Staffordshire NHS Foundation Trust Public Research Articles

Analysing the implementation and effects of safe staffing policies in acute hospitals.

Several high-profile inquiries and reports, including the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, by Sir Robert Francis QC, have identified that nurse staffing is an essential factor in patient safety and patient mortality rates. Since the Francis report, several policies and initiatives aimed at ensuring safe staffing in the NHS have been developed alongside guidance and evidence-based safe staffing tools, while the Care Quality Commission has been tasked with ensuring compliance with these policies. In 2015, the National Institute for Health Research (NIHR) Policy Research Programme commissioned research to examine the extent to which safe staffing policies have translated into practice locally in the NHS. This article summarises and examines the main findings of this research and suggests that, although policies have raised the profile of nurse staffing, nursing shortages have impeded their implementation.

Intentional rounding in hospital wards to improve regular interaction and engagement between nurses and patients: a realist evaluation

© Crown copyright 2013. Contains public sector information licensed under the Open Government Licence v3.0© Queen’s Printer and Controller of HMSO 2019. This work was produced by Harriset al.under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.20132019Crown copyrightQueen’s Printer and Controller of HMSOBackgroundThe government response to the care failures at the Mid Staffordshire NHS Foundation Trust led to the policy imperative of ‘regular interaction and engagement between nurses and patients’ (Francis R.Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. London: The Stationery Office; 2013. © Crown copyright 2013. Contains public sector information licensed under the Open Government Licence v3.0) in the NHS. The pressure on nursing to act resulted in the introduction of the US model, known as ‘intentional rounding’, into nursing practice. This is a timed, planned intervention that sets out to address fundamental elements of nursing care by means of a regular bedside ward round.ObjectivesThe study aims were to examine what it is about intentional rounding in hospital wards that works, for whom and in what circumstances.DesignA multimethod study design was undertaken using realist evaluation methodology. The study was conducted in four phases: (1) theory development; (2) a national survey of all NHS acute trusts in England; (3) in-depth case studies of six wards, involving individual interviews, observations, retrieval of routinely collected ward outcome data and analysis of costs; and (4) synthesis of the study findings.SettingThe study was conducted in acute NHS trusts in England.ParticipantsA total of 108 acute NHS trusts participated in the survey. Seventeen senior managers, 33 front-line nurses, 28 non-nursing professionals, 34 patients and 28 carers participated in individual interviews. Thirty-nine members of nursing staff were shadowed during their delivery of intentional rounding and the direct care received by 28 patients was observed.Review methodsA realist synthesis was undertaken to identify eight context–mechanism–outcome configurations, which were tested and refined using evidence collected in subsequent research phases.ResultsThe national survey showed that 97% of NHS trusts had implemented intentional rounding in some way. Data synthesis from survey, observation and interview findings showed that only two of the original eight mechanisms were partially activated (consistency and comprehensiveness, and accountability). The evidence for two mechanisms was inconclusive (visibility of nurses and anticipation); there was minimal evidence for one mechanism (multidisciplinary teamwork and communication) and no evidence for the remaining three (allocated time to care, nurse–patient relationships and communication, and patient empowerment). A total of 240 intentional rounds were observed within 188 hours of care delivery observation. Although 86% of all intentional rounding interactions were observed to be documented, fidelity to the original intervention [i.e. the Studer Group protocol (Studer Group.Best Practices: Sacred Heart Hospital, Pensacola, Florida. Hourly Rounding Supplement. Gulf Breeze, FL: Studer Group; 2007)] was generally low.LimitationsIntentional rounding was often difficult for researchers to observe, as it was rarely delivered as a discrete activity but instead undertaken alongside other nursing activities. Furthermore, a lack of findings about the influence of intentional rounding on patient outcomes in the safety thermometer data limits inferences on how mechanisms link to clinical outcomes for patients.ConclusionsThe evidence from this study demonstrates that the effectiveness of intentional rounding, as currently implemented and adapted in England, is very weak and falls short of the theoretically informed mechanisms. There was ambivalence and concern expressed that intentional rounding oversimplifies nursing, privileges a transactional and prescriptive approach over relational nursing care, and prioritises accountability and risk management above individual responsive care.Future workIt is suggested that the insights and messages from this study inform a national conversation about whether or not intentional rounding is the optimum intervention to support the delivery of fundamental nursing care to patients, or if the time is right to shape alternative solutions.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

Giving clinicians and patients the remote control.

British Journal of Community NursingVol. 24, No. 8 Long-Term ConditionsGiving clinicians and patients the remote controlNadine MilesNadine MilesE-mail Address: [email protected]Director of Business Development, Spirit HealthSearch for more papers by this authorNadine MilesPublished Online:1 Aug 2019https://doi.org/10.12968/bjcn.2019.24.8.368AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Berwick D. A promise to learn—a commitment to act: improving the safety of patients in England. 2013. https://tinyurl.com/yyt9zmll (accessed 24 July 2019) Google ScholarFaiz O, Nachiappan S, Anele C, Roberts EJ, Barker C. An observational study to assess the feasibility of remote monitoring of patients in the early postoperative period after elective surgery. 2019. https://tinyurl.com/yyk68cxa (accessed 21 July 2019) Google ScholarFrancis R. Report of the The Mid Staffordshire NHS Foundation Trust Public Inquiry. 2013. https://tinyurl.com/y4d28lgp (accessed 24 July 2019) Google ScholarNHS England. House of care—a framework for long term condition care. 2016. https://tinyurl.com/y678y5vv (accessed 24 July 2019) Google ScholarKingston A, Robinson L, Booth H, Knapp M, Jagger C; the MODEM project. Projections of multi-morbidity in the older population in England to 2035: estimates from the Population Ageing and Care Simulation (PACSim) model. Age Ageing. 2018; 47(3):374–380. https://doi.org/10.1093/ageing/afx201 Crossref, Medline, Google Scholar FiguresReferencesRelatedDetails 2 August 2019Volume 24Issue 8ISSN (print): 1462-4753ISSN (online): 2052-2215 Metrics History Accepted 1 June 2019 Published online 1 August 2019 Published in print 2 August 2019 Information© MA Healthcare LimitedPDF download

