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REVIEWS
Jacqueline Price
Understanding Nursing and
Healthcare Research
Patricia Cronin, Michael Coughlan
and Valerie Smith
Sage
�.99 | 224pp
ISBN: 9781446241011
The 12 chapters cover key topics in the nursing
and healthcare research process, including data
collection, data analysis, and quantitative and
qualitative approaches.
Each chapter ends with a summary of key
points and peppered throughout the book are
activities for the reader to undertake, and a
companion website includes a critical appraisal
tool. Lecturers have access to seminar plans and
PowerPoint slides for use in teaching sessions.
The book is intended as an introductory
text to facilitate understanding of research,
yet the theoretical concepts in chapter 1 would
suggest otherwise to students who have a limited
understanding or experience of research.
By contrast, the chapters that address
searching and reviewing the literature, ethical
and legal issues, and rigour in research, are more
appropriately pitched at an introductory level.
With the number of introductory texts out there,
it is unclear to which group this book will appeal.
Reviewed by Kathleen Duffy, senior nurse practice
educator, NHS Lanarkshire
Assessment Skills for Paramedics
(Second edition)
Amanda Y Blaber and Graham
Harris (Eds)
Open University Press
�.99 | 336pp
ISBN: 9780335262168
Despite its title, this book has content that can
be applied to many areas of clinical practice. The
evidence-based text provides a logical approach
to learning as well as undertaking a physiological
patient assessment. With lots of helpful illustrations,
it lacks photographic examples of presentations
or conditions. In addition to covering the usual
physical assessment of respiratory, cardiovascular,
and abdominal gastrointestinal conditions, this text
covers mental and social health assessments to
ensure a holistic approach to patient assessment.
The book is useful to student paramedics and
those refreshing their practice. It is well-priced for
those beginning or refreshing assessment skills,
but those who are already in advanced practice
may gain less from it.
Reviewed by Mike Brady, lecturer in emergency and
unscheduled care, the Open University and clinical
supervisor (paramedic), South Western Ambulance
Service NHS Foundation Trust
emergencynurse.co.uk
Continuing professional
development lead for
adult nursing at University
of燞ertfordshire
E-rostering can boost
staff contentment and
bring in real flexibility
Happy staff are productive staff, and improving shift
patterns is one way to achieve that. Jacqueline Price
offers her thoughts about a positive way forward
I
had the opportunity
of working with an
American e-rostering
system that offered real
advantages. The system proved
a time-saver for senior staff,
providing accurate and timely
access to staffing at local and
senior level, as well as fairness,
equity of shift patterns and
easy management of leave.
So it was surprising to hear
from colleagues in emergency
departments that the system
was creating chaotic shift
patterns, leading some to
consider resignation, instead
taking up full-time bank/
agency work or nursing roles
that offered more consistent
shift systems.
Whether undesirable shift
patterns are due to the system
or not, we should ask whether
it is contributing to a sense of
unhappiness in the workplace.
Research has long
indicated that staff happiness
and organisational success
are inextricably linked.
Recently, economists at
the University of Warwick
found that ?happy? staff were
12% more productive. With
increasing workloads and
patient acuity in the ED, we
need optimum productivity
from valued, happy staff who
want to provide the highest
quality care.
E-rostering systems can
be useful, but they need
parameters that enable them
to produce ?good? patterns.
However, before setting
these parameters there needs
to be a燾ommitment to
ensuring that爌rinciples of
fair and equitable contracts
are in place.
Flexible and family
friendly working is essential,
but this must be aligned
with the needs of all nursing
staff, not just those with
?exceptional? circumstances.
There are options that can be
uploaded into e-rosters, such
as self?rostering or continuous
rolling shift lines.
Shift patterns
Self-rostering enables staff
to choose shift patterns
that support their work?life
balance, but the rolling
shift pattern has the added
advantage of allocating staff
to teams, with each team
following the same rolling
shift pattern. These teams offer
good support structures for
new staff and promote a sense
of belonging.
Systems should be reviewed
in areas where e-rosters do not
offer staff ?good? shift patterns.
By taking positive action to
improve system outputs and
offer better work-life balance,
a greater sense of happiness
and value in the nursing team
will result, along with greater
productivity in the ED.
volume 24 number 4 / July 2016 / 17
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