The latest news for and about nurses and other healthcare professionals, including today's headlines, news analysis, NHS long term plan, workforce, professional regulation, research and innovation, and policies and guidance.
Inaccurate recordings; Missing information; Entry against the wrong patient (Smeulers et al, 2015). Infection prevention and control. Infection prevention and control is a central concern in nursing practice because the risk of infection is everywhere and can potentially harm patients.
Introduction. The underpinning theory that guides nursing practice can sometimes be forgotten in busy clinical environments. This article, the first in a six-part series providing a snapshot of nursing theories and their implications for practice, discusses person-centred care.
Models do have their flaws. Some of the ideas can be complex and might be viewed as idealistic in modern healthcare. However, they offer us valuable guidance in the provision of care that is centred on the individual needs of our patients.
Abstract. Ward rounds are a crucial aspect of acute care, but nurses’ involvement varies. While their responsibilities on ward rounds may vary from ward to ward, nurses have a vital role to play and should make it a priority to attend.
Introduction. Iodine is an antiseptic that kills bacteria and pathogens (Lawrence, 1998). In the past its clinical use was limited by the fact that elemental iodine can cause irritation to the skin, be absorbed systemically and is almost insoluble in water.
Introduction. The management of lymphorrhoea (grossly oedematous legs) poses major challenges because the condition is often accompanied by the leakage of considerable volumes of fluid – indeed the condition is commonly known as ‘leaky legs’ (Lymphoedema Framework, 2006). This article describes the pathophysiology of lymphovenous disease, strategies to help prevent or treat complications ...
Abstract. Shepherd A (2011) Measuring and managing fluid balance.Nursing Times; 107: 28, early online publication. Ensuring patients are adequately hydrated is an essential part of nursing care, yet a recent report from the Care Quality Commission found “appalling” levels of care in some NHS hospitals, with health professionals failing to manage dehydration.
What is the Francis report? Why has there been a public inquiry into Mid Staffordshire Foundation Trust? What happened at Stafford Hospital? Why was care so poor at Stafford Hospital?
The A-G method is a systematic and structured approach to patient assessment useful both in daily nursing practice and emergency situations. This article provides a step-by-step description of the method
Abstract. The intramuscular route allows the rapid absorption of drugs into the circulation. Using the correct injection technique and selecting the correct site will minimise the risk of complications.
Although the principles of discharging patients from hospital have not changed over many years (Department of Health, 2003), the process and pace of discharge planning has changed beyond all recognition.
Written accounts obtained from students in the study revealed that many felt unable to perform calculations such as long division and fractions without using a calculator, as they had come to rely on these at school.
Abstract. People with mental health problems experience many different types of stigma. This article explores the attitudes and beliefs of the general public towards people with mental illness, and the lived experiences and feelings of service users and their relatives.
Introduction. Using a hoist to move a patient can be a hazardous manoeuvre for both nurses and patients. It is paramount that nurses undertake this procedure safely following best-practice guidelines (NMC, 2008).
Worsened staffing levels, increased stress and growing concerns for the wellbeing of colleagues are just some of the issues reported by nurses working during the pandemic, a new survey has found.
Urinalysis is an important screening and diagnostic tool, but health professionals must know how to perform the test and interpret results correctly for it to be beneficial.
Abstract. Good personal hygiene is essential for skin health but it also has an important role in maintaining self-esteem and quality of life. Supporting patients to maintain personal hygiene is a fundamental aspect of nursing care.
Abstract VOL: 101, ISSUE: 33, PAGE NO: 32 Chloe Copping, RGN, is practice nurse, Buckden Surgery, Cambridgeshire Registered nurses are accountable for
Abstract. As newly qualified staff nurses settle into their roles, they will inevitably experience stress, which can be exacerbated if they do not feel well equipped to deal with the situation.This article considers the issues facing new staff nurses confronted with an anger event and offers insights into ways of resolving such situations.
The role of the nurse. Nurses make up the largest workforce within the NHS, and are among the first people present to provide care during periods of crisis (Buchan et al, 2019).
