Diagnosis and management of coeliac disease in children

The European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) updated their diagnostic guidance for CD in 2012, recommending a no-biopsy pathway (NBP) for symptomatic...

Midwifery services

Adapting to online placements

‘The placement could be improved through better organisation and planning for students; however, staff are much more supportive of students now than a few months ago.’ .

Why not choose intermittent self-catheterisation?

A combination of medical conditions left Paul Carter (not his real name), who is in his mid-fifties, chair/bed bound. He lives in his own home, supported by a full package of carers. Due to a poor gag...

Continence issues in individuals living with multiple sclerosis

Bladder and/or bowel dysfunction in MS can occur at the onset of the disease or any time during its course. It can impact either the bladder or bowel directly, through plaques damaging the areas of...

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.’ .

Impact of nurse-initiated education on HeartScore in patients with hypertension: a randomised trial

The study was approved by the ethics committee of the hospital (17929/19-7-13). A written consent form was obtained from all participants. The investigation conformed to the principles outlined in the...

COVID-19 and adult congenital heart disease services: impact on support and advice from nurse specialists

A questionnaire was sent to ACHD CNSs across the UK, via email, at the end of March 2020. It asked how many nurses were planned to be retained in their service and how many were planned to be...

Redeployment during the first wave of the COVID-19 pandemic: implications for a clinical research workforce

In total, 379 clinical research staff from one NHS Trust were invited to participate; 43 questionnaire responses were received, giving an 11% response rate..

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...

Reducing variations in clinical nurse educator roles: a service improvement project standardising roles and career pathways

UK CNEs are usually registered nurses employed by NHS organisations, not universities, to ensure staff receive essential training and support in clinical practice (Sprinks, 2015). The role of the CNE...