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The problem of ultra-processed food in healthcare settings. 医疗机构中的超加工食品问题。
British Journal of Nursing Pub Date : 2024-07-04 DOI: 10.12968/bjon.2024.0203
George Winter
{"title":"The problem of ultra-processed food in healthcare settings.","authors":"George Winter","doi":"10.12968/bjon.2024.0203","DOIUrl":"https://doi.org/10.12968/bjon.2024.0203","url":null,"abstract":"","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493680","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 clinical observational case series evaluation of a superabsorbent dressing on exudating wounds. 对渗液伤口使用超吸收敷料的临床观察病例系列评估。
British Journal of Nursing Pub Date : 2024-06-20 DOI: 10.12968/bjon.2024.0180
Mark Collier
{"title":"A clinical observational case series evaluation of a superabsorbent dressing on exudating wounds.","authors":"Mark Collier","doi":"10.12968/bjon.2024.0180","DOIUrl":"10.12968/bjon.2024.0180","url":null,"abstract":"<p><p>The annual cost to the NHS of managing 3.8 million patients with a wound was estimated in 2020 to be £8.3 billion, of which £5.6 billion was spent on the 30% of wounds that did not heal and £2.7 billion on the 70% of wounds that healed (Guest, 2020). One of the main symptoms associated with chronic 'hard-to-heal' wounds is the production of excess exudate (Atkin et al, 2019). This is due to a prolonged chronic inflammatory response stimulated by a physiological cause. This article describes what exudate is and its importance in the wound healing process, highlighting the consequences of too little or excessive wound exudate associated with any wound. The article goes on to describe a case series observational study involving a range of patients (<i>n</i>=47; 33 male/14 female), aged between 33 and 91 years (mean 67.4 years), with a variety of acute (<i>n</i>=11) and chronic exuding wounds (<i>n</i>=44). In total, 55 wounds of various aetiologies were managed with DryMax Super (a dressing whose design includes superabsorbent polymers) in order to evaluate and report on the absorption and fluid-handling properties of the product.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432991","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
Using a prognostic medical device for early identification of pressure ulcers: protocol for study design. 使用预后医疗设备早期识别压疮：研究设计协议。
British Journal of Nursing Pub Date : 2024-06-20 DOI: 10.12968/bjon.2024.0158
Kim Keltie, Rosalyn Parker, Humayra Dervin, Fania Pagnamenta, Jeanette Milne, Emma Belilios, Lizzy Latimer, James Wason, Emmanuel Ogundimu, Catherine McParlin, Andrew Sims
{"title":"Using a prognostic medical device for early identification of pressure ulcers: protocol for study design.","authors":"Kim Keltie, Rosalyn Parker, Humayra Dervin, Fania Pagnamenta, Jeanette Milne, Emma Belilios, Lizzy Latimer, James Wason, Emmanuel Ogundimu, Catherine McParlin, Andrew Sims","doi":"10.12968/bjon.2024.0158","DOIUrl":"10.12968/bjon.2024.0158","url":null,"abstract":"<p><strong>Background: </strong>An objective, physiological measurement taken using a medical device may reduce the incidence of pressure ulcers through earlier detection of problems signs before visual signs appear. Research in this field is hampered by variations in clinical practice and patient-level confounders.</p><p><strong>Aim: </strong>The authors outline key considerations for designing a protocol for a study to assess the efficacy and safety of a prognostic medical device in reducing pressure ulcer incidence in a hospital, including comparators, randomisation, sample size, ethics and practical issues.</p><p><strong>Method: </strong>Key issues relating to methodology and ethics are considered alongside a theoretical protocol, which could support future researchers in wound care trials.</p><p><strong>Results: </strong>A prospective, three-armed, multi-centre, stratified cluster-randomised controlled trial is proposed. The third arm is recommended as it is expected that patients will need to be moved for the medical device to be used and repositioning is a preventive strategy. A minimum of 16 200 patients in 33 wards would needed to be recruited to achieve statistical significance. Ethical considerations in terms of consent or assent need to be considered.</p><p><strong>Conclusion: </strong>The hypothetical study designed to evaluate the effectiveness of a diagnostic or prognostic medical device in reducing pressure ulcer incidence in secondary care, while accounting for biases, would require large sample sizes and involves risks of inter-operator and inter-device reliability, heterogeneity of users and the vague clinical interpretation of device results. Robust research in this field has the potential to influence or change policy and practice relating to the prevention of pressure ulcers in secondary care.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433007","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
