bluuebunny/crossref_metadata_2025 huggingface dataset:
An overview of ulcerative colitis
Authors: McCabe Louanne
Published: May 2014

BOWEL DISEASE

The incidence of ulcerative colitis is rising rapidly, so awareness of symptoms and when to refer will come in useful, says Louanne McCabe
Rural acute myocardial infarction survey (RAMIS)
Authors: Nudell Nikiah , Rice Don , Gale John A. , Wingrove Gary , Bouthillet Tom
Published: May 2014

Objectives: The purpose of this study was to evaluate why current treatment goals for patients with Acute Myocardial Infarction are not being achieved despite a large body of evidence supporting regionalised ST Elevation Myocardial Infarction (STEMI) systems.

Background: Executing a STEMI system in a pre-hospital environment varies not only from state to state but also region to region. Statewide EMS treatment protocols serve to shield an ambulance service from litigation when following the published statewide protocols. Many critical access hospitals also have standardised protocols in place for the identification and treatment of STEMI patients. We sought to understand whether these plans are followed as many system providers believe they are. If deviations were found we sought to understand the reasons for those deviations.

Methods: Because all of these delay factors center around rural hospitals, the project team developed a simple online survey tool to poll the critical access hospitals of Nebraska.

Results: We found that the rural STEMI care system lacks a coordinated system that is considered to be essential for urban areas. When looking at why rural STEMI patients have a higher 30 day mortality compared to patients treated in an urban environment, several areas of potential failure have been identified.

Conclusion: We qualitatively demonstrated that STEMI patients in the rural setting of Nebraska are not receiving timely reperfusion even though data describing the number of persons and delays experienced are not widely tracked. Although currently lacking, individuals surveyed expressed a desire for a statewide coordinated STEMI care system.
The hospital at night: a service evaluation of the role of the paediatric night sister
Authors: Brown Karen L , Glasper Edward Alan , Newton Jan
Published: May 2014

The objective of this evaluation was to review the role of the paediatric night sister in a large regional children’s unit in the south of England in the light of the NHS Modernisation Agency report, The Hospital At Night (Modernisation Agency, 2004). It aimed to compare and contrast the role of the traditional night sister with that of an internal rotational model.

A single-site case study service evaluation was undertaken using non-participant observation of the night sister role over two full night shifts, a questionnaire, semi-structured interviews with night duty nursing and medical staff, and analysis of night sister diaries. Two full-time night sisters and 34 night nursing and medical staff took part.

The review obtained a description and analysis of night sister roles, the views of staff towards the role of the night sister, an insight into enhanced skills acquisition of night sisters, and makes recommendations for future utilisation of the night sister role.

Most respondents were very supportive of the traditional night sister role but were critical of the lack of collaboration between the night medical and nursing teams.
Collaborative treatment of traumatized children and teens: the trauma systems therapy approach
Authors: Chamley Carol
Published: May 2014

The dysregulation of emotional states in children and young people is a defining feature of traumatic stress. This can occur when the child or young person is unable to regulate their emotional state for various reasons that occur when the brain’s processing mechanisms are disturbed by stressors. The proposed method of therapeutic management for such children and young people is based on a model of treatment called trauma systems therapy (TST)
Translating policy and guidelines into practice: an education-practice synergy
Authors: Jeffery Karen , Deaves Jayne
Published: May 2014

This article looks at the synergy between practice and education during the writing, dissemination and implementation of a supportive holding policy. It explores the position of practice and education in achieving this, the benefits and problems faced by both parties and how each can maintain their individual role and foster multiprofessional working.
A review of nasogastric tube management in children 2: position, placement error and hydration
Authors: Clarke Sonya , Richardson Olga
Published: May 2014

This second of two papers examines two major themes drawn from a review of the literature relating to nasogastric tube (NGT) use in children: confirmation of tube position and associated placement errors and use of the nasogastric tube for rehydration in cases of acute gastroenteritis.

The NGT has been highlighted as a pertinent issue by several reports in recent years of unnecessary deaths in infants, children and adults. These culminated in February 2005 in the issuing of a high priority patient safety alert by the UK’s National Patient Safety Agency (NPSA, 2005a). This was accompanied by a range of specific guidance relating to all three patient groups.

As well as providing a route for enteral feeding (the subject of part 1 of this series), the NGT has been reported as a route to provide oral hydration for children with acute gastroenteritis, and to administer medication. This review examines the research evidence relating to these themes and draws from it some recommendations for practice.
Developing a hospital play guideline and protocol for sick children with debilitating fears
Authors: Weaver Katy , Battrick Cath , Alan Glasper Edward
Published: May 2014

This paper describes the development of a specific play policy guideline and suggested protocol to manage children with debilitating fears such as needle phobia. The fear of clinical procedures which involve sharps such as needles is increasingly recognized by nurses as being problematic and this guideline will be a useful adjunct to any professional involved with children undergoing such procedures.
Providing support at home for families whose children have complex needs
Authors: Hewitt-Taylor Jaquelina
Published: May 2014

This paper discusses the experiences of parents whose children have complex and continuing health needs in relation to receiving assistance to enable their child to live at home. It focuses on the provision of support in the family home and the challenges as well as benefits that this can present.

