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

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.

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.