{"title":"Patient safety reflections.","authors":"John Tingle","doi":"10.12968/bjon.2025.0107","DOIUrl":"10.12968/bjon.2025.0107","url":null,"abstract":"<p><p><b>John Tingle</b>, Associate Professor, Birmingham Law School, University of Birmingham, reflects on some pressing patient safety issues.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 6","pages":"345-346"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723098","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}
Wendy Walker, Analisa Smythe, Liz Lees-Deutsch, Rosie Kneafsey, Emma Wadey
{"title":"The personal and professional impacts of becoming and being a professional nurse advocate.","authors":"Wendy Walker, Analisa Smythe, Liz Lees-Deutsch, Rosie Kneafsey, Emma Wadey","doi":"10.12968/bjon.2024.0249","DOIUrl":"10.12968/bjon.2024.0249","url":null,"abstract":"<p><strong>Background: </strong>The professional nurse advocate (PNA) is a relatively new employer-led role, designed to deploy the A-EQUIP (Advocating and Educating for QUality ImProvement) model of professional nursing leadership and restorative clinical supervision.</p><p><strong>Aim: </strong>This article describes the self-perceived personal and professional impacts of becoming and being a PNA.</p><p><strong>Methods: </strong>A secondary qualitative analysis of interview-derived data from qualified PNAs.</p><p><strong>Findings: </strong>A total of 183 codes were developed from the data. These were grouped to form 19 categories, of which the majority characterised positive impacts of being a PNA. Participants described a wide range of personal and professional benefits, together with accounts of conflicts, insecurities, emotional encounters and communication challenges in the role.</p><p><strong>Conclusion: </strong>The study findings strengthen the case for organisational use of A-EQUIP in the workplace and help to showcase the significant contribution of the PNA role to staff wellbeing, education and quality improvements in care.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 6","pages":"336-344"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723100","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":"CASTOMized project: a new comprehensive collaborative approach between case manager and stoma care nurse.","authors":"Alessio Rizzo, Antonio Valenti, Stefano Gianolio, Michela Mineccia, Nadia Russolillo, Elga Ghironi, Alessandro Ferrero, Graziella Costamagna","doi":"10.12968/bjon.2024.0330","DOIUrl":"10.12968/bjon.2024.0330","url":null,"abstract":"<p><strong>Background: </strong>The use of the Enhanced Recovery After Surgery (ERAS) care pathway is becoming more widespread in surgical specialties. However, the presence of an ostomy, and the patient's need to adapt quickly to living with a stoma, is described as the Achilles' heel of the ERAS pathways in colorectal surgery.</p><p><strong>Aim: </strong>To investigate the efficacy of applying a new patient pathway within the ERAS protocol.</p><p><strong>Design: </strong>A retrospective observational study.</p><p><strong>Method: </strong>The management of patients undergoing surgery for colorectal disease and stoma formation between January 2023 and December 2023 was reviewed. Two clinical nurse specialists collaborated to integrate interventions and pathways.</p><p><strong>Findings: </strong>Of the 99 colorectal cancer or inflammatory bowel disease patients included in the study, the stoma care and management for 96 (95.9%) of the group fully adhered to the pathway. A median hospital stay of 11 days was recorded, with an interquartile range of 9 days; 40% of patients were treated as emergency cases. Adherence to the ERAS protocol (nursing care items) was 98%. Most patients were discharged home (91%). Adherence to telephone follow-up decreased over time, but remained above 90%. In the immediate post-discharge period, the percentage of patients with a high-output stoma was established at 15%, with only 3 (3%) of these requiring re-admission.</p><p><strong>Conclusion: </strong>The study highlights the benefits gained by entrusting advanced practice nurses with the integrated management of care pathways in ostomy patients.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 6","pages":"S20-S27"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723091","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":"Determining mental capacity: guidance from the courts.","authors":"Richard Griffith","doi":"10.12968/bjon.2025.0084","DOIUrl":"10.12968/bjon.2025.0084","url":null,"abstract":"<p><p><b>Richard Griffith</b>, Senior Lecturer in Health Law at Swansea University, considers the approach to be taken when assessing a person's capacity to make decisions, informed by guidance from the Courts.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"302-303"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598729","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":"Cardiff University's cuts risk deepening the crisis in our healthcare organisations.","authors":"Barry Hill, Daniel Kelly, Paul Gill","doi":"10.12968/bjon.2025.0089","DOIUrl":"10.12968/bjon.2025.0089","url":null,"abstract":"<p><p><b>Barry Hill</b>, Professor of Nursing and Head of School for Nursing and Midwifery, Buckinghamshire New University (Barry.hill@bucks.ac.uk), <b>Daniel Kelly</b>, Emeritus Professor of Healthcare Sciences, Cardiff University and <b>Paul Gill</b>, Professor of Nursing & Deputy Head of Department, Nursing Midwifery & Health, Northumbria University share their views after Cardiff University confirmed plans to cut 400 full-time jobs amid a funding shortfall, with the university's nursing provision among the subjects being considered for closure.