Julie Green

Keele University · School of Nursing and Midwifery

Failing to establish a collaborative relationship between patient and health professional can be a significant obstacle to recovery. Julie Green and Rebecca Jester delve into the psychology behind patient responses and present methods to empower patients

To meet the challenges of an increasingly ageing and multimorbid population, patients must be fully engaged to work in partnership with their health professional (HP) in the management of their condition(s). The NHS Long Term Plan (2019) outlines goals to manage the increasing demands on the health service—hospital admission avoidance, shorter leng...

The development of a generic, self completed, wound checklist.

This article descrbes an educational innovation project that sought to collect stories from patients, carers and nurses describing care delivered in the community setting.

District nursing has a long history as a service that provides care for patients in their home environment. Demographic changes and a need to optimise out of hospital care has impacted on the acuity of patients supported and the complexity of caseload management. District nurses, in order to effectively manage such increased demands on their busy s...

Part 2 in this article series summarises the final two phases of a study which explored the experiences of patients with leg ulcers and the impact of this condition on their quality of life. Early phases of the study revealed a mismatch between issues that affected a patient's quality of life and what they discussed during subsequent health care co...

Background Symptoms form a major component of patient agendas, with the need for an explanation of symptoms being a prominent reason for consultation. Objectives To estimate the prevalence of different symptoms pre-consultation; to investigate whether intention to mention a symptom in the consultation varied between patients and across sympt...

This article, the first of two, summarises a study that explored the lived experiences of patients with leg ulcers and the impact of this condition on their quality of life. The study had four study phases; phases 1 and 2 employed qualitative methods and are reported here. Initially, unstructured interviews were held; these revealed significant iss...

Objective: Managing chronic wounds is associated with a burden to patients, caregivers, health services and society and there is a lack of clarity regarding the role of dressings in improving outcomes. This study aimed to provide understanding on a range of topics, including: the definition of chronicity in wounds, the burden of illness, clinical...

OBJECTIVE: Managing chronic wounds is associated with a burden to patients, caregivers, health services and society and there is a lack of clarity regarding the role of dressings in improving outcomes. This study aimed to provide understanding on a range of topics, including: the definition of chronicity in wounds, the burden of illness, clinical...

Context: The increasing number of people living with multiple chronic conditions in addition to an index condition has become an international healthcare priority. Health education curricula have been developed alongside single condition frameworks in health service policy and practice and need redesigning to incorporate optimal management of mult...

Opinion: In the challenging environment of community care, district nurses need to have the skills to be assertive and inspirational managers

This project explored the lived experiences of patients with leg ulcers to ascertain impact on their quality of life. The aim was to develop a new Leg Ulcer Consultation Template (LUCT). Unstructured interviews were undertaken. Themes raised as significant were incorporated into a checklist and used to assess the extent and depth of exploration dur...

District nurse (DN) care delivery has undergone substantial change in recent years due to changing demographics and service delivery demands that have called for a move of care delivery from secondary to primary care. The title District Nurse is recorded with the Nursing and Midwifery Council (NMC) on completion of the Specialist Practice Qualifica...

Chronic venous leg ulcers (CVLUs) are common and recurrent, however, care for patients predominantly has a focus which overlooks the impact of the condition on quality of life. The aim of this study was to develop a simple, evidence-based consultation template, with patients and practitioners, which focuses consultations on quality of life themes....

Objective: Chronic venous leg ulcers (CVLUs) are common and recurrent, however, care for patients predominantly has a focus which overlooks the impact of the condition on quality of life. The aim of this study was to develop a simple, evidence-based consultation template, with patients and practitioners, which focuses consultations on quality of li...

Objective: Chronic venous leg ulcers are common, intractable and often recurrent, but care tends to be wound focused, potentially overlooking the significant impact the condition has on patients’ lives. A systematic review was undertaken to explore the factors that impact on the quality of life of patients with chronic venous leg ulceration. Method...

The rise in prevalence of chronic diseases has become a global healthcare priority and a system wide approach has been called for to manage this growing epidemic. Whilst healthcare reform to tackle the scale of chronic disease and other long term conditions is still in its infancy, there is an emerging recognition that in an ageing society, people...

This article aims to identify service users' and nurses' perspectives on recovery-focused practice through themes in the literature. Common themes were hope, person-centred care and consideration of service users' perspective. Recommendations on how practice could be improved are suggested from these themes.

Objective: To quantify the extent to which patients disclose their concerns to community nurses during wound care consultations. Method: Using an 'observation checklist' based on themes and subthemes that were identified in a previous study of the same patients, 20 wound care consultations were observed. The non-participant observer completed th...

This paper outlines a curriculum model for contem-porary programme design for the purpose of embed-ding educational innovation and technology within an inter-professional nursing curriculum. It has been de-veloped from work within the School of Nursing and Midwifery at Keele University during the re-write of both the nursing and midwifery curriculu...

Objective: To investigate the evidence exploring the experiences of patients with fungating wounds and associated quality of life, and to subsequently provide recommendations to how these implications may be addressed in practice. Method: Using a systematic approach, a comprehensive literature search was conducted to investigate the most appropr...

Objective: To understand the personal impact of venous leg ulceration from the patients' perspective. Method: Face-to-face, unstructured interviews were conducted with nine patient participants with venous leg ulcers. The interviews were digitally recorded, transcribed verbatim and, using thematic analysis, the themes and subthemes which impacte...

Leg ulcers caused by chronic venous insufficiency affect a great many of the population, costing the NHS an estimated £200 million per year. The clinical use of sterile maggots under the brand name LarveE has increased steadily in the UK since they were introduced in the UK in late 1995. Maggot therapy breaks down necrotic tissue within a chronic w...

Leg ulceration is a debilitating condition which compromises the quality of life of the sufferer, owing to factors such as pain, exudate, odour and social isolation. As nurses, much of the daily care provided for such patients focuses on the provision of wound care; often failing to fully address the wide ranging effects that the ulceration is havi...

Leg ulceration is a debilitating condition characterized by long periods of ulceration and a high incidence of recurrence. The quality of life of sufferers is compromised by many issues including pain and social isolation. Day-to-day care focuses predominantly on the provision of wound care, often with limited attention to the wide-ranging effects...

Central venous access devices (CVADs) are used in secondary and, increasingly, primary care settings to provide access to the central circulation. Skin-tunnelled catheters (STCs) are frequently used as the vascular access device of choice, particularly for patients receiving chemotherapy and for those who require long-term access for repeated trans...

Traditionally, the dorsogluteal site has been the site preferred by nurses for the administration of medication via intramuscular injection. However, there is evidence to support the use of the ventrogluteal site. It was recently advocated as the site of choice in a respected nursing manual. This article discusses the use of the ventrogluteal site,...