British journal of nursing (Mark Allen Publishing)最新文献_第10页

Nursing strategies in managing acute pancreatitis. 急性胰腺炎的护理策略。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-07-17 DOI: 10.12968/bjon.2024.0357

Marlon Bernardo

引用次数: 0

Simplifying palliative symptom management: elastomeric infusions in hospice and home care. 简化姑息性症状管理：临终关怀和家庭护理中的弹性输液。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-07-17 DOI: 10.12968/bjon.2025.0302

Vincetic Bozidar, Natalie Wm Hertzman, Daphne Broadhurst

{"title":"Simplifying palliative symptom management: elastomeric infusions in hospice and home care.","authors":"Vincetic Bozidar, Natalie Wm Hertzman, Daphne Broadhurst","doi":"10.12968/bjon.2025.0302","DOIUrl":"https://doi.org/10.12968/bjon.2025.0302","url":null,"abstract":"Background: Palliative care patients often require frequent, resource-intensive, intermittent subcutaneous injections or complex infusion pumps for end-of-life symptom management.Purpose: We aimed to explore the feasibility of using non-electronic elastomeric infusion devices for continuous subcutaneous medication delivery in hospice and home care.Methods: A quality improvement initiative included an environmental scan to evaluate elastomeric devices and treatment protocols, followed by a stepwise implementation of elastomeric infusion devices for symptom management of palliative care patients.Results: During five years, 4,754 elastomeric devices were dispensed with non-narcotic medication mixtures to 265 patients in hospice and home care and 585 devices with narcotic mixtures for 62 patients during a 12-month period. No adverse events were reported. A total of 110 unique medication combinations involving 11 symptom management medications were dispensed. Qualitative feedback revealed strong nursing, physician, patient, and caregiver support. The acceptability of elastomeric subcutaneous infusions of symptom management medications was supported by the reported simplicity, safety, efficacy, and efficiency of this treatment modality. The protocol was adopted in hospice and is in the pilot phase for home care.Conclusion: Our findings suggest that continuous subcutaneous infusions via elastomeric infusion pumps offer a promising and feasible approach to end-of-life symptom management in hospice and home care. Elastomeric infusions may enhance simplicity, acceptability, safety, efficacy, and efficiency of care, compared to traditional routine subcutaneous injections. While results lay a foundation for treatment protocols that reduce care complexity, further research is warranted to optimize medication combinations and evaluate outcomes.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 14","pages":"S24-S34"},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144677160","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}

引用次数: 0

Using balance sheets to assist in determining best interests. 利用资产负债表协助确定最佳利益。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-07-03 DOI: 10.12968/bjon.2025.0284

Richard Griffith

引用次数: 0

Developing a dietetic advanced practice role within a neuro-rehabilitation service. 在神经康复服务中发展饮食高级实践角色。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-07-03 DOI: 10.12968/bjon.2024.0188

Louise Ferguson

{"title":"Developing a dietetic advanced practice role within a neuro-rehabilitation service.","authors":"Louise Ferguson","doi":"10.12968/bjon.2024.0188","DOIUrl":"10.12968/bjon.2024.0188","url":null,"abstract":"Background: Although advanced practice has been well established in nursing, there is now a drive to develop such roles within other health professions, including dietetics. In 2016, dietitians were granted non-medical supplementary prescribing rights, which can support dietitians working in advanced practice roles. Effective teamwork is vital in neuro-rehabilitation as rehabilitation services work to improve their service delivery model to improve the efficiency and effectiveness of patient care.Aims: To establish a dietetic advanced practice role in one neuro-rehabilitation service.Methods: Review of the literature relating to advanced practice and dietetic advanced practice. Using gap analysis to establish the need for a dietetic advanced practice role within a neuro-rehabilitation setting, as part of a Master's degree-level qualification in advanced practice. To establish evidence of the impact of a dietetic advanced practice role via a patient case study.Findings: There are benefits to service delivery in rolling out advanced practice within the interdisciplinary team, with the potential for increased capacity, capability, productivity and efficiency. As a result of a dietitian working in an advanced practice role in a neuro-rehabilitation service, there was improved access and continuity of care, leading to positive patient outcomes and clinician satisfaction.Conclusion: Patient care and service delivery can be enhanced by dietitians working in advanced practice roles and as non-medical prescribers for patients with long-term conditions. Further work is required to establish the benefit of dietetic advanced practice and non-medical prescribing in different patient groups and healthcare systems.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 13","pages":"S12-S17"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556431","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}

