British journal of nursing (Mark Allen Publishing)最新文献_第2页

Changes at the NNNG and looking to the future. NNNG的变化和展望未来。

British journal of nursing (Mark Allen Publishing) Pub Date : 2026-10-22 Epub Date: 2026-10-23 DOI: 10.12968/bjon.2026.0416

Charlotte Rubio

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How are you, nurse? 你好吗，护士？

British journal of nursing (Mark Allen Publishing) Pub Date : 2026-10-22 Epub Date: 2026-10-23 DOI: 10.12968/bjon.2026.0417

Ian Peate

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Rethinking nursing practice for early-onset type 2 diabetes. 对早发性2型糖尿病护理实践的反思。

British journal of nursing (Mark Allen Publishing) Pub Date : 2026-10-08 DOI: 10.12968/bjon.2026.0383

Charlotte Gordon, Barry Hill

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Honouring our communities: recognition, responsibility and the experiences of Black nurses. 尊重我们的社区：黑人护士的认可、责任和经验。

British journal of nursing (Mark Allen Publishing) Pub Date : 2026-10-08 DOI: 10.12968/bjon.2026.0403

Ntsoaki Mary Mosoeunyane, Helen Ayo-Ajayi, Amsale Wamburu

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Implementation and evaluation of a nurse-led clinic for men referred with suspected prostate cancer. 实施和评估护士领导的诊所男性转介疑似前列腺癌。

British journal of nursing (Mark Allen Publishing) Pub Date : 2026-10-08 DOI: 10.12968/bjon.2026.0056

Piotr Teodorowski, Jane Thomson, Melanie McInnes, Carina Hibberd, Agi McFarland, Erica Gadsby

{"title":"Implementation and evaluation of a nurse-led clinic for men referred with suspected prostate cancer.","authors":"Piotr Teodorowski, Jane Thomson, Melanie McInnes, Carina Hibberd, Agi McFarland, Erica Gadsby","doi":"10.12968/bjon.2026.0056","DOIUrl":"https://doi.org/10.12968/bjon.2026.0056","url":null,"abstract":"Background: Cancer diagnostic delays remain a challenge. Advanced nurse-led clinics represent an innovative approach to improving pathway efficiency while delivering person-centred care. Aims: To evaluate barriers and facilitators in establishing a nurse-led clinic for urgent suspected prostate cancer referrals and assess the impact on patient experience and services.Methods: A hybrid effectiveness-implementation design and naturalistic case-study design. Data included routine data (pre-implementation, n=150; implementation, n=293), patient surveys (n=162), patient interviews (n=10), staff interviews (n=12) and field notes. Data were analysed using thematic analysis, descriptive statistics and cost-consequence analysis.Findings: Collaboration between consultant and nurse facilitated service integration and multidisciplinary team engagement. Patients reported high satisfaction, valuing continuity of care and confidence in their nurse throughout the diagnostic pathway. The nurse-led clinic incurred lower costs than consultant-led clinics (£1049 vs £1417 per patient).Conclusion: Nurse-led clinics can improve diagnostic efficiency and deliver high-quality, person-centred care when underpinned by collaborative relationships between nurse and consultant, and with adequate administrative support.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 18","pages":"S6-S12"},"PeriodicalIF":0.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140230","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

From validation trials to clinical reality: implementing AI-supported prostate MRI pathways in the NHS. 从验证试验到临床现实：在NHS中实施人工智能支持的前列腺MRI路径。

British journal of nursing (Mark Allen Publishing) Pub Date : 2026-10-08 DOI: 10.12968/bjon.2026.0117

Adesina Adesuyi, Sid Singh, Mukherjee Ankur

{"title":"From validation trials to clinical reality: implementing AI-supported prostate MRI pathways in the NHS.","authors":"Adesina Adesuyi, Sid Singh, Mukherjee Ankur","doi":"10.12968/bjon.2026.0117","DOIUrl":"https://doi.org/10.12968/bjon.2026.0117","url":null,"abstract":"Prostate cancer remains the most common cancer diagnosed in men in the UK. The adoption of pre-biopsy multiparametric MRI (mpMRI) has improved diagnostic stratification, although it has concurrently increased the burden on radiology services. Artificial intelligence (AI) systems for analysing prostate MRIs have demonstrated significant potential in validation tests. Integrating these systems into the NHS will be exceedingly challenging because of concerns around governance, safety, and workflow. This article provides a perspective on AI-assisted prostate MRI and draws on practical experience from pathway design and early implementation planning in a local general hospital. The emphasis is on governance-centric deployment, human-in-the-loop safety, and pathway-level integration rather than the algorithm's performance. AI may support prostate MRI interpretation and improve efficiency within diagnostic pathways; nevertheless, its clinical efficacy is contingent on the quality of its application, rather than only on its validation. Governance-driven pathway design centred on individuals is crucial for ensuring that AI technologies enhance healthcare practices while maintaining safety, equity, and professional autonomy.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 18","pages":"S14-S17"},"PeriodicalIF":0.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140156","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

