Showing posts with label resources. Show all posts
Showing posts with label resources. Show all posts

Sunday, 31 August 2014

Four domain link pages updated

The four links pages are still out there and recent interest prompted a review. Given the total number of links included, it is no surprise how url domains are taken over - vape, fitness... It felt good using a links checker and finding and deleting these 'broken' sites and some that are plain dead-ends: the 'domain for sale'. There may be a few more to sort in there...

The pages are archaic in terms of approach - they are not responsive but the format is fine on a desktop and should work on a tablet. The pages started in 1997-98, you don't do this now! People search in real-time for what they need. Besides not everyone may agree with the subjects I have included and the domain in which I have placed them? What is missing?

The intention is to indicate as with another resource the potential scope of Hodges' model in the knowledge and subjects that can be encompassed. I'm not sure of the longer term future of these pages, as I look to new hosting for Drupal.

Over the coming months I will emphasise research, TEL - technology enhanced learning, e-learning and Drupal resources.

Keen to reduce the maintenance overhead, two rows have been removed and categories moved about. As a result there are a couple of 'vacant' columns in there.

In the future I need to investigate the full ramifications of SEO search engine optimization. I receive many requests offering SEO services, and to add links. Given the demanding update task if I can add a few paid links this will help me fund conference travels and studies. ...

As I return to revising my latest essay I'll let you grab a drink and browse, enjoy...(?)

Monday, 25 August 2014

Heat maps and hotbeds in Hodges' model

individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
group





"Out of area placements are a good indicator of heat within the system and how over-stretched it is." p.5

Prof. Paul McCrone,
Lintern (2014).



Sources:
Image: http://www.usability.gov/sites/default/files/images/eye-tracking-full-option1.jpg

Lintern, S. (2014) Analysis reveals mental health trust funding cuts, Health Service Journal. 124, 6411, 4-5.

Tuesday, 29 July 2014

Stanford offers new open access MOOC - Open Knowledge: Changing the Global Course of Learning

Open source, open science, open data, open access, open education, open learning -- This fall Stanford faculty and librarians are working with international partners to offer the innovative free (no-cost) course Open Knowledge: Changing the Global Course of Learning on the OpenEdX platform.



The course provides an introduction to the important concept of openness from a variety of perspectives, including library and information studies, education, publishing, economics, politics, and more. Open Knowledge is international and multi-institutional, bringing together instructors and students from Stanford University (USA), Fordham University (USA), University of British Columbia (Canada), Simon Frasier University (Canada), the Kwame Nkrumah University of Science and Technology (Ghana), the Universidad Autónoma del Estado de México (Mexico), and the rest of the world.

Learn more about the concept of "open", develop your digital literacy skills, and connect with peers from around the world.

For more information and to register:
(https://class.stanford.edu/courses/Education/OpenKnowledge/Fall2014/about)

Lauren A Maggio, MS (LIS), MA
Lecturer, Department of Medicine
Director of Research and Instruction
Lane Medical Library & Knowledge Management Center
Stanford University Medical Center
300 Pasteur Drive, L109, Stanford, CA 94305-5123
lmaggio AT stanford.edu
@laurenmaggio

HIFA profile: Lauren Maggio is Director of Research and Instruction at Stanford University in the USA. Professional interests: Information Literacy, Open Access, Open Data libraries.  lmaggio AT stanford.edu

[*Note from HIFA moderator (Neil PW): MOOC = Massive Open Online Course]

My source: HIFA2015

Thursday, 17 July 2014

The Global Health Research Process Map

As a conceptual ready reckoner Hodges' model helps us locate, isolate and contextualise the commonly cited 4Ps. In the h2cm matrix below I have related the 4Ps, as before, to the four care domains:
individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
group
PURPOSEPROCESS
PRACTICEPOLICY

I raise this learning of a new process oriented resource for global research produced by The Global Health Network.

Processes are critical.  

Think of the relationship of purpose, practice and policy in relation to triage and emergency care? When I reflect on a situation even if the priority, context is process driven I am mindful of the bigger picture.

+++++++++++++++

The Global Health Network has launched a brand new, interactive Global Health Research Process Map, the first digital toolkit designed to enable researchers anywhere in the world to initiate rigorous global health research studies.