The findings are taken from a qualitative study of parents’ experiences of having a child who has complex and continuing health needs. While it is a relatively small study, it contributes to an increasing body of evidence that should inform the delivery of support for children and their families.

The principal findings of the study are: that despite their necessity, having staff in the family home can constitute a significant intrusion on the lives and privacy of individuals and families; the level of involvement which individuals and families prefer to have with staff varies; having staff in the family home can change the experience of parenting; and that although the provision of staff is intended to assist families, staff can of themselves increase families’ workload.

These findings suggest that staff who are involved in supporting children with complex and continuing health needs and their families need to be able to work flexibly, respecting their clients’ choices regarding their home, relationships, child-care practices, and their time. They need to explore how the support provided can maximize quality of life for the child and family while minimizing intrusion.
The register under scrutiny again
Authors: Glasper Edward Alan
Published: May 2014

The NMC has made a policy commitment to initiate a national consultation of the future of pre-registration nursing preparation, commencing in October 2007 ( http://tinyurl.com/2s3wru ).
Children’s & Young People’s Nursing in Practice: A Problem-based Learning Approach
Authors: Mountain Gary
Published: May 2014

Children’s and Young People’s Nursing in Practice: a Problem-based Learning Approach represents a comprehensive, innovative and up to date resource that would serve as a useful core text for both pre-qualifying and post-qualifying students undertaking children and young people’s nursing programmers, as well as a supporting resource for academics. The authors are not only experts in their practice field but have proven successes in the effective integration of case-based reasoning and problem solving-based learning and teaching approaches within the curriculum. This text offers readers a resource that brings together the mass of concepts, theories and evidence-based practice that are so fundamental to children and young people’s nursing.
Safeguarding: every nurse’s business
Authors: Alan Glasper Edward
Published: May 2014

Safeguarding is at the heart of child care and health policy in the UK. In England, core standard 2 of the Department of Health’s flagship health-care policy document, Standards for Better Health (DH, 2004), establishes child safeguarding principles which cover all NHS health care provided for child patients, and which are emulated elsewhere. The English national service framework (DH/Department for Education and Skills (DfES), 2004), and similar policy documents produced in the other countries of the UK, have also been specifically developed for children and young people.
Circumcision in young boys: a legal commentary
Authors: Cornock Marc A
Published: May 2014

It has long been recognized that non-therapeutic surgical operations upon the genitals of a female are unlawful. Indeed the Female Circumcision Act 1985 stated this and the Female Genital Mutilation Act 2003 repealed this earlier Act, clarifying the law regarding non-therapeutic surgery upon the genitals of a female. The law is now clear; regardless of what the procedure is called, if any person
All change in children’s and young people’s nurse education: the views of senior practitioners
Authors: Richardson Jim , Glasper Edward Alan , McEwing Gill , Ellis Judith , Horsely Angela
Published: May 2014

The field of children and young people’s nursing practice has only existed for 18 years in its current configuration. Despite this the Nursing and Midwifery Council (NMC) as part of their mandate to consider a recommendation of the outgoing UKCC post-commission development group to consider its recommendations for the future of the pre-registration fields of practice was launched in November 2007. This consultation with the profession as a whole asks registrants to consider the UKCC post-commission group (2001) legacy of six potential changes to the way in which nurses are educated for the profession. This paper reports on a focus group activity conducted with Members of the Association of Chief Children’s Nurses (ACCN) at their autumn 2007 meeting on the Island of jersey designed to fully consider the six options from a children’s nursing perspective. As part of the consultation exercise the current NMC also consider no change to the existing register format as a discrete option in its review. (ACCN, 2007).

Data in the format of a SWOT analysis was elicited from 18 members of the ACCN. An analysis of the data demonstrates that senior children’s nurses firmly believe in retaining discrete children’s and young people’s nursing field of practice at the pre-registration level.
Towards a framework for post-registration nursing careers: consultation issues for children’s and young people’s nursing
Authors: Rushforth Helen
Published: May 2014

In the November edition of the Journal of Children’s and Young People’s Nursing, Richardson and Glasper (2007) draw attention to the importance of the current review of the future of pre-registration nurse education (Nursing and Midwifery Council (NMC), 2007), and in particular, the implications of this on children and young people’s nursing. However, it is also extremely important to note that at the same time a parallel consultation is taking place, focusing on learning beyond registration. This second consultation, entitled Towards a Framework for Post Registration Nursing Careers (Department of Health (DH), 2007), is being undertaken by the DH, within a similar timeframe to its pre-registration counterpart (closing date 15 February 2008). Like the ‘pre-registration review’, its outcome could have significant implications for the future care of children and young people.
Information-seeking experiences of fathers of children with cystic fibrosis
Authors: Hayes Claire
Published: May 2014

In the early years following the diagnosis of their child with Cystic fibrosis (CF) fathers need information on a range of subjects including medication; specific dietary requirements; chest physiotherapy and signs and symptoms of the disease process to manage their children’s day-to-day care.

