Browsing by Author "Norrie, Peter"
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Item Metadata only Are clinical information systems acceptable to critical care nurses? Some findings and a reliable and valid tool for further research(2004) Norrie, Peter; Anthony, Denis MartinThis paper presents a quantitative research investigation into the ways in which a CIS can support critical care nurses, by developing and using a reliable and valid research tool. This was then used at three sites, one of which used CareVue 9000. The research showed that the CIS was highly valued by the nurses and was perceived as being statistically more satisfactory than conventional data charting.Item Metadata only A benchmark too far: findings from a national survey of surgical site infection surveillance(Elsevier, 2013) Tanner, Judith; Padley, Wendy; Kiernan, Martin; Leaper, David; Norrie, Peter; Baggott, RobBackground The national surgical site infection (SSI) surveillance service in England collates and publishes SSI rates that are used for benchmarking and to identify the prevalence of SSIs. However, research studies using high-quality SSI surveillance report rates that are much higher than those published by the national surveillance service. This variance questions the validity of data collected through the national service. Aim To audit SSI definitions and data collection methods used by hospital trusts in England. Method All 156 hospital trusts in England were sent questionnaires that focused on aspects of SSI definitions and data collection methods. Findings Completed questionnaires were received from 106 hospital trusts. There were considerable differences in data collection methods and data quality that caused wide variation in reported SSI rates. For example, the SSI rate for knee replacement surgery was 4.1% for trusts that used high-quality postdischarge surveillance (PDS) and 1.5% for trusts that used low-quality PDS. Contrary to national protocols and definitions, 10% of trusts did not provide data on superficial infections, 15% of trusts did not use the recommended SSI definition, and 8% of trusts used inpatient data alone. Thirty trusts did not submit a complete set of their data to the national surveillance service. Unsubmitted data included non-mandatory data, PDS data and continuous data. Conclusion The national surveillance service underestimates the prevalence of SSIs and is not appropriate for benchmarking. Hospitals that conduct high-quality SSI surveillance will be penalized within the current surveillance service.Item Metadata only Conflict management styles used by nurses in Jordan(Sage, 2014) Al-Hamdan, Zaid; Norrie, Peter; Anthony, Denis MartinItem Metadata only Development of an attrition risk prediction tool.(MA Healthcare Limited, 2009-11) Norrie, Peter; Fowler, JohnAim: To review lecturers’ and students’ perceptions of the factors that may lead to attrition from pre-registration nursing and midwifery programmes and to identify ways to reduce the impact of such factors on the student’s experience. Background: Comparable attrition rates for nursing and midwifery students across various universities are difficult to monitor accurately; however, estimates that there is approximately a 25% national attrition rate are not uncommon. The financial and human implications of this are significant and worthy of investigation. Method: A study was carried out in one medium-sized UK school of nursing and midwifery, aimed at identifying perceived factors associated with attrition and retention. Thirty-five lecturers were interviewed individually; 605 students completed a questionnaire, and of these, 10 were individually interviewed. Attrition data kept by the student service department were reviewed. Data were collected over an 18-month period in 2007–2008. Findings: Regression analysis of the student data identified eight significant predictors. Four of these were ‘positive’ factors in that they aided student retention and four were ‘negative’ in that they were associated with students’ thoughts of resigning. Conclusion: Student attrition and retention is multifactorial, and, as such, needs to be managed holistically. One aspect of this management could be an attrition risk prediction tool.Item Metadata only English hospitals under report SSIs(BMJ, 2013) Tanner, Judith; Padley, Wendy; Kiernan, Martin; Leaper, David; Baggott, Rob; Norrie, PeterWe thank Lamagini and colleagues for their interest in our paper. These authors from the HPA claim that we are misinformed and lacking in understanding. Yet, our criticisms are the same as those expressed by the Public Accounts Committee and the DH Advisory Committee on HCAIs. Even the European Centers for Disease Control says the English SSI surveillance system ‘lags’ behind the rest of Europe. The SSI surveillance data published by the HPA does not include post discharge surveillance (save for readmission data in the mandatory scheme) which account up to 80% of SSIs. This results in the ‘true’ scale of SSIs being hugely under reported. As length of stay after surgery continues to fall this becomes ever more important. An SSI surveillance system which does not include post discharge surveillance is akin to describing the size of iceberg by measuring only the part seen above the water.Item Metadata only Expanding the case study: the narrative thread(Sage, 2004) Norrie, PeterThis paper looks at research methods appropriate to the clinical area. It puts forward a coherent methodology, termed the narrative thread, which clinical researchers can use when the conditions of a research project change. The production of theory is also addressed, and it is intended that this contribution may be of service to researchers, when their projects are beset by apparent catastrophe!Item Metadata only An exploration of the experiences of South Asian students on pre-registration nursing(Sage, 2009) Dyson, Sue, 1960-; Culley, Lorraine; Norrie, Peter; Genders, NickyA mixed methods investigation. Main findings include the importance of peer group and personal tutor support to their academic success. Understanding the student experience is important and should help institutions to develop culturally sensitive support systems.Item Metadata only An exploration of the factors which predict the quality of the mentoring experience in beyond registration healthcare learning.