As the HIFA community know all too well, health research is often lacking in the regions where evidence to improve health is needed most. Crucial evidence is not being generated because doctors and nurses lack access to training, information, and support. Effort is also regularly duplicated or conducted using different criteria in different territories and studies, and sometimes it falls by the wayside from lack of simple resources and guidance on best practice. The Global Health Research Process Map (http://processmap.org/) is set to change this. It’s an open-access internationally-available online resource that guides every process and method needed to initiate a health research study. For each step researchers and their staff are provided with the information, support and training that they need to successfully run a health study. Researchers will also gain the opportunity to engage with their peers along the way, aiding collaboration and the spread of ideas.

The Process Map was released just over one week ago, and has already generated nearly 2,500 views from around the world. It is the product of four years of best practice gathered and refined by the research community who use the pioneering Global Health Network to guide and support their effort to conduct research in challenging settings. The Global Health Network works like an online science park for exchanging knowledge, sharing research methods and facilitating collaboration among global health professionals to fuel faster and better evidence to improve health. The Global Health Network facilitates global partnerships between researchers ­ allowing researchers in low-resource settings and those with more support to learn from each other ­ and conduct research studies in places where this is difficult and unusual.

The Process Map is a pioneering research tool that centralises the information and resources that researchers anywhere in the world need to develop and initiate rigorous and effective global health studies. It has the potential to revolutionise the current process, speeding the development of new drugs and vaccines, and improving how diseases are managed. With this toolkit, researchers can access the guidance, training and support that they need in order to run their own studies. This is important because there is much evidence that shows that locally-led research rarely happens in low-income settings because health workers lack research skills and any access to training and support. Therefore the Global Health Network is meeting that gap and the Global Health Research Process Map will take them through the process of conducting accurate research, step-by-step. 

Visit the tool today, and click on each node to access formally written information, links to eLearning courses, guidance articles, discussions, blogs, up-to-date news, and all sorts of tools and templates which will help you complete each step. As with everything else on the Global Health Network, it’s completely free and open-access, and always will be. Your feedback is always greatly appreciated, so feel free to have a look and leave comments, either here* or on the map itself.

Thank you!
Tamzin

Tamzin Furtado
Project Manager
The Global Health Network

*My source: HIFA2015
 

Saturday, 31 May 2014

At a glance 65: Better Life for older people with high support needs: the role of social care

I am referencing the following as I struggle to complete a piece of work for the TEL course. These key messages resonate with Hodges' model (back to work....):

Published: May 2014

Key messages

The Joseph Rowntree Foundation has identified seven key challenges to be addressed for older people with high support needs to achieve a better quality of life. Social care has a key role to play in meeting these challenges.
  1. Old age is not about 'them': it is about all of us
  2. Older people are individuals and they are, as a group, becoming more diverse
  3. Relationships matter to us whatever our age; we have a fundamental human need to connect with others meaningfully
  4. Older people with high support needs have many assets, strengths and resources that they can also bring to the development and provision of services
  5. Whatever our age or support needs, we should all be treated as citizens: equal stakeholders with both rights and responsibilities
  6. The individual and collective voices of older people with high support needs should be heard and given power
  7. We need both to innovate and improve existing models
SCIE's role is to share knowledge about what works and use this to produce practical resources. Many of these resources will support people working in all aspects of social care to address these challenges.

http://www.scie.org.uk/index.aspx

Wednesday, 14 May 2014

Help Doctoori.net deliver Health Information For All

http://www.doctoori.net/
Doctoori brings to you, high quality, reliable health information in the Arabic language, through our syndicated partnership with NHS Choices. Our engaging, patient focused articles and interactive tools provide an invaluable, trusted health resource for you and your family. 

Doctoori is more than just a website. Whether you want advice on how to get fit, which super foods actually boost your health, or a guide to your pregnancy and keeping your baby healthy, we have it covered. Also if you need to see a clinician face-to-face, our find a clinic healthcare directory will give you the information you need to choose who is best for you.

