Abstract:
BACKGROUND:There is scant knowledge on the contacts community nurses for people with learning disabilities have with clients who display challenging behaviours, or the numbers of such people on these nurses' caseloads. This study was undertaken in a UK region with a population of 1.68 million people. In this region it is estimated that there are 8500 people with learning disabilities who are in contact with services, this includes around 500 people remaining in hospitals awaiting resettlement. AIMS AND OBJECTIVES:The research aims were to identify the overall caseload sizes of the nurses, the prevalence of people with learning disabilities who have challenging behaviours on the nurses' caseloads and what contact demands these people required. An additional aim was to discover courses or training that helped the nurses to fulfill their roles. DESIGN AND METHODS:A postal survey was undertaken of the total population of community nurses for people with learning disabilities in the region. The method of data collection was a self-completion questionnaire. RESULTS:The study found that people with challenging behaviours accounted for over a quarter of the combined caseloads, and these clients required the most frequent visits from the nurses. There was a wide range in the number of clients on the caseloads of each nurse but overall these were higher than in other parts of the UK. CONCLUSIONS:It is concluded that community nurses for people with learning disabilities have large caseloads and people with learning disabilities who have challenging behaviours, who account for over one-quarter of the clients they visit, require much more frequent contact visits than other clients. The combination of high numbers of clients (or low numbers of these nurses) may impact on how such nurses are able to perform their role and functions. RELEVANCE TO CLINICAL PRACTICE:An increase in the numbers of community nurses for people with learning disabilities and skill development in caring for people with challenging behaviours is recommended. If this is not performed the clinical effectiveness of this group of nurses with respect to their work with people who challenge services may be unduly hampered.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Slevin Edoi
10.1111/j.1365-2702.2004.00911.xsubject
Has Abstractpub_date
2004-07-01 00:00:00pages
571-9issue
5eissn
0962-1067issn
1365-2702pii
JCN911journal_volume
13pub_type
杂志文章abstract:AIMS AND OBJECTIVES:To explore expectant and new parents' reasons not to participate in parental education (PE) groups in antenatal care or child health care. BACKGROUND:In Sweden, expectant and new parents are offered PE groups in antenatal care and in child health care. Although many parents feel unprepared for pare...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14912
更新日期:2019-09-01 00:00:00
abstract:AIMS:To explore nurses' perceived facilitators and barriers to assessing for alcohol use in Taiwan. BACKGROUND:Excessive alcohol use has been associated with health, social and legal problems. Helping health care providers to detect and treat hazardous or harmful drinkers is an important worldwide issue. DESIGN:A cro...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02590.x
更新日期:2009-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determine potential facilitators and barriers and tailor interventions to optimise future implementation of a patient-assessment framework into emergency nursing practice. BACKGROUND:An evidence-informed patient-assessment framework HIRAID (History, Identify Red flags, Assessment, Interventions,...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13932
更新日期:2018-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore health literacy status in asthma patients and to examine the causal model linking health literacy to health outcome-related factors via mediator and moderator variables. BACKGROUND:Understanding how low health literacy may influence health outcomes is important. DESIGN:This is a cross-s...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12434
更新日期:2014-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of the study was to examine the effectiveness of a psychoeducation intervention based on Peplau's approach, including problem-solving compared with intervention with medication on post-traumatic stress disorder (PTSD) symptoms and coping of earthquake survivors. BACKGROUND:Post-traumatic re...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02047.x
更新日期:2008-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study was to test the Chinese version of the Critical Thinking Disposition Inventory (CTDI-CV) among nurses in Taiwan. BACKGROUND:Critical thinking is the use of purposeful self-regulatory judgments to identify patient's problems and provide patient care. Critical thinking influence...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03343.x
更新日期:2010-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To review the evidence on nonpharmacological approaches to care for behavioural and psychological symptoms of dementia in older adults. BACKGROUND:Dementia is increasing in worldwide prevalence and can have severe and life-altering impacts on older adults. Behavioural and psychological symptoms of ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.14007
更新日期:2018-04-01 00:00:00
abstract::A cultural drama programme was designed for patients with dementia and was led by teachers trained in drama in education and storytelling. The focus was on dance, rhythm, song, storytelling and conversations. The aim of this study was to describe how a drama programme for patients with dementia and their caregivers wa...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2003.00801.x
更新日期:2003-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study is to understand the experiences of psychiatric nursing students during their first encounters with psychiatric patients in a clinical setting. The objective is to assist educational professionals in mental health to improve teaching strategies. BACKGROUND:In clinical sett...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02610.x
更新日期:2009-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore, using the example of a project working with older people in an outpatient setting in a large UK NHS Teaching hospital, how the constructs of Person Centred Nursing are reflected in interviews from participants in a Co-design led service improvement project. BACKGROUND:Person Centred Car...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13385
更新日期:2017-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe what is known from the existing literature on nonpharmacological interventions targeting pain in patients admitted to the ICU. BACKGROUND:Patients receiving intensive care nursing are exposed to a wide range of pain provoking tissue damage, diseases, surgery and other medical procedures...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.15194
更新日期:2020-05-01 00:00:00
abstract:AIM:To identify the types and frequencies of communication issues (communication pairs, person related, institutional, structural, process and prescription-related issues) detected in medication incident reports and to compare communication issues that caused moderate or serious harm to patients. BACKGROUND:Communicat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.15263
