#WeDNs - Wednesday 19th August 2020 8pm (GMT Standard Time)
Journal club
If you haven't joined in a tweet chat before it's very simple. Here's a guide Tweet
Chat Details
Hosted by WeCommNurses using #WeDNs
For the next tweet talk we will be launching our first Journal Club. This will be a regular chat where we discuss and dissect an open-access journal article of interest to members of the district nursing community. Journal clubs are an easy way to engage with published literature in a relaxed and informal way. Participating in a journal club supports evidence-based practice, increases confidence in accessing research and contributes to revalidation/portfolio hours. There is no obligation to read the article before the chat but being familiar with it will improve our discussion.
Journal Club 1: Administering anticipatory medications in end-of-life care: A qualitative study of nursing practice in the community and in nursing homes
This qualitative study examines specialist, community and nursing home nurses’ experiences of administering anticipatory medications for symptoms such as agitation and pain within end-of-life care.
Questions
Does the introduction and background sections demonstrate a clear rationale for the study and study aim?
Do you think the study design is a good fit for the study aim? You might consider the setting, recruitment, and data collection methods.
How did they analyse their data? Did they use a recognised method/framework?
What findings did you find most interesting?
Do you think they evidenced their identified themes well?
Does the discussion follow logically from the findings?
Do the implications for practice follow logically from the findings and discussion?
Is there anything missing that would enhance this study?
You might find the Critical Appraisal Skills Programme (CASP) checklist for qualitative research helpful to understand the study and make judgements on its quality and reliability.
CASP: https://casp-uk.net/wp-content/uploads/2018/01/CASP-Qualitative-Checklist-2018.pdf
Chat Contributers
100 Tweets
200 Tweets
20000 Impressions
20000 Impressions
20000 Impressions
Engagement Wheel
Chat Word Cloud
Participant bio cloud
Chat Summary
Coming soon
Post Chat Comments
After the chat you may like to add a reflection, add some questions, or maybe you've made a change from something you leant on the chat...well now you can with "post chat comments" below.
You'll need to be logged into via Twitter from the main menu, then you can share your post chat comments...
You'll need to be logged into via Twitter from the main menu, then you can share your post chat comments...
|
@{{Comment.screenName}}
{{Comment.DateCreated | date:"dd MMMM yyyy HH:mm"}}
|
{{Comment.Comment}} |
#WeDNs transcript
|
@WeCommNurses
19 August 2020 20:00
|
|
Hi everyone and welcome to our first journal club! It's @mdrumm88 here taking over the account for the next hour. Here is the link to the article we'll be discussing: https://journals.sagepub.com/doi/10.1177/0269216314543042 Don't forget to add #wedns to ur tweets. So, who do we have joining us tonight? |
|
@RN_Emily_HPN
19 August 2020 20:01
|
|
@WeDistrictNurse @mdrumm88 Hi Emily here ?? #wedns https://t.co/o7auQb1oKB |
|
@RitchieGeorgina
19 August 2020 20:01
|
|
@WeDistrictNurse @mdrumm88 Hi - George from @UCLanHealth here ???? #WeDns |
|
@WeCommNurses
19 August 2020 20:02
|
|
Remember everyone to use the #wedns https://twitter.com/heatherbain9/status/1296160336261853186 |
|
@AFTaylorDN
19 August 2020 20:02
|
|
@WeDistrictNurse @mdrumm88 Hi Maria @mdrumm88 #WeDNs Anne here from @ParishNursingUK & @OU_HWSC |
|
@WeCommNurses
19 August 2020 20:03
|
|
So question 1: Does anyone have any thoughts on the title and abstract of the paper? We know that most people don't get beyond this before deciding if they are interested in a paper, so they need to be eye catching #wedns |
|
@WeCommNurses
19 August 2020 20:03
|
|
RT @WeDistrictNurse: Remember everyone to use the #wedns https://twitter.com/heatherbain9/status/1296160336261853186 |
