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As a system undergoes a change, its internal energy can change, and energy can be transferred from the system to the surroundings, or from the surroundings to the system.
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Related Experiment Video

Updated: Apr 20, 2026

Evaluation of the Productivity of Social Wasp Colonies Vespinae and an Introduction to the Traditional Japanese Vespula Wasp Hunting Technique
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The uncounted workforce.

Stephanie Jones Berry

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |November 27, 2014
    PubMed
    Summary
    This summary is machine-generated.

    The number of clinical nurse specialists (CNSs) in stoma care, continence, and urology is growing. However, inconsistent record-keeping across NHS trusts indicates a need for improvement in data management within this specialty.

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    Area of Science:

    • Nursing
    • Healthcare Management
    • Urology Nursing

    Background:

    • The increasing prevalence of stoma care, continence, and urology needs has led to a rise in specialized nursing roles.
    • Clinical Nurse Specialists (CNSs) are pivotal in managing these complex patient needs.
    • Data on the workforce and practice variations in this specialty are crucial for service planning.

    Purpose of the Study:

    • To assess the current landscape of Clinical Nurse Specialists (CNSs) in stoma care, continence, and urology within England.
    • To evaluate the quality and quantity of data collection and record-keeping practices in this nursing specialty.
    • To identify areas for improvement in data management and reporting.

    Main Methods:

    • A survey was distributed to all 160 NHS acute trusts in England.
    • Data collected focused on the number of CNSs in stoma care, continence, and urology.
    • Response rates and the quality of submitted data were analyzed.

    Main Results:

    • Recent data indicate an increase in the number of CNSs specializing in stoma care, continence, and urology.
    • Significant variation was observed in the quantity and quality of responses from different NHS trusts.
    • This highlights inconsistencies in record-keeping across the specialty.

    Conclusions:

    • While the CNS workforce in stoma care, continence, and urology is expanding, there are notable challenges in data management.
    • Improvements in record-keeping standards and data collection are essential for effective service evaluation and development.
    • Standardized data practices will support better understanding of workforce capacity and patient care outcomes.