bluuebunny/crossref_metadata_2025 huggingface dataset:
Be careful what you wish for
Authors: Tanuku Purnima
Published: May 2014

Purnima Tanuku looks at the importance of ensuring all voices are heard as part of the Early Years Foundation Stage review, and why the majority of nurseries do not want to see radical change.
Blue is the colour
Authors: Waterhouse Jessica
Published: May 2014

Jessica Waterhouse continues her getting creative with colour series, with practical ideas for exploring the many associations, both in culture and in the natural world, of the colour blue.
You must register to offer a meal
Authors: Simpson Maggie
Published: May 2014

The Food Standards Agency in Scotland has announced that childminders who provide a meal for the children in their care must register the service with their local environmental health department
Narrowing the skills gap
Authors: Passmore Biddy
Published: May 2014

If we are truly committed to closing the gap in skills between advantaged and disadvantaged children we must ensure that we have strong and trusting relationships with their parents and grandparents.
Growing Green
Authors: Waterhouse Jessica
Published: May 2014

Jessica Waterhouse continues her series focusing on practical ideas for getting creative with different colours. This month her article explores the colour green, and its many associations.
Getting started in fundraising
Authors: David Anthony
Published: May 2014

If you have never fundraised before, ‘where do I start?’ is the best question to ask yourself. Here are some quick steps that will help to prepare your for this new role and to give yourself a sense of greater control.
Bold, bright orange
Authors: Waterhouse Jessica
Published: May 2014

Jessica Waterhouse continues her series focusing on practical ideas for getting creative with different colours. This month her article explores the colour orange, and its many associations.
Pupil premium increase can boost reading recovery
Authors: Douetil Julia
Published: May 2014

MA Education Ltd, St Jude's Church, Dulwich Road, London, SE24 0PB. neil.hentymarkallengroup.com
Universal baby sounds
Authors: Jones Michael
Published: May 2014

‘Goo goo goo, ga ga ga’ – cooing, babbling and the drive towards baby's first words. Just how important are those first sounds in later language development, and how big a role do parental interactions play?
ICT helpline
Authors: Sharkey Liz
Published: May 2014

Liz Sharkey advises on how to give an interactive geography lesson in this month's step-by-step guide
ICT helpline
Authors: Sharkey Liz
Published: May 2014

Explore a website ideal for introducing musical instruments and find more guidance for making the most of the whiteboard
Dealing with disruption
Authors: Thornton Stephanie
Published: May 2014

How can you make sense of conflicting advice for managing ‘difficult’ children? Stephanie Thornton explores some immediate strategies
BIRDS AND THEIR NESTS
Authors: Wright Lynne
Published: May 2014

Lynne Wright explores how a nature study can work with your science curriculum
THE WINTER WORLD
Authors: Bevan Clare
Published: May 2014

How can we develop children's appreciation of the natural world and changing seasons into creative words? 5 to 7 asked the poet Clare Bevan where to begin
Mouse motor skills
Authors: Taylor John
Published: May 2014

Here are two games which are quick to set up on your computer. The aim is to develop fine control of the mouse, both movement and control of the button(s).
Which side of the road is your school on?
Authors: Rhodes Liz
Published: May 2014

To Liz Rhodes, location, location, location isn't enough. All schools should be at an acceptable standard
Plum pudding Sunday
Authors: Hammond Paula
Published: May 2014

This month's assembly section focuses on the day every member of the family traditionally takes a turn at stirring the Christmas pudding for good luck
Don't drop the ball
Authors: Cowan Georgie
Published: May 2014

PE is seen as key to improving pupil behaviour, attendance, achievement, selfesteem and the development of social skills, including teamwork and leadership skills. High-quality PE enhances the ethos of a school, motivating students while improving their health and wellbeing.
Learning by assessment
Authors: Andrews Crispin
Published: May 2014

Gone are the days when assessment was about simply grading children. It is now about learning and discovering where they go next, says Crispin Andrews
Changing careers: thoughts from an NQT
Authors: Cowan Georgie
Published: May 2014

After a career as a recruitment consultant, Georgie Cowan decided to become a teacher. She now teaches a reception class at Eaton Square Preparatory school in Westminster, London. She talks to 5 to 7 about her thoughts on her first few months in teaching
There was an old lady who swallowed a fly
Authors: Rhodes Liz
Published: May 2014

A large old lady accidentally swallows a fly. What is she to do? Liz Rhodes, a primary school consultant from Exeter, discusses ways to teach this delightful tale to year 1 children
Diagnosing from children's drawings
Authors: Thornton Stephanie
Published: May 2014

Dr Stephanie Thornton questions whether interpreting children's drawings can provide insights to their thoughts and feelings
Spot the errors in the deliberate mistakes
Authors: Dabell John
Published: May 2014

Using deliberate mistakes is one of many techniques you can use to assess children's mathematical knowledge and probe their understanding and maximise their learning
Playing and learning
Authors: Cowan Georgie
Published: May 2014

Georgie Cowan, reception teacher at Eaton Square Preparatory school in Westminster, London, talks to 5TO7 about teaching sport and PE in a way which key stage 1 children can enjoy and get the most out of
Reward and punishment: Teacher strategies
Authors: Thornton Stephanie
Published: May 2014

