The RITE stuff

Article Abstract:

Nurses in Liverpool, England, developed the home-based service ACTRITE for patients with chronic obstructive pulmonary disease (COPD). The development was a response to the discovery that acute periods of COPD often led to hospital admissions averaging 9.8 days, which, in the hospital investigated, accounted for a total of 12,250 bed days. The ACTRITE service involves hospital assessment and discharge into the care of the ACTRITE nursing team with 24-hour district nurse support. Treatment includes antibiotics and corticosteroids, and nursing checks follow a strict protocol.

United States, Care and treatment, Lung diseases, Obstructive, Chronic obstructive lung disease

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Change from the bottom up

Article Abstract:

Community nurses and health visitors working for Camden and Islington National Health Service (NHS) Trust in London, England, have sought to make a substantial contribution to the reorganization into new primary health care teams using GP attachment which has resulted from the 1991 NHS Community Care Act. Dissatisfaction among community nurses about a plan to reorganize the district nursing service prompted the creation of a joint working party of managers and practitioners. A health visitor working group was also created to assess how any changes could be implemented.

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An assessment of need for district nursing

Article Abstract:

A study of ways in which improvements could be made to district nursing provision in Barnet, London, England, involved using a qualitative research method. In particular, focus groups were established with local district nurses to investigate their perceived needs for the district nursing service. Issues discussed at 13 group sessions and two one-to-one interviews included clinical supervision, staffing and professional updating. The district nurses' perceptions of areas of need closely matched previously identified shortfalls in the service.

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