Clinical

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.

Managing an outbreak of COVID-19 in a learning disability setting

Managing an outbreak of COVID-19 in a learning disability setting

Why you should read this article: • To outline how learning disability settings can prepare for and manage COVID-19 outbreaks • To recognise the importance of developing a contingency plan to manage a COVID-19 outbreak in a learning disability setting • To identify the need to support clients with learning disabilities when reinforcing public health messages about COVID-19 This article describes the experience of preparing for, and managing, a small COVID-19 outbreak that affected clients and staff in a learning disability setting. To demonstrate the likelihood of transmission, a timeline was developed to map the trajectory of symptomatic individuals and confirmed cases. Practices such as effective hand hygiene and wearing personal protective equipment (PPE) were observed by staff members. COVID-19 transmission containment measures included: isolation of clients who had tested positive for COVID-19, nomination of specific staff members to care for clients who had tested positive, and amending duty rotas to prevent staff crossover between various units. The frequency of environmental cleaning was also increased. On-site refresher training for medical, nursing and domestic staff focused on coronavirus transmission, PPE, hand hygiene and environmental cleaning. A contingency plan devised before the COVID-19 outbreak was invaluable because staff members could respond immediately when positive cases were identified among clients and staff members. COVID-19 screening for clients and all staff members was conducted to identify asymptomatic carriers; these individuals were then excluded from work to reduce the risk of potential transmission.

Social inclusion for people with intellectual disabilities in seven European countries

Social inclusion for people with intellectual disabilities in seven European countries

Why you should read this article: • To be aware that social inclusion for people with intellectual and developmental disabilities (IDD) is a focus of welfare policies and legislation in many countries • To recognise that the implementation of policy and legislation for people with IDD is the shared responsibility of governments, and health, education and social care professionals • To identify shared learning among students in health, education and social care programmes as one means of achieving social inclusion for people with IDD Policies for people with disabilities, and specifically those with intellectual and developmental disabilities (IDD), have undergone significant changes during the past three decades. Many people with IDD experience social exclusion, which has significant implications for the individual, their family and wider society. Today the focus is on accessing universal services, care and support in the community to facilitate social inclusion. Professions and professionals in health, education and social services implement social inclusion policy in the field of IDD. However, there is a lack of coherence between the policy intentions of social inclusion and the realities of professional practice. Educational collaborations involving academics, students and practitioners from the professions working with people who have IDD provide an opportunity for shared learning. These collaborations support the development of knowledge and understanding, and the barriers that need to be addressed to achieve social inclusion for people with IDD.

Evaluating an evidence-based online screening tool to identify learning disability

Evaluating an evidence-based online screening tool to identify learning disability

Exploring the Adolescent Intellectual Disability Screening Questionnaire

A screening questionnaire to identify the risk of behaviour that challenges in young people with a learning disability

Identifying risk of behaviour that challenges in young people with a learning disability

Developing a screening questionnaire to identify people at risk of behaviour that challenges

Supporting people with learning disabilities who identify as LGBT to express their sexual and gender identities

Supporting people with learning disabilities who identify as LGBT to express their...

The concept of intersectionality and its effect on the sexuality of service users

Implementing blended feeding for children with intellectual disabilities in a school environment

Blended feeding for children with intellectual disabilities in a school environment

Implementing this feeding for gastrostomy button-fed children with intellectual disabilities

Whorlton Hall, Winterbourne View and Ely Hospital: learning from failures of care

Whorlton Hall, Winterbourne View and Ely Hospital: learning from failures of care

A reflection on the common types of abuse experienced by service users in health and social care settings

Using the semantic wave to support intellectual disability nursing students to apply theory and evidence in practice

Using the semantic wave to support intellectual disability nursing students

How a conceptual tool can be used to support applying theory and evidence in practice

Preventing, assessing and managing constipation in people with intellectual disabilities

Preventing, assessing and managing constipation in people with intellectual disabilities

Causes and risks of constipation in people with intellectual disabilities

Barriers to and complexities of supporting paid work for adults with learning disabilities

Barriers to and complexities of supporting paid work for adults with learning...

Employing people with learning disabilities on training programmes and research projects

How special interest groups can support safe sexual well-being in adults with learning disabilities

Safe sexual well-being in adults with learning disabilities

How special interest groups can support safe sexual well-being

Using the technique of mindfulness in people with learning disabilities

Using the technique of mindfulness in people with learning disabilities

Nurses have a key role in ensuring service users can access mindfulness-based interventions

Challenges in providing palliative care to adults with intellectual disabilities

A literature review exploring challenges for paid carers providing palliative care

Supporting people with learning disabilities and mental health issues: service users’...

Views of service users with learning disabilities and mental health issues

Using assistive technology to encourage independence and well-being in people with...

The functional needs of service users with complex physical impairments

Reflections on writing journal articles

An insight into publishing continuing professional development articles

Health Equalities Framework: the effect of moving from a care home to other settings on...

Health disparities between people with learning disabilities and the rest of the population

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