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    2534 results match your criteria British journal of community nursing[Journal]

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    What are community nurses experiences of assessing frailty and assisting in planning subsequent interventions?
    Br J Community Nurs 2017 Sep;22(9):440-445
    District Nurse Team Leader, Bristol Community Health.
    With an ageing population and increasing focus on community care, this study aimed to explore the experiences of community nurses in assessing frailty and planning interventions around frailty. Six community nurses were recruited for face-to-face semi-structured interviews as part of this qualitative study which was underpinned by a competence framework ( Royal College of Nursing, 2009 ). Thematic analysis was used and frailty was identified as an emerging topic within practice. Read More

    Criminal liability for spreading sexually transmitted infections.
    Br J Community Nurs 2017 Sep;22(9):461-463
    Senior Lecturer in Health Law, College of Health Science, Swansea University.
    Last month's article considered capacity to consent to sexual activity. This month's article reviews the case of a man from Nottingham who was jailed for 7 years for infecting two former lovers with HIV and considers whether those who act recklessly put others at risk of infection during sexual activity should be held criminally liable and prosecuted for their actions. Read More

    Community nursing middle management: 'dealing with different people in different time zones on both sides'.
    Br J Community Nurs 2017 Sep;22(9):448-457
    Lead Nurse (School Nursing), Associate Lecturer, Robert Gordon University, Aberdeen.
    The overall aim of the investigation was to redress a knowledge gap by exploring community nursing middle managers' (CNMMs') experiences of role enactment through change within Community Health Partnerships (CHPs) in Scotland-now further evolved into Health and Social Care Partnerships (HSCPs). HSCPs play a key role in shifting care from the acute to the primary care/community setting. However, a literature review demonstrated there has been very little research into the role of CNMMs within the changing primary care context. Read More

    Wound management should not be a pain.
    Br J Community Nurs 2017 Sep;22(Sup9):S38-S46
    Nurse Consultant & Honorary Lecturer Chronic Pain Service Royal Victoria Infirmary Newcastle upon Tyne.
    Pain is a complex sensation with a variety of qualities rather than a single sensation varying in intensity. People find it difficult to describe their pain mainly because its nature and intensity vary so much, not only between individuals but also for a person over time. This article provides an overview of wound pain, its causes and assessment, with a focus on the procedure of dressing change itself. Read More

    How to prevent and avoid common mistakes in skin tear management in the home setting.
    Br J Community Nurs 2017 Sep;22(Sup9):S14-S19
    CNS in Wound Care, Independent Tissue Viability Consultant, Rome, Italy.
    Skin tears are acute wounds, often mismanaged and misdiagnosed that can convert to chronic wounds, representing a common but relevant burden to both the individual and the health care system. The implementation of prevention protocols and training programs is essential to manage these wounds in the community. Managing a skin tear-related problem at home represents a challenge, due to some critical issues and specific conditions. Read More

    Chronic leg ulcers disrupt patients' lives: A study of leg ulcer-related life changes and quality of life.
    Br J Community Nurs 2017 Sep;22(Sup9):S30-S37
    Dermatology Department, Hospital de Santo António dos Capuchos - Centro Hospitalar de Lisboa Central, Portugal.
    Chronic leg ulcers have a profound impact on patients' physical, functional, and psychological status, which may result in several life changes and a significant decline in quality of life (QoL). We aimed to study what changed in patients' lives after developing a chronic leg ulcer, including QoL, patients' comprehension of the disease and related feelings. A cross-sectional study, using an anonymous questionnaire and the Dermatology Life Quality Index (DLQI) was performed. Read More

    Apex Pro-care mattress: How can this advanced mattress assist in prevention of pressure injuries?
    Br J Community Nurs 2017 Sep;22(Sup9):S20-S27
    Avalon Nursing Home, Eastbourne.
    Avalon Nursing Home is fully aware of the potential for pressure ulcers in immobile residents and were keen to undertake an evaluation to ensure their residents have the most appropriate care possible. They selected Apex Pro-care to evaluate as there were concerns for residents heels in those with any arterial insufficiency. The Apex Pro-care mattress has a heel section where one or more of the bottom five cells can be deflated under the patient's heel to create a void, which will enable the heel to "float" so that there is no pressure in contact with the heel area. Read More

    Young carer awareness, identification and referral.
    Br J Community Nurs 2017 Aug;22(8):398-406
    Leadership and Development Foundation Associate, Liverpool John Moores University, School of Nursing and Allied Health.
    Young carers often provide care because they have always done so for the people they care about, and because they believe that the care recipient could not manage without them. For many young carers, looking after their own health, combining caring with schoolwork, getting access to training or having time off from carer duties can be a major challenge ( Department of Health [DH], 2008 ). This paper presents evidence from a literature review that builds a substantial body of knowledge to suggest that community nursing teams must develop supportive approaches towards increasing an awareness of young carers' needs. Read More

    Real world challenges in delivering person-centred care: A community-based case study.
    Br J Community Nurs 2017 Aug;22(8):391-396
    Principal Lecturer, Department of Nursing and Clinical Science, Faculty of Health and Social Science, Bournemouth University, Bournemouth.
    Community nurses face many challenges when trying to practice evidence-based, person-centred care. Ongoing concerns regarding the impact of the 2013 Francis Report ( Ford and Lintern, 2017 ) suggest that individualised and holistic care is an impossible dream, one made harder when the client appears uncooperative. This paper presents a case study that sets out how some of these challenges were met in a potentially difficult situation experienced by a student nurse and her mentor in practice, in which the student was supported to further examine and explore issues that may have influenced the situation. Read More

