Promoting kidney health in people with type 2 diabetes: part 2.

The incidence of chronic kidney disease is increasing internationally with many risk factors for chronic kidney disease also being risk factors for type 2 diabetes. Nurses should use primary, secondary and tertiary prevention to minimise the incidence of chronic kidney disease when caring for individuals with type 2 diabetes. This article is the second in a two-part series on the interrelationship between these long-term conditions.

Promoting kidney health in people with type 2 diabetes: part 1.

The incidence of chronic kidney disease is increasing internationally with risk factors for the condition being the same as those for type 2 diabetes. It is important therefore for nurses to use primary, secondary and tertiary prevention to minimise the incidence of chronic kidney disease when caring for individuals with type 2 diabetes. This article is the first of a two-part series on the interrelationship between these long-term conditions.

Critical illness survivors' experiences of attending an intensive care unit follow-up service: a systematic review protocol.

Objective: The objective of this review is to explore critical illness survivors' experiences of attending an intensive care unit (ICU) follow-up service.

Introduction: A significant proportion of critical illness survivors will require ICU follow-up care to support adverse symptoms in health domains, including cognition, mental health, and physical and social function. While there is consensus on the need for ICU follow-up services, systematic reviews to date have not identified any significant impact of ICU follow-up services on clinical health outcomes.

The Support Needs and Current Practices of Public Health Nurses in the Republic of Ireland Who Provide Support to Breastfeeding Mothers: A Cross-Sectional Survey.

Background: Breastfeeding continuation rates are low in Ireland. The Breastfeeding Observation and Assessment Tool (BOAT) was developed to assist public health nurses in assessing breastfeeding challenges; however, little is known of its actual usage, the level of training experienced or desired by public health nurses, or their level of confidence in the support they provide to breastfeeding mothers.

Research Aim: To identify the current practices and support needs of public health nurses who provide breastfeeding support in Ireland.

Operationalising a Recovery-Oriented Support and Information Programme Online: The EOLAS Programme.

Evidence demonstrates that psychoeducation interventions have clinical and recovery-related benefits for people experiencing psychosis and their family members. The EOLAS programmes are one example of recovery-oriented psychoeducation programmes for psychosis. They differ from other programmes in that they are co-designed and co-facilitated (peer and clinician) group programmes.

Health promotion for older people with dementia living in the community.

Dementia has physical, psychological, social and economic effects, not only on people with dementia but also on their families, carers and society as a whole. Health promotion interventions for older people with dementia living in the community can support their health and well-being, particularly early in the course of the condition. Nurses have an important role in working collaboratively with patients, family carers and the multidisciplinary team to develop health promotion activities that are tailored to the person and take into account the progressive nature of the condition.

"I'm not being serviced; I'm being cared for": A mixed methods study of patients' and nurses' perceptions of community oncology nursing delivered by a Community Intervention Team.

Purpose: Many patients do not have access to community oncology nursing care in a primary setting and are completely reliant on tertiary hospital care. The aim of this study is to gain an understanding of oncology patients' and nurses' perceptions of community oncology nursing, delivered by an urban Community Intervention Team (CIT) in Ireland.

Methods: A descriptive, concurrent mixed methods approach was used which included semi-structured interviews with 14 oncology patients and an online survey of 27 hospital and community nurses.

Supporting resilience in older people: implications for nursing practice.

Resilience refers to an individual's ability to adapt and bounce back following adversity. As a concept it may help to explain how some people cope with stressors using internal and social support, leading to personal growth. The concept of resilience is frequently mentioned in the literature but often poorly understood.

Assessment of workplace integration of migrant nurses and midwives within international health care settings: a scoping review protocol.

Objective: The objective of this scoping review is to map the available evidence on the assessment of workplace integration of migrant nurses and midwives in international health care settings.

Introduction: Internationally, migrant nurses and midwives are an increasingly important resource in government strategy for addressing the current and predicted workforce shortages in health care. Much has been documented about the orientation stages of their transition to foreign workplaces but few sources have considered the workplace integration of this population.

Self-management support for older adults with chronic illness: implications for nursing practice.

Self-management is a key skill that older adults with multiple comorbidities require. Self-management interventions include medication management, self-monitoring and self-awareness and self-management often requires the older adult to manage the emotional consequences of having multiple comorbidities. The benefits of self-management for older adults include reduced reliance on the health system, enhanced quality of life, empowerment of the individual and reduction in the burden associated with chronic illness.

Triggers and Interventions of Patients Who Require Medical Emergency Team Reviews: A Cross-Sectional Analysis of Single Versus Multiple Reviews.

Background: Medical emergency teams constitute part of the escalation protocol of early warning systems in many hospitals. The literature indicates that medical emergency teams may reduce hospital mortality and cardiac arrest. A greater understanding of pathways of patients who experience multiple medical emergency team reviews will inform clinical decision-making.

Use of mHealth apps by nurses in the management of chronic wounds: a scoping review protocol.

Objective: The objective of this scoping review is to explore the existing literature related to nurses' use of mHealth apps in the management of chronic wounds and chart if and how these apps are being evaluated.

Introduction: mHealth technology is increasingly used within health care facilities. There is now a variety of wound care apps available to support nurses delivering wound care.