Fitness to practise: improving knowledge. 执业资格：增进知识。
British Journal of Nursing Pub Date : 2024-06-20 DOI: 10.12968/bjon.2024.0171
Sam Foster
{"title":"Fitness to practise: improving knowledge.","authors":"Sam Foster","doi":"10.12968/bjon.2024.0171","DOIUrl":"10.12968/bjon.2024.0171","url":null,"abstract":"<p><p><b>Sam Foster</b>, Executive Director of Professional Practice, Nursing and Midwifery Council, considers how to help members of the public to understand what consitutes a fitness to practise concern.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432995","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
Muscle dysmorphia: an under-recognised aspect of body dissatisfaction in men. 肌肉畸形：男性对身体不满意的一个认识不足的方面。
British Journal of Nursing Pub Date : 2024-06-20 DOI: 10.12968/bjon.2023.0176
Sarah Watters, Agnes Higgins
{"title":"Muscle dysmorphia: an under-recognised aspect of body dissatisfaction in men.","authors":"Sarah Watters, Agnes Higgins","doi":"10.12968/bjon.2023.0176","DOIUrl":"https://doi.org/10.12968/bjon.2023.0176","url":null,"abstract":"<p><p>Although men and women both experience eating disorders such as anorexia nervosa and bulimia nervosa, there are differences in the way their eating disorder may present. Body dissatisfaction or body dysmorphia in men may be more related to a drive for muscularity as opposed to thinness. Muscle dysmorphic disorder (also known as muscle dysmorphia) is a form or subtype of body dysmorphia that is characterised by an extreme desire for muscularity and a preoccupation with the idea that one's physique is too small or not sufficiently muscular. It is more common in men than women and is associated with body image distortion, excessive exercise routines, muscularity-orientated disordered eating and the use of appearance- and performance-enhancing drugs such as anabolic androgenic steroids. Risk factors for muscle dysmorphic disorder include social pressure (including to conform to gender stereotypes) and low self-esteem. The condition has negative psychological, physical, relational and financial effects. Nurses can play a role in health promotion as well as in the assessment, care and referral of men with muscle dysmorphic disorder.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433002","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
Time to consider social care nursing as the fifth field of practice. 是时候将社会护理视为第五个实践领域了。
British Journal of Nursing Pub Date : 2024-06-20 DOI: 10.12968/bjon.2024.0184
Sarah McRae, Margot Whittaker, Michelle Howarth, Shaun Kershaw, Kate Knight, Helen Lord, Debbie Roberts
{"title":"Time to consider social care nursing as the fifth field of practice.","authors":"Sarah McRae, Margot Whittaker, Michelle Howarth, Shaun Kershaw, Kate Knight, Helen Lord, Debbie Roberts","doi":"10.12968/bjon.2024.0184","DOIUrl":"https://doi.org/10.12968/bjon.2024.0184","url":null,"abstract":"","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433006","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
Virtual placements in nursing education. 护理教育中的虚拟实习。
British Journal of Nursing Pub Date : 2024-06-20 DOI: 10.12968/bjon.2024.0183
Barry Hill, Aby Mitchell
{"title":"Virtual placements in nursing education.","authors":"Barry Hill, Aby Mitchell","doi":"10.12968/bjon.2024.0183","DOIUrl":"https://doi.org/10.12968/bjon.2024.0183","url":null,"abstract":"","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433008","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
Engaging nursing students with a behaviour change intervention designed to improve their lifestyle. 让护理专业学生参与旨在改善其生活方式的行为改变干预。
British Journal of Nursing Pub Date : 2024-06-20 DOI: 10.12968/bjon.2022.0230
Daniela Austin, Jon May
