Nursing Times - Behind the Rituals http://www.nursingtimes.net http://www.nursingtimes.net http://www.nursingtimes.net/magazine/graphics/logo.png http://www.nursingtimes.net Can patients be accurately assessed using Skype and email? http://www.nursingtimes.net/opinion/behind-the-rituals/can-patients-be-accurately-assessed-using-skype-and-email/5070058.blog http://www.nursingtimes.net/opinion/behind-the-rituals/can-patients-be-accurately-assessed-using-skype-and-email/5070058.blog Last week David Cameron said more than 7.5 million people will be offered increased access to GP services through extended opening times and new consultation methods using video-phone services, email and phone. But can Skype and email replace face-to-face contact? 16 April, 2014 Should we have a standard prescription chart across the NHS? http://www.nursingtimes.net/opinion/behind-the-rituals/should-we-have-a-standard-prescription-chart-across-the-nhs/5069908.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-we-have-a-standard-prescription-chart-across-the-nhs/5069908.blog A trial in Scotland is working on developing a new standardised prescribing and administration chart to cut out errors in prescribing wrong doses or the wrong drug by clinical staff. 11 April, 2014 Do we give enough positive feedback to people we work with? http://www.nursingtimes.net/opinion/behind-the-rituals/do-we-give-enough-positive-feedback-to-people-we-work-with/5069708.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-we-give-enough-positive-feedback-to-people-we-work-with/5069708.blog This question was posed by Natalie Silvey @silv24 on Twitter last weekend and it caught my eye: 4 April, 2014 Do we underestimate the dangers of infectious childhood diseases? http://www.nursingtimes.net/opinion/behind-the-rituals/do-we-underestimate-the-dangers-of-infectious-childhood-diseases/5069458.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-we-underestimate-the-dangers-of-infectious-childhood-diseases/5069458.blog A recent article published in Nursing Times explored a case study of a children with chicken pox and no rash. Chickenpox is usually self-limiting, but complications can occur. In healthy children these include secondary bacterial infections of the chickenpox lesions, otitis ... 28 March, 2014 Are we failing to identify patients nearing the end of life? http://www.nursingtimes.net/opinion/behind-the-rituals/are-we-failing-to-identify-patients-nearing-the-end-of-life/5069235.blog http://www.nursingtimes.net/opinion/behind-the-rituals/are-we-failing-to-identify-patients-nearing-the-end-of-life/5069235.blog 24 March, 2014 Does two-hourly pressure area care affect sleep? http://www.nursingtimes.net/opinion/behind-the-rituals/-does-two-hourly-pressure-area-care-affect-sleep/5068731.blog http://www.nursingtimes.net/opinion/behind-the-rituals/-does-two-hourly-pressure-area-care-affect-sleep/5068731.blog 7 March, 2014 How can you prevent patients losing dentures in hospital? http://www.nursingtimes.net/opinion/behind-the-rituals/how-can-you-prevent-patients-losing-dentures-in-hospital/5068496.blog http://www.nursingtimes.net/opinion/behind-the-rituals/how-can-you-prevent-patients-losing-dentures-in-hospital/5068496.blog One day a ward sister asked a student nurse to clean all the patients’ dentures. The student got a bowl, collected the dentures and cleaned them. The rest of the shift was spent trying to find which dentures belonged to which patients. 28 February, 2014 What would prevent a nurse from talking to patients about FGM? http://www.nursingtimes.net/opinion/behind-the-rituals/what-would-prevent-a-nurse-from-talking-to-patients-about-fgm/5067860.blog http://www.nursingtimes.net/opinion/behind-the-rituals/what-would-prevent-a-nurse-from-talking-to-patients-about-fgm/5067860.blog The government has announced that NHS hospitals will have to submit data on the number of girls and women who have suffered female genital mutilation (FGM). 10 February, 2014 Should nurses have indemnity insurance? http://www.nursingtimes.net/home/clinical-zones/leadership/should-nurses-have-indemnity-insurance/5067760.blog http://www.nursingtimes.net/home/clinical-zones/leadership/should-nurses-have-indemnity-insurance/5067760.blog Members of the Royal College of Nursing who work for the NHS, private sector or independently in aesthetics will no longer be covered by the union’s indemnity scheme from July. The RCN described the change as “small” and said it was in order to close a loophole that allowed employers to shift the costs of cover onto the college. 6 February, 2014 What activities do older people want in care homes? http://www.nursingtimes.net/opinion/behind-the-rituals/what-activities-do-older-people-want-in-care-homes/5067624.blog http://www.nursingtimes.net/opinion/behind-the-rituals/what-activities-do-older-people-want-in-care-homes/5067624.blog Last week we reported that residents at a Gloucestershire care home can now enjoy a game of darts or their favourite drink, thanks to the introduction of a pop-up pub. 31 January, 2014 How does shift work affect your health? http://www.nursingtimes.net/opinion/behind-the-rituals/how-does-shift-work-affect-your-health/5067390.blog http://www.nursingtimes.net/opinion/behind-the-rituals/how-does-shift-work-affect-your-health/5067390.blog Recent research undertaken in the UK has suggested working night shifts plays havoc with many of the body’s genes. 24 January, 2014 Do you have space to reflect on patient care? http://www.nursingtimes.net/opinion/behind-the-rituals/do-you-have-space-to-reflect-on-patient-care/5067150.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-you-have-space-to-reflect-on-patient-care/5067150.blog A recent report from the Point of Care Foundation “Staff care. How to engage staff in the NHS and why it matters” suggests that staff need space to reflect on patient care challenges. 16 January, 2014 Have you ever reported a clinical incident? http://www.nursingtimes.net/opinion/behind-the-rituals/have-you-ever-reported-a-clinical-incident/5067064.blog http://www.nursingtimes.net/opinion/behind-the-rituals/have-you-ever-reported-a-clinical-incident/5067064.blog This week we have published a summary of a Cochrane view of incident reporting systems. 15 January, 2014 What effect will recruiting mental health nurses to police stations and courts have? http://www.nursingtimes.net/opinion/behind-the-rituals/what-effect-will-recruiting-mental-health-nurses-to-police-stations-and-courts-have/5066835.blog http://www.nursingtimes.net/opinion/behind-the-rituals/what-effect-will-recruiting-mental-health-nurses-to-police-stations-and-courts-have/5066835.blog The government has announced extra funding for mental health nurses to be based at police stations and courts across the country. 7 January, 2014 Will increasing the number of places on nursing courses solve the staffing crisis? http://www.nursingtimes.net/opinion/behind-the-rituals/will-increasing-the-number-of-places-on-nursing-courses-solve-the-staffing-crisis/5066613.blog http://www.nursingtimes.net/opinion/behind-the-rituals/will-increasing-the-number-of-places-on-nursing-courses-solve-the-staffing-crisis/5066613.blog This is part of the first ever national workforce plan for the NHS, which aims to recruit and retain more nurses to prevent staffing levels dropping dangerously low. 18 December, 2013 Should nurses ever lie to patients? http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-ever-lie-to-patients/5066480.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-ever-lie-to-patients/5066480.blog Relatives and nurses sometimes express concerns about colluding with patients who have dementia and the ethics of doing so. Others argue that correcting misunderstandings causes unnecessary distress.This raised the question of when it is acceptable to lie to patients.What do you think? 16 December, 2013 Do you need formal training to manage intravenous infusions? http://www.nursingtimes.net/opinion/behind-the-rituals/do-you-need-formal-training-to-manage-intravenous-infusions/5066481.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-you-need-formal-training-to-manage-intravenous-infusions/5066481.blog In latest guidance NICE warned that as many as one in five patients on IV fluids and electrolytes suffer complications or even die due to their inappropriate administration. 