The aim of the study was to explore fathers’ experiences of seeking information on CF.

Following ethical approval, tape-recorded interviews were conducted with eight Irish fathers of children with CF aged one to six years. Data were analysed manually using thematic content analysis. Rigour of the study was established through the use of verbatim quotations, reflexivity and a decision trail of the research process.

Fathers sought information specific to their children’s health from health professionals. In addition, they described accessing various media sources such as books, newspapers, television and the Internet for the latest scientific and research information. They identified other parents of children with CF as a source of practical knowledge. For some fathers however the pursuit of information lost momentum over time and this seemed to be influenced by the perpetual negative information available to them.

Seeking information is a positive response to caring for children with CF. Health professionals need to support and facilitate fathers searches and provide information that is timely and relevant to their individual needs.
Professional updating and guidance on children and young persons
Authors: Cornock Marc A
Published: May 2014

Any nurse or other health professional working with children or young persons has to keep themselves up to date. This is both a professional requirement, in terms of being necessary to maintain registration with the relevant professional health-care regulatory body, as well as a vital aspect of providing safe and effective care.
Ensuring that care complies with best practice
Authors: Glasper Edward Alan
Published: May 2014

The NHS Clinical Governance Support Team service is scheduled to close on 31 March 2008 and, as of 1 April 2008, the Strategic Health Authorities in England will be responsible for clinical governance. It is therefore timely to re-appraise how nurses can champion the rights of children and young people to receive the best standards of care based on current policies. This is important as Coles et al (2007) have, while measuring compliance to one of the standards of the children’s national service framework (Department of Health (DH), 2003) in an English Strategic Health Authority, reported several disquieting elements of less than optimum performance.
Reducing overnight hospital admissions: an audit and literature review
Authors: Rose Pat , Gardner Sandra
Published: May 2014

This paper presents the findings of an audit of children staying overnight in a District General Hospital, and examines them in the light of current research. The aim was to establish whether it was possible to reduce overnight stays by identifying the characteristics of the children, and their patterns of medical attention and nursing intervention.

An audit of 45 sets of case notes was undertaken by a single investigator. The findings indicated that the majority of children were under three years, and were more likely to attend after mid-day. Initial medical assessment and treatment tended to be by a junior doctor and discharge was more likely to be by a consultant. The number of nursing interventions ranged between two and eight, with 90% (n=45) of the sample receiving five or less.

Some inconsistencies were noted between the audit findings and current research, for example in relation to admitting doctor. However, both the audit and related research indicate that overnight stays could be reduced if children are reviewed more frequently, and particularly in the late evening, by a consultant. Neither the audit nor related research identified predictors of which children were likely to stay only one night.

The characteristics of the child, including age and medical diagnosis, were not found to be predictors of which children were likely to stay only one night, and which were likely to become more seriously ill. In addition, non-medical factors, such as social circumstances, do not appear to be predictors of length of stay.

Recommendations for practice include the establishment of a 24–hour assessment unit for children, and consultant attendance in the late evening. Further research is needed into the precise nature and number of nursing interventions needed by children, and whether these could be delivered at home. Finally, a model for prediction of length of stay needs to be developed.
Cannula versus needle: which is best for the modern aesthetic practitioner?
Authors: Kubicka Barbara
Published: May 2014

As new products and techniques come onto the market, skilled and experienced aesthetic practitioners are able to offer their patients better and better results. In this article, the author explores the latest cannula developments, outlining the advantages and disadvantages of using both cannulas and needles for non-surgical cosmetic procedures. Through a pros and cons comparison of use for both cannula and needle in respect of patient care, comfort and ease of use, the author concludes that, while the cannula has enormous benefits, it should not replace the use of the needle in all areas of filler treatments. However, the author also recommends that the use of either tool should be based on the individual patients' needs, requirements and expectations, and also the practitioner's view from his or her experience.
Antioxidant serums, botulinum toxin injection precautions and conferences
Authors: Collier Helena
Published: May 2014

In this regular feature in the Journal of Aesthetic Nursing, experienced aesthetic nurses answer your questions relating to clinical and professional issues. In this issue, nurses focus on travel advice for patients following treatment with botulinum toxin, the benefits of antioxidant serums and the best aesthetic medicine conferences to attend
Advantages and disadvantages of using a blunt-tip cannula: a case study
Authors: Revell Kathryn
Published: May 2014

