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Patient satisfaction of specialist nurse-led renal cancer follow-up

The study aimed to assess patient satisfaction levels with specialist nurse-led renal cancer follow-up. It was hoped that this would help validate the use of the service in this centre and also...

Ergonomic comparison of different incontinence products and effects on time and physical demands on carers

In both studies, three absorbent incontinence products were investigated: the elastic slip, the traditional slip, and the belted slip..

Transanal irrigation to treat chronic constipation in patients with spinal cord injury: a case study

Mr K was a gentleman with a new spinal cord injury who sustained his injury following a motorbike accident – the injury occurred at level T6. He began experiencing autonomic dysreflexia episodes and...

We need to support those who speak up, for everyone's safety

‘Act without delay if you believe that there is a risk to patient safety or public protection.’

Longer length peripheral catheters in sickle cell treatment: a more efficient and cost-effective care pathway

An observational audit was conducted to understand the value in terms of value for money and clinical time spent of the new LPC pathway. Data collection began in November 2021 for 1 year. The...

Guarding the central venous access device: a new solution for an old problem

The pathogenesis of bacteria into the bloodstream can occur in two common ways: intraluminally and extraluminally. A CVAD can be colonized extraluminally by bacteria along the catheter or skin flora...

Foundation for implementing a comprehensive vascular access excellence initiative organization-wide to improve vascular access device insertion and standardize care: best practice for an acute care hospital

To improve first-attempt success, preserve vessel health, and reduce complications, a new approach to vascular access was deemed necessary. In 2016, a 263-bed public district hospital in California...

Factitious disorder in IV therapy

It is essential to maintain a high level of suspicion while also approaching patients with empathy and understanding. Building a rapport with patients can help in effectively addressing and managing...

Protecting patients through surveillance of device-related bacteraemias

I enjoyed the strong teamwork that results; however, I was keenly aware of the risks faced by acutely ill patients requiring support from the multitude of invasive devices necessary for their...

A guide to cannulation in adults

The aseptic non-touch technique (ANTT) is a method employed to minimise the likelihood of patients contracting infections during clinical procedures. It accomplishes this by safeguarding ‘Key-Parts’...

The importance of a comprehensive geriatric assessment for older people admitted onto a virtual ward

The theoretical, composite case presented here is that of Mrs Smith, a 78-year-old female, who was widowed and lived alone. The RRT had received a referral from the North-West Ambulance Service...

Challenges involved in collecting and analysing the reported experiences of patients with lymphoedema

An initial challenge for LW was identifying a suitable PREM. Several reviews caution the interpretation of PREMs, discussing the influence of preconceived expectations, a lack of robust validation...

Establishing a guidance toolkit for assessment of proficiencies in students

Nursing students are required to achieve a range of proficiencies and competencies in accordance with the Nursing and Midwifery Council (NMC) (2018) standards.

Black History Month

October signals another Black History Month. It brings with it an opportunity to celebrate the ongoing commitment that Black, Asian and other minority ethnic nurses, healthcare workers and students...

NHS workforce strategy: navigating challenges and charting the future

The dedication of the NHS workforce was especially evident during the COVID-19 crisis. Yet, from 2008 to 2018, challenges such as insufficient funding, suboptimal planning, and fragmented...

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