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

{"title":"Use of tirzepatide (Mounjaro) in type 2 diabetes management: an overview.","authors":"Claire Davies","doi":"10.7748/ns.2025.e12464","DOIUrl":"10.7748/ns.2025.e12464","url":null,"abstract":"<p><p>Diabetes mellitus is an increasingly common long-term metabolic disease. There are many treatment options available to manage type 2 diabetes and reduce the risk of associated long-term microvascular and macrovascular complications. The management of type 2 diabetes initially focuses on lifestyle changes, such as a healthy diet and increased physical activity levels, with pharmacological intervention used as an adjunct where necessary. Tirzepatide, sold under the brand name Mounjaro, is the latest pharmacological therapy to be developed for this condition. This article discusses the place of tirzepatide therapy as part of the management of type 2 diabetes. It explains the mechanism of action of this medicine, its administration and dosing, the potential side effects, and its cautions and contraindications.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"47-53"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094403","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":"Strategies for supporting neurodivergent nursing students in practice placements.","authors":"Kenneth Robert Ripley","doi":"10.7748/ns.2025.e12460","DOIUrl":"10.7748/ns.2025.e12460","url":null,"abstract":"<p><p>Neurodivergent conditions include autism, attention deficit hyperactivity disorder (ADHD) and dyslexia. An increasing number of people with these conditions are entering higher education. Neurodivergent nursing students may experience increased challenges during their practice placements and require reasonable adjustments to be made. Despite the best intentions of staff, these students' placement experiences and outcomes can be adversely affected, and without appropriate support they may become less likely to engage with some learning opportunities. Additionally, staff may not always have a clear understanding of these students' needs or confidence in meeting them. This article provides an overview of some of the challenges that neurodivergent nursing students may experience during their placements, and outlines some potential strategies that staff supporting them can use.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"61-66"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199748","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 administer oral medicines safely in health and social care settings.","authors":"Megan O'Connor","doi":"10.7748/ns.2025.e12384","DOIUrl":"10.7748/ns.2025.e12384","url":null,"abstract":"<p><strong>Rationale and key points: </strong>The safe administration of oral medicines is a fundamental aspect of healthcare practice and is essential for optimising patient outcomes and preventing adverse events. This article outlines a step-by-step procedure that nurses can follow to ensure patients receive oral medicines correctly and safely, without causing harm. • Oral medicines include tablets, capsules or liquid preparations. • When administering oral medicines, it is important to consult the patient's prescription chart or medication administration record and to use the '6 Rs' of medicines administration as a guide. • Oral medicines should not be blindly crushed or spilt because this can affect the absorption rate and dose, and may lead to adverse effects such as gastrointestinal irritation. 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 oral medicines. • How you could use this information to educate nursing students or enable colleagues to reflect on their own practice in safely administering oral medicines.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"55-59"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983542","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":"Type 2 diabetes and the role of nurses in its management.","authors":"Sarah Butler","doi":"10.7748/ns.2025.e12429","DOIUrl":"10.7748/ns.2025.e12429","url":null,"abstract":"<p><p>Type 2 diabetes has become a significant global public health issue. Its increasing prevalence is closely linked to sedentary lifestyles, suboptimal diets and high obesity levels. This article provides an overview of type 2 diabetes epidemiology, pathophysiology, clinical presentation, diagnostic tests, risk factors, complications and management. It also describes the role of nurses, which involves: advising patients on weight management, diet, physical activity, smoking cessation and alcohol reduction; encouraging adherence to care plans and drug treatment regimens; and providing ongoing support, education and monitoring to prevent or delay the onset of complications.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"41-46"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022121","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 administer an enema in adults.","authors":"Fiona Knights","doi":"10.7748/ns.2025.e12479","DOIUrl":"10.7748/ns.2025.e12479","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Administration of an enema is a common procedure undertaken in healthcare settings and, if undertaken appropriately, is deemed a relatively low-risk and safe intervention. An enema may be prescribed for therapeutic purposes, to administer medicines or for diagnostic purposes. The most common reason for administration of an enema is to relieve severe acute or chronic constipation. This article details the preparation and procedure required for safe administration of an enema in adults and considers the associated indications, contraindications and potential complications. • An enema involves the introduction of a substance in liquid form into the rectum and is a prescription-only medicine. • There are three main types of enemas commonly used in nursing practice: retention, evacuant and softener enemas. • Administration of an enema is invasive and highly personal, and nurses undertaking this procedure must have the knowledge and skills required to do so safely and work within their level of competence. 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 an enema. • How you could use this information to educate nursing students or colleagues about indications for, and the appropriate method for, administering an enema.