The combined medication approach for treating overactive bladder: assessing safety and efficacy. 联合用药治疗膀胱过动症的安全性和有效性评估。

British journal of nursing (Mark Allen Publishing) Pub Date : 2026-10-08 DOI: 10.12968/bjon.2026.0126

Lucy Henderson, Ben Hughes

{"title":"The combined medication approach for treating overactive bladder: assessing safety and efficacy.","authors":"Lucy Henderson, Ben Hughes","doi":"10.12968/bjon.2026.0126","DOIUrl":"10.12968/bjon.2026.0126","url":null,"abstract":"Research question: What is the latest evidence on the efficacy and safety of combining medications to treat overactive bladder?The problem: Overactive bladder symptoms negatively impact quality of life and, with an ageing population, overactive bladder prevalence is expected to rise. Current treatments do not adequately address all patients' needs, with concerns about dementia risk from antimuscarinics, and not all patients wish to proceed to invasive procedures. This highlights the need for alternative pharmacological strategies.Literature review: The literature emphasises the detrimental impact of overactive bladder on patients' daily lives and highlights safety concerns, particularly cognitive risks linked to traditional antimuscarinics.Methodology: Nine randomised controlled trials were critically appraised for methodological quality and risk of bias, with findings synthesised narratively due to study heterogeneity.Results: Explored combinations include beta-3 adrenoreceptor agonists (vibegron or mirabegron) with antimuscarinics, beta-3 adrenoreceptor agonists with phosphodiesterase 5 inhibitors, and antimuscarinics with cholinergic agonists. These combinations demonstrated improved efficacy and tolerability in treating overactive bladder while minimising side effects. Most studies report symptom improvement without increased cardiovascular risk.Conclusions: Combination therapies demonstrate superior efficacy compared to monotherapy without increasing anticholinergic burden, offering promising treatment alternatives. These findings support the expansion of new agents (vibegron) and novel pharmacological combinations in nursing practice to improve patient outcomes while considering safety profiles. However, methodological limitations such as sample bias and potential funding bias should be noted.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 18","pages":"S18-S28"},"PeriodicalIF":0.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140160","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

Applying the multifactorial approach to deprivation of liberty in practice. 多因素方法在剥夺自由实践中的应用。

British journal of nursing (Mark Allen Publishing) Pub Date : 2026-10-08 DOI: 10.12968/bjon.2026.0404

Richard Griffith

引用次数: 0

Exploring barriers and enablers to cultural competency in lymphoedema services: a survey-based service evaluation. 探索淋巴水肿服务中文化能力的障碍和促进因素：一项基于调查的服务评估。

British journal of nursing (Mark Allen Publishing) Pub Date : 2026-10-08 DOI: 10.12968/bjon.2025.0494

Garry Cooper, Marie Gabe-Walters, David Florentin, Karen Morgan, Melanie Thomas

{"title":"Exploring barriers and enablers to cultural competency in lymphoedema services: a survey-based service evaluation.","authors":"Garry Cooper, Marie Gabe-Walters, David Florentin, Karen Morgan, Melanie Thomas","doi":"10.12968/bjon.2025.0494","DOIUrl":"https://doi.org/10.12968/bjon.2025.0494","url":null,"abstract":"Background: Lymphoedema is a chronic condition that impairs mobility, causes pain and reduces quality of life. People from ethnic minority backgrounds appear under-represented in lymphoedema services in Wales, reflecting broader health inequalities across the UK. Purpose: This service evaluation explored barriers and enablers to providing culturally competent lymphoedema care, as reported by health professionals.Methods: An anonymous online survey was distributed to lymphoedema practitioners across the UK. The survey combined self-rating scales of cultural awareness, knowledge and skills with open-text questions. Quantitative data were analysed descriptively, and qualitative responses were examined thematically.Conclusions: Fifty-eight practitioners responded. Most rated their cultural awareness, knowledge and skills above the neutral point, indicating confidence in these areas. However, free-text responses highlighted persistent challenges, including limited time, inconsistent access to training and a lack of culturally inclusive resources.Implications for practice: Targeted workforce development, co-produced educational materials and inclusive communication strategies can support lymphoedema nurses to deliver more equitable, culturally responsive care across the UK.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"35 18","pages":"902-911"},"PeriodicalIF":0.0,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140224","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

Looking back, moving forward: BAUN's next chapter. 回顾过去，向前迈进：BAUN的下一个篇章。

British journal of nursing (Mark Allen Publishing) Pub Date : 2026-10-08 DOI: 10.12968/bjon.2026.0406

Pauline Bagnall

引用次数: 0