A realist informed mixed-methods evaluation of Schwartz Center Rounds® in England

BackgroundSchwartz Center Rounds®(Rounds) were introduced into the UK in 2009 to support health-care staff to deliver compassionate care, something the Francis report (Francis R.Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. London: The Stationery Office; 2013) identified as lacking. Rounds are organisation-wide forums that prompt reflection and discussion of the emotional, social and ethical challenges of health-care work, with the aim of improving staff well-being and patient care.ObjectivesHow, in which contexts and for whom Rounds participation affects staff well-being at work, increases social support for staff and improves patient care.Design(1) A scoping review of Rounds literature and comparison with alternative interventions; (2) mapping Rounds providers via a survey, telephone interviews and secondary data; (3) a two-wave survey of (i) new attenders/non-attenders in 10 sites to determine the impact on staff engagement and well-being; and (ii) interviews with Rounds attenders, non-attenders, facilitators, clinical leads, steering group members, board members and observations in nine case study sites to (4) describe experiences and (5) test candidate programme theories by which Rounds ‘work’ (realist evaluation).Setting(1) International literature (English); (2) all Rounds providers (acute/community NHS trusts and hospices) at 1 September 2014 (survey/interview) and 15 July 2015 (secondary data); (3) 10 survey sites; and (4 and 5) nine organisational case study sites (six of which also took part in the survey).Participants(1) Ten papers were reviewed for Rounds and 146 were reviewed for alternative interventions. (2) Surveys were received from 41 out of 76 (54%) providers and interviews were conducted with 45 out of 76 (59%) providers. (3) Surveys were received from 1140 out of 3815 (30%) individuals at baseline and from 500 out of 1140 (44%) individuals at follow-up. (4 and 5) A total of 177 interviews were conducted, as were observations of 42 Rounds, 29 panel preparations and 28 steering group meetings.Results(1) The evidence base is limited; compared with 11 alternative interventions, Rounds offer a unique organisation-wide ‘all staff’ forum in which disclosure/contribution is not essential. (2) Implementation rapidly increased between 2013 and 2015; Rounds were implemented variably; challenges included ward staff attendance and the workload and resources required to sustain Rounds; and costs were widely variable. (3) There was no change in engagement, but poor psychological well-being (12-item General Health Questionnaire) reduced significantly (p < 0.05) in Rounds attenders (25% to 12%) compared with non-attenders (37% to 34%). (4 and 5) Rounds were described as interesting, engaging and supportive; four contextual layers explained the variation in Rounds implementation. We identified four stages of Rounds, ‘core’ and ‘adaptable’ components of Rounds fidelity, and nine context–mechanism–outcome configurations: (i) trust, emotional safety and containment and (ii) group interaction were prerequisites for creating (iii) a countercultural space in Rounds where staff could (iv) tell stories, (v) self-disclose their experiences to peers and (vi) role model vulnerability; (vii) provide important context for staff and patient behaviour; (viii) shining a spotlight on hidden staff and patient stories reduced isolation and enhanced support/teamwork; and (ix) staff learned through reflection resulting in ripple effects and outcomes. Reported outcomes included increased empathy and compassion for colleagues and patients, support for staff and reported changes in practice. The impact of Rounds is cumulative and we have identified the necessary conditions for Rounds to work.LimitationsRounds outcomes relied on self-report, fewer regular attenders were recruited than desired, and it was not possible to observe staff post Rounds.ConclusionRounds offer unique support for staff and positively influence staff well-being, empathy and compassion for patients and colleagues.Future workThe adaptation of Rounds to new contexts and to increase reach needs evaluation.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

Avoidance of unnecessary hospital admissions through the implementation of a digital health programme

Introduction: 62% of hospital bed days are occupied by older adults 65 and older in the UK and it is estimated that there is a cost to the NHS of £820 million1. Elderly patients admitted to hospital have worse morbidity and mortality outcomes and often have a poorer experience2,3,. To reduce emergency admissions Tameside and Glossop Integrated Care NHS Foundation Trust developed a Digital Health Service, which supports frail people to stay within the community where their care can be managed, avoiding an Emergency room attendance and potential emergency admission. Practice change: To enhance the value of care provided to the local community a digital health service has been implemented in care homes. The service provides digital technology that enables care home staff to access a hospital specialist for advice and guidance on residents who have a deterioration in health before considering an Ambulance/ GP visit. Aim and theory of change: The aim is to use technology to enable care home staff to maintain older people with complex co-morbidities, within their home setting and avoiding unnecessary hospital admissions. Timeline: The programme was launched in March 2017 and will run for 3 years Highlights: In the period April and September 2017 94 Emergency and 258 GP attendances were avoided. Total hospital bed days saved 1268. Deflection rate of Emergency room attendance is currently 70% Comments on sustainability: The programme has now been expanded across the whole of the residential care home sector and will launched as a 24/7 service this year. Limitations: Awaiting more long term finding, ongoing evaluation is required to ensure that early results are sustainable overtime. Comments on transferability A joint End of Life bid is being developed. Conclusions: Elderly people suffer worsening health and poor experience when in hospital 3, 5. There is also a significant financial cost to systems treating frail elderly patients in hospitals 3. The Digital health programme enabled care staff to access acute hospital specialists for advice and guidance, which has led to a significant deflection in attendance. Discussions: The programme has proven successful at reducing admissions and in Emergency room attendance within the population group, data appears to show that the service has the potential to support people to remain within their place of residence rather than be treated in hospital. Lessons learned: General practitioners are key influencers within community setting and proved key to promoting and service

