Looks at the importance of effective communication both in leadership and patient care. Covers different forms of communication and some practical ways to improve team members' communication skills.
'Genomics is already used in many areas of nursing. Find out how to stay up to date with developments
Genomics plays a part in many aspects of healthcare and is used to guide a range of health-related decisions – as such, nurses are expected to have some knowledge of it. NHS England’s Genomics Education Programme describes the field as the study of an organism’s entire genetic material, which for humans is made up of DNA.' Genomics is already used in many areas of nursing. Find out how to stay up to date with developments
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Looks at what makes a bad boss; how to start constructive conversations and where to get help and support. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Discusses the benefits of creating a career plan. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
In this article, Iwan Dowie discusses the role of the community nurse in relation to safeguarding. The key principles of safeguarding are discussed, and how the community nurse can approach various incidences where they feel their patients may be at risk.
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Using a case study approach, the authors describe the support available, spanning health and social care and third sector organisations. They discuss how this support can enable people with dementia and their carers to maintain wellbeing and cope with the impact of dementia.
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The role of digital technology in the delivery of patient care was accelerated by the COVID-19 pandemic when remote triage and consultations became part of everyday practice in healthcare settings. Yet despite growing evidence that a digitally literate nursing workforce can support and enhance patient safety and outcomes, many nurses report a reluctance to engage in the use of digital technology.
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Evidence-based practice is vital to nursing, and health and social care, but research suggests it is less widespread than it should be. One reason may be that front-line practitioners do not always have the support, time and knowledge to search for and review evidence.
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Leaving the nursing profession can cause some people to have a sense of lost identity. Find out how you can plan ahead, emotionally and practically, and also work toward a new purpose
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Advice for non-specialist nurses on adapting practice for people with a learning disability and autistic people
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Findings Several barriers and facilitators to the use of digital technology were identified, including around infrastructure, time, skills, training, support, leadership, familiarity and confidence. The use of digital technology may enhance care consistency and increase patient autonomy, but it may also erode nurse-patient relationships.
Conclusion Digital technology can enhance patient care but organisational barriers, notably in relation to digital literacy training, need to be addressed for nurses to fully adopt it.
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To understand how small group teaching sessions can assist participants to learn new knowledge and skills
To learn how to plan a small group teaching session by setting aims and learning outcomes
To appreciate the importance of assessing participants’ learning and addressing gaps in their understanding throughout the delivery of small group teaching sessions
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Knowing how to build a strong business case is a valuable skill for nurses in any band or setting as it means you can demonstrate the value of your work or proposed projects. With NHS funding severely stretched, organisational leaders are continually making difficult decisions about where to invest and where to cut back. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Isolation can cause harm in everyday life, even in the most benign conditions. Taking on responsibility for a patient in the community who is isolated can entail a responsibility to steer them on a course, which they might otherwise not have taken and which might redound to their benefit. In this article, John Finch, a freelance journalist specialising in clinical law and ethics, examines some of the legal responsibilities which are added by the effects of isolation to the already heavy burden carried by community nurses.
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this article discusses the benefits for nurse leaders to explore a new approach known as quantum leadership. This is a relationship-focused and value-based leadership style in which leaders understand that healthcare organisations have been in a state of flux and recognise how to respond constructively to change in the future. Quantum leadership enables nurse leaders to create and maintain synergistic team working, whereby the team works together towards the common goal of delivering optimal person-centred care. The author suggests that quantum leadership is an engaging and realistic approach to adopt, with benefits of all staff delivering healthcare services and ultimately for patients. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The authors concluded that the meta-analysis: 'revealed small to moderate positive effects of resilience training on resilience and other mental health outcomes immediately post-intervention (resilience, wellbeing) and in the short-term (anxiety symptoms, [perceived] stress), while there was a lack of evidence for training effects on depressive symptoms or any outcome at later follow-ups.'
