British Journal of Community Nursing最新文献

{"title":"Oral health in palliative care: bridging guidance and reality.","authors":"Swapnil Ghotane, Jennifer E Gallagher, Ben Bowers","doi":"10.12968/bjcn.2026.0093","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0093","url":null,"abstract":"<p><p>Oral health is often neglected within palliative care where symptoms such as dry mouth, oral pain and swallowing difficulty undermine comfort, communication and nutrition. This reflection explores the challenges and opportunities for implementing oral health guidance in practice.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 7","pages":"349-351"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377287","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":"Chronic obstructive pulmonary disease: identifying and managing complications and multimorbidity.","authors":"Beverley Bostock","doi":"10.12968/bjcn.2026.0097","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0097","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease is a progressive, multisystem condition associated with substantial morbidity, mortality and healthcare burden. In the UK, and worldwide, it remains a leading cause of death, with smoking and environmental exposures as primary risk factors. Community nurses play a pivotal role in coordinating integrated care, supporting self‑management, addressing polypharmacy and acting as a key conduit between patients, families and multidisciplinary teams.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 7","pages":"318-321"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377327","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":"Murmuration in adaptive district nursing.","authors":"Paul Labourne","doi":"10.12968/bjcn.2026.0095","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0095","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 7","pages":"308"},"PeriodicalIF":0.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377284","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":"The language of palliative care.","authors":"Dion Smyth","doi":"10.12968/bjcn.2026.0079","DOIUrl":"10.12968/bjcn.2026.0079","url":null,"abstract":"<p><p>As the 2026 world cup brings the world together through football, it shows sport as a shared global language. This article discusses the complex language of palliative care and how its significane is not widely understood or acknowledged. The author also talks about cultural differences and how they affect awareness, access and equity in care.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 6","pages":"302"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043125","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":"Green space: luxury or necessity?","authors":"Cate Wood","doi":"10.12968/bjcn.2026.0083","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0083","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 6","pages":"256-257"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044176","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":"When care causes harm: breach of duty, causation and what happens when things go wrong.","authors":"Edward Baker","doi":"10.12968/bjcn.2026.0078","DOIUrl":"10.12968/bjcn.2026.0078","url":null,"abstract":"<p><p>This article focuses on the legal frameworks in the UK that underpin how allegations of clinical negligence are legally assessed and managed. Key terminology and concepts including duty of care, breach of duty, causation and harm are explored. The author also discusses the important role of expert nursing witnesses in supporting legal teams in the assessment of clinical negligence allegations.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 6","pages":"299-301"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043900","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":"When technology meets teamwork: transforming complex diabetes care with hybrid closed-loop systems.","authors":"Katie Hards","doi":"10.12968/bjcn.2025.0190","DOIUrl":"10.12968/bjcn.2025.0190","url":null,"abstract":"<p><strong>Background: </strong>Individuals who meet the eligibility criteria for hybrid closed loop technology may not all have equal access, especially those outside conventional acute care pathways. This is particularly the case for people with type 1 diabetes, supported by district nursing services.</p><p><strong>Aims: </strong>This case study discusses the implementation of hybrid closed loop systems for managing blood glucose levels in type 1 diabetes according to the National Institute for Health and Care Excellence TA 943 guideline.</p><p><strong>Case description: </strong>The patient was a 59-year-old man with a long history of type 1 diabetes. He had experienced a traumatic brain injury in 1997 that had a significant impact on his cognitive abilities and resulted in a significant loss of decision-making capacity regarding his diabetes management. This necessitated daily visits from district nurses for insulin administration and capillary blood glucose level checks. Although eligible for a hybrid closed loop system, he was unable to access it because the district nursing team delivered his insulin.</p><p><strong>Outcomes: </strong>Glycaemic control and quality of life improved significantly, demonstrating the feasibility of implementing hybrid closed loop systems for patients with complex needs.</p><p><strong>Conclusions: </strong>The successful implementation of hybrid closed loop system indicates the potential of this approach in enhancing diabetes care. This case study presents a unique collaborative model between acute and district nursing teams, which can broaden access to hybrid closed loop systems and improve outcomes in diabetes management, even in the face of existing inequalities driven by workforce limitations and knowledge gaps.