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Introducing an ANP-led temporal artery biopsy service for patients with suspected giant cell arteritis

GCA is associated with several potentially insidious symptoms; however, none of them are specific enough (pathognomonic) to the disease to be definitively diagnostic. Typically, patients will present...

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...

Delirium in adult patients in intensive care: nursing interventions

Identify possible nursing interventions that can be taken to prevent or manage delirium in adult patients in ICU..

Work-related stress assessment in an emergency department in French Guiana

The Karasek model, which has been used worldwide for about three decades, is seen as the gold standard for psychosocial jobs assessment (Kristensen, 1995). It is a three-dimensional instrument that...

The value of nursing support to a surgical camp in Uganda

Uganda is located within the central east of Africa and had a population of over 39 million in 2017 (Institute for Health Metrics and Evaluation (IHME), 2021). Despite significant improvements...

A vision for an equitable future for the world

The rapid spread of COVID-19, having no cure readily available, and watching people fighting for their lives and all too many losing that fight, was quite terrifying. Nurses were not only concerned...

Connecting virtually during a pandemic: a lifeline for migrant nurses

The COVID-19 pandemic has impacted all healthcare workers, both physically and psychologically. Burnout, anxiety, fear of transmitting infection, feelings of incompatibility with the professional role...

The Florence Nightingale approach: still a template for nursing today

Nightingale's definition of nursing was at odds with the Victorian physicians' view of a nurse as a submissive handmaiden, a minion. Instead, Nightingale proposed a more active role for nurses, who...

Will the NHS ever get its complaints system right?

‘Some employers were referring nurses without any investigation at all, while half of initial enquiries to the NMC were rejected or required further work. She told The Independent this emphasis on...

How the convention on human rights affects a patient's right to life

‘Everyone's right to life shall be protected by law. No one shall be deprived of his life intentionally save in the execution of a sentence of a court following his conviction of a crime for which...

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