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

The Nursing and Midwifery Council's Standards for Student Supervision and Assessment (SSSA), introduced in 2018, shifted from a mentorship model to a coaching model, creating new roles for practice supervisors, assessors, and academic assessors. This study explores the experiences of nursing students, practice assessors, and supervisors working with the SSSA. Using a qualitative approach, 14 semi-structured interviews were conducted with nursing students and staff. Thematic analysis identified three key themes: SSSA-related training, organisational support, and expectations from students and staff. Findings suggest time constraints, inconsistent training, and use of the electronic practice assessment documentation (e-PAD) platform require attention to improve the learning experience.

Introduction: In response to the SARS-CoV-2 pandemic in March 2020 and required adherence to infection control measures and patient and staff safety, an integrated respiratory team (IRT) developed guideline-based templates to support the team in teleconsultation reviews of their patients. Patients had been diagnosed with sleep disordered breathing, chronic obstructive pulmonary disease, asthma, interstitial lung disease or had oxygen assessment needs.

Methods: Nine IRT members collaboratively developed content for the templates to assist in clinical reviews. In February 2023 semi-structured interviews were conducted and recorded with eight of the IRT members using Microsoft Teams, then thematically analysed.

Results: Qualitative analysis revealed 13 themes. The templates were considered time-saving and advantageous in teleconsultation reviews. They supported evidence-based, structured, and consistent reviews. They were felt to uphold patient safety, supporting knowledge and skills. IRT members reported the templates had no adverse effects on autonomy, patient-professional relationships or person-centred care. They facilitated good multidisciplinary team working and communication. One interviewee reported that the templates supported the Nursing and Midwifery Council Code.

Conclusion: The templates continue to be used across the regional service by the IRT. Their benefit has been realised beyond the pandemic. Refinements will be made as guidelines are updated. The development of these innovative templates may be of interest and value to other respiratory teams.

In health care, work-related musculoskeletal disorders are largely attributed to patient-handling tasks. Reliable assessments of patient mobility are imperative to mitigate the musculoskeletal burden on healthcare providers. This study explores the reliability of MK5 Mobility Classes, a patient mobility classification system. Authentic video material was collected, which enabled many healthcare providers to evaluate patient mobility within a highly realistic practical environment. Inter-rater and intra-rater reliability were determined using the intraclass correlation coefficient (ICC). A total of 147 raters completed the MK5 assessment for 40 distinct practical cases. Additionally, 75 raters repeated the assessments. The high level of inter-rater reliability, ICC value of 0.82, demonstrates the consistent performance of MK5 in assessing patient mobility across diverse scenarios. Intra-rater reliability results showed moderate agreement, with an average ICC of 0.59. This study confirms the reliability of the MK5 Mobility Classes in assessing patient mobility in healthcare settings.

The Theatre Safety Club 2024 took place on 6 November in London and on 26 November in Newcastle. The CPDcertified event aimed to educate and provide insight into safety in the operating theatre, boasting an impressive line-up of speakers and sessions that were well attended. The conference was sponsored by Cardinal Health, a leading healthcare company providing value-based product solutions, with a comprehensive portfolio covering mechanical thromboprophylaxis, nutritional insufficiency solutions, thermometry and surgical gloves.

Clinical supervision is a valued learning tool for student nurses; however, there is a paucity of description around real-time experience of clinical supervision among qualified advanced nurse practitioners. Many qualified nurses claim delays in engaging with clinical supervision may be caused by staff shortages, time constraints, workload in busy clinical environments, or a reticence to engage in discussions that might reveal shortcomings in knowledge or practical skills. This article reviews a process of monthly clinical supervision that has been conducted among a group of qualified emergency department advanced nurse practitioners for 25 years. Enablers and challenges are identified, as are changes to nursing practices that emerged from the sessions. Many benefits are identified, both for patient care and for nurse satisfaction. These positive aspects appear to sustain a regular clinical supervision process and offset any challenges and pitfalls. Resilience and commitment to the process are paramount to its success.

Critical thinking is required for successful nursing outcomes. For evidence-based practice, there is a need to understand and apply quantitative methods of research and statistical analysis in order to obtain evidence. However, the literature shows that the use of quantitative methods among nurse researchers can be problematic. This article aims to enhance understanding and implementation of one of the most frequently used statistical tests, the independent samples t-test, with the use of a nursing practice example. Guidance for the most used statistical software for social sciences (SPSS) and graphical representations are provided.

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.

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.

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.