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Found 651 results
  1. Content Article
    Due to COVID-19 and the safety issues the pandemic is highlighting, I have decided to write a sequel to my previous blog 'Dropped instrument, washed and immediately reused'. I am writing this because it recently came to my notice from colleagues that safety is once again being compromised in the same private hospital where my shifts were blocked after I reported a patient safety incident.
  2. Content Article
    Patient Safety Learning interviews a critical care outreach nurse who has been shielding during the pandemic and hears about the effect it has had on her and the support she has received.
  3. Content Article
    In a new series for the hub, Martin will be interviewing healthcare professionals from various specialties to capture their experience and insight during the coronavirus pandemic. Learning from frontline staff is crucial, now more than ever. Prior to a predicted second wave hitting us, the government and leaders must listen to what has gone well but, most importantly, not so well for both staff and patients. Martin is a passionate nurse working on a covid unit and wants to promote learning to ensure patient and staff safety. This initially started as a way of connecting and not feeling alone but what Martin has found is that there are many voices that need and want to be heard but just don’t know how to speak up and out. In all of the interviews the healthcare professionals wanted to remain anonymous which is indicative of their fear of reprisals from their organisation. In this first interview, Martin interviews a new student district nurse who has been working within the community in the South West. Their role involves supporting care homes with end of life care and assisting in keeping people with long term conditions at home. 
  4. Content Article
    The Royal College of Nursing has undertaken two surveys of health and care staff to identify their experiences and ongoing issues with the supply of and access to personal protective equipment (PPE) during the COVID-19 pandemic. This report details the findings of the second survey (May 2020).
  5. Content Article
    This interview is part of the hub's 'Frontline insights during the pandemic' series where Martin Hogan interviews healthcare professionals from various specialties to capture their experience and insight during the coronavirus pandemic. Here Martin interviews a chief nurse of clinical productivity leading dynamic change within culture and governance. 15 years in the post, the chief nurse is responsible for leading improvement in standards of nursing and service. 
  6. Content Article
    The Safer Nursing Care Tool is a system designed to guide decisions about nurse staffing requirements on hospital wards, in particular the number of nurses to employ (establishment). It is widely used in English hospitals but there is a lack of evidence about how effective and cost-effective nurse staffing tools are at providing the staffing levels needed for safe and quality patient care. The objective of this study, published in Health Services and Delivery Research, was to determine whether or not the Safer Nursing Care Tool corresponds to professional judgement, to assess a range of options for using the Safer Nursing Care Tool and to model the costs and consequences of various ward staffing policies based on Safer Nursing Care Tool acuity/dependency measure. Authors conclude that employing more permanent staff than recommended by the Safer Nursing Care Tool guidelines, meeting demand most days, could be cost-effective. Apparent cost savings from ‘flexible (low)’ establishments are achieved largely by below-adequate staffing. Cost savings are eroded under the conditions of high temporary staff availability that are required to make such policies function.
  7. Content Article
    Claire, a Critical Care Outreach Sister, Darzi Fellow and Associate Director for Patient Safety Learning, talks about her passion to make a difference in patient safety and how her two very different roles come together to achieve this ambition.
  8. Content Article
    This document records the findings of an online survey sent to 7,106 members of the RCN’s Emergency Care Association network exploring their experiences of corridor care.
  9. Content Article
    In this interview, Cheryl Crocker, AHSN Network Patient Safety Director, tells us more about her role and why she is passionate about care homes.
  10. Content Article
    The government response to the care failures at the Mid Staffordshire NHS Foundation Trust led to the policy imperative of ‘regular interaction and engagement between nurses and patients’ in the NHS. The pressure on nursing to act resulted in the introduction of the US model, known as ‘intentional rounding’, into nursing practice. This is a timed, planned intervention that sets out to address fundamental elements of nursing care by means of a regular bedside ward round. This study, published by Health Services and Delivery Research, aimed to examine what it is about intentional rounding in hospital wards that works, for whom and in what circumstances.
  11. Content Article
    In this blog, Martin Hogan shares his experience of working as an agency nurse and how different behaviours can impact on the safety of both staff and patients.  
  12. Content Article
    White paper on nurse staffing levels for patient safety and workforce safety was produced in 2019 by the Saudi Patient Safety Center and the International Council of Nurses. The paper brings together evidence from a wide range of sources, covering different countries and contexts, showing that having the right numbers of nurses, in the right place and at the right time, delivers quality and safety for the populations they serve, and will help to retain nurses.
  13. Content Article
    The Nurse Staffing levels (Wales) Act 2016 became law on 21st March 2016. Health Boards now have a legal duty to regard the importance of ensuring appropriate levels of nurse staffing in all settings. In adult acute care settings, an appropriate nurse staffing level must be calculated and maintained. Health Boards have a duty to report on compliance with staffing requirements and take action if failings occur. The Welsh Government has issued guidance on how to determine appropriate staffing levels.
