Nursing

Revised Code for nurses and midwives – Nursing & Midwifery Council [UK] – 29 January 2015

Posted on January 30, 2015. Filed under: Nursing | Tags: |

Revised Code for nurses and midwives – Nursing & Midwifery Council [UK] – 29 January 2015

The Code: professional standards of practice and behaviour for nurses and midwives – Nursing & Midwifery Council [UK] – January 2015

Review into midwifery regulation – Nursing & Midwifery Council [UK] – 21 January 2015

28 January 2015 Council Review of midwifery regulation

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Safe staffing for nursing in adult inpatient wards in acute hospitals – NICE Guidance SG1 – July 2014

Posted on July 22, 2014. Filed under: Nursing, Workforce | Tags: |

Safe staffing for nursing in adult inpatient wards in acute hospitals – NICE Guidance SG1 – July 2014

NICE unveils safe staffing plans for nursing care in wards – 15 July 2014

Safe staffing for nursing in adult inpatient wards in acute hospitals overview – Pathways

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Running on Empty – NHS staff stretched to the limit – Unison – 14 April 2014

Posted on April 15, 2014. Filed under: Nursing, Workforce | Tags: |

Running on Empty – NHS staff stretched to the limit – Unison – 14 April 2014

News release: NHS nurses reaching danger point – Unison – 14 April 2014

“A new survey of almost 3,000 nurses from across the UK reveals a health service under severe strain, with 65% of staff saying that they did not have enough time with patients and 55% reporting that as a result care was left undone. This is despite the fact that 50% worked through their breaks or beyond their shift.

The survey – undertaken on Tuesday 4 March – shows a typical ‘day in the life’ of the NHS. The majority (60%) felt that the number of staff working on the day resulted in a lower standard of care and more shocking still were statistics showing that 45% of nurses were caring for 8 or more patients.”

… continues on the site

 

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Unlocking skills in hospitals: better jobs, more care – Grattan Institute – 13 April 2014

Posted on April 14, 2014. Filed under: Medicine, Nursing, Occupational Therapy, Physiotherapy, Workforce | Tags: |

Unlocking skills in hospitals: better jobs, more care – Grattan Institute – 13 April 2014

Stephen Duckett and Peter Breadon

“Enabling less highly-trained hospital workers to play a bigger role could improve jobs for doctors and nurses, save public hospitals nearly $430 million a year and fund treatment for more than 85,000 extra people.

Doctors, nurses and allied health professionals such as physiotherapists and occupational therapists are all squandering their valuable skills on work that other people could do.

It doesn’t take 15 years of training to provide light sedation for a stable patient having a simple procedure, or a three-year degree to help someone bathe or eat – but that is the situation in Australian hospitals today. This mismatch of skills and jobs is putting heavy pressure on hospitals when there are already long waiting lists for many treatments and demand is growing fast.

The report suggests three ways – among many – that hospitals can get a better match between workers and their work. Nursing assistants could free up nurses’ time by providing basic care to patients. Specialist nurses could free up doctors’ time by doing common, low-risk procedures now done by doctors. More assistants could be employed to support physiotherapists and occupational therapists.”

… continues on the site

 

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Nursing and midwifery workforce 2012 – AIHW – 29 Nov 2013

Posted on December 6, 2013. Filed under: Nursing, Workforce | Tags: |

Nursing and midwifery workforce 2012 – AIHW – 29 Nov 2013

“This report outlines the workforce characteristics of nurses and midwives in 2012. Between 2008 and 2012, the number of nurses and midwives employed in nursing or midwifery increased by 7.5%, from 269,909 to 290,144. During this period, nursing and midwifery supply increased by 0.5%, from 1,117.8 to 1,123.6 full-time equivalent nurses and midwives per 100,000 population. In 2012, the proportion of employed nurses and midwives aged 50 or older was 39.1%, an increase from 35.1% in 2008.”

ISSN 1446 9820; ISBN 978-1-74249-517-0; Cat. no. HWL 52; 70pp

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Dementia self-assessment framework – Department of Health [England] – 16 October 2013

Posted on October 18, 2013. Filed under: Aged Care / Geriatrics, Nursing | Tags: |

Dementia self-assessment framework – Department of Health [England] – 16 October 2013

“The self-assessment framework was created by nurses and care staff to compare current dementia care with the best practice criteria.”

… continues on the site

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Revalidation: The early experiences and views of responsible officers from London – The King’s Fund – 15 October 2013

Posted on October 16, 2013. Filed under: Allied Health, Medicine, Nursing, Workforce | Tags: , , |

Revalidation: The early experiences and views of responsible officers from London – The King’s Fund – 15 October 2013

“This paper summarises the results of a small research study designed to capture the experiences of and reflections on revalidation of responsible officers (ROs) in London. Fifty-three responsible officers took part in an online survey and twenty of these ROs took part in in-depth interviews.

The results provide a snapshot of what the implementation of revalidation has meant for the new ROs six months in. The paper also draws some conclusions on what is currently aiding successful implementation, which can be drawn on by ROs, doctors, boards and senior leaders across the country to prepare for the second year of revalidation.”

… continues on the site

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Regulated Nurses, 2012 – report from the Canadian Institute for Health Information – 8 October 2013

Posted on October 11, 2013. Filed under: Nursing, Workforce | Tags: , |

Regulated Nurses, 2012 – report from the Canadian Institute for Health Information – 8 October 2013

“Regulated Nurses, 2012 highlights current trends in nursing practice across a variety of demographic, education, mobility and employment characteristics. This series highlights data from the three groups of regulated nursing professionals in Canada: registered nurses (RNs, including nurse practitioners or NPs), licensed practical nurses (LPNs) and registered psychiatric nurses (RPNs).”

Problematic trends for registered nurse workforce, report reveals – Canadian Nurses Association – 8 October 2013

 

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A background report on nurse staffing in children’s and young people’s health care – Royal College of Nursing – 20 June 2013

Posted on July 11, 2013. Filed under: Child Health / Paediatrics, Nursing, Workforce | Tags: |

A background report on nurse staffing in children’s and young people’s health care – Royal College of Nursing – 20 June 2013

“This background report was commissioned by the RCN to contribute to the updating of the RCN publication: Defining staffing levels for children and young people’s services: RCN guidance for clinical professionals and service managers, first published in 2003 and updated in 2012/2013 (publication code 002 172). The report provides a review of available literature relating to staffing child health services from across the UK and evidence from discussion with senior children’s nurses working across a range of general and specialist services in England. Analysis of this evidence has highlighted gaps in the literature and led to a number of recommendations to be included in future guidance.”

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Defining staffing levels for children’s and young people’s services – Royal College of Nursing – 24 June 2013

Posted on July 11, 2013. Filed under: Child Health / Paediatrics, Nursing, Workforce | Tags: |

Defining staffing levels for children’s and young people’s services – Royal College of Nursing – 24 June 2013

“The standards contained in this document apply to all areas in which babies, children and young people receive care, as well as across all types of services and provision commissioned by the NHS including the acute and community, as well as third sector and independent sector providers. The standards are the minimum essential requirements for all providers of services for babies, children and young people.”

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NMC [UK] launches new quality assurance framework and appoints provider to deliver its operations – 17 June 2013

Posted on June 19, 2013. Filed under: Educ for Hlth Professions, Nursing |

NMC [UK] launches new quality assurance framework and appoints provider to deliver its operations – 17 June 2013

“Following a thorough tendering exercise, the Nursing and Midwifery Council (NMC) has appointed Mott McDonald to operationally deliver quality assurance of nursing and midwifery education and the supervision of midwives.

Quality assurance is an important regulatory function with a key role in public protection. It ensures that education programmes meet the NMC’s Standards of education, that supervision of midwives adheres to the Midwives rules and standards and that risks are managed and minimised effectively.

Quality assurance activities will be carried out within a new framework from September 2013. The framework, which was informed by stakeholder feedback, ensures that quality assurance activities operate effectively. It aims to:

Increase lay involvement through the increased use of reviewers who are neither nurses nor midwives.
Increase the proactive management of emerging risk by ensuring that all relevant institutions have appropriate safeguards in place to protect the public.
Reduce the burden of regulation on well-performing education institutions and Local Supervising Authorities (LSAs) over the three year cycle.
Ensure that quality assurance focuses on outcomes of education and supervision of midwives as opposed to dictating how standards should be met.”

… continues

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Nursing and midwifery reports published – Centre for Workforce Intelligence [UK] – June 2013

Posted on June 18, 2013. Filed under: Nursing, Workforce | Tags: , , |

Nursing and midwifery reports published – Centre for Workforce Intelligence [UK] – June 2013

“We have today published a series of reports and summaries on the future shape of the nursing and midwifery workforces up to 2016, and horizon scanning reports looking ahead 20 years.

The projections shown in these reports represent unconstrained demand based on ‘what if’ assumptions in the model. They provide a range of possible scenarios which need to be considered alongside Health Education England local education and training board (LETB) investment plans and other emerging evidence to refine the assumptions and produce a clearer picture of likely future supply and demand.

The publications are the culmination of a project commissioned by the Department of Health in 2012 to support the development of policy on the nursing and midwifery contribution to healthcare. They provide guidance to the health education system through Health Education England (HEE) and LETBs as they develop their workforce and education commissioning plans.”

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Moving care to the community: an international perspective – Royal College of Nursing – 23 May 2013

Posted on June 13, 2013. Filed under: Community Services, Nursing | Tags: , |

Moving care to the community: an international perspective – Royal College of Nursing – 23 May 2013

Media release

“The Royal College of Nursing (RCN) today expressed concern that patients in the UK, who could be cared for at home, face longer stays in hospital due to under-resourced community services.”

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Right blood, right patient, right time. RCN guidance for improving transfusion practice – Royal College of Nursing – April 2013

Posted on April 26, 2013. Filed under: Haematology, Nursing | Tags: , |

Right blood, right patient, right time. RCN guidance for improving transfusion practice – Royal College of Nursing – April 2013

ISBN: 978-1-908782-41-0

 

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A Framework for Integrating Internationally Educated Nurses into the Health Care Workforce – Nursing Health Services Research Unit [Ontario] – March 2013

Posted on April 24, 2013. Filed under: Nursing, Workforce | Tags: |

A Framework for Integrating Internationally Educated Nurses into the Health Care Workforce – Nursing Health Services Research Unit [Ontario] – March 2013

Extract from the executive summary

“A Framework for Integrating Internationally Educated Nurses into the Health Care Workforce was an initiative designed to answer the call for proposals by the Ontario Ministry of Citizenship and Immigration (MCI) Category 3: Changing Systems: Bridging Projects for Institutional Change Initiatives – Fair and Effective Processes. The Nursing Health Services Research Unit at McMaster University worked in partnership with the Ontario Hospital Association to enhance the effective integration of internationally educated nurses (IENs) into the health care workforce through the creation, implementation and evaluation of a web-based leading practice guide targeting employers.”

