Showing posts with label nursing education. Show all posts
Showing posts with label nursing education. Show all posts

Wednesday, 25 September 2013

Surveys, Nursing Education, Drupal and Webform

Just before heading to Drupalcon Prague I learned of a new paper by Gill et al.:

Using a web-based survey tool to undertake a Delphi study: Application for nurse education research

Background: The Internet is increasingly being used as a data collection medium to access research participants. This paper reports on the experience and value of using web-survey software to conduct an eDelphi study to develop Australian critical care course graduate practice standards.
Methods: The eDelphi technique used involved the iterative process of administering three rounds of surveys to a national expert panel. The survey was developed online using SurveyMonkey. Panel members responded to statements using one rating scale for round one and two scales for rounds two and three. Text boxes for panel comments were provided.
Collecting data and providing feedback: For each round, the SurveyMonkey's email tool was used to distribute an individualized email invitation containing the survey web link. The distribution of panel responses, individual responses and a summary of comments were emailed to panel members. Stacked bar charts representing the distribution of responses were generated using the SurveyMonkey software. Panel response rates remained greater than 85% over all rounds.
(in press)
The paper is interesting in combining surveys and an e-variant of the Delphi research method. Conclusions highlight the improved accessibility to experts and how ethics needs to keep pace with technical change and affordances.

Yesterday at Drupalcon there was a presentation on Webform:

Webform 4.0: Surveys in Drupal Improved




I've mocked up a enquiry form using Webform, but this session pointed to how the module can be extended for polls and contact forms. Based on Gill et al. and the eDelphi technique they explain this could be a really powerful combination.


Gill, F.J., et al., Using a web-based survey tool to undertake a Delphi study: Application for nurse education research, Nurse Education Today (2013), http://dx.doi.org/10.1016/j.nedt.2013.02.016

Saturday, 1 June 2013

Review: Philosophical And Theoretical Perspectives For Advanced Nursing Practice

http://www.jblearning.com/catalog/9780763765705/
If you are a miner for insight, a pearl diver for knowledge or seeking blue sky wisdom this book can deliver and sign-post in plenty through its references. In summary: this book is a history book that nods at futurology.

I had high expectations for the text, also anticipating an exacting read. After all, as a 5th edition this is a well established text. The expectations were not wholly realized, however; many of the papers are quite dated being published originally in the 1990s.

The book is an important collection and can certainly be regarded as essential reading for advanced nursing practitioners and those pursuing post-graduate nursing studies. Several chapters hail from the same journal publisher and perhaps - as a positive - this contributes to the readable and accessible style throughout the book. The text format and size are also easy to read. I found one spelling mistake within the index entry for 'diagnosis' p.387. In addition to the historical development in part 1 the book's division into five parts - 31 chapters in total - acknowledges the reliance on the past and from it appears from a previous edition the arrival of the 21st century. Apart from the current date of issue 2013 I cannot accurately place the most recent additions to the volume. The contents listing and preface are limited in this respect. Judging from the references they are not that recent. 2010 is one of the most recent references I could find, and this, the 75ed of Toby & Mariner.

Many of the papers are seminal and include an overview of particular aspects of nursing thought - analysis and synthesis. Unsurprisingly, there is philosophy and ethics in great abundance, together with ecocentricism, several forms of feminism, aboriginal peoples and their world views, evidence, health, beliefs, art, professionalism, research, patterns, advanced practice, theory and much more. The distinction between evidence based theory and evidence based practice is something of which all nurse students should be aware.

There is specific reference to Advanced Nursing Practitioners. There could obviously be some variation in how this professional group are considered as opposed to Advanced Nursing Practice. Having just returned from Belfast and the University of Ulster there is ongoing currency in McCormack's chapter 17 A Conceptual Framework for Person Centered Practice with Older People. While dated 2003 McCormack's work was emphasized at a recent conference in Ulster I was able to attend (and there are plans for another). I am sure other chapters may be enlivened by such reviewer found co-incidences as this.

I wonder if the scope of the book and acknowledgement of the passing of time seems to shout for a two-volumed approach. As suggested above, the previous acknowledgement of the future seems to have hailed from the 20th century and got lost. We are now after all more than a 1/10 of the way into the 21st century.

Having started my nursing career in the RN, chapter 22 on military metaphor in nursing and the need for another. A researcher contacted me several years ago about using Hodges' model (a conceptual framework) in a study on bullying in nursing. I've never heard anything since, but Hodges' can help in such research in two respects. The inclusion of a political domain and the organization of groups of people, emphasizes process, procedure, protocol, routine, and may proceed to regimentation, discipline, hierarchy so to a degree language games will follow. As this chapter notes, several professions, including nursing are said to eat their young. A commentary after the chapter provides a useful balance and makes this point. The chapter is nonetheless a reminder of the role of language and how professionalism arises and is sustained (disciplines too?). The proposal of frontier as a new metaphor is fitting as Hodges' model identifies five conceptual fronts - frontiers that must be integrated. 

As a frontier - Chapter 21 on rapture and suffering with technology in nursing holds many lessons and insights. Heidegger's "standing reserve", the human-technology interface, what it means to live like a human being and the distinction of being a human being. Mobile technology, m-health, e-health are making a huge contribution to global health and need a place here. I found Macurdy's four principles 326-327 on what patients need to assume power and control over their care very illuminating, especially in highlighting information access and the importance of health literacy.

