British Journal of Community Nursing最新文献

{"title":"Better care must be part of the conversation on dying.","authors":"Dion Smyth","doi":"10.12968/bjcn.2026.0165","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0165","url":null,"abstract":"<p><p>As debate around assisted dying continues, the longstanding pressures facing palliative, end-of-life and social care cannot be ignored. With concerns over funding, capacity and access repeatedly raised, the author questions whether healthcare services can properly support people in living well and ensure those approaching the end of life receive the care and dignity they deserve.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 10","pages":"505-506"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115618","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":"Men's health strategy and care provision in the community.","authors":"Ian Peate","doi":"10.12968/bjcn.2026.0163","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0163","url":null,"abstract":"<p><p>The government's first Men's Health Strategy outlines a comprehensive framework for improving health outcomes among men by addressing preventable morbidity, reducing health inequalities and enhancing engagement with health services. Within community settings, the strategy emphasises early intervention, accessible care pathways and the promotion of health-seeking behaviours among diverse male populations. This article discusses how community-based provision delivered through primary care, public health initiatives, outreach programmes and multidisciplinary collaboration supports the implementation of the Men's Health Strategy in practice.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 10","pages":"502-504"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115717","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":"Beyond clinical complexity: managing risk within a respiratory virtual ward.","authors":"Ioulia Mariaki, Rory McDermott","doi":"10.12968/bjcn.2026.0087","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0087","url":null,"abstract":"<p><strong>Background: </strong>Community-based models of care, including respiratory virtual wards and Hospital at Home services, continue to expand across the NHS as part of wider efforts to reduce hospital admissions and deliver acute care closer to home. Alongside increasing clinical acuity, community clinicians are increasingly caring for patients with significant psychosocial complexity, including substance use, safeguarding concerns, unstable housing, poor engagement with treatment and environmental risks. While national policy has focused on expanding community-based models of care, comparatively little guidance exists to support frontline clinicians managing the intersection of clinical, psychosocial, safeguarding and workforce safety risks within patients' homes.</p><p><strong>Aims: </strong>This article describes the development and early implementation of a structured risk-assessment framework designed to support safer, more consistent and defensible decision making when managing patients with complex psychosocial and environmental needs in a respiratory virtual ward.</p><p><strong>Methods: </strong>The framework was developed as a practice-based quality improvement initiative through frontline clinical experience, multidisciplinary collaboration, reflective practice, review of governance processes and relevant national guidance relating to safeguarding, lone working and workforce safety. Following implementation, a 3-month feasibility pilot involving seven patients presenting with complex clinical, psychosocial and safeguarding needs was undertaken to evaluate the framework's usability in routine practice and inform future service evaluation.</p><p><strong>Findings: </strong>Early implementation improved consistency of decision making, multidisciplinary communication, documentation and staff confidence when managing complex situations. Formal evaluation of patient-level and service-level outcomes is planned.</p><p><strong>Conclusions: </strong>As community-based healthcare continues to evolve, structured operational frameworks may support safer clinical decision making while balancing patient-centred care, safeguarding responsibilities and workforce safety. Further evaluation is required to determine the framework's effectiveness and wider applicability across community healthcare services.</p><p><strong>Implications for practice: </strong>The pilot indicates that the framework is feasible for implementation and can be applied consistently in routine clinical practice, supporting structured multidisciplinary discussions, tailored risk mitigation strategies and strengthened governance oversight.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 10","pages":"465-470"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115707","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":"Community interventions to reduce the spread of skin infections and infestations.","authors":"Sandra Lawton, Momodou Bojang","doi":"10.12968/bjcn.2026.0140","DOIUrl":"10.12968/bjcn.2026.0140","url":null,"abstract":"<p><p>Skin infections and infestations represent a significant burden on public health, accounting for a substantial proportion of consultations in primary care and community settings. This article provides a comprehensive overview of common bacterial, viral, fungal and parasitic skin conditions, covering their definitions, clinical features, recommended investigations, management principles and evidence-based treatment options. Emphasis is placed on the critical role of infection prevention and control protocols in reducing transmission, alongside the importance of patient education in minimising recurrence and safeguarding public health. The article also highlights the necessity of multidisciplinary collaboration and adherence to clinical guidelines to optimise outcomes. In the context of rising antimicrobial resistance and evolving epidemiological trends, ongoing vigilance and robust community interventions are essential for effective management and prevention of skin infections and infestations.