Search

The article discusses the importance of physical activity promotion by health professionals in increasing population physical activity levels. It highlights the World Health Organization's Global Action Plan on Physical Activity and the International Society for Physical Activity and Health's Eight investments that work for physical activity as key strategies. The article emphasizes the need to strengthen the training of health professionals to increase their knowledge and skills for promoting physical activity. It also provides physical activity guidelines for different populations and discusses the effectiveness of physical activity advice in various healthcare settings. The article proposes a continuum of physical activity advice that can be tailored to different time constraints and settings. Overall, the article emphasizes the role of all health professionals in promoting physical activity and the potential impact on population health. [Extracted from the article]

ABSTRACT Objective Methods Results Conclusions This study aims to explore the combined risk of metabolic syndrome (MetS) and low fat‐free mass (FFM) on an individual's disability‐free survival (DFS). Disability is defined as a composite of dementia, physical disability, and mortality.Using data from the Korean Genome and Epidemiology Study, we divided 3721 participants aged 40–69 years based on their MetS status and FFM index (FFMI) score. Kaplan–Meier survival analysis and Cox regression were used to analyze differences in DFS between the four groups.From 108 events, MetS group had significantly shorter DFS than the non‐MetS group regardless of FFMI (p < 0.0001). After adjusting other potential confounding variables, the MetS group had a higher risk of shortened DFS regardless of FFMI, and the MetS group with low FFMI had a 2.06‐fold increased risk compared to the non‐MetS group with high FFMI (p < 0.001). Older age and lower income were also associated with higher risk of shorter DFS (p < 0.001).The combination of MetS and low FFMI contribute to a cumulative risk of shortened DFS. Community nurses can perform MetS screening and body composition assessment to predict and control the risk of developing disability over time. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Methods Results Conclusion Trial Registration Name of trial registry Hypertension is one of the most common chronic diseases worldwide. Therefore, it is essential to improve patients' adherence to treatment in order to control their blood pressure. The present study aims to examine the effect of a smartphone application‐supported nursing care program provided by a nurse on medication adherence and achievement of normal systolic and diastolic blood pressure levels among patients diagnosed with primary hypertension and registered at the Family Health Center within the context of patients' self‐management behaviors.A randomized controlled experimental study design. CONSORT flow chart was used in the study. The study sample consisted of 41 hypertensive patients in the intervention group and 41 hypertensive patients in the control group. The intervention group was supported with a smartphone application named “HiperDostum” based on the health belief model, whereas the control group continued to receive standard healthcare services provided by the Family Health Center, to which they were affiliated. Data were collected using the “Patient Information Form,” “Blood Pressure Monitoring Form,” and the “Medication Adherence Self‐Efficacy Scale—Short Form.”It was observed that the intervention group participants had higher medication adherence self‐efficacy scale scores when compared to the control group participants. Comparing the blood pressure values by group, time, and group*time interaction, it was determined that there were statistically significant differences in systolic blood pressure values by time and group*time interaction.Considering the widespread use of smartphones and smartphone application‐supported nursing care can be successfully used to enhance self‐management and improve treatment adherence among hypertensive patients in primary healthcare institutions.Registration number: NCT0532140;The Effect of Smart Phone Application Supported Nursing Care Program on the Self‐Management of Hypertensive Patients [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Results Conclusions Reporting Method Patient or Public Contribution To explore activities performed by community nurses in community health centre clinics and during home visits.Cross‐sectional, observational using time and motion technique. Data collected during lockdown in 2020.Community nurses' work in clinics and during home visits were observed and recorded. The purposefully designed data collection tool covered six categories (Administration, Communication, Direct care, Documentation, Indirect care and Other) and 35 activities relative to community nurses' work.Eight hundred and ten complete timings were obtained. Community nurses' time was most often (86.5%) spent on Direct care, Communication, Documentation and Other activities. Patient education occurred more often in the home.The type, frequency and time taken to complete community nursing activities provides insight into the community nurse role. Addressing inefficient practices such as documentation and travel could serve to improve workload.Adheres to EQUATOR guideline STROBE for cross‐sectional studies.No patient or public contribution. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Results Conclusion Implications for the profession Impact To describe nurses' and community‐based organization representatives' collaborative strategies for advancing climate justice with communities.This study used a descriptive, qualitative research design.Data were gathered from August 2022 to February 2023 with nurses (n = 8) and their community partners (n = 5) in the United States. Community partners were representatives of community‐based organizations. Photovoice provided greater context for the thematic analysis of collaborative strategies discussed in semi‐structured interviews.Nurse participants worked in academic or non‐profit settings. Nurse‐community partnerships addressed corporate pollution and promoted Indigenous sovereignty and multispecies justice. Themes included investigating disease and health events, identifying at‐risk populations and connecting them with resources, providing health teaching and counseling, organizing communities and coalitions, and advocating for policy development and enforcement. Self‐care supported resilience and well‐being in the long struggle for climate justice.Findings from this study indicated that nurses and their community partners strategize to transition communities away from systems of extraction towards local and regenerative systems that support resilience. Nurses and their community partners recognized the importance of applying an expansive understanding of climate justice, including intersections of pollution and multispecies justice, to promoting planetary health.Findings from this study support nurse‐community collaboration in policy work to advance planetary health. This study also supports nurses' collective action with their community partners to address the effects of white supremacy and colonization. Future research is needed to evaluate the outcomes of nurse‐community partnerships for planetary health.Nurses have called for action on climate justice; however, evidence of effective nursing strategies that advance climate justice is sparse. This study is the first to describe the collaborative strategies nurses implement with community partners to support the transition from injustice to justice in communities most burdened by climate change and industrial pollution. [ABSTRACT FROM AUTHOR]

Background: Allocating healthcare resources to local areas in proportion to need is an important element of many universal health care systems, aiming to provide equal access for equal need. The UK National Health Service allocates resources to relatively large areas in proportion to need, using needs-weighted capitation formulae. However, within those planning areas, local providers and commissioners also require robust methods for allocating resources to neighbourhoods in proportion to need to ensure equitable access. We therefore developed a local resource allocation formula for NHS district nursing services for a City in the North West of England, demonstrating a novel application of the national formulae principles for equitable resource allocation to small areas. Methods: Using linked data from community health services, primary care, secondary care and social care, we used a zero-inflated Poisson regression to model the number of district nursing services contacts for each individual based on predictors of need, while including the supply of district nurses per head to account for historical supply induced patterns. Individual need was estimated based on the predictions from this model, keeping supply fixed at the average. We then compared the distribution of district nurses between neighbourhoods, based on our formula, to the current service staffing distribution. Results: Key predictors of need for district nursing services were age, deprivation, chronic diseases such as, cardiovascular disease, chronic liver disease, neurological disease, mental ill health, learning disability living in a nursing home, living alone, and receiving palliative care. Need for district nursing services was highly weighted towards older and more deprived populations. The current distribution of staff was, however, more correlated with age than deprivation. Moving to a needs-based staffing distribution would shift staff from less deprived areas to more deprived areas potentially reducing inequalities. Conclusion: A neighbourhood-level model for needs for district nursing is a useful tool that can potentially improve the allocation of resources, addressing unmet need and inequalities. [ABSTRACT FROM AUTHOR]

