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Now showing items 1 - 16 of 33

  • The NURSING-Positive Recruitment Arabic Model (NURS-PRAM):A mixed methods study

    Tawash, Eman   Cowman, Seamus  

    Aim To identify factors influencing high school students' choice of nursing and explore strategic interventions to promote nursing as a career in the Arab region. BackgroundDesignThis study forms part of a PhD thesis, conducted in Bahrain, in a healthcare environment with a high dependence on expatriate nurses to maintain nursing services. However, in attracting local candidates to study nursing, the public image of nursing in the Middle East must be improved by implementing strategies that are sensitive to the Arabic culture. A mixed methods approach incorporating quantitative and qualitative dimensions. MethodsFindingsData were collected between 2012 - 2015 using self-administered questionnaires, semi-structured interviews, focus groups, and written narratives. The study sample included high school students, parents, career guidance counsellors, and nursing students. A one-group pre-test posttest design was used to introduce a nursing recruitment intervention to high school students. spss was used to analyse quantitative data. Colaizzi's () and Krueger's () frameworks were applied to analyse the qualitative data. It is proposed that the public perceptions of Arab people about nursing may be grounded in strong cultural influences and any efforts to improve the enrolment and retention of local nurses should consider enhancing the social values of the nursing profession. The NURSING-Positive Recruitment Arabic Model incorporates essential elements which will guide nursing recruitment in the Arabic cultures. Conclusion??The study findings reflect certain issues similar to the core international literature on nursing recruitment, however there are fundamental issues particular to the Arab region, which must be included in the development of a nursing recruitment strategy for Arabic nursing.
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  • Middle Eastern Nursing Perspective from Bahrain

    Cowman, Seamus  

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  • Symptoms, clusters and quality of life prior to surgery for breast cancer.

    Denieffe, Suzanne   Cowman, Seamus   Gooney, Martina  

    AIMS AND OBJECTIVES: To examine the pretreatment symptoms and symptom clusters that women awaiting breast cancer surgery are experiencing and the impact of these symptoms on their quality of life.; BACKGROUND: Most women diagnosed with breast cancer will have surgery as a first-line treatment. The presence of presurgery symptoms may be significant in contributing to distress and impaired quality of life. While it seems that women with breast cancer may experience the symptoms of fatigue, pain, depression and sleep disturbance as a cluster, this has not yet been confirmed by empirical research in the presurgery time period.; DESIGN: A multiple-point prospective longitudinal cohort panel design is used.; METHODS: Presurgery symptoms and quality of life were assessed using the Hospital Anxiety and Depression Scale, Insomnia Severity Index, Functional Assessment of Cancer Therapy-Fatigue, Brief Pain Inventory and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30(3).; RESULTS: Participants (n=3D94, age range 30-92) experienced symptoms prior to surgery, with pain being a more prevalent symptom (35%) than fatigue (32%), sleep disturbances (25=C2=B75%) or depression (11%). global quality of life was significantly impacted on by fatigue and showed a moderate correlation with emotional functioning and a weak correlation with physical and social functioning. Hierarchical cluster analysis identified the presence of five clusters with symptoms present in differing intensities in each cluster.; CONCLUSION: In this cohort of women, healthy other than having a diagnosis of breast cancer, symptoms were impacting on quality of life. It is evident that clusters of symptoms are present presurgery that must be assessed and managed.; RELEVANCE TO PRACTICE: Healthcare delivery systems must ensure that early symptoms are addressed effectively in the presurgery period to improve quality of life and reduce adverse outcomes postsurgery. =C2=A9 2013 John Wiley & Sons Ltd.
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  • Nurses' knowledge of chest drain management in an Irish Children's Hospital

