Nursing standard (Royal College of Nursing (Great Britain) : 1987)最新文献_第2页

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

How to measure peak expiratory flow rate. 如何测量呼气流量峰值。

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-02-05 Epub Date: 2024-12-09 DOI: 10.7748/ns.2024.e12441

Carl Armstrong

{"title":"How to measure peak expiratory flow rate.","authors":"Carl Armstrong","doi":"10.7748/ns.2024.e12441","DOIUrl":"10.7748/ns.2024.e12441","url":null,"abstract":"Rationale and key points: 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.","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"43-47"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","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}

引用次数: 0

How to undertake and record a 12-lead electrocardiogram. 如何进行并记录12导联心电图。

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-02-05 Epub Date: 2024-12-16 DOI: 10.7748/ns.2024.e12382

Vivetha Pooranachandran

{"title":"How to undertake and record a 12-lead electrocardiogram.","authors":"Vivetha Pooranachandran","doi":"10.7748/ns.2024.e12382","DOIUrl":"10.7748/ns.2024.e12382","url":null,"abstract":"Rationale and key points: 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.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 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.","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","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}

引用次数: 0

Exploring the effects of financial stress on undergraduate nursing students in Scotland. 探讨财务压力对苏格兰护理本科学生的影响。

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-02-05 Epub Date: 2025-01-06 DOI: 10.7748/ns.2025.e12405

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":"10.7748/ns.2025.e12405","url":null,"abstract":"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.","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"48-54"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","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}

引用次数: 0

Wound infection: diagnosis, treatment and prevention.

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-02-05 Epub Date: 2024-12-30 DOI: 10.7748/ns.2024.e12360

Alexandra Bishop

引用次数: 0

Skills for communicating effectively with people who have mental health issues. 与有心理健康问题的人有效沟通的技巧。

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-02-05 Epub Date: 2024-11-21 DOI: 10.7748/ns.2024.e12444

Carmel Bond

引用次数: 0

How to take and record a manual blood pressure measurement. 如何手动测量和记录血压。

Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2025-01-08 Epub Date: 2024-11-25 DOI: 10.7748/ns.2024.e12247

Liz Kingston

{"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":"Rationale and key points: 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.","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}

引用次数: 0