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.
Orem’s self-care model: understanding how traditional masculinity affects men’s health
Nurses need to know specific aspects of masculinity ideology as it can affect self-care
Early implementation of the Enhanced Health in Care Homes model due to COVID-19
One nurse’s experience of implementing the model in a care home and the challenges overcome
Treating opiate dependence in primary care: the role of non-medical prescribers
How a clinical service developed in London to address the growing issue of opiate dependence
How eConsult has transformed patient care and staff well-being in an NHS practice
Why you should read this article: • To appreciate the changes that eConsult can bring to the staff and patient experience • To understand how eConsult can enhance patient care and ease staff workload • To reflect on how digital care delivery needs to reflect patient preference and accessibility A complete telephone triaging model was introduced at Hillview Surgery in London as the COVID-19 pandemic lockdown began, enabling doctors, nurses and clinical pharmacists to treat more patients through telephone and video consultations, and reducing the number of face-to-face consultations and home visits. The high volume of calls was unsustainable, so the practice explored other methods of communicating with its patients, including email and the online triage and consultation tool eConsult. The authors report on their experiences of using these new systems and their benefits for patients and staff.
Stepped care model and depression in primary care
Learning and developing ideas for how you could implement stepped care in your practice
Improving the recruitment of primary care patients to clinical research studies
Strategies for improving the recruitment and retention of participants to research
Using simulation to encourage nursing students to deliver health promotion in practice
Tools and techniques used in the simulation exercise
Optimising the assessment and management of lower limb wounds in general practice
Why you should read this article: • To enhance your knowledge of the potential benefits of using an automated device rather than a Doppler assessment to measure and calculate ankle-brachial pressure index (ABPI) ratios • To be aware of how a specific leg ulcer pathway could improve wound care and management in general practice • To understand how optimising the care of patients with lower leg wounds could result in time and cost savings Patients who present to general practice with a complex lower limb wound or vascular concerns are often referred to other services for review, which may cause delays to their assessment and treatment. To provide prompt assessment and management for patients with lower leg wounds or vascular concerns, a service improvement project was developed to provide a pathway for these patients. Automated ankle-brachial pressure index (ABPI) devices were supplied to 19 GP surgeries and one community vascular clinic in the project region, with training, protocols and project leadership also provided. General practice nurses undertook automated ABPI readings for patients with a wound or vascular concern and provided appropriate care. Patients with complex wounds and those with vascular concerns were referred to other services where appropriate. This article describes the results of the service improvement project and its effect on patient care.
Exploring differential diagnosis decision support systems for trainee advanced...
Advanced practitioners are increasingly deployed to assess, diagnose and manage patients
Managing childhood vaccination clinics during COVID-19: risks and solutions
What to consider so childhood vaccination clinics continue and parents are supported
Understanding the benefits of the district nurse specialist practitioner qualification
A reflection on the importance of post-graduate education in district nursing
Facebook as a conduit for population health messaging
Advice and suggestions about how to develop the social media platform in practice areas