Feedback has a powerful effect on human behaviour. Dr Stephanie Thornton asks: Do we always recognise what those effects are and do we make the most of them?
Tuning into sound
Authors: Palmer Sue
Published: May 2014

The next stage in the Foundations of Literacy series, Sue Palmer looks at how children begin to decode words while recognising those that don't work phonetically
Do tricky tongue-twisters trip off your tongue?
Authors: Cowley Sue
Published: May 2014

Sue Cowley, the author numerous teaching books including A-Z of Teaching, discusses how children can identify sounds and syllables through poetry and alliteration
Numbers and their properties
Authors: Montague-Smith Ann
Published: May 2014

Ann Montague-Smith, author of All New 100 Maths Lessons, writes activities on counting in steps and number sequences for year 1 and 2 children
Creating a culture of constructive reward
Authors: Thornton Stephanie
Published: May 2014

Patterns of reward and punishment shape classroom culture, fostering or inhibiting learning and making it a positive or negative experience. How can we take control?
Born to be bad?
Authors: Mill Patsy
Published: May 2014

Are some children born to be evil, destined to be anti-social, even seriously criminal, as some experts believe? If they are, what should we do about it? Patsy Mill discusses
Advisor's view
Authors: Mitchell Roger
Published: May 2014

Roger Mitchell concentrates more on the scientific processes of light, dark and shaddows by using the investigstion skills from the key stage 1 programme of study
The finer points of Steiner
Authors: Ross Emily
Published: May 2014

Creativity, spirituality and rhythm are words associated with yoga rather than education. But in Steiner schooling these concepts are fundamental to the holistic teaching style
Start taking better care of yourself!
Authors: Rhodes Liz
Published: May 2014

Liz Rhodes discusses how in order to look after children properly, teachers need to look after themselves first
Absent without excuse
Authors: Thornton Stephanie
Published: May 2014

Missing school damages development in many ways. Many children simply refuse to go. How can teachers help?
One more battle to fight
Authors: Palmer Sue
Published: May 2014

In the next part of her series on how modern life is damaging children, Sue Palmer looks at how teachers can help to ‘detoxify childhood’
Using projectors
Authors: Lomer Richard
Published: May 2014

Digital projectors have great benefits to learning environments. But how to get the best out of them? Richard Lomer discusses
The root of the problem
Authors: Cosh Jackie
Published: May 2014

Dyslexia is well recognised and help is widely available. But its numerical equivalent – dyscalculia – is only now beginning to receive the publicity it deserves
Some changes of emphasis
Authors: Rhodes Liz
Published: May 2014

Liz Rhodes looks at the new initiatives that try to get young children to lead more active and fulfilling lives
Synthetic phonics: Only 10 minutes a day
Authors: Hiatt Kay
Published: May 2014

Kay Hiatt speaks to 5to7 about how she taught children to read using phonics in a small amount of time each day
Another side of Christmas
Authors: Mill Patsy
Published: May 2014

Christmas is supposed to be a joyful feast, a celebration of family love. So why is child depression at its peak in the weeks following the Christmas break?
Cutting the bribes
Authors: Goodchild Rachel
Published: May 2014

Rachel Goodchild looks at whether using incentives are the best way to motivate a child
Drumming does it
Authors: Dorkin Gaye
Published: May 2014

Gaye Dorkin drums with children of all ages. During this, she has noticed how music impacts on their development
World day for water
Authors: Hammond Paula
Published: May 2014

A third of the world's population don'f have enough water. Paula Hammond introduces an assembly on a day that raises awareness to this
Breaking the silence
Authors: Hartshorne Mary
Published: May 2014

Mary Hartshorne looks at communication disability in the classroom, how this hidden disability impacts on school life and what you can do about it
Making compasses
Authors: Hammond Paula
Published: May 2014

The activities focus on teaching year 2 children about forces and motion
The fine art of design
Authors: West Jane
Published: May 2014

Jane West helps children to understand good design by examining the Culture Show's top three
Happy homes for children Danish style
Authors: Rhodes Liz
Published: May 2014

Liz Rhodes discusses lessons we can learn from residential care homes in Denmark
Home from home?
Authors: Palmer Sue
Published: May 2014

Sue Palmer links her findings during Toxic Childhood research to the rapidly changing face of childcare
Learning to remember
Authors: Singleton Chris
Published: May 2014

Recent research shows that even young children can be taught ways to use their memory more effectively. Dr Chris Singleton reviews the evidence
A spooky issue
Authors: Hindmarch Sonali
Published: May 2014

I just read an article on Halloween entitled: Harmless Fun or Funless Harm?. It discussed an elementary school in the USA that banned celebrating Halloween as some parents claimed it ‘glorified Satan and the occult’ and demanded to know why a school can have witches in October, but not Jesus in December.Is this that the opinion of evangelist groups in the USA? Or is it one that has crossed the Atlantic? Halloween does
The show must go on
Authors: Wilkinson Jenny , Getty Nikki , Raikes Anna , Hitchins Laura
Published: May 2014

The year 1 team at Locks Heath Infant School have been developing their role play areas to ensure they have more to offer across the curriculum
Primaries pressed to teach languages
Authors: Dearing Lord
Published: May 2014

Lord Dearing says languages should be embedded in the primary curriculum in the light of his report showing a decline of its take-up post 14
A fresh teaching style
Authors: Mosely Jenny
Published: May 2014