Virtual wards are increasingly being used by the NHS to provide care to patients where they live, whether in a care setting or at home. The NHS has been set a target of 40–50 virtual wards per 100,000 people and, more immediately, to scale up capacity ahead of next winter, to above 10,000 beds by this autumn. This report sets out the critical factors needed to enable the NHS to succeed in achieving these targets and to make virtual wards a sustainable model in the longer term, where patient demand and satisfaction are met, as well as better productivity.
In part two of her two-part series on mental health, Sarah Palmer sign-posts community nurses towards relevant services, in cases where they may come across a patient with mental health issues. Furthermore, a case for digitally enabled mental health care is made by the author, as this would let individuals receive help sooner.
Cultural diversity is an evolving feature of modern-day society. It is recognised that many factors contribute to culturally competent care and evidence suggests there are still inequalities in care provision to some populations.
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This collaborative project aimed to understand and enhance the knowledge, confidence and capability of community nurses to manage frailty in a community setting. A person-centred coaching and educational programme was co-developed with community nurse participants to strengthen their leadership role in managing frailty within interprofessional teams.
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While clinical reflection has been an essential aspect of nursing practice for many years, some nurses may still find it challenging to constructively engage with this process and may not recognise the benefits and learning that can result from it. This article provides practical guidance for nurses on how to undertake reflection, to support them to reflect regularly as part of their practice. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
• Reflection is a process of engaging with and learning from one’s thoughts, emotions and actions in a supportive and critical manner.
• Reflection can assist nurses to learn from practice, support team working and promote self-care.
• Nurses can reflect alone or with others, and there are various structured models of reflection that they can use to support them.
Individuals living with severe mental illness can have significant emotional, physical and social challenges. Collaborative care combines clinical and organisational components. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The popularity of the nurse well-being app has inspired a new version offering personalised support for students. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
With as many as one in three nursing students leaving their course before they complete it, a new free app will offer personalised support to those who are struggling.
Off-duty texts or meeting-up with patients could indicate that boundaries have been blurred, and consequences could be severe. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Positive and therapeutic nurse-patient relationships are crucial to building the trust and respect that enables nurses to provide the best possible care.
Ben Hannigan explores a recent systematic review exploring the prevalence, risk factors and interventions for suicide and self-harm in nurses and midwives.
Not all nurses managers have experience so education in, and exposure to, compassionate leadership can be vital
What is the difference between a manager and a leader? All organisations need a manager, but they benefit from leaders. But when nurses become managers, are they managing, leading or both? To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The nursing profession is facing some of its greatest challenges. After providing society with highly skilled care during the pandemic, the effects of the demands made of nurses are becoming noticeable, leading to global staffing shortages. The positive impact of nursing leadership strategies on the profession’s response to COVID-19 have been significant, yet more recently we have seen the media portrayal of nurses shift from angels and heroes to disrupters. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Psychological first aid (PFA) is an intervention strategy to support people in severe distress following crisis events. These traumatic events might include natural disasters, accidents, violent crimes or trauma experienced in nursing work, such as during the COVID-19 pandemic. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Leadership in nursing is about inspiring colleagues to deliver the best care and improve patient outcomes, whether you are a student, newly qualified or a team leader
It is an outdated notion that leaders are only those who manage a team, or call all the shots. There is increasing recognition in nursing that everyone – at every level – can demonstrate leadership and develop as a leader.
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The authors rapidly reviewed the international literature to identify determinants of workplace violence against hospital-based nurses and the effects of workplace violence on nurse outcomes. Twenty-one studies (22 articles) formed the final sample – 16 quantitative, three qualitative and two mixed-methods studies. Supervisors, other nurses and physicians were the major perpetrators of workplace violence against nurses. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This literature review focused on nurses in the NHS and found that self-rostering had a positive effect on their work-life balance and job satisfaction. However, a move to self-rostering can pose challenges and it should be assessed for suitability before implementation.
Nurse managers should consider how floating shifts are administered so that nurses feel supported when working on a different ward or unit. Nurse managers can greatly influence nurses’ ability to manage floating shifts. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Although low-certainty evidence suggests that professional oral care may reduce mortality compared to usual care when measured at 24 months, the effect of professional oral care on preventing NHAP remains largely unclear. Low-certainty evidence was inconclusive about the effects of this intervention on incidence and number of first episodes of NHAP.