For a number of years now, the mental health and wellbeing of nurses has been an area of significant concern. Historically, it was not uncommon for nurses to work up to and even beyond full retirement age reflecting satisfaction in their work. However, in more recent times, workload and stress ...
Whatever its cause, hyperkalaemia can be serious; high levels (over 7mmol/L) can contribute to cardiac arrest and can be fatal, which is why it is the most common and most serious electrolyte emergency.
Learning is a combination of knowledge acquisition and its application in practice (Fuller and Unwin, 2003). In this article we explore the opportunities for work-based learning, and how to harness this opportunistically and proactively, to make T-moments an integral part of learning in practice.
Abstract. In healthcare, good team building is where all team members understand, believe in and work towards the shared purpose of caring and working for patients.
The NMC’s chief executive and registrar, Andrea Sutcliffe, has called on employers to do all they can to ensure that nurses and midwives are supported and receive sufficient time to reflect, despite current pressures.
Senior leaders in NHS trusts have flagged serious concerns about the wellbeing of staff following the first wave of Covid-19, with 99% worried about the current levels of burnout across the workforce, a new survey has found. The survey was conducted by NHS Providers and gained the views of 199 ...
The first published study examining the mental health of nursing and medical staff based in Wuhan in the wake of the pandemic found that, of the 994 staff studied, 37% had experienced sub-threshold mental health incidents, 34% had mild disturbances, 22% had moderate issues and 6% had severe disturbances.
I work as a research nurse in a large NHS trust and my role involves recruiting patients and healthy volunteers for clinical trials. When studies on the novel coronavirus were implemented, I found myself regularly visiting the isolation wards. This involved face-to-face contact with Covid-19 ...
Nurses across the UK are set to have access to clear face masks in a bid to improve communication with individuals who rely on lip reading and facial expressions, during the coronavirus pandemic.
An initial search found 12 articles, which were then narrowed down to seven studies and two reflective articles (Table 1). Articles included focused on recovery from mental illnesses in ward or community settings, and highlighted what skills were needed from the service users’ or the nurses’ perspective.
Introduction. Delivering high-quality care to Muslim patients means having an awareness of the Islamic faith and Islamic beliefs. With a growing Muslim population in many parts of the world - including 2.7 million Muslims in England and Wales (Office for National Statistics, 2011) and nearly 77,000 in Scotland (National Records of Scotland, 2011) - it is reasonable to assume that nurses ...
Introduction. It is estimated that the cost of poor communication to the NHS is over £1bn per year, and can lead to poor adherence to medication regimens, repeat visits to clinics, disputes and ultimately litigation (McDonald, 2016).
The report warned that the increase in those thinking about leaving was a cause for serious alarm, especially as before the pandemic the workforce was already 40,000 members short in the NHS in England alone.
Abstract. The final article in our six-part series on communication skills looks at how to approach people who are aggressive, angry, abusive, hostile or confrontational. It discusses various communications techniques and approaches that can help when managing challenging situations.
Critical care nurses are facing an “impossible” task going into the second wave of the coronavirus pandemic during the winter without the support of redeployed staff, a nursing leader has warned. British Association of Critical Care Nurses chair Nicki Credland said the only reason intensive care ...
Introduction. Chronic obstructive pulmonary disease (COPD) is a common respiratory condition, affecting 4.5% of people over the age of 40 in the UK. The British Lung Foundation estimates 1.2 million people have been diagnosed with COPD, and this is thought to represent a third of people who have the disease, many are as yet undiagnosed.
Home secretary Priti Patel today revealed more details about her post-Brexit points-based immigration system, which is set to come into force on New Year’s Day, after freedom of movement ends.. She indicated that the government would uphold its pledge, first made in the Conservative Party general election manifesto at the end of 2019, to introduce a new NHS visa.
Allergic disease is estimated to affect around 15-20% of the population of the western world, with a two- to three-fold increase being seen in the past 20-30 years (Royal College of Physicians, 2003).