Tackling antibiotic resistance

The development of antibiotics has been revolutionary for medicine and public health. However, given the resistance that is now building up against them, we are facing one of the most significant and...

Are sight and hearing undervalued?

‘Sensory loss has a profound impact upon the everyday lives of individuals.’ .

Whole-person healthcare: back to the future

Development and delivery of a clinical leadership programme for integrated community teams

A skills analysis was undertaken across all the NTs in the county, and gaps in skills and knowledge were identified. This resulted in a discussion on the training needs within NTs between the service...

Clinical implications of self-neglect among patients in community settings

Chapter 14 of the Care and Support Statutory Guidance (Department of Health and Social Care, 2018) defines self-neglect as: ‘…covering a wide range of behaviour, neglecting to care for one's personal...

Faecal incontinence in palliative and end-of-life care

In 2018, NHS England published a document aimed at commissioners and discusses continence. The publication recognises that continence is an important component in a person's health and wellbeing at...

Implementing an adapted Buurtzorg model in an inner city NHS trust

The Dutch Buurtzorg organisation is a social enterprise that uses a patient-centred model of care combined with self-managing teams of visiting nurses. The central principles in the patient-centred...

Integrated care systems and nurse leadership

The Organisation of Economic Co-operation and Development (OECD) reported that the UK spent 9.8% of its gross domestic product (GDP) on healthcare in 2018 (OECD, 2019b). This equates to US$ 4070 per...

Fronto-temporal dementia: a case study and strategies and support for caregivers

JA was a 51-year-old divorced woman with one daughter and worked as a loan officer at a local credit union. One day, she committed an error involving a significant amount of money. On recognising the...

Tai chi to prevent falls in older adults

Although a wide range of approaches have been employed, the optimal exercise regimen to improve muscle strength in older adults remains uncertain. Exercise groups are not new, but the specific...

Evaluation of a structured preceptorship programme

A preceptorship framework was developed by the trust with competency statements to demonstrate progression by the preceptee during the preceptorship phase. Competence refers to specific capabilities,...

The many challenges of living with prostate cancer

Challenges in influenza vaccination

Nurse leadership in new NHS systems

Challenges to concordance: theories that explain variations in patient responses

On occasion, despite HPs' best efforts to share information and develop a relationship of ‘equals’ with patients, some patients still fail to concord (Seligman, 1975; Hewison, 1995; Morden et al,...