Many of the articles listed below are available full text with your NHS Athens Account alternatively contact the Library & Knowledge Service to have any of these articles emailed or posted out to you.

Meeting the complex needs of individuals living with HIV: a case study approach.
British Journal of Community Nursing; November 2014

This article critically discusses the nursing care and management of a person living with the human immunodeficiency virus (HIV) infection as a long-term condition, requiring highly complex HIV care. Complex HIV care is managed in the secondary care setting. However, recent legislation has motivated shifts in HIV care to the community care setting. This article aims to enhance health professionals’ understanding in order to equip practice and district nurses to deliver HIV care provision. Antiretroviral adherence is a prerequisite for disease survival as well as an essential component of complete HIV self-care management. It is therefore imperative that nurses tailor adherence strategies according to each patient’s requirements. Case management strategies such as the use of cognitive behavioural therapy to alleviate depressive symptoms will be considered. Furthermore, the use of motivational interviewing for antiretroviral adherence is highlighted as a potential intervention to help patients overcome the physical, psychological and physiological challenges of living with HIV-associated comorbidities. The delivery of integrated HIV care is pivotal for the management of the person living with HIV, as is the facilitation of a self-caring behaviour.

Community-dwelling women’s knowledge of urinary incontinence.
British Journal of Community Nursing; November 2014

As the population ages, the risk and prevalence of urinary incontinence (UI) will increase. Although this is the case, many women do not seek help or treatment. It is therefore important to investigate women’s knowledge of UI. This pilot study aimed to describe community-dwelling women’s knowledge of UI. A convenience sample method was used to recruit 50 community-dwelling women aged 50 and over. Some 36 participants completed a demographic questionnaire and the Urinary Incontinence Knowledge Scale (UIKS)—a response rate of 72%. The findings indicated that participants had poor knowledge of UI, principally in relation to risk, prevention, treatment and management factors. Fewer than 20% of participants indicated they had been given information on bladder and bowel health issues. The findings suggested that women had unmet educational needs relating to UI. Community nurses have a key role to play in promoting targeted awareness and continence education advice regarding UI to community-dwelling women.

The use of patient management systems in the community.
British Journal of Community Nursing; November 2014

The role of community nursing services is changing and the ability to adapt to the new roles and challenges using technology is becoming increasingly important. This article considers the positive role that using patient management systems and care registers can play in improving and developing new work patterns through the use of online, shared working practices.

The role and organisation of community palliative specialist nursing teams in rural England.
British Journal of Community Nursing; November 2014

This article describes a study that used a qualitative approach, purposive sampling and semi-structured telephone interviews conducted with specialist palliative care nurses from six rural community teams in England. The study investigated how services were organised and the issues of delivering specialist palliative nursing care in a rural area. Qualitative content analysis was used to analyse the data. The findings showed many similarities in that the majority of patients in rural areas were not accessing hospice services and there was a greater reliance on care at home. However, the challenges in delivering care ranged from managing patient expectations, geographical distance, lack of technology to support remote working and education for the specialist palliative care teams. The study makes specific recommendations for rural community specialist palliative care teams.

Nutrition and dementia: what can we do to help?
British Journal of Community Nursing; November 2014
This review explores dementia progression and links to how the nutritional status of a person with dementia may be affected. It will also consider what health professionals based in community can do to maximise the nutritional status of the person with dementia. Practical, holistic suggestions—covering small appetite, communication difficulties, mood changes, swallowing problems and aversive mealtime behaviour—will be covered. Existing literature and current guidelines will be explored, common practice points around the nutritional care of people with dementia will be discussed, and local initiatives to help tackle malnutrition, particularly in those with dementia, will be highlighted.

Call for new community nurse roles.
Nursing Times; 10/22/2014
Nurses should take on new leadership roles spanning community and primary care.