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 10","pages":"472-478"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115653","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":"Where now for district nursing?","authors":"Catriona Kennedy","doi":"10.12968/bjcn.2026.0161","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0161","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 10","pages":"464"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115743","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":"Reflections on neighbourhood ways of working.","authors":"Crystal Oldman","doi":"10.12968/bjcn.2026.0162","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0162","url":null,"abstract":"<p><p>This article discusses the opportunities and challenges of neighbourhood working, and the important role district nurses can play in understanding and improving the health of local communities.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 10","pages":"508-510"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115764","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":"Reframing palliative care by embracing early integration.","authors":"Linda Nazarko","doi":"10.12968/bjcn.2025.0164","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0164","url":null,"abstract":"<p><p>Around 600 000 people die each year in the UK, with the number of deaths set to increase to 736 000 within the next 10 years because of the ageing population. Although most of these deaths are predictable, people do not always die in their preferred place of care and may not experience a good death. Palliative and end-of-life care can vary and be inequitable because of socioeconomic and demographic factors, as well as the person's medical condition. Robust systems must be developed to meet the requirements of people who need palliative care and to avoid inappropriate treatment that may impact the person's quality of life.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 10","pages":"480-485"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115740","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":"Oral care in people with dementia living in the community.","authors":"Karen Harrison Dening","doi":"10.12968/bjcn.2026.0144","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0144","url":null,"abstract":"<p><p>Oral health is recognised as an essential component of a person's overall wellbeing, increasingly so in people with dementia. As dementia progresses, a person diagnosed with the condition may become more dependent on the support of the family carer to meet their personal care needs. Similarly, community nurses may be one of the first health professionals that a family carer may call on when difficulties in maintaining good oral care become a concern. An understanding of some of the main concerns and resources available can be helpful for community nurses in helping their patients and their carers. This article discusses some of the common issues using case examples to illustrate possible rationales and considerations for further action.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 10","pages":"486-490"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115766","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":"Cost-effectiveness of self-sampling strategies for cervical cancer screening: a commentary.","authors":"Gillian Lewis, Tamer Rabie, Misael Anaya Montes, Andrew Clegg, Valerio Benedetto","doi":"10.12968/bjcn.2025.0211","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0211","url":null,"abstract":"<p><p>Tackling cervical cancer represents a global health priority and relies on preventative approaches such as screening. To increase uptake, self-sampling strategies used to detect human papillomaviruses have shown promise of cost-effectiveness. This commentary critically appraises an economic evaluation comparing first-void urine and vaginal swab self-sampling strategies against clinician-collected cervical samples in the UK. While the self-sampling strategies could improve screening uptake among non-attenders and health outcomes, the impacts on the subsequent incidence of cervical cancer and types of cancer stage for non-attenders should have been considered. Higher screening uptake, while increasing early detection, would also imply an increase in the number of diagnostic and follow-up appointments, for example for cytology and colposcopies. Future research should bridge these gaps as well as investigating the differential effects on socio-economic sub-groups and the views of eligible women to facilitate a wider implementation of self-sampling strategies.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 10","pages":"492-498"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115621","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":"Shaping the future of community and home nursing globally.","authors":"Mark Millar","doi":"10.12968/bjcn.2026.0146","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0146","url":null,"abstract":"<p><p>With an increasing focus on shifting care into community and home settings, it is crucial that the community and home nursing workforce is adequately equipped to meet growing demand and complexity. Nursing education must reflect the changing landscape of care delivery, ensuring that community and home nursing are strongly and consistently represented and that nurses are prepared for the evolving demands of practice. The <i>Caring Beyond Walls</i> international conference provided an important opportunity to share learning, innovation and research, while bringing the nursing community together at a critical point in the development of community and home nursing, both nationally and internationally.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 10","pages":"499-501"},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115720","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}