16 December, 2013 How do you spot the signs of dehydration? http://www.nursingtimes.net/opinion/behind-the-rituals/how-do-you-spot-the-signs-of-dehydration/5066236.blog http://www.nursingtimes.net/opinion/behind-the-rituals/how-do-you-spot-the-signs-of-dehydration/5066236.blog Figures obtained by the Daily Telegraph showed that 1,158 care home residents suffered dehydration-related deaths from 2003 to 2012. According to the newspaper, dehydration was noted on death certificates as either the main cause of death or a contributory factor. 6 December, 2013 Is it possible to ban smoking on hospital premises? http://www.nursingtimes.net/is-it-possible-to-ban-smoking-on-hospital-premises/5065966.blog http://www.nursingtimes.net/is-it-possible-to-ban-smoking-on-hospital-premises/5065966.blog NHS hospitals should ban smoking on their premises and staff should be told not to help patients who want to smoke, according to new guidance according to new NICE guidance. 29 November, 2013 Can you run a ward with one nurse at night? http://www.nursingtimes.net/opinion/behind-the-rituals/can-you-run-a-ward-with-one-nurse-at-night/5065714.blog http://www.nursingtimes.net/opinion/behind-the-rituals/can-you-run-a-ward-with-one-nurse-at-night/5065714.blog Data obtained by the RCN via a freedom of information request found five hospitals from 18 trusts in the east of England had wards with only one registered nurse on duty. This was compared with their establishment of two registered nurses and one healthcare assistant. 22 November, 2013 Should we expect relatives to provide essential care in hospital? http://www.nursingtimes.net/opinion/behind-the-rituals/should-we-expect-relatives-to-provide-essential-care-in-hospital/5065408.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-we-expect-relatives-to-provide-essential-care-in-hospital/5065408.blog I was talking to a nurse last week about workload on wards. She suggested that initiatives such as restrictive visiting and protected mealtimes prevent families from participating in the delivery of care and pointed to other countries where families are expected to provide care and food in hospital. 15 November, 2013 Could machines replace nurses? http://www.nursingtimes.net/opinion/behind-the-rituals/could-machines-replace-nurses/5065194.blog http://www.nursingtimes.net/opinion/behind-the-rituals/could-machines-replace-nurses/5065194.blog Silicon Valley investor Vinod Khosla suggested that machines could replace 80% of doctors. He describes an average consultation with a GP as “a routine diagnosis with a standard treatment … something a computer algorithm could do if the treatment involved no harm, or at least do as well as the median doctor”. 8 November, 2013 What effect do urinary catheters have on patients' quality of life? http://www.nursingtimes.net/opinion/behind-the-rituals/what-effect-do-urinary-catheters-have-on-patients-quality-of-life/5064890.blog http://www.nursingtimes.net/opinion/behind-the-rituals/what-effect-do-urinary-catheters-have-on-patients-quality-of-life/5064890.blog A research review published this week looking at patients’ experience of living with a catheter has described the effect these devices have on patients’ quality of live and intimate relationships and highlights the need to involve patients in decisions about their care.What do you consider when you select a urinary catheter?Do ... 31 October, 2013 Are you confident to talk to patients about cancer? http://www.nursingtimes.net/opinion/behind-the-rituals/are-you-confident-to-talk-to-patients-about-cancer/5064663.blog http://www.nursingtimes.net/opinion/behind-the-rituals/are-you-confident-to-talk-to-patients-about-cancer/5064663.blog Would you know how to find answers to their questions?Do you know where to get accurate information?Do you feel anxious talking about a cancer diagnosis? 25 October, 2013 Are omitted and delayed medication drug errors? http://www.nursingtimes.net/are-omitted-and-delayed-medication-drug-errors/5064478.blog http://www.nursingtimes.net/are-omitted-and-delayed-medication-drug-errors/5064478.blog Although the National Patient Safety Agency published a Rapid Response Report on reducing harm resulting from omitted or delayed medication in 2010, omitted doses continue to occur frequently. The Francis report raised awareness of the problem and its potential impact on patient care. 18 October, 2013 How do you measure the value of the specialist nurse? http://www.nursingtimes.net/opinion/behind-the-rituals/how-do-you-measure-the-value-of-the-specialist-nurse/5064251.blog http://www.nursingtimes.net/opinion/behind-the-rituals/how-do-you-measure-the-value-of-the-specialist-nurse/5064251.blog How do you measure the value of a specialist nurse?What do you thnk?  11 October, 2013 Are link nurses a necessity or a luxury? http://www.nursingtimes.net/are-link-nurses-a-necessity-or-a-luxury/5063992.blog http://www.nursingtimes.net/are-link-nurses-a-necessity-or-a-luxury/5063992.blog I spoke to a nurse recently who had spent a day off on the ward updating her link nurse board and finishing off audits and paperwork. She does not have time during the working day to carry out this voluntary role.  What is the value of the link nurse role? 4 October, 2013 Is the focus on compassion a red herring? http://www.nursingtimes.net/opinion/practice-team-blog/is-the-focus-on-compassion-a-red-herring/5063793.blog http://www.nursingtimes.net/opinion/practice-team-blog/is-the-focus-on-compassion-a-red-herring/5063793.blog An emphasis on compassion could actually be dangerous to the NHS, according to a medical ethics expert. 27 September, 2013 Can you identify the signs of sepsis? http://www.nursingtimes.net/opinion/behind-the-rituals/can-you-identify-the-signs-of-sepsis/5063507.blog http://www.nursingtimes.net/opinion/behind-the-rituals/can-you-identify-the-signs-of-sepsis/5063507.blog A study by the Health Service Ombudsman found shortcomings in initial assessment and delay in emergency treatment which have led to missed opportunities to save lives. 20 September, 2013 Do nurses need to be taught to introduce themselves? http://www.nursingtimes.net/opinion/behind-the-rituals/do-nurses-need-to-be-taught-to-introduce-themselves/5063245.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-nurses-need-to-be-taught-to-introduce-themselves/5063245.blog Nurses and other frontline NHS staff are being asked to tell their patients their name, as part of a campaign launched by a terminally ill doctor on Twitter. 16 September, 2013 Can your patient wash their hands before eating? http://www.nursingtimes.net/opinion/behind-the-rituals/can-your-patient-wash-their-hands-before-eating/5063016.blog http://www.nursingtimes.net/opinion/behind-the-rituals/can-your-patient-wash-their-hands-before-eating/5063016.blog Most of us were taught to wash our hands before a meal but how many patients confined to their bedside are given the opportunity to wash their hands before eating?Do you offer patients a hand wipe or bowl to clean their hands?Do you have time? 9 September, 2013 Do you ever sit on patients' beds? http://www.nursingtimes.net/opinion/behind-the-rituals/do-you-ever-sit-on-patients-beds/5062727.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-you-ever-sit-on-patients-beds/5062727.blog I recently spoke to an experienced nurse who was reprimanded for sitting on a patient’s bed. She was looking after a person with dementia who was crying and sat on the bed so she could give her a hug.Is this a distraction from the real issue of ensuring staff clean their hands? 30 August, 2013 Do we meet the sexual health needs of people with learning disabilities? http://www.nursingtimes.net/opinion/behind-the-rituals/do-we-meet-the-sexual-health-needs-of-people-with-learning-disabilities/5062459.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-we-meet-the-sexual-health-needs-of-people-with-learning-disabilities/5062459.blog The man already had a son but the judge ruled that a vasectomy could take place after hearing that another child could cause the man “psychological harm”. 