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Nursing Management (Harrow)

Iain Colthart, Kathleen Duffy, Valerie Blair, Lesley Whyte
Support and clinical supervision can benefit staff and service users. Inquiries have highlighted lack of support and clinical supervision as potential contributory factors for adverse care events. For support and clinical supervision to be embedded effectively, leaders and managers must value and promote them in their organisations. This article describes practical steps to support implementation of clinical supervision. By examining the main stages of supervision and preparation, evaluation of process and outcomes, and practical considerations, the article supports healthcare managers to encourage staff engagement and to implement a clinical supervision process...
November 28, 2018: Nursing Management (Harrow)
Peter Adatara, James Asamani, Martin Nyefene, Felix Nyande, Anthony Kuug, Alorse Atakro
AIM: To explore the challenges facing hospital nurse managers (HNMs) in selected hospitals in the Volta region of Ghana. METHOD: The study, which had an exploratory qualitative design, involved the recruitment of 12 HNMs from six public hospitals in the Volta region of Ghana. Purposive sampling was used and data were collected through semi-structured interviews. The conventional content analysis approach was adopted for data analysis. FINDINGS: The study revealed several managerial challenges of being HNMs in performing their roles...
November 30, 2018: Nursing Management (Harrow)
Sharon Edwards, Mandy Lee, Kelly Sluman
It is vital to prepare nurses to become informed leaders with the required knowledge and skills to support effective patient care and outcomes. This article describes an innovative teaching method that enables students to create simulation scenarios based on their clinical experiences, to lead simulations and to take part in self-reflection and peer review activities. The article shows how the method can help prepare nursing students to become future leaders by allowing them to practise 'real-life', real-time leadership skills, and apply theory to practice in the safety of a simulated scenario...
October 25, 2018: Nursing Management (Harrow)
Jemma Baker
The aim of ambulatory emergency care (AEC) is to provide patients with ambulatory care-sensitive conditions with safe and appropriate emergency care on the day they attend hospital. It is achieved without admitting patients to a hospital bed and is therefore an admissions-avoidance service. Gloucestershire Hospitals NHS Foundation Trust has been running AEC at its two acute sites since May 2014. This article reports findings from a service review that looked at whether there were improvements in health outcomes for patients accessing AEC compared with those for patients who had presented to emergency care before the service was set up...
September 28, 2018: Nursing Management (Harrow)
Bertha Ochieng, Kerrie Ward
AIM: This article provides an insight into the effect of safeguarding of vulnerable adults continuing professional development (SOVA-CPD) training for nurses. METHOD: 51 participants were recruited from three different cohorts of SOVA-CPD training that had been delivered in east England. A 50-item questionnaire was designed to gather participants' views on their acquisition of knowledge and skills, and perceived changes in practice, and to allow them to describe how they have changed how they work due to the training...
September 28, 2018: Nursing Management (Harrow)
Sharon Lorraine Edwards, Nic Fryer, Michelle Boot, Michael Farquharson, Samantha McCormack, Kelly Sluman, Katherine Tigar
This article describes how 'capstone' assessments were created to provide two different student groups, nursing and performing arts students, with a lived experience of learning together about their own fields of practice. Capstone assessments combine 'live' human simulation with self-reflection and peer review. A capstone assessment is the integration of a body of relatively fragmented knowledge and learning to form a unified whole and can be used as a transitional assessment and a bridging experience to connect knowledge between modules or courses...
September 28, 2018: Nursing Management (Harrow)
Trish Rowson, Wilfred McSherry
Quality is complex and difficult to define, and institutions and organisations often have their own definitions, measurements and assurance processes. The Care Excellence Framework (CEF), developed and used at University Hospitals of North Midlands NHS Trust, is a unique, integrated framework of measurement, clinical observation, patient and staff interviews and benchmarking. It also has an internal accreditation system that provides assurance from ward to board based on the five Care Quality Commission (CQC) domains and reflects CQC standards...
July 27, 2018: Nursing Management (Harrow)
Carolyn Middleton, Bronagh Scott, Martine Price
Aneurin Bevan University Health Board has recruited nurses from overseas from within and outside the European economic area. This article describes an innovative recruitment initiative that has focused on nurses who trained overseas and are living and working in the local community, but cannot work in a registered nurse role without financial and practical support. It provides an overview of the robust selection processes used, which are in line with the Nursing and Midwifery Council registration requirements, and the stepwise employment offer made to successful applicants...
July 12, 2018: Nursing Management (Harrow)
Kathleen Duffy, Alan Gillies
In the UK, mentors of pre-registration nurses must achieve the stage 2 outcomes of the Nursing and Midwifery Council (NMC) (2008) standards to support learning and assessment in practice. Approval for new standards for student supervision and assessment was granted at the NMC meeting in March 2018 ( NMC 2018a ). The introduction of the new standards will see the dissolution of mentorship and the emergence of new roles to support students in academic and practice environments. This article gives an overview of these standards and, drawing on the recommendations from a collaborative event hosted by NHS Education for Scotland and some of the findings from a rapid literature review undertaken for that event, provides nurse managers with information to help inform their discussions as they work in partnership with approved education institution colleagues to realise, support and sustain the roles outlined in the new standards...
June 27, 2018: Nursing Management (Harrow)
Melaine Coward
Part one of this six-part continuing professional development series considered the role of nurse managers in supporting reflection for professional learning. It was aimed at enabling readers to consider critically the role of reflection in nursing and relate this to the Nursing and Midwifery Council's professional requirements. Part two explores approaches to and benefits of reflection for self-development. The notion of self-development may seem removed from professional practice and nurse leadership but the traits that demonstrate who we are, how we learn, how we act and how we influence are related to and transferable from self to professional self...
