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Putting it into practice

How do we put research into practice in the surgery or the hospital ward? Each week we’ll pick out a practice article and pose some topics for debate and you can pose your own questions too… 

What are the advantages of using inhaled drugs to treat asthma in children?

Posted by Eileen ShepherdMon, 12 Nov 2012

Article: Watson P (2012) Space devices 1: inhaler spacer devices to treat asthma in children. Nursing Times; 108; 46: 18-20.Key pointsOne dose of inhaled medication contains 40 times less medication than a 4mg tablet of salbutamol, ...

How do you treat a soft tissue injury?

Posted by Eileen ShepherdMon, 5 Nov 2012

Article: Williams K (2012) Evidence on NSAID use in soft tissue injuries.Nursing Times; 108: 45, 12-14.Key pointsAnkle sprains account for up to 10% of attendances at emergency departmentsRest, ice, compression and elevation (RICE) is the cornerstone of treatment of soft tissue injuriesFor those requiring pain relief, paracetamol should be used as a first stepNSAID use may impede ...

Is group reading of benefit to people with mental health problems?

Posted by Eileen ShepherdMon, 29 Oct 2012

Article: McLauglin S, Colbourn S (2012) A reading group in acute mental healthcare. Nursing Times; 108: 44, 14-15.Key pointsThe Reader Organisation works in healthcare to share great literature with patients and staffOne trust has piloted readings of stories and poems to patients with acute mental health problemsThe ...

Why is it that nurses sometimes ask the wrong questions?

Posted by Eileen ShepherdMon, 22 Oct 2012

Article: Mee S (2012) Why do nurses sometimes ask the wrong questions? Nursing Times; 108: 43, 16-18.Key pointsThe case of Kane Gorny is one of many instances that have come to light in recent years where a patient’s needs have been neglectedWhen a patient is aggressive, a nurse can either seek a reason for it and act on this, or respond to the aggression directlyNurses should always ask ...

What can I do to aid the accuracy of X-rays in checking NG tube positioning?

Posted by Eileen ShepherdMon, 15 Oct 2012

Article: Rollins H (2012) How accurate are X-rays to check NG tube positioning? Nursing Times; 108; 42, 14-16.Key pointsThe position of a nasogastric tube is vitally important as accidental administration of feed into the lungs can lead to fatal complicationsThe gold standard method of detecting the position of nasogastric tubes is by X-ray, ...

How can nurses aid management of chronic constipation in adults?

Posted by Eileen ShepherdMon, 8 Oct 2012

Article: Rogers J (2012) How to manage chronic constipation in adults. Nursing Times; 108; 41: 12-18.Key pointsConstipation is one of the most common forms of gastrointestinal disorders encountered by nursesIt is often trivialised but is a significant condition causing pain and distress and affecting quality of lifeChronic constipation ...

To what extent do you consider the humanisation of care in your practice?

Posted by Eileen ShepherdMon, 1 Oct 2012

Article: Hemingway et al (2012) Humanising nursing care: a theoretical model. Nursing Times; 108: 40, 26-27.Key pointsFocusing on what it is to be human will help us to reflect on our practice criticallyThe eight dimensions put the individual patient at the centre of careHaving a clear value framework helps to ensure the best quality ...

Why do mentors pass failing students?

Posted by Eileen ShepherdMon, 24 Sep 2012

Article: Veeramah V (2012) What are the barriers to good mentoring? Nursing Times; 108: 39, 12-15.Key pointsLack of time and the demands of patient care are two key barriers to successful mentoringInadequate preparation and support can result in mentors passing students they should failMentors need more help and educational guidance in completing education institutions’ assessment documentationMentors ...

When it is appropriate to use sedation in palliative care?

Posted by Eileen ShepherdMon, 17 Sep 2012

Article: Beland P (2012) Ethical issues around continuous deep sedation without hydration. Nursing Times; 108: 38, 24-27.Key pointsPatients dying of cancer may require continuous deep sedation to alleviate symptoms at the end of lifeSuch patients, being unable to drink, could be artificially hydrated to lengthen survival and limit thirstThe issue of artificial hydration for such patients ...

How can student nurses with dyscalculia be supported?

