{"title":"Intense scrutiny of physician associates continues despite regulation by GMC.","authors":"David Sturgeon","doi":"10.12968/bjon.2024.0367","DOIUrl":"https://doi.org/10.12968/bjon.2024.0367","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 13","pages":"697-700"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556434","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":"Holistic nursing considerations when conducting nutritional assessment in a community setting.","authors":"Abigail Brooks, Dana Irons","doi":"10.12968/bjon.2024.0487","DOIUrl":"https://doi.org/10.12968/bjon.2024.0487","url":null,"abstract":"<p><p>Malnutrition is a significant public health issue in the UK, particularly impacting older adults in community settings, affecting quality of life, healthcare costs and patient outcomes. Carrying out a comprehensive nutritional assessment that considers biological, psychological and social factors is important. Community nurses play a vital role in identifying malnutrition risks by going beyond traditional screening tools and incorporating patient-specific observations. Their access to patients' living environments enables them to apply clinical judgment and detect early signs and risks of malnutrition. By combining validated assessment tools with a holistic approach, nurses can develop tailored care plans addressing both immediate deficiencies and broader lifestyle factors. A thorough, person-centred approach is essential for promoting preventive care and improving nutritional outcomes for older adults in community settings, ensuring proactive and comprehensive care.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 13","pages":"S4-S11"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556432","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":"Learning from complaints.","authors":"Sam Foster","doi":"10.12968/bjon.2025.0296","DOIUrl":"https://doi.org/10.12968/bjon.2025.0296","url":null,"abstract":"<p><p><b>Sam Foster</b> considers themes uncovered by the Parliamentary and Health Service Ombudsman from casework decisions, with a particular focus on patient safety and embracing feedback.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 13","pages":"672"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556435","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":"Simulated-practice learning placements: their role in undergraduate nurse education.","authors":"Joelle Salje","doi":"10.12968/bjon.2025.0145","DOIUrl":"https://doi.org/10.12968/bjon.2025.0145","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 13","pages":"673-674"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556437","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":"The end of a participant's research journey: the expected path and the alternatives.","authors":"Helen Pluess-Hall","doi":"10.12968/bjon.2025.0021","DOIUrl":"https://doi.org/10.12968/bjon.2025.0021","url":null,"abstract":"<p><p>This article discusses the expected and the alternative research journeys for clinical trial participants. It examines the stages when a participant may leave a trial, the reasons for alternative endings, and the impact of exiting a trial on both participants and health professionals. The participation of patients and healthy volunteers is essential for treatments and care to be advanced. Research is no longer only the concern of dedicated clinical research nurses; it forms a pillar of nursing practice and the Chief Nursing Officer for England's Strategic Plan for Research applies to nurses in all roles, with the aim of research being embedded within the NHS. Therefore, nurses need an awareness and understanding of a patient's clinical trial journeys to provide appropriate support and care.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 13","pages":"692-696"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556438","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 time for reflection, a time for change.","authors":"Suzy Cole","doi":"10.12968/bjon.2025.0285","DOIUrl":"https://doi.org/10.12968/bjon.2025.0285","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 13","pages":"S3"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556428","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}
Laura Henry, Julie S Wilson, Jason J Wilson, Esther R Beck
{"title":"Physical activity and breast cancer-related lymphoedema: present trends.","authors":"Laura Henry, Julie S Wilson, Jason J Wilson, Esther R Beck","doi":"10.12968/bjon.2025.0171","DOIUrl":"https://doi.org/10.12968/bjon.2025.0171","url":null,"abstract":"<p><p>Breast cancer affects 1 in 7 women. Physical activity is widely acknowledged as a key factor in breast cancer survivorship - improving quality of life, reducing cancer reoccurrence and mortality, and reducing treatment-related side effects such as fatigue and depression. However, only 26% of breast cancer survivors participate in regular physical activity, with levels of inactivity reported as 44.2% when they experience breast cancer-related lymphoedema. Breast cancer-related lymphoedema is a side effect of breast cancer treatment, occurring in 8.0-30.1% of breast cancer survivors. Clinical guidelines and recommendations advising on physical activity and breast cancer-related lymphoedema advise that physical activity is safe and should be advocated. However, inconsistencies remain surrounding the context of physical activity and its implementation in clinical practice. Registered nurses are required to use their knowledge and experience to inform evidence-based decisions. Therefore, it is the main aim of this article to increase the knowledge of nurses who come in contact with this patient population by providing an overview of the present trends for physical activity and breast cancer-related lymphoedema.