British journal of nursing (Mark Allen Publishing)最新文献

John Tingle, Associate Professor, Birmingham Law School, University of Birmingham, looks to 2025 and how the NHS patient safety landscape might change along with some recent patient safety and clinical negligence reports.

Background: High-quality absorbent products with effective performance characteristics help maintain user dignity and normalise incontinence.

Aim: The study evaluated the most important performance characteristics of newly developed MoliCare Premium Pants.

Methods: Fifty-two adults with incontinence in Germany were surveyed for their views and levels of satisfaction with various performance features of the tested absorbent incontinence product via a computer-assisted personal interview.

Findings: All features of the product received positive feedback from all respondents. More than 94% of participants 'agreed' that the new design performed very well on each characteristic; 98% of users were 'highly satisfied' and 'satisfied' with the MoliCare product.

Conclusions: The new design performed particularly well with regard to different performance aspects. The redesigned MoliCare Premium Pants with innovative features is suitable specifically for individuals with incontinence and can help them continue a normal lifestyle independently without feeling embarrassed due to their continence problem.

COVID-19 symptoms are often perceived as respiratory only. However, recent findings have shown that gastrointestinal symptoms are being reported in a significant number of patients, ranging from 17% to more than 50%, with some studies speculating that the figure may be even higher, but that it is under-reported and overlooked. Therefore, a hypothesis was put forward that gastrointestinal symptoms related to COVID-19 may make pouch or stoma function deteriorate or even mimic pouchitis symptoms in ileoanal pouches and gastroenteritis in stoma patients; the intention was to investigate this further and to test the hypothesis. A retrospective analysis of patients with a stoma or ileoanal pouch was conducted, including those who reported having gastrointestinal symptoms following a positive COVID-19 test in the preceding 4 years (2020-2024). It was anticipated that gaining insight into this topic can help improve care for this patient group.

A well-sited stoma can reduce the risk of complications such as leakage, which in turn can damage skin. Although many patients may experience problematic skin, this should not be considered an acceptable norm; people with a stoma should have confidence in their appliance to continue their usual lifestyle. The Nursing and Midwifery Council code states that nurses must always practise in line with the best available evidence. With increasing demand for healthcare and limited financial resources, there are ongoing challenges to deliver care at the required level. A recent advance in stoma care includes adhesive flanges permeated with skin-friendly ingredients. In line with value-based procurement and Getting it Right First Time, the stoma care clinical nurse specialist should consider being proactive in their approach and look to use these products before the patient experiences problems rather than waiting until a problem occurs.

Sam Foster, Executive Director of Professional Practice, Nursing and Midwifery Council, considers the ways in which the NMC aims to promote professional standards and protect the public.

People with an outward peristomal body profile can experience difficulties obtaining a secure seal with a flat baseplate to the peristomal skin. Baseplates with a concave contour have been designed to provide a better fit to curved body profiles and reduce the risk of leakage. In this 4-week product evaluation, 110 individuals with an outward peristomal body profile using flat one-piece pouching systems were enrolled to evaluate the impact of a concave one-piece pouching system on wear time, unplanned changes of pouching systems and use of accessories. The product evaluation consisted of two test periods of 2 weeks each. After the first screening period, study nurses evaluated whether the concave pouching system was suitable for the participants and, together with each participant, decided whether to proceed to the second evaluation period. Use of the concave pouching system did not significantly affect wear time but led to significantly fewer unplanned changes of pouching systems and less use of accessories, which may lead to cost savings for the healthcare system.

Guidance recommends that prescribed opioids for acute pain should not be continued beyond the expected period of healing and may lead to long-term use if a large supply is provided or repeat prescriptions are requested. This project investigated how opioids are used by opioid-naïve trauma patients in the first 6 months following discharge from hospital. The findings indicate that patients are frequently discharged from hospital with an opioid prescription and for some this will continue beyond the recommended maximum duration of 3 months and will include dose escalation. Clinicians should be aware of the potential risks associated with prolonged opioid use, including the increased risk of accidental overdose and potential death, and be able to identify which patients are at most risk. Screening for indicators for long-term use may prove more useful than formal risk stratification tools in an acute pain population.

Urinary incontinence, encompassing stress, urge, and overflow types, significantly impacts patients' physical, psychological, and social wellbeing. This article provides an overview of each type, exploring their pathophysiology, risk factors, and clinical presentations. It emphasises the crucial role of nursing and discusses evidence-based management strategies, including behavioural therapies, pharmacological treatments and patient education. The article also addresses the impact of incontinence on quality of life and future directions for research and practice, advocating a multidisciplinary approach to improve patient outcomes.