{"title":"Ensuring culturally competent nursing care for LGBT+ people.","authors":"Alfonso Pezzella","doi":"10.7748/ns.2025.e12339","DOIUrl":"https://doi.org/10.7748/ns.2025.e12339","url":null,"abstract":"<p><p>People who are lesbian, gay, bisexual, transgender and other sexual and gender minorities (LGBT+) can encounter various challenges when seeking healthcare. For example, many LGBT+ individuals experience discrimination and social stigma from healthcare professionals, leading to feelings of mistrust. This might manifest as explicit homophobia or transphobia, inappropriate questioning, or a lack of consideration for the sensitivities around LGBT+ identities. Similarly, healthcare organisations may have policies that lack inclusivity, with administrative forms and procedures that do not consider diverse sexual orientations and gender identities. Nurses are increasingly recognising the importance of providing inclusive care for individuals who identify as LGBT+, which involves being attentive to their specific needs. This article examines the barriers that may be encountered by LGBT+ individuals in healthcare services and offers recommendations for how nurses can deliver culturally sensitive healthcare to the LGBT+ community.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024233","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":"Exploring person-centred practice.","authors":"Deirdre O'Donnell, Neal Cook","doi":"10.7748/ns.2025.e12341","DOIUrl":"https://doi.org/10.7748/ns.2025.e12341","url":null,"abstract":"<p><p>Person-centred practice offers an approach to healthcare provision that prioritises the personhood of individuals. This means that nurses' ethical and professional values underpin their approaches to care, where each person and their rights, relationships and dignity are respected. For nurses, the primary intention of person-centred practice is to contribute to a positive care experience for the people in their care. This article examines factors and models that influence person-centredness in nursing practice, notably the Person-centred Nursing Framework and the Person-centred Practice Framework. The authors also explore approaches nurses can take, such as values clarification, reflection on practice and engaging and working collaboratively with others, to engage in person-centred practice and create and sustain person-centred cultures.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009083","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 assess a patient's chronic pain.","authors":"Martin Galligan","doi":"10.7748/ns.2025.e12361","DOIUrl":"https://doi.org/10.7748/ns.2025.e12361","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Chronic pain is complex and multifactorial, and it can have a significant negative effect on all aspects of a person's daily life such as their physical activity, sleep, mood, ability to work and personal relationships. Given the complex nature of chronic pain, it is essential that nurses are able to undertake a comprehensive pain assessment to fully understand each individual's total pain experience. • A holistic, person-centred approach should be used when assessing someone living with chronic pain. • There is a wide range of pain assessment tools available, and their use varies depending on the practice setting and the type of pain being reported. • It is essential that any assessment captures the individual's experience of their pain. REFLECTIVE ACTIVITY: ' How to' articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when undertaking an assessment of a patient's chronic pain. • How you could use this information to educate nursing students or your colleagues on the appropriate steps when undertaking an assessment of chronic pain.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971740","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 take and record a manual blood pressure measurement.","authors":"Liz Kingston","doi":"10.7748/ns.2024.e12247","DOIUrl":"10.7748/ns.2024.e12247","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Accurate measurement of a patient's blood pressure (BP) is essential to identify hypotension or hypertension and to inform subsequent management and treatment decisions. The auscultatory, or manual, method remains the gold standard for non-invasive BP measurement, so it is vital that nurses are able to undertake this procedure accurately. This article explains how to take and record a manual BP measurement using an aneroid sphygmomanometer and a stethoscope. Nurses and nursing students undertaking this procedure must be equipped with the knowledge and skills to do so proficiently and work within their scope of practice. • BP measurement comprises two pressure readings, systolic and diastolic, which are measured in millimetres of mercury (mmHg) and expressed in documentation as a 'fraction'. • Inaccurate BP measurement, whether overestimation or underestimation, can result in diagnostic errors and incorrect risk assessment and decision-making. • Various factors can influence the accuracy of BP measurement, including patient positioning, cuff size, arm position and correct use of the stethoscope. • It is vital to ensure regular maintenance and recalibration of BP measuring equipment, in accordance with the manufacturer's instructions, to ensure accuracy of readings. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when taking a manual BP measurement. • How you could use this information to educate nursing students or your colleagues on the appropriate steps when taking and recording a manual BP measurement.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"50-55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710795","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":"Communication strategies to support people experiencing mental health issues.","authors":"Rob Williams","doi":"10.7748/ns.2024.e12297","DOIUrl":"10.7748/ns.2024.e12297","url":null,"abstract":"<p><p>This article explores the use of effective communication for nurses when interacting with people experiencing mental health issues. Emphasis will be on the importance of nurses adopting person-centred communication styles that prioritise empathy, with the aim of developing a therapeutic rapport. The article underscores the role of the nurse in promoting positive mental health outcomes through the use of techniques such as active listening, empathy and validation. The author also details some of the barriers to effective communication and how nurses can address them.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142624817","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":"Understanding the physiology of wound healing and holistic wound assessment.","authors":"Carole Young","doi":"10.7748/ns.2024.e12182","DOIUrl":"10.7748/ns.2024.e12182","url":null,"abstract":"<p><p>Approximately 3.8 million people in the UK are affected by acute or chronic wounds each year and it is essential that nurses are equipped with the knowledge and skills to assess and manage these patients. This article covers the main aspects that nurses need to consider to provide evidence-based care to patients with a wound, including skin anatomy, normal wound healing physiology and the factors that can delay healing. The author also discusses holistic wound assessment, including wound healing risk factors, wound bed preparation and wound management products, providing nurses with a practical overview of the complex topic of wound care.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"41-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770712","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}