    Magner, Claire   Houghton, Catherine   Craig, Margie   Cowman, Seamus  

    Aims and objectives To explore contact with and knowledge regarding chest drain management among nurses. Background Chest drains are commonly used in both adult and paediatric settings, for example, for cardiothoracic patients or postspinal surgery, where they are inserted intra-operatively to drain excess fluid. Despite a large number of children requiring chest drain insertion annually, current literature suggests that many nurses have reduced contact with chest drains and a knowledge deficit regarding their management. Furthermore, the literature is limited in relation to chest drain management in the paediatric patient. Mismanagement of chest drains can have devastating consequences for patients. Design A standardised descriptive survey approach was employed. Methods The sample consisted of 121 critical care and ward nurses from a large urban paediatric hospital, who cared for chest drains on a regular basis. Data were collected using a 37-item questionnaire, adapted from a study in the adult setting. Statistical analysis was performed using spss V15. Results The findings demonstrate that increased exposure to caring for children with chest drains is synonymous with a greater perception of knowledge levels in this area of practice. While critical care nurses looked after children with chest drains more frequently than ward nurses, there was no difference in the knowledge assessment section of the questionnaire. This research identified where knowledge deficits exist. Conclusions This study identified the key areas where overall uncertainties existed leading to a decreased knowledge perception. Nurses are engaging with methods of knowledge acquisition; however, those who have less contact with chest drains require regular updates. Relevance to clinical practice Addressing misconceptions about chest drain management is imperative. Providing up to date guidelines in clinical areas will improve chest drain management. Strategic educational initiatives are in place to ensure identified knowledge deficits are addressed and a complete revision of chest drain guidelines has been undertaken.
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  • Nursing research and patient care: A Case for the Bedside rather than the Bench

    Cowman, Seamus  

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  • Bahraini nursing students’ attitudes: from student to nurse-A longitudinal research study

    Tawash, Eman   Cowman, Seamus  

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  • Repositioning for treating pressure ulcers

    Moore, Zena E. H.   Cowman, Seamus  

    Background Pressure, from lying or sitting on a particular part of the body, results in oxygen deprivation to the affected area. If a patient with an existing pressure ulcer continues to lie or bear weight on the affected area, the tissues become depleted of blood flow and there is no oxygen or nutrient supply to the wound, and no removal of waste products from the wound, all of which are necessary for healing. Patients who cannot reposition themselves require assistance. International best practice advocates the use of repositioning as an integral component of a pressure ulcer management strategy. This review has been conducted to clarify the role of repositioning in the management of patients with pressure ulcers. Objectives To assess the effects of repositioning patients on the healing rates of pressure ulcers. Search strategy We searched the following databases: the Cochrane Wounds Group Specialised Register (5 December 2008); the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2008, Issue 4); Ovid MEDLINE (1950 to November Week 3 2008); Ovid EMBASE (1980 to 2008 Week 49); and EBSCO CINAHL (1982 to November Week 4 2008). Selection criteria We considered randomised controlled trials (RCTs) comparing repositioning with no repositioning, or RCTs comparing different repositioning techniques, or RCTs comparing different repositioning frequencies for the review. Controlled clinical trials (CCTs) were only to be considered in the absence of RCTs. Data collection and analysis Two authors independently assessed titles and, where available, abstracts of the studies identified by the search strategy for their eligibility. We obtained full versions of potentially relevant studies and two authors independently screened these against the inclusion criteria. Main results We identified no studies that met the inclusion criteria. Authors' conclusions Despite the widespread use of repositioning as a component of the management plan for individuals with existing pressure ulcers, no randomised trials exist that assess the effects of repositioning patients on the healing rates of pressure ulcers. Therefore, we cannot conclude whether repositioning patients improves the healing rates of pressure ulcers. The effect of repositioning on pressure ulcer healing needs to be evaluated.
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  • Continuing professional development: investment or expectation?

    Joyce, Pauline   Cowman, Seamus  

    AIM: The aim of this study was to explore the reason for nurses' participation in postregistration education.BACKGROUND: The study was located in one third level institution in Ireland and prospective candidates who applied to undertake a programme of studies were invited to complete the postal questionnaire and return it to the college anonymously in advance of commencing their studies.METHOD: A descriptive survey research design was adopted with the use of a questionnaire for data collection. The respondents had an opportunity to make additional comments in a questionnaire, which generated some qualitative data.RESULTS: A total of 243 questionnaires were returned which represented a 46.7% response rate. The major reasons for participating in postregistration education were 'to obtain promotion to a higher grade/position' (99%) and 'to enable me extend my clinical role' (98%).CONCLUSION: Investment in nursing education should take into account the reasons for participation in continuing education and professional development as identified in this study and in other studies so as to focus efforts that improve planning for long-term continuing education and professional development. The adoption of such a strategic approach by employers will ensure more precise targeting of scarce continuing education and professional development resources. Equally, expectation without adequate investment is not realistic if the profession wants to move forward in this era of rapid change in the delivery of health care.
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  • The cost of stroke and transient ischaemic attack in Ireland: a prevalence-based estimate