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"298-299"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598728","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":"National Cancer CNS Day: celebrating the role of the CNS.","authors":"Mark Foulkes","doi":"10.12968/bjon.2025.0085","DOIUrl":"https://doi.org/10.12968/bjon.2025.0085","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"S3"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598735","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 crisis of corridor care and its impact on nursing and patient safety.","authors":"Melanie Hayward","doi":"10.12968/bjon.2025.0088","DOIUrl":"https://doi.org/10.12968/bjon.2025.0088","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"304-305"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598738","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":"Engaging with improvement.","authors":"Sam Foster","doi":"10.12968/bjon.2025.0083","DOIUrl":"10.12968/bjon.2025.0083","url":null,"abstract":"<p><p><b>Sam Foster</b>, Executive Director of Professional Practice, Nursing and Midwifery Council, considers different approaches to continuous improvement initiatives and the potential benefits for staff and patients.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"307"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598731","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}
Gülcan Bağçivan, Sara Colomer-Lahiguera, Maura Dowling, Grigorios Kotronoulas, Cherith Semple, Nikolaos Efstathiou, Paz Fernández-Ortega, Karin Brochstedt Dieperink, Eva Pape, Susana Miguel, Amanda Drury
{"title":"Cancer nursing research priorities: findings from a cancer nurses' consultation in Europe.","authors":"Gülcan Bağçivan, Sara Colomer-Lahiguera, Maura Dowling, Grigorios Kotronoulas, Cherith Semple, Nikolaos Efstathiou, Paz Fernández-Ortega, Karin Brochstedt Dieperink, Eva Pape, Susana Miguel, Amanda Drury","doi":"10.12968/bjon.2024.0177","DOIUrl":"10.12968/bjon.2024.0177","url":null,"abstract":"<p><strong>Background: </strong>Nurses are well positioned to identify the most critical issues in patient care and to determine priorities for investigation. Involving nurses in developing research priorities may increase their engagement in research and enhance the development high-quality nursing practice.</p><p><strong>Aim: </strong>This study aimed to scope the potential topics for future cancer nursing research in Europe from the perspective of cancer nurses.</p><p><strong>Methods: </strong>It was the second phase of a three-phase mixed methods study comprising: a rapid review; a consultation with European cancer nurses; and a subsequent Delphi study incorporating the findings from the first two phases. The consultation involved 73 cancer nurses from the European Oncology Nursing Society.</p><p><strong>Findings: </strong>The analysis identified 73 research priority topics, which were developed into eight main themes.</p><p><strong>Conclusion: </strong>The study's findings show that the research priorities identified by cancer nurses are in accord with many of the topics highlighted by the European Union Commission, the World Health Organization, and cancer and nursing organisations with regard to cancer care and nursing practice.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"S10-S18"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598727","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}
Kristina Førde, Patrick Juliebø-Jones, Herdis Alvsvåg, Birthe Ørskov
{"title":"A qualitative study exploring the experiences of nurses delivering bacillus Calmette-Guérin therapy.","authors":"Kristina Førde, Patrick Juliebø-Jones, Herdis Alvsvåg, Birthe Ørskov","doi":"10.12968/bjon.2024.0281","DOIUrl":"10.12968/bjon.2024.0281","url":null,"abstract":"<p><strong>Background: </strong>Intravesical bacillus Calmette-Guérin (BCG) is an effective treatment for preventing recurrence and progression of non-muscle-invasive bladder cancer; however, patients often withdraw early from the treatment. Nurses have an integral role in delivering and overseeing treatment. The aim of this study was to explore nurses' perspectives on the factors that contribute to patients successfully completing BCG treatment.</p><p><strong>Method: </strong>Three focus group interviews were conducted with nurses working at different hospitals in Norway. The empirical material was analysed using reflexive thematic analysis.</p><p><strong>Findings: </strong>The identified themes were 'relationship and continuity', 'knowledge and overview' and 'managing side effects'.</p><p><strong>Conclusion: </strong>The study reveals several areas that nurses experience as contributing to patients completing their BCG treatment. The study also sheds light on how to improve practice through improved nurse training and optimalisation of interdisciplinary collaboration with urologists in order to assess and manage side effects in a more standardised way.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"S4-S8"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598726","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}