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

{"title":"Coping after the COVID-19 pandemic: nurses' learning intent and implications for the workforce and education.","authors":"Dana E Brackney, Susan Lane","doi":"10.12968/bjon.2023.0197","DOIUrl":"https://doi.org/10.12968/bjon.2023.0197","url":null,"abstract":"<p><strong>Background/aim: </strong>Addressing the critical global shortage of nurses requires an understanding of how a global pandemic reshaped nurses' motivations and intentions toward education. This study aimed to describe COVID-19's impact on nurses' intent to pursue additional education.</p><p><strong>Method: </strong>This descriptive study, based in North Carolina in the USA, used content analysis with an inductive approach to examine the responses of nurses to one open-ended question in a large quantitative workforce survey: how has COVID-19 influenced your plans for future education? Responses were coded with counts and organised into themes and subthemes.</p><p><strong>Findings: </strong>Primary themes identified from the data included: stressors, appraisals and coping. There were 10 subthemes, which supported primary themes with direct quotes from nurses. The implications of the themes aligns with concepts from the self-determination theory: autonomy, competence and relatedness.</p><p><strong>Conclusion: </strong>Nurse responses to the pandemic can guide organisations and academic institutions in supporting nurses in times of stress and design programmes that align with their goals. Nursing leaders and educators must support nurses' autonomy, competence and relatedness, addressing issues such as burnout, financial strain, work-life balance and evolving professional demands. Academic institutions should adopt flexible, resilience-focused curricula and invest in skilled nurse educators to support the growing need for advanced education and online learning.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 2","pages":"106-113"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043506","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":"Implementation of the I-DECIDED^® tool for PIVC assessment and decision making: discussion paper.","authors":"Gillian Ray-Barruel, Thiago Lopes Silva, Patrícia Kuerten Rocha","doi":"10.12968/bjon.2025.0013","DOIUrl":"https://doi.org/10.12968/bjon.2025.0013","url":null,"abstract":"<p><strong>Highlights: </strong>PIVCs often cause pain, irritation, or infection. Regular and careful catheter checks can decrease complications and improve patient outcomes. Implementation of the I-DECIDED® tool led to fewer idle catheters and complications. We present ideas for implementing the tool and how to overcome some common barriers.</p><p><strong>Introduction: </strong>Peripheral intravenous catheter (PIVC) assessment and decision making should be evidence based to minimize risks and enhance patient care. Exploring implementation strategies from successful outcome studies can raise health care professionals' awareness, boost adherence to evidence-based protocols, and elevate PIVC care standards.</p><p><strong>Aim: </strong>To describe the implementation of the I-DECIDED® device assessment and decision tool for PIVC management in the Australian and Brazilian contexts.</p><p><strong>Methods: </strong>The Promoting Action on Research Implementation in Health Services (PARIHS) framework (evidence, context, facilitation) was used to prospectively plan the implementation of the tool in adult inpatient units in Australia and to retrospectively analyze the implementation of the tool in a pediatric inpatient unit in Brazil. Similarities and differences in the implementation studies were explored.</p><p><strong>Results: </strong>Implementation of the tool in Australia and Brazil demonstrated that prevention and early detection of PIVC complications is achievable with standardized assessment and decision prompts. Both contexts witnessed a reduction in idle PIVCs, decreased insertion site complications, improved dressing quality, and significant improvements in documentation following implementation. Common implementation strategies included champions, education, badge cards, and posters. Enabling flexibility and context-specific education strategies was essential.</p><p><strong>Conclusion: </strong>Standardization of PIVC assessment and decision making using the I-DECIDED® tool reduced the prevalence of idle catheters and complications in Australia and Brazil. Implementation of the tool in different contexts confirms its utility and relevance for PIVC management in diverse health care settings. Promotion and adoption of the tool as a PIVC management bundle could increase patient safety and reduce health care costs.