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Snowball Sampling (snowball + sampling)
Selected AbstractsNurses' knowledge of high-alert medications: instrument development and validationJOURNAL OF ADVANCED NURSING, Issue 1 2010Ghi-Yin Hsaio Abstract Title.,Nurses' knowledge of high-alert medications: instrument development andvalidation. Aim., This paper is a report of the development and validation of an instrument to measure nurses' knowledge of high-alert medications and to analyse known administration errors. Background., Insufficient knowledge is a factor in nurses' drug administration errors. Most errors do not harm patients, but incorrect administration of high-alert medications can result in serious consequences. Sufficient knowledge about high-alert medications is vital. Method., A cross-sectional study was conducted in 2006 in Taiwan using a questionnaire developed from literature review and expert input, and validated by subject experts and two pilot studies. Section 1 of the questionnaire (20 true,false questions) evaluated nurses' knowledge of high-alert medications and section 2 was designed to analyse known administration errors. Snowball sampling and descriptive statistics were used. Findings., A total of 305 nurses participated, giving a 79·2% response rate (305/385). The correct answer rate for section 1 was 56·5%, and nurses' working experience contributed to scores. Only 3·6% of nurses considered themselves to have sufficient knowledge about high-alert medications, 84·6% hoped to gain more training, and the leading obstacle reported was insufficient knowledge (75·4%). A total of 184 known administration errors were identified, including wrong drug (33·7%) and wrong dose (32·6%); 4·9% (nine cases; 9/184) resulted in serious consequences. Conclusion., The questionnaire was valid and reliable. Evidence-based results strongly suggest that nurses have insufficient knowledge about high-alert medications and could benefit from additional education, particularly associated with intravenous bolus administration of high-alert medications. Further research to validate the instrument is needed. [source] Accessibility and equity of health and social care services: exploring the views and experiences of Bangladeshi carers in South Wales, UKHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 3 2006HV Tut Cert, Joy Merrell BSc (Hons) Abstract There is a paucity of information regarding the extent and nature of caring provided by minority ethnic communities. The proportion of older people from these communities will dramatically increase in the next 20 years, which will be accompanied by increasing health and social care needs and an increased demand for carers. A qualitative, exploratory study was conducted to identify the health and social care needs of informal carers, who were caring for a dependent adult from a Bangladeshi community in South Wales, UK. This paper focuses on Bangladeshi carers' access to formal support services provided by the statutory, private and voluntary sectors to assist them with their caring responsibilities. The findings are based on data collected using face-to-face, focused interviews with 20 Bangladeshi carers. Purposive and snowball sampling were used to recruit the sample. The data were analysed using thematic content analysis. The dimensions of accessibility and equity of quality of care were drawn upon to aid understanding of the findings. Bangladeshi carers faced a number of barriers in accessing health and social service provision, which impeded uptake of these services. Additionally, there was evidence of inequity in service provision. Recommendations for improving the accessibility of health and social care services are proposed, which may assist in promoting more equitable services for carers from the Bangladeshi community. [source] Two Mandarin readers in Taiwan: characteristics of children with higher and lower reading proficiency levelsJOURNAL OF RESEARCH IN READING, Issue 2 2005Jia-ling Charlene Yau This study investigated how two readers of Mandarin with differing reading-proficiency skills interacted with a narrative passage, as well as what knowledge they brought to and made use of while reading the text. The perspectives of reading comprehension, transactional theory and social-cognitive models of reading served as this study's theoretical framework. Two Sixth-Grade participants were selected for inclusion through snowball sampling. The data in this study were obtained from interviews and think-alouds. Qualitative analysis indicated that the skilled Mandarin reader's stance moved along the efferent/aesthetic continuum, while the less-skilled Mandarin reader's was mainly efferent. The skilled reader employed strategies of inferencing, summarisation and synthesis during and after reading, while the less-skilled reader applied bridging inferences, paraphrasing and repetition. The findings of this study corroborate previous findings that proficient readers employ more sophisticated approaches to reading than less-proficient readers. [source] British-born Chinese teenagers: The influence of Chinese ethnicity on their attitudes towards sexual behaviorNURSING & HEALTH SCIENCES, Issue 1 2007Juping Yu msc Abstract, This paper explores the influence of ethnicity on attitudes towards sexual behavior of British-born Chinese teenagers. Using an ethnographic approach and snowball sampling, data were collected through in-depth interviews with 20 British-born Chinese teenagers and 20 Chinese-born parents. The parents highlighted the influence of Chinese culture and religion on their sexual values and wanted to convey these values to their children. Although direct communication about sex-related topics was rare within these families because of a number of barriers, the parents used other strategies to pass on their values. The paper concludes that sexual values within families and the influence of culture need to be considered in order to provide culturally competent health services. Chinese parents need extra support and help to discuss sex-related topics and pass on their values, which encourage teenage sexual abstinence. Considering the fundamental influence of the parents, this support will be crucial. [source] Information provision to clients with stroke and their carers: Self-reported practices of occupational therapistsAUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, Issue 3 2010Louise Gustafsson Background:,The literature promotes the use of a wide range of educational materials for teaching and training clients with chronic conditions such as stroke. Client education is a valuable tool used by occupational therapists to facilitate client and carer ability to manage the stroke-affected upper limb. The aim of this study was to identify what information was provided to clients and carers, how this information was delivered, when the information was delivered and the client factors that influenced the method of information provision. Methods:,Convenience and snowball sampling was used to recruit occupational therapists working in stroke. Twenty-eight participants completed the study questionnaire anonymously and their responses were summarised descriptively. Results:,There was a clinically important trend for carers to receive less information than clients. Written and/or verbal information was the favoured method for delivering information related to handling (57%), soft-tissue injury minimisation (46.4%) and oedema management (50%). Information was delivered with decreasing frequency from admission (86%) to discharge (64%). More than 90% of participants indicated that the client's cognitive ability, visual ability, level of communication, primary language and perceptual ability were considered prior to the delivery of information. Discussion:,Participants regularly conveyed information to clients and carers with respect to management of the stroke-affected upper limb. However, an increased emphasis on the development of practical self-management skills, awareness of the impact of personal factors and a timeline for information provision may prove useful. [source] | ||||||||||