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 13","pages":"683-690"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556436","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":"The challenges of healthcare regulation using the Letby case as an example.","authors":"Joanne Harrison","doi":"10.12968/bjon.2024.0283","DOIUrl":"10.12968/bjon.2024.0283","url":null,"abstract":"<p><p>This article presents reflections made during the preparation of a research study's data analysis, which focused on the question of processual rigour within the Nursing and Midwifery Council's (NMC) revalidation regulatory approach. The analysis and synthesis have led to reflections on revalidation's utility from the perspective of the identification of the criminal actions of the former nurse, Lucy Letby. The suggestions for strengthening revalidation requirements, presented by the participants in the author's research project in response to their personal experience of revalidation, were also reflected in the contemporary professional and media reports following Letby's court case. Letby was found guilty of seven counts of murder and six counts of attempted murder of babies in her care in 2023 and one count of attempted murder in 2024. These reflections are presented within a discussion regarding what Letby's revalidation experience may potentially have been. The suggested augmentations to revalidation acknowledge the value in its gateway role to being able to work as a nurse. How nurses maintain their continued professional registration through the revalidation process is explored through the concept of Larson's professional project (1977) from the neo-Weberian tradition of the sociology of the professions. This study engaged an interpretivist philosophical standpoint, using social constructionism.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"645-649"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337415","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":"Vascular access device dressing optimisation using tissue adhesive.","authors":"Jan Hitchcock, Leo Andrew Almerol","doi":"10.12968/bjon.2024.0468","DOIUrl":"10.12968/bjon.2024.0468","url":null,"abstract":"<p><strong>Background: </strong>The care and maintenance of vascular access devices (VADs) encompass all stages from assessment and insertion to ongoing care and removal. Post-insertion, dressings protect the site, aid in haemostasis and provide securement. However, catheter-related bloodstream infections (CRBSIs) may occur owing to pathogen migration or contamination during dressing changes. Traditional sterile gauze dressings, which require frequent changes, may offer inadequate protection. Tissue adhesives, specifically cyanoacrylate glue, have shown promise in enhancing haemostasis, securement and offering bacteriostatic properties.</p><p><strong>Methodology: </strong>This study reviewed electronic patient records and databases for VADs inserted by the vascular access team using the modified Seldinger technique. The review focused on the use of tissue adhesive in adults and in some cases older children. The study compared traditional dressings with those enhanced by tissue adhesive, documenting haemostasis, securement and incidence of infection.</p><p><strong>Results: </strong>The use of tissue adhesive improved haemostasis and securement, reducing the need for early dressing changes. The bacteriostatic properties of the adhesive decreased the rate of CRBSIs. Its use also preserved dressing integrity by controlling bleeding and exudation, potentially allowing dressings to remain intact for 7 days. Despite the initial expense, tissue adhesive use led to significant savings by reducing the frequency of dressing changes and associated nursing time.</p><p><strong>Conclusion: </strong>Tissue adhesives optimise VAD dressing by enhancing haemostasis, securement and infection control. This practice improves patient outcomes and reduces costs. The findings support the integration of tissue adhesives into standard VAD care protocols to enhance patient safety and operational efficiency. In future, research may explore the use of tissue adhesives in larger bore VADs and other clinical applications.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"S14-S19"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337422","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":"Work, life and mental health.","authors":"Ian Peate","doi":"10.12968/bjon.2025.0277","DOIUrl":"10.12968/bjon.2025.0277","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 12","pages":"603"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337423","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}