"nursing" via Stockport Education Centre Library

Background: This study was a pre-program evaluation of hospital-based nurses' tobacco intervention beliefs, confidence, training, practice, and perceived intervention barriers and facilitators. It was designed to identify relevant information prior to implementing tobacco cessation guidelines across a large northern rural region, home to 1 urban and 12 rural hospitals. Methods: This cross-sectional survey was distributed by nurse managers to nurses in the 13 hospitals and returned by nurses (N = 269) via mail to the researchers. Results: Nurses were somewhat confident providing cessation interventions, agreed they should educate patients about tobacco, and 94% perceived tobacco counselling as part of their role. Although only 11% had received cessation training, the majority reported intervening, even if seldom--91% asked about tobacco-use, 96% advised quitting, 89% assessed readiness to quit, 88% assisted with quitting, and 61% arranged post-discharge follow-up. Few performed any of these steps frequently, and among those who intervened, the majority spent <10 minutes. The most frequently performed activities tended to take the least amount of time, while the more complex activities (e.g., teaching coping skills and pharmacotherapy education) were seldom performed. Patient-related factors (quitting benefits and motivation) encouraged nurses to intervene and work-related factors discouraged them (time and workloads). There were significant rural-urban differences--more rural nurses perceived intervening as part of their role, reported having more systems in place to support cessation, reported higher confidence for intervening, and more frequently assisted patients with quitting and arranged follow-up. Conclusions: The findings showed nurses' willingness to engage in tobacco interventions. What the majority were doing maps onto the recommended minimum of 1-3 minutes but intervention frequency and follow-up were suboptimal. The rural-urban differences suggest a need for more research to explore the strengths of rural practice which could potentially inform approaches to smoking cessation in urban hospitals.

Background: Nurses in the Western world have given considerable attention to the concept of vulnerabilityin recent decades. However, nurses have tended to view vulnerability from an individualisticperspective, and have rarely taken into account structural or collective dimensions of theconcept. As the need grows for health workers to engage in the global health agenda, nursesmust broaden earlier works on vulnerability, noting that conventional conceptualizations andpractical applications on the notion of vulnerability warrant extension to include morecollective conceptualizations thereby making a more complete understanding of vulnerabilityin nursing discourse.DiscussionThe purpose of this paper is to examine nursing contributions to the concept of vulnerabilityand consider how a broader perspective that includes socio-political dimensions may assistnurses to reach beyond the immediate milieu of the patient into the dominant social, political,and economic structures that produce and sustain vulnerability.SummaryBy broadening nurse's conceptualization of vulnerability, nurses can obtain theconsciousness needed to move beyond a peripheral role of nursing that has been dominantlysituated within institutional settings to contribute in the larger arena of social, economic,political and global affairs.

The library newsletter is sent out four times a year to current members of the library and anyone else who would like to keep up to date with the latest developments in healthcare.

The library has been given some external funding for a new 'Self-Health' collection. We have purchased books and DVDs on a variety of topics around health and well-being, which should be of interest to both clinical and non-clinical members of staff. We also hope that healthcare professionals will recommend some of these titles to their patients. We are always looking for suggestions from staff, so if you know of a good book which will help someone to improve their health and well-being, please let us know.

This is a collection of full text management and health and social care journals, particularly of interest for those working in the community. To see the full list of titles go to http://first.emeraldinsight.com/index.htm , select login and then Athens login. Choose Your Subscriptions to see the list of titles. You can click through to the contect from here

Contact the library if you wish to be sent electronic tables of content for any of the titles. They will shortly be appearing in our A-Z too. For those of you who would like a quick look at some examples here are some of the titles.
** Clinical Governance ** Human Resource Management
** Leadership in health services ** Quality in ageing and older adults
** Journal of children services ** Health Education (aimed at school nurses)

We have access to a number of images which have copyright permission. If you want to use them externally, please consult with the library manager.

Smart Imagebase for teaching and learning purposes, internal seminars, patient education, research presentations and our own intranet (but not internet) and other non-commercial projects. It contains high quality medical illustrations, animations, and interactive multimedia. Please explore using Athens.