|
@AFTaylorDN
19 August 2020 20:03
|
|
RT @WeDistrictNurse: Remember everyone to use the #wedns https://twitter.com/heatherbain9/status/1296160336261853186 |
|
@RN_Emily_HPN
19 August 2020 20:03
|
|
@RitchieGeorgina @WeDistrictNurse @mdrumm88 @UCLanHealth #wedns https://t.co/3nTbPYmC6w |
|
@WeCommNurses
19 August 2020 20:04
|
|
Remember #wedns https://twitter.com/emilybeattie17/status/1296160570853527553 |
|
@WeCommNurses
19 August 2020 20:04
|
|
#wedns https://twitter.com/lynnett05559915/status/1296160579229569024 |
|
@WeCommNurses
19 August 2020 20:04
|
|
#wedns https://twitter.com/donnamadden79/status/1296160650943705096 |
|
@WeCommNurses
19 August 2020 20:04
|
|
#wedns https://twitter.com/marielyonsbrown/status/1296160698922340355 |
|
@EmilyBeattie17
19 August 2020 20:05
|
|
@WeDistrictNurse @mdrumm88 Me too #wedns |
|
@RN_Emily_HPN
19 August 2020 20:05
|
|
@WeDistrictNurse It appears clear and specific. From the title we know what it's focusing on and that it's a qualitative study. #wedns |
|
@WeCommNurses
19 August 2020 20:05
|
|
Here’s a reminder to include #wedns in all your tweets https://twitter.com/rn_emily_hpn/status/1296160951784411138 |
|
@RitchieGeorgina
19 August 2020 20:05
|
|
#wedns see I forgot the hashtag already sorry https://twitter.com/RitchieGeorgina/status/1296161255812669440 |
|
@albiongirl68
19 August 2020 20:06
|
|
@WeDistrictNurse @mdrumm88 Hi Julie here community nurse Mid Sussex #WeDns |
|
@WeCommNurses
19 August 2020 20:06
|
|
@RitchieGeorgina Thanks for kicking off @RitchieGeorgina Just a reminder to use #WeDNs ?? |
|
@WeCommNurses
19 August 2020 20:07
|
|
@RN_Emily_HPN I agree, I like the structured abstract. Although some journals specify unstructured abstracts. #wedns |
|
@WeCommNurses
19 August 2020 20:07
|
|
Welcome and remember the #wedns https://twitter.com/researchnursed/status/1296161606209097734 |
|
@WeCommNurses
19 August 2020 20:07
|
|
#wedns https://t.co/prJFq5V3oM |
|
@AFTaylorDN
19 August 2020 20:08
|
|
@WeDistrictNurse I think it is a clear title #WeDNs & a brief abstract for busy readers which is always good. |
|
@RN_Emily_HPN
19 August 2020 20:08
|
|
@RitchieGeorgina @WeDistrictNurse That's an important point about jargon and complex words. Definately important to be direct without confusing words! #wedns |
|
@MarielyonsBrown
19 August 2020 20:08
|
|
#wedns I like it - clear and easily understood |
|
@HeatherBain9
19 August 2020 20:08
|
|
My brain likes structured abstracts #wedns Easier to see at a glance if I want to read further https://twitter.com/wedistrictnurse/status/1296161852708343808 |
|
@AFTaylorDN
19 August 2020 20:08
|
|
@RN_Emily_HPN @RitchieGeorgina @WeDistrictNurse Agreed. #WeDNs |
|
@WeCommNurses
19 August 2020 20:08
|
|
RT @AFTaylorDN: @WeDistrictNurse I think it is a clear title #WeDNs & a brief abstract for busy readers which is always good. |
|
@WeCommNurses
19 August 2020 20:09
|
|
RT @HeatherBain9: My brain likes structured abstracts #wedns Easier to see at a glance if I want to read further https://twitter.com/wedistrictnurse/status/1296161852708343808 |
|
@AFTaylorDN
19 August 2020 20:09
|
|
RT @HeatherBain9: My brain likes structured abstracts #wedns Easier to see at a glance if I want to read further https://twitter.com/wedistrictnurse/status/1296161852708343808 |
|
@RN_Emily_HPN
19 August 2020 20:09
|
|
@HeatherBain9 Me too. I don't want to spend too much time trying to work out what I'm going to be reading about. #wedns |
|
@AFTaylorDN
19 August 2020 20:09
|
|
@HeatherBain9 Absolutely #WeDNs |
|
@WeCommNurses
19 August 2020 20:09
|
|
@Lou72Loopy Thanks for joining us, Louise #wedns |
|
@RitchieGeorgina
19 August 2020 20:10
|
|
@Lou72Loopy Hi Louise ???? #wedns |
|
@RitchieGeorgina
19 August 2020 20:11
|
|
@HeatherBain9 Yes especially if there is a long list of papers to scope the sooner I can include or exclude the better #wedns |
|
@WeCommNurses
19 August 2020 20:12
|
|
