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The nutritional needs of people living with a stoma

A urostomy is formed with a piece of small bowel so, in the initial postoperative period, there can be disruption to bowel function. This is not usually a long-term issue but fluid intake can be. It...

A career supporting children and their families

‘I then focused on our 24-hour telephone service that gives our patients direct access to a nurse … I introduced a set of paediatric-specific guidelines that would ensure any advice given would be...

On being poor

Being poor exposes people to a number of unbearable conditions that prevent individuals, families and communities achieving fulfilment and being the best they can be.

The impact of hospital design on patients and staff

Good hospital design should not be an afterthought, a lovely and surprising bonus, or something only for new spaces that, over time through poor future planning and lack of finances, degrade to meet...

Factors that enhance compliance with the Surgical Safety Checklist

Despite the SSC's worldwide acceptance and proven results, compliance challenges have emerged. The term ‘meaningful compliance’ refers to the frequency and completeness of checklist use on different...

The neurogenic bladder: developing a consensus bladder and bowel management pathway for people with MS

MS is a chronic inflammatory condition, affecting the central nervous system, which leads to the formation of lesions in the white and grey matter, as well as diffuse damage and neurodegeneration of...

A brief guide to immunisation and the immunocompromised child or young person

During immunosuppression, the normal function of the immune system is inhibited. Treatments, such as chemotherapy, disrupt the normal function of the cell cycle, which consequently causes...

Supporting nursing, midwifery and allied health professional teams through restorative clinical supervision

Restorative clinical supervision is an evidence-based model underpinned by the Solihull Approach (, motivational interviewing and leadership theories. It contains...

Civility and kindness: not just niceties, but fundamental pillars of quality care

Wednesday 20 October saw the publication of a new independent investigation by Dr Bill Kirkup: Reading the Signals: Maternity and Neonatal Services in East Kent.

Use of ankle–brachial pressure index to assess patient suitability for lower limb compression

The aim of this review is to critically review and analyse findings from contemporary literature to evaluate the effectiveness of the ABPI as a screening tool to assess patients' suitability for the...

World Toilet Day: making the invisible visible

World Toilet Day is marked every year on 19 November, with this year's theme being ‘let's make the invisible visible’. Declared an official annual United Nations (UN) event in 2013, it aims to...

Focusing on what went right

Placing patient safety in the hands of nurses at the bedside involves an element of trust: care is not simply about addressing a patient's physical needs, but also about providing psychological...

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