Common guidelines on the definition and measurement of pain are needed. In day surgery, the availability of a unified and reliable measure of pain that can address its sensory component, such as the VAS, will provide more reliable information about the pain experience and, hence, improve its overall management.
There is a disparity in reported levels of pain after day surgery. It is important that a unified day surgery pain measurement strategy is established, so that patients can be informed about the intensity of pain that they are likely to experience following specific procedures.
This study aimed to explore the views of health visitors and school nurses with regard to their role in oral health promotion and their understanding of the issues surrounding the delivery of effective oral health promotion in their daily practice. A focus group was conducted with school nurses (n=6) and health visitors (n=3) who had recently completed the Evidence-Based Public Health core module as part of their higher degree specialist community public health nurse (SCPHN) programme of study in 2014. A 12-item focus group interview schedule was devised in which face and content validity were established. A thematic analysis was then undertaken in which themes and subthemes were identified. Although health visitors and school nurses are best placed to take the lead on oral health promotion in children and young people, several barriers were identified, which prevented them from performing this role effectively and confidently. A recommendation is made for more training, focused on behaviour change principles of concordance and setting realistic targets tailored to the needs of those children and young people who need it most.
The results suggest that tele-advice can be of great benefit to community nurses in enhancing their knowledge in the practice of leg ulcer care. This will have significant implications for more efficient use of human resources and cost effectiveness in wound care.
A large number of patients experienced severe levels of pain after day surgery. This could have resulted from a lack of knowledge about the assessment and management of pain, in which nurses play an important role. This study has highlighted that different pain trajectories are associated with different operation types, and this has important implications for the preoperative and postoperative preparation of day surgery patients as well as the role of nurses in the overall success of the day surgery process.
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