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Undertaking a structured assessment of a hard-to-heal wound. 对难以愈合的伤口进行结构化评估。
Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2024-10-02 Epub Date: 2024-08-27 DOI: 10.7748/ns.2024.e12224
Helen Meagher
{"title":"Undertaking a structured assessment of a hard-to-heal wound.","authors":"Helen Meagher","doi":"10.7748/ns.2024.e12224","DOIUrl":"10.7748/ns.2024.e12224","url":null,"abstract":"<p><p>A thorough, holistic wound assessment is essential to identify the aetiology of a hard-to-heal wound and formulate a diagnosis, which will underpin the treatment plan. This article describes the fundamental elements of assessing a patient with a hard-to-heal wound holistically, including taking a patient history, performing a clinical examination and investigations, and considering the patient's physical, psychological, spiritual and social needs. The author also outlines the aspects of the TIMERS (tissue, infection/inflammation, moisture, edge, regeneration and social factors) wound assessment tool in detail, and explains some of the challenges associated with accurately assessing a wound.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073421","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
Enhancing the use of Makaton in nurse education and practice. 加强马肯通在护士教育和实践中的应用。
Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2024-10-02 Epub Date: 2024-08-12 DOI: 10.7748/ns.2024.e12284
Mark Pearson, Sian Adcock
{"title":"Enhancing the use of Makaton in nurse education and practice.","authors":"Mark Pearson, Sian Adcock","doi":"10.7748/ns.2024.e12284","DOIUrl":"10.7748/ns.2024.e12284","url":null,"abstract":"<p><p>Makaton is a unique multimodal language programme that uses signs, symbols and speech. It offers a flexible communication system that can be used across settings with a wide range of people, including those with learning disabilities or communication difficulties. This article explains what Makaton entails and how it can be used to aid communication with service users. The authors suggest that Makaton should be integrated in preregistration nurse education for all fields of practice, particularly learning disability nursing. Effective communication skills are essential for all nurses and learning Makaton as part of their preregistration education programmes could improve their competence and confidence in engaging in meaningful dialogue with people who find it challenging to communicate verbally.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"55-58"},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917151","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 black women's experiences of mental health services: a literature review. 探索黑人妇女的心理健康服务体验：文献综述。
Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2024-09-30 DOI: 10.7748/ns.2024.e12272
Tobi Adebayo, Clare McFeely
{"title":"Exploring black women's experiences of mental health services: a literature review.","authors":"Tobi Adebayo, Clare McFeely","doi":"10.7748/ns.2024.e12272","DOIUrl":"https://doi.org/10.7748/ns.2024.e12272","url":null,"abstract":"<p><p>The prevalence of mental health issues among black women is high, but they are underrepresented among mental health service users. This article details a systematised review of the literature that explored black women's perceptions and experiences of, and barriers to, engaging with mental health services. A total of 16 articles from the UK and North America were included in the review. Four main themes were identified as presenting barriers to black women's engagement with services: mistrust; sociocultural factors; lack of awareness; and practical barriers. The intersection of gender and race was evident in the 'strong black woman' ideal, which may have hindered their recognition and disclosure of mental health conditions, as well as in practical barriers such as costs and caring responsibilities. Historical and cultural perceptions of mental health issues and healthcare services, alongside their previous negative experiences of services, may prevent many black women from accessing essential support. Nurses and other healthcare professionals have an important role in engendering trust, challenging racism and promoting positive mental health.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142350999","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
Adopting a 'community of practice' between palliative and dementia care nurses. 在姑息治疗和痴呆症护理护士之间建立 "实践社区"。
Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2024-09-23 DOI: 10.7748/ns.2024.e12331
Anita Hayes, Rachel Daly, Julia Russell, Stuart Duncan, Karen Harrison Dening
