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Clinical Skills

Measuring and monitoring fluid balance

Fluid shifts happen when the fluid in the body moves between fluid compartments. Physiologically, this occurs by a combination of hydrostatic pressure gradients and osmotic pressure gradients. Osmosis...

An exploratory study into the teaching of clinical examination skills in advanced practice

‘Most errors in the physical examination … [which lead to adverse outcomes] … are related to not performing an examination.’ .

Emergency management of neck stoma patients during the coronavirus pandemic: a national nurse survey

A nationwide prospective survey was formulated and distributed electronically to nurses across all specialties within primary and secondary care. Dissemination platforms included direct contact with...

Self-harm wounds: assessment and management

The skin is the largest organ in the body and there are two main divisions; the outer epidermis and deeper dermis. The epidermis is made up of five layers of cells. The dermis is divided into two main...

Development and validation of a pocket guide for the prevention of diabetic foot ulcers

This study is based on evidence-based nursing practice and takes a methodological approach. The development and validation of the management model complies with the principles of the International...

The ‘loneliness pandemic’: implications for gerontological nursing

All human beings develop an intrinsic need to remain connected with others, therefore social distancing—ie, efforts to maintain physical distance between people and reduce in-person contact to reduce...

Audit of the appropriateness and accuracy of fluid intake and output monitoring: experience in a tertiary hospital

This audit aimed to review the current practice of prescribing and monitoring of fluids and the documentation of fluid intake and output in hospitalised patients by assessing the appropriateness and...

Placement of finger oximeter on the ear: comparison with oxygen saturation values taken from the finger

This was a prospective, single-centre, cohort study performed at University Hospitals Coventry and Warwickshire (UHCW) NHS Trust, a large teaching hospital serving a population of approximately 1...

Blood transfusions in adults: ensuring patient safety

The UK national haemovigilance surveillance programme, SHOT, repeatedly identifies that patient are harmed, and some die, as a result of being given the incorrect type of blood..

Advanced practice: critical thinking and clinical reasoning

As detailed in the table, multiple themes surrounding the cognitive and meta-cognitive processes that underpin clinical reasoning have been identified. Central to these processes is the practice of...

Colour vision deficiency: the ‘unseen’ disability

In 2020, 724 516 nurses, midwives and nursing associates were registered with the Nursing and Midwifery Council (NMC), of whom 10.7% identified as male and 89.3% as female (NMC, 2020). The prevalence...

Recognition and management of neonatal sepsis

Neonatal infections are divided into early-onset sepsis (EOS) occurring within the first 48 hours of birth, and late-onset sepsis (LOS) occurring between 2 and 28 days after birth (Cailes et al,...

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