Background: The evaluation of productive engagement of old adults has become a challenging task because cultural, ethical, religious, and other personal values may influence perceptions of the meaning and consequences of productive engagement. Assessing the productive engagement of the older adults is crucial to promote active and productive aging. The objective of this study was to develop and validate a questionnaire concerning the productive engagement of Chinese older adults in the community. Methods: A draft scale was created via a literature review and interviews with 17 older adults in the community, following the cross-cultural framework for productive engagement in later life. Content validity was assessed by seven experts. Subsequently, a preliminary questionnaire containing 33 items was developed and its psychometric properties were evaluated. Results: The final version of the questionnaire was composed of 27 items distributed across five dimensions. The overall standardized Cronbach's α for the productive engagement questionnaire was 0.904, with individual dimension values ranging from 0.759 to 0.869. Nearly all dimensions displayed satisfactory factor loadings. The correlation coefficient between each item's score and its respective dimension ranged from 0.473 to 0.723. Conclusions: The developed questionnaire exhibited good validity and reliability, showing promise for effectively evaluating the productive engagement level of Chinese older adults within the community. Trial registration: Not applicable. [ABSTRACT FROM AUTHOR]

Aim Context Approach Conclusion The aim of this revision was to update the Remote Area Nurse (RAN) Model of Consultation (MoC) and was prompted by publication of the National Rural and Remote Nursing Generalist Framework (2013–2018), shifts in RAN workforce patterns, community health patterns and technology use.Rural and remote residents face higher rates of hospitalisations, deaths and poorer access to health care with a significant burden of avoidable fatal conditions among Aboriginal and Torres Strait Islander peoples. Health care is mostly provided by RANs and Aboriginal and Torres Strait Islander Health Practitioners (ATSIHPs), addressing diverse health needs, a mobile population and navigating cross‐cultural situations. Despite challenges such as clinician shortages, RANs manage a significant portion of non‐emergency consultations. The RAN MoC was developed to ensure comprehensive, systematic and person‐centred care and to mitigate risk to the client, the nurse and the health service.The 11 expert panel members, all authors, revised the RAN MoC through a series of Microsoft Teams meetings, one face‐to‐face meeting and an exchange of emails. The principles were reorganised under the four domains of the National Rural and Remote Nursing Generalist Framework and mapped against the National Safety and Quality Primary and Community Health Care Standards.The revised RAN MoC is designed to provide evidence based culturally informed care, standardise RAN consultation best practice and improve the health outcomes of their clients. With the increased turnover and number of nurses ‘new’ to remote, more innovative approaches to education and dissemination of the model is necessary. [ABSTRACT FROM AUTHOR]

ABSTRACT Mental health nurses and health cadres in Indonesia who provide care to persons with mental illness (PWMI) report encountering several challenges and obstacles to the delivery of quality care. At present, there is a paucity of research on this topic. The objective of this study was to examine the challenges encountered by mental health nurses and health cadres in their interactions with the families of PWMI in the community. This descriptive qualitative study employed focus group discussions, conducted in three Indonesian cities: Banda Aceh, Surabaya and Yogyakarta. Thematic analysis was utilised to analyse the data. The study revealed that the theme of this research is nurses and health cadres experienced challenging family behaviours toward a PWMI. The initial subtheme of family behaviour is ‘concealing the PWMI.’ This subtheme encompasses instances where families attempted to hide the mental health condition of the PWMI. The second subtheme is ‘unsupportive families’. This subtheme is characterised by reluctance to engage in treatment or outright rejection of hospital care. This is often due to factors such as familial busyness. The third subtheme is ‘poor parenting styles’. This subtheme highlights how inadequate parenting practices, domestic violence and lack of family support contribute to stress and exacerbation of mental disorders in PWMI. The fourth subtheme is ‘hidden motive related to wills and testaments’, which reveals how families may attempt to manipulate treatment to remove the inheritance rights of PWMI. The fifth subtheme is ‘abandonment by family’, which describes scenarios where families completely neglect PWMI, leading to inadequate care and medication adherence. The final subtheme, ‘removal of PWMI from family units’, describes instances where families sent PWMI to mental health facilities for permanent separation, sometimes even relocating to another city. To address these issues, a comprehensive approach is required that considers both the affected individuals and their families. An understanding of the motivations behind these behaviours is essential for the development of targeted interventions that promote family support, reduce stigma and improve the overall mental health environment in communities. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective Design Sample Measurements Results Conclusions This study explores the practices of Chinese community nurses in hypertension management, using Pierre Bourdieu's theory of practice to understand how their routines are shaped by sociocultural and institutional forces, along with their professional dispositions.A qualitative descriptive study was conducted in Shenzhen, China, between March and June 2024, and is reported following the COREQ guidelines.Eighteen nurses, each with at least 1 year of full‐time experience in hypertension care within the local community healthcare system, were recruited from a participant pool established through prior research.Face‐to‐face individual semistructured interviews were conducted using a structured interview protocol, and data were analyzed through thematic analysis.Community nurses face tensions between traditional health beliefs and modern hypertension care, as well as institutional pressures that prioritize efficiency over personalized care. Power imbalances, particularly the authority of doctors, complicate their role. However, nurses adapt their care strategies through embodied practices, balancing clinical standards with patient needs.Community nurses are not mere enforcers of guidelines but adaptive professionals who navigate complex sociocultural norms, institutional demands, and power dynamics in hypertension care. This study underscores the necessity for flexible, culturally sensitive practices to improve public health outcomes. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective Design and Sample Measurements Results Conclusions This study aimed to develop a scale to assess public health nurses’ (PHNs’) advocacy practices in groups and communities in Japan and determine its reliability and validity.This study is a cross‐sectional investigation. The sample comprised PHNs across various municipalities in Japan.Anonymous self‐administered questionnaires were conducted, including the attributes of PHNs, a preliminary scale, and external criteria. Reliability was assessed by calculating the alpha coefficient. To ascertain construct validity, exploratory and confirmatory factor analyses were conducted.A total of 432 questionnaires were analyzed. The scale comprised 27 items divided into five factors: “Raising awareness of the challenging situation faced by disadvantaged individuals,” “Empowering disadvantaged individuals to improve their situation autonomously,” “Establishing a foundation in local governments and community groups of disadvantaged individuals for advocacy initiatives,” “Working toward policy changes,” and “Collaborating with stakeholders and organizations to enhance the effectiveness of activities.” The Cronbach's alpha coefficient for this scale was 0.945. Model fit indices included a comparative fit index of 0.907, a goodness‐of‐fit index of 0.840, an adjusted goodness‐of‐fit index of 0.806, and a root mean square approximation of 0.067.The developed scale demonstrated satisfactory reliability and validity. [ABSTRACT FROM AUTHOR]

