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The renal system and associated disorders

The renal system plays an important role in homeostasis and its function is to filter approximately 200 litres of fluid each day and allow excretion of toxins and metabolic waste while keeping...

How do hospital nurses experience end-of-life care provision? A creative phenomenological approach

Interpretive phenomenology was used as the methodology to explore the nurses' experience. The focus of interpretive phenomenology is on understanding the human experience of the ‘life-world’ and is...

Central venous access device locking practices in the adult critical care setting: a single-centre, observational study establishing duration of locking per catheter lumen

Results reveal that at least one lumen of the majority of central lines in the ICU is locked for longer than a third of the total time in situ. This is a much larger proportion of time than initially...

Disinfection of needleless connectors to reduce Staphylococcus aureus bacterial load

In this in vitro study, we compared the antimicrobial effectiveness of 4 disinfectants applied with sterile gauze: 70% IPA liquid (Rialcool®, Rioquímica), 70% ethanol liquid (Rialcool, Rioquímica),...

Tackling extravasation

We know that an extravasation injury may require surgical intervention, such as debridement and potentially lavage, with the subsequent risk of long-term consequences for the patient and costs to the...

The case for implementing nurse-led vascular access service teams

The first nurse-led hospital-wide vascular access service was set up in 1991 in Oxford. This service proved that the implementation of a VAST could lead to a radical reduction in infections and...

Barriers to and attitudes towards the use of safety engineered devices for paediatric cannulation in emergency care

One in three patients in the UK will have at least one cannula inserted during their stay in hospital (Royal College of Nursing, 2019). It is a procedure that is vitally important to get right, and to...

Why are nurses leaving?

The Nuffield Trust informs us what nurses, nurse managers, directors of nursing and chief nursing officers have known for some time: nurses are leaving the profession in droves (Palmer and Rolewicz,...

Use of language in nursing discourse: framing disability

‘Around the world, it’s become more acceptable to hate, to demonize, dehumanize other people. People don't wake up one day to say: “I want to commit mass murder today”, but it's a process that over...

The diagnosis and management of acute hyponatraemia in critical care

The recognised normal range for serum sodium concentration (SNa) in adults is accepted as 135-145 millimoles per litre (mmol/litre). Hyponatraemia is more commonly an excess of total body water rather...

Adult liver transplantation for the advanced clinical practitioner: an overview

Seven LT units offer assessment and subsequent LT services in the UK (see Box 1). These units are often associated or combined with other organ transplant services due to significant crossover in the...

Learning beyond a single field of nursing through a virtual case-based approach to pre-registration nurse education

Currently nurse education within the UK consists of four distinct separate fields of practice: adult, child, mental health and learning disabilities. Over a programme of study, a student nurse will...

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