Nursing
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/24
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Item Informing transplant candidate and donor education in living kidney donation: mapping educational needs through a rapid review(BioMed Central, 2025-05-03) Truhan, Tayler E.; McMahon, James; Courtney, Aisling E.; Gill, Paul; Mansell, Holly; Noble, Helen; Reid, Joanne; Rosaasen, Nicola; Wood, Alison; McKeaveney, ClareObjectives: Living donor kidney transplantation (LDKT) is a complex medical procedure requiring extensive education for both donors and transplant candidates. With technological advances in healthcare, video educational resources are becoming more widely used. This study aimed to synthesize the existing qualitative evidence on LDKT educational experiences, preferences, and needs from the perspectives of kidney transplant candidates and recipients, donors, and HCPs, to establish the essential LDKT education considerations for candidates and potential donors interested in kidney transplantation. Methods: A rapid review of qualitative studies on LDKT educational needs was conducted. A literature search was undertaken across MEDLINE, Embase, and CINAHL databases from 2013 to 2023. Cochrane Rapid Reviews Methods Group guidance was utilized. Results: Of 1,802 references, 27 qualitative studies were eligible for inclusion. Qualitative data was analyzed from 803 transplant candidates/recipients, 512 living donors, 104 healthcare providers, and 102 family/friends. Three main themes were identified, including Extensive LDKT Education Throughout Treatment; Shared Learning, Social Support, and Family Dynamics in LDKT; and Diversity and Inclusivity for Minorities. Conclusions: Improvements and innovations are needed regarding LDKT education for kidney transplant candidates, donors, and support networks.Item Mismatched expectations: Experiences of nurses returning to prescribing(MA Healthcare, 2024-06-11) Wood, Alison; McCulloch, MargotBackground Research has identified continuing professional development (CPD) for active prescribers to be a challenge, particularly identifying a lack of confidence and anxiety around prescribing (Weglicki et al 2015). Anecdotally support to regain their prescribing knowledge and competence to facilitate safe prescribing requires some exploration for organisations, mangers and those practitioners. Aim The aim of this research is to gain an insight into practitioners’ experience of returning to prescribing in their clinical role following a period on non-activity. Methods, Online semi- structured interviews with 5 prescribers were conducted with interview transcripts thematically analysed by the research team. Findings,; four findings were found to be relevant individual, the team, organisation and the mismatch between these. Conclusion Considering these results are important to support those who return to prescribing to ensure safe and effective practice and a positive experience for all involved.Item Promoting excellence, governance and innovation in prescribing education [Comment](MAG Online Library, 2023-12) Sunter, Matthew; Wood, Alison; Bell, SuzanneItem Principles of Physiology for Advanced Practice(Wiley, 2023-09) Chandler, Colin; Wood, Alison; Hyde, Robin; Ian Peate (Editor), Sadie Diamond-Fox (Editor), Barry Hill (Editor); Peate, Ian; Diamond-Fox, Sadie; Hill, BarryItem ACPs have a significant impact on patient outcomes and healthcare services(BMJ Publishing Group, 2023-06-15) Wood, Alison; Hyde, RobinCommentary on: Mann et al (2023) Exploring the role of advanced clinical practitioners (ACPs) and their contribution to health services in England: A qualitative exploratory study Nurse Education in Practice 67 (2023) 1035-46Item Acute kidney injury in the critical care setting(RCN Publishing (RCNi), 2023-07-17) Wood, Alison; Price, NatashaPreviously known as acute renal failure, Acute Kidney Injury (AKI) is a syndrome which refers to the rapid deterioration of renal function in both kidneys which can occur over a period of hours or days, impairing the kidneys’ ability to maintain fluid, electrolyte and acid-base balance (Ostermann and Joannidis, 2016). This article describes the pathophysiology, aetiology and management of Acute Kidney Injury in acutely ill patients cared for within critical care settings, in order to enhance nursing knowledge and understanding of the underlying pathophysiological processes and specific critical care management strategies required.Item Critical thinking and diagnostic reasoning for advanced clinical practitioners in sexual health(Mark Allen, 2022-05-26) McPhillips, Hazel; Wood, Alison; Smith, JoannaDuring a consultation with a sexual health focus, advanced clinical practitioners (ACPs) will consider the next steps following their line on enquiry; appropriate and required investigations, advice or education required and/or referral to other services. Particularly within a sexual health context, the consultation and subsequent steps can be challenging and distressing for the patient, and the ACP must consider their knowledge and experience when caring for a patient in this area. This paper is intended to follow paper one and provide an overview of some key areas to consider following the sexual health history take. This paper is particularly aimed at those ACPs working outside this field of practice, who may not often encounter consultations of a sexual health nature as a first presentation. It does not aim to offer comprehensive guidance and ACPs should always work within their own scope of competence (NMC 2018, HCPC 2016).Item Consultation and clinical assessment for advanced clinical practitioners in sexual health(Mark Allen, 2022-05-13) McPhillips, Hazel; Wood, AlisonSexual health is a very important aspect of patient wellbeing, but it is a topic health professionals still find challenging within patient consultations. The incidence of sexually transmitted infections (STIs) continues to rise highlighting the need for all advanced clinical practitioners (ACPs) to understand the principles of a sexual health consultation as they may have to support patients who present with a sexual health concern, not purely those in specialist clinics and roles. This article provides a comprehensive overview of key points to include as part of consultation and assessment within this area. Effective communication is a key skill for obtaining a thorough, clear history, allowing for more accurate differentials and a smoother patient journey. The environment and body language are two other considerations when undertaking a sexual health consultation. As with all histories, a systematic approach is essential and having a solid knowledge of the foundations of sexual health will enable the ACP to focus this history to obtain pertinent information.Item Chronic kidney disease and renal replacement therapy: An overview for the advanced clinical practitioner(Mark Allen Group, 2022-02-12) Price, Ian; Wood, AlisonChronic kidney disease (CKD), also known as chronic renal failure (CRF), is a common, globally significant condition, with associated significant mortality and morbidity. Due to the disease prevalence, advanced clinical practitioners (ACPs) in a variety of primary and secondary care settings will encounter patients with this diagnosis who will require care and treatment. This article examines definitions of CKD, describes a clinical approach to a patient with CKD, including key history and examination findings, and provides a brief overview of renal replacement strategies for the patient with end-stage renal failure. ACPs require a thorough understanding of this condition and the key elements of treatment and care in this population.Item Adult liver transplantation for the Advanced Clinical Practitioner: an overview(Mark Allen, 2022-10-13) Price, Ian; Wood, AlisonLiver transplantation (LT) is a major surgical undertaking, but, in a carefully selected population provides excellent outcomes in terms of prolongation of life and improvements in quality of life. This article outlines the processes of referral, assessment, operative course and post transplant complications of liver transplantation, in the UK context. Specific consideration is also given to immunosuppressive medications and considerations around their prescription. The role of the Advanced Clinical Practitioner (ACP) in primary or secondary care may focus upon identifying potential candidates for transplantation and ensuring timely discussion and referral. Thus, a familiarity with eligibility criteria, and where to access this information, is important for all ACPs. Additionally, the increasing numbers of transplants performed in the UK mean that there is a large population of posttransplant patients in the wider community. These patients may present to healthcare services with a variety of issues relating to their LT, where early recognition and treatment has the potential to have major impacts on patient, or graft, function and longevity. Due to this, a low threshold for ACPs to discuss with specialist transplant centres is generally advised.