Nursing

Pre-transplant Nurse Led Education Clinic (2019)

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Type of publication:
Poster presentation

Author(s):
*Dean S, *Rogers C, *Chand S

Citation:
Joint British Transplant Society and NHS Blood and Transplant Annual Congress 6th – 8th March 2019, Harrogate Convention Centre

Abstract:
Introduction: Locally, there is a 40% pre-emptive renal transplant listing rate, between 2013-2016; and 22% for living donor pre-emptive 2014-2017. Thus we needed to revise our processes. After returning from the tertiary transplant centre, patient feedback including their shock of what was required and their follow-up arrangements, and they felt under-prepared from their local education.
Methods: By creating a separate renal pre-transplant education clinic, we aim to improve the education and experience of potential recipients and donors in order to improve or transplantation rates. This clinic was started in August 2016. It was also important to rationalise the time of the single transplant nurse more effectively.
Results: The nurse was able to stop time wasted travelling between individual consultant clinics, catching patients in an adhoc manner, and time wasted travelling between hospital sites. There was an increase of 20% over a 18 months period of patients transplant listed. Patients feedback has been qualitatively positive after their tertiary centre assessments, with noone reporting feeling under-prepared or shocked from the information and requirements if transplanted. Discussion: The nurse led clinic has been successful and we would like to share this model with other units. Other surprising benefits have included patients being better prepared for their transplantation clinic assessment at the tertiary assessment. Potential living donor assessments and any initial investigations have been identified and performed in a more timely manner. The clinic has also allowed to unmask and address unmet psychological and social needs prior to being assessed for transplantation and thus reducing the psychological burden post-transplantation.

Adult asthma: what community nurses should know (2018)

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Type of publication:
Journal article

Author(s):
*Pickstock, Shirley

Citation:
Journal of Community Nursing; Feb 2018; vol. 32 (no. 1); p. 48-53

Abstract:
Asthma is a common lung condition affecting many patients in the community. Nurses are pivotal in the diagnosis and management of people with both stable disease and during I acute flare-ups. Asthma reviews offer opportunities to build therapeutic relationships and optimise treatment, helping patients to recognise and plan management of an asthma attack. On average, three people die of asthma every day in the UK — a stark statistic which should encourage nurses to be forever watchful of opportunities to regularly review the evidence base and provide patient-centred care. This article focuses on the management of chronic adult asthma, at diagnosis, management, and briefly touches on assessment of the acute exacerbation. The key differences between the asthma guidelines of the British Thoracic Society/Scottish Intercollegiate Guidelines Network (BTS/SIGKr < 2016) and the National Institute for Health and Care Excellence (NICE, 2017) guidelines, which are currently in use in the UK, are presented for reader consideration.

Link to full-text [NHS OpenAthens account required]

What’s in a name: friend or foe? Coping strategies used by stoma patients (2018)

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Type of publication:
Journal article

Author(s):
*Powell, Julie

Citation:
British Journal of Nursing; Mar 2018; vol. 27 (no. 5) S22

Abstract:
The article examines how stoma patients chose to name their stoma and discusses how this can inform medical professionals' understanding of patient experiences. It provides examples of patients who named stoma after common first names or after television characters and explores the success of such coping strategies.

Link to full-text [NHS OpenAthens account required]

Breathlessness at end of life: what community nurses should know (2017)

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Type of publication:
Journal article

Author(s):
*Pickstock, Shirley

Citation:
Journal of Community Nursing; Oct 2017; vol. 31 (no. 5); p. 74-77

Abstract:
The provision of end of life care is important core work for community nursing teams. Once end of life has been recognised, a focus on palliation of symptoms and an emphasis upon assisting people to 'live well until they die' becomes paramount. Breathlessness is a common distressing symptom for patients, significantly affecting their quality of life and is sometimes the cause of unnecessary admissions to hospital. This article explores the pathophysiology of breathing and breathlessness and offers some thoughts on history-taking and physical assessment, skills that nurses in advancing practice roles are now undertaking in the community setting to enhance the care they deliver to patients. This article aims to support community nurses to gain knowledge to inform the provision of effective evidence-based care and assist patients and their families to manage breathlessness at end of life.

Analysis of doctors and nurses confidence with the use of in and out urinary catheters for collection of urine samples (2017)

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Type of publication:
Conference abstract

Author(s):
*Fox H.; *Gupta M.

Citation:
Archives of Disease in Childhood; May 2017; vol. 102, Suppl. 1

Abstract:
Background NICE recommends collecting urine by a clean catch sample to diagnose urinary tract infection (UTI), but if not possible or practical, to use urinary catheters (UC) to collect urine. Despite a policy to obtain clean catch urine, we have noticed high contamination rates, especially in infants. This creates diagnostic uncertainty, leading to unnecessary investigations and overuse of antibiotics. Using a UC to obtain urine can reduce rates of contamination, but experience among staff is low in our department as UC are not commonly used for this purpose. In this survey we explore the confidence, competence and training of staff with UC for collection of urine samples. Methods A survey of medical and nursing staff was undertaken during a typical working week in October 2016. We asked about their experience, confidence and competence with insertion of UC to obtain urine samples in children. Results were analysed using Microsoft Excel. Results 30 staff completed the questionnaire including 12 nurses, 3 advanced paediatric nurse practitioners (APNP), 9 tier 1 doctors (Foundation, GP and CT1-3 paediatrics trainees) and 6 tier 2 doctors (CT4 and above). 33% of Band 5 nurses, 67% of band 6 nurses, 75% of Tier 1 paediatric trainees and none of the foundation and GP trainees have inserted a UC in children. 50% of junior doctors and 53% nurses have never received training on UC insertion in children. 7% of all nurses and 67% of all doctors feel competent with insertion of UC in boys, whereas 40% of all nurses and 53% of all doctors surveyed feel competent with insertion of UC in girls. Conclusion This survey identified that experience of UC insertion is low among nursing and junior medical staff, which is reflected in their perceived competence. This may be due to infrequent use of this procedure. Most staff identified the need for more training. Therefore we recommend using a standard operating procedure to allow structured training of junior medical and nursing staff. Considering UC more often in clinical practice will improve confidence and maintain competency of staff, and reduce the incidence of contaminated urine samples, especially in infants.

