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A guide to removing surgical staples

The body is capable of regenerating certain types of cells, such as epithelial cells and this is considered the most effective method of healing, as the regenerated tissue retains the same...

Critical reflections on formal teaching observations

A teaching observation allows the observer (peer) to extract information from the observed (the teacher) and assess the student learning and educational environment..

A palpable sense of frustration with NHS patient safety culture development

Patient Safety Learning (2024) is a charity for improving patient safety that provides excellent resources to share learning. It has recently produced a report analysing the results of questions...

Do we know where we are heading?

‘Trust leaders want – and need – the NHS long term workforce plan to be a success. It is therefore deeply concerning that “significant weaknesses” in its modelling have been identified.’ .

Learning from incidents

Complications in clinical practice are not uncommon. For most patients, having a vascular access device or IV therapy will be the most invasive procedure they will experience during their hospital...

Near-infrared technology for improved PIVC placement: a clinical technology implementation model

PIVC placement is the most common invasive procedure performed in acute care, with up to 90% of patients requiring intravenous therapy (Alexandrou et al, 2018; Jones, 2018; Marsh et al, 2021). PIVC...

Extravasation and infiltration: under-recognised complications of intravenous therapy

The NIVAS extravasation and infiltration toolkit focuses on the prevention, awareness, treatment, reporting and follow-up of these injures..

Using a LOng peripheral intraVEnous catheter with retractable guidewire to optimize first-insertion success for patients with Difficult IntraVenous Access in the emergency department (LOVE-DIVA): a study protocol for a randomized controlled trial

Establishing vascular access for DIVA patients is an ongoing challenge for ED clinicians. This RCT is the first trial investigating whether a novel GW-PVAD makes a difference in the first-insertion...

Establishing a plan to improve pediatric patient comfort during PIV insertions and blood specimen collection: a quality improvement effort

We were able to meet the original project goal for both year 1 and year 2 (stretch goal). Actions that may have contributed to the shift in the fall of 2021 include the multiple education...

International recruitment

The NHS has a long history of recruiting international staff to enhance its domestically educated workforce. In 2022-2023 the number of UK-educated joiners on the Nursing and Midwifery Council (NMC)...

Diversity in nursing: a life study

Within the various wards, there are often cliques, which are groups of staff members who stick together regardless of the circumstances.

Effect of clinical engagement on value, standardisation, decision-making and savings in NHS product procurement

A multi-method qualitative case study design was used, including a survey (51 participants) and eight semi-structured interviews, which were conducted between September 2022 and February 2023. The...

Identification and responses by nurses to sexual exploitation of young people

According to the World Health Organization (WHO) (2017), sexual exploitation is.

Taking a reading on NHS patient safety: views from the ombudsman

In his Broken Trust report from June 2023, the PHSO reviewed the most serious NHS complaints received by his office where avoidable death has resulted. The review highlighted an implementation gap,...

Best interests must be centred on the person's needs not those of the family

Nurses and others are given general authority under section 5 of the Mental Capacity Act to act in relation to a person's care and treatment where:.

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