Medical and surgical nurses' perceptions of their level of competence and educational needs in caring for patients with cancer

Recent proposals recommend that cancer patients are cared for, as much as possible, in specialist cancer units and centres. However, a large number of these patients will still be admitted to medical and surgical wards of general hospitals at one time or other. Yet little is known about the knowledge and skills of nurses dealing with this group of patients. A survey design was used to assess the self-reported level of competence, in a number of activities relating to their work with cancer patients, among medical and surgical nurses (n = 106) in a district general hospital in Northern Ireland. It also aimed to identify their self-reported educational needs in caring for this group of patients. Results showed that these nurses cared for people with a range of cancers. While they reported an above-moderate level of competence, they also rated their level of competence higher in physical than in psychosocial care. Among their self-perceived educational needs were more knowledge, and skills in psychosocial care, communication, dealing with side-effects of treatment and pain management.

Research utilization and attitudes towards research among learning disability nurses in Northern Ireland

Research utilization and attitudes towards research among learning disability nurses in Northern Ireland The current emphasis on evidence-based practice has focused attention once again on the research activities of health professionals in general and their research utilization in particular. While there has been a limited number of studies on research utilization in the United Kingdom, these have tended to concentrate on general nurses and midwives. Little is known about the research activities, research utilization and the attitudes to research of learning disability nurses. This paper reports on data from a survey of a convenience sample of 87 nurses from three learning disability hospitals in Northern Ireland. The results show that while these nurses generally held positive attitudes to research, a substantial minority (18.3%) believed that 'research is not relevant to the day to day work in nursing'. Only a quarter of the sample reported using research 'frequently/all the time' in their practice. The extent of research utilization among these disability nurses must be considerably improved if evidence-based practice is to become a reality in their field of nursing.

Women's perceptions of their experiences with breast cancer: are their needs being addressed?

Breast cancer is the major cause of female deaths in Western Europe. In the United Kingdom, one woman in 14 is liable to develop this disease. An increasing emphasis on recognizing survival from cancer and remission periods of up to 20 years for breast cancer has important implications for health-care professionals. Care and support should effectively meet patients' needs to enable them to cope with the impact of a breast cancer diagnosis. This paper provides an overview of selected literature on women's experiences of breast cancer. It places particular emphasis on their perceptions of the information they received about the disease and its treatment, and their perceptions of the support available to them. The overview illustrates the problem of inadequacies in the information and support currently available to women with breast cancer. The necessity for a more comprehensive and sensitive assessment of these women's needs is emphasized and suggestions are made for the direction of future research in this area.