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.

Benefits of a collaborative approach to service evaluation in urgent care

Why you should read this article: • To recognise that collaboration and service evaluation are important to enable high-quality care • To be aware of the benefits and challenges of collaborative service evaluation that involves staff from different clinical professions • To identify the value of interdisciplinary tabletop exercises in evaluating services Collaboration and service evaluation are essential enablers for improving models of health and social care. Significant benefits can be achieved when they are combined to form a collaborative service evaluation, particularly when such collaboration involves different clinical professions. This article uses the NHS 111 Wales service to explore a simple example of collaborative service evaluation and to discuss the benefits and challenges identified. While the tabletop exercises described were expected to focus solely on compliance data and the reasons for non-compliance, broader learning was identified for all parties involved. It became clear that there was a lack of shared understanding of each service, and that there were opportunities for education and opportunities to develop new national pathways. It is hoped that readers may be able to compare, learn and possibly replicate the collaborative approach used in their practice settings to achieve similar outcomes.

Assessment, diagnosis and treatment of children who present with stridor

Assessment, diagnosis and treatment of children who present with stridor

Stridor indicates partial upper airway obstruction and requires prompt medical assessment

Accidental hypothermia: pathophysiology, investigations and management

Accidental hypothermia: pathophysiology, investigations and management

Increase your awareness of the range of rewarming techniques used in accidental hypothermia

Investigating the link between organisational justice, positive organisational behaviour and productivity in emergency nurses

Links between organisational justice, positive organisational behaviour and productivity

How organisational justice can be linked to improve productivity in emergency nurses

Comparing the hair apposition technique with traditional closure in scalp lacerations: a literature review

Comparing the hair apposition technique with traditional closure in scalp lacerations

A literature review of the clinical outcomes for patients with scalp lacerations using HAT

Diagnostic and treatment dilemmas in well children with petechial rash in the emergency department

Diagnostic and treatment dilemmas in well children with petechial rash in the ED

Tailoring the investigation, treatment and discharge of well children with petechial rash

Pain assessment tools for use with children in acute pain in the emergency department

Pain assessment tools for use with children in acute pain in the emergency department

Triage nurses are required to use an appropriate, validated tool to assess acute pain

Engaging nurses in patient recruitment to research trials in the emergency department

Engaging nurses in patient recruitment to research trials in the emergency department

The challenges of undertaking a feasibility trial in a city centre emergency department

Hypomagnesaemia: diagnosis and management in the emergency department

Hypomagnesaemia: diagnosis and management in the emergency department

Enhance your knowledge of the clinical management of patients with a deficiency in magnesium

Researching nurses’ adherence to patient safety guidelines in emergency departments

Researching nurses’ adherence to patient safety guidelines in emergency departments

Increase your awareness of the Joint Commission International’s six patient safety goals

Trauma pain management in the emergency department: use of methoxyflurane as a patient-administered analgesic

Trauma pain management: use of methoxyflurane as a patient-administered analgesic

Learn about the use of methoxyflurane for people with traumatic injuries in the ED

Do educational interventions improve the attitudes of emergency nurses towards patients who self-harm? A systematic review

The efficacy of educational interventions on nurses’ attitudes to patients who self-harm

Do educational interventions improve attitudes of emergency nurses to patients who self-harm?

Factors that influence trauma team activation in emergency department staff

Evaluation of the factors influencing the decision to activate the trauma team in ED staff

Acute behavioural disturbance: recognition, assessment and management

ABD typically affects overweight men in their mid-thirties who misuse illicit stimulants

Factors that affect nurses’ triage decisions in the emergency department

A literature review of recent studies on factors influencing ED nurses’ triage decisions

Assessing and managing people exposed to conducted energy device (Taser) discharge

Role of nurses in post-Taser assessment and management in custodial and emergency settings

Managing a patient presenting to the ED with upper gastrointestinal bleeding

Familiarise yourself with a care bundle that can be used for rapid assessment and management

Too much of a good thing? Diagnosis and management of patients with serotonin syndrome

Interventions that can be administered in the emergency department

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