Providing the best level of care to patients is of the utmost importance and that means staying up to date on training. The medical knowledge is always changing, particularly rapidly over the last few years with so many recent advancements in technology. It’s important for nursing professionals to stay up-to-date with these medical advancements both for their own professional development but also for the benefit of their patients.

CPD is important for employer as they can assess your skillset to see if you require any additional support in certain procedures. This means that they are confident that the nurses are doing their job to the best of their ability and that they are getting the support that they need.

CPD is important for you as a healthcare professional too. Professional development helps you to continue making meaningful and efficient contributions to your team. It helps you to work efficiently and with confidence. Ongoing professional development can also help you advance in your career as you can move into new positions where you can lead, coach, manage, and mentor others.

Continuing professional development refers to any activity that contributes to your professional development as a nurse or healthcare professional. CPD not only benefits the patients in your care, as they are receiving the best care that they can possibly get, but it also benefits you, as the nurse. CPD means that you can perform your current job to the highest degree and it also contributes greatly towards advancement in your career.

The importance of professional development for nurses is that high-performing organizations recognize the significance of professional development plans for new and incumbent nurses. More and more, organizations across the continuum of care are recognizing the impact of nurse competency and satisfaction on patient care and outcomes, as well as the bottom line. Furthermore, nurses should increasingly anticipate ongoing professional development throughout their careers and consider lifelong learning to be a part of a healthy work environment.

In especially trying times, such as the COVID-19 pandemic, healthcare leaders can lose sight of the important role professional development can play in terms of a support system for nurses. It becomes imperative in times of crisis for organizations to ensure their staff have the much-needed support to provide safe and effective care, especially when faced with a pandemic and managing a crisis.  Professional development can play a key role in providing opportunities to learn about managing new disease processes and complex patient populations.  In addition, organizations can further promote learning opportunities regarding self-care and avoiding burnout, especially during a crisis.

Therefore, it is important for organizations to prioritize professional development across each nurse’s different career stages, from new graduates to seasoned veterans. Long-standing hiring and onboarding programs remain crucial, as well as innovative ways to adapt lifelong education to individual needs, which changes behavior and promotes continuous professional development.

Nursing professional development plays a critical role to ensure quality care, career satisfaction, and a solid pipeline for tomorrow’s leaders. By committing to the practice of these three critical components, your organization will lead the charge to create an engaged, proficient, and motivated nursing workforce ready to take on the challenges of an ever-changing healthcare landscape.

Organizations will undoubtedly benefit from having a solid nursing professional development program in place—and by first identifying areas of improvements for nurses, leaders can develop the most appropriate professional nursing goals for the organization. Understanding that nursing professional development programs can’t afford to fall by the wayside, even in times of budget constraints or unprecedented events (COVID-19) is also key for healthcare leaders. If anything, the existence of professional development programs is needed now more than ever to help support the nursing community in an especially difficult environment.  Ideally, the following examples of professional goals for nurses will support the overarching aims of most hospitals and health systems. In alignment with your organization’s goals, here are five examples of professional goals for nurses:

• Pursue advanced certifications (relative to clinical practice area)
• Remain focused on career path
• Seek advancement opportunities
• Prioritize continuing education and advanced learning opportunities
• Lead a quality improvement or patient safety initiative

Nurse leaders have the duty of giving the resources and support to advance professional development in their establishment. Through persuasive talking, disposal of professional development barriers, and consolation of shared administration, a nurse leader can advance individual medical professional development that will uphold medical services development and ideal patient results. If you need more professional help, click HERE.

Nursing is one of today’s most popular professions. In addition to the idea of participating in life-saving and patient care, nursing is an attractive career, due to the benefits its practitioners receive. Students that choose to become nurses renounced that they do more to convince their teachers that they are willing to join the profession than to understand the field’s practical qualifications. You must therefore study and memorize such things as diagnoses, doses and the lingo, which may be quite mouthful. We do not think it needs to be this hectic to be called a nurse, so we do the best to write your APA nursing dissertation. For most students, APA nursing dissertation is particularly hard to produce.