Prevalence of tobacco smoking among European migrants residing in EU 15 countries: a quantitative systematic review protocol.

Objectives: The objective of this systematic review is to summarize the prevalence of tobacco smoking in European migrants residing in EU 15 countries.

Introduction: Most of the migration within the World Health Organization European Region is intracontinental. The prevalence of smoking varies greatly across the European Region.

Contemporary considerations relating to health promotion and older people.

Health promotion in later life can support healthy ageing and wellbeing. Nurses across the continuum of care have an important role in promoting positive health and wellbeing messages, but they must be cognisant of the need to engage in, modify and tailor health promotion for and with older adults. This article provides an overview of contemporary issues relevant to health promotion and older people, and the role and contribution of nurses.

Assessing knowledge of wound care among cardiothoracic nurses.

Aims: to explore cardiothoracic nurses' knowledge and self-reported competence of wound care following cardiac surgery and to ascertain if there were any differences in knowledge between nurses working in public and private hospitals.

Background: cardiothoracic nurses are the main providers of wound care for patients post cardiac surgery, however, there is a lack of research about their knowledge of wound care.

Design: a descriptive, quantitative design was used in the form of a cross-sectional, self-reported questionnaire.

Barriers to effective, safe communication and workflow between nurses and non-consultant hospital doctors during out-of-hours.

Objective: This study aimed to evaluate the nature and type of communication and workflow arrangements between nurses and doctors out-of-hours (OOH). Effective communication and workflow arrangements between nurses and doctors are essential to minimize risk in hospital settings, particularly in the out-of-hour's period. Timely patient flow is a priority for all healthcare organizations and the quality of communication and workflow arrangements influences patient safety.

Community nurses' child protection role: views of public health nurses in Ireland.

Public health nurses in Ireland are generalist practitioners with a wide range of roles that address the needs of clients in the community across their lifespan. Child protection is one of many of the roles of Irish public health nurses. However, with increasing caseloads, birth rates and aging populations, their child protection role is becoming more difficult to define and practise safely.

Nursing students' attitudes to health promotion to: implications for teaching practice.

For several decades now the World Health Organization has indicated the need for a reorientation of the health services away from focusing solely on illness and disease to one that considers both disease prevention and health promotion. Successive publications that guide public health policy both nationally and internationally reiterate the need for health promotion and the principles of health for all to become integral to the fabric of health care delivery. The role of the nurse as health promoters is well recognized.

Cardiac rehabilitation for patients with chronic kidney disease.

Cardiac Rehabilitation programmes are an integrated part of the total care of the patient and are delivered by a multidisciplinary team. Cardiac Rehabilitation is usually organised in four phases and has shown to reduce the morbidly and mortality associated with cardiac disease. Chronic Kidney Disease patients who are at risk of, or already have, Cardiovascular Disease should be monitored, educated and managed through close working relationships between the renal and cardiac multidisciplinary teams.

The role of the public health nurse in a changing society.

Aim: This study is a report of a study to clarify the role of the public health nurse in one Irish community care area in the light of acknowledged problems in defining boundaries of the role.

Background: Demographic developments and planned reorientation towards primary care of the health service in Ireland have changed the workload of public health nurses, which is unique compared with other countries. However, there is a lack of clarity and consequent problems in defining the role of the Irish public health nurse.

The role of the nurse in the management of acute kidney injury.

Acute kidney injury can occur with patients within the hospital and within the community setting. The term acute kidney injury replaces the previous recognized term acute renal failure in the literature and uses two internationally recognized classification systems. The causes of acute kidney injury remain the same, pre renal failure, intra renal (intrinsic), or post renal failure.

Reliability and validity of the CCNCS: a dependency workload measurement system.

Aim: To refine, test and evaluate the Community Client Need Classification System (CCNCS).

Background: Workload assessment in community nursing is complicated by the range of services that may be delivered in one patient interaction. The CCNCS is a workload measurement system designed to capture the direct and indirect elements of community nursing work and is suitable for use with all care groups in the community.

Ethical issues regarding live kidney transplantation.

There are many ethical issues regarding kidney transplantation as the supply of cadaveric (deceased) organs does not meet the increasing demand for organs. The proportion of organs from living donors is increasing in the UK. This has many benefits for the recipient but raises many ethical issues.

Assessment of dependency levels of older people in the community and measurement of nursing workload.

Aim: This paper is a report of a study to explore the relationship between the dependency levels of older people who are part of the community nurse's caseload and the volume and nature of nursing input required.

Background: International healthcare policy has consistently emphasized the reorientation of health services from hospital to community care. It is necessary to determine ways to use nursing resources appropriately to meet service needs of an increasing older population.

Measuring the workload of community nurses in Ireland: a review of workload measurement systems.

Background: The primary community nursing service in Ireland is public health nursing and this unique healthcare role incorporates activities and responsibilities undertaken by a variety of health professionals in other countries. Capturing and comparing a measure of the work of any community nurse is complicated due to the difficulty in standardizing the nature of community nursing across care settings.

Aim: The aim of this paper was to review the varied approaches to measuring the workload/caseload of community nurses to evaluate how they may be applied to measure the workload of the public health nurse in the Irish Republic.