Charles Stuart, Rachel Stuart, Hannah Dunn, Amsale Wamburu, Barry Hill
{"title":"Understanding postural orthostatic tachycardia syndrome.","authors":"Charles Stuart, Rachel Stuart, Hannah Dunn, Amsale Wamburu, Barry Hill","doi":"10.12968/bjon.2024.0272","DOIUrl":"10.12968/bjon.2024.0272","url":null,"abstract":"<p><p>Postural orthostatic tachycardia syndrome (PoTS) is a clinically significant condition affecting numerous patients across the UK. This article aims to enhance understanding and management strategies for registered nurses by exploring its pathophysiology, clinical presentations, diagnostic processes and treatment protocols. PoTS, characterised by an excessive increase in heart rate on standing, presents multifaceted symptoms impacting patients' quality of life. Effective management requires a multidisciplinary approach encompassing pharmacological treatments, lifestyle modifications and psychological support. This review seeks to provide nurses with the knowledge to improve patient outcomes and advocate for holistic care.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"288-292"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598740","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":"NHS patient safety and problems with communication.","authors":"John Tingle","doi":"10.12968/bjon.2025.0087","DOIUrl":"10.12968/bjon.2025.0087","url":null,"abstract":"<p><p><b>John Tingle</b>, Associate Professor, Birmingham Law School, University of Birmingham, discusses some recent reports on the subject of patient communication in the NHS.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"300-301"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598736","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}
Ian Hodgson, Giorgio Barbareschi, Sean Hussein, Alain Volny-Anne, Brian West
{"title":"Including people with HIV in non-HIV clinical trials.","authors":"Ian Hodgson, Giorgio Barbareschi, Sean Hussein, Alain Volny-Anne, Brian West","doi":"10.12968/bjon.2025.0011","DOIUrl":"https://doi.org/10.12968/bjon.2025.0011","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"268-270"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598734","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}
Niuosha Sanaeifar, Rüdiger Kesselmeier, Simone Zettl, Deniz Limam
{"title":"Effect of absorbent continence product design on handling time and caregiver physical posture: ergonomic evaluation.","authors":"Niuosha Sanaeifar, Rüdiger Kesselmeier, Simone Zettl, Deniz Limam","doi":"10.12968/bjon.2025.0012","DOIUrl":"10.12968/bjon.2025.0012","url":null,"abstract":"<p><strong>Background: </strong>The design of absorbent continence products is important to family caregivers, because it can simplify pad changes, save time and improve lower back posture. However, the ergonomic design of many products has not received sufficient attention.</p><p><strong>Aims: </strong>The study aimed to assess the time required for handling three types of absorbent continence products and evaluate physical stress on the hand-arm and back-head areas of the participants in both the lying and standing position from an ergonomic perspective.</p><p><strong>Methods: </strong>Twenty-one non-professionals without prior nursing experience in Germany participated in the study. Objective data, including the time required to apply, change and remove the products three times, the duration of harmful postures, and the subjective evaluation of the products according to ergonomic criteria were investigated.</p><p><strong>Findings: </strong>There were significant differences between two application positions (lying down versus standing) for all products. Handling the products with the patient in a standing position was faster, requiring less stressful postures and fewer hand grips. Objective data showed that MoliCare<sup>®</sup> premium Elastic was the quickest product to handle and had the shortest duration of unfavourable postures. The MoliFlex (Belted) ranked second in terms of harmful postures, whereas the MoliCare premium Slip performed slightly better than the Belted product in the duration of change in the lying down position.</p><p><strong>Conclusion: </strong>In the design of absorbent continence products, it is important to consider that comfort and quality are important not only for patients but also for family caregivers. Choosing the correct continence product can minimise the time and physical effort required for product handling.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"272-278"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598730","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 ethics of non-explainable artificial intelligence: an overview for clinical nurses.","authors":"Matthew Wynn","doi":"10.12968/bjon.2024.0394","DOIUrl":"10.12968/bjon.2024.0394","url":null,"abstract":"<p><p>Artificial intelligence (AI) is transforming healthcare by enhancing clinical decision-making, particularly in nursing, where it supports tasks such as diagnostics, risk assessments, and care planning. However, the integration of non-explainable AI (NXAI) - which operates without fully transparent, interpretable mechanisms - presents ethical challenges related to accountability, autonomy, and trust. While explainable AI (XAI) aligns well with nursing's bioethical principles by fostering transparency and patient trust, NXAI's complexity offers distinct advantages in predictive accuracy and efficiency. This article explores the ethical tensions between XAI and NXAI in nursing, advocating a balanced approach that emphasises outcome validation, shared accountability, and clear communication with patients. By focusing on patient-centred, ethically sound frameworks, it is argued that nurses can integrate NXAI into practice, addressing challenges and preserving core nursing values in a rapidly evolving digital landscape.