OK so overall we liked the title and abstract. Both clear and concise... Question 2: Did you think the introduction and background sections highlighted the need for the study? #wedns |
|
@EmilyBeattie17
19 August 2020 20:13
|
|
@WeDistrictNurse Sorry......keep forgetting the #wedns |
|
@ResearchNurseD
19 August 2020 20:14
|
|
@WeDistrictNurse Agree with these points. When conducting a literature review you want something you can see early on to either include or exclude #wedns |
|
@RitchieGeorgina
19 August 2020 20:14
|
|
@WeDistrictNurse I like the use of boxes I find it easier to organise my thoughts #wedns |
|
@WeCommNurses
19 August 2020 20:14
|
|
@RitchieGeorgina @HeatherBain9 Agreed, also when taking reviewing of a paper to the next stage, the main text can be confusing and structured abstracts are good to refer back to. #wedns |
|
@AMD_barra
19 August 2020 20:15
|
|
@WeDistrictNurse @mdrumm88 Joining you from the Western Isles #WeDns |
|
@albiongirl68
19 August 2020 20:16
|
|
@WeDistrictNurse It comes across clear to me plus a subject I'm interested in #WeDns |
|
@AFTaylorDN
19 August 2020 20:16
|
|
@WeDistrictNurse It makes the case that this is an important area of practice and one that has not been researched in depth - which reflects the usual lack of research into community practice so yes, I think so #WeDNs |
|
@AMD_barra
19 August 2020 20:17
|
|
@WeDistrictNurse I like how clear it is. It sets the tone for the paper as a whole from the start - a clearly structured review #wedns |
|
@RitchieGeorgina
19 August 2020 20:17
|
|
@WeDistrictNurse But I don’t like additional boxes or ‘key points’ just fir the sake of it #wedns can be tricky when writing a paper to come up with ‘enough’ key points |
|
@HeatherBain9
19 August 2020 20:17
|
|
Being in Scotland I always like to see the context, whether international, Uk, devolution if focussing on uk been considered in the introduction and background section #wedns |
|
@WeCommNurses
19 August 2020 20:17
|
|
This is a good point, when reviewing a paper at first glance, the year of publication is very important #wedns https://twitter.com/Lynnett05559915/status/1296163936866316291 |
|
@AFTaylorDN
19 August 2020 20:17
|
|
@RitchieGeorgina @WeDistrictNurse I agree @RitchieGeorgina #WeDNs |
|
@vicki_mccaig
19 August 2020 20:18
|
|
@WeDistrictNurse Good title - clear, succinct, grabs your attention #wedns |
|
@WeCommNurses
19 August 2020 20:18
|
|
@RitchieGeorgina I agree! Journal specifications can be frustrating #wedns |
|
@EmilyBeattie17
19 August 2020 20:18
|
|
@WeDistrictNurse I agree. It's well laid out and emphasises the importance of this area within community and care home nursing #wedns |
|
@WeCommNurses
19 August 2020 20:19
|
|
RT @RitchieGeorgina: @WeDistrictNurse But I don’t like additional boxes or ‘key points’ just fir the sake of it #wedns can be tricky when w… |
|
@HeatherBain9
19 August 2020 20:19
|
|
@AMD_barra @WeDistrictNurse @mdrumm88 #wedns How are you @AMD_barra |
|
@AFTaylorDN
19 August 2020 20:19
|
|
@Lynnett05559915 @WeDistrictNurse Hope so but you never know @Lynnett0559915 .... #WeDNs |
|
@mjosiris
19 August 2020 20:19
|
|
@WeDistrictNurse I found it a little ‘wooly’ if I am honest - didn’t find it was explicit with its intentions for informing future practice. #wedns |
|
@WeCommNurses
19 August 2020 20:20
|
|
Interesting comment. Something to consider as we move through to the next sections of the paper #wedns https://t.co/bPJ5LFKK89 |
|
@AMD_barra
19 August 2020 20:20
|
|
@WeDistrictNurse Definitely. However the paper keeps referring to the UK however the study was undertaken in England. Therefore can this be a true reflection for the UK as a whole? #wedns |
|
@MarielyonsBrown
19 August 2020 20:20
|
|
@WeDistrictNurse Yes . The limitations of existing evidence is discussed and the need for more exploration is evident through the information provided in the intro and background . #wedns |
|
@RN_Emily_HPN
19 August 2020 20:21
|
|
@mjosiris @WeDistrictNurse It is so important to set out intentions and rationale for the study. #wedns |
