Abstract
Multimorbidity is increasingly common and inevitably results in uncertainties about health, care and the future. Such uncertainties may be experienced by patients, carers and health ...professionals. Given the ubiquitous presence of uncertainty, all professionals should be prepared to approach and address it in clinical practice. Uncertainty in multimorbidity can rarely be eliminated, and so, must be carefully addressed and communicated; however, there is little evidence on how to approach it. Key areas are: recognising the existence of uncertainty, acknowledging it, and communicating to achieve a shared understanding. Evaluation of what has been discussed, and preparedness to repeat such conversations are also important. Future research should explore optimal communication of uncertainty in multimorbidity.
Abstract
Faecal incontinence is a complex issue faced by many older adults. This article will provide an overview of this condition and its causes. It will also provide policy and guidance on the ...subject, its general management, complications, the support available for carers, and the issue of faecal incontinence in someone who has dementia.
Abstract
This article explores the author's observations as a qualified district nurse and senior lecturer in pre-registration nurse education. Perceived ‘troubling’ reflections suggest ...pre-registration nurse education appears very hospital focussed. Additionally, the role of the district nurse has become synonymous with the term ‘community nurse', hiding the historical specialism it represents. Media representations of the term ‘frontline’ was particularly noted in relation to COVID-19, suggesting a heroism of nursing that only happened in hospital. More discussion will take place around how nursing is viewed within education by students, such as what we do to patients (catheterisation, blood sugars etc) rather than how we can work with them. All these areas appear to strengthen lingering historical myths around district nursing and student perceptions of this specialist profession.
Digitally developed and virtually provided midwifery education has gathered momentum as a result of the COVID-19 pandemic. Preparing students for professional practice in a virtual environment ...creates challenges and creative opportunities for midwifery educators. Course designs and structures have been adapted to enable students to gain knowledge and experience of practicing in a virtual environment and approaches to assessment have also required adaptation. This article outlines how observed simulated clinical examinations were modified in conjunction with stakeholders from clinical practice and the breastfeeding community to ensure that they aligned with the local reality of virtual infant feeding support. Collaboration was required to ensure that the reality of student's experiences was captured in the assessment process. Challenges encountered included being sensitive to the fluidity of the clinical setting and ensuring that scenarios were relevant and created a sufficient challenge for students. Mitigating against students' concerns regarding virtual simulated clinical assessment should be incorporated into future adaptations of educational interventions and assessments.
Diet and stoma care Gasche, Rebecca
British journal of community nursing,
09/2022, Volume:
27, Issue:
9
Journal Article
Peer reviewed
This summative article has been written using literature based on the impact that diet can have on the management of stomas in the community. With more focus on ileostomy care, this article aims to ...provide information on the types of stomas and surgeries to create an overview of intestinal anatomy, how stoma formation may affect nutrient absorption and guidance on the management of stoma output, hydration and nutritional status based on current evidence. The strength of the evidence base behind the literature will be critically analysed and recommendations for future research made.
Approximately 8% of all UK births occur preterm, resulting in increased neonatal mortality and significant disability, while causing a financial burden for the NHS. This proposal outlines how an app ...could be incorporated into the assessment of women presenting with symptoms of threatened preterm labour, to assist with early recognition and optimise neonatal outcomes. Lewin's change model was used to plan this service improvement and a planning triangle and action planning tool were used to assist with implementation and stakeholder engagement. Data from the trust show that implementation of the app could decrease admissions and reduce unnecessary interventions, providing a significant cost saving for the trust. This proposal also reviewed the leadership skills required for staff engagement. Pre-change data demonstrate that implementation of this app could have potentially improved the care of 89 women in the trust in one year.
Background:
Nurses are in a prime position to identify sepsis early by screening patients for sepsis, a skill that should be embedded into their daily practice. However, compliance with the sepsis ...bundle remains low.
Aims:
To explore the effects of sepsis training on knowledge, skills and attitude among ward-based nurses.
Methods:
Registered nurses from 16 acute surgical and medical wards were invited to anonymously complete a questionnaire.
Findings:
Response rate was 39% (98/250). Nurses with sepsis training had better knowledge of the National Early Warning Score 2 for sepsis screening, and the systemic inflammatory response syndrome (SIRS) criteria, demonstrated a more positive attitude towards sepsis screening and management, were more confident in screening patients for sepsis and more likely to have screened a patient for sepsis.
Conclusions:
Sepsis training improves nurses' attitudes, knowledge and confidence with regards to sepsis screening and management, resulting in adherence to evidence-based care, and should become mandatory for all clinical staff.
Aims:
The aims of this study were to explore the experience and psychological impact of sustaining a sharps injury within a nursing student population in the UK. Design: A qualitative approach was ...taken, using two methods to gather data, namely a Twitter chat and interviews.
Methods:
A Twitter chat was orchestrated to investigate the experiences of sharps injury with nursing students and registered nurses nationwide (n=71). Interviews were conducted with nursing students from a university in the UK who had sustained a sharps injury (n=12) to discover their experiences and the impact of the injury. Findings were then synthesised and examined.
Results:
Some nursing students reported psychological impacts after sustaining the sharps injury, which affected both their professional and personal life. The qualitative findings were synthesised into eight themes.
Conclusion:
Sharps injuries can have many psychological impacts on the individual nursing student and necessary support should be available.
Background:
Nurses, midwives and other health professionals who return to practice come from a range of backgrounds and return for a variety of reasons. Much of the research on return to practice ...concerns programme provision rather than returnee experience.
Aim:
This qualitative study focused on the experiences of nursing, midwifery and allied health students undertaking a return to practice programme at a higher education institute. It interpreted the perceptions of the student experience of returning to clinical practice following a lapse in professional registration.
Methods:
Data collection methods were qualitative and involved focus groups. Findings were analysed using thematic analysis.
Findings:
Several themes and subthemes emerged from the data, including ‘the importance of returnee identity’ and ‘challenges and barriers’. Findings demonstrated different approaches to and influences on returnees' learning journeys.
Conclusion:
Previous knowledge, skills and experience were often hidden from view and hard to explain although crucial to returnee success.
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