David Thompson

Gender diversity in nursing: time to think again

Gender diversity in nursing: time to think again

Familiarise yourself with specific techniques that could improve gender diversity in nursing

Australia and academia

From beach days to bureaucracy: academic nursing in Australia

David Thompson found many similarities with working in the UK – but differences too

The ‘nearest relative’ role under the Mental Health Act

The nearest relative role is a statutory safeguard for people who may be subject to the formal powers of the Mental Health Act 1983 in England and Wales. It survived the amendment in 2007, despite a wide consensus that the role should be replaced by a ‘nominated person’. This article reviews the nearest relative role and argues it is consistent with contemporary policy with regard to carers. It challenges practitioners to dispense with any lingering ambivalence about the role and to facilitate the nearest relatives’ legal rights to support people with mental health needs and their carers.

Going the extra mile

Kathleen Fray had Down’s syndrome and later developed dementia. Her sister Margaret had cared for Kathleen for over 30 years prior to her hospital admission, and continued to play a large part in her care right up until Kathleen’s death, four years ago (Fray 2000). ‘The nurses at both hospitals told me that they had never before nursed a patient with the combined disabilities Kathleen had developed,’ said Margaret Fray. ‘They asked me to help them, and I was there every day. I still see some of those nurses now, and they often say: “We learned from you, didn’t we?”’

Cardiac rehabilitation

The Coronary Rehabilitation Programme at Leicester General Hospital has operated since 1987. Before this, efforts were limited to exercise under the guidance of a physiotherapist, with nurses on hand to record pulse rates and observe for problems. From this background, a comprehensive programme of in-hospital and outpatient rehabilitation has emerged offering exercise, relaxation, education