British journal of nursing (Mark Allen Publishing)最新文献_第3页

Ethical principles and challenges in end-of-life care for frail older adults. 体弱老年人临终关怀的伦理原则与挑战。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-05 DOI: 10.12968/bjon.2024.0413

Hasan H Alsararatee, Minahil Mukhtar, Abdul Musawar

{"title":"Ethical principles and challenges in end-of-life care for frail older adults.","authors":"Hasan H Alsararatee, Minahil Mukhtar, Abdul Musawar","doi":"10.12968/bjon.2024.0413","DOIUrl":"https://doi.org/10.12968/bjon.2024.0413","url":null,"abstract":"Providing end-of-life care to frail, older adults with multiple comorbidities can be ethically complex. As frailty differs from single terminal illness, end-of-life care requires a carefully considered, ethically informed approach. The four core ethical principles of autonomy, beneficence, nonmaleficence and justice need to be applied within this context; they involve challenges specific to frail patients, including fluctuating mental capacity, the risks of aggressive interventions and equitable access to resources. Key ethical issues include do not attempt cardiopulmonary resuscitation orders, confidentiality, mental capacity assessments and palliative sedation. Health professionals require a structured framework for decision-making. By balancing patient dignity, quality of life and legal considerations, practitioners can understand ethical obligations and practical decision-making strategies. For frail, older adults, a compassionate, patient-centred approach that prioritises comfort and dignity, especially as people approach the end of life, ensures care is provided in line with both ethical and legal standards.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 11","pages":"547-553"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251833","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

Development of a toolkit to aid health and social care staff in acute hospitals to identify childhood exploitation. 开发工具包，帮助急症医院的保健和社会护理人员识别儿童剥削。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-05 DOI: 10.12968/bjon.2024.0410

Hannah Jennings

{"title":"Development of a toolkit to aid health and social care staff in acute hospitals to identify childhood exploitation.","authors":"Hannah Jennings","doi":"10.12968/bjon.2024.0410","DOIUrl":"https://doi.org/10.12968/bjon.2024.0410","url":null,"abstract":"Frontline staff in acute settings need to be able to recognise and respond to exploitation concerns to improve outcomes for children and young people (CYP), given the recent rise in prevalence and the risks it poses to them. Exploitation can lead CYP to present with a variety of physical, sexual and mental health problems. However, it was identified that frontline staff at a hospital trust did not always recognise or refer child exploitation cases that presented. As a result, the author and the named nurse for children's safeguarding decided a simple, trauma-informed flow chart or pathway was required to give staff a way to proactively recognise and respond to contextual safeguarding concerns in hospital. A toolkit was developed to aid health and social care workers in acute settings to identify childhood exploitation. It is designed to encourage professional curiosity and provides staff with questions to ask to support this, alongside a digital flow chart to assess risk and screen for exploitation quickly. This quality improvement project was introduced across an integrated care board area to improve the assessment of CYP at risk of exploitation in the wider context of health and social care concerns.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 11","pages":"576-581"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251832","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

Identifying factors of magnetic importance. 识别具有磁性重要性的因素。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-05 DOI: 10.12968/bjon.2025.0252

Richard Griffith

引用次数: 0

Navigating AI in nursing: the promise, perils and pragmatic considerations. 人工智能在护理中的应用：前景、风险和务实考虑。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-05 DOI: 10.12968/bjon.2025.0255

Alexandra Carlin, Liz Charalambous

引用次数: 0

Care of the person with motor neurone disease: a case study. 对运动神经元疾病患者的护理：一个案例研究。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-05 DOI: 10.12968/bjon.2025.0069

Janice Mighten, Julia Jones

引用次数: 0

Strengthening the mental health components of preregistration nursing programmes. 加强注册前护理方案的心理健康部分。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-05 DOI: 10.12968/bjon.2024.0251

Mo Ghoorun, Niamh Rooney, Brian McNulty, Allen O'Connor, Gary Lamph

引用次数: 0

The seven steps to success: how to increase seasonal influenza vaccination in secondary care healthcare workers. 成功的七个步骤：如何增加二级保健卫生保健工作者的季节性流感疫苗接种。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-05 DOI: 10.12968/bjon.2025.0113

Simona Baracaia, Khalida Aziz, Catherine Heffernan

{"title":"The seven steps to success: how to increase seasonal influenza vaccination in secondary care healthcare workers.","authors":"Simona Baracaia, Khalida Aziz, Catherine Heffernan","doi":"10.12968/bjon.2025.0113","DOIUrl":"https://doi.org/10.12968/bjon.2025.0113","url":null,"abstract":"Background: Seasonal influenza (flu) vaccination uptake in healthcare workers has declined since the COVID-19 pandemic in the UK. There is merit in revisiting learning from pre-pandemic initiatives that doubled flu vaccine uptake in healthcare workers across London's trusts.Methods: In 2019, the authors convened a panel of flu leads from 36 London trusts. Using a Delphi method, the authors conducted 2 rounds of self-administered questionnaires completed electronically and a third round of a face-to-face meeting where paper questionnaires were distributed to the flu leads. Consensus was reached when ≥75% of responses showed strong (dis)agreement/(dis)agreement on a Likert scale.Results: There were 34, 33 and 24 responses to the rounds respectively. The authors identified seven different interventions that increased uptake among healthcare workers, including accessibility, visible senior leadership, incentives, one-to-one conversations and peer vaccinators.Conclusion: The Delphi method survey is a useful technique to elicit learning from frontline staff involved in driving uptake of flu vaccinations among healthcare workers.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 11","pages":"540-546"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251839","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

Addressing underachievement in nursing students: the roles of practice assessors and supervisors. 解决护理学生成绩不佳：实践评估者和监督者的角色。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-05 DOI: 10.12968/bjon.2024.0379

Sarah Butler

{"title":"Addressing underachievement in nursing students: the roles of practice assessors and supervisors.","authors":"Sarah Butler","doi":"10.12968/bjon.2024.0379","DOIUrl":"https://doi.org/10.12968/bjon.2024.0379","url":null,"abstract":"The roles of nursing practice assessors and supervisors are pivotal in guiding students through clinical practice, ensuring they attain the necessary competencies and professionalism to deliver safe and effective patient care. However, underachievement among nursing students, whether related to conduct or proficiency, poses challenges that require timely and structured interventions. This article explores the responsibilities of assessors and supervisors in identifying, supporting and, when necessary, failing underperforming students. It examines key factors contributing to underachievement, including personal, environmental and institutional influences, and highlights effective intervention strategies such as early identification, structured feedback and personalised development plans. Additionally, the article addresses the 'failure to fail' phenomenon, wherein assessors hesitate to fail students despite concerns about their competence, ultimately compromising patient safety and the integrity of the nursing profession. The discussion highlights the importance of robust training, emotional support and institutional backing for assessors to make objective, fair decisions while upholding professional standards. By fostering a supportive yet accountable educational environment, nursing educators, supervisors and assessors can ensure that graduates are well prepared to meet the demands of their profession.","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 11","pages":"566-569"},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251828","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

A qualitative research evaluation of the 'Leading an Empowered Organisation' programme's impact on nursing. “领导授权组织”项目对护理影响的定性研究评估。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-05 DOI: 10.12968/bjon.2024.0385

Beth Duggan, Siobhan Taylor, Barry Hill

引用次数: 0

How internationally educated nurses bridge cultures and enrich patient care. 受过国际教育的护士如何在文化之间架起桥梁，丰富患者护理。

British journal of nursing (Mark Allen Publishing) Pub Date : 2025-06-05 DOI: 10.12968/bjon.2025.0254

Paul John Alegado

引用次数: 0