|
@WeCommNurses
19 August 2020 20:21
|
|
Interesting comment. Something to consider as we move through to the next sections of the paper #wedns https://twitter.com/AMD_barra/status/1296165136315691013 |
|
@HeatherBain9
19 August 2020 20:21
|
|
#wedns. This is so important to consider in the analysis when health policy in the four countries is different https://twitter.com/amd_barra/status/1296165136315691013 |
|
@AMD_barra
19 August 2020 20:22
|
|
@HeatherBain9 @WeDistrictNurse @mdrumm88 I’m very well Heather! Enjoying DN life. We have been very lucky so far up here! How are you? Hope you’re keeping well and safe ?? x #wedns |
|
@RN_Emily_HPN
19 August 2020 20:22
|
|
@AMD_barra @WeDistrictNurse Good point #wedns |
|
@AMD_barra
19 August 2020 20:22
|
|
RT @HeatherBain9: #wedns. This is so important to consider in the analysis when health policy in the four countries is different |
|
@WeCommNurses
19 August 2020 20:23
|
|
Question 3: Did you think the study methods described fit the stated aim? #wedns |
|
@WeCommNurses
19 August 2020 20:23
|
|
RT @HeatherBain9: #wedns. This is so important to consider in the analysis when health policy in the four countries is different https://t.… |
|
@AFTaylorDN
19 August 2020 20:23
|
|
@mjosiris @WeDistrictNurse Perhaps because of a lack of prior research, this was an exploratory study so difficult to be explicit re how it would inform practice? Good point @mjosiris #WeDNs |
|
@AFTaylorDN
19 August 2020 20:24
|
|
RT @HeatherBain9: #wedns. This is so important to consider in the analysis when health policy in the four countries is different https://t.… |
|
@AFTaylorDN
19 August 2020 20:24
|
|
@HeatherBain9 @WeDistrictNurse Agreed - very different health policy context #WeDNs |
|
@AFTaylorDN
19 August 2020 20:24
|
|
RT @WeDistrictNurse: Question 3: Did you think the study methods described fit the stated aim? #wedns |
|
@mjosiris
19 August 2020 20:25
|
|
@AFTaylorDN @WeDistrictNurse Yes, totally take your point there #WeDNS |
|
@WeCommNurses
19 August 2020 20:26
|
|
#WeDNs https://twitter.com/donnamadden79/status/1296164293650644997 |
|
@WeCommNurses
19 August 2020 20:27
|
|
RT @RN_Emily_HPN: @mjosiris @WeDistrictNurse It is so important to set out intentions and rationale for the study. #wedns |
|
@WeCommNurses
19 August 2020 20:27
|
|
I think they did. I liked the description of ethnography and their data collection methods. I thought these aspects fit well with the aim. #wedns |
|
@WeCommNurses
19 August 2020 20:27
|
|
@vicki_mccaig Don’t forget #WeDNs so we don’t loose your comments ?? |
|
@RN_Emily_HPN
19 August 2020 20:27
|
|
@WeDistrictNurse I think, like with most studies, sample size could be bigger and more varied a d we've already pointed out about the need to look at the whole of the UK #wedns |
|
@AMD_barra
19 August 2020 20:28
|
|
@WeDistrictNurse I think it did, yes #wedns |
|
@WeCommNurses
19 August 2020 20:28
|
|
@BigPantsNurse @PalliativeMedJ @mdrumm88 Welcome - don’t forget #WeDNs |
|
@ResearchNurseD
19 August 2020 20:28
|
|
@WeDistrictNurse There appears to be good justification based on previous studies or lack of and localised pilots or audits. A strong evidence base of why we do what we do is painstaking but crucial! #wedns |
|
@WeCommNurses
19 August 2020 20:28
|
|
#wedns some interesting comments raised by Lynnette https://twitter.com/lynnett05559915/status/1296166739634458624 |
|
@WeCommNurses
19 August 2020 20:28
|
|
@Lynnett05559915 That's interesting. I thought because they observed practice in the different settings this would be quite emersive. #wedns |
|
@WeCommNurses
19 August 2020 20:29
|
|
@Lynnett05559915 PS Don’t forget #WeDNs |
|
@WeCommNurses
19 August 2020 20:30
|
|
Some great conversation here. Please all remember the #wedns in every tweet |
|
@EmilyBeattie17
19 August 2020 20:31
|
|
@WeDistrictNurse I did. I think the only way to really research this area is to actively observe practice #wedns |
|
@AFTaylorDN