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"68-73"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015132","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":"Developments in the treatment of multiple myeloma: overview and nursing implications.","authors":"Samantha Toland","doi":"10.7748/ns.2025.e12403","DOIUrl":"10.7748/ns.2025.e12403","url":null,"abstract":"<p><p>Multiple myeloma is a haematological cancer where plasma cells accumulate in the bone marrow. In the past there were few therapeutic options beyond autologous stem cell transplant. However, systemic treatments have dramatically improved over the past two decades, transforming multiple myeloma from an incurable disease with poor prognosis to a relapsing-remitting long-term condition with greatly improved survival. As a consequence, patients live longer, undergo protracted and burdensome treatments, and experience long-term effects of the disease and its treatment that negatively affect their quality of life. This article provides an overview of multiple myeloma and its diagnosis, treatment and burden, and describes the role of nurses in assessing patients and managing the consequences of the disease and its treatment.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"54-59"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044432","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":"Using emotional awareness to facilitate reflection in nursing practice.","authors":"Julie Deborah Jackson","doi":"10.7748/ns.2025.e12415","DOIUrl":"10.7748/ns.2025.e12415","url":null,"abstract":"<p><p>Reflection is considered an essential skill for nurses, but concerns have been raised that it may be ineffective in improving the delivery of care. This article discusses the importance of emotional awareness when reflecting on clinical practice to enable nurses to identify in-depth, honest insights into their responses and actions during challenging situations. The author argues that if reflection is undertaken without the necessary emotional awareness, there is a risk that it may become a superficial, task-oriented professional requirement, rather than a meaningful activity that supports professional and personal development. The article also explains how nurses can use emotions as a trigger for authentic reflection.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"68-73"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023045","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 effective mouth care in adults who require support.","authors":"Loraine Macintyre, Mili Doshi","doi":"10.7748/ns.2025.e12399","DOIUrl":"10.7748/ns.2025.e12399","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Optimal oral health is essential at all stages of life, to enable individuals to eat and speak without discomfort, and to socialise, thereby contributing to their general health, well-being and quality of life. Effective daily mouth care for people who require support is essential to prevent deterioration in oral health and general health and should be part of their overall care. This How to article details the preparation, equipment and procedure involved in undertaking mouth care in adults. The article also provides an overview of mouth care in patients who are intubated, neurodivergent people and/or those with cognitive impairment or learning disabilities, and those receiving end of life care. Nurses undertaking mouth care must have the knowledge and skills needed to do so safely and effectively, and work within their competence level. • Inadequate mouth care can lead to dehydration and malnutrition, while a dry mouth creates an ideal environment for fungus or bacteria to become dominant pathogens within the oral cavity, adversely affecting the person's appetite, creating soreness within the oral cavity and leading to a general decline in health. • Maintaining a healthy, functioning mouth and routinely removing food debris can reduce the risk of choking and/or aspiration pneumonia, particularly in people with dementia and/or dysphagia. • All healthcare professionals should seek to promote oral health and have an understanding of the link between optimal oral health and general health, and be able to explain this to patients; it is also vital that nurses are aware of current evidence and best practice in oral hygiene. 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 providing mouth care. • How you could use this information to educate nursing students or colleagues about appropriate methods for providing effective, person-centred mouth care.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"48-53"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005093","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":"Digital wound management: how it works and its potential benefits in wound care practice.","authors":"Hannah Blake","doi":"10.7748/ns.2025.e12448","DOIUrl":"10.7748/ns.2025.e12448","url":null,"abstract":"<p><p>The increasing availability and usability of smartphone technology in healthcare has led to a rise in the use of point-of-care digital devices and solutions including wound management digital systems (WMDS). WMDS, which use high-quality sequential wound images, digital planimetry and/or artificial intelligence technology, enable healthcare practitioners to standardise wound assessments and enhance the monitoring of wound healing. This article discusses some of the challenges of assessing wounds using traditional manual methods and reviews the potential benefits of using WMDS in clinical practice.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"61-66"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995868","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 write an effective business case.","authors":"Debbie Quinn","doi":"10.7748/ns.2025.e12458","DOIUrl":"10.7748/ns.2025.e12458","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Finances in the NHS are severely stretched, so it is essential that requests for funding are for clinically valuable, evidence-based and cost-effective initiatives that aim to improve patient care. Developing a robust business case can support nurses to present a proposed initiative to fundholders in a structured way. This article describes how to write an effective business case that can help ensure fundholders will consider a proposed initiative to be viable. • Using a structured format can enable the nurse to demonstrate their proposal in a concise, business-like manner that all stakeholders can understand. • Historically, nurses have not been supported to obtain the skills needed to develop business acumen and produce robust business cases, but they can access support provided by charities that fund NHS posts. • Writing a business case may involve several reviews to ensure the content is robust and relevant to the needs of the service and/or organisation. 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 help you to write a business case relevant to your practice area. • How you could use this information to support your colleagues to write an effective business case.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"43-47"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151227","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}