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 2","pages":"S12-S20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043804","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":"Verbal assessment to confirm nursing associates' occupational readiness.","authors":"Paula Elliott, Rachel Murray","doi":"10.12968/bjon.2024.0115","DOIUrl":"https://doi.org/10.12968/bjon.2024.0115","url":null,"abstract":"<p><p>The aim of nursing programmes is to produce employees who are occupationally ready. One method to assess occupational readiness is a verbal examination of subject area knowledge and understanding. This assessment type is used at a higher education institution in the north of England deemed outstanding by Ofsted. The verbal assessment (a professional conversation) requires student nursing associate apprentice learners to demonstrate clinical and professional knowledge and understanding gained and applied throughout a 2-year foundation degree to prepare for registration with the Nursing and Midwifery Council as a nursing associate. Preparation for this assessment consolidates prior learning; the assessment method is authentic and has been found to be an effective means through which learners are able to articulate and showcase their knowledge, with many gaining high marks.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 2","pages":"96-99"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043877","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":"Respect the hidden heroes.","authors":"Jade Petchey","doi":"10.12968/bjon.2025.0016","DOIUrl":"10.12968/bjon.2025.0016","url":null,"abstract":"<p><p>In our continuing series on the experiences of a nursing student, <b>Jade Petchey</b> discusses the importance of acknowledging the work of everyone who helps keep a hospital running.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 2","pages":"124"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043891","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":"Mastering medical terminology.","authors":"Taryn Tavener-Smith, Nicole McAllister, Jonathan Jackson","doi":"10.12968/bjon.2024.0454","DOIUrl":"https://doi.org/10.12968/bjon.2024.0454","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 2","pages":"120-121"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043806","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":"Evaluating spill kits in infection control: perspectives of nurses and health professionals.","authors":"Fiona Je Smith, Kirstie Ferrie, William G Mackay","doi":"10.12968/bjon.2024.0120","DOIUrl":"https://doi.org/10.12968/bjon.2024.0120","url":null,"abstract":"<p><strong>Background: </strong>The burden of hospital-acquired infections (HAIs) equates to 3.5 million cases, resulting in more than 90 000 deaths and 2.5 million disability-adjusted life years (DALYs) across Europe. Biological spills pose infection and safety risks for both patients and staff, so spill management is of strategic importance for containment. There is limited evidence as to the efficacy of spill kits currently in use with regard to infection control management.</p><p><strong>Aim: </strong>To understand the perceptions of health professionals when using different spill kit systems. Data collection involved videos and interviews with simulated patients and health professionals (<i>n</i>=24). Simulated spills/scenarios were used to compare the use of both two standard (incumbent) and BIOPERL+ spill kit interventions. Data analysis was iterative and informed by the Framework Method of Analysis.</p><p><strong>Findings: </strong>The BIOPERL+ kit facilitates rapid identification of the appropriate spill kit to use; locating and understanding instructions in both kit types highlight how individuals learn and absorb information; there were positive views on the efficacy of the granules to absorb blood, urine, faeces and vomit of both kit types; the larger scoop of the BIOPERL+ kit was seen as a benefit, facilitating ease of use; concerns were raised over potential cross-contamination and the environmental impact of plastic components used in the kits.</p><p><strong>Conclusion: </strong>The 'one size fits all' of the BIOPERL+ kit identified it as the spill kit to use for all biological spills, whereas choice of the two incumbent kits depended on spill type. Locating and understanding instructions in both kit types highlighted how individuals learn and absorb information differently, which may have implications for clinical practice. Participants perceived that all kits had minimal to strong odour, yet the incumbent kits emitted a chlorine-type odour, potentially posing a health risk. The BIOPERL+ large scoop size was seen as more efficacious for spillage containment compared with the smaller plastic scoop of the incumbent kits. Participants also perceived that the incumbent kits could be a source of potential cross-contamination when reusing component parts. The cardboard materials used in the BIOPERL+ kit were perceived as a benefit, potentially having less of an impact on the environment. The study identified that the BIOPERL+ kit is an effective, safe novel intervention that is both appropriate for managing human spills and environmentally friendly.