British Journal of Community Nursing最新文献

{"title":"Beyond workforce: reclaiming nursing as care.","authors":"Cate Wood","doi":"10.12968/bjcn.2026.0115","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0115","url":null,"abstract":"<p><p>This article discusses the importance of reclaiming nursing as a profession, rather than a workforce alone. The author talks about sustained attention to relationships, professional judgement, and the everyday work that holds care together, while highlighting the role of leadership.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 8","pages":"386-388"},"PeriodicalIF":0.0,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148620925","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":"Stoma products, diet support and complication awareness for community care.","authors":"Jennie Burch","doi":"10.12968/bjcn.2026.0111","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0111","url":null,"abstract":"<p><p>Managing stomas in the community requires a knowledge of stoma products, what the products are, when the products should be used and how to effectively use them. This articles discusses the products in detail and the possible complications associated with improper use. Diet also plays a crucial role and community nurses are often asked for advice by their patients. The author also explore the role of community nurses in ensuring that people living with a stoma do not feel isolated and that their quality of life is not impacted.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 8","pages":"364-367"},"PeriodicalIF":0.0,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621030","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":"Opioid use in end-of-life care: balancing efficacy and risk.","authors":"Jacqueline Chang","doi":"10.12968/bjcn.2025.0176","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0176","url":null,"abstract":"<p><p>The care and symptom management a person receives at the end of life plays a significant role in maintaining comfort and dignity. This article explores the role of opioids in managing pain at the end of life, discusses common adverse effects and opioid toxicity, examines ethical and legal considerations surrounding opioid administration, and highlights the importance of person-centred assessment.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 8","pages":"389-392"},"PeriodicalIF":0.0,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621042","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":"Transanal irrigation for the management of faecal incontinence and constipation: case studies.","authors":"Debbie Lawrence","doi":"10.12968/bjcn.2025.0162","DOIUrl":"10.12968/bjcn.2025.0162","url":null,"abstract":"<p><p>Transanal irrigation is a conservative bowel management treatment that allows washout of the lower bowel, descending colon, up to the splenic flexure, and is used as an alternative to surgery. This article gives a brief introduction of the procedure and discusses how it can be performed at home with the help of carers or community nursing teams. The author also details two case studies where the use of transanal irrigation improved patients' bowel routine and had a significant positive impact on quality of life. With appropriate patient selection, education, and follow-up, transanal irrigation supports long-term adherence and promotes patient autonomy in bowel management.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 8","pages":"374-377"},"PeriodicalIF":0.0,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621632","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":"Renal nutrition knowledge among haemodialysis patients: a multicentre cross-sectional study.","authors":"Saman Agad Hashim, Mohd Yusof Barakatun-Nisak, Mohammed Younus Naji Al Atbee","doi":"10.12968/bjcn.2025.0178","DOIUrl":"10.12968/bjcn.2025.0178","url":null,"abstract":"<p><strong>Background/aims: </strong>Significant gaps in nutritional knowledge exist among haemodialysis patients, representing a critical opportunity for community nursing intervention. This study aimed to assess renal-specific nutrition knowledge among haemodialysis patients in Southern Iraq, with implications for community nursing practice.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 240 haemodialysis patients (median age 52 years) in Basrah, selected via Stratified random sampling. Knowledge was assessed using a piloted questionnaire, focusing on phosphorus, potassium and sodium intake. IBM SPSS Statistics 25 was used to analyse data. Data were summarised using means and percentages, and examined for group differences and correlations.</p><p><strong>Results: </strong>Low knowledge levels were prevalent among haemodialysis patients (64.2%). Patients aged 40 years or older demonstrated significantly higher knowledge scores than their younger counterparts (<i>P</i><0.001). Furthermore, higher income was positively correlated with greater knowledge (r=0.165, <i>P</i>=0.011), indicating the influence of socioeconomic status.</p><p><strong>Conclusions: </strong>Significant gaps in nutritional knowledge exist among haemodialysis patients, particularly younger individuals and those with lower incomes. These findings highlight a critical opportunity for community nurses and nutritionists to take a proactive role in dietary education and support.</p><p><strong>Implications for practice: </strong>Community nurses can substantially improve dietary management and patient outcomes in renal failure by integrating routine nutritional assessments during home visits, developing tailored educational strategies for different age groups and advocating for resources to support patients with financial constraints.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 8","pages":"396-404"},"PeriodicalIF":0.0,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621035","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":"Frailty and falls in older adults: risk assessment and management for community nurses.","authors":"Stacey Louise Finlay, Adam Milligan, Stephanie Craig","doi":"10.12968/bjcn.2026.0023","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0023","url":null,"abstract":"<p><p>Frailty and falls are highly prevalent among community-dwelling older adults and are linked through a bidirectional relationship that increases the risk of injury, hospitalisation, functional decline and mortality. Community nurses play a central role in early identification and prevention. This article examines the relationship between frailty and falls, and outlines practical approaches to risk assessment and management in community nursing practice. The authors present a clinically focused synthesis of contemporary evidence and national guidance relating to frailty and falls in community-dwelling older adults. The evidence indicates that frailty is a modifiable and independent risk factor for falls and adverse outcomes. Integrating frailty assessment within multifactorial falls risk assessment, including assessment of orthostatic hypotension and medication-related risk, enables more targeted and person-centred interventions. Comprehensive Geriatric Assessment offers a practical framework for addressing shared risk factors. Addressing frailty should be regarded as a core strategy for effective falls prevention in community-dwelling older adults.