引用次数: 0

Concerns raised by equipment failures, patient feedback and accessibility issues. 设备故障、患者反馈和无障碍问题引起的关注。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-07-03 DOI: 10.12968/bjon.2025.0283

John Tingle

引用次数: 0

Idiopathic pulmonary fibrosis: the role of the respiratory advanced nurse practitioner. 特发性肺纤维化：呼吸高级执业护士的作用。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-07-03 DOI: 10.12968/bjon.2024.0432

Lynn Fox, Bridget Murray

{"title":"Idiopathic pulmonary fibrosis: the role of the respiratory advanced nurse practitioner.","authors":"Lynn Fox, Bridget Murray","doi":"10.12968/bjon.2024.0432","DOIUrl":"https://doi.org/10.12968/bjon.2024.0432","url":null,"abstract":"With escalating demands and economic limitations in the health sector, the Irish government has implemented a strategy to increase the number of advanced nurse practitioners caring for patients with interstitial lung disease (ILD). There are more than 200 different types of ILD, which are identified by features such as inflammation and fibrosis of the lung interstitium. Idiopathic pulmonary fibrosis (IPF) is the most common; it is a life-limiting lung disease with a median survival period of 3-5 years. Symptoms include breathlessness, cough, fatigue and anxiety. Treatment options are limited, and include medications to slow progression, exercise and oxygen therapy. Patient care has advanced as a result of using evidence-based practice set out in National Institute for Health Excellence guidelines and the Irish Thoracic Society position statement on IPF. The availability of resources and patient preferences can influence treatment options. The respiratory advanced nurse practitioner is in a unique position to manage the care of the person with IPF holistically, through patient education, symptom management, pulmonary rehabilitation and palliative care. The development of a national clinical care programme for ILD could facilitate standardised care and outcomes for patients.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 13","pages":"675-682"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556433","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}

引用次数: 0

Aseptic techniques used to administer parenteral nutrition and home parenteral nutrition at intestinal failure centres. 无菌技术用于肠衰竭中心的肠外营养和家庭肠外营养管理。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-07-03 DOI: 10.12968/bjon.2025.0103

Jane Fletcher, Hardip Malhi, Annie Topping

{"title":"Aseptic techniques used to administer parenteral nutrition and home parenteral nutrition at intestinal failure centres.","authors":"Jane Fletcher, Hardip Malhi, Annie Topping","doi":"10.12968/bjon.2025.0103","DOIUrl":"https://doi.org/10.12968/bjon.2025.0103","url":null,"abstract":"Background: Aseptic technique during the administration of parenteral nutrition/home parenteral nutrition (PN/HPN) errs towards poorly described traditional aseptic/sterile approaches. This study aimed to identify procedures and the evidence underpinning practice in intestinal failure centres.Method: A novel approach was taken using documentary analysis. PN/HPN administration procedures used at NHS England-commissioned intestinal failure centres were requested by email.Results: The response rate was 57%, and 16 documents were analysed. Techniques were described as aseptic technique (n=2), aseptic non-touch technique (n=6) or sterile aseptic non-touch technique (n=1) or were not named (n=7). Sterile gloves were used in 13 (81%) procedures described and non-sterile gloves in 3 (19%). A sterile field was recommended in most procedures (94%). Scrub time of the hub was not stipulated in 7 (44%) procedures. Few documents included relevant citations or evidence.Conclusion: There is variation in aseptic techniques used to administer PN/HPN in intestinal failure centres with no clear evidence base. Nurses need to review procedures to ensure practice is evidence based and environmentally sustainable.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 13","pages":"S18-S26"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556429","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}

引用次数: 0

Intense scrutiny of physician associates continues despite regulation by GMC. 尽管GMC有规定，但对医师助理的严格审查仍在继续。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-07-03 DOI: 10.12968/bjon.2024.0367

David Sturgeon

引用次数: 0

Holistic nursing considerations when conducting nutritional assessment in a community setting. 在社区环境中进行营养评估时的整体护理考虑。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-07-03 DOI: 10.12968/bjon.2024.0487

Abigail Brooks, Dana Irons

引用次数: 0

Learning from complaints. 从抱怨中学习。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-07-03 DOI: 10.12968/bjon.2025.0296

Sam Foster

引用次数: 0