bluuebunny/crossref_metadata_2025 huggingface dataset:
Nursing care and treatment of the patient with human papillomavirus
Authors: Peate Ian
Published: May 2014

Human papillomavirus is a common and highly contagious virus that causes genital warts, which are not only unsightly, but the treatment may also be complex and the results of such treatment variable. For the patient this may result in physical and psychological trauma. Over 100 genotypes of the virus have been identified and a number of these can result in benign tumours of the skin and mucosa. Others however, are associated with intraepithelial neoplaisa of the vulva, cervix, penis and anus and squamous cell carcinoma. The nurse can provide the patient with the physical and psychological support the patient needs only if he/she has insight and understanding regarding the infection, its natural history, the diagnosis and subsequent management. Care should be provided in a non-judgmental manner, with respect and empathy.
End-of-life issues: common law and the Mental Capacity Act 2005
Authors: Fullbrook Suzanne
Published: May 2014

The preceding articles in this group of the series have thus far identified the common law principles in the sections of the Mental Capacity Act 2005 in respect of certain groups of people – those who retain their capacity to organize their own health-related affairs, those who have lost their capacity to self-determine their health choices on a temporary basis, and those who are no longer competent but who had previously identified their choices in respect of treatments and care. One common theme attaches to these groups – they all fall within the common law principles that underpin the health-related needs of those whose lives are supposed to continue after the decisions have been identified. This article, the last in this group, addresses specifically the legal principles, the ethical and moral dimensions, and the practical aspects of decisions where the consequence will be death – the so called ‘end-of-life issues’.
Nurse-led triage of acute medical admissions: accurate and time-efficient
Authors: Wennike Nic , Williams Elizabeth , Frost Steve
Published: May 2014

In many hospitals a variety of triage systems are used by senior medical staff to identify likely length of stay (LOS) of acute medical admissions and thus facilitate a streamlined admission under either acute medicine or general internal medicine (GIM). The authors evaluated if senior nursing staff on the medical assessment unit could triage patients depending on their predicted LOS as accurately as consultant acute physicians. Each of 193 medical admissions were independently triaged by both groups to either acute medicine (<48 hours) or GIM (>48 hours) depending on predicted LOS. The accuracy of patient triage was identical for senior nursing staff and consultants (80.8% vs 81.9%), when 95% confidence intervals are taken into account. Nursing staff triaged patients a mean of 8.5 hours earlier than consultants. This study demonstrates that triage of acute medical admissions is a practical extension of the senior nursing role and has been successfully implemented, with accuracy of nursing triage (83.5%) being maintained in a repeat study 6 months later.
My timely view of the profession of nursing today
Authors: Castledine George
Published: May 2014

Recent events which have happened to me regarding the award of my Knighthood have led me to try and stand back and look at the state of nursing today. Not that I needed an award to do that but the significance of the event made me think about my contribution to nursing. The art of detachment is that rare and precious quality that allows us all, whatever we do, to take a philosophical view of our lives and our contribution to our chosen field of work.
Gut Week – an important and easily digestible initiative
Authors: Norton Christine
Published: May 2014

Gut Week is an initiative from CORE (the former Digestive Diseases Foundation of the British Society of Gastroenterology), the IBS Network and Yakult. The aim is to make people understand how important gut health is to overall wellbeing and to encourage them to discuss gut issues. The message is a simple one – look after your digestive system, eat a healthy diet, take regular exercise and don’t ignore any symptoms.
Disfiguring conditions – can nurses fill the void?
Authors: Claridge Sarah
Published: May 2014

New research reveals that patients affected by disfigurement are currently left short of vital information to help them deal with the psychological and social aspects of their condition. Often the main port of call for information and support, nurses need to be equipped with the tools to fulfil this sensitive and responsible role. A study by the Picker Institute on behalf of the Healing Foundation, entitled The Healing Foundation Patient Information Project: Studying the Information Needs of People with Disfigurements, suggests that more could be done to assist nurses to provide the type of information patients want.
Setting an alert for tickborne encephalitis
Authors: Somerville Gael
Published: May 2014

Headache, fatigue, fever, myalagia or catarrh. If a patient walks in to your surgery complaining of these symptoms, it is usual to ask if there has been any overseas travel when taking the history. But if your patient has only been in Europe does this mean that their condition is not travel-related? Well, one illness that can present with these signs is tick-borne encephalitis (TBE).
Visually impaired drivers and public protection vs confidentiality
Authors: Hartry Nicola
Published: May 2014

Patients consenting to health care are usually content for information to be disclosed to other team members if it will help to provide effective health care. They rarely state at the commencement of a conversation that information is ‘secret’, but assume that professionals will use the information solely to assist their care. Nurses working in the field of ophthalmology regularly test patients’ visual acuity. Not all patients’ eyesight reaches the minimum standard required by the Driver and Vehicle Licensing Agency. What should nurses do if test results reveal a patient who they know is a driver and whose eyesight does not meet the minimum standard for driving? Should the nurse breach confidentiality? There may be a public safety issue. This article discusses the legal, ethical, professional and employment duty of the nurse, giving examples from previous case law and highlighting the standards of confidentiality required of those employed as professionals in the health service.
Nurses’ views on ease of patient care in postoperative pain management
Authors: Raders Petronella van , Aubry Marie , Friberg Marianne , Huygens Christel , Koch Tilo
Published: May 2014

