1,721,050 research outputs found
Creating learning environments for compassionate care (CLECC): a cultural change programme to improve workplace wellbeing for nursing teams
No full textUnease about the well-being of the UK’s health and social care workforce is not new, but a backdrop of significant industrial unrest - in part triggered by the additional stressors of the Covid-19 pandemic has brought these concerns to the fore. Nurses in particular are at high risk with a suicide rate 23% higher than the national average, and with the highest levels of occupational stress and resulting distress from infectious disease outbreaks such as Covid-19. This study shows that to increase productivity and aid nurse retention national and local leadership must prioritise nursing staff support and well-being in policy and practice. By valuing and supporting compassion as a vital dimension of care this project offers three recommendations for action
Older people in accident and emergency: the use of action research to explore the interface between services in an acute hospital
No full textOutcomes of variation in hospital nurse staffing in English hospitals: more nurses, working differently?
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Policy on new workforce roles: a discussion paper
No full textAddressing workforce issues has increasingly become a central feature of the organisation and management of public sector services internationally. The introduction of new work roles to public services is one approach advocated in response to recruitment and retention difficulties with professional staff and to increasingly complex services. This paper aims to critically examine UK's new roles policy in a health care context and explore its wider relevance by drawing on findings from an action research Ph.D. study aimed at exploring one such new role. This deliberately flexible role was held by individuals without a recognised qualification but study findings illustrate that, over the time, the role came to include the complex discharge planning work with patients previously carried out by registered nurses (RNs). The analysis presented highlights shortcomings in current new roles policy including the unacknowledged influence of competing policy goals; the erroneous assumption that defining who does what is clear-cut in practice; the lack of longer-term review of new roles; and the incompatibility between role flexibility and needs for role clarity. Policy makers, managers and practitioners are urged to acknowledge the subtleties and complexities of new work roles in the public sector highlighted by this study
Piloting discovery interview technique to explore its utility in improving dignity in acute care for older people
No full textBackground: In 2008 the Foundation of Nursing Studies funded City University London, Brighton and Sussex University Hospitals NHS Trust (BSUH), University College London Hospitals NHS Foundation Trust (UCLH) and NHS Improvement to work together to pilot the use of discovery interviews to improve dignity in care for older people in hospital. Both hospitals were in the National Health Service (NHS) in England. The use of discovery interviews for this purpose has not been previously documented.Aims and objectives: This project aimed to use the discovery interview technique in two NHS organisations to explore and improve aspects of dignity in care for older people.Methods: This project aimed at service improvements that were stimulated by interviewing older patients and their relatives (n=12) about their experiences of in-patient care using discovery interview technique. Introducing this technique to each trust required a practice development framework. Evaluation of the impact of the project was undertaken through one focus group with UCLH staff, six one-to-one interviews with project team members and written reports from the two trusts.Results: While the use of discovery interviews led to changes on the two wards where patients were involved in discovery interviews, wider organisational changes were not achieved. The discovery interview process did not develop as anticipated, and findings reflect the importance of good leadership, skilled facilitation and a culture that welcomes patient feedback. A complex organisational context meant that the project was not always seen as the core daily business of the trust and this led to setbacks in progress.Conclusions: Lessons learned about the importance of organisational groundwork prior to sharing discovery interview stories with staff are supported by recommendations from an earlier evaluation of discovery interviews.Implications for practice:•Discovery interviews are a valuable way of finding out about patient experiences and of promoting staff learning and service developments•The impact of discovery interviews depends on the support and receptiveness of the wider organisational culture, so time spent educating key stakeholders in the organisation and tying the project into the business of the organisation is time well spent•Preparation should include intensive working with clinical teams to explore their understandings of dignity and develop their preparedness to listen to patients’ stories•The discovery interview process is best targeted at stable ward teams with the support of a practice development approach•Project teams need adequate support to enable them to lead change and to manage the uncertainty and setbacks of the innovation journey. Active learning sets for project teams can be a useful support and create the reflective space needed to explore complex concepts such as dignity<br/
Nursing research methods
No full textNursing research is a diverse discipline which draws on methods and methodologies from across the social, behavioural and biomedical sciences. Few if any of the approaches to research used within nursing are unique; however, their application within the complex milieu of nursing care has frequently raised distinctive challenges and generated novel applications. Nursing Research Methods brings together seminal sources that illustrate both the origins and the state of the art of research in nursing. The editors draw on methodological sources from outside the discipline that are influential and have shaped nursing research as well as discussions and debates about the application of particular methods within the field.The text is organised around a selection of 8-10 seminal studies which have been selected based on their significance and ability to represent the broad scope of the discipline. Studies are selected to provide a vehicle to cover key methods for nursing research and to represent some of the diversity of the research topics that constitute the discipline. Because of the wide international audience, the editors take a broad view of the 'family' of nursing to include health visiting, public health nursing and midwifery and nurse midwifer
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