{"title":"Principles of deceased organ donor management and optimisation: an innovative approach to specialist education.","authors":"Sarah Mason, Megan Reid, Alan Platt","doi":"10.12968/bjon.2025.0048","DOIUrl":"https://doi.org/10.12968/bjon.2025.0048","url":null,"abstract":"<p><p>In the UK, there is an imbalance between the number of organs available for transplant and recipients on the waiting list. To address this, a course on the principles of organ donor management and optimisation was designed and delivered to specialist nurses in organ donation.</p><p><strong>Aims: </strong>The aim of this study was to undertake a service evaluation using questionnaires to explore the impact of the course.</p><p><strong>Methods: </strong>This evaluation involved a quasi-experimental pre-post design, a quantitative analysis exploring the participants' self-efficacy and a qualitative analysis of the open-ended questions.</p><p><strong>Findings: </strong>The quantitative analysis found a statistically significant difference in all 10 domains in the learners' self-efficacy scores. The qualitative analysis identified four themes: self-efficacy; course challenges; optimised learning; and course design and development.</p><p><strong>Conclusion: </strong>This blended course, which included virtual simulation, increased the self-efficacy of the specialist nurses and met their learning needs. The course is cost effective and could be applied in other areas of clinical practice.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 19","pages":"988-994"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351212","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":"Belief and influence as elements of a valid consent or refusal of treatment.","authors":"Richard Griffith","doi":"10.12968/bjon.2025.0514","DOIUrl":"https://doi.org/10.12968/bjon.2025.0514","url":null,"abstract":"<p><p><b>Richard Griffith,</b> Senior Lecturer in Health Law at Swansea University, examines critical distinctions between capacity, personal belief and undue influence in the context of consenting to or refusing medical treatment.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 19","pages":"1000-1001"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351036","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":"Why online training in basic life support alone is not enough.","authors":"Nick Castle","doi":"10.12968/bjon.2025.0515","DOIUrl":"https://doi.org/10.12968/bjon.2025.0515","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 19","pages":"962-963"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351191","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":"A case of cutaneous vasculitis triggered by naproxen.","authors":"Anthony P McGrath, Jonathan E McGrath","doi":"10.12968/bjon.2025.0412","DOIUrl":"https://doi.org/10.12968/bjon.2025.0412","url":null,"abstract":"<p><p>Cutaneous vasculitis is an uncommon inflammatory condition affecting the small blood vessels of the skin. Although most cases are self-limiting, it is important that the condition is recognised and treated promptly, as progression can lead to systemic complications. This case study reports on the care of a 54-year-old man who developed bilateral lower-limb purpura a few weeks after starting naproxen for knee pain. Following assessment and investigations, naproxen was discontinued and oral prednisolone 40mg was prescribed. Within 2 weeks the lesions improved significantly, and the patient has remained well with no recurrence over more than a year of outpatient follow-up. This case highlights the need for vigilance when prescribing and monitoring patients on non-steroidal anti-inflammatory drugs. Nurses are central to recognising early skin changes, educating patients about potential adverse effects, and co-ordinating follow-up care. Effective communication and collaboration within the multidisciplinary team were crucial in achieving a positive outcome.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 19","pages":"964-970"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351121","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":"Ileal pouch irrigation: using intestinal hydrotherapy to manage bowel dysfunction.","authors":"Petya Marinova, Rali Marinova","doi":"10.12968/bjon.2025.0345","DOIUrl":"https://doi.org/10.12968/bjon.2025.0345","url":null,"abstract":"<p><p>Ileal pouch irrigation is an emerging intestinal hydrotherapeutic technique designed to support individuals experiencing bowel dysfunction following restorative proctocolectomy with ileal pouch-anal anastomosis. This procedure involves instilling lukewarm water into the ileal pouch to facilitate controlled evacuation, offering patients greater predictability in bowel movements and a potential reduction in urgency, frequency, evacuation difficulties and incontinence. By promoting regular pouch emptying, irrigation may alleviate symptoms such as inflammation, bloating and incomplete evacuation. The intervention has shown promise in enhancing quality of life (QoL), restoring confidence, and reducing psychological distress associated with unpredictable pouch function. This article examines the clinical application of ileal pouch irrigation using a structured protocol, supported by ongoing follow-up to ensure the safe and effective integration of this procedure into patients' routines. Selected case studies demonstrate how targeted irrigation can significantly improve daily living for pouch patients, with outcomes assessed through patient-reported overall QoL improvements and satisfaction.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 19","pages":"971-978"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351134","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":"Nurturing success by developing a mentor-mentee relationship.","authors":"Tiago Horta Reis Da Silva","doi":"10.12968/bjon.2025.0215","DOIUrl":"https://doi.org/10.12968/bjon.2025.0215","url":null,"abstract":"<p><p><b>Tiago Horta Reis Da Silva</b>, Lecturer in Nursing Education, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 19","pages":"996-997"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351196","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":"Feedback to Never Events framework consultation reveals diverging views.","authors":"John Tingle","doi":"10.12968/bjon.2025.0511","DOIUrl":"https://doi.org/10.12968/bjon.2025.0511","url":null,"abstract":"<p><p><b>John Tingle</b>, Associate Professor, Birmingham Law School, University of Birmingham, discusses the NHS Never Events consultation, with many responses expressing a preference for changing the current system.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 19","pages":"998-999"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351079","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":"My final placement: a journey from student to newly qualified nurse.","authors":"Graham Gibson","doi":"10.12968/bjon.2025.0516","DOIUrl":"https://doi.org/10.12968/bjon.2025.0516","url":null,"abstract":"<p><p><b>Graham Gibson</b>, previously a third-year student nurse at Queen's University Belfast, discusses the experience of his final placement in an emergency department.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 19","pages":"1002"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351127","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":"Reflections on palliative home parenteral nutrition.","authors":"Emma Canning, Angela Holohan, Charlotte Rubio","doi":"10.12968/bjon.2025.0510","DOIUrl":"https://doi.org/10.12968/bjon.2025.0510","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 19","pages":"S4-S5"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351145","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":"Let's talk about abortion: a person‑centred approach to care.","authors":"Karolina Trych, Shelley Peacock","doi":"10.12968/bjon.2025.0047","DOIUrl":"https://doi.org/10.12968/bjon.2025.0047","url":null,"abstract":"<p><p>Approximately one in three women will have one or more abortions in their lifetime; while it can be safer than continuing a pregnancy and childbirth, it can also be heavily stigmatised. Legislation surrounding the regulation of abortion in the UK is varied and complex. In this context, women fear judgement and negative attitudes. Abortion care is becoming increasingly nurse led. The National Institute for Health and Care Excellence suggest that women prefer care to be delivered by nurses and recommend their role to be maximised. Despite this, abortion is not routinely included in pre-registration nursing training and nursing in abortion care is predominantly restricted to the NHS-commissioned independent sector. This article aims to introduces nurses to person-centred abortion care through exploration of the legal, social, medical and surgical aspects of abortion.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 19","pages":"980-987"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351150","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}