NHS Employers | April 2019 | Nursing survey infographic – what do nurses want?
A new infographic from NHS Employers focuses on what matters most to nurses and student nurses when it comes to recruitment and retention.
Image source: nhsemployers.org
For each of the factors raised by the nurses surveyed, NHS Employers have signposted to some of most relevant resources, to assist employers in considering their approach to each area (Source: NHS England).
The findings are based on data collected at the 2018 Nursing Times Careers Live events.
Public Health England | April 2019 | National Child Measurement Programme: conversation framework
Public Health England has released National Child Measurement Programme: conversation framework- which is guidance for school nurses, their teams and other professionals running the National Child Measurement Programme when talking to parents about the programme (Source: PHE).
Closing the gap: Key areas for action on the health and care workforce | Nuffield Trust | The King’s Fund | The Health Foundation
Staffing is the make-or-break issue for the NHS in England. Workforce shortages are already having a direct impact on patient care and staff experience. This report calls for urgent action to avoid a vicious cycle of growing shortages and declining quality. The workforce implementation plan to be published later this year presents a pivotal opportunity to do this.
In this report, experts from the Nuffield Trust, The King’s Fund and the Health Foundation set out a series of policy actions that, evidence suggests, should be at the heart of the workforce implementation plan. This report focuses on nursing and general practice, where the workforce problems are particularly severe. The authors suggest a number of high-impact policy actions which, if properly funded and well implemented across the NHS would over time create a sustainable model for general practice and help to eliminate nursing shortages. These will require investment of an extra £900 million per year by 2023/24 into the budget of Health Education England.
NHS England | February 2019 | Safety on board – reducing risk
A new case study on NHS England’s Atlas of Shared Learning looks at how a Ward Sister at Solent NHS Trust led the implementation of a Patient Safety Board on a neuro-rehabilitation ward which has significantly improved staff accessibility to patient information relating to risk.
Staff on the neuro-rehabilitation ward at Western Community Hospital care for patients who have a variety of neurological conditions and support needs. These patients are often at risk of falling, have swallowing problems and are under The Deprivation of Liberty Safeguards(DoLS) which is the procedure prescribed in law when it is necessary to deprive of their liberty a resident or patient who lacks capacity to consent to their care and treatment in order to keep them safe from harm.
The necessity for staff to check information on computer systems and notes was observed to be having an impact, delaying the right care being delivered and causing some near miss incidents. The Ward Sister identified that as well as being an inefficient use of staff time, there were significant issues with accessibility of patient information. Patient records were not always in the same place reducing ease of access for staff and sometimes leading to risk factors not being recorded which could impact on quality of care delivery.
At the Nursing and multidisciplinary team (MDT) meeting, discussions identified that the accessibility of important information was an issue and the need to make changes was agreed. This led to the introduction of patient information relating to swallowing problems, fall risks and DoLS on the existing white board in the ward office. The board was chosen because it was well utilised by the entire MDT, kept up-to-date, and in a central accessible position in the ward office. It was also considered a pragmatic approach.
Magnets were used on the board to identify the risk issues with a reminder colour-coding key for staff:
yellow for swallowing problems;
blue for fall risks;
black for DoLS; and,
red for do not resuscitate.
It was easy for staff to update the board using the magnets and enabled any rotational or agency staff to easily see and understand the new system. After two weeks of testing, changes were made to the board template. It is still being used daily and the change is embedded in the ward routine (Source: NHS England).
NHS England | December 2018 | Going Smoke-free: Tees, Esk and Wear Valleys NHS (Mental Health) Trust
A nurse led a smoking cessation programme board at Tees, Esk and Wear Valleys NHS Trust implemented a move towards a smoke-free trust, given the demonstrable evidence of the benefits of such an initiative, particularly when recognising the local unwarranted variation of significantly higher numbers of mental health patients at the Trust identified as smokers, compared to the national average.
This led to:
Better outcomes – In a 2016 Friends & Family Test (FFT) 10% of staff who responded identified themselves as smokers. In early 2017 only 8% of staff identified themselves as smokers. Latest FFT data indicated that only 7% of staff identified as smokers in August 2017. The 2018 FFT has completed and the Trust is currently awaiting the final data prior to distribution to staff. Within ‘Trust A’ in the evaluation, the proportion of inpatients for whom smoking status was unknown fell from 39% to 13% over the last 18 months of the study period. There is wider evidence from the clinical audit of smoking status, that smoking prevalence fell within the Trust from 43% in 2015 to 21% in 2018.
Better experience – Both patients and staff have reported that the support provided as a part of the policy has been well-received and a mechanism for change – which is a positive indicator of experience.
Better use of resources – The training and skills provided to staff as part of the initiative have supported them to offer a more holistic approach to care without the need for referral onwards which again will have several benefits to service users and their families. The evidence of the evaluation suggest the monthly cost of prescribing NRT products is not excessive, varying between £3,000 and £4,000 per month within each Trust.
For Trusts looking to go smoke-free, the nurse leadership team at Tees, Esk and Wear Valleys NHS Trust recommend planning at least 12-18 months in advance.
Men’s health: nurse-led projects in the community | The Queen’s Nursing Institute
This report aims to provide information and guidance to community nurses who want to work more effectively on men’s health. It includes information on a range of men’s health and wellbeing projects that the Queen’s Nursing Institute supported in 2017 with funding from the Burdett Trust for Nursing.
The report also includes wider information about men’s health including details of additional information and support.