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British Journal of Community Nursing最新文献

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Beyond substitution: advanced primary care nursing for population health. 超越替代：人口健康高级初级保健护理。
British Journal of Community Nursing Pub Date : 2026-09-02 DOI: 10.12968/bjcn.2026.0090
Nia Boughton
{"title":"Beyond substitution: advanced primary care nursing for population health.","authors":"Nia Boughton","doi":"10.12968/bjcn.2026.0090","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0090","url":null,"abstract":"<p><p>Advanced practice roles in primary care have often emerged in response to workforce pressures and service instability, with medical substitution acting as an initial driver. While these origins are important to acknowledge, focusing on substitution alone risks under representing the contributions that advanced primary care nursing makes towards contemporary healthcare challenges. This article argues that advanced primary care nursing has evolved into an integrative, system level form of practice, shaped by population need rather than task equivalence. Drawing on concepts of continuity, relational accountability and longitudinal clinical reasoning, the article explores how advanced nursing practice supports safe and co-ordinated care over time, particularly for populations experiencing complexity, frailty and health inequality. It suggests that the primary value of advanced primary care nursing lies not in role replacement, but in its capacity to hold care together across time, transitions and uncertainty. Recognising and scaling this contribution is essential if primary care is to improve population health outcomes and address deep seated inequality.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 9","pages":"446-448"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881962","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
Smoke and mirrors are making people cynical. 烟雾和镜子使人们变得愤世嫉俗。
British Journal of Community Nursing Pub Date : 2026-09-02 DOI: 10.12968/bjcn.2026.0103
Alison While
{"title":"Smoke and mirrors are making people cynical.","authors":"Alison While","doi":"10.12968/bjcn.2026.0103","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0103","url":null,"abstract":"<p><p>This article discusses the government's initiatives to make the NHS more efficient through digitalisation and reducing waiting lists, and explores the unintended barriers to care created by these moves.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 9","pages":"454-455"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881876","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
Continence promotion in health education and community outreach programmes. 在卫生教育和社区外展方案中促进自制。
British Journal of Community Nursing Pub Date : 2026-09-02 DOI: 10.12968/bjcn.2026.0125
Myra Robson, Amarachi Olu
{"title":"Continence promotion in health education and community outreach programmes.","authors":"Myra Robson, Amarachi Olu","doi":"10.12968/bjcn.2026.0125","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0125","url":null,"abstract":"<p><p>Incontinence is a highly stigmatised condition that can significantly impact an individual's quality of life, yet few people seek proper assessment and treatment. Therefore, outreach events aimed at specific or general patient groups can play a crucial role in creating awareness of the condition. This article discusses some of the principles behind health promotion and outreach activities, and the importance of health literacy. It suggests some questions to consider when planning outreach activities and ideas of possible events. Two case studies from the authors' community service have been included as examples.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 9","pages":"440-444"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881971","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 cost and reward of providing student placements: balancing investment and impact. 提供学生实习的成本和回报：平衡投资和影响。
British Journal of Community Nursing Pub Date : 2026-09-02 DOI: 10.12968/bjcn.2025.0106
James Edward Hill, Corrie Llewellyn, Samantha Jefferies, Dannii Jones
{"title":"The cost and reward of providing student placements: balancing investment and impact.","authors":"James Edward Hill, Corrie Llewellyn, Samantha Jefferies, Dannii Jones","doi":"10.12968/bjcn.2025.0106","DOIUrl":"10.12968/bjcn.2025.0106","url":null,"abstract":"<p><p>Student placements are a key component of healthcare professionals' development as it provides them with real-world experience, knowledge and practical skills. However, while there is a perceived cost to healthcare services when taking on students, there may also be benefits. This commentary critically appraises a systematic review that examines both perspectives - the potential service benefits and the associated staffing requirements.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 9","pages":"434-439"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881902","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
