Our 12-month audit data demonstrate that the initiation of inhaled insulin in this difficult-to-treat group of patients resulted in a significant improvement in glycemic control. The subsequent withdrawal of an alternative and acceptable form of insulin treatment now presents a renewed challenge for our patients and healthcare professionals.
This article explores nursing students' reflections on the criticisms of nursing highlighted in the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry ( Francis 2013 ). Their reflections on the concerns identified in the report raise awareness of factors that are important in the delivery of compassionate patient-centred care. The media portrayal of nursing in the aftermath of the report and its implications for the nursing profession and nursing practice is considered, and the vital elements required to foster a culture of compassionate care within care environments are examined.
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