The fentanyl HCl iontophoretic transdermal system (ITS) is a compact, needle-free, pre-programmed patient-controlled analgesic system that was developed to address limitations to existing therapies for postoperative pain management. A randomized, controlled trial was conducted in 11 European countries to evaluate the efficacy and safety of postoperative pain control using fentanyl ITS compared with a standard regimen of morphine provided by an intravenous patient-controlled analgesia (IV PCA) pump. This article summarizes results from Nurse Ease-of-Care Questionnaires that were completed to assess the convenience and ease of use of each pain management modality from the perspective of the nurse. Nurses’ ratings of patient-care tasks associated with each pain management system were significantly more favourable for fentanyl ITS than for morphine IV PCA. These findings suggest that nurses consider fentanyl ITS to be easier to use than morphine IV PCA.
Good-bye and good luck: how BJN changes
Authors: Foss Tara D
Published: May 2014

In trying to come up with something interesting to say, in this, my last BJN editorial, I found something from Dr Seuss. It seemed so fitting. He was one of my heroes growing up and it’s likely that I wouldn’t be so interested in language if I hadn’t been so immersed in his work.
Congress hots up before winding down
Authors: Bailey Asa
Published: May 2014

As I write this editorial, RCN Congress winds down for another year. But will all the seminars, talks, negotiations and debates on pay, conditions and education for nurses held this year amount to anything, or will the Government continue to push ahead with reforms, blind to consensus?
Consent and capacity 2: the Mental Capacity Act 2005 and ‘living wills’
Authors: Fullbrook Suzanne , Sanders Karen
Published: May 2014

The last article in this series discussed the social concerns which influenced the decision to introduce a law that layed out certain rights for certain people, with respect to healthcare choices, responsibilities and decisions. This, and the next article drawn attention to a specific aspect of the Mental capacity Act – the issue of making a living will. At present, under common law, it is the legal right of competent adult patients to refuse medical treatments, but how is this achieved when, due to your illness or accident, you have lost the capacity to inform others of how you want your treatment to progress – or indeed that you do not want a certain treatment, or any treatment at all? This article discusses the ‘living will’, a written legal document made by a competent person in anticipation of becoming ill in the future.
Putting partnership into practice
Authors: Karstadt Lyn
Published: May 2014

Nursing and midwifery education has evolved over the past few decades, leaving many in the profession — as well as education — slightly confused as to what is going on. In her ongoing column, Lyn Karstadt discusses whether primary care trusts are ready to be handed over the responsibility for educational commissioning from strategic health authorities.
Putting pressure on the Burmese Government
Authors: Higginson Ray
Published: May 2014

As a result of the Asian tsunami of 26 December 2004, the World Health Organization (WHO) estimates that approximately 250 000 people died and many more thousands were made homeless (WHO, 2008). Due to an unprecedented emergency response by the governments and citizens of the international community, millions of pounds were raised and food, aid and medicines were sent quickly to displaced populations. Similarly, China has received more than $3 billion in foreign aid following the devastating earthquake on 12 May 2008, and has implemented one of the largest humanitarian relief operations in history.
The value of consuming a calcium-rich diet: a focus on pregnancy
Authors: Derbyshire Emma
Published: May 2014

Low calcium intakes during pregnancy have been associated with blood pressure disorders and poor pregnancy outcomes. Calcium-deficient diets and low levels of milk consumption have both been associated with the delivery of low birth weight infants. There is also some evidence that a diet adequate in calcium may help to regulate body weight and prevent excess weight gain when consumed throughout the childbearing years. This article discusses how the diet of expectant mothers currently appears to be inadequate; a factor that may affect both maternal and infant health status. Dietary suggestions and strategies are included to help women achieve recommended guidelines for calcium.
New pay deal and the merits of industrial action
Authors: Eldridge Kimmy
Published: May 2014

In April 2008, the Health Secretary, Alan Johnson, agreed a 3-year pay deal with the Royal College of Nursing and Unison that offers nurses an immediate pay rise of 2.75%: 2.4% in year 2009/2010, and 2.25% in year 2010/11. This deal, the highest offered in the public sector in the current round of pay negotiation, will raise the minimum starting salary for a newly qualified nurse to more than £20 000 per year. This agreement would have been regarded as unacceptably inflationary if Alan Johnson had not framed the award within an unprecedented 3-year settlement; with a proviso that if inflation is higher than expected, the unions will be able to appeal to an independent pay review body to be compensated for the loss of purchasing power.
Meticillin-resistant Staphylococcus aureus: the modern-day challenge
Authors: Barnes Tracey A , Jinks Annette
Published: May 2014