20 August, 2013 When should you use Deprivation of Liberty Safeguards? http://www.nursingtimes.net/opinion/behind-the-rituals/when-should-you-use-deprivation-of-liberty-safeguards/5062370.blog http://www.nursingtimes.net/opinion/behind-the-rituals/when-should-you-use-deprivation-of-liberty-safeguards/5062370.blog Dols aim to make sure that people in care homes and hospitals are looked after in a way that does not inappropriately restrict their freedom. 16 August, 2013 Should the Berwick report have suggested a minimum staff:patient ratio? http://www.nursingtimes.net/opinion/behind-the-rituals/should-the-berwick-report-have-suggested-a-minimum-staffpatient-ratio/5062189.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-the-berwick-report-have-suggested-a-minimum-staffpatient-ratio/5062189.blog Earlier this week, the Berwick report was unveiled amidst much speculation that it would recommend minimum staffing levels. However, the report did not give a specific number and instead recommended providers should “ensure they have sufficient staff to meet the NHS’s needs now and in the future”. The review also added support to Robert Francis’ recommendation that NICE develop evidence to enable minimum staffing tools to be devised. 9 August, 2013 Are low numbers of staff “early warning signs” of poor patient care? http://www.nursingtimes.net/opinion/behind-the-rituals/are-low-numbers-of-staff-early-warning-signs-of-poor-patient-care/5061890.blog http://www.nursingtimes.net/opinion/behind-the-rituals/are-low-numbers-of-staff-early-warning-signs-of-poor-patient-care/5061890.blog Sir Bruce Keogh’s review, published earlier this month, into the high mortality rates at 14 trusts found that all these trusts were understaffed. 1 August, 2013 Is nursing a low-status profession? http://www.nursingtimes.net/opinion/behind-the-rituals/is-nursing-a-low-status-profession/5061649.blog http://www.nursingtimes.net/opinion/behind-the-rituals/is-nursing-a-low-status-profession/5061649.blog A news story last week highlighted that nurse leadership is ahead of the rest of the NHS in reflecting the gender of its workforce, but concerns remain that nursing’s perception as a “female” profession means it does not get the attention it deserves. 25 July, 2013 Is a certificate for HCAs a move to bring back SENs? http://www.nursingtimes.net/opinion/behind-the-rituals/is-a-certificate-for-hcas-a-move-to-bring-back-sens/5061430.blog http://www.nursingtimes.net/opinion/behind-the-rituals/is-a-certificate-for-hcas-a-move-to-bring-back-sens/5061430.blog Last week Camilla Cavendish recommended all support workers in health and social care should complete a “certificate of fundamental care” before being allowed to work unsupervised. 19 July, 2013 Is it appropriate to use your mobile phone at work? http://www.nursingtimes.net/opinion/behind-the-rituals/is-it-appropriate-to-use-your-mobile-phone-at-work/5060883.blog http://www.nursingtimes.net/opinion/behind-the-rituals/is-it-appropriate-to-use-your-mobile-phone-at-work/5060883.blog Nurses are increasingly using their personal mobile phones at work to access the internet and check information.What do you think?Is it appropriate for nurses to use their personal phones in front of patients?Is it necessary to have immediate access to the internet in a clinical situation?Should nurses be able to access social media sites at work? 9 July, 2013 Is there a skills deficit in student nurse education? http://www.nursingtimes.net/opinion/behind-the-rituals/is-there-a-skills-deficit-in-student-nurse-education/5060775.blog http://www.nursingtimes.net/opinion/behind-the-rituals/is-there-a-skills-deficit-in-student-nurse-education/5060775.blog A recently Student Nursing Times Twitter chat discussed this issue. This transcript gives their views on whether their education equips them for practice. Have you identified a skills deficit in newly qualified nurses?Is it a skills rather than ... 5 July, 2013 Has risk assessment replaced clinical judgement? http://www.nursingtimes.net/opinion/behind-the-rituals/has-risk-assessment-replaced-clinical-judgement/5060420.blog http://www.nursingtimes.net/opinion/behind-the-rituals/has-risk-assessment-replaced-clinical-judgement/5060420.blog The term cookbook medicine is used to describe decision making that is based on rigid adherence to guidelines, pathways and mandatory risk assessment.Let’s discuss…Have audits and dashboards used to measure adherence to pathways, guidelines and risk assessment undermined clinical judgement? Are routine risk assessment carried out on all patients regardless of their condition, completed to meet the requirement of the organisation rather than the ... 28 June, 2013 Is physical restraint over-used? http://www.nursingtimes.net/opinion/behind-the-rituals/is-physical-restraint-over-used/5060160.blog http://www.nursingtimes.net/opinion/behind-the-rituals/is-physical-restraint-over-used/5060160.blog Nearly 40,000 incidents of physical restraint on mental health patients in England were recorded in one year - with more than 3,000 in the “dangerous” face-down position - according to figures released by Mind. 21 June, 2013 Should falls be a “never event”? Or are some falls inevitable? http://www.nursingtimes.net/opinion/behind-the-rituals/should-falls-be-a-never-event-or-are-some-falls-inevitable/5059815.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-falls-be-a-never-event-or-are-some-falls-inevitable/5059815.blog All hospital patients aged over 65 should be considered to be at high risk of falling and have an appropriate care plan drawn up, according to guidance from the National Institute for Health and Care Excellence. 13 June, 2013 Does current nurse education reflect government aims to provide more care in the community? http://www.nursingtimes.net/opinion/behind-the-rituals/does-current-nurse-education-reflect-government-aims-to-provide-more-care-in-the-community/5059586.blog http://www.nursingtimes.net/opinion/behind-the-rituals/does-current-nurse-education-reflect-government-aims-to-provide-more-care-in-the-community/5059586.blog They have warned of “widespread and significant” concerns over the number of district nurses currently being educated, stating that there simply are not enough coming through to replace those who are retiring. 7 June, 2013 Do patients receive less care at the weekends? http://www.nursingtimes.net/opinion/behind-the-rituals/do-patients-receive-less-care-at-the-weekends/5059262.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-patients-receive-less-care-at-the-weekends/5059262.blog New research has shown that patients who have elective surgery later in the week and at the weekend have a greater risk of dying. Previous studies have found there to be a significantly higher risk of death if patients are admitted as an emergency over the weekend compared with a weekday. 30 May, 2013 What training do you need to manage an intravenous infusion? http://www.nursingtimes.net/opinion/behind-the-rituals/what-training-do-you-need-to-manage-an-intravenous-infusion/5059073.blog http://www.nursingtimes.net/opinion/behind-the-rituals/what-training-do-you-need-to-manage-an-intravenous-infusion/5059073.blog Article: NICE launches draft guidance on IV fluids for clinicians 24 May, 2013 Should nurses be on hand to help police in dealing with mental health offenders? http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-be-on-hand-to-help-police-in-dealing-with-mental-health-offenders/5058758.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-be-on-hand-to-help-police-in-dealing-with-mental-health-offenders/5058758.blog Article: Nurses to aid police with mental health offenders 16 May, 2013 Does opening windows reduce infection rates? http://www.nursingtimes.net/opinion/behind-the-rituals/does-opening-windows-reduce-infection-rates/5058539.blog http://www.nursingtimes.net/opinion/behind-the-rituals/does-opening-windows-reduce-infection-rates/5058539.blog We reported this week that the chance of infection in wards varies dramatically depending on whether nursing staff leave the windows open. A study by the University of Leeds and Bradford Teaching Foundation Trust looked at airflow in a disused “Nightingale” ward using tracer gases to simulate the spread of airborne infections. 13 May, 2013 Should nurses undertake study in their own time? http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-undertake-study-in-their-own-time/5058264.