{"title":"Adopting a 'community of practice' between palliative and dementia care nurses.","authors":"Anita Hayes, Rachel Daly, Julia Russell, Stuart Duncan, Karen Harrison Dening","doi":"10.7748/ns.2024.e12331","DOIUrl":"https://doi.org/10.7748/ns.2024.e12331","url":null,"abstract":"<p><p>Dementia usually occurs as a result of brain disease and, while it is usually chronic or progressive in nature, it has not traditionally been conceptualised as a terminal or life-limiting syndrome. However, the median survival time for people with dementia is between 3.5 years and 4.5 years from symptom onset to death, although this varies depending at which stage the dementia is diagnosed and its cause. As such, it has long been recognised that people with dementia and their family carers have palliative care needs equal to those of patients with cancer. However, a palliative approach to dementia care requires both the dementia and palliative care workforces to fully understand the needs of people with dementia and their families towards the end of life. This article describes the development of a 'community of practice' where healthcare professionals from dementia and palliative care services shared their practice and learned from each other in a safe and supportive environment.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292313","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
Patients who decline blood component transfusion: a narrative review of alternative management strategies. 拒绝输注血液成分的患者：替代管理策略综述。
Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2024-09-16 DOI: 10.7748/ns.2024.e12189
Victoria Hill
{"title":"Patients who decline blood component transfusion: a narrative review of alternative management strategies.","authors":"Victoria Hill","doi":"10.7748/ns.2024.e12189","DOIUrl":"https://doi.org/10.7748/ns.2024.e12189","url":null,"abstract":"<p><p>Blood component transfusions are a valuable clinical intervention and are widely used in healthcare. However, some patients may decline transfusion, for example if it conflicts with their religious beliefs or they are concerned about the associated risks. This article details a narrative review that was undertaken to identify what alternative patient management strategies can be used when allogeneic blood transfusion is not feasible, and to explore how these strategies can benefit individuals who decline transfusion and the broader patient population. Searches were conducted to identify articles published between 2013 and 2023. A total of 43 articles were included in the review and thematically analysed. Four main alternative approaches to transfusion were identified from the literature: blood management and conservation; early optimisation; use of synthetic compounds; and proactive management in emergencies. Applying these strategies could reduce risks and costs, enhance the overall use of blood components, and ensure a holistic approach to care and maintaining haemostasis for all patients.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292314","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
Chimeric antigen receptor (CAR) T-cell therapy: an overview for nurses. 嵌合抗原受体 (CAR) T 细胞疗法：护士概述。
Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2024-09-09 DOI: 10.7748/ns.2024.e12349
Emma Thoms, Alison Simons
{"title":"Chimeric antigen receptor (CAR) T-cell therapy: an overview for nurses.","authors":"Emma Thoms, Alison Simons","doi":"10.7748/ns.2024.e12349","DOIUrl":"https://doi.org/10.7748/ns.2024.e12349","url":null,"abstract":"<p><p>Chimeric antigen receptor (CAR) T-cell therapy is a relatively new and innovative immunotherapy for haemato-oncological diseases. In the UK, CAR T-cell therapy can be used to treat some patients with relapsed or refractory acute lymphoblastic leukaemia or diffuse large B-cell lymphoma. However, CAR T-cell therapy can have side effects that have implications for patients' physical and psychosocial well-being and may induce adverse reactions that can cause life-threatening acute toxicities. Nurses may have a significant role throughout the CAR T-cell therapy process, including in supporting patient decision-making, administering infusions, monitoring patients, identifying and managing adverse reactions, and providing follow-up care. This article provides an overview of CAR T-cell therapy and describes some of its potential side effects and adverse reactions. The authors also consider the role of the nurse and the implications for the nursing workforce in terms of meeting the needs of the increasing numbers of patients who may become eligible for this treatment as it is extended to other cancer types.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154714","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 reflect on clinical practice. 如何反思临床实践。
Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2024-09-04 Epub Date: 2024-06-24 DOI: 10.7748/ns.2024.e12365
Brian Lucas
{"title":"How to reflect on clinical practice.","authors":"Brian Lucas","doi":"10.7748/ns.2024.e12365","DOIUrl":"10.7748/ns.2024.e12365","url":null,"abstract":"<p><strong>Rationale and key points: </strong>This 'How to' article explains how to reflect on clinical practice using reflection-on-action and a reflective model to help ensure the nurse gains comprehensive learning from an experience or incident to enhance their professional development and patient care. • Reflection is a vital element of nursing practice and has a wide-ranging purpose including, for example, self-inquiry into experiences to find meaning, gain insight and prompt action, recognition of emotional responses to care situations and exploring wider issues, such as healthcare culture. • Reflection-on-action involves a retrospective critical exploration of an experience or incident to identify learning points and may be engaged in alone, with one other person, for example during clinical supervision, or in a group activity. • There are a range of reflective models that can be used to structure a reflection, the main components of which generally include a description of the event, reflection on its meaning and identification of learning. 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 using reflective techniques. • How you could use this information to educate nursing students or your colleagues on the appropriate methods for reflecting on clinical practice.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"35-39"},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443150","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 continuum of eating behaviour, from 'normal' to disordered eating. 探索饮食行为从 "正常 "到饮食失调的连续性。
Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2024-09-04 Epub Date: 2024-08-22 DOI: 10.7748/ns.2024.e12354
Jordan Beaumont
{"title":"Exploring the continuum of eating behaviour, from 'normal' to disordered eating.","authors":"Jordan Beaumont","doi":"10.7748/ns.2024.e12354","DOIUrl":"10.7748/ns.2024.e12354","url":null,"abstract":"<p><p>Eating is a distinct behaviour in humans, in that they must consume food to provide sufficient energy for the body to function and to ensure survival. Behaviours around food consumption can range from 'normal' to disordered, where some people may develop eating patterns that suggest a preoccupation with food or weight. This preoccupation can lead to inappropriate compensatory behaviours, such as purging or excessive exercise, or dysphoric mood following food consumption. This article discusses the continuum between 'normal' eating behaviours and eating disorders, with a focus on binge eating behaviour and binge eating disorder. The author also describes the use of a screening tool for identifying binge eating behaviour and suggests ways in which nurses might support patients in addressing disordered eating behaviours.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"63-68"},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018174","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
Imposter phenomenon: recognising and addressing it among nurses. 冒名顶替现象：在护士中认识和解决这一问题。
Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2024-09-04 Epub Date: 2024-07-08 DOI: 10.7748/ns.2024.e12277
Vanessa Coelho
{"title":"Imposter phenomenon: recognising and addressing it among nurses.","authors":"Vanessa Coelho","doi":"10.7748/ns.2024.e12277","DOIUrl":"10.7748/ns.2024.e12277","url":null,"abstract":"<p><p>Imposter phenomenon is described as persistently doubting one's accomplishments, leading to an internalised fear of being exposed as a 'fraud'. This article identifies the nature and prevalence of imposter phenomenon among nursing students, newly registered nurses and senior nurses. It also explores the effects of this phenomenon for nurses and healthcare organisations, including its potential association with burnout, suboptimal performance and a lack of career development. Evidence suggests that addressing imposter phenomenon is not something individuals can accomplish by themselves, but that it requires system-level interventions from healthcare organisations and higher education institutions. This could raise awareness, promote recognition and improve resources and training to mitigate the detrimental effects of this phenomenon on healthcare provision.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555231","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 male urinary catheterisation. 如何进行男性导尿。
Nursing standard (Royal College of Nursing (Great Britain) : 1987) Pub Date : 2024-09-04 Epub Date: 2024-07-29 DOI: 10.7748/ns.2024.e12150
Ruth Dekkers
{"title":"How to undertake male urinary catheterisation.","authors":"Ruth Dekkers","doi":"10.7748/ns.2024.e12150","DOIUrl":"10.7748/ns.2024.e12150","url":null,"abstract":"<p><strong>Rationale and key points: </strong>This article provides a step-by-step guide explaining how to prepare for and perform male urinary catheterisation in a safe, effective and supportive manner. Nurses undertaking this procedure must ensure they have the knowledge and skills to do so and work within the limits of their competence. • Urethral catheterisation is an invasive procedure and carries a risk of infection. It should only be undertaken after thorough clinical assessment and when other alternatives have been considered. • The procedure can be anxiety-provoking for the patient, so the nurse should explain what is involved and proceed carefully, while keeping the patient informed throughout. • Due to the risk of catheter-associated urinary tract infection, it is important to regularly review the patient's need to be catheterised and the catheter should be removed as soon as practically possible. 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 planning and undertaking male urinary catheterisation. • How you could use this information to educate nursing students or your colleagues on the procedure for male urinary catheterisation.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"41-45"},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788754","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
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