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Focus

The ‘5 Moments for Hand Hygiene’: casting a critical eye on the implications for practice

The design and delivery of robust, ethical, high-quality studies in the field of hand hygiene is challenging. As a result, recommendations are often based on a combination of non-randomised controlled...

Health literacy levels of patients with chronic obstructive pulmonary disease: a cross-sectional study

This study aimed to describe the health literacy levels of people with COPD in a UK population in the Southampton/Hampshire area and explore the relationship between health literacy levels and COPD...

Mental health nursing students and generic proficiencies: how educators can support assessment

One of the issues expressed in service evaluations for mental health nursing students is that they perceive proficiencies to be easier to achieve for their peers on the adult nursing programme. Mental...

Developing the emergency response for mental health patients

Building on this success, I was eager to explore what a specialised face-to-face response for our patients might look like. In 2017, using quality improvement (QI) methodology, I began conducting test...

End-stage heart failure patients in ICU: the importance of advance planning and effective communication

Paul Lee (a pseudonym) was a 72-year-old man with a wife and family. He was diagnosed with dilated cardiomyopathy following a myocardial infarction. This then led to a diagnosis of heart failure with...

Infection prevention and control: critical strategies for nursing practice

Infections that patients acquire while receiving treatment for other conditions within a healthcare environment are known as HAIs. They can result from various pathogens, including bacteria, viruses...

Psoriasis: an overview

Chronic plaque psoriasis, the most common variant, typically presents with well-demarcated circular to oval bright red/pink lesions (plaques) with an overlying white or silvery scale (Knott, 2021)....

Setting up a nurse-led 2-week-wait head and neck cancer diagnostic service

As a smaller scale alternative solution to these imminent capacity issues in a large London head and neck cancer referral centre at Guy's and St Thomas’ NHS Foundation Trust, it was proposed that the...

Assessment and examination of the respiratory system

A skilled ACP has the potential to make a significant contribution to several fundamental outcomes: patient satisfaction, patient concordance with prescribed therapies/interventions, overall...

Public toilets and their potential impact on an individual's health

In Western societies, it is embedded in the culture that elimination of bodily waste is a private matter that should be done in a secretive manner within formal facilities (Mitteness and Barker,...

Using quality improvement science to reduce healthcare-associated infections

In October 2022, a quality improvement strategy was implemented in response to an increase in the number of central lineassociated bloodstream infections (CLABSIs) at a local intensive care unit...

Empowering advanced clinical practitioners in managing acute dermatological emergencies

If the patient is relatively stable, the clinician should take a comprehensive history: Table 1 summarises the key points that need to be considered during this process of taking a patient's history....

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