Recommended reading:Turner, L., Kenward, G., 2002. Preparing to re-

ceive patients with trauma. Nursing Time 98(37),34.

Flaherty, S.F., 2008. Towards the developmentof a worldwide military trauma system: an alliancebetween nursing and the society of trauma nurses.Journal of Trauma Nursing 5(4), 164–165.

doi:10.1016/j.joon.2009.07.016

The excellence in orthopaedic and traumanursing (‘increasing the wealth within you’ ser-ies) (plenary)Neville Southgate

Southgate Performance Solutions, UK

Aim: To educate, inspire and motivate ortho-paedic and trauma nurses towards excellence inthemselves and excellence in their nursing.

Abstract: This session will help nurses under-stand who they really are, what resources theyhave within themselves and how to improve (i)their quality of life (their life/work balance –their personal life and their family life) and (ii)that of their patient/client. Considering our im-age, attitude and action. How our attitude deter-mines our altitude. How rapport, respect andreliability are vital to successful nursing. How touse peripheral vision to take in more of what ishappening around us. How to use hovercraft visionto lift us above the stony problems to allow us tomove around with ease and gain a different per-spective of the care we can offer. How to usehelicopter vision to where we go high above theproblems and look down on them seeing how smallthe problems really are. How to turn problemsinto opportunities. How to gain a different level,a different thinking, a different perspective anda different outcome.

Intended learning outcomes:

� To understand more of who they really are aperson.� To understand more of who they really are as anurse.� To increase their vision, perception and under-standing of problem solving.� To improve their image, attitude and action.� To deepen their rapport, respect and reliability.� To enjoy themselves and their nursing more.� To challenge them to aim at excellence in them-selves and their nursing.

Recommended reading:Crane,T.G., 2007. The Heart of Coaching-Using

Transformational Coaching to Create a High-Per-formance Coaching Culture, third ed. FTA Press.

Eichhorst, S., Veenman, W., 2008. Unleash yourfull potential and live your ultimate life. Reachpublishers.

Forsythe, L., 2007. Walking with the Wise Entre-preneur, third ed. Mentors Magazine International,LLC.

Fournies, F.F., 2000. Coaching for ImprovedWork Performance. McGraw-Hill.

Skiffington, S., Zeus,P., 2002. The Coaching atWork Toolkit. McGraw-Hill.

Gallway, W.T., 1975. The Inner Game of Tennis.Pan Books.

Hay, J., 1993. Working it Out at Work – Under-standing Attitudes and Building Relationships. Sher-wood Publishing.

Malcolm, W., 2003. How to Unleash the Great-ness Within You. Wayne Malcolm International.

McLeod, A., 2003. Performance Coaching – TheHandbook for Managers, HR Professionals and Coa-ches. Crown House Publishing.

Smart, J.K., 2003. Real Coaching and Feedback-How to Help People Improve Their Performance.Pearson Education.

Starr, J., 2008. The Coaching Manual, second ed.Pearson.

Witmore, J., 2002. Coaching for Performance –Growing People, Performance and Purpose, thirded. Nicholas Brealey Publishing.

doi:10.1016/j.joon.2009.07.017

Nursing research questions: What are they?(workshop)Bridget Gray, Liz Tutton, Deborah Langstaff

Kadoorie Centre, Trauma Research, John RadcliffeHospital, Oxford, UK

Aim: To generate nursing research questions inOrthopaedic and Trauma Nursing.

Abstract: This is an interactive workshop thatprovides participants with the opportunity to dis-cuss with their peers challenging questions thatarise from practice that may be answered througha process of research. It is recognised that askingthe right research question is complicated, timeconsuming and unlikely to be achieved in an hour.However this workshop intends to start this processby providing an opportunity for discussion and de-bate. A brief presentation of the Delphi technique

138 Abstracts

used for developing research questions withsurgeons and the Oxford nursing research strategywill be presented. This will be followed by a sharingof thoughts and ideas around practice based ques-tions. Flip charts and a form of nominal group tech-nique will be used to rank questions in relation totheir importance. The session will finish with abrief discussion about possible ways forward forincreasing nursing research in Orthopaedic andTrauma Nursing. Notes from the flipcharts will betyped up and emailed out to participants. Partici-pants do not require any knowledge of researchto attend this work shop just an inquiring approachto practice.

