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.

How nurses can support informal carers of people living with dementia

How nurses can support informal carers of people living with dementia

Recognising the integral role of carers of patients with dementia is vital

Telehealth

Cognitive assessment using face-to-face and videoconferencing methods

Can small portable technology be effective in administering cognitive assessments?

Older people’s use of non-pharmacological interventions for chronic, non-cancer pain and comfort

Use of non-pharmacological interventions for chronic, non-cancer pain and comfort

This study may assist in planning effective pain treatment for older adults with chronic pain

Nutritional interventions for preventing malnutrition in people with dementia

Nutritional interventions for preventing malnutrition in people with dementia

People with dementia are at higher risk of malnutrition, which can have negative effects

How healthcare professionals can support older LGBTQ+ people living with dementia

How healthcare professionals can support older LGBTQ+ people living with dementia

Exploring some of the needs of older LGBTQ+ people with dementia

The role of the community matron: a structured approach to case management

The role of the community matron: a structured approach to case management

A critical analysis of the community matron service

Using the Relating to Older People Evaluation tool to measure ageism in higher education

Using the Relating to Older People Evaluation tool to measure ageism in higher education

The aim of this study was to explore the use of ROPE to examine ageist attitudes

A professional development programme for care home nurses in east London

A professional development programme for care home nurses in east London

How career progression programmes for care home nurses could be promoted

Development of a capability-based training programme for an advanced nurse practitioner

Development of a capability-based training programme for an advanced nurse practitioner

A capability-based training programme has the potential to support practitioners to develop

Cognitive decline: can diet be a preventive or treatment option?

Cognitive decline: can diet be a preventive or treatment option?

Cognitive decline has been associated with and accepted as a consequence of ageing. Diets such as the Mediterranean diet have been investigated for their effect on abating cognitive decline. However, diet is not the only aspect of the Mediterranean life that may play a role – social interaction and cultural engagement may also be influential in preserving cognitive function through the ageing process. This article discusses the perspective on cognitive decline and the influence the Mediterranean diet may have. It highlights that no sole dietary regimen will prevent cognitive decline and the UK healthy eating guidelines reflect those foods included in the Mediterranean diet. The focus should instead be on the way in which people engage with food, society and culture to maintain a healthy body and mind.

Attitudes and beliefs of healthcare workers about influenza vaccination

Attitudes and beliefs of healthcare workers about influenza vaccination

Background Annual influenza vaccination is recommended for all healthcare workers (HCWs) to help reduce the risk of contracting the virus and transmitting it to vulnerable people, especially older adults in residential care facilities. Vaccination uptake among HCWs remains low. Aim To investigate HCWs’ attitudes towards, and beliefs about, seasonal influenza vaccination in a residential care facility for older adults in the Republic of Ireland. Method Data were collected using a self-administered questionnaire. Results A total of 95 questionnaires were distributed, and 35 (37%) HCWs completed and returned them. During the 2016-17 flu season, 20 (57%) respondents were vaccinated. Primary predictors of vaccination acceptance were the belief that being healthy should not mitigate against requiring the vaccine (r=0.7, P=0.01), protection of self and family (r=0.67, P=0.01), protection of patients (r=0.592, P=0.01) and agreement with mandatory vaccination (r=0.351, P=0.039). Reasons for vaccination avoidance were misconceptions about the need for vaccination among healthy HCWs (67%), efficacy of the vaccine (60%), lack of trust in the vaccine (47%) and a belief that the vaccine may cause flu (47%). Conclusion Addressing HCWs’ beliefs relating to the personal benefits of vaccination while simultaneously correcting misconceptions may help to increase uptake among those working in residential care settings for older adults.

How healthcare professionals in acute settings construct identities for people with dementia

How healthcare professionals in acute settings construct identities for people with...

Background Healthcare professionals working in acute settings lack education and training in dementia care, resulting in people living with dementia receiving a reduced quality of care. Discourses are ways of communicating through written and spoken language, and healthcare professionals often adopt ageist discourses when constructing the identities of people living with dementia. Aim To explore how healthcare professionals working in acute settings construct the identities of people living with dementia. Method Semi-structured interviews were conducted with nine participants working in acute settings in the Republic of Ireland. Findings Participants adopted two main discourse areas to construct the identities of people with dementia. The first discourse area related to the act of caring and the second discourse area, described as ‘identity discourses’, centred on the everyday language used by healthcare professionals. While participants strived to be person-centred the culture of acute settings was often task orientated. Conclusion Caring for people with dementia is challenging in the acute healthcare setting. There is a need for ongoing training and effective continuing professional development strategies.

Understanding quality of life and well-being for people living with advanced dementia

Aim To investigate the quality of life (QoL) and well-being of people living with advanced...

Living well in older age: what can we learn from the Japanese experience?

Japan has the most aged population in the world. Not only do people live longer in Japan,...

Simulation-based training to teach nurses skills in falls assessment and prevention

A simulation-based training course was designed to support the development of nurses’ skills...

Practice of Namaste Care for people living with dementia in the UK

Originating in the US, Namaste Care aims to improve quality of life for people with advanced...

Improving the identification of patients with delirium using the 4AT assessment

Delirium is a common neuropsychiatric disorder that all those working with older people will...

Challenges of implementing and embedding a programme to improve care for older people...

The authors took part in a national research project that evaluated an intervention to...

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