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Management of diabetes when comorbid with dementia. 糖尿病合并痴呆时的管理。
British Journal of Community Nursing Pub Date : 2026-04-02 Epub Date: 2026-03-30 DOI: 10.12968/bjcn.2026.0042
Karen Harrison Dening
{"title":"Management of diabetes when comorbid with dementia.","authors":"Karen Harrison Dening","doi":"10.12968/bjcn.2026.0042","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0042","url":null,"abstract":"<p><p>Dementia is a syndrome caused by progressive neurological conditions. The majority of people will be diagnosed with late-onset dementia and will be over the age of 65 years, though a significant number may also be diagnosed before this age, termed young-onset dementia. People with dementia, especially late-onset, are more likely to have other comorbid conditions, and often multiple health conditions, more so in number than age-equivalent populations without dementia. One of the common comorbid conditions experienced by people with dementia is diabetes, which may have been present before any diagnosis of dementia is made, or onset may also be after the person's diagnosis of dementia. The ongoing management of diabetes as a person's dementia progresses can often raise significant anxiety in both health and care professionals and family carers alike. This article discusses some of the issues to consider in the management of diabetes in a person with dementia.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 4","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575677","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
Community staff's role in detecting and preventing infection among older adults. 社区工作人员在发现和预防老年人感染方面的作用。
British Journal of Community Nursing Pub Date : 2026-04-02 Epub Date: 2026-03-30 DOI: 10.12968/bjcn.2026.0006
Heather Lawson
{"title":"Community staff's role in detecting and preventing infection among older adults.","authors":"Heather Lawson","doi":"10.12968/bjcn.2026.0006","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0006","url":null,"abstract":"<p><p>Community staff are central to preventing the spread of infection among older adults in community settings, such as care homes, domiciliary care, supported living and primary care. Early detection of infection in older adults is challenging because of atypical presentations and high vulnerability. Community nurses and adult social care workers are often the first to notice subtle changes in health status that can signal infection. Swift reporting through established escalation pathways enables rapid action to contain risk and prevent outbreaks. Despite national guidance emphasising infection prevention and control competence, workforce pressures, limited specialist capacity and barriers such as infectious presenteeism impede early detection and reporting. This article integrates local system learning from Northumberland and North Tyneside and discusses infectious presenteeism in private care homes. The article also illustrates clearly how community and adult social care staff from a variety of settings contribute to infection prevention and control and outlines structures that support timely action. Essential components include continuous training tailored to community settings, clearly defined reporting pathways with supportive leadership, and collaborative partnerships that integrate community staff observations into public health action. Building capability, opportunity and motivation among the community workforce is central to sustainable infection prevention and control practice. The article concludes with recommendations for nursing practice and service leaders to strengthen early detection, reporting mechanisms and organisational cultures that support proactive infection control.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 4","pages":"168-172"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575704","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
What influences the nurses' role and identity in health promotion? A narrative review. 影响护士在健康促进中的角色和身份的因素是什么？叙述性评论
British Journal of Community Nursing Pub Date : 2026-04-02 Epub Date: 2026-03-30 DOI: 10.12968/bjcn.2025.0187
Pamela Donaghy, Jane Griffiths, Christine Greenhalgh, Arpana Verma
{"title":"What influences the nurses' role and identity in health promotion? A narrative review.","authors":"Pamela Donaghy, Jane Griffiths, Christine Greenhalgh, Arpana Verma","doi":"10.12968/bjcn.2025.0187","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0187","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization has highlighted the central role of nurses in reducing health inequality, while the NHS Fit for the Future Plan emphasises prevention and reinforces the need to strengthen nurses' health-promoting identity.</p><p><strong>Aims: </strong>This narrative review examined the factors that influence nurses' health promotion practice and identity.</p><p><strong>Methods: </strong>The literature search was guided by the sample, phenomenon of interest, design, evaluation and research type framework, reflecting the exploratory nature of this narrative review. A total of 17 articles, published between 1995 and 2025, were included, spanning diverse geographical contexts, methodologies and publication types.</p><p><strong>Results: </strong>Three themes emerged as influencing nurses' engagement in health promotion: education, organisational culture and personal values.</p><p><strong>Conclusions: </strong>There remains a significant gap in empirical research on how nurses develop and sustain a health-promoting identity within complex healthcare environments.</p><p><strong>Implications for practice: </strong>Better understanding the factors that shape and sustain a nurse's identity as a health promoter is particularly relevant in community nursing, where health promotion forms a critical aspect of practice in supporting patients with long-term conditions, preventing avoidable hospital admissions and addressing the needs of communities.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 4","pages":"174-184"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575721","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
Caring beyond walls: hosting a global conference in London. 墙外关怀：在伦敦举办全球会议。
British Journal of Community Nursing Pub Date : 2026-04-02 Epub Date: 2026-03-30 DOI: 10.12968/bjcn.2026.0039
Mark Millar
{"title":"Caring beyond walls: hosting a global conference in London.","authors":"Mark Millar","doi":"10.12968/bjcn.2026.0039","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0039","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 4","pages":"160"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575690","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 nursing in Wales: policy, practice and future direction. 威尔士地区护理：政策、实践和未来方向。
British Journal of Community Nursing Pub Date : 2026-04-02 Epub Date: 2026-03-30 DOI: 10.12968/bjcn.2026.0047
Paul Labourne