There are numerous resistant microorganisms but meticillin-resistant Staphylococcus aureus(MRSA) is probably the most notorious. MRSA is a resistant variation of the common bacterium, Staphylococcus aureus, that has developed the ability to survive treatment with a number of beta-lactam antibiotics, including meticillin. The focus of this article is a narrative literature review concerning the challenge that MRSA presents to nurses and other healthcare workers. A historical overview of antimicrobial resistance and the origins of MRSA are given, together with the factors involved in the persistence of antimicrobial resistance. The relevant microbiology, pathogenesis and epidemiology of MRSA will be discussed to provide a detailed rationale for the contemporary management of this persistent, resistant organism.
Shouldn’t the dangers of insulin be controlled better?
Authors: Castledine George
Published: May 2014

It is important for the nursing profession to examine any case of misconduct particularly when it involves a nurse murdering patients. Recently Colin Norris, 32, was convicted of murdering four elderly patients by administrating overdoses of insulin. What emerges for me from this case are several things which may in the future help to prevent this situation happening again. Norris is reportedly to have said that he disliked caring for older people and some elderly patients recalled at his trial that he had been rude and dismissive to them. Nursing colleagues and student nurses described his attitude towards older patients as someone with a very dry sense of humour. On many occasions I am sure such an opinion would have gone unnoticed, were it not for the intensity and arrogance of the male staff nurse and probably the way he behaved towards such vulnerable people. Norris told the court that this was a joke and that as a nurse you ‘laugh about things you probably shouldn’t laugh about’.
Duty of care and political expectations. Part 2: readers’ concerns/experiences
Authors: Fullbrook Suzanne
Published: May 2014

Nurses have written to nursing journals outlining concerns and negative experiences that some believe stem from an inability to successfully implement health care according to law. However, the question is raised that, whereas the language used in such correspondence is that of a legal duty of care, in fact the guidelines that express the political impetus and thereby underpins and overtly influences current practice stems from Government literature. Part 2 gives voice to concerns as expressed by readers. Their experiences are explored as being valid responses to the implementation of new ways of working in the NHS. In addition, the question is asked: when standards, affected by a lack of clinical resources fall below those expected and experienced by nurses, which standard is in question - the legal or the professional, or are they the same?
Deal or no deal? Offers of a 3-year pay package
Authors: Bailey Asa
Published: May 2014

Almost exactly a year ago, it seemed that the state of nursing pay and conditions was in free-fall: the Royal College of Nursing (RCN) was at loggerheads with the Government and Congress had rejected a Department of Health (DH) pay offer of 1.5%, calling it ‘unacceptable and miserly’, passing a unanimous emergency motion threatening industrial action if the Government did not agree a full 2.5% rise immediately.
Guiding behaviour towards giving care with dignity
Authors: Castledine George
Published: May 2014

Towards the end of our conversation the female patient I was talking to looked up at the nurse, who had interrupted us, and said she would like to go to the toilet. The nurse paused for a few seconds, gave a sigh, and then replied with a look of cold exasperation
Turning up the volume on youth participation
Authors: Glasper Alan
Published: May 2014

The Commission for Patient and Public Involvement in Health was abolished on the 31st March 2008 and replaced by Local Involvement Networks (LINks). These networks purport to give all citizens a greater voice in shaping their local health and social services. The new networks will be developed by all local authorities and will be in place by September 2008. The introduction of LINks are designed to give more power to local communities to help them have a greater sway in service configuration. It is therefore useful to evaluate how successful the initiative of patient and public involvement has been in reflecting the views of young people.
Sun worship can kill common sense
Authors: Beckford-Ball Jason
Published: May 2014

It’s here again, the entirely predictable annual health risk that we Britons seem powerless to do anything about – the summer heatwave. Like the occasional snowstorms that paralyse our roads and cities, or the devastating floods that poured so much misery on middle England in 2007, we often know that adverse weather is on the horizon but remain stoically unprepared. We still refuse to respect the vagaries of the weather, even though trying to predict it is a national obsession.
Pre-dialysis insulin: a new concept to treat an old problem
Authors: Marchant Karen
Published: May 2014

Diabetes and chronic kidney disease are two disease processes that remain with the patient from diagnosis to the end of their lives. The field of diabetes and renal failure is a complex area, merging together these two chronic diseases, each a speciality in its own right. Patients with diabetes need to start dialysis much earlier than those without diabetes due to the cumulative effect of proteinuria and its associated symptoms.The single largest cause of end-stage renal disease continues to be diabetes and within the field of renal nursing, we have seen an increase in the number of patients with diabetes entering the dialysis programme in recent years. The author’s personal experience is that once on haemodialysis, we have seen traditional treatments fail to meet the individual needs of this cohort and have devised a programme of insulin delivery that appears to fill this gap.
Writing for professional publication. Part 2: Subject matter
Authors: Fowler John
Published: May 2014