Posted by Eileen ShepherdMon, 10 Sep 2012

Article: Kirk K, Payne B (2012) Dyscalculia: awareness and student support. Nursing Times; 108: 37, 16-18.Key pointsDyscalculia is a difficulty with the concept of numbersThe condition has significant implications for pre-registration nurse educationStudents with dyscalculia need to be identified and have their learning needs assessedThrough reasonable adjustments, a person with ...

How can nurses aid focus on daily experiences in dementia care?

Posted by Eileen ShepherdMon, 3 Sep 2012

Article: Durgahee T, Durgahee A (2012) Dementia care: focusing on daily experiences. Nursing Times; 108: 36, 12-14.Key pointsThe number of people living with dementia is steadily risingDementia care should be guided by a model such as Kitwood Plus, making personhood, relationships and daily experiences key prioritiesThis model redefines dementia care as “no yesterday, no tomorrow, but today” ...

How can nurses manage C difficile relapses in the community?

Posted by Eileen ShepherdMon, 27 Aug 2012

Article: Wynne S (2012) Managing C difficile relapses in the community. Nursing Times; 108: 27, 15-17.Key pointsC difficile has significant morbidity and mortality; patients can deteriorate in the community if they are not monitored effectivelyMonitoring ...

How can nurses aid care of peripheral venous cannula sites?

Posted by Eileen ShepherdMon, 20 Aug 2012

Article: McCallum L, Higgins D (2012) Care of peripheral venous cannula sites. Nursing Times; 108: 34/35, 12-15.Key pointsPeripheral venous catheters are commonly used in hospitals to deliver intravenous therapyPVCs are associated with several complications, some of which can have serious consequencesCareful observation and monitoring ...

How can nurses raise awareness of hepatitis C?

Posted by Eileen ShepherdMon, 13 Aug 2012

Article: Greyson O (2012) Hepatitis C awareness among South Asians. Nursing Times; 108: 32/33, 21-23.Key pointsMany people are unaware of their hepatitis C virus infection due to its asymptomatic nature ...

How can nurses help increase breastfeeding prevalence?

Posted by Eileen ShepherdMon, 6 Aug 2012

Article: Geddes J (2012) Breastfeeding: how to increase prevalence. Nursing Times; 108: 32/33, 12-14.Key pointsThe World Health Organization and Department of Health recommend exclusive breastfeeding for six monthsBreastfeeding can reduce the risk of specific health problems in both mother and babyBreastfeeding continuation rates in the ...

How can nurses use social media responsibly?

Posted by Eileen ShepherdMon, 30 Jul 2012

Article: Chinn (2012) How can nurses use social media responsibly? Nursing Times. Published online 13 July 2012.Key pointsNurses no longer live together or work as closely together as they used toSocial media offers new ways for nurses to share ...

How should multimedia be used in nurse education?

Posted by Eileen ShepherdMon, 23 Jul 2012

Article: Everett F, Wright W (2012) Using multimedia to teach students essential skills. Nursing Times; 108: 30/31, 18-19.Key pointsMultimedia can engage students and enhance their learning experiencesMultimedia can be used to introduce and develop essential nursing skillsNurse educators have an important role in developing innovative ...

Can pressure ulcer incidence be used as a measure of nursing care?

Posted by Eileen ShepherdMon, 16 Jul 2012

Article: McIntyre L et al (2012) A strategy to reduce avoidable pressure ulcers. Nursing Times; 108: 29, 14-17.Key pointsSafety Express is a national programme to minimise the four main avoidable harms in healthcare, one of which is pressure ulcersTreating pressure ulcers is costly and eliminating them could save the NHS over £150m a yearPressure ...

How can nurses improve fluid management and reduce the risk of dehydration?

Posted by Eileen ShepherdMon, 9 Jul 2012

Article: McIntyre L et al (2012) Developing a bundle to improve fluid management. Nursing Times; 108: 28, 18-20.Key pointsAll patients should be assessed for their fluid needsA plan should be made to ensure optimum hydrationFluid intake should be managed continuouslyHydration should be reviewed for early detection of deteriorationEducation ...

How can nurses contribute to reducing the risk of surgical site infection?

Posted by Eileen ShepherdMon, 2 Jul 2012

Article: Kiernan M (2012) Reducing the risk of surgical site infection. Nursing Times; 108: 27, 12-14.Key pointsSurgical site infections continue to represent about a fifth of all healthcare-associated infectionsAlthough SSI rates appear to have fallen, this is largely because of poor detection due to rapid dischargeThe risk of ...