Risk avoidance and safety assurance: an overview

British Journal of Healthcare ManagementVol. 24, No. 7 Risk ManagementRisk avoidance and safety assurance: an overviewKate Harmond AllanKate Harmond AllanSearch for more papers by this authorKate Harmond AllanPublished Online:2 Jul 2018https://doi.org/10.12968/bjhc.2018.24.7.320AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References BBC One. The doctor who gave up drugs. 2018;May:23 Google ScholarFrancis R (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Executive Summary. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/279124/0947.pdf (accessed 20 June 2018) Google ScholarHearn B. Screening flaw. The Times, Letters to the editor. 2018;May:5 Google ScholarKay A. This is going to hurt: Secret diaries of a junior doctor. Picador: London; 2018 Google ScholarLe Fanu J. Too many pills: How too much medicine is endangering our health and what we can do about it. Little Brown: London; 2018 Google ScholarMcCarthy M (2017) WHO surgical checklist cuts post-surgical deaths by 22%, US studies find. www.bmj.com (accessed June 2018) Google ScholarNHS Choices (2018) NHS Choices: breast cancer screening. https://www.nhs.uk/conditions/breast-cancer-screening/ (accessed June 2018) Google ScholarNightingale F. (2017 [1858]). Notes on nursing: what it is, and what it is not. Enhanced Media Publishing; Kindle Edition, BOO2RKR811, 07 July Google ScholarParliament (2018) Statement: breast cancer screening: 2 May 2018. https://www.parliament.uk/business/news/2018/may/statement-breast-cancer-screening-2-may-2018/ (accessed 20 June 2018) Google ScholarLeake J, Razman I. Each baby costs hospitals £1000 injury insurance. The Sunday Times. 2018;May:6 Google ScholarThe Times Screening flaw. Letters to the Editor. 2018;May:5 Google ScholarWHO (2008) Topic 6: understanding and managing risk. http://www.who.int/patientsafety/education/curriculum/PSP_mpc_topic-06.pdf accessed June 2018 Google ScholarWHO (2009) Health topics, risk factors, global health risks. http://www.who.int/healthinfo/global_burden_disease/global_health_risks/en/ (accessed 12 June 2018) Google ScholarWHO (2009) Patient safety, WHO surgical checklist. http://www.who.int/patientsafety/safesurgery/checklist/en/ (accessed June 2018) Google Scholar FiguresReferencesRelatedDetails 2 July 2018Volume 24Issue 7ISSN (print): 1358-0574ISSN (online): 1759-7382 Metrics History Published online 2 July 2018 Published in print 2 July 2018 Information© MA Healthcare LimitedPDF download

The changing role of management in the first 70 years of the NHS

British Journal of Healthcare ManagementVol. 24, No. 7 NHS at 70The changing role of management in the first 70 years of the NHSAdam LaylandAdam LaylandSearch for more papers by this authorAdam LaylandPublished Online:2 Jul 2018https://doi.org/10.12968/bjhc.2018.24.7.346AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Abualrub RF, Gharaibeh HF, Bashayreh AEI. The relationships between safety climate, teamwork, and intent to stay at work among Jordanian hospital nurses'. Nursing Forum. 2012;47(1):65–75. https://doi.org/https://doi.org/10.1111/j.1744-6198.2011.00253.x Crossref, Google ScholarBerwick D (2013) A promise to learn – a commitment to act. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/226703/Berwick_Report.pdf (accessed 13 June 2018) Google ScholarDarzi A (2008) High Quality Care for All NHS Next Stage Review Final Report. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/228836/7432.pdf (accesed 13 June 2018) Google ScholarFrancis R (2013)Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Executive Summary. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/279124/0947.pdf (accessed 13 June 2018) Google ScholarGreengross P, Grant K, Collins E. The history and development of the UK National Health Service 1948-1999. Health Systems Resource Centre: London; 1999 Google ScholarGriffiths R (1983) NHS Management Inquiry. http://www.nhshistory.net/griffiths.html (accessed 13 June 2018) Google ScholarKeogh B (2014) Transforming urgent and emergency care services in England. https://www.england.nhs.uk/wp-content/uploads/2015/06/trans-uec.pdf (accessed 13 June 2018) Google ScholarMinistry of Health (1954) Report of the committee on the internal administration of hospitals. https://navigator.health.org.uk/content/bradbeer-committee-report-internal-administration-hospitals-central-health-services-council (accessed 13 June 2018) Google ScholarMinistry of Health (1967) First Report of the Joint Working Party on the Organisation of Medical Work in Hospitals. Google ScholarRhodes D (2018) ‘Hospitals recruit managers faster than doctors or nurses’. BBC. http://www.bbc.co.uk/news/uk-england-43794816 (accessed 15 May 2018) Google ScholarRose L (2015) Better leadership for tomorrow: NHS Leadership Review. https://www.gov.uk/government/publications/better-leadership-for-tomorrow-nhs-leadership-review (accessed 13 June 2018) Google ScholarSofarelli D, Brown D. The need for nursing leadership in uncertain times. Journal of Nursing Management. 1998;6:201–7 Crossref, Google ScholarFurther readingJones D. A brief history of the National Health Service. BJHCM. 2015;21(2):77–79. https://doi.org/https://doi.org/10.12968/bjhc.2015.21.2.77 Google Scholar FiguresReferencesRelatedDetailsCited byChange management in the NHS: distributed leadershipBryan McIntosh, Adam Layland17 July 2019 | British Journal of Healthcare Management, Vol. 25, No. 7Paramedic leaders: past, present and futureAdam Layland5 October 2018 | Journal of Paramedic Practice, Vol. 10, No. 10 2 July 2018Volume 24Issue 7ISSN (print): 1358-0574ISSN (online): 1759-7382 Metrics History Published online 2 July 2018 Published in print 2 July 2018 Information© MA Healthcare LimitedPDF download