… continues

Andrea Baumann, Jennifer Blythe, Dina Idriss-Wheeler, Maggie Fung, Andreanna Grabham

 

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Dementia: scoping the role of the dementia nurse specialist in acute care – Royal College of Nursing – 25 March 2013

Posted on March 26, 2013. Filed under: Aged Care / Geriatrics, Health Economics, Nursing, Workforce | Tags: , |

Dementia: scoping the role of the dementia nurse specialist in acute care – Royal College of Nursing – 25 March 2013

Media release: More specialist dementia nurses needed, says RCN

“The Royal College of Nursing and the University of Southampton have published a new report that calls for greater support, funding and training for specialist dementia nurses.

The report Scoping the Role of Dementia Nurse Specialists in Acute Care highlights the significant contribution dementia nurse specialists could make in hospital settings.

Research has found that if dementia specialist nurses were properly funded and trained, they could reduce hospital stays for older people by one day on average, saving almost £11,000,000 a year.

The report recommends that there should be at least one whole-time dementia specialist nurse for every 300 hospital admissions for people with dementia.”

… continues

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Patient level costing and nursing – Royal College of Nursing – March 2013

Posted on March 14, 2013. Filed under: Health Economics, Nursing | Tags: |

Patient level costing and nursing – Royal College of Nursing – March 2013

RCN Policy and International Department
Policy briefing 9/13

“This briefing sets out some background and context on patient level costing and nursing. It intends to provide basic information and to contribute to learning on the use of patient level costing in the NHS from a nursing perspective. Costs at the patient level come from Patient Level Information and Costing Systems (PLICS).”

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Employment Integration of Nursing Graduates: Evaluation of a Provincial Policy Strategy Nursing Graduate Guarantee 2011–2012 – Nursing Health Services Research Unit [Ontario, Canada] – December 2012

Posted on March 13, 2013. Filed under: Nursing, Workforce |

Employment Integration of Nursing Graduates: Evaluation of a Provincial Policy Strategy Nursing Graduate Guarantee 2011–2012 – Nursing Health Services Research Unit [Ontario, Canada] – December 2012

Extract from the executive summary:

“The Nursing Graduate Guarantee (NGG), launched in 2007, is a policy initiative that provides incentive funding to encourage employers to hire new graduates into full-time (FT) temporary supernumerary positions with the goal to transition new graduates into permanent FT positions. It was created in response to evidence of an increasing trend towards casualization of the general nursing workforce, particularly new graduate nurses (NGNs) (Baumann, Blythe, Cleverley, & Grinspun, 2006a). The NGG subsidizes up to six months of employment, including an extended orientation and mentorship program to facilitate the transition of NGNs into the workplace.”

… continues

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Men in Nursing Occupations: American Community Survey Highlight Report – 25 February 2013

Posted on March 1, 2013. Filed under: Nursing, Workforce | Tags: |

Men in Nursing Occupations: American Community Survey Highlight Report – 25 February 2013

Media release: Male Nurses Becoming More Commonplace, Census Bureau Reports

 “The nursing profession remains overwhelmingly female, but the representation of men has increased as the demand for nurses has grown over the last several decades, according to a U.S. Census Bureau study released today.

The new study shows the proportion of male registered nurses has more than tripled since 1970, from 2.7 percent to 9.6 percent, and the proportion of male licensed practical and licensed vocational nurses has more than doubled from 3.9 percent to 8.1 percent.1
 
The study, Men in Nursing Occupations, presents data from the 2011 American Community Survey to analyze the percentage of men in each of the detailed nursing occupations: registered nurse, nurse anesthetist, nurse practitioner, and licensed practical and licensed vocational nurse. The study, and accompanying detailed tables, also provide estimates on a wide range of characteristics of men and women in nursing occupations. These include employment status, age, race, Hispanic origin, citizenship, educational attainment, work hours, time of departure to work, median earnings, industry and class of worker.”

… continues

Selected Characteristics of Registered Nurses, Nurse Anesthetists, Nurse Practitioners, and Licensed Practical and Licensed Vocational Nurses [XLS – 103k]

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Caring for people with liver disease – Royal College of Nursing – 14 February 2013

Posted on February 22, 2013. Filed under: Nursing, Workforce |

Caring for people with liver disease – Royal College of Nursing – 14 February 2013

Liver disease competence framework launched 

“The RCN has collaborated with NHS Liver Care on a joint publication which aims to tackle the increasing number of deaths from liver disease. This is now the UK’s fifth biggest killer and a major cause of premature death, with sufferers dying far younger than patients with heart disease or stroke. The three main causes of liver disease are alcohol, viral hepatitis and obesity, all of which are preventable.

Caring for People with Liver Disease: a Competence Framework is aimed at all nursing staff working in all clinical settings across primary, secondary and tertiary care. It recognises that nursing staff have a key role in health promotion and aims to empower them to identify the signs and risk factors of liver disease, make brief interventions and signpost patients to support services.

The framework also supports staff to build their levels of competence throughout their career trajectories, and the competences described are cross-referenced to the NHS Knowledge Skills Framework to help to embed the framework in practice.”

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Regulated nurses: Canadian trends, 2007 to 2011 – Canadian Institute for Health Information – 10 January 2013

Posted on January 11, 2013. Filed under: Nursing, Workforce | Tags: , |

Regulated nurses: Canadian trends, 2007 to 2011 – Canadian Institute for Health Information – 10 January 2013

full report 

“More than 360,000 regulated nurses were employed in Canada in 2011, representing an increase of more than 8% since 2007. This growth rate was nearly twice the rate of population growth, according to the Canadian Institute for Health Information (CIHI) annual report on the nursing workforce. However, the number of registered nurses per 100,000 remains below the peak reached in the early 1990s.

There is a positive trend in the renewal of the nursing profession. Over the last five years, the proportion of regulated nurses younger than age 35 increased from 20.9% to 23.7% of the workforce.

More than 56% of employed nurses were working full time in 2011. Similarly, more than 50% of all younger nurses are finding full-time employment within the first five years of working.

The number of nurse practitioners (NPs) doubled from 1,344 to 2,777 between 2007 and 2011, due in part to increased provincial/territorial investment in NPs and in part to additional jurisdictions submitting NP data to CIHI. NPs are advanced practice registered nurses who have additional education in health assessment and diagnosis and management of illness and injury, and who can order tests and prescribe drugs. More than half of NPs work outside hospitals, in areas such as community practice.”

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Compassion in Practice – our culture of compassionate care – NHS – 4 December 2012

Posted on January 10, 2013. Filed under: Nursing |

Compassion in Practice – our culture of compassionate care – NHS – 4 December 2012

“Compassion in Practice is the new three year vision and strategy for nursing, midwifery and care staff drawn up Jane Cummings, the Chief Nursing Officer for England (CNO) at the NHS Commissioning Board, and Viv Bennett, Director of Nursing at the Department of Health.

It was launched at the CNO annual conference in Manchester on December 4th 2012 following an eight week consultation with over 9,000 nurses, midwives, care staff and patients.”

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Midwives rules and standards 2012 – Nursing and Midwifery Council [UK] – 2 January 2012

Posted on January 8, 2013. Filed under: Nursing, Workforce | Tags: |

Midwives rules and standards 2012 – Nursing and Midwifery Council [UK] – 2 January 2012

Press release

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What are the benefits and challenges of “bedside” nursing handovers? – Policy+ Issue 36 – November 2012

Posted on November 28, 2012. Filed under: Acute Care, Nursing |

What are the benefits and challenges of “bedside” nursing handovers?  – Policy+ Issue 36 – November 2012

full text 

King’s College London

“In acute hospital settings nursing handover (also known as ‘change of shift’ or ‘nursing report’) has become the traditional and dominant form of communication between nurses caring for patients on one shift to the next [1]. A substantial body of nursing research appraising nurse handover has evolved and the necessity of such handover seems undisputed for enabling nurses to exchange information [2]. The literature identifies four main types of nurse handover: bedside, verbal, taped and nonverbal. However, the impact of the various handover methods on nursing care and patient outcomes remains unclear [3].

In the UK and internationally, some hospitals are moving towards handovers at the patient’s bedside to support patient-centred care [4]. However, there are no national guidelines or standards in England and some have raised concerns about whether bedside handover complicates, rather than streamlines, nursing processes and puts patient’s confidentiality at risk. In this Policy+ we examine different approaches to implementation, evidence of the benefits, and challenges associated with bedside handover in acute hospital settings.”

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Doctors and nurses – Reform – November 2012

Posted on November 21, 2012. Filed under: Medicine, Nursing, Workforce | Tags: |

Doctors and nurses – Reform – November 2012

“The quality of care depends on more than the sheer quantity of staff. Quality healthcare requires a quality workforce. Reforming the workforce will be essential to improve the quality of healthcare. Pioneers of healthcare excellence are already demonstrating how to effectively manage and motivate clinicians to deliver better quality services. Government now needs to ensure that all providers can adopt the lessons of high performing organisations.

The best healthcare organisations in the world are the best employers because they understand the importance of human capital. In getting the best out of their doctors and nurses they exhibit shared behaviours or habits. Principally, they adopt modern management practices, such as rigorously selective recruitment processes; staff engagement; devolving clinical and often financial power and accountability to the frontline; encouraging flexible working and team-based care; investing in staff development, measuring performance and outcomes; celebrating and rewarding excellence, and identifying and dealing with mediocrity and failure. This report highlights the good practice of: ”

… continues

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Dementia guide: commitment to the care of people with dementia in hospital settings – Royal College of Nursing – 9 October 2012

Posted on October 17, 2012. Filed under: Aged Care / Geriatrics, Nursing | Tags: , |

Dementia guide: commitment to the care of people with dementia in hospital settings – Royal College of Nursing – 9 October 2012

Abstract:

“Dementia is a challenge for hospitals. Surveys show that around a quarter of hospital beds are occupied by somebody with dementia; a figure which increases in older people and individuals with a superimposed delirium. This important resource supports the further implementation of the RCN’s five principles for improving the quality of care for people with dementia and enabling the best possible support for their carers. This guide supplements the RCN’s film: Dementia: Commitment to the care of people with dementia in hospital settings.”

Media release

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Ward rounds in medecine: Principles for best practice – Royal College of Nursing – 3 October 2012

Posted on October 5, 2012. Filed under: Nursing | Tags: , , |

Ward rounds in medecine: Principles for best practice – Royal College of Nursing – 3 October 2012

“The Royal College of Nursing and the Royal College of Physicians are united in calling for ward rounds to be made the cornerstone of patient care. Medical ward rounds are complex clinical activities, critical to providing high-quality, safe care for patients in a timely, relevant manner. They have often been a neglected part of the planning and organisation of inpatient care. The current pressures of capacity and staffing levels mean that ward rounds happen while nurses, for example, are engaged in constant care delivery. The principles in the statement aim to address the common problems affecting the prominence of ward rounds and provide recommendations. Reinstating ward rounds will facilitate the delivery of compassionate care, enabling doctors and nurses to plan for care jointly.”

