1995
Cowley, S.
Health promotion in the general practice setting Journal Article
In: Health visitor, vol. 68, no. 5, pp. 199–201, 1995, ISSN: 0017-9140.
@article{cowley_health_1995,
title = {Health promotion in the general practice setting},
author = {S. Cowley},
issn = {0017-9140},
year = {1995},
date = {1995-05-01},
urldate = {1995-05-01},
journal = {Health visitor},
volume = {68},
number = {5},
pages = {199–201},
abstract = {Two major studies of health promotion interventions in the general practice setting appear to show that nurses are less effective than doctors in influencing people to make necessary lifestyle changes. But, as this briefing argues, both studies were heavily dominated by the medical model. Such an approach, focusing on ill-health, not health, fails to take into account the wider social and economic factors influencing individuals' behaviours.
Far from indicating the need for greater input from doctors, the studies serve to reinforce arguments against the medical model in health. promotion, and underline the need for the health-oriented approach which now underpins all nursing education and training.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Far from indicating the need for greater input from doctors, the studies serve to reinforce arguments against the medical model in health. promotion, and underline the need for the health-oriented approach which now underpins all nursing education and training.
Cowley, Sarah
Professional development and change in a learning organization Journal Article
In: Journal of Advanced Nursing, vol. 21, no. 5, pp. 965–974, 1995, ISSN: 1365-2648, (_eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2648.1995.21050965.x).
Abstract | Links | BibTeX | Tags:
@article{cowley_professional_1995,
title = {Professional development and change in a learning organization},
author = {Sarah Cowley},
url = {https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.1995.21050965.x},
doi = {10.1046/j.1365-2648.1995.21050965.x},
issn = {1365-2648},
year = {1995},
date = {1995-01-01},
urldate = {1995-01-01},
journal = {Journal of Advanced Nursing},
volume = {21},
number = {5},
pages = {965–974},
abstract = {There is a growing tendency for learning in the workplace to be seen as a managerial function rather than as the responsibility of educationalists As managers prepare to take a more active role in facilitating professional education, they need to consider the extent to which their organizational arrangements help or hinder the learning of professional skills There is a potential risk that the development of important clinical practice skills may be inadvertently overlooked, because of the kind of organizational arrangements in force This paper outlines alternative approaches to organizational development, explaining the basis for implementing ‘holographic principles’ when planning a system A situational analysis earned out in an inner-city community provider unit revealed an alternative, more directive and fragmented arrangement The analysis is used to illustrate how a focus on developing the organization as a learning environment during periods of rapid and multiple change can also help to promote clinical nursing skills},
note = {_eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2648.1995.21050965.x},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Cowley, Sarah
In health visiting, a routine visit is one that has passed Journal Article
In: Journal of Advanced Nursing, vol. 22, no. 2, pp. 276–284, 1995, ISSN: 1365-2648, (_eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2648.1995.22020276.x).