Quality and safety between ward and board: a biography of artefacts study

BackgroundThere have been concerns about the quality and safety of NHS hospital services since the turn of the millennium. This study investigated the progress that acute NHS hospital trusts have made in developing and using technology infrastructures to enable them to monitor quality and safety following the publication in 2013 of the second Francis report on the scandal at Mid Staffordshire NHS Foundation Trust (The Mid Staffordshire NHS Foundation Trust Public Inquiry. Chaired by Sir Robert Francis QC.Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. HC 898. London: The Stationery Office; 2013).MethodsA telephone survey of 15 acute NHS trusts in the Yorkshire and the Humber region, and a review of board papers of all acute NHS trusts in England for January 2015, were undertaken. The telephone survey was used to identify trusts for a larger field study, which was undertaken in four acute NHS trusts between April 2015 and September 2016. The methods included the direct observation of the use of whiteboards and other technologies on two wards in each trust, an observation of board quality committees, semistructured interviews and an analysis of the quality and safety data in board papers. Published sources about national and local agencies were reviewed to identify the trust quality and safety data that these agencies accessed and used. An interview programme was also undertaken with those organisations. The Biography of Artefacts approach was used to analyse the data.FindingsThe data and technology infrastructures within trusts had developed over many years. The overall design had been substantially determined by national agencies, and was geared to data processing: capturing and validating data for submission to national agencies. Trust boards had taken advantage of these data and used them to provide assurance about quality and safety. Less positively, the infrastructures were fragmented, with different technologies used to handle different quality and safety data. Real-time management systems on wards, including electronic whiteboards and mobile devices, were used and valued by nurses and other staff. The systems support the proactive management of clinical risks. These developments have occurred within a broad context, with trusts focusing on improving the quality and safety of services and publishing far more data on their performance than they did just 3 years earlier. Trust-level data suggest that quality and safety improved at all four trusts between 2013 and 2016. Our findings indicate that the technology infrastructures contributed to these improvements. There remains considerable scope to rationalise those infrastructures.LimitationsThe four trusts in the main study were, in part, purposively selected, and deliberately biased towards sites that had made progress with designing and deploying real-time ward management systems. This limits the generalisability of the study. The study focused more on the work of nurses and nurse managers, and has relatively little to say about the experiences of doctors or allied health professionals.Future workFuture research might focus on the effects of mobile technologies and electronic whiteboards on acute wards, the value of current national data returns, and the uses and value of trust data warehouses.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

The calm before the 'perfect storm'.

British Journal of Community NursingVol. 23, No. 5 EditorialThe calm before the ‘perfect storm’Julie Anne HughesJulie Anne HughesSearch for more papers by this authorJulie Anne HughesPublished Online:30 Apr 2018https://doi.org/10.12968/bjcn.2018.23.5.213AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Adams R, Nursing degree applications slump after NHS bursaries abolished, 2017. The Guardian. https://tinyurl.com/hyftq5q Google ScholarFrancis R. The Mid Staffordshire NHS Foundation Trust Public Inquiry. 2013. https://tinyurl.com/omsm882 (accessed 18 April 2018) Google ScholarHealth Foundation. In short supply: pay policy and nurse numbers – nurse staffing. 2017. https://tinyurl.com/y9daw6dg (accessed 18 April 2018) Google ScholarKing's Fund. Reimagining community services. 2018. https://tinyurl.com/ycajmjpc (accessed 18 April 2018) Google ScholarRoyal College of Nursing. Safe and effective staffing: the real picture. 2017 https://tinyurl.com/yaqxkl8a (accessed 18 April 2018) Google Scholar FiguresReferencesRelatedDetails 2 May 2018Volume 23Issue 5ISSN (print): 1462-4753ISSN (online): 2052-2215 Metrics History Published online 30 April 2018 Published in print 2 May 2018 Information© MA Healthcare LimitedPDF download

Why is trust important for effective healthcare teams?