19 August 2020 20:31
|
|
RT @RN_Emily_HPN: @mjosiris @WeDistrictNurse It is so important to set out intentions and rationale for the study. #wedns |
|
@AFTaylorDN
19 August 2020 20:31
|
|
@RN_Emily_HPN @WeDistrictNurse @mjosiris Completely agree #WeDNs |
|
@AFTaylorDN
19 August 2020 20:31
|
|
RT @WeDistrictNurse: Some great conversation here. Please all remember the #wedns in every tweet |
|
@WeCommNurses
19 August 2020 20:32
|
|
@Lynnett05559915 #wedns in every tweet ?? and welcome no need to apologise |
|
@Lou72Loopy
19 August 2020 20:33
|
|
@RN_Emily_HPN @WeDistrictNurse I think the sample size means the results are not generalisable to the rest of Britain #wedns |
|
@WeCommNurses
19 August 2020 20:33
|
|
Question 4: What are your thoughts on the findings? Did you find anything particularly insightful? Or anything surprising? #wedns |
|
@WeCommNurses
19 August 2020 20:33
|
|
RT @EmilyBeattie17: @WeDistrictNurse I did. I think the only way to really research this area is to actively observe practice #wedns |
|
@HeatherBain9
19 August 2020 20:34
|
|
#wedns what do others think? Does the observer not bring in their own assumptions? All methods have strengths and limitations https://twitter.com/emilybeattie17/status/1296167830187057152 |
|
@MarielyonsBrown
19 August 2020 20:34
|
|
@WeDistrictNurse I think that the ethnography method would fit the aim . Would need to read more about the specific activity though and what that involved #wedns |
|
@WeCommNurses
19 August 2020 20:34
|
|
RT @HeatherBain9: #wedns what do others think? Does the observer not bring in their own assumptions? All methods have strengths and limitat… |
|
@AFTaylorDN
19 August 2020 20:35
|
|
RT @HeatherBain9: #wedns what do others think? Does the observer not bring in their own assumptions? All methods have strengths and limitat… |
|
@HeatherBain9
19 August 2020 20:37
|
|
#wedns Do you think the study aims to be generalisable ? The findings are still valuable to inform practice https://twitter.com/lou72loopy/status/1296168309013057537 |
|
@RN_Emily_HPN
19 August 2020 20:37
|
|
@WeDistrictNurse I'm not surprised by the findings. Particularly the worry of over-medication and the possibility of hastening death. This is something I've seen worry nurses in the community and in hospital settings. #wedns |
|
@WeCommNurses
19 August 2020 20:37
|
|
This highlights another important point. Who are the researchers and authors of a study? We don't need to pretend bias doesnt exist. #wedns https://twitter.com/HeatherBain9/status/1296168639062781957 |
|
@WeCommNurses
19 August 2020 20:38
|
|
RT @HeatherBain9: #wedns Do you think the study aims to be generalisable ? The findings are still valuable to inform practice https://t.co/… |
|
@Lynnett05559915
19 August 2020 20:38
|
|
#wedns - The comment in the article nurses are only at the administration phase, i felt that it wasn't really reflective of what happens in community practice, nurses are now initiating communications with CNS and GP. |
|
@EmilyBeattie17
19 August 2020 20:38
|
|
@WeDistrictNurse I think these are situations we all find ourselves in so I didn't really find anything new here #wedns |
|
@RitchieGeorgina
19 August 2020 20:38
|
|
@WeDistrictNurse #wedns largely reinforces similar papers and practitioner experience I feel |
|
@ResearchNurseD
19 August 2020 20:38
|
|
@WeDistrictNurse As the aim was 'to examine...' it would take an experienced researcher to truly remain entirely neutral in an ethnographic methodology without bringing any bias or personal experience into the observation. I would want to explore the researchers backgrounds further #wedns |
|
@AFTaylorDN
19 August 2020 20:39
|
|
@HeatherBain9 @WeDistrictNurse It is impossible to be completely outside oneself, however expert the researcher - the ability to recognise that and decide the best method is the first step. Observation can provide richness too though. As you say, nothing is perfect #WeDNs |
|
@AMD_barra
19 August 2020 20:39
|
|