In the first of a four-part series, Jenny Mosely discusses what it means to be a good teacher
Right reading wrongs by catching them young
Authors: Rhodes Liz
Published: May 2014

Liz Rhodes discusses the importance of identifying and helping early years children who find reading difficult
The rejected child
Authors: Thornton Stephanie
Published: May 2014

What does it feel like to have no friends? Why do some children end up like this and is there anything schools can do to intervene?
Bullying: Fighting back
Authors: Mill Patsy
Published: May 2014

Being bullied is one of the most miserable experiences a child can suffer. Is it possible to reduce bullying?
Farm visits: A health note
Authors: Walker Robert
Published: May 2014

When visiting the farm with children, it is important to take certain health precautions and be aware of the rsiks that exist
Whatever the weather
Authors: Hammond Paula
Published: May 2014

In this month's, experiment Paula Hammond's lesson focuses on climate change and the weather
Philharmonia outreach
Authors: Dunn Carrie
Published: May 2014

Music has long been regarded as a specialised subject – only of interest to those with obvious natural talents, and merely a waste of time for everyone else
Natural and artificial
Authors: Hammond Paula
Published: May 2014

This month, Paula Hammond's activities focus on light and dark and grouping and changing materials. She explains the key concepts with some practical activities
The poverty gap exists
Authors: Tweed James
Published: May 2014

There is still a significant gap in development levels between disadvantaged children and their peers by the age of five years. James Tweed comments
We're paranoid now!
Authors: Lewis Pam
Published: May 2014

Pam Lewis reviews a selection of books with a common theme – suspecting that the unpleasant may happen
The A-Z of Christmas
Authors: Cruickshank Sarah , Cruickshank Jonathan
Published: May 2014

All 26 letters of the alphabet are covered, but this list is by no means exhaustive, so please add more as you work together, says Sarah Cruickshank
Sleep and success
Authors: Thornton Stephanie
Published: May 2014

Are any of us sleeping enough nowadays? How much is sleep deprivation affecting the children in your classroom?
A new way of learning
Authors: Keeling Anne
Published: May 2014

Since its introduction in 2000, 140 UK state primary schools have chosen to invest in the International Primary Curriculum
Freezing and melting
Authors: Wilson Gay
Published: May 2014

Melting and freezing are within most young children's experience, whether it be ice lollies, ice cream or icy mornings. Gay Wilson and Carole Creary explain
The numbers maze
Authors: Taylor John
Published: May 2014

The critical concepts for reasoning about numbers and shapes are discussed by John Taylor, author of Classworks Numeracy
Reading allowed! (In fact, encouraged)
Authors: Rhodes Liz
Published: May 2014

Liz Rhodes discusses the benefits and pleasures of reading out loud
The power of speech
Authors: Jones Michael
Published: May 2014

There is general agreement that we need to develop children's speaking and listening skills. Michael Jones discusses the effect of teacher talk
Have a maths week!
Authors: Youngman Angela
Published: May 2014

Angela Youngman discusses how to make maths more interesting for both children and teachers
Special numbers
Authors: Cruickshank Sarah
Published: May 2014

We all have numbers that are significant to us. Sarah Cruickshank's lesson uses that to help children in maths
They should take a walk on the wild side
Authors: Rhodes Liz
Published: May 2014

Liz Rhodes discusses recent findings about childhood, friendship, leisure and the freedom to make mistakes
Owl Babies
Authors: Rhodes Liz
Published: May 2014

Liz Rhodes suggests ways in which this classic book can be used with year 1 children
Seeing the big picture
Authors: West Jane
Published: May 2014

Children are natural art critics so introducing them to ′fine art′ early on is a natural extension of their own work and of the stimulus of the world around them. Very young children can be astute in their appreciation of colour and form-they, too, frequently paint in bright blocks of colour and can have an intuitive understanding of modern art, in particular, that leaves an adult audience baffled.
Maths beyond the classroom door
Authors: Davis John
Published: May 2014

In the first in a series of articles, John Davis explains how to get the most out of maths lessons, in school and outside
news
Authors: Lepkowska Dorothy
Published: May 2014

Over-seas dreams Year 2 results Sex education in primary has big impact Funding to help with language difficulties
Would you like to wash some stones?
Authors: Rhodes Liz
Published: May 2014

Liz Rhodes emphasises the importance of imaginative and free play
How prepared are you?
Authors: Bartley Keith
Published: May 2014

Chief executive of the General Teaching Council, Keith Bartley, explains how important performance management is in continuing professional development
As the sun rises and sets
Authors: Manley Sarah
Published: May 2014

Exploring and developing ideas. Investigating and making art, craft and design. Evaluating and developing work. Knowledge and understanding.
Designing coats of arms
Authors: Cruickshank Sarah
Published: May 2014

Information texts: Literacy. What is a sculpture? And Investigating pattern: Art and design
News
Authors: Lepkowska Dorothy
Published: May 2014

Bankers turn to teaching Late league tables Free school meals pilot Grandparents anger over childcare Threadworms
Accepting differences
Authors: Cullen Kairen
Published: May 2014

Working towards social inclusion is a top priority in education at this time and can only be achieved if the differences between people are acknowledged and enjoyed
The Snail and the Whale
Authors: Robinson Claire
Published: May 2014