British Journal of Healthcare ManagementVol. 24, No. 2 DiscussionWhy is trust important for effective healthcare teams?Adam LaylandAdam LaylandSearch for more papers by this authorAdam LaylandPublished Online:10 Feb 2018https://doi.org/10.12968/bjhc.2018.24.2.61AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Abualrub RF, Gharaibeh HF, Bashayreh AEI. The relationships between safety climate, teamwork, and intent to stay at work among Jordanian hospital nurses. Nursing Forum. 2012;47(1):65–75 Crossref, Google ScholarCIPD. Where has all the trust gone? Research Report. [Internet]. 2012. [cited 2017 Nov 21]. Available from: http://www.trustinorganizations.com/Resources/Documents/WhereHasAllTheTrustGone.pdf.pdf Google ScholarCommittee on Standards in Public Life. 7 principles of public life. [Internet]. 1995. [Cited 2017 Nov 21]. 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Available from: https://www.edelman.com/post/trust-healthcare-making-progress/ Google Scholar FiguresReferencesRelatedDetailsCited byLocus of control: the impact on self-leadership and effectiveness in healthcare teamsStephen Joseph6 August 2021 | British Journal of Healthcare Management, Vol. 27, No. 8The NMC Code and its application to the role of the midwife in antenatal care: a student perspectiveNicole Rajan-Brown, Allison Mitchell9 December 2020 | British Journal of Midwifery, Vol. 28, No. 12 2 February 2018Volume 24Issue 2ISSN (print): 1358-0574ISSN (online): 1759-7382 Metrics History Published online 10 February 2018 Published in print 2 February 2018 Information© MA Healthcare LimitedPDF download

Vocational education: your options

British Journal of Healthcare AssistantsVol. 11, No. 5 ProfessionalVocational education: your optionsRichard Johnson, Myles HarrisRichard JohnsonSearch for more papers by this author, Myles HarrisSearch for more papers by this authorRichard Johnson; Myles HarrisPublished Online:11 May 2017https://doi.org/10.12968/bjha.2017.11.5.233AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Bayliss-Pratt L (2016) Nursing associate curriculum framework. http://tinyurl.com/zrkv5rr (accessed 19 April 2017) Google ScholarCare Quality Commission (2015) CQC's position on the Care Certificate. http://tinyurl.com/n4fq3eq (accessed 19 April 2017) Google ScholarCavendish C (2013) The Cavendish Review. http://tinyurl.com/m3zr7pe (accessed 19 April 2017) Google ScholarFord S (2014) Nursing leaders respond to apprenticeship route into nursing plans. http://tinyurl.com/mnkwunp (accessed 19 April 2017) Google ScholarFrancis R (2012) Report of the Mid Staffordshire NHS Foundation Trust Public Enquiry: Executive Summary. http://tinyurl.com/lcsocyg (accessed 19 April 2017) Google ScholarHealth Education England (2016) Talent for Care and Widening Participation. http://tinyurl.com/z4qjzvf (accessed 19 April 2017) Google ScholarSkills for Health (2016) Care Certificate: Health And Social Care Professionals—Question And Answers. http://tinyurl.com/lz9fpym (accessed 19 April 2017) Google Scholar FiguresReferencesRelatedDetails 2 May 2017Volume 11Issue 5ISSN (print): 1753-1586ISSN (online): 2052-4420 Metrics History Published online 11 May 2017 Published in print 2 May 2017 Information© MA Healthcare LimitedPDF download

ICare: the role and potential value of digital technology in HCA curricula—an educational debate?

British Journal of Healthcare AssistantsVol. 11, No. 5 Health MattersiCare: the role and potential value of digital technology in HCA curricula—an educational debate?Catherine Hayes, Yitka NH GrahamCatherine HayesSearch for more papers by this author, Yitka NH GrahamSearch for more papers by this authorCatherine Hayes; Yitka NH GrahamPublished Online:11 May 2017https://doi.org/10.12968/bjha.2017.11.5.252AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Cameron M, Ray R, Sabesan S (2015) Remote supervision of medical training via videoconference in northern Australia: a qualitative study of the perspectives of supervisors and trainees. BMJ Open 5(3): 1–10 Crossref, Google ScholarCavendish C (2013). The Cavendish review: an independent review into healthcare assistants and support workers in the NHS and social care settings. http://tinyurl.com/m3zr7pe (accessed 11 April 2017) Google ScholarCowman, MC, McCarthy, A. M. (2016) The impact of demographic and situational factors on training transfer in a healthcare setting. Irish Journal of Management 35(2), 129–142. Crossref, Google ScholarFrancis R (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Executive Summary. http://tinyurl.com/p2ebw82 (accessed 11 April 2017) Google ScholarGraham YNH, Hayes C, Mahawar et al. (2017) Ascertaining the place of social media and technology for bariatric patient support: what do allied health practitioners think? Obes Surg (2017). doi: https://doi.org/10.1007/s11695-016-2527-z Crossref, Google ScholarHarrington L (2016) Going digital: what does it really mean for nursing? AACN Adv Crit Care 27(4): 358–61 Crossref, Google ScholarImison C, Castle-Clarke S, Watson R, Edwards N, Nuffield Trust (2016) Delivering the benefits of digital healthcare. http://tinyurl.com/kbrjvb8 (accessed 20 April 2017) Google ScholarJohnston B, Boyle L, MacArthur E, Manion BF (2013) The role of technology and digital gaming in nurse education. Nurs Stand 27(28): 35–8 Crossref, Google ScholarMurray B, O'Neil M (2016) Nurses role in delivering the message: the value of health promotion and patient education in the self-care management of adults with asthma. J Nurs Care 5(351): 2167–8 Google ScholarNápoles AM, Appelle N, Kalkhoran S et al. (2016) Perceptions of clinicians and staff about the use of digital technology in primary care: qualitative interviews prior to implementation of a computer-facilitated 5As intervention. BMC Med Inform Decis Mak 16:44. doi: https://doi.org/10.1186/s12911-016-0284-5 Crossref, Google ScholarStevens DJ, Jackson JA, Howes N et al. (2014) Obesity surgery smartphone apps: a review. Obesity Surgery 24(1): 32–6. doi: https://doi.org/10.1007/s11695-013-1010-3 Crossref, Google ScholarTsiotakis P, Jimoyiannis A (2016) Critical factors towards analysing teachers' presence in on-line learning communities. Internet and Higher Education 28: 45–58 Crossref, Google ScholarWellde PT, Miller LA (2016) There's an app for that! New directions using social media in patient education and support. J Perinat Neonatal Nurs 30(3): 198–203. doi: https://doi.org/10.1097/JPN.0000000000000177 Crossref, Google ScholarWild D, Kydd A, Szczepura A (2016) Implementing digital skills training in care homes: a literature review. Nurs Older People 28(4): 26–9. doi: https://doi.org/10.7748/nop.28.4.26.s22 Crossref, Google Scholar FiguresReferencesRelatedDetails 2 May 2017Volume 11Issue 5ISSN (print): 1753-1586ISSN (online): 2052-4420 Metrics History Published online 11 May 2017 Published in print 2 May 2017 Information© MA Healthcare LimitedPDF download

