{"title":"Banter, bonding or bullying? Supporting LGBTQ+ colleagues in healthcare","authors":"Lisa Cordery-Bruce","doi":"10.1016/j.intcar.2025.100279","DOIUrl":"10.1016/j.intcar.2025.100279","url":null,"abstract":"<div><div>This article explores the historical and contemporary experiences of LGBTQ+ professionals in healthcare, focusing on discrimination, inclusion initiatives, and the structural and cultural changes needed to create equitable environments. Drawing on recent studies, surveys, and reports from the UK and US, it highlights the systemic barriers LGBTQ+ health professionals face, the persona struggles from workplace bullying and the vital role of staff networks, inclusive policies, and allyship. Evidence suggests that visibility, support, and strong leadership commitment can mitigate workplace inequalities, improve staff wellbeing and performance, and enhance patient care outcomes.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"32 ","pages":"Article 100279"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145227726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne-Johanna MacGregor, Elaine Armstrong, Chelsea Bertie, Shona Oliphant
{"title":"Advanced practice in child and adolescent mental health services","authors":"Anne-Johanna MacGregor, Elaine Armstrong, Chelsea Bertie, Shona Oliphant","doi":"10.1016/j.intcar.2025.100280","DOIUrl":"10.1016/j.intcar.2025.100280","url":null,"abstract":"<div><div>Advanced practice is an area which is evolving in the field of mental health, with varying roles, responsibilities and education. This article will focus on advanced practice in Child and Adolescent Mental Health Services (CAMHS), exploring scope of practice in Scotland which may vary from national and international practice in the same field. Child and adolescent services provide specialist assessment and treatment for children and young people aged 6–18. This article explores the integration of the role within the existing multidisciplinary team. A case study and practice-based examples are utilised to provide in-depth examination of the advanced practice role and how this offers a different perspective in clinical practice. Barriers and facilitators to future advanced practice role development in CAMHS are also considered as this diverse area of practice continues to develop.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"32 ","pages":"Article 100280"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145227679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The importance of clinical reasoning in differential diagnosis for non-medical prescribers, nurses and pharmacists","authors":"Paul Rutter","doi":"10.1016/j.intcar.2025.100271","DOIUrl":"10.1016/j.intcar.2025.100271","url":null,"abstract":"<div><div>The National Health Service (NHS) is under severe pressure to delivery high quality patient care. Increased demand, coupled with shortages in workforce, have led to health care policies seeking to empower patients and fully utilise the skill sets of all healthcare professionals, and in particular those professions allied to medicine. This has led to an expansion in roles and responsibilities to complement and augment that of doctors. To ensure allied healthcare professionals are able to perform such duties there is a need to ensure they possess the right knowledge and skills. This is most evident around autonomous practice and making clinical decisions, which have historically not been taught. The need to make wise decisions based on sound reasoning is critical. This article looks at how ‘novice’ practitioners can develop such skills.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"31 ","pages":"Article 100271"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ernie Marshall, Ollie Minton, Anthony Cunliffe, Radha Selvaratnam
{"title":"The importance of integrated care when dealing with oncological emergencies","authors":"Ernie Marshall, Ollie Minton, Anthony Cunliffe, Radha Selvaratnam","doi":"10.1016/j.intcar.2025.100256","DOIUrl":"10.1016/j.intcar.2025.100256","url":null,"abstract":"<div><div>Cancer incidence in the UK continues to rise particularly in older and multi-morbid populations. In the UK 36% of new cancer diagnoses are made in those over 75 years of age.</div><div>Despite advancements in treatments, many patients are living longer with advanced incurable cancer, often requiring urgent and emergency care. The disconnect between centralized specialist oncology services and local care needs exacerbates this issue, leading to frequent emergency department (ED) visits and hospital admissions. Cancer patients are less well represented in Same Day Emergency Care (SDEC) and have a short hospital stay, hinting at a missed opportunity admission avoidance and early supported discharge.</div><div>Many cancer patients may benefit from an urgent community response as an alternative to ED attendance but this requires collaborative working across traditional health care boundaries and involving the wider multi professional health care team in primary, community, secondary and specialist services.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"30 ","pages":"Article 100256"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to collaborate, and use networks and feedback","authors":"Sir Graham Thornicroft, Norman Sartorius","doi":"10.1016/j.intcar.2025.100248","DOIUrl":"10.1016/j.intcar.2025.100248","url":null,"abstract":"<div><div>Effective collaboration, networking, and feedback are crucial skills for students and professionals. This paper explores into these three aspects, providing insights and practical tips. Collaboration requires a clear and common purpose and complementary skills, necessitating clear roles, trust, and conflict management strategies. Networking is viewed as a long-term career investment, emphasizing mutual respect and regular engagement with contacts. Feedback is essential for refining leadership skills, and this paper offers suggestions on actively seeking, receiving, and utilizing feedback to improve performance. The paper also discusses various types of feedback, including peer-directed, upward, downward, and 360-degree feedback, highlighting their importance in professional development.</div><div>Abstract and keywords supported by GenAI.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"29 ","pages":"Article 100248"},"PeriodicalIF":0.