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

{"title":"Nurses and liability for psychiatric harm to relatives.","authors":"Richard Griffith","doi":"10.12968/bjon.2025.0127","DOIUrl":"https://doi.org/10.12968/bjon.2025.0127","url":null,"abstract":"<p><p><b>Richard Griffith</b>, Senior Lecturer in Health Law at Swansea University, discusses nurses' duty of care to patients' relatives who suffer psychiatric harm when a loved one dies from a negligently undiagnosed and untreated illness.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 7","pages":"394-395"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797531","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":"'Clean is Green': promoting cleaning as a sustainable healthcare intervention.","authors":"Suzy Moody","doi":"10.12968/bjon.2024.0463","DOIUrl":"https://doi.org/10.12968/bjon.2024.0463","url":null,"abstract":"<p><strong>Background: </strong>Clinical cleaning in some areas of a large teaching hospital in the south of England required improvement to meet required standards.</p><p><strong>Aim: </strong>To assess whether promoting cleaning as a sustainable healthcare intervention is likely to improve hospital cleanliness.</p><p><strong>Methods: </strong>Routine cleaning audits were used to benchmark hospital cleanliness. The impact of cleaning on healthcare sustainability was promoted across the hospital through posters placed in communal staff areas. A staff survey and poll were conducted following the promotion.</p><p><strong>Findings: </strong>Survey responses showed some understanding of how cleaning can contribute to sustainable health care. The staff poll suggested that nearly 90% of respondents thought that explaining how cleaning contributed to lowering the carbon footprint of the hospital would motivate staff to clean more. The audit results across the hospital showed an increase in audit pass rate following the promotions.</p><p><strong>Conclusion: </strong>Empowering staff to understand the links between cleaning and carbon footprint is likely to improve cleaning practice.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 7","pages":"358-368"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797519","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":"Collaborating for excellence in patient care: first parenteral dose administration in home and community care.","authors":"Michelle Pothier, Tanya Baker, Sarah Burns","doi":"10.12968/bjon.2025.0125","DOIUrl":"https://doi.org/10.12968/bjon.2025.0125","url":null,"abstract":"<p><p>With a lack of standard processes in first parenteral dose medication administration in the home and community setting, a quality improvement initiative was undertaken by provincial home and community care service provider organizations (SPOs) in Ontario to support an evidence-based practice approach for administering the first dose of an intravenous (IV) medication. The project group, consisting of clinical leaders and business competitors, united to collaborate and support evidence-based, safe patient care. The group developed an evidence-based approach to screening patients for safe administration of the first dose of a parenteral medication within the home and community setting. Aligning the practice of administering the first dose of a parenteral medication is critical to providing safe, consistent, equitable, and timely care for all patients requiring a first dose in the home and community setting. From the SPO perspective, this improvement initiative has achieved the primary goal of aligning on a consistent patient safety screening tool used to support determining if first dose administration of a parenteral medication in the community is safe for the patient. Outputs of this work include collaborating with the provincial government funder and with SPOs who are competing for the same contracts within this sector, and the development of evidence-based resources to support patient screening. An exciting outcome was the opportunity to align with the Canadian Vascular Access Association (CVAA) and their mission statement of advocating for safe, quality patient care across the healthcare system (CVAA, n.d.). By developing an evidence-based approach to administering the first dose of a parenteral medication, this group has advocated for CVAA to include elements of the quality improvement (QI) initiative within the newly updated 2024 CVAA guidelines. This manuscript outlines the continued and thorough process undertaken by SPOs and the provincial government funder for home and community care to standardize best practices for administering a first dose of a parenteral medication in this unique sector. The successes and challenges encountered in aligning all those with a vested interest are highlighted.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 7","pages":"S21-S28"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797522","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 assessment and management of acute dyspnoea: a case study.","authors":"William Kavanagh-Brown, Duncan Smith, Tracey Bowden","doi":"10.12968/bjon.2024.0455","DOIUrl":"https://doi.org/10.12968/bjon.2024.0455","url":null,"abstract":"<p><p>Dyspnoea - a broad term that describes an unpleasant awareness of one's breathing, often synonymous with breathlessness - is a presenting complaint of significant burden to emergency care. In this case study the authors reflect on the assessment and treatment of a patient presenting to the emergency department (ED) with breathlessness. The importance of effective history taking and physical examination is highlighted, and an overview of the techniques used to elicit information is provided. Appropriate investigations are discussed alongside their limitations. Differential diagnoses are considered; however, particular focus is given to chronic obstructive pulmonary disease. Existing treatment options, both pharmacological and non-pharmacological, are critiqued, and recommendations are made for further research and future practice. Review of this article will equip advanced clinical practitioners to effectively assess, diagnose and treat patients presenting to the ED with dyspnoea.