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Safe staffing for older people’s wards: An RCN toolkit – 3 October 2012

Posted on October 5, 2012. Filed under: Nursing, Workforce | Tags: , |

Safe staffing for older people’s wards: An RCN toolkit – 3 October 2012

“Safe staffing for older people’s wards: An RCN toolkit provides a simple, practical way to explore nursing staff levels on older people’s wards, or wards where the large majority of patients are older people, and to determine whether they meet the RCN recommendations for safe care. It is based on the RCN recommendations in Safe staffing for older people’s wards (RCN, 2012). The toolkit can be used to support a review of staffing on hospital wards where older people are cared for. It can also be used to help address any associated leadership and workforce issues and provides guidance on developing an action plan that will identify how, and to whom, actions should be addressed. The Safe staffing for older people’s ward calculator (004 302) is featured as an appendix in this toolkit (this is also available as a standalone resource).”

Safe staffing for older people’s wards calculator – RCN – 4 October 2012

“This calculator is a visual accompaniment to Safe staffing for older people’s wards: An RCN toolkit (004 301). It is a simple, practical way to explore nursing staff levels on older people’s wards, or wards where the large majority of patients are older people, and to determine whether they meet the RCN recommendations for safe care. These recommendations are set out in Safe staffing for older people’s ward: RCN full report and recommendations (004 280).”

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Nursing Workload and Patient Care – Canadian Federation of Nurses Unions – September 2012

Posted on October 5, 2012. Filed under: Nursing, Workforce | Tags: |

Nursing Workload and Patient Care – Canadian Federation of Nurses Unions – September 2012

Understanding the Value of Nurses, the Effects of Excessive Workload, and How Nurse-Patient Ratios and Dynamic Staffing Models Can Help
ISBN: 978-0-9868382-3-1

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Strategic Review of the Nursing and Midwifery Council [UK] – 3 July 2012

Posted on July 4, 2012. Filed under: Nursing, Workforce | Tags: , |

Strategic Review of the Nursing and Midwifery Council [UK] – 3 July 2012

“Nursing and Midwifery Council has problems ‘at every level’ and is at risk of losing public confidence

The Council for Healthcare Regulatory Excellence review team was called in by Anne Milton, Minister for Public Health, in January to see why the NMC was failing to improve, particularly in its handling of cases about nurses’ and midwives’ fitness to practise. The report, published on 3 July, highlighted problems ‘at every level’.

The NMC’s long standing problems include confusion about its regulatory purpose, weak governance, poor planning, unreliable management information, and inadequate information technology. The NMC is currently recruiting a Chair and Chief Executive. This report makes 15 recommendations for changes in leadership, culture, finance and operational management. It calls for the new leaders to ‘lead by example’ to change the culture of the organisation and rebuild the confidence of its staff, the public, nurses, and midwives.”

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Nurse Practitioners and Sexual and Reproductive Health Services. An Analysis of Supply and Demand – RAND – 2012

Posted on July 3, 2012. Filed under: Nursing, Workforce | Tags: , , |

Nurse Practitioners and Sexual and Reproductive Health Services. An Analysis of Supply and Demand – RAND – 2012

by David I. Auerbach et al

“Use of Sexual and Reproductive Health (SRH) services is projected to grow between 10 and 20 percent from 2006 to 2020. This growth is driven largely by changes in the racial/ethnic make-up of the population of women of reproductive age and an increase in the number of people with insurance coverage because of new health care legislation.

Trends in supply and demand for SRH services, particularly for low-income individuals, suggest demand will outstrip supply in the next decade. Nurse Practitioners (NPs) with a women’s health focus are key providers of SRH care in Title X-funded clinics, which deliver a significant proportion of U.S. family planning and SRH services to low-income populations. This report looks at why numbers of women’s health NPs (WHNPs) have been declining, and are projected to continue to decline, despite significant growth in total numbers of NPs. Barriers to increasing the supply of NPs competent in SRH care — such as reduced funding for WHNP training, increased funding for primary care and geriatric NP training, and a shrinking proportion of WHNPs choosing to work in public health, clinics, and family planning — are identified.

From the standpoint that the evolution of the health care delivery system may serve as an opportunity to optimize the delivery of SRH services in the United States, a comprehensive set of options spanning education, federal and state regulations, and emerging models of care delivery are explored to reverse this trend of too few WHNPs, particularly for servicing Title X facilities and their patients.”

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Nursing and midwifery workforce 2011 – AIHW – 28 June 2012

Posted on June 28, 2012. Filed under: Nursing, Workforce | Tags: |

Nursing and midwifery workforce 2011 – AIHW – 28 June 2012

“Between 2007 and 2011, the number of nurses and midwives employed in nursing increased by 7.7% from 263,331 to 283,577. Over this period, the supply of nurses and midwives decreased by 1.3% from 1,095.1 to 1,081.1 full-time equivalent positions per 100,000 population. The average age of the workforce increased from 43.7 to 44.5, and the proportion of nurses and midwives aged 50 or older increased from 33.0% to 38.6%.

ISSN 1446 9820; ISBN 978-1-74249-319-0; Cat. no. HWL 48; 50pp”

Media release: Numbers of nurses and midwives increasing—but not keeping up with population growth

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Caring in Crisis: the impact of the financial crisis on nurses and nursing. A Comparative Overview of 34 European countries – European Federation of Nurses Associations – January 2012

Posted on May 4, 2012. Filed under: Health Economics, Nursing |

Caring in Crisis: the impact of the financial crisis on nurses and nursing. A Comparative Overview of 34 European countries – European Federation of Nurses Associations – January 2012

“Since the onset of the global financial crisis in early 2008 the EFN and its 34 member associations have been observing the effects on nurses and nursing with watchful vigilance. The effects are obvious; an actual reduction in nurses’ posts across Europe, nurses’ pay cuts and salary freezes, diminished recruitment and retention rates, and observed compromises in quality of care and patient safety. In particular:

  • Over half of EFN members report pay cuts, pay freeze and rising unemployment for nurses;
  • Over a third of EFN members report concerns about quality of care and patient safety;
  • Over one fifth of EFN members report downgrading of nursing and substitution of nurses with unskilled workers.

Effectively, this has resulted in nurses all over Europe working harder than before to maintain quality standards, while being asked to provide more for less. As nursing is a primarily female dominated profession, women are unequally and hardest hit.”

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Intentional Rounding: What is the evidence? – King’s College London Policy + – issue 35 – April 2012

Posted on April 26, 2012. Filed under: Nursing |

Intentional Rounding: What is the evidence? – King’s College London Policy + – issue 35 – April 2012

“In January 2011 the British Prime Minister called for changes in the way nurses deliver care. Following a number of critical reports, concern had been expressed about the need to ensure essential aspects of nursing care are consistently delivered. One of the Prime Minister’s recommendations is for NHS hospitals to implement hourly nursing rounds, to check on patients and ensure their fundamental care needs are met – an approach related to ‘intentional rounding’ in the United States. Within the United Kingdom some organisations refer to this type of nursing activity as “care rounds” or “comfort rounds”. In this Policy Plus we examine different approaches to intentional rounding and review available evidence.”

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The nursing team: common goals different roles – Royal College of Nursing – 27 March 2012

Posted on April 5, 2012. Filed under: Nursing | Tags: , |

The nursing team: common goals different roles – Royal College of Nursing – 27 March 2012

“Historically, the nursing team has consisted of nurses, midwives, students and support workers, all delivering aspect of nursing care, but with different levels of responsibility and decision making. The team has developed considerably and become more complex over recent years as new roles such as assistant practitioners (APs) have been created. This briefing aims to assist health care assistants (HCAs), APs, registered nurses, colleagues, patients and the public to understand how the team functions and works together.”

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The role of school nurses in providing emergency contraception services in educational settings – Royal College of Nursing – 3 April 2012

Posted on April 5, 2012. Filed under: Child Health / Paediatrics, Nursing | Tags: |

The role of school nurses in providing emergency contraception services in educational settings – Royal College of Nursing – 3 April 2012

“The role of school nurses has extended to provide emergency contraception and advice on sexual health to school-age students in education settings, following OFSTED’s report on sex and relationship education in schools (2006). This updated RCN position statement aims to clarify the responsibilities of school nurses when they are providing emergency contraception to students in education settings. It also highlights the importance of appropriate training, experience and working together with education providers and looks at the laws around providing emergency contraception to under 16s and the duty of confidentiality.”

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Core competences: for nursing children and young people – Royal College of Nursing – 2 April 2012

Posted on April 5, 2012. Filed under: Child Health / Paediatrics, Nursing | Tags: |

Core competences: for nursing children and young people – Royal College of Nursing – 2 April 2012

ISBN: 978-1-906633-96-7

Abstract:

“The RCN publication Services for children and young people: preparing nurses for future roles (2004) identified core children and young people (CYP) nursing role descriptors and competences. These were used as a starting point and mapped against Knowledge and Skills Framework (KSF) dimensions to identify potential competences for inclusion in these new nursing competences. This publication presents a detailed explanation of six areas of competence that are specific to the nursing care of children and young people. These provide a useful resource for undertaking a review of educational curricula and for anyone seeking to develop, review or influence career and competence framework development in this area of practice. It also provides the basis for competence frameworks for specialist areas of children’s and young people’s nursing.”

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Leading Practices and Programs for Developing Leadership Among Health Professionals at the Point of Care. Final Report – Nursing Health Services Research Unit, University of Toronto – March 2012

Posted on April 3, 2012. Filed under: Nursing | Tags: , |

Leading Practices and Programs for Developing Leadership Among Health Professionals at the Point of Care. Final Report – Nursing Health Services Research Unit, University of Toronto – March 2012

Extract from the Executive Summary:

“The Nursing Health Services Research Unit at the University of Toronto reviewed both nurse-specific evidence and evidence from other professions as well as models of leadership development initiatives at the point of care. This research is intended to support policy development and planning to improve Ontario’s health system.

The objectives of this study were to:

Conduct a comprehensive literature review of currently or recently implemented health professional leadership development initiatives around the world
Identify relevant leading practices and programs, or innovations of new nursing and allied health roles or models, with demonstrated evidence of quality work environment or quality patient care outcomes at the point of care
Engage with key informants knowledgeable about front‐line health professional leadership development initiatives for further research evidence
Analyze literature and consultations with key informants, to derive major themes throughout leadership initiatives with evidence of successful outcomes. Barriers and facilitators to building leadership capacity were also examined.
Formulate conclusions and recommendations that will provide evidence to support policy development and leadership opportunities for frontline nurses
Develop a chart of the leading frameworks, programs and practices for developing health professionals as leaders, with further details and key contacts for follow-up”

… continues on the site

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Position statement on the education and training of health care assistants (HCAs) – Royal College of Nursing – 28 March 2012

Posted on March 30, 2012. Filed under: Educ for Hlth Professions, Nursing, Workforce | Tags: |

Position statement on the education and training of health care assistants (HCAs) – Royal College of Nursing – 28 March 2012

Media release

“The Royal College of Nursing has warned that nationally recognised training for health care assistants (HCAs) is essential to deliver high quality patient care.

Launching new guidance for commissioners and employers of HCAs, Position Statement on the Education and Training of Health Care Assistants, the RCN reiterated its call for HCAs to be regulated.”