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to read a research paper","authors":"Norman Sartorius, Sir Graham Thornicroft","doi":"10.1016/j.intcar.2025.100247","DOIUrl":"10.1016/j.intcar.2025.100247","url":null,"abstract":"<div><div>This article provides comprehensive guidance on accessing and using the research literature. It outlines the reasons for reading research papers, from being informed about professional developments to understanding publication trends and exploring unanswered research questions. The article details the initial steps of accessing online databases like PubMed and employing effective search strategies. It emphasizes the importance of evaluating articles to determine their relevance and comprehensibility. Guidance is provided on reading papers critically, focussing on the authorship, background, methodology, results, and discussion sections. Finally, it discusses methods for recording and organizing relevant papers using reference management software, ensuring efficient future retrieval.</div><div>Abstract and keywords supported by GenAI.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"28 ","pages":"Article 100247"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to behave in an interview with the media","authors":"Graham Thornicroft, Norman Sartorius","doi":"10.1016/j.intcar.2025.100246","DOIUrl":"10.1016/j.intcar.2025.100246","url":null,"abstract":"<div><div>Engaging with the media is a critical skill for professionals at any career stage, enabling them to contribute to public dialogue on significant issues. This article emphasizes the importance of the preparation and skill development for media interactions, whether proactive or reactive. Detailed guidance is provided on crafting effective press releases. Key preparatory steps for reactive interviews include understanding the journalist’s intent and setting clear boundaries. The article underscores the necessity of honing a single, compelling message and offers strategies for effective communication during interviews, including the ABC technique (Acknowledge, Bridge, Communicate). Recommendations for post-interview follow-up and self-reflection are provided to enhance future media engagements. The article serves as a guide for professionals aiming to communicate their expertise and viewpoints effectively through various media channels.</div><div>Abstract and keywords supported by GenAI.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"28 ","pages":"Article 100246"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Housing, health and wellbeing: perfect partners","authors":"Noel Sharpe","doi":"10.1016/j.intcar.2024.100239","DOIUrl":"10.1016/j.intcar.2024.100239","url":null,"abstract":"<div><div>This article by Noel Sharpe, CEO of Bolton at Home, explores the critical relationship between housing and health, particularly in the social housing sector. It argues that housing plays a central role in shaping health and well-being, far beyond providing shelter. Decent housing, integrated within thriving communities, is essential for improving physical, mental, and emotional health outcomes. Social housing providers, such as Greater Manchester Housing Providers (GMHP) which includes Bolton at Home (BH), have expanded their services to address issues like mental health, social isolation, poverty, and community resilience. These efforts include initiatives such as support for those with mental health issues, sheltered housing for vulnerable groups, and social prescribing programmes that offer tailored community-based activities like the Arts on Prescription project. Case studies illustrate how interventions by housing can reduce isolation, improve mental health, increase physical activity, and rebuild confidence in individuals. The article underscores that by investing in tenants' health and well-being, housing providers create healthier, more resilient communities. This integrated approach strengthens social support networks and promotes long-term public health outcomes.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"27 ","pages":"Article 100239"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143104376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of community and district nurses","authors":"Michelle McBride, Cliff Kilgore, Neesha Oozageer Gunowa","doi":"10.1016/j.intcar.2024.100231","DOIUrl":"10.1016/j.intcar.2024.100231","url":null,"abstract":"<div><div>Community and district nurses play a pivotal role in the healthcare system, serving as a bridge between hospitals and the communities they serve. Despite the increasing emphasis on preventing hospital admissions and providing care in the community, district nursing services often remain underfunded and under recognized. This article highlights the critical role of nurses working in the community, delving into their wide-ranging responsibilities and their significant impact on both individual and community wellbeing. It offers valuable insights for those considering a career in community nursing.</div><div>Although the NHS continues to face growing demands and resource limitations, district nurses remain central to the provision of community care. Their advanced skills enable them to deliver holistic care, allowing patients to remain in their homes while adapting to the ever-changing needs of the healthcare landscape. With workforce expansion plans underway, district nurses are poised to meet the challenges of the future, ensuring high-quality, patient-centered care in the community.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"27 ","pages":"Article 100231"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Promoting equity in community nursing","authors":"Vanessa Heaslip, Jonathan Parker, Kirsty Marshall","doi":"10.1016/j.intcar.2024.100229","DOIUrl":"10.1016/j.intcar.2024.100229","url":null,"abstract":"<div><div>The Covid-19 pandemic illuminated the health inequities that occur both in the UK and globally. Ultimately where individuals live, work and how they live has a major impact on the length of their life as well as the number of years living in illness. Community nurses have a key role to play in promoting health equity and addressing poorer health outcomes, however in order to achieve this they require a full understanding of the challenges and barriers experienced by those who are socially excluded or marginalized.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"26 ","pages":"Article 100229"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142428688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}