Our UK based editorial team ensure all our articles are:
  • Based on the latest medical evidence
  • Rigorously reviewed
  • Thoroughly monitored to ensure they are up to date
  • In keeping with the high standards set by the Information Standard.
Doctoori.net

 ..... with you on your journey to better health

My source: Zain Sikafi CEO and Founder of doctoori.net  - info AT doctoori.net

Tuesday, 29 April 2014

Don't RAID on my Care Domains

individual
INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
group

Assessment
Person-centred, Holistic, Equality of Esteem in Care, Self-care, Literacies
Rapid
Co-ordination, Speed, Synchronization, Length of Stay, Physical access, Systems
Discharge
Communities of practice, Resources, After-care, Communications, Education
Interface
Policy, Infrastructure, Integration, Choices, Liaison, E-records, Information Sharing


Additional links:

RAPID ASSESSMENT INTERFACE DISCHARGE (RAID) Prof George Tadros

With money in mind: The benefits of liaison psychiatry, MHN

Thursday, 20 March 2014

[c/o hipnet] Data Visualization Enthusiast? Join us on the Data Viz Hub!

Dear Colleagues

The recently launched Data Viz for Development Hub [http://datavizhub.co] is a vibrant community for sharing resources, tools, examples, and ideas about data visualization. Using graphs, charts, maps, tables, infographics, and other visualizations can improve how we communicate information to stakeholders and the larger development community. With a wealth of resources available, and a growing interest across international development practitioners to build effective visualizations, the Hub will help keep communicators, evaluators, developers and others in the know about data viz best practices and new tools, connecting visualizers from all domains of expertise.

Check out the Hub at datavizhub.co, and join the community listserv by emailing:
dataviz AT knowledge-gateway.org with the subject "Join." We look forward to connecting with you about all things data viz!

Questions? Contact Libby Skolnik at libby.skolnik AT jhu.edu

Source: http://www.hipnet.org/

Tuesday, 21 January 2014

ICN and IHTSDO partner to provide a new Informatics Resources for nurses

International Council of Nurses (ICN) and International Health Terminology Standards Development Organization (IHTSDO)
partner to provide a new Informatics Resources for nurses

Geneva, Switzerland, Copenhagen, Denmark, 20 January 2014 - The International Council of Nurses (ICN) and the International Health Terminology Standards Development Organisation (IHTSDO) are pleased to announce an equivalency table between the International Classification for Nursing Practice (ICNP) concepts and SNOMED CT concepts. The table contains ICNP Diagnosis and Outcomes Statements that have semantic equivalencies with SNOMED CT concepts.

ICNP is an international standard that facilitates the description and comparison of nursing practice locally, regionally, nationally and internationally. The ICNP terminology serves a critical role for ICN in facilitating representation of the domain of nursing practice worldwide to promote evidenced based quality care. ICNP provides nurses with content solutions for electronic health records (EHRs) at all levels to support data-based information for use in practice, administration, education and research. SNOMED CT, a multidisciplinary international healthcare terminology, is designed to support the entry and retrieval of clinical concepts in electronic record systems and the safe, accurate, and effective exchange of health information.

“This equivalency table between ICNP and SNOMED CT is a tangible demonstration of how collaboration among standards development organisations can contribute to improved and standardized documentation of healthcare delivery,” noted ICN CEO David Benton. “Greater standardization supports the larger goal of interoperability of systems as well as better understanding of the contributions that each discipline makes to health outcomes and the effective and efficient use of health resources.“

“The IHTSDO is pleased to see this work being made available to users internationally and hopes that there will be feedback on its usage over time in supporting the care of individuals on a multidisciplinary basis. Continued collaboration with ICN is important to the IHTSDO going forward, providing a key link to the nursing profession internationally” said Jane Millar, Head of Collaboration at IHTSDO.

This new product advances the collaboration on terminology development agreed between ICN and IHTSDO in their 2010 harmonization agreement by allowing ICN to make the equivalency table available through its website at the ICNP Download page ( http://www.icn.ch/pillarsprograms/icnp-download/ ). Although this table is not formally endorsed by IHTSDO, persons interested in using it should review the terms of the SNOMED CT Affiliate License before downloading ( www.ihtsdo.org/licence.pdf ).

The product can be a useful resource to nurses and healthcare facilities interested in using SNOMED CT for documentation in EHRs and using ICNP to help identify clinically relevant content for use in documentation of nursing care.

