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Nursing Standard

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https://www.readbyqxmd.com/read/29139627/understanding-and-meeting-your-legal-responsibilities-as-a-nurse
#1
Louise Terry, Graham Carr, Yvonne Halpin
Nurses, midwives and nursing students are legally responsible for their actions. This article discusses the legal standard of care required in relation to nursing and midwifery practice and nurses' professional standards and code of conduct. It examines how courts in the UK determine if nurses have met their duty of care and how nurses must ensure they maintain competence to provide safe care. It examines why organisational knowing - understanding the organisation in which one is employed; its people, values and how it works - is important for all nurses, regardless of their level in the organisation...
November 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29139626/errors-in-the-nursing-management-of-a-deteriorating-patient
#2
Heather Gluyas
Effective management of the deteriorating patient requires early recognition of the signs of deterioration, timely review and appropriate interventions. However, this does not always occur. Errors in the recognition and management of a deteriorating patient are rarely related to a single factor; rather they are a complex interaction of system and human factors. This article presents a case study focusing on understanding the factors that led to errors resulting in the death of a patient. Understanding the complex interaction of system and human factors enables the identification of strategies that could be used to decrease the likelihood of a similar incident occurring...
November 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29119744/cardiac-monitoring-and-the-use-of-a-systematic-approach-in-interpreting-electrocardiogram-rhythms
#3
Richard Hatchett
Attaching a patient to a cardiac monitor and obtaining a clear electrocardiogram (ECG) trace may now be considered basic nursing skills. In line with the UK professional standards and code of conduct, healthcare practitioners are required to practise effectively and preserve patients' safety. Therefore, healthcare practitioners undertaking cardiac monitoring are required to have a basic understanding of normal sinus rhythms and some of the common types of cardiac arrhythmia. This will enable prompt recognition of early warning signs of potential and actual clinical conditions, and the timely initiation of treatment...
November 8, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29119743/managing-chronic-oedema-and-wet-legs-in-the-community-a-service-evaluation
#4
Melanie Thomas, Karen Morgan, Ioan Humphreys, Diane Jehu, Linda Jenkins
Patients with chronic oedema and 'wet legs' are frequently seen in the community setting, with research indicating that more than half of community nurses' caseloads are patients with chronic oedema. However, a lack of nurse education and standardised care pathways for this condition has been identified. In June 2016, the Welsh Government supported the development of the On the Ground Education Project (OGEP), which aimed to raise community nurses' awareness and recognition of chronic oedema and wet legs, to improve the management of these conditions, and to support the efficient use of community nurses' time and resources...
November 8, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094534/management-of-nausea-and-vomiting-in-patients-with-advanced-cancer-at-the-end-of-life
#5
Amanda Webb
The prevalence of nausea and vomiting in patients with advanced cancer varies, but it generally increases towards the end of life. Nausea and vomiting can be distressing and debilitating for patients, and can affect quality of life significantly. This article discusses the assessment of nausea and vomiting, current understanding of the emetic pathways, and pharmacological management of nausea and vomiting in patients with advanced cancer at the end of life.
November 1, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094533/patient-transfer-from-the-intensive-care-unit-to-a-general-ward
#6
Mags Guest
The transfer of patients from the intensive care unit (ICU) to a general ward can present several challenges for nurses. Such patients are at high risk of adverse outcomes, including readmission to the ICU, and increased nosocomial infections and mortality, with a resultant increase in hospital costs. This article explores the challenges of transferring patients from the ICU and uses evidence to examine ways to address them to ensure optimal care for a complex patient group. Transfer time, factors affecting general ward care, handover processes, recognition of deterioration and education, intensive care outreach, and the psychological factors affecting these patients are examined...