Creative writing is my favourite lesson of the week, as I love the doors that it opens! Every child becomes involved in one story per half term, sparking ideas and then producing some truly amazing pieces of work. This term my class have focused on the story of The Snail and the Whale by Julia Donaldson and Axel Scheffler. This lesson can be done with a particularly bright year 1 class or a year 2 class.
Forever blowing bubbles
Authors: Jones Ally
Published: May 2014

For young children, there is nothing more awe-striking than watching a globule of water gently turn into a bubble from the end of a plastic stick and then gently float away into nothing.
What a jolly old myth
Authors: Thornton Stephanie
Published: May 2014

Some children stop believing in Santa years before others. Stephanie Thornton asks: how best to manage a classroom divided in beliefs?
Big books: Ten in the Bed
Authors: Rhodes Liz
Published: May 2014

Learning objectives" Following the text using a left to right movement. Recalling details of the text and sequencing them. Counting backwards in ones. Learning about different ways to show emphasis. Ordering from small to large.Learning about onomatopoeias.Revisiting the alphabet. Ordering words alphabetically Practising number bonds to 10.Thinking about movement verbs and change of tense.
Top gear: Push and pull
Authors: Dabell John
Published: May 2014

In this article we look at how children can use pushing and pulling forces to generate movement. The children will look at toys and investigate what they can do to make them go faster and what they can do to make them stop moving.
From junk to jewel
Authors: Cruickshank Sarah
Published: May 2014

In this article we will investigate, design and make some Christmas decorations using recycled junk. This project will enable children to practice the three elements of the design and technology curriculum.
Flaming poetry!
Authors: Glover Jane
Published: May 2014

This week's unit of work begins by revisiting work covered in year 1 on ′using the senses′. Recall with the children how they need to use all their senses to influence their work, when making observations from first-hand experiences. Read a selection of autumn poems to set the autumn mood with the children and discuss which senses are most evident in each poem.
… Of a new deputy head
Authors: Scott Jane
Published: May 2014

Jane Scott has worked in the same school for 18 years, what follows is part two of her first day in charge
We're Going on a Bear Hunt
Authors: Rhodes Liz
Published: May 2014

Liz Rhodes discusses ways of using this much-loved book with a year 1 class
Design and Technology
Authors: Hope Gill
Published: May 2014

Pandy used to live in my year 1 classroom. Before then he lived at home with me. In fact, he has lived in all my homes since I was one-year-old. Before that, he lived with my cousin, Carol.
Its Easter time!
Authors: Cruickshank Sarah
Published: May 2014

Sarah Cruickshank explains how to have fun with this time of year in the classroom
World Book Day
Authors: Cruickshank Sarah
Published: May 2014

World Book Day 2008 is celebrated in the United Kingdom and Ireland on March 6, Sarah Cruickshank explains how to celebrate it with children
A strategic move
Authors: Youngman Angela
Published: May 2014

What place do games have in the classroom? Are they a useful learning tool or better left at home? Angela Youngman discusses
Picturacy review and giveaway!
Authors: Rhodes Liz , Park Nick
Published: May 2014

Picturacy is the title chosen by Film Education for their new series of seven interactive discs, which contain film clips to illustrate the key concepts of reading and storytelling.
Set up your own role-play area
Authors: Sharkey Liz
Published: May 2014

Liz Sharkey gives her ideas on how to incorporate a role play area into your everyday timetable
Becoming athletic
Authors: Andrews Crispin
Published: May 2014

Getting children interested in sport from the start is an important aspect of PE in key stage 1. Crispin Andrews introduces some ways of doing this
Stepping into the unknown
Authors: Thornton Stephanie
Published: May 2014

Starting school has always been a major and stressful step in any child's life, whatever his or her background may be, says Stephanie Thornton
Celebrating Tanabata
Authors: Hammond Paula
Published: May 2014

The Japanese star festival of Tanabata takes place on the seventh day of the seventh month-July 7
Don't squander a precious resource
Authors: Keates Chris
Published: May 2014

The first year of a teacher's career is one of the most critical for the individual and the profession. Chris Keates, general secretary of the NASUWT reports
Almost one year on: Thoughts from an NQT
Authors: Edwards Ally
Published: May 2014

Ally Edwards teaches year 1 in a school in central London. She describes how her first year in teaching has gone so far
Junk funk music!
Authors: Youngman Angela
Published: May 2014

Angela Youngman suggests using every day items, such as saucepan lids and tin cans, to make music with young children
Feel the musical pulse
Authors: Walker Penny
Published: May 2014

Penny Walker presents some fun ideas for year 1 children to get them excited about music and rhyme
Making perfect pasta
Authors: Hammond Paula
Published: May 2014

Paula Hammond's science activity allows children to have fun with grouping materials by getting them to make their own pasta
Letters
Authors: Cole Jane
Published: May 2014

Art Attack An offensive image Dyspraxia awareness week
Control in the classroom
Authors: Thornton Stephanie
Published: May 2014

How is it that some teachers can quell a class with a look− and others are just ignored? Stephanie Thornton explains
Speaking out: How to spot a struggling child
Authors: Page Kirstie
Published: May 2014

