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    2615 results match your criteria British journal of community nursing[Journal]

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    The use of early warning scores to recognise and respond to patient deterioration in district nursing.
    Br J Community Nurs 2018 Feb;23(2):76-79
    District Nursing Sister, Northumbria Healthcare Trust.
    This discussion article focuses on the literature surrounding early warning scoring systems and their use in primary care, specifically within district nursing. Patient deterioration is a global concern, associated with high mortality rates and avoidable deaths. Early recognition and response by nursing and other health care staff has been attributed to early warning scoring systems (EWSS) and tools. Read More

    The use of acuity and frailty measures for district nursing workforce plans.
    Br J Community Nurs 2018 Feb;23(2):86-92
    Principal Consultant, Quest for Community Health.
    This article discusses the use of Quest acuity and frailty measures for community nursing interventions to quantify and qualify the contributions of district nursing teams. It describes the use of a suite of acuity and frailty tools tested in 8 UK community service trusts over the past 5years. In addition, a competency assessment tool was used to gauge both capacity and capability of individual nurses. Read More

    Taking a proactive approach to mild to moderate chronic oedema: a case study.
    Br J Community Nurs 2018 Feb;23(2):64-68
    National Clinical Lead for Lymphoedema in Wales.
    This case study demonstrates the benefits of early intervention and a proactive approach for a patient with chronic oedema living in the community. These benefited the patient and also supported value-based healthcare in the NHS. The patient's health and wellbeing significantly improved with an assessment of his chronic oedema and a management plan consisting of skincare, an exercise and movement programme and the introduction of a class 1 British standard compression garment. Read More

    Community palliative care clinical nurse specialists as independent prescribers: part 1.
    Br J Community Nurs 2018 Feb;23(2):94-98
    Senior lecturer, academic Lead Centre for Palliative Care, University of Worcester.
    The Department of Health and Social Care has recently reiterated its commitment to improvement in the quality of end-of-life care and emphasised the importance of all patients having rapid access to medication. The aim of this study was to explore the lived experiences of clinical nurse specialists who are able to prescribe independently in their role in providing support for patients with palliative care needs within the community setting. Interpretive phenomenology was employed in order to understand and interpret the experiences of six nurse independent prescribers employed as community palliative care clinical nurse specialists. Read More

    Removing a sick patient to hospital.
    Br J Community Nurs 2018 Feb;23(2):82-84
    Senior Lecturer in Health Law, College of Health Science, Swansea University.
    District nurses sometimes encounter situations where a patient in need of hospital treatment, or their family, refuses to go. Richard Griffith considers the legal options available to a district nurse who believes their patient should be removed from home and taken to hospital for treatment against their wishes. Read More

    Recording advance decisions to refuse treatment.
    Br J Community Nurs 2018 Jan;23(1):42-45
    Senior Lecturer in Health Law, College of Health Science, Swansea University.
    An NHS trust recently agreed a £45 000 settlement with the family of a woman who was given treatment contrary to her advance decision for some 2 years before she died. In this article, Richard Griffith discusses the requirements for a valid applicable advance decision to refuse treatment and a district nurse's duty to record and give effect to the wishes expressed within it. Read More

    Writing for publication: Sharing your clinical knowledge and skills.
    Br J Community Nurs 2018 Jan;23(1):20-23
    Honorary Clinical Fellow, Plymouth University; PhD student Bournemouth University and Queen's Nurse.
    Clinical nurses are ideally placed to write for publication in addition to those who work in academia who have this as an accepted part of their role. Nurses generate new evidence from their work in practice by carrying out research and audits and being involved in practice development projects, for example. This resource of knowledge needs to be shared with others, ideally in an international arena so that nurses can learn from each other. Read More

    Managing chronic obstructive pulmonary disease in the community setting.
    Br J Community Nurs 2018 Jan;23(1):6-12
    Lecturer in Adult Nursing, Cardiff University.
    Chronic obstructive pulmonary disease (COPD) is an umbrella term used to describe respiratory diseases characterised by airway obstruction. COPD is now an established and significant chronic disease, killing over 30 000 people in the UK every year. According to the World Health Organization, COPD will become the third biggest killer in the world by 2020. Read More

    Changing roles in community health care: Delegation of insulin injections to health care support workers.
    Br J Community Nurs 2018 Jan;23(1):14-19
    Clinical Research Podiatrist/Research Lead, Combined Community and Acute Care Group, Sheffield Teaching Hospitals NHS Foundation Trust.
    Diabetes is a common long-term condition affecting many people many of whom require support with their insulin injections at home. These injections are often carried out by community nurses if individuals are unable to self-manage their condition. This paper describes a pilot project where health care support workers were trained to administer insulin at home for suitable patients. Read More

    Examining the context of community nursing in Ireland and the impact of missed care.
    Br J Community Nurs 2018 Jan;23(1):34-40
    Associate Professor, University College Dublin and Curtin University Western Australia, Director of Professional Development, Irish Nurses and Midwives Organisation.
    As populations rise and many global health policies point towards community care, it is important that health care delivery meets demand. In Ireland, a study was undertaken on the level and context of missed care in community nursing. The study used a survey to identify the quantity of, and reasons for, missed care; a reference group to develop possible health economic implications for missed care, and a small sample of semi-structured interviews to consider the macro-environment within which missed care occurred. Read More