{"title":"Engaging nursing students with a behaviour change intervention designed to improve their lifestyle.","authors":"Daniela Austin, Jon May","doi":"10.12968/bjon.2022.0230","DOIUrl":"https://doi.org/10.12968/bjon.2022.0230","url":null,"abstract":"<p><strong>Background: </strong>In common with the general population, nursing students struggle to live a healthy lifestyle.</p><p><strong>Aims: </strong>To recruit students in a behaviour change intervention, using the COM-B model of behaviour change to understand engagement.</p><p><strong>Methods: </strong>Nursing students were invited to complete an online survey assessing height, weight, BMI, physical activity, lifestyle satisfaction, motivation for leading a healthy life, and quality of life. Those identified as overweight or not physically active were offered a webinar and social media site to support setting personal goals and boosting motivation to achieve a healthy lifestyle.</p><p><strong>Findings: </strong>25% of invited students engaged with the interventions, 19% attending a webinar and 19% joining the social media site. No statistically reliable differences between those who engaged and those who did not were identified.</p><p><strong>Conclusion: </strong>Current models of behaviour change do not predict engagement. Interventions may need to be integrated into the curriculum to elicit change.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432994","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
How nurses can apply spiritual care to improve the daily lives of people with learning disabilities and their families. 护士如何运用精神关怀来改善有学习障碍的人及其家人的日常生活。
British Journal of Nursing Pub Date : 2024-06-20 DOI: 10.12968/bjon.2023.0100
Ishmay Jessica Slechta Argles, Sally Arrey
{"title":"How nurses can apply spiritual care to improve the daily lives of people with learning disabilities and their families.","authors":"Ishmay Jessica Slechta Argles, Sally Arrey","doi":"10.12968/bjon.2023.0100","DOIUrl":"10.12968/bjon.2023.0100","url":null,"abstract":"<p><strong>Background: </strong>Most UK nursing research into spirituality overlooks its daily application in certain specialties, notably learning disability nursing.</p><p><strong>Aims: </strong>Tz explore spirituality over the lifespans of people with learning disabilities and how spiritual care affects their quality of life. To provide practical examples for nurses on how to apply spiritual care in their daily practice.</p><p><strong>Methods: </strong>A literature review conducted between January 2002 and July 2022) following recommendations from the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Thomas and Harden's (2008) approach to thematic synthesis was used to structure 10 full-text articles into three key themes.</p><p><strong>Findings: </strong>The three key themes were: the role of the nurse, the impacts on the individual, and family/carer perspectives.</p><p><strong>Conclusion: </strong>The nursing role in using spiritual care encompasses care planning an individual's spiritual activities, facilitating time alone, nurturing values such as self-acceptance, building therapeutic relationships, and advocating for progression in existing social structures and legislation.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432998","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
Heart failure patients' experiences of telerehabilitation. 心力衰竭患者的远程康复体验。
British Journal of Nursing Pub Date : 2024-06-20 DOI: 10.12968/bjon.2024.0078
Julie Devlin, Bernie Reid
{"title":"Heart failure patients' experiences of telerehabilitation.","authors":"Julie Devlin, Bernie Reid","doi":"10.12968/bjon.2024.0078","DOIUrl":"https://doi.org/10.12968/bjon.2024.0078","url":null,"abstract":"<p><p>In the UK, almost 1 million people are living with heart failure, with heart and circulatory diseases accounting for 27% of all deaths, according to the British Heart Foundation. Current heart failure guidelines support cardiac rehabilitation as an intervention to reduce cardiovascular events, increase exercise tolerance and enhance patients' quality of life. Research indicates that telerehabilitation is an effective component of heart failure management, which helps overcome perceived barriers to cardiac rehabilitation including travel to appointments, long waiting times and accessibility. Understanding patient experiences and increasing telerehabilitation among heart failure patients is pertinent to implementing person-centred care, reducing risk and optimising quality of life.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432997","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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