The increasing use of healthcare services is leading to issues with hospital overcrowding and this is particularly apparent in emergency departments (EDs). Consequently, patients are being cared for in areas that were not designed for that purpose, such as waiting areas and corridors. This negatively affects nurses' and patients' experiences of care.
View Article and Find Full Text PDFAims: To examine changes in advanced nurse practitioner (ANP) well-being, satisfaction and motivation over a four-year period.
Design: Longitudinal Cohort study.
Methods: Surveys were carried out each year from 2019 to 2022 with the same cohort of ANPs in the United Kingdom (UK).
Background: The need to transform the United Kingdom's (UK) delivery of health and care services to better meet population needs and expectations is well-established, as is the critical importance of research and innovation to drive those transformations. Allied health professionals (AHPs) represent a significant proportion of the healthcare workforce. Developing and expanding their skills and capabilities is fundamental to delivering new ways of working.
View Article and Find Full Text PDFEnding familial co-residence, termed 'moving on' by participants, is an increasingly relevant life transition for people with a learning disability due to increasing life expectancy and policy developments. Nevertheless, there is an absence of research exploring this transition experience in a United Kingdom (UK) context. This constructivist grounded theory study therefore aimed to explore, conceptualise, and theorise the 'moving on' experiences of adults with a learning disability and their families.
View Article and Find Full Text PDFNurs Manag (Harrow)
April 2024
Effective nursing leadership has been shown to improve patient outcomes, but there has been little exploration of the factors that influence early career nurses to develop their leadership skills and adopt leadership roles. This article presents a rapid review of the literature on these factors, integrating data from 25 articles. Findings suggest that improving leadership confidence and self-efficacy, particularly in relation to system leadership, can increase nurses' motivation for adopting leadership roles.
View Article and Find Full Text PDFInt J Ment Health Nurs
February 2024
Current evidence suggests understaffing is related to poor quality and missed care in a global context, but this relationship is complex. There is also a research gap for quality in mental health care in the United Kingdom that includes a wider set of patient outcomes. This paper aims to investigate RMN's perception of quality of care on their last shift, their self-reported reasons for compromised care and potential impact on patient outcomes.
View Article and Find Full Text PDFAim: To explore the experiences of university employees on the development and implementation of the nursing associate programme.
Background: As part of wider policy initiatives to address workforce shortages, provide progression for healthcare assistants and offer alternative routes into nursing, England recently introduced the nursing associate level of practice. Little research has yet considered university perspectives on this new programme.
Objectives: This study aimed to determine the prevalence of clinically relevant bacteria on the surface of hospital-issued iPads and to assess the effectiveness and residual effect of a new cleaning regime using 70% alcohol and 2% chlorhexidine wipes.
Methods: Hospital-issued iPads were swabbed to determine the presence of clinically relevant organisms. The iPads were wiped using 70% alcohol and 2% chlorhexidine.
Background: The nursing associate role was first deployed in England in 2019 to fill a perceived skills gap in the nursing workforce between healthcare assistants and registered nurses and to offer an alternative route into registered nursing. Initially, trainee nursing associates were predominantly based in hospital settings; however, more recently, there has been an increase in trainees based in primary care settings. Early research has focussed on experiences of the role across a range of settings, particularly secondary care; therefore, little is known about the experiences and unique support needs of trainees based in primary care.
View Article and Find Full Text PDFBMC Health Serv Res
February 2023
Unlabelled: Worsening working conditions for nursing workforce has seen a massive exodus of staff, particularly in community nursing in the UK.
Aim: The study aim was to map working conditions as well as identify differentiating characteristics of community nurses that intend to leave their profession.
Design: Eligibility criteria were community nurses working in all 4 UK countries.
Aim: To explore higher education institution (HEI) perspectives on the development and implementation of trainee nursing associates (NAs) in the primary care workforce in England.