Minimally-invasive non-surgical procedures are becoming the norm in the aesthetics industry and, considering that patients are becoming more familiar with the latest advances in treatments and techniques due to television programmes, magazines and the internet, it is incumbent on aesthetic nurse practitioners to provide the best and most effective techniques available. In this article, the author details a case study of a 38-year-old female who presented to her with lack of volume in the mid-face. The patient was treated with 2 syringes of Radiesse 1.5 cc using a 25 gauge blunt-tip cannula. Following this, the author outlines the advantages and disadvantages of using a blunt-tip cannula, including its efficacy, cosmetic outcome, patient satisfaction and ease of use. The author will also explore the limitations of cannula and how important it is to select treatment indication to cannula size and/or usage. The author concludes by giving a candid overview of the highs and lows she has experienced when using blunt-tip cannulae in practice.
Steroids: what are they and what is their mechanism of action?
Authors: Fromage Gemma
Published: May 2014

There are many types of steroids with various roles and functions. Corticosteroids have an important role to play in a variety of physiological processes in the body, including stress response, immune response, regulation of inflammation, carbohydrate metabolism, protein metabolism, blood electrolyte levels and behaviour. These drugs fall into two categories: glucocorticoids and mineralocorticoids. Whereas mineralocorticoids promote sodium retention in the kidney, and therefore control electrolyte and water levels, glucocorticoids control carbohydrate, protein and fat metabolism and are anti-inflammatory in nature. When taken at high doses, corticosteroids can produce many adverse side effects; therefore, the lowest possible effective dose should always be given for a minimum period. Care should always be taken with withdrawing from a course of systemic steroids, and tapering should always be based on a patient's individual needs.
The clinical and professional benefits of joining a buddying programme
Authors: Barber Mary
Published: May 2014

The remote prescribing ban put in place earlier this year by the General Medical Council led to worry and anxiety for those nurses who are not qualified prescribers. However, since then, a range of buddying programmes have been introduced by aesthetic clinics and organisations to support their colleagues. In this short interview with aesthetic nurse Mary Barber, she details her experience in Tunbridge Wells
Prescribing acyclovir before lip augmentation to avoid an outbreak of herpes simplex
Authors: Stoddart Catriona
Published: May 2014

Herpes simplex virus type 1 (HSV-1) is a common infection presenting in the peri-oral area (i.e. mouth and lips), which remains dormant within the body and can break out in the form of cold sores. The objective of this discussion is to evaluate whether patients with a susceptibility to or a history of HSV-1 should be candidates for prophylactic antiviral therapy to prevent an outbreak of cold sores as an adverse reaction following any aesthetic treatments surrounding the lips. Injections, chemical peels and micro-needling to the lip area is likely to cause reactivation of the virus and therefore cause an outbreak, particularly if patients have a previous history of cold sores (HSV-1). Therefore, it is important to consider whether aesthetic practitioners should be recommending a prescription of an antiviral drug prior to lip augmentation owing of the trauma during the procedure.
Is it worth offering mesotherapy on your clinic's treatment menu?
Authors: Wilde James
Published: May 2014

In this regular feature in the Journal of Aesthetic Nursing, experienced aesthetic nurses answer your questions relating to clinical and professional issues. This issue, a range of practitioners in the field offer their opinions on mesotherapy and reflect on their previous experience with this treatment.
Taking control: what higher education pathways are there for aesthetic nurses?
Authors: Moreno-Chamorro Debbie
Published: May 2014

The spotlight is on the aesthetics industry now more than ever, with a significant review of cosmetic interventions currently taking place ( Department of Health, 2012 ). As a result of this scrutiny, aesthetic nurses will eventually be afforded the opportunity to shape their own unique educational needs. However, until that time, aesthetic nurses need to work within the frameworks already in place for post-registration nurse education. This article gives aesthetic nurses an understanding of how higher educational institutes provide learning pathways, along with associated regulations and terminology. It provides information for self-employed aesthetic nurses on credit accumulation, entry requirements, accredited learning, levels and qualifications, and the modular approach to academic study.
Choosing an aesthetically-trained mentor will enhance the profession's credibility
Authors: Traill Frances Turner
Published: May 2014

Should designated medical practitioners for the prescribing course be experienced in aesthetic medicine? Frances Turner Traill insists that any health professional approached for guidance and prescribing support should be practising in the same field as the nurse he/she is mentoring. She also believes that this should apply to every medical speciality, not just aesthetics
When it goes wrong: the psychological outcomes of failed aesthetic procedures
Authors: Bradbury Eileen
Published: May 2014

