Search our Database of Scientific Publications and Authors

I’m looking for a

    2570 results match your criteria British journal of community nursing[Journal]

    1 OF 52

    Supporting students undertaking the Specialist Practitioner Qualification in District Nursing.
    Br J Community Nurs 2017 Nov;22(11):542-546
    Senior lecturer, University of Central Lancashire, District Nurse, member of The Association of District Nurse Educators and Queen's Nurse.
    The ever-evolving role of the Specialist Practitioner Qualified District Nurse (SPQDN) presents an increasing number of challenges for Practice Teachers and mentors in preparing SPQDN students for the elevated level clinical and transformational leadership necessary to ensure high-quality patient care. The daily challenges of clinical practice within the community nursing setting in addition to undertaking educational interventions in the clinical arena demand that a structured approach to supervision and mentorship is crucial. Employing learning plans to assess individual students learning needs, prepare plans for educational developments and interventions and evaluate a student's progress can be a helpful tool in aiding the learning journey for both the SPQDN student and Practice Teacher or mentor. Read More

    Chronic oedema 'on-the-ground' education programme.
    Br J Community Nurs 2017 Nov;22(11):526-534
    Honorary Associate Professor, Department of Nursing, College of Human and Health Sciences, Swansea University.
    The impact of chronic oedema on community nurses' work, the NHS and those directly affected by the condition is immense. As chronic oedema prevalence is projected to rise and financial austerity continues, innovative, sustainable solutions that ensure positive outcomes for patients must be found. This paper reports findings from a focus group (n=3) investigation of the effects of an innovative workplace education intervention designed to enhance community nurses' knowledge for practice in chronic oedema prevention and management in Wales. Read More

    Effective change management within an Australian community palliative care service.
    Br J Community Nurs 2017 Nov;22(11):536-541
    Calvary Health Care Bethlehem, Australia.
    This article attempts to examine and explore the change management process that was undertaken by the community palliative care service at Calvary Health Care Bethlehem, Australia, to challenge the historical practice of prescribing 'emergency subcutaneous medications' for all patients admitted to the service. It discusses how, using a team approach, change management was effectively facilitated to ultimately enhance service provision and consumer satisfaction. Literature (both national and international) was examined to identify the use of emergency medications in the community palliative care setting. Read More

    Obtaining a real consent.
    Br J Community Nurs 2017 Nov;22(11):563-565
    Senior Lecturer in Health Law, College of Health Science, Swansea University.
    Obtaining a real consent is fundamental to the propriety of treatment given by district nurses. Real consent respects patient autonomy and is underpinned by three key elements. In this article, on the principles of patient consent, Richard Griffith outlines the elements of a real consent and the importance of obtaining consent to district nurse practice. Read More

    Managing upper limb lymphoedema with use of a combined armsleeve compression garment.
    Br J Community Nurs 2017 Oct;22(Sup10):S38-S43
    Lead Lymphoedema Nurse Specialist, St Margaret's Hospice, Taunton.
    This article will detail the findings of 4 case studies following a product evaluation of a JOBST Bella Lite combined armsleeve for mild to moderate lymphoedema, while discussing the assessment and management of upper limb lymphoedema. Holistic assessment and consideration of psychosocial impact on the patient will be discussed briefly along with guidance on how to determine those 'at risk' of developing the condition. Read More

    How is lymphofluoroscopy mapping altering lymphoedema management?
    Br J Community Nurs 2017 Oct;22(Sup10):S16-S20
    University Lecturer, Birmingham City University.
    Lymphoedema management has evolved over many decades, but the core components of treatment remain largely unaltered, such as skin care, compression and self-lymphatic drainage. Near-infrared fluorescence lymphatic imaging (NIRFLI) offers an opportunity to enhance patient outcomes by evaluating and increasing the effectiveness of these treatment options. This is relevant when we consider the impact of this chronic condition and its endemic proportions ( Mortimer, 2014 ), while Moffatt et al (2017) suggests it is one of the biggest health risks in the Western world, due to the multiple causes, such as cancer, obesity and as a complication of an ageing population. Read More

    Impact of JOBST(®) Elvarex(®) knee and elbow functional zones on quality of life.
    Br J Community Nurs 2017 Oct;22(Sup10):S58-S67
    Lymphoedema Nurse, Saint Catherine's Hospice.
    Lymphoedema results from a failure of the lymphatic system. The consequences are swelling, skin and tissue changes and predisposition to infection. Lipoedema, however, results from the predisposition of an excessive number of fat cells in the lower limbs, typically from the ankle to the waist. Read More