You are torn between the skills you need to care for your patients and write papers and take your course. You are torn between the skills. Although we believe that you should not pay as much attention to the latter as the former, you must be careful that the two abilities are important to your career. For example, if you do not understand the basic skills for the profession, you will not be competent in your practice. Likewise, if you do not write and submit your infants on time, you are not eligible to participate in the career. Such a dilemma causes students to wonder who is going to write my APA dissertation for them.

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Obsessive-compulsive disorder is a treatable condition. There are several methods of therapy that relieve its symptoms to a level that most people with the disorder can lead a normal life. This article looks at what obsessive-compulsive disorder (OCD) is, and the standard therapies and medications that are used to treat OCD. It also looks at the risks and side effects of treatment, and tips on how to live with the condition.

What is OCD?

OCD is a common long-lasting anxiety disorder. Anxiety disorders affect around 40 million adults in the United States. OCD affects 2.2 million adults, or 1 percent of the population.

OCD is marked by unwanted repetitive behaviors. The condition causes people to have repeated feelings, thoughts, and ideas called “obsessions” that make them feel driven to do something. This “urge to do something” is known as a compulsion.

Usually, the person carries out certain actions referred to as “rituals” to get rid of obsessive thoughts. However, the relief is often temporary, and the rituals have to be repeated. Not repeating the rituals can cause severe anxiety.

Obsessions that people with OCD may experience include fear of germs, unwanted forbidden or taboo thoughts, aggressive thoughts, or having items in perfect order.

Compulsions that may be carried out in response to an obsession include excessive hand washing, arranging things in a precise way, and compulsive counting.

If a person thinks they may have OCD, they should speak with their doctor about their symptoms. OCD that is left untreated can cause a person great distress and affect the way a person functions day to day.

Common forms of therapy

There are many forms of therapy to help treat OCD. These treatments can help reduce the impact the disorder has on everyday activities. OCD is treated with psychotherapy, medication, or a combination of both.

Cognitive behavioral therapy

Cognitive behavioral therapy is a type of psychotherapy, or talking therapy. The aim of CBT is to help a person with OCD manage obsessions and compulsions by altering the way that they think and behave. These steps often lead to an improvement in mood and functioning.

CBT has proven a highly effective treatment and can be just as effective as medication for some people.

The idea behind CBT is that a person’s thoughts, feelings, and actions are all linked. CBT focuses on how the way a person thinks can determine how they feel and their behavior.

For example, unrealistic or negative thoughts can cause distress. Distress can then affect how a person interprets a situation and have a negative impact on their actions. The person can become trapped in an ongoing cycle.

CBT concentrates on current problems rather than delving into issues from a person’s past. A therapist helps an individual deal with overwhelming problems by breaking them down into smaller parts.

People with OCD are also shown how to cope with and change negative patterns in a more positive way to improve how they feel.

CBT teaches how to recognize, observe, and monitor thoughts. The goal is for people to challenge their irrational beliefs and prove them wrong, resulting in a change of belief. The therapy looks at practical ways for a person to improve their state of mind on a daily basis.

Depending on the individual, improvements to mental wellbeing are usually seen in 12-16 weeks.

Exposure and response prevention therapy (ERP) is a type of CBT. The aim of ERP is to provide a person with exposure to the thoughts, images, objects, or situations that trigger their obsessions. The response and prevention parts then come into play for the individual to make a choice not to carry out their compulsive behavior.

ERP takes place under the guidance of a therapist. In time, the person with OCD will be given ERP exercises to practice on their own to help them manage their symptoms.

While ERP may cause anxiety to rise initially, the individual will experience a drop in anxiety levels over time and with practice.

Medications to treat OCD

In many cases, CBT successfully tackles OCD. However, for some people, a combination of CBT and medication may be effective.

The drugs that are prescribed to someone with OCD may vary depending on their age. A type of antidepressant medication called selective serotonin reuptake inhibitors (SSRIs) are usually prescribed for OCD, although a doctor may prescribe other psychiatric drugs.