</p><p><strong>Implications for practice: </strong>The success of initiating hybrid closed loop systems in a community setting, supported by a diversified acute diabetes service and an upskilled district nursing team, demonstrates that access can be broadened with targeted efforts. This implies that the integration and collaboration of community and acute care teams are not only feasible but also crucial in bridging care gaps.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 6","pages":"286-293"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043861","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 district nursing through advanced nurse practitioners: a scoping review.","authors":"Suzanne Rogan","doi":"10.12968/bjcn.2025.0144","DOIUrl":"10.12968/bjcn.2025.0144","url":null,"abstract":"<p><strong>Background: </strong>The advanced nurse practitioner district nurse is a relatively new role in district nursing services in Northern Ireland. A solid evidence base is a prerequisite for district nurses, who need to be able to demonstrate their specific contributions to primary care and support the development of future advanced nursing roles within the specialty.</p><p><strong>Aims: </strong>This scoping review aimed to gain a greater comprehension of the advanced nurse practitioner role, and its contribution to the district nursing service needs, by identifying and evaluating the existing evidence.</p><p><strong>Methods: </strong>The search strategy was based on the population, concept and context framework. The primary search focused on CINAHL, Medline and Scopus. International, national and regional primary and secondary research was included. The keywords used for the literature search included: advanced nurse practitioner; advanced practice; community health nursing and district nursing.</p><p><strong>Results: </strong>From 1790 identified records, 24 duplicates were removed and 1766 titles were screened, resulting in 13 studies included in the final scoping review following application of inclusion and exclusion criteria, date limits (2019-2023), and full-text eligibility screening. Three major themes emerged: role clarity; role preparation, development and implementation; and role value and support. The themes were inextricably related and linked to answering the research question and study objectives.</p><p><strong>Conclusions: </strong>The review identified a distinct lack of research on the role of the advanced nurse practitioner in district nursing practice, despite the comprehensive and broad search strategy. However, the evidence can be mapped in the context of local impact and within the district nursing service.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 6","pages":"272-285"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044130","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":"Urinary incontinence products and innovation in care.","authors":"Sarah Jane Palmer","doi":"10.12968/bjcn.2026.0031","DOIUrl":"10.12968/bjcn.2026.0031","url":null,"abstract":"<p><p>Urinary incontinence can have a significant impact on a person's emotional wellbeing and overall quality of life. For community nurses, product selection and reassessment are essential to meet the needs of the patient with incontinence. This involves the judicious use of absorbent products and emerging monitoring technologies. This article summarises current containment options, reviews recent research on technological innovations and explores implications for community nursing practice.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 6","pages":"268-270"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043147","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":"Effectiveness of a comprehensive exercise programme for lower limb lymphoedema: a case study.","authors":"Risa Fukuda","doi":"10.12968/bjcn.2025.0090","DOIUrl":"10.12968/bjcn.2025.0090","url":null,"abstract":"<p><strong>Background: </strong>Exercise therapy has been proposed as a complementary intervention to improve physical function and potentially support lymphatic flow. However, few studies have demonstrated the efficacy of exercise therapy for lower-extremity lymphoedema.</p><p><strong>Aims: </strong>This case study describes the outcomes of a comprehensive exercise programme for a patient with lower-extremity lymphoedema following uterine cancer surgery.</p><p><strong>Case description: </strong>A comprehensive exercise programme was implemented to examine the changes in limb circumference, body composition, muscle strength and quality of life before and after the intervention. The patient had undergone an extensive hysterectomy and lymph node dissection for uterine cancer in 2011. She developed lymphoedema in the left lower extremity in 2016.</p><p><strong>Outcome: </strong>There were no changes in limb circumference or muscle mass on either the affected or healthy side before and after the 3-month intervention. However, muscle strength increased during extension and flexion of the healthy knee. Quality of life scores increased in the social functioning domain.</p><p><strong>Conclusions: </strong>The observed increase in muscle strength and improvement in social functioning scores indicate that an extensive exercise programme may reduce the burden of daily living.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 6","pages":"258-262"},"PeriodicalIF":0.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044110","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}