Nursing standard (Royal College of Nursing (Great Britain) : 1987)
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Workplace bullying in the NHS is an important issue that is growing in significance as it becomes clear that bullying is not just a personal matter but also an organisational one. It may be that healthcare organisations, such as the NHS, foster or sustain workplace bullying. This article provides an overview of the key issues in workplace bullying and suggests individual, team and organisational solutions to reduce its incidence.
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Although managing pain in the acute surgical setting is a priority, there is a dearth of evidence to guide clinicians on how best to approach the discontinuation and transition of patients from epidural analgesia to oral analgesia post-operatively. This article describes an audit at a regional trust which examined data on patients' observations charts, as well as patients' self-reports of pain. ⋯ They conclude that comprehensive pain assessment and better documentation are necessary to improve pain management practices. While the results demonstrate the advantage of reducing epidural opioid concentrations, decisions should be based on the needs of individual patients and not form part of a routine task.
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This article explores the development of a new model of trauma training for nursing and other emergency staff in the Falkland Islands, an isolated group of islands in the South Atlantic. The training has been successfully implemented and continues to provide staff with tailored training in emergency trauma care.