Mark Molesworth, Katie Davis, Deborah Rickards-Hill, Irene Bossman, Wendy Mayne
{"title":"Exploring the effects of financial stress on undergraduate nursing students in Scotland.","authors":"Mark Molesworth, Katie Davis, Deborah Rickards-Hill, Irene Bossman, Wendy Mayne","doi":"10.7748/ns.2025.e12405","DOIUrl":"https://doi.org/10.7748/ns.2025.e12405","url":null,"abstract":"<p><p>The sharp increase in the cost of living in the UK over the past few years has affected all populations, including higher education students. Many higher education students, including nursing students, are experiencing financial difficulties and concerns, which adversely affect their mental health and can cause them to consider leaving their course. This article reports the findings of an online survey undertaken in one university in Glasgow, Scotland, that aimed to explore the effects of financial stress on second and third-year nursing students. Most respondents had experienced financial worries since starting their preregistration nursing degree programme; many were concerned about the cost of living, and financial worries adversely affected their academic performance and clinical placements. The authors suggest there is a need for a collaborative partnership between universities and practice placement areas to adopt a student-centred approach to identifying solutions to nursing students' financial concerns as well as a review of the available funding for this cohort.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932309","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 undertake peripheral intravenous cannulation.","authors":"Victoria Hill","doi":"10.7748/ns.2024.e12359","DOIUrl":"https://doi.org/10.7748/ns.2024.e12359","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Peripheral intravenous (IV) cannulation in adults is one of the most commonly performed healthcare procedures. It involves the insertion of a small tube into a vein using a needle, enabling the administration of fluids, blood products and nutrition, and the collection of blood samples. Healthcare professionals performing this procedure must undergo training to be able to undertake it effectively and safely. • Knowledge of vein anatomy and understanding the risks and benefits of the procedure supports safe practice, reduces errors, costs and infection risk, and improves the overall patient experience. • To provide holistic care, nurses should understand the indications for peripheral IV cannulation, which can be a short-term intervention for administering medicines, fluids and blood products, and for parenteral nutrition • Various pharmacological interventions and psychological techniques can be used to alleviate or minimise the pain and anxiety experienced by some patients during cannulation. • Following the successful insertion of a peripheral IV cannula, nurses must provide ongoing care to preserve the cannula's patency and safeguard the patient. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when undertaking peripheral IV cannulation. • How you could use this information to educate nursing students or your colleagues on the appropriate and safe methods for undertaking peripheral IV cannulation.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877590","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 undertake and record a 12-lead electrocardiogram.","authors":"Vivetha Pooranachandran","doi":"10.7748/ns.2024.e12382","DOIUrl":"https://doi.org/10.7748/ns.2024.e12382","url":null,"abstract":"<p><strong>Rationale and key points: </strong>A 12-lead electrocardiogram (ECG) is a painless procedure commonly undertaken in healthcare practice. An ECG machine uses cables or 'leads' attached with stick-on electrodes to specific parts of the body to create a series of ECG traces, which are then printed onto graph paper. This provides a recording of the cardiac electrical activity measured from different angles or perspectives. • A 12-lead ECG is a valuable diagnostic tool that has proven effective in detecting various cardiac abnormalities or enabling healthcare professionals to rule them out. • It is a cost-effective investigation that can be performed by any appropriately trained healthcare professional. • Careful preparation and correct electrode and lead placement are crucial to ensure accuracy when recording a 12-lead ECG.</p><p><strong>Reflective activity: </strong>How to' articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when recording a 12-lead ECG. • How you could use this information to educate students or colleagues about the preparation and recording of a 12-lead ECG.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829536","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 measure peak expiratory flow rate.","authors":"Carl Armstrong","doi":"10.7748/ns.2024.e12441","DOIUrl":"https://doi.org/10.7748/ns.2024.e12441","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Peak expiratory flow rate (PEFR) is an important test in the diagnosis and monitoring of respiratory conditions, especially asthma. PEFR measures the speed at which air is forcefully exhaled from full inspiration, expressed in litres per minute (L/min). It involves using a peak flow meter - a simple, affordable, portable and widely available device that can be used in clinic or home settings. Nurses obtaining a patient's PEFR must have the knowledge and skills required to do so safely and effectively and must work within their level of competence. • PEFR is a simple-to-obtain measure that records the maximal flow rate of air that can be achieved in one forceful expiration following a full inspiration. • Where possible, it is advisable that patients and/or carers learn how to perform the test themselves, so that they can self-manage and monitor conditions such as asthma and chronic obstructive pulmonary disease. • The procedure is simple to teach, but it is necessary to use the correct technique to achieve accurate results. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when obtaining a patient's PEFR. • How you could use this information to educate nursing students or colleagues about the technique for obtaining an accurate PEFR.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142795061","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}