Michelle Dalgarno, Kathleen Halpin, Leanne Connell, Bridget Johnston, Mark Cooper
{"title":"The impact of the district nurse advanced nurse practitioner role on the transformation of district nursing.","authors":"Michelle Dalgarno, Kathleen Halpin, Leanne Connell, Bridget Johnston, Mark Cooper","doi":"10.12968/bjcn.2024.0017","DOIUrl":"https://doi.org/10.12968/bjcn.2024.0017","url":null,"abstract":"<p><p>This article examines the role of the district nurse advanced nurse practitioner and its contribution to the transformation of district nursing services. Primary care is under increasing pressure to bridge the gap between demand and resources, with national and local priorities focusing on frailty and unscheduled care. This article outlines the implementation of the district nurse advanced nurse practitioner role within NHS Greater Glasgow and Clyde and presents findings from a local evaluation. By exploring the impact across the four pillars of advanced practice-clinical practice, research and development, facilitation of learning and leadership-the early findings suggest that this innovative role has had a transformational impact on optimising primary care provision and reducing avoidable hospital admissions for patients on a district nursing caseload. Further research into this role is necessary to ensure that its contribution is comprehensively measured, strengthening the case for recognising this highly skilled role as a key player in NHS Scotland's primary and community health care systems.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 2","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080827","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":"The ultimate paradox: navigating the personal and professional contradictions of assisted dying.","authors":"Francesca Ramadan","doi":"10.12968/bjcn.2025.0011","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0011","url":null,"abstract":"<p><p>The potential of the Terminally Ill Adults (End of Life) Bill to pass into law has raised critical questions for nurses, who are now confronting the possibility of involvement in assisted death. While the provisional bill contains protections against coercion or punishment of healthcare professionals who do not wish to participate in the assisted dying process, many are left wondering about the challenges they may face, even if they are in support of medically assisted death. Francesca Ramadan provides insight into nurses' complex and often contradictory experiences of assisted dying and the research, education and guidance necessary for navigating personal and professional challenges.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 2","pages":"71-72"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081003","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":"An insight into district and community nursing across Wales.","authors":"Julie Green","doi":"10.12968/bjcn.2025.0009","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0009","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 2","pages":"73-74"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081408","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":"Biflex Self Adjust: a compression wrap system for lymphoedema and venous leg ulcers.","authors":"Mark Greener","doi":"10.12968/bjcn.2025.0003","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0003","url":null,"abstract":"<p><p>Compression is the foundation of treatment for chronic oedema, including lymphoedema and chronic venous insufficiency (CVI). However, adherence with conventional compression wraps is often poor. This article introduces Biflex Self Adjust, a new compression wrap system for lymphoedema and venous leg ulcers, a common consequence of CVI. A Velcro system and an integrated loop ensures patients can easily and quickly take Biflex Self Adjust on and off. Biflex Self Adjust uses a patented integrated device that allows healthcare professionals and patients to easily adjust the pressure. In addition, Biflex Self Adjust completely covers the limb using an optimised number of overlapping bandages, which helps prevent oedema migration. The open-cell foam used in Biflex Self Adjust allows moisture transfer, which enhances comfort. Case studies illustrate the effectiveness of the Biflex Self Adjust in clinical practice.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 2","pages":"60-66"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081435","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":"Thoughts on assisted dying: ethical, practical and moral perspectives.","authors":"","doi":"10.12968/bjcn.2025.0004","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0004","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 2","pages":"57-58"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081030","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":"Aysha Mendes provides a synopsis and brief review of a selection of recently published research articles.","authors":"Aysha Mendes","doi":"10.12968/bjcn.2025.0008","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0008","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 2","pages":"68-69"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081423","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}
William Kavanagh-Brown, Heather Reid, Edward Baker
{"title":"Respiratory assessment for registered nurses using a systematic approach: the RIPPAS framework.","authors":"William Kavanagh-Brown, Heather Reid, Edward Baker","doi":"10.12968/bjcn.2024.0135","DOIUrl":"https://doi.org/10.12968/bjcn.2024.0135","url":null,"abstract":"<p><p>Systematic assessment of the respiratory system is an important skill for both the identification of pertinent patient symptoms and for the evaluation of care provided. Although this assessment has historically been performed by advanced clinical practitioners in the community setting, since 2019, the Nursing and Midwifery Council made it a required skill for its new registrants and all nursing students in the UK. Students and existing registered nurses are expected to upskill and embed these advanced physical assessment techniques within their daily clinical practice. This article provides a theoretical overview of the systematic respiratory assessment process using the RIPPAS mnemonic, enabling practitioners to develop the required knowledge and skills. Through ongoing learning, clinical practice, regular consolidation and clinical supervision, RIPPAS can then be embedded into clinical practice for all registered nurses.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 2","pages":"84-89"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081442","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":"Preventing bloodborne pathogen transmission in community nursing practice.","authors":"Ann-Marie Aziz","doi":"10.12968/bjcn.2025.0002","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0002","url":null,"abstract":"<p><p>Community nurses face challenges while caring for patients with complex conditions, post-hospital recovery needs, or palliative care requirements, which increases their exposure to bloodborne pathogens. Inoculation injuries can transmit viruses such as hepatitis B (HBV), hepatitis C (HCV), and HIV. The risk of transmission depends on several factors, including the healthcare worker's immune status and vaccination history. Despite the high incidence of these injuries, the majority of those exposed do not develop serious illnesses. However, the financial impact of these injuries on the healthcare system is substantial, including both direct costs (such as treatment and testing) and indirect costs like staff absenteeism. Preventive measures, such as proper use of personal protective equipment, prompt reporting and post-exposure prophylaxis are essential to minimise the risk of transmission.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 2","pages":"90-94"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081440","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":"Addressing the needs of patients with severe mental illnesses.","authors":"Dion Smyth","doi":"10.12968/bjcn.2025.0007","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0007","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 2","pages":"70"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081405","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":"The A-Z of age-related dermatological diseases.","authors":"Mark Greener","doi":"10.12968/bjcn.2024.0162","DOIUrl":"https://doi.org/10.12968/bjcn.2024.0162","url":null,"abstract":"<p><p>Skin ageing is an inevitable process influenced by both intrinsic and extrinsic factors. Intrinsic aging leads to thinner, drier and less elastic skin with fine wrinkles, while extrinsic factors such as sun exposure, smoking and environmental stresses amplify these changes. Photo-ageing, in particular, causes deep wrinkles, uneven pigmentation and increases the risk of skin cancers. Age-related alterations in skin structure and function include thinning of the epidermis, reduced collagen and elastin and changes in fat distribution, all of which compromise the skin's barrier and mechanical properties. These changes not only increase the susceptibility to conditions such as xerosis, fungal infections and atopic dermatitis but also carry psychological implications. Interestingly, atopic dermatitis, often associated with childhood, has a secondary peak in older adults and may be linked to neurodegenerative conditions such as Alzheimer's disease. This article explores the interplay between skin aging, dermatological diseases, and their broader physical and emotional impacts.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 1","pages":"36-39"},"PeriodicalIF":0.0,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910954","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}