Intended learning outcomes:

� To gain an understanding of identifying researchquestions using a Delphi approach.� To share questions arising from practice andconsider them from a research perspective.� To rate the research questions generated inorder of their importance.

Recommended reading:Keeney, S., Hasson, F., McKenna, H., 2006. Con-

sulting the oracle: ten lessons from using the Del-phi technique in nursing research. Journal ofAdvanced Nursing 53 (2), 205–212.

Tutton, E., Seers, K., Langstaff, D., 2008. Pro-fessional nursing culture on a trauma unit: experi-ences of patients and staff. Journal of AdvancedNursing 61 (2), 145–153.

Tutton, E., Gray, B., 2009. Fluid optimisationusing a peripherally inserted catheter (PICC) fol-lowing proximal femoral fracture: lessons learnedfrom a feasibility study. Journal of OrthopaedicNursing 13 (1), 11–18.

doi:10.1016/j.joon.2009.07.018

Debating issues and ethics in withdrawal oftreatment in the orthopaedic patient (workshop)Neil Boyland

Royal United Hospital NHS Trust, Bath, UK

Aim: To create discussion and raise awareness ofsituations where a decision has been made thatwithdrawal or no further treatment has beenmade.

Abstract: Arguably one of the most rewardingaspects of nursing is the successful involvement incardiopulmonary resuscitation and a good andeffective outcome for the patient. In stark con-

trast, when a patient is inappropriately resusci-tated this can be distressing for all involved,especially for nurses. Health professionals areaware that decisions about cardiopulmonary resus-citation (CPR) raise very sensitive and potentiallydistressing issues for patients, the people close tothem and also for the nurse caring for the individ-ual patient. Many nurses find it difficult to cometo terms with why medical staff have made thedecision to either withdraw or not escalate treat-ment or decide on a ‘‘do not resuscitate’’ order.For many nurses this difficulty might be relatedto lack of exposure to these situations or just poorunderstanding and knowledge. Nurses should be in-volved in the decision making process with patientsand their families.

The workshop will highlight nurses’ need to beproactive in deciding what is nursing care and whatis treatment. Orthopaedic patients are a specialgroup of individuals and will present with difficultconditions, situations and age differences. Under-pinning the knowledge and evidence in decisionmaking for withdrawal of treatment can only makethe nurse more effective in care delivery for thepatient, their family and the whole multi disciplin-ary team.

Intended learning outcomes:

� To raise awareness with the individual nurse howdecisions are made when to withdraw treatmentof patients.� To demonstrate the legal requirements in thedecision making process of withdrawal of treat-ment relating to this practice.� To discuss and share best practice in this diffi-cult decision making process.

Recommended reading:Ciccone, G., 2006. Don’t be a code breaker.

Nursing Standard 20 (25), 69Jevon, P., 1999. Do no resuscitate orders: the is-

sues. Nursing Standard 31 (40), 45–46.Resuscitation Council (UK), 2007. Decisions

relating to Cardiopulmonary Resuscitation. A Jointstatement from the British Medical Association, theResuscitation Council (UK) and the Royal College ofNursing.

Royal College of Nursing, 2002. Witnessing resus-citation. Guidance for Nursing Staff.

Wainwright, P., Gallagher, A., 2007 Ethical as-pects of withdrawing and withholding of treat-ment. Nursing Standard 21 (33), 46–50.

doi:10.1016/j.joon.2009.07.019

Selected abstracts from the 23rd Royal College of Nursing Society 139