更新日期:2020-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study explored Taiwanese fathers' experience of involvement in the daily care of a child with developmental disability within Chinese culture. BACKGROUND:Most studies on parents' experiences of having a child with a disability have focused on mothers or mixed fathers' voices with mothers'. Foc...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04142.x
更新日期:2012-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study was to compare the differences in spiritual health between depressed and non-depressed nurses. BACKGROUND:Previous studies have revealed that spirituality can buffer emotional pressure and maintain health, even in cases of depression. Nurses may have a tendency to develop depr...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03962.x
更新日期:2012-06-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore teenagers' views of the future in relation to their choices to continue or terminate pregnancy. BACKGROUND:Despite recent decreases in the numbers of teenage pregnancies, across the world, the teenage pregnancy rate remains high. Consideration of views of the future (future orientation) ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12431
更新日期:2014-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate online information on dysmenorrhoea, including readability, credibility, quality and usability. BACKGROUND:Menstrual pain impacts 45%-95% of women of reproductive age globally and is the leading cause of school and work absences among women. Women often seek online information on dysmen...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.14954
更新日期:2019-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To report on registered nurses' situation awareness as a precursor to decision-making when recording changes in patients' conditions. BACKGROUND:Progress notes are important to communicate patients' progress and detail changes in patients' conditions. However, documentation is often poorly complete...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12404
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Nurses are considered important healthcare professionals during the management of the pandemic process due to the considerable amount of time they spend in the face-to-face nursing of infected patients. To optimise the service of healthcare workers, it is recommended that the mental health needs of the healt...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15602
更新日期:2020-12-15 00:00:00
abstract:AIMS AND OBJECTIVES:The main aim of the study is to assess the views of people, who have not yet experienced nurse prescribing, to determine their level of confidence in nurse as opposed to doctor prescribing, effects on likely adherence and concerns that they might have. Additionally, the extent to which people would ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01258.x
更新日期:2006-01-01 00:00:00
abstract:AIM:The aim was to determine the opinions of nurse managers about career planning and development for nurses in hospitals. BACKGROUND:Career planning and development are defined as an important and necessary tool in the development of nurses as professionals and in retaining nurses in a facility. DESIGN:A descriptive...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.02906.x
更新日期:2009-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study was to investigate: (1) the important factors in the self-care of chronic kidney disease (CKD) patients and (2) the mediating effects of self-efficacy on knowledge and self-care. BACKGROUND:Chronic kidney disease has become a major global health issue and is one of the top 10 leading cau...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.13305
更新日期:2016-09-01 00:00:00
abstract:AIM AND OBJECTIVE:To generate content for a new questionnaire, based on the 10 Principles of Dignity in Care. BACKGROUND:Older people in hospital are vulnerable and at risk of harm, including indignity. The 10 Principles of Dignity in Care, which undergird the United Kingdom's Dignity in Care Campaign, have been used ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15462
更新日期:2020-08-16 00:00:00
abstract:AIMS AND OBJECTIVES:To identify whether meaning in life has moderating and mediating effects on the relationship between depression and quality of life in patients with dysphagia. BACKGROUND:Dysphagic patients typically have multidimensional problems, such as depression, which can negatively influence their quality of...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14907
更新日期:2019-08-01 00:00:00
abstract:AIM:To translate the International Consultation on Incontinence Questionnaire--Urinary Incontinence Short Form (ICIQ-UI SF) from English to Taiwanese and to evaluate its reliability and validity for pregnant Taiwanese women. BACKGROUND:Urinary incontinence in pregnant women has been little investigated in Taiwan. A va...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03364.x
更新日期:2011-03-01 00:00:00
abstract:AIM:To understand student nurse-patient interaction better and to assess the effectiveness of a teaching and learning resource consisting of tapes and transcriptions of actual nurse-patient interaction. DESIGN:Applied conversation analysis and analysis of semi-structured lecture evaluation forms. BACKGROUND:Little re...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.01948.x
更新日期:2007-12-01 00:00:00
abstract:AIMS:To examine issues around the use of mixed methods research in doctoral research in nursing and healthcare. We raise questions around challenges and appropriateness of this type of research methodology for doctoral students. BACKGROUND:In recent years, mixed methods research has grown rapidly in health-related res...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15534
更新日期:2020-10-15 00:00:00
abstract:AIM:To explore male students' attitudes towards menstruation. BACKGROUND:Menstruation is a biological event that is often surrounded by secrecy and social stigma that causes anxiety amongst many young girls. A key element of this is the attitudes of young males towards this reproductive health issue. However, the lite...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03700.x
更新日期:2012-02-01 00:00:00
abstract:AIM:To compare the measurements of women's pelvic floor musculature strength (PFMS) during pregnancy and postpartum period. BACKGROUND:Pregnancy and childbirth can have an influence on the muscles and pelvic floor and can cause morbidities of women's genito-urinary tract. DESIGN:A prospective cohort study. METHODS:T...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03289.x
更新日期:2010-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To confirm the accuracy of the EASI system compared to the standard 12-lead electrocardiogram, which is the gold standard, in monitoring the two major parameters used in the Coronary Care Units to detect myocardial ischaemia: ST-segment and J-point. BACKGROUND:Continuous electrocardiograph monitori...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13168
更新日期:2016-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:This is a follow-up study to investigate the long-term effects of a holistic care programme for the rehabilitation of persons with serious mental illness. Perception of help from the programme and factors relating to the outcomes of the programme will also be studied. BACKGROUND:This psychiatric re...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03622.x
更新日期:2011-10-01 00:00:00