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British Journal of Community Nursing最新文献

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Ethical and legal considerations in capacity assessment and the role of community nurses. 能力评估中的道德和法律考虑以及社区护士的作用。
British Journal of Community Nursing Pub Date : 2026-05-02 Epub Date: 2026-05-04 DOI: 10.12968/bjcn.2025.0100
Hasan H Alsararatee
{"title":"Ethical and legal considerations in capacity assessment and the role of community nurses.","authors":"Hasan H Alsararatee","doi":"10.12968/bjcn.2025.0100","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0100","url":null,"abstract":"<p><p>This article aims to explore the ethical and legal considerations involved in the assessment of mental capacity by community nurses in the UK. Grounded in the principles of the Mental Capacity Act 2005, the article explores the practical challenges community nurses face when applying legal frameworks in varied clinical contexts, including home visits, remote consultations and multidisciplinary care. Key themes addressed include the role of consent, safeguarding responsibilities, fluctuating capacity in chronic illness, family and professional disputes and supported decision making for individuals with learning disabilities. The article also highlights how legal instruments such as the Human Rights Act 1998, Equality Act 2010, Care Act 2014 and Health and Social Care Act 2012 underpin safe and lawful practice. It also explores the implications of emerging legislation, such as the Data Protection and Digital Information Bill and regulatory guidance, on remote assessments and digital ethics. The author looks at cultural and religious considerations with attention to preventing bias and promoting equity. The article draws on recent literature and case law, including Re C (Adult: Refusal of Treatment), to illustrate the complex association between professional judgement and patient autonomy, while upholding healthcare professionals' legal duties. By providing a structured and comprehensive review, this article aims to equip community nurses with the legal literacy and ethical insight necessary to navigate capacity assessments confidently.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 5","pages":"240-245"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821643","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
Managing loss and grief through the 'empty chair'. 通过“空椅子”管理失落和悲伤。
British Journal of Community Nursing Pub Date : 2026-05-02 Epub Date: 2026-05-04 DOI: 10.12968/bjcn.2026.0058
Brian Nyatanga
{"title":"Managing loss and grief through the 'empty chair'.","authors":"Brian Nyatanga","doi":"10.12968/bjcn.2026.0058","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0058","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 5","pages":"205"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821682","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
The influence of spirituality on community nursing practice and patient experience. 精神对社区护理实践和患者体验的影响。
British Journal of Community Nursing Pub Date : 2026-05-02 Epub Date: 2026-05-04 DOI: 10.12968/bjcn.2026.0065
Dion Smyth
{"title":"The influence of spirituality on community nursing practice and patient experience.","authors":"Dion Smyth","doi":"10.12968/bjcn.2026.0065","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0065","url":null,"abstract":"<p><p>Spirituality plays a significant role in end-of-life and palliative care, influenced by patients' religious and cultural backgrounds. Facing the reality that one's own life or that of a loved one is nearing its end can evoke feelings of hopelessness, anxiety and depression. Spiritual practices, such as invoking the intercession of saints or patrons, can provide comfort and hope, and a sense of meaning during this challenging and difficult time. Integrating these spiritual interventions into palliative care can support emotional wellbeing and enhance the holistic care of patients and their families.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 5","pages":"249-250"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821677","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
A mixed-methods study of a virtual general practice simulation placement for nursing students in community care. 社区护理学生虚拟全科实习模拟实习的混合方法研究。
British Journal of Community Nursing Pub Date : 2026-05-02 Epub Date: 2026-05-04 DOI: 10.12968/bjcn.2025.0194
Aby Mitchell, Behnam Jafari Salim, Barry Hill
{"title":"A mixed-methods study of a virtual general practice simulation placement for nursing students in community care.","authors":"Aby Mitchell, Behnam Jafari Salim, Barry Hill","doi":"10.12968/bjcn.2025.0194","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0194","url":null,"abstract":"<p><strong>Background: </strong>Clinical placement shortages continue to challenge pre-registration nursing education in the UK, particularly in primary care.</p><p><strong>Aims: </strong>This study evaluated the feasibility and acceptability of a 2-week virtual general practice simulation placement delivered to 313 pre-registration nursing students from year 1 and 2. The placement integrated simulated consultations, branching digital cases and documentation within a bespoke electronic health record.</p><p><strong>Methods: </strong>Using a mixed-methods design, evaluation data were collected through questionnaires, narrative feedback and system analytics.