Aim: Rheumatic heart disease (RHD), a consequence of acute rheumatic fever (ARF), continues to cause significant morbidity and mortality in susceptible young people. Secondary antibiotic prophylaxis is an effective strategy to prevent ARF recurrence and RHD progression. However, the proportion of patients receiving the recommended minimum benzathine penicillin injections (>80%) remains low. This retrospective cohort study reviews the utility of the Hospital in the Home nursing service in providing secondary prophylaxis for outpatients in a metropolitan state capital. Methods: Fifty‐eight patients with ARF/RHD receiving secondary prophylaxis through the Hospital in the Home service between 1 July 2012 and 30 June 2020 were included. Compliance of secondary prophylaxis, specialist review and echocardiogram frequency were compared against the recommendations from the Australian RHD guidelines. Results: Forty‐six (79%) patients received >80% of recommended doses, with 36% (n = 21) receiving 100% and a further 29% (n = 17) achieving compliance of 90%–99%. We found that 35% of patients attended all specialist reviews (including echocardiography) at the recommended frequency, with 75% of those not attending all reviews, missing only one or two appointments. Compliance was greater in those with more severe disease. In the 12 (21%) patients who did not meet the >80% target, compliance ranged between 33% and 79% (mean 64.5%) and all had priority 3 disease. Conclusion: Community‐based administration of secondary prophylaxis through a registry‐based system is an effective strategy of improving compliance within a metropolitan area and should be utilised in a culturally safe and collaborative manner to increase uptake. [ABSTRACT FROM AUTHOR]

Objective: The present study aimed to identify the prevalence and predisposing factors of frailty and social inclusion among community‐dwelling older adults. Design: The study was conducted using a cross‐sectional design. Sample: The target population consisted of older adults registered in five family health centers in a city in Turkey. The study was completed with 600 older adults. Measurements: The Tilburg frailty indicator (TFI) and the social inclusion scale were used to collect data. Results: The prevalence of frailty in older adults was 60.5%. Multiple logistic regression analysis indicated that the risk of frailty was found to be higher in older adults aged 75 and over (2.5 times), those with low education level (5.8 times), those who were single (2 times), those with chronic diseases (1.8 times), those with unhealthy lifestyle (2.8 times), and those who were dissatisfied with their home living environment (5.9 times). It was found that age, education level, marital status, income, presence of chronic disease, lifestyle, satisfaction with their home living environment, and frailty explained 50% of the variance in social inclusion. Conclusion: The study concluded that most community‐dwelling older adults were frail, and social inclusion was lower in those frail. Age, education level, marital status, lifestyle, presence of chronic disease, and satisfaction with their home living environment were found to be predisposing factors for both frailty and social inclusion. Public health nurses could develop strategies to prevent frailty in older adults and increase activities that encourage participation in social life. [ABSTRACT FROM AUTHOR]

America is facing a primary care provider shortage. Enhanced primary care RNs (EPC‐RNs), registered nurses working at the top of their practice scope, can be an important part of community‐based primary care provision. Typically, community health nursing education has not included primary care‐based clinical experiences, and there is a clinical site shortage. Teaching students about EPC‐RN roles can be an important domain of community/public health nursing education. Simulation is a creative pedagogical approach to learning about the EPC‐RN role. The purpose of this manuscript is to 1) describe EPC‐RN Telehealth Simulation development; and 2) describe student simulation feedback. Nursing faculty and simulation experts designed five simulations for community health students to teach about the EPC‐RN role, incorporating recommendations from the Quad Council Coalition of Public Health Nursing Organizations community/public health nursing competencies and the National Competencies for Registered Nurses in Primary Care. Retrospective, descriptive quantitative, and qualitative student feedback data (n = 519) was collected through QuestionPro over multiple semesters. Student feedback data demonstrated support of the use of the simulations in community/public health nursing education. The EPC‐RN Telehealth Simulations prepared pre‐licensure nursing students to practice in community‐based primary care settings. Innovative, sustainable experiences such as this can improve community/public health nursing education. [ABSTRACT FROM AUTHOR]

The Jikei Academic Nursing Practice Center for the Community developed a community nursing practice that matched community health problems and concerns in Chofu and Komae cities, suburban areas of the Tokyo Metropolis. This study aimed to identify health problems and high‐risk populations via an understanding of the practice of health behaviors, health literacy, and quality of life. This was an online, cross‐sectional study conducted in September 2023. In total, 1520 (Chofu: n = 1170; Komae: n = 350) participants were enrolled. Participants' demographic characteristics, health literacy, health behaviors, and quality of life scores were obtained. Sleep quality was poor compared with national data. Younger participants had higher poor health literacy, did not practice health behaviors, and had a lower quality of life. In addition, parenting and informal nursing care for family members were associated with unhealthy eating, smoking, drinking, and poor quality of life. This study found that health problems and concerns before planning were significant in increasing the salience of interventions for community residents. Based on the findings of this study, an action plan for community‐wide nursing practice was created. [ABSTRACT FROM AUTHOR]

Carbon monoxide is a colourless, tasteless and odourless gas that is a by-product of incomplete combustion of hydrocarbons such as gas or coal. Carbon monoxide poisoning is associated with high levels of mortality and morbidity, although the symptoms of exposure are non-specific and difficult to diagnose. Historically, healthcare professionals who work directly in service users' homes have faced a higher risk of exposure to environments contaminated with carbon monoxide. Despite improved heating engineering and greater protective legislation, there still remains a tangible risk for community nurses and service users, particularly in homes still using open fires, old heating systems and poorly maintained heating appliances. This article provides a scientific summary of carbon monoxide poisoning for nurses working in the community setting. It outlines evidence-based guidance on prevention and initial treatment actions, along with safety instructions to follow in the event of exposure to carbon monoxide. [ABSTRACT FROM AUTHOR]

Introduction: Preventive care practices are a challenge in community care. This study examined hantavirus preventive practices and their relationship with personal and social factors, lifestyle, and cultural beliefs. Method: An explanatory sequential mixed methods design, guided by Leininger's Theory of Culture Care Diversity and Universality, was used in two phases: (a) a cross-sectional relational design (n = 109) and (b) ethnonursing research (n = 30), in an endemic community in Panama. Univariate and bivariate analyses were used to analyze the quantitative data, whereas the Leininger's analysis model was used to analyze the qualitative data. Results: In the quantitative phase, the most frequent preventive practice was household hygiene, and the least frequent was vector control. Two of the eight preventive practices were associated with personal factors and two were associated with social factors. In the qualitative phase, lifestyle, beliefs, and context were found to influence the adoption of hantavirus preventive practices and help explain the quantitative findings. Discussion: Knowledge and understanding of the social and cultural contexts are essential for hantavirus prevention. [ABSTRACT FROM AUTHOR]