… continues

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Improving safety in maternity services. A toolkit for teams – King’s Fund – 29 March 2012

Posted on March 30, 2012. Filed under: Multidisciplinary Care, Nursing, Obstetrics, Patient Safety | Tags: |

Improving safety in maternity services. A toolkit for teams – King’s Fund – 29 March 2012

“Summary

The safety of maternity services is of paramount importance. Maternity teams face many challenges in delivering safe care to mothers, babies and families. The King’s Fund launched an independent inquiry into the safety of maternity services in 2006. The report from that inquiry, Safe Births: Everybody’s business, made a series of recommendations about how the safety of maternity care could be improved.

Building on the recommendations from our inquiry and in partnership with the Royal College of Obstetricians and Gynaecologists, the Royal College of Midwives, the NHS Litigation Authority, Centre for Maternal And Child Enquiries and the National Patient Safety Agency, The King’s Fund launched the Safer Births Improvement Programme, providing customised support to 12 multidisciplinary maternity teams in England. This toolkit shares the experiences and lessons from those teams.

Improving Safety in Maternity Services: a toolkit for teams is organised around five key areas for improvement in maternity care on which the teams focused:

teamworking
communication
training
information and guidance
staffing and leadership.”

… continues on the site

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COPD Online, an interactive training program for primary care nurses – Australian Lung Foundation – 22 March 2012

Posted on March 22, 2012. Filed under: Chronic Disease Mgmt, Educ for Hlth Professions, Nursing, Respiratory Medicine | Tags: , |

COPD Online, an interactive training program for primary care nurses – Australian Lung Foundation – 22 March 2012

New online training on COPD – Now available

“In an Australian first, primary care nurses now have access to Chronic Obstructive Pulmonary Disease (COPD) training, regardless of where they live. COPD Online is a new web-based interactive training program developed by The Australian Lung Foundation (Lung Foundation) especially for primary care nurses which teaches participants about COPD, how to identify and manage patients with COPD, and develop self-management plans with patients.

COPD Online has been 18 months in the making and The Lung Foundation’s Director of the COPD National Program, Heather Allan, said the training was developed for a number of reasons. “Primary care nurses have a pivotal role in driving disease management programs at general practice.  Until now, there was very little training to support that important role.  This unique ten module intensive program will support the nurse’s role in identification, diagnosis and evidence based management of their patients with COPD,” Mrs Allan said.”

COPD Online is available on The Australian Lung Foundation’s website for $250.

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Policy + Issue 34: Is it time to set minimum nurse staffing levels in English hospitals? – King’s College London – March 2012

Posted on March 16, 2012. Filed under: Nursing, Workforce |

Policy +  Issue 34: Is it time to set minimum nurse staffing levels in English hospitals? – King’s College London – March 2012

“Increasing economic pressures on healthcare systems raise concerns about how workforce cuts and reconfigurations may affect quality [1]. Currently there are no centrally set minimum staffing levels for National Health Service organisations; providers are responsible for determining staffing requirements locally. In this Policy+ we look at the impact mandated minimum Registered Nurse (RN) staffing levels have had in other countries and consider current guidelines and recommendations.”

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Energise for Excellence (E4E) – a call to action [for nurses, midwives health visitors and the wider nursing family – UK]

Posted on March 16, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Nursing |

Energise for Excellence (E4E) – a call to action [for nurses, midwives health visitors and the wider nursing family – UK]

“Energise for Excellence (E4E) is a call to action for nurses, midwives health visitors and the wider nursing family to take the lead to ensure that essential nursing care is a given and can be counted on by everyone receiving NHS commissioned care at all times.

Energise for Excellence also calls senior leadership teams across the country to support Energise for Excellence as nurses respond to the quality and productivity challenge.

Energise for Excellence is not another initiative, it is the umbrella under which all nurse led improvement for quality and cost all come together. Many nurses and midwives are, and have been energising for excellence by improving services for their patients – they need to tell their stories and inspire others to action.

Energise for Excellence is not a project, it is a vehicle for harnessing and energising nurse led quality and cost improvement. Its focus is on building on what works well, sharing, developing and spreading best practice.”

… continues on the site

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Getting it right for children, young people and families [UK] – Vision and model for school nursing sets out framework for local services – 12 March 2012

Posted on March 14, 2012. Filed under: Child Health / Paediatrics, Nursing | Tags: |

Getting it right for children, young people and families – Vision and model for school nursing sets out framework for local services [UK] – 12 March 2012

“A vision and call to action for school nursing services is published today. It sets out an ambition that the service vision and model for school nursing services developed through the School Nursing Development Programme will be a framework for local services that meet both current and future needs

These should be services that are visible, accessible and confidential, which deliver universal public health and ensure that there is early help and extra support available to children and young people at the times when they need it. They should also include services to help children and young people with illness or disability within the school and beyond.

Getting it right for children, young people and families sets out the result of the first year of development work undertaken by the Department of Health, Department for Education, key partner organisations, professionals and children and young people themselves.”

… continues

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Getting it right for children, young people and families – Vision and model for school nursing sets out framework for local services [UK] – 12 March 2012

Posted on March 14, 2012. Filed under: Child Health / Paediatrics, Nursing | Tags: |

Getting it right for children, young people and families – Vision and model for school nursing sets out framework for local services [UK] – 12 March 2012

“A vision and call to action for school nursing services is published today. It sets out an ambition that the service vision and model for school nursing services developed through the School Nursing Development Programme will be a framework for local services that meet both current and future needs

These should be services that are visible, accessible and confidential, which deliver universal public health and ensure that there is early help and extra support available to children and young people at the times when they need it. They should also include services to help children and young people with illness or disability within the school and beyond.

Getting it right for children, young people and families sets out the result of the first year of development work undertaken by the Department of Health, Department for Education, key partner organisations, professionals and children and young people themselves.”

… continues

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The Effect of a Hospital Nurse Staffing Mandate on Patient Health Outcomes: Evidence from California’s Minimum Staffing Regulation – 27 February 2012

Posted on March 13, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Nursing, Workforce |

The Effect of a Hospital Nurse Staffing Mandate on Patient Health Outcomes: Evidence from California’s Minimum Staffing Regulation – 27 February 2012

Working paper 11/283 – The Effect of a Hospital Nurse Staffing Mandate on Patient Health Outcomes: Evidence from California’s Minimum Staffing Regulation, Andrew Cook, Martin Gaynor, Melvin Stephens Jr. and Lowell Taylor

“New study reveals increasing nurse-to-patient ratios do not extend patient safety

Hospitals are currently under pressure to control the cost of medical care, while at the same time improving patient health and reducing medical errors through appropriate nurse staffing levels. A study into the effects of a law requiring increased nurse-to-patient ratios on patient mortality finds that mandating such changes do not reduce adverse patient outcomes.

Led by Andrew Cook from Resolution Economics LLC and Professor Martin Gaynor from the CMPO, the study provides new evidence into the effects of increased nurse staffing ratios.”

… continues on the site

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Developing the Role of the Clinical Academic Researcher in the Nursing, Midwifery and Allied Health Professions – Department of Health [UK] – 8 March 2012

Posted on March 13, 2012. Filed under: Allied Health, Nursing, Research |

Developing the Role of the Clinical Academic Researcher in the Nursing, Midwifery and Allied Health Professions – Department of Health [UK] – 8 March 2012

Media release

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Changes to nursing education: sharing local experiences – NHS Employers – 13 February 2012

Posted on February 17, 2012. Filed under: Educ for Hlth Professions, Nursing | Tags: |

Changes to nursing education: sharing local experiences – NHS Employers – 13 February 2012

“In September 2010, the Nursing and Midwifery Council published new Standards for pre-registration nursing education, which provide the framework for nursing education programmes and are central to how nurses will be trained. To support employers, we have conducted some research with trusts who are implementing the new standard so that others can learn from their experiences.

The NHS Employers organisation conducted interviews with a number of employers throughout autumn 2011 to indentify how they had approached the introduction of the changes to nursing education. This brochure compiles the results of those interviews, identifying common trends and brings together local experiences and offers advice to help other employers implement the changes.”

Getting started guide –  NHS Employers – 9 February 2012

“The Nursing and Midwifery Council launched new Standards for pre-registration nursing education in September 2010. The size of the change required means it has been necessary to undertake a phased approach to implementation.”

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Clinical Nurse Specialists’ Role in Selecting & Using Knowledge to Improve Practice & Develop Practice-based Policies Designed to Promote Optimum Patient Outcomes – Canadian Health Services Research Foundation – 30 January 2012

Posted on February 14, 2012. Filed under: Evidence Based Practice, Nursing | Tags: |

Clinical Nurse Specialists’ Role in Selecting & Using Knowledge to Improve Practice & Develop Practice-based Policies Designed to Promote Optimum Patient Outcomes – Canadian Health Services Research Foundation – 30 January 2012

by Dr. Joanne Profetto-McGrath (Principal Investigator) and Dr. Anna Ehrenberg, Faculty of Nursing, University of Alberta and Susan Young and Wendy Hill, Capital Health Authority, Edmonton, Alberta

“Main Messages

Clinical Nurse Specialists (CNSs) are advanced practice nurses with expert knowledge and skills in a specific area of practice (Canadian Nurses Association, 2003). The role of the CNS in the field of evidence-based practice has largely been ignored, in spite of the fact that it is pivotal to the facilitation of research into practice in the clinical setting. The published literature is limited in terms of how CNSs access and transfer research knowledge in making clinical decisions. Therefore, the purpose of this study was to identify and develop a preliminary understanding of the approaches utilized by CNSs to select and use research knowledge in their daily practice, with the long-term aim of developing concrete strategies for this group beyond obtaining and disseminating evidence.”

… continues on the site

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Regulated Nurses: Canadian Trends, 2006 to 2010 – Canadian Institute for Health Information – 26 January 2012

Posted on January 27, 2012. Filed under: Nursing, Workforce | Tags: |

Regulated Nurses: Canadian Trends, 2006 to 2010 – Canadian Institute for Health Information – 26 January 2012

Full text 

Commentary on this from HealthEdition
“LPNs outpace RNs in nursing growth

Over the 2006 to 2010 period the number of licensed practical nurses grew 3.6 times faster than the number of registered nurses, a report from the Canadian Institute for Health Information this week has revealed.”  … continues

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RCN lone worker survey 2011 – 5 January 2012

Posted on January 9, 2012. Filed under: Nursing, Violence, Workforce | Tags: |

RCN lone worker survey 2011 – 5 January 2012

“The Royal College of Nursing has said that assaults on nursing staff are completely unacceptable, as new survey findings show that over 60 per cent of nurses working in the community have been subjected to abuse in the past two years.”

… continues on the site

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Genetics/Genomics in Nursing and Midwifery – Department of Health [UK] – 22 December 2011

Posted on January 4, 2012. Filed under: Genomics, Nursing |

Genetics/Genomics in Nursing and Midwifery – Department of Health [UK] – 22 December 2011

“The atttached report has been produced to assist the Nursing & Midwifery Professional Advisory Board in identifying issues and potential solutions concerning the future of genetics/genomics for the nursing and midwifery professional workforce.”

