Nursing times
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This article outlines a project to improve end of life care for those who are critically ill, by adapting and implementing a national protocol specially developed for the intensive care unit. The rollout of the pathway is discussed along with an audit which found the trajectory towards death following withdrawal of treatment can be swift. The extent of documentation is, therefore, an important consideration to ensure nurses can balance patients' needs with those of grieving relatives while ensuring bereavement care is accurately documented.
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Nurses and midwives could improve care and save billions of pounds a year by implementing the eight high impact actions unveiled by the chief nursing officer for England Dame Christine Beasley in 2009. We explore how staff can implement the actions through leadership and knowledge of change management processes.
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Nurses and midwives have been asked to implement eight high impact actions, announced by the chief nursing officer for England Dame Christine Beasley in November 2009. Here we describe the process of ideas management that led to the actions being selected for the final list, and suggest ways in which nurses can use this process to implement changes in practice.
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Measurement and management of body temperature is often based on traditionand personal ideas and beliefs rather than evidence based knowledge. This article summarises the literature to provide a guide to evidence based assessment and evaluation of body temperature in clinical practice.
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The first in this two part unit on tuberculosis discusses global and UK rates, and explains strategies to control it in the UK. Certain challenges are discussed, such as HIV co-infection and drug resistance.