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Worcester, United Kingdom

Chamberlain D.,Worcestershire Acute Hospitals NHS Trust
Health Information and Libraries Journal | Year: 2014

Background: Health organisations are often driven by specific targets defined by mission statements, aims and objectives to improve patient care. Health libraries need to demonstrate that they contribute to organisational objectives, but it is not clear how nurses view that contribution. Objectives: To investigate ward nursing staff motivations, their awareness of ward and organisational objectives; and their attitudes towards the contribution of health library services to improving patient care. Method: Qualitative research using focus group data was combined with content analysis of literature evidence and library statistics (quantitative data). Data were analysed using thematic coding, divided into five group themes: understanding of Trust, Ward and Personal objectives, use of Library, use of other information sources, quality and Issues. Four basic social-psychological processes were then developed. Results: Behaviour indicates low awareness of organisational objectives despite patient-centric motivation. High awareness of library services is shown with some connection made by ward staff between improved knowledge and improved patient care. Conclusion: There was a two-tiered understanding of ward objectives and library services, based on level of seniority. However, evidence-based culture needs to be intrinsic in the organisation before all staff benefit. Libraries can actively engage in this at ward and board level and improve patient care by supporting organisational objectives. © 2014 Health Libraries Group. Source


Thomson A.J.M.,Worcestershire Acute Hospitals NHS Trust
Journal of Minimally Invasive Gynecology | Year: 2013

Electricity is the flow of electrons through a conductor. The amount of current (amps) is related to the voltage (volts) pushing the electrons and the degree of resistance to flow (ohms). During their flow around a circuit, electrons can be used to create a number of useful byproducts such as heat and light. As electrons flow, they alter the charge of the matter they flow through, which may also generate electromagnetic effects. © 2013 AAGL. Source


Southall D.,Worcestershire Acute Hospitals NHS Trust
Palliative Medicine | Year: 2013

Background: The modes of communication which patients use are seen as important within the sphere of palliative care and have been the focus of much research. Aim: This literature review aims to identify and analyse one particular mode of patient expression, namely that of the figure of speech (trope) 'metaphor', and ask questions regarding metaphor's therapeutic usefulness when engaging with the life-limited patient. Data Sources: The investigation revolves around a literature review of academic papers which focus on the metaphorical ways in which patients speak of their condition. Results: This paper provides the theoretical foundations for the patient's metaphoric utterances. It also delineates the variety and diversity of metaphors used by patients and categorises them into broad groupings which encompass metaphors of war, journeying, personhood, the natural world and existential concepts. Conclusions: The papers reviewed suggest that metaphoric communication allows sensitive subjects to be dealt with and provides benefits for patients. The results suggest that engaging with patients at the metaphoric level enables them to create new ways of viewing their situation and opens up the possibilities of new coping strategies. Finally, some developmental trajectories emanating from the reviewed papers are suggested, which will allow the efficacy of metaphor to be explored further within a palliative care setting. © The Author(s) 2012. Source


Morris L.,Worcestershire Acute Hospitals NHS Trust
Wounds UK | Year: 2011

The 'Your Skin Matters' section of the High Impact Actions (HIAs) for Nursing and Midwifery (2009) largely focuses on preventing pressure ulcers. However, moisture lesions or incontinence-associated dermatitis (IAD) can be of equal distress to the patient as a pressure ulcer. This condition often results in pain from breakdown of the skin, increased risk of infection and length of hospital inpatient stay, as well as affecting patient dignity from the embarrassment of faecal/urinary incontinence. Like pressure ulcers, moisture lesions can often be prevented. This paper describes an intervention for faecal incontinence that can help to prevent and manage this condition and, thus, has an impact on patient safety, clinical-effectiveness and patient experience. Source


Fowell C.J.,Coventry University | Earl P.,Worcestershire Acute Hospitals NHS Trust
British Journal of Sports Medicine | Year: 2013

Despite bone healing and the management options of facial fractures being reported at length, there is a lack of evidence-based return-to-play criteria for sportspeople who have sustained these fractures. This shortage of evidence has resulted in a lack of consensus among health professionals. A prospective study of 20 cases of sportsmen who have returned to competitive play 3 weeks after injury or treatment for facial fractures is reported. The risks and benefits of early return-to-play are discussed and return-to-play guidelines for these patients are proposed. Source

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