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4 JCN 2016, Vol 30, No 4 Editorial S ometimes being good at something can actually be bad for you. What do I mean? You know that feeling when you are going to work everyday; confident that you know what you are doing; safe in the knowledge that you are delivering good patient care? OK, you may not be pulling up any clinical trees, but your patients are happy; most of them seem to be getting better. Watch out. You’re in the comfort zone. The comfort zone isn’t all bad — it can feel familiar and you may be at ease and in control. It’s where a steady level of performance is possible. Unfortunately it’s also a place that breeds ritualistic practice; that feeling of,‘I know what I’m doing. Why do I need to change?’ But while the comfort zone can cause complacency, nobody wants to be in the ‘panic zone’ either, a place where you are constantly worried about whether you are doing enough for your patients. Is there a happy medium? There is. It’s called the ‘learning zone’, and in clinical practice it’s exactly where you need to be. While boredom is a feature of the comfort zone, and feeling like you have ‘too much on your plate’ is a sign that you have entered the panic zone, the learning zone is where you feel engaged and begin to enjoy learning new things. At JCN we see it as part of our job to help you get into the learning zone and stay there and this is why we have come up with a new package of online learning. JCN’s new digital Learning Zone is specifically designed to help you engage with new ideas and clinical innovations so that you can leave your comfort zone and develop leadership skills and new capabilities. As well as being completely free, the JCN Learning Zone has the following benefits: It compliments JCN’s existing online journal archives, study days, etc. It is specifically designed to support nurse learning It recognises how hard it can be to make time to learn; digital means you can learn whenever, wherever All of the JCN Learning Zone activity counts toward revalidation and can be logged on our free-to-use revalidation portfolio. Take a moment to check out the new ‘Learning Zone’ area on the JCN website (www.jcn.co.uk/learning-zone) and start getting out of your comfort zone. Jason Beckford-Ball, editor, JCN If you would like to comment on any of the articles in JCN, or indeed have ideas of your own for an article, please contact [email protected] Journal of Community Nursing Journal of Community Nursing incorporating Journal of District Nursing August/September 2016 Managing director Nicola Rusling [email protected] Publisher Binkie Mais [email protected] Editor Jason Beckford-Ball [email protected] Business manager Alec O’Dare [email protected] 07535 282827 Sales manager Sam Ciotkowski [email protected] 01789 332162 © Wound Care People Limited 2016 First Floor, Unit G, Wixford Park, George’s Elm Lane, Bidford on Avon, Alcester B50 4JS ISSN 0263 4465 t: +44(0) 1789 582000 e: [email protected] http://www.jcn.co.uk Journal of Community Nursing is indexed with CINAHL and British Nursing Index (BNI) Published bi-monthly and distributed free of charge to community and district practitioners based at primary and secondary care locations throughout the United Kingdom. Also available on subscription. Institutional and overseas subscription rates: United Kingdom: £69.00 Overseas airmail: Europe: £132.25; Int’: £161.00; Overseas surface mail (outside Europe): £158.00 All rights reserved. No part of this Journal of Community Nursing may be reproduced, stored in a retrieval system or transmitted by any means electronic or mechanical, photocopied or otherwise without the prior written permission of Wound Care People Limited. Opinions expressed in the articles are those of the authors and do not necessarily reflect those of the Journal of Community Nursing. Any products referred to by the authors should only be used as recommended by manufacturers’ data sheets. Printed in England by Blackmore Limited Getting yourself in the zone... Pictures on front cover courtesy of: Savannah1969; Alexander Raths; Dml5050; Dvkorn; John Keith; Elena Elisseeva; all at Dreamstime.com © 2016 Wound Care People Ltd

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4 JCN 2016, Vol 30, No 4

Editorial

Sometimes being good at something can actually be bad for you. What do I mean? You

know that feeling when you are going to work everyday; confident that you know what you are doing; safe in the knowledge that you are delivering good patient care? OK, you may not be pulling up any clinical trees, but your patients are happy; most of them seem to be getting better. Watch out. You’re in the comfort zone.

The comfort zone isn’t all bad — it can feel familiar and you may be at ease and in control. It’s where a steady level of performance is possible. Unfortunately it’s also a place that

breeds ritualistic practice; that feeling of, ‘I know what I’m doing. Why do I need to change?’ But while the comfort zone can cause complacency, nobody wants to be in the ‘panic zone’ either, a place where you are constantly worried about whether you are doing enough for your patients. Is there a happy medium? There is. It’s called the ‘learning zone’, and in clinical practice it’s exactly where you need to be.

While boredom is a feature of the comfort zone, and feeling like you have ‘too much on your plate’ is a sign that you have entered the panic zone, the learning zone is where you feel engaged and begin to enjoy learning new things. At JCN we see it as part of our job to help you get into the learning zone and stay there and this is why we have come up with a new package of online learning. JCN’s new digital Learning Zone is specifically designed to help you engage with new ideas and clinical innovations so that you can leave your comfort zone and develop leadership skills and new capabilities. As well as being completely free, the JCN Learning Zone has the following benefits: It compliments JCN’s existing online journal archives, study days, etc. It is specifically designed to support nurse learning It recognises how hard it can be to make time to learn; digital means you can

learn whenever, wherever All of the JCN Learning Zone activity counts toward revalidation and can be

logged on our free-to-use revalidation portfolio.