Abstract | Links | BibTeX | Tags:
@article{cowley_health_1995-1,
title = {In health visiting, a routine visit is one that has passed},
author = {Sarah Cowley},
doi = {10.1046/j.1365-2648.1995.22020276.x},
issn = {1365-2648},
year = {1995},
date = {1995-01-01},
urldate = {1995-01-01},
journal = {Journal of Advanced Nursing},
volume = {22},
number = {2},
pages = {276–284},
abstract = {Pressure on British health workers to be more explicit in articulating the function, purpose and outcome of their role has increased with the introduction of general management and shift to a market-place orientation, since implementation of the NHS and Community Care Act (1990) However, a recurring theme in the history of health visiting has been the difficulty which practitioners experience in trying to explain exactly what it is that they do
This has often been portrayed as a major failing, and possibly even a reason to discontinue the service This paper will offer a potential explanation for this difficulty, and suggest that the management of uncertainty and ambiguity are central to the role It will draw on a grounded theory study which explored how health visitors choose which approach to use in any particular situation encountered in their work The analysis suggested that health visiting's central focus is on situations which are unpredictable, ambiguous or anomalous
The study revealed an approach to health promotion which requires a highly developed ability to cope in a safe and therapeutic way with shifting, uncertain and ill-defined health needs, and to recognize and respond to complex, potentially risk-filled situations Drawing on examples which illustrate the implications of these concepts in practice, the paper suggests that, much as midwives have long claimed that a‘normal delivery is one that is over, so in health visiting a ‘routine visit’ can only be recognized as such once it has taken place Nevertheless, it will be contended that the particular approach to practice revealed in this study represents a valuable and necessary aspect of health promotion, which has the potential to ensure relevance and acceptability, and which maximizes unexpected opportunities for prevention},
note = {_eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2648.1995.22020276.x},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
This has often been portrayed as a major failing, and possibly even a reason to discontinue the service This paper will offer a potential explanation for this difficulty, and suggest that the management of uncertainty and ambiguity are central to the role It will draw on a grounded theory study which explored how health visitors choose which approach to use in any particular situation encountered in their work The analysis suggested that health visiting's central focus is on situations which are unpredictable, ambiguous or anomalous
The study revealed an approach to health promotion which requires a highly developed ability to cope in a safe and therapeutic way with shifting, uncertain and ill-defined health needs, and to recognize and respond to complex, potentially risk-filled situations Drawing on examples which illustrate the implications of these concepts in practice, the paper suggests that, much as midwives have long claimed that a‘normal delivery is one that is over, so in health visiting a ‘routine visit’ can only be recognized as such once it has taken place Nevertheless, it will be contended that the particular approach to practice revealed in this study represents a valuable and necessary aspect of health promotion, which has the potential to ensure relevance and acceptability, and which maximizes unexpected opportunities for prevention
Cowley, Sarah; Bergen, Ann; Young, Kathryn Rose; Kavanagh, Anne
Exploring Needs Assessment in Community Nursing Journal Article
In: 1995, ISSN: 0017-9140.
BibTeX | Tags:
@article{cowley_exploring_1995,
title = {Exploring Needs Assessment in Community Nursing},
author = {Sarah Cowley and Ann Bergen and Kathryn Rose Young and Anne Kavanagh},
issn = {0017-9140},
year = {1995},
date = {1995-01-01},
urldate = {1995-01-01},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Cowley, Sarah
Health-as-process: a health visiting perspective Journal Article
In: Journal of Advanced Nursing, vol. 22, no. 3, pp. 433–441, 1995, ISSN: 1365-2648, (_eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2648.1995.22030433.x).
Abstract | Links | BibTeX | Tags:
@article{cowley_health-as-process_1995,
title = {Health-as-process: a health visiting perspective},
author = {Sarah Cowley},
url = {https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.1995.22030433.x},
doi = {10.1046/j.1365-2648.1995.22030433.x},
issn = {1365-2648},
year = {1995},
date = {1995-01-01},
urldate = {1995-01-01},
journal = {Journal of Advanced Nursing},
volume = {22},
number = {3},
pages = {433–441},
abstract = {Health visitors are community nurses who define their role specifically in terms of health promotion, although they have often found difficulty in explaining how their seemingly diffuse and unfocused practice achieves this The grounded theory study reported here set out to uncover some of the hidden processes and features embedded within health visiting, so the practice might be more clearly articulated This paper reports one aspect of that study, which suggests that health visitors treat health as a lifelong process, involving the accumulation and use of ‘resources for health’ The relevance of approaches which appeared both caring and educational will be set in the context of therapeutic nursing and adult education theories Historically, health visitors have links with both nursing and health education, the analysis presented here helps to clarify the relationships between these different areas of work The paper will explain how treating health as a process allows multiple competing views and ideas about health and health promotion to be integrated into a manageable form, thus allowing positive health to be promoted within a broad, acceptable socio-cultural context However, the analysis also highlighted various points at which treating health as a process contradicts the firmly measurable requirements of the market-orientated health service Nevertheless, where health visitors are sufficiently skilled, and are permitted by their employing authorities to use this approach, it may serve to protect clients from intrusive and accusing interventions, made in the name of health promotion},
note = {_eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2648.1995.22030433.x},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Billings, Jennifer Ruth; Cowley, Sarah
Approaches to community needs assessment: a literature review Journal Article
In: Journal of Advanced Nursing, vol. 22, no. 4, pp. 721–730, 1995, ISSN: 1365-2648.