Kirstie Page explains how to identify and then support children with speech and sound difficulties in the classroom
Young computer users
Authors: Cribb Ben , Weeden Debbie
Published: May 2014

A project between two specialist schools and a primary investigated the use of whiteboards with reception children. The two leaders of it, Ben Cribb and Debbie Weeden explain how they used the technology to raise standards
Coping with head lice
Authors: Youngman Angela
Published: May 2014

There is an outbreak of head lice in school-it is note every parent dreads. But it is not just parents who have to be worried
Reviews
Authors: Lee Tracy
Published: May 2014

Th e children couldn′t wait to get their hands on this! This is a chunky wooden xylophone, with bright colours, and is in the shape of a very cute bear with a lovely face.
Making mood music
Authors: Garvey Debbie
Published: May 2014

How often do you listen to music for the sheer pleasure of it? How does where you are and how you feel influence the music you choose to listen to? And how can we support children to develop a love of music, as well as understanding of how different music affects people, and knowledge of the different types of music available?
Using arrays in maths
Authors: Croft Sue
Published: May 2014

In this article, you will use real-life arrays to stimulate work on rows, columns, and repeated addition and give the children a firm foundation for later work on deriving and learning multiplication tables.
Creative displays for the new school term
Authors: Youngman Angela
Published: May 2014

As this term ends and display boards are emptied, spare a thought for the year ahead. A little thought now can make a lot of difference in September
Celebrating harvest festivals
Authors: Youngman Angela
Published: May 2014

A look at how you can introduce and incorporate this seasonal festival into your classroom
The hard sell Vending: Pros and cons
Authors: Youngman Angela
Published: May 2014

Angela Youngman explores the issues behind vending machines in schools and considers whether they are viable sources of income.
Dinner time Making school meals appealing
Authors: Youngman Angela
Published: May 2014

Angela Youngman takes a look at some of the problems surrounding school dinners and finds out how some schools are tackling these issues in a bid to make meals more attractive to pupils and more profitable for the school.
Fundraising consultants Who needs them?
Authors: Molloy Paul
Published: May 2014

Paul Molloy gives some pointers on finding a reliable fundraising consultant and making the partnership work for you.
Eco-Schools Advice and case studies
Authors: Youngman Angela
Published: May 2014

Angela Youngman takes a closer look at what it takes to set up an Eco−School and talks to some schools who are putting ‘going green’ into practice.
Working in partnership The Royal Society
Authors: Maiden Andrew
Published: May 2014

The Royal Society is the independent scientific academy of the UK and the Commonwealth dedicated to promoting excellence in science. Here we profile its grants for schools schemes.
Shopping around School deals
Authors: Youngman Angela
Published: May 2014

Angela Youngman profiles a new website set up to help schools get an extra cash boost through highstreet stores.
Family fortunes The Garfield Weston Foundation
Authors: Maiden Andew
Published: May 2014

A charitable foundation has grown with the success of a famous company. Here we profile the charity and consider how to become one of its beneficiaries
Parent power Making a difference
Authors: Warren Laura
Published: May 2014

Laura Warren explains why parental involvement is crucial to school fundraising success.
3DKids: A lasting memento
Authors: Youngman Angela
Published: May 2014

Angela Youngman profiles the company and reveals how their alternative to the traditional photo is proving popular with both parents and schools.
Strategic thinking: Planning your campaigns
Authors: Shaw Martin
Published: May 2014

Consultant Martin Shaw gives some tips on making the best use of your resources to maximise long-term profit for your school.
Mells First School: Some quacking ideas
Authors: Youngman Angela
Published: May 2014

Angela Youngman profiles one school′s fundraising success.
Recognising and rewarding; Parent Teacher Associations
Authors: Galbraith Jane
Published: May 2014

Jane Galbraith reports on the 2009 NCPTA Awards and explains how the winning schools achieved success.
Going green to raise money: Too good to be true?
Authors: Galbraith Jane
Published: May 2014

Jane Galbraith from the National Confederation of Parent Teacher Associations (NCPTA) explains how PTAs can save the planet and raise vital funds for their schools in the process.
Apple Day; A core fundraiser
Authors: Youngman Angela
Published: May 2014

Angela Youngman explores how one school trades on its name and traditions to raise money.
news
Authors: Gibb Nick
Published: May 2014

Homemade bunting, an art exhibition, and a beer festival; these are just some of the fundraising achievements that schools and parents were recognised for at this year's NCPTA Awards, hosted by the minister of state for schools, Nick Gibb.
Colostomy Irrigation − an option worth considering
Authors: Readding Linda
Published: May 2014

Having a permanent colostomy can be a devastating change in many aspects of a patient′s daily life, affecting confidence, lifestyle and relationships. Patients need to learn how to care for their stomas and adjust to a new routine of bowel function, altered physical appearance and body image. Patients′ ability and motivation to be self−caring and independent can have a positive effect on their recovery and adaptation (Black, 2004). Most of this adaptation will occur at home, supported by family, friends and healthcare professionals. Thus, nurses caring for this group of patients need to be able to inform, educate and support them during their recovery and future life. However, for some patients, achieving self−care with natural evacuation may not be enough, and to be able to have some control over when their bowel functions will further enhance their adaptation. Colostomy irrigation is a well−established procedure that can be used by patients at home to improve their confidence, achieve control over their bowel function and improve their quality of life and functioning (Karadağ et al, 2005). Although nurses inform patients about irrigation, and not all patients are suitable, it is thought that a minority (5%) of colostomists actually perform the procedure (Wade, 1989). Some nurses may therefore have little experience either teaching or supporting such patients, and may not have patients within their caseloads or local area.
Delivering patient education programmes as part of an inflammatory bowel disease service - what is the way forward?
Authors: Corbett Sally , Whayman Kathy
Published: May 2014

