1,721,004 research outputs found
Public health: community learning disability nurses' perception and experience of their roles - an exploratory sequential multiple methods study
No full textPURPOSE
Research into how public health policy is translated into role specifications within job descriptions of community learning disability nurses is important. In addition, the need for research that focuses on describing how community learning disability nurses perceive, and enact their public health roles has been identified. Furthermore, there is need to explain the 'moderators' of how community learning disability nurses enact their public health roles.
METHODS
This was a 3-stage exploratory sequential multiple methods study. Stage 1 was documentary, and involved collecting and analysing community learning disability nurses' job descriptions, and or person specifications. Stage 2 was descriptive, and used a grounded theory approach. Stage 3 was explanatory, and involved an on-line questionnaire survey.
MAIN FINDINGS
There were inconsistencies in public role health expectations in community learning disability nurses' job descriptions and person specifications. The public health roles were academic, health education, health prevention, health promotion, health protection, health surveillance, healthcare access facilitation, healthcare delivery, leadership, and policy development and implementation. The moderators of public health role enactment by community nurses identified in this study were complex and extended beyond current explanations of role theory. Some of the correlates of the moderators of public role health enactment by community learning disability nurses included role clarity in job descriptions, periodic review of role expectations, role perception, perceived role value, community learning disability nurses' perceptions of employing organisations' priorities, and community learning disability nurses' perceptions of employing organisations' knowledge of the public health needs of people with learning disabilities, band, and finally the type of employer.
SIGNIFICANCE FOR RESEARCH AND PRACTICE
There is a need for clarity of community learning disability nurses' public health roles locally, and nationally. It is important that relevant organisations have structures that can respond appropriately to public health policy changes in order to meet the often complex and co-morbid health needs of people with learning disabilities
History and modern-day practice of learning disability nursing
No full textThis is a chapter from a core textbook for pre-registration nursing students and practitioners working with people with learning disabilities in a wide range of settings
Importance of carer involvement in health and social care education
No full textThe keynote focused on the role unpaid carers need to play in curriculum design and delivery for healthcare professionals. The conference was attended by more than 100 carers from across London with a diverse range of backgrounds
Learning disability nursing staffing levels, and its relation to the safety, quality and the delivery of compassionate nursing care
No full textAims: The overall objective was to summarise the best evidence available on safe staffing levels for qualified learning disability nurses to inform the implementation of the national Compassion into Practice Programme sub group for learning disability nursing; task area 5 ‘Ensuring we have the right staff with the right skills in the right place’.
Methods: The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) and JBI data extraction tools were used.
Main findings: There are seven key factors that impact on staffing:
1. Level of need
2. Staff perception of challenging behaviour
3. Stress, burnout and work overload
4. Staff attributes
5. Job satisfaction
6. Working as a team
7. Organizational support including feedback.
Conclusions: There is need for an articulated agreement as to exactly what compassion and safe staffing means, and to whom. Services need to be able to articulate what staffing levels mean for the patient and or their relatives. Safe levels of staffing must ensure this means more than simply keeping people safe, although essential; it must also be able to offer a therapeutic milieu. It may be that services have to avoid the temptation of seeking comfort in the belief that numbers alone will address short comings in services rather than for example looking at the capability of teams to be empowered to deliver safe and compassionate nursing care.
There is need for further work to validate the findings from the review of literature. This should include;
1. documentary analysis of all serious incidents in learning disability services and, or, clients that are directly or indirectly related to staffing issues in England/UK;
2. a survey of all learning disability nurses working in ‘inpatient’ care settings to better understand how they believe safer staffing and the delivery of compassionate care can be achieved, and identify what barriers they believe compromise it; and
3. semi structured interviews with people with learning disabilities and, or, their families about what safe staffing might look like for them, as well as with ‘key players’, clinicians, and stakeholders on safe and compassionate staffing levels
Tool for measuring the context of care delivery in learning disability settings [The TCOC-LDS]
No full textThis was a keynote presentation on the development of a staff audit tool for learning disability services. The audit tool was developed by the College of Nursing and Midwifery and School of Computing at the University of West London
Getting staffing right – systematic literature review
No full textAims: The overall objective was to summarise the best evidence available on safe staffing levels for qualified learning disability nurses to inform the implementation of the national Compassion into Practice Programme sub group for learning disability nursing; task area 5 ‘Ensuring we have the right staff with the right skills in the right place’.
Methods: The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) and JBI data extraction tools were used.
Main findings: There are seven key factors that impact on staffing:
1. Level of need
2. Staff perception of challenging behaviour
3. Stress, burnout and work overload
4. Staff attributes
5. Job satisfaction
6. Working as a team
7. Organizational support including feedback.
Conclusions: There is need for an articulated agreement as to exactly what compassion and safe staffing means, and to whom. Services need to be able to articulate what staffing levels mean for the patient and or their relatives. Safe levels of staffing must ensure this means more than simply keeping people safe, although essential; it must also be able to offer a therapeutic milieu. It may be that services have to avoid the temptation of seeking comfort in the belief that numbers alone will address short comings in services rather than for example looking at the capability of teams to be empowered to deliver safe and compassionate nursing care.
There is need for further work to validate the findings from the review of literature. This should include;
1. documentary analysis of all serious incidents in learning disability services and, or, clients that are directly or indirectly related to staffing issues in England/UK;
2. a survey of all learning disability nurses working in ‘inpatient’ care settings to better understand how they believe safer staffing and the delivery of compassionate care can be achieved, and identify what barriers they believe compromise it; and
3. semi structured interviews with people with learning disabilities and, or, their families about what safe staffing might look like for them, as well as with ‘key players’, clinicians, and stakeholders on safe and compassionate staffing levels
Community learning disability nursing
No full textThis is a chapter from a core textbook for pre-registration nursing students and practitioners working with people with learning disabilities in a wide range of settings
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