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 malnutrition in older adults in the community during the COVID-19 pandemic

Managing malnutrition in older adults in the community during the COVID-19 pandemic

Interventions for nurses caring for older adults in the community to identify malnutrition risk

Benefits of medicines optimisation for older people living with frailty

A case study of polypharmacy involving an older person living with frailty

Effective mouth care for older people living in nursing homes

Effective mouth care for older people living in nursing homes

The reasons why oral health can deteriorate in nursing home residents and potential effects

Identifying and treating sepsis in older people: a quality improvement project in hospitals and nursing homes in Texas

Identifying and treating sepsis in older people: a quality improvement project in Texas

Sepsis training for hospital and nursing home staff can reduce sepsis mortality

Developing a support group for carers of people living with dementia

A dementia nurse specialist who ran an educational support group for carers reflects on it

Fast-track training of temporary healthcare support workers to supplement hospital staff during the COVID-19 pandemic

Fast-track training of temporary healthcare support workers to supplement hospital...

How a Scottish health board trained and redeployed staff to work as temporary healthcare support workers

Palliative and end of life care for people with advanced dementia

Palliative and end of life care for people with advanced dementia

The status and direction of palliative care for people with dementia

Using virtual care interventions to provide person-centred care to hospitalised older people with dementia

Using virtual care interventions for hospitalised older people with dementia

Using iPads can help patients connect with family and take part in person-centred activities

How nurses can support the inclusion in research of older people who lack capacity to consent

How to support the inclusion in research of older people who lack capacity to consent

Support for nurses to ensure that older people who lack capacity can participate in research

COVID-19: the experiences of a frailty specialist community rapid response team

COVID-19: the experiences of a frailty specialist community rapid response team

Changes made to service delivery by a team caring for older people living with frailty

Learning and leadership in advanced dementia care

Learning and leadership in advanced dementia care

Evidence about leadership skills and competencies needed in advanced dementia care is scant

A survey of nurses involved in assessing the eligibility of older people for NHS continuing healthcare

A survey of nurses involved in assessing the eligibility of older people for NHS...

Why you should read this article: • To gain insight into the complexity of NHS continuing healthcare (CHC) assessments • To reflect on what skills and knowledge are required for the optimal assessment of an older person’s eligibility for CHC • To understand the training and development needs of nurses involved in CHC-associated work Background Nurses in England play a prominent role in NHS continuing healthcare (CHC) assessments, but there are no overview data on their knowledge and educational needs. Aim An online survey was conducted to identify the educational status and development needs of nurses involved in CHC assessments. Method The survey was informed by a literature review and focus group discussions, and distributed via email to the members of the Royal College of Nursing older people’s forum. Descriptive data analysis was undertaken. Results Overall, respondents were confident about their ability to undertake CHC-associated work and manage each aspect of the CHC process. However, respondents were less confident about how to determine whether a primary health need exists based on the four main criteria – nature, complexity, intensity and unpredictability – of a person’s health and social care needs. This was one of the respondents’ priorities for training and development. Conclusion The survey demonstrates the importance of face-to-face and multidisciplinary CHC training delivered locally. It also confirms the need for a standardised approach and more consistency in the CHC assessment process. A CHC competency framework would contribute to standardise the process and benefit all involved.

Dignity, well-being and identity: a qualitative study of older people’s interpretations...

An analysis of interviews with ten community-dwelling older people

Meaningful activity in advanced dementia

Evidence-informed, creative interventions for people living with advanced dementia

Developing a dementia care leaders’ toolkit for older patients with cognitive impairment

Improving hospital care for older patients with cognitive impairment, including dementia and...

How can identifying and grading frailty help in acute and community settings?

Designing bespoke services for individuals with frailty in the community and hospital
Open access

Improving the provision of nutritional care for people living with dementia in care...

How care home staff can improve nutritional care for people living with dementia

Delivering personal care for people with advanced dementia

Evidence for the assessment of personal care for people with advanced dementia

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