Nursing standard (Royal College of Nursing (Great Britain) : 1987)最新文献

How to take a wound swab.

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-03-24 DOI: 10.7748/ns.2025.e12451

Deborah Chester Bessell

{"title":"How to take a wound swab.","authors":"Deborah Chester Bessell","doi":"10.7748/ns.2025.e12451","DOIUrl":"https://doi.org/10.7748/ns.2025.e12451","url":null,"abstract":"Rationale and key points: Wound swabbing is a widespread practice undertaken by nurses and other healthcare professionals in various healthcare environments and involves collecting a sample from the wound surface using a sterile swab. The sample acquired from the wound swab is sent for laboratory analysis to assess the level of bioburden present in a wound and to guide treatment decisions. Before undertaking this procedure, the nurse should perform a structured wound assessment and use their clinical judgement to identify the presence of infection and determine if a wound swab is necessary. This How to article details the procedure for obtaining a wound swab safely. Nurses undertaking this activity must have the knowledge and skills required to do so safely, follow local policy, and must work within their level of competence. • Wound infection is challenging for patients, their families and healthcare professionals, as it can result in delayed wound healing leading to increased hospital admissions and can adversely affect patients' quality of life. • Obtaining and preparing the equipment required to obtain a wound swab, and to cleanse the wound if necessary, prevents excessive exposure of the wound to the environment. • There is ongoing debate regarding the optimal method for obtaining a wound swab sample, therefore nurses should follow local guidelines and policies. • Understanding the clinical objectives of wound swabbing and adhering to the best available evidence on the identification of wound infection can support nurses to confidently make decisions about the need for a wound swab. 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 wound swab. • How you could use this information to educate nursing students or colleagues about the indications for, and the appropriate methods for obtaining, a wound swab.","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692816","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}

引用次数: 0

How to plan a quality improvement project.

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-03-17 DOI: 10.7748/ns.2025.e12496

Davina Calbraith

{"title":"How to plan a quality improvement project.","authors":"Davina Calbraith","doi":"10.7748/ns.2025.e12496","DOIUrl":"https://doi.org/10.7748/ns.2025.e12496","url":null,"abstract":"Rationale and key points: Measuring and enhancing the quality of patient care has become a central aspect of healthcare. Quality improvement (QI) can have many purposes, but its overall aim is to enhance patient care in a structured and systematic manner. It is essential that nurses, as part of the healthcare team, understand the importance of QI and their role in QI projects. Nurses who lead QI projects need the knowledge and skills required to do so effectively within their level of competence. • The Model for Improvement based on the Plan, Do, Study, Act (PDSA) cycle has become a framework of reference for QI. • It is important to allocate sufficient time to the planning stage of a QI project and clearly identify the issues and their root causes, what interventions to test and how to measure success. • Involving stakeholders from the outset, eliciting their views and gaining their support, is a major determinant of success. 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 skills in planning a QI project. • How you could use this information to educate nursing students or colleagues about the appropriate steps in planning a QI project.","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649631","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}

引用次数: 0

Mpox: exploring the nursing role in diagnosis, management and controlling its spread.

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-03-10 DOI: 10.7748/ns.2025.e12477

John Patrick Gilmore, David James Field

引用次数: 0

Exploring person-centred practice. 探索以人为本的实践。

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-03-05 Epub Date: 2025-01-20 DOI: 10.7748/ns.2025.e12341

Deirdre O'Donnell, Neal Cook

引用次数: 0

Ensuring culturally competent nursing care for LGBT+ people.

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-03-05 Epub Date: 2025-01-23 DOI: 10.7748/ns.2025.e12339

Alfonso Pezzella

引用次数: 0

How to administer a local anaesthetic infusion for pain management.

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-03-05 Epub Date: 2025-02-24 DOI: 10.7748/ns.2025.e12494

Felicia Cox

{"title":"How to administer a local anaesthetic infusion for pain management.","authors":"Felicia Cox","doi":"10.7748/ns.2025.e12494","DOIUrl":"10.7748/ns.2025.e12494","url":null,"abstract":"Rationale and key points: A local anaesthetic infusion is a prescribed method of continuous analgesia to manage post-operative pain as part of a multimodal approach, which may also include an analgesic. During the infusion, local anaesthetic is infused into the tissues surrounding the surgical incision or wound via a multi-lumen indwelling wound catheter. The aim is to manage post-operative pain and reduce the use of other analgesia such as opioids. It is essential that nurses understand the indications for this form of pain management, how to care for the patient receiving it and the potential complications. Nurses must have the knowledge and skills required to undertake this intervention safely and must work within their level of competence. • Managing pain effectively after surgery or an injury requires multimodal analgesia, which is usually supplemented by a local anaesthetic either as a single injection or a continuous infusion. • The nurse has an important role in maintaining patient safety by advising the patient to report any changes they experience following local anaesthetic infusion, such as heaviness in the limbs, and by undertaking regular pain assessments using a structured approach. • Early recognition of side effects is important because the local anaesthetics used in the infusion can be both cardiotoxic and neurotoxic, therefore regular assessment and documentation are essential. 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 caring for a patient undergoing a local anaesthetic infusion. • How you could use this information to educate nursing students or colleagues about the appropriate care for a patient requiring a local anaesthetic infusion.","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"42-48"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483729","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}

引用次数: 0

Understanding and managing iron deficiency anaemia.