Take a moment to check out the new ‘Learning Zone’ area on the JCN website (www.jcn.co.uk/learning-zone) and start getting out of your comfort zone.

Jason Beckford-Ball, editor, JCN

If you would like to comment on any of the articles in JCN, or indeed have ideas of your own for an article, please contact [email protected]

Journal of Community Nursing

Journal of Community Nursing incorporating Journal of District NursingAugust/September 2016

Managing directorNicola Rusling [email protected] Mais [email protected] Beckford-Ball [email protected] managerAlec O’Dare [email protected] 07535 282827Sales managerSam Ciotkowski [email protected] 01789 332162

© Wound Care People Limited 2016First Floor, Unit G, Wixford Park, George’s Elm Lane, Bidford on Avon, Alcester B50 4JSISSN 0263 4465t: +44(0) 1789 582000 e: [email protected] http://www.jcn.co.uk

Journal of Community Nursing is indexed with CINAHL and British Nursing Index (BNI)

Published bi-monthly and distributed free of charge to community and district practitioners based at primary and secondary care locations throughout the United Kingdom. Also available on subscription.

Institutional and overseas subscription rates: United Kingdom: £69.00 Overseas airmail: Europe: £132.25; Int’: £161.00; Overseas surface mail (outside Europe): £158.00

All rights reserved. No part of this Journal of Community Nursing may be reproduced, stored in a retrieval system or transmitted by any means electronic or mechanical, photocopied or otherwise without the prior written permission of Wound Care People Limited.

Opinions expressed in the articles are those of the authors and do not necessarily reflect those of the Journal of Community Nursing. Any products referred to by the authors should only be used as recommended by manufacturers’ data sheets.

Printed in England by Blackmore Limited

Getting yourself in the zone...

Pictures on front cover courtesy of: Savannah1969; Alexander Raths; Dml5050; Dvkorn; John Keith; Elena Elisseeva; all at Dreamstime.com

Edit-plus flannel 30(4) - read by JBB/???.indd 2 26/07/2016 13:48

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6 JCN 2016, Vol 30, No 4

Editorial board

As a community-based dermatology specialist nurse I see first-hand the importance of maintaining skin integrity. From the young to the elderly, loss of skin hydration and integrity forms the basis of many skin problems, from infection to other acute and chronic skin conditions. I am delighted to be part of a journal highlighting best practice in skin care, wound management and all the associated issues.Sara Burr.

As nurses we need to demonstrate a critical approach to the care we give, something the JCN can help us to do. As a tissue viability clinical nurse specialist, educator and researcher I love being able to take research and examine its impact on my own practice, then share this with colleagues. I am so pleased to be a member of this team and share my passion for evidence-based practice, with my own little spin on skin and wound care.Mike Ellis

Journal of Community Nursing

Kate Arkley, community nurse,tissue viability, Galway, Ireland

Annette Bades, district nursing specialist practitioner, Lancashire Care NHS Foundation Trust

Dr Heather Bain, course leader master’s portfolio, Robert Gordon University; Chair, Association of District Nurses

Janice Bianchi, medical education specialist; honorary lecturer, University of Glasgow

Beverley Brathwaite, senior lecturer adult nursing, University of Hertfordshire

Helen Brewah, community matron, Hampshire

Sara Burr, community dermatology nurse specialist, Norfolk Community Health and Care NHS Trust

Rosie Callaghan, tissue viability nurse, Stourport Health Centre

Mike Ellis, lead nurse tissue viability, Plymouth Hospitals NHS Trust

Kate Gerrish, professor, nursing research, Sheffield University

Sally Lee, social worker, North Dorset Local Social Services

Alex Munro, registered nurse and co-founder/clinical director of Hallam Medical the primary care recruitment specialist

Sandra Olive, respiratory specialist nurse, Norfolk and Norwich University Hospital

Anne Pearson, practice development manager, Queen’s Nursing Institute, London

Dr Mark Radcliffe, senior lecturer, King’s College London

Kate Sanders, practice development facilitator, FoNS

Chetan Shah, principal pharmacist, Community Services, Ealing

Julian Spinks, general practitioner, Kent

Jackie Stephen-Haynes, professor and consultant nurse in tissue viability, Birmingham City University and Worcestershire Health and Care NHS Trust

Anne Williams, Lecturer in nursing/lymphoedema consultant nurse, Queen Margaret University, Edinburgh

Janelle Yorke, senior lecturer, School of Nursing, Midwifery and Social Work, University of Manchester

As an advanced practitioner and co-founder of Hallam Medical I have been heavily involved in leading the way regarding recruitment best practice and nurse revalidation in the UK, providing training, support, and mentorship for nurses. I have designed admission avoidance services and advised on successful pilot schemes. I am passionate about promoting the roles of nurses and advanced practice within community services. The JCN is a perfect fit as we have the same vision and values. I look forward to sharing my knowledge and experience as a member of the editorial board.Alex Munro

I want to highlight the benefits of social media tools such as Twitter, which provide great opportunities to network, share evidence-based practice and influence the direction of community nursing. Select carefully the individuals and organisations you wish to follow and your twitter feed will be full of useful bite-size information. You can also instigate chats using #districtnursing where practitioners across the UK share discussions. Please access the NMC guidance on the use of social media before you begin, but I encourage you to start tweeting @heatherbain9.Heather Bain

Board members 30(4) - read by ????.indd 2 26/07/2016 12:59

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