    Extremit-Ease compression garment: A review and cases.
    Br J Community Nurs 2017 Dec;22(Sup12):S41-S47
    Assistant Medical Director, Fairfield Medical Center, Columbus, Ohio.
    The rates of chronic oedema in the US continue to grow from multiple causative factors. One such factor is the skyrocketing rates of morbid obesity. There are about 40 million obese people in the US today. Read More

    Early wound infection identification using the WIRE tool in community health care settings: An audit report.
    Br J Community Nurs 2017 Dec;22(Sup12):S20-S27
    Tissue Viability Nurse Specialist, Kent Community Health NHS Foundation Trust.
    Wound infection is proving to be a challenge for health care professionals. The associated complications and cost of wound infection is immense and can lead to death in extreme cases. Current management of wound infection is largely subjective and relies on the knowledge of the health care professional to identify and initiate treatment. Read More

    The impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage.
    Br J Community Nurs 2017 Dec;22(Sup12):S6-S19
    Lecturer, School of Nursing & Midwifery, Royal College of Surgeons, Ireland.
    Objective: To investigate the impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage.

    Method: A repeated measure design was employed to quantify the effectiveness of an educational intervention, consisting of one pre-test and two post-tests.

    Results: Education was provided to home support workers and this was followed by an assessment of their ability to correctly classify 20 photographs detailing varying stages of skin damage severity. Read More

    Assessing the value of practice-based leg ulcer education to inform recommendations for change in practice.
    Br J Community Nurs 2017 Dec;22(Sup12):S28-S34
    Lecturer Health Promotion, Public Health and Primary Care, University of West London.
    The purpose of this paper is to assess the value of accredited leg ulcer education in influencing changes in practice. This is a before and after educational evaluation that adopted a qualitative survey approach of 12 primary care nurses attending the Nurse-Led Assessment and Management of Leg Ulcers accredited CPD module at a London university. The findings revealed that 6 out of the 8 nurses who completed the final interviews were satisfied that all learning outcomes for the module had been met. Read More

    Pilot evaluation of the management of chronic oedema in community settings project.
    Br J Community Nurs 2017 Dec;22(12):578-585
    National Lymphoedema Education and Research Lead, NHS Wales, Cimla Health and Social Care Centre.
    Aims: The aim of this economic analysis was to estimate the economic impact of the On the Ground Education Programme (OGEP) within one local University Health Board (UHB) in Wales.

    Background: The burden of managing chronic oedema can be considerable to the NHS. Developing innovative solutions to the care and management of patients with chronic oedema has the potential to deliver prudent, cost-effective and high quality care within NHS Wales. Read More

    Experience of emotion in frail older people towards the end of life: A secondary data analysis.
    Br J Community Nurs 2017 Dec;22(12):586-592
    Research Lead, Marie Curie Hospice Edinburgh and Honorary Fellow, Usher Institute, University of Edinburgh.
    People are living longer, but with increased age comes greater frailty and multi-morbidity. This secondary data analysis examines transcripts from interviews with 11 frail older people and 6 informal carers to explore emotion in relation to frailty and deteriorating health. Anger and frustration were frequently experienced with declining functional ability; sadness occurred with social isolation, loss of autonomy and independence; anxiety was evident when transition to a care home was discussed; and contentment was described when connecting with others. Read More

    Post-cataract eye drops can be avoided by depot steroid injections.
    Br J Community Nurs 2017 Dec;22(12):598-601
    Consultant Ophthalmologist, Leeds Teaching Hospitals NHS Trust.
    There are over 400 000 cataract operations now being performed annually in the UK. With the majority of those patients being older people, comorbidities such as dementia or arthritis can prevent patients putting in their own post-operative eye drops. Where there is a lack of family or other support, district nursing services are often called upon to administer these eye drops, which are typically prescribed four times a day for 4 weeks, thus potentially totalling 112 visits for drop instillation per patient. Read More

    Person-centred communication for emotional support in district nursing: SAGE and THYME model.
    Br J Community Nurs 2017 Dec;22(12):593-597
    Senior Lecturer, School of Health Sciences, Division of Nursing Midwifery and Social Work, University of Manchester.
    Patients on district nursing caseloads have multiple physical morbidities, and related emotional concerns. District nurses are ideally placed to assess and meet patients' emotional needs but in increasingly stretched workplaces, it is difficult to find time. There is also evidence that district nurses sometimes believe they lack skills to address patients' concerns. Read More

    Withdrawing or withholding life-sustaining clinically-assisted nutrition and hydration.
    Br J Community Nurs 2017 Dec;22(12):615-617
    Senior Lecturer in Health Law, College of Health Science, Swansea University.
    The previous article in this law column considered a patient's right to give a real consent before a district nurse could proceed with care and treatment. This article considers the district nurse's rights and responsibilities when considering withdrawing or withholding clinically-assisted nutrition and hydration. It focuses on recent cases in the Court of Protection, M v A Hospital [2017] , and High Court, NHS Trust v Mr Y & Mrs Y [2017] , and on the need to bring such cases to court before treatment is withdrawn. Read More

    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

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