The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review (World Reviews on Evidence-Based Nursing, 3 June 2016 pps. 1-11)

Rapid response systems incorporate concepts of early recognition of patient deterioration, prompt reporting, and response which result in escalation of patient care. The ability to initiate escalation of care is now being extended to families of hospitalized patients.

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Compassion in Practice model lacked junior nurse buy-in (Nursing Management June 2016 23(3) pps. 10-11)

As NHS England unveiled the details of Leading Change, Adding Value, the new nursing framework for England, an evaluation of its predecessor Compassion in Practice (CiP) revealed some interesting learning points for implementation and success of the new strategy.

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Care of dying adults in the last days of life (Clinical Medicine, 2016 16(3) pps. 254–8)

Care of people in their last days of life should be based on compassion, respect and, wherever possible, on research evidence. Previously the Liverpool Care Pathway attempted to facilitate this but it was withdrawn after an independent government report found that its uncritical implementation could lead to poor care. This Concise Guideline overviews NICE Clinical Guideline (NG31), which addresses: recognising dying; communication and shared decision making; maintaining hydration; and pharmacological symptom control, including anticipatory prescribing. Doctors may need to change their attitudes to care of dying people and those important to them. Specific areas where practices will need to reflect the individualised approach to care are highlighted. Limitations of the guideline are discussed. Potential barriers to implementation include need for further training and 24/7 availability of specialist support to front-line clinicians.

Care of dying adults in the last days of life (Follow this link if you have an Athens password). Alternatively contact the UHSM Academy Library for a copy of the article or call 0161 291 5778)

Carers’ beliefs about counselling: a community participatory study in Wales (British Journal of Guidance and Counselling, 31 May 2016)

This interpretivist community participatory study explores carers’ beliefs about the potential usefulness of counselling in relation to the caring role.

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