Abstract | Links | BibTeX | Tags:
@article{billings_approaches_1995,
title = {Approaches to community needs assessment: a literature review},
author = {Jennifer Ruth Billings and Sarah Cowley},
doi = {10.1046/j.1365-2648.1995.22040721.x},
issn = {1365-2648},
year = {1995},
date = {1995-01-01},
urldate = {1995-01-01},
journal = {Journal of Advanced Nursing},
volume = {22},
number = {4},
pages = {721–730},
abstract = {In the light of the growing awareness of professionals in the community of the need to undertake health needs assessments of the population, this literature review sets out to explore, delineate and critically analyse the various approaches to community needs assessment, to facilitate a greater understanding of their strengths and weaknesses
The review commences by highlighting its complex nature, and attempting to define what is meant by ‘needs assessment’ from the differing perspectives of three dominant approaches, namely sociology, epidemiology and health economics
It continues by putting forward an argument for the use of the community health profile, being a multi-focal approach to needs assessment, combining quantitative with qualitative data, and proceeds with a discussion of strengths and weaknesses related to its compilation, in particular factors relating to reliability and validity of data sources
The consumer perspective is also reviewed, as are issues surrounding the ethics of data collection and problems concerning aggregation of the numerous data sources into meaningful policy
Throughout the review, issues are discussed with reference to the current political context in the United Kingdom Equally important is the community nurse perspective, which is integrated into the arguments where appropriate},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
The review commences by highlighting its complex nature, and attempting to define what is meant by ‘needs assessment’ from the differing perspectives of three dominant approaches, namely sociology, epidemiology and health economics
It continues by putting forward an argument for the use of the community health profile, being a multi-focal approach to needs assessment, combining quantitative with qualitative data, and proceeds with a discussion of strengths and weaknesses related to its compilation, in particular factors relating to reliability and validity of data sources
The consumer perspective is also reviewed, as are issues surrounding the ethics of data collection and problems concerning aggregation of the numerous data sources into meaningful policy
Throughout the review, issues are discussed with reference to the current political context in the United Kingdom Equally important is the community nurse perspective, which is integrated into the arguments where appropriate

forum, National Heart
Preventing Coronary Heart Disease in Primary Care: The Way Forward Book
HM Stationery Office, 1995.
BibTeX | Tags:
@book{national_heart_forum_preventing_1995,
title = {Preventing Coronary Heart Disease in Primary Care: The Way Forward},
author = {National Heart forum},
year = {1995},
date = {1995-01-01},
urldate = {1995-01-01},
publisher = {HM Stationery Office},
organization = {National Heart Forum},
keywords = {},
pubstate = {published},
tppubtype = {book}
}
1994
Cowley, S.
Collaboration in health care: the education link Journal Article
In: Health visitor, vol. 67, no. 1, pp. 13–15, 1994, ISSN: 0017-9140.
@article{cowley_collaboration_1994,
title = {Collaboration in health care: the education link},
author = {S. Cowley},
issn = {0017-9140},
year = {1994},
date = {1994-01-01},
urldate = {1994-01-01},
journal = {Health visitor},
volume = {67},
number = {1},
pages = {13–15},
abstract = {Collaboration is high on the current policy agenda. It is often suggested that 'shared learning' within multi-disciplinary teams, across sectors and different service agencies, will help to improve collaboration. But education has a wider role than one of simply teaching different groups together, writes Sarah Cowley. Improved inter-disciplinary working can be achieved by ensuring that each professional feels valued for their particular role and skills.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
1993
Cowley, S.
Supporting dying people Journal Article
In: Nursing times, vol. 89, no. 42, pp. 52–55, 1993, ISSN: 0954-7762.