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-undertake-study-in-their-own-time/5058264.blog Nursing is described as a profession, but terms such as “vocation” and “calling” are also used to describe the principles that attract people into nursing. What do you think? Should nurses undertake study in their own time? 3 May, 2013 Is it safe to care for patients in 'hospital hotels'? http://www.nursingtimes.net/opinion/behind-the-rituals/is-it-safe-to-care-for-patients-in-hospital-hotels/5058041.blog http://www.nursingtimes.net/opinion/behind-the-rituals/is-it-safe-to-care-for-patients-in-hospital-hotels/5058041.blog  Ministers ponder ‘hospital hotels’ 29 April, 2013 Should patients be involved in nurses’ appraisals? http://www.nursingtimes.net/should-patients-be-involved-in-nurses-appraisals/5057703.blog http://www.nursingtimes.net/should-patients-be-involved-in-nurses-appraisals/5057703.blog 19 April, 2013 Should nurses accept education funding/grants from the drugs industry? http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-accept-education-funding/grants-from-the-drugs-industry/5057392.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-accept-education-funding/grants-from-the-drugs-industry/5057392.blog NHS and private healthcare staff received £40m from drugs companies in one year 12 April, 2013 Should nurses treat abusive patients? http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-treat-abusive-patients/5057078.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-treat-abusive-patients/5057078.blog What do you think?How do we define abusive behaviour?How do we measure abusive behaviour?Should it be tolerated if it is associated with patients’ health problems?Do NHS staff receive enough training to managing conflict with patients and relatives? 5 April, 2013 Should directors of nursing have a clinical role? http://www.nursingtimes.net/should-directors-of-nursing-have-a-clinical-role/5056848.blog http://www.nursingtimes.net/should-directors-of-nursing-have-a-clinical-role/5056848.blog What do you think?Is it important for DONs to be clinically credible?Should DONs be clinical experts?Is it possible DONs to manage a nursing service if they are not directly involved in clinical practice? 28 March, 2013 Does hand hygiene technique matter? http://www.nursingtimes.net/opinion/behind-the-rituals/does-hand-hygiene-technique-matter/5056492.blog http://www.nursingtimes.net/opinion/behind-the-rituals/does-hand-hygiene-technique-matter/5056492.blog Bailey J (2012) From Ward to Whitehall. The disaster at Mid Staffs Hospital. Cure the NHS: Stafford 21 March, 2013 Why is the NHS failing people with dementia? http://www.nursingtimes.net/opinion/behind-the-rituals/why-is-the-nhs-failing-people-with-dementia/5056089.blog http://www.nursingtimes.net/opinion/behind-the-rituals/why-is-the-nhs-failing-people-with-dementia/5056089.blog 13 March, 2013 Will the proposal to introduce registered older people's nurses improve care? http://www.nursingtimes.net/opinion/behind-the-rituals/will-the-proposal-to-introduce-registered-older-peoples-nurses-improve-care/5055837.blog http://www.nursingtimes.net/opinion/behind-the-rituals/will-the-proposal-to-introduce-registered-older-peoples-nurses-improve-care/5055837.blog 6 March, 2013 Should patients who take pain killers regularly worry about dependency? http://www.nursingtimes.net/opinion/behind-the-rituals/should-patients-who-take-pain-killers-regularly-worry-about-dependency/5055660.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-patients-who-take-pain-killers-regularly-worry-about-dependency/5055660.blog 1 March, 2013 Are safe sex messages effective in reducing STIs? http://www.nursingtimes.net/opinion/behind-the-rituals/are-safe-sex-messages-effective-in-reducing-stis/5055143.blog http://www.nursingtimes.net/opinion/behind-the-rituals/are-safe-sex-messages-effective-in-reducing-stis/5055143.blog 19 February, 2013 Do ward sisters spend too much time on paper work? http://www.nursingtimes.net/opinion/behind-the-rituals/do-ward-sisters-spend-too-much-time-on-paper-work/5054888.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-ward-sisters-spend-too-much-time-on-paper-work/5054888.blog 12 February, 2013 Will the Francis report recommendation to introduce key nurses improve patient care? http://www.nursingtimes.net/opinion/behind-the-rituals/will-the-francis-report-recommendation-to-introduce-key-nurses-improve-patient-care/5054702.blog http://www.nursingtimes.net/opinion/behind-the-rituals/will-the-francis-report-recommendation-to-introduce-key-nurses-improve-patient-care/5054702.blog 7 February, 2013 Does lack of compassion result from the 'draining' nature of nursing? http://www.nursingtimes.net/opinion/behind-the-rituals/does-lack-of-compassion-result-from-the-draining-nature-of-nursing/5054341.blog http://www.nursingtimes.net/opinion/behind-the-rituals/does-lack-of-compassion-result-from-the-draining-nature-of-nursing/5054341.blog 30 January, 2013 Should nurses be allowed to use social media sites at work? http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-be-allowed-to-use-social-media-sites-at-work/5053974.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-be-allowed-to-use-social-media-sites-at-work/5053974.blog 24 January, 2013 What should you tell care home residents when a fellow resident dies? http://www.nursingtimes.net/opinion/behind-the-rituals/what-should-you-tell-care-home-residents-when-a-fellow-resident-dies/5053779.blog http://www.nursingtimes.net/opinion/behind-the-rituals/what-should-you-tell-care-home-residents-when-a-fellow-resident-dies/5053779.blog 17 January, 2013 Can experienced nurses learn from newly qualified colleagues? http://www.nursingtimes.net/opinion/behind-the-rituals/can-experienced-nurses-learn-from-newly-qualified-colleagues/5053484.blog http://www.nursingtimes.net/opinion/behind-the-rituals/can-experienced-nurses-learn-from-newly-qualified-colleagues/5053484.blog 10 January, 2013 Should drug administration involve two nurses? http://www.nursingtimes.net/opinion/behind-the-rituals/should-drug-administration-involve-two-nurses/5052928.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-drug-administration-involve-two-nurses/5052928.blog In our practice comment this week Jennifer Kelly states that hospitalised patients with swallowing difficulties (dysphagia) are three times more likely to suffer medicine administration errors (MAEs) than patients without dysphagia. Of greater concern is that the errors found were not minor.She suggested that single-handed drug administration means that nurses are often unaware that they have made errors and so they are unable to correct or report them. 13 December, 2012 Are you buying your manager a Christmas present this year? http://www.nursingtimes.net/opinion/behind-the-rituals/are-you-buying-your-manager-a-christmas-present-this-year/5052925.blog http://www.nursingtimes.net/opinion/behind-the-rituals/are-you-buying-your-manager-a-christmas-present-this-year/5052925.blog Dean Royles the director of the NHS Employers recently suggested,  “Hardly anyone supports and encourages NHS managers, or shows any recognition or appreciation of the context they work in or the difficult, sometimes intractable challenges they face”.Do you think this comment is justified? 13 December, 2012 How are you celebrating Christmas on your ward this year? http://www.nursingtimes.net/how-are-you-celebrating-christmas-on-your-ward-this-year/5052672.blog http://www.nursingtimes.net/how-are-you-celebrating-christmas-on-your-ward-this-year/5052672.blog When I was a student nurse we put up the ward decorations a week before Christmas, and brewed mulled wine in the ward kitchens. We wore our capes inside out, showing the red lining, as we walked from the nurses’ home on Christmas morning.This year we want to know how you celebrate Christmas with your patients. 6 December, 2012 Do we normalise frailty and disability in older people? http://www.nursingtimes.net/opinion/behind-the-rituals/do-we-normalise-frailty-and-disability-in-older-people/5052428.