Researchers suggest that people with OCD may have abnormalities or an imbalance in a brain chemical called serotonin. This imbalance may cause OCD symptoms.

Serotonin sends messages between nerve cells in the brain and may regulate functions such as memory, sleep, and anxiety.

SSRIs work by slowing down the collection of serotonin from nerve cells by message transporters. This allows serotonin to stay in the space between cells longer, therefore increasing the likelihood that the next nerve cell will receive the message correctly.

SSRIs enable the body to use the reduced amounts of serotonin efficiently. As natural serotonin levels rise, a doctor can decrease SSRI dosage.

While most SSRIs are safe, the FDA require all antidepressants to carry the strictest warning for prescriptions. Children, teenagers, and young adults under age 25 may have a higher risk of suicidal thoughts and behavior when starting antidepressants.

People should never stop taking antidepressants without first speaking with a doctor, even if the person feels better.

1. What has changed

The self-isolation advice for people with coronavirus (COVID-19) has changed. It is now possible to end self-isolation after 5 full days if you have 2 negative LFD tests taken on consecutive days. The first LFD test should not be taken before the fifth day after your symptoms started (or the day your test was taken if you did not have symptoms). The self-isolation period remains 10 full days for those without negative results from 2 LFD tests taken a day apart.

2. Who this guidance is for

This guidance is for:

• people with symptomsthat may be caused by COVID-19, including those who are waiting for a COVID-19 test result
• people who have received a positive COVID-19 LFD or PCR test result (whether or not they have symptoms)
• people who currently live in the same household as someone with COVID-19 symptoms, or with someone who has tested positive for COVID-19 by LFD or PCR test

In this guidance a household means:

• one person living alone
• a group of people (who may or may not be related) living at the same address and who share cooking facilities, bathrooms or toilets, or living areas – this may include students in boarding schools or halls of residence who share such facilities
• a group of people who share a nomadic way of life for example those who live on Traveller sites, in vehicles or on canal boats

3. Symptoms

The main symptoms of COVID-19 are recent onset of any of the following:

• a new continuous cough
• a high temperature
• a loss of, or change in, your normal sense of taste or smell (anosmia)

For most people, COVID-19 will be a mild illness. However, if you have any of the symptoms listed above, even if your symptoms are mild, stay at home and arrange to have a test. You do not need to take a PCR test if you have already taken an LFD test and the result was positive.

There are several other symptoms linked with COVID-19. These symptoms may have another cause and are not on their own a reason to have a COVID-19 PCR test. If you are concerned about your symptoms, seek medical advice.

If you have received one or more doses of COVID-19 vaccine and have any of the main symptoms of COVID-19 or have received a positive LFD or PCR test result, you should still follow this guidance. This is because it is still possible to get COVID-19 and spread it to others, even if you are vaccinated.

4. Tests for COVID-19

There are 2 main types of test currently being used to detect if someone has COVID-19:

• polymerase chain reaction (PCR) tests
• lateral flow device (LFD) antigen tests – also known as rapid lateral flow tests

4.1 PCR tests

PCR tests detect the RNA (ribonucleic acid, the genetic material) of a virus. It takes some time to get the results because PCR tests are usually processed in a laboratory.

PCR tests are the best way to diagnose COVID-19 infection in people who have symptoms and who also may require treatment. If you have any of the main symptoms of COVID-19, you should arrange to have a PCR test.

4.2 LFD tests

LFD tests detect proteins in the coronavirus and work in a similar way to a pregnancy test. They are reliable, simple and quick to use and are very good at identifying people who have high levels of coronavirus and are most likely to pass on infection to others. When rates of infection are high, it is very likely that people with a positive LFD test result have COVID-19.

LFD tests can be taken by people at home (self-reported tests) or under the supervision of a trained operator who processes the test, reads, and reports the result (assisted tests). LFD tests are mainly used in people who do not have symptoms of COVID-19. If you take an LFD test and the result is positive, you should report the result and follow this guidance.