To describe the resilience and emotional intelligence of Registered Practical Nurses working in Home and Community Care during the COVID-19 pandemic. Specifically, to determine if there was a relationship between resilience and emotional intelligence based on whether a nurse: (1) left the sector, (2) considered leaving, or (3) took a leave of absence during the pandemic. An online cross-sectional survey was used to capture respondents' demographic information and scores on the Connor–Davidson Resilience Scale, Resilience at Work Scale®, and Wong and Law Emotional Intelligence Scale. Registered Practical Nurses working, or who had worked, in Home and Community Care January 2020 to September 2022 were eligible to participate. The Checklist for Reporting Results of Internet E-Surveys was used. The survey was available June to September 2022 and advertised by the Registered Practical Nurses Association of Ontario to approximately 2105 members. Descriptive statistics and independent samples t -tests were used to analyze results at a level of P <.05 was used for all analyses. A total of 672 respondents participated (completion rate = 92.8%). There were no differences on resilience or emotional intelligence scores based on whether a nurse left, or considered leaving, the Home and Community Care sector during the pandemic. However, nurses who took a leave of absence scored significantly higher on resilience and emotional intelligence measures when compared to those who did not. Results suggest that a leave of absence for these nurses during the pandemic may have been a supportive coping strategy. [ABSTRACT FROM AUTHOR]

Aim: To map key characteristics and describe nurse led models of care for the treatment of persons with substance use disorders (SUDs) in the outpatient setting. Design: A scoping review. Methods: Conducted in accordance with the JBI methodology. The PRISMA‐ScR checklist was used. Data Sources: Pubmed, CINAHL Complete (EBSCOhost), Cochrane Library, APA PsycNet and Scopus were searched from 1999 to May 2022 and updated on 28 November 2023. A handsearch and a grey literature search was conducted. Results: Title and abstract screening was performed on 774 articles resulting in 88 articles for full text screening. Full text screening yielded 13 articles that met inclusion criteria. Conclusion: Existing nurse‐led models of care for SUDS are scarce and limited in scope, with the majority focused on treating opioid use disorder. Additional research is needed to develop, test, and implement efficacious nurse‐led models of care for the treatment and management of SUDs. Implications to Clinical Practice: Nurse led models of care have demonstrated their efficacy and quality in the management of other chronic diseases. As we move forward with innovative solutions for individuals with addiction, nurse led models of care can be a mechanism to deliver high quality, evidence‐based care for SUDs. Impact: SUDs are chronic diseases that impact individuals, families, and communities. SUDs require a biopsychosocial approach to treatment. Globally, nurses are well positioned to provide high quality care to mitigate the impact of SUDs. This scoping review mapped the extant literature on nurse led models of care for substance use disorder treatment in the outpatient setting finding that additional research is needed to develop, test and implement evidence‐based interventions to care for individuals, families, and communities experiencing SUDs. Reporting Method: PRISMA checklist for scoping reviews. No patient or public contribution were part of this study. Protocol Registration: Open Science Framework accessible at: https://doi.org/10.17605/OSF.IO/NSW7V. [ABSTRACT FROM AUTHOR]

The article discusses the management of end-stage chronic limb-threatening ischaemia (CLTI), focusing on symptom relief and maintaining quality of life for patients not eligible for revascularisation. Topics include conservative management strategies, pain management approaches, and the importance of a multidisciplinary care team.

ABSTRACT Context Objective Design Results Conclusions Starting face‐to‐face education while the COVID‐19 pandemic was ongoing was a risk for public health. Determining teachers’ initial reactions to public health practices during this high‐risk period may contribute to the redesign of public health and school nursing policies.The aim of this research is to examine the relationship between primary school teachers’ COVID‐19 fear levels and COVID‐19 vaccine attitudes.The research has a descriptive correlational design. The data were obtained from teachers working in primary schools (n = 430). Simple random sampling method was used in the data collection process. Data were obtained with the Scale of Attitudes Towards COVID‐19 Vaccine and Fear of COVID‐19 Scale.In the study, 50.5% of teachers reported that they were afraid of catching COVID‐19, 41.9% said their risk of catching COVID‐19 was “high,” and 87.7% reported that they voluntarily got the COVID‐19 vaccine. Of the teachers, 4.6% (n = 20) stated that they regretted getting vaccinated. A positive and significant relationship was found between teachers’ Fear of COVID‐19 Scale and COVID‐19 Vaccine Attitude Scale scores (r = 0.133, p < 0.001).During the pandemic, it was observed that teachers’ fear level of COVID‐19 increased with the start of face‐to‐face education. In addition, it is seen that teachers started to have doubts about some public health practices. This may indicate that public health nurses should take a more active role in school health practices. [ABSTRACT FROM AUTHOR]

ABSTRACT Objectives Design Results Conclusion The aim of the study was to analyze the data of diabetic patients regarding warning signs of hypoglycemia to predict it at an early stage using various novel machine learning (ML) algorithms. Individual interviews with diabetic patients were conducted over 6 months to acquire information regarding their experience with hypoglycemic episodes.This information included warning signs of hypoglycemia, such as incoherent speech, exhaustion, weakness, and other clinically relevant cases of low blood sugar. Researchers used supervised, unsupervised, and hybrid techniques. In supervised techniques, researchers applied regression, while in hybrid classification ML techniques were used. In a 5‐fold cross‐validation approach, the prediction performance of seven models was examined using the area under the receiver operating characteristic curve (AUROC). We analyzed the data of 290 diabetic patients with low blood sugar episodes.Our investigation discovered that gradient boosting and neural networks performed better in regression, with accuracies of 0.416 and 0.417, respectively. In classification models, gradient boosting, AdaBoost, and random forest performed better overall, with AUC scores of 0.821, 0.814, and 0.821, individually. Precision values were 0.779, 0.775, and 0.776 for gradient boosting, AdaBoost, and random forest, respectively.AdaBoost and Gradient Boosting models, in particular, outperformed all others in predicting the probability of clinically severe hypoglycemia. These techniques enable community health nurses to predict hypoglycemia at an early stage and provide the necessary therapies to patients to prevent complications resulting from hypoglycemia. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Results Conclusion Implications for the Profession and/or Patient Care Impact Reporting Method Public Contribution To examine community nurses' experiences of caring for people with dark skin tones at high risk of developing a pressure injury.Qualitative descriptive design.Focus groups and individual semi‐structured interviews were conducted among registered nurses working in the community between November 2023 and March 2024. Thematic analysis was used.The findings reveal the lack of nurse education on diverse skin tones, how community nurses gain knowledge on skin tone diversity in the context of pressure injuries and the topics community nurses believe are crucial to improve the management of pressure injuries in patients with dark skin tones.The study highlights the gap in nurse education regarding diverse skin tones, revealing how community nurses acquire knowledge related to pressure injuries in patients with dark skin tones.This research could inform the development of targeted educational programmes and training initiatives, ultimately preventing patient harm and enhancing the quality of care and health outcomes for patients with dark skin tones.It provides valuable insights into key topics that community nurses consider essential for improving the early recognition and management of pressure injuries in people with darker skin tones.The research adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.A project steering group contributed to the concept of the study and checked the interview questions were relevant and suitable. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Aims Methods Data Sources Results Conclusion Impact Reporting Method Patient or Public Contribution Sexual and gender diverse (SGD) people in the United States (US) experience health inequities due to societal stigma and marginalisation. The nursing workforce must provide evidence‐based affirming, inclusive and culturally responsive care for SGD people to meet individual and community health needs and eliminate disparities.The purpose of this scoping review was to synthesise what is known about (1) nurses' knowledge, skills and attitudes related to caring for SGD people in the US and (2) the existence, development and evaluation of SGD‐related educational offerings available to practicing nurses in the US to develop the knowledge and skills needed to promote the health and wellbeing of SGD individuals, families and communities.This review followed the scoping review methodology and PRISMA for Scoping Reviews (PRISMA‐ScR).In conjunction with a health librarian, an electronic literature search was conducted using PubMed, LGBT Health, CINAHL, ERIC and Health Source‐Nursing.Thirty‐two studies were included in this review, including quantitative and qualitative studies that sought to understand the knowledge, attitudes and clinical experiences of nurses related to the care of SGD people; studies that tested educational interventions and studies that identified educational barriers and facilitators. Major gaps in education, practice and research, as well as methodological limitations of existing studies, were noted.Nurses would benefit from expanded access to effective standardised foundational SGD‐related health continuing education to help prepare them to care for diverse patient populations. Equity, inclusivity and dignity are key values of the nursing profession. It is imperative that nurses have the knowledge and skills to apply these values consistently in day‐to‐day professional practice across populations and settings.There is an urgent need to develop standardised, easily accessible evidence‐based educational content to address nurses' knowledge of and attitudes towards caring for SGD people.This study adhered to the PRISMA‐ScR reporting guidelines.There was no patient or public contribution to this study. [ABSTRACT FROM AUTHOR]

