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Burnout and stress in general practice

It has been a long and winding road over the past 18 months. The focus of the news has been on secondary care, but what has it been like for practice nursing – a generally overlooked and undervalued...

Back to school with asthma in 2021

Back to school planning in 2021 may be hampered by a primary care system facing a backlog of care, plus a patient population who may be reluctant to access care. According to surveys by Asthma UK...

Anaemia in primary care: iron deficiency and anaemia of chronic disease

Iron deficiency anaemia (IDA) is the most common cause of anaemia and is a problem worldwide, with an estimated 500 million people affected, occurring both in low-income countries such as sub-Saharan...

Understanding the pharmacology of heart failure

HF is defined by the American College of Cardiology/American Heart Association (ACC/AHA) as a complex clinical syndrome that occurs from any structural or functional impairment of ventricular filling...

Living with long COVID

The new guideline for NICE (2021) recommends that patients presenting with new or ongoing symptoms 4 weeks or later after an initial COVID-19 infection should have the following investigations done: a...

Compassion in leadership: staff morale and burnout

Work-related stress is prevalent within the NHS (2020) and if not acknowledged and resolved may lead to burnout. Burnout can be defined as a syndrome of emotional exhaustion, cynicism and negative...

Raising awareness: ‘but you don't look like you have a stoma…’

I have always been honest and open about my condition and my stoma, yet I have encountered many negative perceptions, bewildered and commiserative looks. I am not embarrassed or ashamed of my ostomy,...

News Focus

Events will be held across the UK as the RCN prepares to consult members on next steps, after dissatisfaction with the Government's offer of a 3% pay rise..

Winter worries

Paediatric A&Es are reporting that they have had the busiest couple of months on record, with one doctor saying ‘We are effectively running a winter-level emergency department response in the...

Sexual history taking in primary care

STIs still carry a degree of stigma in society and to enable a patient to feel free to disclose information to the health professional they need to be confident that their privacy will be respected....

Understanding the use of pulse oximetry in COVID-19 disease

The fundamental principle in pulse oximetry is that when light is shone through a substance, some of that light is absorbed as it passes through the substance and the light that is not absorbed can be...

Evidence-based strategies to promote vaccine acceptance

The range of psychological, physical and contextual barriers to vaccination uptake are set out in a previous paper (While, 2021).

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