Motivation is the first step in writing for professional publication: the next question is, what should you write about? Whatever your area of practice or level of experience, your writing will be suitable for one of the wealth of journals covering all aspects of healthcare and nursing. In this second part of a series of articles, John Fowler, an experienced nursing lecturer and author, presents some tips and suggestions to inspire you as you take your first steps on the road to writing for professional publication.
Simple writing skills for students,part two: researching your subject
Authors: Wright Kerry , Ferns Terry
Published: May 2014

This is the second in a three part series on skills for academic writing. This article gives a brief guide to the principles of using evidence to support ideas in academic writing, how to undertake simple literature searches and how to reference this evidence. The hierarchy and ranges of evidence available to support discussions in work are discussed, along with some guidance on using evidence from websites.
A game of cat and mouse
Authors: Hill Rosalind
Published: May 2014

It’s been less thank 3 months since Andrew Lansley, Secretary of State for Health, thrust his White Paper for reform into the limelight, and still, the hubbub hasn’t died down.
Not dead yet: the mysterious case of the invisible women
Authors: Nazarko Linda
Published: May 2014

When I was a girl I thought that older women ruled the world. My grandmother and great aunts demonstrated that being around 5ft tall and 71/2 stone (152 cm and 47.5 kg) was no barrier to being the boss. In fact, they were so successful I began to wonder whether being little was a prerequisite to being powerful. I began to fear that I would grow too tall. My fears were unjustified.
Improving the provision of mental health care
Authors: Tingle John
Published: May 2014

John Tingle examines two recent reports on mental healthcare provision, which show serious shortfalls in the services provided.
The Bonfire of the Regulators: the HFEA an unjustified death?
Authors: McHale Jean
Published: May 2014

The Government has confirmed that the Human Fertilisation and Embryology Authority is to be abolished with a number of its Functions transferred to other bodies as part of the ‘bonfire of the quangos’. This article explores these proposals and questions whether such wide-scale reform is an appropriate approach to the regulating of what remains such can ethically controversial area.
The role of the nurse in the management of osteoporosis
Authors: Walker Jennie
Published: May 2014

Osteoporosis is a chronic disease which is asymptomatic until fractures occur. It is an increasing problem within an ageing population and has many intrinsic and extrinsic risk factors. This article provides an overview of osteoporosis, including the pathogenesis, diagnosis and management. Multidisciplinary assessment and management of osteoporosis is essential with the apt use of non-pharmacologic and pharmacological options to minimize the risk of fracture and appropriately manage patients in an holistic manner
I’ll have fries with that
Authors: Hill Rosalind
Published: May 2014

Is anyone else more than a little bit sceptical about Andrew Lansley’s plans to have big businesses like McDonald’s and PepsiCo help write the UK’s health policy? Alarm bells certainly went off in my head when I read an article in The Guardian recently detailing these plans (Lawrence, 2010)
The inaugural NIVAS conference
Authors: Dougherty Lisa
Published: May 2014

The inaugural conference of the National Infusion and Vascular Access Society (NIVAS) ‘Infusing excellence and expertise’ was held on 12th and 13th May 2010 at the Hotel Russell, London. It was attended by over 70 delegates and supported by 16 companies. The first day of the programme focused on reducing risk, and the second day looked at advancing practice.
Is pressure ulcer prevention given the priority it deserves?
Authors: Maylor Miles
Published: May 2014

In England, the Chief Nursing Officer of the Department of Health has raised the stakes with regard to pressure ulcer prevention, by putting it into the ‘high impact actions’ arena. It is probably true to say that this has prompted a flurry of activity around ‘Root Cause Analysis’ of incidents of pressure damage. The process involves senior nurses, and possibly risk managers, investigating why patients developed category three and four ulcers. There will have been recurrent themes, such as failure to check the patient’s skin or pressure ulcer risk on admission to professional care. If such checks are not carried out, there is no baseline from which real causation can be deduced. Did the patient have any sign of pressure damage before admission (or on discharge to the community)? Without proper examination and documentation, it is hard to be certain when and how something occurred. However, the positive effect of requiring an investigation, I believe, is that it has sharpened the mind, if only to prevent having to go through the same process time and time again.
Developing decontamination strategies and monitoring tools
Authors: Bissett Linda
Published: May 2014

Decontamination within the healthcare setting plays a significant role in reducing the risk of healthcare-associated infections. This article will examine decontamination from hand hygiene to sterilization of instruments and discuss how hazard analysis at critical control points (HACCP) can be used to monitor and record practice, ensuring that consistent standards are based on recommended guidelines, the law and policies.
Uniting with one voice for stoma care
Authors: Crawshaw Alison
Published: May 2014

