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British Journal of Community Nursing最新文献

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Back to basics. 回到基础。
British Journal of Community Nursing Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.12968/bjcn.2026.0081
Anna Ingleby
{"title":"Back to basics.","authors":"Anna Ingleby","doi":"10.12968/bjcn.2026.0081","DOIUrl":"https://doi.org/10.12968/bjcn.2026.0081","url":null,"abstract":"","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 Sup6","pages":"S4"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057180","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 across diverse skin tones in the community nursing context: a critical narrative analysis. 社区护理背景下不同肤色的伤口护理：批判性叙事分析。
British Journal of Community Nursing Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.12968/bjcn.2025.0242
Vittoria Sorice, Gerri Mortimore, Jill Gould
{"title":"Wound care across diverse skin tones in the community nursing context: a critical narrative analysis.","authors":"Vittoria Sorice, Gerri Mortimore, Jill Gould","doi":"10.12968/bjcn.2025.0242","DOIUrl":"10.12968/bjcn.2025.0242","url":null,"abstract":"<p><p>Wound assessment in the UK community setting remains heavily reliant on visual cues, such as erythema, which are unreliable in darker skin tones. This continued reliance on a light-skin norm represents a form of hidden systemic bias that risks delayed diagnosis and avoidable harm for a growing segment of the population. This article draws on empirical and conceptual literature to develop a critical narrative analysis of how skin tone diversity affects wound assessment, diagnosis and management in UK community nursing practice. It synthesises evidence on diagnostic delays, critiques the inadequacy of the blanching test and outlines a multisensory, equity-focused assessment framework. By proposing strategies across clinical practice, education and policy, this article challenges the status quo, arguing that true safety requires not just new tools but the dismantling of embedded racial biases within healthcare structures.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 Sup6","pages":"S30-S38"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057139","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
Assessment and diagnosis of leg ulceration. 腿部溃疡的评估与诊断。
British Journal of Community Nursing Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.12968/bjcn.2026.0089
Sylvie Hampton
{"title":"Assessment and diagnosis of leg ulceration.","authors":"Sylvie Hampton","doi":"10.12968/bjcn.2026.0089","DOIUrl":"10.12968/bjcn.2026.0089","url":null,"abstract":"<p><p>Leg ulceration is a complex clinical presentation; accurate assessment and diagnosis are essential to ensure safe and effective treatment. Misdiagnosis can result in delayed healing, unmanaged pain, inappropriate use of compression therapy and avoidable complications. The Lindsay Leg Club Foundation supports both nurses and patients by promoting evidence-based education and social engagement. Ongoing professional development is essential to improve diagnostic competence and reduce variation in care.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 Sup6","pages":"S41-S42"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057192","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 reflective journey: time has been the greatest teacher. 一次反思之旅：时间是最伟大的老师。
British Journal of Community Nursing Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.12968/bjcn.2026.0080
Ellie Lindsay
{"title":"A reflective journey: time has been the greatest teacher.","authors":"Ellie Lindsay","doi":"10.12968/bjcn.2026.0080","DOIUrl":"10.12968/bjcn.2026.0080","url":null,"abstract":"<p><p>Over the past years, my nursing journey has been one of quiet reflection, where time has truly been my greatest teacher. In the beginning, I thought nursing was about getting everything right, but time has taught me that it is more about being present, listening deeply and caring wholeheartedly. Each patient, each family and each passing year has shaped me, as I have learned that compassion often speaks louder than words, and that even in the busiest moments, it is the smallest gestures that leave the deepest impact. Looking back, I see a lifetime of shared humanity for which no textbook could ever prepare me.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 Sup6","pages":"S39-S40"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057130","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
Cleaning and debridement in wound care: a review of wound infection management and the role of multidimensional dressings. 伤口护理中的清洁和清创：伤口感染管理的综述和多维敷料的作用。
British Journal of Community Nursing Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.12968/bjcn.2025.0243
Valerie Edwards-Jones
{"title":"Cleaning and debridement in wound care: a review of wound infection management and the role of multidimensional dressings.","authors":"Valerie Edwards-Jones","doi":"10.12968/bjcn.2025.0243","DOIUrl":"10.12968/bjcn.2025.0243","url":null,"abstract":"<p><p>Following injury, most wounds resolve without any complication. However, if healing is impeded then the wound can become chronic and persist in a non-healing state for months, and even years in some cases. Globally, the majority of chronic wounds have biofilm present that does not resolve unless disrupted. Slough and devitalised tissue need to be removed as they act as a nidus for the biofilm. This article summarises the current methods available for cleaning and debridement and discusses topical antimicrobial treatments used to reduce bioburden.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 Sup6","pages":"S22-S28"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057141","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
Case series evaluating the performance of two superabsorbent dressings combined with cohesive two-layer compression bandages for the treatment of highly exuding venous leg ulcers. 两种高吸水性敷料联合粘结性双层压缩绷带治疗高渗出静脉性腿部溃疡的病例系列评价。
British Journal of Community Nursing Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.12968/bjcn.2025.0196
Laura E Leitch
{"title":"Case series evaluating the performance of two superabsorbent dressings combined with cohesive two-layer compression bandages for the treatment of highly exuding venous leg ulcers.","authors":"Laura E Leitch","doi":"10.12968/bjcn.2025.0196","DOIUrl":"10.12968/bjcn.2025.0196","url":null,"abstract":"<p><strong>Background: </strong>Venous leg ulcers are highly exuding and require compression, which challenges a dressing to absorb while being compressed.</p><p><strong>Aims: </strong>This study compares exudate management on venous leg ulcers with different superabsorbent dressings used in combination with compression therapy.</p><p><strong>Methods: </strong>This wound care improvement feasibility study is a case series of 10 patients with highly exuding venous leg ulcers. The authors followed the progress of patients for 2 weeks with a standardised superabsorbent dressing, then switched to a different superabsorbent dressing for 4 weeks while using the same compression system in both care periods. They recorded frequency of care, dressing size, dressing weight at removal, leakage, maceration, wound size and patient comfort.</p><p><strong>Findings: </strong>Superabsorbent dressings varied in performance for the management of exudate under compression.</p><p><strong>Conclusions: </strong>Better exudate management helps to manage periwound maceration and may potentially facilitate healing. This may shorten the duration of care, improve patient quality of life and could potentially reduce costs.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"31 Sup6","pages":"S6-S15"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057211","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
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":"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":"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":"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
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