{"title":"District nursing in Wales: policy, practice and future direction.","authors":"Paul Labourne","doi":"10.12968/bjcn.2026.0047","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0047","url":null,"abstract":"<p><p>District nursing in Wales has undergone significant transformation over the past decade, shaped by demographic pressures, legislative drivers and a strategic shift toward integrated place-based care. Operating within a population of 3.2 million - characterised by slower population growth and an older age profile than other UK nations - district nursing services now form a critical component of the integrated community care system. This article explores the evolving policy landscape, the implementation of neighbourhood-based models, the integration of data and digital systems, and the challenges and opportunities facing the future district nursing workforce in Wales. It highlights how district nurses deliver population health value and system resilience, positioning them as essential to the long-term sustainability of NHS Wales.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 4","pages":"191-194"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575672","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 use of translator and interpreter applications in community nursing practice. 翻译在社区护理实践中的应用。
British Journal of Community Nursing Pub Date : 2026-04-02 Epub Date: 2026-03-30 DOI: 10.12968/bjcn.2026.0009
Jacqueline Chang
{"title":"The use of translator and interpreter applications in community nursing practice.","authors":"Jacqueline Chang","doi":"10.12968/bjcn.2026.0009","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0009","url":null,"abstract":"<p><p>England and Wales have an increasingly large number of people for whom English is not their first language. This impacts healthcare delivery, as the communication barrier has an impact on taking medical history and, consequently, the care that is delivered. NHS policy states that professional interpretation and translation services should be used, but this is not always practical. In practice, many healthcare professionals use translation apps on their phones. This approach has both strengths and weaknesses, and although they can help communication, they also have the potential to allow harm to occur.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 4","pages":"185-188"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575708","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
Good antimicrobial stewardship needs to extend beyond antibiotics. 良好的抗菌素管理需要扩展到抗生素之外。
British Journal of Community Nursing Pub Date : 2026-04-02 Epub Date: 2026-03-30 DOI: 10.12968/bjcn.2026.0026
Alison While
{"title":"Good antimicrobial stewardship needs to extend beyond antibiotics.","authors":"Alison While","doi":"10.12968/bjcn.2026.0026","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0026","url":null,"abstract":"<p><p>This article discusses antimicrobial resistance, an escalating global health threat that is making infections harder to treat and increasing the risk of severe illness and death. While policy efforts have largely focused on antibiotic resistance, invasive fungal diseases are rising worldwide, with limited diagnostics, few new treatments in development and growing antifungal resistance posing an urgent but often overlooked challenge.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 4","pages":"189-190"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575717","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
Lymphoedema care in focus. 淋巴水肿护理重点。
British Journal of Community Nursing Pub Date : 2026-03-02 Epub Date: 2026-02-26 DOI: 10.12968/bjcn.2026.0005
Rida Fazal
{"title":"Lymphoedema care in focus.","authors":"Rida Fazal","doi":"10.12968/bjcn.2026.0005","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0005","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 3","pages":"152"},"PeriodicalIF":0.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311042","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
Assessing and managing delirium in terminally ill adults in the community. 社区中晚期成人谵妄的评估和管理。
British Journal of Community Nursing Pub Date : 2026-03-02 Epub Date: 2026-02-26 DOI: 10.12968/bjcn.2025.0159
Anne Finucane, Elizabeth Arnold, Scott Mcildowie, Hilary Nailon, Juliet Spiller
{"title":"Assessing and managing delirium in terminally ill adults in the community.","authors":"Anne Finucane, Elizabeth Arnold, Scott Mcildowie, Hilary Nailon, Juliet Spiller","doi":"10.12968/bjcn.2025.0159","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0159","url":null,"abstract":"<p><p>Delirium is a complex and serious neuropsychiatric syndrome that causes an acute disturbance in attention, awareness and cognition. It is common among people with a terminal illness, especially as the end of life approaches. Delirium can cause distressing symptoms, significant carer burden, acute hospital admission and increased mortality. Identifying delirium early is important because it increases the person's chance of recovery and enables better management in line with their preferences. This article discusses how to assess and manage delirium in terminally ill people cared for in community settings. It also highlights resources that may be of value to community nurses who play a key role in palliative care.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 3","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311009","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 role and importance of the district nurse in managing patients who self-neglect. 区护士在管理自我忽视患者中的作用和重要性。
British Journal of Community Nursing Pub Date : 2026-03-02 Epub Date: 2026-02-26 DOI: 10.12968/bjcn.2025.0198
Tara Tomassi
{"title":"The role and importance of the district nurse in managing patients who self-neglect.","authors":"Tara Tomassi","doi":"10.12968/bjcn.2025.0198","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0198","url":null,"abstract":"<p><p>Self-neglect among individuals living in the community presents a significant and growing challenge for health and social care services. District nurses are often at the forefront of identifying and managing these complex cases, providing essential assessment, intervention and ongoing monitoring. However, the multifaceted nature of self-neglect, encompassing physical, psychological and social factors, means that district nurses alone cannot meet all their needs. This article explores the role of the district nurse in managing patients who self-neglect, highlighting the ethical issues and safeguarding responsibilities that nurses need to consider. The article argues that a multidisciplinary approach is essential to ensure coordinated and patient-focused care. To strengthen community service collaboration, the author recommends the implementation of regular monthly multidisciplinary team meetings to review complex cases and enhance communication between health and social care professionals in the community.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 3","pages":"116-120"},"PeriodicalIF":0.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311000","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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