Professional nurse (London, England)
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Although traditionally seen in middle aged and older people Type 2 diabetes, which is associated with obesity, poor diet and lack of exercise, is increasingly being diagnosed in children and young people who are overweight. Studies from around the world point to the usefulness of diet and exercise regimens in preventing onset of this illness.
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This, the final paper in this series analysing the significance of adverse health-care events and near-miss reporting, explores the requirement of a shift towards a 'blame-free' culture and the potential contribution such a change could bring to health care in terms of reducing risk for patients. Barriers to achieving a blame-free, or 'blame-fair', culture are also examined.
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This paper opens a series on protocol-based care by introducing the concept, revisiting its definitions and components, and considering the factors that influence the development of protocols. Part one discusses the aims of integrated care pathways implemented by multidisciplinary teams and reflects on their benefits to patients, staff and organisations.
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Recent health initiatives have put the focus on patient-centred care, with the result that an ever greater number of nurses now provide a high-quality patient-focused service through a variety of roles in surgical pre-assessment. This article charts the development of this role and the concomitant models of surgical pre-assessment that have evolved in the NHS.