The British Society of Gastroenterology guidelines for the management of inflammatory bowel disease (IBD) in adults (Carter et al, 2004) recommend that the role of the IBD nurse specialist should include ‵developing and leading teaching plans for patients and other healthcare professionals involved in IBD management′. A number of approaches can be used or combined to develop a strategy for patient education:
Summer blues?
Authors: Griffiths Helen
Published: May 2014

As we head into summer with the sense of wellbeing that warm weather and impending holidays bring, for some, that sense of wellbeing is offset by concern at the current review of specialist nursing roles.
Stoma care part 2: choosing appliance accessories
Authors: Williams Julia
Published: May 2014

Choosing an accessory or aid to complement the patient′s stoma appliance takes knowledge and skill. Most ostomists like to keep their stoma management simple and straightforward. This overview demonstrates the variety of stoma accessories and aids available to the ostomist. This review, therefore, should act as a resource for nurses to guide stoma patients, thus making the choice much easier. This second part of this two part series explores the importance of assessment when choosing a stoma accessory or aid. The impetus is to ensure stoma accessories and aids are easy for the patient to use, carry out the function intended, and are not misused. This wide and varied selection of products does undoubtedly meet the need of patients but can also add confusion to the less experienced nurse. This review will act as a resource to ease the selection of the appropriate stoma accessory that will best meet the needs of the patient with a stoma.
The Ileostomy and Internal Pouch Group
Authors: Demick Anne
Published: May 2014

Celebrating the 50th anniversary of the Ileostomy and Internal Pouch Group (ia) presents the opportunity to reflect on five decades of providing help and support to people who, for whatever reason, find themselves faced with the prospect of bowel surgery.
The developing nurse role: paediatric upper GI endoscopy
Authors: Irvine Tracey , Dalzell Mark
Published: May 2014

Nursing roles are currently evolving, with nurses taking on challenging responsibilities that were previously the domain of doctors (Thompson, 2003). As a paediatric specialist nurse in gastroenterology, for the last four years the boundaries of my own professional practice have changed and I have had the opportunity to perform paediatric upper gastrointestinal (GI) endoscopy. This is an innovative area of paediatrics, unlike in adult health care, where the role of the GI nurse endoscopist has been established for more than a decade (British Society of Gastroenterology (BSG), 2005).
Endoscopy Global Rating Scale: patient comfort auditing at a county hospital
Authors: Taylor Therese
Published: May 2014

The Endoscopy Global Rating Scale has been designed and implemented to assess the extent to which endoscopy service providers are giving a patient−centred service. One of the standards is patient comfort and the level C we had achieved needed improving. A session at the British Society of Gastroenterology meeting in 2007 revealed that nationwide there is no standard method of assessing patient comfort, but ideas for components of an assessment were discussed. We adopted a modified Wong−Baker visual analogue scale, and we record, collect and analyse comfort data and sedation levels on a monthly basis. Results are discussed between the individual endoscopist and the clinical lead for endoscopy as well as at the bi−annual audit meeting. Patients are fully informed about the potential for discomfort during the procedure and that sedation/analgesia agents are used.
what the journals say
Authors: Williams Julia
Published: May 2014

The most common course for faecal incontinence in women is obstetric injury. Many women describe feelings of stigma towards their symptoms and are reluctant to readily discuss their condition and how it affects their lifestyle. Currently biofeedback therapy is seen to be an effective, wellestablished treatment and management option for this group of patients.
What the journals say
Authors: Williams Julia
Published: May 2014

There are currently few treatment options for patients with functional bowel disorders. Functional bowel disorders such as constipation and faecal incontinence have a large physical, psychological and social impact; however, the true extent of the problem may be hidden due to stigma and embarrassment. As the authors highlight, many patients with functional bowel problems will present themselves with an array of coping mechanisms enabling them to maintain some quality of life.
Supporting nurse endoscopists in practice
Authors: Fretwell Ian A
Published: May 2014

There is no shortage of topics on which to write an editorial there is so much going on! The options for this piece included:

▪ The regional nurse role for the Bowel Cancer Screening Programme (East Midlands) and the Joint Advisory Group on Gastrointestinal Endoscopy (JAG) accreditation of endoscopy units

▪Issues from my role as Association of Coloproctology for Great Britain and Ireland (ACPGBI) Nurse Forum Chair; specifically, the Department of Health (DH) consultation paper, Arrangements under Part IX of the Drug Tariff for the provision of stoma and incontinence appliances −and related services − to primary care: revised proposals: consultation document (DH, 2007)

▪The work of the National Endoscopy Training Programme 2007 nurse survey: the National Nurse Endoscopy Project.
Endoscopy services for patients with intellectual disabilities
Authors: Malyan Kevin
Published: May 2014

