RESUMO
BACKGROUND: Service users wish to be involved in care planning but typically feel marginalized in this process. Qualitative explorations of the barriers and enablers of user involvement in mental health care planning are limited. QUESTION: How is user involvement in care planning conceptualized by service users and how can meaningful involvement be instilled in the care planning process? METHODS: In 2013, we conducted five focus groups (n = 27) and 23 individual interviews with current or recent adult users of secondary care mental health services (n = 27) in England. Eight users participated in both. Data were analysed using Framework Analysis. Results Ten themes emerged from the data: these themes encompassed procedural elements (connection; contribution; currency; care consolidation; and consequence), service user characteristics (capacity and confidence) and professional enablers (consultation; choice; and clarity of expression). Procedural elements were discussed most frequently in service user discourse. DISCUSSION: The process of care planning, centred on the user-clinician relationship, is key to user involvement. IMPLICATIONS FOR PRACTICE: Users describe a common model of meaningful involvement in care planning. Their requests, summarized through a 10C framework of care planning involvement, provide clear direction for improving service users satisfaction with care planning and enhancing the culture of services.
Assuntos
Serviços de Saúde Mental , Planejamento de Assistência ao Paciente , Participação do Paciente , Relações Profissional-Paciente , Pesquisa Qualitativa , Adulto , HumanosRESUMO
There has been an increase in the use of aromatherapy in nursing, and many issues are now being raised which need addressing in order to maintain professional credibility and safe practice. These issues include: who can safely practise aromatherapy, what qualifications are required to practise, who provides indemnity, and other issues, including the safety and toxicity of essential oils. A small study was undertaken to examine the differences in drop size of bergamot essential oil. Drop size was determined by weighing different manufacturers' essential oil of bergamot and it was found that drop size did differ, resulting in unequal doses of essential oil. It is important to be aware of this, because there are implications for the size of the dose administered in an aromatherapy treatment. This paper raises the issue of standardizing the measurement of essential oils, to ensure that there are no problems regarding safety in their administration.
Assuntos
Aromaterapia/métodos , Óleos Voláteis/administração & dosagem , Óleos de Plantas/administração & dosagem , Análise de Variância , Aromaterapia/enfermagem , Humanos , Padrões de Referência , Reprodutibilidade dos Testes , Pesos e MedidasRESUMO
Summaries of what sleep is, the need for sleep and the effects of lack of sleep, in relation to sedation, have been reviewed. The reliability of a modified sedation scale in one intensive care unit is examined and demonstrated. All available sedation scales were critiqued and the most suitable one chosen and developed for use within one intensive care unit. The modified new Sheffield Sedation Scale is recommended for use in intensive care when recording patients' level of sedation.
Assuntos
Sedação Consciente/enfermagem , Avaliação em Enfermagem/métodos , Pesquisa em Enfermagem Clínica , Sedação Consciente/efeitos adversos , Cuidados Críticos/métodos , Monitoramento de Medicamentos/métodos , Humanos , Exame Neurológico , Reprodutibilidade dos TestesRESUMO
At the Royal Liverpool University Trust Hospital, an initiative which allows the intergration of nursing research and nursing practice is being implemented.