@WeDistrictNurse I was interested in nurses ‘supporting colleagues through the processes of double checking’ as often when on call as a DN you have no one to check AM medication with unless perhaps in a care home where staff are willing? However no nursing back up #wedns |
|
@RitchieGeorgina
19 August 2020 20:39
|
|
@RN_Emily_HPN @WeDistrictNurse This was never a worry for me but I understand it may be for some #wedns |
|
@AFTaylorDN
19 August 2020 20:39
|
|
RT @HeatherBain9: #wedns Do you think the study aims to be generalisable ? The findings are still valuable to inform practice https://t.co/… |
|
@AMD_barra
19 August 2020 20:40
|
|
@HeatherBain9 @WeDistrictNurse Sometimes observing practice is not a true reflection though if participants are nervous etc? #wedns |
|
@HeatherBain9
19 August 2020 20:40
|
|
#wedns this is a good point, does this link to where the study took place and that practice across the UK is variable or the fact that practice has developed since the study was undertaken https://twitter.com/lynnett05559915/status/1296169631133118464 |
|
@WeCommNurses
19 August 2020 20:40
|
|
Something I found interesting was the comment about being "unduly" swayed by relatives to administer JIC meds. I wanted to know more. If relatives want medication, why is this? Do they need more support? Slightly off topic but my brain wanted to take this further... #wedns |
|
@RN_Emily_HPN
19 August 2020 20:40
|
|
@RitchieGeorgina @WeDistrictNurse Agree, when I was training I spent time with a phenomenal hospice at home team and it really shaped how I nursed at the end of someone's life. They taught me so much. #wedns |
|
@AMD_barra
19 August 2020 20:40
|
|
@RitchieGeorgina @RN_Emily_HPN @WeDistrictNurse I agree Georgina. This has never been a worry for me but it is a worry I’ve observed from colleagues #wedns |
|
@RitchieGeorgina
19 August 2020 20:42
|
|
@AMD_barra @RN_Emily_HPN @WeDistrictNurse Is this an educational and/or experience issue maybe ? #wedns |
|
@HeatherBain9
19 August 2020 20:42
|
|
#wedns this is a good point, and particularly applies to remote and rural areas. Another example of where the place of study is important to consider in the analysis https://twitter.com/amd_barra/status/1296169938709774337 |
|
@WeCommNurses
19 August 2020 20:42
|
|
I noted this too. Interviews took place in 2011/2012 so few years before publication. #wedns https://twitter.com/HeatherBain9/status/1296170154838106116 |
|
@Lynnett05559915
19 August 2020 20:42
|
|
@WeDistrictNurse #wedns - Yes I wrote the same thing in my comments, it's an interesting topic and a massive part of administering medications. |
|
@JayneMerchant3
19 August 2020 20:42
|
|
#wedns I’m late to start but here https://twitter.com/wedistrictnurse/status/1296160005574602752 |
|
@AFTaylorDN
19 August 2020 20:42
|
|
@RN_Emily_HPN @WeDistrictNurse When research findings 'chime true' as a reader, that can speak volumes - perhaps there is a truth there or you are 'just' on the same wavelength? But if a number of readers recognise the findings, that carries value perhaps #WeDNs? |
|
@mjosiris
19 August 2020 20:42
|
|
@WeDistrictNurse Nothing very surprising, nothing if you nurse in these settings you won’t have experienced, or have seen with colleagues. Think it made it clear the importance of education, experience and support in palliative care #wedns |
|
@WeCommNurses
19 August 2020 20:43
|
|
RT @RitchieGeorgina: @AMD_barra @RN_Emily_HPN @WeDistrictNurse Is this an educational and/or experience issue maybe ? #wedns |
|
@AMD_barra
19 August 2020 20:43
|
|
@WeDistrictNurse I was also interested by this! Often in my experience, relatives are very wary about administering AM especially if given through syringe driver, IM/SC #wedns |
|
@EmilyBeattie17
19 August 2020 20:43
|
|
@WeDistrictNurse I personally feel that relatives sometimes want a quicker release for their loved one. They often feel great distress at seeing them at the emd of life #wedns |
|
@ResearchNurseD
19 August 2020 20:43
