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Putting it into practice

All posts from: January 2012

How can nurses ensure dignity is maintained during toileting?

30 January, 2012 Posted by: -

  • Article: Logan K (2012) Toilet privacy in hospital. Nursing Times; 108: 5, 12-13.
  • Author: Karen Logan is nurse consultant and head of continence service, Llanfrechfa Grange Hospital, Cwmbran, Torfaen.

Key points

  • Dignity is about small things that are extremely important
  • Concern is growing that inpatients’ expectations are not being met in terms of dignity, particularly for older people
  • Without sensitive support, continence care can become undignified and impersonal
  • Ensuring patients have privacy and dignity when using the toilet is crucial
  • Privacy pegs and signs can help give patients more dignity

Let’s discuss

Think about patients on your ward who requires help with toileting.

  • How could you measure whether their privacy and dignity is maintained during toileting?
  • How often do you use a commode or bed pan rather than take a patient to the toilet?
  • Are there environmental barriers that prevent you taking patients to the toilet?
  • How could these be addressed?
  • What other changes could you make to ensure privacy and dignity is maintained?

How can nurses participate in or lead in change management?

23 January, 2012 Posted by: -

  • Article: Kerridge J (2012) Leading change: 1 - identifying the issue. Nursing Times; 108: 4, 12-15.
  • Author: Joanna Kerridge is practice educator at Sue Ryder Nettlebed Hospice and associate lecturer at the University of West London.

Key points

  1. There is a pressing need for nurses to participate in or lead change management projects
  2. Staff need to be encouraged to develop the knowledge and skills to influence change
  3. The first step is to identify what exactly needs to change and why
  4. Several tools exist to help this process, including root cause analysis and process mapping
  5. Stakeholders need to be identified and involved in the process of change for it to be successful

Let’s discuss

The NHS Leadership Framework (NLC, 2011) recognises the potential of all staff to change practice. It is important that change is planned to ensure that it is effective and sustained.

Think about something in your clinical area that you would like to change.

  • What process did you use to identify the problem?
  • Are there barriers to making a change?
  • How could these be overcome?
  • Who should you involve in the process?

Comments (25)

How can nurses be engaged in intentional rounding?

16 January, 2012 Posted by: -

  • Article: Dix G et al (2012) Engaging staff with intentional rounding. Nursing Times; 108: 3, 14-16.
  • Author: Greg Dix is director of nursing and governance; Jackee Phillips is junior sister, medical assessment unit; Mark Braide is practice development nurse; all at Taunton and Somerset Foundation Trust.

Key points

  1. Intentional rounding involves nurses checking individual patients at set intervals to assess and manage their fundamental care needs
  2. It places the patient at the heart of the ward routine
  3. IR reduced the frequency of call bell use
  4. Introducing IR requires a cultural change and staff need support to bring in the change
  5. IR has a positive effect on patient experience

Let’s discuss

  • How would you explain intentional rounding to staff at a team meeting?
  • What benefits does intentional rounding offer patients and staff?
  • How would you implement intentional rounding on your ward?
  • What are the barriers to using intentional rounding? How can these be overcome?


Comments (2)

How do you start discussions about weight loss with patients who are overweight?

9 January, 2012 Posted by: -

  • Article: Goldie C, Brown J (2012) Managing obesity in primary care. Nursing Times; 108: 1/2, 14-16.
  • Author: Christine Goldie is practice nurse, Banff and Gamrie Medical Practice, NHS Grampian; Jenny Brown is honorary clinical research fellow, Centre for Obesity Research and Epidemiology, Robert Gordon University, Aberdeen.

Key points

  1. Obesity is complex and diseases related to it place a large burden on the NHS
  2. Its causes include genetic, social and environmental factors
  3. A weight loss of 5-10% can have important health benefits
  4. A flexible, structured, person-centred, holistic approach can result in good outcomes
  5. Weight management should be a mandatory aspect of primary care services managing long-term conditions such as diabetes and heart disease

Let’s discuss

  • How do you start discussions about weight loss with patients who are overweight?
  • What barriers do patients describe when they are trying to lose weight?
  • How can you incorporate the emotional and behavioural well being of patients, as well as diet and
    exercise advice in to care plans?
  • How would you explain the health benefits of weight loss to patients who are obese?




Comments (1)


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