Patients with intellectual disabilities (ID) who present for endoscopic examination appear to be a relatively small minority. However, the literature suggests that those patients who do present may be the tip of an iceberg of undiagnosed gastric and colorectal disease (NHS Health Scotland, 2004). For those who manage to gain access to endoscopic examination, their pathway through the diagnostic process needs to be managed effectively and compassionately.
The role of adalimumab in the treatment of patients with Crohn's disease
Authors: Younge Lisa
Published: May 2014

Crohn's disease is a chronic inflammatory bowel disease. It typically presents with symptoms including abdominal pain, bloody diarrhoea, fistulae and stricturing of the bowel, resulting in obstruction. There is no medical cure for the condition; current medical approaches are concerned with symptom reduction and promotion of quality of life. These outcomes can be difficult to achieve, and involve invasive treatments, often with undesirable side-effects for the patient. Traditionally, Crohn's disease has been managed with anti−inflammatory drugs including steroids and aminosalicylates, with the more refractory cases requiring the introduction of immunomodulating drugs such as azathioprine. Despite these approaches, a significant number of patients will continue to experience ongoing and troublesome symptoms, severely impacting on their quality of life, and often resulting in surgery. Adalimumab (Humira) was the second biological agent to be licensed for the treatment of Crohn's disease in late 2007. Like infliximab, it is a monoclonal antibody which binds to anti−tumour necrosis factor α (anti−TNFα). This article will outline the clinical use of adalimumab, and discuss its current place in the therapeutic pathway
Managing gastro-oesphageal reflux disease the surgical way
Authors: Baalen Cathy van
Published: May 2014

The global prevalence of gastro−oesophageal reflux disease (GORD) is between 5−20%, with the highest incidence found in Europe and the USA. Its negative effect upon quality of life, mental health and social function are often underestimated. The mainstay of treatment in recent years has been proton pump inhibitors (PPIs). However, for some patients, PPIs do not provide long−term relief of symptoms. Surgical intervention to recreate the lower oesophageal sphincter provides the only permanent long−term solution. With the advancement of laparoscopic techniques, laparoscopic anti−reflux surgery (LARS) has flourished, offering many advantages as well as a more acceptable surgical option to patients. The procedure itself does carry risks and side−effects. However, studies have shown many patients experience more effective control of acid reflux symptoms and increased feelings of wellbeing for many years post surgery.
The benefits of probiotics in irritable bowel syndrome
Authors: Emmanuel Anton
Published: May 2014

Probiotics are defined as living organisms that, when ingested in adequate amounts, exert a beneficial effect on the health of the host. Irritable bowel syndrome (IBS) is a heterogenous condition with a wide variety of possible causes, encompassing neurological, psychological and immunological changes. Emerging evidence of low−grade immune activation in a subset of IBS patients who develop their symptoms after infection has raised the possibility of a role for the indigenous gut flora in causing some IBS symptoms. This has resulted in the possibility that modifying this bacterial environment with probiotics may hold promise for treating IBS. Clinical trial evidence of these agents is beginning to emerge. This review emphasises the importance of three factors in defining efficacy: specific selection of bacterial strains, viability of these strains, and delivered dose.
Conception, fertility and pregnancy inwomen with inflammatory bowel disease
Authors: Hagen-Hurley Tina
Published: May 2014

An estimated 160 people in every 100 000 are affected by ulcerative colitis (UC), while Crohn′s disease (CD) is found in approximately 50 in 100 000 (British Society of Gastroenterolgy (BSG), 2003). Although men and women are equally affected, the fact that inflammatory bowel disease (IBD) commonly presents in the reproductive years is a major concern for women regarding potential effects on fertility, pregnancy and the developing foetus (Katz, 2004). It has been shown that nurses, support groups and counselling complement physician−led treatment (Nightingale et al, 2000; Smith et al, 2002) and the IBD nurse specialist can play an important role in supporting patients before, throughout and after pregnancy. Trying to conceive a child can be complicated by various factors and circumstances in any woman, such as age and lifestyle or conditions affecting the reproductive organs, e.g. endometriosis, or polycystic ovary syndrome (American Society for Reproductive Medicine (ASRP), 2006). This article explores the problems women with IBD can experience in addition to these and demonstrates an approach to provide optimal care.
Capsule endoscopy: the new gold standard for small bowel imaging?
Authors: Sidhu Reena , Sanders David S , Drew Kaye , McAlindon Mark E
Published: May 2014

Historically, the small bowel has been a difficult area to examine due to its anatomy, location and relative tortuosity. Conventional radiology, such as barium follow−through and enteroclysis, permit indirect examination of the small bowel, but has a low diagnostic yield particularly in the context of obscure gastrointestinal bleeding. Until recently, endoscopic examination of the small intestine has been limited to the proximal small bowel unless a general anaesthetic is used with intra−operative enteroscopy. The face of endoscopy has evolved dramatically over the last 15−20 years. Improvements in skill and technique have followed advances in technology, which have allowed clinicians to gain better access to the gastrointestinal tract. Capsule endoscopy is a novel wireless imaging device which allows clinicians to visualise the entire small bowel in a non−invasive manner. This review focuses on the current uses of capsule endoscopy, highlighting the role of nurses in this evolving technique.
Investigating low back pain in people with a stoma
Authors: Wilson Iseult M , Kerr Daniel P , Lennon Sheila
Published: May 2014