Being ‘with woman’ in contemporary midwifery practice: One Trust's response to the Francis report

The report of the Mid Staffordshire NHS Foundation Trust Public Inquiry largely reminded professionals throughout health care and maternity services of the importance of safe, high-quality, care. Two labour ward matrons at an NHS Trust were inspired by the report's recommendations to create an initiative, entitled ‘Back to Basics’, to raise standards of care and ensure best practice was recognised, maintained and disseminated. The initiative has been rolled out in their hospital and shared with first-year midwifery students.

RCN backs the district nurse specialist practice qualification.

British Journal of Community NursingVol. 21, No. 8 CommentRCN backs the district nurse specialist practice qualificationJulie Bliss, Caroline DicksonJulie BlissSearch for more papers by this author, Caroline DicksonSearch for more papers by this authorJulie Bliss; Caroline DicksonPublished Online:1 Aug 2016https://doi.org/10.12968/bjcn.2016.21.8.383AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Ball J, Philippou J, Pike G, Sethi J (2014) Survey of district and community nurses in 2013 Report to the Royal College of Nursing. http://bit.ly/2adFNjx (accessed 27 July 2016) Google ScholarCable C, Dickson C, Morris G (2015) Inspiring undergraduates towards a career in community nursing. Nurs Manag (Harrow) 22(6): 18, 20–5. doi: https://doi.org/10.7748/nm.22.6.18.e1382 Crossref, Medline, Google ScholarDepartment of Health (2013) Care in local communities: a new vision and model for district nursing. http://bit.ly/1EQKfjR (accessed 27 July 2016) Google ScholarDickson CAW, Bliss J, Bowers B (2015a) Shaping the future delivery of care: district nurses seizing the day! Br J Community Nurs 20(6): 266–7. doi: https://doi.org/http://dx.doi.org/10.12968/bjcn.2015.20.6.266 Link, Google ScholarDickson C, Morris G, Cable C (2015b) Enhancing undergraduate community placements: a critical review of current literature. Br J Community Nurs 20(4): 184–9. doi: https://doi.org/10.12968/bjcn.2015.20.4.184 Link, Google ScholarFrancis R (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. http://bit.ly/1LSaha9 (accessed 27 July 2016) Google ScholarGibson E, Dickson C, Lawson B, McMillan A (2015a) Learning to deal with crisis in the home: Part 1—developing community simulation scenarios. Br J Community Nurs 20(11): 536–40. doi: https://doi.org/http://dx.doi.org/10.12968/bjcn.2015.20.11.536 Link, Google ScholarGibson E, Dickson C, Lawson B, McMillan A (2015b) Learning to deal with crisis in the home: Part 2—preparing pre-registration students. Br J Community Nurs 20(11): 536–40. doi: https://doi.org/10.12968/bjcn.2015.20.11.536 Link, Google ScholarHealth Education England (2015) District Nurse and General Practice Nursing Service Education and Career Framework. http://bit.ly/1VzPAWq (accessed 27 July 2016) Google ScholarLintern S (2016) Slump in district nurse workforce amid overall nursing rise. Nursing Times. http://bit.ly/2a9Gv2Y (accessed 27 July 2016) Google ScholarNational Institute for Health and Care Excellence (2014) Safe staffing for nursing in adult inpatient wards in acute hospitals. http://bit.ly/22Ktwrc (accessed 27 July 2016) Google ScholarQueen's Nursing Institute (2009) 2020 Vision: Focusing on the future of district nursing. http://bit.ly/1nJRwvA (accessed 27 July 2016) Google ScholarQueen's Nursing Institute, Queen's Nursing Institute Scotland (2015) The QNI/QNIS Voluntary Standards for District Nurse Education and Practice. http://bit.ly/2ah2NS9 (accessed 27 July 2016) Google ScholarQueen's Nursing Institute (2015) The Value of the District Nurse Specialist Practitioner Qualification: a Report by the Queen's Nursing Institute. http://bit.ly/2aqfWaN (accessed 27 July 2016) Google ScholarRoyal College of Nursing (2013) District nursing: harnessing the potential. The RCN's position on UK district nursing. http://bit.ly/2a9HIr2 (accessed 27 July 2016) Google ScholarRoyal College of Nursing (2016) Congress debates. 14. District nurses RCN District Nurses' Forum. http://bit.ly/2aukI8n (accessed 27 July 2016 Google ScholarRoyal College of Nursing Scotland (2016) RCN Scotland contribution to the Chief Nursing Officer review of district nursing. http://bit.ly/2a9N59H (accessed 26 July 2016) Google Scholar FiguresReferencesRelatedDetailsCited byA qualitative exploration of the thoughts, feelings, experiences and expectations of student district nursesHelen Marshall, Sally Sprung3 February 2023 | British Journal of Community Nursing, Vol. 28, No. 2Caseload management: a district nursing challengeVictoria McCrory10 April 2019 | British Journal of Community Nursing, Vol. 24, No. 4Future of Specialist Practice Qualifications in district nursing for band 6 leadership rolesAlexandra Carlin, Anna Chesters27 December 2018 | British Journal of Community Nursing, Vol. 24, No. 1An overview of the role of the district nurse caring for individuals with complex needsVictoria McCrory27 December 2018 | British Journal of Community Nursing, Vol. 24, No. 1The role of the district nurse in Northern IrelandCharlene Young, Hilary Thompson4 July 2018 | British Journal of Community Nursing, Vol. 23, No. 7 2 August 2016Volume 21Issue 8ISSN (print): 1462-4753ISSN (online): 2052-2215 Metrics History Published online 1 August 2016 Published in print 2 August 2016 Information© MA Healthcare LimitedPDF download