Non-surgical cosmetic interventions are now commonplace in today's society, which means there is a higher chance of complications. No matter how much experience aesthetic practitioners have, there is always the possibility that a procedure may go wrong. Consultant Psychologist Eileen Bradbury outlines the implications of failed treatments and offers professional guidance on managing unhappy patients
Insider tips on buying adverts: getting the most out of the money you have spent
Authors: Zadah Kate
Published: May 2014

Company owners will often want to measure their return on investment when spending their marketing budget, and many are advised to spend the entirety of this money on a PR campaign. In her regular column providing PR advice, Kate Zadah explores the benefits of buying advertising space and suggests ways in which aesthetic practitioners can make the most out of the money they spend
‘Regulation must be firmly in the hands of clinicians and professional bodies’
Authors: Davies Emma
Published: May 2014

Last year, health professionals and members of the public were invited by the Department of Health to give evidence regarding the safety and quality of cosmetic interventions after a tough year for aesthetic medicine. In this short interview, Emma Davies, chair of the British Association of Cosmetic Nurses, shares her thoughts on Sir Bruce Keogh's recommendations and the year ahead for aesthetic nursing
How to profile those at psychological risk from medical aesthetic procedures
Authors: Bradbury Eileen
Published: May 2014

Patients seek cosmetic procedures for a multitude of reasons; however, it is aesthetic practitioners' duty to ensure that those they treat do not present with existing psychological issues that would lead to future harm. In her regular column, Consultant Psychologist Eileen Bradbury provides essential guidelines and advice on identifying and protecting those at risk from surgical and non-surgical treatments
What does Treatments You Can Trust mean to aesthetic nurses in the UK?
Authors: Taber Sally
Published: May 2014

For some time, there has been widespread concern among aesthetic nurses that Treatments You Can Trust is a commercial venture. To get to the bottom of this issue and answer several key questions about the role of this organisation in medical aesthetics, Journal of Aesthetic Nursing editor Natasha Devan asked Sally Taber to justify the need for a register and quality assurance mark in the field
The non-medical prescribing course: essential considerations for aesthetic nurses
Authors: Bardsley Alison
Published: May 2014

There has been considerable recent press coverage around the cosmetic industry and standards of practice. For nurses working in the industry, this has focused particularly on their ability and methods of obtaining prescription only medications, such as botulinum toxin for chemical denervation. Any nurse or midwife administering or supplying injectable cosmetic medicinal products must follow the appropriate regulatory standards for practice. Updated guidance from the General Medical Council (2012) have made clear that remote prescribing and directions to administer should only be used in exceptional circumstances, and not as a routine means to administer injectable cosmetic medicinal products. These changes have lead many nurses working in the aesthetics industry to undertake the V300 non-medical prescribing (NMP) course. The NMP course is regulated by the Nursing and Midwifery Council and nurses wishing to undertake the course must demonstrate they meet the eligibility criteria, and that they have appropriate governance procedures in place to protect patient safety.
Structure and medical uses of antibiotics: erythromycin and co-amoxiclav
Authors: Fromage Gemma
Published: May 2014

Erythromycin and co-amoxiclav are two commonly prescribed antibiotics in aesthetic practice, with their indications including acne vulgaris, rosacea, cellulitis and urinary tract infections. However, they are also useful in treatment of skin and soft tissue infections which may occur following aesthetic procedures. Erythromycin is a macrolide antibacterial with a spectrum similar, however not identical to penicillin. Erythromycin is therefore commonly used in penicillin-allergic patients. Co-amoxiclav (brand name Augmentin) is a combination of amoxicillin, broad-spectrum penicillin and clavulanic acid, a beta lactamase inhibitor. This combination increases the spectrum of action the antibiotic has while regaining its efficacy against the bacteria previously amoxicillin-resistant due to the production of beta-lactamase. Deciding on an antibiotic to use in each case can often be a difficult choice to make. The clinician must first consider two important factors: the patient and the known or likely causative organism. A thorough understanding of these antibiotics ensures safe prescribing.
Prevention versus correction: how young is too young for botulinum toxin injections?
Authors: Collier Helena
Published: May 2014

In 2011, there was widespread condemnation and public outrage when Californian mother Kerry Campbell reported injecting her eight-year-old daughter with botulinum toxin to increase her chance of becoming a successful beauty pageant queen. In the UK, there was further controversy following the antics of Sarah Budge, known as the human Barbie doll, who presented her seven-year-old daughter with a voucher for surgical breast augmentation to be used when she reached 16 years of age. Sarah also admitted that her 17-year-old daughter was already having botulinum toxin injections. There is clear consensus in society that these events are not acceptable, and it is a ethical and moral challenge for aesthetic practitioners when a young person seeks and often insists on having botulinum toxin injections when there is no clinical evidence of facial ageing. This paper will discuss prevention (primary prophylaxis) versus correction (secondary prophylaxis) of facial wrinkles and tackle the question ‘how young is too young for botulinum toxin injections?’.
Providing treatment care and advice: building trust and managing expectations
Authors: Deakin Barbara
Published: May 2014