The Nursing and Midwifery Council (NMC) has introduced an all-encompassing specialist practice qualification (SPQ) aimed at nurses working in any setting in the community, with the Queen’s Nursing Institute (QNI) planning to build on this by producing a set of standards for nine different fields. Here is what is happening and what it means for nurses, employers and universities. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Despite the constant pressures and chronic shortages, the number of nurses leaving the NHS had flatlined over recent years. Now our analysis of new data shows there has been a large increase in nurses leaving the NHS, and that this trend is being driven by younger workers.
Empathetic and inclusive leaders enable teams to achieve better outcomes for patients, but can be difficult to find in the hierarchical organisations of the NHS
Compassionate leadership is good for staff and good for patients, with a growing evidence base showing that it results in staff being more motivated and delivering high-quality care.
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An education and career framework for general practice nursing has been launched by NHS England and Improvement, Health Education England (HEE) and Skills for Health. The framework has been heralded as a turning point for the sector – but what does it cover and aim to achieve?
Incivility can be overtly bullying or aggressive behaviour. It can also be covert, for example the rolling of eyes, ignoring someone or speaking over them. These behaviours dent staff morale and individuals’ confidence in their abilities, and create a feeling of apathy towards colleagues and patients.
Integrated care systems may seem like just another in a long line of health and care reforms – so how will they affect nurses and their ability to do their jobs? To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
"The authors concluded: –
Fluconazole and amphotericin B are recommended as topical antifungal agents for adults with oral candidiasis. Existing studies tend to recommend fluconazole for immunocompetent patients and itraconazole for immunosuppressed patients, whereas miconazole is recommended for infants."
The aim of this study is to describe the scope of the current literature on teamwork in home care nursing and outline needs for future research. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
School nurses’ role in safeguarding and child protection is critical, yet the workforce is in dire need of reinvestment to help us support those children most in need. As postgraduate specialist community public health nurses, we are experts who provide valuable, confidential services to children, young people and families. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
Listening to the voices of nurses working closest to patients and supporting them to implement positive change is a way to flatten traditional NHS hierarchies. Done properly, it can improve patient outcomes as well as increase job satisfaction for staff say nursing leaders.
This article provides an introduction to coaching and action learning as approaches nurse leaders and managers can use to promote leadership development among individual team members and within the team. It describes how coaching and action learning work and their potential benefits and challenges. It explains how the two approaches can be used to underpin effective problem-solving and goal setting, and support nurses in their professional development, the ultimate aim being to deliver safe and effective patient care.
Results Overall, the democratic style of leadership and the integrating style of conflict management were the most favoured by participants, while the laissez-faire leadership style and the dominating style of conflict management were the least favoured. Significant positive correlations were established between the leadership styles of participants and their conflict management styles. The regression analysis showed a significant predictive power of leadership styles, specifically the democratic and autocratic styles, on 30% of the variance in conflict management styles.
The review found that mindful self-compassion interventions had medium-to-large effect sizes for self-compassion, traumatic stress, burnout, stress and compassion satisfaction. There was also high intervention adherence (mean=86%) in the included studies. Since these interventions can improve self-compassion and compassion in nurses, they have the potential to enhance the quality of compassionate care provided by nurses who undergo training in mindful self-compassion.
Our analysis confirms that the supply of nurses into the NHS is not keeping pace with demand, that increasing the number of nurses is having no substantial impact on the number of vacancies and that there is a wide regional variation in the scale of the challenge.
The economic value of community nursing is not well understood, meaning it can be a challenge to make the case for investment in the service. The breadth of the service is so vast that it can be difficult to define all the activity and measure the outcomes achieved, which is essential to assess value. A roundtable, hosted by the Healthcare Financial Management Association, considered the challenge of measuring economic value in community nursing, to identify where further work is needed.