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 7","pages":"386-391"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797568","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":"Falls risk assessment and prevention in older people in healthcare facilities.","authors":"Benjamin Olusola Ajibade","doi":"10.12968/bjon.2024.0307","DOIUrl":"https://doi.org/10.12968/bjon.2024.0307","url":null,"abstract":"<p><p>Falls among older adults in healthcare facilities are a significant cause of injury and morbidity, with serious implications for patient health and healthcare costs. This article provides an in-depth review of falls risk assessment tools and prevention strategies, emphasising the multifactorial nature of falls, which include intrinsic factors such as medical conditions and extrinsic factors such as environmental hazards. The article discusses widely used risk assessment tools in the UK, including the Morse fall scale, Stratify, and the timed up and go test, and highlights the importance of a comprehensive, multidisciplinary approach to fall prevention. Evidence-based strategies such as environmental modifications, exercise programmes, medication reviews, and patient education are explored. The article concludes that ongoing assessment, staff training and the integration of technology are vital in reducing falls and improving patient safety in healthcare settings.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 7","pages":"381-385"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797525","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":"Recognising the pervasiveness of racism.","authors":"Sam Foster","doi":"10.12968/bjon.2025.0123","DOIUrl":"https://doi.org/10.12968/bjon.2025.0123","url":null,"abstract":"<p><p><b>Sam Foster</b>, Executive Director of Professional Practice, Nursing and Midwifery Council, considers two reports that explore the damaging effects of racism within the NHS and wider society.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 7","pages":"397"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797534","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":"Safety huddles: improving patient safety culture.","authors":"Laura Clark","doi":"10.12968/bjon.2025.0049","DOIUrl":"https://doi.org/10.12968/bjon.2025.0049","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 7","pages":"356-357"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797567","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 investigation of violence sustained by nursing and midwifery students.","authors":"Kevin Hambridge, Matthew Carey, Francis Thompson, Mohamed Eid, Cansel Kocakabak","doi":"10.12968/bjon.2024.0391","DOIUrl":"https://doi.org/10.12968/bjon.2024.0391","url":null,"abstract":"<p><strong>Background: </strong>Many laws exist that protect healthcare personnel from violence within the workplace. Evidence suggests that violence towards nursing students continues and remains unreported. These incidents have been proven to have psychological effects.</p><p><strong>Aims: </strong>The aim of the study was to identify the extent, type and impact of violence and aggression sustained by nursing and midwifery students.</p><p><strong>Methods: </strong>A cross-sectional questionnaire survey was employed in a UK university to investigate the violence and aggression experienced by 369 preregistration nursing and midwifery students.</p><p><strong>Findings: </strong>More than half (n=202; 54.7%) of students reported sustaining violence or aggression during their current academic year. This included verbal (n=190; 94.1%), physical (n=96; 47.5%) and sexual (n=24; 11.9%) violence and aggression. Many psychological effects were sustained, including anxiety, loss of confidence and post-traumatic stress disorder.</p><p><strong>Conclusions: </strong>A climate of non-tolerance of violence and aggression within healthcare organisations needs to become the norm to protect healthcare workers and nursing and midwifery students. Future research should concentrate on underexplored areas, such as whether violence or aggression affects student attrition rates, career choices, and recruitment to nursing and midwifery programmes.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 7","pages":"374-380"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797516","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":"Hospital admission avoidance in a London NHS trust: a retrospective review of King's OPAT service.","authors":"Gianni Acuram, Maria Veronica Jean Desales","doi":"10.12968/bjon.2024.0485","DOIUrl":"https://doi.org/10.12968/bjon.2024.0485","url":null,"abstract":"<p><p>This retrospective review evaluates the implementation and outcomes of the outpatient parenteral antimicrobial therapy (OPAT) service at King's College Hospital NHS Foundation Trust in London. Initiated in 2022, the programme aimed to reduce hospitalisations by offering home-based intravenous and complex oral antimicrobial therapies. Between September 2022 and September 2024, the OPAT service treated 391 patients, saving 9516 hospital bed days and achieving estimated financial savings of £1-2 million annually. The multidisciplinary approach ensured clinical efficacy, safety and high patient satisfaction, despite challenges such as timing of nursing visits and social complexities. The service highlighted the value of robust eligibility criteria and training in self-administration, which enhanced patient autonomy and the patient experience. This review underscores the potential for OPAT to optimise hospital resources, improve patient outcomes and lower healthcare costs, advocating for its expansion across NHS trusts to address growing demands for sustainable and efficient healthcare delivery.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 7","pages":"S4-S12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797527","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":"Not long left: the end of my student nurse journey is in sight.","authors":"Jade Petchey","doi":"10.12968/bjon.2025.0121","DOIUrl":"https://doi.org/10.12968/bjon.2025.0121","url":null,"abstract":"<p><p>In our continuing series on the experiences of a nursing student, <b>Jade Petchey</b> explains what she has found most helpful during her final year as a student nurse.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 7","pages":"396"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797529","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}