</p><p><strong>Results: </strong>Quantitative findings demonstrated full completion of required hours, high engagement and strong documentation accuracy, while qualitative feedback highlighted perceived authenticity, enhanced digital literacy and the value of structured debriefing. Challenges included workload intensity, scheduling and technical access.</p><p><strong>Conclusions: </strong>The findings suggest that virtual general practice placements can extend placement capacity and support professional skill development in primary care education, when positioned as a complement to rather than a replacement for traditional clinical placements.</p><p><strong>Implications for practice: </strong>Virtual general practice placements can expand placement capacity while supporting nursing students to develop documentation, communication and patient-safety skills within a safe and structured learning environment. Implementation of virtual general practice placements requires careful design of workload, reliable digital infrastructure and consistent supervisory support to maximise learning alongside traditional clinical placements.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 5","pages":"214-219"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821584","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
District nurses' role in improving oral health literacy for early recognition of mouth cancer in housebound service users. 地区护士在提高口腔健康素养、早期识别居家服务使用者口腔癌方面的作用。
British Journal of Community Nursing Pub Date : 2026-05-02 Epub Date: 2026-05-04 DOI: 10.12968/bjcn.2025.0060
Emma Louise Middlehurst
{"title":"District nurses' role in improving oral health literacy for early recognition of mouth cancer in housebound service users.","authors":"Emma Louise Middlehurst","doi":"10.12968/bjcn.2025.0060","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0060","url":null,"abstract":"<p><p>Housebound service users face significant barriers in accessing routine dental care, resulting in missed opportunities for early detection of mouth cancer, and contributing to delayed diagnoses or presentation of advanced stages of the disease. District nurses are uniquely positioned to facilitate oral health assessments for housebound service users and to embed oral health into holistic assessments. Developing a close working relationship with the wider multidisciplinary team, including dental services, may contribute to district nursing teams being better equipped to complete oral health assessments and facilitate early recognition of mouth cancer in housebound service users. Through a narrative review, this article discusses how enhancing oral health assessments through the development of training resources can enhance district nurses' competency in oral health assessments, improving outcomes for housebound service users.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 5","pages":"220-226"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821571","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
Training needs of community nurses in the assessment and management of urinary continence. 社区护士在尿失禁评估与管理方面的培训需求。
British Journal of Community Nursing Pub Date : 2026-05-02 Epub Date: 2026-05-04 DOI: 10.12968/bjcn.2026.0061
Myra Robson, Sarah Gebretensae
{"title":"Training needs of community nurses in the assessment and management of urinary continence.","authors":"Myra Robson, Sarah Gebretensae","doi":"10.12968/bjcn.2026.0061","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0061","url":null,"abstract":"<p><p>The wide-ranging and demanding role of community nurses is widely recognised. They need to be able to assess and manage a multitude of medical symptoms, general health issues and social factors. As a result, it is essential to have an expansive knowledge base as a starting point. However, the challenge of working in the community, often alone, also means needing a high level of expertise to tackle some challenging and demanding situations. It is essential to recognise this when exploring the training needs of community-based clinicians, as training needs assessment, and any subsequent plans to support the findings must ensure that the training provided meets these needs. When considering the training needs of community nurses in relation to bladder issues, it is useful to begin by reflecting on the range of bladder conditions. Urinary incontinence is a very common symptom and is, therefore, likely to be seen by community nurses on a regular basis. This article discussess some key points and commonly held beliefs that may be worth questioning.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 5","pages":"206-212"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821690","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
Frailty, loneliness and social isolation in older adults: a holistic approach for district nursing. 老年人的虚弱、孤独和社会孤立：地区护理的整体方法。
British Journal of Community Nursing Pub Date : 2026-05-02 Epub Date: 2026-05-04 DOI: 10.12968/bjcn.2025.0177
Fiona Halpin, Bernie Reid, Caroline Crawford