Heart failure (HF) and lymphoedema often co-exist, significantly affecting the quality of life and requiring complex management. Heart Failure, characterised by reduced cardiac function, affects around 1 million people in the UK. Lymphoedema, involving lymphatic failure, affects 4 to 29 per 1000 individuals, particularly older adults. Traditionally heart failure management focuses on medication, while lymphoedema relies on compression therapy (CT). The article examines the integration of CT to treat lymphoedema with coexisting HF. Evidence suggests that with careful management and multidisciplinary collaboration, CT can be safely used in stable HF patients to manage lymphoedema, improving overall treatment outcomes and patient wellbeing. This approach requires adherence to guidelines and a holistic, patient-centred care model. Debates about CT for lymphoedema in the presence of HF highlight the need for patient-focused and all-encompassing care. Practitioners must consider the broader context of both conditions and collaborate with colleagues and patients to make informed treatment decisions. [ABSTRACT FROM AUTHOR]

The imperative to decolonise health disciplines underscores the need for a critical examination of the coloniality of nursing knowledge development. Decolonising nursing requires epistemic resistance aimed at exposing and dismantling epistemological hierarchies that marginalise indigenous knowledges. This paper introduces the 'Pluriverse of Nursologies' as paradigm to guide decolonial theorising in nursing. Through a four‐part exploration, I first elucidate the coloniality embedded in mainstream nursing knowledge. Next, I offer a decolonial critique of Fawcett's nursing metaparadigm as an exemplar of pyramidal epistemology. I then discuss pluriversality as an approach to decolonising nursing knowledge. Finally, I introduce the Pluriverse of Nursologies (PoN) as a meta‐theoretical paradigm for theory and knowledge development that decentres and dismantles the pyramidal epistemology of colonial/modern nursing, and relinks diverse nursologies from marginalised communities to the centre of intellectual nursing discourse, thereby revitalising the theoretical landscape of the discipline. [ABSTRACT FROM AUTHOR]

Critical nursing shortages and experiences of burnout present a significant challenge in the home and community care (HCC) health sector. Determining what factors influence resiliency could inform HCC organizations in developing recruitment and retention resources and strategies. This scoping review identified factors that influence professional resilience in nurses working in the HCC sector. From 1819 documents identified from database searches, using a librarian-informed strategy, eight articles were included. Two domains emerged for HCC nurses, that is, i) professional and work-related characteristics of being resilient; and ii) strategies to promote professional nurse resilience. One domain emerged addressing organizational infrastructure, policy and practices contributing to professional nurse resilience in the HCC sector. The findings revealed that resiliency in HCC nurses extends beyond individual characteristics as nurse professionals, and their personal "self-care" strategies as individual people. Further research is needed to disentangle personal and professional resilience in nurses working in the HCC sector. [ABSTRACT FROM AUTHOR]

Colostomy patients have distinct needs that require specialised pathways for optimal care. Recognising that these needs vary, based on the type and configuration of the stoma, is crucial. Specialist nurses play a vital role in providing long-term support and expertise. While many stoma nursing services in the UK offer patient pathways, these often lack specificity for different stoma types. Tailoring pathways to colostomy patients can prevent complications, reduce hospital readmissions and enhance quality of life. Community nurses and other healthcare professionals are essential in supporting colostomy patients through individualised care. Their involvement ensures that patients receive appropriate preparation for life with a stoma and are adequately educated about their specific needs. This multidisciplinary approach fosters a comprehensive care environment, addressing both the physical and emotional aspects of living with a colostomy. By focusing on personalised care and life-long support, healthcare professionals can significantly improve patient outcomes and overall well-being. [ABSTRACT FROM AUTHOR]

Hypertension is a growing public challenge as a leading risk factor for cardiovascular disease and all-cause mortality. Reducing overall cardiovascular risk through early screening, initiation of treatment and ongoing monitoring remains a priority in the comprehensive management of hypertension and its complications. Community nurses are ideally positioned to play a crucial role in the early detection of hypertension and providing support for its management. Wearable cuffless devices have the potential for continuous remote blood pressure monitoring. However, there is not enough literature on the validity and usability of wearable cuffless blood pressure devices to justify their use in clinical practice. This commentary critically appraises a systematic review designed to assess the validity, features and clinical usability of wearable cuffless devices, and expands on its findings and their relevance to community nursing and future research. [ABSTRACT FROM AUTHOR]