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Preparing Tomorrow’s Leaders Today: Investing in Capacity Building for Nursing Health Services Research – Nursing Health Services Research Unit [Canada] – October 2011

Posted on December 6, 2011. Filed under: Nursing, Research | Tags: |

Preparing Tomorrow’s Leaders Today: Investing in Capacity Building for Nursing Health Services Research – Nursing Health Services Research Unit [Canada] – October 2011

Author: Dr. Andrea Baumann

“This report provides an evaluation of the Undergraduate Student Research Internship Program (USRIP) and demonstrates how the program achieves its intended outcomes and how government investment contributes to health research capacity. Document analysis was used, which included financial records, publications and a review of annual reports dating back to the inception of the Nursing Health Services Research Unit. In addition, the McMaster University Research Internship Program Survey was sent to former student research interns. Quantitative and qualitative analysis of survey responses was conducted. Information obtained from all sources was plotted on a logic framework (Cooke, 2005; Cooke & Sarre, 2009).

Findings indicated that the USRIP:

• Develops research skills and confidence

• Contributes to sustainability of learned skills

• Supports evidence-based practice

• Influences career decisions

Based on the survey responses, the USRIP is a valuable and cost-effective approach to building research capacity. The investment made by the Ontario government, along with funds from other sources and organizations, has produced significant outcomes that support capacity building and innovation in research.”

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Making the business case for ward sisters/team leader to be supervisory to practice – Royal College of Nursing – 25 November 2011

Posted on November 30, 2011. Filed under: Nursing | Tags: , |

Making the business case for ward sisters/team leader to be supervisory to practice – Royal College of Nursing – 25 November 2011

“The Royal College of Nursing has developed this guidance to help nurse leaders and our members make the business case for ward sisters and team leaders to take up a supervisory role. The guidance looks at the evidence nurse leaders need to complete the business case and is underpinned by the RCN definition of supervisory practice. The publication contains helpful and practical steps for making an effective case to ensure ward sisters and team leaders have dedicated time for improving the quality of care experienced by service users and patients.”

Publication code: 004 188

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Sharps safety – Royal College of Nursing – 29 November 2011

Posted on November 30, 2011. Filed under: Infection Control, Nursing, Occupational Hlth Safety | Tags: , |

Sharps safety – Royal College of Nursing – 29 November 2011
 
Publication code: 004 135   ISBN: 978-1-906633-90-5

Abstract:

“The RCN has a long history of campaigning on improved protection for nurses and other health care professionals exposed to the risk of needlestick and other sharps injuries. This guidance has been developed primarily for RCN safety representatives, but other members of the nursing team with a role in infection prevention and control of sharps injuries may also find it useful. The guidance covers the law on sharps injuries, including the European Directive 2010/32/EU and its underlying principles as well as its requirements on health care providers. It also includes information on preparing your organisation, introducing risk assessments, selecting and evaluating safety-engineered devices and it details what employers should be doing to comply with the directive and minimise the risk of sharps injuries. It also includes a checklist to help safety representatives assess organisational and ward/departmental level compliance with the directive.”

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State of Maternity Services Report – Royal College of Midwives – November 2011

Posted on November 28, 2011. Filed under: Nursing, Obstetrics | Tags: |

State of Maternity Services Report – Royal College of Midwives – November 2011

“The Royal College of Midwives has released its first State of Maternity Services report. The report looks at a number of indicators of the pressures on maternity care and the resources available to cope in each of the four United Kingdom countries.

The report finds that a significant increase in the number of births in each of the four countries, and a trend towards older mothers, is increasing the pressures on maternity care throughout the UK. In England, and in the last few years Wales, this has led to a substantial deficit in the workforce needed to provide a safe level of care to women and their babies. Furthermore, the existing midwifery workforce is rapidly ageing in each country, except for Wales. From this we can anticipate an even greater strain on services over the next 15 years.

While greater investment in maternity care is certainly part of the solution, the current financial limits on the NHS mean that innovative ways to address the workforce shortages need to be considered. As such, the report recommends providing more midwife-led units and appropriately integrating maternity support workers as two ways to make better use of the financial resources available.
 
The report also recommends at least maintaining, and in some regions increasing, the number of student midwives, to ensure that more midwives are available to meet future needs.”

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Community Nursing: Transforming Health Care – Royal College of Nursing – 18 November 2011

Posted on November 23, 2011. Filed under: Community Services, Nursing |

Community Nursing: Transforming Health Care – Royal College of Nursing – 18 November 2011

ISBN: 978-1-906633-89-9

“Abstract:

Nurses who work in the community are facing significant challenges during this time of health reform and demands to make financial savings. While this is so for all nurses, regardless of their workplace, media and political attention is often focussed on hospital care, and community services remain less visible. As a result there is little understanding of what constitutes community nursing, the range of roles covered, and the principles that underpin the development of nursing services that are suitable to serve their communities well. Within this publication, the RCN highlights the excellent work carried out by community nurses 52 weeks a year and seven days a week so that they have a chance of acquiring a similar profile to those nurses who do equally important, but different work in hospitals. The RCN wants these case studies of excellent community nursing to inform, inspire and persuade people to scrutinise their current community nursing services and identify how they can be both expanded and enhanced – for the benefit of their local population.”

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RCNA Social Media Guidelines for Nurses – Royal College of Nursing Australia – October 2011

Posted on November 3, 2011. Filed under: Health Informatics, Nursing | Tags: |

RCNA Social Media Guidelines for Nurses – Royal College of Nursing Australia – October 2011

“Social media is a revolutionary way to participate in developments and be informed of breaking news, events, discussions and discoveries that affect you. The question is not whether or not the nursing profession should embrace social media. It is embracing us; it is now part of the world we work in. The real question is: how can we use the power of social media to strengthen the nursing profession? So many opportunities exist for nurses through the appropriate use of social media. We can strengthen our individual roles across the health system through access to information and networking with other nurses and health professionals. We can ensure a positive connection and input to the changes that affect us, our patients/clients and the way we deliver nursing care. Ultimately, we have an opportunity to inspire, progress and promote the nursing profession through a strong online presence.

There are, of course, dangers in social media, but RCNA believes that the benefits far outweigh the negatives. We’ve put together these guidelines as a way to help nurses navigate the pitfalls and potential problems that can be faced while using social media. Keeping on the safe side is not difficult and is well worth the effort; RCNA hopes that these guidelines can help those who may be hesitant or overwhelmed at the scope of it all to harness the power that social media can offer the nursing profession.”

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Genetics/Genomics in Nursing and Midwifery – Genetics in Nursing & Midwifery Task and Finish Group – 2011

Posted on October 26, 2011. Filed under: Educ for Hlth Professions, Genomics, Nursing |

Genetics/Genomics in Nursing and Midwifery – Genetics in Nursing & Midwifery Task and Finish Group – 2011

“Summary
A task and finish group comprising ten senior nurses and midwives with interest and/or expertise in genetics/genomics was set up to consider the future of genetics/genomics in relation to nursing and midwifery. The purpose of the task and finish group was to identify key issues and potential solutions concerning the future of genetics/genomics in relation to nursing and midwifery and to provide a report to the Nursing and Midwifery Professional Advisory Board to consider and use to inform its responses and future actions.”

NHS National Genetics Education and Development Centre

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Understanding Whole Systems Change in Healthcare: The Case of Emerging Evidence-informed Nursing Service Delivery Models – an Health Services Research Foundation – 7 October 2011

Posted on October 18, 2011. Filed under: Evidence Based Practice, Knowledge Translation, Nursing | Tags: |

Understanding Whole Systems Change in Healthcare: The Case of Emerging Evidence-informed Nursing Service Delivery Models – an Health Services Research Foundation – 7 October 2011
Nancy Edwards, Doris Grinspun

“The imperative to deliver the best care possible drives research on best practices in nursing, but what does it take to spread a guideline or recommendation from one or two units or organizations to a system-wide innovation that benefits all patients and providers and the healthcare system as a whole? What cost drivers and increased benefits come with spreading a best practice; and what supports, sustains or gets in the way of spreading evidence-informed change?

Those were the questions we set out to answer in our four-year program of research called Evidence-Informed Models of Nursing Service. Funded by the Canadian Health Services Research Foundation and other partners, the program’s goal was to improve understanding of how health systems introduce, support and spread evidence-informed innovations.

Researchers from across Canada participated in the five projects that made up our program of research, and its main focus was the best practice guidelines initiative of the Registered Nurses Association of Ontario (RNAO). Eight years after the association launched the project, the guidelines are being implemented across Canada and internationally. However, for these the longest (except for study 2, which actually looks at three innovations introduced in Ontario before RNAO launched its guideline initiative). We looked at nursing guidelines because nurses are with patients around the clock, in every sector of healthcare, and getting nurses to base their work on up-to-date, evidence-based practices, is central to delivering safe care and optimizing patient, organizational and system outcomes. The learnings of this study about spreading innovations applies to all healthcare professions and sectors.”

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NHS Employers guides on how to reduce your agency spend – 12 September 2011

Posted on September 16, 2011. Filed under: Nursing, Workforce |

NHS Employers guides on how to reduce your agency spend  – 12 September 2011

“To help you reduce your agency costs NHS Employers has produced a series of ‘how to’ guides to help spread good practice and offer guidance on legislative and legal issues.”

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Adopting a Common Nursing Practice Model Across a Recently Merged Multi-Site Hospital – Canadian Health Services Research Foundation – 2011

Posted on August 30, 2011. Filed under: Nursing | Tags: |

Adopting a Common Nursing Practice Model Across a Recently Merged Multi-Site Hospital – Canadian Health Services Research Foundation – 2011

Extract from the executive summary.

Background

Many health care organizations have recently undergone extensive reorganization and administrative change. Combined with the additional stresses of ongoing budget restraints, increasing patient acuity and shortages in nursing staff, it is likely that these organizations will continue to experience even more change in the future. With nursing care serving as the cornerstone of most patients’ hospital experience, this study examined the multi-faceted impact of introducing a new model of nursing care on several key outcomes related to patients, nurses and health care organizations.

The study was a multi-faceted evaluation of the impact of introducing a new standardized model of nursing clinical practice at three sites of a previously merged tertiary care hospital. Each former hospital site within the merged structure had previously been using either one predominant nursing model of care throughout the hospital or a mixture of models within different sub-components of the hospital, creating a situation whereby a multitude of approaches to nursing care existed across the newly merged hospital. A local committee, the Model of Nursing Care Work Group, composed of multidisciplinary staff from The Ottawa Hospital, developed a new clinical practice model using resources and personnel from within their own organization, thereby ensuring a high degree of applicability and appropriateness across the sites. The new model has a strong emphasis on “direct” nursing care and uses a set of guiding principles to emphasize continuity of care for patients as well as the provision of clinical experts for nursing staff. Our project provided The Ottawa Hospital with the independent resources and expertise required to complete such an evaluation, in order to contribute important knowledge to the evidence base on the effects of changes to patient care delivery within the health care system.

… continues

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Nursing and midwifery labour force 2009 – AIHW – 19 August 2011

Posted on August 23, 2011. Filed under: Nursing, Workforce | Tags: |

Nursing and midwifery labour force 2009 – AIHW – 19 August 2011

“The supply of nurses increased by 6.2% between 2005 and 2009, from 1,040 full time equivalent (FTE) nurses per 100,000 population to 1,105 FTE nurses based on a 38-hour week. This was mainly a result of both a 13.3% increase in the number of employed nurses, and a 0.9% increase in the average hours they worked over this period. Nursing continued to be a female dominated profession, with females comprising 90.4% of employed nurses in 2009 (down slightly from 92.1% in 2005).”