Background: Current shortages of primary health care staff have led to innovative skill mix approaches in attempts to maintain safe and effective care. In England, a new level of nursing practice, NAs, was introduced and joined the workforce in 2019.
Background: Moral distress arises when a person is aware of the right course to take but is prevented from acting on it by institutional constraints. While this concept has been considered by nursing ethicists for many years, it has been particularly associated with the unprecedented healthcare conditions caused by the coronavirus disease 2019 (COVID-19) pandemic.
Aim: To investigate the level of moral distress affecting advanced practice nurses (APNs) in the UK during the COVID-19 pandemic.
Aim: The nursing associate role has created a new second-level nursing role and provided an alternative route into registered nursing. For some, this provides a previously inaccessible opportunity for career progression. The aim of the study was to understand the factors that influence career choices of trainee nursing associates.
View Article and Find Full Text PDFObjective: To synthesise the evidence relating to the contribution nurses make during respiratory infectious disease pandemics.
Background: Pandemics are known for their abrupt and contagious nature, as well as their impact on individuals and society. Nurses are more likely to work closely with patients experiencing illness and disease during pandemics, and studies on the role of the profession have mainly focused on the challenges, barriers and shortfalls in nursing care provision.
Background: Resource cuts to primary and community care in combination with a decline of those working in community settings is compromising quality of care and patient safety in the UK. It is reported that the negative consequences of understaffing and underfunding have worsened due to the COVID-19 pandemic.
Objective: This is a cross-sectional study that aimed to examine short and long-term District and Community nursing working conditions.
Objective: To report complications and long-term outcomes after submucosal resections of benign and malignant epithelial rectal masses.
Study Design: Retrospective multicentric study.
Sample Population: Medical records of 93 dogs at 7 referral hospitals.
Background: Sedation is used alongside mechanical ventilation for patients in intensive care units internationally; its use is complex and multifaceted. Existing evidence shows that the ways health care professionals use sedation significantly impacts patient outcomes, including how long someone spends on a ventilator, length of stay in intensive care and recovery.
Objective: Our study aimed to systematically review and synthesize qualitative and quantitative evidence about how intensive care staff perceive sedation practices when looking after sedated and mechanically ventilated patients.
Aims: To provide an expert overview on the current state of evidence as it relates to person and relationship-centred care.
Design: Review and commentary.
Methods: The paper was prepared in order to contribute to a Consensus Development Project.
Aim: This article describes the development and implementation of a virtual Consensus development project to address current challenges in adult nursing care in the UK.
Design: This is a Consensus Development Project (CDP).
Methods: The five stages of this CDP were: develop questions (informed by PPI representatives and a documentary review), generate evidence reviews, recruit and orient the lay panel, host Consensus seminars, and consult with panel members and stakeholders.
There are over 41 000 vacant nursing posts across the United Kingdom's National Health Service (NHS), with more people leaving the profession that joining it. Despite mental health being acknowledged as a priority area, some of the most significant staff shortages are occurring within mental health services. Urgent action is needed to retain the mental health nurses (MHNs) currently in post to ensure the profession is fit for purpose and aid future recruitment efforts.
View Article and Find Full Text PDFAim: To explore how the COVID-19 pandemic affected nursing associate work, training and well-being experiences.
Design: Cross-sectional survey.
Methods: A survey of trainee and newly qualified nursing associates was completed in July 2020.
Background: In Indonesia, information on and research into how Indonesian nurses perceive and experience leadership and leadership roles is limited.
Aims: This study was designed to identify Indonesian nurses' perceptions and experiences of leadership and nurse leadership roles in the hospital setting.
Design: A qualitative study with semi-structured interviews.
Aims: To examine and explore organisational and role conditions that promote or inhibit job satisfaction and workplace well-being for advanced practice nurses.
Background: The advanced practice role is common across the world. Research shows it is well regarded by patients and improves patient outcomes, but there is little evidence about what the role is like for nurses.