Nursing education, as with professionalization projects, is fraught with epistemicide, false separations, and a focus on expertise over relations and accountability. This is a critical reflection of the first 5 years of a four‐semester prelicensure Community Engagement course series. As the course lead, I have consistently initiated adjustments, based on experiences teaching multiple sections and synthesizing comments and feedback from students and faculty, with an eye toward longstanding and pressing concerns in the world around us. Two broad epistemic arrangements emerge from this critical excavation: (1) naturalized hierarchy, false separations, and appraisals of relevance and (2) relationality and reflection as unsettling. There is a need for sustained collective examination and shift in how the nursing education and healthcare industries curate the meanings and practice of "community," "health," and "nursing," peering out from the regulatory oversight of neoliberal forces. How might we situate student progression, program implementation, institutional contracts, and curricular standards within the contexts of nursing programs' responsibilities to local communities in light of unfolding events locally and globally and their historical antecedents? How are we all, as faculty, disrupting siloes, false separations, and the contradictions of professionalism and the biomedical model to intentionally advance health equity? May we continue to illuminate the presence of community as being everywhere, not merely in juxtaposition to acute care. May we unsettle the prevailing theorization and practices of community throughout nursing education and commit to imagining and practicing relational praxis. [ABSTRACT FROM AUTHOR]

Background: The context of practice is often not explicit in the discourse around the personal and professional resilience of nurses. The unique factors related to providing nursing care in home and community care may provide novel insight into the resilience of this health workforce. Therefore, this research addressed how nurses build and maintain resilience working in the home and community care sector. Method: A qualitative study was conducted between November 2022 to August 2023 using 36 in-depth interviews (29 registered practical nurses [RPNs], five supervisors of RPNs, two family/care partners (FCPs) of clients receiving home and community care services). Analysis was consistent with a grounded theory approach including coding and comparative methods. Results: The factors of personal and professional resilience were not distinct but rather mixed together in the experience of nurses having resilience working in the home and community care sector. The process of building and maintaining resilience as home and community care nurses was informed by three categories: (1) The conditions of working in HCC; (2) The rapport RPNs held with FCPs; and (3) The nurses' ability for supporting the 'self'. Multiple components to inform these categories were identified and illustrated by the words of the nurse participants. Conclusion: The process of building and maintaining resilience by RPNs working in the home and community care sector was guided by the day-to-day experiences of providing care for clients and the conditions of being a mobile health care provider. However, nurses may sense when they need to support their 'self' and must be empowered to request and receive support to do so. [ABSTRACT FROM AUTHOR]

Why you should read this article: • To understand why it is important that all infants, including preterm infants, receive scheduled vaccines within the specified times • To be aware that some preterm infants may experience delays in receiving scheduled vaccines • To recognise the importance of supporting vaccine decision-making in parents of preterm infants. Background: Infants born preterm (prematurely) are at risk of infection, making timely vaccination vital. However, global literature suggests that preterm infants experience vaccination delays and there is a lack of evidence from the UK exploring this issue at population level. Aim: To investigate potential vaccination delays in preterm infants in one region of England and to identify characteristics related to timeliness. Method: Existing trust data sets were analysed for infants born across a six-month period in 2018. The vaccines studied were for the primary schedule (vaccines given to children at eight, 12 and 16 weeks of age). Results: The results did not fully concur with the global evidence. In this study only infants in the moderate-to-late category of prematurity received some vaccines later than full-term infants. Conclusion: Primary healthcare professionals, such as health visitors, should maximise opportunities to support parents with their decision-making around vaccination and ensure that they keep themselves fully informed about the latest vaccination guidance. [ABSTRACT FROM AUTHOR]

Purpose: To improve the quality of community health nursing practice, the learning outcomes of nursing students in community health nursing courses must be enhanced. Although the flipped classroom is considered an effective innovative teaching strategy, evidence of its application in community health nursing courses is limited. Therefore, this study aimed to examine the effects of a flipped classroom approach on community nursing competence, academic performance, course engagement, and learning satisfaction for a community health nursing course. Design: A quasi-experimental study design was adopted between September 2021 and January 2022. Methods: Two classes of nursing students (n = 92) from a 2-year nursing program at a university in Taiwan were recruited. The classes were randomly assigned to the intervention group (n = 50) that attended a flipped classroom and the control group (n = 42) that received traditional lecture-based instruction. Findings: Compared with the control group, the intervention group demonstrated significantly greater improvements in community nursing competence (p =.012) and significantly higher academic performance (p =.005). In addition, the course engagement and learning satisfaction of the two groups were high, but not significantly different. Conclusions: A flipped classroom can be an important strategy to enhance community nursing competence and academic performance. Clinical Evidence: The flipped classroom strategy can enhance community nursing competence of nursing students, which may improve the quality of population-based healthcare. [ABSTRACT FROM AUTHOR]

The aim of this article is to identify challenges for advanced practitioners within the district nursing services in remote and rural areas and the impact of the new Scottish GP contract. Advanced nurse practitioners (ANPs) working within the community providing care in patients' homes have a wide skill base to draw upon. However, community care is often not reviewed or studied to identify the impact it makes to patients and the wider community. This article looks at a review of the qualitative research provided by a search on CINAHL, Medline, PsychINFO and Google scholar between 2019 to 2023. Studies needed to be about advanced practice in remote and rural areas with a focus on district or community nursing. A separate search was conducted for reviews on the new Scottish GP contract and the impact on services this has had, using the same search engines and between the same dates. Articles that were based on ANPs working in GP practices were excluded. [ABSTRACT FROM AUTHOR]

The Competencies and Recommendations for Educating undergraduate Nursing Students (CARES) was originally designed for nursing students' palliative and end-of-life care education. The competencies were later revised to align with the 2021 American Association of Colleges of Nursing Essentials core competencies for baccalaureate nursing education. This project aimed to (1) review the courses in an accelerated baccalaureate nursing program for alignment with CARES, (2) determine any gaps, and (3) make program recommendations. The CARES competencies and Essentials were mapped according to the nursing program's 12 core curriculum courses and evaluated. Three CARES competencies were not met, and 12 were partially met. Areas of improvement were identified across the curriculum. Results of the mapping included palliative concepts needing earlier program introduction, reflective journaling was recommended for clinical practice courses, and incorporation of palliative care simulations was proposed to bridge the gaps. [ABSTRACT FROM AUTHOR]

Copyright of Revista Iberoamericana de Enfermería Comunitaria (RIdEC) is the property of Revista Iberoamericana de Enfermeria Comunitaria de la Asociacion de Enfermeria Comunitaria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The aging population drives a growing demand for care, particularly in Europe. It is estimated that approximately 1.5–2 million individuals have a chronic wound. Among these, pressure ulcers (PUs) are one of the most prevalent complications in vulnerable individuals. Malnutrition is a primary risk factor, yet it can be mitigated through proper nutrition and adequate community support. The community nurse plays a crucial role in managing chronic conditions and nutrition through constant and professional monitoring. Aim: This article presents a comprehensive systematic review (SR) protocol to examine the role of community nursing of nutritional intervention of frail population with wound care. Methods: A SR will be conducted according to international standards and reported following the PRISMA Guidelines for SRs. The search will be conducted in PubMed/Medline, Scopus, Embase, and CINAHL, supplemented by grey literature sources. The methodological quality and risk of bias will be assessed using the Critical Appraisal Skills Programme (CASP) framework. The protocol has been registered in the Open Science Framework (OSF). Conclusions: It is anticipated that the findings of this SR will provide new evidence on the relationships between nutritional nursing interventions and wound care management primarily in the community setting. [ABSTRACT FROM AUTHOR]