This year marks the 100th anniversary of the death of Florence Nightingale, and I am sure we all know that she was integral in instilling changes which have helped to shape modern nursing. She was a pioneer in nurse education; she helped reform the existing welfare system; she realized the importance of hygiene and she was also a pioneer in statistics, which she used to illustrate her findings. (Did you know that she was the creator of the pie chart?) Many of the changes with which she was involved are still influential in nursing today, and without her input, nursing would not be where it is now. Her changes were positive and far-reaching. We must try to ensure that changes being implemented today are also positive and that they leave an improvement in patient care, while working with management to make our services cost-effective.
Continence myths: the need for evidence-based practice
Authors: Woodward Sue
Published: May 2014

We all know that urinary incontinence is a hidden problem that causes many people embarrassment, and is not reported to a health professional by the vast majority of sufferers (Minassian et al, 2003). Myths and misconceptions abound among the public about the causes and treatment options for urinary incontinence, and many women, for example, believe that this is an inevitable consequence of child-bearing or ageing. Urinary incontinence affects one in four women, 25% of the female population (National Collaborating Centre for Women’s and Children’s Health, 2006), but is not a particularly ‘sexy’ subject. It affects more people than cancer or heart disease, and yet we don’t see incontinence splashed across the headlines—if you will pardon the pun—as a significant health issue affecting our population. This country is now officially the fattest nation in Europe (OECD, 2010), and there has been much debate in the media about the ‘obesity epidemic’ that is sweeping the land. I don’t know about you, but I haven’t spotted the public awareness campaign about the stress incontinence epidemic that could follow as a result of this obesity!
Higher education reform: conflict of interest or enhanced experience?
Authors: Sturgeon David
Published: May 2014

The path that nurse education in the UK has taken since it moved into the higher education (HE) system in the early 1990s has been directly influenced, not only by Department of Health policy, but also by changes to the way in which HE is structured and managed The White Paper Higher Education: Students at the Heart of the System ( Department for Business Innovation and Skills, 2011a ) outlined the coalition Government's plans to encourage better standards of teaching in HE and greater responsiveness to student experience. The reforms promote competition and contestability between HE institutions to attract students and recommend removing barriers for new providers to enter the market. The decision to introduce a strong business model for HE has a number of implications for nurse education, both in the way that it is delivered and how stude nurses are positioned among their peers. There is a potential conflic of interest between the student as a source of income for the HE institution and the student nurse as a member of a professional organization dedicated to ensuring the safety of the public. The decision to make it easier for alternative providers to obtain degree awarding powers could also encourage providers to take greater ownership of healthcare qualifications in the future.
Washing and changing uniforms: is guidance being adhered to?
Authors: Potter Yvonne Camilla , Justham David
Published: May 2014

To allay public apprehension regarding the risk of nurses' uniforms transmitting healthcare-associated infections (HCAI), national and local guidelines have been issued to control use, laundry and storage. This paper aims to measure the knowledge of registered nurses (RNs) and healthcare assistants (HCAs) working within a rural NHS foundation Trust and their adherence to the local infection prevention and control (IPC) standard regarding uniforms through a Trust-wide audit. Stratified random sampling selected 597 nursing staff and 399 responded (67%) by completing a short questionnaire based on the local standard. Responses were coded and transferred to SPSS (v. 17) for analysis. The audit found that nursing staff generally adhere to the guidelines, changing their uniforms daily and immediately upon accidental soiling, and wearing plastic aprons where indicated. At home, staff normally machine-wash and then iron their uniforms at the hottest setting. Nevertheless, few observe the local direction to place their newly-laundered uniforms in protective covers. This paper recommends a re-audit to compare compliance rates with baseline figures and further research into the reasons why compliance is lacking to sanction interventions for improvement, such as providing relevant staff education and re-introducing appropriate changing facilities.
Can doctors lawfully kill competent patients who want to die?
Authors: McHale Jean V
Published: May 2014

This article explores the case of Nicklinson v Ministry of Justice (2012), in which a man with locked-in syndrome sought leave to challenge the current law concerning euthanasia. This is a preliminary hearing outlining the legal arguments being brought to trial; however, the article suggests that the significance of this case is likely to be considerable. It will require the English courts to consider the application of the doctrine of necessity and the application of the Human Rights Act in the context of active euthanasia by clinicians, rather than simply assisted suicide.
The opportunities of a student nurse
Authors: Polfrey Katrina
Published: May 2014

Katrina Polfrey is a second year children's nursing degree student at the University of Hertfordshire. In her column, she discusses the personal and professional benefits of taking advantage of the opportunities made available to student nurses
Why the Liverpool Care Pathway should be replaced
Authors: Tingle John
Published: May 2014

John Tingle discusses the recent report of the Liverpool Care Pathway independent review panel.
Making time to care by making social care fair
Authors: Glasper Alan
Published: May 2014

In the context of the new Care and Support Bill currently going through parliament, Professor Alan Glasper discusses the campaign launched by the charity Leonard Cheshire Disability to make social care fair for those who need it, especially the elderly and 100 000 working-age disabled people who may be denied vital care and support because of the ever-increasing use of flying 15-minute care visits.
Duty of candour requires better protection for nurses
Authors: Griffith Richard
Published: May 2014