UpToDate graphics - available from the Intranet. These can easily be downloaded to PowerPoint and can be used as above

NHS Photo Library. You will need to register with an NHS email address and the photos can be used for NHS purposes as part of Crown copyright.

Working with the Trauma and Orthopaedic Department has resulted in a collection of new and enhanced resources. Most of these require Athens authentication. Don't have Athens - self register here.

New Journals
American Journal of Sports Medicine
Clincal Orthopaedics and Related Research
The Knee

Online Books
Click here for access to:
**Operative Techniques in Foot and Ankle Surgery
**Rockwood and Wilkins Fractures in Children
**Rockwood And Green's Fractures In Adults

Other excellent online resources
Anatomy TV with extend topics covering Sports injuries and therapy; arthroplasty; otolaryngology and a number of none orthopaedic topics such as urology and speech language pathology. You are advised to take the tutorial offered by the software in order to get the most out of this resource
Orthoteers - we will shortly be getting licences for this resource. the library will have some to loan out. Please ask about this resource

Still free to all Stockport Foundation Trust and NHS Stockport NHS staff and students! A course such as our In Depth Literature searching could cost you in the region of £100 if you were to take it from a commercial organisation.

They are local in Room F05 in Pinewood House, Stepping Hill.
They are interactive and limited to 11 participants
You just need to phone 0161 419 4690 to book a place.

April 2012
Thursday 05 April 1 - 3pm - Bite Sized Option: Patient information leaflets - where do I start
Friday 13 April 12-1pm - Bite Sized Option: Accessing Full Text Articles
Wednesday 18 April 9.30-11am - Bite Sized Option Literature Searching
Monday 23 April 1.30-4.30pm - IN DEPTH Literature Searching

May 2012
Thursday 03 May 1.30-4pm - Using PubMed Effectively
Tuesday 08 May 1.30-4pm - The Best Evidence Based Resources
Wednesday 23 May 9am-12pm - IN DEPTH Literature Searching

June 2012
Friday 08 June 9.30-11.30am - Bite Sized Option: Patient information leaflets - where do I start
Wednesday 13 June 2 -4 pm - Introduction to Critical Appraisal
Tuesday 19 June 1.30-4.30pm - IN DEPTH Literature Searching
Monday 25 June 3.30-5.00pm - Bite Sized Option Literature Searching

July 2012
Tuesday 03 July 9.30am-12pm - Using PubMed Effectively
Thursday 05 July 9.30-10.30am - Bite Sized Option: Accessing Full Text Articles
Thursday 12 July 9am-12pm - The Best Evidence Based Resources
Thursday 19 July 9.30am-12.30 - IN DEPTH Literature Searching

A full list of dates till the end of December with some description of the courses is available here

Background: This paper examines the opportunity and need for lifestyle interventions for patients attending generalist community nursing services in Australia. This will help determine the scope for risk factor management within community health care by generalist community nurses (GCNs). Methods: This was a quasi-experimental study conducted in four generalist community nursing services in NSW, Australia. Prior to service contacts, clients were offered a computer-assisted telephone interview to collect baseline data on socio-demographics, health conditions, smoking status, physical activity levels, alcohol consumption, height and weight, fruit and vegetable intake and 'readiness-to-change' for lifestyle risk factors. Results: 804 clients participated (a response rate of 34.1%). Participants had higher rates of obesity (40.5% vs 32.1%) and higher prevalence of multiple risk factors (40.4% vs 29.5%) than in the general population. Few with a SNAPW (Smoking-Nutrition-Alcohol-Physical-Activity-Weight) risk factor had received advice or referral in the previous 3 months. The proportion of clients identified as at risk and who were open to change (i.e. contemplative, in preparation or in action phase) were 65.0% for obese/overweight; 73.8% for smokers; 48.2% for individuals with high alcohol intake; 83.5% for the physically inactive and 59.0% for those with poor nutrition. Conclusions: There was high prevalence of lifestyle risk factors. Although most were ready to change, few clients recalled having received any recent lifestyle advice. This suggests that there is considerable scope for intervention by GCNs. The results of this trial will shed light on how best to implement the lifestyle risk factor management in routine practice.