June 14, 2018: Nursing Management (Harrow)
Elizabeth Curtis, Emma Duffy, Frank O'Rourke, Sylvia Huntley-Moore, Annabel Walsh, Ken Coogan, Catherine Comiskey
The challenging nature of change is well documented and adequate preparation before implementing a change initiative is critical to reducing resistance and increasing its chances of success. This article describes a service review conducted in preparation for possible change and improvement at an internationally ranked school of nursing and midwifery in an Irish tertiary education institution. The purpose of the review was to examine organisational structures and work activities, including pressures facing the administrative team that supports the school, and to establish whether operations were fit for purpose and capable of continuing to support the international ranking...
May 30, 2018: Nursing Management (Harrow)
Jacci Yuill
GPs' workload has increased significantly in recent years affecting their ability to provide high-quality services, and consequently there is increasing focus on nurses to provide a solution. There is little evidence of how advanced nurse practitioners (ANPs) experience their role in out of hours (OOH) services, and it is important to understand their perceptions of this and the challenges they may face in supporting service development and improvement. This article evaluates the role and experiences of ANPs working in an OOH urgent primary care service and identifies important factors that affect their roles...
May 30, 2018: Nursing Management (Harrow)
Melaine Coward
This article examines the role of nurse managers in supporting reflection for professional learning. It aims to enable readers to critically review the role of reflection in nursing and relate this to the Nursing and Midwifery Council (NMC) professional requirements. It also aims to enable readers to consider the purpose of reflection and to help nurse managers explore their role in fostering environments in which to reflect. After reading this article and completing the time outs, you should be able to.
May 30, 2018: Nursing Management (Harrow)
Cara Large, Matthew Aldridge
Recognising patient deterioration is a vital nursing role. Observation based on vital signs and early warning scores are mandatory for all adult patients in acute hospital care and are the first steps in identifying deterioration. However, they rely on users' understanding of the significance of the results they find and their ability to escalate to senior colleagues if necessary. This article examines the non-technical skills nurses require to recognise and escalate patient deterioration. Itexplores and analyses the literature on this topic and suggests there is a need for greater focus on situational awareness in nurse training and in healthcare in general, as this is linked to improved patient safety...
May 30, 2018: Nursing Management (Harrow)
Jennifer Oates
AIM: The aim of this article is to present selected findings from a doctoral study on the subjective well-being and subjective experience of mental health problems in UK mental health nurses. Here the concept of 'nurses' well-being' is explored. METHOD: Data were drawn from a survey of 237 mental health nurses about their mental health and well-being and from interviews with 27 mental health nurses with personal experience of mental health problems and high subjective well-being...
March 22, 2018: Nursing Management (Harrow)
Keith Gray, Rebecca Wilde, Karl Shutes
AIM: This article offers nurse managers guidance on analysing, managing and addressing a potentially dissatisfied nursing workforce, focusing on three priority shortage specialties: emergency care, paediatrics and cardiology. The aim of the study was to explore to what extent registered nurses and healthcare assistants, referred to collectively here as 'nursing staff', are satisfied with teamworking opportunities, continuing professional development (CPD) opportunities and workplace autonomy...
March 22, 2018: Nursing Management (Harrow)
Sara Morgan
Simulation has been introduced in recent years into international nursing curricula. Many educational establishments have developed simulation centres that resemble the ward settings nursing students will be exposed to so that they can use the same equipment as they will in clinical practice. This is referred to as high fidelity simulation training (HFST). This article reflects on an example of a multidisciplinary HFST scenario in the context of the assessment and accountability and learning domains of the Nursing and Midwifery Council standards...
February 22, 2018: Nursing Management (Harrow)
Gwen Sherwood, Usha Koshy Cherian, Sara Horton-Deutsch, Rebecca Kitzmiller, Cheryl Smith-Miller
Nurses' decisions about their intent to remain in the workforce are based on various factors. A healthy work environment in which work done well is recognised and appreciated contributes to nurses' satisfaction and better patient outcomes. This article examines the American Association of Critical-Care Nurses framework for a healthy work environment, focusing on standards for meaningful recognition. Reflective practice, which provides a self-analytical approach to appreciate and value one's work, is viewed as self-recognition...
February 22, 2018: Nursing Management (Harrow)
Sharon Edwards, Mandy Lee, Kelly Sluman
This article shows how simulation can be modified and adapted to benefit higher education institutions (HEIs) in a variety of situations. These situations can involve the engagement of service users (SUs) and moulage, or application of make-up to simulate clinical presentations, to ensure skill enhancement, ultimately to support and empower students so they can achieve their potential. This article describes a unique collaboration between staff at an HEI and SUs, who have worked together in simulation activities...
January 25, 2018: Nursing Management (Harrow)
Carolyn Middleton, Bronagh Scott, Martine Price
An increased number of emergency secondary care surgical admissions has intensified the challenge of meeting acute care patients' needs, while not interrupting elective admissions. Aneurin Bevan University Health Board is striving to work differently, with the introduction of an innovative nurse practitioner-led virtual inpatient (VIP) surgical service. VIP is designed to manage emergency patients safely, effectively and in a timely manner, enabling them to return home while waiting for investigations. This article describes the service and outlines the main outcomes, which include increasing the number of surgical emergency patients managed as VIPs, shortening VIP stays, providing more timely access to investigations and saving money for the health board...
January 25, 2018: Nursing Management (Harrow)
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