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

Background: Awake procedures such as aerodigestive endoscopies can be distressing. As a result, definitive diagnostic assessments often require sedation or general anaesthesia, limiting ability to identify early-stage cancers.

Objective: To create a process and a team to deliver mindful endoscopy, in order to support patients through awake procedures, thereby extending the scope of definitive assessments in outpatient settings.

Methods: The mindful endoscopy team, consisting of an endoscopist and endoscopy support practitioners (ESPs) was created. Nurse-led mindfulness comprised patient education on a range of relaxation methods just before the start of the procedure, and holistic and proactive patient support within a clear structure during it. Patient experience of awake oral and pharyngolaryngeal endoscopy (180 procedures) and transnasal panendoscopy (70 procedures) were recorded using the Gastrointestinal Endoscopy Satisfaction Questionnaire.

Results: Overall, 92.4% of patients were satisfied or very satisfied with their awake endoscopies and 96.4% indicated that they would be happy or very happy to undergo the same procedure undertaken by the same team again. At a mean follow-up of 14 months, 12 cancers had been detected and no cancers had been missed.

Conclusion: Perioperative mindfulness reliably extended the scope of definitive aerodigestive endoscopies, away from operating theatres and sedation facilities, and into outpatients. The potential of mindful endoscopy needs to be urgently explored to more broadly support the NHS elective recovery plan.

Implementation of new technology can influence the surgical team's performance.

Aim: To investigate a novice robotic nurse team's learning curves and mental load on the Medtronic Hugo RAS system.

Methods: An observer noted the nurses' surgical tasks performed on the Hugo. All nurses completed two questionnaires about mental load (SURG-TLX) and technology acceptance (TAM) following surgery.

Findings: Twenty robot-assisted inguinal hernia repairs were performed with no observable plateau in the learning curve for the preoperative and perioperative phases. On average, the researchers found a slightly higher score for the scrub nurse's mental load (median 27 points, IQR 14-47) than the circulating nurse (median 14.5 points, IQR 10-38).

Conclusion: There was no observable plateau in the learning curve for the pre- and perioperative tasks. The scrub nurse function had a higher mental load than the circulating nurse function, with one nurse having a mental load score above the recommended level.

Faecal incontinence (FI) is well described within the older generation and is considered a condition associated with older age. It is a distressing and often stigmatised condition that affects all ages, yet its impact on young adults remains poorly documented and recognised within research and clinical practice. It is hard to obtain accurate rates for young adults with FI given the stigma attached. This article highlights the need for a holistic approach that considers not just a physiological approach but also the psychological need for support. It emphasises the important role nurses play in early detection, holistic assessment and health education. By addressing the needs of young adults, nurses can help to promote timely interventions to enhance quality of life, therefore creating a more inclusive approach to FI management.

John Tingle, Associate Professor, Birmingham Law School, University of Birmingham, reflects on some key NHS patient safety policy reports published in 2025 and looks towards the developments and changes set for 2026.

This patient case series investigated the impact that the urinary catheter Luja™ with Micro-hole Zone Technology (MHZT) has had on the daily life of patients using intermittent catheters. With intermittent catheterisation (IC) representing the gold standard for daily bladder management for people with urinary tract dysfunctions, the novel urinary catheter Luja is designed to perform differently to conventional eyelet catheters and to address known urinary tract infection risk factors. Using semi-structured patient interviews conducted by health professionals, the real-life experiences of a diverse group of IC patients using the Luja catheter were collected. During the interviews most patients reported positive feedback from using the Luja catheter. Most mentioned perceiving a lower frequency of urinary tract infections, and many mentioned perceiving easier, faster and complete bladder emptying with the Luja catheter compared with their previous conventional eyelet catheter. These findings highlight the advantages that patients using the Luja catheter may experience during daily bladder management.