Edward Purssell

Is it time to rethink field-specific nurse training?

A return to generic training can broaden students’ child and adult care experiences

COVID-19 guidelines: what our review found was an astonishing lack of evidence base

Ill-informed reviews left nurses vulnerable – and we must not let this happen again

Managing fever in children: developing guidelines that turn evidence into practice

Managing fever in children: developing guidelines that turn evidence into practice

Why you should read this article • To learn how guidelines use evidence to make practice recommendations • To understand the elements of quantitative research that can be used to inform clinical decision-making • To develop an approach to appraising evidence or research that you may read in the future The importance of evidence-based practice has been emphasised in nursing in recent years. However, the process by which research evidence is turned into clinical recommendations is not always clear. This is important because understanding and communicating the rationale for clinical decisions is a vital part of the role of the children’s nurse. This article discusses the methods by which nurses can turn evidence into practice using a framework devised by the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) Working Group. The article uses the treatment of fever in children as an example of how nurses can apply the GRADE framework to ensure that their practice is evidence-based.

Needs and priorities of young people with human immunodeficiency virus

Aims To ascertain the views of young people in the UK with human immunodeficiency virus (HIV) about their health care, and to compare these views with the perceptions of nurses involved in this sector and the current social policy response. Methods Young people, aged 16 to 24 years, who have HIV and attend a specialist voluntary organisation and pre- and post-registration nurses attending an HIV care course were selected by convenience sampling. A cross-sectional survey was conducted by questionnaire. Results Hospital-based HIV clinics and services were the favoured source of care. There was consensus among the young people that care providers should be informative and approachable, and that care provision should include help to understand issues, such as pregnancy and contraception. Conclusions Professionals involved in creating future social policy and commissioning services need to respond to young people’s priorities and adapt to the patient’s developing sexuality and the changing demographics of young people with HIV.