The report of the Mid Staffordshire NHS Foundation Trust public inquiry has a statutory duty of candour at its heart and the requirement for openness and transparency running through most of its 290 recommendations. While many will consider such a legal duty essential if a repeat of the Mid Staffordshire scandal is to be avoided, the duty is unlikely to be effective unless nurses can discharge their obligations without fear of recrimination. This article argues that current protection for nurses who report poor practice is inadequate and must be improved if the openness and transparency recommended is to become a reality in the NHS.
Reinforcing the commitment to a healthy start for all children
Authors: Glasper Alan
Published: May 2014

Professor Alan Glasper discusses the Departments of Health and Education's plans for promoting optimal child health.
Patient safety: a view from across The Pond
Authors: Tingle John
Published: May 2014

John Tingle discusses UK Health Secretary Jeremy Hunt's recent speech in Seattle, USA, on halving avoidable harm and saving 6000 lives, and a recent report from the US National Patient Safety Foundation's Lucian Leape Institute on partnering with patients and families for the safest care.
The use of deprivation of liberty safeguards in hospitals to increase
Authors: Griffith Richard
Published: May 2014

The UK Supreme Court has delivered its long-awaited judgment on the factors to be considered when determining whether the care and treatment of a person amounts to a deprivation of liberty ( Cheshire West and Chester Council v P [2014] ). In this article the author discusses the impact of the Supreme Court's ruling on the use of the Mental Capacity Act's Deprivation of Liberty Safeguards in hospitals ( Mental Capacity Act 2005 , sections 4A&4B).
Novice research: central venous access device care infections
Authors: Doyle Hannah , McNaughton Amanda
Published: May 2014

This article describes a literature review of published evidence on infection prevention and control in central venous access device (CVAD) care conducted by a novice researcher (lead author) under the supervision of her lecturer (second author). It includes details of the search as well as of the analysis which led to the selection and critical appraisal of a selected article identified and, importantly, discussion of the limitations and lessons learned by the novice researcher with her experimental approach. Infection control is paramount within nursing practice as a result of the number of healthcare-associated infections, which are preventable if evidence-based practice is followed and when trust protocols are informed by evidence. The question posed by the author prior to undertaking the literature search related to whether the use of sterile gloves for CVADs reduces infections in the oncology patient population compared with the use of non-sterile gloves. The question was formulated using the PICO (Population, Intervention, Comparison, Outcome) process and relevant literature was located using CINAHL and MEDLINE databases. The results of the review demonstrated no significant difference in infection rates using sterile or non-sterile gloves when handling CVADs but further research in this area is needed to validate the findings.
Obituaries
Authors: Grove Bob , Barker Phil , Buchanan-Barker Poppy
Published: May 2014

John Henderson was an infl uential figure in psychiatry, mental health care, mental health promotion and human rights around the world. Long after official retirement, he continued his work with startling energy through a vast array of voluntary and non-governmental organisations right across Europe— especially Mental Health Europe, which he helped to found in the late 1990s.
Gaining in financial capability and confidence during the recession
Authors: Newton Andy , Kjellberg Karin
Published: May 2014

As the financial recession bites ever deeper, it becomes even more important to know how to put our personal finances in order. Andy Newton and Karin Kjellberg report on some recent initiatives
Revamped trust website promises visitors access to a garden of delights
Authors: Charlton Dan
Published: May 2014

South London and Maudsley NHS Foundation Trust’s recently-relaunched website reflects its change of focus in recent years. Dan Charlton explains why this redeveloped site is much more than just another public service homepage
Employment project: supporting depressed and anxious people
Authors: Manser Hannah
Published: May 2014

Two years ago the charity Depression Alliance created an innovative support network to aid the recovery of people with depression and anxiety. Hannah Manser, leader of the Employment and Well Being Project, explains how it operates
Stepping stones back into work
Authors: O’Neill Catherine
Published: May 2014

One leading charity believes that volunteering can offer many people a vital first step toward employment. Catherine O’Neill reports on a pioneering employment project
Coaching: why mental health nurses should embrace the role
Authors: Gamble Catherine
Published: May 2014

Likening the mental health nurse’s role to that of a coach made sense to a troubled teenager who loved football. Catherine Gamble explains how the coaching analogy could be useful in promoting recovery more widely
Preventing mental health problems in older adults in a group setting
Authors: Jackson Leila A
Published: May 2014

Project lead Leila A Jackson describes how a preventive approach has yielded dividends for a group of middle aged and older service users in Manchester
The sky’s the limit
Authors: Gournay Sam
Published: May 2014

Unfazed on initially being told he could not fulfil his plans to skydive over Suffolk, service user Adrian Rumsby turned his experiences into a campaign against stigma and discrimination
Understanding wellbeing in the context of modern culture
Authors: Carlisle Sandra , Hanlon Phil , Turner Sophie , Henderson Gregor
Published: May 2014

