{"title":"The challenges of healthcare regulation using the Letby case as an example.","authors":"Joanne Harrison","doi":"10.12968/bjon.2024.0283","DOIUrl":"https://doi.org/10.12968/bjon.2024.0283","url":null,"abstract":"<p><p>This article presents reflections made during the preparation of a research study's data analysis, which focused on the question of processual rigour within the Nursing and Midwifery Council's (NMC) revalidation regulatory approach. The analysis and synthesis have led to reflections on revalidation's utility from the perspective of the identification of the criminal actions of the former nurse, Lucy Letby. The suggestions for strengthening revalidation requirements, presented by the participants in the author's research project in response to their personal experience of revalidation, were also reflected in the contemporary professional and media reports following Letby's court case. Letby was found guilty of seven counts of murder and six counts of attempted murder of babies in her care in 2023 and one count of attempted murder in 2024. These reflections are presented within a discussion regarding what Letby's revalidation experience may potentially have been. The suggested augmentations to revalidation acknowledge the value in its gateway role to being able to work as a nurse. How nurses maintain their continued professional registration through the revalidation process is explored through the concept of Larson's professional project (1977) from the neo-Weberian tradition of the sociology of the professions. This study engaged an interpretivist philosophical standpoint, using social constructionism.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"645-649"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337415","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":"Vascular access device dressing optimisation using tissue adhesive.","authors":"Jan Hitchcock, Leo Andrew Almerol","doi":"10.12968/bjon.2024.0468","DOIUrl":"https://doi.org/10.12968/bjon.2024.0468","url":null,"abstract":"<p><strong>Background: </strong>The care and maintenance of vascular access devices (VADs) encompass all stages from assessment and insertion to ongoing care and removal. Post-insertion, dressings protect the site, aid in haemostasis and provide securement. However, catheter-related bloodstream infections (CRBSIs) may occur owing to pathogen migration or contamination during dressing changes. Traditional sterile gauze dressings, which require frequent changes, may offer inadequate protection. Tissue adhesives, specifically cyanoacrylate glue, have shown promise in enhancing haemostasis, securement and offering bacteriostatic properties.</p><p><strong>Methodology: </strong>This study reviewed electronic patient records and databases for VADs inserted by the vascular access team using the modified Seldinger technique. The review focused on the use of tissue adhesive in adults and in some cases older children. The study compared traditional dressings with those enhanced by tissue adhesive, documenting haemostasis, securement and incidence of infection.</p><p><strong>Results: </strong>The use of tissue adhesive improved haemostasis and securement, reducing the need for early dressing changes. The bacteriostatic properties of the adhesive decreased the rate of CRBSIs. Its use also preserved dressing integrity by controlling bleeding and exudation, potentially allowing dressings to remain intact for 7 days. Despite the initial expense, tissue adhesive use led to significant savings by reducing the frequency of dressing changes and associated nursing time.</p><p><strong>Conclusion: </strong>Tissue adhesives optimise VAD dressing by enhancing haemostasis, securement and infection control. This practice improves patient outcomes and reduces costs. The findings support the integration of tissue adhesives into standard VAD care protocols to enhance patient safety and operational efficiency. In future, research may explore the use of tissue adhesives in larger bore VADs and other clinical applications.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"S14-S19"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337422","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":"Work, life and mental health.","authors":"Ian Peate","doi":"10.12968/bjon.2025.0277","DOIUrl":"10.12968/bjon.2025.0277","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"603"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337423","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":"Socio-demographic and clinical predictors for initiation of rectal irrigation in patients with evacuation disorders.","authors":"Tanzeela Gala, Abigail Fernandes, Mehak Saini, Carlotta Sarzo, Noman Shahzad, Carlene Igbedioh, Sarah Ferdinand, Alexis Schizas, Linda Ferrari, Alison J Hainsworth","doi":"10.12968/bjon.2025.0040","DOIUrl":"https://doi.org/10.12968/bjon.2025.0040","url":null,"abstract":"<p><strong>Background: </strong>Rectal irrigation is recommended in patients with evacuation disorders (EDs) that are resistant to preliminary conservative treatments.</p><p><strong>Aim: </strong>This study aimed to determine the incidence and predictors of rectal irrigation.</p><p><strong>Method: </strong>This study included patients treated for EDs from a prospectively maintained database.</p><p><strong>Results: </strong>Out of 1618 patients with ED, irrigation was started in 594, of whom 399 (67%) were started on low-volume rectal irrigation (LVRI) and the remaining 195 (33%) on high-volume rectal irrigation (HVRI). LVRI was associated with patients aged >50 years and anal incontinence, while HVRI was associated with constipation and patients aged <50 years (<i>P</i><0.001). The study also found that patients in the LVRI group were more likely to complete treatment than those in the HVRI group. No variability was found between gender, socio-economic status, ethnicity and the study findings when a comparison was made between patients who continued preliminary conservative treatments and those who started on irrigation.</p><p><strong>Conclusion: </strong>This study provides predictors of rectal irrigation. Future research is needed to explore the outcome and barriers to irrigation.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"626-634"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337412","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}
Heather Jarman, Rosalie McDonald, Louise Young, Phil Moss
