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News Article
The Royal College of Nursing has demanded the health secretary is made fully accountable for the planning and supply of nursing staff in England. As the Health and Care Bill passes through parliament, the RCN insists key changes need to be made to Bill to enable the workforce crisis to be appropriately addressed, including ensuring that the commissioning of services is done in partnership with local communities and ensuring that the voices of experts such as royal colleges are part of the regulation of the profession. Read full story. Source: RCN, 17 July 2021- Posted
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Content Article
Staff safety and wellbeing
Becky T posted an article in Staff safety
An original article that explores the significance of both staff physical safety in the workplace as well as their psychological safety and wellbeing. In particular, I highlight the impact the COVID-19 pandemic has had on both these areas, and discuss the importance of ensuring all aspects of staff safety.- Posted
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News Article
Nurse understaffing during the Covid-19 pandemic may have impacted patient safety
Patient-Safety-Learning posted a news article in News
A new study has found nursing shortages may have negatively impacted patient safety, including unsafe practice management workarounds and cognitive failures. Research has found cutting corners when understaffed may have been the only way to get the work done quicker due to the added strain and heavier workload and in another study, it was discovered nurse staffing demand increased to 245 percent between September and December 2020. It was also reported that nurses who had little or no experience of working in the ICU environment were assigned to work there which may have led to higher stress levels and cognitive failures such as memory and attention lapses. Read full story. Source: Recycle Intelligence, 13 July 2021 -
News Article
The RCN council has agreed to support the principles behind a petition, started by RCN Professional Nursing Committee member Alison Leary, calling for the title of 'nurse' to be protected and reserved for those who are registered. Whilst the term 'registered nurse' is protected in law, the term 'nurse' is not, meaning anyone can call themselves a nurse, regardless of whether they have the appropriate qualifications or not. The RCN believes the title should be protected in order to help protect the public and ensure accountability. Read full story. Source: RCN, 12 July 2021 -
News Article
Poor nursing pay is a ‘patient safety issue’ say campaigners
Patient-Safety-Learning posted a news article in News
Over 60 demonstrations took place on 3 July 2021 to protest over pay. Figures have suggested that a band 5 nurse takes home around £5,000 less per year than they did a couple years ago due to austerity measures and a public sector pay cap. The protest as arranged by groups Keep Our NHS Public, Health Campaigns Together, NHS Workers Say No and NHS Staff Voices with a separate demonstration by Nurses United UK have raised concerns for patient safety, arguing that the pay issue has a direct impact on recruitment and retention of nurses. Read full story. Source: Nursing Notes, 3 July 2021 -
Content Article
Medicines optimisation is a multidisciplinary and patient-focused approach to achieving the best patient outcomes from the use of medicines. It involves the use of medicines to control disease while ensuring that adverse effects are kept to a minimum. This article explores strategies that enable nurses to take an increasingly active role in medicines optimisation. In its conclusion the authors suggest that to ensure medicines optimisation, nurses should be involved in monitoring patients’ signs and symptoms using a structured checklist such as the ADRe (Adverse Drug Reaction Profile) to identify and address any medicines-related harms.- Posted
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Updated toolkit for better working environments for nurses
Patient-Safety-Learning posted a news article in News
The Royal College of Nursing has updated their Healthy Workplace toolkit to include the need for nurses to stay hydrated during their shifts and to take their at-work breaks. The toolkit was designed to improve health and wellbeing for nurses working in all areas of healthcare. It also includes pandemic-specific advice and an aim to improve working environments for nursing staff. Read full story. Source: Royal College of Nursing, 21 June 2021 -
Content Article
Needlestick injuries – making the point for safety
Becky T posted an article in Staff safety
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News Article
Government urged to address the shortage of specialist nursing staff
Patient-Safety-Learning posted a news article in News
A new report by the Royal College of Nursing shows the number of learning disability nurses working in NHS Hospitals, NHS hospital and community services in England has risen by only 22 in three years. Worryingly, there is estimated to be only 17,000 learning disability specialist nurses on the NMC register in the UK. The Royal College of Nursing is urging the government to address the shortage of specialist nurses for learning disabilities. Read full story. Source: Royal College of Nursing, 22 June 2021 -
News Article
The government is being urged to make the term 'nurse' a protected legal title as it has now been found people are calling themselves a nurse despite not being registered or qualified. Recently it has emerged that even in the NHS, unregistered staff have been using the term 'nurse', meaning patients cannot be sure the person treating them is qualified raising concerns for patient safety. Currently, only the term 'registered nurse' is a protected legal title. Read full story. Source: The Independent, 21 June 2021 -
News Article
Rise in sharps injuries among nurses
Patient-Safety-Learning posted a news article in News
New research shows a rise in sharps injuries among healthcare workers around Europe over the last year. Respondents of the research said the rise in sharps injuries may be due to staff shortages and higher pressures and stress on healthcare staff. The survey, which covered more than 300,000 healthcare workers, found workers were being put at unnecessary risk of contracting deadly diseases such as HIV, Hepatitis B or Hepatitis C, with nurses being the ones primarily affected by the sharps injuries. The article concludes that more interventions need to be done to protect healthcare workers. Read full story Source: The Brussels Times, 15 June 2021- Posted
