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mckenna hp, keeney s&hasson f (2005) Journal of Clinical Nursing14, 426–434Views on the ground: teaching and clinical assessors’ views on vocational training for healthcare assistants in IrelandThis paper reports the views of teaching staff and clinical assessors on their experience of programme delivery and assessment.In 2001, the Irish Department of Health and Children developed a vocational training programme for healthcare assistants. This programme was piloted nationally across 14 hospital and community sites. Teaching staff and clinical assessors at each site delivered the programme.One-to-one semi-structured interviews were undertaken with 16 clinical staff and 26 teaching staff. With consent, all interviews were tape-recorded, from which the transcripts were subject to content analysis.A lack of experience and preparation among teaching staff and clinical assessors was evident. The staff's commitment to their role on the programme while maintaining their normal duties caused frustration and uncertainty. Not withstanding, the value of the programme in terms of increased motivation, satisfaction and knowledge of healthcare assistants and the impact on care delivery, was recognized by respondents.This programme represents the provision of a national standard training programme for healthcare assistants. It provides an insight into the delivery of such a programme and the educational and training needs of healthcare assistants through the views of staff that taught and assessed on it.Findings suggest that the development and implementation of a national training programme for healthcare assistants is achievable. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the extent of an international perspective in publication in nursing journals. Design: Characteristics of 2,581 articles, authors of articles, and journals (editorial purpose and editorial team) of 42 high-ranking nursing journals for the year 2000 were analyzed. Methods: The characteristics were assessed using seven operational definitions of "international." Findings: Major findings were: (a) 747 (28.9%) articles were identified as international, of which (b) 705 (94.3 %) were placed in the scholarly or empirical categories; (c) more articles were categorized as empirical in the international articles; more articles were categorized as scholarly among the noninternational articles; (d) 763 (79.3%) articles met an international definition based on author characteristics; and (e) 20 (47.6%) journals had international editorial teams. Conclusions: Nearly 30% of articles had international content. Articles with international content were more frequently databased than were noninternational articles. The study provides a baseline indication of the extent of international perspectives in published articles in nursing journals. The extent to which these international articles make substantial contributions to knowledge has yet to be discovered. [ABSTRACT FROM AUTHOR]

cutcliffe j.r. & mckenna h.p. (2004) Journal of Advanced Nursing 45(2), 126–135 Expert qualitative researchers and the use of audit trails Determining the credibility of qualitative research findings remains a contested area and leaves the way open for additional theoretical and methodological discussion. In this paper we focus on audit trails and confirmability, within the context of ‘expert’ qualitative researchers. Having outlined the audit trail process, we develop existing arguments about the ‘expert’ qualitative researcher. We then juxtapose the two, highlighting a number of issues in an attempt to advance the debate. These issues discussed are: (1) The shifting sands of methodological orthodoxy – the historical context in which audit trails emerged. (2) The individual construction of logic. (3) ‘Grounded in the data’ or ‘going beyond the words’– the key differences between descriptive and interpretive findings. (4) The singular relationship between qualitative researcher and their data. (5) The growing acknowledgement that method alone is insufficient. (6) The challenging example of visionaries. We argue that using audit trails as a means to achieve confirmability of qualitative research findings is an exaggeration of the case for method, and may do little to establish the credibility of the findings. We also introduce a preliminary case for testing the credibility of theory induced by expert qualitative researchers, in part by means of its usefulness; its ‘fit and grab’, rather than by the researcher's adherence to contemporary methodological orthodoxy. In other words, the absence of audit trails does not necessarily challenge the credibility of qualitative findings, particularly if an expert qualitative researcher produced the findings. [ABSTRACT FROM AUTHOR]

mckenna h. p., ashton s. & keeney s. (2004) Journal of Advanced Nursing 45(2), 178–189 Barriers to evidence-based practice in primary care Evidence-based practice is one of the most important underlying principles in modern health care. In the United Kingdom, successive governments have highlighted the fact that a quality health service is built upon the use of best evidence. Health professionals are becoming more accountable within clinical governance structures for the care they provide. The need to use robust research findings effectively is a critical component of their role. However, studies show that a number of barriers prevent the effective use of best available evidence. This study aimed to identify barriers to evidence-based practice in primary care. A specially designed questionnaire was used to gather respondents’ perceptions of the barriers to evidence-based practice. Data were collected in 2000/2001. Findings show that general practitioners (GPs) ranked barriers differently to community nurses. GPs believed that the most significant barriers to using evidence in practice were: the limited relevance of research to practice, keeping up with all the current changes in primary care, and the ability to search for evidence-based information. In contrast, the most significant barriers to the identified by community nurses were poor computer facilities, poor patient compliance and difficulties in influencing changes within primary care. This suggests that these two groups may require different strategies for barrier removal. Identifying barriers is just the first step to addressing issues surrounding the use of evidence-based practice. Extra resources will be needed if these barriers are to be tackled. However, if the resultant change improves the health and wellbeing of people and communities, then the extra costs would be offset by more efficient use of services. [ABSTRACT FROM AUTHOR]

Examines the attitudes of undergraduate nursing students towards nursing models in Great Britain. Trends in the use of nursing models; Perception of traditional nursing students on the models; Comparison between traditional and undergraduate nursing students.

Studies the perception of psychiatric-hospital ward sisters and charge nurses in Northern Ireland towards nursing models. Positive factors of nursing models considered by ward managers in continuing-care and rehabilitation psychiatric-hospital wards; Work, model and application related negative opinion of ward managers on models; Responsibilities of nurses towards improving nursing models.

Although the number of healthcare assistants (HCA) in employment has continued to increase, the provision of training and development for this role has, to date, been largely dependent upon the discretion of individual employers. In response to this, the Department of Health and Children in Ireland decided to establish a national training course for HCAs and commission its evaluation. As part of this evaluation, the views of the trainees on the national training course were explored. The behaviour, attitudes and experience of these trainees were explored, as was their perception of the relevance of the training course to their role in employment as a HCA. One-to-one semistructured interviews with 22 randomly selected trainees were conducted. All interview respondents felt that the training course had been beneficial. Findings indicated positive changes in practice following their training. The interview respondents indicated that they felt more confident in their ability to undertake delegated duties and believed that the skills learned on the course would be useful to them in their future work. Other issues, such as course duration, selection procedure and level of assessment, caused some dissatisfaction. The training course led to a significant improvement in the trainees’ knowledge and care skills. Suggestions for changes to the course from the trainee's perspective include amending the trainee selection procedure and improving the organization and content of the course and follow-up support. [ABSTRACT FROM AUTHOR]