November 1, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094532/antifibrinolytics-lysine-analogues-for-the-prevention-of-bleeding-in-people-with-haematological-disorders
#7
Patrick Phillips
The mission of the Cochrane Nursing Care Field (CNCF) is to improve health outcomes through increasing the use of the Cochrane Library and supporting Cochrane's role by providing an evidence base for nurses and healthcare professionals who deliver, lead or research nursing care. The CNCF produces Cochrane Corner columns, summaries of recent nursing-care-relevant Cochrane Reviews that are regularly published in collaborating nursing-related journals. Information on the processes CNCF has developed can be accessed at: cncf...
November 1, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094538/recognition-and-management-of-eating-disorders-in-children-and-young-people
#8
Thomas James Oakley, Indranil Dey, Sandra Discombe, Lynn Fitzpatrick, Siba Prosad Paul
Eating disorders form a group of mental health conditions characterised by abnormal eating habits and are associated with high mortality rates. This article provides nurses working in various settings with evidence-based strategies to identify, manage and refer children and young people with eating disorders. It explores what eating disorders are, and their association with physical and psychiatric co-morbidities. Eating disorders have a significant effect on children and young people's health and development, and nurses have a vital role in managing them...
October 25, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094537/students-perspectives-of-using-the-hub-and-spoke-model-to-support-and-develop-learning-in-practice
#9
Laura Millar, Margaret Conlon, Deborah McGirr
The hub and spoke model is one approach to nursing students' practice learning, which involves a base practice placement (hub), from which the student's learning is complemented by additional activities (spokes). This model has been integrated into Edinburgh Napier University's undergraduate nursing programmes since 2011, and it is considered to enhance practice learning. AIM: To explore the characteristics of the hub and spoke model that support nursing students' learning and enable them to improve their understanding of a person-centred approach to care...
October 25, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094536/undertaking-an-accurate-and-comprehensive-assessment-of-the-acutely-ill-adult
#10
Paula Mayo
Accurate assessment of the acutely ill adult who has recently been admitted to hospital, or an inpatient whose condition begins to deteriorate, is becoming a required skill for nurses as people live longer and with a variety of complex conditions, and as nursing skills continue to evolve and develop. This article emphasises the importance of undertaking an accurate and comprehensive patient assessment to ensure that management strategies are implemented in a timely manner. The article also considers the importance of the National Early Warning Score (NEWS), which is a 'track-and-trigger' tool designed to identify patients who are at risk of deterioration...
October 18, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094535/person-centred-care-experiences-of-older-people-with-dementia
#11
Linda Nicholson
AIM: To explore the views, perceptions and experiences of older people with dementia of person-centred care, and how these might affect practice. METHOD: This was a qualitative literature review. A literature search was undertaken, which involved searching databases, reference-checking, and hand-searching of academic journals, national policies and nursing organisation websites, from 1999 to 2017. The author undertook data extraction and a meta-synthesis independently to identify themes from the articles...
October 18, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094541/undertaking-drug-calculations-for-oral-medicines-and-suppositories
#12
Jane Brindley
Nurses are required to demonstrate knowledge and competence in undertaking drug calculations as part of their practice. This article aims to assist nurses in identifying their competence in undertaking drug calculations for oral medications and suppositories. Although nurses enter their professional register with an assessed level of medicines competence, nursing is a dynamic profession and competency can decrease over time, with literature demonstrating that nurses often have suboptimal drug calculation skills...
October 11, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094540/role-of-clinical-practice-educators-in-an-integrated-community-and-mental-health-nhs-foundation-trust
#13
Jane Hampson, Hazel Gunning, Louise Nicholson, Carol Gee, Dawne Jay, Gerry Sheppard
Clinical practice educators (CPEs) aim to provide support and education to clinical staff and students to improve their professional practice. This article examines the work of a team of six CPEs, who were employed by one large integrated mental health and community health NHS foundation trust that incorporates both mental and physical health services. It explores how the role of the CPE can have positive effects on clinical settings, and can improve the provision of evidence-based care for clinical staff and students on placement in the trust...