@article{cowley_supporting_1993,
title = {Supporting dying people},
author = {S. Cowley},
issn = {0954-7762},
year = {1993},
date = {1993-10-01},
urldate = {1993-10-01},
journal = {Nursing times},
volume = {89},
number = {42},
pages = {52–55},
abstract = {A descriptive interview survey was carried out to identify and assess the needs of dying people and their families and to see how far those needs were met by services available in the district. The main carers were interviewed six months after the death, and the majority said they were satisfied with care offered. However, a detailed analysis of comments made in response to the open-ended questions that were asked sheds light on the difficulties faced by many people in gaining access to services.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Cowley, S
Skill mix: value for whom Journal Article
In: Health visitor, vol. 66, no. 5, pp. 166–8, 171, 1993, ISSN: 0017-9140.
BibTeX | Tags:
@article{cowley_skill_1993,
title = {Skill mix: value for whom},
author = {S Cowley},
issn = {0017-9140},
year = {1993},
date = {1993-05-01},
urldate = {1993-05-01},
journal = {Health visitor},
volume = {66},
number = {5},
pages = {166–8, 171},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Cowley, S.
Counting practice: the impact of information systems on community nursing Journal Article
In: Journal of Nursing Management, vol. 1, no. 6, pp. 273–278, 1993, ISSN: 1365-2834.
Abstract | Links | BibTeX | Tags:
@article{cowley_counting_1993,
title = {Counting practice: the impact of information systems on community nursing},
author = {S. Cowley},
doi = {10.1111/j.1365-2834.1993.tb00226.x},
issn = {1365-2834},
year = {1993},
date = {1993-01-01},
urldate = {1993-01-01},
journal = {Journal of Nursing Management},
volume = {1},
number = {6},
pages = {273–278},
abstract = {The act of collecting data is not neutral, it exerts an influence on the activity it is intended to reflect. This paper examines three basic assumptions which underpin the collection of information for minimum data-sets from community nurses, and suggests that influence has the potential to drive practitioners towards a model of practice which is fundamentally flawed.
The paper criticizes the use of a single episode of care as the base unit of activity in a long-term, continuing service. It argues that the focus on single individuals as recipients of a service is inappropriate for family- or community-based nursing. Further, it challenges the idea that the complex, multi-faceted and compound interactions encompassed within community nursing practice can be separated into single activities to be counted or measured.
It concludes that identified deficiencies in the information systems stem from an inadequate base of theoretical knowledge, and not from personal failings on the part of managers or their staff. It warns that the inappropriate basis for collecting information may promote insensitive and ineffective community nursing practice.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
The paper criticizes the use of a single episode of care as the base unit of activity in a long-term, continuing service. It argues that the focus on single individuals as recipients of a service is inappropriate for family- or community-based nursing. Further, it challenges the idea that the complex, multi-faceted and compound interactions encompassed within community nursing practice can be separated into single activities to be counted or measured.
It concludes that identified deficiencies in the information systems stem from an inadequate base of theoretical knowledge, and not from personal failings on the part of managers or their staff. It warns that the inappropriate basis for collecting information may promote insensitive and ineffective community nursing practice.
Mackenzie, A.; Twinn, S.; Cowley, S.
Shared practice in community nursing Journal Article
In: Senior Nurse, vol. 13, no. 4, pp. 36–38, 1993, ISSN: 0265-9999.
BibTeX | Tags: Baccalaureate, Community Health Nursing, Curriculum, Education, Humans, nursing, Public health nursing
@article{mackenzie_shared_1993,
title = {Shared practice in community nursing},
author = {A. Mackenzie and S. Twinn and S. Cowley},
issn = {0265-9999},
year = {1993},
date = {1993-01-01},
urldate = {1993-01-01},
journal = {Senior Nurse},
volume = {13},
number = {4},
pages = {36–38},
keywords = {Baccalaureate, Community Health Nursing, Curriculum, Education, Humans, nursing, Public health nursing},
pubstate = {published},
tppubtype = {article}
}
1992
Twinn, Sheila; Cowley, Sarah (Ed.)