When entering an aesthetic clinic, the majority of patients will not have a wealth of information regarding the procedures they are looking to have. Therefore, it is important to build a rapport with them, be honest and manage expectations as early as possible. Barbara Deakin offers aesthetic nurses her advice on providing pre- and post-treatment advice
Laser regulation in the UK: why it is time for the aesthetic industry to toughen up
Authors: Riseborough Neen
Published: May 2014

With the number of aesthetic lasers on the market increasing all the time, it is more important than ever to ensure that both the devices and practitioners are regulated. In this article, Senior Laser Practitioner Neen Riseborough voices her opinion on the safety of lasers in the UK, shares her experiences at training days and advises aesthetic nurses by providing her top tips on providing in-clinic treatments
Security and confidentiality: a guide to handling sensitive information in your clinic
Authors: Deakin Barbara
Published: May 2014

Clients entrust clinics with their personal health and financial information and there is a legal duty under the Data Protection Act to take steps to safeguard this, says clinic manager, Barbara Deakin. Alarms and CCTV offer physical protection to the premises, but antivirus software and passwords preserve data integrity. Educate staff and win their support for maintaining the highest standards in this area, she urges
Blogging for your clinic: finding a platform, buying a domain and uploading content
Authors: Elldred Helen
Published: May 2014

With thousands of consumers searching online for the latest anti-ageing cosmetic treatments every day, there are many opportunities for aesthetic nurses to launch their own blogs to support their professional development and reap the financial benefits of increasing readers' awareness of their business. Effortless Skin's Marketing Director Helen Elldred offers her advice on setting up a one-stop shop to more business
Treatment of a 68-year-old female patient with severe volume loss and deep wrinkles
Authors: Zanna Nikki
Published: May 2014

This case study provided the author with the opportunity to critically appraise her practice, particularly with clients who demonstrate psychological behaviours which may result in a negative outcome and can be distressing for both clients and aesthetic practitioners. At the time of the incident detailed in this case study the author had been practising as an aesthetic nurse for around 18 months, and so was fairly inexperienced in the role, although she had 21 years' experience as a registered nurse and was very experienced in consultation and assessment. However, despite her experience, this case made the author realise that she needed to improve her consultation skills to refect the challenges she would face in the field of medical aesthetics. Although the journey was taxing, treating the patient gave the author an opportunity to learn valuable lessons and improve her practice for the benefit of her other clients.
Supporting patients who are affected by chemotherapy-induced hair loss
Authors: Pilkington Melissa
Published: May 2014

Those who suffer from treatment-related alopecia often experience depression and anxiety as a result of their altered appearance. Although breast cancer is the most common cancer in the UK, there is little specialist and readily available psychological support from patients who have lost their hair after undergoing chemotherapy. Melissa Pilkington explores the pertinent issues relating to this condition
Opening a clinic: establishing administration systems to maximise time efficiency
Authors: Deakin Barbara
Published: May 2014

There are several steps that need to be completed in order to open an aesthetic clinic and ensure it runs smoothly and efficiently. In her regular column on practice management, clinic manager Barbara Deakin offers her top tips on taking a streamlined approach and organising a clinic diary, cancellation and ‘no’ show policy, administrative rights and time management through software packages
A guide to making an online presence work for your aesthetic clinic
Authors: Zadah Kate
Published: May 2014

To ensure that your brand is represented well online and generates ongoing customer interest can make the difference between empty treatment rooms and a buzzing clinic. In this article, Kate Zadah, PR professional and founder of Mantelpiece PR, offers her top tips on search engine optimisation, social media, pay-per-click advertising and connecting with new and existing clients
Exploring the future of formal revalidation for nurses working in private practice
Authors: Kolyva Katerina
Published: May 2014

To practise as a nurse in the UK, registration and regular revalidation with the Nursing and Midwifery Council is mandatory. From the end of 2015, the revalidation model for nurses and midwives will be updated, with the inclusion of feedback from third party sources. Director of Continued Practice Katerina Kolyva advises aesthetic nurses on ways to stay on top of their registration status
Non-invasive body contouring treatments: should they be embraced by aesthetic nurses?
Authors: Misener Tricia
Published: May 2014

Although liposuction was initially the most commonly performed procedure for patients who want to tackle unwanted fat and re-shape their bodies, male and female patients are now looking for time and cost-effective treatments with fewer associated risks. In this debate article, aesthetic nurse and clinical trainer Tricia Misener asks whether nurses should be adding this procedure to their treatment menus
How the aesthetic nursing association in north west England supports best practice
Authors: Bumstead Greta
Published: May 2014