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-we-normalise-frailty-and-disability-in-older-people/5052428.blog 29 November, 2012 Why are newly qualified BME nurses “disadvantaged” when applying for nursing jobs? http://www.nursingtimes.net/opinion/behind-the-rituals/why-are-newly-qualified-bme-nurses-disadvantaged-when-applying-for-nursing-jobs/5052150.blog http://www.nursingtimes.net/opinion/behind-the-rituals/why-are-newly-qualified-bme-nurses-disadvantaged-when-applying-for-nursing-jobs/5052150.blog Why are newly qualified nurses from minority ethnic groups “disadvantaged” when applying for nursing jobs? 22 November, 2012 Are obese nurses poor role models for patients? http://www.nursingtimes.net/home/clinical-zones/are-obese-nurses-poor-role-models-for-patients/5051897.blog http://www.nursingtimes.net/home/clinical-zones/are-obese-nurses-poor-role-models-for-patients/5051897.blog 15 November, 2012 Do rotation schemes for newly qualified nurses produce multi-skilled professionals? http://www.nursingtimes.net/opinion/behind-the-rituals/do-rotation-schemes-for-newly-qualified-nurses-produce-multi-skilled-professionals/5051644.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-rotation-schemes-for-newly-qualified-nurses-produce-multi-skilled-professionals/5051644.blog 9 November, 2012 Would you share crockery and cutlery with your patients? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/would-you-share-crockery-and-cutlery-with-your-patients/5051332.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/would-you-share-crockery-and-cutlery-with-your-patients/5051332.blog Would you share crockery and cutlery with your patients? 1 November, 2012 Is there an "informal" age limit on surgical interventions? http://www.nursingtimes.net/nursing-practice/clinical-zones/older-people/is-there-an-informal-age-limit-on-surgical-interventions/5051083.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/older-people/is-there-an-informal-age-limit-on-surgical-interventions/5051083.blog Is there an “informal” age limit on surgical interventions? 25 October, 2012 Will new DH standards for hospital food improve patient nutrition? http://www.nursingtimes.net/nursing-practice/clinical-zones/nutrition/will-new-dh-standards-for-hospital-food-improve-patient-nutrition/5050800.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/nutrition/will-new-dh-standards-for-hospital-food-improve-patient-nutrition/5050800.blog Will new DH standards for hospital food improve patient nutrition? 18 October, 2012 How can we use technology to improve patient care? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/how-can-we-use-technology-to-improve-patient-care/5050516.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/how-can-we-use-technology-to-improve-patient-care/5050516.blog How can we use technology to improve patient care? 11 October, 2012 Should a nurse always be present on a doctors' ward round? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-a-nurse-always-be-present-on-a-doctors-ward-round/5050266.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-a-nurse-always-be-present-on-a-doctors-ward-round/5050266.blog Should a nurse always be present on a doctors’ ward round? 5 October, 2012 When are you most at risk of needle stick injury? http://www.nursingtimes.net/nursing-practice/clinical-zones/infection-control/when-are-you-most-at-risk-of-needle-stick-injury/5049983.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/infection-control/when-are-you-most-at-risk-of-needle-stick-injury/5049983.blog When are you most at risk of needle stick injury? 28 September, 2012 Should herbal medicines sit alongside conventional medicines? http://www.nursingtimes.net/should-herbal-medicines-sit-alongside-conventional-medicines/5049666.blog http://www.nursingtimes.net/should-herbal-medicines-sit-alongside-conventional-medicines/5049666.blog Should herbal medicines sit alongside conventional medicines? 21 September, 2012 How can nurses' compassion and values be measured at interview? http://www.nursingtimes.net/nursing-practice/clinical-zones/educators/how-can-nurses-compassion-and-values-be-measured-at-interview/5049415.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/educators/how-can-nurses-compassion-and-values-be-measured-at-interview/5049415.blog How can nurses’ compassion and values be measured at interview? 14 September, 2012 Should all nursing documentation be standardised across the NHS? http://www.nursingtimes.net/home/clinical-zones/assessment-skills/should-all-nursing-documentation-be-standardised-across-the-nhs/5049068.blog http://www.nursingtimes.net/home/clinical-zones/assessment-skills/should-all-nursing-documentation-be-standardised-across-the-nhs/5049068.blog Should all nursing documentation be standardised across the NHS? 7 September, 2012 Do people with mental health problems miss out on essential care? http://www.nursingtimes.net/home/clinical-zones/mental-health/do-people-with-mental-health-problems-miss-out-on-essential-care/5048829.blog http://www.nursingtimes.net/home/clinical-zones/mental-health/do-people-with-mental-health-problems-miss-out-on-essential-care/5048829.blog Do people with mental health problems miss out on essential care? 31 August, 2012 Do nurses know enough about wound care? http://www.nursingtimes.net/nursing-practice/clinical-zones/wound-care/do-nurses-know-enough-about-wound-care/5048672.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/wound-care/do-nurses-know-enough-about-wound-care/5048672.blog Do nurses know enough about wound care? 24 August, 2012 What is the ideal nursing skill mix? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/what-is-the-ideal-nursing-skill-mix/5048414.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/what-is-the-ideal-nursing-skill-mix/5048414.blog What is the ideal nursing skill mix? 17 August, 2012 Should directors of nursing/chief nurses wear uniform? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-directors-of-nursing/chief-nurses-wear-uniform/5048148.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-directors-of-nursing/chief-nurses-wear-uniform/5048148.blog Should directors of nursing/chief nurses wear uniform?Opinion is divided on whether or not directors of nursing should wear uniform - both among directors themselves and other nurses.As board directors, should they wear smart business clothes?Or does this make them invisible to the nurses they lead, and to patients and their families?What do you think?  10 August, 2012 Do we underestimate substance misuse among older adults? http://www.nursingtimes.net/nursing-practice/clinical-zones/substance-misuse/do-we-underestimate-substance-misuse-among-older-adults/5047894.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/substance-misuse/do-we-underestimate-substance-misuse-among-older-adults/5047894.blog Do we underestimate substance misuse among older adults? 3 August, 2012 Should all children be vaccinated against flu? http://www.nursingtimes.net/nursing-practice/clinical-zones/immunology/should-all-children-be-vaccinated-against-flu/5047624.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/immunology/should-all-children-be-vaccinated-against-flu/5047624.blog Should all children be vaccinated against flu? 27 July, 2012 Do we need a national screening programme for diabetes? http://www.nursingtimes.net/nursing-practice/clinical-zones/diabetes/do-we-need-a-national-screening-programme-for-diabetes/5047333.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/diabetes/do-we-need-a-national-screening-programme-for-diabetes/5047333.blog Do we need a national screening programme for diabetes? 20 July, 2012 When should you use the Liverpool care pathway in practice? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/when-should-you-use-the-liverpool-care-pathway-in-practice/5047074.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/when-should-you-use-the-liverpool-care-pathway-in-practice/5047074.blog When should you use the Liverpool care pathway in practice?A group of doctors have suggested the LCP is being used to ease the pressure on resources.The Department of Health said the decision to use the pathway should involve patients and family members, and a patient’s condition should be closely monitored.Sometimes patients improve and they are taken off the LCP and given whatever treatments best suit their new needs. 13 July, 2012 Should oral fluids be prescribed to at risk patients in hospital? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-oral-fluids-be-prescribed-to-at-risk-patients-in-hospital/5046793.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-oral-fluids-be-prescribed-to-at-risk-patients-in-hospital/5046793.blog Should oral fluids be prescribed to at risk patients in hospital? 6 July, 2012 Is the title Ward sister outdated? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/is-the-title-ward-sister-outdated/5046535.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/is-the-title-ward-sister-outdated/5046535.blog Is the title Ward sister outdated? 29 June, 2012 Can nurses reduce health inequality? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/can-nurses-reduce-health-inequality/5046310.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/can-nurses-reduce-health-inequality/5046310.blog Can nurses reduce health inequality? 25 June, 2012 Should discharging a patient with an IV cannula in situ be designated as a never event? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-discharging-a-patient-with-an-iv-cannula-in-situ-be-designated-as-a-never-event/5046155.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-discharging-a-patient-with-an-iv-cannula-in-situ-be-designated-as-a-never-event/5046155.blog Should discharging a patient with an IV cannula in situ be designated as a never event? 20 June, 2012 Do nurses have time for reflective practice? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/do-nurses-have-time-for-reflective-practice/5045792.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/do-nurses-have-time-for-reflective-practice/5045792.blog Do nurses have time for reflective practice? 8 June, 2012 Should ward sisters/charge nurses have a first class honours degree? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-ward-sisters/charge-nurses-have-a-first-class-honours-degree/5045564.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-ward-sisters/charge-nurses-have-a-first-class-honours-degree/5045564.blog Should ward sisters/charge nurses have a first class honours degree? 31 May, 2012 Why do we under-treat pain caused by advanced disease? http://www.nursingtimes.net/nursing-practice/clinical-zones/end-of-life-and-palliative-care/why-do-we-under-treat-pain-caused-by-advanced-disease/5045392.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/end-of-life-and-palliative-care/why-do-we-under-treat-pain-caused-by-advanced-disease/5045392.blog Why do we under-treat pain caused by advanced disease? 28 May, 2012 Why are medicine administration error rates higher in patients with dysphagia? http://www.nursingtimes.net/nursing-practice/clinical-zones/prescribing/why-are-medicine-administration-error-rates-higher-in-patients-with-dysphagia/5045063.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/prescribing/why-are-medicine-administration-error-rates-higher-in-patients-with-dysphagia/5045063.blog Why are medicine administration error rates higher in patients with dysphagia? 18 May, 2012 Is it derogatory to refer to overweight patients as obese? http://www.nursingtimes.net/nursing-practice/clinical-zones/public-health/is-it-derogatory-to-refer-to-overweight-patients-as-obese/5044722.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/public-health/is-it-derogatory-to-refer-to-overweight-patients-as-obese/5044722.blog Is it derogatory to refer to overweight patients as obese? 11 May, 2012 Is older people's nursing a specialism? http://www.nursingtimes.net/nursing-practice/clinical-zones/older-people/is-older-peoples-nursing-a-specialism/5044534.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/older-people/is-older-peoples-nursing-a-specialism/5044534.blog Is older people’s nursing a specialism? What do you think? 4 May, 2012 Do you need to wash your hands after removal of gloves? http://www.nursingtimes.net/nursing-practice/clinical-zones/infection-control/do-you-need-to-wash-your-hands-after-removal-of-gloves/5044363.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/infection-control/do-you-need-to-wash-your-hands-after-removal-of-gloves/5044363.blog Do you need to wash your hands after removal of gloves? What do you think? 30 April, 2012 How do you check the position of a naso-gastric tube? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/how-do-you-check-the-position-of-a-naso-gastric-tube/5043979.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/how-do-you-check-the-position-of-a-naso-gastric-tube/5043979.blog How do you check the position of a naso-gastric tube? What do you think? 19 April, 2012 What syringe should you use to administer drugs via an enteral feeding tube? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/what-syringe-should-you-use-to-administer-drugs-via-an-enteral-feeding-tube/5043737.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/what-syringe-should-you-use-to-administer-drugs-via-an-enteral-feeding-tube/5043737.blog What syringe should you use to administer drugs via an enteral feeding tube? What do you think? 12 April, 2012 Should nurses cut patients' toe nails? http://www.nursingtimes.net/nursing-practice/clinical-zones/diabetes/should-nurses-cut-patients-toe-nails/5043659.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/diabetes/should-nurses-cut-patients-toe-nails/5043659.blog Should nurses cut patients’ toe nails? What do you think? 10 April, 2012 Should theatre staff wear surgical face masks? http://www.nursingtimes.net/opinion/behind-the-rituals/should-theatre-staff-wear-surgical-face-masks/5042571.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-theatre-staff-wear-surgical-face-masks/5042571.blog Should theatre staff wear surgical face masks? What do you think?A Cochrane review published in 2011 looked at three trials, involving a total of 2113 participants.No statistically significant difference in infection rates between the masked and unmasked group was identified.The authors of the review suggest more research is needed.  12 March, 2012 What is the best time of day to remove a urinary catheter? http://www.nursingtimes.net/opinion/behind-the-rituals/what-is-the-best-time-of-day-to-remove-a-urinary-catheter/5042165.blog http://www.nursingtimes.net/opinion/behind-the-rituals/what-is-the-best-time-of-day-to-remove-a-urinary-catheter/5042165.blog What is the best time of day to remove a urinary catheter? What do you think? 1 March, 2012 How should nurses address patients? http://www.nursingtimes.net/opinion/behind-the-rituals/how-should-nurses-address-patients/5042164.blog http://www.nursingtimes.net/opinion/behind-the-rituals/how-should-nurses-address-patients/5042164.blog How should nurses address patients and is it appropriate to ask to use first names? What do you think? 1 March, 2012 Does CBT really help patients? http://www.nursingtimes.net/opinion/behind-the-rituals/does-cbt-really-help-patients/5041589.blog http://www.nursingtimes.net/opinion/behind-the-rituals/does-cbt-really-help-patients/5041589.blog Does CBT really help patients? What do you think? 16 February, 2012 What makes the best bedside manner? http://www.nursingtimes.net/opinion/behind-the-rituals/what-makes-the-best-bedside-manner/5041588.blog http://www.nursingtimes.net/opinion/behind-the-rituals/what-makes-the-best-bedside-manner/5041588.blog What makes the best bedside manner? What do you think? 16 February, 2012 How do you define a safe staffing level? http://www.nursingtimes.net/opinion/behind-the-rituals/how-do-you-define-a-safe-staffing-level/5041577.blog http://www.nursingtimes.net/opinion/behind-the-rituals/how-do-you-define-a-safe-staffing-level/5041577.blog How do you define a safe staffing level? What do you think? 16 February, 2012 Do red trays improve food intake? http://www.nursingtimes.net/opinion/behind-the-rituals/do-red-trays-improve-food-intake/5041575.blog http://www.nursingtimes.net/opinion/behind-the-rituals/do-red-trays-improve-food-intake/5041575.blog Do red trays improve food intake? What do you think? 16 February, 2012 Are there any circumstances where covert administration of drugs is acceptable? http://www.nursingtimes.net/opinion/behind-the-rituals/are-there-any-circumstances-where-covert-administration-of-drugs-is-acceptable/5041302.blog http://www.nursingtimes.net/opinion/behind-the-rituals/are-there-any-circumstances-where-covert-administration-of-drugs-is-acceptable/5041302.blog Are there any circumstances where covert administration of drugs is acceptable? What do you think? 