|
|
@EmilyBeattie17 @WeDistrictNurse Focus groups with unstructured flow may draw out further themes in an environment where nurses may be able to talk more freely. It's a mastered art to observe entirely without judgement #wedns |
|
@RN_Emily_HPN
19 August 2020 20:43
|
|
@RitchieGeorgina @AMD_barra @WeDistrictNurse I think you are right there. #wedns |
|
@AMD_barra
19 August 2020 20:43
|
|
RT @HeatherBain9: #wedns this is a good point, and particularly applies to remote and rural areas. Another example of where the place of st… |
|
@WeCommNurses
19 August 2020 20:43
|
|
Is this a common finding #WeDNs? https://twitter.com/amd_barra/status/1296170827281506306 |
|
@AMD_barra
19 August 2020 20:44
|
|
@RitchieGeorgina @RN_Emily_HPN @WeDistrictNurse Definitely a bit of both I’d say #wedns |
|
@WeCommNurses
19 August 2020 20:44
|
|
@JayneMerchant3 #wedns never too late |
|
@WeCommNurses
19 August 2020 20:44
|
|
Question 5: Does the discussion follow logically from the findings? #wedns |
|
@Lynnett05559915
19 August 2020 20:44
|
|
@HeatherBain9 #wedns - this i think was my opther comment that is this the practice in England, because I know in Scotland it isn't. |
|
@WeCommNurses
19 August 2020 20:44
|
|
@JayneMerchant3 Welcome Jayne #WeDNs |
|
@WeCommNurses
19 August 2020 20:44
|
|
RT @Lynnett05559915: @WeDistrictNurse #wedns - Yes I wrote the same thing in my comments, it's an interesting topic and a massive part of a… |
|
@mjosiris
19 August 2020 20:45
|
|
@AMD_barra @WeDistrictNurse Me too, we very rarely visit in pairs esp two RNs and that’s day visits!! not got capacity for it. #wedns |
|
@RitchieGeorgina
19 August 2020 20:45
|
|
@RN_Emily_HPN @AMD_barra @WeDistrictNurse I felt relieved when ‘Just in case’ Boxes were introduced no more weekend dramas trying to get the necessary meds to control symptoms #wedns |
|
@WeCommNurses
19 August 2020 20:45
|
|
Good question- any views #WeDNs ? https://twitter.com/amd_barra/status/1296170149402357763 |
|
@EmilyBeattie17
19 August 2020 20:46
|
|
@WeDistrictNurse I also feel that less experienced nurses feel less able to explain the need for the nurse to carry out their own assessment. It can be intimidating #wedns |
|
@WeCommNurses
19 August 2020 20:46
|
|
Is this a common view #WeDNs? https://twitter.com/emilybeattie17/status/1296170862597545985 |
|
@Lynnett05559915
19 August 2020 20:47
|
|
@WeDistrictNurse #wedns - i felt the article didn't expand its topic enough. |
|
@AFTaylorDN
19 August 2020 20:47
|
|
RT @WeDistrictNurse: Question 5: Does the discussion follow logically from the findings? #wedns |
|
@WeCommNurses
19 August 2020 20:47
|
|
RT @AMD_barra: @RitchieGeorgina @RN_Emily_HPN @WeDistrictNurse Definitely a bit of both I’d say #wedns |
|
@Lou72Loopy
19 August 2020 20:47
|
|
I think different areas in Britain have different levels of support, therfore this study would be better if it was generalisable. On my Area I would go to palliative care for guidance on medication #wedns |
|
@WeCommNurses
19 August 2020 20:49
|
|
I thought it was interesting that they expanded further on the emotional strain felt by DNs. This strain is further evidenced in our discussion tonight. Its such an emotional part of our job. #wedns |
|
@WeCommNurses
19 August 2020 20:49
|
|
Is this a difference between the community & the Care Home teams that the researchers didn’t point up clearly in the article? #WeDNs https://twitter.com/mjosiris/status/1296171364907462657 |
|
@FionaTiero
19 August 2020 20:49
|
|
@WeDistrictNurse Yes. I feel this happens more often than relatives being wary of over medicating #WeDNs |
|
@WeCommNurses
19 August 2020 20:51
|
|
Is this a particular feature of community practice where not only are you in the person’s home but relatives are full partners in care, unlike a Care Home or inpatient setting perhaps #WeDNs? https://twitter.com/emilybeattie17/status/1296171609812873218 |
|
@WeCommNurses
19 August 2020 20:51
|
|
Anyone agree/disagree? #wedns https://twitter.com/Lynnett05559915/status/1296171855167062016 |