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 7","pages":"334-341"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377340","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":"Incontinence, health disparities and healthcare complexities.","authors":"Anne Marie Kelly","doi":"10.12968/bjcn.2025.0204","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0204","url":null,"abstract":"<p><p>Individuals may experience differences, discrepancies, disparities and inequalities in the health services available or accessible to them. Urinary incontinence is a health condition that still lacks public awareness and acknowledgement, despite its negative impact on quality of life. Disparity of services for individuals who experience urinary incontinence may result in exacerbation of clinical symptoms. This disparity may be multifactorial, ranging from lack of knowledge about continence promotion to insufficient proactive incontinence management strategies.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 7","pages":"342-348"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377243","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":"Hardiness and care-related stress in Iranian Alzheimer's caregivers: a cross-sectional study.","authors":"Hamid Sharif-Nia, Lida Hosseini, Long She, Erika Sivarajan Froelicher","doi":"10.12968/bjcn.2025.0136","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0136","url":null,"abstract":"<p><strong>Background: </strong>Caring for individuals with Alzheimer's disease is widely recognised as a demanding and stressful responsibility. Caregivers' experiences largely depend on their ability to manage caregiving stress and cope effectively.</p><p><strong>Aims: </strong>This study examined the relationships between care stressors and care challenges with hardiness among family caregivers, considering the mediating role of care stress management.</p><p><strong>Methods: </strong>A cross-sectional study design was used. A total of 435 Iranian family caregivers completed an online survey between July and December 2021. Data were collected on demographics, hardiness, care challenges, care stressors and care stress management scales. Pearson's correlation and path analysis were used to examine associations and mediation effects between variables. In addition to significance testing, effect sizes were calculated for all correlations (Pearson's <i>r</i>) and path coefficients (b) to quantify the strength of associations.</p><p><strong>Results: </strong>The mean age of participants was 50.26 years (standard deviation=13.24). Care challenges showed a strong positive correlation with care stressors (<i>r</i>=0.798, <i>P</i><0.001) and negative correlations with care stress management (<i>r</i>=-0.287, <i>P</i><0.001) and hardiness (<i>r</i>=-0.392, <i>P</i><0.001). Care stressors also negatively correlated with care stress management (<i>r</i>=-0.312, <i>P</i><0.001) and hardiness (<i>r</i>=-0.304, <i>P</i><0.001). In contrast, care stress management showed a positive correlation with hardiness (<i>r</i>=0.525, <i>P</i>< 0.001). Path analysis indicated that care stress management had a positive direct association with hardiness and mediated the indirect association between care challenges and hardiness.</p><p><strong>Conclusions: </strong>Based on the results, approximately 85% of the variance in hardiness was explained by care stress management, care challenges and care stressors.</p><p><strong>Implications for practice: </strong>The findings of this study may help nursing professionals to develop interventions that improve the hardiness of family caregivers and provide them with the necessary skills to manage the stressors associated with caregiving. This can lead to better health outcomes for both the caregivers and patients.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 7","pages":"322-332"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377256","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":"Navigating the complexities of alcohol use in patient care.","authors":"Dion Smyth","doi":"10.12968/bjcn.2026.0105","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0105","url":null,"abstract":"<p><p>This article discusses the importance of a non-judgemental approach to palliative care nursing for patients who are alcohol dependent.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 7","pages":"352"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377246","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":"Living alone with diabetes: a phenomenological study.","authors":"Sovia Susianty, Fitri Mailani, Ira Sari, Danielle Le Lagadec, Colleen Johnston-Devin","doi":"10.12968/bjcn.2025.0230","DOIUrl":"https://doi.org/10.12968/bjcn.2025.0230","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus, particularly type 2 diabetes, is a growing global health burden requiring effective long-term self-management. Behaviours such as diet, physical activity, medication adherence and glucose monitoring are strongly influenced by cultural beliefs, social support and family involvement. However, limited evidence exists on how individuals living alone manage their diabetes, particularly in communal settings.</p><p><strong>Aims: </strong>This research explores how older people living alone in Western Sumatra manage their type 2 diabetes mellitus.</p><p><strong>Methods: </strong>A phenomenological design was used, with reporting according to the Consolidated Criteria for Reporting Qualitative Research. Seven individual interviews were conducted with older adults with type 2 diabetes mellitus who lived alone. The Colaizzi method of data analysis was used.</p><p><strong>Findings: </strong>Five themes emerged: living alone is a choice; support is available in many forms; strategies to cope; cultural beliefs and practices; and accessing healthcare services.</p><p><strong>Conclusions: </strong>Living alone empowers older people to make decisions about their diabetes self-management based on their knowledge of diabetes and traditional beliefs. However, they rely on family, friends, neighbours and healthcare professionals for support. This population would benefit from authentic, culturally appropriate solutions to manage their daily challenges.</p><p><strong>Implications for practice: </strong>Since social support and living arrangements vary among people with diabetes, individual preferences must be considered and incorporated into nursing and health professional care plans.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 7","pages":"309-316"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377281","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}