Will the introduction of a nursing associate role give healthcare assistants genuine career options?

British Journal of Healthcare AssistantsVol. 10, No. 2 ProfessionalWill the introduction of a nursing associate role give healthcare assistants genuine career options?Alan GlasperAlan GlasperSearch for more papers by this authorAlan GlasperPublished Online:15 Feb 2016https://doi.org/10.12968/bjha.2016.10.2.76AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Baly M (1995) Nursing And Social Change. 3rd edn. Routledge, London Google ScholarCarpenter C, Glasper A, Jowett R, Nicholls P (2012) Celebrating 30 years of integrated undergraduate nursing at the University of Southampton. Working Papers in Health Sciences 1:2. ISSN 2051-6266/20120000 Google ScholarCavendish C (2013) The Cavendish Review: An Independent Review into Healthcare Assistants and Support Workers in the NHS and Social Care Settings. http://tinyurl.com/nny6wfc (accessed 27 January 2016) Google ScholarCouncil of Deans of Health (2015) Universities respond to announcement on ‘Nursing associates'. www.councilofdeans.org.uk/2015/12/nursing-associates-the-councils-response/ (accessed 27 January 2016) Google ScholarDepartment of Health (DH) (2015a) Further Education And Training. http://tinyurl.com/ar2zxkg (accessed 27 January 2016) Google ScholarDepartment of Health (DH) (2015b) Nursing associate role offers new route into nursing. www.gov.uk/government/news/nursing-associate-role-offers-new-route-into-nursing (accessed 27 January 2016) Google ScholarDepartment for Business, Innovation & Skills (BIS), Department of Health (DH) (2015) Nursing associate role offers new route into nursing. www.gov.uk/government/news/nursing-associate-role-offers-new-route-into-nursing (accessed 27 January 2016) Google ScholarFrancis R (2013) Mid Staffordshire NHS Foundation Trust Public Inquiry. www.midstaffspublicinquiry.com/ (accessed 27 January 2016) Google ScholarGlasper A (2013) Making caring a career: the role of the healthcare assistant. Br J Nurs 22(17): 1173–4 Link, Google ScholarGlasper A (2014) Higher apprenticeships: a way into nursing for HCAs? British Journal of Healthcare Assistants 8(4): 196–99. DOI: https://doi.org/http://dx.doi.org/10.12968/bjha.2014.8.4.196 Link, Google ScholarJacob E, Sellick K, McKenna L (2012) Australian registered and enrolled nurses: is there a difference? Int J Nurs Pract 18(3): 303–7 Crossref, Google ScholarNursing and Midwifery Council (2015) NMC responds to announcement of new nursing associate role. www.nmc.org.uk/news/news-and-updates/nmc-responds-to-announcement-of-new-nursing-associate-role/ (accessed 27 January 2016) Google ScholarWebb B (2000) Enrolled nurse conversion: a review of the literature. J Nurs Manag 8(2): 115–20 Crossref, Google ScholarWillis P (2015) Shape of Caring Review—Raising the Bar. www.hee.nhs.uk/our-work/developing-our-workforce/nursing/shape-caring-review (accessed 27 January 2016) Google Scholar FiguresReferencesRelatedDetails 2 February 2016Volume 10Issue 2ISSN (print): 1753-1586ISSN (online): 2052-4420 Metrics History Published online 15 February 2016 Published in print 2 February 2016 Information© MA Healthcare LimitedPDF download

GI Nursing: what can we expect in 2016?

