• Developing a computerised caseload database

      Pogmore, Angela (1994)
      Health visitors are employed to promote actively the health of the community. This role frequently involves visits to clients, to assess their individual health needs and to promote good health practice. Angela Pogmore describes how caseload data within what is now the Central Nottinghamshire Healthcare (NHS) Trust was placed on a computer database as an alternative to the existing paper system, in order to develop a tool for health visitors rapidly to identify at-risk groups and optimise the use of existing resources through improved targeting.
    • Developing the contribution of research in nursing practice

      Robinson, David K.; Collins, Mick (1996)
    • Observing and describing nursing interactions

      Robinson, David K. (1996)
      This article describes the development of a programme to collect qualitative data on components of nursing care behaviour to supplement quantitative methods. Using hand-held computer technology, data were collected in forensic and mainstream psychiatric care settings. The study was able to show positive improvements in direct care to patients and health outcomes as well as provide the qualifying data necessary to initiate and implement change on management, administrative and nursing care levels. The author recommends that such data be fed into quality initiatives to allow effective and efficient use to be made of increasingly scarce nursing resources.
    • Bridging the research-practice gap: The role of the link nurse

      Collins, Mick (1996)
      There has been much discussion about the need to reduce the gap between nursing research and nursing practice ( Polit and Hungler 1993 ). McKenna ( 1995 ) argued that while strict research activity is the job of only a small number of individuals within any profession, the ability to recognise research findings as important and the need to use those findings must be a major part of the role of any professional. This view is supported by Robinson ( 1994 ) who emphasised that it is important to dispel the myth that all practitioners should carry out research, though they should use elements of the research process to develop a questioning and evaluative approach to care.
    • Measuring psychiatric nursing interventions: How much care is individualized?

      Robinson, David K. (1996)
      The nursing process was introduced to develop the contribution of nursing and adopt a more systematic approach to care delivery. Few in-depth studies have yet described its true impact and level of implementation. The study reported in this article examines the status of individualized care and makes comparisons with nursing care in other locations. It also describes the nature and context of forensic/psychiatric care and its relationship with findings of two decades ago.
    • Coaching for change. Realising the potential for nursing

      Whyte, Lawrence (1997)
      In a recent article for Nursing Management Price (1996) examined the contribution that the theory and skills of counselling could make towards the effective management of human resources within the nursing workforce. This article complements this contribution by addressing the approach of coaching. Given the development of more formalised systems of enabling within the nursing workforce, such as clinical supervision, it is argued that coaching offers a viable and efficient method for developing the potential of the workforce.
    • Evaluating the success of clinical supervision

      Cutcliffe, John (1997)
      Clinical supervision continues to be a topical issue within nursing and current debate centres around how it can be systematically evaluated. Therefore, Butterworth et al's (1997) multi-site study exploring several questions of clinical supervision and outcome/evaluation has been eagerly anticipated.
    • Evidence-based care through clinical practice

      Robinson, David K.; Whyte, Lawrence (1997)
      This article describes how a working group examined ways to overcome difficulties with applying research findings to clinical practice. The group developed a ward-based distance learning package to assist in developing staff skills and ultimately enhance patient health care. The package has implications for all registered nurses in all nursing contexts.
    • Meeting point

      Murdock, Debbie (1998)
      THE ATMOSPHERE is serious and intense as a team of 25 elected nurses from Northern Ireland, England, Scotland and Wales gather to debate the items that will shape and steer the way forward for the RCN. It can be onerous, involving hours of preparation, and having to absorb pages of policy documents in the interests of informed debate.
    • Nursing in outpatient child and adolescent mental health

      Baldwin, Laurence (2000)
      This article examines the role of nurses within outpatient child and adolescent mental health services (CAMHS). The authors highlight employment trends towards generic skills-based appointments such as 'clinic workers', and asserts that nurses with specialist training have the skills to fulfil an important role in CAMHS teams but are not fully recognised for their nursing contribution.
    • Early outcomes of supervised discharge

      Davies, Steffan; Fallow, Steve; Bruce, Janet (2001)
      We have previously described the generally positive initial experiences of Supervised Discharge (SD) in a large Mental Health Trust serving a mixed inner city, suburban and rural population. This paper seeks to extend our earlier findings by reporting a longitudinal cohort study examining hospitalization before and after SD for the original sample. The main outcome measures were: renewal of SD; time spent out of hospital; survival to readmission or the end of the study period (1 April 1999). Of the 22 patients commenced on SD orders between April 1996 and October 1997, by 1 April 1999: 12 patients were still subject to supervised discharge; 15 had not been readmitted to hospital; survival out of hospital was longer--717 days, compared with 607 days in the same period before SD (p = 0.037); survival to readmission was also longer than before SD (p = 0.023). Contrary to early professional expectations patients subject to SD seem to survive for longer periods in the community. Although not always effective, its wider use should at least be considered as part of the care package for detained patients with a history of non-compliance with care packages leading to relapse and readmission.