(Inderscience Enterprises Ltd., 2010-08-31) Norrie, Peter; Lewis, Deborah; Parboteeah, Sam; Greenway, CarolMentoring is widely used to support learning within healthcare settings. It is an essential component of a range of Learning Beyond Registration programmes in the UK. This research project used an extensive literature review to identify the variables reported as affecting student experiences of mentoring quality. In addition to producing descriptive data, multiple regressions were used to produce a parsimonious model which explained the descriptive findings. Four items were found to account for 59% of the variance.Item Metadata only Fundamental aspects of research for nurses.(Quay Books, 2010-07-31) Dyson, Sue, 1960-; Norrie, PeterItem Metadata only How adult are our learners? A cross sectional exploration of the learning characteristics of nursing students in a United Kingdom University(Sage, 2007) Norrie, Peter; Dalby, DaveA quantitative research project was undertaken to investigate the learning characteristics of a cohort of nursing students, using Malcolm Knowles’ module of learning. The research findings did not conform to the module. There was no evidence that students gained more of the characteristics of andragogy as they progressed through their studies. Instead there was some evidence that students become less willing to take responsibility for their learning. This is of concern to all involved in health education.Item Open Access Physical fitness training for stroke patients.(Wiley, 2010) Norrie, PeterStroke can be a devastating event likely to adversely affect physical fitness. This may be through two main mechanisms. Firstly hemiparesis can have a direct effect, limiting the amount of muscle which is available for contraction during physical activity. This makes everyday tasks such as walking difficult and less efficient. Secondly, it may result in neurological deficits such as motor weakness and defective control, which may lead to a reduction in exercise, leading to further reduced physical fitness. Physical fitness training (training) is a planned and structured regimen of regular exercise performed to improve physical fitness. It has been shown to promote long term health benefits in a number of medical specialities. Nurses are frequently involved in the immediate and rehabilitative care of stroke patients. In both, optimising physical fitness is intended to facilitate independence and wellbeing.Item Metadata only Post-registration interprofessional learning: A literature review and consideration of research methods(Sage, 2013) Norrie, Peter; Thorpe, L. N.; Karagic, L.; Dyson, Sue, 1960-Item Metadata only A qualitative comparison between critical care sites which use a computerised information system and conventional data management.(2004) Norrie, PeterThe final instalment of the work derived from my PhD project compares a set of open ended questions used at a site which use a computerised data management system and compares it with two which use conventional charting. This produces theoretical constructs to explain how nurses use these systems and suggestions for their developmentItem Open Access Summaries of Nursing Care-Related Systematic Reviews Benzodiazepines for delirium.(Wiley, 2010) Norrie, PeterDelirium is an acute confusional state where cognition and attention are impaired. It can result in longer stays in hospital, increased morbidity and mortality, and occurs in up to 30% of patients. Nurses within the hospital setting, on a day to day basis, care for adults who experience delirium. Effective management of delirium is both challenging and time consuming. Benzodiazepines, which include diazepam, temazepam and lorazepam are used in a number of roles, including the treatment of anxiety and to aid sleep. Some are used for controlling alcohol related delirium, but their role in managing non-alcohol related delirium is unclear. Medication that can assist in resolving or managing delirium may be of benefit to nurses, their patients and relatives, for whom this is often a particularly distressing phenomenon.Item Open Access Summaries of Nursing Care-Related Systematic Reviews: Individual patient education for people with type 2 diabetes mellitus(Wiley, 2010) Norrie, PeterNurses in both the community and hospital setting are frequently the initial points of contact for diabetics and important providers of education and health promotion. The advent of nurse-led clinics and autonomous community practitioners make it important for nurses to have the knowledge base to be able to provide both effective and efficient methods of patient education.Item Open Access Summaries of nursing care-related systematic reviews: Topical capsaicin for chronic neuropathic pain in adults.(Wiley, 2010) Norrie, PeterCapsaicin is the chemical in chilli peppers which makes them taste hot. It is used topically to treat pain for a range of chronic neuropathic conditions i.e. where damaged nerves cause pain over an extended period of time. Cited uses include the treatment of pain due to post-herpetic neuralgia, diabetic neuropathy, HIV neuropathy, and surgery. Capsaicin binds to receptors in the skin, which may cause an initial sensation of burning or heat. This enhanced sensitivity is then followed by a period of reduced sensitivity. Repeated applications may result in persistent de-sensitisation, relieving pain over a period of time. Capsaicin is in widespread use, but its efficacy is unclear. Nurses who work in the management of pain are likely to be involved in supporting patients who use capsaicin. The initial discomfort felt by many may limit their ability to tolerate it. It is useful for nurses to know how effective capsaicin is, in order to provide informed advice to their clients as to whether the initial discomfort of application is likely to be worthwhile, in terms of longer term pain relief.Item Open Access What do critical care nurses require from a clinical information system : is it possible for a system to meet these needs?(De Montfort University, 2003) Norrie, PeterItem Metadata only What do critical care nurses want from clinical information systems?(2003) Norrie, PeterOriginal research using qualitative methods. This found that nurses would be likely to have positive orientation to aspects of information technology which helped them deliver higher quality direct nursing care, a position quite different form that suggested by the predominantly medical technical literature.