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This study examines first year pre-registration nursing students' perceptions of community nursing roles, using a qualitative design and questionnaire.... Results uncovered knowledge gaps, and community roles were perceived to be less dynamic than secondary care roles, correlating to clinical tasks and popularised media sources.
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Conclusion Effective communication, respect, competitive financial compensation, benefits and proper recognition are among the main strategies that senior can use to retain nurses. Shared governance is also important in empowering nurses and subsequently improving retention. To read the full article, log in using your NHS OpenAthens details.
To examine the role of community‐based nursing interventions in improving outcomes for community‐dwelling individuals exhibiting risk factors of cardiovascular disease (CVD).. To read the full article, log in using your MPFT NHS OpenAthens details.
To assess randomized controlled trials evaluating the impact of nurse practitioner‐led cardiovascular care.. To read the full article, log in using your MPFT NHS OpenAthens details.
(1) To review the literature on the use of technology to provide emotional and social support to nurses; (2) to identify and evaluate gaps in the research; (3) to assess whether a systematic review would be valuable and (4) to make recommendations for future research.
To explore and understand the views of clients and formal and informal caregivers about the experienced quality of home care for older people.. To read the full article, log in using your MPFT NHS OpenAthens details.
To critically appraise and synthesis the current evidence related to Advanced Practice Nurses (APNs) in the children and young people's healthcare setting.. To read the full article, log in using your MPFT NHS OpenAthens details.
The new resource is operated by an independent provider and comes less than a year since the professional regulator set up its support service for members of the public who raise concerns when things go wrong with their nursing or midwifery care.
Now, through the NMC’s Careline, emotional and practical support is also available 24 hours a day, 365 days a year for nurses and midwives across the UK, and nursing associates in England, who are involved in fitness to practise processes.
The RCN has published a report outlining the evidence behind its calls for specific legal responsibilities for workforce planning and supply across the health and care system.
The report, titled Standing Up for Patient and Public Safety, follows the release of recent NHS figures showing there are now a record 43,617 vacant nursing posts in the NHS in England.
‘Who is a nurse?’ and ‘What is nursing?’ seem to be simple questions yet the answers are strangely elusive. This book explores the variations in structure and organization of the nursing workforce across the different countries of Europe. This diversity, and the reasons for it, are of more than academic interest. The work of nurses has always had a critical impact on patient outcomes. As health systems shift radically in response to rising demand, the role of nurses becomes even more important.
To examine the use of time by advanced practice nurses and time use differences according to type of healthcare organization, work experience and supervisor.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Aims
to develop a theory describing the processes and actions involved with school nurse case management for school‐aged children with chronic conditions in the K12 system.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
This paper seeks to explore general practice nurses’ perceptions of interactional factors supporting communication with patients about lifestyle risk.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Supportive observations is the practice of closely monitoring patients who are acutely unwell in order to keep them safe.
There are no formal guidelines for nursing staff on what to observe during observations.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
With several qualified community practitioner nurse prescribers (CPNPs) not prescribing, this research aimed to understand what influences this behaviour.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To study asthma control and acute health care visits among young adults with asthma.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To quantify the impact of involving caregivers in self‐management interventions on health‐related quality of life of patients with heart failure or chronic obstructive pulmonary disease.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To evaluate specific process components of the Urban Health Centres Europe approach; a coordinated preventive care approach aimed at healthy ageing by decreasing falls, polypharmacy, loneliness and frailty among older persons in community settings of five cities in the United Kingdom, Greece, Croatia, the Netherlands and Spain.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To assess the effectiveness of physical‐procedural interventions in reducing pain during intramuscular injections.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Nurses in all sectors and specialties are well-placed to support innovation, guide patients and their families to use innovative technologies, provide feedback about how these changes are received in the real world and help remove the barriers that stop successful adoption. To read the full article, log in using your MPFT NHS OpenAthens details.
BPS Blog post by Lucy Maddox. The UK population continues to grow, while nursing numbers have remained static for several decades. Compounding matters, The King’s Fund and Nuffield Trust have reported a 25 per cent increase in nurses and midwives leaving the NHS from 2012 to 2018, from 27,300 to 34,100. In short, in the UK, we now have far fewer nurses relative to the general population than we used to.