An additional product from ICN, the ICNP Technical Implementation Guide, was also recently released with the intent of supporting ICNP users, from vendors to nurses in care delivery settings. When used alongside documentation available on the IHTSDO website ( http://ihtsdo.org/fileadmin/user_upload/doc/ ), the Implementation Guide will be of particular use to those who choose to access and use the ICNP-SNOMED CT Equivalency Table in that it gives details about applications that use ICNP, approaches to implementation, structure and content of ICNP, and technical overview. The ICNP Implementation Guide is available on the ICN website ( www.icn.ch/pillarsprograms/implementing-icnpr/ ).

My source: Amy L Amherdt, icn-ehealth

Monday, 20 January 2014

ERCIM News No. 96 Special theme: "Linked Open Data"

Dear ERCIM News Reader,

ERCIM News No. 96 has just been published at
http://ercim-news.ercim.eu/en96

Special Theme: "Linked Open Data"
http://ercim-news.ercim.eu/en96/special/
Guest editors
: Irini Fundulaki (Institute of Computer Science, FORTH) and Sören Auer (University of Bonn and Fraunhofer IAIS)

http://ercim-news.ercim.eu/en96
Keynote: "Linked Data: The Quiet Revolution" by Wendy Hall

This issue for download
pdf
http://ercim-news.ercim.eu/images/stories/EN96/EN96-web.pdf
epub: http://ercim-news.ercim.eu/images/stories/EN96/EN96.epub

Next issue: No. 97, April 2014 - Special Theme: "Cyber-Physical Systems"
(see the call at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz
ERCIM News central editor

--------------------------------------------------
An initiative for the ERCIM members: Call for Participation - identifying the emerging grand challenges in ICST http://kwz.me/74

Saturday, 11 January 2014

moon, resources and Materialism


INTERPERSONAL : SCIENCES
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL

individual
http://southbanklondon.com/republic-of-the-moon


group - population

Republic of the Moon
http://southbanklondon.com/republic-of-the-moon
(I missed this when it was in Liverpool!)

Additional links:

NASA Releases New Earthrise Simulation Video

UNODA: Treaty on Principles Governing the Activities of States in the Exploration and Use of Outer Space, including the Moon and Other Celestial Bodies
http://disarmament.un.org/treaties/t/outer_space/text

UNOOSA: 34/68. Agreement Governing the Activities of States on the Moon and Other Celestial Bodies
http://www.oosa.unvienna.org/oosa/SpaceLaw/gares/html/gares_34_0068.html

Images:
Leonid Tishkov, Personal Moon - Republic of the Moon
http://www.artscatalyst.org/projects/detail/republic_of_the_moon_Liverpool/

Omega Speedmaster Moonwatch -
http://www.omegawatches.com/collection/speedmaster/moonwatch/anniversary-limited-series/31130423099002


Sunday, 22 December 2013

mEDucator 3.0 | Open Linked Education - Melina+ (Drupal)

http://www.meducator3.net/melinaplus/
Checking through links yesterday I came across the mEDucator initiative and Melina+ which is part and noticed it is built using Drupal.

There is a thread on Drupal.org on science applications:

https://groups.drupal.org/science-applications

I posted in 2009 about the Science Collaboration Framework - SCF (for creating biomedical resources).

The link to SCF no longer works; there is an archive of this and other work that was part of Harvard's Initiative in Innovative Computing (IIC).

So it's important to consider these initiatives at least in terms of their longevity, their scale and number of participants, as examples of funded research and as Drupal projects.

Thursday, 28 November 2013

The Health Foundation launch new Person-Centred Care resource centre

Dear CHAIN member,

We would like to draw your attention to the following new resources.  
Please pass on as appropriate.  Thank you.

The Health Foundation has launched their new person-centred care resource centre:

http://personcentredcare.health.org.uk/

The resource centre is designed to help healthcare professionals implement a more person-centred healthcare service, where people are supported to more effectively manage and make informed decisions about  their own health and care. Initially focusing on shared decision making and self-management support.

Regards,
Wendy Zhou
CHAIN Manager

CHAIN - Contact, Help, Advice and Information Network  
– is an online international network for people working in health and social care.  
For more information on CHAIN and joining the network please visit website: 
http://chain.ulcc.ac.uk/chain/index.html

Tuesday, 12 November 2013

Held in equal esteem: Physical health and Mental health

As a mental health nurse you are familiar with concept of ‘esteem’. Self-esteem is central within assessments of clients, central to all care workers as safe and effective practitioners; and self esteem tests carers in those people for whom their condition means self-esteem is something attributed by proxy.

