grounded theory of nursing support from the perspective of family members. Results indicated that family members were initiated into a cycle of Work to meet perceived responsibilities to Get Through the experience.

Thu, 07/20/2017 - 15:15