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 2","pages":"84-94"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043751","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":"Identifying and managing fatigue in nurses completing on-call work.","authors":"Caroline Greenhalgh, Bethany Hall","doi":"10.12968/bjon.2024.0205","DOIUrl":"https://doi.org/10.12968/bjon.2024.0205","url":null,"abstract":"<p><p>Specialist nurses working in Therapeutic Apheresis Services (TAS) at NHS Blood and Transplant participate in an on-call rota. This means working above and beyond their rostered hours and can lead to them working 24 hours in one period. There is a noted risk of fatigue for people who work more than 13 hours in one stretch, and therefore it is important to understand how to recognise and manage the signs of fatigue. A literature review was performed to understand fatigue in various industries and how this was managed. This was then coupled with TAS internal data collection, exit interview data and sickness data to inform the design of a Fatigue Identification Questionnaire filled out by nurses during on-call working. Due to the strong link between fatigue and the hours worked, it is recommended that further work is undertaken to implement fatigue-management processes.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 2","pages":"100-105"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043800","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":"Prison nurses shaping healthcare transformation.","authors":"Barry Hill, Jane Greaves, Helen Ayo-Ajayi","doi":"10.12968/bjon.2025.0014","DOIUrl":"https://doi.org/10.12968/bjon.2025.0014","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 2","pages":"82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043807","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 randomized control trial to compare Quiet Eye training efficacy to traditional technical training with undergraduate student nurses' peripheral intravenous cannulation performance: a protocol.","authors":"Shannon I A Parker, Jessica Wilkins, Shahzad Inayat, Noah Hollingsworth, Joe Causer, Shane Virani, Jeff K Caird","doi":"10.12968/bjon.2025.0019","DOIUrl":"https://doi.org/10.12968/bjon.2025.0019","url":null,"abstract":"<p><strong>Introduction: </strong>Peripheral intravenous cannulation (PIVC) is a common and complex procedure with low first-attempt success rates, causing patient suffering and increased healthcare costs. Quiet Eye (QE) training, a gaze-focused approach, has shown promise in improving procedural PIVC skills. We will examine the effectiveness of traditional technical training (TT) and QE training (QET) on student nurse PIVC performance.</p><p><strong>Methods: </strong>Forty-four participants will be randomly assigned to either the TT or QET groups using a blocked randomization method to ensure balanced group sizes. Blinded outcome assessments will minimize bias. Data will be collected using a structured questionnaire and a mobile eye tracker to simultaneously record gaze and hand movements. Participants will complete pre-intervention, post-intervention, and one-week retention tests using a light-skinned manikin arm. A transfer task, utilizing a dark-skinned manikin arm, will assess participants' skills post-trials. The TT group will receive traditional instruction on hand movement improvement; the QET group will receive feedback on their gaze behaviours. The primary outcome measure will be PIVC first attempt success defined as being able to flush the inserted catheter with 10 mL (maximum) normal saline into the vessel. A trial will be considered unsuccessful if more than gentle pressure on the syringe plunger is needed to flush the catheter or if the participant abandoned the attempt before attempting the flush. Other dependent variables will be QE duration (%), number of fixations, total movement time(s), and movement phase time(s). We will analyze data with descriptive and inferential statistics, including mixed model ANOVA and Chi-Square tests.</p><p><strong>Discussion: </strong>This study examines the significance of improving PIVC first attempt success rates and highlights QET potential as an intervention. Emphasis is placed on critical implications for health care, particularly the importance of integrating QET into nursing education programs. Future research utilizing large-scale trials and longitudinal designs is recommended.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 2","pages":"S21-S26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044036","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":"We need reform of social care.","authors":"Ian Peate","doi":"10.12968/bjon.2025.0017","DOIUrl":"https://doi.org/10.12968/bjon.2025.0017","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 2","pages":"81"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044005","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}