{"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}
{"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":"Simulation learning: exploring its transformative influence on nursing practice.","authors":"Zoe Abigail Mason","doi":"10.7748/ns.2024.e12391","DOIUrl":"10.7748/ns.2024.e12391","url":null,"abstract":"<p><p>Simulation in nursing education enables nursing students to develop and practise their clinical, critical thinking and decision-making skills within the safety of a realistic learning environment. Evidence suggests that this method of learning can enhance nursing students' confidence, enabling them to navigate the current challenges in healthcare and consider new ways of working. This article outlines the benefits and challenges of simulation and discusses the implications of the use of this learning technique in nurse education for future nursing practice.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142504958","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 manage performance issues in nursing practice.","authors":"Erhauyi Meshach Aiwerioghene","doi":"10.7748/ns.2024.e12443","DOIUrl":"10.7748/ns.2024.e12443","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Addressing performance issues in nursing practice is a crucial but sensitive aspect of the role of nurse leaders and managers. This article explains how they can undertake this process by using a supportive and proactive approach that can foster a positive work environment, improve patient care and empower nurses to thrive in practice. Those involved in addressing a nurse's performance issues must have the knowledge and skills required to do so effectively with sensitivity and care, while working within their level of competence. • Where performance issues have been identified, early intervention is essential to foster constructive dialogue, preserve relationships and maintain a motivated and productive healthcare team. • The focus should be on understanding what aspects of the nurse's performance require improvement, what has been learned from the situation and how this can be applied to the nurse's future practice. • It is useful to work with the nurse to develop a collaborative action plan for improvement that establishes clear goals, timelines and resource allocation. 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: • A time you addressed performance issues with a colleague or team member, or how someone helped you to improve your practice. • How you could use this information to develop your knowledge and skills in addressing performance issues.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"44-49"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546574","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 give an effective conference presentation.","authors":"Richard Hatchett","doi":"10.7748/ns.2024.e12389","DOIUrl":"10.7748/ns.2024.e12389","url":null,"abstract":"<p><strong>Rationale and key points: </strong>At some point in their careers, nurses may choose or be invited to give a conference presentation, online or in person. For some, this can be an exciting opportunity to share best practice, impart knowledge and receive feedback, for example, on a local service initiative they have been involved in. For others, it can be a stressful experience, especially if they are not confident in presenting. However, giving conference presentations is an important skill in nursing leadership, particularly when sharing a new method of care or innovative service. Although there is no specific evidence base underlying conference presentation, expert recommendations indicate that a well-delivered presentation relies on thorough preparation, an avoidance of excessive on-screen text and the use of images and key messages to ensure the audience gains maximum benefit. • When preparing a presentation, you should consider aspects such as what the conference organisers require, the time allocated for the presentation and how to prepare the appropriate number of clear and well-presented slides. • Consider the key points that you wish to communicate to the audience and use a balanced mix of text and images. • Maintain a focus on the presentation's application to nursing practice, so that audience members can take away key learning points and apply these to their own practice. 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 presentation skills. • How you could use this information to educate nursing students or other colleagues about effective conference presentation.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381340","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 remove non-absorbable sutures.","authors":"Cathy Liddle","doi":"10.7748/ns.2024.e12385","DOIUrl":"10.7748/ns.2024.e12385","url":null,"abstract":"<p><strong>Rationale and key points: </strong>Skin sutures are commonly used to bring together the edges of a wound, assisting it to heal. Depending on the location of the wound, the sutures used may be absorbable or non-absorbable. Non-absorbable sutures will need to be removed once the wound has sufficiently healed. Timely, safe and effective removal of non-absorbable sutures is crucial to avoid complications and ensure optimal cosmetic results. Nurses undertaking suture removal must have the knowledge and skills to undertake the procedure safely and effectively and work within the limits of their competence. • Before suture removal, the wound must be checked for signs of infection and indications of dehiscence. • Removing sutures at the recommended time assists in preventing new skin growth from covering the sutures and in reducing scarring. • Aseptic non-touch technique (ANTT) is recommended for suture removal, but local policy should always be followed. 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 removing non-absorbable sutures. • How you could use this information to educate nursing students or your colleagues about the procedure for removing non-absorbable sutures.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471093","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":"Challenging diabetes mellitus-related stigma with targeted education.","authors":"Amani Al Bayrakdar","doi":"10.7748/ns.2024.e12404","DOIUrl":"https://doi.org/10.7748/ns.2024.e12404","url":null,"abstract":"<p><p>Diabetes mellitus is a highly prevalent chronic metabolic disorder that requires rigorous self-management to prevent complications and maintain health. Managing diabetes can also be psychologically challenging for those living with the condition, significantly affecting their mental health, particularly when diabetes-related stigma manifests as discrimination, social rejection and internalised shame. This article examines how diabetes-related stigma often stems from misconceptions about the condition, but nonetheless can adversely affect the self-care, physical health and quality of life of people living with the condition. The author explains how mitigating this stigma through targeted education, empathic communication and advocacy is essential and explores the pivotal role of nurses in reducing diabetes-related stigma.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648085","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":"Assessment and management of acute unplanned alcohol withdrawal.","authors":"Matthew Peel","doi":"10.7748/ns.2024.e12372","DOIUrl":"https://doi.org/10.7748/ns.2024.e12372","url":null,"abstract":"<p><p>Alcohol withdrawal can occur following the abrupt cessation or marked reduction of alcohol use in a person with alcohol dependence. This article provides an overview of the assessment and management of acute unplanned alcohol withdrawal, and discusses the crucial role of nurses in addressing this complex condition. It outlines the pathophysiology, signs and symptoms of alcohol withdrawal and explains the need for a multifaceted approach to its management, often involving a combination of pharmacological treatment and supportive care. The article aims to equip nurses with the knowledge and skills necessary to improve outcomes for people experiencing alcohol withdrawal.</p>","PeriodicalId":19327,"journal":{"name":"Nursing standard (Royal College of Nursing (Great Britain) : 1987)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569108","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}