    Impact of seamless compression garments on limb functionality, comfort and quality of life.
    Br J Community Nurs 2017 Oct;22(Sup10):S26-S37
    Dermatological practice, Berlin, Germany.
    Lymphoedema is a chronic disease affecting the patients' quality of life (QoL) especially with regard to mobility and daily activities. Lymphoedema cannot be cured but symptoms can effectively be improved by a comprehensive approach and the continuous use of compression therapy. An appropriate fitted compression garment is essential for compliance and thus a prerequisite for successful lymphoedema management. Read More

    Case study: Obesity, genital oedema and lower limb compression bandaging.
    Br J Community Nurs 2017 Oct;22(Sup10):S21-S25
    University Teacher and Research Fellow, University of Glasgow.
    The purpose of this article is to present an evidence-based rationale for lymphoedema compression bandaging, one aspect of treatment for a patient with complex lower limb lymphoedema. The current health care climate requires treatment decisions to be transparent, based on the best available evidence. The challenge faced by community nurses is to formulate treatment plans which incorporate patients' preferences and best use limited resources provided by clinical environments. Read More

    Approaches to the application and removal of compression therapy: A literature review.
    Br J Community Nurs 2017 Oct;22(Sup10):S6-S14
    Director, La Trobe Alfred Clinical School, Prahran, Australia.
    Compression therapy is used in the treatment of venous disorders, lymphoedema and burns. Adherence to compression therapy is reported to be poor, due to a number of factors, including difficulty in applying and removing the compression garments. A literature review was conducted to identify aids, equipment and other approaches to ease the application and removal of compression therapy garments. Read More

    Haddenham easywrap as part of self-management in lymphoedema and lipoedema: The patient perspective.
    Br J Community Nurs 2017 Oct;22(Sup10):S50-S57
    Vascular/Lymphoedema Nurse Specialist, Salisbury District Hospital.
    Self-management and the use of adjustable velcro compression wraps are not new concepts and quite often both can form part of the maintenance phase of treatment in those with lymphoedema or lipoedema, as well as those diseases in which compression therapy is advised as long-term management. The aim of this article is to identify some aspects that contribute to effective self-management and how the use of easywrap adjustable velcro compression wraps have improved quality of life for those with lymphoedema, chronic oedema and lipoedema. Case studies are given from patients to demonstrate the individual experience of living with lymphoedema or lipoedema, how this has impacted on daily life, and how using easywrap has helped as part of self-management. Read More

    The fundamental managerial challenges in the role of a contemporary district nurse: A discussion.
    Br J Community Nurs 2017 Oct;22(10):489-494
    Community staff nurse, South Eastern Trust, Northern Ireland.
    This article examines some of the fundamental challenges facing the district nurse in delivery of the managerial aspects of her role in contemporary practice. It discusses the personal attributes that are essential for this role to ensure safe, effective and compassionate leadership and management. The communication skills and ethos underpinning collaborative multidiscilplinary team work and person-centred care are discussed. Read More

    Undertaking research on people who lack decision-making capacity.
    Br J Community Nurs 2017 Oct;22(10):511-513
    Senior Lecturer in Health Law, College of Health Science, Swansea University.
    The Declaration of Helsinki requires that health care research takes place with the informed consent of those who participate in the study. This approach upholds the autonomy of the participants, but restricts research to subjects who have decision-making capacity. The Mental Capacity Act 2005 introduced safeguards that enable researchers to investigate the care and treatment of people with incapacity, while protecting this vulnerable patient group. Read More

    Demands on community nurse mentors: Are new models for practice necessary?
    Br J Community Nurs 2017 Oct;22(10):504-510
    Practice Educator, Bexhill Health Centre.
    The Royal College of Nursing (RCN) Bazian report (2015a) explored international mentorship models that focus less on 1:1 mentorship than on an increased ratio of students to a mentor, and this was used to inform the RCN (2015b) mentorship recommendations document to the Nursing and Midwifery Council (NMC). The need to examine new models for mentorship and make recommendations for future practice was identified, despite the Bazian report ( RCN, 2015a ) stating that among developed countries and national regulators and professional bodies, the UK seemed to possess the most detailed policy and guidance on student nurse mentoring. The models mentioned were not community nursing-focused, as this group of nurses visits people in their own homes. Read More

    Promotion of oral health by community nurses.
    Br J Community Nurs 2017 Oct;22(10):496-502
    Senior Fellow, Higher Education Academy, Course Director District Nursing, School of Health and Social Care, Department of Primary and Social Care, London South Bank University.
    Aim: To explore the enablers and barriers perceived by community nurses in the promotion of oral health in an adult community trust directorate.

    Background: Oral health care promotion in community care settings is being neglected. England and Wales have witnessed marked improvements in periodontal disease; however, no improvements have been seen in older people. Read More

    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

    1 OF 52