{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:31:08Z","timestamp":1786113068456,"version":"build-2736575974"},"reference-count":38,"publisher":"Mark Allen Group","issue":"15","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2026,8,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>People with black and brown skin tones are at risk of delayed or missed diagnoses due to variations in clinical presentation and limited clinician confidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To evaluate whether a targeted teaching session improves confidence among advanced clinical practice (ACP) students in assessing black and brown skin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A small-scale action research study was conducted within a postgraduate MSc Advanced Practice programme. A 60-minute online teaching session was delivered to ACP students, incorporating case-based learning and clinical imagery. Participants completed pre-, post- and one-month follow-up surveys using Likert-scale questions to assess self-reported confidence, with optional free-text responses. Quantitative data were analysed descriptively. The study was reported in line with SQUIRE 2.0 guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>The six came from mixed professional backgrounds (predominantly nursing) and they completed all stages of the study. Baseline confidence in assessing black and brown skin was low across all participants. Following the intervention, confidence improved, particularly in recognising signs of ill health, with some retention at one month.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Targeted teaching may improve short-term confidence in assessing black and brown skin among ACP students. Further research is needed to determine how best to sustain these improvements and evaluate their impact on clinical competence and practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/bjon.2026.0208","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T17:26:33Z","timestamp":1785950793000},"page":"746-752","source":"Crossref","is-referenced-by-count":0,"title":["Improving confidence in assessing black and brown skin in advanced clinical practice students through a targeted teaching session"],"prefix":"10.12968","volume":"35","author":[{"given":"Aileen","family":"McCartney","sequence":"first","affiliation":[{"name":"Senior Lecturer, School of Nursing, Midwifery, Allied and Public Health, Canterbury Christ Church University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Scanlan","sequence":"additional","affiliation":[{"name":"Senior Lecturer in Education Development School of Social Work, Education and Teacher Education, Canterbury Christ Church University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_2_1_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.06.041"},{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ASW.0000000000000032"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_2_4_1","unstructured":"Bryman A. Social research methods. 5th edn. Oxford University Press; 2016. ISBN: 978-0-19-968945-3"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.837552"},{"key":"e_1_3_2_6_1","doi-asserted-by":"crossref","unstructured":"Coghlan D Brydon-Miller M (eds). The SAGE encyclopedia of action research. SAGE Publications; 2014. ISBN: 978\u20131849200271","DOI":"10.4135\/9781446294406"},{"issue":"2","key":"e_1_3_2_7_1","first-page":"6","article-title":"Assessing skin tones in practice: results of an international survey","volume":"13","author":"Dhoonmoon L","year":"2022","unstructured":"Dhoonmoon L, Fletcher J. Assessing skin tones in practice: results of an international survey. Wounds Int. 2022; 13(2):6\u20139","journal-title":"Wounds Int"},{"key":"e_1_3_2_8_1","unstructured":"Dhoonmoon L Nair HKR Abbas Z et al. International Consensus Document: Wound care and skin tone: signs symptoms and terminology for all skin tones. Wounds International. 2023. https:\/\/woundsinternational.com\/wp-content\/uploads\/2023\/05\/MULTI23_CD_SkinTones_WINT-web.pdf (accessed 16 July 2026)"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2022.1906"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.12.078"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1096\/fasebj.2019.33.1_supplement.606.18"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-024-04692-4"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2021.08.019"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.29045\/14784726.2023.9.8.2.18"},{"key":"e_1_3_2_15_1","unstructured":"Health and Care Professions Council. Standards of conduct performance and ethics. 2024. https:\/\/www.hcpc-uk.org\/standards\/standards-of-conduct-performance-and-ethics (accessed 16 July 2026)"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/09612033211045284"},{"key":"e_1_3_2_17_1","unstructured":"Kapadia D Zhang J Salway S et al. Ethnic inequalities in healthcare: a rapid evidence review. NHS Race and Health Observatory. 2022. https:\/\/nhsrho.org\/wp-content\/uploads\/2023\/05\/RHO-Rapid-Review-Final-Report_.pdf (accessed 16 July 2026)"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/socsci8090255"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.38126\/JSPG180412"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.12973\/ijem.8.4.625"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/10401334.2023.2226648"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39602.690162.47"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13949"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2024.01.023"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnma.2020.07.013"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7228.178"},{"key":"e_1_3_2_27_1","unstructured":"Nursing and Midwifery Council. The code: professional standards of practice and behaviour for nurses midwives and nursing associates. 2018. https:\/\/www.nmc.org.uk\/standards\/code\/ (accessed 16 July 2026)"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004411"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/ced.14897"},{"key":"e_1_3_2_30_1","unstructured":"Office for National Statistics. Ethnic group: England and Wales: Census 2021. 29 November 2022. https:\/\/tinyurl.com\/Cen2021 (accessed 16 July 2026)"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15474"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijwd.2020.12.018"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2023.105927"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-021-01137-x"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.12556"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.2147\/ccid.s357743"},{"key":"e_1_3_2_37_1","unstructured":"Smith R. Making content about skin symptoms more inclusive. NHS Digital Design Matters Blog 30 July 2021. https:\/\/digital.nhs.uk\/blog\/design-matters\/2021\/making-content-about-skin-symptoms-more-inclusive (accessed 16 July 2026)"},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/nse2.20114"}],"container-title":["British Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjon.2026.0208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T17:26:44Z","timestamp":1785950804000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjon.2026.0208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,6]]},"references-count":38,"journal-issue":{"issue":"15","published-print":{"date-parts":[[2026,8,6]]}},"alternative-id":["10.12968\/bjon.2026.0208"],"URL":"https:\/\/doi.org\/10.12968\/bjon.2026.0208","relation":{},"ISSN":["0966-0461","2052-2819"],"issn-type":[{"value":"0966-0461","type":"print"},{"value":"2052-2819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,6]]}}}