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Service improvement

Equality, diversity and inclusive leadership in palliative care

‘For a report like this to have the impact intended, it needs to speak to the community it affects.’ .

Achieving equity of access to palliative care

While this column is written for UK community nurses, issues of inequity are a global problem (Reimer-Kirkham et al, 2016; Hunt et al, 2019); therefore, we should look for a global solution, working...

Integrated care is needed, now more than ever: a professional's perspective

Locally, it was agreed for existing pathways within the integrated discharge team to be enhanced to support safe discharge of patients, enhance communication and build key relationships with...

Nurse-led projects for people experiencing homelessness and other inclusion health groups: a realist evaluation

‘… practical assessment of the implementation and impact of an intervention. It is conducted in a spirit of discovery, rather than management or monitoring. It is concerned with developing...

Making waves: nurse-led urgent community response

A question arises: are we creating new services, rather than building on existing community health care?.

A new tool to measure acuity in the community: a case study

A referral was made by a patient's GP after virtual review. The patient is a 79-year-old woman, whose case is presented below..

Digital transformation in community nursing

In order to achieve the required pace of digital change, NHS England created Global Digital Exemplars in 2019 (NHS England, 2019), which were mental health, ambulance and acute NHS trusts that were...

Rising to the challenge: a COVID-19 vaccination service for the housebound population

The cluster matron role developed into a mainly coordinating function for the service. The matron acted as the clinical lead and was responsible for the overall governance for service delivery. They...

Impact of technology on community nursing during the pandemic

In community nursing, a strong emphasis has been placed on the use of telephone triage followed by video assessment to reduce exposure to staff and patients, further preventing an increase in the...

A rapid response and treatment service for care homes: a case study

The RRaT service provided by the Berkshire Healthcare Foundation Trust (BHFT) is commissioned by the Berkshire West Clinical Commissioning Group and has been chosen as one of the seven ‘accelerator’...

Improving review of housebound people with diabetes through competency-based training

Annual review (based on the nine key care processes) of housebound patients at the start of the project was variable, and was primarily carried out by the practice nurse or advanced nurse practitioner...

District nurses' experiences with a caseload profiling tool: a service evaluation

Within the Scottish context, the method to measure, monitor and resource DN caseloads is based on the principles of workload analysis, and workload is measured on the basis of subjective...

Why choose British Journal of Community Nursing?

British Journal of Community Nursing provides clinical education dedicated to nursing in the home. Our goal is to help you develop your skills, improve your practice and manage cases more effectively.

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