Gastrointestinal NursingVol. 14, No. 1 Penny's PageGI Nursing: what can we expect in 2016?Penny HarrisonPenny HarrisonSearch for more papers by this authorPenny HarrisonPublished Online:28 Feb 2016https://doi.org/10.12968/gasn.2016.14.1.50AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Allen D (2015) Making visible the unseen elements of nursing. Nurs Times 111(46): 17–20 Google ScholarRoyal College of Nursing (2015) Caring for people with liver disease: a competence framework for nursing. RCN, London. http://bit.ly/1SxoufA (accessed 1 February 2016) Google ScholarFrancis R (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. Executive Summary and Volume 1, Volume 2 and Volume 3. The Stationery Office, London Google ScholarJackson J, Kennedy M (2015) Developing a social media platform for nurses. Nurs Stand 30(12): 45–52 Crossref, Google ScholarLonghurst C (2016) Leaked safe staffing guideline from NICE ‘appears to have been watered down’. Nurs Stand 30(22): 7 Crossref, Google ScholarMoore A (2015) Use staff wisely to save NHS money. Nurs Stand 30(15): 18–9. doi: https://doi.org/10.7748/ns.30.15.18.s24. Crossref, Google ScholarNursing and Midwifery Council (2015) The Code: Professional standards of practice and behaviour for nurses and midwives. NMC, London. bit.ly/1bZNQBi (accessed 1 February 2016)) Google ScholarPrice B (2015) Understanding attitudes and their effect on nursing practice. Nurs Stand 30(15): 50–7 Crossref, Google ScholarScott G (2015) Four issues that Mr Hunt should make top priority. Nurs Stand 29(37): 3 Crossref, Google Scholar FiguresReferencesRelatedDetails 2 February 2016Volume 14Issue 1ISSN (print): 1479-5248ISSN (online): 2052-2835 Metrics History Published online 28 February 2016 Published in print 2 February 2016 Information© MA Healthcare LimitedPDF download

Enhancing medical students’ leadership skills through student-selected components

Historical context: The importance of effective leadership in the healthcare setting has become increasingly apparent through such high-profile NHS enquiries as the Francis Report into failings at Mid Staffordshire hospitals (Mid Staffordshire NHS Foundation Trust Public Enquiry, 2013). These examples of failings in patient safety and care have brought about numerous attempts to improve healthcare quality through leadership and management initiatives.The authors, a team of four medical students under the guidance of an academic tutor, aimed to design additional leadership and management learning resources to complement their university’s current undergraduate medical curriculum as part of this drive to improve patient care and safety.Specifications of Project: A two-year Student Selected Component (SSC), spanning years 4 and 5 of the undergraduate medical course, was created to provide students with the opportunity to develop their medical leadership and management skills.Discussion of Pedagogy/Practice: An action learning approach was employed to enable the authors to take control of their learning and to aid professional development. The flexibility of the university’s SSC model allowed for a variety of activities to be undertaken.Implementation: Self-directed study combined with a seminar series, external speaker events, industry placements and self-development courses formed the basis of the SSC.Evaluation: The authors judged the project’s success through continuation and increased recruitment to the SSC this academic year, and through the positive personal reflections of students having completed the pilot.Lessons Learnt: The six key lessons identified related to: planning, communication, sustainability, pursuing opportunities, self-directed learning and ambition.

Strategies to implement the recommendations of the Francis report

This article discusses some of the challenges managers and leaders face, when implementing changes based on the recommendations set out by The Mid Staffordshire NHS Foundation Trust Public Inquiry, which encouraged staff to report concerns and implement stronger leadership. Challenges to these recommendations will be explored, including the current organisational culture within the NHS and effective interprofessional working. Managerial strategies to combat these challenges will be discussed, including the use of standardised guidelines, clinical supervision and annual appraisals. Furthermore, positive leadership strategies to overcomes these challenges will be analysed, including leadership styles, desired characteristics and training programmes available to health professionals. This article proposes positive strategies for organisations and individual health professionals to implement changes to enhance quality of care.

Going for a job, with passion: 10 top tips on how to complete your application

British Journal of Healthcare AssistantsVol. 9, No. 11 Health MattersGoing for a job, with passion: 10 top tips on how to complete your applicationClare ClarkeClare ClarkeSearch for more papers by this authorClare ClarkePublished Online:2 Dec 2015https://doi.org/10.12968/bjha.2015.9.11.570AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Cavendish C (2013) The Cavendish Review: An independent Review into Healthcare Assistants and Support Workers in the NHS and Social Care Settings. http://tinyurl.com/mcf7js9 (accessed 7 October 2015) Google ScholarFrancis R (2013) The Mid Staffordshire NHS Foundation Trust Public Inquiry. www.midstaffspublicinquiry.com (accessed 7 October 2015) Google ScholarSkills for Care (2015) Care Certificate. http://tinyurl.com/pyd274m (accessed 7 October 2015) Google Scholar FiguresReferencesRelatedDetails 2 November 2015Volume 9Issue 11ISSN (print): 1753-1586ISSN (online): 2052-4420 Metrics History Published online 2 December 2015 Published in print 2 November 2015 Information© MA Healthcare LimitedPDF download

Values-based recruitment and the NHS Constitution: Making sure student midwives meet the brief

Since publication of the findings from the Mid Staffordshire NHS Foundation Trust Public Inquiry ( Francis, 2013 ), which identified levels of substandard care and failings from staff in exhibiting core values such as care and compassion, it became evident that improvements in levels of care were needed. In response, Health Education England (2014) published its national values-based recruitment (VBR) framework to encourage higher education institutions to complement their existing recruitment processes with VBR, to ensure applicants to undergraduate health-care programmes, such as midwifery, demonstrate values aligning with the principles of the NHS Constitution ( Department of Health, 2015 ). This article will discuss how the University of Northampton piloted the integration of the VBR framework into its interview process through adopting a multiple mini interview approach.