Artificial intelligence adoption in palliative nursing and the future of person-centred care. 人工智能在姑息护理中的应用和以人为本的护理的未来。
British Journal of Community Nursing Pub Date : 2026-09-02 DOI: 10.12968/bjcn.2026.0130
Dion Smyth
{"title":"Artificial intelligence adoption in palliative nursing and the future of person-centred care.","authors":"Dion Smyth","doi":"10.12968/bjcn.2026.0130","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0130","url":null,"abstract":"<p><p>Threats of workforce displacement and ethical uncertainty accompany the use of artificial intelligence in palliative care and nursing in general. Diminished human connection is also a major concern for healthcare professionals. However, these technologies also offer opportunities to enhance personalised and equitable care.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 9","pages":"456-457"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881905","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
Transforming wound care: the role of AI in achieving clinical and financial outcomes. 改变伤口护理：人工智能在实现临床和财务结果中的作用。
British Journal of Community Nursing Pub Date : 2026-09-02 DOI: 10.12968/bjcn.2026.0014
Jackie Stephen Haynes, James Burford
{"title":"Transforming wound care: the role of AI in achieving clinical and financial outcomes.","authors":"Jackie Stephen Haynes, James Burford","doi":"10.12968/bjcn.2026.0014","DOIUrl":"10.12968/bjcn.2026.0014","url":null,"abstract":"<p><p>Wound care has significant associated challenges in clinical practice, particularly for chronic wounds such as venous leg ulceration, pressure ulceration and diabetic foot ulceration. This article discusses the emerging and current applications of artificial intelligence in wound care, including wound image analysis, infection detection, predictive modelling and decision support systems. The article explores how artificial intelligence technologies are being leveraged to enhance accuracy and efficiency in wound assessment and management. Additionally, the integration of artificial intelligence with mobile health platforms and wearable devices is examined, particularly in the context of telehealth and remote patient monitoring. Consideration is given to the challenges of artificial intelligence including data quality, algorithm bias, ethical concerns and regulatory challenges. Clinicians may be able to apply artificial intelligence safely and effectively to their own clinical practice. Direction for future research is also identified.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 9","pages":"449-453"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881923","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
Beyond nutrition: the district nurse's role in addressing loneliness in enteral tube feeding. 超越营养：地区护士在解决肠内管喂养孤独感中的作用。
British Journal of Community Nursing Pub Date : 2026-09-02 DOI: 10.12968/bjcn.2026.0025
Olivia Bowker
{"title":"Beyond nutrition: the district nurse's role in addressing loneliness in enteral tube feeding.","authors":"Olivia Bowker","doi":"10.12968/bjcn.2026.0025","DOIUrl":"10.12968/bjcn.2026.0025","url":null,"abstract":"<p><p>Enteral tube feeding provides nutritional stability for individuals unable to meet requirements orally. However, the psychosocial consequences of enteral tube feeding, particularly loneliness arising from disrupted social eating practices, remain under-recognised in community care. Eating is a socially and culturally embedded activity linked to identity, belonging and relational connection. For individuals receiving long-term enteral tube feeding, altered participation in shared mealtimes and social rituals may increase vulnerability to isolation despite physiological stability. This article critically appraises district nursing interventions in enteral tube feeding management and examines the leadership role of the district nurse in addressing loneliness as a determinant of health. A review of contemporary literature highlights a predominance of biomedical focus during routine visits and identifies limited structured assessment of psychosocial wellbeing. The integration of the University of California Los Angeles Loneliness Scale is proposed as a pragmatic service innovation to strengthen holistic review processes and facilitate psychosocial assessment in enteral tube feeding management. It represents a district nurse-led opportunity to align nutritional care with broader wellbeing, reinforcing holistic, person-centred community practice.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 9","pages":"414-419"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881959","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
Interdisciplinary community care: emerging developments across European healthcare systems. 跨学科社区护理：欧洲医疗保健系统的新兴发展。
British Journal of Community Nursing Pub Date : 2026-09-02 DOI: 10.12968/bjcn.2025.0245
Giovanni Cangelosi
