British journal of nursing (Mark Allen Publishing)最新文献

{"title":"The recruitment dilemma.","authors":"Sam Foster","doi":"10.12968/bjon.2026.0418","DOIUrl":"https://doi.org/10.12968/bjon.2026.0418","url":null,"abstract":"<p><p><b>Sam Foster</b> reflects on the barriers to the recruitment of newly qualified nurses that mean many of them face problems finding their first job when they have had placements on wards that are short of staff.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 19","pages":"932"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248375","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":"Blended diet for enteral nutrition: an evolutionary concept analysis.","authors":"Amanda Shovlin, Carmel Doyle, Mary Hughes","doi":"10.12968/bjon.2026.0010","DOIUrl":"10.12968/bjon.2026.0010","url":null,"abstract":"<p><strong>Aim: </strong>Many terms are used to describe blended diet for enteral nutrition and there is no universal agreement on what constitutes one. This work aims to define the concepts of blended diet and provide the reader with two clear definitions for homemade blended diet and commercial blended diet.</p><p><strong>Design: </strong>Rodgers' evolutionary concept analysis was selected as the framework to explore what is common to blended diet. The article draws on key elements of a blended diet that are commonly reported in literature including identification of surrogate terms, attributes, antecedents and consequences.</p><p><strong>Data sources: </strong>Seven online databases were searched - PubMed, PsychInfo, CINAHL, SCOPUS, AMED, EMBASE and Medline - for articles pertaining to blended diet use in adults and children. The inclusion criteria were kept broad to allow for a holistic view of the concept of blended diet to be established. No restriction on publication date was applied to observe for the direction and growth of research over time. All searches were completed between February and March 2025.</p><p><strong>Results: </strong>This concept analysis examined the published data on blended diet, which the authors have concluded as having two main definitions concerning different elements that often lack a clear differentiation within the literature. Homemade blended diet refers to everyday home foods blended for personal use to allow the consistency to be safely administered as enteral nutrition. Commercial blended diet is defined as food being produced outside of the home at commercial scale that is ready to use or requires minimal manipulation.</p><p><strong>Conclusion: </strong>The two types of blended diet have distinctively different characteristics and show a clear need to distinguish between them. The main reason for its use is multifunctional. Higher rates of success with blended diet were seen when supported by health professionals' input. Concerns appeared to be lower than anticipated and improvements in negative gastrointestinal symptoms are widely reported.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 19","pages":"S4-S12"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248123","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":"Enhancing student engagement in clinical placement evaluations: a regional approach to improving practice learning.","authors":"Jodie May Roberts, Beccy Hewins, Katie Edwards","doi":"10.12968/bjon.2025.0489","DOIUrl":"https://doi.org/10.12968/bjon.2025.0489","url":null,"abstract":"<p><p>Collaboration through a practice evaluation framework has enhanced the collection and use of learner feedback in the north west of England, aligning with Nursing and Midwifery Council requirements for quality assurance and Office for Students expectations regarding the student voice. This regional approach has improved engagement and completion rates across institutions. Key enablers include shared governance, stakeholder collaboration and process standardisation. Although implementation required significant co-ordination and digital integration, these fostered innovation and consistency. The framework has promoted reflective feedback, transparency and the sharing of good practice across settings. Lessons learnt highlight the importance of collaboration, responsiveness and digital accessibility. This model provides a scalable example for other regions seeking to enhance practice learning through cohesive, evidence-informed approaches to evaluation.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 19","pages":"964-968"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248101","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":"Impact of pH 4.5 cut-off in nasogastric feeding tube confirmation on related X-ray use: single-centre study.","authors":"Victoria Williams, Noreena Fitzpatrick, Hardip Malhi, Louise Denner, Jane Fletcher","doi":"10.12968/bjon.2026.0300","DOIUrl":"https://doi.org/10.12968/bjon.2026.0300","url":null,"abstract":"<p><p>Nasogastric (NG) feeding tubes play a vital role in delivering nutrition, hydration and medication to patients who are unable to meet their needs orally. They offer important advantages, one of which is that they can be inserted at the bedside by trained and competent staff, but there are recognised risks including inadvertent placement or displacement into the lungs. National Patient Safety Agency guidance stipulated pH testing to confirm NG tube position and recommended a pH cut-off of 5.5 or below to indicate that the tube is unlikely to be in the lungs and therefore 'safe' to use. There is concern that pH 5.5 is too high and suggestion that a lower pH threshold should be adopted. However, to date this proposal has been widely rejected on the basis that a lower threshold would lead to increased use of X-ray confirmation. This study describes the impact of a patient safety initiative adopting pH 4.5 or below on the use of chest X-ray at NG tube insertion. Snapshot audit data are detailed from 2018 to 2026. Results show that the use of X-rays did not increase with the lowering of the pH threshold. The study demonstrates that using pH 4.5 to improve patient safety is a simple and effective measure, using equipment and techniques that are familiar to nursing staff.