Helping nurses prepare for uncertainty in clinical practice, 2025, MAY

[Dolphin]

Helping nurses prepare for uncertainty in clinical practice.

Discover this 2025 paper in Practice Nurse by MAY, ANDRÉE LE; MCMAHON, ANN; TWYCROSS, ALISON; et. al. focusing on: NURSES; MOTIVATIONAL interviewing; OCCUPATIONAL roles; MENTAL health services; FAMILY nurses; NURSING assessment; LONG-term health care; POST-acute COVID-19 syndrome; UNCERTAINTY...

openurl.ebsco.com

Title

Helping nurses prepare for uncertainty in clinical practice.​

Authors

MAY, ANDRÉE LE; MCMAHON, ANN; TWYCROSS, ALISON; MAXWELL, ELAINE​

Abstract

The article focuses on developing a framework to enhance the confidence of General Practice Nurses (GPNs) in caring for patients with long COVID, particularly in uncertain medical situations. It emphasizes the importance of person-centered care, ongoing assessments, and the role of nurses as case managers and navigators within healthcare systems. The authors conducted case studies and gathered insights from clinical nurse specialists to identify best practices and ten key elements of care that can be applied in various settings. The framework aims to prepare nurses for future pandemics and improve support for patients experiencing long-term conditions, especially when clear medical diagnoses are lacking.​

Subjects

NURSES​

Publication

Practice Nurse, 2025, Vol 55, Issue 6, p24​

ISSN

0953-6612​

Publication type

Academic Journal​

 

[rvallee]

The framework aims to prepare nurses for future pandemics and improve support for patients experiencing long-term conditions, especially when clear medical diagnoses are lacking

Uh, you're not doing that right now. No one is. How does that even work? If you can't do this for the current/ongoing pandemic featuring literally millions of people who need medical help but aren't getting it because the necessary work was never done, how can you do what you're not doing for the next?

The linear passage of time, so complicated.

especially when clear medical diagnoses are lacking

You mean the pathology isn't understood. Just say the words. Oh, to long for a medical profession that just says the words they mean and not other words that make it sound like one thing but mean another while hiding the reason for all this deceit.

 

[Nightsong]

There is some good in this but it's unfortunately rather holistic-biopsychosocial. A few brief quotes:

Re-defining and adapting to the challenges experienced are important – nurses can have a role in this, but they should tread carefully. The nurse's role should focus on facilitation and support for self-management, through co-creating self-management programmes, interventions, or services for people with long COVID

Using an integrated approach which combines medical, psychosocial, and alternative approaches and draws from learning in other areas (e.g., fibromyalgia, chronic fatigue syndrome) may prove a useful strategy

Individualised treatment priorities may include managing energy levels, maintaining mood, and developing coping skills. This may include cognitive behavioural therapy (CBT), if available, and if it has not been tried before

Some people with LTCs experience altered sleep patterns, crushing tiredness and post-exertional malaise.

Advice may be informed by other conditions where chronic fatigue occurs and referral for specialist assessment may be appropriate.

Post-exertional malaise and/or post-exertional symptom exacerbation may limit what they can do to aid recovery

Encourage patients to keep a diary of what makes fatigue worse, better or makes no difference over the course of 3-6 weeks. The diary should also include changes in temperature, weather, food intake, alcohol intake, exercise etc.Depending on findings, participation in a fatigue management course may be suggested (e.g. the MS Society’s online workshop)

 

[Sean]

This may include cognitive behavioural therapy (CBT), if available, and if it has not been tried before

No consideration of whether it appropriate or not? Or is it just CBT for all?

 

[Kitty]

This may include –––––––––––––––––––, if available, and if it has not been tried before

My brain can't help providing alternatives to go in that space. Foot baths, cold cream, sunbathing, studying ground beetle genera...

 

[Lou B Lou]

No consideration of whether it appropriate or not? Or is it just CBT for all?

'CBT for All' being one of Lord Richard Layard's slogans during his Mission for us all to become more Happy, less sick, less mentally ill, and far more Employed. CBT being the universal panacea that would accomplish all that.

 

[Utsikt]

Those quotes reads like they were written by someone who doesn’t know why what they say should be true, they have just blindly accepted anything that’s been said to them.