Informed nurse

The BJN inform newsletter (29th January 2026)

Welcome to the January issue of the BJN inform newsletter.

New to the platform? BJN inform is a mentor-in-your pocket digital resource for nurses, nurse associates and nursing students, providing you with easy-access articles on topics across clinical areas, person-centred care, career and nurse wellbeing.

In this issue of the newsletter, update your knowledge on non-alcoholic liver disease and paediatric sepsis, read about the benefits of cultural and linguistic diversity in nursing care, and reflect on the pros and cons of transactional leadership.

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Non-alcoholic liver disease

Non-alcoholic liver disease is the most common cause of chronic liver disease worldwide, affecting around 24% of the population, and has a huge impact on global public health care with a considerable financial burden. While a large proportion of patients with NAFLD have simple steatosis, which carries a relatively benign prognosis, approximately 10–30% have the potentially progressive form of NAFLD, non-alcoholic steatohepatitis, which is associated with hepatocellular injury and inflammation.

Paediatric sepsis

The National Institute for Health and Care Excellence guidelines for suspected sepsis in under-16-year-olds were published in November 2025, with a focus on recognition, diagnosis and early management. Sepsis in children may present initially with non-specific, non-localised symptoms, especially in younger children, so it is important to have a low threshold for suspecting sepsis. Progression to organ failure and shock can also be very rapid; therefore, early recognition and treatment are vital.

Cultural and linguistic diversity in nursing care

Cultural and linguistic diversity (CALD) presents a challenge for nurses to provide culturally competent care. Barriers such as biases, language differences and varying health beliefs can affect patient outcomes. To address these challenges, nurses must develop self-awareness, practise effective communication, and engage in continuous education. Culturally sensitive care enhances trust, promotes shared decision-making, and improves health outcomes. This article explores the challenges of CALD in nursing and highlights strategies to equip nurses with the skills needed to deliver inclusive and patient-centred care.

Transforming nursing: A series on nursing leadership – Transactional leadership

Leadership in nursing has a substantial impact on patient care and the wellbeing of healthcare professionals. In the final article of this series, Brian Webster and Geoffrey Walker OBE explore transactional leadership.

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