Managing COPD using pulmonary rehabilitation: a literature review

This article presents a literature review of the benefits of pulmonary rehabilitation in the management of chronic obstructive pulmonary disease (COPD). Pulmonary rehabilitation has been shown to decrease patient mortality and hospital admissions. The literature search resulted in 13 articles being selected for review. Three themes were identified: improvement in exercise tolerance, improvement in breathlessness and improvement in health-related quality of life. This review enhances our knowledge of the mechanisms through which pulmonary rehabilitation benefits patients and provides an evidence base to guide nursing decisions regarding patient education, health promotion and psychological support

How does it really feel to be in my shoes? Patients' experiences of compassion within nursing care and their perceptions of developing compassionate nurses

Aims and objectives. To understand how patients experience compassion within nursing care and explore their perceptions of developing compassionate nurses. Background. Compassion is a fundamental part of nursing care. Individually, nurses have a duty of care to show compassion; an absence can lead to patients feeling devalued and lacking in emotional support. Despite recent media attention, primary research around patients' experiences and perceptions of compassion in practice and its development in nursing care remains in short supply. Design. A qualitative exploratory descriptive approach. Methods. In-depth, semi-structured interviews were conducted with a purposive sample of 10 patients in a large teaching hospital in the United Kingdom. Interviews were digitally recorded and transcribed verbatim. Thematic networks were used in analysis. Results. Three overarching themes emerged from the data: What does this paper contribute to the wider global clinical community? • This research contributes to the body of knowledge that compassion is fundamental to nursing care and provides some empirical evidence on how patients perceive compassion as conveyed through the basic nursing care they receive. • The effects of the lack of compassion in care should not to be undervalued. • This research reaffirms that some patients believe their experiences can offer legitimate and valuable learning for nurses in relation to compassion. • For some, compassionate actions may only need to be fleeting, rather than the product of relationships established between nurses and the patients they care for. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made

Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review

Background: The UK has experienced significant immigration from Eastern Europe following European Union (EU) expansion in 2004, which raises the importance of equity and equality for the recent immigrants. Previous research on ethnic health inequalities focused on established minority ethnic groups, whereas Eastern European migrants are a growing, but relatively under-researched group. We aimed to conduct a systematic scoping review of published literature on Eastern European migrants’ use and experiences of UK health services. Methods: An initial search of nine databases produced 5997 relevant publications. Removing duplicates reduced the figure to 2198. Title and abstract screening left 73 publications. Full-text screening narrowed this down further to 10 articles, with three more from these publications to leave 13 included publications. We assessed publications for quality, extracted data and undertook a narrative synthesis. Results: The included publications most commonly studied sexual health and family planning services. For Eastern European migrants in the UK, the most commonly cited barriers to accessing and using healthcare were limited understanding of how the system worked and language difficulties. It was also common for migrants to return to their home country to a healthcare system they were familiar with, free from language barriers. Familial and social networks were valuable for patients with a limited command of English in the absence of suitable and available interpreting and translating services. Conclusions: To address limited understanding of the healthcare system and the English language, the NHS could produce information in all the Eastern European languages about how it operates. Adding nationality to the Electronic Patient Report Form (EPRF) may reveal the demand for interpretation and translation services. Eastern European migrants need to be encouraged to register with GPs to reduce A&E attendance for primary care conditions. Many of the issues raised will be relevant to other European countries since the long-term outcomes from Brexit are likely to influence the level of Eastern European and non-Eastern European migration across the continent, not just the UK

Experiencing transformation: the case of Jordanian nurse immigrating to the UK

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/112229/1/jocn12810.pd

Learning to promote patient dignity: an inter-professional approach

The promotion of patient dignity is an important aspect of healthcare provision. However, there is evidence to suggest that patient dignity is not being promoted as expected and a number of attributing factors have been suggested in the literature. This article proposes that healthcare educators should incorporate the subject of dignity in its own right within the curriculum. Attempts in teaching the concept of dignity have tended to adopt an uni-professional approach: this paper proposes that inter-professional education (IPE) is the most suitable approach in teaching the issues relating to dignity in healthcare. © 2015 Elsevier Ltd

"I didn't tell them. Well, they never ask". Lay understandings of hypertension and their impact on chronic disease management: Implications for nursing practice in primary care

"I didn't tell them. Well, they never ask". Lay understandings of hypertension and their impact on chronic disease management: Implications for nursing practice in primary care (Gina Higginbottom) 10.1177/1744987108088636 2008 13: 89 Journal of Research in Nursing their impact on chronic disease management: implications for nursing practice in http://jrn.sagepub.com/content/13/2/89.full.pdf+html This paper article is part of the author’s important qualitative work on hypertension in people of African-Caribbean ethnic origin living in England. The paper specifically examines how 'lay understandings' of hypertension may affect chronic disease man- agement and the steps that primary care nurses might take to optimise care delivery to clients. In this respect, the author must be commended for introducing a very im- portant topic that has been under researched

A sense of people's worth

It is vital that nursing students understand and promote the concept of patient dignity, writes Milika Matiti Read More: http://rcnpublishing.com/doi/abs/10.7748/ns2012.08.26.52.64.p9221 The International Council of Nurses urges all healthcare professionals, including students, to promote patient or client dignity. In the UK this position is endorsed in the Nursing and Midwifery Council’s code of conduct, performance and ethics

Dignity: a study of pre-operative patients

When being prepared for surgery, pre-operative patients undergo a series of processes and procedures which can compromise their dignity. This article examines this phenomenon and suggests ways to reduce it effects

Dignity in healthcare: a practical approach for nurses and midwives

Dignity in the care of patients and clients of all ages, whether in hospital or community settings, is an area of increasing national and international importance and concern. However, a comprehensive, accessible resource for nurses and midwives on the theory and practice of dignity in care has until now been lacking. Dignity in Healthcare provides a practical approach, underpinned by up-to-date theory, to this crucial issue for those providing care to people in all stages of life, including those with mental illnesses or learning disabilities. Care in areas such as maternity, community, palliative and acute care and others is explored in depth. Approaches to education and practice development for promoting dignity in care are also outlined clearly and accessibly, with each chapter combining an evidence-based theoretical underpinning with practical application through scenarios