It is challenging for community nurses to screen their patients’ nutritional risk because the guidelines fail to take sufficient account of the domestic arena. 

Quality improvement measures led to midwives reducing the use of cardiotocography (CTG) on admission by 47 per cent. Nevertheless, they continued to use CTG more often than necessary.

New reforms and time-consuming tasks such as cleaning, preparing food and poor ICT solutions mean that nurses give less priority to safety measures in connection with medication management.  

Heart disease increases the risk of depression. How can we best identify depressed cardiac patients?

The practice differs when midwives use medication to stimulate contractions rather than breast stimulation. Not all midwives classified the CTG or used a checklist for oxytocin stimulation.

Despite staff calling patients prior to the admission date, the proportion who presented for treatment did not increase. Nevertheless, it was a useful exercise for exchanging information and building relations.