    The Mental Capacity Act: 'Best interests'-a review of the literature.
    Br J Community Nurs 2017 Aug;22(8):384-390
    Senior Lecturer, Liverpool John Moores University UK, School of Nursing and Allied Health; Member of the Association of District Nurse Educators.
    The Mental Capacity Act (MCA) is statutory legislation introduced in 2007 in order to provide a consistent, robust framework with the aim to protect and empower people to make decisions themselves. However, an assessment as per the MCA may demonstrate that a person is lacking mental capacity and therefore unable to make an autonomous decision at the time it needs to be made. In this case, a 'best interests' decision may be made on their behalf, ensuring their wishes and beliefs are at the centre of the decision-making process. Read More

    Consenting to sexual activity.
    Br J Community Nurs 2017 Aug;22(8):409-411
    Senior Lecturer in Health Law, College of Health Science, Swansea University.
    Engaging in sexual activity is an essential Human Right protected under article 12 of the European Convention on Human Rights ( Council of Europe, 1950 ) and should be free from state interference. District nurses, however, often express concern over the possibility that adults with acquired brain injury or a learning disability cannot give a real consent to participate in sexual activity and so should be prevented from doing so. In this article Richard Griffith reviews the case law in relation to the capacity to consent to sexual activity. Read More

    Making a choice of catheterisation gel and the role of chlorhexidine.
    Br J Community Nurs 2017 Jul;22(7):346-351
    Locality Leader, North Somerset Community Partnership.
    It is estimated that over 90 000 people in the UK community live with an indwelling catheter ( Wilson, 2016 ). It is essential that a lubricating gel is used during catheterisation, as this helps to reduce the risk of pain, trauma and infection ( Loveday et al, 2014 ; National Institute for Health and Care Excellence, 2012 ). Chlorhexidine is an antiseptic contained in many catheterisation gels. Read More

    Chelsea, Pimlico and Belgravia District Nursing Association 1930-1939: A case study.
    Br J Community Nurs 2017 Jul;22(7):324-330
    Queen's Nurse; Chair Association of District Nurse Educators; Senior Lecturer, Florence Nightingale Faculty of Nursing and Midwifery, King's College, London.
    The case study explores how the expansion of the health services during the interwar period impacted upon the status of district nursing and examines how being a voluntary service shaped district nursing associations. A range of primary sources were used; the Association Annual Reports, the Medical Officer for Health Annual Reports for the Borough of Chelsea, the Ministry of Health records, the archives of the Queen's Nursing Institute (QNI) and the Borough of Chelsea Council Minutes. The Medical Officer for Health Reports and the Council minutes identify efforts to improve environmental factors that impacted upon health. Read More

    Reporting deaths to the coroner.
    Br J Community Nurs 2017 Jul;22(7):357-359
    Senior Lecturer in Health Law, College of Health Science, Swansea University.
    The Chief Coroner has issued new guidance in relation to death where the person is subject to a deprivation of liberty safeguards standard authorisation ( Chief Coroner, 2017 ). In this article, Richard Griffith discusses the impact of the Police and Crime Act 2017, section 178 on the need to report deaths of patients' subject to a deprivation of liberty safeguards standard authorisation to the coroner. Read More

    Pet dogs as promoters of wellbeing.
    Br J Community Nurs 2017 Jul;22(7):332-336
    Emeritus Professor of Community Nursing, King's College London, Florence Nightingale Faculty of Nursing and Midwifery and Fellow of the QNI.
    The rise in life expectancy requires strategies to enable healthy ageing and the promotion of a high quality of life in old age. Poor mental health including depression and social isolation can blight older people's lives. Despite the positive benefits of physical activity for both mental and physical health, only a minority of those over 65 years are attaining the recommended levels of physical activity. Read More

    Perspectives on the risks for older adults living independently.
    Br J Community Nurs 2017 Jul;22(7):338-345
    Amsterdam Public Health research institute, Department of Epidemiology and Biostatistics, VU University Medical Centre & The Netherlands Institute for Health Services Research (NIVEL).
    Insight into risks concerning older adults living independently from their own perspective and their care provider's perspective is essential to address issues that may threaten their independent living. The most often mentioned perceived risks by older adults and their care providers in different regions in the Netherlands were: loneliness, falls, budget cuts in Dutch long-term care and not being able to call for help. The different perspectives of the respondents show a wide variety in risks, but also some similarities. Read More

    Finding the time: an audit of the acute ward mealtime processes.
    Br J Community Nurs 2017 Jul;22(Sup7):S30-S32
    Patient food services manager, Tallaght Hospital, Dublin, Ireland.
    It has been found that many organisations still fail to meet the basic rights of those in their care, in terms of access to food, drink and support when they need it. In acknowledgment that food service in hospitals must be given a higher priority, and be recognised as an integral part of the patient's treatment and care, Irish hospitals must now have a system to evaluate the nutritional and hydrational care for patients admitted to hospital. The purpose of this audit was to examine the level of mealtime support available to patients during the main mealtime service in our hospital. Read More

    Parenteral nutrition: indications and safe management.
    Br J Community Nurs 2017 Jul;22(Sup7):S22-S28
    Senior Specialist Dietitian, University Hospitals Coventry and Warwickshire NHS Trust, Coventry.
    The aim of this article is to provide an overview of what parenteral nutrition (PN) is and when its use is required. It will describe the process of nutritional assessment, and considerations when choosing venous access. The different approaches to provision of PN solutions in hospital will be discussed. Read More

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