Link to full-text [Available to eligible users with an NHS OpenAthens account]

Factors contributing to student nurses'/midwives' perceived competency in spiritual care (2016)

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Type of publication:
Journal article

Author(s):
Ross, Linda, Giske, Tove, van Leeuwen, René, Baldacchino, Donia, *McSherry, Wilfred, Narayanasam y, Aru, Jarvis, Paul, Schep-Akkerman, Annemiek

Citation:
Nurse education today, Jan 2016, vol. 36, p. 445-451

Abstract:
The spiritual part of life is importa nt to health, well-being and quality of life. Spiritual care is expected of nurses/midwives, but it is not clear how students can achieve competency in spiritual care at point of registration as required by regulatory bodies. To explore factors contributing to undergraduate nurses'/midwives 9; perceived competency in giving spiritual care. A pilot cross-sectional, multinational, correlational survey design. Questionnaires were completed b y 86% (n=531) of a convenience sample of 618 undergraduate nurses/midwive s from six universities in four countries in 2010. Bivariate and multivaria te analyses were performed. Differences between groups were small. Two fact ors were significantly related to perceived spiritual care competency: perc eption of spirituality/spiritual care and student's personal spiritual ity. Students reporting higher perceived competency viewed spirituality/spi ritual care broadly, not just in religious terms. This association between perceived competency and perception of spirituality is a new finding not pr eviously reported. Further results reinforce findings in the literature that own spirituality was a strong predictor of perceived ability to provide spiritual care, as students reporting higher perceived competency engaged in spiritual activities, were from secular universities and had previous healthcare experience. They were also religious, practised their faith/belief and scored highly on spiritual well-being and spiritual attitude/involvement . The challenge for nurse/midwifery educators is how they might enhance spi ritual care competency in students who are not religious and how they might encourage students who hold a narrow view of spirituality/spiritual care t o broaden their perspective to include the full range of spiritual concerns that patients/clients may encounter. Statistical models created predicted factors contributing to spiritual care competency to some extent but the picture is complex requiring further investigation involving a bigger and mor e diverse longitudinal sample.

Major trauma training for emergency nurses (2014)

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Type of publication:
Journal article

Author(s):
*Fenwick R

Citation:
Emergency Nurse, 04 2014, vol./is. 22/1(12-6), 1354-5752;1354-5752 (2014 Apr)

Abstract:
The Midlands regional trauma network was established in March 2012 to improve and standardise the care offered to patients with major trauma. This article discusses the results of a survey of formal training in, and self-assessed knowledge of, trauma management among emergency department nurses working in the network. Less than one third of the nurses had received formal training against which standards can be benchmarked, and the article recommends that nurse education standards are reinstated as key performance indicators in the region.

Link to more details or full-text: http://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=2012531636&authtype=athens&site=ehost-live

 

Student nurses perceptions of spirituality and competence in delivering spiritual care: A European pilot study. (2014)

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Type of publication:
Journal article

Author(s):
Ross, Linda, van Leeuwen, R, Baldacchino, Donia, Giske, Tove, *McSherry, Wilfred, Narayanasamy, Aru, Downes, Carmel, Jarvis, Paul, Schep-Akkerman, Annemiek

Citation:
Nurse Education Today, 01 May 2014, vol./is. 34/5(697-702), 02606917

Abstract:
Summary: Background: Spiritual care is expected of nurses, but it is not clear how undergraduates can achieve competency in spiritual care at point of registration as required by nursing/midwifery regulatory bodies. Aims: To describe undergraduate nurses’/midwives’ perceptions of spirituality/spiritual care, their perceived competence in delivering spiritual care, and to test out the proposed method and suitability of measures for a larger multinational follow-on study. Design: Cross-sectional, multinational, descriptive survey design. Methods: Author administered questionnaires were completed by 86% of the intended convenience sample of 618 undergraduate nurses/midwives from 6 universities in 4 European countries in 2010. Results: Students held a broad view of spirituality/spiritual care and considered themselves to be marginally more competent than not in spiritual care. They were predominantly Christian and reported high levels of spiritual wellbeing and spiritual attitude and involvement. The proposed method and measures were appropriate and are being used in a follow-on study. Conclusions: The following are worthy of further investigation: whether the pilot study findings hold in student samples from more diverse cultural backgrounds; whether students’ perceptions of spirituality can be broadened to include the full range of spiritual needs patients may encounter and whether their competence can be enhanced by education to better equip them to deliver spiritual care; identification of factors contributing to acquisition of spiritual caring skills and spiritual care competency.