I noticed just recently use of the term esteem applied to the disparity between physical health and mental health. The two upper-most domains in Hodges' model (interpersonal and sciences) draw attention to the historical duality of mind and body. To integrate the two means acknowledging differences and this is acute in terms of finance, research and treatment plus many other measures.

The limitations of my emphasis in a series of previous posts on holism, holistic care, holistic approaches become apparent as long as the political domain is not addressed. You can be as holistic as you like, identifying, processing and integrating the full remit of health care concepts relevant in a case. If esteem is not achieved then the benefits of being holistic must be severely damaged. They may even be considered futile politically (speaking - just a whisper)?

Through the links below this post demonstrates that esteem is stirring in the political, policy and legislative domain and is being addressed, even if a solution will not arrive overnight.

My original sources: New Scientist, the HSJ and BBC.

Nick Craddock (2013) Opinion: Where's our Higgs? New Scientist, 27 April, 2914; pp.30-31.
Psychiatry needs the star quality of physics to help recruit top academics and fight the scourge of mental illness - this opinion piece concludes:

So, in 2013, psychiatry has powerful scientific tools and a developing narrative that already points to strong theoretical bases. Yet, in the UK research into mental illness is stalled at around 5 per cent of the annual medical research budget, and the picture is similar in other rich countries. That will have to change – and governments and funders are starting to see this. The door is open: all that is needed is for more of the best to come in and find out just how hot psychiatry really is.

‘Esteem gap’ between mental and physical health remains
10 October, 2013 | By Alastair McLellan
The government knows the challenges the facing mental health sector, but without radical solutions the goal of treating mental and physical health service users on an equal footing seems as far away as ever
http://www.hsj.co.uk/opinion/leader/esteem-gap-between-mental-and-physical-health-remains/5064120.article

Debate on 10 October: Parity of Esteem for Mental and Physical Health - Lords Library Note
http://www.parliament.uk/briefing-papers/lln-2013-024/debate-on-10-october-parity-of-esteem-for-mental-and-physical-health

Lords debate – Parliament TV:
http://www.parliamentlive.tv/Main/Player.aspx?meetingId=13879&st=11:51:20

Royal College of Psychiatrists: OP88. Whole-person Care: from rhetoric to reality (Achieving parity between mental and physical health)
http://www.rcpsych.ac.uk/usefulresources/publications/collegereports/op/op88.aspx

Thursday, 7 November 2013

Calling all healthcare radicals!

Rocking the boat and staying in it: how to succeed as a radical in healthcare

 
 
Corporate Rebels United is a global movement of “corporate rebels” across multiple industries and sectors. Many healthcare rebels/radicals are part of this. This is the manifesto of Corporate Rebels United which perfectly captures the mission of organisational radicals in healthcare to deliver the new truth of healthcare transformation.

Through Hodges' model I am an advocate for 'radical history', nursing care lessons from the past can (must!) inform future health and social care.
 

Tuesday, 8 October 2013

Infostandards.org: HSCIC supports the information standards community

Dear Peter,

You may have seen the publicity this week regarding the launch of a new website, www.infostandards.org, developed by the Health and Social Care Information Centre, working with the Department of Health, NHS England and other commissioning partners.

Infostandsards.org has been developed to support information standards professionals across health and social care. The site provides a single place where all information standards can be located, along with valuable supporting material, such as e-learning, implementation guidance and case studies. It also enables users of the site to become active participants in the development and appraisal of standards, by providing the means to share material, draw on each others’ experiences and engage in discussions about existing and potential future standards.

TRUD is pleased to support this new venture and recognises the importance of engaging with information standards professionals across health and social care. The site provides a single place where all information standards can be accessed, along with valuable supporting materials, such as e-learning, implementation guidance and case studies. It also enables users of the site to share material, draw on each other’s experiences and engage in discussions about existing and potential future standards, collections and extractions.

The site’s scope and design will evolve continually to meet the needs and preferences of the community, so we encourage you to become active users and help shape its future development. It is the intention that the site will be an integral part of the assurance process for information standards and collections, details of which will be made available on the site in due course.