Founded in 2006, the Private Independent Aesthetic Practitioners Association (PIAPA) is a group that welcomes all health professionals working in medical aesthetics, helping them to learn from each other and improve patient care and safety. Greta Bumstead, co-founder of PIAPA, tells aesthetic nurses what the association in north west England stands for and how they can benefit from membership
Chemical peels: identifying patient-specific questions before an active skin treatment
Authors: Bowes Lorna , Traill Frances Turner
Published: May 2014

Along with botulinum toxin and dermal fillers, chemical peels have a valuable place on every clinic's medical aesthetic treatment menu. However, despite this, aesthetic nurses around the UK could be neglecting the opportunity to offer this treatment modality, along with post-treatment skin care. In this article, which is the introduction to a series on chemical peels, the authors discuss if and why aesthetic nurses should provide chemical peels, before delving into the how and who in future issues.
Hyaluronidase medication: why aesthetic nurses should be guided by the experts
Authors: COLLIER HELENA
Published: May 2014

There continues to be much confusion about prescribing hyaluronidase medication, with several conflicting papers citing varying products. However, guidance published by a recently formed expert group gives practitioners a chance to sing from the same hymnsheet. Helena Collier tells nurses why it is vital to follow this document in the absence of a gold standard clinical trial for off-label use
Clinical pharmaceutical interventions and malpractice
Authors: Conway Nigel
Published: May 2014

All health professionals have a public duty to ensure the safety and wellbeing of patents and staff, and to investigate and learn from critical incidents. This article presents and explores fictitious clinical cases informed by real life events that resulted in poor clinical outcomes or increased mortality. The clinical cases identify the need for more robust governance in four key areas; communication and clinical management structure, record keeping, drug control and advanced practice issues. These four key areas are critically explored leading to evidence informed solutions that can be used to guide best practice within the operating theatre and associated critical care environments.
‘Your students are unprofessional’
Authors: Hinton Jean
Published: May 2014

This article was compiled following a non-specific blanket statement from a senior trust colleague about the attitudes, behaviours and overall professionalism of operating department practice (ODP) students. This paper considers how the training of students, by the collaborative efforts of both academic and clinical staff, can effectively facilitate and support the best learning opportunities to teach and instil appropriate professional behaviours and attitudes. Using available literature, what constitutes professionalism and some of the associated multiprofessional concepts are discussed. Professionalism can be multifaceted and difficult to measure or assess, furthermore much of what can be considered professional behaviour is not explicitly taught on any health curriculum. Timely, constructive feedback, both in university and during clinical placements, is essential. However, further studies need to be carried out to explore the concept in more depth, especially for operating department practice, where no previous studies appear to have been undertaken.
Simulated learning during Major Incident Day
Authors: Tebbutt Jennifer , Wayne–Kevan Cheryl
Published: May 2014

This article evaluates a simulation exercise known as the ‘Major Incident Day’, which includes third year undergraduate operating department practice (ODP) and nursing students, within the Faculty of Health and Social Care at Edge Hill University in Lancashire. Edge Hill University (EHU), was one of the original 13 pilot sites identified in the Nursing and Midwifery Council's (NMC's) Simulation and Practice Learning Project, which aimed to introduce simulation into the curriculum for undergraduate nursing and allied health professions students (NMC, 2007).This particular project was not conducted to explore the contribution of simulated hours towards clinical practice hours, but rather to evaluate student attitudes in relation to the interprofessional learning (IPL) relationships between two distinctive groups of future health professionals. A larger scale and more in-depth research project is in the process of being formally approved and should be ready for publication in late 2013/14.
Undergoing a planned lower segment caesarean section
Authors: Singh Arwinder
Published: May 2014

This case study will consider the case of Mrs White, who has been anonymised in accordance with the Health and Care Professions Council (HCPC) Standards of Conduct, Performance and Ethics ( HCPC, 2012 ). A brief clinical overview would show that Mrs White was a 34-year-old multipara who underwent a planned lower segment caesarean section (LSCS) for placental insufficiency of unknown cause during the 36th week of her second pregnancy. This was found to be due to placental infarction and considered to be due to previous placental abruption. This was causing failure of the foetus to thrive and, therefore, was an indication for LSCS ( de Souza Rugolo et al, 2011 ). Her first pregnancy was an uneventful vaginal term delivery. She was otherwise fit and well and had no significant medical history.
Ten years of non-physician delivered anaesthesia
Authors: Phillips Mike
Published: May 2014

It has been over ten years since the anaesthesia community in the UK acknowledged that there could be a role for non-physicians in the delivery of their services. This article explores the journey from the design of the model and the educational process, through to the current successful deployment of physicians’ assistants (anaesthesia) by one of the UK's biggest NHS trusts. The benefits that have been demonstrated by Heart of England NHS Foundation Trust are explored from safety, quality and financial perspectives and are illustrative of the way that innovative perioperative practices can yield great benefits to patients and NHS organisations.
Developing ODP student placements
Authors: Brown Steven
Published: May 2014