9 February, 2012 Does telehealth threaten the nurse/patient relationship? http://www.nursingtimes.net/opinion/behind-the-rituals/does-telehealth-threaten-the-nurse/patient-relationship/5040996.blog http://www.nursingtimes.net/opinion/behind-the-rituals/does-telehealth-threaten-the-nurse/patient-relationship/5040996.blog Does telehealth threaten the nurse/patient relationship? What do you think? 2 February, 2012 Should drug admin be delegated to HCAs? http://www.nursingtimes.net/opinion/behind-the-rituals/should-drug-admin-be-delegated-to-hcas/5040704.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-drug-admin-be-delegated-to-hcas/5040704.blog Should drug administration be delegated to HCAs? What do you think? 26 January, 2012 Is home the best place to die? http://www.nursingtimes.net/opinion/behind-the-rituals/is-home-the-best-place-to-die/5040589.blog http://www.nursingtimes.net/opinion/behind-the-rituals/is-home-the-best-place-to-die/5040589.blog Is home the best place to die? What do you think? 24 January, 2012 Is epidural analgesia the best way to manage post-operative pain? http://www.nursingtimes.net/opinion/behind-the-rituals/is-epidural-analgesia-the-best-way-to-manage-post-operative-pain/5040198.blog http://www.nursingtimes.net/opinion/behind-the-rituals/is-epidural-analgesia-the-best-way-to-manage-post-operative-pain/5040198.blog Is epidural analgesia the best way to manage post-operative pain? What do you think? 13 January, 2012 Should nurses be taught how to make beds? http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-be-taught-how-to-make-beds/5039974.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-nurses-be-taught-how-to-make-beds/5039974.blog Should nurses be taught how to make beds? What do you think?In a recent discussion on twitter the topic of bed making came up. Comments were made about pleating sheets at the end of the bed, use of bed cradles and turning the open end of pillow cases away from the door.Are these out dated practices or do they have a role in patient care? What do you think? 9 January, 2012 Are bedside handovers the best way of communicating with staff on the next shift? http://www.nursingtimes.net/opinion/behind-the-rituals/are-bedside-handovers-the-best-way-of-communicating-with-staff-on-the-next-shift/5039785.blog http://www.nursingtimes.net/opinion/behind-the-rituals/are-bedside-handovers-the-best-way-of-communicating-with-staff-on-the-next-shift/5039785.blog Are bedside handovers the best way of communicating with staff on the next shift?  What do you think?‘Shift-to-shift handover: are we clear on what is it designed to achieve?’ 4 January, 2012 Should consultants carve the turkey on wards on Christmas day? http://www.nursingtimes.net/opinion/behind-the-rituals/should-consultants-carve-the-turkey-on-wards-on-christmas-day/5039477.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-consultants-carve-the-turkey-on-wards-on-christmas-day/5039477.blog 19 December, 2011 Do Christmas decorations pose an infection risk? http://www.nursingtimes.net/nursing-practice/clinical-zones/infection-control/do-christmas-decorations-pose-an-infection-risk/5039133.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/infection-control/do-christmas-decorations-pose-an-infection-risk/5039133.blog Do Christmas decorations pose an infection risk? What do you think?EXPERT COMMENT 9 December, 2011 Are care plans the best way of documenting care? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/are-care-plans-the-best-way-of-documenting-care/5038683.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/are-care-plans-the-best-way-of-documenting-care/5038683.blog Are care plans the best way of documenting care? What do you think?EXPERT COMMENT 1 December, 2011 Is it acceptable to refer to patients as bed blockers? http://www.nursingtimes.net/nursing-practice/clinical-zones/older-people/is-it-acceptable-to-refer-to-patients-as-bed-blockers/5038410.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/older-people/is-it-acceptable-to-refer-to-patients-as-bed-blockers/5038410.blog Is it acceptable to refer to patients as bed blockers? What do you think?EXPERT COMMENT 25 November, 2011 Should hospital wards have open visiting hours? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-hospital-wards-have-open-visiting-hours/5038129.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/should-hospital-wards-have-open-visiting-hours/5038129.blog EXPERT COMMENT 18 November, 2011 Should nurses use an automated external defibrillator without training? http://www.nursingtimes.net/nursing-practice/clinical-zones/critical-care/should-nurses-use-an-automated-external-defibrillator-without-training/5037776.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/critical-care/should-nurses-use-an-automated-external-defibrillator-without-training/5037776.blog Should nurses use an automated external defibrillator without training? What do you think?EXPERT COMMENT 10 November, 2011 Can the flu jab give you the flu? http://www.nursingtimes.net/nursing-practice/clinical-zones/immunology/can-the-flu-jab-give-you-the-flu/5037559.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/immunology/can-the-flu-jab-give-you-the-flu/5037559.blog Can the flu jab give you the flu? What do you think?EXPERT COMMENT 4 November, 2011 Is it necessary to record the batch numbers for IV fluids on prescription sheets? http://www.nursingtimes.net/nursing-practice/clinical-zones/prescribing/is-it-necessary-to-record-the-batch-numbers-for-iv-fluids-on-prescription-sheets/5037180.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/prescribing/is-it-necessary-to-record-the-batch-numbers-for-iv-fluids-on-prescription-sheets/5037180.blog Is it necessary to record the batch numbers for IV fluids on prescription sheets?EXPERT COMMENTRecording batch numbers for IV fluids is an outdated procedure. The burden of risk of giving an IV fluid is no greater than any other IV medicine where batch numbers are not recorded.Martin Shepherd is head of medicines management, Chesterfield Royal Hospital NHS Foundation Trust.  27 October, 2011 Should cooling methods such as fanning and tepid sponging be used to manage pyrexia? http://www.nursingtimes.net/home/clinical-zones/infection-control/should-cooling-methods-such-as-fanning-and-tepid-sponging-be-used-to-manage-pyrexia/5036901.blog http://www.nursingtimes.net/home/clinical-zones/infection-control/should-cooling-methods-such-as-fanning-and-tepid-sponging-be-used-to-manage-pyrexia/5036901.blog Should cooling methods such as fanning and tepid sponging be used to manage pyrexia? What do you think?EXPERT COMMENT 21 October, 2011 Does massage help to prevent pressure ulcers? http://www.nursingtimes.net/nursing-practice/clinical-zones/dermatology/does-massage-help-to-prevent-pressure-ulcers/5036642.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/dermatology/does-massage-help-to-prevent-pressure-ulcers/5036642.blog Does massage help to prevent pressure ulcers? What do you think?EXPERT COMMENT 17 October, 2011 Does increasing fluids really help constipation? http://www.nursingtimes.net/nursing-practice/clinical-zones/gastroenterology/does-increasing-fluids-really-help-constipation/5036275.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/gastroenterology/does-increasing-fluids-really-help-constipation/5036275.blog Does increasing fluids really help constipation? What do you think?EXPERT COMMENT 10 October, 2011 Should you always change plastic aprons between patients? http://www.nursingtimes.net/nursing-practice/clinical-zones/infection-control/should-you-always-change-plastic-aprons-between-patients/5035936.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/infection-control/should-you-always-change-plastic-aprons-between-patients/5035936.blog Should you always change plastic aprons between patients? What do you think?EXPERT COMMENT 3 October, 2011 Should you routinely record respiratory rate? http://www.nursingtimes.net/nursing-practice/clinical-zones/respiratory/should-you-routinely-record-respiratory-rate/5035425.