Dr Ken Lunn, Director of Information Standards Delivery, said:
"We have supported the creation of the infostandards.org website because openness and increased engagement with end users can only improve the development, delivery and adoption of effective information standards. Standards are essential to the delivery of improved, digitally enabled health and care services and by collaborating with the wider community we can tackle together the challenges we all face. I look forward to seeing how the site will be used by the community."
In support of implementation of the NHS dictionary of medicines and devices (dm+d) the Pharmacy Terminology team are currently updating some of the dm+d implementation guidance. Following feedback from the community a starter guide to dm+d providing an overview of dm+d, an explanation of the Standard, how it relates to the SNOMED CT UK Drug Extension and some fundamentals on content, structure and the release itself has been drafted and is available for comment on infostandards.org.

http://www.infostandards.org/topic/prescribing/dmd-draft-user-guide-available-for-review

The guidance is not currently ready for formal consultation but we would value your input at this juncture to see if the contents are useful and useable.

Questions about www.infostandards.org can be sent to info.standards AT hscic.gov.uk and via twitter where you can follow us @infostandards

Regards

The TRUD support team
Health and Social Care Information Centre

Friday, 27 September 2013

Budgeting for Public Involvement in Research

Dear Colleagues,

INVOLVE and the Mental Health Research Network teamed up to produce a new resource to help with budgeting for the costs of public involvement in research. It can be used for everything from putting together an involvement budget for an entire study to working out how much it will cost to run a one-off consultation event.

The first part of the resource is a guide which:
  • provides practical advice on what costs are associated with involvement in research
  • includes a step-by-step process for identifying the associated costs and planning the budget
  • presents examples of research projects with well-developed budgets for involvement work
  • contains tips, links to useful websites, and references.
The second part of the resource is an online ‘involvement cost calculator' to work out the costs for your research study.

Please forward this information to your colleagues and networks.

If you have any questions or queries about Budgeting for involvement please contact:

Thomas Kabir
MHRN Service Users in Research Coordinator
Email: thomas.kabir AT kcl.ac.uk
Tel: 0207 848 0609
To find out about INVOLVE visit www.invo.org.uk

To find out more about the Mental Health Research Network visit
www.mhrn.info


My source: Laura Gardner: Research Design Service North West’s e-mail list.

Tuesday, 10 September 2013

'Pictures to Share' book titles for people with later stage dementia

Hi
I am contacting you as one of our LinkedIn colleagues working in the field of dementia. One of our 'Pictures to Share' book titles for people with later stage dementia has been shortlisted for the UK 'People's Book Prize'

By winning this award we can help to to raise awareness of the needs of people with dementia, so it would be great if you could take a look at the People's Book Prize website, and consider voting for our book 'Proverbs and Sayings'.

The link is below:

http://www.peoplesbookprize.com/book.php?id=982

Many thanks for your help

Helen Bate and Michelle Forster

http://www.picturestoshare.co.uk/

[I will register and vote Michelle - good luck PJ ]

Saturday, 17 August 2013

High quality nursing care: Staff numbers + Management + Complexity = Goat (Rabbit or Duck)?

When did someone last get your goat?
For me I owe a vote of thanks to Mr Harry Cayton in the (print) Health Service Journal, 2012
 The wrong answer to the wrong question. 

I know it's hard to believe, but I've been simmering for a year and a half; especially watching, listening and reading about the NHS and the state of nursing in the media.

The subtitle of this short opinion piece (p. 16-17) reads:  

"There is no direct link between staff numbers and care quality, 
so a minimum staff ratio is a fig leaf performance measure." 

Online it is: 15 March 2012 'Mandating staffing levels is not the answer to reducing poor care'
 - so you get the gist...?

As a nurse, the subtitle did its trick, it rubbed against the whole tree of experience, not just a branch or two.

It is a long time since I was a deputy charge nurse on what was then 'psychogeriatrics'. Relatives would arrive on the ward for the first time and start to weep. We had to reassure and demonstrate that we cared not just in words, but actions: nursing care. We got things wrong: teeth, clothing. ... A variety of 'lists' and books signified institutional care. That Victorian institution is no more, this is progress. The change has been amazing. It is also a long time since I was a charge nurse on acute female admission. The thing is numbers always counted. How many times did we, the team, wonder what we could have done with another two, or four hands? Within mental health care risk is a positive and negative companion to all our patient contacts. There may be confusion in numbers, but there is safety too.