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The aim of this study was to derive a comprehensive list of nursing-sensitive patient outcomes (NSPOs) from published research on nurse staffing levels and from expert opinion. The authors identified strong evidence for a significant association between nurse staffing levels and NSPOs. The results may guide researchers in selecting NSPOs they might wish to prioritise in future studies.- Posted
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Medical error is a serious issue in hospitals in Jordan. This study from Suliman et al. explored Jordanian nurses' perceptions of the culture of safety in their hospitals. The Hospital Survey of Patient Safety Culture translated into Arabic was administered to a convenience sample of 391 nurses from 7 hospitals in Jordan. The positive responses to the 12 dimensions of safety culture ranged from 20.0% to 74.6%. These are lower than the benchmarks of the Agency for Healthcare Research and Quality. Jordanian nurses perceive their hospitals as places that need more effort to improve the safety culture. -
News Article
Almost a fifth of nurses who left the profession cited a negative workplace culture as a reason for leaving along with almost a quarter saying they were under too much pressure. The nursing regulator, the Nursing and Midwifery Council (NMC) warned there could be an exodus of registered nurses after the coronavirus pandemic in its latest annual report. Despite a record number of nurses and midwives joining the profession across the UK, the NMC said pressure on frontline nurses could drive many away. In a survey of 5,639 nurses who left the register between July 2019 and June 2020, the NMC found that after retirement as the most common reason for leaving, almost a quarter of nurses (23%) said they left their jobs because of "too much pressure", leading to stress and poor mental health. A total of 18% blamed a negative workplace culture as the reason to leave. The NMC report warned: “These issues existed before the pandemic, and may well outlast it, further disrupting an already fatigued nursing and midwifery workforce. If not addressed, this could have a significant impact on the number of people we report leaving our register over the next year and beyond.” Read full story Source: The Independent, 20 May 2021 -
Content Article
Substantial evidence indicates that patient outcomes are more favourable in hospitals with better nurse staffing. One policy designed to achieve better staffing is minimum nurse-to-patient ratio mandates, but such policies have rarely been implemented or evaluated. In 2016, Queensland (Australia) implemented minimum nurse-to-patient ratios in selected hospitals. In a study published in the Lancet, McHugh et al. aimed to assess the effects of this policy on staffing levels and patient outcomes and whether both were associated.- Posted
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Having minimum nurse to patient ratios cuts risk of death, new study claims
Patient Safety Learning posted a news article in News
New research examining the effect of minimum nurse-to-patient ratios has found it reduces the risks of those in care dying by up to 11%. The study, published in The Lancet, also said fewer patients were readmitted and they had shorter stays in hospital. It compared 400,000 patients and 17,000 nurses working in 27 hospitals in Queensland, Australia to 28 other hospitals. The state has a policy of just one nurse to every four patients during the day and one to seven at night, in a bid to improve safety and standards of care. The research said savings made from patients having a shorter length of stay, which fell 9%, and less readmissions were double the cost of hiring the extra nurses needed to achieve the ratios. NHS England has resisted moves towards minimum nurse to patient ratios, suspended work by the National Institute for Health and Care Excellence (NICE) on safe nurse staffing in 2015. This came as the watchdog was preparing to call for minimum ratios in accident and emergency departments. It has advised that eight or more patients to one nurse is the point at which harm can start to occur. Read full story Source: The Independent, 12 May 2021- Posted
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Event
untilWe have known for several years that nurses are at higher risk of suicide than the general population and that nurses have more job-related problems recorded prior to death by suicide. What we have now learned about those job-related problems is troublesome at best with implications for risk managers, hospital executives, and all leaders in healthcare. The panel in the Patient Safety Association webinar will describe the issues and implications for advocacy and policy change necessary to right the wrongs leading to death by suicide amongst nurses through personal testimony and review of recent research findings. This webinar is sponsored by CHPSO. By the end of the session, the participants will be able to: Identify major issues stemming from the workplace that lead to death by suicide. Identify institutional, professional, and individual actions that can be taken to reduce risk. Describe the flaws in the current system that prevent accurately tracking and action-planning to reduce risks amongst nurses. Register- Posted
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News Article
Nurse in court accused of murdering eight babies
Patient Safety Learning posted a news article in News
A nurse accused of murdering eight babies in an alleged year-long killing spree at an NHS hospital has appeared in court. Lucy Letby, aged 31, appeared at Manchester Crown Court via videolink from HMP Peterborough on Monday morning. She has been charged the murder of five boys and three girls at the neonatal unit at the Countess of Chester Hospital. The babies all died between June 2015 and June 2016. Read full story Source: The Independent, 10 May 2021 -
Content Article