In the text and the index I could not find specific reference to capacity, as in mental capacity, informatics, global health, information (access), justice, law, legal, management, human rights, literacy, mental, political, psych-, long-term medical conditions and recovery. While the book would become incoherent if a disease/diagnosis-based approach was adopted, we might ask: does dementia deserve specific inclusion? This is an interesting (and potentially vociferous) debate in itself - to what extent should such a book record change through several decades? Of course the book is not an encyclopedia and it is easy to critique according to omission. These are pressing times demographically, however; while there is a population focus: global communities and aboriginal communities in chapter 23 and 24, this merely scratches the surface of very large world.

This book is a valuable asset and has stimulated many ideas here (and potential blog posts). I am very pleased to have read it and would recommend it to students and practitioners alike. I am grateful to the publishers for the review copy.

Sunday, 12 May 2013

International Nurses' Day 2013: "The drama of it All"

There is a new nursing drama series starting on BBC TV next week - Frankie:
District nurse Frankie Maddox is a saint. At least she would be if it weren’t for her fondness for red wine, loud music, ghastly singing and fast cars.

Whether it’s an elderly man with dementia, a pregnant woman whose husband is on duty in Afghanistan or a sickly young child who’s never at school, nothing is too much trouble for this caring, smiley character. “Why do you always insist there’s something we can do, when sometimes there isn’t?” snaps Dr Evans (Jemma Redgrave). Because “the world is my patient,” Frankie explains, although she has the grace to grimace after delivering such a clunking line (from Radio Times).
That line may be clunking as a piece of dramatic prose, but there is a need to make some noise that extends beyond nursing's one-to-one encounters.

We are well aware of the challenges that the NHS faces, the themes are well known and read like a script that is increasingly played out on wards, the media and in parliament. The latest playwright is Francis. This is the drama we cannot ignore locally.

What of nursing globally on IND 2013?

The nursing communities within the various nations must also listen to the world. We can make a difference as individuals by challenging our often parochial perspectives; by trying to travel, seeking to engage with others electronically and learn what global nursing organizations are doing on our behalf.

Best wishes to nurses everywhere.


Thursday, 24 January 2013

Two new books ... to review and a new IPONS website

There are two books in the post for review here which I look forward to receiving. Originally I only enquired about the following:

Philosophical and Theoretical Perspectives for Advanced Nursing Practice, Fifth Edition 

The book will continue to address a need to identify philosophical and a theoretical basis for h2cm.

A phone call from the publisher's rep. Clare McMillan had noted the informatics content here on Welcome to the QUAD W2tQ and would I also be interested in another book?

Yes please, certainly... I appreciate the recognition too.


Nursing Informatics and the Foundation of Knowledge, Second Edition is also to follow and not without a challenge as Clare pointed out. This foundation on informatics is focused on the North American experience. So it is a perspective from Wigan Pier to follow.

Of related interest and with further refinements to follow apparently, the International Philosophy of Nursing Society has a new website.

Tuesday, 9 October 2012

A shoutout to University of Northumbria at Newcastle - and others!

Although school terms and university semesters vary especially between the northern and southern hemispheres, I can often tell when a new academic year is upon us again. Not only that, but possibly a new cohort of nursing or other health care related students.

The signal is the visitors to the old website. The past week or so there's been a lot of traffic from University of Northumbria at Newcastle. Only the institution is listed, not individuals. And don't get excited about the numbers: we are talking 10s here not 100s and 1000s.

Those tens (still greatly appreciated!) could be even more significant if I could connect with someone. So if you are revisiting this blog and from UoN or any other institution please get in touch: h2cmng at yahoo.co.uk

I would really help to hear your views on:

What prompted your visit?
Who are you - what's your role, course and stage of learning?
How are you using the site and model (if at all) is it:
  • as part of an exercise merely identifying models of nursing, aspects of nursing theory...?
  • as part of a piece of (reflective) written work?
  • applying the model to a specific context, case study, nursing (or other) discipline?
  • as a critical nursing or informatics exercise?
  • as an initial exercise to help assure holistic care?
  • some other discipline and purpose perhaps?
What would you expect to find, what is missing?
What is useful and should be archived?
What sucks!
Is there something that you could add to a future site?
Do you have work on h2cm that I could highlight here on W2tQ?

There are many rich seams to dig here and if we can work together we might find some light.

There is someone at UoN I will approach if they are still there: quite possibly!

Friday, 6 April 2012

Virtual International Day of the Midwife - start 10.00 5th May New Zealand


Hello everyone

For those of you who do not know me, I am one of the facilitators of the Virtual International Day of the Midwife. This is a free online conference that runs for:

24 hours starting 10.00 5th May New Zealand. 

The conference is designed for midwives and anyone interested in birth. And if you cannot attend, we'll be recording the conference sessions for you to watch in your own time.

I am delighted to announce that the program for the conference is now confirmed: http://internationaldayofthemidwife.wikispaces.com/

Please go to the website above for all information, including how to access the web conference room that we'll be using, as well as practice sessions where you can get one-to-one help with setting up your technology.

You can also follow us on Facebook:
http://www.facebook.com/VirtualInternationalDayoftheMidwife
and Twitter: https://twitter.com/#!/VIDofM

There is also a poster that you can download and print off, in order to advertise this event to your colleagues. Look forward to seeing you at the conference. If you have any queries about the program, or the technology, please let me know or leave a comment on our Facebook page.

regards Sarah
Sarah Stewart
EdD Student and Consultant
http://sarah-stewart.blogspot.com
Skype: sarah.m.stewart
Twitter: SarahStewart