    Horgan, Frances   Sexton, Eithne   Cowman, Seamus   Hickey, Anne   Kelly, Peter   McGee, Hannah   Murphy, Sean   O'Neill, Desmond   Royston, Maeve   Shelley, Emer   Wiley, Miriam  

    Methods: a prevalence-based approach using a societal perspective is adopted. Both direct and indirect costs are estimated.Results: total stroke costs are estimated to have been euro489-euro805 million in 2007, comprising euro345-euro557 million in direct costs and euro143-euro248 million in indirect costs. Nursing home care and indirect costs together account for the largest proportion of total stroke costs (74-82%). The total cost of TIA was approximately euro11.1 million in 2007, with acute hospital care accounting for 90% of the total.Conclusions: the chronic phase of the disease accounts for the largest proportion of the total annual economic burden of stroke. This highlights the need to maximise functional outcomes to lessen the longer term economic and personal impacts of stroke.
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  • Web-Based Training to Improve Knowledge and Change Practice in Preventing Healthcare Infection

    Humphreys, Hilary   McHugh, Seamus   Dimitrov, Borislav D.   Cowman, Seamus   Tierney, Sean   Hill, Arnie D. K.  

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  • Case series of use of Manuka honey in leg ulceration.

    Gethin, Georgina   Cowman, Seamus  

    Gethin G, Cowman S. Case series of use of Manuka honey in leg ulceration. Abstract The historical and current literature reports the successful use of honey to manage a diversity of wound aetiologies. However, only in the last 40 years is research on its mode of action and contribution to wound healing being investigated. The challenge of managing chronic non healing wounds generated interest in researching non standard therapies. The aims of the study were to gain insight into the practical use of Manuka honey in wound management. The objective was to test the feasibility of further rigorous research into the use of honey in the management of chronic wounds. Instrumental case series were used to examine the use of Manuka honey in eight cases of leg ulceration. To collect the necessary data, photographs, acetate tracings, data monitoring and patient comments and observations were used to add greater reliability and validity to the findings. The wounds were dressed weekly with Manuka honey. The results obtained showed three males and five females with ulceration of different aetiologies were studied. A mean initial wound size for all wounds of 5.62 cm(2) was obtained. At the end of four-week treatment period, the mean size was 2.25 cm(2). Odour was eliminated and pain reduced. The conclusions drawn were that the use of Manuka honey was associated with a positive wound-healing outcome in these eight cases. Arterial wounds showed minimal improvement only.
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  • A Population Study of Safety and Security in Admission Psychiatric Wards in the Kingdom of Bahrain

    Marhoon, Adheem   Al-Shagag, Ali   Cowman, Seamus  

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  • Role of Patient Awareness in Prevention of Peripheral Vascular Catheter-Related Bloodstream Infection

    Corrigan, Mark Anthony   Dimitrov, Borislav D.   Morris-Downes, Margaret   Fitzpatrick, Fidelma   Cowman, Seamus   Tierney, Sean   Hill, Arnold D. K.   Humphreys, Hilary  

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  • Pressure ulcer prevalence and prevention practices in care of the older person in the Republic of Ireland

