Findings from the study suggest that it is aspects of the caring role, rather than personal fear of death, that form the source of much of students' anxiety.

Combining the cyclical nature of action research methodology and the audit process with Lewin's change theory provided a clear conceptual framework for the research. This approach would be applicable in a range of health care settings to bring about improvements in quality management.

In this article we describe a project which aims to ensure prevention and continued protection from violence for family members. We outline our theoretical approach to assessment and working with violence in family relationships and the associated ethical problems. We identify three recurrent themes: risk, collaboration, and responsibility. We focus on our work with couples, where the man is violent towards the woman. Within this discussion we identify other important clinical issues.

Clinical audit exists to improve the quality of patient care and clinical practice. The authors state that, given the necessary time and resources, nurses can confidently audit their practice. The article also discusses the differences between audit and research and outlines some of the steps to ensure a successful audit.

Background: This paper describes some of the issues we confronted and resolved in setting up an independent dedicated domestic violence service. Method: In our project we work with violent behaviour that is known or suspected in the contexts of both assessment and therapy. We describe our policy on domestic violence, including confidentiality, our reflecting practices, our relationships with referrers as a means of managing the risk of violence, and the assessment and evaluation procedures we use for the assessment of risk of violence. We include some discussion of the effects of domestic violence on children and the effects of doing this work on ourselves. Conclusions: We conclude by discussing the moral issues involved for us as therapists in doing this work, the impact of the legal frame within which we work, and some of the social and psychological theories we find helpful in understanding the causes and effects of violent behaviour in the family.