Supporting practice learning time for non-medical prescribing students: managers' views.

Managers in healthcare services have ever-increasing demands to consider in relation to front line care, including the continuing professional education needs of qualified practitioners who are advancing their roles. One advancement is non-medical prescribing, and this article reports part of the findings from a survey undertaken in Scotland which explored managers' views of the clinical support of staff enrolled on a non-medical prescribing programme. The article discusses how managers have an important role to play in supporting these learners in practice, and suggests all stakeholders should be aware of the pressure this adds to managers, and seek creative solutions to support the process of learning.

Non-medical prescribing assessment - An evaluation of a nationally agreed multi method approach.

UNLABELLED: In the United Kingdom, legislation permits nurses and allied health professionals to prescribe for patients within their care. Preparation for this role includes learning, teaching and assessment that is embedded in practice, supervised by a designated medical practitioner (DMP) and evidenced in a reflective learning in practice portfolio. AIM: The objectives were to explore; (1) which assessment in the practice portfolio was ranked most valuable in terms of achieving safe, effective prescribing practice and, (2) whether a practice based assessment (SDEP) was an acceptable alternative to an Observed Simulated Clinical Examination (OSCE). METHODS: Online surveys were conducted and follow up semi structured telephone interviews were conducted across 5 universities in Scotland with students, DMPs and line managers. RESULTS: Students ranked the learning log most valuable and DMPs and line managers ranked the SDEP most valuable. Survey and follow up interviews suggested that the portfolio provided the opportunity to develop prescribing skills and knowledge relevant to their specific clinical speciality. There was agreement amongst all participants that clinical assessment in the practice portfolio effectively enable non-medical prescribing students to evidence prescribing competence. SUMMARY: The novel use of the SDEP and reflective summary offers a viable alternative to an OSCE and was viewed as one of the most valued components of the assessment strategy.

Legitimate family violence as represented in the print media: textual analysis.

AIM: This paper reports a study of how issues around the use of smacking by parents are represented in the print media. Our purpose was not to state a case for or against the use of smacking. Rather, within the contemporary social context we sought to answer the question, 'Why is smacking considered to be a legitimate part of parenting in the United Kingdom?' BACKGROUND: Although a number of government proposals aiming to ban the use of smacking by parents have been presented in the United Kingdom parliament and Scottish Executive, current legislation allows parents to use this form of physical discipline as long as it does not result in physical injury to the child. For the purposes of this discussion, smacking is considered as a social phenomenon rather than an activity simply to be favoured or to be opposed. METHOD: A sample of 244 articles from five different United Kingdom newspapers was examined during 2004. Schema analysis that drew upon semiotics was used to analyse these print media representations about the use of legitimate violence by parents towards children. FINDINGS: Newspaper reportage about the parental use of physical discipline has increased over the past 20 years. Only one newspaper (The Independent) published on this topic prior to 1994. The discourse about the use of physical discipline by parents has changed over time from one that focuses on the effectiveness of smacking to one that about the human rights of the child. The main themes identified in the print media discourse were the rights of the child, the effectiveness of smacking, long-term effects and consequences, and the role of the state. CONCLUSION: Media texts can influence and reinforce social dimensions of the label. The beliefs and attitudes of healthcare professionals and parents about smacking may be influenced by such representations.

The smacking controversy: what advice should we be giving parents?

BACKGROUND: Even among countries that have ratified the United Nations Convention on the Rights of the Child there is much disagreement about corporal punishment of children. Last year the Scottish Executive proposed a new law banning the smacking of children under the age of three, becoming the tenth European nation to do so. The proposal, currently abandoned whilst ostensibly still under debate, has raised a wave of controversy in child protection circles. In the nearest neighbouring country, England, a similar proposal was robustly rejected. PURPOSE OF THE PAPER: Given an increasing family and community focus in nursing, the implications of the debate for the profession cannot be ignored. What should we be telling 'ordinary' families about smacking? Thus this paper presents a positional statement on the smacking controversy and outlines some pointers for practice. DISCUSSION: While for many the legislation proposed does not go far enough, others decry it as a breach of parental rights and, thus, the issue has become hugely controversial. Media opinion and various opposing campaigns dominate both public and professional spheres. Rights, responsibilities, examples from other countries, culture and gender are all used as fodder in the debate. Extreme examples are cited by both sides and used as grist for what are at times tenuous arguments. As there is even a division within child protection arenas, practising professionals may struggle to find a way through the maze of seemingly contradictory findings from research, policy and opinion. CONCLUSIONS: A wide range of literature suggests that both public and professional opinion is divided on the use of smacking as a form of discipline of young children. Opinion is also divided on the ability of legislation to bring about change in social attitudes and behaviour. Health care professionals need to be in a position to recommend best practice and to do so consistently.