{"title":"The role of the embedded research nurse in enhancing study delivery in the emergency department.","authors":"Heather Jarman, Rosalie McDonald, Louise Young, Phil Moss","doi":"10.12968/bjon.2025.0119","DOIUrl":"https://doi.org/10.12968/bjon.2025.0119","url":null,"abstract":"<p><strong>Background: </strong>Research delivery in emergency departments (EDs) is difficult owing to time and workload pressures. Research nurses are crucial to delivering research studies, but their integration into clinical teams varies.</p><p><strong>Aim: </strong>This study evaluates the impact of embedding research nurses in an ED over a 10-year period, focusing on confidence in research practices and role sustainability.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among nurses completing a 1-year ED research secondment. Confidence in research skills, role perception and career progression were analysed using descriptive statistics and paired t tests.</p><p><strong>Results: </strong>Of 55 eligible nurses, 29 responded (52.7%). Confidence in research activities was significantly higher following the secondment (<i>P</i><0.001). Most felt integrated into the ED, and nearly 70% remained in ED for longer because of the secondment.</p><p><strong>Conclusion: </strong>The embedded model enhances research capacity, increases nurse confidence and supports workforce retention, offering a replicable framework for integrating research teams into clinical practice.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"620-625"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337420","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 moral maze: navigating the ethical landscape of healthcare.","authors":"Alison Ruth Buckley","doi":"10.12968/bjon.2024.0256","DOIUrl":"https://doi.org/10.12968/bjon.2024.0256","url":null,"abstract":"<p><p>Ethical decision-making pervades many aspects of health and social care practice. All practitioners, regardless of professional affiliation, must reflect on their role as moral agents. There are challenges in developing an ethical awareness of, and response to, the increasingly complex healthcare landscape. A case study of a clinical episode of care is used to illustrate how, while the adoption of an evidence-based, systematic approach can better inform ethical deliberation, conflicting moral obligations frequently add complexity and contradiction to the decision-making process.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"650-656"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337417","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":"Recognition in the City of London: a momentous step in nursing history.","authors":"Brenda Griffiths","doi":"10.12968/bjon.2025.0276","DOIUrl":"https://doi.org/10.12968/bjon.2025.0276","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"661"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337411","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}
Emran A Abu Aqoulah, Rosliza Abaul Manaf, Suriani Ismail, Salam Bani Hani, Aya Al-Ali
{"title":"Effect of an educational intervention on pressure ulcer documentation among tertiary hospital nurses in Jordan.","authors":"Emran A Abu Aqoulah, Rosliza Abaul Manaf, Suriani Ismail, Salam Bani Hani, Aya Al-Ali","doi":"10.12968/bjon.2024.0380","DOIUrl":"https://doi.org/10.12968/bjon.2024.0380","url":null,"abstract":"<p><strong>Background: </strong>Pressure ulcers are a significant health issue in the Middle East, with evidence of poor-quality nursing documentation among Jordanian nurses.</p><p><strong>Aim: </strong>This study aimed to assess the effect of an educational intervention on nurses' knowledge, skills and motivation, as well as on the quality of nursing documentation.</p><p><strong>Methods: </strong>A quasi-experimental design was used to select participants using stratification and simple random sampling techniques into intervention and control groups.</p><p><strong>Findings: </strong>A response rate of more than 80% was attained in both groups. The data showed that there were no statistically significant differences between participant characteristics or research outcomes between the intervention and control groups at baseline (<i>P</i>>0.05). Following the intervention, after adjusting for variables, a notable difference was recorded between and within the intervention and control groups (<i>P</i><0.001).</p><p><strong>Conclusion: </strong>According to the intervention group data, the newly developed educational intervention was effective in considerably raising the standard of nursing documentation for pressure ulcers.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"S30-S42"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337330","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}
Niuosha Sanaeifar, Tamara Buch, Moritz Debler, Rüdiger Kesselmeier, Sara Canales, Michael Meer
{"title":"Evaluation of key performance features of the new MoliCare premium lady Pad for light to moderate urinary incontinence.","authors":"Niuosha Sanaeifar, Tamara Buch, Moritz Debler, Rüdiger Kesselmeier, Sara Canales, Michael Meer","doi":"10.12968/bjon.2025.0228","DOIUrl":"https://doi.org/10.12968/bjon.2025.0228","url":null,"abstract":"<p><strong>Background: </strong>Urinary incontinence is a significant healthcare concern and personal issue in females. It is a stigmatising condition that profoundly affects social and psychological wellbeing. Absorbent products help prevent distress caused by urinary leakage and its related odour, enabling females to live their daily lives with confidence.</p><p><strong>Aim: </strong>This study aimed to evaluate the key characteristics of the newly redesigned MoliCare premium lady Pad.</p><p><strong>Methods: </strong>In Germany, face-to-face interviews were conducted with 107 females with light-to-moderate urinary incontinence to rate various performance aspects of the newly redesigned pad.</p><p><strong>Findings: </strong>96% of the interviewees trying the new pad were 'highly satisfied'/'satisfied' with the design.</p><p><strong>Conclusions: </strong>The evaluation findings indicated that the newly redesigned MoliCare premium lady Pad fulfilled the primary needs of the users. The new MoliCare SkinGuard absorbent core technology and a combination of deep embossing and elasticated cuffs provided discretion, comfort and a dry feeling for users.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"608-612"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337331","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":"Addressing ethical issues in nursing education.","authors":"Luis Teixeira","doi":"10.12968/bjon.2024.0389","DOIUrl":"https://doi.org/10.12968/bjon.2024.0389","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"657-658"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337327","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}