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 19","pages":"S14-S18"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248270","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":"Development and implementation of the Mouth Care Matters Oral Health Assessment and Recording Tool.","authors":"Mili Doshi, Loraine Macintyre, Danielle Roullier","doi":"10.12968/bjon.2025.0321","DOIUrl":"https://doi.org/10.12968/bjon.2025.0321","url":null,"abstract":"<p><p>Good oral health is a vital part of patient care; however, it remains poorly assessed and documented in hospital settings. Nurses and healthcare assistants often lack the training, confidence and structured tools needed to assess and record oral health effectively. This article describes the development and implementation of the Mouth Care Matters Oral Health Assessment and Recording Tool, which has transitioned from a paper form to a digital pathway specifically designed for nursing staff. Created through a multidisciplinary, collaborative process, the tool uses a clear traffic light scoring system that integrates with routine nursing documentation. Developed at Surrey and Sussex Healthcare NHS Trust and piloted across acute NHS settings in England, its use has increased oral health assessments, improved care planning and empowered staff to appropriately escalate concerns. This article highlights the tool's potential to improve oral health outcomes and support the integration of oral care into routine nursing practice.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 19","pages":"936-942"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248121","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":"Turning concern into action: the practicalities of Martha's Rule.","authors":"Joy Notter, Chris Carter, Kirsty Datson, Kirsty Harris, Claudia Li, Daniel Hodgkiss","doi":"10.12968/bjon.2026.0287","DOIUrl":"https://doi.org/10.12968/bjon.2026.0287","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 19","pages":"934-935"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248405","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":"Good communication: the underpinning principle for all patient safety strategies.","authors":"John Tingle","doi":"10.12968/bjon.2026.0419","DOIUrl":"https://doi.org/10.12968/bjon.2026.0419","url":null,"abstract":"<p><p><b>John Tingle,</b> Associate Professor, Birmingham Law School, University of Birmingham, discusses several patient safety reports related to good communication practices.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 19","pages":"972-973"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248098","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":"An evidence-informed operational blueprint for delivering focused clinical daily safety huddles in clinical practice.","authors":"Richard Clark, Laura Clark","doi":"10.12968/bjon.2026.0052","DOIUrl":"https://doi.org/10.12968/bjon.2026.0052","url":null,"abstract":"<p><p>Despite sustained attention to patient safety, avoidable harm remains prevalent in acute and rehabilitation settings, often arising from communication failures, fragmented teamwork and limited situational awareness. Traditional safety mechanisms are largely reactive and do not consistently support real-time risk management. Focused clinical daily safety huddles (FCDSHs) have emerged as a proactive, nurse-led intervention to close this gap. FCDSHs are structured, multidisciplinary and action oriented, with a focus on identifying and mitigating avoidable patient safety risks. Effective implementation requires preparation, consistent facilitation, multidisciplinary engagement and psychological safety, supported by proportionate documentation and clear escalation processes. Nursing leadership is central to embedding and sustaining FCDSHs within routine clinical practice. Making FCDSHs part of routine care strengthens situational awareness and teamwork while proactively mitigating avoidable patient safety risks.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 19","pages":"944-951"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248076","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":"Queerphobia in the NHS: the system is not as inclusive as people believe.","authors":"Jacob Stead","doi":"10.12968/bjon.2026.0394","DOIUrl":"https://doi.org/10.12968/bjon.2026.0394","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 19","pages":"970-971"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248412","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":"Nurse-led implementation of the Closer to Home project to increase access to specialist dementia care.","authors":"Helen Green, Donna Bloy, Phil Joddrell","doi":"10.12968/bjon.2025.0353","DOIUrl":"https://doi.org/10.12968/bjon.2025.0353","url":null,"abstract":"<p><p>People living with dementia may face barriers to accessing local specialist dementia care in the UK. The Closer to Home (C2H) project, a national initiative led by nurses at Dementia UK in partnership with Leeds Building Society, sought to address this inequality by bringing specialist dementia services nearer to service users. Although C2H had been conceived as a mobile clinic, COVID-19 restrictions required a rapid transition to virtual delivery. Over its lifespan, C2H provided 3521 appointments, nearly 50% more than its original target, and received positive feedback from service users. Its implementation demonstrated how nurse-led innovation, hybrid leadership and cross-sector collaboration can support accessible, person-centred care, while also highlighting the challenges faced by clinical leaders undertaking complex service transformation without formal project management training. The project's legacy includes a sustained virtual clinic, new pop-up services and a bespoke booking system subsequently adopted across multiple services. C2H offers a potentially transferable model for widening access to specialist care and demonstrates the contribution nurses can make to leading and sustaining service innovation.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 19","pages":"952-958"},"PeriodicalIF":0.0,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149248332","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}