{"title":"Frailty, loneliness and social isolation in older adults: a holistic approach for district nursing.","authors":"Fiona Halpin, Bernie Reid, Caroline Crawford","doi":"10.12968/bjcn.2025.0177","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0177","url":null,"abstract":"<p><p>This article explores frailty and its links to loneliness and social isolation among older adults and the key role of district nurses in community-based early identification and management. Frailty, often linked with loneliness and social isolation, increases the risk of hospitalisation and adverse outcomes. Current assessment tools, such as the Rockwood Clinical Frailty Scale, may inadequately address the multidimensional nature of frailty. The author suggests combining the Edmonton Frailty Scale with the University of California, Los Angeles Loneliness Scale for a more holistic approach, alongside enhanced education to improve district nurses' confidence and skills. The article highlights the potential of social prescribing as a valuable non-clinical intervention to reduce loneliness and social isolation, and to support wellbeing. With a UK-wide policy shift towards community care, equipping district nurses with relevant evidence and resources, in conjunction with education, is essential to improve care quality, reduce hospital admissions and promote healthier ageing in the older population.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 5","pages":"228-233"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821676","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
Homelessness, health inequalities and the need for immediate action. 无家可归、保健不平等和立即采取行动的必要性。
British Journal of Community Nursing Pub Date : 2026-05-02 Epub Date: 2026-05-04 DOI: 10.12968/bjcn.2026.0064
Crystal Oldman
{"title":"Homelessness, health inequalities and the need for immediate action.","authors":"Crystal Oldman","doi":"10.12968/bjcn.2026.0064","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0064","url":null,"abstract":"<p><p>The number of people experiencing homelessness in a growing challenge across the four countries of the UK. Homelessness bring with it a multitude of issues, including health inequality and shorter life expectancies Nurses and other healthcare professionals play an important role in providing health services to people experiencing homelessness. This article argues that ill health in the family and delayed development in the children, caused by homelessness, places a greater demand for NHS services, all of which could be prevented by the family being suitably housed.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 5","pages":"246-248"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821708","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
Social care nursing within the community workforce: recognising specialist practice. 社区劳动力中的社会护理：承认专家实践。
British Journal of Community Nursing Pub Date : 2026-05-02 Epub Date: 2026-05-04 DOI: 10.12968/bjcn.2025.0124
Paul John Alegado, Jandryle Trondillo
{"title":"Social care nursing within the community workforce: recognising specialist practice.","authors":"Paul John Alegado, Jandryle Trondillo","doi":"10.12968/bjcn.2025.0124","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0124","url":null,"abstract":"<p><p>Social care nurses practise at the intersection of health and social care, supporting people with complex, long-term and often fluctuating needs. Despite their central role in care coordination, clinical oversight and safeguarding, social care nursing remains under-recognised in policy, education and workforce planning in England. This article examines the case for recognising social care nursing as a form of specialist community nursing practice. The authors situate social care nursing alongside district nursing and general practice nursing, highlighting shared capabilities in risk management, coordination and autonomous decision making outside hospital environments. International comparisons illustrate how clearer credentials and development pathways can strengthen specialist identity. The article concludes that reframing social care nursing as part of the community nursing workforce is essential to improving professional recognition, education pathways, workforce sustainability and the quality and safety of care.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 5","pages":"234-238"},"PeriodicalIF":0.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821655","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
Evidence-based strategy for pain management in palliative care. 姑息治疗中疼痛管理的循证策略。
British Journal of Community Nursing Pub Date : 2026-04-02 Epub Date: 2026-03-30 DOI: 10.12968/bjcn.2026.0040
Brian Nyatanga
{"title":"Evidence-based strategy for pain management in palliative care.","authors":"Brian Nyatanga","doi":"10.12968/bjcn.2026.0040","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0040","url":null,"abstract":"<p><p>It has been well documented that pain is among the most prevalent and distressing symptoms experienced by people in the palliative care phase of dying. The diversity in types of pain makes it challenging to alleviate and manage, and yet effective pain management is the cornerstone for enhancing quality of life for those who are dying. Any strategy to manage pain requires current evidence, a multidimensional, yet individualised, approach to ensure its uniqueness and tailored to that person. Although the Western pharmacological approach may be favoured or better understood, there is room to integrate non-pharmacological interventions to suit the person's type of pain. Evidence suggests a comprehensive pain assessment should be the starting point.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 4","pages":"196-197"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575732","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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