Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.
CIPN is a common side effect of certain cytotoxic regimens characterised by sensory symptoms
A service evaluation into the effect PPI can have on a patient pathway
A service improvement project offered patients a choice early on in their treatment
Why you should read this article: • To understand that the assessment and management of pain in acute hospitals is often suboptimal • To be aware that gaps in healthcare professionals’ knowledge contribute to inadequate pain management • To emphasise the importance of targeted education in improving knowledge of pain assessment and management The assessment and management of pain in acute hospitals has been shown to be suboptimal in literature dating back to the 1950s. Inadequate pain management is thought to be partly due to knowledge gaps and suboptimal attitudes among healthcare professionals regarding pain assessment and management. The literature focuses on measuring and comparing knowledge scores, but it is necessary to understand where the knowledge gaps are and how to fill them. This article presents the findings of an evaluation project conducted across the acute sector of a district general teaching hospital. The project aimed to improve knowledge and attitudes, among nurses, regarding pain assessment and management with a targeted educational intervention.
Nursing care requires nurses to work intimately and closely with the bodies of others
This article describes the assessment and initial and long-term management of diarrhoea
Why you should read this article • To gain an in-depth understanding of patients’ lived experiences of chemotherapy • To appreciate the importance of the psychological, emotional, social and spiritual aspects of cancer care • To explore the role of hope as a coping mechanism for patients undergoing chemotherapy Background Chemotherapy is one of the main systemic therapies for cancer, but often has significant negative effects on the physical, psychological, emotional, spiritual and social aspects of patients’ lives. Therefore, it is important for nurses to understand patients’ experiences of chemotherapy to provide effective care and management. Aim To explore Iranian patients’ lived experiences of chemotherapy. Methods Nine hospital inpatients who had undergone at least one whole course of chemotherapy participated in 14 in-depth, semi-structured interviews. Qualitative data were analysed using a phenomenological approach and themes were generated. Findings Participants described a broad range of experiences of chemotherapy. They perceived chemotherapy as altering their lives; causing physical and psychosocial suffering; bringing about uncertainty, but also hope; and representing a crucial means of fighting cancer – and, for some, a gift from God. Conclusion Being aware of the effects of chemotherapy on patients’ lives is important in planning nursing interventions. Nurses need to develop strategies that will moderate the negative effects of chemotherapy, identify patients’ support systems and potential sources of hope, and use these to assist patients in coping with the disease and its treatment.
Psychological care for people with cancer and their carers is not meeting demand
A review of evidence around potential medicinal use in treating cancer-related pain
This literature review aims to evaluate the effectiveness of such interventions
How healthcare professionals currently offer alternative treatment locations to patients
How the concept of hope can benefit adolescent and young adult cancer survivors