ISSN 1446 9820; ISBN 978-1-74249-194-3; Cat. no. AUS 139; 7pp

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Independent Evaluation of the Nurse-led ACT Health Walk-in Centre – August 2011

Posted on August 23, 2011. Filed under: Nursing, Primary Hlth Care |

Independent Evaluation of the Nurse-led ACT Health Walk-in Centre – August 2011

“This Independent Evaluation of the Nurse-led ACT Health Walk-in Centre report was compiled by representatives of the Australian Primary Health Care Research Institute and The Australian National University.

This report confirms that the implementation of this first nurse led Walk-in Centre is having a positive impact on patients and practitioners across the Territory.

The report highlights that 84% of patients surveyed would definitely recommend the Walk-in Centre to family and friends, with 82% stating that they would definitely use the Walk-in Centre again.

There are many positive findings in the report and there are also some areas of improvement.

The ACT Government will use this information to inform the continued development of this service.”

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Who will care? Protecting employment for older nurses – Royal College of Nursing – 19 July 2011

Posted on August 10, 2011. Filed under: Nursing, Workforce | Tags: |

Who will care? Protecting employment for older nurses – Royal College of Nursing – 19 July 2011
Abstract:
It is well documented that the UK has an ageing population. The consequent increase in chronic and long-term conditions and the increased focus on a preventative approach to public health will change the demands for health care. The provision of high quality health care will be increasingly important in the future and nursing is vital in meeting this need. This guidance provides information for RCN representatives and officers to help them influence health and social care employers to apply good practice in the effective management of the older nursing workforce. It includes details on the changes in the nursing workforce demographic, the employment needs of older nurses, stereotypical assumptions that build barriers to their continuing in work, influencing employers and discrimination legislation. There is also a detailed section on sources of further information. This is published alongside Who will care? Nurses in the later stages of their careers (publication code 004 126, web only) which provides insightful information on employment patterns, preferences and needs, retirement decisions and the motivations of the older nursing workforce.

Who will care? Nurses in the later stages of their careers – Royal College of Nursing – 19 July 2011
Abstract:
The UK’s ageing population will place mounting challenges on the NHS and other health and social care providers, both in terms of the amount and kind of services provided and the workforce supply. In 2008, around one in three nurses were over 50 compared to just one in five in 1997. Greater reliance on older nurses in delivering nursing care means that it will be increasingly important to pay attention to the needs of older nurses. Over the next decade, key policy considerations will need to address such issues as the retention and motivation of older nurses and the extent to which nurses work beyond their retirement age. This research provides vital information about the employment patterns, preferences and retirement decisions of nurses approaching retirement age. The older nursing workforce shares many of the characteristics and employment requirements of their younger colleagues, yet they also have specific needs. This means an emphasis on support for continuing professional development, policies that enable a work-life balance, involvement and engagement in decision-making, as well as specific policies which positively acknowledge and value older nurses’ experience. This report is published alongside Who will care? Protecting employment for older nurses (publication code 003 849, web only) which provides information and advice on good practice management of the older nursing workforce.

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A decisive decade – mapping the future NHS Workforce – Royal College of Nursing – July 2011

Posted on August 8, 2011. Filed under: Nursing, Workforce | Tags: |

A decisive decade – mapping the future NHS Workforce – Royal College of Nursing – July 2011

“Introduction

This interim report is taken from the forthcoming Royal College of Nursing Labour Market Review (LMR) 2011. This looks at the challenges facing nursing and the nursing workforce across the UK in 2011 which we believe are the greatest for a generation.

In order to shed some light on the current and future status of NHS nursing, this report examines different possible scenarios of the supply of NHS nurses in England over the next ten years. This scenario analysis enables us to examine a number of “what if” situations and model their effects on the NHS nursing workforce in England, allowing the examination of potential future changes, such as changes in retirement decisions, or the numbers of new nurses being trained.

This is an initial excerpt from the forthcoming LMR. While the LMR will contain more contextual information, this initial report highlights the main findings from scenario modelling.”

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The RCN’s UK position on health visiting in the early years – Royal College of Nursing – 5 July 2011

Posted on July 7, 2011. Filed under: Community Services, Nursing | Tags: , |

The RCN’s UK position on health visiting in the early years – Royal College of Nursing – 5 July 2011

Media release

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Informed consent in health and social care research – RCN guidance for nurses Second edition – 2011

Posted on June 29, 2011. Filed under: Nursing, Research | Tags: |

Informed consent in health and social care research – RCN guidance for nurses Second edition – 2011
 
“Nurses are taking an increasingly active role in research, developing new knowledge and creating a stronger evidence base to inform their practice. This can involve working, leading and collaborating in all stages of the research process.
 
When engaged in research involving human participants, nurses have a responsibility to ensure that the interests of participants, whether patients or healthy volunteers, are protected. This applies to all research – including studies not specifically related to nursing, such as clinical trials of investigational medicinal products (CTIMPs) or other clinical trials.”

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Making nursing visible: Valuing our contribution to high quality patient-centred care – RCN – 2011

Posted on June 29, 2011. Filed under: Health Informatics, Nursing | Tags: |

Making nursing visible: Valuing our contribution to high quality patient-centred care – RCN – 2011
 
“How can you get the best out of the clinical records that you invest time and effort completing? How can you ensure that the information you record about a patient’s nursing care can be used to promote safe and effective care? How can you ensure that the records help to safeguard vulnerable adults and children and demonstrate outcomes of care? How can you accurately share information between electronic clinical systems, and be sure it is interpreted and understood by all  involved?”

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Increasing the Utilization of Health Outcomes for Better Information and Care – Nursing Health Services Research Unit – 2011

Posted on June 28, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Knowledge Translation, Nursing | Tags: , |

Increasing the Utilization of Health Outcomes for Better Information and Care – Nursing Health Services Research Unit – 2011

Extract from the Executive Summary:

“This report presents evidence in published literature about successful outcomes/performance monitoring implementation strategies, as well as recommendations from healthcare managers to provide a process evaluation of the Ministry of Health and Long Term Care (MOHLTC) Health Outcomes for Better Information and Care (HOBIC) implemented between 2006 and 2010.The findings demonstrate implementation and sustainability strategies for healthcare initiatives that have been evaluated and published in academic literature, and interview feedback from healthcare managers in acute and long-term care settings in which HOBIC was implemented. The research design for this project included two key components: a literature review on successful outcomes/performance monitoring implementation strategies and interviews with HOBIC leadership in MOHLTC identified sites to discuss specific implementation and utilization strategies and recommendations for HOBIC going forward. Rogers’ Model of the Innovation-Decision Process (2003) was used as a theoretical model to link the implementation processes, specifically the five sequential stages of the process of innovation decision-making: knowledge, persuasion, decision, implementation, and confirmation. This theoretical model describes how, why, and at what rate new ideas and technology spread through culture, and therefore has particular relevance to HOBIC utilization and uptake. A review of published literature focused on the terms: practice change, practice implementation, practice improvement, implementation strategy, successful implementation, nursing practice change, nursing intervention implementation and nursing implementation adoption. This revealed an initial 2,338 abstracts which were scanned, and 29 studies that were selected (Appendix A) and analysed for key themes, strategies, and sustainability efforts that proved successful. Expert consultation was sought through semi-structured phone interviews with HOBIC leaders from 12 acute care sites and four long-term care sites. Qualitative analysis of interview content focused on motivators and strategies for implementation, utilization and sustainability practices, and recommendations for practice-change going forward.”

… continues on the site

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Interim Report: Evaluating the Impact of Ontario’s Late Career Nurse Initiative – Nursing Health Services Research Unit – 31 March 2011

Posted on June 28, 2011. Filed under: Nursing, Workforce |

Interim Report: Evaluating the Impact of Ontario’s Late Career Nurse Initiative – Nursing Health Services Research Unit – 31 March 2011

Extract from the Executive Summary

“In an effort to stem the loss of Ontario’s late career nurses, in 2004 the Ontario Ministry of Health and Long-Term Care (MOHLTC) introduced the Late Career Nurse Initiative (LCNI). This initiative involved providing funding to hospitals and long-term care homes for salary or benefits replacement costs for late career nurses (Registered Nurse, Registered Practical Nurse and Nurse Practitioners who are aged 55 and over) participating in less physically demanding nursing roles for 20% of their working time.

The current study was developed to systematically evaluate the impact of the MOHLTC’s LCNI on the retention of late career nurses in Ontario, as well as explore the degree to which it is impacting nurses’ job satisfaction and feelings of organizational commitment. In addition to these primary objectives, the study explores the secondary benefits of the Initiative, such as capacity building and its impact on patient care.”

… continues

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Health care service standards in caring for neonates, children and young people – Royal College of Nursing – 28 April 2011

Posted on May 20, 2011. Filed under: Child Health / Paediatrics, Nursing | Tags: |

Health care service standards in caring for neonates, children and young people – Royal College of Nursing – 28 April 2011

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RM+RM = better midwifery care – National Nursing Research Unit – May 2011

Posted on May 20, 2011. Filed under: Nursing, Obstetrics, Workforce | Tags: |

RM+RM = better midwifery care – National Nursing Research Unit – May 2011

“What do we know about associations between registered midwife staffing levels and better care for women?
 
Growing research evidence suggests that there is a strong link between nurse staffing and patient outcomes in the acute sector. However, there is limited empirical evidence on the relationship between maternity staffing, maternity workforce characteristics and birth outcomes. Such evidence is much needed, given current policies aimed at improving maternity care. In this Policy+ we draw on work undertaken by the National Nursing Research Unit that sought to assess the feasibility of using routinely available data to measure the impact that maternity staffing has on birth outcomes in maternity services at trust level in England.”

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Assistant practitioner scoping project – Royal College of Nursing – 10 May 2011

Posted on May 20, 2011. Filed under: Nursing, Workforce | Tags: |

Assistant practitioner scoping project – Royal College of Nursing – 10 May 2011

“The Royal College of Nursing has published a report of its findings following a scoping exercise of the assistant practitioner (AP) workforce. The project aimed to provide an accurate picture of this growing part of the nursing team and inform the RCN about the development needs of APs. It showed that regulation continues to be a key issue for APs, nursing colleagues, employers and patients.

Tanis Hand, the RCN’s Adviser for health care assistants and assistant practitioners, said: “Our research has shown that a lack of regulation has resulted in little control over entry to employment and little standardisation of roles, competencies and education. Regulation is a key factor in public protection and considered by APs and their colleagues to be essential to the safe development of their role.”

The report analyses the demographics of the AP workforce and the range of job titles and descriptions related to the role. It explores the educational systems used to train APs and the career pathways into and beyond the role, concluding that the apparent growth in the numbers of APs across the UK has been shown to offer a range of benefits to both staff and patients.”