Background: Social support and quality of life (QoL) are crucial for the well-being of individuals. Myanmar women migrant workers in Thailand represent a vulnerable population, yet there are limited studies on social support and QoL among these migrants. Methods: This cross-sectional study investigated associations between social support and QoL among Myanmar women migrant workers in central and northern Thailand through multistage sampling using a structured questionnaire. Social support was measured using the Medical Outcome Study Social Support Survey, and QoL was assessed using the WHOQOL-BREF. Multiple linear regression was analysed to find the association between social support and QoL, adjusting for sociodemographic variables. Results: Among 575 participants, they had an average overall social support score of 61.73 ± 16.47, with low support = 24.35%, moderate support = 46.43%, and high support = 29.22%. The average overall QoL score was 90.54 ± 13.23. Higher social support was positively associated with QoL (B = 4.781 for moderate support and B = 9.721 for high support, p < 0.01). Higher education and easier access to emergency finances were also positively associated with QoL. Conclusion: Tailored social support interventions are recommended to enhance QoL among Myanmar women migrant workers in Thailand. Community nurses play a critical role in these interventions by providing education, facilitating access to resources, and fostering supportive networks. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Method Results Conclusion Implications for the Profession Impact Reporting Method Patient or Public Contribution This study examined the interplay among spirituality, self‐efficacy and resilience in this context.A cross‐sectional study.A total of 178 parents of children newly diagnosed with diabetes mellitus; the instruments used for data collection were the Parental Self‐Efficacy Scale for Diabetes Management, The Arabic version of The Walsh Family Resilience Questionnaire and the Spiritual Perspective Scale.Self‐efficacy had a significant positive direct effect on family resilience. Spirituality also had a significant positive direct effect on family resilience. Additionally, self‐efficacy had a significant positive indirect effect on family resilience through its effect on spirituality.The findings underscore the impact of spirituality and self‐efficacy on a family resilience.Nurses should prioritise self‐care and personal reflection to enhance their spiritual well‐being. This can help them better understand and empathise with their patients' spiritual needs, allowing for more effective and compassionate care.Upon the initial diagnosis of diabetes in a child, parents undergo a profound emotional and psychological upheaval. They are faced with the daunting task of managing their child's condition while also coping with their feelings of distress, uncertainty and fear. Amidst these challenges, factors such as self‐efficacy and resilience play pivotal roles in determining how parents adapt to and navigate this new reality.Nurses can use spiritual care to give parents a sense of meaning, purpose and hope, bolstering their self‐efficacy and resilience.The relevant reporting method has been adhered to, that is, STROBE.In our research, data collection is assisted by nurses working in community‐based settings. [ABSTRACT FROM AUTHOR]

Background: Globally, there is increasingly high prevalence of mental disorders across all age groups and social classes with more being projected by 2030, but without commensurate resources for mental health care delivery especially in developing countries. Purpose: This study examined the impacts of clinical psychiatric posting on career choice in psychiatry among nursing students in Ebonyi state, Nigeria. Methods: A prospective cohort research design was used and data were collected using attitude towards psychiatry (ATP), mental illness clinician attitude scale (MICA-4) and researcher developed questionnaires on career choice in pre and post clinical posting approach. This study was conducted between November, 2023 to May 2024. A sample size of 400 students (with data collected before posting and after posting) were involved in the study. Data were coded, cleaned and analyzed using SPSS version 26. McNemar Test was used to determine effects of clinical posting on career choices in psychiatry. Simple and multiple logistic regressions were used to analyze data on determinants of career choices in psychiatry. The hypotheses (Null and alternative hypotheses) were tested at p-value < 0.05. Results: Psychiatric and mental health nursing was one of the least preferred specialty, 21(6%) respondents showed interest before clinical posting and 25(7.1%) after the posting. Commonly preferred specialty was pediatric nursing (20.5%), community health nursing (17.1%) and midwifery (17.7%). McNemer test showed no statistically significant differences in choice of psychiatry before and after clinical posting. Key determinants of career choices were interest in psychiatry (AOR = 16.06(95% CI = 1.10, 14.96) P = 0.009), interest in community services (AOR = 4.01(95% CI = 1.32, 12.20)P = 0.014), family influence(AOR = 13.76(95% CI = 1.74, 108.57)p = 0.013) and job satisfaction(AOR = 0.10(95% CI = 0.03, 0.26)P < 0.001). Conclusion: The researcher therefore concluded that clinical psychiatric posting has no significant impacts on career choices in psychiatry among nursing students in Nigeria. Interest of the students, family influence and job satisfaction were significantly associated with career choices among the respondents. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Results Conclusion Impact Public Contribution Reporting Method To investigate the perceptions of family members (FMs) of patients with traumatic brain injury (TBI) and nurses on empowering support and its implementation during the acute phase within Finnish neurosurgical and neurological care in hospital settings, focusing on identifying similarities and differences in their viewpoints.Participatory qualitative descriptive study.Data were collected from seven FMs and 11 nurses using the World Café method in November 2019. An abductive approach was employed for data analysis, combining deductive interpretation within the conceptual framework of empowering support and inductive content analysis.Four main themes were identified: (1) FMs' diverse information and guidance needs of TBI, treatment and its impact on family life, (2) support based on empowering FMs in participation, competence and decision‐making, (3) empowering FMs through collaborative nursing practices and interprofessional support, and (4) internal and external hospital support enhancing and promoting the empowerment of FMs.The perceptions of FMs and nurses regarding empowering support were largely consistent, yet diverged in its implementation in nursing practice. Nurses play a crucial role in fostering the empowerment of FMs; however, further research is needed to explore the impact of organisational and community factors on the implementation of empowering support.Our study contributes to advancing nursing practices by underscoring the necessity for a paradigm shift towards a family‐centred approach. Furthermore, it emphasises the urgency for standardising nursing practices to ensure equitable access to empowering support for FMs, applicable across various care settings for patients with TBI.This review is part of a larger research project in which FMs of patients with TBI and nurses were involved in designing the project.This study was reported using the Consolidated Criteria for Reporting Qualitative Checklist for qualitative studies. [ABSTRACT FROM AUTHOR]

