Community nurses face many challenges when trying to practice evidence based, person-centred care. Ongoing concerns regarding the impact of the 2013 Francis Report (Ford and Lintern 2017) suggest that individualised and holistic care is an impossible dream; one made harder when the client appears uncooperative. This paper presents a case study which sets out how some of these challenges were met in a potentially difficult situation experienced by a student nurse and her mentor in practice, in which the student was supported to further examine and explore issues that may have influenced the situation. In this instance the solution came with the recognition that the client had expertise and knowledge that needed to be taken into account alongside that of the nurses looking after him. His care became a partnership, not an imposition of expertise; a principle which is transferrable to many other situations. Underpinning it was the recognition of our shared humanity; where lies the essence of truly holistic care. Student nurses learning this, through the guidance and support of their mentor.
In this article, the first of two, Vanessa Heaslip et al examine the factors that lead to certain groups having poorer health outcomes in the UK Practice nurses are ideally placed within local communities to have a significant impact on addressing health inequities. However, to achieve this they need to understand the many factors that lead to certain groups having poorer health outcomes. Advances in longevity do not automatically match advances in health and wellbeing across all social groups. In the UK, someone living in a deprived area of England is more likely to die eight and a half years younger than someone living in a more affluent area. The COVID-19 pandemic has highlighted health inequities faced by ethnic minority groups in particular. This article, the first of two, will define the terminology used, explore access to health services in the UK and present the evidence driving healthcare policy.
There are increasing concerns about the mental health and well-being of young people, including how this has been negatively affected by the coronavirus disease 2019 (COVID-19) pandemic and social media. Community nurses are in an ideal position to promote positive mental health and ensure timely referral to appropriate services to ensure that young people can access the support they need. This article explores how the pandemic and social media have affected young people's mental health, particularly in relation to anxiety. It also explains how nurses can discuss these issues with young people and their parents or guardians about mental health and social media. Keywords adolescents, anxiety, child and adolescent mental health, child health, communication, mental health, mental health therapies, professional, psychosocial interventions, social media Aims and intended learning outcomesThe aim of this article is to enable nurses to consider the effects that social media can have on anxiety levels in young people and to assist nurses in promoting mental health among this population. There are various definitions of what constitutes 'young people', but in the context of this article it refers to those aged up to 18 years. After reading this article and completing the time out activities you should be able to:1 | P a g e • Explain the difference between mental health and a mental illness or disorder.• Recognise why the coronavirus disease 2019 (COVID-19) and increased social media use have led to concerns about the mental health of young people.• Understand the nurse's role in promoting mental health and well-being.• Feel confident in having conversations with young people about mental health and referring them to appropriate support services.
In this article, the second of two, Vanessa Heaslip et al explores health inequity in three groups: people who are homeless, individuals from LGBTQ+ groups and ethnic minority communities Practice nurses who work in GP practices as part of the multidisciplinary team have a key role in the assessment, screening and treatment of people throughout their lives. This article, the second in the series of two, will build on the practice nurse's understanding of health inequity in three particular communities: people who are homeless, individuals from LGBTQ+ groups and ethnic minority communities. The article will also explore the role practice nurses can play in addressing poor health outcomes for individuals in these communities. This article will explore inequity in these groups by looking at four main areas: health status, access to care, quality, and experience of care and behavioural risk factors.
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