    Moore, Zena   Cowman, Seamus  

    Aims and objectives. The aim of this study was to establish pressure ulcer prevalence and prevention in the long-term care setting. Background. There is no information on pressure ulcers prevalence in care of the older person in Ireland; therefore, a prevalence study was undertaken to investigate key aspects related to current practices in pressure ulcer prevention. Design. A cross-sectional survey design was employed. Method. Ethical approval was received. Participants included 1100 older individuals residing in 12 long-term care settings. Data were collected using the Braden scale, the European Pressure Ulcer Advisory Panel minimum data set and pressure ulcer grading system. Results. All participants were Irish and white, 70% were women, and 75% were aged 80 years or older. Prevalence was 9%, with 28% of pressure ulcers grade 1, 33% grade 2, 15% grade 3 and 24% grade 4, mainly located on the sacrum (58%) and the heel (25%). Seventy-seven per cent scored Braden low risk or not at risk; however, 53% were completely immobile/ very limited mobility and 58% were chair/ bedfast. There was a significant association between activity and mobility and pressure ulcer development (v 2 = 45 50, p < 0 001 and v 2 = 46 91, p = 0 0001, respectively). Fifty per cent had a pressure redistribution device in bed, and 48% had one in use on the chair; however, 9% had a repositioning regime planned for when in bed and 5% planned for when seated in the chair. Conclusions. This paper reports on the first ever pressure ulcer prevalence survey conducted in long-term care in Ireland, and results provide significant insights into decision-making and use of resources in the prevention of pressure ulcers. Relevance to clinical practice. Pressure ulcers are common, costly and impact negatively on individuals. Current practices in prevention show several areas for improvement, namely, risk assessment, care planning and documentation.
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  • A Targeted E-Learning Program for Surgical Trainees to Enhance Patient Safety in Preventing Surgical Infection

    McHugh, Seamus Mark   Corrigan, Mark   Dimitrov, Borislav   Cowman, Seamus   Tierney, Sean   Humphreys, Hilary   Hill, Arnold  

    Introduction: Surgical site infection accounts for 20% of all health care-associated infections (HCAIs); however, a program incorporating the education of surgeons has yet to be established across the specialty. Methods: An audit of surgical practice in infection prevention was carried out in Beaumont Hospital from July to November 2009. An educational Web site was developed targeting deficiencies highlighted in the audit. Interactive clinical cases were constructed using PHP coding, an HTML-embedded language, and then linked to a MySQL relational database. PowerPoint tutorials were produced as online Flash audiovisual movies. An online repository of streaming videos demonstrating best practice was made available, and weekly podcasts were made available on the iTunes (c) store for free download. Usage of the e-learning program was assessed quantitatively over 6 weeks in May and June 2010 using the commercial company Hitslink. Results: During the 5-month audit, deficiencies in practice were highlighted, including the timing of surgical prophylaxis (33% noncompliance) and intravascular catheter care in surgical patients (38% noncompliance regarding necessity). Over the 6-week assessment of the educational material, the Web pages were accessed more than 8000 times; 77.9% of the visitors were from Ireland. The most commonly accessed modality was the repository with interactive clinical cases, accounting for 3463 (43%) of the Web site visits. The average user spent 57 minutes per visit, with 30% of them visiting the Web site multiple times. Discussion: Interactive virtual cases mirroring real-life clinical scenarios are likely to be successful as an e-learning modality. User-friendly interfaces and 24-hour accessibility will increases uptake by surgical trainees.
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  • An international eDelphi study identifying the research and education priorities in wound management and tissue repair

    Cowman, Seamus   Gethin, Georgina   Clarke, Eric   Moore, Zena   Craig, Gerardine   Jordan-O'Brien, Julie   McLain, Niamh   Strapp, Helen  

    Aim. To incorporate an international and multidisciplinary consensus in the determination of the research and education priorities for wound healing and tissue repair. Background. A compelling reason for the study is the lack of an agreed list of priorities for wound care research and education. Furthermore, there is a growth in the prevalence of chronic wounds, a growth in wound care products and marketing, and an increase in clinician attendance at conferences and education programmes. Design. The study used a survey method. Methods. A four-round eDelphi technique was used to collect responses from an international population of health professionals across 24 countries. Results. Responses were obtained from 360 professionals representing many health care settings. The top education priorities related to the standardisation of all foundation education programmes in wound care, the inclusion of wound care in all professional undergraduate and postgraduate education programmes, selecting dressings and the prevention of pressure ulcers. The top research priorities related to the dressing selection, pressure ulcer prevention and wound infection. Conclusion. Professionals from different backgrounds and countries who are engaged in wound management share a common set of priorities for research and education. Most notably, the priorities identified relate to long-established clinical challenges in wound care and underpin the principles of good patient care practices. The priorities are closely allied to an ageing population and identify many challenges ahead for practitioners engaged in wound management services. Relevance to clinical practice. The provision of wound care is a major investment of health service resources and remains a clinical challenge today. Research is essential to building evidence-based practice and fundamental to development of quality in standards of practice; education is central to achieving competence to deliver effective care. The determination of research and education priorities is therefore an absolute requirement in developing services.
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