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/respiratory/should-you-routinely-record-respiratory-rate/5035425.blog Should you routinely record respiratory rate? What do you think?EXPERT COMMENT 22 September, 2011 Does it matter which way up a rectal suppository is inserted? http://www.nursingtimes.net/home/clinical-zones/continence/does-it-matter-which-way-up-a-rectal-suppository-is-inserted/5034903.blog http://www.nursingtimes.net/home/clinical-zones/continence/does-it-matter-which-way-up-a-rectal-suppository-is-inserted/5034903.blog Does it matter which way up a rectal suppository is inserted? What do you think?EXPERT COMMENT 13 September, 2011 Should hospital nebuliser masks be single-use items? http://www.nursingtimes.net/nursing-practice/clinical-zones/respiratory/should-hospital-nebuliser-masks-be-single-use-items/5034568.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/respiratory/should-hospital-nebuliser-masks-be-single-use-items/5034568.blog Should hospital nebuliser masks be single-use items? What do you think?EXPERT COMMENT 5 September, 2011 Can nurses assess patients with suspected swallowing problems or do they need a speech expert? http://www.nursingtimes.net/nursing-practice/clinical-zones/management/can-nurses-assess-patients-with-suspected-swallowing-problems-or-do-they-need-a-speech-expert/5034338.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/management/can-nurses-assess-patients-with-suspected-swallowing-problems-or-do-they-need-a-speech-expert/5034338.blog Can nurses assess patients with suspected swallowing problems or do they have to be referred to a speech and language therapist? What do you think?EXPERT COMMENT 30 August, 2011 Do partners of expectant mothers need to wear full scrubs during child birth? http://www.nursingtimes.net/nursing-practice/clinical-zones/midwifery-and-neonatal-nursing-/do-partners-of-expectant-mothers-need-to-wear-full-scrubs-during-child-birth/5034020.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/midwifery-and-neonatal-nursing-/do-partners-of-expectant-mothers-need-to-wear-full-scrubs-during-child-birth/5034020.blog Do partners of expectant mothers need to wear full scrubs during child birth? What do you think?Expert comment 22 August, 2011 Are nasal cannulas the best way to deliver oxygen to patients with COPD? http://www.nursingtimes.net/nursing-practice/clinical-zones/respiratory/are-nasal-cannulas-the-best-way-to-deliver-oxygen-to-patients-with-copd/5033783.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/respiratory/are-nasal-cannulas-the-best-way-to-deliver-oxygen-to-patients-with-copd/5033783.blog Are nasal cannulas the best way to deliver oxygen to patients with COPD? What do you think?Expert comment 15 August, 2011 Should tap water be used to cleanse wounds? http://www.nursingtimes.net/nursing-practice/clinical-zones/wound-care/should-tap-water-be-used-to-cleanse-wounds/5033505.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/wound-care/should-tap-water-be-used-to-cleanse-wounds/5033505.blog Should tap water be used to cleanse wounds? What do you think?EXPERT COMMENT 8 August, 2011 Should patients be woken up to monitor vital signs? http://www.nursingtimes.net/nursing-practice/clinical-zones/critical-care/should-patients-be-woken-up-to-monitor-vital-signs/5033344.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/critical-care/should-patients-be-woken-up-to-monitor-vital-signs/5033344.blog Should patients requiring vital signs monitoring every four hours be woken at 2am to have their observations recorded? What do you think?Expert comment 2 August, 2011 Should hospital patients routinely administer their own medicines? http://www.nursingtimes.net/nursing-practice/clinical-zones/prescribing/should-hospital-patients-routinely-administer-their-own-medicines/5033018.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/prescribing/should-hospital-patients-routinely-administer-their-own-medicines/5033018.blog Would hospital patients benefit if those who were able were allowed to administer their own medicines? What do you think?Expert comment 25 July, 2011 Should nurses always be 'bare below the elbows'? http://www.nursingtimes.net/nursing-practice/clinical-zones/educators/should-nurses-always-be-bare-below-the-elbows/5032685.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/educators/should-nurses-always-be-bare-below-the-elbows/5032685.blog Should healthcare professionals always be ‘bare below the elbows’? Are long sleeves an infection risk? 18 July, 2011 Is wound swabbing evidence based? http://www.nursingtimes.net/nursing-practice/clinical-zones/wound-care/is-wound-swabbing-evidence-based/5032459.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/wound-care/is-wound-swabbing-evidence-based/5032459.blog It’s the most common sampling method in the UK, but does it have clinical value? Does moistening the swab increase bacteria survival in the wound? Is routine swabbing helpful? 12 July, 2011 Do patients really need to fast before surgery? http://www.nursingtimes.net/nursing-practice/clinical-zones/perioperative-care/do-patients-really-need-to-fast-before-surgery/5032120.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/perioperative-care/do-patients-really-need-to-fast-before-surgery/5032120.blog Patients have long been told not to eat or drink for hours before surgery because of the risk of pulmonary aspiration, but is this really necessary?Some studies have suggested that light meals and liquids are not harmful before surgery, and that fasting can sometimes cause adverse effects, but many guidelines continue to insist on complete fasting.What do you think? 5 July, 2011 Why do we wear face masks in theatre? http://www.nursingtimes.net/nursing-practice/clinical-zones/perioperative-care/why-do-we-wear-face-masks-in-theatre/5031754.blog http://www.nursingtimes.net/nursing-practice/clinical-zones/perioperative-care/why-do-we-wear-face-masks-in-theatre/5031754.blog Is wearing face masks in theatre a necessity, or is it just something we do? Do they protect patients and practitioners, or do they offer little benefit, as some studies have suggested?What do you think? 27 June, 2011 Should we return to hourly rounds? http://www.nursingtimes.net/opinion/behind-the-rituals/should-we-return-to-hourly-rounds/5031462.blog http://www.nursingtimes.net/opinion/behind-the-rituals/should-we-return-to-hourly-rounds/5031462.blog The Kings Fund Point of Care programme is currently working with nurses to introduce hourly intentional rounding. An unnecessary ritual or a useful tool to help nurses plan care effectively?What do you think? 21 June, 2011 Are wheelchairs overused in hospitals? http://www.nursingtimes.net/opinion/behind-the-rituals/are-wheelchairs-overused-in-hospitals/5031110.blog http://www.nursingtimes.net/opinion/behind-the-rituals/are-wheelchairs-overused-in-hospitals/5031110.blog Why are wheelchairs used to move patients who are capable of walking? Are wheelchairs used too much?What do you think? 14 June, 2011 Why do we have split back gowns? http://www.nursingtimes.net/opinion/behind-the-rituals/why-do-we-have-split-back-gowns/5030774.blog http://www.nursingtimes.net/opinion/behind-the-rituals/why-do-we-have-split-back-gowns/5030774.blog Should split back gowns be a thing of the past? Why are they necessary and what do they achieve?What do you think? 6 June, 2011 Are drug rounds necessary? http://www.nursingtimes.net/opinion/behind-the-rituals/are-drug-rounds-necessary/5030323.blog http://www.nursingtimes.net/opinion/behind-the-rituals/are-drug-rounds-necessary/5030323.blog Why do we do drug rounds? Are they really the safest system for administering medications, or should drugs be given at the same time as other elements of care?What do you think? 26 May, 2011 To glove or not to glove? http://www.nursingtimes.net/opinion/behind-the-rituals/to-glove-or-not-to-glove/5030269.blog http://www.nursingtimes.net/opinion/behind-the-rituals/to-glove-or-not-to-glove/5030269.blog Are gloves overused in healthcare settings? Is there evidence to support their frequent use?When do you think gloves should be worn, and when do you think it’s not necessary?Let’s get a discussion started - post your thoughts below.Behind the RitualsIs there another nursing ritual you’d like us to discuss here? Email your idea to nursingtimescomments@emap.com 25 May, 2011