Background: The risk of developing type 2 diabetes mellitus (T2DM) is up to 50% among women with gestational diabetes mellitus (GDM). However, diabetes education during and after pregnancy is limited. To bridge this gap, our team developed four training modules on GDM for nurses and community health workers. This pilot study assesses changes in knowledge, self-efficacy for providing diabetes education, attitudes, and intentions to recommend diabetes prevention before and after training completion. Methods: Interactive online modules were disseminated to clinical staff providing care for women with GDM in the United States. Optional pre- and post-training surveys were conducted to gauge the effectiveness of the modules. GDM knowledge (scoring 0–100) was evaluated with a 23 question assessment with total score and individual module scores reported [(# correct/# total)*100]. Self-efficacy for providing diabetes education (scoring 1–10) was evaluated with a 15-question survey and intention to recommend diabetes prevention (scoring 1–5) was assessed with an 8-item survey. Attitudes were assessed with three subscales of the Diabetes Attitude Scale (scoring 1–5). Changes in scores on each scale before and after training are reported using non-parametric Wilcoxon matched-pair signed rank tests. Results: Eighty-two individuals completed baseline evaluation and 20 individuals accessed all modules and completed post-training assessments. Among those completing the training, improvement was noted in GDM knowledge [56.5 (16.0) v. 78.3 (22.0), p < 0.001], self-efficacy for providing diabetes education [6.60 (2.73) v. 9.33 (0.87), p < 0.001], attitudes toward the value of tight control [4.07 (0.79) v. 4.43 (0.86), p = 0.003], and intentions to recommend diabetes prevention measures [4.81 (0.63) v. 5.00 (0.00), p = 0.009)]. Conclusions: Completion of our interactive online modules improved knowledge, intention to recommend diabetes prevention, self-efficacy to provide diabetes education, and attitudes toward the value of tight control among individuals caring for women with GDM. Trial registration: This study was registered at clinicaltrials.gov, identifier: NCT04474795. [ABSTRACT FROM AUTHOR]

The article presents the highlights of the annual European Wound Management Association (EWMA) conference held in London, England in 2024 with the theme "Making Everyone's Contribution Count." The EWMA and the Leg Club Industry Partners offered a scholarship for clinicians to attend the conference. The event featured presentations about wound management, workshops, e-posters and satellite symposia.

The prevalence and incidence of wounds is predicted to rise due to an ageing population, that is also likely to have an increasing number of comorbidities (Dowsett et al, 2017). This trend will invariably result in increased costs to the NHS. The estimated annual cost of wound management in 2017/2018 was £8.3 billion. The cost of managing 70% of wounds which healed was £2.7 billion while it cost £5.6 billion managing only 30% of unhealed wounds (Guest et al, 2020). In view of these figures, it is important that health professionals (HPs) recognise wounds that are not progressing to healing at an early stage and implement all available treatment modalities to ensure that the wound does not become non-healing or stalled. Therefore, this article defines non-healing wounds, how to identify wounds at risk of becoming non-healing and the timely implementation of advanced treatment modalities, such as single use negative pressure wound therapy (sNPWT). [ABSTRACT FROM AUTHOR]

Assessment of pressure ulcer (PU) risk remains a challenge in clinical practice. The first part of this article (Martin and Holloway, 2024) discussed the evidence base underpinning the development of clinical guidelines for PUs alongside the creation of the bundle approach regarding PU prevention. This article, part two, presents the results of a clinical audit that explores compliance against a PU prevention bundle (the aSSKINg framework) in an adult community nursing setting in the south-east of England. The clinical audit was conducted between July-December 2021 and included records of 150 patients. Overall, compliance against the aSSKINg framework was poor, with only two criterion being met: equipment provision for chair and referral to the tissue viability team. Short-term recommendations are that mandatory PU training for staff in the management of PUs should be implemented, and the tissue viability nurse network should be increased. The long-term recommendation was the introduction of the aSSKINg framework as a template into the electronic patient record. [ABSTRACT FROM AUTHOR]

Background: The poor prognosis and clinical presentation of malignant fungating wounds (MFWs) can lead to service users experiencing various dimensions of fear. Aim: This article encourages district nurses (DNs) to explore the psychological factors associated with MFWs in the community setting. Method: The reviewed literature discusses DN practice, with supplementary sources utilised to provide a wider perspective on the multifaceted nature of the subject. Findings: Guidelines advocate that DNs should promptly initiate dialogue to address fears, establish trust and enable service users with MFWs to express concerns, thus facilitating a holistic provision of care. It is crucial to leverage the multidisciplinary team and engage with other agencies to provide support for service users. Effective leadership qualities play a vital role in initiating practice changes that ultimately benefit service users, while also considering clinical governance aspects. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study is to assess the effectiveness of foot skin protection technology in elderly patients with diabetic peripheral neuropathy. Methods: The foot skin protection technology was developed based on a comprehensive literature review and preliminary research conducted by our research team. Subsequently, 88 elderly patients with diabetic peripheral neuropathy and experiencing foot skin problems were recruited from two community health service centers in Shanghai. Using a random number table, the participants were randomly assigned to either the control group or the experimental group. Patients in the experimental group received foot skin protection technology interventions, while those in the control group received standard community nursing guidance for a duration of 3 months. The incidence, severity, and discomfort associated with foot skin problems were evaluated before and after the intervention period in both groups. Results: The incidence, severity, and discomfort of foot skin problems notably reduced in the experimental group (all P< 0.05). Conclusion: The foot skin protection technology demonstrates significant potential in enhancing foot skin condition. [ABSTRACT FROM AUTHOR]

Documentation of nursing care is authentic proof of nursing service activities, serving as the basis for fulfilling nurses' responsibilities and accountabilities. Family nursing documentation holds distinct characteristics compared to other nursing practice settings. The Indonesian nursing professional organization has established three standards for nursing care: diagnosis, intervention, and outcome. This research aimed to understand how the implementation of family nursing care documentation is conducted by community nurses in Tarakan City. The research was a correlational study with a cross-sectional approach. The study population consisted of all the nurses working in Community Health Centers in Tarakan City, totaling 80 individuals. The sample was selected using total sampling. The research variables included demographic factors, nurses' knowledge about the documentation concept, and the application of family nursing documentation; these were measured using a modified researcher-made questionnaire and declared valid and reliable. The analysis of research data used descriptive analysis and the Spearman Rank correlation test. This research identified that the majority of community nurses in Tarakan City did not implement family nursing documentation, and the level of knowledge regarding nursing documentation concepts was low. The Spearman's rank correlation test yielded a p-value of 0.874, indicating no significant correlation between the level of knowledge and the implementation of family nursing documentation. The inhibiting factors for the implementation of family nursing care documentation primarily included a high workload, a limited number of health center nurses, motivation, and the lack of clear and uniform documentation guidelines. [ABSTRACT FROM AUTHOR]

Background: The district nurse is identified as a keyworker in community based palliative care. However, a dearth of research exists on trainees' views and understanding of adopting the role upon qualification. Aims: The aim of this study was to explore the understanding and perceptions of district nurse trainees in relation to the palliative care key worker role. Methods: Data was gathered via online semi-structured interviews (n=10) and the results were analysed using a thematic model. Findings: The four evolving themes included: understanding of the palliative care key worker role scope and function; the level of preparation for the role; a juggling act and embedding the role in practice. Conclusion: The themes highlighted various drivers and barriers that reflect a degree of incongruence with policy and practice. Recommendations to standardise the palliative care key worker role, underpinned by formal preparation and clearly defined responsibilities may enhance future development and implementation of the role. [ABSTRACT FROM AUTHOR]