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Evaluation of nurse and pharmacist independent prescribing in England – key findings and executive summary – 11 May 2011

Posted on May 20, 2011. Filed under: Nursing, Pharmacy |

Evaluation of nurse and pharmacist independent prescribing in England – key findings and executive summary – 11 May 2011

“This is an independent report commissioned and funded by the Policy Research Programme in the Department of Health. The views expressed are not necessarily those of the Department.

The study carried out in England by the Universities of Southampton and Keele evaluates nurse and pharmacist independent prescribing in order to inform planning for current and future prescribers.

The report concludes that nurse and pharmacist independent prescribing is becoming a well-integrated and established means of managing patients’ conditions and providing them with the medicines they need. The research also reports that Nurse and Pharmacist Independent Prescribers are operating safely and prescribing appropriately and that there are high levels of satisfaction among patients being treated by them.”  … continues

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Invitational Round Table on Nursing Care Delivery Models and Staff Mix: Using Evidence in Decision-making – Canadian Nurses Association – February 2011

Posted on April 19, 2011. Filed under: Nursing, Workforce | Tags: |

Invitational Round Table on Nursing Care Delivery Models and Staff Mix: Using Evidence in Decision-making – Canadian Nurses Association – February 2011

ISBN 978-1-55119-345-8

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Guidance for staff responsible for care after death (last offices) – NHS National Nurse Consultant Group (Palliative Care) – April 2011

Posted on April 14, 2011. Filed under: Nursing, Palliative Care | Tags: |

Guidance for staff responsible for care after death (last offices) – NHS National Nurse Consultant Group (Palliative Care)

Developed by the National End of Life Care Programme and National Nurse Consultant Group (Palliative Care)
The Royal College of Pathologists and the Royal College of Nursing

“The nurses’ role at the end of life extends beyond death to provide care for the deceased person and support to their family and carers. The physical care given by nurses following death in hospitals has traditionally been referred to as ‘last offices’. However, in this guidance we refer to ‘care after death’, a term more befitting of our multi-cultural society.”   …continues

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The Government’s response to the recommendations in front line care: the report of the Prime Minister’s Commission on the Future of Nursing and Midwifery in England – 12 April 2011

Posted on April 14, 2011. Filed under: Nursing |

The Government’s response to the recommendations in front line care: the report of the Prime Minister’s Commission on the Future of Nursing and Midwifery in England – 12 April 2011

“This is the Government’s response to the 20 recommendations, clustered into seven themes: the socioeconomic value of nursing and midwifery, high quality compassionate care, health and wellbeing, caring for people with long-term conditions, promoting innovations in nursing and midwifery, nurses and midwives leading services, and careers in nursing and midwifery.”

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Toward A National Report Card in Nursing: A Knowledge Synthesis [Canada] – February 2011

Posted on April 5, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Nursing |

Toward A National Report Card in Nursing: A Knowledge Synthesis [Canada] – February 2011
By: Diane Doran et al, Nursing Health Services Research Unit

“Executive Summary
This knowledge synthesis has been compiled on behalf of the planning committee for a Think Tank entitled “Toward a National Report Card for Nursing.” The objectives of the Think Tank are to create a shared vision and critical path for a national report card on nursing, to generate support for the work, and to outline the steps to achieve the national report card. The report card for nursing is envisioned as a selected minimum set of data on input, process and output indicators that can be collected nationally (initially using pilot sites) and benchmarked. In the future, such report card data will be used to formulate relationships between the levels of indicators, and will consequently reveal the contribution of nursing care to nursing  sensitive outcomes and influence policy direction for nursing.

This knowledge synthesis identifies what is known about outcomes/performance monitoring initiatives in nursing, including specific indicators and reporting systems and what is known about the development, implementation and utilization of nursing report cards. This information supports the Think Tank objectives by providing participants with current and relevant knowledge to enable and advance their dialogue and decision-making related to a national report card for nursing.” …continues on the site

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Nurses develop tool to ensure safe staffing levels – 22 March 2011

Posted on March 24, 2011. Filed under: Nursing, Patient Safety, Workforce | Tags: |

Nurses develop tool to ensure safe staffing levels – 22 March 2011 – Nursing Times

By Jo Stephenson

“Senior nurses have developed a simple way of assessing the safe number of nurses needed for a ward, which health workforce experts say can be used to argue against post cutting.   

Nursing teams can use the Safer Nursing Care Tool to work out safe staffing on hospital wards by putting in information about patients’ conditions.” … continues

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Canada – Employment Integration of Nursing Graduates Evaluation of a Provincial Policy Strategy, Nursing Graduate Guarantee 2009-2010 – February 2011

Posted on February 25, 2011. Filed under: Nursing, Workforce |

Canada – Research in Action Summary: Employment Integration of Nursing Graduates Evaluation of a Provincial Policy Strategy, Nursing Graduate Guarantee 2009-2010 – February 2011

“During the past decade, part-time employment in nursing rose to historic proportions. This impacted the ability to recruit and retain a full-time (FT) nursing workforce. Since 2007, researchers at the NHSRU McMaster site have been evaluating the provincial government’s stimulus package to increase FT employment for new nursing graduates in Ontario. A three-year evaluation of the Nursing Graduate Guarantee (NGG) demonstrates the effectiveness of the initiative in both increasing FT positions and integrating new graduates into the health care system (Baumann et al., 2008, 2009, 2010). The research evidence clearly indicates that stimulus funding attached to the policy impacted employment trends of new graduate nurses. In addition, financial support and the opportunity for reinvestment of funds have made it an attractive initiative for many employers. Based on these results, the NGG offers a successful model of best practice in workforce integration.”

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Development of a new national competency assessment tool for nurses – 15 February 2011

Posted on February 18, 2011. Filed under: Nursing, Workforce | Tags: |

Development of a new national competency assessment tool for nurses – 15 February 2011

“Newly registered nurses will be better able to ‘hit the ward running’ in the high-pressure environment of the nation’s hospitals and care facilities thanks to a recently completed ALTC-funded project. [Australian Learning and Teaching Council]

The project has developed pilot guidelines that seek to ensure robust and reliable clinically-based learning for pre-registration Bachelor of Nursing students, thus better preparing them for nursing registration, and the everyday challenges of work in a busy clinical environment.

… [break in what has been copied here]  … cpntinues:

The project team hopes to trial the national competency assessment tool across a range of different institutions over the next 12 to 18 months.

The toolkit and project report are both available for download from the ALTC website.”

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A Q-Method Study of Effective Retention Strategies for Mid-Career Critical Care Nurses – Nursing Health Services Research Institute (NHSRU – Canada) – January 2011

Posted on January 24, 2011. Filed under: Nursing, Workforce | Tags: , |

A Q-Method Study of Effective Retention Strategies for Mid-Career Critical Care Nurses – Nursing Health Services Research Institute (NHSRU – Canada) – January 2011

“This summary presents selected highlights from the report, A Q-Method Study of Effective Retention Strategies for Mid-Career Critical Care Nurses. The report was successfully submitted to the McMaster School of Graduate Studies for the Master of Science Nursing degree. It was authored by Vanessa Lobo and supervised by Anita Fisher.”

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Improving healthcare quality at scale and pace. Lessons from The Productive Ward: Releasing time to care programme – Full Report – December 2010

Posted on January 20, 2011. Filed under: Nursing | Tags: |

Improving healthcare quality at scale and pace.  Lessons from The Productive Ward: Releasing time to care programme – Full Report – King’s College London (National Nursing Research Unit) and NHS Institute for Innovation and Improvement – December 2010

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Clinical Nurse Specialists in Cancer Care; Provision, Proportion and Performance A census of the cancer specialist nurse workforce in England 2010 – NHS National Cancer Action Team – December 2010

Posted on January 20, 2011. Filed under: Nursing, Oncology | Tags: |

Clinical Nurse Specialists in Cancer Care; Provision, Proportion and Performance A census of the cancer specialist nurse workforce in England 2010 – NHS National Cancer Action Team – December 2010

“The 2010 Census of Cancer Specialist Nurses in England was commissioned by the National Cancer Action Team (NCAT) and supported by the Workforce Review Team (WRT), now the Centre for Workforce Intelligence (CfWI). This work builds on previous censuses carried out in 20071 and 20082 conducted to map the specialist nurse workforce in cancer care and to help inform commissioning of specialist nurse posts in a more structured and equitable fashion than had previously been possible.”  … continues

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Finding, using and managing information. Nursing, midwifery, health and social care information literacy competences – RCN competencies – January 2011

Posted on January 18, 2011. Filed under: Nursing | Tags: |

Finding, using and managing information. Nursing, midwifery, health and social care information literacy competences – RCN competencies – January 2011

Royal College of Nursing

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Nursing and midwifery labour force 2008 – AIHW – published 13 October 2010

Posted on October 15, 2010. Filed under: Nursing, Workforce | Tags: |

Nursing and midwifery labour force 2008 – AIHW – published 13 October 2010

AIHW bulletin no. 81 – Australian Institute of Health and Welfare

“In 2008 the total number of registered and enrolled nurses estimated by the Nursing and Midwifery Labour Force Survey was 312,736, an increase of 10.6% since 2004. The nursing workforce continued to age between 1997 and 2008; the proportion of nurses aged 50 years or over increased from 18.9% to 34.4%. The number of full time equivalent nurses per 100,000 population increased by 15.2% between 2004 and 2008, and the profession continued to be predominantly female, with females comprising 91% of employed nurses in 2008.”

Authored by AIHW.

Published 13 October 2010; ISSN 1446-9820; ISBN-13 978-1-74249-066-3; AIHW cat. no. AUS 130

Media release

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The Future of Nursing: Leading Change, Advancing Health – US report – 5 October 2010

Posted on October 6, 2010. Filed under: Nursing, Workforce | Tags: , |

The Future of Nursing: Leading Change, Advancing Health
Released: October 5, 2010
Type: Consensus Report
Topics: Health Care Workforce, Quality and Patient Safety, Health Services, Coverage, and Access
Activity: Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
Board: Studies under the IOM Executive Office

full text online

“With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act, legislation that represents the broadest health care overhaul since the 1965 creation of the Medicare and Medicaid programs. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well- positioned to lead change and advance health.

In 2008, The Robert Wood Johnson Foundation (RWJF) and the IOM launched a two-year initiative to respond to the need to assess and transform the nursing profession. The IOM appointed the Committee on the RWJF Initiative on the Future of Nursing, at the IOM, with the purpose of producing a report that would make recommendations for an action-oriented blueprint for the future of nursing. Through its deliberations, the committee developed four key messages:”

…continues on the site

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Normal birth as a measure of the quality of care – National Childbirth Trust – 28 September 2010

Posted on October 5, 2010. Filed under: Nursing, Obstetrics | Tags: |

Normal birth as a measure of the quality of care – National Childbirth Trust – 28 September 2010

Safeguarding normal birth

In order to help maternity healthcare professionals improve outcomes for parents, NCT, the UK’s largest parenting charity, has published a report drawing together evidence that highlights how giving birth without major medical procedures can be used as a measure of good midwifery care.

The report, entitled ‘Normal birth as a measure of the quality of care’, by Miranda Dodwell and Mary Newburn, gives practical actions to guide the planning of service developments which increase opportunities for normal birth – whether at home, in a birth centre or in a hospital setting – without compromising safety or women’s experiences.