Stoma surgery is very often a life−saving procedure that allows the recipient to experience greatly improved quality of life and there are many specific issues that the recipient learns to deal with, such as the management and care of a stoma. However, to date, there seems to be little research in the wider quality of life issues, particularly low back pain. This is somewhat surprising, as it is well known (from the work of Hodges, Lee, McGill, O′Sullivan and others), that abdominal muscles play a vital role in maintaining a healthy and strong back (Hodges, 1999), and these are the very muscles that are (arguably) most affected by the stoma surgery.
Differences in low back pain management for people with a stoma: a survey
Authors: Wilson Iseult M , Kerr DanielP , Lennon Sheila
Published: May 2014

Background: pain is a problem in society as a whole. Previous work has shown that people with a stoma also develop back pain, but it was not known how this back pain was managed. Aim: To investigate how adults in Northern Ireland with either an ileostomy or colostomy managed their back pain at home. Methods: A postal questionnaire survey was sent to people with either an ileostomy or colostomy in Northern Ireland (n?=?1322). The questionnaire included questions regarding the back pain experience (frequency and severity of pain), related disability and the strategies used in managing back pain, which is the focus of this paper. The questions regarding the management of low back pain were in one of three 5-point Likert scale formats depending on the question. Results: Of the 1322 people approached, 895 (67.7%) questionnaires were returned. One hundred and sixty (17.9%) were either blank or incomplete and were, therefore, not included in the analysis. Analysis was carried out on 735 completed questionnaires. There were no statistically significant differences between men and women in whether they managed their back pain by themselves, or sought help from various healthcare professionals. Women more than men, and those with a colostomy rather than an ileostomy, were more likely to have issues regarding back pain. Neither stoma group believed that changing their posture or activities would help the back pain. This has implications for back care education. Conclusion: Many people with a stoma have back pain, and this is managed in a variety of ways. There is no clear evidence regarding the best or most effective method of managing back pain in this group of people, and further research is ongoing into this important and novel area of research.
The application of rectal irrigation inthe management of functional bowel disorders
Authors: Gardiner Angela
Published: May 2014

This paper considers the application of rectal irrigation as a means of treatment for functional bowel disorders (FBDs). It provides an overview of commonly presenting FBDs and their aetiology, in addition to the management options which exist. The basis of rectal irrigation is discussed alongside possible patient groups who may benefit from the use of rectal irrigation as a means of symptom relief. Associated risks and contraindications are also included, in addition to how a diverse range of settings and healthcare professionals are appropriate in the provision and delivery of a rectal irrigation service.
what the journals say
Authors: Coutts Alison
Published: May 2014

Cochrane reviews can be important in guiding policies in UK health care. Nurses involved in gastrointestinal care should therefore be concerned at the findings of this review; namely that there is insufficient evidence of improved outcomes among patients who receive specialist nursing intervention compared to those that do not. The reviewers found just three relevant studies, and two of those were excluded as there was no control reported.
A month of optimism
Authors: Porrett Theresa
Published: May 2014

Welcome to the jam-packed edition of Gastrointestinal Nursing. April is thought to have got its name from the Latin word, ′aperire′, which means ′to open′. April is, after all, when buds begin to open and gardens come alive with the sights and smells of spring. April tends to be a busy month, with us trying to avoid falling for April fools′ day jokes, remembering to put all our clocks forward, planning and holding events for Bowel Cancer Awareness month, and looking forward to the 4-day Easter break.
Role of the male pelvic floor muscles: a guide for gastrointestinal nurses
Authors: Dorey Grace
Published: May 2014

This clinical skills series is designed for the nursing professional as a basic overview on key clinical skills necessary for patient care, clearly presenting common clinical procedures and their rationale, together with the essential background theory. In this third article in the series, Grace Dorey describes the important role of the male pelvic floor muscles in supporting the abdominal contents, controlling urinary and faecal continence, eliminating post-micturition dribble and achieving penile erection and ejaculation.
NHS turned upside down?
Authors: Coxon Carol
Published: May 2014

Recent literature indicates that the more nurses an NHS Trust employs per hospital bed, the fewer patients that are likely to die or experience long hospital stays (Ford, 2009). Short staffing has been cited as a major factor in the failure of certain NHS Trusts. The 14 April edition of the Nursing Times indicates that stress within the NHS is driving up nurse sick leave (Clews and Ford, 2009). Clews and Ford (2009: 1)
A transatlantic comparison of nurse-led, patient-centred care for ulcerative colitis
Authors: Dudley-Brown Sharon , Fraser Aileen
Published: May 2014

The Harvey M and Lyn P Meyerhoff Digestive Disease/IBD Center at Johns Hopkins University, Baltimore, Maryland, USA, is one of the world′s highly regarded ′virtual′ tertiary inflammatory bowel disease (IBD) centres. This ′best-practice′ US centre comprises a region- and nationwide, tertiary referral unit for patients with moderate-to-severe ulcerative colitis or other complex bowel disorders. Sharon Dudley-Brown and Aileen Fraser outline the work of the centre and consider it alongside one of the UK′s leading IBD care providers, Bristol Royal Infirmary′s Digestive Diseases Service. The roles of specialist nurses at each centre in providing patient-centred care to increase communication and concordance are discussed.