|
@AFTaylorDN
19 August 2020 20:52
|
|
RT @WeDistrictNurse: Is this a common view #WeDNs? https://twitter.com/emilybeattie17/status/1296170862597545985 |
|
@AFTaylorDN
19 August 2020 20:52
|
|
@RitchieGeorgina @WeDistrictNurse @RN_Emily_HPN @AMD_barra Agreed #WeDNs |
|
@mjosiris
19 August 2020 20:52
|
|
@WeDistrictNurse I think it may have been, in my experience not many DN teams have the luxury of 2RNs to a visit...however double checks are standard practice in CHs- our ward RNs who join DN teams find this challenging too #wedns |
|
@HeatherBain9
19 August 2020 20:53
|
|
#wedns interesting .....is generalisable the only thing that contributes to knowledge...research is complex and how it contributes to evidence...are there times you deviate from guidelines , for example you live in a remote area so have different resource https://twitter.com/lou72loopy/status/1296172005214097409 |
|
@mjosiris
19 August 2020 20:54
|
|
@Lynnett05559915 @WeDistrictNurse Bit repetitive?? #wedns |
|
@WeCommNurses
19 August 2020 20:54
|
|
#wedns https://t.co/XEziq6lR1z |
|
@AFTaylorDN
19 August 2020 20:54
|
|
@WeDistrictNurse It seems to me there are qualitative differences for the nurse between providing palliative care in someone's home where the relative is present 24/7 & DN moves in & out of their ambit vs CareHome/hospice/hospital where nurses are there & relatives visit? #WeDNs |
|
@albiongirl68
19 August 2020 20:55
|
|
@WeDistrictNurse #WeDns |
|
@WeCommNurses
19 August 2020 20:55
|
|
Final question: What are your thoughts on the implications for practice? #wedns |
|
@AFTaylorDN
19 August 2020 20:55
|
|
@WeDistrictNurse And perhaps this wasn't understood/defined clearly enough in this research #WeDNs? |
|
@AFTaylorDN
19 August 2020 20:56
|
|
RT @WeDistrictNurse: Final question: What are your thoughts on the implications for practice? #wedns |
|
@ResearchNurseD
19 August 2020 20:56
|
|
@WeDistrictNurse With very little experience in EOL care, reading the findings as a researcher, they all sound feasible to me. It's important to present balance and context with excerpts that conflict to demonstrate the richness and lack of bias #wedns |
|
@AFTaylorDN
19 August 2020 20:57
|
|
@Lynnett05559915 Yes, that was 2014 - six years a go - much changes #WeDNs |
|
@Lynnett05559915
19 August 2020 20:58
|
|
@WeDistrictNurse #wedns - expanding the information on end of life care to work in partnership with patients and their families/carers. Supporting local policies and procedures... and team working to improve practice. |
|
@WeCommNurses
19 August 2020 20:59
|
|
I think the policy vs clinical assessment section has moved on now, as more community nurses are prescribers #wedns |
|
@albiongirl68
19 August 2020 20:59
|
|
@Lou72Loopy @WeDistrictNurse Very common can make things difficult when you decide not to give any medication. #WeDns |
|
@EmilyBeattie17
19 August 2020 20:59
|
|
@WeDistrictNurse I didn't feel there was anything new. It's always been a demanding and emotional job that needs far more recognition #wedns |
|
@AFTaylorDN
19 August 2020 20:59
|
|
RT @WeDistrictNurse: I think the policy vs clinical assessment section has moved on now, as more community nurses are prescribers #wedns |
|
@HeatherBain9
19 August 2020 20:59
|
|
#wedns Hope you all enjoyed tonight’s discussion on a journal article. Great discussion and great to see so many join in. A special thanks to @mdrumm88 for leading the @WeDistrictNurse tonight |
|
@ResearchNurseD
19 August 2020 20:59
|
|
@RN_Emily_HPN @RitchieGeorgina @WeDistrictNurse Interesting thread emerging??! Were these differences fully presented in the paper? #wedns |
|
@WeCommNurses
19 August 2020 21:00
|
|
That's us done! Thanks for joining in tonight, we hope you enjoyed it. We'll be doing more journal clubs, so feel free to contact @mdrumm88 if you have an open access paper you think would be good to discuss. #wedns |
Stats
Total contributers:
16
Total tweets:
167
Total reach:
898,364