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"294-297"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598739","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":"Haematology CNSs' understanding and application of person-centred care: a pilot qualitative evaluation.","authors":"Heather Dolling","doi":"10.12968/bjon.2024.0165","DOIUrl":"10.12968/bjon.2024.0165","url":null,"abstract":"<p><strong>Aim: </strong>To explore the experiences of haematology clinical nurse specialists (CNSs) when delivering person-centred care (PCC). Particularly, the barriers and facilitators to its delivery, the specialists' understanding of PCC, and how they evaluate its success.</p><p><strong>Methods: </strong>A total of eight participants were interviewed using semi-structured interviews that were conducted virtually. The interview questions generated qualitative data to explore the experiences of the haematology CNS team. All interviews were recorded, transcribed, and stored in a password-protected folder. The data were then thematically analysed and coded to generate the findings.</p><p><strong>Findings: </strong>All participants reported a shared understanding of PCC, supporting the current theories and literature surrounding it. They raised factors that acted as both facilitators and barriers towards the delivery of PCC. Additionally, the research identified a lack of awareness and use of methods to evaluate the effectiveness of the care the CNSs delivered.</p><p><strong>Conclusions: </strong>This study offers an initial exploration into the experiences of haematology CNSs delivering PCC. This understanding could lead to the removal of barriers, thus enhancing the patient experience and quality of care. Recommendations are made to evaluate PCC through involving patients to share their views on what successful PCC means to them, and their ideas on how their nursing team might achieve this.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"280-286"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598732","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":"Implementation of chimeric antigen receptor (CAR) T-cell therapy in the NHS: prospects, promises and pitfalls.","authors":"Ruff Joseph Macale Cajanding","doi":"10.12968/bjon.2024.0056","DOIUrl":"10.12968/bjon.2024.0056","url":null,"abstract":"<p><p>The approval, introduction, and provision of chimeric antigen receptor (CAR) T-cell therapy in the UK NHS presents a innovative and revolutionary approach in cancer treatment and management. CAR T-cell therapy is a highly specialised and personalised type of immunotherapy that involves reprogramming a patient's immune system by synthetically modifying their T-cells to specifically target and eliminate cancer cells. This therapy offers the potential to cure malignancies that were previously deemed incurable or refractory to conventional chemotherapy. CAR T-cell therapy, however, is associated with significant risks and life-threatening complications, and it entails substantial financial cost. The implementation of CAR T-cell therapy in the NHS marks a new era of personalised medicine, offering a promising approach not only for improving cancer outcomes, but for enhancing survivorship and quality of life among patients with advanced and relapsing haematologic malignancies.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"S20-S30"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598733","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 complex reality of corridor care in emergency departments.","authors":"Lindsey Udberg, Dominic Simpson","doi":"10.12968/bjon.2025.0066","DOIUrl":"https://doi.org/10.12968/bjon.2025.0066","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 5","pages":"306"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598737","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}
Barry Hill, Aby Mitchell, Agnieszka Szydlowska, Chrystal Sparks, Hannah Dunn, Harri Berry
{"title":"The role of nutrition in wound healing and implications for nursing practice.","authors":"Barry Hill, Aby Mitchell, Agnieszka Szydlowska, Chrystal Sparks, Hannah Dunn, Harri Berry","doi":"10.12968/bjon.2024.0288","DOIUrl":"10.12968/bjon.2024.0288","url":null,"abstract":"<p><p>Nutrition plays a vital role in wound healing, influencing both the speed and quality of recovery. The wound healing process encompasses haemostasis, inflammation, proliferation, and remodelling, each reliant on specific nutrients. This article summarises the current literature on the role of nutrition in wound healing, focusing on key nutrients: proteins, vitamins (A, C, E, K), and minerals (zinc, iron, copper, manganese), essential for collagen synthesis, immune function, and cellular activity. Nurses are pivotal in assessing nutritional status, implementing dietary interventions, and educating patients and caregivers about the importance of nutrition in wound care. Practical strategies include personalised dietary plans, appropriate use of nutritional supplements, and regular monitoring of nutritional intake and wound healing progress. Although the benefits of nutrition in wound healing are well established, challenges persist, particularly in the limited evidence beyond pressure injuries and the constrained efficacy of supplementation without deficiencies. A multidisciplinary approach is critical to optimise nutritional support and improve patient outcomes in wound healing.</p>","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 4","pages":"S39-S42"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451378","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":"Skincare skills: a priority.","authors":"Jackie Stephen-Haynes","doi":"10.12968/bjon.2025.0060","DOIUrl":"https://doi.org/10.12968/bjon.2025.0060","url":null,"abstract":"","PeriodicalId":520014,"journal":{"name":"British journal of nursing (Mark Allen Publishing)","volume":"34 4","pages":"S3"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451371","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}