What does this mean for patients’ care experience?
Consumer participation is central to mental health policy. Negative attitudes of health professionals are barriers to realising policy goals. Evidence suggests consumers (Experts by Experience) can influence positive attitudes in nursing students. Research in this area to date is limited and primarily from Australia and New Zealand.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Postpartum psychosis is one of the severest psychiatric disorders to occur in the postpartum period. If it requires a woman's admission, a psychiatric mother baby unit is recommended, where care will focus on the mother's health, the mother‐baby dyad, and their next of kin. To date, few studies have examined nursing interventions for patients with postpartum psychosis.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
This study examines the impact of personal resilience on the well‐being of care workers and how perceptions of the quality of care provided and the social climate in the organization influences this relationship. We examine quality of patient care as both a mediating and outcome variable to better understand if ‘doing good’ (quality of care) leads to ‘feeling good’ (personal well‐being).. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
The study aimed to examine differences between pediatric nurses and physicians regarding burnout syndrome, secondary traumatic stress and perceived social support.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To explore stakeholder perspectives of compassion in nursing.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To test the relationship between work practice environment and turnover intention, considering the mediation of work engagement and the moderation of work pressure among community health nurses.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
This information relates to the introduction of Relationships Education, Relationships and Sex Education (RSE) and Health Education from September 2020.
This is statutory guidance from the Department for Education (DfE) issued under Section 80A of the Education Act 2002.
Schools must have regard to the guidance and, where they depart from those parts of the guidance which state that they should, or should not, do something, they will need to have good reasons for doing so.
To develop an understanding of how nurses take account of patient preferences in nursing decision‐making in evidence‐based practice to provide individual tailored nursing care.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To identify, describe, and summarise evidence from quantitative, qualitative, and mixed‐method studies conducted to prepare nurses and nursing students to lead on and/or deliver compassionate care. . To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Open access. To establish what leadership competencies are expected of Master level educated nurses like the Advanced Practice Nurses and the Clinical Nurse Leaders as described in the international literature.
This study examined the relationship between prenatal exposure to alcohol, manifested through FAS and pFAS, and hypertension in children and adolescents.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Open access. Alcohol use during pregnancy can have a variety of harmful consequences on the fetus. Lifelong effects include growth restriction, characteristic facial anomalies, and neurobehavioral dysfunction. This range of effects is known as fetal alcohol spectrum disorders (FASD). There is no amount, pattern, or timing of alcohol use during pregnancy proven safe for a developing embryo or fetus. Therefore, it is important to screen patients for alcohol use, inform them about alcohol's potential effects during pregnancy, encourage abstinence, and refer for intervention if necessary. However, how and how often nurses and midwives inquire about alcohol drinking during pregnancy or use recommended screening tools and barriers they perceive to alcohol screening has not been well established. (US study)
Health Education England (HEE) has launched a new campaign to bring more nurses back into the NHS Workforce.
Targeted at nurses considering a return to practice, the 'We are Returning Nurses' campaign follows on from the We are the NHS recruitment drive. It seeks to remind nurses why they fell in love with their profession and support them on their journey back to the NHS with financial help, information on where to find courses, and tips on applications and interviews.
This updated set of expectations for nursing and midwifery care staff will help NHS provider boards make local decisions that support the delivery of high-quality care for patients.
to establish the accuracy of community nurses’ predictions of mortality among older people with multiple long-term conditions, to compare these with a mortality rating index and to assess the incremental value of nurses’ predictions to the prognostic tool.. Please contact the library to request a copy of this article - http://bit.ly/2HjNDf3
Governments across the UK should be held fully accountable for nursing workforce shortages across health and care settings, the RCN has said.
In a new safe staffing report the College is calling on governments to implement robust, evidence-based workforce planning in all UK publicly-funded care settings.
A new RCN report says nurses are best placed to help close the huge gap in life expectancy between people with serious mental illness and the rest of the population.