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Evaluation of the safety of inter-hospital transfers of critically ill patients led by advanced critical care practitioners

An ACCP-led transfer service has replaced an ad hoc process of transfer, with one of a consistent team combined with a process of training, governance and continual review. Data collection has allowed...

Treating post-renal transplant surgical site infection with combination therapy: a case study

A 61-year-old Azerbaijani woman was admitted to Imam Khomeini hospital in Urmia, in north west Iran. She had a kidney transplant on 5 October 2018. The patient had a history of end-stage renal disease...

Psychological challenges for nurses working in palliative care and recommendations for self-care

Although research in the area remains limited, available studies suggest a number of core challenges facing palliative nurses. These include issues such as the practical challenges of palliative...

Explaining nursing attrition through the experiences of return-to-practice students: a mixed-methods study

Simon et al (2010) undertook a study with a sample of 2119 registered nurses in a variety of departments in 16 German hospitals, and found the general considerations that swayed the decision to...

Simulation and student learning: will NMC policy lead to lasting change?

Simulation in nursing programmes is as old as the development of nurse education itself. When Florence Nightingale launched the first modern educational programme for nursing students in 1860,...

Developing a just culture in the NHS

‘There is no single definition of “just culture” and most discussion of it is limited to the issue of being fair to healthcare staff.’ .

Academic essays part 10: Developing themes

The previous nine parts of this series on writing academic essays have covered the common reasons why someone will fail an essay, and how to avoid those mistakes. They highlighted the importance of...

Practice makes perfect?

‘The tireless and outstanding commitment of all our nurses over the past year … is the best advert for the nursing profession.’ .

Midline venous catheters as an alternative to central line catheter placement: a product evaluation

A midline venous catheter is a peripheral device defined by the position of its tip, which is just distal to the axillary fold (Gorski et al, 2021). The position of its tip promotes increased...

Vascular access device securement for oncology patients and those with chronic diseases

As the vascular access specialist at a rural hospital in southern Indiana, the author collaborated with oncologists and patients to determine the appropriate long-term VAD for patients receiving a new...

Vascular access care in patients with multimorbidity

Highly complex patients require an integrated care approach (case management) due the coexistence of multiple health problems, advanced age, greater functional impairment, higher risk of mortality,...

Changes by necessity have opened up new opportunities

‘I hope the positive adaptations we have made over the past year, such as an increase in IV team numbers, different ways of working and refocusing attention on infection control measures, will make...

Use of dry dressings for central venous access devices (CVADs) to decrease central line-associated blood stream infections (CLABSI) in a trauma intensive care unit (ICU)

In March 2017, a short education session, lasting approximately 15 minutes, was given to ICU nurses. This in-service reiterated interventions that were already known by the nurses such as proper...

Biofilm and catheter-related bloodstream infections

Biofilm can explain the clinical findings most often seen with CRBSIs, yet biofilm is poorly understood within medicine. In the early 1980s, the name biofilm was given to observations of bacteria...

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