…continues    Full text of the report

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The Case for Healthier Canadians: Nursing Workforce Education for the 21st Century – Canadian Association of Schools of Nursing – 2010

Posted on September 10, 2010. Filed under: Educ for Hlth Professions, Health Professions, Nursing |

The Case for Healthier Canadians: Nursing Workforce Education for the 21st Century – Canadian Association of Schools of Nursing – 2010

“The future of our health system is dependent upon the availability and quality of health human resources, especially to underserviced populations. The Canadian Association of Schools of Nursing/Association canadienne des écoles de sciences infirmières (CASN/ACESI) hosted an inaugural Nursing Education Summit (NES) with participants from provincial and national nursing and health associations. Extensive consultation followed. Education at the baccalaureate level or higher for registered nurses was re-affirmed as critical to meeting the health needs of the population. In today’s increasingly complex health care environment, research demonstrates unequivocally that patient safety and outcomes are dependent on the educational preparation of professional nurses. CASN, in collaboration with national and provincial partners, and in weighing the evidence, has identified the three most pressing priorities for action:

Invest in nursing faculty supply and nursing program infrastructure
Foster innovative initiatives to sustain an appropriately prepared nursing workforce
Invest in nursing research and knowledge translation”

…continues

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A Summary of the February 2010 Forum on the Future of Nursing: Education – Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine – released 31 August 2010

Posted on September 6, 2010. Filed under: Educ for Hlth Professions, Nursing, Workforce | Tags: , |

A Summary of the February 2010 Forum on the Future of Nursing: Education
Released: August 31, 2010

full text of the report

Activity: Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
Note: Workshop Summaries contain the opinion of the presenters, but do NOT reflect the conclusions of the IOM. Learn more about the differences between Workshop Summaries and Consensus Reports.

“Nurses are the largest segment of the health care workforce and patients’ primary professional caregivers. Their education and training directly affect the safety and quality of patient care. However, the American health care system is evolving, and patients’ needs are changing. The population is growing older and becoming more diverse, and health needs are becoming more complex; increasingly, nurses work in teams of providers from different areas of expertise; and health care technology is advancing rapidly. To ensure that nurses are prepared to meet these challenges, the education system needs to adapt. The education system needs to provide high-quality education from basic to advanced levels. It needs to ensure that there is adequate capacity to educate the right number of nurses across all levels with the right competencies and skills. And it needs to enable seamless progression to higher levels of education.

The Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the IOM, seeks to build a blueprint for the future of nursing as part of larger efforts to reform the health care system. The Initiative held three public forums to explore challenges and opportunities in the nursing profession. The third forum, which took place on February 22, 2010 in Houston, examined nursing education. During the forum, experts considered innovations and strategies in three areas: what to teach, how to teach, and where to teach. The information and perspectives discussed at this forum will inform a final report on the future of nursing, expected to release in October 2010.”

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Pillars of the community: the RCN’s UK position on the development of the registered nursing workforce in the community – August 2010

Posted on August 28, 2010. Filed under: Community Services, Nursing | Tags: |

Pillars of the community: the RCN’s UK position on the development of the registered nursing workforce in the community – August 2010

This policy statement highlights 27 core conditions that the Royal College of Nursing believes should be satisfied for community services to survive and develop as more care is delivered closer to home, while helping health services throughout the UK to become more efficient.

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Dyslexia, dyspraxia and dyscalculia: a guide for managers and practitioners – Royal College of Nursing – 2010

Posted on August 20, 2010. Filed under: Nursing, Workforce | Tags: |

Dyslexia, dyspraxia and dyscalculia: a guide for managers and practitioners – Royal College of Nursing – 2010

This guidance gives practical information on dyslexia, dyspraxia and dyscalculia and their potential impact on an individual. It also sets out to raise awareness of the legal and professional responsibilities in respect of these conditions. Also available is a summary guide for managers as well as a toolkit for nursing staff.

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Flexible nursing – report for NHS Professionals – 29 July 2010

Posted on August 12, 2010. Filed under: Nursing, Workforce |

Flexible nursing – report for NHS Professionals

This report calls for a strategic approach to the flexible workforce that addresses both the demands of healthcare professionals and the pressure to restrain expenditure.

NHS Professionals – publications

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Moving forward with healthcare support workforce regulation – a scoping review: evidence, questions, risks and options – King’s College London – July 2010

Posted on August 12, 2010. Filed under: Nursing, Workforce | Tags: |

Moving forward with healthcare support workforce regulation – a scoping review: evidence, questions, risks and options – King’s College London – July 2010

“This research paper presents the findings of a commissioned project on the regulation of healthcare support workers. The objectives of this research project were to assess the evidence of risk presented by an unregulated healthcare support workforce; identify key questions to be addressed in developing models of regulation and make recommendations for further work in moving regulation forwards.”

Nursing and Midwifery Council – news

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What are nurse sensitive patient outcomes in ambulatory chemotherapy? – Policy+ 26 – Issue 26 August 2010

Posted on August 12, 2010. Filed under: Nursing, Oncology |

What are nurse sensitive patient outcomes in ambulatory chemotherapy? – Policy+ 26 – Issue 26 August 2010

“Since the Next Stage Review, the development of quality measures has continued apace. While the new government is abandoning process based targets, their emphasis on outcomes raises further challenges for specialist nursing services to demonstrate their contribution. This Policy+ outlines the findings and implications of a review undertaken by the National Nursing Research Unit investigating nurse sensitive patient outcomes in ambulatory chemotherapy.”

National Nursing Research Unit – publications

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Nurses in advanced roles: a description and evaluation of experiences in 12 developed countries – OECD Directorate for Employment, Labour and Social Affairs, Health Committee – 8 July 2010

Posted on July 30, 2010. Filed under: Nursing, Workforce | Tags: |

Nurses in advanced roles: a description and evaluation of experiences in 12 developed countries – OECD Directorate for Employment, Labour and Social Affairs, Health Committee – 8 July 2010

OECD Health Working Paper No. 54

ABSTRACT

“Many countries are seeking to improve health care delivery by reviewing the roles of health professionals, including nurses. Developing new and more advanced roles for nurses could improve access to care in the face of a limited or diminishing supply of doctors. It might also contain costs by delegating tasks away from more expensive doctors. This paper reviews the development of advanced practice nurses in 12 countries (Australia, Belgium, Canada, Cyprus, Czech Republic, Finland, France, Ireland, Japan, Poland, United Kingdom and United States), with a particular focus on their roles in primary care. It also reviews the evaluations of impacts on patient care and cost.

The development of new nursing roles varies greatly. The United States and Canada established “nurse practitioners” in the mid-1960s. The United Kingdom and Finland also have a long experience in using different forms of collaboration between doctors and nurses. Although development in Australia and Ireland is more recent, these two countries have been very active in establishing higher education programmes and posts for advanced practice nurses in recent years. In other countries, the formal recognition of advanced practice nurses is still in its infancy, although unofficial advanced practices may already exist in reality.

Evaluations show that using advanced practice nurses can improve access to services and reduce waiting times. Advanced practice nurses are able to deliver the same quality of care as doctors for a range of patients, including those with minor illnesses and those requiring routine follow-up. Most evaluations find a high patient satisfaction rate, mainly because nurses tend to spend more time with patients, and provide information and counselling. Some evaluations have tried to estimate the impact of advanced practice nursing on cost. When new roles involve substitution of tasks, the impact is either cost reducing or cost neutral. The savings on nurses’ salaries – as opposed to doctors – can be offset by longer consultation times, higher patient referrals, and sometimes the ordering of more tests. When new roles involve supplementary tasks, some studies report that the impact is cost increasing.

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Credentialling Framework for New Zealand Health Professionals – July 2010

Posted on July 2, 2010. Filed under: Allied Health, Medicine, Nursing, Workforce | Tags: |

Ministry of Health 2010. The Credentialling Framework for New Zealand Health Professionals. Wellington: Ministry of Health

“Summary of publication

The Ministry of Health published the first national credentialling document in 2001. Its focus was on the credentialling of senior medical practitioners in secondary and tertiary services within a single service or facility.

This updated framework has a wider application. The credentialling process it details applies not only to medical practitioners but to all health professionals in all New Zealand health and disability services, both public and private.

ISBN numbers: 978-0-478-35939-8 (print) 978-0-478-35940-4 (online)

HP number: 5072

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Forecasting Future Workforce Demand: A Process Evaluation – Nursing Health Services Research Unit [Canada] – April 2010

Posted on June 21, 2010. Filed under: Nursing, Workforce | Tags: |

Forecasting Future Workforce Demand: A Process Evaluation – Nursing Health Services Research Unit [Canada] – April 2010

Health Human Resource Series Number 22

“Funded by the Nursing Secretariat, Ontario Ministry of Health and Long-Term Care, the Forecasting Workforce Demand Project is a demonstration of health human resources (HHR) planning. This study focuses on the implementation and evaluation of the Forecasting Future Workforce Demand Tool developed by The Advisory Board Company. It was expected that implementation of the Tool would enable hospitals to enter historical workforce data to create one- to-five-year forecasts for proactive HHR planning and strategy development. The participant organizations consisted of five hospitals: three teaching, one community, and one rehabilitation and complex continuing care. The organizations and the Ontario Hospital Association sought to address a gap in the provincial healthcare system and contribute to strategic HHR planning. Key findings include the approach to HR planning varied across organizations, it takes time to collect and enter data into the data elements, and standardized definitions are critical to accuracy and applicability. Another key finding was that organizations vary in how they store data and code employees.”

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A Summary of the December 2009 Forum on the Future of Nursing: Care in the Community – 3 June 2010

Posted on June 4, 2010. Filed under: Community Services, Nursing | Tags: , |

A Summary of the December 2009 Forum on the Future of Nursing: Care in the Community – 3 June 2010

http://www.iom.edu/Reports/2010/A-Summary-of-the-December-2009-Forum-on-the-Future-of-Nursing-Care-in-the-Community.aspx

“Note: Workshop Summaries contain the opinion of the presenters, but do NOT reflect the conclusions of the IOM. Learn more about the differences between Workshop Summaries and Consensus Reports.

The American health care system is evolving; care is becoming more focused on wellness, disease prevention, health promotion, and chronic illness management. In addition, health care reform will provide many people with access to health care that they did not have previously. As a result, there will be a continuing increase in the demand for everyday care through community health centers; professional home health care services; long-term care facilities; primary care providers’ offices; and non-emergency settings that are close to home. In these settings, nurses are essential to ensuring access to needed care, and their knowledge and skills directly affect the quality of care that patients receive.  

The Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the IOM, seeks to build a blueprint for the future of nursing as part of larger efforts to reform the health care system. The Initiative held three public forums to explore challenges and opportunities in nursing. The second forum, which took place December 3, 2009, examined care in the community, focusing on community health, public health, primary care, and long-term care. Presenters described examples of best practices in the community that shed light on what is needed to meet the country’s changing health needs. The perspectives and ideas presented at this forum will inform a final report on the future of nursing, expected to release in fall 2010.”

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