Principles of Health Visiting: A Re-examination Book
Community Practitioners' & Health Visitors' Association, 1992, ISBN: 978-1-872278-15-5.
BibTeX | Tags:
@book{twinn_principles_1992,
title = {Principles of Health Visiting: A Re-examination},
editor = {Sheila Twinn and Sarah Cowley},
isbn = {978-1-872278-15-5},
year = {1992},
date = {1992-05-01},
urldate = {1992-05-01},
publisher = {Community Practitioners' & Health Visitors' Association},
keywords = {},
pubstate = {published},
tppubtype = {book}
}
1991
Cowley, Sarah
A symbolic awareness context identified through a grounded theory study of health visiting Journal Article
In: Journal of Advanced Nursing, vol. 16, no. 6, pp. 648–656, 1991, ISSN: 1365-2648.
Abstract | Links | BibTeX | Tags:
@article{cowley_symbolic_1991,
title = {A symbolic awareness context identified through a grounded theory study of health visiting},
author = {Sarah Cowley},
doi = {10.1111/j.1365-2648.1991.tb01722.x},
issn = {1365-2648},
year = {1991},
date = {1991-01-01},
urldate = {1991-01-01},
journal = {Journal of Advanced Nursing},
volume = {16},
number = {6},
pages = {648–656},
abstract = {The purpose of the study, which is not yet complete, was one of theory building or conceptualization. This was needed because of a lack of information about how health visitors identify which approach to use within any particular situation
An overview of the method of grounded theory explains how data were collected and analysed.Then, one major aspect of the emerging theory – a symbolic awareness context which seems to surround and influence interactions between health visitors and their clients – is outlined.
The analysis suggests that, when the interaction is examined in context, any one question, purpose or topic selected by health visitor or client as a specific focus, forms only a relatively small component part of the whole. Strategies which enhance openness and consonance within the context are detailed. The awareness context has implications for health visiting practice and organization},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
An overview of the method of grounded theory explains how data were collected and analysed.Then, one major aspect of the emerging theory – a symbolic awareness context which seems to surround and influence interactions between health visitors and their clients – is outlined.
The analysis suggests that, when the interaction is examined in context, any one question, purpose or topic selected by health visitor or client as a specific focus, forms only a relatively small component part of the whole. Strategies which enhance openness and consonance within the context are detailed. The awareness context has implications for health visiting practice and organization
1990
Cowley, Sarah
Continuing care. Who qualifies for terminal care? Journal Article
In: Nursing times, vol. 86, pp. 29–31, 1990.
BibTeX | Tags:
@article{cowley_continuing_1990,
title = {Continuing care. Who qualifies for terminal care?},
author = {Sarah Cowley},
year = {1990},
date = {1990-05-01},
urldate = {1990-05-01},
journal = {Nursing times},
volume = {86},
pages = {29–31},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Cowley, S
To the End of Their Days: Care of the Dying in Eastbourne's Health District Technical Report
Eastbourne Health Authority 1990.
BibTeX | Tags:
@techreport{cowley_end_1990,
title = {To the End of Their Days: Care of the Dying in Eastbourne's Health District},
author = {S Cowley},
year = {1990},
date = {1990-01-01},
urldate = {1990-01-01},
institution = {Eastbourne Health Authority},
keywords = {},
pubstate = {published},
tppubtype = {techreport}
}
1988
Cowley, S.
In search of a model for health visiting Journal Article
In: Health Visitor, vol. 61, no. 5, pp. 149–151, 1988, ISSN: 0017-9140.
BibTeX | Tags: Child, Community Health Nursing, Family, Female, Humans, Male, Models, Nursing Process, Theoretical
@article{cowley_search_1988,
title = {In search of a model for health visiting},
author = {S. Cowley},
issn = {0017-9140},
year = {1988},
date = {1988-05-01},
urldate = {1988-05-01},
journal = {Health Visitor},
volume = {61},
number = {5},
pages = {149–151},
keywords = {Child, Community Health Nursing, Family, Female, Humans, Male, Models, Nursing Process, Theoretical},
pubstate = {published},
tppubtype = {article}
}