You do not need to take a follow-up PCR test, unless:

• you wish to claim the Test and Trace Support Payment– to claim the Test and Trace Support Payment, you must have tested positive for COVID-19 following a PCR test or an assisted LFD test
• you have received an email or letterfrom the NHS because of a health condition that means you may be suitable for new COVID-19 treatments – if this applies to you and you develop any COVID-19 symptoms, you should use the PCR test kit that was sent to you in the post for this purpose; if you have not received a PCR test kit you can arrange to have a PCR test
• you are taking LFD tests as part of research or surveillance programmes, and the programme asks you to take a follow-up PCR test
• you have a positive day 2 LFD test result after you arrive in England

If your LFD test result is positive you may go on to develop symptoms in the next few days. If you develop any of the main symptoms of COVID-19 and you are concerned, or your symptoms are worsening, contact 111 or speak to your GP. In an emergency dial 999.

Domestic abuse describes a continuum of behaviour ranging from verbal abuse, threats and intimidation, manipulative behaviour, physical and sexual assault, through to rape and homicide.

It is a complex issue that all health care professionals should have some understanding about. They should be aware of who is affected, how individual victims may present in differing health care settings, how the subject could be approached, and most importantly what professionals can do to help and support victims of abuse.

The term Intimate Partner Violence (IPV) is also often used interchangeably with domestic abuse, as a collective term used to describe domestic abuse, sexual assault and stalking. The term domestic abuse has been used throughout this resource which discusses all types of abuse within a domestic setting and not just between partners or ex partners.

In April 2021 the new Domestic Abuse Bill, which will lead to the creation of new Statutory guidance. For more information, see: Domestic Abuse Act: Factsheet (Home Office in the media).

In May 2020 the RCN signed a collaborative letter in support of the reintroduction of the Domestic Abuse Bill and the Government’s ambition to transform the national response to this public health epidemic – an epidemic which has heightened during the current pandemic.

Domestic violence and abuse:

is not exclusively male against female

is not gender, race, sexual orientation, religion, culture or age specific

children growing up exposed to domestic abuse may suffer a range of behavioural and emotional disturbances. These can also be associated with perpetrating or experiencing violence later in life

the victim and the perpetrator are known to each other but not necessarily partners. Other family members, children and parents can be the perpetrators

victims and perpetrators may be among the health care professional community

it is a major safeguarding issue and all health care professionals have a role in increasing awareness, and being inquiring when confronted with behaviours that raise concerns and alarm.

Definition of domestic violence and abuse

The cross-government definition of domestic violence and abuse is:

“Any incident or pattern of incidents of controlling, coercive, threatening behaviour, violence or abuse between those aged 16 or over who are, or have been, intimate partners or family members regardless of gender or sexuality.”

Abuse can take many forms such as:

psychological

physical

sexual

financial

emotional.

Characteristics of domestic abuse

Domestic abuse is essentially a pattern of behaviour not generally limited to a one-off incident. The key differences between it and other forms of abuse are:

the survivor and the perpetrator are known to each other

unlike stranger abuse or violence, domestic abuse takes place largely in private and behind closed doors

there is often a lack of objective evidence that abuse has taken place

outsiders may take the view that that domestic abuse is less serious

the abuse rarely happens once and tends to increase in frequency and severity over time

the abuser may have a great deal of intimate knowledge about their victim and hurt them in subtle ways that may not be understood by others

physical injuries can easily be targeted on places on the body where they are unlikely to be seen by others

it is less likely to be reported to the police.

Five Rs for asking about Domestic Abuse

Safe Lives has published guidance to support health professionals to safely ask patients about domestic abuse (DA) in virtual settings for example on the telephone or online. It sets out five simple steps to help you identify and respond to people who might be at risk. It can be applied in services which use routine enquiry, for example maternity services, as well as services using clinical enquiry, such as general practice. See: Five Rs for asking about Domestic Abuse.