Questions about what constitutes the ‘good life’ are increasingly being asked by policy makers, academics, researchers and members of the public. Sandra Carlisle and colleagues explain the background to the debate, and suggest that modern western values, if unchecked, could pose a risk to people’s wellbeing on a global scale
Meeting the needs of families and carers of acute psychiatric inpatients: a nurse-led family service
Authors: Adeshokan Eunice , Radcliffe Jonathan , Bird Laura
Published: May 2014

This article describes a nurse led service operating on three adult acute psychiatric wards in a hospital in South London. On each ward a member of the regular nursing staff spends one day meeting with families and carers. A case is made for the need for such a service, and its aims are described. An example of a series of meetings with the relatives of one patient is given, illustrating the benefits of this type of service.
In praise of making quilts
Authors: Atkinson Jacqueline M
Published: May 2014

As a lifelong quilter who learned to stitch by watching ‘Blue Peter’ as a girl, Professor Jacqueline M Atkinson is keen to ensure that quilting and other creative hobbies are treated more seriously by those who promote and study wellbeing
Implications of the NHS White Paper for mental health services
Authors: Bell Andy
Published: May 2014

Andy Bell argues that government plans to overhaul mental health provision in England must not prompt managers into making knee-jerk cuts to services that are highly valued by users
Joined-up care is a crucial part of effective provision in mental health
Authors: Shrubb Steve
Published: May 2014

Steve Shrubb says government plans offer great opportunities to mental health service providers-and they could work if GPs are educated about the full range of services on offer
Ayrshire Recovery Network—established and flourishing
Authors: Brunton Niall , Brady Lesley
Published: May 2014

We wanted to share our story of how a local network focusing on recovery from mental health problems came into being, with the hope that it inspires others to do something similar.
Promoting older men’s health through the Men in Sheds project
Authors: Major Alex
Published: May 2014

In recent decades, older men’s health issues have been overshadowed by a focus on women, argues Alex Major. Now a project in north west England is fighting back to redress the balance. The man-only ethos has gathered a lot of interest
A pessimist's guide to optimism
Authors: Lee Chris
Published: May 2014

Even though the private sector’s failings triggered the recession, the public sector is now paying the price, argues Chris Lee. Shrugging off the gloom that threatens to pervade the public sector, he finds there are still plenty of reasons to be cheerful
Time to write the next book
Authors: Gillam Tony
Published: May 2014

Finding a copy of his textbook on mental health nursing being sold for a pittance at a car boot sale made Tony Gillam reflect on how quickly works of literature can go out of fashion. It also came as a timely reminder that his next book is overdue
Hidden perspectives in cloth: the making of the Bethlem Tapestry
Authors: Crowden Laura
Published: May 2014

This month the South London and Maudsley NHS Foundation Trust is to unveil the ‘Bethlem Tapestry’—an expressive depiction of patient experience from the hospital’s Psychosis Unit
Let Glasgow flourish: promoting a positive attitude to health in Scotland
Authors: Varty Diane
Published: May 2014

Since its launch in 2005 the Centre for Confidence and Well-being has worked to transform Scottish culture through a wider understanding of positive attitudes and wellbeing. Diane Varty talks to founder Dr Carol Craig about the impact of the centre so far
Recovery from psychosis: strategies and reflections from hostel living
Authors: Chadwick Peter
Published: May 2014

Peter Chadwick (below) reflects on his experience of living in a psychiatric aftercare hostel and the strategies and support it gave him to move out of psychosis into a productive life
A model of confidence and wellbeing
Authors: Hill Lisa , Walton Ian
Published: May 2014

Lisa Hill and Ian Walton of Sandwell Primary Care Trust report on how a local innovative service model is working to meet a wide range of community mental health and wellbeing needs
Eat well, be well
Authors: Beary Michael
Published: May 2014

A healthy diet is important for everyone if they are to maintain mental and physical wellbeing. Michael Beary shares his advice on healthy eating
Seasonal affective disorder: ways to beat the winter blues
Authors: Farmer Anne
Published: May 2014

As winter draws closer, some people will begin to experience recurring winter depression, or seasonal affective disorder (SAD). Anne Farmer shares her advice on how to beat the winter blues
Building an online wall of support
Authors: Hyatt Jenny
Published: May 2014

If you’re feeling low, afraid to say what’s on your mind to anyone you know, but crave help and support then Big White Wall could be exactly what you need. Jenny Hyatt shares more about the service and how it has helped thousands improve their wellbeing
A discussion of the use of treatment approaches that can help individuals to recover from complicated grief
Authors: Robertson Trudy , Scanlan Mike
Published: May 2014

This second article discusses the general treatment principles that govern the treatment of complicated grief symptoms. The article explores how the therapeutic approaches of cognitive behavioural therapy (CBT), eye movement desensitisation and reprocessing (EMDR), and inter-personal psychotherapy (IPT) can be used by trained therapists to help people towards the resolution of complicated grief symptoms. There is a discussion of the need for clinicians to receive training in the application of complicated grief treatment (CGT). The article concludes by highlighting a need for further applied research to explore the potential of integrating compassionate mind therapy approaches into treatment protocols for complicated grief.
Continuing Professional Development: Social phobia: nature and treatment
Authors: Darling Jennifer , Curran Joe , Rogers Paul , Gournay Kevin
Published: May 2014