  14. Content Article
    In this half hour lecture, Suzanne Gordon, journalist and author, describes her vision for nurses to find their voice and articulate this value. So that the public understands what nurses do and what a critical role they play in the healthcare system.
  15. Content Article
    This inquiry looked at the current and future scale of the shortfall of nursing staff and whether the Government and responsible bodies have effective plans to recruit, train and retain this vital workforce. It assessed the impact of new routes into nursing (including student funding reforms, the Apprenticeship Levy, Nurse First and nursing associates). In particular, the inquiry examined the effect of changes to funding arrangements for nurse training, including the withdrawal of bursaries, and consider alternative funding models and incentives.
  16. Content Article
    BMJ Quality & Safety, was to determine the association between daily levels of registered nurse (RN) and nursing assistant staffing and hospital mortality.
  17. Content Article
    Following the news of the appointment of the UK's first harms prevention nurse consultant at Ashford and St Peter's Hospital NHS Foundation Trust, we interviewed Sue Harris on her new role.
  18. Content Article
    Venous thromboembolism (VTE) is a condition in which a thrombus – a blood clot – forms in a vein. Usually, this occurs in the deep veins of the legs and pelvis and is known as deep vein thrombosis (DVT). The thrombus or its part can break off, travel in the blood system and eventually block an artery in the lung. This is known as a pulmonary embolism (PE). VTE is a collective term for both DVT and PE. With an estimated incidence rate of 1-2 per 1,000 of the population, VTE is a significant cause of mortality and disability in England with thousands of deaths directly attributed to it each year. One in twenty people will have VTE during their lifetime and more than half of those events are associated with prior hospitalisation. At least two thirds of cases of hospital-associated thrombosis are preventable through VTE risk assessment and the administration of appropriate thromboprophylaxis.
  19. Content Article
    The matron's role has evolved since publication of the matron's 10 key responsibilities in 2003, and the matron's charter in 2004. Some aspects remain the same: providing compassionate, inclusive leadership and management to promote high standards of clinical care, patient safety and experience; prevention and control of infections; and monitoring cleaning of the environment. The role has also grown significantly, to include: workforce management, finance and budgeting, education and development, patient flow, performance management and digital technology and research. Using the handbook This handbook is a practical guide for those who aspire to be a matron, those who are already in post and for organisations that want to support this important role. It can be used to prepare ward, department and service leaders for the matron's role and to support newly appointed matrons. Individual matrons can use this handbook to support their practice, and as part of their professional development discussions with their employer. Directors of nursing can use this handbook to support matrons and the development of those who aspire to this role. Local context will be important and should be considered when using the handbook.
  20. Content Article
    The Committee of Inquiry was set up in 1967 by the Welsh Hospital Board at the request of the Minister of Health, to investigate allegations of ill-treatment of patients and of pilfering by staff which had been made by a nursing assistant employed at the hospital. The Committee was also asked to make their own examination of the situation in the hospital at the time of their inquiry.
  21. Content Article
    Published in Nursing Standard, these frequently asked questions are for nurses on coronavirus-related issues, including self-isolation, sick pay, redeployment and staff well-being.
  22. Content Article
    A comprehensive understanding of infection prevention and control is essential for nurses when seeking to protect themselves, patients, colleagues and the general public from the transmission of infection. Personal protective equipment (PPE) – such as gloves, aprons and/or gowns, and eye protection – is an important aspect of infection prevention and control for all healthcare staff, including nurses. Its use requires effective assessment, an understanding of the suitability of various types of PPE in various clinical scenarios, and appropriate application. Understanding the role of PPE will enable nurses to use it appropriately and reduce unnecessary cost, while ensuring that the nurse-patient relationship remains central to care. This article, written by nurses from New Zealand and published in Nursing Standard, defines PPE and its components, outlines when it should be used and details its optimal application.
  23. Content Article
    During the coronavirus crisis, nurses may be called upon to assist with a tracheostomy. This article was written before the COVID-19 pandemic, therefore please ensure that all staff involved in this procedure are wearing full personal protective equipment (PPE). Why you should read this article: to ensure your knowledge and skills in assisting in emergency tracheal intubation are up to date to promote a team approach to emergency tracheal intubation within your organisation, which ensures risks to patients are minimised, the trachea and lungs are protected from aspiration, and the airway is secured to understand the evidence base that supports the practice of emergency tracheal intubation.
  24. Content Article
    This page provides a list of useful resources for healthcare staff who are working in intensive care units and critical care roles during the COVID-19 pandemic.
  25. Content Article
    The ICU & Critical Care Nursing Revision is part of the Intensive Nurse blog. It has been designed and structured to assist revision and learning for anyone who is: new to intensive care units (ICU) and critical care participating in an ICU/critical care nursing program or returning due to COVID-19. This blog is part of the Free Open Access Nursing Education (#FOANed) movement which is a global collaboration utilising technology, social media and the agility to discuss relevant healthcare topics in real time. 
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