Implementing an adapted Buurtzorg model in an inner city NHS trust

The Dutch Buurtzorg organisation is a social enterprise that uses a patient-centred model of care combined with self-managing teams of visiting nurses. The central principles in the patient-centred...

Integrated care systems and nurse leadership

The Organisation of Economic Co-operation and Development (OECD) reported that the UK spent 9.8% of its gross domestic product (GDP) on healthcare in 2018 (OECD, 2019b). This equates to US$ 4070 per...

Fronto-temporal dementia: a case study and strategies and support for caregivers

JA was a 51-year-old divorced woman with one daughter and worked as a loan officer at a local credit union. One day, she committed an error involving a significant amount of money. On recognising the...

Tai chi to prevent falls in older adults

Although a wide range of approaches have been employed, the optimal exercise regimen to improve muscle strength in older adults remains uncertain. Exercise groups are not new, but the specific...

Evaluation of a structured preceptorship programme

A preceptorship framework was developed by the trust with competency statements to demonstrate progression by the preceptee during the preceptorship phase. Competence refers to specific capabilities,...

The many challenges of living with prostate cancer

Challenges in influenza vaccination

Nurse leadership in new NHS systems

Challenges to concordance: theories that explain variations in patient responses

On occasion, despite HPs' best efforts to share information and develop a relationship of ‘equals’ with patients, some patients still fail to concord (Seligman, 1975; Hewison, 1995; Morden et al,...

Deprescribing in end-of-life care

Awareness of the anatomical changes that occur during the end stages of life is fundamental to support the rationale for stopping medications (Mangoni and Jackson, 2003). When a disease progresses,...

Managing sickness absence and declared disabilities in a district nursing team

‘Organisations that work with their staff to provide healthy and safe work combined with a caring environment perform better, and, importantly, by promoting the health of their workers rather than...

Delivering chemotherapy at home: how much do we know?

Traditionally, home chemotherapy has entailed the delivery of the treatment under supervision by a specialised nurse. With the advent of ambulatory devices, this term has evolved to include ambulatory...

Social frailty: the importance of social and environmental factors in predicting frailty in older adults

The Canadian Study of Health and Ageing (CSHA) collected data from 10 263 people aged 65 years or over, sampled from 36 different communities across Canada. The subjects represented the...

Improving patient outcomes with neighbourhood care: the Coldstream experience

Buurtzorg founder Jos de Blok's presentation at the 2016 Queen's Nursing Institute Scotland (QNIS) conference prompted the district nursing team in Coldstream to consider how it could apply...

Taking an active approach to medicines management

Despite the best efforts of medicines management to identify both the areas of prescribing that yield low clinical value and the potential cost savings of using cheaper clinically equivalent...