Overview

This article discusses social phobia, and common approaches to treatment of the condition. The mental health professional's role in recognising and treating social phobia will be explored. The article includes some self-assessment to test the reader's knowledge
Innovative funding for service users
Authors: Coss Katie
Published: May 2014

Katie Coss describes Julian Housing Support’s new fund, which seeks to aid service users
The influence of community occasions on satisfaction with life and wellbeing
Authors: Hefferon Kate , Gocken Nesrin , Painter Joan , Davies Mark N O , Boniwell Ilona
Published: May 2014

This study aimed to assess the influence of the royal wedding on the wellbeing of individuals who participated in the celebrations. We hypothesised that individuals who celebrated the national event with their community would score higher on subjective wellbeing (SWB) scales. Participants included 215 male and females of the general population attending royal wedding celebrations and 104 individuals who did not attend royal wedding celebrations (n=319). The study was a 2x2 between participants ANOVA, using two positive psychology measures: Satisfaction With Life Scale (SWLS) and Scale of Positive and Negative Experiences (SPANE). Overall, attendees, particularly males, scored significantly higher in SWB and were more likely to experience more positive, as opposed to negative, emotions than non-attendees.
Enuresis 2: management and treatment
Authors: Cox Elizabeth
Published: May 2014

In this second article on childhood enuresis, the author examines the management and treatment of the condition by school nurses. Following the holistic assessment outlined in the first article, effective individualized management strategies can be formulated.
Changes to the childhood immunization programme
Authors: Noakes Karen , Moreton Judith , Salisbury David
Published: May 2014

Important changes to the childhood immunization programme in September 2006 ensure children are now protected from another infection that causes meningitis. This article examines the new pneumococcal conjugate vaccine, and other changes to the schedule.
Changing school dinners: food for thought?
Authors: Dow Brian
Published: May 2014

When headteacher Matt Percival discovered his new school had ‘serious weaknesses’ his strategy for improvement was to revolutionize the school canteen. Healthier menus not only counter the rising levels of obesity but also aid children's concentration, helping them to achieve academically.
Child death review processes: implications for school nursing
Authors: Powell Catherine
Published: May 2014

School nurses are among those expected to contribute to multidisciplinary processes that seek to ensure a ‘rapid response’ to unexpected deaths and provide an overview of all childhood deaths in a locality. Benefits from the work of child death review teams elsewhere are highlighted.
Mental health awareness in South Asian parents
Authors: Harborne Alex , Cleary Anne
Published: May 2014

There is a higher prevalence of depression in marginalized populations and demographic information suggests that Luton in Bedfordshire is an area of major health inequality. The school nurse can help parents understand depression in both themselves and their children.
School nursing in the 21st Century
Authors: Croghan Emma
Published: May 2014

The role of the school nurse is a vital one but many nurses claim that they feel confused about their responsibilities and believe that their first line managers have only a limited understanding of their role. The development of Health Improvement programmes may help to change this.
Male school nurses: meeting boys’ health needs
Authors: Watson Paul
Published: May 2014

Public services are not designed to look at men's and women's needs individually. Men are overlooked in terms of health so in the future it is recommended that boys must be targeted from a young age which means employing more male school nurses.
Supporting young people who self-harm
Authors: Preece Paula , Jowett Sarah
Published: May 2014

School nurses have unique access to the school-aged population and are often the first port of call for young people. An understanding of self-harm is essential. This article is part two of a series and examines professional knowledge, perceptions and attitudes.
Sun safety: an island perspective
Authors: Howland Angela
Published: May 2014

Too much sun can be dangerous for children and can cause malignant melanoma, the most dangerous type of skin cancer. The Safe in the Sun partnership on the Isle of Man looks at the different ways skin awareness can be promoted and how children can be taught about sun safety.
Exploring young people’s knowledge of Chlamydia
Authors: Welsh Marion
Published: May 2014

Rates of chlamydia have risen over the past two decades presenting a danger to the sexual and reproductive health of young people. Their knowledge in this area needs to be improved and key players to this challenge include School Nurses who have a pivotal role in promoting sexual health.
Bringing threadworms out into the open
Authors: White Sharon , Stevenson Jane
Published: May 2014

Threadworm infestation is a common occurrence but can go undiagnosed owing to a lack of symptoms. School nurses are aptly placed to manage threadworm breakouts in schools and can advise parents and school staff on ways they can prevent further spreading of this infection.
Tackling childhood obesity
Authors: Whiting Lisa
Published: May 2014

Childhood obesity is becoming a major problem and this article highlights the rising levels in the UK and considers how key government policy, aimed at tackling the problem, may impact upon school nurses.