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Nottingham Launches #EDFit2Sit Campaign in a Bid to Keep their A&E Patients Moving

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Emergency Department staff in Nottingham are doing their bit to stop deconditioning in patients from the moment they enter the hospital.

They have launched #EDFit2Sit their own arm of #endpjparalysis, the campaign to get patients dressed up and moving to avoid deconditioning and aid recovery.

#EDFit2Sit aims to help make sure patients are helped to stay off trolleys when appropriate during their treatment in ED.

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Jane Newton, Matron for ED at Queen’s Medical Centre, said: “Everyone here understands the important message behind #endpjparalysis and recognises the benefits for patients being encouraged and supported to get up, get dressed and keep active when appropriate.

“We were keen to think about what we could do to play our part and decided to implement #EDfit2sit in the department so that when patients are able to they are encouraged to remain seated during their time with us rather than being on a trolley.

“Obviously we do our best to make sure that patients are able to go home from ED rather than on to the ward, but if they do need to be admitted we have helped start them thinking about the importance of keeping active to avoid deconditioning and that will have an impact on their stay and play a part in getting them home as soon as possible.”

Ann-Marie Riley, the Deputy Chief Nurse at Nottingham University Hospitals NHS Trust, who was involved with the development of the #endpjparalyis campaign, praised the efforts of ED staff at Queen’s Medical Centre.

She said: “I am really pleased to see staff in the Emergency Department think about how they can contribute to this campaign and play their part in improving patient care.

“The #endpjparalysis campaign is a simple idea but there’s evidence that shows it can have real benefits for patients in reducing deconditioning and ultimately getting them home sooner.

“The #EDfit2sit campaign makes sure that from the minute a patient comes through the doors staff are thinking about these important factors and helping to set the tone for their stay with us, however long that may be.”

The #endpjparalysis campaign was born from conversations at NUH in November last year. Since then it has spread to become an international movement with millions of health staff in Canada, Australia and further afield supporting the principles.

Ann-Marie said: “At NUH we are really proud of our part in #endpjparalysis and thrilled it has become so successful. Staff here have really embraced the idea and it has grown organically with different areas coming up with different ways of putting these principles into practice.

“The ED team and #EDfit2sit is just one example of this in action and I’m sure there’ll be many more.”

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Safe staffing and equality have been an issue since the start

Parliament passed the Nurses Registration Act in 1919.

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State registered nurse

A new exhibition charts the history of nursing from the Nurses Registration Act to modern-day.

In the centenary year of nurse registration, a new exhibition charts the history of the journey from the Nurses Registration Act in 1919 through to the modern-day.

Called ‘Wake up Slackers! The great nursing registration controversy’ the exhibition looks at the heated arguments around the official registration of nurses through the first registration of men, overseas nurses and one of the first nurses to be struck off.

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The Royal College of Nursing (RCN) was just three years old when registration first happened and securing this had been part of its founding ambitions.

The exhibition shows how many of the discussions and controversies of the past, including safe staffing, continue today and influence many of the discussions around modern nursing.

The Nurses Registration Act.

The exhibit contains artefacts from the RCN archive including invites to member meetings to discuss the College’s proposals for state registration, House of Commons Parliamentary debates during the year the Nurses Registration Act was passed in 1919, as well as drafts of legislation.

Opening during Black History Month, the exhibition also showcases the story of Eva Lowe, one of the first known black nurses on the register. Research shows how, despite being well qualified she was rejected many times before finding employment. It shows how she received vague and unsatisfactory excuses for her rejection, some based on false concern for her welfare.

As well as letters and documents from the RCN’s own archive, the exhibition will also feature items loaned from other collections such as that of the regulator the Nursing and Midwifery Council.

Are nurses born or made?

Frances Reed, Events and Exhibitions Co-ordinator at the Royal College of Nursing said: “It is incredible today to think that 100 years ago there were arguments about whether or not nurses should be registered.

“Today it seems unthinkable for somebody with such responsibility for the welfare of patients not to be registered and yet there were strident clashes over it, despite other health professions securing regulation well before nursing.

“The story of the first black nurse on the register, Eva Lowe is important to highlight too. There is little known about black nurses whose names are on the very early 1920s registers.  It is essential we recognise that their contribution to health care existed well before Windrush.

“It’s also particularly striking to see how hard Eva Lowe had to fight to become the first black nurse on the register, and how 100 years later racial inequalities still exist in the health and care system.

The exhibition runs at RCN HQ in Cavendish Square, London 17 October – 20 March 2020

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Education

One in six nursing associates drop out before qualifying, finds report

Despite this trainees showed “high levels of enthusiasm and commitment to the programme”.

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Group of nurses in meeting

Only 65% of trainee nursing associates said they planned to work as a nursing associate once qualified.

An independent evaluation of the nursing associate role commissioned by Health Education England (HEE) has found that while there are “high levels of enthusiasm and commitment to the programme”, one in six nursing associates are dropping out before completing the course.

Attrition rates for trainee nursing associates fell slightly below that of student nurses, with 18% leaving before completing the course.

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While ill health and personal issues were some of the most common reasons for leaving the programme, nearly a quarter (23%) withdrew because they failed to meet the academic requirements of the programme – with numeracy skills cited as a key issue.

One trainee said they found the “attitudes towards the role and the negative feedback about Nursing Associates” challenging.

Only 65% of trainees said they intend to continue working as a nursing associate once qualified as the programme is often seen as a stepping stone to becoming a registered nursing.

Highlighting challenges.

Mark Radford, Chief Nursing Officer, Health Education England said the report “highlights some challenges that we must address to ensure that students such as ensuring the quality and oversight of placements, attrition and numeracy support.”

“We also recognise that further work and research is required to ensure that the profession is supported and utilised in the workforce of health and social care as part of the MDT. I am pleased to be able to report that we are in the process of identifying candidates to be considered as NA ambassadors across England.

Commenting on the report, Andrea Sutcliffe, Chief Executive and Registrar for the Nursing and Midwifery Council (NMC), said; “Having had the pleasure of meeting many nursing associates across the country, I am continually inspired by their enthusiasm and dedication for providing care and they should be very proud of the difference they make for the people they support.”

“I look forward to seeing how nursing associates continue to develop and be supported in their work, long into the future.”

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