The Royal College of Nursing (RCN)’s 'Nursing Workforce Standards' have been created to explicitly set out what must happen within workplaces to ensure the delivery of safe and effective patient care. The RCN's Nursing Workforce Standards are the first ever blueprint for tackling the nursing staff shortage levels across the UK. They set the standard for excellent patient care and nursing support in all settings, and all UK countries. Developed by the RCN's Professional Nursing Committee, the Nursing Workforce Standards suggest a roadmap for designing a workforce in both the NHS and the wider health and social care sector that can offer patients the quality of care they deserve. The 14 standards – the first of their kind – have been designed for use by those who fund, plan, commission, design, review and provide services which require a nursing workforce. They can also be used to help nursing staff understand what they should expect to be in place to enable them to do their jobs safely and effectively. The standards apply across the whole of the UK and to every setting where nursing care is delivered. They’re being launched as new polling reveals seven in 10 people believe there are too few nurses to provide safe care. Of the 1,752 members of the public who were surveyed, more than a quarter said they felt themselves or their families may not get the care required when needed. -
News Article
Safer standards for nursing care unveiled as public fear effect of shortages
Patient Safety Learning posted a news article in News
New standards for the safe working of nurses across hospital wards, care homes and in the community have been set out by the Royal College of Nursing, for the first time in its 100 year history. In a bid to underline the safety-critical nature of expert nurses in healthcare, the RCN hopes the minimum standards will be used to force improvements in safe staffing levels and the treatment of nurses across the country by NHS trusts and other employers. It comes as a new poll finds a majority of adults believe there are not enough nurses to provide safe care. There are 50,000 nursing vacancies across the NHS and research has repeatedly shown having degree-educated nurses leads to better patient safety. A major study across 500 hospitals in 12 European countries found for every extra patient a nurse was expected to look after, the chances of the patient dying increased 7%. Other studies have shown replacing degree-educated nurses with less educated staff led to an increase in mortality of 21%. Despite the research, the UK government and NHS England has consistently opposed tougher ratios of nurses to patients and has invested in new non-degree roles to fill gaps in staffing. Read full story Source: The Independent, 9 May 2021 -
Content Article
Hospitals across the US are grappling with nurse shortages as the pandemic continues to change the healthcare system as we know it. Two intensive care unit nurses who left their jobs shared their experiences in Becker's Hospital Review. -
News Article
Long Covid: 'I'm not the same person'
Patient Safety Learning posted a news article in News
A nurse says the effects of "long Covid" mean she is "not the same person any more". Lynne Wakefield from Holyhead is still suffering with fatigue and "brain fog" after contracting Covid in June 2020. She said her employer had been "very good" supporting her, but other NHS staff told BBC Wales they felt pressurised to go back to work. The NHS Confederation said there was a package of support for staff affected by "longer term effects of Covid". A recent survey suggested about 56,000 people in Wales have symptoms of long Covid, which include fatigue, headaches and coughing. Other NHS workers with long Covid symptoms, who did not want to be named, told BBC Wales Live how they feel about the ways they are being treated by their employers: "I knew that returning to work would put my recovery at risk, but it was work or starve. On my return, I was informed that any further days absent in the next 12 months would result in a formal warning." "I'm so worried about losing my job as I've been off work for so long and I'm still nowhere near well enough to return." "If they say I have to come back or be dismissed, I'll have to do it, I'll have to try [and go back] and survive. I am so emotional at the moment, I can't stop crying - I feel I am going crazy." Read full story Source: BBC News, 28 April 2021- Posted
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News Article
A nurse of the year finalist who faced being struck off after she saved a woman's life has been cleared by an official inquiry, the Mail can reveal. Leona Harris, 48, who gave a blood transfusion in a speeding ambulance to a woman who was haemorrhaging after losing her baby, has faced a four-year nightmare, including the potential loss of her 24-year career and home to pay legal costs. Through no fault of Mrs Harris's, the required prescription for the use of the blood had not been taken on to the ambulance with the patient. Now, four years on, the Nursing and Midwifery Council (NMC) has concluded Mrs Harris 'undoubtedly acted in the best interests of the patient' and has 'no case to answer'. The ruling raises major concerns about the conduct of the East Lancashire Hospitals Trust, which used inexplicably altered statements about Mrs Harris's conduct. The 600-page report will heap new pressure on Health Secretary Matt Hancock, who pledged that 'eradicating the curse' of NHS bullying would be one of his 'top priorities'. Read full story Source: Mail Online, 20 April 2021- Posted
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PRSB to develop a new nursing standard
Patient Safety Learning posted a news article in News
Nurses are a crucial part of care across a wide range of sectors, with patients and other professionals often reliant on their expertise. That’s why the Professional Records Standard Body (PRSB) has been asked to develop a new nursing standard by NHSx for use across all the different health and social care settings. The standard aims to improve quality and safety of care in key nurse-led areas, including care planning. It will reflect best practice and standardise documentation across different nursing settings, to free nurses and give them more time to care. For example, it will standardise information that a district nurse in a care home setting can access and share in the same way as a mental health or hospital nurse, with a focus on the person’s overall wellbeing. Read full story Source: PRSB, 30 March 2021