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-03-05 Epub Date: 2025-01-27 DOI: 10.7748/ns.2025.e12430

Maria Papagiannaki

引用次数: 0

How to administer a percutaneous endoscopic gastrostomy (PEG) feed.

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-03-05 Epub Date: 2025-02-03 DOI: 10.7748/ns.2025.e12450

Katie Hobbs

{"title":"How to administer a percutaneous endoscopic gastrostomy (PEG) feed.","authors":"Katie Hobbs","doi":"10.7748/ns.2025.e12450","DOIUrl":"10.7748/ns.2025.e12450","url":null,"abstract":"Rationale and key points: In hospitals and nursing homes, the maintenance of feeding tubes used in enteral nutrition, such as percutaneous endoscopic gastrostomy (PEG) (the placement of a feeding tube directly into the stomach through the abdominal wall), is often a nursing responsibility. Therefore, it is vital nurses understand how to care for this patient group safely and effectively. Incorrect PEG procedures, inadequate infection prevention and control practices, and a lack of appropriate stoma care, can negatively affect patient outcomes. Nurses administering enteral feeding via PEG must have the knowledge and skills required to do so safely and must work within their level of competence. • Enteral nutrition such as PEG aims to meet the nutritional requirements of patients who have an intact gastrointestinal (GI) tract but whose oral intake is inadequate. • Management of the PEG feeding tube and care of the stoma site are vital, and nurses should be able to recognise common complications of PEG feeding. • A non-touch technique should be used when administering enteral feed via PEG to reduce the risk of bacterial contamination. 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 administering enteral feed via PEG. • How you could use this information to educate nursing students or colleagues about safe enteral feeding with PEG.","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"55-60"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080732","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}

引用次数: 0

Supporting the well-being of nurses working with trauma.

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-03-03 DOI: 10.7748/ns.2025.e12457

Lucian Hadrian Milasan

{"title":"Supporting the well-being of nurses working with trauma.","authors":"Lucian Hadrian Milasan","doi":"10.7748/ns.2025.e12457","DOIUrl":"https://doi.org/10.7748/ns.2025.e12457","url":null,"abstract":"The nursing profession has long been associated with exposure to traumatic experiences, including mental health crises, violence, emergencies and death. The coronavirus disease 2019 (COVID-19) pandemic amplified the importance of recognising the effects that working with trauma can have on nurses' physical and psychological well-being, highlighting the urgency of addressing this issue. This article explores the concept of trauma and its various manifestations, such as post-traumatic stress disorder (PTSD) and secondary traumatic stress, which are increasingly prevalent among nurses. It also considers the adaptive and maladaptive coping mechanisms that may be adopted by nurses, and discusses the effectiveness and limitations of various debriefing interventions. The author emphasises the need for holistic support mechanisms, including ongoing psychological monitoring and tailored interventions to safeguard nurses' well-being. Recommendations for practice include enhancing nurse education on trauma management, improving debriefing practices and fostering organisational responsibility for supporting nurses' mental well-being. These measures are essential to ensure the sustainability of the nursing workforce and the quality of care provided to patients.","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537490","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}

引用次数: 0

How to assess a wound for signs of infection.

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-02-27 DOI: 10.7748/ns.2025.e12330

Liam Christopher Stout

{"title":"How to assess a wound for signs of infection.","authors":"Liam Christopher Stout","doi":"10.7748/ns.2025.e12330","DOIUrl":"https://doi.org/10.7748/ns.2025.e12330","url":null,"abstract":"Rationale and key points: This 'How to' article provides a systematic and evidenced-based step-by-step approach to assessing a patient's wound for signs of infection. Nurses undertaking this assessment must ensure they have the appropriate knowledge and skills and that they work within the limits of their competence. Where appropriate, the patient and/or their carer should be involved in decision-making regarding the wound and its management. • Assessing a wound for possible infection is a multifaceted and complex area of nursing practice, which involves a holistic assessment of the patient alongside a visual and tactile assessment of the wound. • A person-centred approach to assessment is required, involving the patient in the assessment to determine the history of the wound, the effects on their quality of life and the appropriate management strategy. • Nurses require comprehensive knowledge of the signs and symptoms of wound infection to ensure they instigate appropriate and prompt treatment. 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 assessing a wound for signs of infection. • How you could use this information to educate nursing students or your colleagues on the appropriate methods for assessing a wound for signs of infection.","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516167","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}

引用次数: 0