Clinical

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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.

Indwelling pleural catheter insertion for the management of malignant pleural effusion...

Why you should read this article: • To enhance your knowledge of the treatment options for patients with malignant pleural effusion • To learn about patients’ experiences of living at home with an indwelling pleural catheter • To understand the potential benefits of self-led care in managing an indwelling pleural catheter at home Malignant pleural effusion is a complication of advanced cancer that causes distressing dyspnoea (breathlessness). An indwelling pleural catheter (IPC) is an option for the management of recurrent effusions; however, patients’ experiences of IPC treatment have not been studied in detail. This article describes a service evaluation that was undertaken to explore patients’ experiences of IPC treatment when discharged home following insertion. Ten patients with malignant pleural effusion undergoing IPC insertion participated in semi-structured interviews, and the data from these were thematically analysed using the framework method. It was found that most patients reported symptomatic improvement as a result of the IPC, but this did not correlate with functional improvement. One patient had no symptomatic or functional improvement and regretted having the procedure. The IPC was preferred by patients compared with other management interventions they had received previously. Further studies are required to identify which patients are unlikely to experience symptomatic benefit from the use of IPCs.

Supporting school nurses to deliver emotional and mental health interventions: a service evaluation

Supporting school nurses to deliver emotional and mental health interventions

The experiences and perceptions of a small school nursing team of the support they receive

Professional, legal and ethical dimensions of prescribing. Part 2: legal and ethical

Professional, legal and ethical dimensions of prescribing. Part 2: legal and ethical

Legislation and underpinning ethical principles that guide decision-making in prescribing

Professional, legal and ethical dimensions of prescribing. Part 1: professional

Professional, legal and ethical dimensions of prescribing. Part 1: professional

This first article of two identifies the main professional dimensions of prescribing practice

Using the ‘8Rs’ checklist to support safe vaccination practice

Using the ‘8Rs’ checklist to support safe vaccination practice

Enhance your understanding of the principles of safe vaccination practice

Integrating new non-medical practitioners in general practices: barriers and facilitators

Integrating new non-medical practitioners in general practices

Barriers and facilitators to integrating new non-medical practitioners in general practices

COVID-19 and diabetes: onset and challenges in management

COVID-19 and diabetes: onset and challenges in management

There is a clear correlation and bidirectional relationship between diabetes and COVID-19

Pre-registrant nurses’ perceptions of general practice as a first-post destination

Pre-registrant nurses’ perceptions of general practice as a first-post destination

Understand nursing students’ perceptions of entering general practice as a first post

Development of the nursing associate role in community and primary care settings across England

Development of the nursing associate role in community and primary care settings

The role has been part of the health and social care workforce in England since 2017

Restarting spirometry testing: considering and minimising the risks posed by COVID-19

Restarting spirometry testing: considering and minimising the risks posed by COVID-19

Recommendations for minimising the risks of infection when restarting spirometry testing

Using co-production in the implementation of community integrated care: a scoping review

Using co-production in the implementation of community integrated care: a scoping review

Boost your awareness of the benefits and challenges of co-production in integrated care

Optimising treatment in older people with type 2 diabetes and frailty: the role of district nurses

Optimising treatment in older people with type 2 diabetes and frailty

Acknowledging the need for district nurses to keep up to date with advances in diabetes care

Caring for people who are homeless: the work of a nurse to educate and train others

A practice-based account addressing the challenges faced by this vulnerable patient group

Clostridioides difficile infection: update on identification, management and prevention

The pathophysiology, transmission and treatment of Clostridioides difficile infection

Reflections on a patient presenting with atypical cholecystitis in primary care

Recognise the challenges of diagnosing patients with atypical presentations in primary care

Meeting the challenges of cervical cancer screening and HPV vaccination in the UK

Most deaths from cervical cancer could be avoided if women had regular cervical screening

Evaluation of an emotional well-being at work programme for supporting health visiting...

Developing ideas to help support your team members during the pandemic

Delivering the annual immunisation update to primary care staff via live online learning

How a training provider switched from a face-to-face to an online training delivery format

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