You know that numbers do count.

As Mr Cayton points out - poor management is a primary factor in poor care. He quite rightly refers to the complexity that arises. As I have posted here several times, staff attitudes and skills are central to the quality of care that follows. Mr Cayton highlights the same.

If evidence based health care is so powerful why are we still deliberating upon this?

This isn't just complex, it's complex as in complexity science. In the late 70s - 80s and even today there is discussion of dependency and workload measures. There is a real illusion at work.

As a nurse in this context you recognised the limitations of know thyself. You have to know yourself, especially: can I delegate effectively? Am I a manager's manager? How can I balance the office and the ward?

The limitation is: do I know my team? Since the 1980s I wonder how well ward managers know their team. What is the impact of agency workers - nursing and medical? How has this workforce development influenced the work and performance of the FY1s (foundation - first year doctors)?

We ensured we had covered the 'basics' as comprehensively as we could. Everyone was safe, warm, clean, skin clean and intact, dressings completed, fed, watered, given a smile, (if possible) gave a smile and as much reassurance as could be provided. Any care outstanding was reported to the next shift to ensure it was completed as a priority.

Returning to the question of evidence and the illusory, chimeric character of this debate. There is a great post-grad student essay on the relative and normative dimensions of nursing staffing to be written. Health services must wrestle with standards, local responsiveness, person-centredness, outcomes and umpteen other requirements in care delivery. If funding (staffing!) results in nurses having an arm tied behind their back, perhaps mandated staffing levels does the same for managers?

There is undoubtedly much to consider in relation to the equations that abound in staffing numbers and quality of care. As we think of trees of knowledge,  experience and branches, let's remember the leaves; everyone unique.

Update: 24 Aug 2013
News, Health Service Journal, 23 August 2013, Minimum safe staffing work yet to begin, 123, 6364, p.7. 123
"We need tools that are relevant to the care environment; we need leadership locally that has the resources and responsibility to meet the levels the tools are demanding and we need some degree of professional responsibility and decision making at ward level."
(Prof. Jim Buchan)
Additional links:

Policy Unit. Royal College of Nursing (2010) Guidance on safe nurse staffing levels in the UK
http://www.rcn.org.uk/__data/assets/pdf_file/0005/353237/003860.pdf

Safe Staffing Alliance

Kay, J. (2013). Making the case for more nurses, Health Service Journal, 123, 6355, 30-31.

NHS pays £1,600 a day for nurses as agency use soars, The Telegraph, 14 Jul 2012.

http://hodges-model.blogspot.co.uk/2013/03/bbc-horizon-ii-processes-step-this-way.html

26/02/2014:
New [Lancet] study shows degree level nursing education cuts unnecessary hospital deaths
http://www.councilofdeans.org.uk/2014/02/new-study-shows-degree-level-nursing-education-cuts-unnecessary-hospital-deaths/#comment-28

Tuesday, 23 July 2013

Global Research Nurses’ Network discussion: Nearly Free Nursing Colleges - Mental Health Nursing Rwanda

Nearly Free Nursing Colleges

I have been working in mental health nursing in Rwanda, I have seen a significant need for a mental health nurses handbook and guide. At the request of the faculty at Kigali Health Institute, I have complied two electronic texts.

1.Mental Health Nursing I: Diagnosis, Treatment Guidelines and Standards of Care : The African Context. and
2.Mental Health Nursing II: Vulnerable Populations of Africa and Emerging Best Practices.

They have links to research, questions that guide the student reading, and then clinical cases for integration of what they have learned in each chapter. They are based on an 8 week course with 3 classes per week.

I would like to place them on the internet for free access but don't know how that is done.

They would be applicable for any nurses, mental health or general nurses working in post-conflict countries. The first handbook uses heavily the WHO MH Gap intervention guide which is excellent and COHSASA standards of care. The second book includes mental health in primary care, chronic mentally ill in villages, pregnant women and infants, refugees, women who are victims of gender based violence, Incarcerated mentally ill, and traditional healers. It is challenging but could be available to anyone with motivation and an internet connection.

Perhaps resources like this could be compiled into a program of study with internet oversight. I would be interested in pursuing this concept with others. I will be returning to the US in a few days but would like to see these ebook widely distributed and utilized. Does anyone have any ideas how this could be accomplished?

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