{"title":"Interdisciplinary community care: emerging developments across European healthcare systems.","authors":"Giovanni Cangelosi","doi":"10.12968/bjcn.2025.0245","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0245","url":null,"abstract":"<p><p>An ageing population, increasingly frail and affected by multiple chronic conditions and the impact of COVID-19 on overall health, has necessitated the acceleration of international territorial healthcare reorganisation. Responses have been adapted to several care settings highlighting the central role of nurses, both in terms of direct care and in organisational and clinical views. Urgent community response initiatives are based on key principles of multidisciplinarity and interprofessional collaboration, which are significant in the context of European healthcare, and could serve as a model for the potential implementation of care processes in other post-COVID-19 crisis scenarios of assistance.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 9","pages":"420-426"},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881965","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
Wound care and the NHS 10-year health plan: aligning clinical innovation with system value. 伤口护理和NHS 10年健康计划：调整临床创新与系统价值。
British Journal of Community Nursing Pub Date : 2026-09-01 Epub Date: 2026-07-11 DOI: 10.12968/bjcn.2026.0091
Richard H Shorney, James Saunders
{"title":"Wound care and the NHS 10-year health plan: aligning clinical innovation with system value.","authors":"Richard H Shorney, James Saunders","doi":"10.12968/bjcn.2026.0091","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0091","url":null,"abstract":"<p><p>The NHS Fit for the Future 10 Year Health Plan published in July 2025, represents the most ambitious structural redesign of the health service for a generation. For wound care, this creates both significant challenges and considerable opportunities. This article examines how wound care products and services can be aligned with the strategic priorities of the 10-year plan, including three systemic shifts, in addition to value-based procurement reform and drug tariff changes. These changes will affect how wound care products already listed on drug tariff are assessed through a renewal process. This is a narrative review of policy documentation, including the 10-year health plan, NHS England procurement guidance and value-based procurement frameworks, supplemented by analysis of pilot programmes and regional exemplars. Wound care is uniquely positioned to demonstrate value across all three of the plan's strategic shifts: from hospital to community, from analogue to digital and from sickness to prevention. Value-based procurement and drug tariff reform offer practical mechanisms for realigning wound care commissioning with system outcomes. Wound care should be repositioned not as a clinical commodity but as a strategic system resource. Organisations and industry partners that can evidence system value, not just clinical efficacy, are best placed to benefit from this NHS transformation.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 Sup9","pages":"S24-S28"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882045","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 quick win for neighbourhood working in England: the Lindsay Leg Club Model delivering for local populations. 英格兰社区工作的快速胜利：林赛腿俱乐部模式为当地人口提供服务。
British Journal of Community Nursing Pub Date : 2026-09-01 Epub Date: 2026-09-02 DOI: 10.12968/bjcn.2026.0107
Alison Holbourn
{"title":"A quick win for neighbourhood working in England: the Lindsay Leg Club Model delivering for local populations.","authors":"Alison Holbourn","doi":"10.12968/bjcn.2026.0107","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0107","url":null,"abstract":"<p><p>The NHS 10-year plan re-emphasises the long-standing policy aspiration for population and place-based approaches to health improvement. The Fit for the Future: 10 Year Health Plan sets out a neighbourhood health service as the practical mechanism for shifting care from hospital to community and from sickness to prevention. There is a gap between known evidence-based approaches to health improvement in community settings and local adoption in service delivery. One of the most underserved populations in any neighbourhood will be those affected by a lower limb condition, people with these conditions are likely to also experience a range of co-morbidities and health inequalities. The Lindsay Leg Club Model is a long-established evidence-based approach that may be implemented in a neighbourhood setting to deliver positive outcomes. Using methods outlined in recent government guidance, integrated commissioning boards can implement the Model within neighbourhood service pathways as a cost-effective high impact approach that expands patient choice, addresses inequalities and facilitates prevention and self-care.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 Sup9","pages":"S37-S39"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881947","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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