Publications by authors named "G Higginbottom"

Article Synopsis
  • The study aims to evaluate how healthcare professionals assess the skin colors of neonates from Black, Asian, and minority ethnic backgrounds, specifically focusing on the Apgar score, cyanosis, and jaundice.
  • The research involved interviews with healthcare professionals and parents of these infants, revealing inconsistencies in the application of the Apgar score and challenges in identifying jaundice and cyanosis in darker skin tones.
  • The findings indicate a need for standardized protocols and enhanced training for healthcare professionals to improve neonatal assessments across diverse ethnicities.
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Article Synopsis
  • The study reviews the potential bias in Apgar scores and cyanosis assessments for darker-skinned neonates compared to White babies, highlighting inconsistencies in scoring practices and outcomes.
  • It incorporates data from ten studies, indicating that while Apgar scores predict neonatal mortality across all ethnic groups, Black infants with low scores have relatively lower mortality in their first 28 days.
  • The findings emphasize the inadequacy of visual assessments for cyanosis in babies with darker skin, suggesting pulse oximetry as a more reliable method, while advocating for improved training in assessing ethnic minority neonates.
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Background: An early dietary phosphate intervention (EPI) can provide vital medical benefits supporting self-management of chronic kidney disease (CKD) in childhood.

Objective: To utilise expert consensus to provide early modelling for an EPI to guide clinical practice across a paediatric renal network.

Methods: Forty-eight statements across six domains were constructed following a systematic review and semi-structured interviews with children and young people (CYP), parents and healthcare professionals (HCP).

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Background: Ethnic inequalities in maternal and neonatal health in the UK are well documented. Concerns exist regarding the use of skin colour in neonatal assessments. Healthcare professionals should be trained to recognise symptoms of diverse skin tones, and comprehensive, and inclusive guidance is necessary for the safe assessment of all infants.

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Community health nurses world-wide provide health promotion and preventative care, support and guidance as well as clinical care for people with long-term conditions or needing acute care at home and end-of-life care, across all age groups. The importance of health care in the community has been growing globally as health systems recognise both the economic and human need for people to remain in their communities rather than in hospital. Research in community nursing provides evidence to support policy, practice and education.

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