In a similar way to nursing and other health professions, elements of the education of operating department practitioners (ODPs) can only be contextualised by clinical practice involvement ( Stockhausen and Strutt, 2005 ; Higginson, 2006 ; Morgan, 2006 ). The importance of high-quality placement experiences for all UK health professions is widely acknowledged (Quality Assurance Agency, 2001). Prior to 2009, students on the Diploma in Higher Education ODP programme undertook four clinical placements in the same Trust or organisation. At the time of the project there was a shortfall in the number of placements available and, although the university explored placing students in different clinical areas, such as private healthcare providers and new areas in the NHS, none could provide the full learning experience for students to achieve the required competencies. The course team developed a system that uses placements in a variety of settings and ensures students can gain the required outcomes. The new approach involves auditing for individual placements, instead of for the full course duration. Students are now informed throughout recruitment and selection events that they should be undertaking placements in a minimum of three different organisations. Students now move to a different organisation with every experience, to gain a variety of clinical knowledge. This has resulted in the greater use of clinical placements and the development of new areas for students to gain experience. The benefits of students’ experiences have increased, as they can develop skills and understanding of the ODP role from different perspectives.
Perinatal psychosocial assessment and depression screening
Authors: Austin Marie-Paule , Hanley Jane
Published: May 2014

The International Marcé Society has released a global position statement on screening for perinatal depression. Professor Marie-Paule Austin summarises its main points.
An evaluation of three models of practice teaching in health visiting in NHS East of England
Authors: Devlin Anne , Mitcheson Jan
Published: May 2014

The Health Visitor Implementation Plan ( Department of Health, 2011 ) has created unprecedented demand for practice-based learning placements for student health visitors. This evaluation study set out to investigate and evaluate three models of practice-based teaching and learning across the East of England. The evaluation comprised two phases and gathered quantitative and qualitative data from a range of sources. The findings revealed that, irrespective of the practice teaching model, practice teachers conform to the Nursing and Midwifery Council (2008b) Standards to Support Learning and Assessment in Practice, and the vast majority of students felt able and/or confident to undertake their role. Any disparities are not related to the practice education model in operation. A number of key factors—relational attributes, structure and organisation and effective communication—emerged as important for learning.
Sleep Scotland: Promoting healthy sleep in children and young people
Authors: Ansell Jane
Published: May 2014

Sleep deprivation is a critical issue for many families. Sleep Scotland offers support services to families and children, along with training for professionals in sleep counselling and education. Chief Executive Jane Ansell gives an overview of the charity's work.
Research roundup: October 2013
Authors: Condon Louise
Published: May 2014

In this section, a brief synopsis of a range of recently published articles that may be of interest to health visitors is presented. The aim of this roundup is to provide an overview, rather than a detailed summary, of the research papers selected. Should you wish to look at any of the papers in more detail, a full reference is provided.
Part 2: Living theory action research and Adlerian psychology: The alongside approach of a mother
Authors: Donnelly Ruth
Published: May 2014

This article is the second of two reporting the findings of a collaborative enquiry that continued over 4 months to understand and explain their learning. A mother joins a health visitor in a collaborative enquiry to solve her baby's sleeplessness. She begins to explore a dilemma between parenting that respects the child's view, while also having the courage to guide him. Alongsideness is a middle road between parent-centred ‘controlled crying’ and a child-centred approach appropriate to his development. She reflects on applying alongsideness principles to her future parenting and on her experiences of health visiting.
The importance of relationship-based ways of working in health visiting
Authors: Bailey Beverley
Published: May 2014

Health visitors employ high-level communication skills to build trusting effective relationships with parents. Beverley Bailey highlights the importance of using evidence from policy and research to describe and explain this way of working.
Illustrate accountability and make a difference
Authors: Newland, Rita
Published: May 2014

The long awaited Francis Inquiry into the care provided by Mid Staffordshire NHS Foundation Trust between 2005-2009, has finally been published (Francis, 2013). After reading the report I was struck by several things. Firstly, it is a long report, comprising nearly 900 pages over 2 volumes; secondly, it has taken 3 years to complete; and thirdly, it seeks lessons learned rather than lines of accountability. Throughout the report, consideration is given to many emotive issues that make difficult reading. It outlines instances when carers-including registered nurses- failed to display common decency when caring for people who were not able to challenge, or indeed chose not to challenge because they feared the repercussions. It is astonishing to read that only 27 nurses (including registered nurses) volunteered to contribute to the inquiry when by contrast, nearly 1000 members of the public came forward (Francis, 2013).