October 11, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094539/peer-social-support-training-in-uk-prisons
#14
Warren Stewart, Rachel Lovely
AIM: To undertake a service evaluation to assess the effect of peer social support training using two separate learning programmes, which were designed to assist prisoners to support older prisoners and prisoners with disabilities. METHOD: The service evaluation used an action research approach to support planning, delivery and data collection. Eleven interviews with nine prisoners who had undertaken the peer social support training programmes and two members of prison staff (one nurse manager and one prison officer) were recorded and transcribed by the researchers...
October 11, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094526/the-medicines-refrigerator-and-the-importance-of-the-cold-chain-in-the-safe-storage-of-medicines
#15
Richard Hatchett
The medicines refrigerator is a common piece of equipment found in clinical areas. It is used to ensure specific medicines are safely stored within a narrow temperature range in line with manufacturers' instructions; this is usually between +2˚C and +8˚C, and ideally +5˚C. Drugs stored in the medicines refrigerator include: vaccines; insulin; chemotherapy drugs; topical preparations, such as some types of eye drops; and other treatments such as glucagon, which is used to manage severe hypoglycaemia. This article reviews the function of the medicines refrigerator and the checks required by healthcare practitioners to ensure that medicines remain safely stored and their effectiveness is maintained...
October 4, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094525/prevention-recognition-and-management-of-delirium-in-patients-who-are-critically-ill
#16
Jaime Hyde-Wyatt
Delirium is common in patients who are critically ill, often resulting in extended hospital stays and increased mortality and morbidity. There are several subtypes of delirium, which are often undiagnosed and untreated, resulting in suboptimal patient outcomes. This article examines delirium in patients in the intensive care unit, including its signs and symptoms, incidence, causes and subtypes. It outlines the assessment of delirium and the pharmacological and non-pharmacological interventions that can be used to manage the condition, as well as describing the optimal prevention measures...
October 4, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094544/undertaking-an-oral-contraceptive-pill-review
#17
Jenny Bishop
This article provides nurses with an understanding of the process for undertaking an annual oral contraceptive pill review effectively. This is commonly referred to as a 'pill check', and is the responsibility of many nurses working in primary care and sexual health services. Undertaking a pill check requires an understanding of the different types of oral contraceptive pills and associated risk factors. This article refers to recommendations from the Faculty of Sexual and Reproductive Healthcare, the lead body in the UK for standards and guidance relating to family planning and sexual health...
September 27, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094543/role-of-the-admiral-nurse-in-supporting-a-person-with-dementia-and-their-family-carer
#18
Jean Karyn Gamble, Karen Harrison Dening
Distress is commonly experienced by those caring for someone with dementia, and can occur whether the carer is living with a person with dementia, or supporting a person with dementia who lives alone to maintain their independence. It is essential for health and social care professionals to support family carers to balance their needs with those of the person they care for. However, this might be challenging because many influencing factors can affect these needs, and identifying the needs of the family carer and balancing them with the needs of the person with dementia is often complex...
September 27, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094542/how-to-auscultate-for-heart-sounds-in-adults
#19
Sara Morgan
This article aims to improve nurses' knowledge and understanding of the procedure for auscultating heart sounds in adults, as part of a cardiovascular examination. It focuses on auscultating normal heart sounds; it is beyond the scope of this article to discuss the pathophysiology of abnormal findings. REFLECTIVE ACTIVITY: 'How to' articles can help update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of.
September 27, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29094531/developing-and-maintaining-compassionate-care-in-nursing
#20
Amanda Henderson, Jenny Jones
Compassionate care is a fundamental aspect of nursing, and is an important value that is embedded in nurses' professional standards and codes of practice. However, nurses may experience several challenges in their practice that can impede their ability to provide compassionate care. This article aims to support and guide nurses in developing their capacity to be compassionate. It explores concepts related to compassion, including compassion satisfaction, fatigue, literacy and self-compassion, and outlines strategies that nurses can implement to promote compassionate care...
September 20, 2017: Nursing Standard
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